Prenatal Record - National Archives and Records Administration

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DEFJNITION OF CODES (Continued) FOBM OB-2 Card 0302-1302 CARD COIDMN 1· FIRST PRODUCT (continued) 19-33 Child's .Age at Death (continued) col. 32 Code: 3 - 7 through 27 day-s 4 - 28 days through 1 year 5 - Arter 1 year 6 - Unable to classifY, but death occurred in the same month a.nd year as the date of termination of pregnancy 7 - Unable to classify, but death occurred in same year as date of termination of pregnancy 8 - Unable to classify, but known to be dee.d 9- UDknown Place of Birth (col. 33) Item 1.2 Code: 0 - Stuey- Hospital l - other Hospital 2 -Home 8 - Other place 9 - Uuknown 8. SECOND PRomCT 34-48 Code: Same as in Field 7 THIRD PR
1 Reproduced at the <strong>National</strong> <strong>Archives</strong> l:TeM.. - ,0,., -fOki&A. I • ----- REPRODUCTIVE HISTORY FOR-t OB-2 I 12 13161-i II I U IJIS II p~ I IZ. 1315~GI II 'Bl5 1/ X~ liT4 16 --,--.-,liJITf"ITI••-s16lu 1 •t»JITtii'it'itli.~,"iil9lii11•i'A :iilflil7 1 liD~•i"-.2'41«~,•.-t,a 9lfili'Arrlit~·~l~6t, ~~liiiiillfUfs-,i.-ftiilii"..-- -- I -- 1 ·- 0 bj I .I\) - I FIRST PRODUCT ISECOUD PRbDUCT ITHIRD PROOOCT IFWIUH PROOOCT z ~ ; Dllff MilllWEI II liM lllbltlEI IIIIB'JTIIIOOTEI IIIIB\JT l ~ I-. 1-1 "g ~ 1-1 -F 4 • ~ARO 4 ~IJ.)Q6 1 ~ 1111 I LII&IJII~ >• w o;l··~. ~{ 1 ~ ~ li i * : o ~ u I~ ~~~ ~ d ~ • ~ ~ ; ~ •' ~ d ~ ...... 1-5- ~ &l 1:: ~ ~ ~ ~ I! I~ l: ~ -' &lOt ~ ~~ 6;:,. ,,. ~ ~~:II 7 "" ;:,.0 ' (b ~ • ~ I .._ .,_ 1- I :- ~ ~ o ~~ "' .~ ~«. ~ '" o ~ ~ ... "' "' :- "' ~ ~ ..,
Page 1 and 2: NINCDS COLLABORATIVE PERINATAL PROJ
Page 3 and 4: NINCDS COLLABORATIVE PERINATAL PROJ
Page 5 and 6: INTRODUCTION DOCUMENT OBJECTIVES AN
Page 7 and 8: Forms The first forms used in the s
Page 9 and 10: Reproduced at the National Archives
Page 11 and 12: selection. A n1n was used for patie
Page 13 and 14: , researcher is more likely to look
Page 15 and 16: TABLE 3. Abbreviations for Person,
Page 17 and 18: TABLE 4. Definition of Person, Time
Page 19 and 20: TABLE 4. Definition of Person, Time
Page 21 and 22: CONTENTS AR-1/0B-1 OB-2 OB-3 OB
Page 23 and 24: AR-1 Obstetrical Administrative Rec
Page 29 and 30: DEFINITION OF CODES {Continued) FOR
Page 31 and 32: ... 1;:: I ~ .J.I'40JI.!9d jl5 !
Page 33 and 34: ADMINISTRATIVE RECORD MANUAL PHS-30
Page 35 and 36: ADMI!liSTRATIVE RECORD ;fl.A.TI.TUA
Page 37 and 38: -· IID'~7-- '·"'-- ':!e- ~ l·-~
Page 39 and 40: OB-1: OBSTETRICAL· ADMINISTRATIVE
Page 41 and 42: Par. 3 10 - Religion. Record as Cat
Page 43 and 44: OB-2 Reproductive History Form OB-2
Page 47 and 48: COLIII:•IOoa-& ,.., REPRODUCTIVE
Page 51: DEFTIITTION OF CODES (Continued) FI
Page 55 and 56: R~PRODUCTI\~ HISTORY (Con't.) C3-2
Page 57 and 58: REPRODUCTIVE HISTORY (Con•t.) C3-
Page 59 and 60: OB-3 History Since Last Menstrual P
Page 63 and 64: eoL"-aooa.a ACV. n-et • HISTORY S
Page 67 and 68: DEFINITION OF CODES (Continued) FOR
Page 69 and 70: DEFJNITION OF CODES (Continued) FOR
Page 71 and 72: "' 1: : ~~ :; "':J. !~ ~ ~ :~ ~ ; :
Page 73 and 74: HISTORY SINCE LAST 1-ENSTRUAL PERIO
Page 75 and 76: HISTORY SINCE ~T MENSTRQ~ P~RIOD {C
Page 77 and 78: OB-4 Gynecological History Form OB-
Page 81 and 82: COL.,.-aaaa-4 RIEV. tt-11 • GYNEC
Page 83 and 84: DEFINITION OF CODES GYNECOLOGICAL H
Page 85 and 86: DEFINITION OF CODES (Continued) FIE
Page 87 and 88: '? I~ 1: :1\ j; t:: t; ....J 7 ,.
