Patients’ Reasons for

Visiting Physicians:

National Ambulatory

Medical Care Survey

United States, 1977-78

National estimates are presented on principal

reasons for visit expressed by patients during

visits to physicians’ offices. Data are tabulated by sex of the patient and in terms of

other characteristics of the physician-patient

encounter. Age-specific average annual visit

rates are included by sex of the patient.

Second- and third-listed reasons for visit and

principal diagnoses associated with the principal reasons are also enumerated.

Data From the National Heal’thSurvey

Series 13, No. 56

DHHS Publication No. (PHS) 82-1717

U.S. Department of Health and Human

Services

Public Health Service

Office of Health Research, Statistics, and

Technology

National Center for Health Statistics

Hyattsville, Md.

December 1981
National Center for Health Statistics

DOROTHY P. RICE, Director

ROBERT A. ISRAEL, Deputy Director

JACOB J. FELDMAN, Ph.D., Associate Director for Analysis

and Epklemiokgv

GAIL F. FISHER, Ph.D., Assoczizte Director for the

Cooperative Health Statistics System

GARRIE J. LOSEE, Associate Director for Data Processing

and Services

ALVAN O. ZARATE, Ph.D., Assistant Director for

International Statistics

E. EARL BRYANT, Associate Director for Interview and

Examination Statistics

ROBERT C. HUBER, Associate Director for Management

MONROE G. SIRKEN, Ph, D., Associate Director for

Research and Methodology

PETER L. HURLEY, Associate Director for Vital and Health

Care Statistics

ALICE HAYWOOD, Information Officer

Division of Health CareStatistics

W. EDWARD BACON, Ph.D., Director

JOAN VAN NOSTRAND, Deputy Director

JAMES E. DELOZIER, Chie~ Ambzdatow Care Statistics

Branch
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I

Description andscope ofthesurvey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Source and limitations ofthedata . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Organization ofthe RVC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Organization ofthereport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Application oftheRVC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Guide to datapresentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Specific principal reasons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Ail-listed reasons. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Symptom concomitance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Return visit rates. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Average annual visitrates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Patient, physician, andencounter characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Appendixes

Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116

1. Technical notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117

Il. Definition ofterms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125

ill. Survey instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129

List of text figures

1. Average annual rate of office visits with tiredness and exhaustion as the principal reason for visit, by sex and age of

patient: United States, 1977-78.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

2. Average annual rate of office visits with weight gain as the principal reason for visit, by sex and age of patient: United

States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

3. Average annual rate of office visits with chest pain and related symptoms as the principal reason for visit, by sex and age

ofpatient: United States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

4. Average annual rate of office visits with anxiety and nervousness as the principal reason for visit, by sex and age of patient:United States, 1977-78. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

5. Average annual rate of office visits with depression as the principal reason forvisit, by sex and age of patient: United

States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

6. Average annual rate of office visits with headache as the principal reason for visit, by sex and age of patient: United

States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

...

Ill
7. Average annual rate of office visits with vertigo-dizziness as the principal reason for visit, by sex and age of patient:

United States, 1977 -78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,,. .

8. Average annual rate of office visits with abnormal pulsations andpalpitations astheprincipal reason forvisit, by sex and

ageofpatient: United States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9. Average annual rate of office visits with vision dysfunctions as the principal reason for visit, bysexand age of patient:

United States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10. Average annual rate of office visits with shortness of breath as the principal reason for visit, by sexandage of patient:

United States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11. Average annual rate of office visits with back symptoms as the principal reason forvisitr by sex and age of patient:

United States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

12. Average annual rate of office visits with Iowback symptoms as the principal reason for visit, bysexand ageof patient:

United States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13. Average annual rate of office visits with general medical examination as the principal reason forvisit, bysexand ageof

patient: United States, 1977-78. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14. Average annual rate of office visits with blood pressure test as the principal reason for visit, by sexandage of patient:

United States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

15. Average annual rate of office vititsfor female patients with Papsmear astheptincipal reason forvisit, byage of patient:

United Statesr 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

List of text tables

A.

B,

c.

D.

E,

F.

G.

H.

J.

K.

Number of reason for visit classification codes used, by physician specialty: United States, 1977-78. . . . . . . . . . . . . . .

Number and percent distributionof office visits, by principal reason for visit module: United States, 1977-78 . . . . . . . .

Return visit rate by selected principal reasons forvisit: United States, 1977-78. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent of office visits, by sex ofpatient and selected most frequent principal reasons for visit inthe Administrative Moduie: United States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent of office visits to doctorsof medicine and osteopathy, by selected principal reasons forvisit: United

States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent distribution of office visits made by female patients by principal reason for visit, according to

selected physician specialties: United States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent distribution of office visits made by male patients by principal reason for visit, according to selected

physician specialties: United States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of office visits for principal reasons for visit most frequently referred, bynumber andpercent referred: United

States, 1977 -78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of referred office visits, by selected principal reasons for visit, and percent of referred visits, byphysicianspecialty referred to because of principal reason: United States, 1977-78. . . , . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent distribution of office visits for social problem counseling, by most frequent principal diagnoses:

United States, 1977-78.......,.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Symbols

Data not available

,.. Category not applicable

Quantity zero

0.0 Quantity more than zero but less than

0.05

z Quant,ty more than zero but less than

500

*

Figure does not meet standards of

lellability or precision

+ Figure suppressed to comply with

confidentiality requirements

8

8

9

9

10

10

11

11

12

3

4

5

12

12

13

14

15

16

16

iv
Patients’ Reasons for Visiting

Physicians: National Ambulatory

Medical Care Survey

by Beulah K. Cypress, Ph.D., Division of Health

Care Statistics

Introduction

Purpose

This report presents a detailed tabular analysis of

data collected in the National Ambulatory Medical

Care Survey of the National Center for Health Statistics on patients’ reasons for visiting office-based physicians, based on a classification system developed in

1977 for use in this survey.1 Its primary purpose is to

serve as a source document of data that can be used

in planning, curriculum development, health care,

and medical and behavioral research.

A limited amount of information on selected

principal (first-listed) reasons for visit was included in

the summary of the 1977 survey published in a previous report.2 However, the present report uses data

from 2 years of the survey, covers a wider range of

specific principal reasons for visit than the summary,

and presents tabulations that are structured chiefly

around the sex of the patient. Estimates are shown in

tables mainly by the proportions of visits for the

most frequent principal reasons for visit distributed

by demographic and other variables that are representative of the physician-patient encounter. Tabulations and figures are presented for age-specific average

annual visit rates based on selected principal reasons

for visit. The report also provides previously unpublished data on the number of visits for every reason in

the 1977 National Ambulatory Medical Care Survey

classification system and on the association of principal reasons for visit with second- or third-listed

reasons and with physicians’ diagnoses.

Visits for cough, headache, and preventive care in

1977-78 were separately highlighted in Advance Data

From Vital and Health Statistics, Series Nos. 65, 67,

and 69.s’5

Background

The National Ambulatory Medical Care Survey

(NAMCS) was inaugurated by the National Center for

Health Statistics (NCHS) in April 1973 after 6 years

of intensive planning and feasibility studies. Details of

the survey’s purpose and background, as well as sample design and methodology, were published in Vital

and Health Statistics, Series 2, No. 61.6 That report

also provides a description of the two-phase feasibility studies conducted in 1968-69 and 1970-71. During these pilot studies, coders experienced difficulty

in adapting the patient’s reason for the encounter

which was expressed in the patient’s words, to the

rubrics devised primarily for physicians’ diagnoses.

The need for a separate classification for patients’

problems, symptoms, or other reasons emerged from

this exploratory work. In 1972, at the Conference on

Ambulatory Medical Care Records held in Chicago,7

the rationale for such a system was succinctly articulated by the participants. In response to their recommendations, the item “Reason for Encounter” was

included in the uniform minimum basic data set for

ambulatory care recommended by the United States

National Committee on Vital and Health Statistics.8

The Committee made no specific recommendation,

however, regarding the choice of an appropriate classification system for these data.

From its inception, the NAMCS data collection

form (see appendix III) included an item designed to

provide information on the patient’s problem, complaint, symptom, or other reason for visit. This item

is distinct from the physician’s diagnosis in that it is

intended to describe the patient’s motivation for

seeking medical care rather than the physician’s clinical evaluation of the condition. From 1973 through

1976, data were coded according to a symptom classification developed specifically for use in NAMCS

by Meads and McLemore.g

In 1975, under a contract with NCHS, the American Medical Record Association (AMRA) held a conference in Chicago lo for the purpose of evaluating

and revising the symptom classification system.1 As a

result, a reason for visit classification for ambulatory

care (RVC) was developed by the AMRA, and, from

1977 to the present, this system has been used to

1
code these data on patients’ reasons for visit. 1 Because of the change in coding systems, the estimates

for 1977-78 presented in this report are not comparable with those of prior years.

A brief description of the scope of the survey and

the source and limitations of data follow to provide

the reader with a frame of reference for interpretation of data on the reasons for visit. The RVC is also

briefly outlined to facilitate examination of the tables

without repeated reference to A Reason for Visit

Classification for Ambulatory Care.1 However, the

reader is advised to consult that publication for clarification of the subtle distinctions of the system.

Description and scope of the survey

The NAMCS is a sample survey conducted yearly

by the Division of Health Care Statistics of the NCHS.

Data collection and processing for the 1977 and

1978 NAMCS were the responsibility of the University of Chicago’s National Opinion Research Center.

Sample selection was accomplished with the assistance of the American Medical Association (AMA)

and the American Osteopathic Association (AOA).

The basic sampling unit for NAMCS was the

physician-patient encounter or visit. The current

scope of this survey includes all office visits within

the conterminous United States made by ambulatory

patients to nonfederally employed office-based physicians as classified by the AMA or the AOA. The

NAMCS physician universe excludes anesthesiologists,

pathologists, and radiologists; and physicians principally engaged in teaching, research, or administration.

Telephone contacts and visits conducted outside the

physician’s office are also excluded.

The definitions for office, physician, patient, and

visit used to determine eligibility for NAMCS are presented in appendix II.

Source and limitations of the data

The estimates in this report are based on information obtained from Patient Record forms for a sample

of visits provided by a national probability sample of

office-based physicians. The sample for the 1977 and

1978 NAMCS included 6,007 physicians, 973 of

whom were out of scope (not eligible) at the time of

the survey. Of the 5,034 physicians who were in

scope (eligible), 3,782 (75. 1 percent) actually participated (see appendix I).

Sample physicians listed all office visits during a

randomly assigned 7-day reporting period. During the

2-year period information was recorded on the Patient Record form for a systematic random sample of

98,335 visits.

Readers are urged to peruse the appendixes to

this report, which include information necessary for

proper understanding and interpretation of the statistics presented. Appendix I contains a general description of the survey methods, the sample design, and

the data collection and processing procedures. Methods of estimation and imputation are also presented.

The statistics in this report are based on a sample of

office visits rather than on all visits and are subject to

sampling errors. Therefore, particular attention

should be paid to the section on “Reliability of estimates” in appendix I. Charts of relative standard errors and instructions for their use are also shown in

appendix I.

Definitions of the terms used in this report and in

the survey operations are presented in appendix II.

Facsimiles of survey materials, such as the Introductory Letter and Induction Interview forms are furnished in Vital and Health Statistics, Series 13,

No. 44.2

The 1977 and 1978 surveys were conducted in

identical fashion by using the same instruments, definitions, and procedures. The 2 years of data were

combined to provide greater reliability of estimates.

Therefore, the reader should note that estimates of

numbers of visits contained in this report are for a 2-

year period, but ratios and rates represent average annual estimates.

Organization of the RVC

The RVC utilizes a modular structure. The basic

categorizations of patients’ reasons for visit are represented by seven modules: (1) Symptom; (2) Disease;

(3) Diagnostic, Screening, and Preventive; (4) Treatment; (5) Injuries and Adverse Effects; (6) Test Results; and (7) Administrative.

Generally, the reasons for visit classified in the

Symptom Module represent visits in which the

patient expressed his or her reason for visit as a

complaint, symptom, or problem. Often these are

initial visits for the problem. Reasons coded into the

Disease Module represent visits at which the patient

gives a diagnosis as the reason for visit. The reasons

for visit coded into the Diagnostic, Screening, and

Preventive Module usually represent nonillness visits,

for example, visits for routine physicals and preventive care or visits for family planning or pre,gnancyrelated examinations. Those visits coded in the

Treatment Module are generally for the purpose of

providing specific therapeutic care. The Inju]ies and

Adverse Effects Module includes reasons for visit that

are clearly the result of an injury or adverse effect.

Reasons coded into the Test Results Module represent return visits to receive test results. Reasons for

visit coded into the Administrative Module generally

are visits initiated by an outside party rather than by

the patient or physician.

Specific reasons for visit are grouped within each

module by using three-digit codes preceded by a letter that denotes the module. For example, S400-S499

2
are code numbers for the group classified as “symptoms referable to the respiratory system”; S440 is the

code for cough (S is the code letter for the symptom

module). The complete tabular list of categories may

be found m A Reason for Visit-Classification for Ambulatory Care.~

Organization of the report

Detailed tables for this report were developed to

provide the maximum amount of uniform information on reasons for visit, with the least threat to the

reliability of the estimates. For uniformity, crossvariables are generally partitioned in the same manner

for all reasons listed.

Many of the reasons for visit are sex-specific.

Therefore, the majority of detailed tables and charts

are also sex-specific with inappropriate reasons for

visit deleted. Exceptions are tables 1, 2 and 5-10,

which show combined estimates for both sexes. Because the tables look very similar, the reader should

note the sex designation in the table title.

Except for tables 1-7, 41, 42, and 67-68 detailed

tables display data according to module, the threedigit groups within that module, the most frequent

specific reasons within each group, and the aggregate

of estimates of all other reasons within the group.

This arrangement provides flexibility to examine data

by single specific reasons or by combined groups of

related entities. The latter option often enhances the

reliabilityy of small estimates.

For the most part, data are grouped in a set of

three tables for one or more cross-variables for

females, followed by a similar set for males.

Data for the Symptom Module are shown in one

table followed by a second table that includes the

Disease, Injuries, and Adverse Effects; Test Results;

and Administrative Modules. The third table in the

set lists reasons in the Diagnostic, Screening, and Preventive Module and the Treatment Modules. All

threedigit groups within each module are listed except for congenital anomalies (D950-D989), poisoning and adverse effects (J900-J999), progress visits

(T800), and other or blank. Visits for these reasons

were either too few or too ambiguous for a reasonable analysis.

Application of the Reason for Visit Classification

Of the,417 three-digit codes listed in the Reason

for Visit Classification (RVC),412 were actually used

in 1977-78. Reasons that were not used represent

relatively rare events (at the present time) in physicians’ offices. These reasons were all perinatal conditions (D990), electroencephalogram (X3 55), acupuncture (T420), dead on arrival (J83 5), and adverse

effects of environment (J920).

Since there are more reasons for women’s visits

than for men’s in the RVC it was not unexpected that

more codes were used for visits by women (403) than

for those by men (379). Visits in metropolitan areas

required 412 codes compared with 392 codes in nonmetropolitan areas.

The more narrowly defined the physician specialty, the fewer were the types of reasons for visit

presented. The least number of codes utilized were

for cardiovascular surgeons; the most were for general

and family practitioners (table A).

Table A. Number of reason for visit classification codes’ used, by

physician specialty: United States, 1977-78

Number

Physician specialty of codes

used

General and family practice . . . . . . . . . . . . . . . . . . . .

Internal medicine . . . . . . . . . . . . . . . . . . . . . . . . . . .

General surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . .

pediatrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Obstetrirx andgynecology . . . . . . . . . . . . . . . . . . . . .

Cardiovascular disea=s . . . . . . . . . . . . . . . . . . . . . . .

Psych iatry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Orthopedic surgery . . . . . . . . . . . . . . . . . . . . . . . . . .

Urological surgery . . . . . . . . . . . . . . . . . . . . . . . . . .

Ophthalmology . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Dermatology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Neurology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Neurological surgery . . . . . . . . . . . . . . . . . . . . . . . . .

Plastic surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Thoracic surgery . . . . . . . . . . . . . . . . . . . . . . . . . . .

Allergy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Cardiovascular surgery . . . . . . . . . . . . . . . . . . . . . . . .

377

354

322

284

229

170

153

140

134

121

101

96

96

91

89

86

60

‘See reference 1.

3
Guide to data presentation

Modules

Table B shows that the reasons given proportionately most often by patients were in the Symptom

Module (about 56 percent). This module includes

pain, discomfort, and other morbidity-related symptoms that are the most compelling reasons for physician visits. The Diagnostic, Screening, and Preventive

Module was the next largest category accounting for

about 18 percent of all visits. The two leading specific

principal reasons for visit, general medical examination (5. 1 percent) and routine prenatal examination

(3.5 percent) are contained in this module.

Specific principal reasons

Table 1 shows a complete listing of every threedigit code in sequential order of the RVC code list,

with the number of visits for each reason. The reader

is reminded that numbers of visits in tables represent

2 years of data. A simple average yields annual estiTable B. Number and percent distribution of office visits, by

principal reason for visit module: United States, 1977-78

Number

Principal reason for visit module and

Percent

of visits

R VC code 1

clistriin thou- bution

sands

Allvisits............ .......... .. 1,154,550 100.0

Symptom Module . . . . . . S001-S999

Disease Module . . . . . . .DOOI-D999

Diagnostic, Screening, and Preventive

Module . . . . . . . . . . . . . . . .X100-X599

Treatment Module . . . . . . TIOO-T899

Injuries and Adverse Effects

Module . . . . . . . . . . . . . . . .. JOOl-J999

Test Resul*$ Module . . . . .RIOO-R700

Administrative Module . . .AIOO-A140

0ther2 . . . . . . . . . . . . . . . .. U990-U999

648,980

100,902

211,690

103,586

48,941

6,237

19,029

15,185

56,2

8,7

18.3

9.0

4.2

0.5

1.7

1.3

lSee reference 1.

21nclude~ blanks; ~roblems, complaints, N. E. C.; entries of “none”; and

illegible entries.

NOTE: N.E. C, = not elsewhere classified.

mates. Related items of interest may be combined as

needed.

The most frequent specific reasons are in rank order in table 2. (The reader is cautioned that the rank

order of numbers of visits may be somewhat artificial

because many estimates are not statistically different

from other close estimates because of sampling variabilityy.) This table also gives the percent distribtition

and cumulative percent of visits by principal reason.

The 280 reasons listed constitute about 97 percent of

all visits; the residual of 132 reasons accounts for

only about 3 percent.

The twenty most frequent reasons expressed by

female and male patients are ranked within age

groups in tables 3 and 4. This presentation (demonstrates the changing priorities of health care needs as

patients age.

All-listed reasons

A maximum of three reasons maybe listed on the

Patient Record form. The physician is requested to

list first that reason expressed by the patient, which

in the clinician’s judgment was most responsible for

the visit. By adding the first-, second-, and third-listed

like reasons one can calculate how often a reason

either is mentioned or is present in patients. Table 5

shows the 90 most frequently mentioned (allI-listed)

reasons for visit. This method results in a different

ordering from that shown in table 2, and to sc}medegree is a measure of the frequency of co-occurrence

of some symptoms. For example, fever, which is

ranked 13th among principal reasons in tab[e 2, is

ranked 5th among all-listed reasons in table 5.

Symptom concomitance

Illness is often manifested by a complex of symptoms that may vary in priority when the patient

explains what he feels. In addition to an alll-listed

enumeration, the association of different symptoms

4
presented by patients in the National Ambulatory

Medical Care Survey (NAMCS) can be examined.

Selected reasons for visit in the Symptom Module

with their most frequently concomitant symptoms

are shown in table 6. For example, the principal reason for visit was fever in about 18 million visits. In

about 19 percent of those visits, cough was listed

second or third. When cough was the principal reason

in about 29 million visits; fever was second- or thirdIisted in about 13 percent of those visits. This pattern

exemplifies the interchangeability y in importance of

some symptoms that tend to cluster together.

Return visit rates

Among the issues raised by the early proponents

of the RVC was the question of how many repeat visits patients make for the same reason. In NAMCS,

data can be classified by whether the visit is for a new

problem or a return visit for an old or continuing

problem. The principal reasons most frequently presented as new problems during visits are ranked by

the number of visits in descending order in table 7. A

return visit rate was calculated by dividing the number of return visits for a specific reason by the number of new problem visits for the same reason, thus

providing an average estimate of frequency of followup care. Where the rate was less than 1.0, new problem visits exceeded return visits. This pattern was

found to be most likely when the patient presented

symptoms of acute, self-limiting conditions or required occasional examinations. High return visit

rates were most often related to chronic problems.

Table C shows the 14 reasons with the highest return

visit rates.

Average annual visit rates

Tables 8, 9, and 10 provide average annual visit

rates for principal reasons for visit by location of the

Table C. Return visit rater by selected principal reasons for visit

United States, 1977-78

Principal reason for visit and Return

R VC codez visit

rate

Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . .. D205

Blood pressure test . . . . . . . . . . . . . . . . . . . . . .. X320

Postoperative visit . . . . . . . . . . . . . . . . . . . . . . . T205

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . .. S110

Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . .. TIIO

Allergy, N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . S090

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . .. D510

Arthritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D900

Prenatal examination, routine . . . . . . . . . . . . . . . . X205

Weight gain . . . . . . . . . . . . . . . . . . . . . . . . . . .. S040

Symptoms of unspecified joints . . . . . . . . . . . . . . S970

Menopausal symptoms . . . . . . . . . . . . . . . . . . .. S750

Diet and nutritional counseling . . . . . . . . . . . . . . . T600

Anxiety and nervousness . . . . . . . . . . . . . . . . . .. S100

14.89

11.83

10.41

8.35

6.88

6.70

6.56

5.68

5.32

4.85

4.73

4.05

4.01

3.96

lSea reference 1.

2N.0.S. = not otherwise specified.

physician’s practice (geographic region and metropolitan status). These tables are divided by module as

described in the section “Organization of the report”;

however, they are not sex-specific.

Tables 11-13 and 14-16 include age-specific average annual visit rates for females and males, respectively. Rates for selected symptoms are plotted by

age and sex of patient in figures 1-12. Similar graphs

for three reasons in the Diagnostic, Screening, and

Preventive Module–general medical examination,

blood pressure test, and Pap smear-are shown in

figures 13-15.

Patient, physician, and encounter characteristics

The listing by modules, groups, and specific reasons is continued from table 17 through table 66 (except for tables 41 and 42). Thus a single reason or

combination of reasons may be tracked through the

various patient, physician, and encounter characteristic data collected in the NAMCS.

Because of the relatively small number of visits in

the Administrative Module, distribution by proportions of variables was not feasible for most specific

reasons in the module. However, table D shows the

proportionate distribution of the four most frequent

reasons in that module by sex of the patient.

60 r Female

50

10

0

Under 15-24 25-44 45-64 65 and

15 over

Age in years

Figure 1. Average annual rate of office visits with tiradness and exhaustion as the principal reason for visit, by sex and age of patient:

United States, 1977-78

5
.+-

.Q

>

100

90

80

70

60

50

40

30

20

10

0

rUnder 15-24 25-44 45-64 65 and

15 over

Age in years

Figure 2. Average annual rate of office visits with weightgainasthe

principal reason for visit, by sax and age of patient: United States,

1977-78

Tables 17-22 provide data on the distribution of

visits by patient age groups. Distribution by the physician’s practice location may be found in tables

23-28 and by physician specialty in tables 29-34. Additional information on physician specialty is shown

in tables E, F, and G. Table E examines selected reasons for visiting doctors of medicine and doctors of

osteopathy. Tables F (female patients) and G (male

patients) provide a comparison among five physician

specialties based on the proportions of their practices

used by patients seeking care for different reasons.

Visits described by prior visit status and seriousness of condition are proportionately distributed in

140 ,-

1 Male

120

100

0

0

0.

60

%

Q

20

0

i

Under 15-24 25-44 45-64 65 and

15 over

Age in yaars

Figure 3. Average annual rate of office visits with chest pain and related symptoms as the principal reason for visit, by sex and age of

patient: United States, 1977-78

tables 35-40. A category entitled “new problem” was

derived from two of the three visit status categories

shown in these tables, New problem visits are the

total of new patient and old patient, new problem

visits. (This classification was also the derivation of

the new problem category used in table 7.) This new

problem group was examined to determine the relationship between the reasons for the visit and the

time since the onset of the complaint. These data,

which provide average estimates of the amount of

time that elapses between the patient’s fust perception of the symptom and the visit to the physician,

are summarized for symptomatic new problems in

tables 41 (females) and 42 (males).

Another characteristic of visits based on new

problems is whether the patient was referred by

another physician. Table H shows the number of

most frequently referred reasons for visit and the proportions of all visits it represents for each reason.

Table J presents data in terms of which physician

specialists saw patients referred to them for sjpecific

health problems. For each reason shown in the table,

the specialty or specialties that received the greater

portion of those visits is listed. For example, 1.4 mil6
60

50

40 — Female

30 —

Male

20

10

0

Under 15-24 25-44 45-64 65 and

15 over

Age in years

Figure 4. Average annual rate of office visits with anxiety and nervousness as the principal reason for visit, by sex and age of patient:

United States, 1977-78

lion referred visits were for abdominal pain, cramps,

or spasms. About 38 percent of those referrals were

treated by general surgeons.

Diagnostic services ordered or provided during the

visit are detailed in tables 43-48; therapeutic services

are shown in tables 49-54. Duration of the visit is

shown in tables 55-60, and disposition of the visit is

presented in tables 61-66.

The clinical picture of visits is concluded with

tables 67 and 68 in which selected symptomatic reasons for visit are related to the diagnoses made by the

physician proportionately most often. Diagnoses were

classified and coded according to the Eighth Revision

International Classification of Diseases, Adapted for

Under 15-24 25-44 45-64 65 and

15 over

Age in years

Figure 5. Average annual rate of office visits with depression as the

principal reason for visit, by sex and age of patient: United States,

1977-78

Use in the United States (ICDA).l 1 In these tables

the total visits for a selected symptom are listed with

the proportions of the most frequently associated

diagnoses shown below.

A large group of mental disorders were diagnosed

when the asymptomatic reason for visit, social problem counseling, was presented. Of the 4.9 million visits for this reason, 83 percent were diagnosed as

neurotic or psychotic conditions (table K). This

observation is pointed out to emphasize that a

one-to-one relationship does not always exist between

the reason for visit expressed in the patient’s words

and the physician’s clinical diagnosis.

7
Female

Male

10

t

oL_lJJUnder 15-24 25-44 45-64 65 and

15 over

Age in years

Figure 6. Average annual rate of office visits with headache as the

principal reason for visit, by sex and age of patient: United States,

‘1977-78

140

120

100

80

60

40

20

Female

/ lMale

Under 15-24 25-44 45-64 65 and

15 over

Age in years

Figure 7. Average annual rate of office visits with vertigo-dizziness

as the principal reason for visit, by sex and age of patient:

United States, 1977-78

30

Female

Under 15-24 25-44 45-64 65 alnd

15 over

Age in years

Figure 8. Average annual rate of office visits with abnormal pulsations

and palpitations as the principal reason for visit, by sex and age of

patient: United States, 1977-78

8
140

120

100

80

60

40

20

0

Female

I I I I I

Under 15-24 25-44 45-64 65 and

15 over

Age in years

Figure 9. Average annual rate of office visits with vision dysfunctions

as the principal reason for visit, by sex and age of patient:

United States, 1977-78

Under 15-24 25-44 45-64 65 and

15 over

Age in years

Figure 10. Average annual rate of office visits with shortness of

breath as the principal reason for visit, by sex and age of patient:

United States, 1977-78

9
100

90

80

70

20

10

0 ~

Under 15-24 25-44 45-64 65 and

15 over

Age in years

Figure 11. Average annual rate of office visits with back symptoms

as the principal reason for visit, by sex and age of patient:

United States, 1977.78

.5

.!?

>

50

40

30

20

10

0

r1

I Male

I I I J

Under 15-24 25-44 45-64 6!5 and

15 over

Age in years

Figure 12. Average annual rate of office visits with low back symptoms as the principal reason for visit, by sex and age of patient:

United States, 1977-78

10
240

r

I

Female

Under 15-24 25-44 45-64 65 and

15 over

Age in years

c

0

.-

x

s

n

0

~

0

0.

240

200

160

120

80

40

0

Under 15-24 2544 45-64 65 and

15 over

Age in yeers

Figure 14. Averege annual rate of office visits with blood pressure test

as the principal reason for visit, by sex and age of patient:

United States, 1977-78

Figure 13. Average annual rate of office visits with general medical

examination as the principal reason for visit, by sex and age of patient: United States, 1977-78

11
70

60

50

c

“; 40

7

c1

o

n

o

0

z’ 30

&

CL

w

%L

10

0

r

Female

Under 15-24 25.44 45-64 65 and

15 over

Age in years

Figure 15. Average annual rate of office visits for female patients

with Pap smear as the principal reason for visit, by age of patient:

United States, 1977-78

Table D. Number and percent of office visits, by sex of patient and

selected most frequent principal reasons for visit in the Administrative Module: United States, 1977-78

Principal reason for visit and Sex

R VC code ~

Female Mala

All visits . . . . . . . . . . . . . . . . . . . . . . . . . . .

Physical examination required for

employ meri t . . . . . . . . . . . . . . . . .. AIOO

Physical examination required for

school . . . . . . . . . . . . . . . . . . . . . ..A11O

Physical examination required for

extracurricu laractivitias . . . . . . . . . .AI15

Insurance examination . . . . . . . . . . .A125

Numbarofvisits

in thousands

6,957 12,072

Percent of visits

26.2 35.6

33.2 20.2

15.4 16.7

5.4 11.1

Table E. Numbar and percent of office visits to doctors of medicine

and osteopathy, by selected principal reasons for visit: United

States, 1977-78

General Doctor

Principal reason for visit and and

family

of osteoR VC codel

practice

pathy

(M. D.) ,(D.O.)

All vkits . . . . . . . . . . . . . . . . . . . . . . . . .

Weightgain . . . . . . . . . . . . . . . . . ..S040

Necksymptoms, . . . . . . . . . . . . . ..s900

Backsymptoms . . . . . . . . . . . . . . ..S905

Lowbacksymptoms . . . . . . . . . . . ..S910

Shoulder symptoms . . . . . . . . . . . . .S940

General medical examination . . . . . . .XIOO

Number of visits

in thousands

433,936 !59,773

Percent of visits

1.5 4.7

1.0 2.1

2.4 5.7

1.1 5.2

1.1 1.6

4.3 2.4

lSee reference 1.

lSee reference 1,

12
Tab[e F. Number andpercent distribution ofoffice visits made by female patients byprincipal reason forvisit, according to selected physician

specialties: United States, 1977-78

Principal reason for visit and R VC code~

Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

General symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S001-S099

Symptoms referable topsychological and mental disorders . . . . . . . . . . . S100-S199

Symptoms referable tothenawous system (excluding sense organs) . . . . . S200-S259

Symptoms referable tothecardiovascular andlymphaticwstems . . . . . . S260-S299

Symptoms referabletothe eyes andears . . . . . . . . . . . . . . . . . . . . . . . S300-S399

Symptoms referable totherespiratory system . . . . . . . . . . . . . . . . . . . S400-S488

Symptoms referable tothedigestive system . . . . . . . . . . . . . . . . . . . . . S500-S639

Symptoms referable tothegenitourinary system . . . . . . . . . . . . . . . . . S640-S829

Symptoms referable totheskin, nails,andhair. . . . . . . . . . . . . . . . . . . S830-S899

Symptoms referable tothemusculoskeletal system . . . . . . . . . . . . . . . . S900-S999

Infective and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . .. DOOI-D099

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. DIOO-D199

Endocrine, nutritional, and metabolic diseases . . . . . . . . . . . . . . . . . . . D200-D249

Diseases of the blood and blood-forming organs . . . . . . . . . . . . . . . . . . D250-D299

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D300-D349

Diseases of thenewoussystem . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D350-D399

Diseases of theeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D400-D449

Diseases Of the ear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D450-D499

Diseaw?s of thecirculatory systam . . . . . . . . . . . . . . . . . . . . . . . . . .. D500-D599

Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . . .D600-D649

Diseases of the digestive system... . . . . . . . . . . . . . . . . . . . . . . . . .. D650-D699

Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . . . . . . .D700-D799

Diseases of the skin and subcutaneous tissue . . . . . . . . . . . . . . . . . . . .D800-D899

Diseases of the musculoskeletal system and connective tissue . . . . . . . . . D900.D949

General examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. XI OO-X199

Special examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X200-X299

Diagnostic tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X300-X399

Othar screening and preventive procedures . . . . . . . . . . . . . . . . . . . . .X400-X499

Family planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X500-X599

Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. TIOO-T199

Preoperative and postoperative care . . . . . . . . . . . . . . . . . . . . . . . . . . T200-T299

Specific types of therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T400-T499

Specific therapeutic procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T500-T599

Medical counseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T600.T699

Social problem counseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T700-T799

Progress visitr N. E. C.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T800-T899

Injuries and adverse effects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .JOOI-J999

Test results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. RI OO-R700

Administrative . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. A1oo-A14o

Allother3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. residual

Physician specialty

General Obstetrics

and Internal Pediatrics General

family medicine

and gynesurgery Cology

practice

258,662

100.0

10.8

2.0

4.6

0.6

2.8

14.5

6.3

5.9

3.7

10.2

0.4

0.2

1.2

0.2

*0.O

0.2

●0.O

*0.O

2.7

1.1

0.3

0.3

0.5

0.9

5.1

5.5

5.9

0.8

0.8

2.0

0.8

0.2

0.7.

1.2

*0. I

0.9

3.5

0.6

1.8

0.9

Number of visits in thousands

77.233 54,920 39,640

Percent distribution

100.0

11.6

2.6

5.8

1.9

1.5

10.4

7.9

3.6

1.9

11.5

‘0.3

1.3

3.1

“0.4

●0.1

“0.2

*0. I

‘0.0

5.4

1.0

‘0.4

●0.2

●0.2

1.7

6.9

1.4

7.0

0.6

●0.2

1.5

0.5

0.5

●0.4

0.6

●0. I

2.4

1.4

1.1

1.0

1.4

100.0

10.8

‘0.4

0.9

*0.4

8.9

21.1

5.4

1.8

4.8

1.2

0.9

*0. I

*0.2

●0. I

‘0.2

‘0.0

1.3

*0. I

1.7

●0. I

‘0.0

*0.4

*0. I

25.7

*0.5

0.8

1.4

“0.0

3.6

●0.1

●0. I

0.9

“0.4

*0.1

0.9

2.2

●0.2

1.5

0.8

100.0

6.7

0.9

2.2

‘0.4

0.9

4.9

9.7

11.2

6.8

9.1

‘0.2

3.3

1.0

‘0.0

●0.O

*0. I

*0. I

*0.2

2.1

“0.5

2.3

*0.5

1.1

*0.5

2.7

2.1

2.7

‘0.4

*0.2

0.9

13.0

+0.5

2.5

●0.5

‘0.0

1.8

4.2

1.1

*0.7

2.3

102,869

100.0

4.6

0.4

0.5

*0. I

*0.O

0.6

2.3

16.9

0.8

0.8

*0.3

0.8

*0. I

*0. I

‘0.0

*0.2

*0. I

*0.O

1.7

*0. I

*0.O

5.5

45.9

2.8

‘0.0

5.6

0.7

5.1

0.6

0.6

*0.O

0.4

*0.3

1.1

*0.2

1.0

lSeerefarenca 1.

2N. E.l&= “Otel$e~her~ classified.

31ncludes blanks; problems, complaints, N. E. C.; entries Of “none’’; and illegible entries.

13
Table G. Number andpercent distribution of office visits made bymalepatients by principal reason forvisit, according tosalected physician

specialties: United States, 1977-78

Physician specialty

Principal reason for visit and R VC code q General

and Internal Pediatrics General

family medicine surgery

practice

Allvisits by male patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175,274

Number of visits in thousands

Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

General symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S001-S099

Symptoms referable topsy chological and mental disorders . . . . . . . . . . . . . . . . . . . S100-S199

Symptoms referable tothe nervous system (excluding sense organs) . . . . . . . . . . . . S200-S259

Symptoms referable tothecardiovascu larandlymphatic ~stams . . . . . . . . . . . . . S260-S299

Symptoms refarabletotheeyes end ears . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S300-S399

Symptoms referable totharespiratory system . . . . . . . . . . . . . . . . . . . . . . S400-S499

Symptoms referable tothedigastive system . . . . . . . . . . . . . . . . . . . . . . . . . . . , S500-S639

Symptoms referable to thegenitourinary system . . . . . . . . . . . . . . . . . . . . . S640-S829

Symptoms referable totheskin, naiis,andhair. . . . . . . . . . . . . . . . . . . . . . . . S830-S899

Symptoms referable to the musculoskeletal system . . . . . . . . . . . . . . . . . . . . . , S900-S999

Infectiveand parasiticdiseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DOOI-D099

Neoplasm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIOO-D199

Endocrine, nutritional, and metabolic diseases . . . . . . . . . . . . . . . . . . . . . . . . ,D200-D249

Diseases oftheblood andblood-forming organs . . . . . . . . . . . . . . . . . . . . . . . . ,D250-D299

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D300-D349

Diseases ofthe nervoussystem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D350-D399

Diseases oftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D400-D449

Diseasesoftheear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D45o.D499

Diseasasof thecircuiatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D500-D599

Diseasesofthe respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D600-D649

Diseasesofthedisgestivesystem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D6D699699

Diseasasofthegenitourinarysystem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D700-D799

Diseasasof theskin and subcutaneous tissue . . . . . . . . . . . . . . . . . . . . , . . ,D800-D899

Diseases of themusculoskaletal system and connective tissue . . . . . . . . . . . , . , .D900-D949

Ganeral examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..XIOO-X199

Special examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X2OO-X299

Diagnostic tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X300-X399

Other screening and preventive procedures . . . . . . . . . . . . . . . . . , . . . . . .X400-X499

Family planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X5OO-X599

Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIoo.TI99

Preoperative andpostoperative cara . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T2OO-T299

Specifictypasof therapy, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T4OO-T499

Specifictherapeuticprocedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T500-T599

Medical counseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T600-T699

Social problem counseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T700-T799

Progressvisit, N.E.C.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T800-T899

Injuriesand adverseeffects. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..JOOI-J999

Test results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..RIOO-R700

Administrative . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..AIOO-A140

All other3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. residual

100.0

9.6

1.4

3.5

0.7

3.6

16.2

5.6

2.4

5.1

12.4

0.5

*0.I

1.1

*0.I

*0.I

*0.I

*0.I

+0.1

2.8

1.3

0.5

‘0.2

0.8

0.6

5.2

0.9

4.3

1.1

*0.2

2.0

0.7

0.1

1.5

0.6

*0.I

1.1

7.8

0.5

4.0

1.0

56,058 60,001

Percent distribution

100.0

11.5

1.7

3.7

1.2

1.4

10.6

6.7

2.0

2.2

9.5

“0.4

1.2

2.8

*0.3

*0.3

‘0.2

‘0.0

‘0.0

7.2

1.0

0.7

‘0.3

*0.4

0.9

8.7

1.7

7.6

*0.5

1.5

0.7

‘0.3

0.6

*0.5

*0. I

2.6

1.7

1.3

3.7

2.0

100.0

11.3

‘0.5

1.2

‘0.5

9.2

20.9

4.0

1.1

4.1

1.7

1.1

*0.2

*0.O

*0.O

*0. I

‘0.2

0.9

*0. I

2.7

*0.2

*0.O

*0.5

*0.O

23.6

*0. I

0.7

1.3

5.3

*0.2

*0. I

0.9

*0. I

*0.2

0.7

3.0

0.3

1.7

1.4

29,583

100.0

6.1

*0.7

2.1

*0.2

*1.1

5,6

8.4

1.8

8.2

12.0

‘0.3

1.4

*0.8

*o<o

*0. I

++0.0

“0.0

2.5

‘0.4

4.9

*0.2

2.3

*0.8

1.9

++0.1

1.4

‘0.3

‘0.4

‘0.5

11.3

“0.4

4.7

*0.3

2.5

12.0

“0.2

2.3

1.6

lSeeraference 1,

2N. E.c. = “Otelse~here ~las~ified,

sln~lud~~b lanks; problems, complaints, N. E. C.; antriesof “none’’; and illegible entries.

14
Table H. Num&rof office visits forprincipal reasons forvisit most frequently referred, bynum&r andpercent referred: United States, 1977-78

Referred visits

All

Principal reason for visit and R VC codel visitsin Number

thousands in Percent

thousands

All visits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Abdominal pain,cramps,spasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S550

Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S905

Visiondysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305

Symptomsreferabletothroat... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S455

Headacherpain inhead . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S210

Earache,orearinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S355

Skinrash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S860

Lump ormassofbreast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S805

Knee symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925

Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S940

Chest pain and related symptoms(not referable tobodysystem) . . . . . . . . . . . . . . . . . . . . . . . . . ..S050

Prenatai examination,routine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X205

Neck symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S900

Abnormal sensationsoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S320

Pain,sitenot referabieto aspecific bodysystem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S055

Leg symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s920

Family planning, N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X500

Suture-insertion, removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T555

Skinlesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S865

Hearingdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..-. S345

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440

Symptomsreferabletoanus-rectum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S605

Footandtoesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..- . . ..S935

Lowbacksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S910

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D510

General medical examination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..XIOO

Vertigodizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s225

Disturbancesofsensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S220

Handand fingarsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....S~CJ

Nasalcongestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S400

Herniaofabdominal cavity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D660

Postoperativevisit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T205

Uterineandvaginal bleeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S755

Frequency andurgency ofurination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S645

Preoperativevisitfor specified and unspecified typasofsurgery . . . . . . . . . . . . . . . . . . . . . . . . . . .T200

Skin irritations, N.E.C.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S870

Head cold,upper respiratory infection (coryza) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S445

Arm symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S945

Symptomsofskin moles.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S845

Swelling ofskin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S875

Symptomsofeyelids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..-. ..S340

1,154,550

17,567

22,507

15,824

34,884

18,342

19,100

20,053

4,199

10,808

8,706

18,081

40,394

9,714

5,888

6,301

10,475

3,549

6,095

7,455

4,772

29,059

4,426

8,545

9,644

15,973

59,115

11,342

3,344

6,262

11,052

2,364

29,674

4,196

4,340

2,156

4.470

21,146

4,261

2,070

3,113

2,321

56,980

1,434

1,356

1,329

1,144

1,053

1,027

1,015

998

925

856

789

783

755

747

745

717

717

710

675

644

642

630

584

574

569

567

521

514

498

486

468

464

449

445

410

370

354

352

349

346

343

4.9

8.2

6.0

8.4

3.3

5.7

5.4

5.1

23.8

8.6

9.8

4.4

1.9

7.8

12.7

11.8

6.9

20.2

11.6

9.1

13.5

2.2

14.2

6.8

6.0

3.6

1:0

4.6

15.4

8.0

4.4

19.8

1.6

10.7

10.3

19.0

8.3

1.7

8.3

16.8

11.1

14.8

lSee reference 1.

2N.0.S. = n~tc,therwise specified ;N. E. C.= not elsewhere classified.

15
Table J. Number of referred office visits, byselected principal reasons forvisit, and percent of referred visits, byphysician specialty referred to

because ofprincipal reason: United States, 1977-78

All Percent

Principal reason for visit and R VC code 7

referred Physician specialty of

visits in referred

thousands visits

Abdominal pain, cramps, spasms . . . . . . . . . . . . . . S550

Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S905

Vision dysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305

Symptomsreferable tothroat . . . . . . . . . . . . . . . . . . . . . . ..S455

Headache, pain in head . . . . . . . . . . . . . . . . . . . . . . . . . . ..S210

Earache, orearinfection. . . . . . . . . . . . . . . . . . . . . . . ... ..S355

Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S860

Lump ormassofbreast ..,. . . . . . . . . . . . . . . . . . . . . . . ..S805

Kneesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925

Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S940

Chest pain and related symptoms (not referable to body

system) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S050

Pranatal examination, routine . . . . . . . . . . . . . . . . . . . . . . ..X205

Abnormal sensationsof theeye . . . . . . . . . . . . . . . . . . . . . ..S320

Family planning, N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . X500

Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . ..S865

Hearingdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S345

Symptoms referable toanus-rectum . . . . . . . . . . . . . .S605

Footand toesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . ..S935

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D51O

Herniaofabdominal cavity.. . . . . . . . . . . . . . . . . . . . . . . ..D660

Uterineandvaginal bleeding.. . . . . . . . . . . . . . . . . . . . . . ..S755

1,434

‘1,356

1,329

1,144

1,053

1,027

1,015

998

925

856

789

783

747

717

675

644

630

584

569

468

449

General surgery

Orthopedic surgery

Ophthalmology

General and family practice, and otolaryngology

Neurology

Otolaryngology

Dermatology

General surgery

Orthopedic surgery

Orthopedic surgery

Internal medicine, and cardiovascular diseases

Obstetrics and gynecology

Ophthalmology

Obstetrics and gynecology

General surgery, and dermatology

Otolaryngology

General surgery

Orthopedic surgery

Internal medicine

General surgery

Obstetrics and gynecology

38.3

40.7

88.0

72.1

34.4

57.4

73.5

90.7

72.1

61.4

64.6

75.9

93.2

49.8

81.8

78.8

52.9

53.4

66.8

90.9

79.9

lSee reference 1.

2N. o.5. = not otherwise specified.

Table K. Number and percent distribution of office visits for social

problem counseling, by most frequent principal diagnoses: United

States, 1977-78

Number Percent

Principal diagnoses and ICDA code 1

of visits distriin thou- bution

sands

_All visits . . . . . . . . . . . . . . . . . . . . . . . 4,869 100.0

Schizophrenia . . . . . . . . . . . . . . . . ...295 * 294 6.0

Neuroses . . . . . . . . . . . . . . . . . . . . ...300 t ,544 31.7

Personality disorders . . . . . . . . . . . . . .301 967 19.9

Transient situational disturbances , . . . .307 922 18.9

Behavior disorders of childhood . . . . . . .308 ++317 6.5

Another . . . . . . . . . . . . . . . ... .. residual 826 17.0

lSee reference 11.

16
Conclusion

This report was developed to supply as much in- uniquely appropriate for certain kinds of research.

formation as is reasonably possible on the use of the The staff of the Ambulatory Care Statistics Branch in

RVC in the 1977-78 NAMCS, under the constraints the Division of Health Care Statistics should be conof precision of estimates, uniformity, and importance suited for guidance in the interpretation and applicaof data elements. There may be other ways to ap- tion of the data.

preach the analysis of these data that may be

17
References

1National Center for Health Statistics: A reason for visit classification for ambulatory care, by D. Schneider, L. Appleton,

and T. McLemore. Vital and Health Statistics, Series 2-No. 78.

DHEW Pub. No. (PHS) 79-1352, Public Health Service. Washington. U.S. Government Printing Office, Feb. 1979.

2National Center for Health Statistics: The National Ambulatory Medical Care Survey, 1977 Summary, United States, Jan.-

Dec. 1977, by T. Ezzati and T. McLemore. Vital and Health

Statistics, Series 13-No. 44. DHEW Pub. No. (PHS) 80-1795.

Public Health Service. Washington. U.S. Government Printing

Office, Apr. 1980.

3National Center for Health Statistics: Cough as the reason for

office visits, National Ambulatory Medical Care Survey:

United States, 1977-78, by B. K. Cypress. Advance Data From

Vital and Health Statistics, No. 65. DHHS Pub. No. (PHS) 81-

1250. Public Health Service. Hyattsville, Md., Nov. 5, 1980.

4National Center for Health Statistics: Headache as the reason

for office visits, National Ambulatory Medical Care Survey:

United States, 1977-78, by B. K. Cypress. Advance Data From

Vital and Health Statistics. No. 67. DHHS Pub. No. (PHS) 81-

1250. Public Health Service. Hyattsville, Md., Jan. 7, 1981. .

5National Center for Health Statistics: Office visits for preventive care, National Ambulato~ Medical Care Survey: United

States, 1977-78, by B. K. Cypress. Advance Data From Vital

and Health Statistics, No. 69. DHHS Pub. No. (PHS) 81-1250.

Public Health Service. Hyattsville, Md., Apr. 1, 1981.

6National Center for Health Statistics: National Ambulatow

Medical Care Survey, background and methodology, United

States, 1967-72, by J. Tenney, K. White, and J. Williamson.

Vital and Health Statistics. Series 2-No. 61. DHEW Pub. No.

(HRA) 74-1335. Health Resources Administration. Washington. U.S. Government Printing Office, Apr. 1974.

7conference on ambulatory medical care records: in J. H.

Murnaghan, cd., Ambulatory Medical Care Data: Report of the

Conference on Ambulatory Medical Care Records, held at Chicago, Apr. 18-22, 1972. Philadelphia, J. B. Lippincott, 1973,

pp. 10-12.

8National Center for Health Statistics: Ambulatory medical

care records: Uniform minimum basic data set, United States,

Vital and Health Statistics. Series 4-No. 16. DHEW Pub. No.

(HRA) 75-1453. Health Resources Administration. Washington. U.S. Government Printing Office, Aug. 1974.

9National Center for Health Statistics: National Ambulatory

Medical Care Survey: Symptom classification, by S. Meads and

T. McLemore. Vital and Health Statistics. Series 2-No. 63.

DHEW Pub. No. (HRA) 74-1337. Health Resources Administration. Washington. U.S. Government Printing Office, May

1974.

10American Medical Record Association: Evaluation of the

National Ambulatory Medical Care Survey Symptom Classification Contractor’s Final Report. Contract No. HRA 230-75-

0197. Chicago, Oct. 1976.

11National Center for HeaIth Statistics: Eighth R evixion In ternational Classification of Diseases, Adapted for Use in the

United States, PHS Pub. No. 1693. Public Health Service.

Washington. U.S. Government Printing Office, 1967.

12National Center for Health Statistics: Replication: An approach to the analysis of data from complex surveys, by P. J.

McCarthy. Vital and Health Statistics. Series 2-No. 14. DHEW

Pub. No. (HSM) 73-1269. Health Services and Mental Health

Administration. Washington. U.S. Government Printing Office,

Apr. 1966.

13National Center for Health Statistics: Pseudoreplication:

Further evaluation and application of the balanced hdf-sarnple

technique, by P. J. McCarthy. Vital and Health Statistics.

Series 2-No. 31. DHEW Pub. No. (HSM) 73-1270. Health Services and Mental Health Administration. Washington. U.S.

Government Printing Office, Jan. 1969.

18
List of detailed tables

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11<

12.

13.

14.

Number of office visits by principal reason for visit in sequential order of the reason for visit classification: United States,

1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number, percent distribution, and cumulative percent of

office visits, by most frequent principal reasons for visit in

rank order: Unitad States, 1977-78. . . . . . . . . . . . . . . .

Numbarand percent distribution of office visits made by female patients, by aga of patient and the 20 most frequant

principal reasons for visit: United States, 1977-78 . . . . . . .

Number and percent distribution of office visits made by

male patients, by age of patient and the 20 most frequent

principal reasons for visit: United States, 1977-78 . . . . . . .

Number of most frequent all-listed reasons for visit in rank

order: United States, 1977-78. . . . . . . . . . . . . . . . . . .

Number and parcent of office visits, by selected principal

symptomatic reasons for visit and most frequent second- or

third-listed reasons for visit in the Symptom Module: Unitad

States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent distribution of salectad principal reasons

for visit by problem status; and return visit rate: United

States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . .

Average annual rate of office visits per 1,000 population, by

location of physician’s practice and principal reason for visit

in the Symptom Module: Unitad States, 1977-78. . . . . . . .

Average annual rate of office visits per 1,000 population, by

location of physician’s practice and principal reason for visit

in the D isaase, Injuries and Adverse Effects, Test R esuIts, and

Administrative Modules: United States, 1977-78. . . . . . . .

Average annual rate of office visits per 1,000 population, by

location of physician’s practice and principal reason for visit

in the Diagnostic, Screening, and Preventive Module and the

Treatmant Module: United States, 1977-78. . . . . . . . . . .

Avarage annual rate of office visits per 1,000 female Population, by age of patient and principal raason for visit in the

Symptom Module: United States, 1977-78 . . . . . . . . . . .

Average annual rate of offica visits per 1,000 female Population, by age of patient and principal reason for visit in the

Diseaser Injurias and Adverse Effects, Test Results, and Administrative Modules: United States, 1977-78. . . . . . . . . .

Average annual rate of office visits per 1,000 female population, by age of patient and principal reason for visit in the

Diagnostic, Screening, and Preventive Module and the Treatment Module: United States, 1977-78 . . . . . . . . . . . . . .

Average annual rate of office visits per 1,000 male popula22

26

28

30

32

33

35

38

40

41

42

44

45

15.

16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

tion, by aga of patient and principal reason for visit in the

Symptom Modula: United States, 1977-78 . . . . . . . . . . .

Average annual rate of office visits per 1,000 male population, by age of patient and principal reason for visit in the

Diseaser Injuries and Adverse Effects, Test Results, and Administrative Modulas: United States, 1977-78. . . . . . . . . .

Average annual rata of office visits per 1,000 mala population, by age of patient and principal reason for visit in the

Diagnostic Screening, and Preventive Module, and the Treatment Module: United States, 1977-78 . . . . . . . . . . . . . .

Number and percent distribution of office visits made by female patients by age of patient, according to principal reason

for visit in the Symptom Module: United States, 1977-78. . .

Number and percent distribution of office visits made by female patients by age of patient, according to principal reason

for visit in the Disease, Injuries and Adverse Effects, Test

Results, and Administrative Modules: United States,

1977-78, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent distribution of office visits made by female patients by age of patient, according to principal reason

for visit in the Diagnostic, Screening, and Preventive Module

and the Treatment Module: United States, 1977-78 . . . . . .

