Prenatal Record - National Archives and Records Administration

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DEFINITION OF CODES (Continued) FORM OB-10 Card 3310 FIELD CARD COLUMN 13. Blood Sugar and Glucose Tolerance 70 :, Item 34 · Code: 1 - Reported 9 - Not reported 14. Father's Blood TYPe n Item 35 Code: 0 - C 1- A 1 2- A 2 3- A 4-B 5 _.A~ 6- ~21! 7- AB 9- Unknown 0 15. Father's RH 72 Item 36 Code: 1 - Positive 2 ~ Negative 9 -Unknown 16. Diagnostic X-R!f. 73 Item. li1 Code: 1 - Cheat 2 - Other 3 - Cheat and Other 9 - Un:imown, none II.A.252 OB-10 Reproduced at the National Archives
Reproduced at the National Archives H H • l:...... - Ot.)~* :- R 1- • ' - LAllORATORY DATA ( OB-10) I u. 22. u .a~ as X --,234 ~ 1. '1111121J14 -~ "71111JI21 D2425"li ·, 1121 Jill uu un»l7ll2t•••aou •~•5hl hi 51 U 5I ~l 5I ~UI 61 6UUUU6 U 61" 1111 lHh4 l~ 16 11 II ,I.--- I HEMOQLOB\N HEMATOCRIT !" ~ FIRST LIST I s:"' a: > R'- ft'- s~ ~ llTEft tne• - lOt 1- F\RST SEtaUD l1URD FlRST ~ECONb l\URI> I 1 0 l I - b 4 \t 1-- CAll> IJIUD&• •I:Jj I s fl: ~ \() )II 1 . ·~·0 N l11 : w ' ~ 7 1- ~ I ~ ~ ~ .... ... ~ t.J ~ ~ i l i ~ i ~ ~ ~ i ~ ~ i ' • 1- ~ ';lo, '> i ~ ' I IIi ~ i I ~ s ~ ~ ~ ~ ~ . ! ~I_~ ~i!.J-~.!..~!!_1!!!_14 S 61111 l02l~U 4 UI~JJill Jill l~~~ ~J ' ~~~1434 !!;~!_!41 1115111 ~U ~~ 15! lSISU96 626 11!11 161 II In a * Item numbers refer to form dated: Rev. 7/59 ~ I i i ~ ! i l ~ i ~ ~~ ~~"" ~" n "'' ctJ ~ ...... 0
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NINCDS COLLABORATIVE PERINATAL PROJ
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NINCDS COLLABORATIVE PERINATAL PROJ
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INTRODUCTION DOCUMENT OBJECTIVES AN
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Forms The first forms used in the s
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Reproduced at the National Archives
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selection. A n1n was used for patie
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, researcher is more likely to look
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TABLE 3. Abbreviations for Person,
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TABLE 4. Definition of Person, Time
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TABLE 4. Definition of Person, Time
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CONTENTS AR-1/0B-1 OB-2 OB-3 OB
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AR-1 Obstetrical Administrative Rec
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DEFINITION OF CODES {Continued) FOR
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... 1;:: I ~ .J.I'40JI.!9d jl5 !
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ADMINISTRATIVE RECORD MANUAL PHS-30
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ADMI!liSTRATIVE RECORD ;fl.A.TI.TUA
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-· IID'~7-- '·"'-- ':!e- ~ l·-~
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OB-1: OBSTETRICAL· ADMINISTRATIVE
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Par. 3 10 - Religion. Record as Cat
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OB-2 Reproductive History Form OB-2
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COLIII:•IOoa-& ,.., REPRODUCTIVE
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DEFTIITTION OF CODES (Continued) FI
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1 Reproduced at the National Archiv
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R~PRODUCTI\~ HISTORY (Con't.) C3-2
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REPRODUCTIVE HISTORY (Con•t.) C3-
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OB-3 History Since Last Menstrual P
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eoL"-aooa.a ACV. n-et • HISTORY S
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DEFINITION OF CODES (Continued) FOR
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DEFJNITION OF CODES (Continued) FOR
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"' 1: : ~~ :; "':J. !~ ~ ~ :~ ~ ; :
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HISTORY SINCE LAST 1-ENSTRUAL PERIO
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HISTORY SINCE ~T MENSTRQ~ P~RIOD {C
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OB-4 Gynecological History Form OB-
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COL.,.-aaaa-4 RIEV. tt-11 • GYNEC
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DEFINITION OF CODES GYNECOLOGICAL H
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DEFINITION OF CODES (Continued) FIE
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'? I~ 1: :1\ j; t:: t; ....J 7 ,.
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GY1~F..COLOGICAL HISTORY (Con't.) O
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08-5 Recent Medical History Form 08
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DEFINITION OF CODES RECENT MEDICAL
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DEl!'INITION OF CODES (Continued) F
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ILL..'1ESS OR DISABILITY CODES (Con
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RECENT MEDICAL HISTORY (Con 1 t) OB
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OB-6 Past Medical History Form OB-6
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z PAST MEDICAL HISTORY (Interviewer
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DEF'll'UTION OF CODES PAST MEDICAL
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DEF'INli'ION OF CODES (Continued) F
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DEFINITION OF CODES (Continued) u.
