Prenatal Record - National Archives and Records Administration

More documents

Recommendations

Info

II.A.210 OB-43 Reproduced at the National Archives
Reproduced at the National Archives H H ;,. • N ..... ..... ~ ~ w nata Items R~f@rencin~ Form OR-43, Tntttal Pren~tsl r.xam 01\TA rrrl4 I 'I' EM :JN CARO TO F'JQI4 NIIN FROIIII TO OATA J fF:N NAME ' 1 36 ••••••• 11)7 ••••••• 11 n ..na-43 1139 •• 08-43 1140 •• nB-43 tt41 •• na-43 1142 •• na-4J 1143 •• 08-43 1144 •• 08-43 t 145 •• oa-43 1146 •• na-43 1147 •• 08-43 1148 •• 08-43 1149 •• ns-43 uo:;o •• oa-43 t151 •• os-43 t1"i2 •• na-43 11"3 •• 08-43 t15t •• n8-43 11'55 •• nB-43 tt'i& •• ns-43 1157 •• 08-4] 1158 •• 08-41 1159 •• ns-43 t160 •• 0B-4J 1161 •• os-43 t11i2 •• os-43 1163 •• 08-4] tl64 •• na-43 f 165 •• ns-43 t16& •• os-43 1167 •• 08-4] 1168 •• na-4J 1169 •• ns-43 t17o •• na-43 t17l •• OB-4l tt72 •• na-4J un..os-43 tt74 •• na-4J 1175 •• 08-43 1176 •• 08-4] tl77 •• na-43 2 2 2 10 11 12 14 14 14 14 t4 t 5 15 15 15 1" 15 16 16 16 16 t6 16 17 17 17 17 111 18 1A 1A 111 111 19 19 1CJ 19 19 20 20 1343 1343 1343 1343 1343 1343 1]43 1343 1343 B4l D43 1341 1343 1343 1343 1343 1343 1343 1343 1343 1343 1343 13B 1 ]43 1343 1343 1343 1343 1343 1343 1343 1343 1343 1343 1343 1343 1343 1343 1143 1343 1343 1343 t 5 car~ nu~ber Cseauence, fora tvoe, for~ nu~ber, revision nu~berl f; 14 NTNOB C3SP number 1'i tb Form ns-41 ~ate (mol 17 18 Form 08-43 date (~ay) 1Q ?.0 Form nB-43 ~at.e (Vrl 21 23 ~eiaht, ore ore~nancv (lbs) 24 ?5 Heiaht (inches) 21; ?8 Pulse 2Q 79 Aopearanc@, acutely 111 30 lO 31 lt Anoearance, AnpearanceJ chronically ill ohese 32 32 Aopearanc~: dehv~rate1 Jl 13 Aooearanc~, other 34 34 Skin lesion ]
Page 1 and 2:
NINCDS COLLABORATIVE PERINATAL PROJ
Page 3 and 4:
NINCDS COLLABORATIVE PERINATAL PROJ
Page 5 and 6:
INTRODUCTION DOCUMENT OBJECTIVES AN
Page 7 and 8:
Forms The first forms used in the s
Page 9 and 10:
Reproduced at the National Archives
Page 11 and 12:
selection. A n1n was used for patie
Page 13 and 14:
, researcher is more likely to look
Page 15 and 16:
TABLE 3. Abbreviations for Person,
Page 17 and 18:
TABLE 4. Definition of Person, Time
Page 19 and 20:
TABLE 4. Definition of Person, Time
Page 21 and 22:
CONTENTS AR-1/0B-1 OB-2 OB-3 OB
Page 23 and 24:
AR-1 Obstetrical Administrative Rec
Page 25 and 26:
Page 27 and 28:
Page 29 and 30:
DEFINITION OF CODES {Continued) FOR
Page 31 and 32:
... 1;:: I ~ .J.I'40JI.!9d jl5 !
Page 33 and 34:
ADMINISTRATIVE RECORD MANUAL PHS-30
Page 35 and 36:
ADMI!liSTRATIVE RECORD ;fl.A.TI.TUA
Page 37 and 38:
-· IID'~7-- '·"'-- ':!e- ~ l·-~
Page 39 and 40:
OB-1: OBSTETRICAL· ADMINISTRATIVE
Page 41 and 42:
Par. 3 10 - Religion. Record as Cat
Page 43 and 44:
OB-2 Reproductive History Form OB-2
Page 45 and 46:
Page 47 and 48:
COLIII:•IOoa-& ,.., REPRODUCTIVE
Page 49 and 50:
Page 51 and 52:
DEFTIITTION OF CODES (Continued) FI
Page 53 and 54:
1 Reproduced at the National Archiv
Page 55 and 56:
R~PRODUCTI\~ HISTORY (Con't.) C3-2
Page 57 and 58:
REPRODUCTIVE HISTORY (Con•t.) C3-
Page 59 and 60:
OB-3 History Since Last Menstrual P
Page 61 and 62:
Page 63 and 64:
eoL"-aooa.a ACV. n-et • HISTORY S
Page 65 and 66:
Page 67 and 68:
DEFINITION OF CODES (Continued) FOR
Page 69 and 70:
DEFJNITION OF CODES (Continued) FOR
Page 71 and 72:
"' 1: : ~~ :; "':J. !~ ~ ~ :~ ~ ; :
