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Human Generated Data

Title

Health, General: United States. Massachusetts. Fitchburg. Health Forms

Date

c. 1903

People

Artist: Unidentified Artist,

Classification

Archival Material

Credit Line

Harvard Art Museums/Fogg Museum, Transfer from the Carpenter Center for the Visual Arts, Social Museum Collection, 3.2002.3080

Human Generated Data

Title

Health, General: United States. Massachusetts. Fitchburg. Health Forms

People

Artist: Unidentified Artist,

Date

c. 1903

Classification

Archival Material

Credit Line

Harvard Art Museums/Fogg Museum, Transfer from the Carpenter Center for the Visual Arts, Social Museum Collection, 3.2002.3080

Machine Generated Data

Tags

Amazon
created on 2019-06-05

Text 99.8
Page 99.6
Advertisement 88.4
Poster 87.2
Paper 86.7
Flyer 86.7
Brochure 86.7
Menu 67.4

Clarifai
created on 2019-06-05

layout 97.7
template 97.2
page 96
number 94.4
presentation 94.4
paper 93.4
stripe 93.4
annual 93.3
form 93.1
banner 92.7
label 90.1
booklet 89.9
no person 89.8
time 89.7
restaurant check 89
daily occurence 88.4
set 88.4
schedule 88.2
monthly 88
planner 86.8

Imagga
created on 2019-06-05

template 47.8
insulating material 45.6
paper 41.4
design 38.4
building material 38.2
business 35.9
blank 35.2
banner 31.3
creative 31
element 29
layout 26.3
card 25.7
frame 25.3
page 25.1
menu 24.5
graphic 24.1
web 23.8
web site 23.7
office 23.4
icon 23
symbol 22.9
modern 21.8
note 21.2
art 21.1
clean 20.1
sign 19.6
button 19.4
text 18.4
new 17
letterhead 17
identity 16.6
letter 16.5
envelope 16.4
graph 16.4
editable 15.7
website 15.1
site 15.1
company 14.9
texture 14.6
style 14.1
journal 14
document 13.9
bar 13.9
corporate 13.8
visual 13.5
communication 13.5
copy 13.3
wallpaper 13
diary 12.7
border 12.7
black 12.7
navigation 12.5
idea 12.5
label 12.2
simple 12.2
line 12
bank 11.9
name 11.8
vintage 11.6
presentation 11.2
money 11.1
set 11.1
message 11
decoration 10.9
browse 10.9
organizer 10.8
notebook 10.7
calendar 10.7
retro 10.7
pattern 10.3
finance 10.2
time 10.1
year 10.1
representation 10
monthly 9.9
id 9.9
week 9.9
planner 9.9
month 9.8
date 9.8
cards 9.8
digital 9.7
world wide web 9.5
day 9.4
sheet 9.4
grunge 9.4
clip art 9.3
facility 9.3
book 9.3
global 9.1
map 9
financial 8.9
antique 8.9
annual 8.8
schedule 8.8
pad 8.8
empty 8.6
depository 8.6
floral 8.5
window 8.5
old 8.4
cover 8.3
silhouette 8.3
collection 8.1
object 8.1
world 8
sidebar 7.9
almanac 7.9
agenda 7.9
notepad 7.8
color 7.8
glass 7.8
original 7.8
space 7.8
reflection 7.8
new year 7.8
diagram 7.7
print 7.6
future 7.5
swirl 7.4
data 7.3
information 7.1
treasury 7
leaf 7

Google
created on 2019-06-05

Text 92.9
Font 68.6
Paper product 60.9
Paper 59.2
Stationery 58.1

Microsoft
created on 2019-06-05

design 93.5
screenshot 83.7
post-it note 76.7
handwriting 74.6
document 19.7
several 19.5

Color Analysis

Feature analysis

Amazon

No features identified

Clarifai

Poster

Clarifai

Poster 84%

Categories

Imagga
created on 2019-06-05

text visuals 97.3%
events parties 2.6%

Captions

Microsoft
created by unknown on 2019-06-05

a paper with writing 54.9%
a paper with text 54.8%
a close up of a piece of paper 43%

Clarifai

No captions written

Salesforce

Created by general-english-image-caption-blip on 2025-05-29

a photograph of a bulletin board with a lot of papers and papers

Created by general-english-image-caption-blip-2 on 2025-07-07

a sheet of papers with various types of information

OpenAI GPT

Created by gpt-4o-2024-11-20 on 2025-06-10

The image displays a collection of health record forms from the Fitchburg Board of Health, showcasing a historical approach to documenting contagious diseases and tuberculosis cases. The forms are mounted on a gray board, grouping various types of records, including detailed reporting sheets and small cards for specific diseases such as measles, scarlet fever, and typhoid fever.