Number and percent distribution of office visits made by

male patients by age of patient, according to principal reason

for visit in the Symptom Module: United States, 1977-78. . .

Number and percent distribution of office visits made by

male patients by age of patient, according to principal raason

for visit in the Disease, Injuries and Adverse Effects, Test

Results, and Administrative Modules: United States,

1977 -78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent distribution of office visits made by

male patients by age of patient, according to principal reason

for visit in the Diagnostic, Screening, and Preventive Module

and the Treatment Module: United States, 1977-78 . . . . . .

Number and percent distribution of office visits made by female patients by location of physician’s practice, according

to principal reason for visit in the Symptom Module: United

States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent distribution of office visits made by female patients, according to principal reason for visit in the

Disease, Injuries and Adverse Effects, Test Results, and Administrative Modules: United States, 1977-78. . . . . . . . . .

Number and percent distribution of office visits made by female patients by location of physician’s practice, according

to principal raason for visit in the Diagnostic, Screening, and

46

47

48

49

51

52

53

54

55

56

58

19
Preventive Module end the Treatment Module: United States,

1977- 78. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

60

Screening, and Preventive Module and the Treatment Module:United States, 1977 -78... . . . . . . . . . . . . . . . . . 78

79

80

81

26.

27.

Number and percent distribution of office visits made by

male patients by location of physician’s practice, according

to principal reason for visit in the Symptom Module: United

States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . .

41.

42.

43.

44.

Number and percent of office visits made by female patiants

for selected naw problems, by time since onset of complaint

and selacted principal reasons for visit in the Symptom

Module: United States, 1977-78 . . . . . . . . . . . . . . . . .

Number and percent of office visits made by male patiants

for selected new problems, by time since onset of complaint

and selected principal reasons for visit in the Symptom

Modula: United States, 1977-78 . . . . . . . . . . . . . . . . .

Number and percent distribution of office visits made by

male patients by location of physician’s practice, according

to principal reason for visit in the Disease, Injuries and

Adverse Effects, Test Results, and Administrative Modules:

United States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . 61 Number and percent ofoffice visits made by female patienta,

by diagnostic sewice ordered or provided and principal reason for visit in tha Symptom Module: United :States,

1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

28. Number and percent distribution of office visits made by

male patients by location of physician’s practicer according

to principal reason for visit in the Diagnostic, Screening, and

Preventive Module andthe Treatment Module: United Statesr

1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent ofoffice visits made by female patients,

by diagnostic sewice ordered or provided and principal reason for visit in the Disease, injuries and Adverse Effects, Test

Results, and Administrative Modules: Unitad States,

1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

62

63

65

66

67

69

70

71

29.

30.

31.

32.

33.

34.

35.

36.

Number and percent of office visits made by female patients,

by selected physician specialties and principal reason for visit

in the Symptom Module: United States, 1977-78 . . , . . . . .

83

Number and percent of office visits made by female patients,

by selected physician specialties and principal reason for visit

in the Disease, injuries and Adverse Effects, Test Results, and

Administrative Modules: United States, 1977-78. . . . . . . .

45. Number and percent of office visits made by female patients,

by diagnostic sewica ordered or provided and principal reeson for visit in the Diagnostic, Screening, and Preventive

Module and the Treatment Module: United !Stetes,

1977 -78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84

85

Number and percent of office visits made by femala patients,

by selected physician specialties and principal reason for visit

in the Diagnostic, Screening, and Preventive Module and the

Treatment Module: United States, 1977-78. . . . . . . . . . .

46.

47.

Number and percent of offica visits made by male patients,

by diagnostic sewice ordered or providad and principal reason for visit in tha Symptom Module: United :States,

1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent of office visits made by male patients,

by selected physician specialties and principal reasons for

visit in the Symptom Module: United Statasr 1977-78. . . .

Number and percent of office visits made by male patients,

by diagnostic sewice ordered or provided and principal reason for visit in the Disease, Injuries and Adverse Effects, Test

Results, and Administrative Modules: United States,

1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent of offica visits made by male patients,

by selected physician specialties and principal reason for visit

in the Disease, lnjuriesand Adversa Effects, Test Results, and

Administrative Modules: United States, 1977-78. . . . . . . .

87

Number and percent of office visits made by male patients,

by diagnostic sewice ordered or provided and principal reason for visit in the Diagnostic, Screening, and Preventive

Module and the Treatment Module: United Statas,

1977 -78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

48.

Number and percent of office visits made by male patients,

by selected physician specialties and principal reason for visit

in the Diagnostic, Screening, and Preventive Module and the

Treatment Module: Unitad States, 1977-78. . . . . . . . . . .

88

89

Number and percent distribution of office visits made by female patients by prior visit status and seriousness of condition, according to principal reason for visit in the Symptom

Module: United States, 1977-78 . . . . . . . . . . . . . . . .

49.

50.

Number and percent of office visits made by female patients,

by therapeutic sewice ordered or provided and principal reason for visit in the Symptom Module: United States,

1977 -78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent distribution of offica visits made by female patients by prior visit status and seriousness of condition, according to principal reason for visit in the Disease,

Injuries and Adverse Effects, Test Resultsr and Administrative Modules: United States, 1977-78 . . . . . . . . . . . .

Number and parcent of office visits made by female patients,

by therapeutic service orderad or providad and principal reason for visit in the Disease, Injuries and Adverse Effects, Test

Results, and Administrative Modules: United States,

1977 -78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

73 91

37. Number and percent distribution of office visits made by female patients by prior visit status and seriousness of condition, according to principal reason for visit in the Diagnostic,

Screening, and Preventive Module and the Treatment Module:United States, 1977-78.. . . . . . . . . . . . . . . . . . .

51. Number and percent of office visits made by female patiantsr

by therapeutic sewice ordered or provided and principal reason for visit in the Diagnostic, Screening, and Preventive

Module and the Treatment Module: United States,

74 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

75

92

93

38.

39.

Number and percent distribution of office visits made by

male patients by prior visit status and seriousness of condition, according to principal reason for visit in the Symptom

Module: United States, 1977-78 . . . . . . . . . . . . .

52.

53.

Number and percent of office visits made by male patients,

by therapeutic sewice ordered or provided and principal raason for visit in the Symptom Module: United States,

1977- 78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent distribution of office visits made by

male patients by prior visit status and seriousness of condition, according to principal reason for visit in the Disease,

Injuries and Adverse Effects, Test Results, and Administrative Modules: United States, 1977-78 . . . . . . . . . . . .

Number and percent of offica visits made by male pi?tients,

by therapeutic sewice ordered or provided and principal reason for visit in tha Disease, Injuries and Advarse Effects, Test

Results, and Administrative Modules: United Statas,

77 1977 -78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

40. Number and percent distribution of office visits made by

male patients by prior visit status and seriousness of condition, according to principal reason forvisit in the Diagnostic,

54. Number and percent of office visits made by mala patients,

by therapeutic service ordered or provided and principal reason for visit in the Diagnostic, Screening, and Preventive

20
55.

56.

57.

58.

60.

Module and the Treatment Module: United States,

1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent distribution of office visits made by famale patients by duration of visit, according to principal reason for visit in the Symptom Module: United States,

1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent distribution of office visits made by female patients by duration of visit, according to principal reason for visit in the Disease, lniurias and Adverse Effects, Test

Resultsr and Administrativa Modules: United States,

1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent distribution of office visits made by female patients by duration of visit, according to principal raason for visit in the Diagnostic, Screening, and Preventive

Module and the Treatment Modula: United States,

96

97

99

.--- --

1311-IS5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100

Number and percent distribution of office visits made by

male patients by duration of visit, according to principal reason for visit in the Symptom Module: United States,

1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent distribution of office visits made by

male patients by duration of visit, according to principal raason for visit in the Disease, injuries and Adverse Effects, Test

Results, and Administrative Modules: United States,

1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent distribution of office visits made by

male patients by duration of visit, according to principal reason for visit in the Diagnostic, Screening, and Prevantiva

Module and the Treatment Module: United States,

1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . ...”...

101

103

104

61.

62.

63.

64.

65.

66.

67.

68.

Number and percent ofoffice visits msdeby female patients,

by disposition of visit and principal reason for visit in the

Symptom Module: UnitedStates, 1977-78 . . . . . . . . . . .

Numbar and percent ofoffice visits made by famale patients,

by disposition of visit and principal reason for visit in the

Diseasa, Injuries and Adverse Effects, Test Results, and Administrative Modules: United States, 1977-78 . . . . . . . . .

Number and percent of office visits made by female patients,

by disposition of visit and principal reason for visit in the

Diagnostic, Screening, and Preventive Module and the Treatmerit Module: United States, 1977-78 . . . . . . . . . . . . . .

Number and percent of office visits made by mala patients,

by disposition of visit and principal reason for visit in the

Symptom Module: United States, 1977-78 . . . . . . . . . . .

Number and percent of office visits medeby male patients,

by disposition of visit and principal reason for visit in the

Disease, Injuries and Adverse Effects, Test Results, and Administrative Modules: United States, 1977-78 . . . . . . . . .

Number and percent of office visits made by male patients,

by disposition of visit and principal reason for visit in the

Diagnostic, Screening, and Preventive Module and the Treatmerit Module: United States, 1977-78 . . . . . . . . . . . . . .

Number and percent ofoffice visits made by female patients,

by selected principal reasons for visit in the Symptom Module and the most frequent principal diagnoses: United States,

1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent of office visits made by male patients,

by selectad principal reasons for visit in the Symptom Module and the most frequent principal diagnoses: Unitad States,

1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

105

107

108

109

111

112

113

115

21

\
Tablel. Number of office visits by principal reason forvisit insequential order of thereason for visit classification: United States, 1977-78

principal reason forvisit and RVCcode1,2

Number

of visits

in thousands

Principalreason forvisit and RVCcodel S2

Number

of visits

in thouSymptom Module

Chills . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S005

Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S010

Tiredness, exhaustion . . . . . . . . . . . . SO15

General weakness . . . . . . . . . . . . . . . . . . . . . . . ..S020

General ill feeling . . . . . . . . . . . . . . . . . . . . . . . ..S025

Fainting (syncope) . . . . . . . . . . . . . . . . . . . . . . ..S030

Symptoms offluid abnormalities . . . . . . . . . . . .S035

Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S040

Weight loss . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S045

Chest pain and related symptoms . . . . . . . . . . . . S050

Pain, site notreferable toaspeciflc body system . . . S055

Pain and related symptoms, generalized, site

unspecified . . . . . . . . . . . . . . . . . . . . . . . . . . ..S060

Tumor or mass, site unspecified . . . . . . . . . . S065

Bleeding, site unspecified. . . . . . . . . . . . . . .S070

Symptom ofgrovvth anddevelopmental disorders . . S075

General symptoms of infants, N. E.C.3 . . . . . .S080

General orunspecified infection . . . . . S085

Allergy, N,0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . .S090

Disorder of motor functions . . . . . . . . . , . . S095

Anxiety and nervousness . . . . . . . . . . . . . . . . . . .. S100

Fears and phobias . . . . . . . . . . . . . . . . . . . . . . . .S105

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S110

Anger . . . . . . . . . . . . . . . . . . . . . . . . .. S115

Probiems with identity and self-esteem . . . . . . . . . . S120

Restlessness . . . . . . . . . . . . . . . . . . . . . . . . . .. S125

Behavioral disturbances . . . . . . . . . . . . . . . .S130

Disturbances of sleep . . . . . . . . . . . . . . . . . . . . ..s135

Smoking problems . . . . . . . . . . . . . . . . . . . . . . .. S140

Alcohol-related problems . . . . . . . . . . . . . . . . . . S145

Abnormal drug usage . . . . . . . . . . . . . . . . . . . . .. S150

Delusions or hallucinations . . . . . . . . . . . . . . S155

Psychosexual disorders . . . . . . . . . . . . . . . . . . . .. S160

Other symptoms or problems relating to psychological

andmental disorders, N. E.C.3 . . . . . . . . . S165

Abnormal involuntary movements. . . . . . . .S200

Convulsions . . . . . . . . . . . . . . . . . . . . . . . . . . .. S205

Headache, pain in head . . . . . . . . . . . . . . . . . . . .. S210

Memory, disturbancesof . . . . . . . . . . . . . . . . . . .. S215

Disturbances of sensation . . . . . . . . . . . . . . . . s220

Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . .. S225

Weakness (necrologic) . . . . . . . . . . . . . . . . . . . . .. S230

Disorders ofspeech, speech disturbance . . . . . . . . . S235

Other symptoms referable to the nervous system . . . . S240

Abnormal pulsations and palpitations . . . . . . S260

Heart pain . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S265

Other symptoms of the heart . . . . . . . . . . . . . . . .. S270

Symptoms of lymph glands (or nodes) . . . . . . . . . . S275

Other symptoms referable to cardiovascular/

Lymphatic system, N. E.C.3 . . . . . . . . . . . . S280

Vision dysfunctions . . . . . . . . . . . . . . . . . . . . . .. S305

Discharge from eye . . . . . . . . . . . ., . . . . . . . . . .. S310

Eye infection and inflammation . . . . . . . . . . . . . . . S315

Abnormal sensations of the eye . . . . . . . . S320

Abnormal eye movements . . . . . . . . . . . . . . . . . .. S325

Abnormal appearance of eyes . . . . . . . . . . . . . . . S330

Other symptoms referable to eye, N. E.C.3 . . . . S335

Symptoms of eyelids . . . . . . . . . . . . . . . . . . . . .. S340

Hearing dysfunctions . . . . . . . . . . . . . . . . . . . . .. S345

Discharge from ear . . . . . . . . . . . . . . . . . . . . . . .. S350

Earache, orear infection . . . . . . . . . . . . . . . . . . .. S355

Plugged feeling in ear . . . . . . . . . . . . . . . . . . . . .. S360

Other symptoms referable to the ears, N. E.C.3 . S365

Nasal congestion . . . . . . . . . . . . . . . . . . . . . . . .. S400

Other symptoms of nose . . . . . . . . . . . . . . . . . . .. S405

Slnusproblems . . . . . . . . . . . . . . . . . . . . . . . . .. S410

See footnotesat end of table,

22

857

18,039

8,026

5,747

2,833

1,466

2,684

12,494

1,225

18,081

6,301

4,545

1,244

944

*168

1,153

1,161

6,402

870

12,078

817

9,081

354

739

720

1,425

1,526

*117

’269

’65

392

1,019

2,339

957

1,770

18,342

*242

3,344

11,342

*253

*136

889

3,187

*147

1,135

1,795

753

15,824

1,592

758

5,888

664

2,408

2,687

2,322

4,772

1,573

19,100

3,398

5,224

11,052

2,858

3,520

Symptom Module–Con.

Shortness of breath . . . . . . . . . . . . . . . . . . . . . . . S415

Labored or difficult breathing . . . . . . . . . . . . . S420

Wheezing . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S425

Breathing problems, N. E.C.3 . . . . . . . . . . . . . . . . S430

Sneezing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S435

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S440

Head cold, upper respiratory infection (coryza) . . . . . S445

Flu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S450

Symptoms referable to throat . . . . . . . . . . . . . . S455

Symptoms referable to tonsils . . . . . . . . . . . . . .S460

Abnormal itiesof sputum orphlegm . . . . . . . . . . . . . S470

Congestion ln chest . . . . . . . . . . . . . . . . . . . . . .. S475

Disorders of voice . . . . . . . . . . . . . . . . . . . . . . . .S480

Other symptoms referable to the respiratory

system, N. E.C.3 . . . . . . . . . . . . . . . . . . . . . . .. S485

Symptoms ofteeth and gums . . . . . . . . . . . . . . . .. S500

Symptoms referable to lips . . . . . . . . . . . . . . . .S505

Symptoms referable to mouth . . . . . . . . . . . . . . . .S510

Symptoms referable to tongue . . . . . . . . . . . . . . . . S515

Difficulty inswallowing (dysphasia) . . . . . . . . . . . .S520

Nausea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S525

Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S530

Heartburn and indigestion (dyspepsia) . . . . . . . . . .S535

Gastrointestinal infection . . . . . . . . . . . . . . . . . .S540

Stomach pain, cramps, and spasms . . . . . . . . . . . . . S545

Abdominal pain, cramps, and spasms . . . . . . . . . . . . S550

Change in abdominal size .,.... . . . . . . . . . . . . .. S565

Appetite, abnormal . . . . . . . . . . . . . . . . . . . . . .. S570

Gastrointestinal bleeding . . . . . . . . . . . . . . . . . . . . S580

Flatulence . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S585

Constipation . . : . . . . . . . . . . . . . . . . . . . . . . . .. S590

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S595

Other symptoms orchanges in bowel function . . . . . . S600

Symptoms referable to anus-rectum . . . . . . . . . . . . . S605

Symptoms of liver, gallbladder, and biliary tract . . . . S61 O

Other symptoms referable to digestive system . . . . . . S615

Abnormalities of urine . . . . . . . . . . . . . . . . . . . .. S640

Frequency and urgency of urination . . . . . . . . . . . . S645

painful urination . . . . . . . . . . . . . . . . . . . . . . . .. S650

Incontinence of urine (enuresis) . . . . . . . . . . . . . S655

Other urinary dysfunctions . . . . . . . . . . . . . . . . . . S660

Symptoms of the bladder . . . . . . . . . . . . . . . . . .. S665

Symptoms of the kidneys . . . . . . . . . . . . . . . . . .. S670

Urinary tract infection, N.0.S.3 . . . . . . . . . . . . . . . S675

Other symptoms referable to urinary tract . . . . . . . S680

Symptoms of penis . . . . . . . . . . . . . . . . . . . . . . .. S700

Penile discharge . . . . . . . . . . . . . . . . . . . . . . . . .. S705

Symptoms of prostate . . . . . . . . . . . . . . . . . . . . .. S710

Symptoms of scrotum and testes . . . . . . . . . . . . . . S715

Other symptoms of male reproductive system . . . . . . S720

Absence of menstruation (amenorrhea) . . . . . . . . . . S730

Irregularity of menstrual interval . . . . . . . . . . . . . . . S735

Irregularity of menstrual flow . . . . . . . . . . . . . . . . . S740

Menstrual symptoms, other and unspecified . . . . . . . S745

Menopausal symptoms . . . . . . . . . . . . . . . . . . . .. S750

Uterine and vaginal bleeding . . . . . . . . . . . . . . . . . S755

Vaginal discharge . . . . . . . . . . . . . . . . . . . . . . . .. S760

Other vaginal symptoms . . . . . . . . . . . . . . . . . . .. S765

Vulvar disorders . . . . . . . . . . . . . . . . . . . . . . . . .. S770

Pelvic symptoms . . . . . . . . . . . . . . . . . . . . . . . .. S775

Problems of pregnancy and the postpartum period . . . S790

Other symptoms referable to the female reproductive

system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S795

Pain orsoreness of breast . . . . . . . . . . . . . . . . . . .. S800

Lumpormass of breast . . . . . . . . . . . . . . . . . . . .. S805

Other symptoms referable to breast . . . . . . . . . . S81 O

6,474

3,348

2,987

685

1,096

29,059

21,145

2,968

34,884

398

606

2,859

1,675

542

535

660

1,779

540

1,234

4,454

3,726

1,254

*115

6,407

17,567

789

991

725

598

1,101

4,847

884

4,426

541

1,998

1,908

4,340

5,468

1,681

2,154

1,564

1,217

1,787

466

1,279

728

933

1,494

’230

1,745

1,793

1,282

1,566

2,842

4,196

3,939

4,481

995

1,762

734

*328

1,718

4,199
Table 1. Number of office visits by principal reason for visit in sequential order of the reason for visit classification: United States, 1977-78–Con.

Number Number

Principal reason for visit and R VC code 1,2 of visits Principal reason for visit and R VC code 1,2 of visits

in thou- in thousands sands

Symptom Module–Con.

Symptoms of infertility . . . . . . . . . . . . . . . . . . . .. S815

Hormone deficiency or problem . . . . . . . . . . . . . . . S820

Symptoms of sexual dysfunction . . . . . . . . . . . , . . S825

Acneorpimpies . . . . . . . . . . . . . . . . . . . . . . . . .. S830

Discoloration or pigmentation . . . . . . . . . . . . . . . . S835

Infections of skin, N.0.S.3 . . . . . . . . . . . . . . . . . . . S840

Symptoms ofskin moles . . . . . . . . . . . . . . . . . . ..s645

Warts, N.0.S.3 . . . . . . . . . . . . . . . . . , . . . . . . . .. S850

Other growth of skin . . . . . . . . . . . . . . . . . . . . .. S855

Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S860

Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s865

Skin irritations, N. E.C.3 . . . . . . . . . . . . . . . . . . .. S870

Swelling of skin . . . . . . . . . . . . . . . . . . . . . . . . .. S875

Other symptoms referable to skin . . . . . . . . . . . . . . S880

Symptoms referable to nails . . . . . . . . . . . . . . . . . . S885

Symptoms referable to hair and scalp . . . . . . . . . . . . S890

Other symptoms of skin, nails, and hair . . . . . . . . . . S895

Neck symptoms . . . . . . . . . . . . . . . . . . . . . . . . .. S900

Back symptoms . . . . . . . . . . . . . . . . . . . . . . . . ..s905

Low backsymptoms . . . . . . . . . . . . . . . . . . . . . .. S910

Hip symptoms . . . . . . . . . . . . . . . . . . . . . . . . . .. S915

Leg Wmptoms . . . . . . . . . . . . . . . . . . . . . . . . . .. S920

Knee symptoms . . . . . . . . . . . . . . . . . . . . . . . . .. S925

Ankle symptoms . . . . . . . . . . . . . . . . . . . . . . . .. S930

Footand toe symptoms . . . . . . . . . . . . . . . . . . .. S935

Shoulder symptoms . . . . . . . . . . . . . . . . . . . . . .. S940

Arm symptoms . . . . . . . . . . . . . . . . . . . . . . . . .. S945

Elbow symptoms . . . . . . . . . . . . . . . . . . . . . . . .. S950

Wrist symptoms . . . . . . . . . . . . . . . . . . . . . . . . .. S955

Hand and finger symptoms . . . . . . . . . . . . . . . . .. S960

Symptoms of unspecified muscles . . . . . . . . . . . . . . S965

Symptoms ofunspecified joints . . . . . . . . . . . . . .. S970

Musculoskeletal deformities . . . . . . . . . . . . . . . . . . S975

Other musculoskeletal symptoms . . . . . . . . . . . . . . S980

Disease F.hodule

Intestinal infectious diseases . . . . . . . . . . . . . . . . . .DO05

Streptococcal infection . . . . . . . . . . . . . . . . . . . .. DOIO

Viral diseases . . . . . . . . . . . . . . . . . . . . . . . . . . .. DO15

Venereal diseases . . . . . . . . . . . . . . . . . . . . . . . .. D020

Fungus infections (mycosis) . . . . . . . . . . . . . . . . .D025

Parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . .. D030

Other and unspecified infections and parasitic

diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D035

Cancer, gastrointestinal tract . . . . . . . . . . . . . . . . .DIOO

Cancer, respiratory tract . . . . . . . . . . . . . . . . . . . .DI05

Cancer, skin and subcutaneous tissues . . . . . . . . . . .DI1O

Cancer, breast . . . . . . . . . . . . . . . . . . . . . . . . . .. DII5

Cancer, female genital tract . . . . . . . . . . . . . . . . . .D120

Cancer, urinary andmale genital tract . . . . . . . . . . .D125

Other malignant andunspecified naoplasms . . . . . . .D130

Hodgkin’s disease, Iymphomata, Ieukemias . . . . . . . . D135

Fibroids and other uterina neoplasms . . . . . . . . . . . . D140

Other benign neoplasms . . . . . . . . . . . . . . . . . . .. D145

Diseases of the thyroid gland . . . . . . . . . . . . . . . . .D200

Diabatas mellitus . . . . . . . . . . . . . . . . . . . . . . . .. D205

Gout, hyperuricemia . . . . . . . . . . . . . . . . . . . . . .. D210

Other endocrine, nutritional, and metabolic diseases . .D215

Anemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D250

Other diseases of blood and blood-forming organs . . .D255

Organic psychoses . . . . . . . . . . . . ., . . . . . . . . .. D3OO

Functional psychoses . . . . . . . . . . . . . . . . . . . . .. D305

Neuroses . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D310

Personality and character disorders . . . . . . . . . . . . .D315

Alcoholism and drug dependence . . . . . . . . . . . . . .D320

Mental retardation . . . . . . . . . . . . . . . . . . . . . . .. D325

See footnotes at end of table.

929

“138

405

10,239

2,329

2,059

2,070

4,492

3,153

20,053

7,455

4,470

3,173

1,913

1,082

1,310

●332

9,714

22,508

9,644

3,747

10,475

10,809

3,397

8,550

8,706

4,261

2,473

2,275

6,262

981

3,543

1,158

414

●334

563

2,486

401

710

’148

*235

486

409

1,175

920

389

553

1,021

735

481

822

1,810

8,981

573

668

1,306

*104

*99

487

“243

*95

418

*23

Disease Module–Con.

Other mental disease . . . . . . . . . . . . . . . . . . . . . .. D330

Multiple sclerosis . . . . . . . . . . . . . . . . . . . . . . . .. D350

Parkinson’s diseasa (paraiysisagitans) . . . . . . . . . . . .D355

Epilepsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D360

Migraine headache . . . . . . . . . . . . . . . . . . . . . . .. D365

Other diseases of central nervous system . . . . . . . . . .D370

Inflammatory diseases of the aye . . . . . . . . . . . . . .D400

Refractive error . . . . . . . . . . . . . . . . . . . . . . . . .. D405

Cataract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D410

Glaucoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D415

Other diseases of theeye . . . . . . . . . . . . . . . . . . .. D420

Otitis media . . . . . . . . . . . . . . . . . . . . . . . . . . .. D450

Other diseases of the ear . . . . . . . . . . . . . . . . . . .. D455

Rheumatic fever andchronic rheumatic heart disease .D500

Hypertension with involvement of target organs . . . . .D505

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . .. D51O

Ischemic heart disease . . . . . . . . . . . . . . . . . . . . .. D515

Other heart disease . . . . . . . . . . . . . . . . . . . . . . .. D520

Cerebrovascular disease . . . . . . . . . . . . . . . . . . . . .D525

Atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . .. D530

Phlebitis, thrombophlebitis . . . . . . . . . . . . . . . . . .D535

Varicose veins . . . . . . . . . . . . . . . . . . . . . . . . . .. D540

Hemorrhoids . . . . . . . . . . . . . . . . . . . . . . . . . . .. D545

Other disease ofcirculatory system . . . . . . . . . . . . .D550

Upper respiratory infections except tonsillitis . . . . . .D600

Tonsil litis . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D605

Bronchitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D610

Emphysema . . . . . . . . . . . . . . . . . . . . . . . . . . .. D620

Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D625

Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D630

Hay fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D635

Other respiratory diseasas . . . . . . . . . . . . . . . . . .. D640

Diseases of theesophagus, stomach, and duodenum . .D650

Appendicitis, all types . . . . . . . . . . . . . . . . . . . . .. D655

Hernia of abdominal cavity . . . . . . . . . . . . . . . . . .D660

Diseases of theintestine and peritoneum . . . . . . . . .D665

Diseases ofliver, gallbladder, and pancreas . . . . . . . .D670

Other disaases ofdigestive system . . . . . . . . . . . . . .D675

Cystitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D700

Urinary tract disease except cystitis . . . . . . . . . . . . .D705

Diseases of themale genital organs . . . . . . . . . . . . .D710

Fihrocystic andother diseases of breast . . . . . . . . . .D715

Pelvic inflammatory disease (PID) . . . . . . . . . . . . .. D720

Cervicitis, vaginitis . . . . . . . . . . . . . . . . . . . . . . .. D725

Other diseases of famale reproductive system . . . . . .D730

Diagnosed complications of pregnancy and

puerperium . . . . . . . . . . . . . . . . . . . . . . . . . .. D735

Carbuncle, furuncle, boil, cellulitis, abscess,

N. E.C.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D800

Impetigo . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D805

Seborrheic dermatitis . . . . . . . . . . . . . . . . . . . . . . D810

Eczema anddermatitisr N.0.S.2 . . . . . . . . . . . . . . .D815

Psoriasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D820

Other diseases of the skin . . . . . . . . . . . . . . . . . .. D825

Arthritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D900

Nonarticular rheumatism . . . . . . . . . . . . . . . . . . . .D905

Other musculoskeletal orconnective tissue disease . . .D910

Congenital anomalies of heart and circulatory

system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D950

Undescended testicles . . . . . . . . . . . . . . . . . . . . .. D955

Other congenital anomalies . . . . . . . . . . . . . . . . . .D960

Allperinatal conditions . . . . . . . . . . . . . . . . . . . .. D990

Diagnostic, Scraening, and Preventive Module

General medical examination . . . . . . . . . . . . . . . . .XIOO

Well baby examination . . . . . . . . . . . . . . . . . . . .. XI05

*61

*145

“231

*275

459

897

790

529

2,333

1,738

835

1,891

349

*102

* 200

15,973

3,216

684

494

*298

470

447

1,478

1,151

2,810

972

1,715

*257

2,288

1,492

1,608

629

1,187

*156

2,364

936

744

●155

575

1,412

1,339

*122

*169

1,220

616

*221

2,252

*59

++147

1,323

789

3,544

5,259

1,093

1,082

*22

*76

550

59,115

13,726

23
Tablel. Number ofoffice visits byprincipal reawnfor visit insequential order of thereason forvisit classification: United States, 1977-78-Con.

Principal reason for visit and R VC code 112

Number

of visits

in thousands

Principal reason forvisitand RVCcode1,2

Number

of visits

in thousands

Diagnostic, Screening, and Preventive Module–Con.

General psychiatric or psychological examination . . . . X130

Pregnancy, unconfirmed . . . . . . . . . . . . . . . , . . . X200

Prenatal examination, routine . . . . . . . . . . . . . . . . X205

Postpartum examination . . . . . . . . . . . . . . . . . . .. X2I5

Breast examination . . . . . . . . . ., . . .. . . . . . . . ..xz!o

Gynecological examination . , . . . . . . . . . . . . . . . . X225

Eyeexamination . . . . . . . . . . . . . . . . . . . . . . . .. x230

Heart examination . . . . . . . . . . . . . . . . . . . . . . .. X235

Other special examination . . . . . . . . . . . . . . . . . . ,X240

Sensitization test . . . . . . . . . . . . . . . . . . . . . . . .. X300

Skin immunity test . . . . . . . . . . .. . .. . .. . . .. ..x3cx5

Glucose level determination . . . . . . . . . . . . . . . . .X310

Other bloodiest . . . . . .

Blood pressure test . . . . .

Urine test . . . . . . . . . . .

Diagnostic endoscopies

Biopsies . . . . . . . . . . . .

Mammography, xerography

Diagnostic radiography . .

. . . . . . . . . . . . . . . . . . X315

. . . . . . . . . . . . . . . . . . X320

. . . . . . . . . . . . . . . . . . X325

. . . . . . . . . . . . . . . . . . X330

. . . . . . . . . . . . . . . . x335

breast thermography . . .X340

. . . . . . . . . . . . . . . . . . x345

EKG, ECG, electrocardiogram, treadmill, stress

testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. X350

EEG, encephalogram . . . . . . . . . . . . . . . . . . . . .. X355

Hearing test . . . . . . . . . . . . . . . . . . . . . . . . . . .. X360

Papsmear . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X365

Other and specified diagnostic tests . . . . . . . . . . .X370

Prophylactic inoculations , . . . . . . . . . . . . . . . . . .X400

Exposure tovenerealdisease . . . . . . . . . . . . . . . ..X405

Exposure to other infectious diseases . . . . . . . . . .X410

Family planning,N.0.S.3 . . . . . . . . . . . . . . . . . ..X500

Contraceptive medication . . . . . . . . . . . . . . . . . . .X505

Contraceptivedevice . . . . . . . . . . . . . . . . . . . . . ..X510

Counseling and examination for pregnancy

interruption . . . . . . . . . . . . . . . . . . . . . . . . . .. X515

Abortion to beperformed (atthisvisit) . . . . . . . . . .X520

Sterilization to be performed (at this visit) . . . . . . . .X525

Artificial insemination . . . . . . . . . . . . . . . . . . . . ,x530

Treatment Module

Allergy medication . . . . . . . . . . . . . . . . . . . . . . .. TIOO

Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. TI1O

Medication, other and unspecified kinds . . . . . . . . .T115

Preoperative visit for specified and unspecified

types of surgery . . . . . . . . . . . . . . . . . . . . . . . .T200

Postoperative visit . . . . . . . . . . . . . . . . . . . . . . . .T205

Physical medicine and rehabilitation . . . . . . . . . . .T400

Respiratory therapy . . . . . . . . . . . . . . . . . . . . . .. T405

Psychotherapy . . . . . . . . . . . . . . . . . . . . . . . . . .. T41O

Radiation therapy . . . . . . . . . . . . . . . . . . . . . . . . T415

Acupuncture . . . . . . . . . . . . . . . . . . . . . . . . . . .. T420

Chemotherapy . . . . . . . . . . . . . . . . . . . . . . . . . .. T425

Tube insertion . . . . . . . . . . . . . . . . . . . . . . . . . .. T500

Cauterization, all sites . . . . . . . . . . . . . . . . . . . . .. T5O5

Urinary tract instrumentation and catheterization . , .T510

Fitting glasses and contact lenses . . . . . . . . . . . . . .T515

Minor surgery . . . . . . . . . . . . . . . . . . . . . . . . . .. T520

Kidney dialysis . . . . . . . . . . . . . . . . . . . . . . . . .. T525

External prosthetic devices, artificial body parts

(fit, adjust, remove) . . . . . . . . . . . . . . . . . . . . .. T530

Corrective appliances . . . . . . . . . . . . . . . . . . . . .. T535

Cast, splint-application, removal . . . . . . . . . . . . . .T540

Dressing, bandage-application, change . . . . . . . . . . .T545

Irrigation, ravage . . . . . . . . . . . . . . . . . . . . . . . .. T550

Suture-inmrtion, removal . . . . . . . . . . . . . . . . . . .T555

Otherspecific therapeutic procedures, N. E.C.3 . . . . .T560

Diatand nutritional counseling . . . . . . . . . . . . . . . .T600

Counseling, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . .. T605

*127

3,254

40,394

4,114

915

13,262

11,952

4,683

573

481

508

2,397

1,968

23,696

977

448

’230

*I9

*239

’271

453

7,631

2,185

8,152

* 204

498

3,549

1,833

2,566

445

●23 1

578

*1 I

12,991

5,861

3,024

2,156

29,674

*288

*33

3,128

*98

1,472

*44

*113

*297

2,954

1,153

690

*1OI

“123

1,429

1,450

*83

6,095

921

4,826

2,596

Treatment Module–Con.

Economics problem . . . . . . . . . . . . . . . . . . . . . .. T700

Marital problems . . . . . . . . . . . . . . . . . . . . . . . .. T705

Parent-child problems . . . . . . . . . . . . . . . . . . . . .. T710

Other problems of family relationships . . . . . . . . . . .T715

Educational problems . . . . . . . . . . . . . . . . . . . . .. T720

Occupational problems . . . . . . . . . . . . . . . . . . . .. T725

Social adjustment probl@ms . . . . . . . . . . . . . . . . .T730

Legal problems . . . . . . . . . . . . . . . . . . . . . . . . .. T735

Other social problems . . . . . . . . . . . . . . . . . . . ..- T740

Progress visit, N.0.S.3 (Used only when the only

information given isprogress or followup) . . . . . . .T800

Injuries and Adverse Effects Modu la

Fractures and dislocations

Head and face, . . . . . . . . . . . . . . . . . . . . . . .. JO05

Spinal column . . . . . . . . . . . . . . . . . . . . . . . .. JOIO

Trunk area, except spinal column . . . . . . . . . . . . JO15

LwI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. J020

Ankle . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. J025

Foot and toes . . . . . . . . . . . . . . . . . . . . . . . .. J030

Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. J035

Wrist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. J040

Hand and fingers . . . . . . . . . . . . . . . . . . . . . .. J045

Fracture, other and unspecified . . . . . . . . . . . . . J050

Sprains and strains

Cervical spine, neck . . . . . . . . . . . . . . . . . . . .. JIO5

Back . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. JIIO

Knee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. JI15

Ankle . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. J120

Wrist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J125

Sprain orstrain, other and unspecified . . . . . . . . . J130

Lacerations and cuts:

Head and neck area . . . . . . . . . . . . . . . . . . . .. J2O5

Facial area . . . . . . . . . . . . . . . . . . . . . . . . . .. J210

Trunk area . . . . . . . . . . . . . . . . . . . . . . . . . .. J215

Lower extremity . . . . . . . . . . . . . . . . . . . . . .. J220

Upper extremity . . . . . . . . . . . . . . . . . . . . . .. J225

Lacerations andcuts, site unspecified. . . . . . . . . . J230

Puncture wou rids:

Head, neck, and facial area . . . . . . . . . . . . . . . . J305

Trunk area . . . . . . . . . . . . . . . . . . . . . . . . . .. J310

Lower extremity . . . . . . . . . . . . . . . . . . . . . .. J315

Upper extremity, . . . . . . . . . . . . . . . . . . . . .. J320

Puncture wound, site unspecified . . . . . . . . . . . . J325

Contusions, abrasions, and bruises

Head, neck, and face . . . . . . . . . . . . . . . . . . .. J405

Eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. J410

Trunk area . . . . . . . . . . . . . . . . . . . . . . . . . .. J415

Lower extremity . . . . . . . . . . . . . . . . . . . . . .. J420

Upper extremity . . . . . . . . . . . . . . . . . . . . . .. J425

Contusion, abrasion, bruise, site unspecified . . . . . J430

Injury, type unspecified:

Head, neck, and face . . . . . . . . . . . . . . . . . . .. J505

Eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. J510

Back . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. J515

Chest and abdomen . . . . . . . . . . . . . . . . . . . .. J520

Hip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. J525

Leg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. J530

Knee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. J535

Ankle . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J5413

Footand toe(s) . . . . . . . . . . . . . . . . . . . . . . ..J545

Shoulder . . . . . . . . . . . . . . . . . . . . . . . . . . ..J550

Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J555

Elbow . . . . . . . . . . . . . . . . . . . . ..4 . . . . . ..J56O

*2O

1,823

700

408

457

681

658

*3I

*92

17,115

468

*9I

589

1,204

771

575

1,538

729

1,089

441

’199

670

384

1,156

“60

462

776

1,086

’36

1,006

3,746

813

*99

“41

509

*21O

*166

* 248

*199

*98

410

*286

396

1,558

1,130

1.247

*2I 7

+97

817

1,145

1,037

1,444

545

654

*246

See footnotes at end of table.

24
Tablel. Num&rof office visits byprincipal reason forvisit in~uential order of thereawn forvisit classification: United States, 1977-78–Con.

Principal reason for visit and R VC code ~,2

Number

of visits

in thousands

Principal reason for visit and R VC code 1,2

Number

of visits

in thousands

Injuries and Adverse Effects Module–Con.

Wrist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J565

Hand andfinger(s) . . . . . . . . . . . . . . . . . . . . ..J570

Injury, multiple orunspecified . . . . . . . . . . . . . . J575

Foreign body:

Eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J600

Nose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J605

Skin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J610

Digestivetract . . . . . . . . . . . . . . . . . . . . . . . ..J615

Otherand unspecified sites . . . . . . . . . . . . . . . . J620

Burns, all degrees

Head,neck,andface . . . . . . . . . . . . . . . . . . ..J705

Trunkarea . . . . . . . . . . . . . . . . . . . . . . . . . ..J710

Extremities . . . . . . . . . . . . . . . . . . . . . . . . . ..J715

Burn, siteunspecified . . . . . . . . . . . . . . . . . . ..J720

Sunburnrwindburn . . . . . . . . . . . . . . . . . . . . . J750

Bites:

Insect . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J755

Animal,human . . . . . . . . . . . . . . . . . . . . . . ..J760

Leteeffectsofanold injury.. . . . . . . . . . . . . . . ..J8OO

Motor vehicle accident, type of injury unspecified . . . J805

Accident, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . ..J810

Violence,N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . ..J815

Suicideattempt . . . . . . . . . . . . . . . . . . . . . . . . ..J820

Rape . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J830

Deadonarrival (DOA) . . . . . . . . . . . . . . . . . . . ..J835

Unconsciousonarrivai . . . . . . . . . . . . . . . . . . . . .J840

Accidental poisoning . . . . . . . . . . . . . . . . . . . . . .J90(J

Adverseeffectof medication . . . . . . . . . . . . . . . . . J905

Adverseeffectofdrugabuse . . . . . . . . . . . . . . . ..J910

Adverseeffectofalcohol . . . . . . . . . . . . . . . . . . ..J915

610

3,271

1,160

1,872

*35

614

*49

487

403

*73

1,638

641

“172

1,103

1,069

497

1,690

1,697

347

*73

*39

*34

*176

357

*6

*I4

Injuries and Adverse Effects Module–Con.

Adverse effects of environment . . . . . . . . . . . . . . . . J920

Adverse effects, other and unspecified . . . . . . . . . . . J925

Test Results Module

Forresults of blood glucose tests . . . . . . . . . . . . . .RIOO

Forresults ofcholesterol and triglyceride tests . . . . .RI05

Forother findings of blood tests . . . . . . . . . . . . . .. RIIO

Forresults of urine tests . . . . . . . . . . . . . . . . . . .. R200

Forcytology findings . . . . . . . . . . . . . . . . . . . . .. R300

For radiological findings . . . . . . . . . . . . . . . . . . .. R400

Forresults of EKG . . . . . . . . . . . . . . . . . . . . . . .. R500

Forresults of skin tests . . . . . . . . . . . . . . . . . . . .. R600

Forother andunspecified test resuks. . . . . . . . . . . .R700

Administrative Module

Physical examination required for employment . . . . .AIOO

Executive physical examination . . . . . . . . . . . . . . .AI05

Physical examination required for school . . . . . . . . .AIIO

Physical examination for extracurricular activities . . .AI15

Driver’s license examination . . . . . . . . . . . . . . . . . .A120

Insurance examination . . . . . . . . . . . . . . . . . . . .. A125

Di=bility examination . . . . . . . . . . . . . . . . . . . .. A130

Premarital examination . . . . . . . . . . . . . . . . . . . .. A135

Other reason for visit required by party other than

thepatient ortheheakh care provider . . . . . . . . . .A140

Uncodable Entries

Problems, complaints, N. E.C.3 . . . . . . . . . . . . . . . .U990

Entry of ’’none’’ onocomplaint”nt” . . . . . . . . . . . .U997

Inadequate database . . . . . . . . . . . . . . . . . . . . .. U998

Illegible entry . . . . . . . . . . . . . . . . . . . . . . . . . ..u999

●130

484

*137

“270

468

1,273

676

*116

*229

2,574

6,119

44

4,741

3,087

923

1,711

*293

1,132

980

1,320

10,030

2,110

538

lseereferenc~ ‘1.

2AII reas.ons forvisit are listed whether ornotany visits ware made fora specific reason.

3N.13.c. = notel~where classified; N.O.S. = nototherwisa specified.

25
Table2. Numbr, percent dttir,bution, andcumulat#ve perwntof office vnsits,bymostfrequent principal reamnsforvlsit inrankordec United States, 1977-78

Number Percent Cumu- Number CumuRank Princ!palreaso” forvisit and RVCcodel

Percent

of Vis!ts distri- Iative Rank Principal reason for visit a“d R VC codel of visits distrk Iative

in thou- bmron percent in thaw bution

sands

percent

0 f visits sands of visits

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

46

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64

65

66

67

66

69

70

71

72

73

74

75

76

77

78

79

60

61

82

All visits . . . . . . . . . . . . . . . . . . . . . . . . . . . .

General medical examination ., ., . .. X1OO

Prenatal exarnimticm,r outine . . . . . . .X205

Symptoms referable to throat . . . . . . . . . .S455

Po.stopemtivevisit . . . . . . . . . . . . . . . . .. T205

Cough . . . . . . . . . . . . . . . . . . . . . . . . .. S440

Blood preswre test . . . . . . . . . . . . . . ,.. .X32O

8ackwmptoms . . . . . . . . . . . . . . . . . . ..s905

Head cold, upper respiratory infection

(.oryza), . . . . . . . . . . . . . . . . . . . . . . . S445

Skm rash . . . . . . . . . . .,. s880

Earache . . . . . . . . . . . . . . . . . . . . ,,. ,.s355

Headache, pai”i” head . . . . . . . . . . . . . .. S210

Chest pain and related symptoms (not

referable to body system) ., S050

Fever . . . . . . . . . . . . . . . . . . . . . . . ,.. .so1o

Abdominal pain, cramps, s+pasms. . . . . . . . .s550

PrOgmssvisit . . . . . . . . . . . . . . . . . . . . .. T600

Hypertension , . . . . . . . . . . . . . . . . . . .. D51 O

Vision dysfunctmm . . . . . . . . . . . . . . ., ,s305

Well baby examinatio” . . . . . . . . . . . . . .. X105

Gynecologmal examination ., ., ., ., ., ,X225

Allergy medication ., ., .,.,.,.,. ,.. ., TIOO

Weight gai” . .,, . . . . . . . . . . ... . . . . ..s040

Anxiety andnervo”mess . . . . . . . . . . .. S1OO

Eyoexami”aticm . . . . . . . . . . . . . . . . . .. X230

Vertigodizziness . . . . . . . . . . . . . . . . . .. S225

Nasal congestmn . . . . . . . . ..s400

Knee symptoms, . . . . . . . . . . . . . . . .S925

Leg symptoms ., . . . . . ,., .,., . . . S920

Acne orpimples . . . . . . . . . . . . . . . . . . .. S830

“None” or “no complaint” . . . . . . . . . . . . U997

Neck symptoms, . . . . . . . . . . . . . . . . . ..s900

Low backsymptorm . . . . . . . . . . . . . .,. ,S910

Depressmn . ., ., ., ., ...,.,.,. ,., ., S110

Diabetes mellitus . . . . . . . . . . . . . . . ... .D205

Shoulder symptoms . . . . . . . . . . . . . . . .. S940

Footandtcesymptmns . . . . . . . . . . . . .. S935

Prophylactic inoculations ,. X400

Tiredness, exhausticm . . . . . ., ., ., ., ,s015

Papsmear . . . . . . . . . . . . . . . . . . . . ,.. .X365

Skin lesion . . . . . . . . . . . . . . . . . . . .S865

Shortness of breath . . . . . . . . . . . . . . . .. S415

Stomach pain, cramps, spasms ., ., ., ., .S545

Allergy, N.0.S.2 . . . . . . . . . . . . . . . . . ..s090

Pain, site not referable to a specif,c

body system ., ., . . . . . . . . . . . . . . . ..s055

Handtmd finger symptoms ., . .S960

Physical exammatio” requmed for

employ meri t . . . . . . . . . . . . . . . . . . .. A1OO

Suture-insertion, removal . . . . . . . . . . . ., T555

Abnormal sensations of eye . . . . . . . ., S320

Infections . . . . . . . . . . . . . . . . . . . ,., ., T11O

General weakness, . ., ..,.,.,. .,. ,.. s020

Pam ful urination..,.,.,.,.,., . . .. S650

Arthrm,s, ., .,.,.,... .,, ,., . . . . .. D9OO

Other symptoms referable to the ears,

N, E.C.2 ., . . . . . . . . . . . . . . . . . . ,. .S365

Omrrhea, . . . . . . . . . . . . . . . . . . . .,, ,. S595

O!etand nutritiomdcounseling ,. . .T600

Hearing dysfunctions . . . . . ,. .,. ,.s345

Physma( examination required for

school ..,,.. . . . . . . . . ,,. ,. AI1O

Heart examlnatmn . . . . . .X235

Pam a“d related symptoms, generalized,

site unspec,f,ed .,.,. . . . . . . . . . . . .. SC6O

Warts. . ,,, .,. .,, . . . . . . . . . .. S850

Other vagmalsymptorns ., ., S765

Skmirrttatmns, N. E.C.2 . . . . ., ., ,sB70

Nausea . . . . . . . . . . . . . . . S525

Symptoms referable to anus-rectum ., S605

Frequency tmdurgemyof urmatmn S645

Arm symptoms.,., ,. .,. ,., , . . . ..s945

Lumper mass of breast . . . . . . . . S805

Uteri”e a”dvagl”al bleeding S755

Postpartum exam, natto” . . . .. X215

Vagimldmcharge ..,..,,...,.. ,. .S760

Hip symptoms . . . . . . . S915

Laceratiomemd cut% upper extremmy J225

Vom!tmg. . . . . . . . . . . ,,. ,,, .S530

Fam!lyplannlng, N.0.S.2 ., .,., ,, .X500

Other d,seasesoftheskm ., . . .D825

Symptoms ofunspecuf,ed]omts ., .S970

Smusproblems ., .,. ,,, ,., ,.. ,,, S410

Plugged feelmgtn ear ,., . . . . ,S360

Ankle symptoms. ,, .,,,,.. ,s930

Labored ordlff,cuk breath mg(dyspnea) S420

Disturbances ofsensatmn ., ., ., ., . ..s220

Injury, type unmec,fied: hand and

fi”ger(s} . . . . . . . . . . . . . . . . . .. J570

Pregnancy, u”co”f,rmed .X200

1,154,550

59,115

40,394

34,884

29,674

29,059

23,696

22,507

21,145

20,053

19,100

1B,342

18,081

16,039

17,567

17,115

15,973

15,B24

13,726

13,262

12,991

12,494

12,078

11,952

11,342

11,052

10,809

10,475

10,239

10,030

9,714

9,644

9,081

8,981

8,706

6,550

8,152

8,o26

7,631

7,455

6,474

6,407

6,402

6,301

6,282

6,119

6,095

5,88B

5,861

5,747

5,468

5,259

5,224

4,847

4,626

4,772

4,741

4,683

4,545

4,492

4,481

4,470

4,454

4,426

4,340

4,261

4,199

4,196

4,114

3,939

3,747

3,746

3,726

3,549

3,544

3,543

3,520

3,398

3,397

3,34B

3,344

3,271

3.254

100.00

5.12

3.50

3.02

2.57

2.52

2.05

1.95

1.83

1.74

1.65

1,59

1,57

1,56

1.52

1.46

1.38

1.37

1.19

1.15

1.13

1.08

1.05

1.04

0.96

0.96

0.94

0,91

0,B9

0.B7

0.B4

0.84

0.79

0.78

0.75

0.74

0.71

0,70

0.66

0,65

0,56

0.55

0.55

0.55

0.54

0.53

0.53

0.51

0.51

0.50

0.47

0,46

0,45

0,42

0,42

0,41

0.41

0.41

039

0.39

0.39

0.39

0.39

0.38

038

0.37

0,36

0.36

036

0,34

0,32

032

0.32

0.31

0.31

031

0.30

0.29

0.29

0,29

0,29

0.28

0 2B

100.00

5.12

8.62

11.64

14.21

16.73

18.78

20.73

22.56

24.30

25.95

27,54

29,11

30,67

3219

33,67

35,05

36.42

37.61

38.76

39.89

40.97

42.02

43.06

44.04

4500

45.94

46.B5

47.74

48,61

49.45

50.29

51,06

51.86

52.61

53.35

54.06

54,76

55,42

56,07

66,63

57,18

57,73

58.28

58.82

S8.35

59.88

60.39

60.90

61.40

61.87

62.33

62,78

63,20

63.62

64.03

64.44

64.85

65.24

65.63

66.02

66.41

66.80

67.18

67.56

67.93

68,29

68,65

69,01

69.35

89.67

68.99

7031

70.62

70.93

71,24

71.54

7183

72,12

72.41

72,70

72,9B

73,26

83

84

85

86

87

68

89

90

91

92

93

94

95

96

97

98

99

100

101

102

103

104

105

1s6

107

10B

109

110

111

112

113

114

115

116

117

llB

119

120

121

122

123

124

125

126

127

128

129

130

131

132

133

134

135

136

13-)

13B

139

140

141

142

143

144

145

146

147

148

149

150

151

152

153

154

155

156

157

158

159

160

161

65-74 years-Con.

