Prenatal Record - National Archives and Records Administration

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Drugs in Pregnancy (cant.) 7333 Equagesic 7415 All ertonic 7334 Prozine 7420 Lomoti 1 7335 Vitonex 7425 Norm in 7336 Darvo-Tran 7428 Mudrane 7337 Maredox 7429 Butibe1 7338 Nausex 7430 Be11adeno1 7339 Banausea 7431 Mag1yn Magma CPO 7340 Bendectin 7433 Qui bran 7341 Prenausen 7434 Combid 7342 Bucl ad in 7435 Ba11 a fa 1 i ne 7343 Na1decon 7436 Metreton 7344 Tuss-Ornade 7437 Kol anty1 7345 Tro1ar/E1 ixir 7438 Donna1ate 7346 Novahistine 7439 APE 7347 Ornade 7440 Syntil 7348 Triaminic 7441 Monase 7349 Pyrroxate 7442 Bronkotabs 7350 Actifed 7443 Natorexic 7351 Co-Pvroni1 7444 Prelu Vite 7352 Rhinalgan 7445 Bontri 1 7353 NTZ 7446 . Bamadex 7354 Luasmin 7447 Appetro1 7355 Frano1 7448 Eskatro1 7356 An to sen 7449 Quadrinal 7357 Nethaprine 7450 AEA 7358 Dimetapp 7451 Dexamyl 7359 Bihistrin 7452 Ambar 7360 Disophrin 7453 Tedral 7361 Neo Bronchoid 55 7454 Amodrine 7362 Rynatan 7455 Amphedase 7363 Fedrazil 7456 Be lap 7364 Decotussin 7457 Marax Syrup 7365 Kolephrin 7458 Donna tal 7367 Para-Hist 7459 Donna gel 7369 Hesper C 7460 Cantril 7370 Synephricol 7461 Ataraxoid 7371 Syntussin 7462 Deluteval 7372 C1istanal 7463 Trisocart 7373 Phenergan Expectorant 7464 Pro-Estrone 7374 Duadacin 7465 Gestest 7375 Novahistine DH 7466 Pro-Duosterone 7376 Tranquil Aid 7467 Tristerone 7377 Thephorin AC 7468 8ardase 7378 Hespergesic 7469 Neo-Cortef 7379 Pharmhistine 7470 Nugestoral 7380 Mil path 7471 Duo harm 7382 Tri lamine 7472 Deladumone 7383 Cafaryl 7473 Gevrestin 7384 Serpa ti 1 in 7474 Cordex 7385 Rinohist Syrup 7475 Cytran 7386 Mil prem 7476 Neo-Hydeltraso1 7388 Kryl 7477 Desplex 7389 Covanamine 7479 Dainite 7401 Cafergot 7480 Cal a trap 7402 Migral 7481 Nul abort Reproduced at the National Archives II.A.372 OB-15
1 Drugs in Pregnancy (cont.) 7482 Ortho-Novum 8225 7483 Biphetamine T20 8226 7484 Estrosed 8227 7485 Bifran 8228 7486 Dexabarb 8229 7487 Amvicel 8230 7488 A M Plus 8232 7489 Thin-Down 8233 7490 Reladine 8234 7491 Calradine #2 8250 7525 Veralba 8251 7550 Benedrin 8252 7555 Rauwidrine 8270 7556 Diupres 8274 7568 Miopressin 8275 7569 Butiserpine 8276 7570 Serbutal 8277 7571 Butizide 8331 7572 Matrite #2 8332 7575 Hydro pres 8333 7576 Enduronyl 8334 7577 Brondecon 8335 7578 Rautrax 8336 7910 Medigum 8337 7930 Vio-Dex 8338 7990 Anusol 8339 7991 Wyanoid 8340 7992 Desitin HC Supp. 8341 7993 Cardol 8342 7994 Medicone 8343 7995 Syppository, Anesthetic n.o.s. 8344 7996 Nupercainal Suppository 8345 7997 Anesthesin Suppositories 8346 7998 PNS Suppositories 8347 8107 Mycinettes Troches 8348 8108 Sulfa Lozenge 8349 8109 Squibbs Lozenges 8350 8110 Biotroches 8351 8111 666 Cough Syrup 8352 8209 Alum Powder-Orally 8353 8210 Dewitts Kidney Pills 8354 8211 666 Tablets 8355 8212 Alka Seltzer 8356 8213 Bromo Seltzer 8357 8214 Bromoquinine 8360 8215 B.C. Powders 8690 8216 Stanback 8691 8217 Four Way Cold Tablets 8902 8218 Miles Nervine 9001 8219 Midol 9002 8220 Rem 9003 8221 Santa Caps 9004 8222 Rexatuss 9005 8223 Tetrazets 9006 8224 Rid-A-Pain 9007 Isodine Diamine Phenamid Nap Pheno-Bromide Calmers Brochine-Menthol Bistrimate Trimicin Trokes Her Tabs Femicin Co-A Dec Doz-0-Nol Dremelon Canadian 222 Coldrex Amidophen Proquil Capsules Sinocap Ni-Span Cotussin Coryban-D Nolamine Dri-Con Contac Histotussin Coldene Azmar Primatene Allergi Caps Haysma Dristan Coricidin Coricidin D Inhist Sominex Sleep-Eze Somni Caps Emprazil No Doz Nite-R Dohistan Sleep Tablet Minagest Pectrol Norforms Bropheno-Form Midragen Digitalis Digitoxin Quinidine Cedilanid Sodium Tetradecyl Sulfate Digoxin Phenol Reproduced at the National Archives II.A.373 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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!:: 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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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
Page 359 and 360: SUMMARY OF HOSPITALIZATION FOR ANY
Page 361 and 362: ':.::-•••suMMARY OF HOSPITALI
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 and 390: Drugs in Pregnancy (cont.} 2128 Par
Page 391 and 392: Orugs in Pregnancy (cont.) 4256 Hyo
Page 393: . Drugs in Pregnancy (cont.) 7154 S
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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