Prenatal Record - National Archives and Records Administration

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Drugs in Pregnancy (cont.) 9483 Hacks Cough Drops· 9484 Halks Cough Drops 9485 Baby Bee Cough Medicine 9486 Dr. Lyon Cough Medicine 9487 Narc on 9488 PID Mixture 9489 VM Cough Mixture 9490 ULO 9491 360 Cough Syrup 9492 Remilor CF Cough Syrup 9493 Clemson Cough Syrup 9494 Big Three Cough Syrup 9495 Aristal Cough Syrup 9496 Super Anahist Cough Syrup 9497 Hydraturbin Cough Mixture 9498 Downeys Cough Syrup 9499 Ronmanoff Cough Mixture 9500 A leva ire 9501 Tergemist 9553 Ananase 9554 Papase 9555 Protamide 9557 Chymolase 9558 Alidase 9559 Diuretics, n.o.s. 9560 Decholin 9561 Depancol 9600 Benzine 9608 M Solution 9610 KCL IV 9611 NAHCO IV 9612 Potas~ium Triplex 9701 Brytylium Tosylate 9702 Lederkyn 9703 Stop-Kof 9705 Imperal T.L. 9706 Eze Pain 9707 WY 1359 9708 Derm-B 9709 Sandman Sleeping Pill 9710 P25 25 9711 Sedative 222 9712 Group A Pi 11 s 9713 Group 8 Pi 11 s 9714 Prexonate 9715 5029 8 9716 Ayds 9717 Free Day 9718 L icaran AF 9719 Largan D 9720 Licaron, n.o.s. 9721 WY 1359 G 9725 Tr-Nux Vomica 9731 Leen Caps 9735 Rutorbin 9801 9802 9803 9804 9805 9806 9807 9808 9809 9811 9812 9813 9814 9834 9860 9871 9888 9901 9902 9903 9904 9905 9906 9907 9908 9909 9910 9918 9919 9920 9921 9922 9923 9924 9925 9926 9927 9928 9929 9930 9931 9932 9933 9934 9938 9939 9940 9941 9942 9943 9944 9945 9946 9947 9948 Jiffy Powder Syrup of Black Draught Scotts Emulsion Browns Mixture Honey Pine Tar Humphreys II Citrahist Lydia Pinkham Goody Powder Nemisis Doanes Pills Night Caps Regimen Histo-Plos Ami tone Horehound Cough Drops Drug, Unknown Type Vitamin K Protamine Gestatabs Compound of Rhubarb Carters Liver Pills Distovagal Admadion Sodium Thiosulfate Sodium Fluoride Adrenosem Salicylate 1987 2A 1991 2A Pathilon Iodides, n.o.s. Radio Active Iodine IVP, n.o.s. Diodrast Renograffin Telapaque Hypaque Carachol Iodo-Neacin Iodine Orenzyme Chymar Buccal Varidase Amanase Dilabil G.B. Tablet Histalog Decholine SSP PSP Regitine Vitamin 812, labeled Pantopaque Renovist, Inj. Evans Blue Reproduced at the National Archives II.A.376 OB-15
Drugs in Pregnancy (cont.) 9949 9950 9951 9952 9953 9954 9955 9956 9957 9958 9959 9960 9961 9962 9963 9964 9965 9966 9967 9968 9969 9970 9971 9972 9973 9974 9975 9976 9977 9978 9979 9980 9981 9982 9983 9984 9985 9987 9988 9989 9990 9991 9992 9994 9995 9996 9997 9998 9999 Risa Hippuran Imferon Iron, IM/IV Co-Liv-One/I.M. Conray SKF #1340 960 Pills BA 17922 Control 24 Methylene Blue SKF #5 SKF Win Psilocybin Base Oxide Sau SH 735 A S I Sal 7922 Diazoxide Kucin DM-2 Aminopterin Chlorambucil Vasopressor A Vasopressor C Vasopressor B Roche #10 Vasopressor E AX 59034 AN 2095 Cold Caps, n.o.s. Father Johns Medicine Coldettes Anis Dalex Cold Capsules Centrine Cold Tablets Copoietin Pabisal Other specified Drugs, not elsewhere classified SCH 3940 SCH 3940D Methotrexate #30 Solution Parstellin WY Dopan Drug Unknown Name Unknown if any drug Revised September 1975 Reproduced at the National Archives II.A.377 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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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
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 and 394: . Drugs in Pregnancy (cont.) 7154 S
Page 395 and 396: 1 Drugs in Pregnancy (cont.) 7482 O
Page 397: Drugs in Pregnancy (cont.) 9169 917
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Prenatal Record - National Archives and Records Administration

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