The top section contains larger, more formal records with headers labeled "Fitchburg Board of Health Contagious Disease" and "Fitchburg Board of Health Tuberculosis," noting critical details such as patient demographics, location, symptoms, household status, and other situational factors.

Below these, smaller colored cards (yellow, blue, orange, and white) are labeled with disease names and simplified fields for recording patient information, including age, diagnosis date, and case details. Each is designed for efficient tracking of specific illnesses.

The image reflects an organized, systematic approach to public health documentation aimed at aiding disease control and management.

Created by gpt-4o-2024-08-06 on 2025-06-10

The image displays a collection of forms used by the Fitchburg Board of Health, primarily focused on documenting contagious diseases. There are eight forms arranged on a gray background.

  1. The form on the upper left is titled "Fitchburg, Board of Health. Contagious Disease." It features various fields for information such as disease name, location, demographics of the patient, and details about symptoms and isolation.

  2. The form on the upper middle is titled "Fitchburg Board of Health. Tuberculosis." It contains fields for information about the patient's location, marital status, place of birth, and family information related to tuberculosis presence.

  3. The vertical form on the upper right seems specific for documenting settlements and relief efforts for affected individuals. It includes fields for personal identification and financial assistance details.

  4. The small card on the lower left, written in a formal letter format, appears to be a notification or request form. It is addressed to the Board of Health and includes a statement about a disease disposal act, with space for signatures.

  5. The small card in the lower center, labeled "Tuberculosis," is used for logging patient details, which include name, number, and brief details about the case.

  6. The card on the lower left-middle, labeled "Nuisances," is blue-colored and appears to register complaints or issues related to public health nuisances.

  7. The card on the lower second to right, labeled "Scarlet Fever," is orange-colored and intended to record case details specific to scarlet fever.

  8. The card on the lower far right, titled "Board of Health," is used for case tracking, with spaces for case number and demographic information.

All these forms are used for administrative and health documentation purposes, detailing aspects of disease management, patient information, and public health strategies.

Anthropic Claude

Created by anthropic.claude-3-haiku-20240307-v1:0 on 2025-06-17

The image appears to be a collection of various medical and health-related forms and documents. The central documents are a "Contagious Disease" form from the Fitchburg Board of Health and a "Tuberculosis" form from the Fitchburg Board of Health. These forms seem to be used to report and record information about infectious diseases.

The other documents in the image include what appear to be medical records, insurance forms, and other administrative paperwork related to health and medical care. The overall impression is that this image depicts a collection of historical medical and health-related documents from the early 20th century.

Created by us.anthropic.claude-3-5-sonnet-20241022-v2:0 on 2025-06-17

This image shows a collection of vintage medical forms and documents from the Fitchburg Board of Health. The top two larger forms appear to be related to contagious disease reporting and tuberculosis cases. The forms include various fields for patient information, disease details, and health data. Below these are several smaller colored index cards or forms in yellow, blue, and salmon pink colors. There's also what appears to be a notice or letter format at the bottom left. The forms appear to be blank templates rather than filled-out documents, and they're arranged in a grid-like display on what looks like a gray background. These documents seem to be historical medical records or administrative paperwork from a public health department.

Meta Llama

Created by us.meta.llama3-2-11b-instruct-v1:0 on 2025-06-10

The image displays a collection of vintage health records, including forms and cards, arranged on a gray background. The records are presented in a collage style, with some overlapping or partially visible.

Forms:

  • Two large forms at the top left and center feature the "Fitchburg Board of Health" logo and are titled "Contagious Disease" and "Tuberculosis," respectively.
  • A smaller form at the top right is labeled "Board of Health" and appears to be related to nutrition or diet.

Cards:

  • A yellow card at the bottom left is labeled "To the Board of Health" and contains a section for the patient's name and address.
  • A blue card at the bottom center has a section for the patient's name and address, as well as a section for the doctor's name and address.
  • An orange card at the bottom right is labeled "Board of Health" and contains a section for the patient's name and address.

Other Elements:

  • A small, illegible handwritten note is visible in the top-right corner of the image.
  • A faint, illegible handwritten note is visible in the top-left corner of the image.

