Prenatal Record - National Archives and Records Administration

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Drugs in Pregnancy (cont.} 3239 Ursinus 3240 Emetrol 3246 Theruhistin 3247 Pyronil 3248 Anergex 4032 Asthmatic Mix 4033 Neo-Cobefrin 4034 Otrivin 4035 Metropine 4036 Aromatic Spirits of Ammonia (orally} 4037 Cayt~ne 4038 Aramine 4039 Levophed 4040 Elavil 4041 Niamid 4042 Naphozoline 4043 Isoproterenol 4044 Choledyl 4045 Ritalin 4046 Methoxamine 4047 Mephentermine 4048 Sudafed 4049 Caffeine 4050 Aminophylline 4051 Amphetamine 4052 Ephedrine 4053 Adrenal in 4054 Phenylephrine 4055 Phenmetrazine 4056 Atropine 4057 Banthine 4058 Belladonna 4059 Pro ban thine 4060 Chlorpropamide 4061 Cortisone 4062 Delalutin 4063 Enovid 4064 Progesterone 4065 Propylthiouracil 4066 Diethyl Stilboestrol 4067 Orinase 4068 Aquadiol 4069 Premarin 4070 Relaxin 4071 Testosterone 4072 Tace 4073 ACTH 4074 Lutrexin 4075 Cytomel 4076 Depo-Provera 4077 Equinex 4078 Medrol 4079 Pitressin 4080 4081 4082 4083 4084 4085 4087 4088 4089 4090 4091 4092 4093 4094 4095 4096 4097 4098 4099 4138 4139 4140 4145 4146 4147 4148 4149 4150 4151 4152 4153 4154 4155 4156 4157 4158 4159 4160 4161 4162 4163 4164 4165 4166 4167 4168 4169 4171 4247 4249 4250 4251 4252 4254 Dianabol Prolactin Nilevar Ovulen Chorionic Gonadotrophin Celestone Insulin Thyroid Norl utate Duphaston Pranone OBI Aldosterone Dymelor Glucagon Del estrogen Hormone, n.o.s. Progynon Estrogen, n.o.s. Bronkephrine Coramine Emivan Cyclogyl Val pin Isedrin Pamine Bromide Theocalcin Murel Orthoxine Tyzine Tofranil Benizol Diethylpropion Hyoscine Dicyclomine Nacton Me sop in Darbid Hydrocortisone Robinu1 Nardil Prednisone Tapazole Parna te Marplan Hexestrol Ha1drone Halotestin Benzedrix Inhal. Camphor Theophylline Didrex Phentermine Dextroamphetamine HCl Reproduced at the National Archives II.A.368 OB-15
Orugs in Pregnancy (cont.) 4256 Hyocyamus 4257 Dacti 1 4260 Pro-Decadron 4261 Decadron 4262 Depo-Medrol 4263 Medrol-Solu 4264 Prednisolone 4265 Medaprin 4351 Phenylpropanalamine 4357 Octine 4358 Benzyl Benzoate 4361 Triamcinolone 4362 Clomophine 4556 Neostigmine 4557 Mestinon 4558 Urecholine 4559 Mytelase 4568 Ilopan-Chol ine 4900 Thimecil 4971 Male Hormone, n.o.s. 5050 Ansolysen 5051 Aldomet 5054 Prisco line 5055 Ser-ap-es 5056 Veriloid 5057 Rauwiloid 5058 Raudixin 5059 Singoserp 5060 Methium Chloride 5064 Serpasil-Apresoline 1 5065 Serpasil-Apresoline 2 5066 Azapetine 5067 Deserpidine 5068 Apresoline 5069 Reserpine 5070 Acetazolamide 5071 Amchlor 5072 Benzylhydroflumethiazide 5073 Chlorthalidone 5074 Chlorothiazide 5075 Hydroch1orthiazide 5076 Mercuhydrin 5077 Trichlorimethiazide 5078 Enduron 5079 Benzthiazide 5080 Polythiazide 5081 Aldactone 5002 Metamycin· 5083 Hydromox 5084 Hydroflumethiazide 5085 Cream of Tartar 5086 Dicurin 5087 Cyclothiazide 5088 5089 5090 5091 5092 5093 5100 5150 5174 5176 5276 6001 6002 6003 6004 6005 6006 6007 6008 6009 6010 6011 6012 6013 6014 6015 6016 6017 6018 . 6019 6020 6021 6022 6023 6024 6025 6026 6027 6028 6029 6030 6031 6032 6033 6035 6036 6037 6038 6039 6040 6041 6042 6043 Hydrodaine Mannitol Aldactazide A Harwoods Diuretic Dyrenium Dyazide Bellvue Cocktail Ismelin Ademol Thiomerin Neohydrin Milibis (vag.) Fl agyl (vag. ) Gentersal Massengill Powder Tricofuron (vag.) AVC Hyva Nylmerate Aci -Jel Podophyllin (vag.) Neosporin Douche Powder (lanteen) Gentian Violet (vag.) Propion {vag.) Sterisil Lysol (vag.) Betadine Douche Tabs {Jan) Trichotine {vag.) Alum Capsule {vag.) Metacine Quinine and Sulva Cap. (vag.) Exceptive Cream {vag.) Zeptabs {vag.) Zonite {vag.) Potassium PermanJanate {vag.) San Powder (vag. Hy-G Douche Powder Terramycin {vag.) Triva (vag.) Gantrisin {vaJ.) !11'11'10 1 in; (vag. Vagisec (vag.) Vioform PMC {vag.) Trib (vag.) Quinseptikons (vag.) Pimafucin (vag.) Gynomin Ramses (vag.) Cardui (vag.) Penicillin Cream (vag.) Reproduced at the National Archives II.A.369 OB-15
