Prenatal Record - National Archives and Records Administration

Reproduced at the National Archives
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ne~ta Items RPferE>ncir'lg fnr111 OR-43, Tnftfal Prenatal Ex;~m
o•rA
trfM
ITEM
J~l caR"
TO F'JRM NIIM FROM TO DATA TfF.M N•IIIIF:
t178 •• nR-43 20 1343 63 63 Thvrofd, nther Rbnor~alttv
t179 •• nB-43 21 1343 64 64 Breasts: roalPAble mass
11AO •• OB•43 21 1343 65 65 Breasts: tnfla'lllftl!tlon
tlAt •• ns-43 21 1141 66 66 Breasts: niPPles, Inverted
t1A2 •• 08•4'J 21 1143 67 67 Elreasts, nther abnormality
11A3 •• 0B•41 22 1343 68 69 Luncrs, auscultation abnorlllal
f1A4 •• 06•43 2'1 1343 69 69 Lunas, oercus~lon abnormal
11AS •• 08•43 2'1 1343 70 70 Lunas: rtyspnei'l at rE>st
t 186 •• oe-43 27. 1343 71 71 Lunas, other AbnorMality
un••oe-43 2l 134~ 7?. 72 Heart mnr111ur
71
,.
U98 ••n&•41 21
1141
73 H~art rhyth• trreQular
t 1119 ••08•43 2] llU
74 H~ert, oroenfe heart disease
uoo•• ns-41 21
1341 7~ 75 H~art, nther i'lbnor•Alfty
1191 ••08•43 24 1343 76 76 Extre•tttes: vartcostttes, •oder!lte
1192 •• nB-43 24 1H3 77 77 .Extre•H feu vartcos1t1es, severe
tllll ••ns-41 24 1141 7R 78 Ewtre•ltles: ulcers
ttll4 •• oe-41
11115 •••••••
11CJ6 •••••••
1107 •••••••
t1CJ8 •• ns-41
tto9 •• na-41
24
1343
1343
2343
2341
2341
2343
79
80
t
6
l!i
17
79
AO
5
t4
16
18
susoected
Extremttt~s, nther abnormality ~not edeMa)
Blank
C11rrt nuMber (seauence, for'l type, tor• nullber,
NtNna cas~ nu111b~r
2
For• DB-41 date (llo)
2
Form OB•43 date (day)
1200 ••08•43 2 2343 111 20 For• 08•43 rtate (yrl
t 201 •• ns-43 2'5 2343 21 21 Neuroloalcel; reflexes 8bnor'llal
1202 •• na-H 2"; 2H1 22 12 NeuroJootcal, otnPr evidencP of :t1 sorder
1203 •• 08-41 26 2343 2l 23 fnnrtuscootc: VeSSPl chanaes
t 204 •• n8-43 26 2341 24 '14 Fnnrtuscnotc: retinal cn~naes
12ns •• 08•41 26 2343 2"i 25 funduscootc: dis::· Ch!ln::JPS
1206 •• 08•43 26 23H 26 16 funttuscoptc: het~~orrh;~oe
1207 •• na-43 26 2343 27 '17 funduscopic: PXlldlltl"
1208 •• 08-41 26
2141 211 28
t 209 •• os-43 27
2H3 2Q 29
12to •• nB-43 2 2343 30 30 Ah::lomE>n, llbnor'R~l m&ss
1211 •• 1"18•41 2 2343 31 31 Ahctnmen: hernia
1212 •• 0B-4'J 2 2343 3?. 12 Ahctomen: tencJerness
1213 •• 08-41 2 2343 H 33 Ah::tomen: rVA ter'l::lerness
1214 •• 118-41
1215 •• 1')8-41
t2t& •• na-43
2
3
3
2341
2343
2343
34
3";
36
14
35
3b
funduscopic, other abnormalttv
Ahnormalltles, 'iOO'IIlllles, :>ther
Ah::IOIIIPn, other abnor~alttv
uterus, s1ze not comoatthle
Uterus: tnmor
t217 •• na-H 3 2341 )7 37 Uterus: multiple pre::,nancy
12tB •• nB-4l 3 2343 3R 38 Uteru~, tPnriern~ss
t219 •• '1B•41 3 214 3 3CJ 19 Uterus; oo1vnv::tra111ntos
t2?0 •• f')B-41 3 23B 40 40 Uterus, other abnoronaJltv
with dates
revtston nuMber)