Page 73 and 74:
HISTORY SINCE LAST 1-ENSTRUAL PERIO
Page 75 and 76:
HISTORY SINCE ~T MENSTRQ~ P~RIOD {C
Page 77 and 78:
OB-4 Gynecological History Form OB-
Page 79 and 80:
Page 81 and 82:
COL.,.-aaaa-4 RIEV. tt-11 • GYNEC
Page 83 and 84:
DEFINITION OF CODES GYNECOLOGICAL H
Page 85 and 86:
DEFINITION OF CODES (Continued) FIE
Page 87 and 88:
'? I~ 1: :1\ j; t:: t; ....J 7 ,.
Page 89 and 90:
GY1~F..COLOGICAL HISTORY (Con't.) O
Page 91 and 92:
08-5 Recent Medical History Form 08
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
DEFINITION OF CODES RECENT MEDICAL
Page 101 and 102:
DEl!'INITION OF CODES (Continued) F
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
ILL..'1ESS OR DISABILITY CODES (Con
Page 109 and 110:
Page 111 and 112:
RECENT MEDICAL HISTORY (Con 1 t) OB
Page 113 and 114:
OB-6 Past Medical History Form OB-6
Page 115 and 116:
Page 117 and 118:
z PAST MEDICAL HISTORY (Interviewer
Page 119 and 120:
Page 121 and 122:
DEF'll'UTION OF CODES PAST MEDICAL
Page 123 and 124:
DEF'INli'ION OF CODES (Continued) F
Page 125 and 126:
DEFINITION OF CODES (Continued) u.
Page 127 and 128:
DEFINITION OF CODES (Continued) FOO
Page 129 and 130:
Page 131 and 132:
PAST HEDICAL HISTORY (Con't) Item 1
Page 133 and 134:
HISTORY TAKEN BY PAST MEDICAL HISTO
Page 135 and 136:
OB-7 Infectious Disease and System
Page 137 and 138:
Page 139 and 140:
COLIII.•I00 ..7 ,... INFECTIOUS D
Page 141 and 142:
C:OLft-IOOa-7 1··· INFECTIOUS DI
Page 143 and 144:
DEFINITION OF CODES nlFECTIOO'S DIS
Page 145 and 146:
DEl''ll'IITION OF C:JDES ( Conti:::
Page 147 and 148:
i i :a :: ·• 1: !: ! I! ::
Page 149 and 150:
l!:i i!;T!IJIJ;: IIJ;;:..f,;:l·: .
Page 151 and 152:
INF~TIOUS DIS~S~ ;~D SYSTEM REVIEW
Page 153 and 154:
OB-8 Repeat Prenatal History Form O
Page 155 and 156:
Page 157 and 158:
I. ftATIIMT IDfNTIPICATIOM REPEAT P
Page 159 and 160:
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
~ :: : j: ~ : I~ =r ; Ia ~ ~ !~ ;
Page 167 and 168:
,;.-~ 1•1. 1J;,.... - ~ .. u;W'o'
Page 169 and 170:
OB-9 Prenatal Record Form OB-9, Pre
Page 171 and 172:
Page 173 and 174:
Page 175 and 176:
Page 177 and 178:
C:OL.II.·- I•It NU\E IHOSPITAL
Page 179 and 180:
•• 'HISTORY NO. diRIRXL IXXMI l
Page 181 and 182: Reproduced at the National Archives
Page 185 and 186: ~~J2ITTIGN OF CODES (Co~~i~ued) FCa
Page 187 and 188: DEFINITION OF CODES (Continued) FOF
Page 189 and 190: DEF~~ION OF CODES (Continued) PELVI
Page 191 and 192: DEFTIHTION OF CODES (Continued) FQR
Page 193 and 194: DEFINITION OF CODES (Continued) FIE
Page 195 and 196: ZEFT1ITTIO:i OF CODES (Con"'c:..!!U
Page 197 and 198: DEFINITION OF CODES (Continued) FOR
Page 201 and 202: DEFINITION OF CODES ( Con~inued) FC
Page 205 and 206: :t , I~ I ~ It II! I~ ::: .. ~ .. ~
Page 207 and 208: !:: llil\41.0 ~ ~~ ~'~"'~ -N OB-9 -
Page 209 and 210: PRENATAL RECORD (Con 1 t) PRESENT P
Page 211 and 212: PRENATAL RECORD (Con 't) complete a
Page 213 and 214: PRENATAL RECORD (Can't) EVALUATION
Page 215 and 216: PRENATAL RECORD (Con't) GENERAL IDl
Page 217 and 218: OB-42 Past Medical History Form OB-
Page 221 and 222: -· eoL"-aooa-..a 08-42 PAST MEDICA
Page 229 and 230: Instruction Manual for Obstetric Fo
Page 231: OB-43 Initial Prenatal Examination
Page 237 and 238: COL ..-3008-41 UIIYe 10.U) 1. PATIE
