Prenatal Record - National Archives and Records Administration

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Reproduced at the National Archives H Ḥ >. N 00 nata Items Referencing Form OR-45, ~aboratory ~ecor~ ottn IrF.M I'I'EIIo! JN CIIRO TO F'JRM NIH! FPOM rn DIITtt HF.M NAME tSll •• nB-45 15t2 •• 0B•4"i t5t3 •• 0B•4"i t5t4 •• nB-45 10 10 10 10 6l'4'i &l4'i 634'i &345 51J 6'? &"i 6fi fil 64 65 66 Glucose Glucose Glucose Glucose tolerance, tolerance, tolPrance, tolerance, blood, bloo!1, urtnf", urine, t5t5 •• nB-4'5 10 614"i &1 67 Glucose tolerance, urtne, 1 hr t5t6 •• 0B•45 10 &345 &R 68 Gluco~e toleranc~, urtn.. 2 hrs tst7 •• ns-4'i tO 634'i 61l 69 Glucose tolerance, urine, 3 nrs 1518 ••••••• &34'i 70 1519 ••••••• 7145 t 1520 ••••••• 7145 6 li2l ••Oat•t5 9 7H5 1'5 t522 •• nB-4'i 9 7341i 17 t8 cultures, nth :jlllte Cvr> 1523 •• oa-45 9 7l4"i til 10 Cultures, nth tVDI'! 1524 •• 08•45 9 7l4'i 21 21 cultures, nth result 1525 •• na-45 9 H4'i 22 ?3 Culture!!, nth ~ate ('110) 1526 •• na-45 t527 •• ns-45 1528 •• 08•45 1529 •• 08•45 ts1o •• na-45 9 9 9 q 7345 7345 7345 714'i 1345 24 2fi 21! 2q 31 2 hrs. (mqms/100 1 hrs. (mqms/100 fastin:J t/2 hr 80 5 Card Blank nulllbf'r (seQuence, for11 tvpe, form nu'lber, reviSion nu11ber) 14 NTN~B case number 16 Cultures, nth :jllte ('IO) 25 11 18 10 32 Cultures, cultures, cultures, cultures, Cultures, nth nth nth ntll nth ~ate tyoe result :jate ("Ro) 9 ~ate Cvr> N t 511 ••oa-45 9 734!1 31 14 cultures, nth tvoe 15'J2 •• no-45 q 7345 35 15 cultures, nth result 1533 •• 08•45 9 734'5 36 17 Cultures, nth date C111o) @ I ~ l11 t514 •• no-4r; 9 734"i 31! 19 cultures, t515 •• ns-4'5 9 H4'i 40 41 Ctlltures, ntll nth :Jate tvoe Cvr> t51& •• no-45 9 1345 42 42 cultures, nth result t 537 •• nR-45 9 7345 41 44 cultures, nth :late (110) 1538 •• 08•45 9 7345 4'5 46 Cultures, nth :l~tte (yr) 1539 •• nB-4') 9 7345 47 48 t540 •• f1B•4'5 q 714"' 41l 49 cultures, nth Cultures, nth tvoe r~sult t541 •• rtB•45 9 7345 50 'il Cultures, nth :1-!tte (110) t542 •• nB-45 9 7345 52 '53 cultures, nth :J-"tP. (yr) t543 •• 0B•4'i 9 734'5 54 55 Cnlt ures, nth tVDI'! t544 •• nB-4'5 9 134'i 56 '56 Cultures, nth result ts4s •• nn-4'5 9 H4S 51 '58 cultures, nth :late f11o) 1546 •• 08•45 9 7145 Sll 60 Cultures, nth :tate (yr) t547 •• nB-45 9 734"i 61 "2 cultures, nth tyoe t54B •• OB•4'5 9 7345 &1 63 Cnltures, nth result t549 •• ns-4'i 9 734'i 64 65 Cultures, ntll :late ('110) t5!'io •• n8-4'5 9 714'5 66 67 Cultures, nth dat~ (yr) t 5'51 •• ns-45 9 7345 61! 69 Cultures, nth type t5"i2 •• ns-4"i 9 7145 70 10 t5'53 •• ns-4!'i 9 734'5 71 12 Cultures, Cultures, nth nth result :J~tt~ (no) 'Ill) 'Ill)
Reproduced at the National Archives nata Ite111s Rl!fl"rtonein;J For"' OATil ITE14 TO 1554 •• 013•45 tso;s •• nB-4"' t5"ib •• OB•4'i 15'57 ••••••• 49Q9 •••• VAI! 4999 •••• VAI! sooo •••• VAA soot •••• vAR '5222 •••• VAR 52?4 •••• VAR 52?5 •••• VAR 'i22& •••• VAA 52?7 •••• VAR 52?8 •••• "AR 9 9 9 b b 7 3 4 3 b b nr.N ::1'1 F'JP14 CARD NIIM 134"' 734"' 7J4"\ 1'l411\ OR-45, f,ahoratorv Rl"enrr! FRUiol n 7"\ 11 71! 89 9? 9') 96 340 344 345 ]41; 347 151 TO 74 1& 77 AO IH 92 95 9b 340 344 345 34& 3"\2 3511 OATA Hfl:l4 NA"'E cultures, nth :tate cvn cu 1t ures, nth tvoe C11ltures, nth result Blank HP•natocrlt lowest l!'!vel, (oPreentl He111atncr1t lowest lPvel, l"'rouoer! HPmoc:n on in, }Oiii'!St val uP C;Jra'lls) HP'IIOQlohin, l!HII"'St Y!llUP. (;Jrouoei) Aroetonuria Rloo:t tvpe COO'IIbS' tPst Rh factor Hf''llatocrit., dAte of lowl!st value Cmo/davtvr> Hemoqlobln, dAtf' Of lOWf'St value Cmo/r!av/vr) . 1-1 1-1 >. N co w ~ l11
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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
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Page 227 and 228:
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Instruction Manual for Obstetric Fo
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OB-43 Initial Prenatal Examination
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COL ..-3008-41 UIIYe 10.U) 1. PATIE
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DEFINITION OF CODES miTIAL PRENATAL
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DEFINITION OF CODES (Continued) FOB
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DEF'INITION OF CODES (Continued) FO
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I ,rnrn:r s YIN.Ct:l S6¥:;~rn I
Page 253 and 254: Instruction Manual for Obstetric Fo
Page 257 and 258: I, I'ATIENT IDENTI,.ICATIDN OB-43 I
Page 259 and 260: OB-10 Return Visit and Laboratory R
Page 261 and 262: Reproduced at the National Archives
Page 269 and 270: DEFINITION OF CODES (Continued) FIE
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 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 293 and 294: DEFINITION OF CODES (Continued) FIE
Page 295 and 296: Instructional Manual for Obstetric
Page 297 and 298: OB-45 Laboratory Record Form OB-45
Page 303: Reproduced at the National Archives
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 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
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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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