Ischemw heaftdisease . . . . . . . . . . . . . . .. D515

Abnormal pulsations and palpitations S260

Other growths of skin.........,.. . . .. S855

Psychotherapy . . . . . . . . . . . . . . . . . . . .. T41o

Swelling of skin . . . . . . . . . . . . . . . . . S875

Physical examination required for

. .

extracurricular actwntas . . Al 15

Medication, other and unspecified kinds . T1 15

Wheezing . . . . . . . . . . . . . . . . . . . . . . .. S425

Flu . . . . . . . . . . . . . . . . . . . . . . ,., .,. S450

Fitting glassesand contact lenses . . . ., . . . Ts15

Congestion mchest . . . . . . . . . . . . . . . .. S475

Other symptoms of nose . . . . . . . . . . . . .. S405

Menopausal symptoms . . . . . . . . . . . . . S750

General ill feeling . . . . . . . . . . . . . . . . . .. S025

Upper respiratory infections, except

tonsillitis . . . . . . . . . . . . . . . . ., .,...0600

Other symptoms referable to eye,

N. E.c.2 . . . . . . . . . . . . . . . . . . . . . . ..s335

Symptoms of fluid abnormalities . . . . . . . . S035

Counseling, N.0.S.2 . ., . . . . . T605

For other and unspacifued test results . . . . . . R700

Contraceptive dewce . . . . . . . . . . . . . . . .X51O

Viral dis?ases . . . . . . . . . . . . . . . . . . . .. DO15

Elbawsyrnptoms . . . . . . . . . . . . . . . . . .. S950

Abnormal appearance of eyes . . . . . . . . . . S330

Glucose level determinatmn . . . . . . . . . . . X310

Hernia of abdominal cavity . . . . . . . . . . . D660

Other symptoms or problems relating to

psychological and mental disorders,

N. E. C.2 . . . . . . . . . . . . . . . . . . . . . . .. S165

Cataract . . . . . . . . . . . . . . . . . . . . . . ...0410

Di%oloration or pigmentation . . . . . . . . . . S835

Symptoms of eyelids . . . . . . . . . . . . . . ..s340

Asthma . . . . . . . . . . . . . . . . . . . ,., .,. D625

Wrist svmptoms . . . . . . . . . . . . . . ... .,. S955

Carbuncle, furuncle, boil, cellu litis,

abscess,N. E.C.2 . . . . . . . . . . . . . . . . 0800

Other and unspeclfred diagnostic tests . . . . . X370

Preoperatwe visit for specified and

unspecified types of surgery . . T200

Other urinary dysfunctions . ., ., ., ., S660

Symptoms ofskin moles ... . . . . . . . . . .. S845

Infections of skin, N.0.s.2 . . S840

Other symptoms referable to digestive

system . . . . . . . . . . . . . . . . . . . . . . . .. S615

Other bloodiest . . . . . . . . . . . . . . . .. X31515

Other syny.xoms referable to skin . . . . . S880

Abnormalities of urine ., ., . . . . . . . . . . S640

Otitismedla . . . . . . . . . . . . . . . . . . . ...0450

Foreign body, eye . . . . . . . . . . . . . . . . .. J600

Contraceptive medication . . . . . . . . . X5O5

Marital problems . . . . . . . . . . . . . . T705

Diseases of the thyroid gland . . . ., . . ...0200

Symptoms of lymph glands (or nodes) . . . . . S275

Irregularity of menztrual interval . . . . . . . . . S735

Urinary tract infectnon ., . . . . S675

Symptoms referable to mouth . . . . . . . . . . S51O

Convulsions ,., . . . . . . . . . . . . . . . . . .. S205

Pelvlcsymptoms . . . . . . . . . . . . . . . .,. ,S775

Absence of menstruation [amenorrhea) . S730

Glaucoma ..,........,.,.,.,., . . .. D415

Pain or sorenessof breast ., ., ., . . . . . . S800

Bronchitis . . . . . . . . . . . . . . . . . . . . . ...0610

Insurance examination . . . . . . . . . . . ., .A125

Accident, N.0.S.2 . . . . . . . . . . . . . . . . .. J810

Motor vehtcle accident, type of iniury’

unspeclf,ed . . . . . . . . . . . . ,., .,. ,., .J805

Inccmtmence of urnne {enuresm) . S655

Omordersofvoice ,. ..,. . . . . . . . . . .. S480

Burns, all degree% extremn,es . . . . . . J715

Hay fever, ., . . . . . . . . . . . . . . . . . . . .. D635

Discharge from eye . . . . . . . . . . . . . . . . .. S310

Discharge from ear . . . . . . . . . . . . .,. ... S350

Menstrual symptoms, other and unspectfmd S745

Symptoms of the bladder S665

Injury, type unspecified: head, neck, and

face . . . . . . . . . . . . . . . . . . . . . . . . . . J505

Fractures and ddocatlonc arm . J035

Disturbances of sleep . . . . . . . . . . . . . . .. S135

Symptoms of scrotum and testes . . . . . . . . . S715

Pneumonia . . . . . . . . . . . . . . . . . . . . ...0630

Hemorrhoids . . . . . . . . . . . . . . . . . . . ,.. D545

Chemotherapy . . . . . . . . . . . . . . . . . . . .. T425

Fainting (syncope) ...,.,.,.,.. . . . . .. S030

Dre$smg, bandage.application, change . . . . . T545

Contusions, abrasions, and bruiwm foot

andtoels} . . . . . . . . . . . . . . . . . . .. J545

Cast, splint-application, removal . . ., . . T540

Behavioral disturbances . . . . . . . . . . . . . S130

3,216

3,187

3,153

3,12B

3,113

3,087

3,024

2,987

2,968

2,954

2,B59

2,858

2,642

2,833

2,810

2,667

2,684

2,596

2,574

2,566

2.4B6

2,473

2,40B

2,397

2,364

2<339

2,333

2,329

2.322

2,268

2,276

2,252

2,185

2,156

2,154

2,070

2,059

1,998

1,968

1,913

1,906

1,891

1,872

1,833

1,S23

1,B1O

1,795

1,793

1,787

1,779

1,770

1,762

1,745

1,738

1,718

1,715

1,711

1,697

1,690

1,681

1,675

1,638

1,608

1,592

1,573

1,555

1,564

1,558

1,538

1,526

1,494

1,492

1,478

1,472

1,466

1,450

1,444

1,429

1,425

0.28

0.26

0.27

0.27

0.27

0.27

0.26

0.26

0.26

0.26

0.25

0.25

0.25

0,25

0,24

0.23

0.23

0.22

0.22

0.22

0.22

0.21

0.21

0.21

0.20

0.20

0.20

0.20

0.20

0.20

0.20

0.20

0.19

0.19

0.19

0.18

0,18

0,17

0.17

0.17

0.17

0.16

0.16

0.16

0.16

0.16

0.16

0.16

0,15

0.15

0.15

0,15

0.15

0.15

0.15

0,15

0.15

0.15

0.15

0.15

0.15

0.14

0.14

0,14

0.14

0.14

0,14

0.13

0.13

0,13

0.13

0.13

0.13

0.13

0.13

0.13

0.13

0.12

0.12

73.54

73.82

74.09

74.36

74.63

74.90

75.16

75.42

7S.68

75.94

76.19

76.44

76.69

76.94

77.18

77.41

77,64

77.86

78.08

78.30

78.52

78.73

78.84

78.15

78.35

79.55

79.75

79.95

BO.15

BO.35

80.55

80,75

80.94

81,13

81.32

81.50

81.68

B1.85

82.02

82.19

82,36

82.52

82.68

82.84

83.00

83.16

83.32

B3.48

83.63

83.78

83.93

84.08

84.23

84.38

84,53

84,6S

84.83

84.98

65.13

85.2B

85.43

85.57

B5.71

85.85

85.99

86,13

8627

B6.40

86.53

66.66

B6.79

86.92

87.05

87,18

87,31

87,44

87.57

87.69

87.61

See foomotes at end of table.

26
Table 2. Number, percent distribution, and cumulative percent of office visits, by most frequent principal reasons far visit in rank order: United States, 1977-78–Cmt.

Number Percent Cumu- Number CumuRank Principal reason for visit and R VC code~

Percem

of visits distri- Iawe Rank Principal reason for visit and R VC codel of visits Iative

in thOudistribution percent in thou- percent

sands of visits

bution sands of visits

162

163

164

165

166

167

168

169

170

171

172

173

174

175

176

177

176

179

160

181

182

183

184

185

188

167

188

189

190

191

192

193

184

195

186

197

198

188

200

201

202

203

204

205

2043

207

208

209

210

211

212

213

214

215

216

217

218

219

220

221

222

Urinary tract dissase, exc~pt cystitis . . . . D705

Diseases of the male genital organs . . . . . . . D71 O

E=ema and dermatitis, N.O.S.2 . . . . . . . . . D81 5

Problems, complaints, N. E.C.2 . . . . . . . . . . U990

Symptoms rsferable to hair and scalp . . . . . . S890

Anemia . . . . . . . . . . . . . . . . . . . . . . ...0250

Irregularity of menstrual flow . . . . . . . . . . . S740

Symptoms of penis . . . . . . . . . . . . . . . . .. S700

For cytology findings . . . . . . . . . . . . . . .. R300

Heartburn and indigestion (dyspepsia) . . . . . S635

Injury, type unspecified back . . . . . . . J515

Tumor or mass, site unspecified . . . . . . . . . SC65

Difficulty in swallowing (dysphagia) . . . . . . S520

Weight loss . . . . . . . . . . . . . . . . . . . . . ..s045

Cwvicitis,v aginitis . . . . . . . . . . . . . . . ...0725

Symptoms of the kidneys . . . . . . . . . . . . . S670

Fr~tures and dislocations, leg . . . . . . . . . . J020

Diseases of the esophagus, stomach, and

duodenum . . . . . . . . . . . . . . . . . . . . .. D650

Cancer, skm and subcutaneous tissues. . . . .. D110

General or unspecified infection . . . . . . . . . S065

Injury, type unspecifieti multiple or

unspecified . . . . . . . . . . . . . . . . . . . . .. J575

Musculoskeletal deformities . . . . . . . . . . . . S975

Fractures and dislocations ankle . . . . . . . . J120

Minor surgew . . . . . . . . . . . . . . . . . . . . T120

General symptoms of infants, N. E.C.2 . . . . . S080

Other disease of circulatory system . . . . . . . D550

Injury, type unspecified knee . . . . . . . . . . J535

Other symptoms of the hem . . . . . . . . . . . S270

Premarital examination . . . . . . . . . . . . . . .A135

Injury, type unspecified: eye . . . . . . . . . . . J51O

Bitexinwct . . . . . . . . . . . . . . . . . . . . .. J755

Constipation . . . . . . . . . . . . . . . . . . . . .. S590

Sneezing . . . . . . . . . . . . . . . . . . . . . . . .. S435

Nonarticular rheumatism . . . . . . . . . . . . . D905

Fractures and dislocations: hand and

fingers . . . . . . . . . . . . . . . . . . . . . . . . . JC45

Lacerations and cuts facial area . . . . . . . J21 O

Symptoms referable to nails . . . . . . . . . . . . S885

Other musculoskeletzl or connective tissue

disease . . . . . . . . . . . . . . . . . . . . . . . . . 0910

Bites animal, human . . . . . . . . . . . . . . .. J760

Injury, type unspecified ankle . . . . . . . . . . J540

Other malignant and unspecified neoplasms .0130

Psychosexual disorders . . . . . . . . . . . . . .. S160

Lacerations and cut% upper extremity . . . . . J220

Vulvardisorders . . . . . . . . . . . . . . . . . . .. S770

Appetite. abnormal . . . . . . . . . . . . . . . ..s570

Symptoms of unspecified muscles . . . . . . . . S865

Other reason for visit required by party

other than the patient or the health

provider . . . . . . . . . . . . . . . . . . . . . . .. A140

Urine tetts . . . . . . . . . . . . . . . . . . . . . .. X325

Tormllitis . . . . . . . . . . . . . . . . . . . . . . .. D605

Abnormal involuntary movements . . . . . . . . S200

Bleeding, site unspecified . . . . . . . . . . . . . . S070

Oiseasm of the intestine and peritoneum . . . D665

Symptoms of prostate . . . . . . . . . . . . . . .. S710

Symptoms of infertility . . . . . . . . . . . . . . . SB15

Driver’s license examination . . . . . . . . . . . .A120

Other specific therapeutic procedures,

N. E.C.2 . . . . . . . . . . . . . . . . . . . . . . .. T560

Cancer, breast . . . . . . . . . . . . . . . . . . . . . D115

13reastexamination . . . . . . . . . . . . . . . . .. X220

Other diseaws of central nervous system . . D370

Other symptoms referable to the nervous

system . . . . . . . . . . . . . . . . . . . . . . . .. S240

Other symptoms of changes in bowel

1,412

1,339

1,323

1,320

1,310

1,306

1,2B2

1,279

1,273

1,254

1,247

1,244

1,234

1,225

1,220

1,217

1,204

1,1B7

1,175

1,161

1,160

1,158

1,156

1,153

1,153

1,151

1,145

1,135

1,132

1,130

1,103

1,101

1,096

1,093

1,089

1,085

1,082

1,082

1,089

1,037

1,021

1,019

1,006

995

991

981

980

977

972

957

844

934

933

929

923

921

920

915

897

889

884

0.12

0.12

0.11

0.11

0.11

0.11

0.11

0.11

0.11

0.11

0.1 ‘1

0.11

0.11

0.11

0.11

0.11

0.10

0.10

0.10

0.10

0.10

0.10

0.10

0.10

0.10

0.10

0.10

0.10

0.10

0.10

0.10

0.10

0.09

0.09

0.09

0.09

0.09

0.09

0.09

0.09

0.09

0.09

0.09

0.09

0.09

0.06

0.08

0.08

0.08

0.08

0.08

0.08

0.08

0.08

0.08

0.08

0.08

0.08

o.OB

0.08

0.08

87.93

88.05

8S.16

88.27

8B.38

8B.49

88.60

88.71

88.82

88.93

89.04

89.15

89.26

223

224

Disnrders of motor function . . . . . . . . . . . . S895

Chills . . . . . . . . . . . . . . . . . . . . . . . . . .. SCQ5

Other diseas@softheeye . . . . . . . . . . . . .. D42Q

Other &+nign neoplasms . . . . . . . . . . . . .. D145

Fears and phobias . . . . . . . . . . . . . . . . ..s105

Injury, type unspeciied leg . . . . . . . . . . . . J530

Lacerations and cuts site unspecified . . . . J230

Inflammatory diseasesof the eye . . . . . . . . D400

Chartge in abdominal size.... . . . . . . . . ..S%5

Psoriasis . . . . . . . . . . . . . . . . . . . . . . . . . 0820

Lacerations and cut= head and neck arm . . J205

Fractures and dmlocations: ankle . . . . . . . . J025

Eye infection and inflammation . . . . . . . . . S315

Other symptoms referable to cardiovascular/

Iymphaticsystem, N. E.C.2 . . . . . . . . . . S2B0

Oiseasesof liver, gallbladder, and

pancreas . . . . . . . . . . . . . . . . . . . . . .. D670

Problems with identity and self-esteem . . . . . S120

Hodgkin’s disease, Iymphomata, Ieukemias ..0135

Problems of pregnancy and the postpartum

period . . . . . . . . . . . . . . . . . . . . . . . .. S790

Fractures and dmlocations: wrist . . . . . . . J040

Penile di~harge . . . . . . . . . . . . . . . . . . .. S705

Gastrointestinal bleeding . . . . . . . . . . . . . . S580

Restlessness . . . . . . . . . . . . . . . . . . . . .. S125

Fungus infections (mycosesl . . . . . . . . ...0025

Parent-child problems . . . . . . . . . . . . . . . .T71O

Kidney dialysis . . . . . . . . . . . . . . . . . . .. T525

Other symptoms referable to breast . . . . . . . S81O

Breathing problems, N. E.C.2 . . . . . . . . . S430

Other heart disease . . . . . . . . . . . . . . . ...0520

Occupational problems . . . . . . . . . . T725

For radiological findings . . . . . . . . . . R400

Sprains and sfrai”s back . . . . . . . . . . . . .. J11O

Other endocrine, nutritional, and metabolic

diseases . . . . . . . . . . . . . . . . . . . . . ...0215

Abnormal eye movements . . . . . . . . . . S325

Symptoms referable to lips . . . . . . . . . S505

Social adjustment problems . . . . . . . . . . . T730

Injury, typ unspecified: arm . . . . . . . . . . . J555

Burn, site unspecified . . . . . . . . . . . . . . . . J720

Other respirator diseates . . . . . . . . . . ...0840

Other diseates of female reproductive

system . . . . . . . . . . . . . . . . . . . . . . ...0730

Foreign body, skin . . . . . . . . . . . . . . . . . J61O

Injury, type unspecified: wrist . . . . . . . . . . J585

Abnormalities of sputum m phlegm . . . . . . . S470

Flatulence . . . . . . . . . . . . . . . . . . . . . . . S585

Fractures and dislocation% trunk area,

except spinal column . . . . . . . . . . . . J015

Sterilization to be performed (at this

visit) . . . . . . . . . . . . . . . . . . . . . . . . .. X525

Cystitis . . . . . . . . . . . . . . . . . . . . . . ...0700

Fractures and dmlocationx foot and toes. . . . J030

Other special examination . . . . . . . . . . . . X240

Gou%,hyperuncemia . . . . . . . . . . . . . . . .. D21O

Streptcccccal infection . . . . . . . . . . . . . .. DO1O

Cancer, urinaw and male genital tract . . . .. D125

Other congenital anomalies . . . . . . . . . . . . D8%i0

Injury, type unspecified: shoulder . . . . . . . . J550

Other symptoms referable to the

respiratory system, N. E.C.2 . . . . . S485

Symptoms of Iwer, gallbladder, and

biliary tract . . . . . . . . . . . . . . . . . . . .. S610

Symptoms referable to tongue . . . . . . . . . . S51 5

Symptoms referable to IIPS . . . . . . . . . . . . S500

Refractive error . . . . . . . . . . . . . . . . . . .. D405

Allothe$ . . . . . . . . . . . . . . . . . . . . ..rmdual

870

857

835

822

817

817

813

790

789

789

776

771

758

753

744

739

735

734

729

728

725

720

710

700

690

668

685

684

681

676

670

888

6S4

560

658

654

641

629

616

614

610

608

598

568

578

575

575

573

573

583

553

550

545

542

541

540

535

529

34.462

0.08

0.07

0.07

0.07

0.07

0.07

0.07

0.07

0.07

0.07

0.07

0.07

0.07

0.07

0.06

0.06

0.06

0.06

0.06

0.06

0.06

0.06

0.06

0.08

0.06

0.06

0.08

0.08

0.06

0.O6

0.08

0.06

0.06

0.06

0.06

0.06

0.06

0.05

0.05

0.05

0.05

0.05

0.05

0.05

0.05

0.05

0.05

0.05

0.05

0.05

0.06

0.05

0.05

0.05

0.05

0.05

0.05

0.05

2.98

93.72

93.79

93.66

93.93

94.00

94.07

94.14

94.21

94.2B

94.35

94.42

94.49

94.56

94.63

94.69

94.75

94.81

94.87

84.93

84.99

95.05

95.11

95.17

85.23

95.29

95.35

95.41

95.47

95.53

95.59

95.65

95.71

95.77

95.83

95.89

95.95

86.ot

98.08

98.11

8S.16

98.21

98.26

S&31

96.36

96.41

96.46

96.51

96.56

96.6t

95.66

88.71

86.76

98.81

96.86

96.91

96.96

97.01

97.06

100,04

225

226

227

228

229

230

231

232

233

234

235

89.37 236

89.4B

89.59

89.69

237

238

89.79

88.89

89.99

90.09

239

24o

241

242

90.19 243

90.29 244

245

246

247

248

249

80.39

90.49

90.59

80.69

90.79

80.89

90.99

91.09

81.19

91.28

91.37

91.48

91.55

91.64

91.73

91.82

91.91

92.00

250

251

252

253

254

255

258

257

258

259

26o

261

262

263

264

265

266

267

268

269

92.08

92.18

92.27

92.36

92.44

92.52

92,60

92.66

92.76

92.84

270

271

272

92.92 273

93.00 274

27E

276

277

278

93.oB

93.16

93.24

93.32

93.40

93.48 279

280

93.58

function . . . . . . . . . . . . . . . . . . . . . . . S600 93.64

lSee reference 1.

2N.O.S. = not otherwise specified; N.E.C. = not alsewhnra specifmd.

31ncluda%blank, illegible, and uncodabl. entries.

27
Table 3. Number and percent distribution of office visits made by female patients, by age of patient and the 20 most frequent principal reasons

for visit: United States, 1977-78

Number Percent Number

Ager principal reason for visit, Percent of visits distri- Age, principal reason for visit, of visits

and R VC code 1 in thou- distribution and R VC code q in thousands bution

sands

Under 15 years

All visits by female patients . . . . . . . . . . . . . .

General medical examination . . . . . . . XIOO

Symptoms referable to throat . . . . . . S455

Fever . . . . . . . . . . . . . . . . . . . . . . . .. S010

Well baby examination . . . . . . . . . . . .XI05

Cough . . . . . . . . . . . . . . . . . . . . . . . .. S440

Earache, or ear infection . . . . . . . . . . . S355

Skin rash . . . . . . . . . . . . . . . . . . . . . .. S860

Head cold, upper respiratory infection

(coryza) . . . . . . . . . . . . . . . . . . . . . . S445

Allergy medication . . . . . . . . . . . . . . .TIOO

Prophylactic inoculations . . . . . . . . . . . .X400

Other symptoms referable to the ears,

N. E.C.2 . . . . . . . . . . . . . . . . . . . . .. S365

Vomiting . . . . . . . . . . . . . . . . . . . . . .. S530

Nasal congestion . . . . . . . . . . . . . . . . .. S400

Physical examination required for

school . . . . . . . . . . . . . . . . . . . . . ..AIIO

Postoperative visit . . . . . . . . . . . .T205

Otitismedia . . . . . . . . . . . . . . . . . . . ..D450

Abdominal pain, cramps,spasms . . . . . .S550

Eyeaxaminetion . . . . . . . . . . . . . . . . ..X230

Allergy, N.0.S.2 . . . . . . . . . . . . . . . . ..S090

Headache, pain in head . . . . . . . . . . . . .S210

All other3 . . . . . . . . . . . . . . . . . . .. residual

15-24 years

Allvisits by female patients. . . . . . . . . . . .

Prenatal examination, routine . . . . . . .X205

Symptoms referable to throat . . . . . . . .S455

Acne or pimples . . . . . . . . . . . . . . . . .. S830

General medical examination . . . . . . . . .XIOO

Gynecological examination . . . . . . . . . . .X225

Abdominal pain, cramps, spasms . . . . . . . S550

Skin rash . . . . . . . . . . . . . . . . . . . . . .. S860

Head cold, upper respiratory infection

(coryza) . . . . . . . . . . . . . . . . . . . . .. S445

Postoperative visit . . . . . . . . . . . . . . . .T205

Cough . . . . . . . . . . . . . . . . . . . . . . . .. S440

Postpartum examination . . . . . . . . . . . . .X215

Headache, pain inhead . . . . . . . . . . . . .. S21 O

Pap smear . . . . . . . . . . . . . . . . . . . . . . X365

Pregnancy, unconfirmed . . . . . . . . . . . .X200

Back symptoms . . . . . . . . . . . . . . . . .. S905

Weight gain . . . . . . . . . . . . . . . . . . . .. S040

Other vaginal symptoms . . . . . . . . . . . . .S765

Family planning, N.0.S.2 . . . . . . . . . . . .X500

Earache, orear infection . . . . . . . . . . . . S355

Eye examination . . . . . . . . . . . . . . . . .. X230

Allother3 . . . . . . . . . . . . . . . . . . .. residual

25-34 years

Allvisits by female patients. . . . . . . . . . . .

Prenatal examination, routine . . . . . . . . .X205

Gynecological examination . . . . . . . , . . .X225

General medical examination . . . . . . , . . .XIOO

Postoperative visit . . , . . . . . . . . . . . . . .T205

Symptoms referable to throat . . . . . . . . . S455

Weight gain . . . . . . . . . . . . . . . . . . . .. S040

Abdominal pain, crampsr spasms . . . . . S550

Pap smear . . . . . . . . . . . . . . . . . . . . .. X365

Postpartum examination . . . . . . . . . . . .X215

Acne or pimples . . . . . . . . . . . . . . . . .. S830

Headache, pain in head . . . . . . . . . .. S210

102,331

10,447

7,281

6,857

6,711

6,103

5,191

3,880

3,478

1,949

1,867

1,436

1,413

1,402

1,376

1,253

959

944

908

885

787

37,205

112,236

19,070

4,833

3,722

3,184

2,607

2,284

2,257

2,212

2,188

1,976

1,772

1,645

1,636

1,610

1,487

1,465

1,387

1,321

1,249

1,197

53,133

122,425

19,577

4,486

4,142

3,463

2,959

2,813

2,730

2,589

2,051

2,002

2,001

100.0

10.2

7.1

6.7

6.6

6.0

5.1

3.8

3.4

1.9

1.8

1.4

1.4

1.4

1.3

1.2

0.9

0.9

0.9

0.9

0.8

36.4

100.0

17.0

4.3

3.3

2.8

2.3

2.0

2.0

2.0

1.9

1.8

1.6

1.5

1.5

1.4

1.3

1.3

1.2

1.2

1.1

1.1

47.3

100.0

16.0

3.7

3.4

2.8

2.4

2.3

2.2

2.1

1.7

1.6

1.6

25-34 years–Con.

Anxiety and nervousness . . . . . . . . . . . S100

Head cold, upper respiratory infection

(coryza) . . . . . . . . . . . . . . . . . . . . . . S455

Cough . . . . . . . . . . . . . . . . . . . . . . . .. S440

Back symptoms . . . . . . . . . . . . . . . . .. S905

Depression . . . . . . . . . . . . . . . . . . . . .. S110

Other vaginal symptoms . . . . . . . . . . . . .S765

Vaginal discharge . . . . . . . . . . . . . . . .. S760

Skin rash . . . . . . . . . . . . . . . . . . . . . ..s860

Diet and nutritional counseling . . . . . . . .T600

Allother3 . . . . . . . . . . . . . . . . . . .. residual

3544 years

Allvisits by female patients. . . . . . . . . . . . . . .

General medical examination . . . . . . . . . .XIOO

Postoperative visit . . . . . . . . . . . . . . . . .T205

Weight gain . . . . . . . . . . . . . . . . . . . .. S040

Gynecological examination . . . . . . . . . . .X225

Headache, pain in head . . . . . . . . . . . . .. S210

Symptoms referable to throat . . . . . . . . .S455

Back symptoms . . . . . . . . . . . . . . . . .. S905

Anxiety and nervousness . . . . . . . . . . . .S100

Abdominal pain, cramps, spasms . . . . . . . S550

Depression . . . . . . . . . . . . . . . . . . . . .. S110

Prenatal examination, routine . . . . . . . . .X205

Pap smear . . . . . . . . . . . . . . . . . . . . .. X365

Head cold, upper respiratory infection

(coryza) . . . . . . . . . . . . . . . . . . . . .. S445

Cough . . . . . . . . . . . . . . . . . . . . . . . .. S440

Chest pain and related symptoms, not

referable to body system . . . . . . . . . . . S050

Lumpormass of breast . . . . . . . . . . . .. S805

Neck symptoms . . . . . . . . . . . . . . . . .. S900

Skin rash . . . . . . . . . . . . . . . . . . . . . ..s860

Low backsymptoms . . . . . . . . . . . . . .. S910

Vision dysfunctions . . . . . . . . . . . . . . . . S305

Allother3 . . . . . . . . . . . . . . . . . . .. residual

45-54 years

Allvisits by female patients . . . . . . . . . . . . . . .

General medical examination . . . . . . . . . .XIOO

Postoperative visit . . . . . . . . . . . . . . . .. T205

Blood pressure test . . . . . . . . . . . . . . .. X320

Back symptoms . . . . . . . . . . . . . . . . .. S905

Headache, pain in head . . . . . . . . . . . . . .S210

Weight gain . . . . . . . . . . . . . . . . . . . .. S040

Gynecological examination . . . . . . . . . . .X225

Hypertension . . . . . . . . . . . . . . . . . . .. D510

Cough . . . . . . . . . . . . . . . . . . . . . . . .. S440

Vision dysfunctions . . . . . . . . . . . . . . . .S305

Menopausal symptoms . . . . . . . . . . . . .S750

Chest pain and related symptoms not

referable to body system . . . . . . . . . . . S050

Abdominal pain, cramps, spasms . . . . . . . S550

Anxiety andnervousnass . . . . . . . . . . .S100

Symptoms referable to throat . . . . . . . . . S455

Head cold, upper respiratory infection

(coryza) . . . . . . . . . . . . . . . . . . . . .. S445

Vertigodizziness . . . . . . . . . . . . . . . . .. S225

Eye examination.......,.. . . . . . . .. X230

Injections . . . . . . . . . . . . . . . . . . . . . . TIIO

Depression . . . . . . . . . . . . . . . . . . . . .. S110

Allother3 . . . . . . . . . . . . . . . . . . .. residual

1,761

1,704

1,667

1,619

1,508

1,479

1,457

1,418

1,410

59,587

75,760

3,235

2,738

2,571

2,266

1,857

1,836

1,818

1,639

1,549

1,546

1,335

1,269

1,178

1,127

1,101

1,016

991

902

891

804

44,089

83,719

3,750

3,159

2,341

2,109

2,039

2,037

2,002

1,762

1,672

1,500

1,499

1,467

1,429

1,361

1,193

1,186

1,183

1,158

1,140

1,107

48,624

1.4

1.4

1.4

1.3

1.2

1.2

1.2

1.2

1.2

48.7

100.0

4.3

3.6

3.4

3.0

2.5

2.4

2.4

2.2

2.0

2.0

1.8

1.7

1.6

1.5

1.5

1.3

1.3

1.2

1.2

1.1

58.2

100.0

4.5

3.8

2.8

2.5

2.4

2.4

2.4

2.1

2.0

1.8

1.8

1.8

1.7

1.6

1.4

1.4

1.4

1.4

1.4

1.3

58.1

See footnotes at end of table.

28
Table3. Number andpercent dimribution ofoffice visits made by female patients, byageof patient andthe20 most frequent principal reasons

forvisit: United States, 1977-78–Con.

Age, principal reason for visit,

and R VC code 1

Number Percent

of visits distriin thoubution

sands

Age, principal reason for visit,

and R VC code 7

Number Percent

of visits distriin thou- bution

sands

55-64 years

All visits by female patients . . . . . . . . . . . . . . .

General medical examination . . . . . . . . . . XIOO

8100d pressure test . . . . . . . . . . . . . . .. X320

Hypertension . . . . . . . . . . . . . . . . . . .. D510

Postoperative visit . . . . . . . . . . . . . . . . . T205

Backsymptoms . . . . . . . . . . . . . . . . .. S905

Headecha, pain in head . . . . . . . . . . . . .. S210

Abdominal pain, cramps, spasms . . . . . . . S550

Chest pain and related symptoms, not

referable to body system . . . . . . . . . . . S050

Cough . . . . . . . . . . . . . . . . . . . . . . . .. S”440

Diabates mellitus . . . . . . . . . . . . . . . . .. D205

Vision dysfunctions . . . . . . . . . . . . . . . . s305

Vertigo-dizziness . . . . . . . . . . . . . . . . ..s225

Gynecological examination . . . . . . . . . . . X225

Anxiety and nervousness . . . . . . . . . . . . S100

Eye examination . . . . . . . . . . . . . . . . .. X230

Symptoms referable to throat . . . . . . . . . S455

Leg symptoms . . . . . . . . . . . . . . . . . .. S920

Shoulder symptoms . . . . . . . . . . . . . . .. S940

Weight gain . . . . . . . . . . . . . . . . . . . ..s040

Tiredness, exhaustion . . . . . . . . . . . . . . . SO15

Allother3 . . . . . . . . . . . . . . . . . . .. residual

65-74 years

Allvisits by female patients. . . . . . . . . . . . . . .

Blood pressure test . . . . . . . . . . . . . . .. X320

General medical examination . . . . . . . . . .XIOO

Hypertension . . . . . . . . . . . . . . . . . . .. D510

Chest pain and related symptoms, not

referable to body system . . . . . . . . . . . S050

Postoperative visit . . . . . . . . . . . . . . . .. T205

Vertigo-dizziness . . . . . . . . . . . . . . . . .. S225

Diabetes mellitus . . . . . . . . . . . . . . . . .. D205

Vision dysfunctions . . . . . . . . . . . . . . . .s305

Headache, pain in head . . . . . . . . . . . . . .S210

Backsymptoms . . . . . . . . . . . . . . . . .. S905

84,518

4,200

3,812

2,623

2,498

2,025

1,660

1,611

1,554

1,492

1,472

1,463

1,377

1,320

1,228

1,192

1,178

1,167

1,158

1,125

1,010

48,354

70,340

4,059

3,936

2,216

1,971

1,844

1,794

1,681

1,646

1,420

1,337

100.0

5.0

4.5

3.1

3.0

2.4

2.0

1.9

1.8

1.8

1.7

1.7

1.6

1.6

1.5

1.4

1.4

1.4

1.4

1.3

1.2

57.2

100.0

5.8

5.6

3.2

2.8

2.6

2.6

2.4

2.3

2.0

1.9

65-74 years–Con.

Leg symptoms . . . . . . . . . . . . . . . . . .. S920

Abdominal pain, cramps, spesms . . . . . . . S550

Cough . . . . . . . . . . . . . . . . . . . . . . . .. S440

Arthritis . . . . . . . . . . . . . . . . . . . . . .. D900

Knee symptoms . . . . . . . . . . . . . . . . .. S925

Eye examination . . . . . . . . . . . . . . . . .. X230

Shortness of breath . . . . . . . . . . . . . . .. S415

Tiredness, exhaustion . . . . . . . . . . . . . . . S015

Head cold, upper respiratory infection

(coryza) . . . . . . . . . . . . . . . . . . . . . . S445

General weakness . . . . . . . . . . . . . . . .. S020

Allother3 . . . . . . . . . . . . . . . . . . .. residual

75 years and over

Allvisits by female patients . . . . . . . . . . . . . . .

Blood pressure test . . . . . . . . . . . . . . .. X320

General medical examination . . . . . . . . . .XIOO

Hypertension . . . . . . . . . . . . . . . . . . .. D510

Vision dysfunctions . . . . . . . . . . . . . . . .s305

Vertigo-dizziness . . . . . . . . . . . . . . . . .. S225

Chest pain and related symptoms, not

referable to body system . . . . . . . . . . . S050

Postoperative visit . . . . . . . . . . . . . . . .. T205

General weakness . . . . . . . . . . . . . . . .. S020

Back symptoms . . . . . . . . . . . . . . . . .. S905

Arthritis . . . . . . . . . . . . . . . . . . . . . .. D900

Shortness of breath . . . . . . . . . . . . . . .. S415

Headache, pain in head.. . . . . . . . . . . .. S210

Diabetes mellitus . . . . . . . . . . . . . . . . .. D205

Cataract . . . . . . . . . . . . . . . . . . . . . .. D410

Heart examination . . . . . . . . . . . . . . . .. X235

Skin lesion . . . . . . . . . . . . . . . . . . . . ..s865

Abdominal pain, cramps, spasms . . . . . . . S550

Kneesymptoms . . . . . . . . . . . . . . . . .. S925

Legsymptoms . . . . . . . . . . . . . . . . . .. S920

Tiredness, exhaustion . . . . . . . . . . . . . . . SO15

Allother3 . . . . . . . . . . . . . . . . . . .. residual

1,228

1,207

1,156

1,103

1,035

888

851

805

804

736

38,625

43,102

2,227

1,986

1,657

1,634

1,381

1,077

980

948

804

778

749

739

732

730

717

709

687

684

624

604

22,655

1.7

1.7

1.6

1.6

1.5

1.3

1.2

1.1

1.1

1.0

54.9

100.0

5.2

4.6

3.8

3.8

3.2

2.5

2.3

2.2

1.9

1.8

1.7

1.7

1.7

1.7

1.7

1.6

1.6

1.6

1.4

1.4

52.6

lSee reference 1.

2NOE,CC= notel~e~here cla~$ified; N. O.S. = n~t~ther~i~e~pe~ified.

sln~ludes blank, illegible, and uncodable entrie5.

29
Table4. Number andpercent distribution ofoffice visits made by male patients, by age of patient andthe20most frequent principal reasons

for visit: United States, 1977-78

Number Percent Number

Age, principal reason for visit, Percent of visits Age, principal reason for visit,

and R VC codeq distri- 0 f visits

in thoubution

distri- and R VC code 1 in thousands bution

sands

Under 15 years

Allvisits by male patients . . . . . . . . . . . . . . . .

General medical examination . . . . . . . . . . Xl 00

Cough . . . . . . . . . . . . . . . . . . . . . . . .. S440

Fever . . . . . . . . . . . . . . . . . . . . . . . .. S010

Well baby examination . . . . . . . . . . . .XI05

Symptoms referable to throat . . . . . . . . S455

Earache, or ear infection . . . . . . . . . . . . . s355

Head cold, upper respiratory infection

(coryza) . . . . . . . . . . . . . . . . . . . . . . S445

Allergy medication . . . . . . . . . . . .TIOO

Skin rash . . . . . . . . . . . . . . . . . . . . . .. S860

Prophylactic inoculations . . . . . . . . . .X400

Other symptoms referable to the ears,

N. E.C.2 . . . . . . . . . . . . . . . . . . . . . . S365

Nasal congestion . . . . . . . . . . . . . . . . ..s400

Physical examination required for

school . . . . . . . . . . . . . . . . . . . . . .. AIIO

Allergy, N.0.S.2 . . . . . . . . . . . . . . . . . .. S090

postoperative visit . . . . . . . . . . . . . . . .. T205

Vomiting . . . . . . . . . . . . . . . . . . . . . .. S530

Diarrhea . . . . . . . . . . . . . . . . . . . . . ..S595

Suture-insertion, removal . . . . . . . . . . . S555

Physical examination for extracurricular

activities . . . . . . . . . . . . . . . . . . . . .. A115

Wheezing . . . . . . . . . . . . . . . . . . . . . ..S425

All other3 . . . . . . . . . . . . . . . . . . .. residual

15-24 years

Allvisits by male patients . . . . . . . . . . . . . . . .

Symptoms referable to throat . . . . . . . S455

Acne or pimples . . . . . . . . . . . . . . . . .. S830

Physical examination required for

employ meri t . . . . . . . . . . . . . . . . .. AIOO

Skin rash . . . . . . . . . . . . . . . . . . . . . ..s860

Backsymptoms . . . . . . . . . . . . . . . . .. S905

General medical examination . . . . . . . .XIOO

Knee symptoms . . . . . . . . . . . . . . . . .. S925

Postoperative visit . . . . . . . . . . , . . . . .T205

Nasal congestion . . . . . . . . . . . . . . . . .. S400

Cough . . . . . . . . . . . . . . . . . . . . . . . .. S440

Allergy medication . . . . . . . . . . . . . . . .TIOO

Lacerations and cuts: upper extremity , . . J225

Earache, or ear infection . . . . . . . . . . S355

Physical examination required for

school . . . . . . . . . . . . . . . . . . . . . .. A??O

Head cold, upper respiratory infection

(coryza) . . . . . . . . . . . . . . . . . . . . . . S445

Physical examination for extracurricular

activities . . . . . . . . . . . . . . . . . . . . .. AI15

Headache, pain in head . . . . . . . . . .S210

Injury, type unspecified: hand and

finger(s) . . . . . . . . . . . . . . . . . . . . . .J570

Warts, N.0.S.2 . . . . . . . . . . . . . . . . . .. S850

Vision dysfunctions . . . . . . . . . . . . s305

Allother3 . . . . . . . . . . . . . . . . . . . residual

25-34 years

Allvisits by male patients...,.. . . . . . . . . . .

Backsymptorns . . . . . . . . . . . . . . . . .. S905

Symptoms referable to throat . . . . . . . . S455

General medical examination . . . . . . . .X IC)CI

Headache, pain in head . . . . . . . . . . .S210

Physical examination required for

employ meri t . . . . . . . . . . . . . . . . .. AIOO

110,342

10,026

74335

7,190

7,015

6,080

5,902

4,045

3,679

3,360

1,945

1,496

1,446

1,417

1,363

1,329

1,205

1,171

1,109

1,078

1,041

41,110

60,019

3,660

2,491

1,646

1,532

1,516

1,479

1,386

1,386

1,170

1,072

1,036

1,024

963

894

852

848

841

790

739

696

33,997

54,675

2,270

2,051

1,415

1,237

1,200

100.0

9.1

6.6

6.5

6.4

5.5

5.3

3.7

3.3

3.0

1.8

1.4

1.3

1.3

1.2

1.2

?.1

1.1

1.0

1.0

0.9

37.3

100.0

6.1

4.2

2.7

2.6

2.5

2.5

2.3

2.3

1.9

1.8

1.7

1.7

1.6

1.5

1.4

1.4

1.4

1.3

1.2

1.2

56.6

100.0

4.2

3.8

2.6

2.3

2.2

25-34 years–Con.

Chest pain and related symptoms, not

referable to body system . . . . . . . , . . . S050

Head cold, upper respiratory infection

(coryza) . . . . . . . . . . . . . . . . . . . . . .S445

Anxiety andnewousness . . . . . . . . . . . .SIOO

Postoperative visit . . . . . . . . . . . . . . . .T205

Cough . . . . . . . . . . . . . . . . . . , . . . . .. S440

Skin rash . . . . . . . . . . . . . . . . . . . . . ..s860

Low back symptoms . . . . . . . . . . . . . .. S910

Knee symptoms . . . . . . . . . . . . . . . . .. S925

Depression . . . . . . . . . . . . . . . . . . . . .. S110

Allergy medication . . . . . . . . . . . . . . . .TIOO

Nasal congestion . . . . . . . . . . . . . . . . ..s400

Earache, or ear infection . , . . . . . . . . . . . S355

Abdominal pain, cramps, spasms . . . . . . . s550

Vision dysfunctions . . . . , , . . . . . . . . . . s305

Stomach pain, cramps, and spasms . . . . . .S545

Allother3 . . . . . . . . . . . . . . . . . . .. residual

35-44 years

Allvisits by male patients . . . . . . . . . . . . . . . .

General medical examination . . . . . . . . . .XIOO

Backsymptoms . . . . . . . . . . . . . . . . ..s9o5

Postoperative visit . . . . . . . . . . , . . . . . .T205

Chest pain and related symptoms, not

referable to body system . . . . . . . . . . . S050

Blood pressura test . . . . . . . . . . . . . . ..x32o

Symptoms referable to throat . . . . . . . . . S455

Headache, pain in head . . . . . . . . . . . . . .S210

Neckeymptoms . . . . . . . . . . . . . . . . ..s9oo

Low back symptoms ... . . . . . . . . . . .. S910

Cough . . . . . . . . . . . . . . . . . . . . . . . .. S440

Hypertension . . . . . . . . . . . . . . . . . . .. D510

Anxiety and nervousness . . . . . , . . , . . . S100

Skin rash . . . . . . . . . . . . . . . . . . . . . .. S860

Abdominal pain, cramps, spasms . . . . . . , s550

Depression . . . . . . . . . . . . . . . ,., ,.. .SIIO

Head cold, upper respiratory infection

(coryza) . . . . . . . . . . . . . . . . . . . . .. S445

Shoulder symptoms . . . . . . . . . . ., . . .. S940

Physical examination required for

employment . . . . . . . . . . . . . . . . . .. AI()()

Allergy medication . . . . . . . . . . . . . . .TIOO

Vision dysfunctions . . . . . . . . . . . . , . . . s305

Allother3 . . . . . . . . . . . . . . . . . . .. residual

45-54 years

Allvisits by male patients . . . . . . . . . . . . . . . .

General medical examination . . . . . . . . . .XIOO

Blood pressure test . . . . . . . . . . . . . . .. X320

Back symptoms . . . . . . . . . . . . . . . . ..s9o5

Postoperative visit . . . . . . . . . . . . . . . .. T205

Hypertension . . . . . . . . . . . . . . . . . . .. D510

Chest pain and related symptoms, not

referable to body system . . . . . . . . . . . S050

Low back pain . . . . . . . . . . . . . . . . . .. S910

Symptoms referable to throat . . . . . . . . . S455

Skin rash . . . . . . . . . . . . . . . . . . . . . ..s860

Neck symptoms . . . . . . . . . . . . . . . . .. S900

Vision dysfunctions . . . . . . . . . . . . . . s3135

Abdominal pain, cramps, spasms . . . . . SW)

Headache . . . . . . . . . . . . . . . . . . . . . .. S210

Head cold, upper respiratory infection

(coryza) . . . . . . . . . . . . . . . . . . . . . .S445

1,138

1,132

1,132

1,073

1,045

899

896

875

774

749

727

667

603

580

574

33,638

47,124

1,726

1,725

1,251

1,220

1,097

1,024

902

886

870

867

836

770

758

698

696

690

634

607

592

568

28,706

54,608

2,573

2,176

1,955

1,569

1,554

1,207

1,035

1,017

947

937

914

748

737

700

2.1

2.1

2.1

2.0

1.9

1.6

1.6

1.6

1.4

1.4

1.3

1.2

1.1

1.1

1.0

61.5

100.0

3.7

3.7

2.7

2.6

2.3

2.2

1.9

1.9

1.8

1.8

1,8

1.6

1.6

1.5

1.5

1.5

1.3

1,3

1.3

1.2

60.9

100.0

4.7

4.0

3.6

2.9

2.8

2.2

1.9

1.9

1.7

1.7

1.7

1.4

1.3

1.3

See footnotes at end of table.

30
Table4. Number andpercent distribution of office visits made bymalepatients, bya~ofpatient andthe20 mofifrequent principal reasons

forvisit: United States, 1977-78–Con.

Number Percent Number

Age, principal reason for visit, of visits Age, principal reason for visit, Percent

distri- of visits

and R VC code q in thou- distribution and R VC code 1 in thousands bution

sands

45-54 years–Con.

Anxiety and nervousness . . . . . . . . . . . .S100

Depression . . . . . . . . . . . . . . . . . . . . .. S110

Shoulder symptoms . . . . . . . . . . . . . . .. S940

Skin lesion . . . . . . . . . . . . . . . . . . . . ..S865

Eyeexamination . . . . . . . . . . . . . . . . ..X230

Foot andtoesymptoms . . . . . . . . . . . . .S935

Allother3 . . . . . . . . . . . . . . . . . . .. residual

55-64 years

Allvisits by male patients . . . . . . . . . . . . . . . .

General medical examination . . . . . . . . . . XIOO

Blood pressure test . . . . . . . . . . . . . . .. X320

Chest pain and related symptoms, not

referable to body system . . . . . . . . . . . S050

Postoperative visit . . . . . . . . . . . . . . . . . T205

Hypertension . . . . . . . . . . . . . . . . . . .. D510

Backsymptoms . . . . . . . . . . . . . . . . .. S905

Diabatas mellitus . . . . . . . . . . . . . . . . .. D205

Cough . . . . . . . . . . . . . . . . . . . . . . . .. S440

Head cold, upper respiratory infection

(coryza) . . . . . . . . . . . . . . . . . . . . . . S445

Vartigo-dizziness . . . . . . . . . . . . . . . . .. S225

Low backsymptoms . . . . . . . . . . . . . .. S910

Lag symptoms . . . . . . . . . . . . . . . . . .. S920

Vision dysfunctions . . . . . . . . . . . . . . . .S305

Shoulder symptoms . . . . . . . . . . . . . . .. S94O

Heart examination . . . . . . . . . . . . . . . .. X235

Skin rash . . . . . . . . . . . . . . . . . . . . . .. S860

Footand toe symptoms . . . . . . . . . . . . .S935

Abdominal pain, cramps, spasms . . . . . . .S550

Headache, pain in head . . . . . . . . . . . . .. S210

Knee symptoms . . . . . . . . . . . . . . . . .. S925

Allother3 . . . . . . . . . . . . . . . . . . .. residual

65-74 years

Allvisits by male patients . . . . . . . . . . . . . . . .

General medical examination . . . . . . . . . .XIOO

Blood pressure test . . . . . . . . . . . . . . .. X320

Postoperative visit . . . . . . . . . . . . . . . . .T205

Chest pain and related symptoms, not

referable to body system . . . . . . . . . . . S050

Hypertension . . . . . . . . . . . . . . . . . . .. D510

687

670

646

629

619

613

32,675

60,826

3,098

2,671

2,265

2,179

2,119

1,955

1,184

1,132

916

895

887

861

857

844

807

798

784

769

759

745

34,302

46,623

2,268

1,973

1,928

1,470

1,141

1.3

1.2

1.2

1.2

1.1

1.1

59.8

100.0

5.1

4.4

3.7

3.6

3.5

3.2

1.9

1.9

1.5

1.5

1.5

1.4

1.4

1.4

1.3

1.3

1.3

1.3

1.2

1.2

56.4

100.0

4.9

4.2

4.1

3.2

2.4

65-74 years–Con.

Vertigo-dizziness . . . . . . . . . . . . . . . . .. S225

Vision dysfunctions . . . . . . . . . . . . . . . .S305

Leg symptoms . . . . . . . . . . . . . . . . . .. S920

Backsymptoms . . . . . . . . . . . . . . . . .. S905

Diabates mellitus . . . . . . . . . . . . . . . . .. D205

Shortness of breath . . . . . . . . . . . . . . .. S415

Heart examination . . . . . . . . . . . . . . . .. X235

Cough . . . . . . . . . . . . . . . . . . . . . . . .. S440

Eyeexamination . . . . . . . . . . . . . . . . .. X230

Head cold, upper respiratory infection

(coryza) . . . . . . . . . . . . . . . . . . . . . .S445

Abdominal pain, cramps, spasms . . . . . . . s550

Footand toesymptoms . . . . . . . . . . . . .S935

Ischemic heart disease . . . . . . . . . . . . . .D515

Headache, pain in head.. . . . . . . . . . . . .S210

Knee symptoms . . . . . . . . . . . . . . . . .. S925

Allother3 . . . . . . . . . . . . . . . . . . .. residual

75 years and over

Allvisits by malepatients . . . . . . . . . . . . . . . .

General medical examination . . . . . . . . . .XIOO

Blood pressure teat . . . . . . . . . . . . . . .. X320

Vision dysfunctions . . . . . . . . . . . . . . . . s305

Chest pain and related symptoms (not

referable to body system) . . . . . . . . . . . S050

Postoperative visit . . . . . . . . . . . . . . . .. T205

Shortness of breath . . . . . . . . . . . . . . .. S415

Heart examination . . . . . . . . . . . . . . . .. X235

Vertigo-dizziness . . . . . . . . . . . . . . . . . .S225

Cough . . . . . . . . . . . . . . . . . . . . . . . .. S440

Back symptoms . . . . . . . . . . . . . . . . .. S905

Hypertension . . . . . . . . . . . . . . . . . . .. D510

General weakness . . . . . . . . . . . . . . . .. S020

Leg symptoms . . . . . . . . . . . . . . . . . .. S920

Abdominal pain, cramps, spasms . . . . . . .S550

Diabates mellitus . . . . . . . . . . . . . . . . .. D205

Other urinary dysfunctions . . . . . . . . . . . S660

Skin lesion . . . . . . . . . . . . . . . . . . . . ..s865

Labored ordifficult breathing (dyspnea) .. S420

Arthritis . . . . . . . . . . . . . . . . . . . . . .. D900

Eye examination . . . . . . . . . . . . . . . . .. X230

AlIother3 . . . . . . . . . . . . . . . . . . .. residual

1,103

1,004

988

933

890

884

796

695

664

649

640

602

589

560

557

26,284

25,902

1,648

1,249

886

875

838

790

683

571

542

511

500

485

443

423

401

380

368

349

’268

* 286

13,376

2.4

2.2

2.1

2.0

1.9

1.9

1.7

1.5

1.4

1.4

1.4

1.3

1.3

1.2

1.2

56.4

100.0

6.4

4.8

3.5

3.4

3.2

3.1

2.6

2.2

2.1

2.0

1.9

1.9

1.7

1.6

1.5

1.5

1.4

1.3

*1.1

*1.1

51.6

I see reference ‘1.

2N.o.s. = not otherwise specified; N. E. C.= notelsewhera classified.

Slncludes blenk, illegible, and uncodable entries.