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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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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
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I, I'ATIENT IDENTI,.ICATIDN OB-43 I
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OB-10 Return Visit and Laboratory R
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DEFTIUTION OF CODES (Continued) FOR
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DEFINITION OF CODES (Continued) FOB
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4/16/61 OB-10 RETURN VISIT AND LAB
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~"........ ,... ~,_~.a., RETURN VIS
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OB-44 Prenatal Observations Form OB
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..... C:Ol..llt-IOOa-44 1. PATIENT
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:FDRMS 03-10 DEFINITION OF CODES (C
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DEFINITION OF CODES (Continued) ~·
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Instructional Manual for Obstetric
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OB-45 Laboratory Record Form OB-45
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DEFllUTION OF CODES LABJRATORY RECO
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DEFJNITION OF CODES (continued) FIE
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DEFINITION OF CODES (continued) FOR
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DEFINITIDN OF CODES (continued) FOR
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DEFTIUTION OF CODES (continued) FOR
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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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Page 339 and 340: Instruction Manual for Obstetric Fo
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
Page 355 and 356: OB-12 Summary of Hospitalization fo
Page 357 and 358: SUMMARY OF HOSPITALIZATION FOR ANY
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Page 363 and 364: OB-47 Summary of Antepartum Hospita
Page 365 and 366: · COLIII-IOOa..7 (CHANGIED 2-8a)
Page 367 and 368: Instruction Manual for Obstetric Fo
Page 369 and 370: OB-15 Drugs in Pregnancy Form OB-15
Page 371 and 372: Reproduced at the National Archives
Page 373 and 374: PH S.300S.18 ..... PATIENT IDENTIFI
Page 375 and 376: .... PMS•3003•18 PATIENT IDENTI
Page 377 and 378: PHI·IOOI .. 1B P"TIENT IOENTIFIC"T
Page 379 and 380: PATI~NT IDENTIFICATION OB-15 DRUGS
Page 381 and 382: ..... PHS .. 3003 ... 11 PATII!NT I
Page 383 and 384: Reproduced at the National Archives
Page 385 and 386: DEFINITION OF CODES DRUGS lN PREGN
Page 387 and 388: Drugs in Pregnancy (08-15) Blank 0
Page 389: Drugs in Pregnancy (cont.} 2128 Par
Page 393 and 394: . Drugs in Pregnancy (cont.) 7154 S
Page 395 and 396: 1 Drugs in Pregnancy (cont.) 7482 O
Page 397 and 398: Drugs in Pregnancy (cont.) 9169 917
Page 399 and 400: Drugs in Pregnancy (cont.) 9949 995
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Prenatal Record - National Archives and Records Administration

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