Overall:

The image appears to be a collection of historical health records, likely from the early 20th century. The records are presented in a collage style, with some overlapping or partially visible. The image provides a glimpse into the types of information that were collected and recorded by health authorities during this time period.

Created by us.meta.llama3-2-90b-instruct-v1:0 on 2025-06-10

The image depicts a collection of vintage medical forms, likely from the early 20th century. The forms are arranged in two columns on a gray background, with some featuring colorful paper and others on white or off-white paper.

Top Row:

  • Fitchburg Board of Health Contagious Disease Form: This form is divided into sections for recording patient information, including name, address, age, and occupation. It also includes spaces for noting the date of onset, symptoms, and treatment.
  • Fitchburg Board of Health Tuberculosis Form: Similar to the contagious disease form, this document is designed to collect information about patients with tuberculosis. It includes sections for recording patient demographics, symptoms, and treatment history.

Middle Row:

  • Gentlemen Form: This form appears to be a letter or notification from the Board of Health, addressed to "Gentlemen." It is not clear what specific purpose this form serves, but it may be related to reporting cases of infectious diseases.
  • Tuberculosis Form: This form is similar to the one above, but it is printed on blue paper. It likely serves the same purpose as the previous form, which is to collect information about patients with tuberculosis.
  • Scarlet Fever Form: This form is printed on orange paper and is designed to collect information about patients with scarlet fever. It includes sections for recording patient demographics, symptoms, and treatment history.

Bottom Row:

  • Board of Health Form: This form is printed on white paper and appears to be a general-purpose form for recording patient information. It includes sections for noting patient demographics, symptoms, and treatment history.
  • Settlement Form: This form is printed on white paper and appears to be related to the settlement of patients who have been treated for infectious diseases. It includes sections for recording patient demographics, treatment history, and settlement details.

Overall, these forms provide valuable insights into the way medical information was collected and recorded in the early 20th century. They highlight the importance of accurate record-keeping in public health and demonstrate the evolution of medical documentation over time.

Amazon Nova

Created by amazon.nova-lite-v1:0 on 2025-06-06

The image shows a collection of health-related documents and forms, likely from the early to mid-20th century. The documents appear to be related to public health and disease reporting, particularly tuberculosis. The documents include:

  1. A form titled "Fitchburg Board of Health. CONTAGIOUS DISEASE." This form has sections for reporting information about a patient, including their name, age, occupation, place of birth, and marital status. It also includes sections for recording the patient's symptoms, medical history, and the number of people in their household.

  2. A form titled "Fitchburg Board of Health. TUBERCULOSIS." This form has sections for recording information about a patient with tuberculosis, including their symptoms, medical history, and the number of people in their household. It also includes sections for recording information about the patient's living conditions and potential sources of infection.

  3. A letterhead with the name "Fitchburg Board of Health" and the phrase "TUBERCULOSIS" in bold letters.

  4. A form titled "BOARD OF HEALTH DEATH INDEX." This form has sections for recording information about a patient's death, including their name, age, cause of death, and other details.

  5. A form titled "MEASLES." This form has sections for recording information about a patient with measles, including their symptoms, medical history, and the number of people in their household.

  6. A form titled "TYPHOID FEVER." This form has sections for recording information about a patient with typhoid fever, including their symptoms, medical history, and the number of people in their household.

  7. A form titled "SCARLET FEVER." This form has sections for recording information about a patient with scarlet fever, including their symptoms, medical history, and the number of people in their household.

The documents are displayed on a gray background, and some of them have holes in the upper left corner, suggesting that they were once part of a larger binder or folder. The collection likely represents a historical archive of public health records from the Fitchburg Board of Health in Massachusetts, United States.

Created by amazon.nova-pro-v1:0 on 2025-06-06

The image displays a collection of official documents related to health and contagious diseases, possibly from the early 20th century. The documents are organized in a grid format on a gray background. The top row consists of two larger documents, both titled "Fitchburg Board of Health" and "Contagious Disease." The document on the right is titled "Tuberculosis." Below these are smaller documents, each labeled with different diseases such as "Measles," "Typhoid Fever," and "Scarlet Fever." Each document has a header with the name of the disease and the issuing authority, followed by sections for patient information, symptoms, and other relevant details. The documents are printed on paper with a vintage appearance, suggesting their historical significance.