31
Table5. Number ofmostfrequent all-listed reasons forvisitl in rank order: United Statas,1977-78

Number Number

Rank Reason for visit and of all-listed

Rank Reason for visit and of all-listed

R VC code2 reasons in R VC code2 reasons in

thousands3 thousands3

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

General medical examination . . . . . . . . . XIOO

Symptoms referable to throat . . . . . . . . . S455

Cough . . . . . . . . . . . . . . . . . . . . . . .. S440

Prenatal examination, routine . . . . . . . . . X205

Fever . . . . . . . . . . . . . . . . . . . . . . . .. S010

Head cold, upper respiratory infection

(coryza) . . . . . . . . . . . . . . . . . . . . . . S445

Postoperative visit . . . . . . . . . . . . . . . . T205

Backsymptoms . . . . . . . . . . . . . . . . .. S905

Headache, pain in head . . . . . . . .S210

Blood pressure test . . . . . . . . . . . . . . .. X320

Chast pain and relatad symptoms (not

referable to body system) . . . . . . . . . . S050

Abdominal pain, cramps, spasms . . . . . . . s550

Skin rash . . . . . . . . . . . . . . . . . . . . ..s860

Earache, or ear infection . . . . . . . . . . S355

Hypertension . . . . . . . . . . . . . . . . . .. D510

Anxiety and nervousness . . . . . . . . . . . . S100

Vision dysfunctions . . . . . . . . . . . . . . . S305

Vertigo-dizziness . . . . . . . . . . . . . . . S225

Gynecological examination . . . . . . . . . . X225

Progress visit, N.0.S.4 . . . . . . . . . . . . . . T800

Nasal congestion . . . . . . . . . . . . . . . .. S400

Neck symptoms . . . . . . . . . . . . . . . . .. S900

Well baby examination . . . . . . . . . . . . . XI05

Leg symptoms . . . . . . . . . . . . . . . . . .. S920

Weight gain . . . . . . . . . . . . . . . . . . . .. S040

Knee symptoms . . . . . . . . . . . . . . . . .. S925

Allergy medication . . . . . . . . . . . . . . . .TIOO

Depression . . . . . . . . . . . . . . . . . . . .. S110

Tirednass, exhaustion . . . . . . . . . . . . . . SO15

Low backsymptoms . . . . . . . . . . . . . .. S910

Eyeexamination . . . . . . . . . . . . . . . .. X230

Diabetes mellitus . . . . . . . . . . . . . . . .. D205

Shouldarsymptoms . . . . . . . . . . . . . . S940

Acne orpimples . . . . . . . . . . . . . . . . .. S830

Pap smear . . . . . . . . . . . . . . . . . . . . .. X365

Foot and toe symptoms . . . . . . . . . . . . S935

“None” or “no complaint” . . . . . . . . . U997

General weakness . . . . . . . . . . . . . . . .. S020

Shortness of breath . . . . . . . . . . . . . .. S415

Skin lesion . . . . . . . . . . . . . . . . . . . .. S865

Stomach pain, cramps, and spasms . . . . . S545

Nausea . . . . . . . . . . . . . . . . . . . . . . .. S525

Pain, site not referable to a specific

body system . . . . . . . . . . . . . . . . . .. S055

Prophylactic inoculations . . . . . . . . . , . X400

Abnormal sensations of the eye . . . . . . . S320

Hand and finger symptoms . . . . . . . . . . S960

68,894

53,877

50,469

42,410

34,606

33,502

33,050

31,645

30,797

29,885

27,245

25,954

25,322

24,745

21,733

20,024

19,124

18,250

17,930

17,812

17,595

158750

15,293

14,899

14,704

14,554

14,385

13,898

13,612

13,530

13,320

12,538

11,994

11,365

11,157

11,062

10,672

10,306

10,211

9,557

9,167

9,166

8,811

8,799

8,413

8,401

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64

65

66

67

68

69

70

71

72

73

74

75

76

77

78

79

80

81

82

83

84

85

86

87

88

89

90

Painful urination . . . . . . . . . . . . . . . .. S650

Pain and related symptoms, generalized,

site unspacified . . . . . . . . . . . . . . . .. S060

Suture-insertio~ removal . . . . . . . . . . . . T555

AIlergy, N.O.S. . . . . . . . . . . . . . . . .. S090

Diarrhea . . . . . . . . . . . . . . . . . . . . . ..s595

Arthritis . . . . . . . . . . . . . . . . . . . . . .. D900

Fraquency and urgancy of urination . , . . S645

Skin irritations, N. E.C.4 . . . . . . . . . . . . S870

Other symptoms referable to the ears,

N. E.c,4 . . . . . . . . . . . . . . . . . . . . .. S365

Vomiting . . . . . . . . . . . . . . . . . . . . .. S530

Inactions . . . . . . . . . . . . . . . . . . . . .. TIIO

Physical examination required for

employ meri t . . . . . . . . . . . . . . . . .. AIOO

Arm symptoms . . . . . . . . . . . . . . . . .. S945

Haaring dysfunctions . . . . . . . . . . . . . . S345

Diet and nutritional counseling . . . . . . . . T600

Other vaginal symptoms . . . . . . . . . . . . S765

Disturbances of sensation . . . . . . . . . . . S220

Vaginal discharge . . . . . . . . . . . . . . . .. S760

Uterine and vaginal bleeding . . . . . . . . . . S755

Symptoms referable to anus-rectum . . . . . S605

Heart examination . . . . . . . . . . . . . . .. X235

Warts, N.0.S.4 . . . . . . . . . . . . . . . . . .. S850

Hip symptoms . . . . . . . . . . . . . . . . . ..s915

Labored or difficult breathing (dyspnea) . . S420

Physical examination required for

school . . . . . . . . . . . . . . . . . . . . . .. AIIO

Symptoms of unspecified joints . . . . . . . S970

Sinus problems . . . . . . . . . . . . . . . . .. S410

Ischemic heart disaase . . . . . . . . . . . . . .D515

Lump ormass of breast . . . . . . . . . . . .. S805

Postpartum examination . . . . . . . . . . . . X215

Wheezing . . . . . . . . . . . . . . . . . . . . .. S425

Ankle symptoms . . . . . . . . . . . . . . . .. S930

Other disaases of the skin . . . . . . . . . . . D825

Symptoms of fluid abnormalities . . . . . . S035

Abnormal pulsations and palpitations . . . S260

Ganeral ill feeling . . . . . . . . . . . . . . . .. S025

Pluggad feeling in ear . . . . . . . . . . . . . . S360

Flu . . . . . . . . . . . . . . . . . . . . . . . . .. S450

Sprains and strains: upper extremity . . . . J225

Menopausal symptoms . . . . . . . . . . . . . S750

Congestion in chest . . . . . . . . . . . . . .. S475

Family planning, N.0.S.4 . . . . . . . . . . . X500

Abnormal appearance of eyas . . . . . . . . . S330

Upper respiratory infections except

tonsil litis . . . .. . . . . . . . . . . . . . . . .. D600

7,848

7,799

7,652

7,273

7,258

7,109

6,988

6,709

6,679

6,570

6,432

6,413

6,334

6,113

6,047

5,952

5,935

5,704

5,660

5,610

5,578

5,292

5,238

5,205

5,190

5,085

5,036

5,002

4,975

4,907

4,789

4,681

4,520

4,513

4,344

4,344

4,337

4,336

4,302

4,242

4,242

4,153

4,089

3,979

lNumber will not add to total visits because a reason may ba listed mora than once on one form. For example, S410, SinLISproblems, includes S410.1

(sinus headache) and S41 0.3 (sinus congestion).

‘See referance 1.

3An a“eraga a“nuaI number of mentions may ba obtained by dividing this numbar by two.

4N.o,s. = not otharwise specifiad; N.E. C. = not elsewhere classified.

32
Table 6. Number and percent of office visits, by selected Principal symptomatic reasons for visit and most frequent second-or third-listed reasons

for visit in the Symptom Module: United States, 1977-78

Principal reason for visit,

second- or third-listed reason

for visit, and R VC code q

Number

Percent of visits

in thou- Of

visits sands

Principal reason for visit,

second- or third-listed raason

for visit, and R VC code~

Number

Percent of visits

of in thouvisits sands

Fever . . . . . . . . . . . . . . . . . . . . . . . .. S010

Cough . . . . . . . . . . . . . . . . . . . . . . .S440

Symptoms referable to throat . . . . . . .S455

Vomiting . . . . . . . . . . . . . . . . . . . .. S530

Headcold . . . . . . . . . . . . . . . . . . ..S445

Nasal congestion . . . . . . . . . . . . . . ..S400

Headache,pain inhead . . . . . . . . . ..S210

Chills . . . . . . . . . . . . . . . . . . . . . ..so05

Pain and related symptoms, generalized,

siteunspecified . . . . . . . . . . . . . ..S060

Diarrhea . . . . . . . . . . . . . . . . . . . ..S595

General illfeeling . . . . . . . . . . . . . ..S025

Skin rash . . . . . . . . . . . . . . . . . . . ..S660

Earache . . . . . . . . . . . . . . . . . . . . ..S355

Tiradness,exhaustion. . . . . . . . . . . . . ..so15

Generalweakness . . . . . . . . . . . . . ..S020

Generalweakness . . . . . . . . . . . . . . . ..S020

Tiredness, exhaustion . . . . . . . . . . . .S015

Vertigo-dizzinass. . . . . . . . . . . . . . . .S225

Chest pain and related symptoms (not

referable toa body system) . . . . . . . . . . S050

Shortness of breath . . . . . . . . . . . . .. S415

Cough . . . . . . . . . . . . . . . . . . . . . .. S440

Backsymptoms . . . . . . . . . . . . . . .. S905

Armsymptoms . . . . . . . . . . . . . . . .. S945

Vertigo-dizziness. . . . . . . . . . . . . . . .S225

Pain and related symptoms, generalized

site unspecified . . . . . . . . . . . . . . . . .. S060

Fever . . . . . . . . . . . . . . . . . . . . . .. S010

Anxiety and nervousness . . . . . . . . . . . .S100

Depression . . . . . . . . . . . . . . . . . . .. S110

Disturbances ofsleap . . . . . . . . . . . . .S135

Depression . . . . . . . . . . . . . . . . . . . . .. S110

Anxiety and nervousness . . . . . . . . . . S100

Other symptoms or problems relating

to psychological and mental

disorders, N. E. C.2. . . . . . . . . . . . . .S165

Headache, pain in head . . . . . . . . . . . . .. S210

Vertigo-dizziness . . . . . . . . . . . . . . . . S225

Nasal congestion . . . . . . . . . . . . . . .. S400

Necksymptoms . . . . . . . . . . . . . . .. S900

Nausea . . . . . . . . . . . . . . . . . . . . .. S525

Fever . . . . . . . . . . . . . . . . . . . . . .. S010

Symptoms referable to throat . . . . . . .S455

Backsymptoms . . . . . . . . . . . . . . .. S905

Chest pain and related symptoms (not

referable to body system) . . . . . . . . . S050

Cough . . . . . . . . . . . . . . . . . . . . . . .S440

Disturbances of sensation . . . . . . . . . . . .S220

Hand and finger symptoms . . . . . . . . . S960

Arm symptoms . . . . . . . . . . . . . . . .. S945

Vertigo-dizziness . . . . . . . . . . . . . . . . . . S225

Headache, pain in head . . . . . . . . . . .S210

General weakness . . . . . . . . . . . . . .. S020

Vision dysfunctions . . . . . . . . . . . . . . . .s305

Abnormal sensations oftha eye . . . . . . S320

Abnormal sensations of the eya . . . . . . . . S320

Vision dysfunctions . . . . . . . . . . . . . . S305

Discharge from eye . . . . . . . . . . . . ..s310

Abnormal appearance of eyes . . . . . . . . . S330

Abnormal sensations of the eye . . . . . . S320

See footnotes at end of table.

18,039

3,408

2,549

1,187

1,107

642

775

674

520

446

440

413

407

8,026

521

5,745

703

482

18,081

817

754

432

368

340

4,545

399

12,078

1,495

796

9,081

995

440

18,342

1,272

634

567

552

544

498

443

407

349

3,344

606

338

11,342

845

510

15,824

425

5,888

477

338

2,408

728

100.0

18.9

14.1

6.6

6.1

4.7

4.3

3.7

2.9

2.5

2.4

2.3

2.3

100.0

6.5

100.0

12.2

8.4

100.0

4.5

4.2

2.4

2.0

1.9

100.0

8.8

100.0

12.4

6.6

100.0

11.0

4,8

100.0

6.9

3.5

3.1

3.0

3,0

2.7

2.4

2.2

1.9

100.0

18.1

10.1

100.0

7.5

4.5

100.0

2.7

100.0

8.1

5.7

100.0

30.3

Earache . . . . . . . . . . . . . . . . . . . . . . .. S355

Fader . . . . . . . . . . . . . . . . . . . . . .. S010

Symptoms referable to throat . . . . . . . S455

Hearing dysfunctions . . . . . . . . . . . . .S345

Cough . . . . . . . . . . . . . . . . . . . . . .. S440

Headcold . . . . . . . . . . . . . . . . . . .. S445

Nasal congestion . . . . . . . . . . . . . . . . .. S400

Cough . . . . . . . . . . . . . . . . . . . . . .. S440

Sneezing . . . . . . . . . . . . . . . . . . . .. S435

Headache, pain in head . . . . . . . . . . .S210

Symptoms referable to throat . . . . . . .S455

Shortness of breath . . . . . . . . . . . . . . .. S415

Chest pain and related symptoms (not

referable to body system) . . . . . . . . . S050

Cough . . . . . . . . . . . . . . . . . . . . . .. S440

Wheezing . . . . . . . . . . . . . . . . . . . .. S425

Lebored ordifficult braathing(dyspnea) . .S420

Cough . . . . . . . . . . . . . . . . . . . . . .. S440

Wheezing . . . . . . . . . . . . . . . . . . . . . .. S425

Cough . . . . . . . . . . . . . . . . . . . . . .. S440

Cough . . . . . . . . . . . . . . . . . . . . . . . .. S440

Fever . . . . . . . . . . . . . . . . . . . . . .. S010

Nasal congestion . . . . . . . . . . . . . . .. S400

Symptoms referable to throat . . . . . . . S455

Headcold . . . . . . . . . . . . . . . . . . .. S445

Chast pain and related symptoms (not

referable to body system) . . . . . . . . . S050

Wheezing . . . . . . . . . . . . . . . . . . . .. S425

Congestion in chest . . . . . . . . . . . . . .S475

Shortness of breath . . . . . . . . . . . . . .S415

Earache . . . . . . . . . . . . . . . . . . . . .. S355

Vomiting . . . . . . . . . . . . . . . . . . . .. S530

Abnormal itiesof sputum or phlegm . . . S470

Headacha, pain in head , . . . . . . . . . . S210

Head cold, upper respiratory infection

(coryza) . . . . . . . . . . . . . . . . . . . . .. S445

Cough . . . . . . . . . . . . . . . . . . . . . .. S440

Symptoms referable to throat . . . . . . . S455

Fever . . . . . . . . . . . . . . . . . . . . . .. S010

Nasal congestion . . . . . . . . . . . . . . .. S400

Earache . . . . . . . . . . . . . . . . . . . . .. S355

Symptoms referable to throat . . . . . . . . . S455

Fever . . . . . . . . . . . . . . . . . . . . . .. S010

Cough . . . . . . . . . . . . . . . . . . . . . .. S440

Earache . . . . . . . . . . . . . . . . . . . . .. S355

Headache, pain in head . . . . . . . . . . . S210

Nasel congestion . . . . . . . . . . . . . . .. S400

Headcold . . . . . . . . . . . . . . . . . . .. S445

Symptoms of lymph glands . . . . . . . . . S275

Pain and related symptoms,

generalized, site unspecified . . . . . . . S060

Vomiting . . . . . . . . . . . . . . . . . . . . . .. S530

Diarrhea . . . . . . . . . . . . . . . . . . . ..s595

Fever . . . . . . . . . . . . . . . . . . . . . .. S010

Abdominal pain, cramps, spasms . . . . . . . S550

Nausea . . . . . . . . . . . . . . . . . . . . .. S525

Diarrhea . . . . . . . . . . . . . . . . . . . ..s595

Back symptoms . . . . . . . . . . . . . . .. S905

Vomiting . . . . . . . . . . . . . . . . . . . .. S530

Diarrhea . . . . . . . . . . . . . . . . . . . . . .. S595

Vomiting . . . . . . . . . . . . . . . . . . . .. S530

19,100

770

658

618

519

606

11,052

1,190

606

516

492

6.474

497

457

366

3,348

389

2,987

531

29,059

3,742

2,585

2,485

2,174

1,202

740

726

479

476

439

404

386

21,145

3,662

1,387

1,191

586

449

34,884

3,743

3,225

1,280

1,272

906

865

546

503

3,726

1,003

571

17,567

642

631

442

417

4,647

390

100.0

4.0

3.4

3.2

2.7

2.6

100.0

10.8

5.5

4.7

4.5

100.0

7.7

7.1

5.7

100.0

11.6

100.0

17.8

100.0

12.9

8.9

8.6

7.5

4.1

2.5

2.5

1.6

1.6

1.5

1.4

1.3

100.0

17.3

6.6

5.6

2.8

2.1

100.0

10.7

9.2

3.7

3.6

2.6

2.5

1.6

1.4

100.0

26.9

15.3

100.0

4.8

3.6

2.5

2.4

100.0

8.1

33
Table6. Number and percent of of ficevisits, by selected principal symptomatic reasons forvisit andmost frequent second- orthird-listed reasons

forvisit in the Symptom Module: United States, 1977-78–Con.

Principal reason for visit, Number Percent Principal reason for visit, Number Percent of visits second- or third-listed reason of second- or third-listed reason of visits

in thou- Of

for visit, and R VC code 1 visits for visit, and R VC code 7

in thou- visits sands sands

painful urination . . . . . . . . . . . . . . . . .. S650

Frequency and urgency of

urination . . . . . . . . . . . . . . . . . . .. S645

Vaginal discharge . . . . . . . . . . . . . . . .. S760

Other vaginal symptoms . . . . . . . . . S765

Other vaginal symptoms . . . . . . . . . . . . S765

Vaginal discharge . . . . . , . . . . . . . S760

Skin rash . . . . . . . . . . . . . . . . . . . . . ..s860

Skin irritations . . . . . . . . . . . . . . . .. S370

Fever . . . . . . . . . . . . . . . . . . . . . .. S010

Skin irritations . . . . . . . . . . . . . . . . . .. S870

Skin rash . . . . . . . . . . . . . . . . . . . .. S860

Neck symptoms . . . . . . . . . . . . . . . . .. S900

Backsymptoms . . . . . . . . . . . . . . .. S905

6,468 100.0 Shoulder symptoms. . . . . . . . . . . . . .S940 1,005 10.3

Headache, pain in head . . . . . . . . . . .S210 528 5.4

841 15.4 Arm symptoms . . . . . . . . . . . . . . . .. S945 458 4.7

3,939 100.0 Back symptoms . . . . . . . . . . . . . . . . .. S905 22,507 100.0

680 17.3 Neck symptoms . . . . . . . . . . . . . . .. S900 803 3,6

4,481 100.0 Hipsymptoms . . . . . . . . . . . . . . . .. S915 541 2.4

382 8.5 Low back svmmoms . . . . . . . . . . . . . .. S910 9,644 100.0

20,053

794

387

4,470

873

9,714

1,185

100.0 Leg symptoms .

4.0 Hip symptoms . . .

1.9 Leg symptoms .

100.0 Shoulder symptoms

19.5 Neck symptoms

100.0 Arm symptoms .

12.2

. . . . . . . . . . . . . . . . S920 1;041 10.8

. . . . . . . . . . . . . . . . S915 3,747 100.0

. . . . . . . . . . . . . . . . S920 481 12.8

. . . . . . . . . . . . . . . . S940 8,706 100.0

. . . . . . . . . . . . . . . . S900 367 4.2

. . . . . . . . . . . . . . . . S945 356 4.1

lSee reference 1.

2N. E. C.= n~tel$e~herecia~~ified,

34
Table7. Number andpercent distribution of selected principal reesonsforvisitl byproblem status; andreturn visit rate: United States,

1977-78

Total New problem visits Return visits

Return

Rank Principal raason for visit and R VC code2 Number Percent Number Percent Number Percent visit

of visits distri- in thou- distri- in thou- distri- rate3

in thou- bution sands bution

sands sands bution

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

All visits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Symptoms referable tothroat . . . . . . . . . . . . . . . .s455

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440

General madical examination . . . . . . . . . . . . . . . .XIOO

Headcold, upper respiratory infection (coryza) . . . .S445

Skinrash . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S660

Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S010

Earacherorearinfection . . . . . . . . . . . . . . . . . ..S355

Abdominal pain,cramps, spasms . . . . . . . . . . . . . .S550

Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . ..S905

Headache,pain inhead . . . . . . . . . . . . . . . . . . ..S210

Chast pain and related symptoms (not referable

tobodysystem) . . . . . . . . . . . . . . . . . . . . . ..S050

Vision dysfunctions . . . . . . . . . . .. . . .. . . . . ..s30EI

Prenatal examination, routine. . . . . . . . . . . . . . ..X205

Physical examination required for employment . . . .AIOO

Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . ..S900

Legsymptoms . . . . . . . . . . . . . . . . . . . . . . . . ..S920

Well babyexamination . . . . . . . . . . . . . . . . . . . . XI05

Knea symptoms . . . . . . . . . . . . . . . . . . . . . . . ..S925

Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . ..S225

Foot andtoesymptoms . . . . . . . . . . . . . . . . . ..S935

Shoulder symptoms . . . . . . . . . . . . . . . . . . . . ..S940

Nasalcongestion . . . . . . . . . . . . . . . . . . . . . . ..S400

Pain, site not referable toa specific body system . . .S055

Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . ..S865

Eyeexamination . . . . . . . . . . . . . . . . . . . . . . ..X230

Gynecological examination . . . . . . . . . . . . . . . . .X225

Low backsymptoms . . . . . . . . . . . . . . . . . . . . ..S910

Stomach pain, cramps,spasms . . . . . . . . . . . . . . .S545

Abnormal sensationsof the aye . . . . . . . . . . . . . .S320

Physical examination required for school . . . . . . . .AIIO

Prophylactic inoculations . . . . . . . . . . . . . . . . . .X400

Diarrhea . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. S595

Handand finger symptoms . . . . . . . . . . . . . . . .. S960

Painful urination . . . . . . . . . . . . . . . . . . . . . . .. S650

Other vaginal symptoms . . . . . . . . . . . . . . . . . .. S765

Skin irritations, N. E.C.4 . . . . . . . . . . . . . . . . . . .S870

Nausea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S525

Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S530

Symptoms referable toanus-ractum . . . . . . . . . . ..S605

Papsmear . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X365

Pregnancyrunconfirmed . . . . . . . . . . . . . . . . . ..X200

Tiredness,axhaustion . . . . . . . . . . . . . . . . . . . . .so15

Postoperativevisit . . . . . . . . . . . . . . . . . . . . . ..T205

Hearing dysfunctions . . . . . . . . . . . . . . . . . . . . . S345

Uterineandvaginal bleeding . . . . . . . . . . . . . . . ..S755

Lump ormass ofbreast . . . . . . . . . . . . . . . . . . ..S805

Anxiety andnewousness . . . . . . . . . . . . . . . . . ..sIoo

Lacerations and cu&. upper extremity . . . . . . . . . . J225

Swelling ofskin . . . . . . . . . . . . . . . . . . . . . . . ..S875

Vaginal discharge . . . . . . . . . . . . . . . . . . . . . . ..S760

Suture-insertion, removal . . . . . . . . . . . . . . . . . ..T555

Arm symptoms . . . . . . . . . . . . . . . . . . . . . . . ..S945

Physical examination for extracurricular activities . .AI15

Family planning, N.0.S.4 . . . . . . . . . . . . . . . . .. X500

Acne or pimples . . . . . . . . . . . . . . . . . . . . . . . .. S830

Weight gain . . . . . . . . . . . . . . . . . . . . . . . . . . ..s040

Warts, N.0.S.4 . . . . . . . . . . . . . . . . . . . . . . . . .. S850

Appetite, abnormal . . . . . . . . . . . . . . . . . . . . .. J570

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . .. D510

Pain and related symptoms, generalized, site

unspecified . . . . . . . . . . . . . . . . . . . . . . . . . .. S060

Flu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S450

1,154,550

34,884

29,059

59,115

21,145

20,053

18,039

19,100

17,567

22,507

18,342

18,081

15,824

40,394

6,119

9,714

10,475

13,726

10,809

11,342

8,550

8,706

11,052

6,301

7,455

11,952

13,262

9,644

6,407

5,888

4,741

8,152

4,847

6,262

5,468

4,481

4,470

4,454

3,726

4,426

7,631

3,254

8,026

29,674

4,772

4,196

4,199

12,078

3,746

3,113

3,939

6,095

4,261

3,087

3,549

10,239

12,494

4,492

3,271

15,973

4,545

2,968

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

459,181

23,566

17,384

16,389

14,180

13,877

13,028

11,118

9,978

9,038

8,682

7,874

6,744

6,389

5,064

4,763

4,595

4,555

4,542

4,393

4,382

4,218

4,088

4,066

3,950

3,830

3,774

3,750

3,687

3,610

3,499

3,296

3,217

3,194

3,015

2,876

2,841

2,825

2,785

2,674

2,670

2,662

2,639

2,601

2,570

2,559

2,441

2,436

2,426

2,411

2,396

2,369

2,331

2,313

2,255

2,197

2,136

2,118

2,114

2,114

2,058

1,943

39.8

67.6

59.8

27.7

67.1

69.2

72.2

58.2

56.8

40.2

47.3

43.6

42.6

15.8

82.8

49.0

43.9

33.2

42.0

38.7

51.3

48.5

37.0

64.5

53.0

32.1

28.5

38.9

57.5

61.3

73.8

40.4

66.4

51.0

55.1

64.2

63.6

63.4

74.8

60.4

35.0

81.8

32.9

8.8

53.9

61.0

58.1

20.2

64.8

77.5

60.8

38.9

54.7

74.9

63.5

21.5

17.1

47.2

64.6

13.2

45.3

65.5

695,369

11,319

11,675

42,726

6,966

6,176

5,012

7,982

7,590

13,470

9,660

10,207

9,080

34,005

1,055

4,951

5,880

9,171

6,267

6,849

4,167

4,487

6,964

2,236

3,505

8,122

9,487

5,894

2,721

2,278

1,242

4,856

1,630

3,068

2,453

1,604

1,629

1,629

941

1,752

4,961

592

5,387

27,073

2,202

1,637

1,758

9,643

1,320

702

1,543

3,726

1,930

774

1,294

8,042

10,358

2,374

1,156

13,859

2,487

1,026

60.2

32.5

40.2

72.3

32.9

30.8

27.8

41.8

43.2

59.9

52.7

56.5

57.4

84.2

17.2

51.0

56.1

66.8

58.0

61.3

48.7

51.6

63.0

35.5

47.0

68.0

71.5

61.1

42.5

38.7

26.2

59.6

33.6

49.0

44.9

35.8

36.4

36.6

25.3

39.6

65.0

18.2

67.1

91.2

46.2

39.0

41.9

79.8

35.2

22.6

39.2

61.1

45.3

25.1

36.5

78.5

82.9

52.9

35.4

86.8

54.7

34.6

1.51

0.48

0.67

2.61

0.49

0.45

0.38

0.72

0.76

1.49

1.11

1.30

1.35

5.32

0.21

1.04

1.28

2.01

1.38

1.58

0.95

1.06

1.70

0.55

0.89

2.12

2.51

1.57

0.74

0.63

0.35

1.47

0.51

0.96

0.81

0.56

0.57

0.58

0.34

0.66

1.86

0.22

2.04

10.41

0.86

0.64

0.72

3.96

0.54

0.29

0.64

1.57

0.83

0.33

0.57

3.66

4.85

1.12

0.55

6.56

1.21

0.53

See footnotes at and of table.

35
Table7. Number andpercent distribution of selected principal reasons forvisitl byproblem status; andreturn visit rate: United States,

1977-78–Con.

Total New problem visits Return visits

Return

Rank Principal reason for visit and R VC code2 Number Percent Number Percent Number Parcent visit

of visits distri- in thou- distri- in thou- distriin thourate3

bution sands bution sands bution

sands

62

63

64

65

66

67

68

69

70

71

72

73

74

75

76

77

78

79

80

81

82

83

84

85

86

87

88

89

90

91

92

93

94

95

96

97

98

99

100

101

102

103

104

105

106

107

108

109

110

111

112

113

114

115

116

117

118

119

120

121

122

123

124

125

Frequancy and urgency of urination . . . . . . . . S645

Blood pressure test . . . . . . . . . . . . . . . . . . . . . .. X320

Other diseaeasofthe skin . . . . . . . . . . . . . . . . .. D825

Other growths of skin . . . . . . . . . . . . . . . . . . . .. S855

Disturbances of sensation . . . . . . . . . . . . . . . . . . S2Z0

Abnormal appearance of eyes . . . . . . . . . . . . . . . S330

Plugged feeling in ear . . . . . . . . . . . . . . . . . . . .. S360

Other symptoms referable to the ears, N. E.C.4 . . . . S365

Other symptoms ofnoea . . . . . . . . . . . . . . . . . .. S405

Symptoms of skin moles . . . . . . . . . . . . . . . . . .. S845

Congestion incheet . . . . . . . . . . . . . . . . . . . . .. S475

Ankle symptoms . . . . . . . . . . . . . . . . . . . . . . .. S930

General weakness . . . . . . . . . . . . . . . . . . . . . . .. S020

Insurance examination . . . . . . . . . . . . . . . . . . .. A125

Other symptoms referable to aye, N. E.C.4 . . . . . . . S335

Contraceptive device . . . . . . . . . . . . . . . . . . . . .. X510

Foreign body: eye . . . . . . . . . . . . . . . . . . . . . .. J600

Symptoms of eyelids . . . . . . . . . . . . . . . . . . . .. S340

Discoloration or pigmentation . . . . . . . . . . . . . , . S835

Sinus problems . . . . . . . . . . . . . . . . . . . . . . . ..s410

Shortness of breath . . . . . . . . . . . . . . . . . . . . .. S415

Hip symptoms . . . . . . . . . . . . . . . . . . . . . . . . .. S915

Postpartum examination . . . . . . . . . . . , . . .X215

General ill feeling . . . . . . . . . . . . . . . . . . . . . . .. S025

Labored or difficult braathing (dyspnea) . . . . . . . . S420

Symptoms referable to mouth . . . . . . . . . . . . . . S510

Infections of skin, N.0.S.4 . . . . . . . . . . . . . . . . . S840

Accident, N.0.S.4 . . . . . . . . . . . . . . . . . . . . . .. J810

Symptoms of fluid abnormalities . . . . . . . . . . . . . S035

Elbow symptoms . . . . . . . . . . . . . . . . . . . . . . .. S950

Symptoms of lymph glands (or nodes) . . . . . . . . . . S275

Absence of menstruation (amenorrhea) . . . . . . . S730

Upper respiratory infections except tonsillitis . . . . , D600

Counseling, N.0.S.4 . . . . . . . . . . . . . . . . . . . . .. T605

Injury, type unspecified: foot and toe(s) . . . . . . . . J545

Wrist symptoms . . . . . . . . . . . . . . . . . . . . . . ...5955

Discharge from eye . . . . . . . . . . . . . . . . . . . . . .. S310

Hernia of abdominal cavity . . . . . . . . . . . . . . . . D660

Carbuncle, furuncle, boil, cellulitis, abscess,

N. E. C.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D800

Premarital axarnination . . . . . . . . . . . . . . . . . . . .A135

Bites: insect . . . . . . . . . . . . . . . . . . . . . . . . . .. J755

Pain orsoreness of breast . . . . . . . . . . . . . . . . . .. S800

Injury, type unspecified: head, neck, and face . . . . . J505

Irregularity of menstrual interval . . . . . . . . . . . . . . S735

Disorders of voice . . . . . . . . . . . . . . . . . . . . . . .S480

Menstrual symptoms, other and unspecified . . . . . S745

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . .. S110

Diet and nutritional counseling . . . . . . . . . . , . . , T600

Abnormal pulsations and palpitations . . . . . . . . . . S260

Abnormal ities of urine . . . . . . . . . . . . . . . . . . .. S640

Other symptoms referable to skin . . . . . . . . . . . . . S880

Symptoms of scrotum and testes . . . . . . . . . S715

Bites: animal, human . . . . . . . . . . . . . . . . . . . .. J76O

Fitting glasses and contact lenses . . . . . . . . . . . . , T51 5

Contraceptive medication . . . . . . . . . . , . . , . . . . X505

Fainting (syncope) . . . . . . . . . . . . . . . . . . . . . .. S030

Injury, type unspecified: eye . . . . . . . . . . . . . . . J510

Allergy rN.0.S.4 . . . . . . . . . . . . . . . . . . . . . . .. S090

General symptoms of infants, N. E.C.4 . . . . . . . . S080

Injury, type unspecified: back . . . . . . . . . . . . . . . J515

Symptoms of the bladder . . . . . . . . . . . . . . . . .. S665

Motor vehicle accident, typa of injury unspecified . . J805

Progress visit, N.0.S.4 . . . . . . . . . . . . . . . . . . . .. T800

Wheezing . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S425

4,340

23,696

3,544

3,153

3,342

2,408

3,398

5,224

2,858

2,070

2,859

3,397

5,747

1,711

2,687

2,566

1,872

2,322

2,329

3,520

6,474

3,747

4,114

2,833

3,348

1,779

2,059

1,697

2,684

2,473

1,795

1,745

2,810

2,596

1,444

2,275

1,592

2,364

2,252

1,132

1,103

1,718

1,558

1,793

1,675

1,566

9,081

4,826

3,187

1,908

1,913

1,494

1,069

2,954

1,833

1,466

1,130

6,402

1,153

1,247

1,564

1,690

17,115

2,987

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

1,928

1,647

1,825

1,798

1,737

1,719

1,690

1,670

1,653

1,624

1,602

1,600

1,576

1,555

1,550

1,531

1,531

1,512

1,422

1,401

1,373

1,366

1,356

1,318

1,296

1,295

1,279

1,268

1,256

1,246

1,239

1,231

1,188

1,152

1,139

1,133

1,107

1,083

1,061

1,046

983

981

977

976

976

975

971

964

946

944

922

910

888

684

849

848

831

816

814

808

805

795

790

44.4

7.8

51.5

57.0

51.9

71.4

49.7

32.0

57.8

78.5

56.0

47.1

27.4

90.9

57.7

59.7

81.8

65.1

61.1

39.8

21.2

36.5

33.0

46.5

38.7

72.8

62.1

74.8

46.8

50.4

69.0

70.6

42.3

44.4

78.9

49.8

69.6

45.8

47.1

92.4

89.2

57.1

62.7

54.4

58.2

62.3

10.7

20.0

29.7

49.5

48.2

60.9

83.1

30.1

48.2

57.9

75.1

13.0

70.8

65.3

51.7

47.6

4.7

26.5

2,212

21,849

1,719

1,355

1,607

689

1,708

3,554

1,206

446

1,257

1,797

4,170

*152

1,137

1,034

341

810

906

2,118

5,101

2,381

2,758

1,516

2,052

484

779

428

1,428

1,227

556

513

1,622

1,444

’305

1,141

485

1,280

1,191

*87

*120

737

582

817

700

591

8,111

3,862

2,241

964

991

584

*180

2,065

949

617

’282

5,571

*337

433

756

885

16,320

2,197

55.6

92.2

48.5

43.0

48.1

28.6

50.3

68.0

42.2

21.6

44.0

52.9

72.6

*9.1

42.3

40.3

18.2

34.9

38.9

60.2

78.8

63.5

67.0

53.5

61.3

27,2

37.9

25.2

53.2

49.6

31.0

29.4

57.7

55.6

*21.1

50.2

30.5

54.2

52.9

*7.7

*10.9

42.9

37.3

45.6

41.8

37.7

89.3

80.0

70.3

50.5

51.8

39.1

*16.9

69.9

51.8

42.1

*24.9

87.0

*29.2

34.7

48.3

52.4

95.4

73.6

1.15

11.83

0.94

0,75

0.93

0.40

1.01

2.13

0,73

0.28

0.27

1,12

2.65

*0. I o

0.73

0.68

0.22

0.54

0.64

1.51

3.72

1,74

2.03

1.15

1.58

0.37

0.61

0.34

1.14

0.98

0.45

0.42

1.37

1.25

“0.27

1.01

0.44

1.18

1.12

‘0.08

“0.12

0.75

0.60

0.84

0.72

0.61

8.35

4.01

2.37

1.02

1.07

0.64

*0.20

2.33

1.07

0.73

‘0.33

6.70

‘0.41

0.53

0.94

1.10

20.53

2.78

See footnotes at end of table.

36
Table 7. Number and percent distribution of selected principal reasons for visitq by problem status; and return visit rate: United States,

1977-78–Con.

Total New problem visits Return visits

Return

Rank Principal reason for visit and R VC code2 Number Percent Number Percent Number Percent visit

of visits distri- in thou- distri- in thou- distriin thourate3

bution sands bution

sands

sends bution

126

127

128

129

130

131

132

133

134

135

136

137

138

139

140

141

142

143

144

145

146

147

148

149

150

151

152

153

154

155

156

157

158

159

160

161

162

163

164

165

166

167

Arthritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D900

Pelvic symptoms . . . . . . . . . . . . . . . . . . . . . . .. S775

Other symptoms referable todigastive system . . . . .S615

Incontinenceof urine (enuresis) . . . . . . . . . . . . ..S655

Sprainsandstrairws ankle . . . . . . . . . . . . . . . . ..J120

Burnsrall degrees: extremities . . . . . . . . . . . . . . . J715

Injury, type unspacified: ankle . . . . . . . . . . . . . ..J540

Viral diseases . . . . . . . . . . . . . . . . . . . . . . . . . ..DO15

Hemorrhoids . . . . . . . . . . . . . . . . . . . . . . . . . ..D545

Irregularityof menstrual flow.. . . . . . . . . . . . . . .S740

Urinary tract infection, N.0.S.4 . . . . . . . . . . . . ..S675

Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIIO

Constipation . . . . . . . . . . . . . . . . . . . . . . . . . ..S590

Tumor ormass,siteunspecified . . . . . . . . . . . . ..S065

Preoperative visit for specified and unspecified

types of surgery . . . . . . . . . . . . . . . . . . . . . .. T200

Lacerations and cuts Iower extremity . . . . . . . . . . J220

Other urinary dysfunctions . . . . . . . . . . . . . . . . .S660

Injury, typeunspecified: knee . . . . . . . . . . . . . . . J535

Lacerations andcutx facial area . . . . . . . . . . . . . . J210

Discharge from ear . . . . . . . . . . . . . . . . . . . . . .. S350

Difficulty inswallowing (dysphasia) . . . . . . . . . . .S520

Symptoms of penis . . . . . . . . . . . . . . . . . . . . . .. S700

Lacerations and cuts head and neck area . . . . . . . . J205

For cytology findings . . . . . . . . . . . . . . . . . . . .. R300

Symptoms of unspecified joints . . . . . . . . . . . . . .S970

Chills . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S005

Minor surgery . . . . . . . . . . . . . . . . . . . . . . . . .. T520

Vulvardisorders . . . . . . . . . . . . . . . . . . . . . . . .. S770

Forother andunspecified test rasults. . . . . . . . . . .R700

General or unspecified infection . . . . . . . . . . . . . .S085

Symptoms referabla to hair and scalp . . . . . . . . . . . S890

Driver’s license examination . . . . . . . . . . . . . . . . . A120

Tonsil litis . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D605

Heartburn and indigestion (dyspapsia) . . . . . . . . . . S535

Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . .. D205

Musculoskelatal deformities . . . . . . . . . . . . . . . . . S975

Menopausal symptoms . . . . . . . . . . . . . . . . . . .. S750

Weight less . . . . . . . . . . . . . . . . . . . . . . . . . . .. S045

Disturbances ofsleap . . . . . . . . . . . . . . . . . . . .. S135

Other reason for visit required by party other than

the patient or the health care provider . . . . . . . . . A140

Convulsions . . . . . . . . . . . . . . . . . . . . . . . . . .. S205

Symptoms referable to nails . . . . . . . . . . . . . . . . . S885

5,259

1,762

1,998

1,681

1,156

1,638

1,037

2,486

1,478

1,282

1,787

5,861

1,101

1,244

2,156

1,006

2,154

1,145

1,086

1,573

1,234

1,279

776

1,273

3,543

857

1,153

995

2,574

1,161

1,310

923

972

1,254

8;981

1,158

2,842

1,225

1,526

980

1,770

1,082

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

787

782

780

780

779

777

774

770

758

755

745

744

734

732

727

725

694

688

684

670

648

625

622

619

617

613

586

584

583

580

576

573

566

565

564

563

562

555

547

540

527

15.0

44.4

39.1

46.4

67.4

47.4

74.6

31.0

51.3

58.9

41.7

12.7

66.7

58.9

33.7

72.1

32.2

60.1

62.9

42.6

53.4

50.7

80.5

48.9

17.5

72.0

53.2

58.9

22.7

50.2

44.3

62.4

59.0

45.1

6.3

48.7

19.8

45.9

36.4

55.8

30.5

48.7

4,471

980

1,218

902

377

862

●264

1,717

721

526

1,041

5,117

367

512

1,429

’280

1,460

457

403

902

575

631

*151

651

2,925

* 240

540

409

1,991

578

730

347

399

688

8,415

594

2,279

663

971

433

1,230

555

85.0

55.6

61.0

53.6

32.6

52.6

*25.4

69.0

48.8

41.1

58.3

87.3

33.3

41.1

66.3

●27.9

67.8

39.9

37.1

57.4

46.6

49.3

*19.5

51.2

82.5

* 28.0

46.8

41.1

77.3

49.8

55.7

37.6

41.1

54.9

93.7

51.3

80.2

54.1

63.6

44.2

69.5

51.3

5.68

1.25

1.56

1.16

0.48

1.11

*0.34

2.23

0.95

0.70

1.40

6.88

0.50

0.70

1.97

“0.39

2.10

0.66

0.59

1.35

0.87

0.97

“0.24

1.05

4.73

“0.39

0.88

0.70

3.41

0.99

1.26

0.60

0.70

1.22

14.89

1.05

4.05

1.18

1.75

0.79

2.28

1.05

1 Ranked by frequency of new problem visits.

Zsee reference I .

3,4 rata Ie.SSthan 1.Qo indicates that new problem ViSitS exceeded return Visits.

4N.o.S. = not otherwise specified; N.E.C. = not elsewhere classified.

37
Table 8. Average annual rate of office visits per 1,000 population, by location of physician’s practice and principal reason for visit in the

Symptom Module: United States, 1977-78

Principal reason for visit and R VC codeq

Geographic region Area

A II

/oca- North- North Metro- Nontions east Central South West politan2 metropolitan

General symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S001-S099

Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S010

Tiredness,exhaustion . . . . . . . . . . . . . . . . . . . . . . . . .,, . . ..soI5

Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S040

Chest pain and related symptoms (not referable to

bodysystem) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S050

Pain, site notreferable toaspecific body system . . . . . . . . . . . . . S055

Pain andrelated symptoms, general ized, site unspecified . . . . . S060

Allergy, N.0.S.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S090

Another general symptoms . . . . . . S005, S020-S035, S045,S065-S085,

S095

Symptoms referable topsy chological and mental disorders . . . . . S100S199

Anxiety and nervousness.. . . . . . . . . . . . . . . . . . . . . . . . . . ..S100

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110

Another symptoms referable to psychological and mental

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S105.S115-S165

Symptoms referable tothe nervous system (excluding sense

organs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S200-S259

Headache,pain inhead . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S210

Disturbancesof sensation.. . . . . . . . . . . . . . . . . . . . . . . . . . ..s2z0

Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S225

Another symptoms referable tothenewous system (excluding

sense organs) . . . . . . . . . . . . . . . . . . .S200-S205,S215, S230-S240

Symptoms refereble to the cardiovascular and lymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S260-S299

Abnormal pulsations and palpitations . . . . . . . . . . . . . . . . . . .S260

All other symptoms referable to the cardiovascular and

Lymphatic systems . . . . . . . . . . . . . . . . . . . . . . . . . . . .S265-S280

Symptoms referable totheeyes andears . . . . . . . . . . . . . . . . . S300-S399

Vision dysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305

Abnormal sensationsoftheeye . . . . . . . . . . . . . . . . . . . . . . . ..S320

Another symptoms referable to the eyes . . . . S310-S315, S325-S340

Hearingdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S345

Earache, orearinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S355

All other symptoms referable tothe ears . . . . . . . .S350,S360-S365

Symptoms referable to the respiratory system . . . . . . . . . . . . . S400-S499

Nasal congestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S400

Shortness ofbreath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S415

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440

Head cold, upper respiratory infection (coryza) . . . . . . . . . . .S445

Symptoms referable tothroat. . . . . . . . . . . . . . . . . . . . . . . . ..S455

All other symptoms ofthe respiratory system . . . . . . . . . .S405-S410,

S420-S435,S450, S460-S485

Symptoms referable to the digestive system . . . . . . . . . . S500-S639

Nausea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S525

Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S530

Stomach pain,cramps, andspasms . . . . . . . . . . . . . . . . . . . . . ..S545

Abdominal pain,cramps,spasms . . . . . . . . . . . . . . . . . . . . . . ..S550

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S595

Another symptoms referable tothe digestive system . . . . . .S500-S520,

S535-S540, S565-S590, S600-S61 5

See footnotes at end of table.

222.2

42.5

18.9

29.5

42.6

14.9

10.7

15.1

48.0

72.9

28.5

21.4

23.0

87.9

43.2

7.9

26.7

10.0

16.5

7.5

9.0

156.1

37.3

13.9

24.6

11.3

45.0

24.0

297.5

26.1

15.3

68.5

49.9

82.3

55.5

130.1

10.5

8.8

15.1

41.4

11.4

42.8

223.3

37.7

22.7

29.4

48.0

15.0

10.4

15.8

44.2

105.3

38.4

29.5

37’.4

93.9

47.1

7.8

28.1

10.8

16.6

7.9

8.7

168.0

45.5

16.8

26.8

12.5

43.7

22.7

311.7

34.1

16.5

78.2

48.0

80.3

54.5

128.6

8.1

6.1

14.4

43.0

11.6

45.4

Visit rate per 1,000 population

196.2

37.6

26.1

14.6

38.4

12.6

11.7

15.4

39.9

49.6

20.0

16.6

13.0

80.1

38.6

7.6

23.5

10.4

18.1

7.8

10.2

135.1

30.6

12.3

19.3

8.5

42.1

22.3

284.2

19.2

9.7

66.5

48.9

88.7

51.1

122.5

9.8

6.8

16.1

37.8

10.0

42.0

226.3

53.7

9.7

22.9

46.2

16.9

10.3

12.5

54.1

62.1

27.1

17.8

17.2

85.3

40.6

7.9

27.8

9.0

16.3

7.4

8.9

140,6

29.9

9.3

18.8

12.2

44.4

26.0

283.3

22.1

17.9

60.0

51.4

75.3

56.5

129.5

12.5

12.4

16.1

39.2

11.4

38.0

254.9

36.0

20,2

64.8

35.8

14.5

10.5

18.7

54.2

87.2

31.3

25.1

30.8

97.4

50.5

8.3

28.2

10.4

14.7

6.7

8.0

203.0

50.9

21.2

40.8

12.3

52.8

24.9

328.0

33.5

17.3

75.3

51.2

88.5

62.1

145.6

11.0

8.8

12.8

49.3

13.6

50.1

240.4

43.4

21.8

39.3

45.3

14.6

11.7

13.6

50.7

93.9

35.1

28.7

30.1

95.9

46.5

9.3

28.3

11.8

18,2

9.2

8.9

169.6

45.1

14.7

28.7

12.0

44.0

25.1

313.2

30.9

16.6

73.7

48.6

83.5

59.8

136.7

9.3

8.2

14.4

46.0

12.6

46.2

183.3

40.9

12.7

8.2

36.9

15.5

8.5

18.4

42.1

27.4

14.1

5.5

7.8

70.8

36.3

4.8

23.5

6.1

13.1

3.8

9.2

127.3

20.6

15.8

12.1

9.6

47.4

21.9

264.1

15.6

12.4

57.5

52.6

79.8

46.3

116.1

13.1

10.1

16.7

31.6

9.0

35.6

38
Table8. Averaga annual rate ofoffice visits per 1,000 population, by location of physicianrs practice andprincipal reason forvisit in the

Symptom Module: United States, 1977-78–Con.

Principal reason for visit and R VC codel

Geographic region Area

All

loca- North- North Metro- Nontions east Central South West politan2 metropolitan

Visit rate per 1,000 population

Symptoms referabla to the ganitourinary system . . . . . . . . . . . S640-S829

Frequency and urgancy of urination . . . . . . . . . . . . . . . . . . . . . S645

Painful urination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S650

Symptoms of male reproductive system . . . . . . . . . . . . . . . S700-S720

Absance of menstruation (amenorrhea) . . . . . . . . . . . . . . . . . . . S730

Irregularity of menstural interval . . . . . . . . . . . . . . . . . . . . . . . . S735

Irregularity of menstrual flow..... . . . . . . . . . . . . . . . . . . . .. S740

Menstrual symptoms, other and unpacified . . . . . . . . . . . . . . . . S745

Menopausal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s750

Uterine andveginal bleeding . . . . . . . . . . . . . . . . . . . . . . . . . .. S755

Vaginal discharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S760

Other vaginal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S765

Pelvic symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S775

pain orsoreness of breast . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S800

Lumpormass of breast . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S805

All other symptoms referable to the ganitourinary

system . . . . . . . . . . . S640, S655-S680, S770, S790-S795, S81 0-S825

Symptoms refarable to the skin, nails, and hair . . . . . . . . . . . . . S830-S899

Acneorpimples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S830

Warts, N.0.S.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S850

Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S860

Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S865

Skin irritations, N. E.C.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S870

All other symptoms referabla to the skin, nails, and

hair . . . . . . . . . . . . . . . . . . . . . . . . .. S835-S845. S855. S875-S895

Symptoms referable tothemusculoskeletal system . . . . . . . . . . S900-S999

Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S900

Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S905

Low backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S910

Hip symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s915

Leg symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S920

Kneasymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S925

Footandtoesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S935

Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S940

Arm symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S845

Hand andfingersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . ..S960

All other symptoms referable to the musculoskaletal

system . . . . . . . . . . . . . . . . . . . . . . ..S930.S950-S955,S965-S980

139.1

10.2

12.9

11.0

4.1

4.2

3.0

3.7

6.7

9.9

9.3

10.6

4.2

4.1

9.9

35.3

151.1

24.2

10.6

47.3

17.6

10.5

40.9

256.8

22.9

53.1

22.7

8.8

24.7

25.5

20.2

20.5

10.0

14.8

33.6

130.1

10.7

10.7

12.1

7.1

3.8

3.7

4.0

4.4

9.0

8.8

8.4

4.3

2.8

8.1

32.2

150.3

22.9

10.7

47.9

18.3

9.8

40.7

254.3

26.3

48.3

24.0

6.3

27.9

23.7

18.5

21.8

11.2

14.1

32.2

126.8

10.0

12.1

9.8

2.3

3.7

2.0

2.6

6.1

10.0

9.4

11.4

3.6

4.3

10.4

29.0

143.8

22.7

11.7

51.7

13.4

8.9

35.4

244.3

20.2

49.6

21.3

2::;

24.0

20.7

18.1

10.3

15.9

34.0

133.8

9.0

14.0

9.7

3.1

4.8

2.8

4.6

7.0

9.1

9.4

8.6

3.9

4.5

10.5

32.7

140.8

21.5

8.5

43.5

19.4

10.4

37.5

246.4

20.5

57.4

22.0

9.4

23.2

22.8

18.9

18.2

8.8

13.1

32.1

180.6

12.4

15.0

14.0

4.9

4.4

4.1

3.4

10.0

12.5

9.5

15.8

5.3

4.5

10.4

54.5

183.4

33.1

12.7

47.1

19.8

14.3

56.5

300.5

27.3

56.9

24.8

12.2

27.5

35.1

24.1

27.1

10.4

17.3

37.7

154.9

12.1

14.1

12.7

5.1

4.7

3.2

3.6

7.5

10.6

10.7

11.6

4.6

3.6

10.5

40.3

169.9

31.1

11.4

52.3

18.4

11.8

44.9

287.7

25.6

58.9

28.3

10.5

26.9

29.1

21.3

22.6

10.5

15.9

38. ‘1

105.1

6.2

10.3

7.4

2.0

3.2

2.5

4.0

5.1

8.4

6.1

8.3

3.1

4.9

8.7

24.6

110.7

9.2

8.9

36.5

15.9

7.8

32.3

190.5

17.1

40.6

10.8

5.3

20.0

17.8

17.7

16.1

9.1

12.3

23.8

lSee reference 1.

2L~ce~J~n ~ithjn the smndard metrop~litan steti~tica[ areas (SMS~s).

3Rate~are be~d on en average of estimate~~f thecivilien noninstitutionelized population of the United States for July 1, 1977 and .lulyl, 1978,

furnished bythe U.S. Bureau of the Census (seeappendix l).

4N.o.s. = nototherwise specified; N. E.C.= not elsewhereclassified.

39
Tabie9. Average annual rate of office visits perl,OOO population, bylocation ofphysician's practice and principal reason forvisit in the Disease,

injuries and Adverw Effects, Test Results, and Administrative Modules United States, 1977-78

Geographic region Area

All

Principal reason for visit and R VC code q loca- North- North Metro- Nontions east Central South West politan2 metropolitan

Disease Module

Infective and parasitic diseases . . , . . . . . . . . . . . . . . . . . . DOOI-D099

Viral diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., DO15

Another infective and parasitic diseases . . . . .DO05-D010, DO2O-DO35

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIOO-D199

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . ..DIOO-D135

Benign neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D140-D145

Endocrine, nutritional, and metabolic diseases . . . . . . . . . .D200-D249

Diseasesofthethyroid gland . . . . . . . . . . . . . . . . . . . . . . . ..D200

Diabetesmellitus ..,.... . . . . . . . . . . . . . . . . . . . . . . . . . ..D205

All other endocrine, nutritional, and metabolic

diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D200. D210-D215

Diseases of the blood and blood-f orming organs . . . . . . . . . . .D250-D299

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D300-D349

Diseases ofthenewoussystem . . . . . . . . . . . . . . . . . . . . . .D3w3.D3gg

Diseasesoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DLIOO.D449

Diseasesoftheear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D450-D499

Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . .D500-D599

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D510

Ischemic heartdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D515

All other diseases ofthecirculatory system . . . . . . . . . . . . D500-D505,

D520-D550

Diseases of the respiratory system . . . . . . . . . . . . . . . . . . ..D600-D649

Diseaaes of thedigestivesyatem . . . . . . . . . . . . . . . . . . .D650-D699

Diseases of thegenitourinary system . . . . . . . . . . . . . . .D700-D799

Diseases of the skin and subcutaneous tissue . . . . . . . . . . . . .D800-D899

Diseases of the musculoskeletal system and connective

tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D900-D949

Injuries and Adverse Effects Module

lnjurybytypeand/orlocation . . . . . . . . . . , . . . . . . . . .JOO1-J799

lnjury,N.0.S.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J800-J899

Test Results Module

Test resultsmodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..RIOO-R700

Administrative Module

Administrative module . . . . . . . . . . . . . . . . . . . . . . . . . . ..AIOO-A140

11.5

5.9

5.6

16.4

13.4

3.1

28.4

4.3

21.2

2.9

3.3

3.4

4.7

14.7

5.3

57.8

37.7

7.6

12.5

27.8

13.1

13.4

19.1

17.5

103.5

10.3

14.7

44.9

10.3

5.0

5.3

15.3

11.8

3.5

28.2

4.3

21.8

2.1

3.2

6.0

5.2

18.7

5.7

74.7

50.7

9.6

14.4

32.5

13.5

11.6

17.2

11.0

72.2

8.6

8.4

44.0

Visit rate per 1,000 popu Iation3

11.1

6.2

4.8

14.5

12.9

1.6

28.6

5.1

21.6

1.9

3.5

1.8

4.0

12.3

3.6

48.4

30.6

7.1

10.7

26.1

9.9

7.9

19.1

15.9

116.1

8.3

13.4

56.2

11.5

5.5

6.0

15.4

11.6

3.7

22.1

2.9

17.4

1.8

3.2

1.8

5.1

12.4

4.8

52.3

33.1

8.0

11.2

24.6

14.5

18.9

17.4

22.5

107.1

11.5

13.6

38.8

13.9

7.2

6.7

23.3

19.8

3.5

40.1

5.6

26.9

7.6

3.4

5.2

4.7

17.2

8.2

60.8

40.2

5.0

15.5

30.2

14.9

13.9

25.1

19.3

119.1

13.6

27.2

40.2

13.2

7.0

6.2

18.4

15.1

3.2

33.0

4.9

24.3

3.8

3.8

4.5

5.1

17.4

6.0

63.4

42.4

8.3

12.7

30.3

13.4

17.2

22.0

17.4

101.3

11.3

15.1

44.5

7.9

3.4

4.5

12.4

9.7

2.7

18.4

3.0

14.4

1.0

2.3

0.9

4.0

8.7

3.8

45.8

27.5

6.0

12.3

22.3

12.4

5.2

13.0

17.9

108.5

8.2

13.8

45.7

lSeerefarence 1.