Page 89 and 90: GY1~F..COLOGICAL HISTORY (Con't.) O
Page 91 and 92: 08-5 Recent Medical History Form 08
Page 99 and 100: DEFINITION OF CODES RECENT MEDICAL
Page 101 and 102: DEl!'INITION OF CODES (Continued) F
Page 103 and 104:
DEFINITION OF CODES (Continued) FOR
Page 105 and 106:
Page 107 and 108:
ILL..'1ESS OR DISABILITY CODES (Con
Page 109 and 110:
Reproduced at the National Archives
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RECENT MEDICAL HISTORY (Con 1 t) OB
Page 113 and 114:
OB-6 Past Medical History Form OB-6
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Page 117 and 118:
z PAST MEDICAL HISTORY (Interviewer
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Page 121 and 122:
DEF'll'UTION OF CODES PAST MEDICAL
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DEF'INli'ION OF CODES (Continued) F
Page 125 and 126:
DEFINITION OF CODES (Continued) u.
Page 127 and 128:
DEFINITION OF CODES (Continued) FOO
Page 129 and 130:
Page 131 and 132:
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
Page 143 and 144:
DEFINITION OF CODES nlFECTIOO'S DIS
Page 145 and 146:
DEl''ll'IITION OF C:JDES ( Conti:::
Page 147 and 148:
i i :a :: ·• 1: !: ! I! ::
Page 149 and 150:
l!:i i!;T!IJIJ;: IIJ;;:..f,;:l·: .
Page 151 and 152:
INF~TIOUS DIS~S~ ;~D SYSTEM REVIEW
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OB-8 Repeat Prenatal History Form O
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Page 157 and 158:
I. ftATIIMT IDfNTIPICATIOM REPEAT P
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Page 161 and 162:
Page 163 and 164:
DEFINITION OF CODES (Continued) FIE
Page 165 and 166:
~ :: : j: ~ : I~ =r ; Ia ~ ~ !~ ;
Page 167 and 168:
,;.-~ 1•1. 1J;,.... - ~ .. u;W'o'
Page 169 and 170:
OB-9 Prenatal Record Form OB-9, Pre
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Page 175 and 176:
Page 177 and 178:
C:OL.II.·- I•It NU\E IHOSPITAL
Page 179 and 180:
•• 'HISTORY NO. diRIRXL IXXMI l
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Page 183 and 184:
Page 185 and 186:
~~J2ITTIGN OF CODES (Co~~i~ued) FCa
Page 187 and 188:
DEFINITION OF CODES (Continued) FOF
Page 189 and 190:
DEF~~ION OF CODES (Continued) PELVI
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DEFTIHTION OF CODES (Continued) FQR
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Page 195 and 196:
ZEFT1ITTIO:i OF CODES (Con"'c:..!!U
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Page 199 and 200:
Page 201 and 202:
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
Page 213 and 214:
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 225 and 226:
Page 227 and 228:
Page 229 and 230:
Instruction Manual for Obstetric Fo
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OB-43 Initial Prenatal Examination
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Page 235 and 236:
Page 237 and 238:
COL ..-3008-41 UIIYe 10.U) 1. PATIE
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Page 241 and 242:
DEFINITION OF CODES miTIAL PRENATAL
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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
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Page 255 and 256:
Page 257 and 258:
I, I'ATIENT IDENTI,.ICATIDN OB-43 I
Page 259 and 260:
OB-10 Return Visit and Laboratory R
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Page 267 and 268:
Page 269 and 270:
Page 271 and 272:
DEFTIUTION OF CODES (Continued) FOR
Page 273 and 274:
DEFINITION OF CODES (Continued) FOB
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Page 277 and 278:
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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Page 289 and 290:
:FDRMS 03-10 DEFINITION OF CODES (C
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DEFINITION OF CODES (Continued) ~·
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Page 295 and 296:
Instructional Manual for Obstetric
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OB-45 Laboratory Record Form OB-45
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Page 307 and 308:
Page 309 and 310:
Page 311 and 312:
Page 313 and 314:
DEFllUTION OF CODES LABJRATORY RECO
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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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Page 335 and 336:
Page 337 and 338:
Page 339 and 340:
Page 341 and 342:
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
Page 349 and 350:
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
Page 381 and 382:
..... 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
Page 389 and 390:
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
Page 395 and 396:
1 Drugs in Pregnancy (cont.) 7482 O
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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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