Google Gemini

Created by gemini-2.0-flash on 2025-05-25

Here's a description of the image:

The image is a document containing several printed forms related to public health and disease reporting. The forms are laid out on a gray surface, suggesting they might be arranged for display or cataloging. Here's a breakdown of the main elements:

  • Forms from the Fitchburg Board of Health: There are at least two distinct forms from the Fitchburg Board of Health. One is labeled "CONTAGIOUS DISEASE" and has fields for information like disease, location, patient details, potential sources of infection, and employee information. The other is labeled "TUBERCULOSIS," with fields for recording case details, family history, and living conditions.

  • Other forms: There are other smaller index card type forms related to Tuberculosis and diseases such as scarlet fever, typhoid fever and measles, along with a board of health death index card.

  • Typed Application: At the bottom left, there's a typed letter-style form addressed to the Board of Health. It seems to be an application or notification related to a person who is ill.

Overall, the image provides a glimpse into the record-keeping practices and administrative procedures of a public health agency, likely in the early 20th century.

Created by gemini-2.0-flash-lite on 2025-05-25

This image is a collection of documents related to public health and disease reporting, likely from the early 20th century. Several different forms are visible:

  • Fitchburg Board of Health Forms: Two main forms are prominently displayed, one for "Contagious Disease" and another for "Tuberculosis." These forms include sections to record patient information, the nature and origin of the disease, and details about the patient's living conditions and surroundings.

  • Settlement Forms: A tall, narrow form on the right side, with sections for recording patient information, including family details, and settlement status and financial information.

  • Index Cards: Several index cards of various colors are scattered around the image. These cards likely pertain to diseases like Typhoid Fever, Scarlet Fever, and Diphtheria. Each card is structured to capture essential details such as name, location, date of onset, etc., for tracking disease cases.

  • "Board of Health Death Index" Card: A smaller index card dedicated to recording death information.

The overall impression is of an archive or collection used for the systematic tracking and management of infectious diseases. The forms suggest detailed investigations into disease outbreaks, patient demographics, and health conditions, with a focus on controlling outbreaks and providing necessary care.

Mistral Pixtral

Created by us.mistral.pixtral-large-2502-v1:0 on 2025-06-05

The image displays a collection of historical public health documents from the Fitchburg Board of Health. These documents are likely used for reporting and tracking contagious diseases and tuberculosis. Here is a detailed summary of the contents:

  1. Top Left Document - Contagious Disease Reporting Form:

    • This form is titled "Fitchburg Board of Health - Contagious Disease."
    • It includes fields for:
      • Date
      • Disease name
      • Number (likely a case number)
      • Reported by (name and ward)
      • Patient information: name, age, sex, occupation, location, and place of birth
      • Symptoms and diagnosis details
      • Milk and water supply information
      • Presence of other contagious diseases in the home or family
      • Origin of case
      • Details of home damage
      • Condition of plumbing
      • Sanitation details
      • Number of school children
      • Employer details
  2. Top Middle Document - Tuberculosis Reporting Form:

    • This form is titled "Fitchburg Board of Health - Tuberculosis."
    • It includes fields for:
      • Date of notice
      • Number (case number)
      • Reported to local and state Board of Health
      • Patient information: name, age, marital status, place of birth, occupation, duration of illness
      • Present and past cases of tuberculosis in the family
      • Number of persons in the family under and over 16 years of age
      • Location details: street, house number, city, township, village
      • Hospitalization details
      • Exposure to tuberculosis
      • Source of sputum aid
      • Exposure to consumption by members of the family
      • Disposition of case
  3. Top Right Document - Statistical Report:

    • This form is titled "Statement of Contagious Disease."
    • It includes fields for:
      • Name of disease
      • Number of cases
      • Number of deaths
      • Additional remarks
  4. Bottom Left Document - Letter:

    • This letter is addressed to the Board of Health in Fitchburg, Mass.
    • It requests aid for a sick individual under Chapter 79, Section 108, and provides the name and address of the sick person.
  5. Bottom Middle Documents - Colored Cards:

    • These are colored cards, likely used for quick reference or categorization of different diseases or cases.
    • The colors include yellow, blue, and orange.
    • Each card contains fields for patient information and disease details.
  6. Bottom Right Document - Report of Measles:

    • This form is titled "Report of Measles."
    • It includes fields for:
      • Name of patient
      • Age
      • Address
      • Date of onset
      • Additional remarks

These documents reflect the meticulous record-keeping and reporting practices used by public health authorities in the early 20th century to monitor and control the spread of contagious diseases.