2 l-o~ati~n within the standard metropolitan statistical areas (SMSA’S).

3Rate~areb=~ed on an average of e~imatea ~fthe~ivilian noninstitutional ized population of the United Stataafor Juiy 1, 1977 and .IuIYI, 1978,

furnished by the U.S. Bureau of the Census (see appendix l).

4N.o.s. = nototharwise specified.

40
TabIe 10. Average annual rate ofoffice visits perl,OOO population, bylocation ofphysician's practice andprincipal reason forvisit in the Diagnostic,

Screening, and Prewntive Module andthe Treatment Module: United States, 1977-78

Geographic region Area

Ali

Principal reason for visit and R VC codel /oca- North- North Metro- Nontions east Central South West politan2 metropolitan

Diagnostic, Screening, and Preventive Module

General examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . ..xIoo-x199

General medical examination . . . . . . . . . . . . . . . . . . . . . . . . ..XIOO

Well babyexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..XI05

Speciai examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X200-X299

Pregnancy,unconfirmed . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X200

Prenatal examination, routina . . . . . . . . . . . . . . . . . . . . . . . . ..X205

Postpartum examination . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X215

Gynecological examination . . . . . . . . . . . . . . . . . . . . . . . . . ..X225

Eyeexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X230

Heartexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X235

All other special examinations . . . . . . . . . . . . . . . . . . . . X220,X240

Diegnostictests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .x300-x399

Glucoselevel determination. . . . . . . . . . . . . . . . . . . . . . . . . ..x310

Blood pressure test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X320

Pap Smear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X365

All other diegnostictests . . . . . . .X300-X305, X3 15,X325-X360,X370

Other screening and preventive procedures . . . . . . . . . . . . . . .X400-X499

Prophylacticinoculations . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X400

Family planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .x500-x599

Treatment Modu Ie

Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO-T199

Allergy medication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO

Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIIO

Medication, other end unspecified kinds . . . . . . . . . . . . . . . . . . .TI15

Preoperative and postoperative care . . . . . . . . . . . . . . . . . . ..T200-T299

Preoperative visit for specified and unspecified type of

surgary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T200

Postoperativevisit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T205

Specifictypesoftherapy . . . . . . . . . . . . . . . . . . . . . . . . . ..T400-T499

Psychotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T410

All other specific typesoftherapy . . . . . . . . . ..T400-T405,T415-T425

Spacific therapeuticprocadures . . . . . . . . . . . . . . . . . . . . . . .T500-T599

Fittingglassasandcontact lenses . . . . . . . . . . . . . . . . . . . . . . ..T515

Suture-insertion, removal . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T555

All othar specific therapeutic procedures . ..T5OO-T51O.T52O-T55O, T560

Medical counseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T600-T699

Dietand nutritional counseling . . . . . . . . . . . . . . . . . . . . . . . ..T600

Counsaling,N.0.S.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T605

Socielproblam counseling . . . . . . . . . . . . . . . . . . . . . . . . ..T700-T799

172.0

139.4

32.4

186.6

7.7

95.3

9.7

31.3

28.2

11.0

3.5

97.9

5.7

55.9

18.o

18.4

20.9

19.2

21.7

51.6

30.6

13.8

7.1

75.8

5.1

69.9

11.8

7.4

4.5

36.4

7.0

14.4

15,1

17.5

11.4

6.1

11.5

210.0

176.4

33.4

182.4

8.1

80.1

8.0

35.1

32.0

15.2

3.8

99.9

4.5

67.8

11.9

15.7

15.7

13.8

23.0

62.3

50.5

7.0

4.7

62.6

3.5

59.2

14.1

11.9

2.2

29.1

7.0

10.3

11.8

11.8

7.7

4.0

19.6

Visit rate per 1,000 population

171.5

136.0

34.7

178.6

5.6

98.9

9.1

24.4

23.8

13.6

3.4

114.4

5.7

68.5

22.9

17.4

16.1

14.8

18.3

51.5

24.5

20.2

6.8

64.9

3.0

61.9

9.5

3.8

5.7

37.1

6.6

17.8

12.7

18.1

10.6

7.4

7.5

156.9

134.7

22.2

184.6

7.8

94.4

10.8

33.6

27.6

7.3

3.1

78.0

7.2

36.5

12.7

21.6

16.7

15.6

18.0

48.7

28.1

14.9

5.8

78.4

6.0

72.4

10.0

7.2

2.8

38.0

6.5

14.5

17.0

15.3

9.8

5.5

8.9

152.8

106.1

46.7

209.6

10.1

111.8

10.6

32.7

31.2

8.8

4.1

107.5

4.3

57.2

28.3

17.6

43.0

40.1

32.3

43.4

19.0

11.0

13.3

101.1

8.7

92.5

15.9

7.4

8.5

42.3

8.4

14.2

19.6

28.4

20.4

8.1

11.7

190.8

154.6

35.9

204.1

7.4

97.5

10.1

39.4

34.4

11.2

4.2

100.8

5.0

58.5

18.9

18.5

22.8

21.0

26,1

55.0

33.6

12.7

8.6

88.5

6.5

82.0

14.6

10.5

4.1

38.4

7.8

13.6

17.0

19.5

13.3

6.2

15.8

131.8

106.8

24.9

149.3

8.3

90.7

9.0

13.8

14.7

10.8

2.0

91.7

7.1

50.3

16.1

18.2

16.8

15.4

12.4

44.4

24.2

16.2

3.9

46.1

2.1

43.9

5.8

0.6

5.2

32.3

5.1

16.1

11.1

13.2

7.2

6.0

2.0

Ismrefere”ce 1.

2L~caticjn within the standard metropolitan statistical areas (SMSA’S).

3Rateaareba~ed on an ~varageof ~~timates of the civilian n~nin~titutionalized population of the (Jnited Stetes for July 1, 1977 and July l,1978,

furnished bythe U.S. Bureau of the Census (saeappandix l).

‘4N.O.S. = not otherwise specified.

41
Table 11, Average annual rate of of ficevlslts per 1,000 female population, by age of patient and principal reason forvisit in the Symptom Module:

United States, 1977-78

Pr;nc{palreason forvkitand RVCcodel

Age

All Under 15-24 25-44 45-64 65 years

ages 15 years years years years and over

Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

General symptoms,,,,,,. . . . . . . . . . . . . . . . . . . . . . . . . ..s001-S099

Fever, ,,, ,,, . . . . . . . . . . . . . . . . . . . . . . . . . ,. .,. ,,, ,,, ,S010

T!redness,exhaustlon . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . ..S015

Welghtgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s040

Chest pain andrelated symptoms (not referable to body system) . .S050

Pain, site notreferable toaspeciflc body system . S055

Pain and related symptoms, generalized, site unspecified .S060

Allergy, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . S090

Another general symptoms . . SO05, S020:S035, S045; S065’.SO85; S095

Symptoms referable topsy’chological and mental disorders . S1OO-S199

Anxiety andnewousness. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S100

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110

Another symptoms referable topsy chological and mental disorders . . .S105,

S115-S165

Symptoms referable tothenervous sytem(excluding sense organs) . . . . . . S200-S259

Headache,pain inhead . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S210

Disturbancesofsensation . . . . . . . . . . . . . . . . . . . . . . . . ,,. ,,. ..S220

Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . ,,, .,, ,.. ,.. ..S225

Another symptoms referable tothe nervous system (excluding sense

organs), . . . . . . . . . . . . . . . . . . . . . . . . . . . ,.S200-205, S215,S230-S240

Symptoms referable tothecardiovascu larandlymphatlc systems . . . . . . S260-S299

Abnormal pulsations and palpitations . . . . . . . . . . . . . .S260

All other symptoms referable tothecardiovascu lar and lymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S265-S280

Symptoms referableto the eyes andears . . . . . . . . . . . . S300-S399

Visiondysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305

Abnormal senaationsoftheeye . . . . . . . . . . . . . . . . . . . . ,, ., . . . . . ..S320

All other symptoms referableto the eyes. . S310-S315, S325-S34O

Hearingdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S345

Eareche,orearinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S355

All other symptoms referable to the ears . . . . .S350,S360-S365

Symptoms referable totherespiratoW system . . . . . . . . . . . . . . S400-S499

Nasalconges?ion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S400

Shortnessofbreath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S415

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . ..S440

Head cold, upper reaplratory lrsfection (coryza) . . . . . . . . .S445

Symptoms,referabletothroat . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S455

Another symptoms referable totherespiratory aystem . . . .S405-S410,

S420-S435, S450, S460-S485

Symptoms referable tothedigestive system . . . . . . . S500-S639

Nausea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S525

Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S530

Stomach pain,cramps, andspasms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S545

Abdominal pain,cramps, spasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S550

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S595

All other symptoms referable to the digestive system . . . . . . .S500-S520,

S535-S540, S585-S590, S600-S6 15

Symptoms referable tothegenitourinary system . . . . . . . . . S640-S829

Frequency and urgency ofurination . . . . . . . . . . . . . . . . . . . . . . . . . . ..S645

Painful urination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S650

Absenceofmenstruation (amenorrhea) . . . . . . . . . . . . ..S730

Irregularity ofmenstrual interval . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S735

Irregularity ofmenstrual flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S740

Menstrual symptoms,otherand unspecified . . . . . . . . . . . . . .S745

Menopausal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S750

Uterineandvaginal bleeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S755

Vaginal discharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S760

Othervaginal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S765

Pelvic symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S775

Pain or soreness ofbraast. , . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . ..s800

Lump ormassof breast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S805

Another symptoms referable tothegenitourinary system . . . . . . . . . .S640,

S655-S680, S770, S79C+795, S8 10-S825

See footnotes at end of table.

3,166,8

260,5

40.7

25.9

48.5

41.2

17.5

13.2

16.0

57.5

87,8

36.3

27.4

24.1

109.2

55.4

9.5

33.8

10.6

18.9

8.9

10.0

167.7

43.8

16.5

26.8

11.6

45.0

24.0

316.5

27.1

14.5

71.9

54.5

91.6

56.9

56.5

14.4

9.9

17.7

56.7

10.7

47.0

.Z10.7

12.0

18.4

8.0

8.2

5.8

7.1

13.0

19,1

18.0

20.4

7.7

7.4

18.2

47.3

Visit rate per l,OOOfemale population2

2,055.5

199.2

137.7

*3.7

*3. O

*4.2

* 2.5

* 2.2

17.8

28.0

12.0

* 2.0

* 2.2

7.8

22.4

15.8

* 0.2

*2.1

* 4.2

9.4

* 0.5

8.9

197.2

15.3

* 5.8

24.1

11.2

104.2

36.6

417.8

28.2

* 0.9

122.6

69.9

146.3

50.1

107.2

* 5.5

28.4

15.3

19.0

15.5

23.6

46.6

*6.4

10.0

* 0.4

●1.7

+1.0

* 0.4

. . .

* 0.9

* 2.4

* 4.6

* 2.7

* 3.1

13.2

2<787.1

156.8

15,3

12.3

36,4

17.9

15.4

8.4

12.7

38.4

50.2

19.3

14.0

16.9

61.0

40.8

* 2.4

9.0

8.7

* 7.8

*1.4

* 6.4

107.2

27.2

10.4

20.7

* 7.9

31.0

10.0

283.7

19.2

*2.1

49.1

54.9

120.0

38.5

126.8

17.6

* 5.3

16.7

56.7

* 5.3

25.2

256.1

8.9

20.5

22.0

14.5

*4. O

16.5

* 0.5

25.0

26.8

34.5

12.4

* 3.3

13.5

53.8

3,442.4

266.7

11.0

27.2

93.5

35.2

18.0

15.0

20.6

46.2

156,1

59.1

53.0

44.0

107.0

67.0

10.4

20.9

8.7

13.2

* 5.7

7.4

125.0

26.0

16.6

24.3

8.3

34.3

15.4

278.2

35.1

7.3

48.5

50.1

83.3

54.0

165.3

16.3

* 5.2

19.6

74.3

8.5

41.4

310.3

12.3

21.8

13.2

13.7

13.5

13.7

8.3

27.7

37.0

37.5

12.5

12.7

28.5

58.0

3,729.4

337.3

11.8

44.9

70.1

67.0

29.2

20.1

17.0

77.3

123.6

57.4

38.8

27.4

171.3

82.0

18.7

56.7

13.9

29.2

17.7

11.6

183.9

65.7

24.2

31.0

13.0

20.3

29.8

298.0

29.2

23.0

70.1

48.5

52.6

74.6

189.4

14.8

*3.3

19.3

67.4

12.2

72.3

251.6

16.6

18.4

*1.6

7.5

‘6.5

*2.O

45.7

29.0

10.3

10.5

8.8

11.3

26.9

56.5

4,298.8

390.5

*11.1

53.4

17.7

115.5

27.9

26.1

*6.1

132.9

78.6

41.5

20.3

16.9

246.2

81.8

20.0

120.3

24.1

49,0

28.6

20.4

270.4

124.3

39.6

32.8

22.6

20.9

30.2

292.3

16.8

60.6

65.7

44.7

30.3

74.3

220.6

21.7

* 4.0

17.1

71.8

* 12.3

93.7

164.8

19.1

24.0

0.2

*1O.7

* 9.3

+ 5.3

* 8.9

●3.3

*4.8

16.4

63.0

42
Table 11. Average annual rate of office visits per 1,000 female population, by age of patient and principal reason for visit in the ‘Symptom Module:

United States, 1977-78–Con.

Principal reason for visit and R VC code 1

Age

All Under 15-24 2544 45-64 65 ~ears

ages 15 years years years years and over

Symptoms referable to the skin, nails, and hair . . . . . . . . . . . . . . . . S830-S899

Acne orpimplas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S830

Warts,N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S850

Skin rash...........,.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S860

Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S865

Skin irritations, N.E.C.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S870

Another symptoms referable totheskin, nails, and hair . . . . . . .S835-S845, S855,

S875-S895

Symptoms referable tothemusculoskeletal system . . . . . . . . . . . . . . . S900-S999

Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S900

Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S905

Lowbacksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S910

Hipsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S915

Leg symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S920

Knee symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925

Footand toesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S935

Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S940

Arm symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S945

Hand andfingersymptoms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S880

Another symptoms referable tothemuwuloskeletal system . . . . . . . . . . . .S930,

S950-S955, S88F#3980

Visit rateper l,OOOfemale population2

166.9 139.2

30.8 10.1

9.6 11.4

50.9 77.9

18.3 9.2

12.1 8. I

45.1 22.4

284.1 77.0

25.8 6.3

52.4 6.0

22.0 ●3.9

10.0 *1.3

27.0 “ 4.4

23.5 7.2

19.6 11.7

21.8 * 2.5

12.1 ●3.1

15.7 8.7

34.3 15.8

216.0

92.4

18.1

56.0

● 5.3

8.7

35.5

151.1

25.4

36.9

11.4

10.9

16.8

10.8

● 7.8

* 6.1

● 7.7

17.3

161.7

39.7

7.3

40.3

14.4

11.3

48.7

253.7

31.5

59.7

30.3

* 5.3

22.7

14.2

16.2

20.0

9.7

17.5

26.7

154.0

*4.9

●6.4

37.1

26.2

16.3

63.1

447.9

36.2

91.7

35.0

17.5

46.6

35.2

31.0

45.8

23.8

25.5

59.7

178.2

*1.2

●3.6

38.8

50.8

19.4

64.4

511.5

33.0

81.1

32.5

38.9

70.2

65.1

36.2

42.2

23.6

20.4

68.3

lSee referance 1.

2Rat@~are ba~ad ~“ an average of e~ti~ata~of thecivilia” nonin~titutional ized population of the United States for July 1, 1977 and July 1, 1978, furnished

bythe U.S. Bureau of the Census (sae appendix l).

%.0.S. = not otherwise specified; N.E.C. = not elsewhere classified.

43
Table 12. Average annual rate ofoffice visits perl,OOO female population, byageof patient andprincipal reason forvisit inthe Disease, injuries

and Adverse Effects, Test Results, and Administrative Modules: United States, 1977-78

Princioal reason for visit and R VC code q

Age

All Under 15-24 25-44 45-64 65 years

ages 15 years years years years and over

Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Disease Module

Infective and parasitic diseases . . . . . . . . . . . . . . . . . . . .DOOI-D099

Viraldiseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DO15

All other infective and parasitic diseases , . . . . . . . D005-DO10, D020-D035

Neoplasm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., .,. ..DIOD19999

Malignantneoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIoo.D135

Benignneoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DID145I45

Endocrine, nutritional, and metabolic diseases . . . . . . , . . . . . . .D200-D249

Diseasesofthethyroidgland. . . . . . . . . . . . . . . . . . . . . . . . . . ..D200

Diabates mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...,...D2o5

Another endocrine, nutritional, and metabolic diseases . . . . .D210-D215

Diseases of the blood and blood-f orming organs . . . . . . . . . . . . .D250-D299

Mentaldisorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D300-D349

Diseases of thenervoussystem . . . . . . . . . . . . . . . . . . . . . . . ..D350-D399

Diseasesoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D400-D449

Dieseasesoftheear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D450-D499

Diaeasesof the circulatory system . . . . . . . . . . . . . . . . . . . . . .D500-D599

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D510

Ischemic heartdiseasa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D515

Another diseases of the circulatory system . . . . . .D500-D505, D520-D550

Diseasesof the respiratory system . . . . . . . . . . . . . . . . . . . . . .D600-D649

Diseases of the digestive system . . . . . . . . . . . . . . . . . . . . . .D650-D699

Diseases ofthegenitourinary system . . . . . . . . . . . . . . . . . . .D700-D799

Diseases of the skin and subcutaneous tissue . . . . . . . . . . . . . . .D800-D899

Diseases of themusculoskeletal system and connective tissue . . . . .D900-D949

injuries and Adverse Effects Module

lnjurybytypeand/orlocation . . . . . . . . . . . . . . . . . . . . .JOOI-J799

injury, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J800-J899

Test Results Module

Testresultsmodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..RIOO-R700

Administrative Module

3,166.8

11.4

6.2

5.2

20.3

15.5

4.9

33.3

6.1

24.0

3.2

4.2

2.8

5.7

17.5

5.4

60.8

42.2

5.7

12.9

28.1

10.9

17.0

19.1

22.4

77.0

9.8

19.1

31.7

Visit rate per 1,000 female population

2,055.5

17.0

10.6

6.4

*1.4

++0.4

*1.O

*3.6

*0.8

*1.7

*1.O

*1.9

*0. I

*2.O

8.0

19.4

* 3.6

* 0.8

2.7

31.1

* 5.6

*1.2

14.6

‘6.7

80,3

*5.2

*3,6

40.2

2,787.1

17.1

10.8

6.3

‘4.6

*1.1

*3.5

*5.6

*2.2

* 2.0

*1.3

*1.6

*2.6

*3.9

*3.O

$+0.3

*6.O

*1.7

++0.2

*4.1

17.3

*4.6

18.7

16.4

*3.8

66.7

12.0

15.1

68.0

3,442.4

8.9

* 2.4

6.5

14.6

8.4

6.2

*21.6

*9.O

*8.9

*3.7

*2.6

“4.7

7.6

*4.3

*1.2

28.9

15.2

*1.1

12.5

27.1

7.4

27.0

20.5

11.5

73.3

10.2

27.7

25.7

3,729.4

*5.4

* 2.4

* 3.0

46.2

37.6

8.6

* 64.8

*11.O

*47.9

* 5.9

*6.7

*3.7

7,7

21.5

*1.8

127.6

97.2

8.0

22.4

34.8

18.6

19.4

27.7

38.7

84.6

10.9

22.6

Administrative module . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..AIoo-A140 12.9

lSee reference 1.

2Rates are based OIIan werageof estimatasof the civilian noninstitutional ized population of the United States for July l,1977and July l,l978,

furnished bythe U.S. Bureau of the Census (sae appendix l).

3N. o.s. = not otherwise specified.

4,298.8

“8.0

* 6.0

* 2.0

48,8

43.7

*5.1

103.2

*7.4

91.4

* 4.4

*I 1.5

*2.3

*7.5

79.2

*1.8

208.3

146.8

30.8

30.8

30.0

25.3

18.6

14.3

76.5

82.0

*12.8

29.8

*5.9
Table 13. Average annual rate ofotice visits perl,~O female population, byageof patient andprinciwl reamnfor visit in the Diagnostic,

Screening, and Preventive Module andthe Treatment Module: United States,1977-78

Age

Principal reason for visit and R VC codeq

All Under 15-24 25-44 45-64 65 years

ages 15 years years yaars years and over

Visit rate per 1,000 female population

Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diagnostic, Screening, and Preventive Module

General examination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..XIOO-X199

General medical examination . . . . . . . . . . . . . . . . . . . . . . . . . . ..XIOO

Well babyexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..XI05

Special examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X200-X299

Pregnancy,unconfirmed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X200

Prenatal examination routine . . . . . . . . . . . . . . . . . . . . . . . . . . ..X205

postpartum examination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X215

Gynecological examination.. . . . . . . . . . . . . . . . . . . . . . . . . . ..X225

Eyeexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X230

Heartexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X235

All other special examinations . . . . . . . . . . . . . . . . . . . . . . X220,X240

Diagnostictests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X300-X399

Glucose leval determination.. . . . . . . . . . . . . . . . . . . . . . . . . . ..X310

Blood preseure test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X320

Pap smear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X365

All other disrgnostictests . . . . . . . . . X300-X305,X31 5,X325-X360,X370

Other screening and preventive procedures . . . . . . . . . . . . . . . . .X400-X489

Prophylactic inoculations . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X400

Family planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X500-X599

Treatment Module

Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOo-T~99

Allergy medication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO

Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIICI

Medicationr other and unspecified kinds . . . . . . . . . . . . . . . . . . . . .TI15

Preoperative and postoperative care . . . . . . . . . . . . . . . . . . . . . .T20@T299

Preoperative visit forspecified andunspecified types ofsurgew . . . . .T200

Postoperative Visit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T205

Specifictypesoftherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T400-T499

Psychotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T4113

All otherspecific typesoftherapy . . . . . . . . . . ..T400-T405. T415-T425

Specific therapeutic procedural . . . . . . . . . . . . . . . . . . . . . . ..T500-T599

Fittingglassesandcontactlenses . . . . . . . . . . . . . . . . . . . . . . . ..T515

Suture-insertion, removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T555

All other specific therapeutic procedures . .. T500-T510, T520-T550,T580

Medical counseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T800-T699

Diet and nutritional counseling . . . . . . . . . . . . . . . . . . . . . . . . . ..T600

Counseling, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T605

Social problemcounseling . . . . . . . . . . . . . . . . . . . . . . . . . . ..T700-T799

3,166.8

190.2

159.0

30.6

325.6

14.8

184.2

18.8

60.4

34.0

8.3

4.9

123.9

5.6

62.9

34.8

20.6

21.8

19.7

36.4

55.3

28.4

18.8

8.1

89.0

6.4

82.6

13.6

7.8

5.8

35.6

8.6

11.4

15.5

25.1

18.3

6.8

12.1

2,055.5

344.7

209.8

134.8

26.6

*0.5

*3.9

++3.0

*0.2

18.2

* 0.8

16.7

*1.1

* 2.6

*1.O

11.9

40.6

37.5

*2.3

46.8

39.1

5.9

●1.8

26.9

*1.7

25.2

* 0.8

●0.3

●0.5

27.9

*1.8

14.0

12.2

*6.7

●3.7

‘3.0

*3.8

2,787.1

79.3

79.1

. . .

655.1

40.0

473.6

44.0

64.7

29.7

*3.1

57.9

* 0.6

*2.3

40.6

14.4

13.0

10.9

90.0

33.3

22.3

* 8.2

* 2.7

62.3

* 8.0

54.3

4.7

4.3

* 0.4

27.6

13.4

8.3

* 5.9

24.8

18.9

● 5.9

9.9

3,442.4

129.3

128.1

. . .

577.4

26.0

363.2

37.6

117.3

26.4

*1.3

*5.6

109.1

*1.O

19.4

67.0

21.6

14.0

11.3

70.5

60.5

35.7

16.3

8.5

117.4

9.7

107.7

21.8

16.0

*5.8

37.7

8.7

11.4

17.6

46.5

38.2

8.3

26.5

3,729.4

176.7

176.2

. . .

148.8

* 2.7

* 3.6

* 0.3

73.6

52.1

8.6

7.8

207.8

12.0

136.4

39.3

20.1

18.4

17.2

*2.4

76.2

22.5

39.6

14.0

131.8

* 6.4

125.4

23.0

12.1

11.0

42.1

9.5

13.4

19.2

24.2

15.4

8.7

10.4

4,298.8

225.0

224.4

. . .

141.3

* 2.2

* 0.7

21.6

56.5

51.4

* 8.9

316.7

21.2

238.2

*11.8

45.6

23.0

22.2

‘2.4

58.5

*11.9

29.3

17.3

112.7

*5.7

107.0

17.5

2.4

15.2

46.9

13.0

* 8.5

25.4

15.2

* 6.5

* 8.7

* 2.4

‘See reference 1.

2Rate~are bawd on an ~vera9eof e~imates of the civilian noninstitutionalized population of the United States for July 1, 1977 and JIJIY1, 197’8,

furnished bytha United Statas Buraauof the Census (see aPPendix l).

3N.O.S. = not other~i~e ~acified.

45
Table 14, Average annual rate of of f!cevlsits per 1,000 male population, by age of pat!ent andprlnclpal reason for visit lnthe Symptom Module:

Untted States, 1977-78

Age

Pr/nc/pa/ reason forvts/t and RVCcodel

All Under 75-24 25-44 45-64 65 years

ages 15 years years years years and over

Allvlslts bymalepatlents , . .,, , ., ..,.,.,. ,, .,, ,., ,,, ,,, ,., ,.,

General symptoms..,,, ..,., .,, ,,, ... ,,,.. ,,, .,, ,,, .5001.sOgg

Fever, .,,.,.,, ,,, ,,, ,,,,,. ,,, ,, .,,,,, .,, ,,, ,,,,,, ,,,,,, sOf~

Tired”ess,exhaustlon, ,,,. ,,,,, ,,,,. ,,, .,,,,,, ,,,, .,,, .sOl~

Welghtgai” .,..,. ,.,,.,. ,,,,,. ,, ,. ,,,, .,, ,,,s040

Chest pain and related symptoms (not referableto body system) S050

Pam, site not referable to a spec!fic body system ..., .,,,., .,.,,. .,,, S055

Pain andrelated symptoms, generalized, slteunspeclfled S060

Allergy, N.0.S.3 . ., .,,...,. , ..,.,,...,.,,.,.,,,.. S090

All othergeneral symptoms ..,. . . . . . . . . . . . . . . . . . .S020-S035; S045; S065-S085, S095

Symptoms referable topsy cholog!cal and mental disorders s 1 00-s 199

Anxietyand nervousness . . . . . . . . . . . .,,,,, ,,,,,,;”;;;;;I;;;,, ,, Sloo

Depression ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,, ,,, ,,, ,,, ,s110

Another symptoms referable topsy chological andmentaldlsorders ,S105, S115-S165

Symptoms referable tothenervous system (excluding sense organs) ., S200-S259

Headache,pain m head,,... . . . . . . . . . . . . . . . . . . . . . ., ., . . . . . . ..S210

Dlsturbancesofsensatlo” . . . . . ., ..,.,,,..,.,..,,,,.. ,,, ,,, ,,,,,,, .,s220

Vertrgo-dizziness . . . . ...,.,.,,,,. ... ,,,,,. ,,, ,,. ,,s225

Another symptoms referable tothe nervous system (excluding sense organs) .S200-S205,

S215, S230-S240

Symptoms referable tothecardlovascular and lymphat!csystems . . . . . . . . . . . S260.S299

Abnormal pulsationsand palpitations . . . . . . . . . . . . . . . . . . . . . .,, ,., ,,, ,,. ..S260

Another symptoms referable tothecardiovascu larand lymphatic systems . S265-S280

Symptomsreferabletotheeyesand ears . . . . . . . . . . . . . . . . . . . . . . . . ,,s300.s399

Vlslondysfunct!om . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,,, ,,, ,. .,, ,,, ,,. ,s305

Abnormal sensationsoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..,S320

All other symptoms referableto the eyes ,. ., ,. ,. ,S310.S315, S325.S34O

Hearmgdysfunct]ons ...,.,. . . . . . . . . . . . . . . . . . . . . . . ,,, ,,, ,.. ,,, ,,s345

Earache,orearinfectlon .,.,.. . . . . . . .,.,..,,,....,,,,,,,,. ,., ,,,s355

All otheraymptoms referabletothe ears . . . . . . . . . . . . . . . . . . . . . . . .S350,S360.S365

Symptoms referable totherespiratory system . . . ., . . . . . . . S400-S499

Nasal congestion . .,.,...., . . . . . . . . . . . . . . . . . . . . . . .,, ,, .,, ,,, ... ,,. ,s4oo

Shortnesaof breath ..,....,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s415

Cough ..,.,.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S440

Head cold, upper respiratory infection (coryza) . . . . . . . .;;;;; ~~;;;;S445

Symptomsreferabletothroat.. . . . . . . . . . . . . . . . . . . . . . . . ... ., . . . . . . . . . ..S455

Another symptoms referable tothe respiratory system . . .S405-S410, S420-S435,

S450, S460-S485

Symptoms referable tothedigestwe system .,. ,. ,. . . . . S500-S639

Stomachpain,cramps,andspasms . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . ..S545

Abdominal pain,cramps,spasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s55o

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., .,, ,,, ,.,s595

Another symptoms referable tothedigestwe system ., . .S500-S540, S565-S590, S600-S615

Symptoms referable to thagenitourinary system .,.., .,.., . . . . . . . . . . . . S640-S829

Symptoms referable totheskin,nalls, andhalr . . . . . . . . . . . . . . . . . . . . . . . . . . .. S830.S8gg

Acneorpimples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S830

Warts,N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......,;;;;;;;:;;;;;

S850

SB60

Skin lmion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s865

Skin irritations, N.E.C.3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S870

Another symptoms referable totheskin, nails, andhalr . .S835-S845, S865, S87!3-S895

Symptoms referable tothemusculoskeletal system . . . . . . . . . . . . S900-S999

Necksymptoms, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S900

Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S805

Lowbacksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S910

Hip symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., .,, ,,, .,, .,, ,,, ,s915

Leg symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S920

Kneesymptoms, ..,...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925

Anklesymptoms ...,..... . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . ..s93o

Footandtoesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S935

Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . ..S940

Armsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..sg45

Elbowsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,, ,,, .sg50

Handandfingersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S960

Another aymptoms referable tothemusculoskeletal aystem , .S955, S965.S980

2,250,5

181.6

44.6

11.5

9.1

44.3

12,1

8.0

14,0

37.9

57.1

20.1

15.0

22.0

65.1

30.3

6.2

19.3

9.4

14.0

6.0

8.0

144,0

30.4

11,1

22.3

10.9

45.1

24.2

277.7

25.0

16.1

65.0

45.0

72.4

54.1

102.0

12.4

25,1

12.2

52,3

62.5

134.4

17.0

11.7

43.5

16.8

8.9

36.5

249,4

19,9

53.9

23.5

7,6

22.3

27.6

8.3

20.8

19.2

7.9

7.9

13.8

16.7

Visit rate per l,000m,31e populatmn2

2,128.3

211.5

138.7

●2.1

+1,3

●6.1

● 2.4

● 2.9

26.3

31.7

18.1

●1,4

“1,1

15.6

29.1

19.4

● .

● 2.8

‘6.9

8.2

“ 0.4

●7.8

221.6

13.7

●3.9

31.8

14.3

113.8

44.0

416.0

27.9

+1.0

141.5

78.0

117.3

50.4

85.6

9.3

12.4

‘ 22.6

41.3

23.4

119.7

9.4

11.0

64.8

9.2

5.5

19.9

83.6

5.4

2.8

● 0.9

● 3.0

●6.7

14.0

4.1

16.2

●3.5

● 4.9

2.6

5.7

13.8

1,544,9

76.0

17.6

6.7

2.6

14.3

10.3

5.4

6.4

12.6

37.4

12.2

8.4

16.8

35.7

21.7

●2.2

4.3

7.6

*7.4

●2.3

5.1

79.9

17.9

15,1

7.8

* 5.6

24.8

8.7

203.1

30.1

● 3.4

27.6

21.9

94.2

25.8

58.8

10.7

15.5

3.6

29,0

41,4

170.3

64.1

19.0

39.4

● 5.2

5.7

36.7

186.1

10.7

39.0

12.7

4.3

13.7

35.7

9.3

13.5

●1 2.2

● 5.3

3.7

●15.8

10.3

1,890.5

151.3

11.9

11.7

18.2

43.8

13,9

9,5

14.3

28.0

96.6

35.3

27.3

34.0

65.8

39.7

8.7

10.4

7.0

4.6

●1.1

3.5

90.4

21.3

11.9

16.4

8.5

21.4

10.9

196.3

23.6

6.2

35.5

33.8

57.1

40.0

92,5

14,9

24.2

9.6

43,8

61.0

104.2

7.1

11.5

30.8

11.7

9.1

34.0

271.8

27.0

74.2

32.8

●3.6

16.2

26.1

11.0

12.0

20.5

7.0

10.5

14.5

16.4

2,799.5

215.7

11.2

20.2

12,5

84.2

18.8

11.9

9.0

48.0

77.9

28.1

25.0

24,8

92.1

36,3

10.4

33.8

11.6

27.2

15.7

11.5

130.4

42.9

11.5

22.0

11.6

18.1

24.4

243.3

18,8

26.7

42.1

39.2

38.6

78.0

128.1

9.8

36.8

12.1

69.4

80.4

140.6

●1.5

●6.8

42.3

29.6

9.8

50.7

406,3

37,3

94.8

46.6

12.7

33.4

32,5

8.0

33.9

36.1

‘13.4

13.8

21.7

22,1

3,912.7

332.9

●7.1

27.7

lf.o

126.5

22.7

15.2

●7.7

114.9

47.4

27.3

10.0

10.1

166.2

38.4

15.0

90.4

22.5

42.3

22.2

20.1

248.3

102.6

19.9

43.7

18.3

24.6

39.2

361.5

23.7

90.3

66.7

47.0

21.4

112.3

208.3

22.8

57.3

●9.1

119.1

181.5

174.8

●3.1

“ 10.0

32.7

48.4

22.3

58.3

433.3

20.4

77.9

31.4

28.1

77.2

42.9

10.6

45.2

37.1

11.8

10.5

12.7

27.4

lSee referenca 1.

2Rates are bared o“ an average of astirnates of the cw,lian noninstmjtionalized populatmn of the United States for July 1, 1977 and July 1, 1978, furnished by the U.S.

Bureau of the Census (saa appendix l).

3N,0,s, = “~t~tharwisa $pecifiad; N. E. C.= notelwwhere classified.

46
Table 15. Average annual rate ofoffice visits perl,~O male population, by~eof patient andprincipal reason forvisit inthe Disaasa,

injuries and Adverse Effects, Test Resulfi, and Administrative Modules: United States, 1977-78

Principal reason for visit and R VC code q

Age

All Under 15-24 25-44 45-64 65 years

ages 15 years years years years and over

.Allvisits by male patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Disease Module

Infective and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . .DOOI-D099

Viraldiseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DO15

Another infective and parasitic diseases . . . . . . . . . . . . . . . . .DO05-D035

Neoplasm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIOO-D199

Malignantneoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIoo.D135

Endocrine, nutritional, andrnatabolic diseases . . . . . . . . . . . . . . .D200-D249

Diabates mallitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D205

Another endwrine, nutritional, andmetabolic diseasas . D200, D210-D215

Diseases of the blood and blood-forming organs . . . . . . . . . . . . . .D250-D299

Mentaldisorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D300-D349

Disaasasofthe nervoussyetem . . . . . . . . . . . . . . . . . . . . . . . ..D350-D399

Diseasasoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D400-D449

Diseasasoftheear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D450-D499

Diseasesof the circulatory system . . . . . . . . . . . . . . . . . . . . . ..D500-D599

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D510

Ischemicheartdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D515

All other diseasesof thecirculatory system . . . . .. D500-D505, D520-D550

Disaasas ofthe respiratory system . . . . . . . . . . . . . . . . . . . . . . .D600-D849

Diseasesofthedigestiveeystem . . . . . . . . . . . . . . . . . . . . . . ..D650-D699

Herniaofabdominal cavity.. . . . . . . . . . . . . . . . . . . . . . . . . . ..D660

All other diseases ofthedigeative system . . . . . . .D650-D655, D665-D675

Diseasesof thegenitourinary system . . . . . . . . . . . . . . . . . . . . .D700-D799

Diaaasasof the skin and subcutaneous tissue . . . . . . . . . . . . . . . .D800-D899

Diwases of themusculoskeletal syswmand connective tissue . . . . .D900-D949

Injuries and Adverse Effects Modu Ie

lnjuryby typeand/or location . . . . . . . . . . . . . . . . . . . . . . . . ..JOO1-J799

injury, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J90C-J999

Teat Results Module

Test results module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. RI OO-R700

Administrative Module

2,250.5

11,6

5.5

6.1

12.3

11.2

23.2

18.2

4.9

2.4

4.0

3.7

11.7

5.2

54.7

32.9

9.6

12.2

27.4

15.4

8.5

6.9

9.5

19.2

12.3

132.1

10.8

10.0

59.0

Visit rate par 1,000 male popu lation2

2,128.3

16.8

* 6.3

10.4

* 0.5

*0.5

●3.8

+1.9

*1.9

*1.1

“0.6

* 2.7

*6.2

16.2

“*2.1

2.1

45.5

8.1

*6.1

* 2.0

* 2.7

13.1

*1.1

121.6

9.1

●4.1

49.5

1,544.9

15.3

9.2

*6.1

*1.6

●1.1

* 5.0

* 2.6

* 2.4

* 0.2

* 3.0

* 2.7

● 2,4

* 0.6

● 7.9

* 4.0

* 0.8

●3.1

14.1

8.7

* 5.2

● 3.4

● 3.8

17.4

* 4.3

194.1

15.3

* 3.6

104.2

1,890.5

9.9

* 2.6

7.2

6.5

* 4.8

14.1

9.0

*5.1

*0.7

* 6.2

* 2.6

*5.5

*2.1

40.0

23.3

3.7

*13.O

19.0

11.1

*4.1

*7.1

7.9

20.7

7.8

136.6

12.8

9.4

62.3

2,799.5

* 4.6

*3.2

*1.4

25.1

22.5

52.2

42.5

9.6

* 2.7

* 5.8

●5.9

18.0

*1.6

131.8

89.1

21.3

21.4

25.1

28.6

14.4

14.2

19.4

24.4

31.4

108.7

8.8

18.0

Administrative module . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. AIo0-AI4o 44.3

lSee reference 1.

2Rate~arebe~ed on anavarageof estimates of the civilian noninstitutional ized population of the United Stataa for July 1, 1977 and JLsIYI,1978,

furnished bythe U.S. Bureau of the Census (seaappendix l).

3N.O.S. = not otherwisa specified.

3,912.7

*1 0.1

*8.6

‘1.6

56.7

56.0

77.5

69.6

* 7.9

++14.8

*5.1

* 7.3

50.9

+1.3

171.4

88.6

46.4

36.5

34.7

32.8

21.7

*11.1

23.0

24.0

31.6

71.1

* 5.5

24.0

* 15.0

47
Table 16. Average annual rate ofoffice visits perl,OOO male population, byageof patiant andprincipal raasonfor visit in the Diagnostic,

Screening, and Preventive Module, andthe Treatment Module: United Statesr 1977-78

Age

Principal reason for visit and R VC code 1

All Under 15-24 2544 45-64 65 years

ages 15 years years years years and over

Allvisits bymaie patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diagnostic, Screening, and Preventive Module

General examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..XIOO-X199

Genaral madical examination . . . . . . . . . . . . . . . . . . . . . . . . . . ..XIOO

Well baby examination ..., . . . . . . . . . . . . . . . . . . . . . . . . . . ..XI05

SPecial examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..x20r3.x2gg

Eyeexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..x230

Heartexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..x235

Diagnoatictests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .x300.x399

Glucose level determination. . . . . . . . . . . . . . . . . . . . . . . . . . . ..X310

Bloodpreasuretest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X32(j

Another diagnostic tests . . . . . . . . . . . . . X300-X305,X315,X325-X370

Other screening andprevantive procedures . . . . . . . . . . . . . . . .X400-X499

Prophylactic inoculations.. . . . . . . . . . . . . . . . . . . . . . . . . . . ..x400

Family planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .x500-x599

Treatment Modu Ie

Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIoGT199

Allergy medication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO

Inactions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIIO

Medication, other andunspecifiad kinds . . . . . . . . . . . . . , . . . . . . .TI15

Preoperative and postoperative care . . . . . . . . . . . . . . . . . . . . . .T200-T205

Specifictypesof therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T40CPT499

Specific therapeutic procedures . . . . . . . . . . . . . . . . . . . . . . .T500-T599

Fittingglassesand contactlenses . . . . . . . . . . . . . . . . . . . . . . . ..T515

Suture-inaertion, removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T555

Allothar specific therapeutic procedures . . . T500-T510, T520-T550, T560

Medical counseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T6OO-T699

Social problemcounseling . . . . . . . . . . . . . . . . . . . . . . . . . . ..T700-T799

2,250.5

153.0

118.5

34.3

38.0

21.9

14.0

70.1

5.7

48.5

16.0

19.9

18.8

6.1

47.7

33.1

8.5

6.1

60.2

9.9

37.4

5.2

17.5

14.7

9.4

10.9

Visit rate per 1,000 male population

2,128.3

328.8

193.4

135.3

16.6

13.6

*1.6

11.2

* 0.6

* 0.4

*10.2

39.4

37,5

85.2

71.0

12.1

*2.1

28.0

*1.9

36.2

*1.4

21.4

13.4

3.6

* 5.4

1,644.9

38.1

38.1

18.1

17.1

*1.O

9.9

* 0.4

* 5.2

*4.3

9.1

7.9

*1.2

33.1

26.7

*4.9

*1.6

37.5

* 5.6

38.5

*8.5

16.2

13.9

* 5.2

*8.5

1,890.5

68.5

58.3

17.8

15.7

*1.6

45.2

* 3.7

30.1

11.3

13.2

11.7

20.0

35.7

24.9

* 3.7

7,0

46.8

17.9

29.0

*3.4

13.5

12.1

12.4

21.8

2,799.5

137.7

137.6

61.4

31.9

28.5

161.3

12,8

117.5

31.0

13.6

13.6

* 2.8

31.1

11.6

9.3

10.1

95.3

13.8

38.2

*6.8

16.3

15.1

17.0

*I 0.5

3,912.7

211.3

211.3

145.8

51.3

79.8

231.2

20.9

173.9

36.5

21.6

21.4

45.1

*12.1

18.0

*I 5.0

159.2

++10.0

61.1

*10.3

23.7

27.1

* 8.8

* 0.3

lSea reference 1.

2Rate~are based on an average of e~imatesof the civilian noninstitutionalized population of the Unitad States for July 1, 1%’7 and JuW 1, 1978,

furnishadbythe U.S. Bureau of the Census (see appandix l).

48
Table 17. Number andpercent distribution of office visits made by female patients byageof patient, according to principal reason forvisit in the

Symptom Module: United States, 1977-78

Number Age

Principal reason for visit and R VC code 1

of visits

in All Under 15-24 25-44 45-64 65years

thousands ages 15 years years Years years and over

Percent distribution

Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

General symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. SOOI.SOW

Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S010

Tiredness,exhausticrn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s015

Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S040

Chest pain andrelatd symptoms (not referable to body ~stem) . . . .. S050

Pain, site not referable toaspecific body system . . . . . . . . . . . . . . ..S055

Pain andrelated symptoms, generalized, site unspecified . . . . . . . . . . . S060

Allergy, N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S090

Another ganeral symptoms . . . . . S005, S020-S035, S045, S085-S085, S095

Symptoms referable topsychological and mental disorders . . . . . . . S100-S199

Anxiety andnervousness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S100

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110

All other symptoms referable to psychological and mental

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S105. S115-S165

Symptoms referable tothe nervous system (excksding sense

organs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S200S259

Heedacha,pain inhead . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,. ..S210

Diaturbencesof sensation.. . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s220

Vertigo-dizzinass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S225

Another aymptoms referable tothenervoussyatem (excluding sense

organs) . . . . . . . . . . . . . . . . . . . . . . . . . ..S200205.S215. S230-S240

Symptoms referable tothecardiovascular andlymphatic Wstems . . . S260-S299

Abnormal pulsations andpalpitations . . . . . . . . . . . . . . . . . . . . . ..S260

All other symptoms referable to the cardiovascular and lymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S265-S280

Symptoms referable totheeyes andears . . . . . . . . . . . . . . . . . . . S300-S399

Vision dysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305

Abnormal sensationsoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . ..S320

All othersymptgmsreferableto the eyes . . . . . . . . .S310-S315,S325-S340

Hearingdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S345

Earache,oreerinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s355

All otharsymptoms referableto theears . . . . . . . . . . . ..S350.S360-S365

Symptoms referable totherespiratory system . . . . . . . . . . . . . . . . S400-S499

Nasalcongestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S400

Shortnessof breath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S415

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440

Head cold, upper respiratory infection (coryza) . . . . . . . . . . . . . . ..S445

Symptomsreferabletothroat. . . . . . . . . . . . . . . . . . . . . . . . . . ..S455

All othersymptomsreferableto there~iratory system . . . . . ..S405-S410.

S420-S435, S450, S46WM65

Symptoms referable tothedigestive system . . . . . . . . . . . . . . . . . S500-S639

Neusea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S525

Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S530

Stomach pain,cramps,andspaams . . . . . . . . . . . . . . . . . . . . . . . ..S545

Abdominal pain,cramps,spasms . . . . . . . . . . . . . . . . . . . . . . . . ..s550

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S595

All othersymptoms referableto the digestive system . . . . . . . ..S500-S520.

S535=S640, S665-S590, S600-S61 5

Symptomsreferable tothegenitourinary system . . . . . . . . . . . . .. S64C-S829

Frequency andurgency ofurination . . . . . . . . . . . . . . . . . . . . . . ..S645

p8hfUl UrinatiOII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S650

Absenceof menstruation (amenorrhea) . . . . . . . . . . . . . . . . . . . . ..S730

Irregularityo fmenstrualintemal . . . . . . . . . . . . . . . . . . . . . . . . ..S735

Irregularityofmenstrualflow. . . . . . . . . . . . . . . . . . . . . . . . . . ..S740

Menstrual symptoms,otherand unspecified . . . . . . . . . . . . . . . . . ..S745

Menopausal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S750

Uterineandveginal bleeding. . . . . . . . . . . . . . . . . . . . . . . . . . . ..S756

Vaginaldischarge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S760

Othervaginal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S765

Pelvicaymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S775

Pain orsorenessof breast... . . . . . . . . . . . . . . . . . . . . . . . . . . ..S600

Lumpormassofbreast . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . ..S806

Another symptoms referable tothegenitourinaW system . . . . . . . . . .S840,

S655-S660, S770, S790-S795, S81 &S825

Sea footnotes at end of table.

694,431

57,110

8,930

5,678

10,625

9,032

3,835

2,903

3,509

12,598

19,260

7,982

6,014

5,285

23,956

12,148

2,080

7,405

2,323

4,150

1,960

2,190

36,763

9,599

3,617

5,879

2,535

9,881

5,253

69,397

5,950

3,182

15,769

11,939

20,079

12,477

34,324

3,162

2,178

3,662

12,441

2,350

10,310

46,199

2,635

4,043

1,745

1,793

1,282

1,588

2,842

4,188

3,939

4,481

1,693

1,627

3,983

10,375

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

14.7

17.4

76.8

●3.2

*1.4

‘2.3

*3.3

*3.8

25.2

11.1

3.!

*1.3

●1.8

7.4

4.7

6.5

‘0.6

●1.4

●9.1

11.3

●1.3

20.3

26.7

7.9

●8.O

20.4

22.0

52.5

34.7

30.0

23.6

●1.3

38.7

29.1

36.3

20.0

15.6

* 8.6

64.9

19.6

7.6

32.8

11.4

5.0

*12.1

12.4

●1.1

“4.6

*3.8

●1.2

●1.O

●3.1

*5.1

‘8.1

●3.8

6.3

16.2

11.1

6.9

8.7

13.8

8.0

16.2

11.6

14.6

12.3

10.5

9.8

9.4

12.9

10.3

13.5

*4.7

4.9

15.1

●7.5

‘2.9

●11.7

11.7

11.4

11.5

14.2

●12.5

12.6

7.7

16.5

13.0

*2.7

12.5

18.5

24.1

12.4

14.9

22.5

*9.7

17.3

18.4

●9.1

9.8

22.3

13.6

20.5

50.8

32.6

● 12.4

42.5

●0.7

24.0

27.4

31.0

29.4

●8.1

13.6

20.9

28.5

26.9

7.1

27.6

50.7

22.5

27.0

29.7

33.7

21.1

46.7

42.7

50.8

48.0

25.7

31.8

28.9

16.2

21.6

18.2

‘16.8

19.5

19.6

15.6

26.4

23.8

18.9

20.0

16.9

23.1

33.9

13.1

17.7

24.1

23.9

24.9

27.7

29.7

+1 3.7

29.0

34.4

20.8

23.1

38.7

28.8

31.0

43.6

44.0

60.8

50.5

16.8

38.0

64.1

48.1

42.2

44.8

41.2

32.2

24.2

26.7

6.0

35.7

29.8

33.5

34.3

31.2

21.9

27.7

28.9

32.5

29.1

23.4

32.3

30.5

40.5

34.6

27.0

31.8

40.6

23.8

22.6

30.8

30.1

23.8

23.1

9.3

25.6

19.4

22.1

32.6

20.1

18.3

11.8

27.0

24.9

21.2

*6.8

22.4

24.4

23.5

31.7

24.6

28.4

20.5

●4.1

18.8

‘22.9

●5.8

72.5

31.2

11.8

10.6

23.3

31.2

30.5

24.6

16.3

18.1

*3.3

24.8

4.4

33.8

19.2

23.7

*4.6

27.8

10.8

13.7

8.9

8.5

27.1

17.8

25.4

42.9

27.4

31.2

38.4

24.6

19.4

34.2

23.9

17.8

23.5

5.6

15.2

11.1

7.4

50.3

11.0

9.9

4.0

15.7

17.0

18.1

‘4.9

11.6

15.2

●13.8

24.0

9.4

19.1

15.7

“0.3

‘ 10.0

*5.9

‘3.6

●5.2

*5.1

+7.7

10.9

16.0

49
Table 17. Number andpercent distribution of office visits made by female patlentsby age of patient, according to principal reason for visit in the

Symptom Module: United States, 1977-78–Con.

Number Age

Prirrcipalreasonforvtsit and RVCcodel of visits

in All Under 15-24 75-44 45-64 65years

thousands ages 15 years years ‘years years and over

Symptoms referable totheskin, nails, and hair . . . . . . . . . . S830-S899

Acneorpimples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S830

Warts, N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S850

Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s860

Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S865

Skin irritations, N.E.C.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . ,., ,.S870

All other symptoms referable totheskin, nails,andhair . . . ,S835-S845,

S855,S875S895

Symptoms referableto the musculoskeletal system . . . , . S900-S999

Necksymptoms, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S900

8acksymptoms . . . . . . . . . . . . . . . . . . . . .,, . . . . . . . . . . . . ..S905

Lowback symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S910

Hipsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S915

Leg symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S920

Kneesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925

Footand toesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S935

Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S940

Armsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S945

Handand fingarsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S960

Another symptoms referable tothemusculoskeletal system . . . . . .S930,

S950-S955, S965-S980

36,591

6,759

2,102

11,152

4,023

2,654

9,900

57,934

5,654

11,497

4,833

2,186

5,916

5,156

4,306

4)773

2,651

3,440

7,522

Percent distribution

100.0

100.0

100.0

100,0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

18.9

7.4

27.0

34.8

11.4

15.3

11.3

6.1

5.6

2,6

*4,1

‘3.0

*3.7

6.9

13.5

●2.6

●5.8

12.6

10,5

23.8 25.5

55.1 33.8

34.7 20.0

20.2 20.8

*5.3 20.6

13.2 24.5

14.4 28.3

10.5 25.2

18.1 32.0

12.9 29.9

9.5 36.1

+1 4.0

7.4 22.1

13.1 15.8

10.1 21.7

‘6.6 24.2

*9.3 21.0

“9.0 29.3

9.3 20.4

19.0

++3.3

*1 3.8

15.0

29.4

27.7

28.8

34.9

28.9

36.0

32.6

36.2

35.5

30.8

32.5

43.3

40.4

33.5

35.8

12.9

‘0.5

“4.5

9.2

33.4

19.3

17.2

23.3

15.4

18.6

17.8

46.9

31.3

33.3

22.2

23.3

23.5

15.7

24.0

lsearaferance 1.

2N.o.s, = nototherwise specified; N. E. C.= notalsawhere classified.

