Prenatal Record - National Archives and Records Administration

OOTE:
FIELD
MASTER ~ ~ LAYOUT
DEFINITION OF CODES
OBSTETRICAL ADMINISTRATIVE RECORD
FORM AR-1 CARD 0001
Use f'or specifications.
CARD
COI1JMN
1. Card Number
Code: 0
..,
2. Form Number 2-4
Code: 001
3· Revision Number * 5
Code: 1 - OB-l Form Dated : 1/59
2 - OB-1 Form Dated : Rev. 7/59
3 - AR-1 Form Dated: Rev. 7/6o
4. NINDB Number 6-14
Item 1
Nine-digit number tor Patient Identification
Code: As given
Last Name 15-28
Item 2
Code: As given
6. Institution Identification
Item 3 or li
29-35
Code: As given
0000000 - Unknow.
1
1· Type of Institution Number Used
Item 3 or li
Code: 0 - OPD B'umber
1 - B'either Item 3 or 4 reported
9 - Hospital Number
8. First Letter First Name 37
Item 6
Code: As given
9· Date Registered
Item 12
Six-digit code tor Month (cols. 38-39),
Day (cols. 40-41) and Year (cola. 42-43)
Code: As given
* Item numbers refer to Form Dated: Rev. 7/6o
II.A.6
AR-1
Reproduced at the National Archives