26.12.2013 Views

Prenatal Record - National Archives and Records Administration

Prenatal Record - National Archives and Records Administration

Prenatal Record - National Archives and Records Administration

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

Reproduced at the <strong>National</strong> <strong>Archives</strong><br />

ror~<br />

2<br />

2<br />

2<br />

2<br />

1<br />

6<br />

7<br />

8<br />

q<br />

10<br />

t1<br />

12<br />

13<br />

t4<br />

1-1 15<br />

1-1<br />

• 16<br />

><br />

•t\.)<br />

17<br />

t7<br />

0<br />

0<br />

t7<br />

17<br />

17<br />

17<br />

17<br />

17<br />

17<br />

17<br />

17<br />

17<br />

17<br />

17<br />

17<br />

17<br />

17<br />

17<br />

1 7<br />

~<br />

,c:.<br />

17<br />

tv 17<br />

17<br />

17<br />

17<br />

17<br />

17<br />

Item<br />

ITEM<br />

nN<br />

FOR14<br />

~umbers lin~P~ to nata Items on OR-42, Past ~ejfc~l HtstJrv<br />

nATA <br />

IrF.H CARD <br />

10 Nll114 FROIII Tr) DATA JfF:II4 NAME <br />

108fi •• OR•42 0142 17 18 Form ns-4? date (day)<br />

108!'i •• 01"•42 0142 15 16 Form 08•42 ~ate (mol<br />

tos7 •• oA-42 0342 1«1 ?.0 Form 08•42 ~ate (yr)<br />

4CI87 •••• VIR so; 56 <strong>Prenatal</strong> Visits, total numoer<br />

108B •• OA•42 034~ 21 ?.1 History ohtatne1 usfna thts form or other recor~s<br />

108«1 •• o~-42 o342 22 22 Chil~hood diseases, su~m~rv co~e<br />

1092 •• OR•42 0342 lo; ?5 cardinvascular, su~marv coje<br />

1~'97 •• oA-42 0142 31l 30 Resoiratory, Kum•arv code<br />

1101 •• o~-42 Ol41 34 14 DfgPstive, sum•arv code<br />

ttos•• oA•42 034? 311 38 GvneeoloQtcal' venereal, su~•arv code<br />

1111 •• 09•42 0342 44 44 suroery, nt~er, su•mary coje<br />

tt n .• cn~-42 034? 46 46 Renalr urinary tract, sn•Marv co~e<br />

1117 •• ()1\•42 034? so 50 EndocrineJ metaholie, su~m!ry cod~<br />

1120 •• 08•42 0142 51 o;3 NeuromuscularJ osvchiatric, su~mary code<br />

1 t2!'i •• OR•42 034? SA 58 Blood <strong>and</strong> transfusions, su•marv code<br />

112«~ •• oA-42 o34? 62 62 Con~itinns, other: SUMmary code<br />

1126 •• oR-42 0342 SCI 59 Blood <strong>and</strong> transfusions; anemia<br />

lt27 •• LJR•4:l 0342 bO 1>0 Blood <strong>and</strong> transfusions; 1s~l~•uni7.ation<br />

t12P •• OA•42 0342 61 61 Blood <strong>and</strong> transfusions: tr!nsfusions<br />

1093 •• OR•42 034? 26 ?6 Car~lovascular; heart dtse~se<br />

1094 •• oR-42 034? 27 77 Car~invascular; hypertensf~n, chronic<br />

1095 •• oA-42 034? 2A 28 cardiovascular; rheumattc fever<br />

1096 •• oR-4.2 034? 2Q 29 Car1iovascularJ v~scular ~lsease<br />

1091 •• JR•42 034? 24 ?4 Childhon1 dfs~asesJ ~umps<br />

to9o •• oR-42 OH? 21 23 C~ildhoo~ dtsPases; rub~ll!<br />

1111 •• 0~-·2 034? 64 64 Cnndltions, other: aller~v<br />

1110 •• oA-42 0341. bl 63 Conditlnns, otherJ 1ruq sensitivity<br />

113? •• 0R•42 034? 65 65 Conditions, other: malformations<br />

11 H •• OR•42 014? bfi ~6 Conditions, other: oarasttic diseas~<br />

ltOJ •• Oq•42 Ol42 36 16 D1~estive: chnlecvstttts/llthlasts<br />

tto?. •• oR-42 o34? 35 35 ot~estive: heoatltis<br />

ll04 •• 0R•42 034? 37 17 otqestive: ulcer, peptic<br />

111Q •• o~-42 034? 5? o;2 f.njocrine: metabolic; diabetes mellitus<br />

111A •• OR•42 0342 51 51 Endocrine: metabolic; thyrJJj dYsfunction<br />

l10'l •• OR•42 0342 4? 42 GynPcoloqtc~l: venereal: QJnorrhea<br />

llo7 •• oR-42 0342 40 40 GvnecologlcalJ venereal: f~ferttJfty<br />

ttto •• oR-42 o142 41 43 Gynecoloqtcal: venereal: oelvfc inflammatory 1isease; PID<br />

1 to6 •• oR•42 o342 3Q 19 Gynecoloqtcal: venereal: s~rqerv<br />

ttoa •• oR-42 0342 41 41 GVnPcnloqfcal: venereal: svohflfs<br />

1121 •• 09•42 0142 51> 56 N~uromuscular: osychtatric: convulsive 1isorder<br />

1t22 •• 0R•42 0342 55 ~5 NPuromuscular: nsvchtatrtc: ~ental Illness<br />

1121 •• 0R•42 0342 54 54 Neuromuscular: osvchtatric: mtqralnP

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!