50
Table IS. Num&rand percent distribution ofoffice visits mAebyfemale patients byageof patient, according toprincipal reason forvisit

in the Disease, injuries and Adverse Effects, Test Results, and Administrative Modules United States, 1977-78

Principal reason for visit and R VC code ~

Number Age

of visits

in All Under 15-24 25-44 45-64 65years

thousands ages 15 years years years years and over

Percent distribution

Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Disease Module

Infective and parasitic diseases . . . . . . . . . . . . . . . . . . . . . DOOI-D099

Viral diseaees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Do15

Another infective and parasitic diseases . . . .D005-DO10, D02C-D035

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIoo-D199

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . ..DIcIo-D135

Benign neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . ..D140-D145

Endocrine, nutritional, and metabolic diseases . . . . . . . . . . .D200-D249

Diwasesofthethyroidgland . . . . . . . . . . . . . . . . . . . . . . ..D200

Dia!-wtesmellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D205

Ail other endocrine, nutritional, and metabolic

diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D210-D215

Diseases of the blood and blood-forming organs . . . . . . . . . .D250-D299

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D300-D349

Diseasesof thenervoussystem . . . . . . . . . . . . . . . . . . . ..D350-D399

Diseasesoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D400-D449

Diseasesoftheear . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D450-D499

Diseases of thecirculatory system . . . . . . . . . . . . . . . . . . .D500-D599

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D510

Iechemic heartdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D515

All other diseasasof thecirculatory system . . . . . . . . . . D500-D505,

D520-D550

Diseases of the respiratory system . . . . ., . . . . . . . . . . . ..D600.D649

Dieeasesofthe digestive system . . . . . . . . . . . . . . . . . . . . .D650-D699

Diseasesofthe ganitourinary syetem . . . . . . . . . . . . . . . ..D700-D799

Diseases of theskin and subcutaneous tissue . . . . . . . . . . . .D800.D899

Diseases of the musculoskaletal system and connective

tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D900-D949

Injuries and Adversa Effacts Module

lnjuryby type and/or location . . . . . . . . . . . . . . . . . . . . . .JOO1-J799

injury, N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J800-J899

Test Results Module

Teetresults modula . . . . . . . . . . . . . . . . . . . . . . . . . . . .. RI OO-R700

Administrative Module

Administrative module . . . . . . . . . . . . . . . . . . . . . . . . .. A1OO-A14O

694,431

2,506

1,366

1,140

4,467

3,398

1,089

7,296

1,342

5,255

699

917

607

1,241

3,830

1,174

13,335

9,249

1,247

2,839

6,167

2,397

3,732

4,192

4,910

16,883

2,156

4,193

6,957

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

14.7

33.8

38.6

28.0

*1.6

*0.6

●4.8

●2.5

●3.1

●1.6

*7.5

*10.4

●0.8

*8.1

10.4

82.3

*1.3

*0.5

*4.7

25.1

*11.7

*1.6

17.4

*6.8

23.7

‘@I2.0

*4.3

28.8

16.2

27.5

32.0

22.2

●4.1

*1.3

*13.3

●3.1

*6.7

*1.6

*7.7

*7.1

●17.0

*12.7

*3.1

‘0.9

●1.8

*0.8

‘0.5

*5.8

11.3

●7.7

20.2

15.7

*3.1

15.9

22.4

14.5

39.4

28.5

20.5

*1 0.0

33.0

18.8

14.2

33.3

17.0

38.7

9.8

*30. I

●16.1

*44.5

35.2

*6.5

*5.7

12.5

9.5

*5.2

25.3

25.3

17.7

41.6

28.2

13.5

25.0

27.2

38.0

21.3

24.2

*9.8

*7.9

*12.1

46.7

50.0

36.1

40.1

37.0

41.1

*38.3

*33.2

●27.8

28.1

25.4

*7.1

43.2

47.4

29.0

35.6

25.5

35.1

23.5

29.8

35.5

22.6

22.8

24.4

8.4

16.3

*8.5

*11.5

*4.8

28.8

33.9

*12.5

37.3

*14.6

45.9

*16.5

*33.2

*9.8

*16.O

54.5

*4.1

41.2

41.9

65.2

28.6

12.9

27.8

13.2

9.0

41.1

12.8

15.7

18.8

*2.3

lSeeraference 1.

2N.o.s. = not otherwise specified.

51
Table 19. Number andpercent dEtributionof office visits made by female patients byageof patient, according to principal reason for visit

in the Diagnostic, Screeningr and Preventive Module and the Treatment Module: United Stetesr 1977-78

Number Age

principal reason forvisit andt?vccode~ of visits

in All Under 15-24 25-44 45-64 65years

thousends ages 15 years years years years and over

Percent distribution

Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diagnostic, Screening, and Preventive Module

General examinations . . . . . . . . . . . . . . . . . . . . . . . . . ..XIOO-X199

General medical examination . . . . . . . . . . . . . . . . . . . . . . ..XIOO

Well baby examination . . . . . . . . . . . . . . . . . . . . . . . . . . ..xI05

SPecial eXaminations . . . . . . . . . . . . . . . . . . . . . . . . . . ..x200.x29g

Pregnancy,unconfirmed . . . . . . . . . . . . . . . . . . . . . . . . .,.X200

Prenatal examination, routine . . . . . . . . . . . . . . . . . . . . .X205

Postpartum examination . . . . . . . . . . . . . . . . . . . . . . . . . ..X215

Gynecological examination . . . . . . . . . . . . . . . . . . . . . . . ..X225

Eyeexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X230

Heartexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X235

All other special examinations . . . . . . . . . , . . . . . X220,X241)

Diagnostictests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .x300-x399

Glucose level determination . . . . . . . . . . . . . . . . . . . . . . . ..x310

Blood pressuretest ...,... . . . . . . . . . . . . . . . . . . . . . . ..X320

Pap smear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X365

All other diagnostic tests . . . .X300-X305, X315,X325-X360, X370

Other screening and preventive procedures . . . . . . . . . . . .X400-X499

Prophylactic inoculations . . . . . . . . . . . . . . . . . . . . . . . . ..X40C)

Family planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .x500.x599

Treatment Module

Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO.TIg9

Allergy medication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO

Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIIO

Medication, other and unspecified kinds . . . . . . . . . . . . . . ..TI’f5

Preoperative and postoperative care . . . . . . . . . . . . . . . .T200.T299

Preoperative visit for specified and unspecified types of

surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T200

Postoperativevisit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T205

Specifictypesoftherapy . . . . . . . . . . . . . . . . . . . . . . . ..T400-T499

Psychotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T410

Another specific types of therapy . . . . . . . .T400-T405,T 415-T425

Specific therapeutic procedures . . . . . . . . . . . . . . . . . . . .T500-T599

Fitting glasses andcontactlenws . . . . . . . . . . . . . . . . . . . . ..T515

Suture-insertion, removal.. . . . . . . . . . . . . . . . . . . . . . ..+.T555

Another specific therapeutic procedures . . , . . . . . . , . .T500-T510,

T520-T550, T560

Medical counseling . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T60&T699

Dietand nutritional counseling . . . . . . . . . . . . . . . . . . . . . ..T600

Counseling, N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T605

Social problem counseling . . . . . . . . . . . . . . . . . . . . .T700-T799

694,431

41,699

34,881

6,711

71,384

3,254

40,394

4,114

13,262

7,467

1,819

1,075

27,175

1,236

13,783

7,631

4,524

4,785

4,318

7,972

12,134

6,230

4,127

1,776

19,529

1,406

18,122

2,988

1,717

1,271

7,809

1,896

2,515

3,397

5,503

4,016

1,487

2,647

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

14.7

41.2

30.0

100.0

1.9

‘0.8

“0.5

*3.6

●0.I

12.2

*3.5

3.1

*4.4

*1.O

*0.7

13.1

42.2

43.2

*1.5

19.2

31.3

7.2

*4.9

6.9

*6.2

6.9

*1.4

‘0.9

‘2.0

17.8

*4.7

27.7

17.9

*6.1

*4.7

*9.9

*7.2

16.2

7.7

9.1

. . .

37.0

49.5

47.2

43.1

19.7

16.0

*11.7

8.6

*1.9

“0.7

21.5

12.8

10.9

10.2

45.5

11.0

14.4

*8.O

*6.2

12.8

* 22.8

12.1

*6.3

*10.O

*1.2

14.2

28.4

*13.3

*7.O

18,2

18.9

*16.O

15.1

28.5

17.9

21.2

. . .

46.6

45.9

51.8

52.6

50.9

20.4

$+4.1

*29.9

23.1

*4.8

8.1

50.6

27.4

16.8

15.0

50.9

28.7

33.0

22.7

27.7

34.6

39.9

34.2

42.0

53.7

*26.3

27.8

26.3

26.2

29.8

48.7

54.8

32.1

57.7

24.2

19.1

22.8

. . .

9.4

*3.8

“0.4

*0.3

25.1

31.5

21.4

32.9

34.5

43.7

44.6

23.3

20.1

17.4

18,0

*1.3

28.3

16.3

43.3

35.5

30.4

“20.5

31.2

34.9

31.7

39.1

24.3

22.5

24.0

25.6

19.8

17.3

26.5

17.7

16.3

14.2

17.0

. . .

5.2

*0.2

‘0.5

4.3

20.0

74.5

*2I .9

30.8

45.2

45.6

*4.1

26.6

12.7

13.6

*0.8

12.7

●5.1

18.8

25.7

15.2

*1 0.6

15.6

15.5

3.6

31.5

15.9

18.1

*8.9

19,7

7.3

*4.3

*15.5

*2.4

lSee reference 1.

2N.o.S. = not otherwise specified.

52
Table 20. Npmberand percent distribution ofoffice visits made bymalepatients bv age of patient, =cording toprincipal reason forvisit inthe Symptom Module:

United States, 1977-78

Number Age

Principal reason for visit and R VC code 1 of visits

in All Under 15-24 25-44 45-64 65 years

thousands ages 15 years years years years and over

Allvisits bymale,patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

General symptorrp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S001-S099

Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S010

Tiredness,exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s015

Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S040

Chest pain andrelated symptoms (not referable to&dy system) . . . . . . . . . . . . . .S050

Pain,site notreferable toaspecific body system . . . . . . . . . . . . . . . . . . . . . . . ..s055

Painand relatad symptoms, general izad, site unspecified . . , . . . . . . . . . . . . . . . . . S080

Allergy, N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S090

All othergeneral symptoms . . . . . . . . . . . . . . S005, S020-S035, S045, S085-S085, S085

Symptoms referable topsy chological andmental disorders . . . . . . . . . . . . . . . S1OO-S199

Anxiety andnervoumess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S100

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110

Another symptoms referable topsy chological andmental disorders . . . .S105, S115-S165

Symptoms referable tothenemous system (excluding sense organs) . . . . . . . . . . S200-S259

Headache,pain in head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S210

Disturbancasofsensation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s220

Vertigc-dizziness . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S225

All other symptoms referable to the newous system (excluding sense

organs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S200-S205.S215,S230-S240

Systems referable tothecardiovascular and lymphatic systems . . . . . . . . . . . . . S260-S299

Abnormal pulsationsandpalpitations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S260

Allothersymptoms referable tothecardiova=ular andlymphatic Wstems . . . . S265-S280

Symptomsreferabletotheeyes andears . . . . . . . . . . . . . . . . . . . . . . . . . . .. S300-S399

Visiondysfunctions .,..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305

Abnormal sensationsoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S320

Another symptoms referable to the eyes . . . . . . . . . . . . . . . . . . S310-S315, S325-S34O

Hearingdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S345

Earache,orearinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S355

All otheraymptomsreferableto the ears . . . . . . . . . . . . . . . . . . . . .S350,S360-S365

Symptomsreferablatothe respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . S400-S499

Nasalcongestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S400

Shortnessofbreath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S415

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440

Haadcold, upperrespiratory infection (coryza) . . . . . . . . . . . . . . . . . . . . . . . . ..S445

Symptomsreferabletothroat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S455

Another symptoms referable totherespiratory systam. . . . . . . . . . . . . . . .S405-S410,

S420-S435, S450, S460-S485

Symptoms referableto the digestive system . . . . . . . . . . . . . . . . . . . . . . . . . . S500-S639

Stomachpain,cramps,andspasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S545

Abdominalpein,cramps,spasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S550

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s595

All othersymptoms referableto the digestive system . . . . . . . . . . . . . . . . . .S500-S540,

S565-S590,S60C%615

Symptoms referable tothegenimurinary system . . . . . . . . . . . . . . . . . . . . . . S640-S829

Symptoms referable totheskin, nails,andhair . . . . . . . . . . . . . . . . . . . . . . . . S830-S899

Acneorpimples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S830

Warts, N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S850

Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s880

Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s965

Skin irritations, N.E.C.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S870

Allothersymptoms referable totheskin, nails, and hair . . . . . . . . . . . . . . . .S835-S645,

S855, S875.S895

Symptoms referable tothemusculoskeletal system . . . . . . . . . . . . . . . . . . . . . S900-S999

Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S900

Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S905

Lowbacksymptoms .,..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S910

Hipsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S915

Legsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S920

Kneesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925

Anklesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S930

Footandtoesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S935

Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S940

Armsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S945

Elbowsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S950

Handandfingersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S960

Another symptoms referable tothemu=uloskeletal system . . . . . . . . .S955, S965-S980

460,119

37,130

9,109

2,348

1,870

9,049

2,467

1,642

2,893

7,753

11,682

4,117

3,088

4.498

13,319

6,194

1,264

3,937

1,924

2,888

1,227

1,641

29,445

6,225

2,271

4,552

2,237

9,219

4,941

58,761

5,102

3,292

13,290

9,208

14,805

11,085

20,346

2,525

5,126

2,496

10,698

12,788

27.477

3,480

2,389

8,901

3,432

1,816

7,459

50,982

4,060

11,010

4,811

1,561

4,560

5,653

1,695

4,243

3,933

1,610

1,608

2,822

3,416

Percent distribution

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100,0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

24.0

29.5

78.9

‘4.7

●3.7

●3.5

‘5.0

●9.2

47.1

21.2

8.0

*1.8

*1.8

18.0

11.3

16.2

●3.7

18.5

14.8

●1.8

“24.6

39.0

11.4

“9,0

36.3

33.2

64.0

46.2

38.0

28.3

●1.6

55.2

43.9

41.1

23.6

21.3

19.1

12.5

46.9

20.0

9.5

22.6

14.0

23.8

37.8

14.0

+15.7

13.8

8.5

+6.8

“1.3

●1.O

●9.9

7.7

12.8

●12.7

19.8

●4.6

●15.7

●8.5

●1 0.5

21.0

13.0

8.0

7.5

“11.1

‘5.4

6.2

16.1

●12.8

●8.6

6.3

12.4

11.5

‘10.7

14.5

10.4

13.6

“6.8

●4.2

15.3

●1O.O

*7.1

‘12.2

10.6

11.2

25.8

●6.7

“9.8

10.5

*6.9

13.9

22.9

‘4.0

8.1

9.3

24.7

9.1

11.0

16.4

11.7

●5.7

10.5

12.6

24.1

71.6

30.9

17.2

“5.9

“12.3

19.2

14.2

10.2

13.8

10.3

●1O.7

11.6

24.5

21.4

12.3

12.0

● 12.8

“9.0

21.8

11.7

22.1

21.9

7.0

26.8

52.4

26.1

30.4

31.2

26.6

19.5

44.5

46.2

47.9

40.7

26.6

34.5

37.2

14.2

19.7

“8.7

●4.8

*11.6

16.5

18.5

28.1

19.4

20.5

12.5

11.9

18.6

24.9

‘10.1

14.4

19.8

20.8

19.5

23.9

37.7

25.4

20.7

22.1

25.7

20.4

11.0

25.9

18.6

18.4

27.1

24.6

28.7

35.8

36.3

36.7

“12.5

19.2

24.9

34.9

15.3

28.1

23.6

35.0

27.7

25.8

25.1

24.0

5.1

35.4

27.6

38.4

31.4

29.8

12.8

25.6

27.5

28.2

33.5

22.7

28.5

24.2

34.1

35.4

24.9

39.1

52.7

28.9

18.3

28.4

20.8

19.9

21.3

8.1

20.4

17.7

15.2

33.4

13.1

17.6

10.8

29.1

25.4

16,1

29.6

20.0

26.8

25.9

21.1

“1.8

“11.7

19.6

35.6

22.2

28,0

32.9

37.8

36.5

40.0

33.6

30.2

23.7

● 19.4

32.9

37.9

34.3

35.5

31.7

26.7

15.8

16.6

“1.4

21.9

“10.9

25.9

17.1

●17.1

+5.0

27.5

7.5

12.3

●6.1

“4.2

23.1

11.5

’21.9

42.5

21.7

27.4

33.6

22.7

15.6

30.5

16.3

17.8

15.2

5.0

14.7

11.8

8.6

50.8

9.3

9.5

2.7

18.8

18.5

16.8

20.7

‘6.8

20.6

26.3

11.8

“1.7

“7.7

6.8

26.2

22.7

14.5

15.8

9.3

13.1

12.1

33.4

31.4

14.1

●11.6

19.7

17.5

‘13.6

●12.1

●8.3

14.9

lseerefarence ,.

2N.o. s.= nototherwise specified; N.E. C. = not elsewhere classified.

53
Table 21. Number andpercent distribution ofoffice visits made bymalepatients byageof patient, according to principal reason forvisit

in the Disease, injuries and Adverse Effects, Test Results, and Administrative Modules: United States, 1977-78

Number Age

Principal reason for visit and R VC code 1

of visits

in All Under 15-24 25-44 45-64 65 years

thousands ages 15 years years years years and ovar

Percent distribution

15.8

*7.9

‘14.2

*2.3

41.6

45.3

30.4

34.7

*14.5

*55.6

*11.6

* 17.6

39.3

*2.2

28.4

24.4

43.7

27.2

11.5

19.3

23.2

* 14.6

22.0

11.4

23.2

4.9

*4.6

21.8

* 2.3

460,119 100.0 24.0

36,6

*29.3

43.2

*1.O

*1.1

*4.1

●2.6

●9.6

*12.0

●3.9

* 18.4

*1 3.3

78.6

+1.0

*4.3

42.1

13.3

*18.1

*7.5

*7.2

17.3

*2.3

23.4

21.3

‘10.3

21.2

Allvisits by male patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Disease Modu Ie

Infective and parasitic diseases . . . . . . . . . . . . . . . . . . . DOOI-D099

Viral diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DO15

Another infective and parasitic diseases . . . . . . . . . . . .DO05-D035

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D1OO-DI99

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . ..DIoo-D135

Endocrine, nutritional, and metabolic diseases . . . . . . . . .D200-D249

Diabetesmellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D205

All other endocrine, nutritional, and metabolic

diseases . . . . . . . . . . . . . . . . . . . . . . . . . . .. D200. D210-D215

Diseases of the blood and blood-forming organs . . . . . . . . . .D25GD299

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D300-D349

Diseasesof thenervoussystem . . . , , . . . . . . . . . . . . . . . .D350-D399

Diseasesoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D400-D449

Diseasesoftheear . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D450-D499

Diseasesofthe circulatory system . . . . . . . . . . . . . . . . . . .D500-D599

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D510

Ischemicheartdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D515

Another diseases of thecirculatory system . . . . . . . . . . D500-D505,

D520-D550

Diseases of the respiratory system . . . . . . . . . . . . . . . . . . .D600-D649

Diseases of the digestive system . . . . . . . . . . . . . . . . . . . . .D650-D699

Hernia of abdominal cavity . . . . . . . . . . . . . . . . . . . . . . . . .D660

Another diseeses of the digestive system . . .D650-D655, D665-D675

Diseases of thegenitourinary system . . . . . . . . . . . . . . . . .D700-D799

Diseases of theskin andsubcutaneous tissua . . . . . . . . . . . .D800-D899

Diseases of the musculoskeletal system and connective

tiesue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D90fJ-D949

Injuries and Adverse Effects Module

lnjuryby type and/or location . . . . . . . . . . . . . . . . . . . . . .JOO1-J799

injury, N. O.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J900-.J999

Test Results Module

Test results module . . . . . . . . . . . . . . . . . . . . . . . . . . . .. R1OOR7OO

Administrative Module

Administrative Module . . . . . . . . . . . . . . . . . . . . . . . . . .AIOO-A140

25.1

*8.O

*11.8

*4.7

41.0

40.5

45.4

47.1

39.3

*23 .0

*29.1

‘32.0

31.0

‘6.3

48.6

54.6

44.7

35.5

18.5

37.5

34.3

41.6

41.2

25.6

51,3

16.6

16.3

36.4

15.1

13.0 22.1

2,372

1,120

1,251

2,526

2,292

4,736

3,726

100.0

100.0

100.0

100.0

100.0

100.0

100.0

25.1

32.1

*18.8

*2.5

*1.9

*4.1

*2.7

22.4

*1 2.7

31.0

13.8

++ 11.2

16.0

12.9

1,010

492

818

766

2,396

1,066

11,178

6,724

1,969

2,485

100.0

100.0

100.0

100.0

100.0

*9.4

* 2.0

*74.3

*13.8

“3.9

*2.1

*2.7

*2.3

*1.6

*4.8

*27.2

*7.5

*4 I .1

*18.1

*I 2.4

*10.8

19.3

18.7

*1 0.0

28.2

100.0

100.0

100.0

100.0

100.0

5,604

3,144

1,734

1,409

1,942

3,921

100.0

100.0

100.0

100.0

100.0

100.0

9.8

10.7

*11.8

*9.5

*7.7

17.2

18.2

19.1

*12.7

*26.9

21.9

28.4

2,523 100.0 *6.7 16.6

27,002

2,217

100.0

100.0

27.9

26.8

27.2

31.0

2,044 100.0 *6.9 24.7

12,072 100.0 33.5 27.8

lSee reference 1.

2N.0.s. = n~tother~i~e~pe~ified.

54
Table 22. Numbarand percent distribution of office visits made bymalepatients byweofpatient, according toprincipal reason forvisit

in the Diagnostic, Screening, and Preventive Module and the Treatment Module: United States, 1977-78

Number Age

Principal reason for visit and R VC code 1

of visits

in All Under 15-24 25-44 45-64 65 years

thousands ages 15 years years years years and over

Percent distribution

460,199 100.0 24.0

54.5

41.4

100.0

11.1

15.8

*3.O

4.1

* 2.6

‘0.2

*16.3

50.2

50.7

45.4

54.4

36.3

*8.8

11.8

*4.9

24.6

*7. O

31.0

23.1

*9.8

*12.7

13.0 22.1 25.1

18.2

23.4

. . .

32.6

29.3

41.0

46.4

45.4

48.9

39.2

13.7

14.6

*9.2

13.2

7.1

22.1

33.5

31.9

27.9

20.6

*26.6

18.8

20.7

36.5

*19.5

15.8

12.5

16.2

. . .

34.8

21.2

51.7

29.9

33.4

32.5

20.7

9.8

10.3

8.6

*3.3

19.2

*22.3

24.0

*9.1

14.8

*18.O

12.3

16.7

*8.5

‘0.2

Allvisits by male patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diagnostic, Screening, and Prwentive Module

General examinations . . . . . . . . . . . . . . . . . . . . . . . . . ..XIOO-X199

General medical examination . . . . . . . . . . . . . . . . . . . . . . ..XIOO

Well baby examination . . . . . . . . . . . . . . . . . . . . . . . . . . ..X105

Speciai examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . .X200-X299

Eye examination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X230

Heartexemination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X235

Diagnostictests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X30C-X399

Glucose level determination. . . . . . . . . . . . . . . . . . . . . . . ..X310

Blood pressuretest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X320

All other diagnostic tests . . . . . . . . . X300X305,X315,X325-X370

Other screening and preventive procedures . . . . . . . . . . . . .X40@X499

Prophylactic inoculations . . . . . . . . . . . . . . . . . . . . . . . . ..X400

Family planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X500-X599

Treatment Module

Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIoO-T199

Allergy medication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO

Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIIO

Medicationr other and unspecified kinds . . . . . . . . . . . . . . . ..T115

Preoperative and postoperative care . . . . . . . . . . . . . . . . . .T200-T205

Specifictypesof therapy . . . . . . . . . . . . . . . . . . . . . . . ..T4r30-T499

Specific therapeutic procedures . . . . . . . . . . . . . . . . . . . . .T500-T599

Fitting glassesand contact lenses . . . . . . . . . . . . . . . . . . . . . .T515

Sutura-insertion, removal . . . . . . . . . . . . . . . . . . . . . . . . . . . T555

Another specific therapeutic procedures . . . . . . . . . . . .T500-T510,

T520-T550,T560

Medical counseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T600-T699

Social problem counseling . . . . . . . . . . . . . . . . . . . . . . ..T700-T799

31,269

24,234

7,015

7,762

4,485

2,864

14,335

1,161

9,913

3,261

4,089

3,834

1,240

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

4.7

6.1

10.1

13.0

. . .

9.1

14.9

●1.3

12.4

18.9

*3.1

2.7

*1.3

*2.O

*5.2

17.0

*1 7.3

16.4

18.7

8.7

8.0

17.5

16.4

*3.9 87.0

9,742

6,761

1,734

1,248

12,301

2,032

7,644

1,057

3,580

3,007

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

13.2

15.3

*10.9

●5.O

11.8

* 10.7

19.6

*3I .2

17.6

17.9

19.7

19.8

*11.5

30.4

20.5

47.4

20.4

*1 7.3

20.4

21.6

1,919

2,222

100.0

100.0

*10.5

*14.8

34.7

52.8

lSea reference 1.

55
Table 23. Numbarand percent distrlbutionof office visits made by female patients bylocatlonof physician’s practice, according to principal reason for visit

in the Symptom Module: United States, 1977-78

Number Geographic region Area

All

Principal reason forvisitand RVCcode7

0 f visits

loca- in North- North Metro- Nonthousands tions

east Cerr tral South West p01itan2 metrOLzolitan

Allvislts by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

General symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..sooI.s099

Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..so1o

Tiredness,exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..so15

Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,., ,,s040

Chest pain and related symptoms (not referable to

body system) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S050

Pain, site notreferable toaspecific body system . . . . . . . . . . . .S055

pain andralated symptoms, general lzed, site unspecified . . . . . . . . S060

Allergy, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S090

Another general symptoms . . S005, S020-S035, S045, S065-S085, S095

Symptoms referable to psychological and mental

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S100-S199

Anxiety andnervousness . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S100

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110

All other symptoms referable to psychological and mental

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S105. S115-S165

Symptoms referable tothenewoussystem (excluding sense

organs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S200-S259

Headache,pain inhead . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S210

Disturbancesofsansation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s220

Vemigo-dizziness . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . ..s225

All other symptoms referable to the nervous system (excluding

sanseorgans) . . . . . . . . . . . . . . . . . . . .S200-S205, S215, S230-S240

Symptoms referable to the cardiovascu Iar and Iymphadc

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S260-S299

Abnormal pulsations and palpitations . . . . . . . . . . . . . . . . . . S260

All other symptoms referable to the cardiovascular and

Iymphaticsystems . . . . . . . . . . . . . . . . . . . . . . . . . . . .S265-S280

Symptoms referable totheeyesand ears . . . . . . . . . . . S300-S399

Visiondyafunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305

Abnormal sensationsoftheeye . . . . . . . . . . . . . . . . . . . . . . . ..S320

Another symptoms referable to the eyes . . . . . S310-S315, S325-S340

Hearingdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S345

Earache,orear infection . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S355

Another symptoms referable to the ears . . . . . . . . . . .S350, S360-S365

Symptoms referable totherespiratory system . . . . . . . . . . . . . S40C-S499

Nasal congestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S400

Shortnessof breath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S415

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440

Headcold, upper respiratory infection (coryza) . . . . . . . . . . . . . .S445

Symptomsreferabletothroat. . . . . . . . . . . . . . . . . . . . . . ,., .S455

Another symptoms referable tothe respiratory system . . . . .S405-S410,

S420-S435, S450, S460-S485

Symptoms referable tothedi@stive system . . . . . . . . . . . . . . . S500-S639

Nausea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S525

Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S530

Stomach pain,cramps,andspasms . . . . . . . . . . . . . . . . . . . . . ..S545

Abdominal pain,cramps,spasms . . . . . . . . . . . . . . . . . . . . . . ..S550

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s595

Another symptoms referable tothe digestive system . . . . . .S500-S520,

S535-S540, S565-S590, S600-S61 5

Symptomsreferableto thegenitourinary system. . . . . . . . . S640-S829

Frequency andurgency ofurination . . . . . . . . . , . . . . . . . . .S645

painfulurination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S650

Absence ofmenstruation (amenorrhea) . . . . . . . . . . . . . . . . . . ..S730

Irregularity of menstrual intewal . . . . . . . . . . . . . . . . . . . S735

Irregularit yofmenstrualflow. . . . . . . . . . . . . . . . . . . . . . . . ..S740

Menstrual symptoms, other and unspecified . . . . . . . . . . . . . . . . . S745

Menopausal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S750

Uterineandvaginal bleeding . . . . . . . . . . . . . . . . . . . . . . . . . ..S755

Vaginal discharge......,.. . . . . . . . . . . . . . . . . . . . . . . . ..S760

Otherveginal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S765

Pelvicsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S775

Pain orsorenessof breaat. . . . . . . . . . . . . . . . . . . . . . . . . . . ..S800

Lumpormassofbreast, . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S805

All other symptoms referable to the genitourinary

system . . . . . . . . . . . S640, S655-S660, S770, S790-S795, S810-S825

Percent distribution

694,431

57,110

8,930

5,678

10,625

9,032

3,835

2,903

3,509

12,598

19,260

7,962

6,014

5,285

23,956

12,148

2,080

7,405

2,323

4,150

1,960

2,190

36,763

9,599

3,617

5,879

2,535

9,881

5,253

69.397

5,950

3,182

15,769

11,939

20,079

12,477

34,324

3,162

2,178

3,882

12,441

2,350

10,310

46,199

2,635

4,043

1.745

1.793

1,282

1,566

2,842

4,186

3,939

4,481

1,693

1,627

3,983

10.375

100.0

100.0

100.0

100.0

100.0

100.0

100,0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100,0

100.0

100.0

100.0

100,0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

23.6

22.3

17.4

29.5

22.3

24.1

23.0

23.1

23.4

20.4

32.5

31.0

31.2

36.1

24.9

25.1

25.1

24.9

23.1

25.4

26.0

24.8

25.6

27,0

27.7

25.6

27.7

24.3

23.3

24.4

29.6

26.7

26.3

23.3

22.6

22.9

21.9

17.4

16.1

23.6

22.8

22.0

22.9

21.4

26.0

17.9

39.4

20.9

28.3

24.6

15.2

20.8

21.8

18.2

22.2

●16.O

19.1

22.0

25.0

23.4

28.2

34.8

12.5

23.5

21.3

30.1

31.0

20.9

18.6

18.0

22.6

15.1

24.5

24.9

25.7

22.3

29.1

29.1

26.9

31.1

22.7

22.7

24.0

20.5

15.9

24.2

24.5

25.1

18.4

16.9

26.4

25.2

28.0

24.2

25.2

27.4

18.5

23.0

23.9

23.2

28.7

24.4

24.8

26.3

15.1

23.4

+17.4

+19.0

24.6

27.2

27.3

29.1

42.1

28.0

27.4

21.0

30.7

32.8

38.5

17.0

25.7

37.6

38.3

29.2

29.0

38.5

28.1

30.6

27.0

25.6

30.2

28.2

33.6

32.5

30.5

31,9

31.6

32.2

29.2

26.1

19.6

25.4

37.1

32.1

36.4

30.6

31.3

35.3

27.6

32.1

29.4

33.2

32.3

37.4

47.4

34.4

31.9

32.7

27.3

32.2

29.3

35.2

24.7

37.4

30.5

40.4

34.0

30.0

33.0

26.5

31.0

37.0

34.7

32.0

20.8

21.6

15.8

18.8

39.5

14.8

17,4

17.5

16,6

20.2

20.8

20.4

19.3

23,2

20,4

21.8

15.5

20.4

17.3

13.6

15.5

11.9

22.5

24.2

28.8

28.5

19.3

19.4

15.8

19.9

20.7

21.2

19.8

19.4

19,9

19.8

20.6

17,8

18.o

19.1

21.4

22.0

21.2

22.1

19.9

20.6

20.8

18,4

*23.8

‘16.0

26.2

22.0

17.9

26.1

22.8

19.1

18.9

25.0

75.6

75.1

68.8

78.4

90.9

76.0

67.1

73.0

60.7

71.1

87.5

84.0

91.2

88.6

75.6

74.0

81.3

74.8

81.8

79.3

84.7

74.4

76.1

83.4

71.7

83,2

72.5

69.1

72.5

73.0

79.2

75.4

75.1

70.0

70.0

74.6

72.4

59.6

62.5

68.0

76.4

75,3

74.6

75.4

78.1

72.8

84.6

75.8

73.4

65.9

76.0

73.1

79.1

75.2

75.6

60.5

71.5

79.2

24.4

24.9

31.2

21.6

9.1

24.0

32.9

27.0

39.3

28.9

12.5

16.0

8.8

11.4

24.4

26.0

18.7

25.2

18.2

20,7

+15.3

25.6

23.9

16.6

28,3

16.8

27.5

30.9

27.5

27.0

20.8

24.6

24.9

30.0

30.0

25.5

27.6

40.4

37.5

32.0

23.6

24.7

25.4

24.6

21.9

27.2

“1 5.4

24.2

26.6

34.1

24.0

26,9

20.9

24.8

24.4

39.5

28.5

20.8

See footnotes at end of tabla.

56
Table 23. Num&rand percent distribution ofoffice visits made by female patients by location of physician’s practice, according to principal reason forvisit

in the Symptom Module: United States, 1977-78-Con.

Number Geographic region Area

of visirs All

Principal reason for visit and R VC code 1 loca- in Norrh- North Merro- Nonthousands rions east Central Sourh West me trO- politan2

poliran

Percent distribution

Symptoms referable to the skin, nails, and hair . . . . . . . . . . . . . S830-S899

Acneorpimples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S830

Warts, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S850

Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..ss60

Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S865

Skrni’rritations, N.E.C,3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S870

All other symptoms referable to the skin, nails, and

hair . . . . . . . . . . . . . . . . . . . . . . . . . S835-S845, S855, S875-S895

Symptomsreferable tothemuaculoskeletal system . . . . . . . . . . s900-S999

Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S900

Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s905

Lowbacksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s91o

Hipsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S915

Legsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S920

Kneesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925

Footandtoesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S935

Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S940

Armsymptoms . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . ..S945

Handandfingarsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . ..S960

All other symptoms referable to the musculoskeletal

system . . . . . . . . . . . . . . . . . . . . . . ..S930.S950-S955.S965-S980

36,591

6,759

2,102

11,152

4,023

2,654

9,900

57,934

5,654

11,497

4,833

2,186

5,916

5,156

4,306

4,773

2,651

3,440

7,522

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100,0

22.9

22.0

21.7

24.3

22.3

20.9

22.8

23.8

26.9

23.0

24.3

19.2

25.0

24.7

20.8

25.3

27.5

21.2

23.2

26.4

24.5

28.4

30.3

21.1

23.7

22.2

25.6

23.3

26.6

22.7

24.7

23.3

25.6

26.4

25.1

23.3

27.9

29.8

29.7

29.0

27.5

27.0

37.2

28.7

30.7

30.7

29.5

32.7

34.0

30.2

31.3

29.1

31.1

26.5

30.1

30.5

29.8

22.1

24.5

22.4

18.3

19.4

26.8

24.3

19.8

20.3

17.8

19.1

25.9

20.5

20.6

21.7

23.1

19.1

20.4

17.2

78.4 21.6

89.8 10.2

77.2 22.8

76.2 23.8

71.0 29.0

76.1 24.0

76.9 23.1

77.3 22.7

80.2 19.8

77.4 22.6

83.6 16.4

81.8 18.2

76.0 24.0

77.8 22.2

70.6 29.4

77.4 22.6

70.8 29.2

73.1 26.9

78.2 21.8

1seerafe,anoe 1,

2Location within theatandard metropOlilan statistical areas (SMSA’s).

3N. o.s, = not otherwise specified; N. E.C. =’ notelaawhere classified.

57
Table 24. Number and percent distributmnof of flcewsltsmadeby female patients by location of physician’s practice, according to principal reason forvisit in the

Disease, injuries and Adverse Effects, Test Results, and Administrative Modules: United States, 1977-78

Number

Geographic region Area

All

%incipalreason forvisit and RVCcodel

0 f visits

10ca- in North- North Merro- Nonrhousands rions east Central South West

p01itan2 metropolitan

Percent distribution

Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . .

Disease Module

Infective andparasitic diseasas . . . . . . . . . .DOO1-D099

Viraldiaaases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DO15

Another infective and parasitic diseases . . . .DO05-D010, DO2O-DO35

Neoplasm . . . . . . . . . . . . . . . . . ..D1OO-D199

Malignantneoplasms . . . . . . . . . ..DIOO-D135

Benign neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DI4D14545

Endocrine, nutritional, andmetabollc diseases. . . . . . . .D200-D249

Diseasesofthethyroldgland . . . . . ..D200

Diabetesmellitus . . . . . . . . . . . , . . . . . ..D2o5

All other endocrine, nutritional, and metabolic

diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,D21O-D2I5

Disaasas ofthablood and blood- forming organs . . . . . .D250-D299

Mentaldisorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D300-D349

Disaasasofthenewoussystem . . . . . . . . . . .D350-D399

Diwasesoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D400-D449

Dkeasasoftheear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D45O-D499

Diaeasas of thecirculatory system . . . . . ..D500-D599

Hypertension ., . . . . . . . . . . . . . ,.. ,D51O

Ischemicheartdisease .,..,.. . . . . ..D515

Another diseases of theclrculatory system . .D500-D505, D520-D550

Diseasas oftha respiratory system . . . . ..D600-D649

Disaases ofthedigestive system . . . . . . . .D650-D699

Diseasesof thagenitourinary system . . . . . . . . . .D700-D799

Diseases of theskin andsubcutaneous tissue . . . . . . . . . .D800-D899

Diseases of the muacu Ioskel etal system and connective

tissua . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D90GD949

lnjuriasand Adversa Effacts Module

lnjurybytypeand/orlocation . . . .JOOI-J799

injury, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .J800-J899

Test Results Module

Test resultsmodule . . . . . . . . . . . . . ..RIOO-R700

Administrative Module

Admmistrative module . . . . . . . . . . . . . . . . . . . . . . . . .,.AIOO-A140

694,431

2,506

1,366

1,140

4,467

3,398

1,089

7,296

1,342

5,255

699

917

607

1,241

3,830

1,174

13,335

9,249

1,247

2,839

6,167

2,397

3,732

4,192

4,910

16,883

2,156

4,193

6,957

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

23.6

17.7

‘12.2

*24.3

20.5

19.4

24.0

21.9

●23.9

22.8

‘11.9

●24.7

*44.8

‘15.3

28.0

*27.1

32.2

34.5

29.3

25.8

26.2

20.1

21.4

22.3

15.5

17.6

18.8

13.9

25.0

25.0

25.8

32.6

*1 7.6

23.0

26.4

13.2

25.3

29.8

25.5

+15.3

*3I .2

“10.1

*26.6

26.6

‘12.5

22.6

22.1

19.7

25.5

23.6

21.6

17.6

23.6

25.2

29.7

21.9

23.0

34.8

30.7

35.1

32.5

38.1

32.8

30.2

40.9

26.8

*23.6

28.2

*22.1

‘29.9

+17.0

42.0

25.4

35.6

29.3

28.7

41.9

25.4

31.9

39.2

46.0

25.7

41.1

31.8

33.4

30.7

25.7

20.8

21.5

22.7

+20.1

23.5

24.0

22.0

25.9

‘22.7

23.5

50.7

*14.3

“28.2

*16.1

20.0

24.8

16.0

14,6

‘9.1

23.3

18.3

19.1

15.0

28.4

18.2

20.8

25.9

32.4

14.6

75.6

76.9

82.7

69.9

74.0

75.9

68.0

79.8

80.5

78.6

88.0

74.0

90.8

66.7

82.3

82.6

73.9

75.0

78.2

68.2

74.9

66.1

86.5

80.7

68.8

70.6

78.5

69.1

67.5

24.4

23,1

*I 7.3

30.1

26.0

24.2

32.1

20.2

‘19.5

21.5

*1 2.0

26.0

9.2

33.3

17.8

* 17.4

26.2

25.0

*21 .8

31.8

25.1

33.9

13.5

19.3

31.2

29.4

21.5

30,9

32.5

lSee reference 1.

2Location within the standard matropolltan statistical areas (S. M. S. A.’s)

3N.o.S. = nototherwme specifiaci.

58
Table 25. Numbarand percent distribution of office visits made by female patients bylocation ofphysician's practice, according toprincipal reason forvisit

inthe DiWno~ic, Screening, and Preventive Module and the Treatment Module: United States, 1977-78

Principal reason for visit and R VC code 1

Number Geographic region Area

of visits All

10ca- in North- North Metro- Nonthousands tions east Central South West po/itan2 metropolitan

Percent distribution

Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diagnostic, Screening, and Preventive Module

General examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X1OOX199

General medical examination . . . . . . . . . . . . . . . . . . . . . . . . ..XIOO

Well babyexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X105

Specialexaminations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X200-X299

Pragnancy,uncorsfirmed . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X200

Prenatal examination,routina. . . . . . . . . . . . . . . . . . . . . . . . ..X205

Postpartumexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X215

Gynecologicalexamination . . . . . . . . . . . . . . . . . . . . . . . . . . ..X225

Eyeexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X230

Heartexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X235

Allotherspecial examinations . . . . . . . . . . . . . . . . . . . . . X220,X240

Diagnoatictests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X300-X399

Ghscosalavel determination. . . . . . . . . . . . . . . . . . . . . . . . . ..X310

Bloodpreesuretest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X320

Papsmear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X365

Allotherdiagnostic tests . . . . . . . X300-X305, X31 5, X325-X360, X370

Other screening andpreventiveprocadures . . . . . . . . . . . . . . . .X400-X499

Prophylactic inoculations . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X400

Familyplanning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X500-X599

Treatment Module

Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIoo-T199

Allergy medication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO

Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIIO

Medication, otherand unspecified kinds . . . . . . . . . . . . . . . . . . .T115

Preoperative andpostoperative care . . . . . . . . . . . . . . . . . . . .T200-T299

Preoperative visit for specified and unspecified types

of surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T200

Postoperativevisit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T205

Specifictypesoftherapy . . . . . . . . . . . . . . . . . . . . . . . . . ..T400-T499

Psychotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T410

Another specific types of therapy . . . . . . . . . ..T400-T405, T415-T425

Specific therapeutic procedures . . . . . . . . . . . . . . . . . . . . . ..T500-T599

Fittingglassesandcontactlanses . . . . . . . . . . . . . . . . . . . . . . ..T515

Sutura-insartion,removal.. . . . . . . . . . . . . . . . . . . . . . . . . . ..T555

Another specific therapeutic procedures. .T500-T510, T520-T550, T56O

Medicalcounseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T60C-T699

Dietandnutritionalcounsaling . . . . . . . . . . . . . . . . . . . . . . . ..T600

Counseling, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T605

%cialproblemcounsaling . . . . . . . . . . . . . . . . . . . . . . . . ..T700-T799

694,431

41,699

34,881

6,711

71,364

3,254

40,394

4,114

13,262

7,467

1,819

1,075

27,175

1,236

13,783

7,631

4,524

4,785

4,318

7.972

12,134

6,230

4,127

1,776

19,529

1,406

18,122

2,988

1,777

1,271

7,809

1,896

2,515

3,397

5,503

4,016

1,487

2,647

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

23.6

29.4

30.1

25.7

22.1

24.2

19.3

18.9

25.7

26.5

40.0

‘29.2

21.8

‘20.2

27.5

15.2

15.9

16.9

16.4

24.1

22.5

34.7

8.4

●12.3

18.3

‘10.3

19.0

25.8

35.4

● 12.7

21.2

22.6

18.7

22.1

14.4

13.9

●1 5.7

39.6

25.0

26.6

26.3

27.5

25.1

19.6

27.9

25.3

20.9

21.2

19.5

●27.4

32.3

●23.4

33.2

34.2

28.6

20.9

20.5

21.8

28.9

22.8

40.3

23.8

22.9

●16,2

23.4

22.8

“1 3.9

34.8

25.1

27.8

30.9

19.3

28.6

25.2

37.7

17.7

30.7

28.8

30.6

20.3

32.8

33.2

32.3

36.3

35.0

32.3

24.2

●26.4

25.3

41.0

21.4

23.1

36.8

27.6

28.2

28.2

33.1

31.3

36.5

31.6

34.9

41.7

34.3

25.1

29.8

18.9

30.8

27.8

28.7

34.0

28.0

28.3

27.2

25.1

20.8

15.2

13.0

26.5

20.0

23.1

20.5

19.6

18.3

20.1

● 16.4

●17.1

20.7

●1 5.5

17.9

27.5

18.8

34.6

34.9

25.8

15.5

11.2

14.8

32.3

24.0

31.8

23.4

26.3

21.0

33.6

22.9

21.8

21.7

24.5

29.0

32.6

●19.3

17.6

75.6

76.1

76.1

76.4

74.4

65.9

69.9

71.1

86.0

82.8

73.7

81.7

69.9

59.5

70.8

77.7

67.3

73.5

74.2

82.7

70.3

72.4

62.6

80.7

80.9

85.5

80.5

80.2

86.5

58.2

74.6

73.0

72.3

77.1

80.2

82.3

74.3

94.1

24.4

23.9

23.9

23.6

25.6

34.1

30.1

28.9

14.0

17.2

26.3

*1 8.3

30.1

40.5

23.3

28.3

32.7

26.6

25.8

17.3

29.7

27.7

37.4

19.4

19.1

●14.5

19.5

19.8

●3.5

41.8

25.4

27.0

27.7

22.9

19.8

17.7

25.7

●5.9

lSee reference 1.

2Location within the standard metropolitan statistical areas (S. M. S. A.’S).

%V.O..5.= “ot otherwise specified.

:

59
Tabel 26. Number andpercent distribution of office visits made bymalepatlentsby location &physician's pr=tice, according toprincipal reason f0rvisit

in the Symptom Module: United States, 1977-78

Number Geographic region Area

All

Principal reason for visit and t? VC code 1

of visits

IOC.3. in North- North MetroNonthou.wnds tions Central South West metrOeast p01itan2 politan

Allvisits by malepatients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

General symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S001-S099

Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S010

Tiredness, exhaustio” . . . . . . . . . . . . . . . . . .. S015

Weight gai n . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,, ,, . . . . . . . . .. SC4O

Chest pain andrelated symptoms (notreferable to body system) . . . . . . . . .S050

Pain, site notreferable to aspecific body system . . . . . . . . . . . . . . . . . . . . . . . . . .. S055

Pain andrelated symptoms, generalized, site unspecified . . . . . . . . . . . . . . .S060

Allergy, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...5090

Aliother general symptoms . . . . . . . . . . . . . . . S005, S020-S035, S045, S065-S085, S095

Symptoms referable topsy cholOgical and mental disorders . . . . . . . . . . . S1OO-S199

Anxiety andnewousness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S100

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S11O

Another vmptoms referable topvcholWical and mental disorders . . . . .S105, S115-S165

Symptoms referable tothe nervous system (excluding sense organs) . . . . . . . . . . . . . S200-S259

Headache, pain in head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S21O

Disturbances of sensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S220

Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S225

Another symptoms referable tothenewcmsy stem (excluding sense organs) . .S200-S205,

S215, S230-S240

Symptoms referable tothecardiova=ular and lymphatic systems . . . . . S260-S299

Abnarmal pulsations and palpitations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S260

Another vmptoms referable tothecardiovascular and lymphatic systems . . . S265-S280

Symptoms referable totheeyes and ears . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S300-S399

Vision dysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S305

Abnormal sensations of the eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S320

Another symptoms referable to the eyes . . . . . . . . . . . . . . . . . .S310-S315, S325-S34O

Hearing dysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...5345

Earache, or ear infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S355

Another symptoms referable totheews . . . . . . . . . . . . . . . . . . . . . .S350, S360-S365

Symptoms referable totherespiratory wstem . . . . . . . . . . . . . . . . . . . . . . . . . S400-S499

Nasal mngesmon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S400

Shortness of breath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...5415

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s~o

Headcold, upper respiratory infection (coryza] . . . . . . . . . . . . . . . . . . . . . . . .S445

Symptoms referable tothroat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...5455

Allothersymptoms referable tothe respiratory system . . . . . . . . . .S405-S410, S420-S435,

S450, S460-S485

Symptoms referable tothedigestive systam . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S500-S639

Stomach pain, cramps, and spasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...5545

Abdominal oain, cram!xspasms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S550

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...5595

Another symptoms referable tothe digestive system . . . S500-S540, S565-S590, S600-S615

Symptoms referable tothegenitourinary sYstem . . . . . . . . . . . . . . . . . . . . . . . S640-S829

Symptoms referable totheskin, nails, and hair . . . . . . . . . . . . . . . . . . . . . . . . . . S830-S899

Acneorpimples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S830

Wafls, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...5850

Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...5860

Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5665

Skin irritations, N. E.C.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S870

Another symptoms referable totheskin, nails, and hair . .S835-SS45, S855, S875-S895

Symptoms referable tothemuwuloskeletal system . . . . . . . . . S900-S999

Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...5900

8ack symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S905

Low backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...5910

Hipsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...5915

Leg symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s920

Kneesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S925

Ankle symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S930

Footand toe symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S935

Shoulder. symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...5940

Arm symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...5945

Elbow symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S950

Hand and finger symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...5960

Another wmptoms referable tothemuwuloskeletal system . . . . . . . . . . .S955, S965-S980

460,119

37,130

9,109

2,348

1,870

9,049

2,467

1,642

2,893

7,753

11,682

4,117

3,o68

4,497

13,319

6,194

1,264

3,937

1,924

2,868

1.227

1,641

29,445

6,225

2,271

4,552

2,237

9,219

4,941

56,761

5,102

3,292

13,290

9,206

14,805

11,065

20,846

2,525

5,126

2,4S6

10,698

12,786

27,477

3,480

2,389

8,901

3,432

1,816

7,459

50,982

4,060

11,010

4,811

1,561

4,560

5,653

1,695

4,243

3,933

1,610

1,606

2,822

3,416

Percent distribution

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100,0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

23.4

24.2

23.2

22.8

26.4

27.5

23.1

‘20.6

24.5

22.3

34.1

30.7

32.3

38.4

23.8

24.7

18.9

22.6

26.5

19.5

●2I .3

‘ 18.2

23.5

29.5

27.8

24.2

22.9

20.0

19.9

23.5

30.5

22.9

26.0

20.5

22.0

22.1

23.6

19.2

26.2

24.5

23.6

21.7

22.7

21.3

24.4

21.8

25.8

21.8

22.7

21.4

25.4

16.7

24.2

“12.5

27.1

18.2

“1 8.7

21.3

23.1

22.5

24.9

22.6

19.5

25.6

24.2

18.3

42.6

‘17.7

24.9

25.1

28.0

23.0

24,7

17.7

20.6

17.4

15.2

24.4

22.4

26.2

26.1

26.6

29.6

29.9

29.4

24.0

21.1

23.7

21.8

25.1

26.1

25.3

26.4

21.6

17.4

25.7

27.8

30.3

25.4

25.6

37.2

26.1

23.9

23.0

24.9

25.8

26.8

30.7

28.2

19.8

21.3

24.7

25.5

24.3

23.6

27.7

25.0

24.8

25.2

26.9

28.7

21.9

34.7

23.1

30.0

23.9

31.0

33.8

43.7

16.0

23.4

33.1

35,1

34.7

24.6

33.9

27.1

31.6

27.4

22.8

34.2

35.4

31.6

36.5

27.5

32.3

33.0

31.8

29.5

26.1

25.2

24.3

33.0

32.2

34.1

31.6

23.3

41.2

29.7

35.6

30.4

33.2

32.7

35.2

28.3

32.0

34.3

28.3

31.3

29.1

25.2

33.6

34.4

37.6

28.8

31.9

26.7

37.9

29.1

40.6

29.8

29.2

30.3

29.9

31.9

26.2

29.8

26.6

35.2

19.9

17,8

13.8

18.5

32.5

14.6

16.8

‘16.6

28.0

19.1

24.1

17.1

23.0

23.6

17.6

17.6

23.4

14.9

19.4

16.5

● 15.8

‘20.5

23.1

23.4

23.4

29.7

19.1

21.7

20.7

18.6

24.6

18.6

18.6

16.1

17.3

19.4

18.0

“8.4

19.4

19.7

19.2

25.1

20.2

22.9

19.8

16.3

20.1

19.3

23.9

21.2

21,6

19.8

19.1

21.9

18.3

27.4

24.1

20.1

23.1

16.6

22.2

20.5

21.5

74.0

72.2

70.5

79.8

92.9

69.4

66.9

78,2

62.6

74.3

89.1

85.2

93.0

90.0

72.7

72.5

79.5

67.6

79.2

69.0

82.7

58.8

72.0

81.4

74.0

75.3

73.7

64.3

70.0

70.7

83.4

73.2

71.7

62.4

68.5

72.7

70.9

60.5

74.8

74.9

70.6

78.7

74.9

64.6

70.1

74.9

71.8

77.4

72.6

75.8

71.3

74.2

86.4

80.1

72.3

78.0

79.2

74.0

72.6

72.S

75.6

74.5

76.6

26.0

27.8

28.5

20.2

‘7.1

30.7

33.1

21.8

37.4

25.7

10.9

14.9

7.0

10.0

27.3

27.5

‘20.5

32.4

20.8

31.0

17.3

41.2

28.0

18.6

26.0

24.7

26.3

35.7

30.0

29.3

16.6

26.8

28.3

37.6

31,5

27.3

29.1

39.5

25.2

25.1

29.4

21.3

25.1

15.4

29.9

25.1

28.2

22.6

27.4

24.3

28.7

25.8

13.6

19.9

27.7

22.0

20.8

26.0

27.4

27.2

24.4

25.5

23.4

lSee reference 1.

2Location wlthinthe smndard metr'apOlitan statistical areas (SMSA’s).

3N.0. S.= natmherwises peclfled; N. E. C.= notelsewhere classlfled.