Qwen

Created by Qwen/Qwen2.5-VL-7B-Instruct on 2025-07-28

The image appears to be a collection of documents and forms related to public health, specifically focusing on contagious diseases and tuberculosis. Here's a breakdown of the content:

  1. Top Left: A form titled "Fitchburg Board of Health Contagious Disease." It includes fields for recording the date, location, patient's name, age, symptoms, and details about the disease and its transmission. It also includes sections for reporting to the local and state boards of health and for noting any previous cases of contagious diseases in the home or neighborhood.

  2. Top Middle: Another form from the Fitchburg Board of Health, titled "Tuberculosis." This form includes similar information such as the date, location, patient's details, and specific questions about the patient's health and living conditions, including ventilation, isolation, and care of spirits.

  3. Top Right: A smaller form titled "Settlement," which appears to be related to the care and disposal of infectious patients, listing details about the patient and their family, including the number of family members under 14 years old and any previous cases of tuberculosis.

  4. Bottom Left: A letter from the Fitchburg Board of Health addressed to "Gentlemen." This letter likely outlines the process for applying for aid under the provisions of Chapter 360, Act of 1907, due to a contagious disease.

  5. Bottom Right: A series of colored forms, including the "Tuberculosis" and "Settlement" forms mentioned above, as well as what appear to be medical certificates or records, including one marked "Merxels," another "Scarlet Fever," and another "Board of Health Death Index."

  6. Bottom Center: Two blue forms, likely used for recording specific health-related information, such as tests or treatments.

These documents appear to be historical records from the Fitchburg Board of Health, used to manage and document cases of contagious diseases, particularly tuberculosis, in the early 20th century.

Created by Qwen/Qwen2.5-VL-72B-Instruct on 2025-07-28

The image displays a collection of historical health-related documents from the Fitchburg Board of Health, arranged on a gray background. The documents appear to be forms used for reporting and managing contagious diseases, particularly tuberculosis.

  • In the top left, there is a "Contagious Disease" form which includes fields for details such as the date, type of disease, reporting person, patient information, and residence details.
  • In the top center, there is a "Tuberculosis" form, which includes fields for the patient's personal details, family history of tuberculosis, and other relevant medical information.
  • In the top right, there is another form that seems to be for patient registration or follow-up, with fields for personal information and medical data.
  • Below these forms, there are several smaller cards in different colors (yellow, blue, and orange) that appear to be for specific purposes such as case reporting, death registration, and other health-related records. These cards have various fields for recording information, and some have pre-printed text indicating their purpose.
  • There is also a blue paper form at the center bottom which appears to be a blank form or a duplicate copy of a report.

Overall, the image provides a snapshot of the bureaucratic and administrative processes used by the Fitchburg Board of Health for managing and documenting cases of contagious diseases, particularly tuberculosis, during a historical period.

Text analysis

Amazon

BOARD
BOARD OF HEALTH
OF
DISEASE.
HEALTH
Nambet
Heatth
NTAGIOUS
NTAGIOUS DISEASE. itchluig BSeaid Heatth
BSeaid
Oversees
itchluig
Marind.
Lcation.
Eeplyedl
Condeinn
E pesoes
Lcation. Heulth
Iwolsioe
8e -0-a
Heulth
ALEA
AAON

Google

FTTCHBURG BOARD OF HEALTH itchug ad falh CONTAGIOUS DISEASE. TUBERCUL0SIS Nanh Nber De d N Dscemm Reported by Rrpoted to leal Beurd ef Healt A d P Wand Reposted to state Board of Heald, SETLEMENT Married. Sngle Agr Pe od Beth eiest Paim ate Oceation aton of i caes d talends in hoese or fandy Ma and water mpply Previos existece of Contagioas Diecae in beum or ade y a Oicis of cane Jwlation Ce of sputum Heating Condeee of pmbing Ventiltion Cleanlines posal of house drainage n to o-soeate. operale Mens is siew School books So of aarial d P des apply for aid, Setlement as aeooded lo Ovenem of Por Dpo of c CagdF c-u Ma. veERS T-de Bd d Heale CENTLEMEN t smder the mief Che which a dae sOARD OFATe Smed a 41
FTTCHBURG
BOARD
OF
HEALTH
itchug
ad
falh
CONTAGIOUS
DISEASE.
TUBERCUL0SIS
Nanh
Nber
De
d
N
Dscemm
Reported
by
Rrpoted
to
leal
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Healt
A
P
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Reposted
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SETLEMENT
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od
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eiest
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ate
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i
caes
talends
in
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and
water
mpply
Previos
existece
Contagioas
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ade
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a
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cane
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sputum
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books
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aarial
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apply
for
aid,
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as
aeooded
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41