Prenatal Record - National Archives and Records Administration

08-5 Recent Medical History
Form 08-5 was used to obtain medica1 hi story for the 12 month period
preceding the date the history was taken. The form was first used in January
1959; it was revised in November 1959. The revised form was renumbered and the
information on medications was made more specific.
Two cards were used in keypunching data records (Table 08-5.1). Cards
punched from the January 1959 version of the form contain information on
medications taken in columns 66 to 78 of card 2305; this information is found
in columns 50 to 65 of card 2305 for the November 1959 revision. All other
columns on the cards contain data from both the January 1959 version and the
November 1959 revision. Item numbers refer to the November 1959 revision.
TABLE 08-5.1 Card~ and Data Records by Revision for Form 08-5
CARD REV. NUMBER
CAro NAME NUMBER NO. RECOroS
OB-5: II lness or Dfsabll lty 1305
OB-5: Non-Confining II lness or
Dlsabl I lty 2305
0 8,676
1 47,289
------
55,965
0 8,654
1 47,043
------
55,697
total for form 111,662
II.A.69
OB-5
Reproduced at the National Archives