60
Table 27. Number andpercent distribution of office visits made by male patients bylocation ofphysician's practice, according toprincipal reason forvisit in the

Disease, injuries and Advene Effects, Test Results, and Administrative Modules: United States, 1977-78

Number Geographicregion Area

0 f visits All

Principalreasonfor visitand R VC codeq 10ca- in North- North Metro- Nonthousands tions Central south east West p01itan2 metropolitan

Percent distribution

Allvisits by malepatients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Disease Module

Infective and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . ..DOOI-D099

Viraldiseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DO15

Another infective and parasitic diseases . . . . . . . . . . . . . . .DO05-D035

Neoplasm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D1OO-D199

Malignantneoplasms ..,.... . . . . . . . . . . . . . . . . . . . ..D1OO-D135

Endocrine, nutritional, and metabolic diseases . . . . . . . . . . . . .D200-D249

Diabetesmellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D205

All other endocrine, nutritional, and metabolic

diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D2OO.S21O-D215

Diseasas of the blood and blood-forming organs . . . . . . . . . . . .D250-D299

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D3200-D349

Diseasesofthe nervouseystem . . . . . . . . . . . . . . . . . . . . ..D350-D399

Diseasasoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D400-D449

Diseasasoftheear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D450.D499

Disaases ofthecirculatory system . . . . . . . . . . . . . . . . . . . ..D500-D599

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D51O

Ischemicheartdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D515

Allotherdisaasesof thecirculatory system . . . .D50C-D505, D520-D550

Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . ..D600-D649

Diseasesof thedigeative system . . . . . . . . . . . . . . . . . . . . . ..D650-D699

Herniaofabdominal cavity.. . . . . . . . . . . . . . . . . . . . . . . . . ..D660

Allothe rdisease so fthedigestiv esystem. . . . . .D650-D655, D665-D675

Disaawsofthegenitourinary system . . . . . . . . . . . . . . . . . . . .D700-D799

Disaasesof theskin and subcutaneous tissue . . . . . . . . . . . . . .D800D899

Diseases of the musculoskeletal system and connective

tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D900-D949

Injuries and Adverse Effects Module

lrrjurybytypeand/orlocation . . . . . . . . . . . . . . . . . . . . . . ..JOO1-J799

lnjury,N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J900-J999

Test Results Modu Ie

Tastresultsmodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..R1OWR7OO

Administrative Module

Administrativemodule . . . . . . . . . . . . . . . . . . . . . . . . . . . ..A1OO-AI4O

460,119

2,372

1,120

1,251

2,526

2,292

4,736

3,726

1,010

492

818

766

2,396

?,066

11,178

6,724

1,969

2,485

5,604

3,144

1,734

1,409

1,942

3,921

2,523

27,002

2,217

2,044

12,072

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

23.4

23.5

●28.7

18.9

22.5

21.2

24.0

24.7

●21.7

●17.9

*38.6

“40.6

37.3

●21 .8

26.5

25.8

28.8

26.8

27.5

26.4

24.5

28.7

●16.8

18.7

‘1 2.4

15.0

19.4

11.3

21.1

25.6

26.0

●23.5

28.1

24.4

25.0

29.7

30.0

●28.5

*22.9

*18.1

* 15.8

16.1

●24.6

22.4

21.4

28.8

20.1

27.2

19.2

17.5

●2I .4

* 12.5

30.3

23.0

30.4

21.6

27.5

33.1

31.0 19.9

29.7 20.8

●27.6 *20.1

31.5 21.4

26.3’ 26.9

25.4 28.4

23.4 22.9

24.9 20.4

●17.7 ●32.1

*33.8 ‘25.4

●I 7.3 ‘26.0

‘24.2 +19.3

31.1 21.5

●23.6 ● 30.0

29.7 21.3

28.5 24.3

29.3 *13.1

33.4 19.8

25.4 19.9

33.8 20.6

36.6 21.5

30.4 ‘19.5

46.2 24.4

33.8 17.2

43.4 21.3

34.9 19.7

38.9 20.2

29.0 32.2

27.6 16.3

74.0

79.8

80.5

79.2

80.4

79.2

79.1

78.7

80.8

86.0

91.8

84.4

79.6

71.6

76.4

79.7

73.3

69.9

74.2

73.2

71.0

75.8

90.1

76.4

65.6

64.6

71.2

73.0

68.0

26.0

20.2

●19.5

●20.8

19.6

20.8

20.9

21.3

●19.2

*14.O

●8.2

● 15.6

20.4

●28.4

23.6

20.3

26.7

30.2

25.8

26.8

29.0

24.2

*9.9

23.7

34.5

35.4

28.9

27.1

32.0

1seeref ~ra”ce 1,

Z1-mation within the standard metropolitan statistical areas (S. M. S.4h’S).

3N.o.s. = not otherwise spacifiad.

61
Table 28, Numbarand percent distribution of office visits made bymale patients by Iocationof physician's practice, according toprincipal reason for visit

in the Diagnostic, Screening, and Preventive Module and the Treatment Module: United States. 1977-78

Principal reason for visit and R VC codefl

Number Geographic region Area

of visits All

loca- in North- North Metro- Nonthousands tions Central South West metro- east p01itan2

politan

Percent distribution

Allvisits by male patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diagnostic, Screening, and Preventive Module

Generalexaminations . . . . . . . . . . . . . . . . . . . . . ... . . . ..xx199xI99

General medicalexamination . . . . . . . . . . . . . . . . . . . . . . . . ..XIOO

Well babyexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X105

Specialexaminations . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..x200-x2gg

Eyeexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X230

Heartexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X235

Diagnostictests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X300-X399

Glucoseleveldetermination . . . . . . . . . . . . . . . . . . . . . . . . . ..X310

Bloodpressuretest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X320

All other diagnostic tests . . . . . . . . . X300-X305,X315,X325-X370

Other screening and preventive procedures . . . . . . . . . . . . . . .X400-X499

Prophylacticinoculations.. . . . . . . . . . . . . . . . . . . . . . . . . . ..X400

Familyplanning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X500-X599

Treatment Module

Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .TIOO-T199

Allergymedication . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,., ,.TIOO

injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . ..TIIO

Medication, other andunspacified kinds . . . . . . . . . . , . . . . . .TI15

Preoperative andpoatoperative care . . . . . . . , . . . . , . . .T200-T205

8pecifictypasoftherapy . . . . . . . . . . . . . . . . . . . . . . . . . ,.T400-T499

Specific therapeutic procedures . . . . . . . . . . . . . . . . . . . . . ..T500-T599

Fittingglassesand contactlenses . . . . . . . . . . . . . . . . . . . . . . ..T515

Suture-insertion, removal.. . . . . . . . . . . . . . . . . . . . . . . . . . ..T555

Another specific therapeutic procedures . . T5OO-T51O,T52O-T55O, T560

Medicalcounsaling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T600-T699

Social problemcounseling . . . . . . . . . . . . . . . . . . . . . . . . ..T700T799

460,119

31,269

24,234

7,015

7,762

4,485

2,864

14,335

1,161

9,913

3,261

4,069

3,833

1,240

9,742

6,761

1,734

1,248

12,301

2,032

7,644

1,057

3,580

3,007

1,919

2,222

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

23.4

26.1

27.4

21.6

25.0

25.3

26.3

26.4

*16.2

28.2

24.7

17.6

16.5

● 24.8

34.1

40.7

+19.1

*19.4

20.4

29.6

15.4

*23.7

14.7

13.2

18.4

38.4

25.6

27.0

26.1

30.1

31.1

25.2

41.6

29.8

30.7

32.7

20.9

20.5

20.8

28.1

24.3

20.3

37.1

28.3

23.9

19.6

29.8

●2I .6

35.0

26.4

25.2

17.7

31.0 19.9

30.9 16.1

32.8 13.8

24.2 24.2

27.2 16.7

31.4 18.1

19.6 12.5

27.2 16.5

42.1 *11.O

‘2? .2 17.9

40.3 14.1

24.2 37.7

24.5 38.3

“20.0 ‘27.0

27.8 13.8

28.5 10.6

31.6 *1 2.2

‘18.9 33.4

32.7 23.0

31.4 19.5

37.2 17.7

34.5 ●20.I

36.0 14.3

39.6 20.8

29.6 26.8

25.7 18.2

74.0

75.4

75.4

75.1

77.7

84.6

66.2

71.3

60.9

72.7

70.8

76.0

75.3

77.6

76.1

77.5

63.5

85.5

80.2

91.2

69.3

83.8

69.2

76.3

65.1

94.8

26.0

24.6

24.6

24.9

22.3

15.4

33.8

28.7

39.7

27.3

29.2

24.0

24.7

‘22.4

23.9

22.5

36.5

‘14.5 .

19.8

“8.9

30.7

‘16.2

40.9

23.7

34.9

‘5.2

lSaa reference 1.

‘2L~cati~” with i“ tha standard ~etr~p~litan ~teti~tical are~~ (S MS A,$J.

*

e

62
Table 29. Num&rand percent ofoffice visits made by female patienG, byselected physician s@cialties andprincipal reason forvisit inthe Sym~om Module:

United States, 1977-78

Principal reason for visit and R VC code 1

Physician specialty

Numbar

of visits General

in

Obstetrics

and Internal pediatrics General

thousands family andmedicine surgery

practice

gynecology

Percent of visits2

Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

General symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s001-s099

Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . .. . . ..so1o

Tiredness,exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s015

Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s040

Cheat pain and related symptoms (not referable to body

system) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S050

Pain,site notrefarable toaspecific body system . . . . . . . . . . . . . . . . . . . . . S055

Painand related symptoms,genaralized, sitaunspecified . . . . . . . . . . . . . . ..S060

Allergy,N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S090

All otherganaral symptoms . . . . . . . . . . S005, S020-S035, S045, S065-S085, S095

Symptoms referable topsychological and mental disorders . . . . . . . . . . . . . S1OO-S199

Anxietyandnervousness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S100

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110

Al I other symptoms referable to p~chological and mental

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S105.SII5..SI65

Symptoms referable tothe nervous system (excluding sensa

organs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S200-S259

Headache,pain inhead . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S210

Disturbancasofsansation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s220

Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s225

Allothar symptoms referable tothe nervous system (excluding sense

organs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S200-S205, S215, S230S240

Symptoms referable to the cardiovascular and lymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S260-S299

Abnormal pulsationsandpalpitations . . . . . . . . . . . . . . . . . . . . . . . . . . ..S260

Al I other symptoms referable to tha cardiovascular and Iymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S265-S280

Symptomsrefarable totheeyesandears . . . . . . . . . . . . . . . . . . . . . . . . . S300.S399

Visiondysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305

Abnormal sansationsofthaeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S320

Ailother symptoms referable tothe eyes . . . . . . . . . . . . . .S310-S315, S325-S340

Heeringdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S345

Earswhe,orearinfaction, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S355

All othersymptomsreferablato theears . . . . . . . . . . . . . . . . ..S350.S360-S365

Symptoms referableto therespiratory system . . . . . . . . . . . . . . . . . . . .. S400-S499

Nasalcongestion , . . . . . . . . . . . . . ...1... . . . . . . . . . . . . . . . . . . . . . S400

Shortnessofbreath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S415

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440

Headcold, upper respiratory infection (coryza) . . . . . . . . . . . . . . . . . . . . . . S445

Symptomsreferebletothroet.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S455

All othersymptoms referableto the respiratoryaystam . . . . . . . . . . . . .S405-S410,

S421Y3435, S450, S460-S485

Symptoms referable tothe digestive system . . . . . . . . . . . . . . . . . . . . . . . S500-S839

Nausea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S525

Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S530

Stomachpain,cramps,andspasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S545

Abdominal pain,cramps,spasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S550

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s595

All othersymptoms referablato the digestive system . . . . . . . . . . . . . .S500-S520,

S53SS540, S565-S590, S600-S61 5

Symptoms raferableto thegenitourinary system . . . . . . . . . . . . . . . . . . . S640-S829

Frequencyandurgancy ofurination . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S645

Painfulurination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S650

Absenceofmenstruation (amenorrhea) . . . . . . . . . . . . . . . . . . . . . . . . . ..S730

Irregularityofmenstrual interval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S735

Irregularityofmenstrualflow.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S740

Menstrual symptoms,otherand unspecified . . . . . . . . . . . . . . . . . . . . . . . .S745

Menopausal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s750

Uterineandvaginal blaading. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S755

Vaginal discharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S760

Othervaginal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S765

Pelvicsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S775

painorsorenassof breast... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S800

Lumpormassofbreast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S805

Allotharsymptoms referable tothegenitourinary system . . . . . . . . . . . . . ..S640.

S655-S680, S770, S790-S795, S81 0-S825

See footnotes at and of table.

694,431

57,110

8,930

5,678

10,625

9,032

3,835

2,903

3,509

12,598

419,260

7,962

6,014

5,285

523,956

12,148

2,080

7,405

2,323

4,150

1,960

2,190

6%,763

9,599

3,617

5,879

2,535

9,881

5,253

769,397

5,950

3,182

15,769

11 #939

20,079

12,477

34,324

3,162

2,178

3,SS2

12,441

2,350

10,310

%,1 99

2,635

4,043

1,745

1,793

1,282

1,566

2,642

4,196

3,939

4,481

1,693

1,627

3,983

10,375

37.3

49.1

41.4

54.3

51.8

48.6

49.9

49.4

51.6

49.1

26.6

44.2

12.5

16.2

49.6

51.4

35.9

54.1

37.9

38.3

24.7

50.4

19.8

+3.0

16.6

16.9

21.1

37.7

21.3

54.0

29.0

44.8

56.7

62.1

59.5

48.6

47.1

56.3

49.0

60.1

40.5

47.7

43.7

32.9

33.2

48.0

23.1

27.8

+20.2

37.3

51.6

28.8

32.1

34.5

29.4

36.8

19.8

31.4

11.1

15.7

4.0

28.1

6.5

32.1

13.1

12.5

6.7

18.4

10.2

14.1

7.3

7.7

18.6

15.4

25.4

23.8

*1 2.3

34.8

49.6

21.5

3.1

+1.1

●2.1

‘2.6

●4.4

5.5

●3.1

11.6

4.8

33.8

11.9

12.6

9.5

11.2

17.9

13.4

●6.6

18.7

19.5

23.4

18.1

6.1

“8.0

●8.2

+4.1

“4.8

●1.9

‘4.9

‘9.3

●5.3

● 5.6

●5.4

●3.5

●1O.1

‘4.6

6.2

7.9

10.4

48.8

●1.1

‘0.7

“0.8

●1.5

●1.4

14.3

5.9

●1.2

‘0.2

‘0.6

*3.6

2.1

3.4

“0.6

‘0.7

●1.3

●5.1

●0.7

●9.O

13.3

●2.5

6.2

‘6.5

32.3

20.6

16.7

14.9

+1.4

24.0

15.5

17.9

11.6

8.7

●3.2

38.6

10.1

3.7

18.0

7.5

2.2

5.1

+7.3

‘0.4

‘ 0.4

●2.4

●1.7

● 3.6

*1.5

●1.8

‘ 2.0

5.7

4.7

●3.2

‘4.9

●3.1

4.1

●5.2

●9.9

5.0

5.8

1.8

‘3.4

● 0.6

“0.7

3.7

3.6

●6.2

“4.0

●1.1

●4.2

●1.8

‘6.3

1.0

●0.1

“0.6

+0.5

●1.7

●1.8

●1.3

2.8

+1.0

+2.1

“2.0

3.7

3.7

●2.6

11.2

‘4.2

‘4.7

“5.6

16.5

●4.8

11.9

9.6

●2.3

‘3.0

●2.3

●4.5

● 5.8

“0.6

●8.1

●4.7

+3.7

●3.4

‘5.9

29.0

57,7

4.3

14.8

8.2

●0.7

●3.1

25.0

“0.8

10.5

●8.3

8.6

2.2

●2.8

●1.4

●2.2

2.0

‘ 2.3

●1.8

‘2.0

+1.7

●1.9

●1.5

“0.1

‘0.1

“0.2

+0.2

‘0.1

‘0.7

‘ 0.6

●1.6

‘0.8

‘0.7

6.9

‘8.4

90.2

●2.8

13.2

“0.7

●3.3

37.7

8.2

11.2

68.5

61.0

71.7

53.8

28.1

61.1

55.7

51.1

54.3

● 20.7

10.3

30.5

..

63
Table 29. Number and percent of of ficevisits made by female patients, byselected physician specialties and principal reason forvisit intha Symptom Module:

United States, 1977-78-Con.

Principal reason forvisit and RVCcodel

Physician specialty

Number

of visits General

in and Internal General Obstetrics

Pediatrics

thousands family medicine surgery

and

practice gynecology

Parcent of visitsz

Symptoms referable totheskin, nails, and hair . . . . . . S830-S899

Acneorpimples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S830

Warts, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S850

Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s860

Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S865

Skin irritations, N.E.C.3 . . . . . . . . . . . . . . . . . . . . . . . . . . ..S870

Another symptoms referable totheskin, nails, andhalr . . . . . . . . . . . .S835-S845,

S855, S875-S895

Symptoms referable tothemusculoskeletal system . . . . . . S900-S999

Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S900

Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S905

Lowbacksymptoms, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S910

Hipsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S915

Legsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S920

Kneesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925

Footandtoesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S935

Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S940

Armsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S945

Handandfingersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S960

Another symptoms referable tothemusculoskeletal system . . . S930, S950-S955,

S965-S980

%36,59,

6,759

2,102

11,152

4,023

2,654

9,900

1057,934

5,654

11,497

4,833

2,186

5,916

5,156

4,306

4,773

2,651

3,440

7,522

26.3 4.1 7.3 7.4 2.2

*3.1 “1.8 ‘ 0.6 “0.4 *1.1

39.7 ●3.4 *8.3 ●6.6

38.0 5.5 16.4 “1.5 +1.1

24.0 +3.3 * 4.9 23.6 +1.3

31.9 ‘8.0 ‘4.0 ‘1.9 ‘5.1

25.7 4.2 4.2 13.5 *3.O

45.7 15.4 1.1 6.2 1.4

44.8 12.7 *2.5 6.8 ‘0.5

49.8 15.7 “ 0.4 3.8 ● 2.6

48.4 11.8 ●0.2 * 5.8 *3.7

39.0 15.7 ‘0.6 *6.7 ‘1.5

48.0 22.7 “0.5 11.6 *2.6

38.7 16.9 ●1.7 ●3.7 ‘0.4

39.9 9.5 * 2.9 9.6 ‘0.3

56,6 12.9 *0.2 “3.1

43.7 13.4 ‘0.3 *8.7 ‘1.5

45.0 11.9 *1.3 ●9.3 +0.4

40.6 19.5 *1.5 5.0 ‘0.5

lSea raferance 1.

2par~e”t~~ill “~taddt~ loo.obe=au~a ellspecialties ara no-show”,

3N.o.s. = nototharwisa s~ecif led; N. E.C. = notelsewhera classified.

41”cludas 10,604,953 visiistOpsychiatrists (55.’l PerCant).

51"cludas l,434,3g3vi~its tOneurologists (6. Opercent) and l,178,378visits t00tolaryn90109 ists(4.9PerCcmt).

61n=lude~ 15,Sg2,41g “isit~ to OphthalmOlogi~ts (43.2 percent), a“d 6,213,408 visits to otolaryngologl.sts (1 6.9 percent).

71ncl”da$ 4,387,271 “isitsto otolarvngologists (6.3 Parcant).

61ncludes 4,414,362 visits to urological sur9eons (9.6 parcant).

91”cludes 17,115,744 visits to dermatologists (46.8 ParCent).

10lncludes 11,746,679 visits to orthopedic Surgaons (20.3 PerCant).

64
Table 30. Number andpercent ofoffice visits m*ebyfemale patients, byselectd physician specialties andprincipal mason forvisit in the Disease,

injuries and Adverse Effects, Tast Results, and Administrative Modules: United States, 1977-78

Physician specialty

Number

Principal reason for visit and R VC codel of visits GeneraI

in and Internal General Obstetrics

thousands family

Pediatrics and

medicine swgery

sxactice

gynecology

Percent of visits2

Allvisits by female patiants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Disease Module

Infective and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . ..DooI.D099

Viral diseasas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D015

Another infectiveand parasiticdiseases . . . . . . .DOO5-DO1O, D020.D035

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIOIJD199

Malignantneoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . .DIOO.D135

Benign neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D140-D145

Endocrine, nutritional, andmetibolic diseams . . . . . . , . . . . . . .D21)@D249

Diseasesofthethyroidgland . . . . . . . . . . . . . . . . . . . . . . . . . ..D200

Diabatasmellitus . . . . . . . . . . . . . . . . . . . . . . . . . . ,.. .-. .,,D205

All other endocrine, nutritional, and metabolic

dimases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D210-D215

Diseasesofthe blood andblood-forming organs . . . . . . . . . . . . .D25CS-D299

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D300.D34g

Diseasesofthe nervoussystem . . . . . . . . . . . . . . . . . . . . . . ..D350.D3gg

Diseasesoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D40s3.D449

Disaasesoftheear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D450-D499

Diseases ofthecirculatory system . . . . . . . . . . . . . . . . . . . . ..D500.D599

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D510

Ischemicheartdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D515

Another diseases of thecirculatory systam . . . . . D500-D505, D520.D550

Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . ..D600.D649

Diseasesofthe digestive system . . . . . . . . . . . . . . . . . . . . . . ..D65@D6gg

Diseases of thegenitourinary system . . . . . . . . . . . . . . . . . . . .D70().D799

Diseesesof theskin and subcutaneous tissue . . . . . . . . . . . . . . .D8013-D899

Diseases of the musculoskeletal system and connective

tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D900.D949

injuries and Adverse Effects Module

lnjurybytypeand/orlocation . . . . . . . . . . . . . . . . . . . . . . . ..JooI.J799

lnjury,N.O.S.g . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J800-J899

Test Results Module

Testrewltsmodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..RIoo-R700

Administrative Module

Administrativemodule . . . . . . . . . . . . . . . . . . . . . . . . . . . ..AIoGA140

694,431

2,506

1,366

1,140

4,467

3,398

1,069

7,296

1,342

5,255

699

917

3607

1,241

43,830

1,174

13,335

9,249

1,247

2,839

6,167

2,397

53,732

64,192

74,910

816,883

2,156

4,193

6,957

37.3

39.9

40.8

38.9

9.9

●7.6

*I 7.4

43.9

33.5

48.6

“29.0

46.5

●8.1

45.3

●2.8

5.6

51.7

57.3

43.9

37.0

47.5

30.6

19.2

29.4

44.6

47.0

45.8

35.3

65.0

11.1

●8.1

●9.1

●6.8

22.5

28.7

*3.O

32.9

33.5

33.7

●25.4

36.9

‘6.2

● 14.9

*2.O

+0.7

31.1

32.1

40.2

23.9

12.3

*14.1

“4.3

●4.3

26.9

4.6

●11.O

20.7

11.6

7.9

20.5

‘22.3

‘18.3

●0.7

●0.3

●2.1

●1.3

●1.1

●5.1

● 7.6

‘6.7

“ 0.4

59.4

“0.3

●1.8

15.0

*3.O

●0.3

‘ 5.7

‘0.8

6.0

●5.5

*2.O

11.7

5.7

●3.2

●2.5

*4.1

29.7

33.1

*18.7

5.6

* 18.5

‘2.9

●1.6

●1.3

*1.2

●1.6

“0.5

●5.8

6.4

*3.2

+1.7

18.8

●3.2

37.6

●5.1

10.0

●4.2

8.7

‘8.5

10.6

‘4.0

14.8

●13.3

●5.3

*23.O

18.9

●8.4

52.4

*1.7

*1.9

*14.1

●5.6

* 0.6

1.4

*1.4

‘2.0

●1.O

*1.4

46.0

+$1.9

‘0.2

●0.9

4.7

25.8

●3.5

lSee reference 1.

2Percentswill not add to 100.0 becauseall specialtiasaranot shown.

31”cludes491,380 visitsto psychiatrists(8!3.9Percent).

41ncludes3,474,213 visitsto ophthalmologists (90.7 Percant).

Sl”cludes 836,672 visitsto urological surgaons(22.4 Percent).

61ncl”de$ l,723,405vi~it~ todermatolOgist* (41.1 percent).

71ncludes654,706 visitsto orthopedic surgeons(13.3 Percent).

S(nciudes 3,544, I4o visitsto orthopedic surgeons(21.0 percent).

9N.0.S. = nototharwise specified.

65
Table 31. Number and percent of of ficevisits made by female patients, byselected physician specialties andprincipal reason forvisit in the Diagnostic,

Screening, and Preventive Module andthe Treatment Module: United States, 1977-78

Principal reason forvisitand RVCcodel

Physician specialty

Number

of visits General Obstetrics

in and Internal Pediatrics General

thousands

and

family medicine surgery

practice

g,~necology

Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diagnostic, Screening, and Preventive Module

General examinations . . . . . . . . . . . . . . . . . . . . . . . . . . ..XIOO-X199

General medical examination . . . . . . . . . . . . . . . . . . . . . . . . . ..X1OO

Well baby examination . . . . . . . . . . . . . . . . . . . . . . . . . . ..X105

Speciel examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X200-X299

Pregnancy,unconfirmed . . . . . . . . . . . . . . . . . . . . . . . . . . ..X200

Prenatal examination, routine . . . . . . . . . . . . . . . . . . . . . . . . . ..X205

Postpartumexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X215

Gynecological examination . . . . . . . . . . . . . . . . . . . . . . . . . . ..X225

Eyeexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X230

Heartexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X235

All other special examinations . . . . . . . . X220,X240

Diagnostictests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X300-X399

Glucose level determination.. . . . . . . . . . . . . . . . . . . . . . . . . ..X310

Blood pressure test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X320

Papsmear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X365

Another diagnostic tests . . . . . . X300-X305,X315, X325-X360,X370

Other screening and preventive procedures . . . . . . . .X400-X499

Prophylactic inoculations . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X400

Family planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X500-X599

Treatment Modu Ie

Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIoo-TI99

Allergy medication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO

Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIIO

Medication, other and unspecified kinds . . . . . . . . . . . . . . . . . . . .TI15

Preoperative and postoperative cara . . . . . . . . . . . . . . . . . . . .T200-T299

Preoperative visit for specifiad and unspecified typas

of surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T200

Postoperativevisit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T205

Specifictypesoftherapy . . . . . . . . . . . . . . . . . . . . . . . . . . ..T400-T499

Psychotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T410

Another specific types of therapy . . . . . . . . . . . .T400-T405, T415-T425

Specifictherapeutic procedures . . . . . . . . . . . . . . . . ..T500-T599

Fittingglassesandcontact lenses . . . . . . . . . . . . . . . . . . . . . . . ..T515

Suture-insertion, removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T555

Allothar spacific therapeutic procedures . . T500-T510, T520-T550, T560

Medical counseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T600-T699

Dietand nutritional counseling . . . . . . . . . . . . . . . . . . . . . . . . ..T600

Counseling, N.0.S.7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T605

Social problemcounseling . . . . . . . . . . . . . . . . . . . . . . . . . ..T700-T799

684,431

41,699

34,881

6,711

71,384

3,254

40,394

4,?14

13,262

37,467

1,819

1,075

27,175

1,236

13,783

7,631

4,524

4,785

4,318

7,972

12,134

6,230

4,127

1,776

419,529

1,406

18,122

52,988

1,717

1,271

67,8(J9

1,896

2,515

3,397

5,503

4,016

1,487

823647

Percent of visits2

37.3

31.8

32.5

28.7

20.0

34.4

24.0

24.0

9.9

1.4

44.6

‘1 8.7

56.2

67.6

59.6

58.9

37.9

45.1

43.6

25.1

42.3

27.6

62.1

47.7

10.3

‘1 2,4

10.2

19.3

*3.9

40.0

22.9

●1.6

35.4

25.4

57.2

68.0

28.1

*5.6

11.1

12.8

15.3

●0. I

1.5

*1.5

*0. I

* 0.9

‘0.2

37.8

*12.5

20.0

22.2

29.6

6.3

13.0

9.1

8.3

*1.4

9.4

*5.3

14.1

*12.8

1.8

*14.3

‘0.8

12.4

29.1

*4.O

*2.5

*7.3

8.5

“7.4

*11.5

*2.9

7.9

33.8

26.7

71.1

“0.4

+0.7

●0.2

“0.8

*1.O

1.7

*1.6

*0.2

‘0.4

8.2

16.0

16.1

++0.1

16.3

29.7

*2.5

*1.6

‘0.4

*4.1

●0. I

●1.2

*2.8

6.5

15.6

●3.3

●3.5

●2.1

*7.5

‘2.0

5.7

2.5

3.0

1.2

‘3.0

+0.4

*0. I

*1.2

“3.8

33.9

3.9

*5.3

3.9

*3.3

4.4

‘3.5

*3.6

*0.8

2.8

*1.7

++4.3

“3.5

26.3

*3.1

28.1

*5.9

*3.O

*9.9

12.9

22.9

12.6

*3.5

*2.6

●6.O

‘0.2

14.8

13.6

16.2

66.1

60.3

75.2

75.9

87.0

* 17.9

10.6

*1.1

30.3

9.2

*0.8

“0.2

71.7

5.5

*1.2

12.0

*5.4

27.0

33.5

26.5

7.7

‘8.7

11.1

11.4

10.3

*14.2

+0.9

lSee raference 1.

2Perce”t will “ot add to 100. O because all specialties are not shown.

3[”clude~6,g81,815 visits to0phthalm0109iStS (93.5 percent).

4]”clu~es l,24g,008 “isit~to O~hthalmOlOgi~ts (6.4 ~ar~ent), 1,163,721 vi~it~to orthopedic surgeo”s (6.0 perce”t) a“d ‘S,086,936 visits tootolwyngologists

(5.6 percent).

51nclude$ 1,597,734 visits to psychiatrists (53.5 Percent).

61”cludes 1,996,263 visits to ophthalmologists (25.6 Percent).

7N,~,$3.= “otother~i~e classified.

81nclucjes 2,302,846 visits to psychiatrists (87.0 Percent).

66
Table 32. Number andpercent ofoffice visits made bymalepatients, byselected physician specialties andprincipal reasons forvisit in the

Symptom Module: United States, 1977-78

Physician specialty

Number

Principal reason for visit and R VC code 1

of visits General

in and Internal

Pediatrics

General

thousands family medicine surgery

practice

Percent of visits2

Allvisits by male patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

General symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S001-S099

Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S010

Tiradnea%exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..so15

Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S040

Chest pain andrelated symptoms (notreferable to body system) . . . . . . . . .S050

Pain, site not referable toaspecific body system . . . . . . . . . . . . . . . . . . . .S055

Pain andrelated Wmptoms, generalized, site unspecified . . . . . . . . . . . . . . S060

Allergy, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S090

Another general symptoms . . . . . . . . S005,S020-S035, S045,S065-S085, S095

Symptoms referable topsychological and mental disorders . . . . . . . . . . . S100-S199

Anxiety andnervousness. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S100

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110

All other symptoms referable to psychological and mental

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S105.S115-S165

Symptoms referable tothe nervous system (excluding sense

organs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S200-S259

Headache,pain inhead . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S210

Disturbancesofsensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S220

Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S225

Another symptoms referable tothe nervous system (excluding sense

organs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S200-S205. S215,S230-S240

Symptoms referable tothecardiovascular and lymphatic systems . . . . . . . S260-S249

Abnormal pulsations and palpitations . . . . . . . . . . . . . . . . . . . . . . . . . ..S260

All other symptoms referable to the cardiovascular and lymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S265-S280

Symptoms referable totheeyesand ears . . . . . . . . . . . . . . . . . . . . . . . S300-S399

Vision dysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305

Abnormal sensationsoftheeye. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S320

All other symptoms referableto the eyes. . . . . . . . . . . . .S310-S315, S325-S340

Hearingdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S345

Earache,orearinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S355

All other symptoms referable totheears . . . . . . . . . . . . . . . ..S350,S360-S365

Symptoms referable totherespiratory system . . . . . . . . . . . . . . . . . . . S400-S499

Nasal congestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S400

Shortnessofbreath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S415

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440

Headcold, upper respiratory infection (coryza) . . . . . . . . . . . . . . . . . . . .S445

Symptoms referableto throat. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S455

Another aymptoms referable tothe respiratory system. . . . . . . . . . . .S405-S410,

S450,S460-S485

Symptoms referable tothedigestive system . . . . . . . . . . . . . . . . . . . . . S500-S639

Stomach pain,cramps, andspasms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S545

Abdominal pain,cramps,spasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S550

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s595

All other symptoms referableto the digestive system . . . . . . . . . . . . .S500-S540,

S565S590,S600-S615

See footnotes at end of table.

460,119

37,130

9,109

2,348

1,870

9,049

2,467

1,642

2,893

7,753

411,682

4,117

3,068

4,497

513,319

6,194

1,264

3,937

1,924

2,868

1,227

1,641

629,445

6,225

2,271

4,552

2,237

9,219

4,841

756,761

5,102

3.292

13,290

9,206

14,805

11,065

20,846

2,525

5,126

2,496

10,698

38.1

45.2

40.3

58.5

53.0

47.4

38.8

46.1

56.3

40.3

21.1

35.4

13.7

13.0

46.1

53.1

31.5

51.1

23.4

45.4

35.5

52.9

21.4

*3.6

19.7

13.4

15.7

35.7

27.8

49.9

28.1

39.0

47.0

64.9

57.3

44.3

47.0

68.1

45.3

40.0

44.5

12.2

17.4

4.1

29.4

* 14.6

30.8

15.3

● 18.6

*4. 1

20.5

8.0

11.9

●3.8

7.4

15.6

14.2

‘20.9

18.4

‘10.6

24.1

40.2

12.1

2.7

“0.6

●2.4

*4.1

*6.8

‘2.0

●3.5

10.5

5.8

30.9

10.6

6.6

9.0

11.8

18.1

●12.5

23.6

20.1

16.3

13.0

18.3

52.6

*1.1

*1.4

*5.6

●3.6

15.4

15.7

*2.5

‘0.3

*6.2

5.3

7.9

*1.7

●8.1

*11.2

*1.4

*18.6

18.7

*1.O

14.5

●8.O

37.9

23.5

22.1

17.9

2.9

36.0

20.4

22.3

14.0

11.6

●6.8

*5.6

30.5

11.1

6.4

4.9

●1.8

*2.O

1.9

5.3

14.7

*13.4

*1.8

5.8

*1.8

*1.9

*2.9

4.6

*2.4

‘8.0

*6.7

*5.2

*2.5

*2.O

*2.8

*1.1

*0.3

*3.O

0.5

2.9

*0.7

*1.6

2.9

*1.9

*5.4,

*2.O

●3.5

3.1

*3.O

11.9

7.8

15.2

3.8

13.2

67
Table 32. Number and percent of office visits made bymalepatients, byselected physician specialties andprincipal reasons forvisit in the

Symptom Module: United States, 1977 -78–Con.

Principal reason for visit and R VC code 1

Physician specialty

Number

of visits General

in and Internal Pediatrics General

thousands family medicine surgery

practice

Symptoms referable to the genitourinary system . . . . . . . . . . . . . . . . S640-S829

Symptoms referable to the skin, nails, and hair . . . . . . . . . . . . . . . . . S830-S899

Acne or pimples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S830

Werts, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S850

Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s860

Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S865

Skin irritations, N.E.C.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S870

All other symptoms referable to the skin, nails, and hair . . . . . . . . . . .S835-S845,

S855, S875-S895

Symptoms referable to the musculoskeletal system . . . . . . . . . . S900-S999

Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S900

Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S905

Lowback symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S910

Hip symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S915

Leg symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S920

Knee symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925

Anklesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S930

Footand toesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S935

Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S940

Arm symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S945

Elbowsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S950

Hand andfinger symptoms.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S960

Another Wmptoms referable tothemuwuloskeletal system . . . . . . . . .“. . .S955,

S965-S980

812,788

927,477

3,480

2,389

8,901

3,432

1,816

7,459

1050,982

4,060

11,010

4,811

1,561

48560

5,653

1,695

4,243

3,933

1,610

1,608

2,822

3,416

Percent of visits2

33.1 8.7

32.3 4.5

10.1

41.0 *0.8

39.2 6.5

26.1 “8.0

39.7 *5.5

32.8 *3.4

42.7 10.4

48.7 10.8

44.2 9,7

50.2 7.8

47.8 *7.4

45.8 13.7

29.4 8.7

32.6 “4.4

45.1 12.6

47.4 13.8

45.3 *9.5

50.8 ‘6.8

34.2 *6.5

33.5 17.9

5.4 4.2

9.0 8.9

*1.7 0.6

*2.4 *8.6

19.2 *2.6

*6.5 18.8

*3.3 *4.O

5.1 16.9

2.0 6.9

*5.2 *6.4

*0. I 7.3

‘0.4 *5.7

*3.6 *1.7

‘ 2.5 9.8

*2.3 3.4

*2.7 *7.6

‘2.6 ‘6.2

*0.6 6.0

*5.O *9.4

*3.1 *7.9

*2.2 16.8

*2.5 *4.5

lSee reference 1.

2Percents will not add to 100. Obecause all specialties are not shown.

3N.c).S. = not otherwise specified; N. E. C.= notelsewhere claeeified.

41ncludas 7,118,g05 visits to psychiatrists (60.9 percent).

51nclude~q,0~~,gg2 “i~itstO neurO1Ogj~ts (8.0 perce”t) a“d 602,657 Visits to Otolaryngologists (4.5 percent).

61"clude~l 0,721,038vi~it~ tOOphthalmologists (36,4 perce"t) and4,976, 88 Ovisita tootolarynologists (16.9 percent).

7 l“cludes 3,731,373 visits to otolaryngologists (6.6 percent).

81ncludes 5,468,828 visits to urological surgeons (42.8 percent).

91ncludes 10,775,768 visits to dermatologists (39.2 Percent).

lol”clude~ 14,546,232 visits toorthopedic surgeons (28.5 Percent).

68
Table 33. Number and percent of oticevisits made bymalepatients, byselected physician sWcialties andprincipal reason forvisit

in the Disease, lnjuriasand Adversa Effects, Test Results, and Administrative Modules United States, 1977-78

Principal reason forvisit and RVCcodel

Physician specialty

Number

of visits General

in and Internal Pediatrics General

thousands family medicine surgery

practice

Percent of visits2

Allvisits bymalepatiants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Disease Module

Infective and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. DOOI-D089

Viral diseasas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DO15

All other infective and parasitic diseases . . . . . . . . . . . . . . . . . . . ..DO05-D035

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIoo-D199

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIoo-D135

Endocrine, nutritional, and metabolic diseases . . . , . . . . . . . . . . . . . ..D200-D249

Diabatesmellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D205

All other endocrine, nutritional, and metabolic

diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D200,D210-D215

Diseases of the blood and blood-forming organs . . . . . . . . . . . . . . . . . .D250-D299

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D300-D349

Diseasesofthenarvoussystem . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D350-D399

Disaasesoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D400-D449

Diseasesof theear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D450-D499

Diseasas ofthe circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . ..D500-D599

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D510

Ischemic heartdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D515

All other diseases of the circulatory system . . . . . . . . . .D500-D505, D520-D550

Disaases ofthe respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . ..D600.D649

Disaasesofthedigestivesystem . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D650-D699

Herniaof abdominalcavity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D660

All other diseases ofthedigastive system . . . . . . . . . . . .D650-D655, D665-D675

Diseasasofthe genitourinary system . . . . . . . . . . . . . . . . . . . . . . . . . .D700-D799

Diseases of theskin and subcutaneous tissue . . . . . . . . . . . . . . . . . . . . .D800-D899

Diseases of the musculoskeletal systems and connective

tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D900-D949

Injuries and Adverse Effects Module

lnjuryby typeand/or location . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. JOOI-J799

injury, N. O.S.lo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J900-J999

Test Results Module

Test rasults module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. R1OO-R7OO

Administrative Modu Ie

Administrative module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..AIOO-A140

460,119

2,372

1,120

1,251

32,526

2,292

4,736

3,726

1,010

492

4818

766

52,386

1,066

11,178

6,724

1,969

2,485

5,604

3,144

1,734

1,408

61,942

73,921

82,523

927,002

2,217

2,044

12,072

38.1

38.6

38.5

38.6

*4.5

‘3.6

42.2

45.7

29.1

“40.4

*27.4

‘23.6

●4.7

* 14.4

44.4

49.6

32.8

39.3

39.9

25.2

22.0

29.2

* 13.2

35.6

42.9

46.2

43.3

40.6

57.8

12.2

*10.5

*16.8

*4.8

27.0

28.6

33.2

32.6

35.3

*43.O

*1 7.4

● 12.0

‘0.5

‘2.0

36.3

38.0

46.4

23.5

10.4

13.3

*4.2

24.4

*9.O

*5.7

20.9

3.2

3.2

35.7

17.2

13.0

26.5

*16.O

36.0

*2.O

*1.O

*5.5

*4.O

*2.3

*1 1.1

*4.3

52.7

“0.6

*0.3

*1.9

28.9

*3.6

*1.O

*6.9

*1.O

*7.4

*0.7

5.6

*1 0.4

*7.8

8.6

6.4

*3.7

*7.3

*0.5

16.9

16.9

* 4.9

*4.7

*5.7

*2.2

*5.3

‘0.3

*1.O

6.7

*4.1

*2.3

17.1

*2.1

46.3

64.9

*23.5

*3.1

17.2

9.2

12.4

*2.1

5.7

ISeereferen=e j.

zp~~c~n~$~ill n~~~dd~o loo.obaca”~~all ~p~~ialti~~a~~n~t~h~~n.

31ncludes 388,141 visits tourological surgeOns (15.4 percent).

41n~ludas 581J,744 visits to psychiatrists (71.0 percent).

51ncl”de~ -70gor64s visits tO ophthalmologists (86.8 percant).

61ncludas 1,396,282 visits to urological surgeons (71.9 Parcent).

7 Includes 1,092,527 visits to dermatologists (27.9 Percent).

81nclu.jes 418,543 visits to orthopedic surgeons (1 6.6 Percent).

g]ncludes 4,gg2,644 visits to orthopedic surgeons (18.5 Percent).

loN.o.s. = not otherwise specified.

69
Table 34. Numbarand percent of office visits made bymalepatients, byselected physician s~cialties and principal reason forvisilin

the Diagnostic, Screening, and Preventive Module andthe Treatment Module: United Statesr 1977-78

Physician specialty

Number

Principal reason for visit and R VC code’

of visits General

in and Internal

Pediatrics General

thousands family medicine surgery

practice

Allvisits by male patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diagnostic, Screening, and Preventive Module

General examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..xIoo-x199

General medical examination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..XIOO

Well baby examination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..XI05

Special examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X200-X299

Eyeexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X230

Heartexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X235

Diagnostictests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X300-X399

Glucose level determination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..x310

Blood pressuretest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X32O

All other diagnostic tests . . . . . . . . . . . . . . . . . X300-X305,X315,X325-X370

Other screening and preventive procedures . . . . . . . . . . . . . . . . . . . .X400-X499

Prophylactic inoculations.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X400

Family planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,., . . . ..xxE+J9E+J9

Treatment Module

Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIoo-T199

Allergy medication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO

Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIIO

Medication, otherand unspecified kinds . . . . . . . . . . . . . . . . . . . . . . . ..TI15

Preoperative and postoperative care . . . . . . . . . . . . . . . . . . . . . . . . .T200-T205

Specifictypes oftherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T400-T499

Specific therapeutic procedural . . . . . . . . . . . . . . . . . . . . . . . . . . . .T500-T599

Fittingglassesandcontactlenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T515

Suture-insertion, removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T555

Another specific therapeutic procedures . . . . . . . . T500-T510, T520-T550, T560

Medicalcounseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T600-T6gg

Social problem counseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T700-T799

460,119

31,269

24,234

7,015

37,762

4,485

2,864

14,335

1,161

9,913

3,261

4,069

3,833

41,240

9,742

6,761

1#734

1,248

512,301

62,032

77,644

1,057

3,580

3,007

1,919

82,222

Percent of visits2

38.1

29.3

29.8

27.9

20.5

*0.9

52.9

52.6

66.5

58.4

29.8

48.!5

48.3

*26.O

36.1

29.7

51.0

50.0

10.5

“6.0

34.9

. . .

46.6

33.3

57.3

“4.4

12.2

15.6

20.1

12.2

“0.3

28.8

29.6

*25.3

32.8

21.7

*7.O

*6.9

8.4

5.3

, 18.8

* 10.8

3.0

*8.1

4.5

. . .

*5.7

*4.6

*1 3.9

*3.2

13.0

45.2

37.5

71.8

*1.1

‘0.5

*2.1

2.8

*1.4

“0.2

11.1

18.4

17.8

32.7

41.2

19.5

*5.1

*0.9

*1.9

6.8

1;:5

●3.5

●3.6

*5. O

6.4

1.8

2.4

*0.4

2.9

*5.9

*2.8

*2.3

*2.5

*2.7

‘10.5

1.6

*0.6

*1.8

*6.7

27.1

5.2

18.4

2s0

13.3

*4.3

lSee reference 1.

2Percents will not add to 100.0 because all specialties are not shown.

31ncludes 4,189,027 visits to ophthalmologists (54.0 Percent).

41ncl”des 720,602 visits tourolOgical sUrgeOnS (58.1 Percent).

51n=lude~ ,,387,289 “i~it~ to OrthoPedic ~urgaons (’fl.3 percant), 1,323,719 visits to urological surgeons (10.8 percent), and 1,201,858 Vkk to

otolaryngologists (9.8 percent).

61 ncludas 1,411,425 visits to psychiatrists (69.5 Percent).

71ncl”desl,197,361 visits toophthalmologists (15.7 Percent).

81ncludes 1,922,715 visits to psychiatrists (86.5 Percent).

70
Table 35. Numbarand percent distribution of office visits made by female patients byprior visit smtusand seriousness of condition, according to principal reason

forvisit inthe Symptom Module: United States, 1977-78

Prior visit status Seriousness of condition

Number

Principal reason for visit and R VC codel of viiik Total Old Old

in New Serious patient, patient,

or very

Slightly Not

thousands patient new old serious serious serious

problem problem

Percent distribution

Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

General symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . ..sooI-s099

Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..SOlo

Timdness,exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . ..so15

Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s040

Chest pain and related symptoms (not referable to body

system) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S050

Pain, site notreferable toaspacific body system . . . . . . . . . .S055

Pain andre[ated symptoms, general ized, site unspecified . . . . .SC+30

Allergy,N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S090

All othergeneral symptoms . . . . . . . . . . . . . . ..S005.S020S035.

S045, S065-S085, S095

Symptoms referable to psychological and mental

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s100-s199

Anxietyandnervousness . . . . . . . . . . . . . . . . . . . . . . . . ..S100

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110

All other symptoms referable to psychological and

mental disorders . . . . . . . . . . . . . . . . . . . . . . S105,S115-SI65

Symptoms referable tothenewmtssystem (excluding sense

organs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S200-S259

Headache,pain inhead . . . . . . . . . . . . . . . . . . . . . . . . . ..S210

Disturbancasofsensation. . . . . . . . . . . . . . . . . . . . . . . . ..s220

Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S225

All other symptoms referable to the nervous system (excluding

sense organs) . . . . . . . . . . . . . . . . .S200-S205, S215, S230-S240

Symptoms referable to the cardiovascular and lymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S260-S299

Abnormal pulsations and palpitations . . . . . . . . . . . . . . . . ..S260

Another symptoms referable tothe cardiovascular and lymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S265-S280

Symptoms referable totheeyes andears . . . . . . . . . . . . . . S30’&S399

Visiondysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305

Abnormal sensationsoftheeye . . . . . . . . . . . . . . . . . . . . . .S320

Allothar symptoms referable to the eyes . . . S310-S315, S325-S340

Hearingdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S345

Earache,orearinfection . . . . . . . . . . . . . . . . . . . . . . . . ..S355

Another symptoms referable to the ears . . . . . . . .S350, S360-S365

Symptoms referable totherespiratory system . . . . . . . . . . S400-S499

Nasal congestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S400

Shortnessof breath . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S415

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440

Headcold, upper respiratory infection (coryza) . . . . . . . . . . .S445

Symptomsreferabletothroat. . . . . . . . . . . . . . . . . . . . . . .S455

All other symptoms referable to the respiratory

system . . . . . . . . . . . . .S405-S41 O, S420.S435, S450, S460-S485

Symptoms referable tothedigestive system . . . . . . . . . . . . S500-S639

Nausea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S525

Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S530

Stomach pain,cramps, andspasms . . . . . . . . . . . . . . . . . . . .S545

Abdominal pain,cramps, spasms . . . . . . . . . . . . . . . . . . . ..s550

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s595

All other symptoms referable to the digestive

system . . . . . . . . . S500-S520, S535-S540, S565-S590, S600-S61 5

Sea fcmtnotas at and of table.

694,431

57,110

8,930

5,678

10,625

9,032

3,835

2,903

3,509

12,598

19,260

7,962

6,014

5,285

23,956

12,148

2,080

7,405

2,323

4,150

1,960

2,190

36,763

9,599

3,617

5,879

2,535

9,881

5,253

69,397

5,950

3,182

15,769

11,939

20,079

12,477

34,324

3,162

2,178

3,882

12,441

2,350

10,310

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100,0

100.0

100.0

100.0

100.0

100.0

100.0

14.3

12.5

13.7

6.9

70.7

12.1

19.5

17.6

●7.3

14.1

7.9

8.1

● 5.5

10.4

17.2

19.1

23.2

12.7

16.4

13.6

+14.6

*I 2.7

25.7

32.4

28.5

29.3

30.4

18.1

19.4

14.6

13.3

+3.7

13.0

16.6

16.7

15.0

17.8

14.4

19.2

14.2

19.8

*9.4

19.4

24.5

29.2

58.6

24.6

6.4

31.8

43.3

28.6

●7.2

29.6

11.1

14.9

7.1

10.0

23.9

24.6

24.0

26.9

10.9

24.0

13.3

33.6

26.6

8.4

31.2

33.0

23.4

42.4

21.0

42.4

21.9

17.2

46.5

50.0

50.8

32.7

40.7

48.2

50.8

44.7

35.8

55.3

37.3

61.3

58.4

27.7

68.6

82.9

56.1

37.3

53.9

85.5

56.3

81.0

77.0

87.4

79.7

58.9

56.3

52.8

60.4

72.8

62.4

72.1

53.7

47.8

59.2

40.3

37.7

46.2

39.5

59.6

43.0

64.8

79.1

40.5

33.4

32.5

52.4

41.5

37.5

30.0

41.1

44.3

35.2

43.4

16.7

23.6

10.4

18.3

26.1

36.8

19.0

22.9

12.3

28.4

48.8

34.2

61.4

56.5

20.1

12.9

25.4

25.7

34.9

29.5

38.3

21.7

15.1

25.3

21.5

11.7

11.2

9.5

8.2

10.2

●5.2

65.5

6.9

2.9

5.1

17.6

18.3

17.1

●11.9

16.2

19.8

19.0

18.9

30.4

35.3

42.6

39.2

24.3

33.1

40.9

41.8

30.0

37.4

31.0

34.2

30.3

26.9

35.9

35.6

27.5

39.2

34.0

41.9

40.1

43.6

34.1

21.0

37.2

33.3

43.4

41.7

38.1

36.2

40.9

23.9

38.9

31.2

35.8

39.3

40.1

42.5

51.0

38.4

41.6

34.9

37.2

52.9

41.2

47.0

42.5

49.6

30.2

40.1

35.3

57.7

34.3

20.2

31.7

8.4

16.6

44.1

51.4

47.2

35.1

31.1

28.6

21.6

34.7

50.8

53.7

47.3

55.0

45.3

48.8

53.7

53.6

53.8

10.5

54.2

65.9

59.1

43.1

41.6

40.5

37.2

45.4

38.6

46.1

44.0

71
Table 35. Num&rand percent distribution ofoffice visits made by female patients byprior visit status andseriousness ofcondition, according to principal reason

forvisit inthe Symptom Module: United States, 1977-78-Con.

Prior visit status Seriousness of condition

Number

principal reason forvisit.and F71/Ccodel of visits Total Old Old

in New

Serious

patient, patient, Slightly Not

thousands

or vary

patient new old

serious serious serious

problem problem

Percent distribution

Symptoms referable tothegenitourinary aystem . . . . . . S640-S829

Frequancy and urgancy of urination . . . . . . . . . . . . S645

painftd urination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S650

Absence of menstruation (amenorrhea) . . . . . . . . . . . . S730

Irregularity of menstrual interval . . . . . . . . . . . . . . S735

Irregularity of menstrual flow... . . . . . . . . . . . . . . . . . . .. S740

Menstrual symptoms, other and unspecified . . . . . . . S745

Menopausal symptoms, . . . . . . . . . . . . . . . . . . . . . . . . . ..s75o

Uterine andvaginal bleeding . . . . . . . . . . . . . . . . . . . . . . .. S755

Vaginal discharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S760

Other vaginal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . .. S765

Pelvicsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S775

Painorsorenessofbreast . . . . . . . . . . . . . . . . . . . . . . . . ..S800

Lumpormassofbreast . . . . . . . . . . . . . . . . . . . . . . . . . ..S805

Another symptoms referable tothegenitourinary system . . . .S640,

S655-S680, S770, S790-S795, S81 0-S825

Symptoms referableto the skin, nails,andhair . . . . . . . . . S830-S899

Acneorpimples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S630

Warts,N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S850

Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s860

Skinlesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S865

Skin irritations, N.E.C.2 . . . . . . . . . . . . . . . . . . . . . . . . . ..S870

All other symptoms referable to the skin, nails, and

hair . . . . . . . . . . . . . . . . . . . . . . S835-S845, S855, S875-S895

Symptoms referable tothemuaculoskeletal system . . . . . . . S900-S999

Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S900

8ackaymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S905

Lowbacksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . .s910

Hips+rmpto ma . . . . . . . . . . . . . . . . . . . . .. . . . . . . ,,.s915

Legsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S920

Kneesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925

Footandtoesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . .S935

Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S940

Armsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S945

Handandfingersymptoms . . . . . . . . . . . . . . . . . . . . . . . . .S960

All other symptoms referable to the musculoskeletal

system . . . . . . . . . . . . . . . . . . . . . S930, S950-S955, S965-S980

46,199

2,635

4,043

1,745

1,793

1,282

1,566

2,842

4,186

3,939

4,481

1,693

1,627

3,983

10,375

36,591

6,759

2,102

11,152

4,023

2,654

9,900

57,934

5,654

11,497

4,833

2,186

5,916

5,156

4,306

4,773

2,651

3,440

7,522

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

19.6

22.3

12.6

26.0

25.0

●19.4

27.4

●6.5

18.7

17.4

22.0

*I 7.4

* 14.4

28.2

20.2

23.7

16.3

17.7

23.8

20.9

27.3

30.0

16.6

18.0

15.4

16.0

15.7

13.9

20.5

16.8

18.0

15.4

23.9

13.8

34.0

27.8

45.5

44.6

29.4

39.6

34.9

13.3

42.3

43.5

42.2

28.1

40.8

30.5

25.6

32.0

* 4.6

34.7

44.7

31.8

37.4

34.3

27.2

28.8

26.9

27.1

17.2

30.4

18.3

33.2

30.7

37.8

29.2

22.6

46.4

49.9

42.0

29.4

45.6

41.1

37.7

80.2

39.0

39.2

35.8

54.4

44.9

41.3

54.2

44.4

79.2

47.6

31.4

47.3

35.3

35.8

58.2

53.2

57.7

56.9

67.0

55.8

61.2

50.0

51.3

46.9

47.0

63.6

12.3

*1 0.4

9.7

*5.7

*5.7

*14.3

●5.6

●4.6

22.9

●4.4

*4.2

*17.3

●12.2

26.7

14.8

8.1

*4.4

‘4.0

5.5

18.0

*10. I

9.7

16.1

13.0

16.8

9.6

25.4

20.6

21.8

13.3

13.8

*11.5

*9.7

19.0

37.1

39.7

50.9

26.8

26.3

47.9

35.6

31.7

37.2

26.7

34.9

47.5

28.6

32.4

41.1

27.7

25.6

21.8

26.4

34.6

29.3

28.5

39.8

39.7

38.9

38.8

41.4

48.6

41.5

36.9

39.5

38.7

36.2

37.3

50.7

49.9

39.4

67.4

67.9

37.8

58.9

63.7

39.9

69.0

61.0

35.2

59.2

40.9

44.7

64.3

70.1

74.2

68.1

47.4

60.6

61.8

44.1

47.3

44.3

51.6

33.2

30.8

36.7

49.8

46.7

49.8

54.1

43.8

lSearaference 1.

