Prenatal Record - National Archives and Records Administration

Reproduced at the National Archives
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ForM Ite~ Nu~bers Ji~~ed to Oata Ite~s on ~tl-5, Recent ~edfcal ~fstorv
ITEM
DATA
ON TrF:" CARD
FORM In NIIM FROio! TO DAfA TTFM NAMF.
to 121 ••• os-~ noc; H 43 Illness or ~lsabllltv, re~uirlno conflne~ent: ohvstclan consulted
or hosoltallze~
to 327 ••• ns-5 13o"i 54 54 Illness or dlsablllty, re~utrtna cont1ne~ent: ohvslclan consulted
or hosoitallze1
to 333 ••• na-5 1305 6"i 65 Illness or ~isabilttv, requtrfna confinement: ohvslclan consulted
or hosottalize1
t 0 lts ••• na-5 130'5 32 32 Illness or ~i~abllitv, re~ulrtna confinement: ohvsieian consulted
or hosoltalize~
12
348 ••• oa-5 2305 36 37 Illness or dlsahlllty, non conflnJn~, date
12
347 •••ns-5 210'5 34 35 Illness or dtsabllttv, non contlnlna, date
12
J4~ ••• ns-5 210~ 31' 19 Illness or ~tsahlllty, non eonflntna, date
12 151 ...!'JB-5 230'5 41 42 Illne5S or dtsabllttv, non contlnlna, tvoe
12
12
12
t1
11
11
13
u
13
346 ...'l8•5
141 •••no-s
1so ••• oo-s
2~0"i
2J05
2lO"i
32
23
40
33
24
40
Illne5s
Illness
Illness
or
or
or
~tsablltty, non
~lsabllitv, non
dtsablltty, non
disability, non
~1sab111ty, non
~isab111ty, non
~tsabllttv, non
dlsabllttv, non
disahlltty, non
conflntna,
eonttnlnq,
conflnlna:
onset
onset
onset
(day)
(mo)
Cyr)
tyoe
type
physician consulted
353 ••• 08-5 230'5 4'5 46 Illness or
conflnfna, date onset (day)
343 ••• na-s 2305 27 78 Illness or
contlnJna, date onset (day)
1s2 ••• na-s 2J05
44 Illness or
conffnfna, date onset (Mo)
H2 ••• IJB-~ 230'5 25 ·~ ?b Illness or
conftnlna, date onset C•o)
354 ••• ns-5 noo; 47 48 Illness or
eont1ntna, d8te onset (yr)
144 •••'lB-5
2JO"i 2Q 10 Jllne5s or
conftntna, d8te onset (yr)
t4 355 ••• 08-5 2~0"i 4q 49 Illness or ~isablllty, non conttntn~; physician consulted
1 4 H'i ••• ns-s 23o"i 31 31 Illness or dtsah111tv, non conttnlna; p~vsician consulted
16
356 ••• ns-s nos; 50 50 I~muntzatton, pre/oost LMP, precedlnq 17 months
1 7
357 ••• ns-5 210"i 51 ~1 Antlolotic fn1ertton, oretoost f,~P, orecedin~ i2 months
tl:l
JSP ••• ns-5 noc; 52 ~2 Antfbfotlrs, other, pre/onst r,MP, orece~in~ 12 months
20
3&0 •••na-s noc; 54 "i4 Jn1Pctton, un~nn•n, ore/onst LMP, orecedln~ 12 ~ont~s
21
36t ••• na-s 230"i 5'5 "iS SlePofn~ ollls, ore/oost r.~P, orecedina 12 months
?2
1&2 ••• ns-5 230"i 56 '5& Tranquilizers, or~/oost LMP, orecedina t2 nonths
23
163 ••• os-5 230'5 51 11)7 otet or •nep" ollls, orP/o,st LMP, orecedlna 12 months
24 364 ••• os-s 2305 5R ~8 Antfhlstamines, pre/oost L~P, orece~lng 12 months
75
16"i ••• na-5 23oo; 5Q ~9 Jnsultn, ore/oost LMP, rreceilno 12 ~nnths
?6
3&6 ••• '18-5 210'5 6fl 60 Thvrotrl or anti-thyroid, ore/oost LMP, Drecedlna t2 nonths
'11 367 ••• 08-5 230"i bt 61 Cortisone, pre/oost LMP, orecPdfna 12 months
'18
36fl ••• oa-5 21oo; &2 62 Hormones, other, nre/oost LMP, orecedlno 12 months
79
l5Q ••• oa-5 2305 51 "i3 tn1ectJon, other, orelpnst J.MP, preee~lna 12 months
10
J&Q ••• no-5 230"i f>J 63 L~xatfvPs, orP/oost LMP, orPcedtna 12 months
lt
370 ••• na-5 210'5 &4 64 Headache ollls, oo•ders, ore/oost LMP, orecedtna 12 ~onths
32
111 ••• os-5 230'5 &"i 65 MedicAtion or injection, other, oreloost LMP, orecedina 12 months