Page 241 and 242: DEFINITION OF CODES miTIAL PRENATAL
Page 247 and 248: DEFINITION OF CODES (Continued) FOB
Page 249 and 250: DEF'INITION OF CODES (Continued) FO
Page 251 and 252: I ,rnrn:r s YIN.Ct:l S6¥:;~rn I
Page 257 and 258: I, I'ATIENT IDENTI,.ICATIDN OB-43 I
Page 259 and 260: OB-10 Return Visit and Laboratory R
Page 271 and 272: DEFTIUTION OF CODES (Continued) FOR
Page 273 and 274: DEFINITION OF CODES (Continued) FOB
Page 277 and 278: 4/16/61 OB-10 RETURN VISIT AND LAB
Page 279 and 280: ~"........ ,... ~,_~.a., RETURN VIS
Page 281 and 282: OB-44 Prenatal Observations Form OB
Page 283 and 284:
Page 285 and 286:
..... C:Ol..llt-IOOa-44 1. PATIENT
Page 287 and 288:
Page 289 and 290:
:FDRMS 03-10 DEFINITION OF CODES (C
Page 291 and 292:
DEFINITION OF CODES (Continued) ~·
Page 293 and 294:
Page 295 and 296:
Instructional Manual for Obstetric
Page 297 and 298:
OB-45 Laboratory Record Form OB-45
Page 299 and 300:
Page 301 and 302:
Page 303 and 304:
Page 305 and 306:
Page 307 and 308:
Page 309 and 310:
Page 311 and 312:
Page 313 and 314:
DEFllUTION OF CODES LABJRATORY RECO
Page 315 and 316:
DEFJNITION OF CODES (continued) FIE
Page 317 and 318:
DEFINITION OF CODES (continued) FOR
Page 319 and 320:
DEFINITIDN OF CODES (continued) FOR
Page 321 and 322:
DEFTIUTION OF CODES (continued) FOR
Page 323 and 324:
DEFINITION OF CODES (continued) FIE
Page 325 and 326:
DEFINITION OF CODES (continuted) FI
Page 327 and 328:
DEFTIHTION OF CODES (continued) FIE
Page 329 and 330:
DEFTIUTION OF CODES (continued) FIE
Page 331 and 332:
Page 333 and 334:
Page 335 and 336:
Page 337 and 338:
Page 339 and 340:
Instruction Manual for Obstetric Fo
Page 341 and 342:
OB-11 Record of Current Pregnancy F
Page 343 and 344:
CO~A·3C03·11 lltEV. '7·58 I. PAT
Page 345 and 346:
RECORD OF CURRENT PREGNANCY (For Fo
Page 347 and 348:
,... RECORD OF CURRENT PREGNANCY IN
Page 349 and 350:
OB-46 Physician•s Clinic Record,
Page 351 and 352:
COLR-1001-4e 4-a I. PATIENT IDENTII
Page 353 and 354:
Instruction :\l:J.nual for Obstetri
Page 355 and 356:
OB-12 Summary of Hospitalization fo
Page 357 and 358:
SUMMARY OF HOSPITALIZATION FOR ANY
Page 359 and 360:
SUMMARY OF HOSPITALIZATION FOR ANY
Page 361 and 362:
':.::-•••suMMARY OF HOSPITALI
Page 363 and 364:
OB-47 Summary of Antepartum Hospita
Page 365 and 366:
· COLIII-IOOa..7 (CHANGIED 2-8a)
Page 367 and 368:
Instruction Manual for Obstetric Fo
Page 369 and 370:
OB-15 Drugs in Pregnancy Form OB-15
Page 371 and 372:
Page 373 and 374:
PH S.300S.18 ..... PATIENT IDENTIFI
Page 375 and 376:
.... PMS•3003•18 PATIENT IDENTI
Page 377 and 378:
PHI·IOOI .. 1B P"TIENT IOENTIFIC"T
Page 379 and 380:
PATI~NT IDENTIFICATION OB-15 DRUGS
Page 381 and 382:
..... PHS .. 3003 ... 11 PATII!NT I
Page 383 and 384:
Page 385 and 386:
DEFINITION OF CODES DRUGS lN PREGN
Page 387 and 388:
Drugs in Pregnancy (08-15) Blank 0
Page 389 and 390:
Drugs in Pregnancy (cont.} 2128 Par
Page 391 and 392:
Orugs in Pregnancy (cont.) 4256 Hyo
Page 393 and 394:
. Drugs in Pregnancy (cont.) 7154 S
Page 395 and 396:
1 Drugs in Pregnancy (cont.) 7482 O
Page 397 and 398:
Drugs in Pregnancy (cont.) 9169 917
Page 399 and 400:
Drugs in Pregnancy (cont.) 9949 995
show all

Prenatal Record - National Archives and Records Administration

Create successful ePaper yourself

Delete template?

Save as template?