Prenatal Record - National Archives and Records Administration

Reproduced at the National Archives
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Data Ite~s Refere~cln~ For~ ns-s, Recent Medtcal Htstorv
OAf A
lTF::fl4
ITE14 Jllf CARO
YO FJR14 NUM FROM TO OA U IrF.M NAMF.
342 ••• oR-"i 13 2305 25 ?6 Illness or rttsabilltv, non conft~tnq, date onset C•o>
343 ••• oR-"i tJ 230'5 27 28 Illness or rtisah111ty, non contt~tna, date onset (day)
344 ••• oR-"' 11 2305 29 10 Illness or rtlsabllity, non conft~fna, date onset (yr>
345. • .OR•5 14 2305 )t Jt Illness or rt1sab111ty, non contintna; ohysician consulted
346 ••• 01'1•5 12
2305 32 33 Illness
347 ••• 01'\-~ 12
230'5 34 15 Illness or or
rtlsahllitv, ~isahillty, non
non conftntng,
conftnfna, date tyoe
onset (mo)
34B ••• OR·'i 12 2305 ]fi 37 Illness or rttsabllltv, non conttntna, d~te onset (day)
349 ••• oR-" 12
2]0'5 lA J9 Illness or rtlsablltty, non conftntna, date onset (yr)
)SO. • .OA•5 12
2305 40 40 Illness or rtlsabllltv, non conttnlna; ohvslclan consulted
3'5l ••• DR•"i 12
230'5 41 42 Illness or dlsabllltv, non eontintng, tvoe
)'§2••• DA•5 11
2305 41 44 Illness
3'5l ••• DA•tll 11
2105 4"i 46 Illness or
or disability,
disahilitv, non
non conttnfna,
contfntna, date
datP onset
onset (dey)
C•o>
3'54 ••• DR•5 11 230'5 47 48 Illness or ~tsablllty, non conftntna, date onset Cyr)
3'55. • .OR•"i 14 2305 4~ 49 Illness or rttsahlllty, non conflntn~l phystcien consulted
3'§6 ••• DR•"i 16
230"i so 50 I~~untzatfon, ore/oost L~P. preceding t2 months
3'57 ••• DR•S
1"'B ••• DR·"i
3'59 ••• oR-"i
3~o ••• oR-"i
16l ••• DR•5
17
tll
29
20
21
2305
2305
210'5
'230S
2305
51
52
53
54
55
51 Anttbtotir fn1ectfon, pre/oost L~P, precedina 12 •onths
~2 Antfbtotlcs, ~ther, ore/oost L~P, orecedlnq 12 months
53 In1ection, other, ore/post L~P, orecedlnq 12 Montha
~4 In1ection, un~nown, ore/oost f,MP, orece~lng 12 •onths
~5 Sle~otno ollls, ore/oost r.~P, orecedlna 12 •onths
lfi2 ••• DR•5 22 2305 56 56 Tranquilizers, ore/oost LMP, orecedln~ 12 •onths
363 ••• o~'~-5 21 230'5 57 57 Otet or "oep• pills, ore/o,st LMP, precedina 12 •onths
364 ••• DR•'5 24 230"i SA 58 Antihistamines, ore/oost r.~P. orecedtng 12 Months
36S ••• DR•"i 21\ 230'5 5~ '59 Jnsulfn, ~re/oost LMP, orecedtna 12 months
Jfo6 ••• oR-"i 2" HO"i 60 ~o Thyroid or anti•thvrotd, ore/nost LMP, orecedfna 12 months
367 ••• o~'~-5 21 230"i 61 61 Cortisone, nre/oost LMP, orecP.1fnq 12 months
36B ••• DR•5 2P 230'5 62 62 HorMones, other, ore/post LMP, orecedlna 12 months
)fo9••• DR•'5
)70••• DR•"i
371 ••• DR•5
30
31
37.
HO"i
2JO"i
Hoc;
61
64
6"i
63
64
65
Laxat1ves, nre/oost LMP,
He~dache oills, oowders,
Medication or fn1ect1on,
orecedfno 12 months
ore/nost LMP, orecedlnQ 12 aonths
other, ore/oost LMP, orecertinq 12 months
372 ••• 01'1-"\ 2JO"\ 6fi 66 I•muntzatton, ves/no, orecedtnq 12 months
37l ••• OR•"i 230"i 67 67 Antfbfotics, ves/no, orece1tno 12 months
374 ••• oR-5 2105 6A 68 In1ection, ves/no, other, orece~ina 12 months
)75••• 01'\•5
l76 ••• oR-I\
377 ••• oA-"i
)78 ••• 0"--"i
379 ••• 0~'~•"
lPO ••• OR•"i
)Rl ••• OR•"i
3A2 ••• DR-~
)R)••• U"~•"i
)R4••• 0R·5
230"i
230"i
230"i
2305
2]05
230'5
2J05
2JO'l
2305
2105
69
70
71
77.
73
74
'"' 76
77
7A
69
70
71
72
73
74
75
76
77
78
Injection, ves/no, unknown, orece~ing 12
Ant1blot.ics, ves/no, other, orecertinq 1? months
months
L~xattves, ves/no, orecedl~a 12 months
Sleeotna pills, ves/~o. orece11n~ 12 months
Tranquilizers, yes/no, nrecedfn~ 12 months
Dtet or "nen" otlls, yes/n,, nrecedino 12 months
Headache nills, yes/no, oowrters, orecedlna
Nose droos; inhalers, yes/no, orece11nq 12
Antthtstamlnes, yes/no, orecedinq 12
Medlc~t1on, ves/no, other, nrecedfno months
12 months
12 months
months