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DEFINITION OF CODES (Continued) FOO
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PAST HEDICAL HISTORY (Con't) Item 1
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HISTORY TAKEN BY PAST MEDICAL HISTO
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OB-7 Infectious Disease and System
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COLIII.•I00 ..7 ,... INFECTIOUS D
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C:OLft-IOOa-7 1··· INFECTIOUS DI
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DEFINITION OF CODES nlFECTIOO'S DIS
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DEl''ll'IITION OF C:JDES ( Conti:::
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i i :a :: ·• 1: !: ! I! ::
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l!:i i!;T!IJIJ;: IIJ;;:..f,;:l·: .
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INF~TIOUS DIS~S~ ;~D SYSTEM REVIEW
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OB-8 Repeat Prenatal History Form O
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I. ftATIIMT IDfNTIPICATIOM REPEAT P
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~ :: : j: ~ : I~ =r ; Ia ~ ~ !~ ;
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,;.-~ 1•1. 1J;,.... - ~ .. u;W'o'
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OB-9 Prenatal Record Form OB-9, Pre
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C:OL.II.·- I•It NU\E IHOSPITAL
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•• 'HISTORY NO. diRIRXL IXXMI l
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~~J2ITTIGN OF CODES (Co~~i~ued) FCa
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DEFINITION OF CODES (Continued) FOF
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DEF~~ION OF CODES (Continued) PELVI
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DEFTIHTION OF CODES (Continued) FQR
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ZEFT1ITTIO:i OF CODES (Con"'c:..!!U
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DEFINITION OF CODES ( Con~inued) FC
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:t , I~ I ~ It II! I~ ::: .. ~ .. ~
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!:: llil\41.0 ~ ~~ ~'~"'~ -N OB-9 -
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PRENATAL RECORD (Con 1 t) PRESENT P
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PRENATAL RECORD (Con 't) complete a
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PRENATAL RECORD (Can't) EVALUATION
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PRENATAL RECORD (Con't) GENERAL IDl
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OB-42 Past Medical History Form OB-
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-· eoL"-aooa-..a 08-42 PAST MEDICA
Page 223 and 224: Reproduced at the National Archives
Page 225 and 226: DEFINITION OF CODES (Continued) FIE
Page 227 and 228: DEFINITION OF CODES (Continued) FOR
Page 229 and 230: Instruction Manual for Obstetric Fo
Page 231 and 232: 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 243 and 244: DEFINITION OF CODES (Continued) FOR
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: 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 285 and 286: ..... C:Ol..llt-IOOa-44 1. PATIENT
Page 289 and 290: :FDRMS 03-10 DEFINITION OF CODES (C
Page 291 and 292: DEFINITION OF CODES (Continued) ~·
Page 295 and 296: Instructional Manual for Obstetric
Page 297 and 298: OB-45 Laboratory Record Form OB-45
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
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DEFINITION OF CODES (continuted) FI
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DEFTIHTION OF CODES (continued) FIE
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DEFTIUTION OF CODES (continued) FIE
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Instruction Manual for Obstetric Fo
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OB-11 Record of Current Pregnancy F
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CO~A·3C03·11 lltEV. '7·58 I. PAT
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RECORD OF CURRENT PREGNANCY (For Fo
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,... RECORD OF CURRENT PREGNANCY IN
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OB-46 Physician•s Clinic Record,
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COLR-1001-4e 4-a I. PATIENT IDENTII
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Instruction :\l:J.nual for Obstetri
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OB-12 Summary of Hospitalization fo
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SUMMARY OF HOSPITALIZATION FOR ANY
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SUMMARY OF HOSPITALIZATION FOR ANY
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':.::-•••suMMARY OF HOSPITALI
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OB-47 Summary of Antepartum Hospita
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· COLIII-IOOa..7 (CHANGIED 2-8a)
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Instruction Manual for Obstetric Fo
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OB-15 Drugs in Pregnancy Form OB-15
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PH S.300S.18 ..... PATIENT IDENTIFI
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.... PMS•3003•18 PATIENT IDENTI
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PHI·IOOI .. 1B P"TIENT IOENTIFIC"T
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PATI~NT IDENTIFICATION OB-15 DRUGS
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..... PHS .. 3003 ... 11 PATII!NT I
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DEFINITION OF CODES DRUGS lN PREGN
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Drugs in Pregnancy (08-15) Blank 0
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Drugs in Pregnancy (cont.} 2128 Par
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Orugs in Pregnancy (cont.) 4256 Hyo
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. Drugs in Pregnancy (cont.) 7154 S
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1 Drugs in Pregnancy (cont.) 7482 O
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Drugs in Pregnancy (cont.) 9169 917
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Drugs in Pregnancy (cont.) 9949 995
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Prenatal Record - National Archives and Records Administration

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