Prenatal Record - National Archives and Records Administration

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Reproduced at the National Archives II.A.260 OB-44
Reproduced at the National Archives . )II 1-1 1-1 N 0\ 1-' &1 I ~ nata Ite~s RPterPncln~ F~rm 01'-44, Prenat~l Observation~ DATI' JrE:II l'I'E'4 JN CARO TO r:'JIU4 NIJM FROIIII TO DAfA JfF.M NAME 12'54 ••••••• 0344 t 5 C~trd nulftber (~eauence, torn tVpl", tor~ nu'llt>~"r, revision number) 12'55 ••••••• 0344 I; 14 NTNOB case number 12'5& •• os-44 0344 1'i 16 Prenatal visits, tot '!11 nnrnoer t2'57 •• nB-44 0144 17 18 Vtstt number 12'58 •• 08•44 4 OH4 1Q 10 Form 08•44 ~ate ('IIO) 12"i9 •• 1"18•44 4 0344 21 22 Form ns-44 ~ate l ~hV) 1260 •• ns-44 4 0344 23 14 fnrm 08•44 date (yr) t26t •• ns-44 6 0144 25 '17 Wl"iCJht Clhs) 1262 •• 1'18•44 7 0144 21t 10 Blood pressure, systolic 1263 •• 08-44 7 0344 31 13 Bloo~ Pre5surP, Hastolfc 1264 •• 1"1R•44 8 0344 34 H ur lne: albumin; [orflt,.inurtal 1265 •• os-44 9 0344 3'5 15 Urine: 11lncnsl!' 1266 •• '18•44 10 0344 36 lb Urine: ~~tcl"tnnP 1267 •• 08•44 1t 0344 37 17 Illne~s, l'tCUte t268 •• r.IB•44 12 0344 3{1 18 fever 1269 •• 1"18-44 1270 •• n8-44 1271 •• 08•44 1272 •• 08•44 1273 •• 08•44 t 274 •• 08•44 1] 14 15 16 17 lA 0344 0344 0344 0344 0144 0344 H 40 41 42 41 44 39 40 •1 42 43 44 vorntttno Urlnarv svmotoms swelltna, face swellfn'l, hflnds swelltn!l, lf>tt~ or feet Headache 1275 •• '1S•44 19 0344 45 45 VIsual tHsturbance 1276 ••'18•44 20 OH4 46 46 Fl"tl'tl acttvftv 1277 •• 08•44 21 0344 47 47 Vaqinal bleedtnq t278 •• ns-44 22 0344 4R 48 MP:H cal c111re, other 1279 •• 1JB•44 H 0344 4Q "iO Fnnt1us hetqht 12110 •• 08•44 24 0344 51 'i1 Presentfltton t2R1 •• 08•44 25 0344 52 'i2 En;Jflttement t2A2 •• 0B•44 26 0344 51 53 FPtfll hPart anj quadrant 12R3 •• 08•44 29 0344 54 54 E~ema, face t 2114 •• os-44 30 0344 5'5 55 Edema, hann~ 12115 •• 08•44 30 0344 56 '56 E1ema, "bdo'llinal wall t2A6 •• nB-44 3?. OH4 57 "i7 E~ema, Prl"sacral t 2fl7 •• os-44 H 0344 58 58 E1ema, PrPt fbfal t2RB •• OB•44 34 0344 5Q "i9 E~e111a, ankle/foot 12A9 •• 'JB•44 t2QO •• ns-44 t 2Ql •• OB•44 35 0344 0'344 0144 6" &t 62 60 61 62 Ahnorrnallty, other E~ema, quantity -fthout sttP. Irr~tdlatton: lr8~tooraphlc exoosurel ~ 12Q2 •• 0B•44 0344 6'3 63 Acetone prior to first Vislt 12Q3 •• ns-44 27 0144 64 64 FP.tal wei!lht Pstlmated flhsl t2Q4 •• 0B•44 27 0144 6" 66 FP.tl'll wPlaht Pstl~ate~ (01.:) t2Q5 •• 08·44 21! 0344 67 68 Gestation"! aqe ov examfn~tlon f•lc:s)
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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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!:: 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
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Instruction Manual for Obstetric Fo
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Page 233 and 234: Reproduced at the National Archives
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 245 and 246: DEFINITION OF CODES (Continued) FIE
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 253 and 254: Instruction Manual for Obstetric Fo
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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
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Page 281: 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
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
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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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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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