2N.o.s. = not otherwise specified; N. E. C.= notelsawhere classified.

72
Table 36. Number andparcent distributimsof office visits made by female patients bypriorvisit Satusand seriousnessof condition, according to principal reason

forvisit in the Disease, injuries and Adverse Effects, Test Results, and Administrative Module~ Unitad States, 1977-78

Principal reason for visit and R VC codel

Prior visit status Seriousness of condition

Number—.

of Wsits

TOG4 Old Old

in New

Serious

patient, patient,

or very

Slightly Not

thousands patient new old serious serious serious

problem problem

Percent distribution

Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Disease Module

Infective and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . .DOO1-D099

Viral diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DO15

Another infective and parasitic diseases . . . . . . . .DO05-D010, DO2O-DO35

Neoplasm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIOO-D199

Malignantneoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIoD-D135

Benignneoplesms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D140.D145

Endocrine, nutritional and metabolic diseases . . . . . . . . . . . . . . .D200-D249

Diseasesofthethyroidgland . . . . . . . . . . . . . . . . . . . . . . . . . . ..D200

Diabetesmellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D205

All other endocrine, nutritional and metabolic

diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D210-D215

Dieaases of the blood and blood-forming organs . . . . . . . . . . . . . .D250.D299

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D300-D349

Disaasesofthenervoussystem . . . . . . . . . . . . . . . . . . . . . ..D350-D399

Diseasesoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D400-D449

Diseasasoftheear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D450-D499

Diseasas of the circulatory system . . . . . . . . . . . . . . . . . . . . . . .D500-D599

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D51O

Ischemicheartdisaase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D515

All otherdisaasasofthecirculatow system. . . . .D500-D505, D52D-D550

Diseasesof the respiratory system . . . . . . . . . . . . . . . . . . . . . . .D600.D649

Dieeasesofthe digestive system . . . . . . . . . . . . . . . . . . . . . . ..D650-D688

Diseases of thegenitourinary aystam . . . . . . . . . . . . . . . . . . . . .D71X-D799

Dieeases of theskin and subcutaneous tissue . . . . . . . . . . . . .D800-D899

Diseases of the muscu Ioskeletal system and connective

tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D900-D849

Injuries and Adverse Effects Module

lnjurybytypeand/orlocation . . . . . . . . . . . . . . . . . . . . . . . . ..JO01J799

lnjury,N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .J800-J899

Test Results Module

Test resultsmodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..RIOO-R700

Administrative Module

Administrativemodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..AIoo.A140

694,431

2,508

1,366

1,140

4,467

3,398

1,069

7,286

1,342

5,255

699

917

607

1,241

3,830

1,174

13,335

9,249

1,247

2,839

6,167

2,397

3,732

4,192

4,910

16,883

2,156

4,193

6,957

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

14.3

● 12.8

‘ 7.4

●19.2

9.9

●8.1

●1 5.7

6.4

●14.1

‘4.0

“9.7

“3.0

‘1.9

●6.8

10.2

++2.1

7.3

6.2

‘0.8

13.5

9.1

16.1

13.1

21.3

10.2

21.2

18.1

11.8

30.8

24.5

24.6

●21 .6

●28.3

●7.4

●2.2

●23.9

‘3.2

‘4.7

●1.9

*1 0.0

*6.8

“3.5

●1 3.5

‘ 7.9

‘20.8

7.3

5.5

*1.4

16.0

19.0

●12.9

16.7

22.1

12.0

38.0

39.2

21.9

41.6

61.3

62.6

71.1

52.5

82.7

89.7

60.4

90.4

81.1

94.2

80.2

90.2

94.6

79.7

82.0

77.2

85.4

88.3

97.8

70.6

71.9

71.1

78.3

56.6

17.8

40.8

42.7

66.3

27.6

16.7

15.4

‘1 6.7

‘12.6

60.2

74.0

●16.2

43.0

30.7

47.2

●34.5

●29.7

75.2

35.0

28.1

●3.6

32.3

26.9

52.8

40.6

20.7

28.4

12.4

11.4

25.9

16.2

19.5

26.4

●2.3

30.4

24.8

25.6

●23.8

22.5

16.3

42.1

33.9

29.4

35.2

‘32.9

48.2

●19.2

39.5

23.7

45.8

43.6

48.3

32.7

32.9

38.7

41.9

35.1

32.4

42.2

37.0

41.5

33.0

5.1

52.9

59.9

56.8

63.6

17.3

9.6

41.8

23.1

39.9

17.6

●32.6

●22.2

● 5.7

25.5

48.2

50.6

24.2

24.8

14.5

26.5

40.6

29.7

52.6

56.2

31.9

46.9

39.0

40.7

92.7

lSea reference.

2N.0.s, = nOt ~ther~i$e $pacifiad.

73
Table 37. Numbrand percent distribution Ofoffice visits made by female patients byprior visit sttiusand seriousness of condition, according to principal reason

forvisit inthe Diagnostic, Screening, and Preventive Module andthe Treatment Module: United States, 1977-78

Prior visit status Seriousness of condition

Number

Princ!pal reason for visit and R VC code 1

of visirs Total Old Old

in New Serious patient, patient, Slightly Not

thousands patient new old or very serious serious

problem problem serious

Percent distribution

Allvisits by female patia”ts, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diagnostic, Screening, and Preventive MOdule

GeneralexaminatiOns . . . . . . . . . . . . . . . . . . . . . . . . ... ,.. ,xIoI3.xI99

Ganeral medical examination . . . . . . . . . . . . . . . . . . . . . . . . . . . . XIOO

Well babyaxamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,.xIc15

Specialexaminaticms . . . . . . . . . . . . . . . . . . ,,, ,,, ,., ,,. ,X20GX299

Pregnancy,unconfirmed . . . . . . . . . . . . . . . . . . . . . . . . . . . ... .X200

PranatalexaminatiOn,rOutlna . . . . . . . . . . . . . . . . . . . . . . . . . ..X205

Powpartumexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X215

Gynecologicalexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X225

Eyaexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..x230

Heartexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X235

All other special examinations . . . . . . . . . . . . . . . . . . . . . . x220,x240

Diagnostictests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , .x300.x399

Glucosalevel determination . . . . . . . . . . . . . . . . . . . . . . . . . . . ..x310

Bloodpressuretest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X320

Papsmear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . ..X365

All otherdiagnosttc tests . . . . . . . . X300-X305, X31 5, X325-X360, X370

Other screening andpreventive procedures . . . . . . . . ., .X40D-X499

Pmphylacticl noculations . . . . . . . . . . . . . . . . , . . . . . . ..x4oo

Famtlyplannin g . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X500-X599

Traatment Modula

Medications . . . . . . . . . . . . . . . . . . . . . . . . . . .TIoo.T199

Allergymedication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO

Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T11O

Medication, other andunspecifiad kinds . . . . . . . . . ,TI15

Preoperative and postoperative care . . . . ., . . . . .T200-T299

Preoperative visit for specified and unspacifled types

ofsurgary . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,. .T2OO

Postoperativevisit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,, . . ..T2O5

Specifictypesoftherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T40C-T499

Psychotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T41O

Another specific types of therapy . . ., .. T40&T405, T415-T425

Specific therapeutic procedures . . . . . . . ., .T500-T599

Fittingglassesandcontactlenses . . . . . . . . . . . . . . . . . . . . . . . ..T515

Sutllra-insertlon,removal . . . . . . . . . . . . . . . . . . . ... ,.. .T555

Another specific therapeutic procedures .T500-T510, T520-T550, T56O

Medicalcounseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T600-T699

Dietandnutriticmal counseling. . . ., ... . . . . . . . . ..T6OO

Counseling, N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T605

Social problemcounsaling . . . . . . . . . . . . . . . . . . . . . . . . . . ..T700-T799

694,431

41,699

34,881

6,711

71 ,3s4

3,254

40,394

4,114

13,262

7,467

1,819

1,075

27,175

1,236

13,783

7,631

4,524

4,785

4,318

7,972

12,134

6,230

4,127

1,776

19,529

1,406

18,122

2,988

1,717

1,271

7,809

1,896

2,515

3,397

5,503

4,016

1,487

2,647

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100,0

100,0

100.0

100,0

14.3

8.8

8.6

9.7

11.9

41.0

8.5

●3.2

11.3

26.0

*1.3

●11.B

6.B

●0.9

3.0

12.4

10.8

7.1

“4.4

29.2

“2.4

“0.1

*3.9

●7.3

3.0

“1 5.0

2.1

‘5.0

“3.1

“7.4

9.1

‘17.8

●2.9

‘9.0

14.9

11,5

24,3

“9.1

24.5

18.9

18.3

22.4

12.0

40.8

7.4

29.8

17.1

6.5

* 4.3

’21.2

11.9

‘10.1

3,9

22,6

18.3

39,7

37.8

30.7

4.2

“1.6

‘8.0

“4.7

B.8

“18.6

8.0

*2.8

“1.4

‘4.7

19.8

*I 1.3

35.7

12.8

10.7

*7.7

18.8

*5.3

61.3

72.3

73.1

68.0

76.1

18.2

84.2

67.0

71.5

67.5

94.4

67.0

81.3

89.0

93,1

65.0

70,9

53,2

57.8

40.1

93.4

98.3

88.2

88.0

88,2

66.4

89.8

92.2

95.5

87.9

71.1

71.0

61.4

78.2

74.3

80.8

56.9

85.6

16.7

7,1

8.2

‘0.6

5.5

*3.7

4.5

*1.5

‘1.8

7.8

53.3

“14.7

16.8

30.6

20.6

‘1.8

26.8

8.8

9.5

2,3

13.6

10.6

10.1

31,9

23,3

23.0

23.4

69.6

62.4

79.4

16.4

‘3.5

‘8.B

29,3

12.9

10.4

‘19,6

63.4

30.4

15.7

18.1

*2.8

10,5

11.7

8.7

+’5.0

8.7

18.6

32.4

“20.3

35.7

51.7

51.6

8.6

28.7

11.5

9.0

10.8

28.5

25.6

20.5

37.0

24.6

34,2

23.8

22.9

32,1

10.4

19.8

‘1O.5

19.5

25.3

31.8

29.4

38,3

26.5

52.9

77.2

73.7

96.6

84.0

84.7

66.8

93.5

89.5

73.6

14.3

65.0

47.5

17.7

27.8

89.6

44.6

79.7

81.6

86.9

60.9

63.8

69.4

31.1

52.1

42.8

52.8

*7.5

*5.5

10.2

63.8

86.1

71.7

45.4

55.3

60.2

42.1

*1O.O

lSaa raferenca 1.

2N,0,s. = “ototharwise specified.

74
Table 38. Num&rand pementdistribution ofoffice visits made bymalepatients wpriorvisit status andwriousnessof condition, according toprincipalraason

forvisit inthe Symptom Module: United States. 1977-78

Principalreasonfor visitand R VC codel

Prior visitstatus Seriousnessof condition

Number

of visits Total Old Old Serious in New patient, patient, or very Slightly Not

thousands patient new old serious sarious serious

problem problem

Percent distribution

Allvisits by male patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

General symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . .. S001-S099

Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S010

Tirednass,exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . ..so15

Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S040

Chest pain and related symptoms (not refarable to body

system) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S050

Pain, site notreferable toaspecific body system . . . . . . . . . .S055

Pain andrelated wmptoms, generalized, site unspecified . . . . .S060

Allergy,N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S080

Allothergeneral symptoms . . . . . . . . . . . S005, S020S035, S045,

S065-S085, S095

Symptoms referable to psychological and mental

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s1oO-S199

Anxietyandnewousness . . . . . . . . . . . . . . . . . . . . . . . . . . S1OO

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110

All other symptoms referable to psychological and mental

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . ..S105.S115-S165

Symptoms referable to the nervous system (excluding ssnse

organs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S200-S259

Headache,paininhead . . . . . . . . . . . . . . . . . . . . . . . . . ..S210

Disturbencesofsansation. . . . . . . . . . . . . . . . . . . . . . . . ..s220

Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S225

All other symptoms referable to the nervous systam (excluding

wweorgans) . . . . . . . . . . . . . . . . .S200-S205, S215,S230-S240

Symptoms referable to the cardiovascular and lymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S260-S299

Abnormal pulsationsandpalpitations . . . . . . . . . . . . . . . . . .S260

All other symptoms referable to the cardiovascular and lymphatic

syetams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S266-S280

Symptoms referable totheeyesand ears . . . . . . . . . . . . . . S300-S399

Visiondysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305

Abnormaleensationsoftheeye . . . . . . . . . . . . . . . . . . . . . .S320

Another symptoms referablato the ayes . . .S310-S315, S325-S340

Hearingdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S345

Earache,orearinfection . . . . . . . . . . . . . . . . . . . . . . . . ..S355

Another symptoms raferabletotheears . . . . . . . .S350, S360-S365

Symptomsreferable totha respiratory system . . . . . . . . . . S400-S499

Nasalcongestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S400

Shortnessofbreath . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S415

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440

Headcold, upper respiratory infaction(coryza) . . . . . . . . . . .S445

Symptoms referabletothroat . . . . . . . . . . . . . . . . . . . . . . .S455

Al I other symptoms raferabla to the re~iratory

system . . . . . . . . . . . . .S405-S41 O, S420-S435, S450, S460-S485

Symptoms referableto thed-@estive system . . . . . . . . . . . . S500-S639

Stomechpein,cramps,andspasms . . . . . . . . . . . . . . . . . . ..S545

Abdominal pain,cramps,spasms . . . . . . . . . . . . . . . . . . . ..S550

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s595

All other symptoms referable to the digestive

system . . . . . . . . . . . . . . . . . S500-S540, S585-S590, S600-S81 5

Symptoms referabletothegenitourinary system . . . . . . . . . S640-S829

See footnotes at end of table.

460,119

37,130

9,109

2,348

1,870

9,049

2,467

1,642

2,893

7,753

11,682

4,117

3,068

4,497

13,319

6,194

1,264

3,937

1,924

2,868

1,227

1,641

29,445

6,225

2,271

4,552

28237

9,219

4,941

56,761

5,102

3,292

13,280

9,208

14,805

11,065

20,646

2,525

5,126

2,496

10,698

12,788

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

16.4

15.2

14.5

●10.5

●9.6

17.2

28.8

● 12.4

● 4.4

16.9

8.3

●7.2

●5.6

11.1

18.9

21.6

●25.2

14.6

● 14.6

13.8

●12.1

●15.0

27.2

38.2

33.3

36.8

35.8

18.2

74.9

15.3

15.1

● 10.0

13.3

17.1

15.7

17.3

17.5

●11.O

20.5

● 13.2

18.6

19.5

24.9

33.3

57.7

25.9

●7.7

25.9

38.6

31.4

●6.7

30.5

7.4

●7.5

●1.3

11.6

27.2

32.8

34.6

22.6

●13.8

25.9

‘20.5

29.9

25.4

7.2

30.6

28.2

18.2

37.6

23.7

41.0

24.0

11.5

46.9

50.5

51.9

27.7

43.0

44.4

39.1

54.7

41.8

25.3

5s.7

51.4

27.8

63.6

82.7

58.9

32.7

56.2

88.8

52.7

64.3

85.3

93.0

77.4

53.9

45.6

40.3

62.8

71.6

60.4

67.5

55.1

47.4

54.6

36.1

35.0

48.1

44.3

61.4

43.8

60.9

78.5

39.8

32.4

32.3

55.0

39.5

44.6

40.5

32.1

39.6

55.2

21.0

26.5

10.6

29.6

26.4

39.9

25.1

27.5

16.1

32.8

57.6

46.1

72.6

57.9

22.4

14.5

●21.9

20.5

52.5

33.5

31.7

34.9

13.3

22.6

18.2

13.0

16.1

;:

13.6

8.7

68.0

12.9

“2.5

5.0

21.4

20.0

15.7

22.6

●12.1

21.5

19.6

32.9

36.4

48.1

38.5

35.5

30.7

34.0

24.8

33.9

33.2

24.5

30.1

20.5

22.0

41.4

38.3

45.4

49.1

32.7

42.5

49.5

37.2

38.9

24.2

38.7

35.4

40.7

51.3

36.6

35.4

32.9

22.6

35.3

28.1

38.6

42.3

40.4

53.4

38.6

41.2

37.9

40.7

46.1

37.1

41.3

32.0

38.2

29.4

40.9

47.7

50.1

34.0

18.0

23.8

“6.9

20.2

36.2

47.3

32.7

30.3

14.8

24.0

18.8

27.9

47.8

53.3

43.1

51.5

43.2

41.2

54.3

51.0

58.4

●9.4

51.8

69.4

56.4

36.2

39.7

31.0

38.9

46.8

40.5

39.7

75
Tabla 38. Number andpercent distribution ofoffice visits made bymalepatients byprior visit status andseriousness ofcondition, according to principal reason

forvisit inthe Symptom MOdule: United States, 1977 -78–Con,

Principal reason forvisit and RVCcodel

Prior visit status Seriousness of mxrdition

Number

0 f visf ts Total

Old Old

New

Serious

in patiant, patient,

or very

Slightly Not

thousands patient new old serious serious serious

problem oroblem

Symptoms referable to the skin, nails, and hair . . . . S830.S899

Acne or pimples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S830

Warts, N,0.S,2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S850

Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S860

Skin lesion.....,.. . . . . . . . . . . . . . . . . . . . . . . . . ..s865

Skin irritations, N.E.C.2 . . . . . . . . . . . . . . . . . . . . . . . . . ..S870

All other symptoms referable to the skin, nails, and

hair . . . . . . . . . . . . . . . . .

. S835-S845, S855, S875-S895

Symptoms referable tothemuscu loskeletal system . . . S900-S999

Necksymptoms, .,..,.., . . . . . . . . . . . . . . . . . . . . . ..S900

Sacksymptoms ..,...... . . . . . . . . . . . . . . . . . . . ..S905

Lowback symptoms ..,... . . . . . . . . . . . . . . . . . . . . . ..S910

Hipsymptoms, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S915

Legsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S920

Kneesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,..S925

Anklesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S930

Footandtoe symptoms . . . . . . . . . . . . . . . . . . . . . . . . ,..s935

Shouldersymptoms . . . . . . . . . . . . . . . . . . . , . . . . . . ..S940

Armsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,. .S945

Elbowsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S950

Handandfingersymptoms, . . . . . . . . . . . . . . . . . . . . . . ..S960

All other symptoms referable to the musculoskeletal

system . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S955. S965-S980

Percent distribution

27,477

3,480

2,389

8,901

3,432

1,816

7,459

50,982

4,060

11,010

4,811

1,561

4,560

5,653

1,695

4,243

3,933

1,610

1,608

2,822

3,416

100.0 21.5

100.0 14.4

100.0 18.7

100.0 20.6

100.0 21.7

100.0 28.0

100.0 25.1

100.0 19.2

100.0 16.2

100.0 17.5

100.0 18.8

100.0 +19.7

100.0 15.7

100.0 26.2

100.0 *16.4

100.0 18.0

100.0 19.0

100.0 25.6

100.0 *14.5

100.0 21.0

100.0 22,2

34.7 43.8

●8.3 77.3

23.8 57.5

49.5 30.0

31.7 46.7

33.8 38.2

34.4 40.5

24.8 56.1

36.0 47.9

20.5 62.1

15.9 65.4

~21 .7 58.6

27.7 56.6

18.7 55.1

25.7 57.9

34.5 47.5

29.1 51.9

31.7 42.6

30.3 55.3

27.6 51.5

19.9 58.0

10.1

‘7.6

‘7.1

7.7

21.9

*9.9

9.6

19.4

16.3

20.1

14.9

22.1

36.8

20.6

*18.2

17.5

13.0

‘20.9

‘4.7

13.1

22.2

25.8

22.3

18.4

24.5

31.5

30.3

27.7

41.3

40.2

44.6

44.4

46.5

34.7

49.5

41.8

35.4

38.P

35.7

34.6

41.1

36.3

64.1

70.1

74,5

67.8

46.6

59.8

62.8

39.3

43.5

35.4

40.6

31.4

28.5

29.9

40.1

47.7

48.3

43.5

60.7

45.8

41.5

lSee reference 1.

2N. o.s. = nototherwisa specified; N. E.C. = notelsawhere classlfiad.

76
Table 39. Numbarand percent di$tributionof of ficevisits made bymalepatients byprior visit stitusand seriousness ofcontition, xcording to principal reason

forvisit inthe Disease, injuries and Adverae Effetia, Test Results, and Administrative Modul~: United States, 1977-78

Principal reason for visit and R VC code 1

Prior visit status Seriousness of condition

Number

of visits Total Old Old

in New

Serious

patient, patient,

or very

Slightly Not

thousands patient new old serious serious serious

problem problem

Percent distribution

Allvisits by malepatients, ...,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Disease Modu Ie

Infective and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . .DOOI.D099

Viral diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..Do15

All other infective andparasiticdiseases . . . . . . . . . . . . . . . ..DO05-D035

Neoplasm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIoc-D199

Malignantneoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIo0.D135

Endocrine, nutritional, and metabolic diseases . . . . . . . . . . . . . . .D20D-D249

Diabetesmellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D205

All other endocrine, nutritional, and metabolic

diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D200. D21O-D215

Diseases of the blood and blood-forming organs . . . . . . . . . . . . . .D25r)-D299

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D300-D349

Diseasesofthenervoussystem . . . . . . . . . . . . . . . . . . . . . . . ..D350-D399

Diseasesoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D400-D499

Disaasesoftheear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D450-D4gg

Disaasesofthecirculatory syetem . . . . . . . . . . . . . . . . . . . . . ..D500-D599

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D51O

Ischemicheartdisaase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D515

Allotherdisaasasof thecirculatory syatem . . . . . .D500-D505, D520-D550

Disaasasofthe reapiratorycyatem . . . . . . . . . . . . . . . . . . . . . . .D600-D649

Diaaasesofthedigestivesystem . . . . . . . . . . . . . . . . . . . . . . ..D650-D688

Herniaofabdominalcavity . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D660

Another diseases of thedigastiveeyetem . . . . . . .D600-D655, D665-D675

Diseasesofthe genitourinary system . . . . . . . . . . . . . . . . . . . . .D700.D799

Diaaasesofthe skin andsubcutaneous tissue . . . . . . . . . . . . . . ..D800-D899

Diseases of the muacu Ioskeletal system and connective

tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D900-D949

Injuries and Adverse Effects Modu Ie

lnjurybytypaand/orlocation . . . . . . . . . . . . . . . . . . . . . . . . ..JO01J799

lnjury,N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J90D-J999

Teat R&ults Module

Testresultsmodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..R1OO-R7OO

Administrative Module

Administrativemodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..AIw-A140

460,119

2,372

1,120

1,251

2,526

2,292

4,736

3,726

1,010

492

818

766

2,396

1,066

11,178

6,724

1,969

2,465

5,604

3,144

1,734

1,409

1,942

3,921

2,523

27,002

2,217

2,044

12,072

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

16.4

17.8

●1O.1

‘ 24.8

●9.6

*6.4

●4.3

‘4.2

●4.6

●8.6

● 12.8

● 18.0

● 12.5

‘7.4

11.5

11.4

●1.4

19.9

10.6

22.2

36.4

‘4.8

●12.8

19.4

●6.5

25.0

21.2

●8.4

43.1

24.9

25.5

● 23.4

27.4

+3.3 .

●3.3

+4.1

● 2.7

●9.2

‘6.2

●2.3

●2.1

+4.1

“ 10.9

6.0

“4.0

●3.2

13.8

16.8

●9.2

●1 0.2

‘8.0

“6.8

22.8

●9.2

32.9

36.1

18.8

37.9

56.7

56.7

66.6

47.8

87.0

90.3

91.6

93.0

86.3

65.2

84.9

80.0

83.4

81.7

82.5

64.6

95.5

66.4

72.6

68.6

53.4

87.2

60.4

57.9

64.3

42.1

42.7

72.9

19.1

21.0

22.9

●22.5

●23.4

71.4

76.1

41.6

43.5

34.4

●54.5

67.9

●43.9

“34.0

●1O.1

42.1

33.6

75.4

38.8

23.3

28.6

‘16.9

42.9

●12.7

12.8

23.0

16.1

23.1

32.1

●2.7

32.9

33.0

36.4

29.9

18.5

15.2

38.9

39.6

36.6

●23.4

+19.1

*40.O

23.3

40.5

38.3

46.1

17.3

33.9

43.0

32.7

36.2

28.5

26.9

32.1

40.5

36.7

37.9

37.7

5.7

46.1

44.1

41.2

46.8

*10.I

●8.7

19.5

16.9

‘29.0

●22.1

●13.O

● 16.2

42.7

49.4

19.6

20.3

●7.3

27.3

33.7

38.7

46.9

28.6

60.4

55.1

36.5

47.3

39.0

30.2

91.6

77
Table 40. Numbarand percent distributioncJf office visits made bymalepateints bypriorvisit s@tusand wriasness ofcondition, ~cording to principal reason

forvisit inthe Diwnmic. Screening. and PreventNe Module andthe Treatment Module United States. 1977-78

principal reason forvisitand l?vccode~

Prior visit status Seriousness of condition

Number

of visits Total Old Old

in New

Serious

patient, patient

or very

Slightly Not

thousands patient new old serious serious serious

DrOb/em nroblem

Allvisits bymalepatie”ts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diagnostic, Screening, and Preventive Module

Generalexaminations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..x1oo-xI99

General medicalexamination . . . . . . . . . . . . . . . . . . . . . . . . . . ..X1OO

Well babyexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x105

Spacialexaminations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..xzoo.x2g9

Eyeexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X230

Heartexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X235

Diagnosticteets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .x300.x399

Glucosalevel determination.. . . . . . . . . . . . . . . . . . . . . . . . . . ..X31O

Bloodpressureteat .,...... . . . . . . . . . . . . . . . . . . . . . ., . . ..X32O

All other diagnostic teats . . . . . . . . . . . X300-X305,X315, X325-X370

Other screeningand preventive procedures . . . . . . . . . . . . . . . . .X400-X499

Prophylactic inoculations . . . . . . . . . . . . . . . . . . . . . . . . . . ... .X400

Familyplanning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .x500-x599

Treatment Modu Ie

Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO-T199

Allergymedication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO

Inactions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIIO

Medication, otharand unspecified kinds. . . . . . . . . , . . . . . . . .T115

Preoperative andpostoperative cara . . . . . . . . . . . . . . . . . . .T200-T205

SPacifictypesoftherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T400-T499

Specifictherapeuticprocedurss . . . . . . . . . . . . . . . . . . . . . . . .T500-T599

Fittingglassasandcontactlenass . . . . . . . . . . . . . . . . . . . . . . . ..T515

Suturs-insartion,removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T555

Another spscific therapeutic procedures . . .T500-T510, T520-T550, T560

Medicaicounsaling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T800-T699

Socialproblemcounseling . . . . . . . . . . . . . . . . . . . . . ... . . ..T7T7gg7gg

460,119

31,269

24,234

7,015

7.762

4,485

2,864

14,335

1,161

9,913

3,261

4,089

3,833

1,240

9,742

6,761

1,734

1,248

12,301

2,032

7,644

1,057

3,580

3,007

1,919

2,222

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

16.4

11.7

11.3

13.0

14.5

23.0

●2.4

4.8

‘2.0

4.8

●5.5

● 5.8

●3.7

49.1

+1.0

+0.3

●2.8

‘2.0

3.9

“1.6

12.3

● 20.2

10.5

11.6

22.0

“11.2

24.9

18.4

17.6

21.2

6.1

8.3

●3.1

6.4

●7.2

4.2

12.7

36.2

34.7

“24.9

4.2

‘2.4

+11.9

●2.8

4.3

●1.9

18.7

*11.7

28.6

●9.3

*14.7

‘6.0

58.7

69.9

71.1

65.7

79.4

68.8

94.5

8s.9

90.8

91.0

81.8

58.0

61.6

‘26.0

94.9

97.3

85.3

95.2

91.6

88.6

69.1

68.1

60.9

79.1

63.3

82.8

21.0

10.2

12.8

“1.1

30.6

10.8

60.4

26.8

31.8

24.9

30.8

9.4

9.1

●0.3

12.6

7.2

20.9

30.5

33.3

69.7

17.8

‘2.0

10.4

32.3

26.7

67.2

32.9

13.5

16.6

‘2.8

22.8

16.5

32.0

45.7

55.0

50.1

28.9

9.5

9.2

*3.3

29.8

26.9

27.4

48.5

28.0

23.1

24.6

*1 4.4

24.2

28.8

31.7

24.3

46.1

76.3

70.6

96.2

46.6

72.7

*7.6

27.6

‘13.1

25.0

40.4

81.0

81.7

96.4

57.7

66.0

51.7

*20.9

38.7

●7.2

57.3

83.6

65.4

39.0

41.6

● 8.5

lSeareferanca 1.

76
Table 41. Number andpercent ofoffice visits madabyfemale patients forselected newproblems, bytimesince onset ofcomplaint andselmted

principal reasons forvisit inthe Symptom Module: United States, 1977-78

Number Time since onset of complaint

Principal reason for visit and R VC code ~

of visits

Less in 1-3 1-3 More

thousands than weeks months than

1 week 3 months

Percent of visits2

All symptomatic new problem visits by female patients . . . . . . . . . . . . . . . . . . . . . . . . .

Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..sOI(I

Tiredness,exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..so15

Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s040

Chest pain and related symptom (not referable to body system) . . . . . . . . . . . . . . ..S050

Pain,site notreferabletoa specific body system . . . . . . . . . . . . . . . . . . . . . . . . ..S055

Pain and related symptoms, generalized, site unspecified . . . . . . . . . . . . . . . . . . . . .S060

Allergy, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S090

Anxiety andnervousnees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S100

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110

Headache,pain in head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s210

Disturbancesofsensation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .s220

Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S225

Abnormal pulsationsandpalpitations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S260

Vision dysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s3o5

Abnormal sensationsoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s320

Hearing dysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s345

Earache, orear infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s355

Naeelcongastion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..szIoo

Shortnessofbreath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s415

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440

Head cold,upper respiratory infection (coryza) . . . . . . . . . . . . . . . . . . . . . . . . ..S445

Symptoms rafarable tothroat. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s455

Nausea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S525

Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S530

Stomach pain,cramps,andspasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s545

Abdominal pain,cramps,spasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s550

Diarrhaa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S595

Frequencyandurgencyofurination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S645

Painful urination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . + .. ------- .S650

Absence ofmenstruation (amenorrhea) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S730

Irregularity ofmenstrual intarval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S735

irregularity ofmenstrualfiow. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S740

Menstrual symptoms,otherand unspecified . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S745

Menopausal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s750

Uterine andvaginal bleeding.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s755

Vaginal discharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S760

Otharvaginal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S765

Pelvicsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S775

Painorsorenessof braast. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S800

Lumpormassof breast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S805

Acne orpimples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S830

Warts, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S850

Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s860

Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S865

Skin irritations, N.E.C.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S870

Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s900

Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s905

Lowbacksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S910

Hipsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..sg15

Legsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S920

Knaesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..Sg25

Footandtoesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S935

Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s940

Armeymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s945

Hand and fingersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S960

268,979

6,453

1,784

1,812

3,970

2,405

1,339

507

1,829

757

5,313

982

2,930

547

3,917

2,158

1,363

5,979

2,094

664

9,382

7,953

13,548

1,977

1,524

2,289

6,926

1,522

1,321

2,346

1,231

976

755

975

!%3

2,559

2,396

2,876

772

897

2,337

1,407

1,103

7,646

2,119

1,719

2,647

4,861

2,084

721

2,616

2,001

2,152

2,325

1,408

1,824

52.0

91.7

18.4

53.3

52.8

56.0

*22.2

18.5

*14.5

43.9

*33.4

50.3

*25.O

10.8

63.3

29.6

81.2

57.3

‘30.5

66.6

77.7

85.0

65.1

85.8

61.7

50.7

71.1

58.1

71.2

*2.1

*5.9

*7.5

*22.6

20.5

32.1

49.3

●31.3

43.6

30.1

*9.6

*2.1

49.3

27.9

41.2

54.6

47.3

48.9

41.2

40.9

32.9

43.6

38.1

40.3

37.9

16.6

6.4

24.2

*3.1

21.0

23.0

*1 5.7

*24.2

19.5

*26.7

16.3

*15.8

22.9

*13.5

*6.8

15.9

*17.5

10.7

18.8

*31.2

24.2

17.9

9.6

*15.7

*5.O

24.0

25.6

‘16.0

‘20.5

23.6

*25.6

*1 7.9

●26.5

*8.6

* 12.6

33.3

42.8

31.1

* 29.8

*23.9

34.3

●8.2

* 12.6

27.5

18.6

31.3

17.7

23.5

*16.O

*15.5

23.6

23.8

*15.1

29.5

28.4

29.9

12.7

*0.7

31.1

*7.O

14.2

*11.5

●13.5

* 12.4

25.4

*27.4

16.1

*20.O

16.0

*22.8

23.0

*8.4

*1 2.6

*3.6

*1 4.3

*1 0.6

*3.4

*2.3

3.3

*12.9

*4.5

*7.O

9.8

*6.9

●9.6

1.5

45.7

41.3

●31.7

36.1

*23.2

30.8

17.4

12.6

* 16.4

‘25.0

19.6

* 13.6

31.6

10.6

21.0

●10.2

13.3

11.5

13.0

*18.2

17.7

●16.O

18.6

17.7

‘20.4

* 16.4

15.6

*0.9

24.3

80.4

10.8

●12.6

* 14.6

*4I .2

29.8

*30.5

20.5

‘30.0

*10.I

*36.4

50.5

*11.5

31.5

*4.5

*9.5

*27.3

*1.8

*1.5

*2.O

“6.4

*4.8

*6.5

12.5

*5.8

*11.8

*3.4

*25.9

*32.O

*28.7

*30.7

62.0

15.0

*6.3

*6.7

*2I .3

*6.7

*13.7

65.0

49.0

12.0

25.5

*16.9

13.7

17.1

21.9

*25.1

17.3

25.8

21.4

*1 4.2

*10.2

*1 5.2

lSee rafarance 1.

2percents ~ill not add to 100.0 because about 13.2 percent of visits were checked “nOt applicable. ”

3N.o.s. = not otherwise Spacified; N.E,C. = not elsewhere classified.

79
Table 42. Number and percent of office visits made by male patients for selected new problems, by time since onsat of complaint and selected

principal reasons for visit in the Symptom Module: United States, 1977-78

Number

Time since onset of complaint

Principal reason for visit and R VC code 1

of visits Less

in 1-3 1-3 More

than than

‘housands 1 week

weeks months

3 months

Percent of visits2

All symptomatic new problem visits by male patients . . . . . . . . . . . . . . . . . . . . . . . .

Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S010

Tiredness,exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..so15

Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..soLMJ

Chest pain and reiated symptoms (not referable to body system) . . . . . . . . . . . . . . .S050

Pain, site not referable toaspecific bodyqrstem . . . . . . . . . . . . . . . . . . . . . . . . . .S055

Pain and related symptoms, generalized, site unspecified . . . . . . . . . . . . . . . . . . . .S060

Allergy, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S090

Anxiety andnervousness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..sI(xI

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110

Headache,pain in head..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S210

Disturbancesofsensation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S220

Vertigo-dizzinass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S225

Abnormal pulsationsandpalpitations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S260

Vision dysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . ..s3o5

Abnormal sensationsoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S320

Hearing dysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . ..S345

Earache,orearinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S355

Nasal congestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S400

Shortnessof breath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S415

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440

Head cold, upper respiratory infection (coryza) . . . . . . . . . . . . . . . . . . . . . . . . . .S445

Symptoms referabletothroat. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S455

Stomach pain,cramps,and spasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S545

Abdominal pain,cramps,spasm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S550

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s5g5

Symptomsofurinary system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S1640-S1680

Symptoms of male reproductive system. . . . . . . . . . . . . . . . . . . . . . . . . ..S1700-S1720

Acne or pimples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S830

Wartsr N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S850

Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s860

Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S865

Skin irritations, N.E.C.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S870

Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S900

Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S905

Lowbacksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S910

Hipsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s915

Lagsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S920

Kneesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925

Anklesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S930

Footandtoe symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S935

Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S940

Arm symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S945

Elbowsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S950

Handand fingersymptoms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S960

lSee reference 1.

Zp.arcents will not add to 100.0 because about 13.9 percent of visits were checked “nOt applicable. ”

3N. o.s. = “Ot Otherwise specified; N.E.C. = not alsewhere classified.

190,202

6,574

855

*324

3,904

1,661

71.9

*323

607

●214

3,369

755

1,463

399

2,826

1,452

1,207

5,138

1,994

709

8,002

6,226

10,018

1,398

3,052

1,694

2,997

2,370

790

1,015

6,231

1,831

1,123

2,116

4,176

1,666

646

1,979

2,541

713

2,230

1,893

924

719

1,370

49.7

94.4

*25. O

56.9

54.3

78.0

*28.2

16.9

*14.6

49.3

*22.7

32.7

*48.5

*9.7

70.9

*24.9

79.6

54.7

‘42.0

74.7

81.2

87.2

47.8

58.6

80.6

48.7

53.9

*9.4

*1.9

55.2

24.6

44.9

50.4

44.2

46.7

‘29.0

51.4

44.2

53.0

41.1

52.7

50.6

39.2

35.6

15.0

*5.O

*28.4

*6.1

21.7

27.0

11.5

*15.8

*22.7

*13.O

22.7

34.3

31.9

*2 I .7

*8.1

*13.8

*24.1

12.7

*15.9

*11.3

19.9

15.4

8.7

36.4

19.8

*I 3.0

20.1

23.6

*5.1

*10.2

22.5

*17.7

*23.6

20.2

23.3

22.4

‘27.0

17.6

14.9

*25.7

22.3

22.8

*19.1

*2 I .3

*20.6

8.3

*0.4

*28.5

*11.7

13.9

*5.9

3.1

*1 0.4

*25. O

*22.6

13.6

‘25.4

*16.7

*10.3

18.9

*8.3

*9.8

*1.4

*7.1

*9.9

*3.9

*2.6

*1.5

‘8.7

12.9

*2.6

16.0

*10. I

*8.8

*22.4

7.3

20.1

*12.7

*12.3

12.5

*12.4

*21,1

*10.2

17.1

*11.9

*15.O

*13.8

*14.O

“30.0

*1 5.5

13.2

*0.2

15.1

*74.9

*7.2

*11.2

6.3

*4 I .2

*3 I .4

*42.6

13.7

*1 7.7

18.7

*19.5

53.0

*6.4

32.4

*5.7

21.1

*36.O

*1.4

+0.7

*2.3

*7.2

*8.5

*2.5

13.2

*10.7

73.6

57.6

13.5

28.1

*18.1

16.1

18.7

*18.5

*23.O

20.5

23.3

*9.4

21.5

“10.8

*15.1

*9.5

28.3

80
Table 43. Numbar and percent of office visits made by female patients, by diagnostic service ordered or provided and principal reason for visit in the Symptom Module:

United States, 1977-78

Number Diagnostic service

Principal reason for visit and R W c~de~ 0 f visits

Limited in General Pap Clinical Blood Other

thousands None exam/ exam/ tast lab X-ray EKG pressure diagnostic

history history test chack servicas2

Percent of visits3

Allvisits by female patiems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

General symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..sooI-sw9

Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..so1o

Tiredness, exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . ..s015

Weight gain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..soAIo

Chest pain and related symptoms (not referable to body

system) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S050

Pain, site not referabla to a spacific body system . . . . . . . . . . . S055

Pain and related symptoms, generalized, site unspecified . . . . . S060

Allergy, N.0.S.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S090

All other 9eneral symptoms. . . . . . . . . . . . . . . . .S005. S020-S035,

S045, SC65-S085, S095

Symptoms referable to psychological and mental

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s100-s199

Anxiety andnetvousness . . . . . . . . . . . . . . . . . . . . . . . . . .S100

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S110

All other symptoms referable to psychological and mental

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . .. S105. S115-S165

Symptoms referable to the newous system (excluding sense

organs ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S200-S259

Headache, pain inhead . . . . . . . . . . . . . . . . . . . . . . . . . .. S210

Disturbances of sensation . . . . . . . . . . . . . . . . . . . . . . . . ..s220

Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S225

All other symptoms referable to the newous system (excluding

sense organs) . . . . . . . . . . . . . . . . . S200-S205, S215, S230-S240

Symptoms referable to the cardiovascular and lymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S260-S299

Abnormal pulsations and palpitations . . . . . . . . . . . . . . . . . S260

All other symptoms raferable to the cardiovascular and lymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S26%S260

Symptoms refarable to the eyes and ears . . . . . . . . . . . . . . S300-S399

Vision dwfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S305

Abnormal sensations of theeye . . . . . . . . . . . . . . . . . . . . .. S320

All other symptoms referable to the eyes . . . . S310-S315, S325-S340

Hearing dysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S345

Earache, orear infection . . . . . . . . . . . . . . . . . . . . . . . . .. S355

All other symptoms referable to the ears . . . . . . . . S350, S360-S365

Symptoms referable to the respiratory system . . . . . . . . . . S400-S499

Nasal congestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S400

Shortness of br’eath . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S415

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S440

Head cold, upper raspirato~ infection (coryza) . . . . . . . . . . . S445

Symptoms referable tothroat . . . . . . . . . . . . . . . . . . . . . .. S455

All other symptoms referable to the respirator

system . . . . . ...< ,.. . S405S41 O, S420-S435, S450, S460-S485

Symptoms referable to the digestiva system . . . . . . . . . . . . S50GS639

Nausea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S525

Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S530

Stomach pain, cramps, and spasms . . . . . . . . . . . . . . . . . . S545

Abdominal pain, cramps, spasms . . . . . . . . . . . . . . . . . . . . . s550

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S595

All other symptoms referabla to the digestive

system . . . . . . . . . S500-S520, S535-S540, S565-S590, S600-S61 5

Symptoms referable to the genitourinary system . . . . . . . . . S640-S629

Frequency and urgency of urination . . . . . . . . . . . . . . . . . . . S645

Painful Urination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S650

Absence of menstruation (amenorrhea) . . . . . . . . . . . . . . . . . S730

Irregularity of menstrual interval . . . . . . . . . . . . . . . . . . . . . S735

Irregularity ofmen.strual flow.... . . . . . . . . . . . . . . . . . .. S740

Mmstrual symptoms, other and unspecified . . . . . . . . . . . . . . S745

Menopausal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . .. S750

Uterine andvaginal bleeding . . . . . . . . . . . . . . . . . . . . . . .. S755

Vaginal diecharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S760

Other vaginal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . .. S765

Pelvic eymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S775

Pain orsoraness of breast . . . . . . . . . . . . . . . . . . . . . . . . .. S800

Lump ormassof breast . . . . . . . . . . . . . . . . . . . . . . . . . .. S805

All other symptoms raferable to the genitourinary system . . . .S640,

S655S680, S770, S790-S795, S81O-S825

694,431

57,110

8,930

5,678

10,625

9,032

3,835

2,903

3,509

12,598

19,260

7,962

6,014

5,285

23,956

12,148

2,080

7,405

2,323

4,150

1,980

2,190

36,763

9,599

3,617

5,879

2,535

9,881

5,253

69,397

5,950

3,182

15,769

11 #939

20,079

12,477

34,324

3,162

2,178

3,882

12,441

2,350

10,310

46,199

2,635

4,043

1,745

1,793

1,282

1,566

2,642

4,196

3,939

4,481

1,693

1,627

3,983

10,375

10.0

10.0

“1.9

9.7

t 7.9

“1.7

“2.6

‘4.8

59.3

5.0

46.4

31.0

66.3

54.2

6.4

6.3

‘1 2.0

“1.6

17.3

●4.5

●4.2

“4.7

3.1

●1.6

‘1.1

‘3.9

“3.8

3.6

“5.1

6.5

24.9

1.6

2.9

5.6

3.7

8.9

3.6

●3.1

‘3.0

+2.0

3.1

●6.2

4.6

4.7

“3.4

● 2.9

“ 2.7

“2.0

‘6.0

●2.5

21.1

●3.2

“ 0.5

●3.6

● 3.5

*3.3

●5.5

4.9

59.2

54.8

61.9

56.9

35.8

63.6

62.4

69.0

26.1

61.9

33.0

44.0

20.2

31.1

60.4

62.3

55.0

61.7

51.3

64.0

57.4

69.9

73.1

57.9

81.1

73.2

78.1

79.4

81.0

70.9

60.1

65.7

71.5

70.3

76.0

68.6

62.8

62.1

61.8

70.9

60.9

62.4

62.5

60.2

%.1

58.3

57.4

53.5

55.2

50.3

41.1

57.7

68.6

68.9

60.0

75.4

69.7

59.2

21.9

23.2

33.0

22.0

13.6

25.9

27.5

24.4

‘7.1

25.6

12.2

18.0

6.2

10.2

24.9

22.9

24.5

27.5

26.7

23.8

27.9

20.2

14.9

18.9

9.4

11.2

18.4

15.9

12.1

18.0

10.7

24.1

20.5

20.7

16.1

17.5

25.9

24.5

30.5

22.8

28.4

27.1

23.3

25.5

19.2

20.7

33.8

38.6

36.2

43.3

26.3

33.8

25.8

21.8

32.6

19.8

21.4

20.6

8.5

3.2

‘0.1

7.1

●3.2

“1.8

“5.0

● 2.4

5.2

2.7

‘4.2

“1.1

“ 2.2

2.1

‘2.1

“0.8

●2.6

●1.4

‘1.1

‘0.9

“1.3

“0.2

‘0.1

“0.9

‘0.4

“0.6

“0.1

0.5

“1.0

“1.6

“0.4

“0.3

“0.4

‘0.3

6.1

“6.6

“0.2

● 2.4

11,5

“1.2

“3.2

21.2

●8.1

9.9

34.8

48.5

4t.3

40.3

18.3

36.8

32.6

25.6

21.1

‘ 10.4

●5.3

12.7

23.1

26.3

25.6

36.9

15.3

25.0

36.4

24.4

●9.6

34.2

8.3

11.4

‘4.2

8.2

19.5

15.8

18.4

25.9

19.7

22.8

“13.3

31.2

4.6

“1.7

“3.5

●5.5

●4.8

8.1

“2.8

17.5

10.3

25.6

13.9

13.1

26.9

12.7

25.7

34.0

17.8

23.4

32.5

18.9

19.2

43.1

79.1

80.3

46.3

36.3

40.3

32.2

15.9

27.7

50.9

47.5

32.8

‘1 2.3

●6.5

51.4

6.8

8.6

4.9

8.3

●1.2

23.1

19.4

‘7.1

“1.4

6.3

2.1

‘3.1

●1.4

“1.3

7.2

7.1

“8.1

7.4

“6.3

“7.8

“1O.4

●5.5

1.0

“0.3

‘0.9

“0.5

‘1.3

‘1.6

●1.5

6.4

●2.4

16.8

11.1

4.7

2.5

7.6

12.6

“9.6

“6.8

9.7

16.8

‘7.4

12.0

4.4

●9.2

“1.6

‘0.9

●3.7

“0.5

“1.3

“1.8

‘ 0.8

“1.2

“0.5

●3.5

● 15.9

14.5

5.2

2.6

7.7

“0.1

6.2

‘3.0

33.3

●2.9

‘1.8

“0.2

4.2

2.0

‘3.2

“1.0

●1.3

4.2

3.1

●5.1

6.4

“2.4

24.8

43.3

●8.3

‘0.2

“0.1

“0.7

“1.0

●0.3

1.1

‘0.1

13.2

“1.0

“0.2

“0.2

‘1.1

2.7

“1.3

“0.7

‘1.4

3.8

“3.3

‘2.4

“0.6

“1.9

“ 0.7

+0.5

‘0.3

‘0.2

“0.3

‘4.0

“1.2

“0.5

38.1

46.0

12.5

55.7

61.8

62.0

43.2

43.8

12.1

51.4

25.1

40.2

13.5

15.7

53.6

52.0

39.4

65.3

37.1

54.3

64.3

45.3

8.4

4.8

‘8.6

8.6

● 12.2

11.6

6.6

29.0

15.5

63.3

28.5

33.2

24.2

31.0

41.0

57.3

21.9

49.1

42.1

28.9

38.4

41.0

30.7

35.8

50.0

59.2

51.6

48.6

59.4

5s.1

43.2

44.0

42.5

41.0

19.5

32.3

9.5

7.5

●3.6

●3.9

14.3

8.4

10.1

“7.4

‘0.8

6.6

2.5

●2.5

*1.9

●3.4

11.7

13.7

“ 12.7

7.6

13.3

5.5

●6.3

“4.8

541.4

93.3

62.0

52.3

20.3

“3.2

7.5

3.3

●5.2

‘ 8.8

“1.6

“1.9

3.7

3.7

69.o

●5.6

“8.0

●6.5

6.0

“9.0

14.9

5.7

14.6

“6.0

“1.9

“4.8

“1.9

“1O.2

“3.4

‘ 6.3

“4.7

●5.1

‘4.8

“3.5

●2.6

6.7

S98 footnotes at end of table..

81
Table 43, Number and percent of office visits made by female patients, by diagnastlc sewice ordered or provided and principal reason for visit in the Symptom Module:

United States, 1977-78-CO”.

Number Diagnostic -wrvjce

Princ!pal reason for wsjt a“d R VrJ &Jde 1

of vis;ts

L !mited General in Pap Clinical Biood

None

Other

thousands examl examl

test lab X-ray EKG

histmu hkrorv

pressure diagnostic

m., check services2

Symptoms referable to the skin, nails, and ha!r . . . S830-S899

Acne orplmples . . . . . . . . . . . . ., . . . . . . . . . . . . . . . . .. S83O

Warts, N.0.S.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S850

Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s860

Skin ies!on . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s865

Skin irritations, N. E. C.4, . . . ...,,,,,..,.,,,,,.. .,, ,S870

All other symptoms referable to the sk!n, nails, and

hair . . . . . . . . . . . . . . . . . . . . . . S835-S845, S855, S875-S895

Symptoms referable to the musculoskeletal system s900.s999

Neck symptoms.,.,,,...,,, ,,, .,, ,,, ,,, ,,. ,., ,,s900

8acksymptoms ., . .,, ,,, ..,, ,,, ,., ... ,,, ,.. ,,, ,s905

Low backsymptoms ..,.,.,,,,, .,, ,,, .,, ,,, ,,, S910

Hipsymptoms ., .,, ,, .,,..,... S915

Legsymptoms . .,, ,, .,......, 1“:::1:.:”1:S920

Knee symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S925

Footand toe symptoms . . . . . . . . . . . . . . . . . . . . . . . . . ..s935

Shoulder symptoms.......,...,., ... .,, ,., ,,. ,.. .s94o

Armsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s945

Handand finger symptoms . . . . . . . . . . . . . . . . . . . . . . . .. S960

All other symptoms referable to the musculoskeletsl

system . . . . . . . . . . . . . . . . . S930, S950-S955, S965-S980

36,591

6,759

2,102

11,152

4,023

2,654

9,900

57,934

5,654

11,497

4,833

2,186

5,916

5,156

4,3(26

4,773

2,651

3,440

7,522

Percent of visits3

11.7

22.0

24,2

5.7

10,3

“4,8

11,2

7.1

13.3

9.6

8.6

“8.8

‘3.1

●5.2

“5.5

“3.6

“6.3

“5.6

5.8

74.5

69.3

63.1

79.2

72.1

78.8

74.9

67.9

64.1

63.6

63.1

64,4

67,2

70.9

75.3

72.8

72.6

70.8

69.9

11.8

8.7

“11.8

14.1

11.4

15.5

10.4

18.1

17.9

21.4

19.6

18.3

22.7

16.4

10.2

17.2

13.7

12.1

19.0

“0.9

‘0.2

“1.0

“0.9

“3.2

*1,1

1.8

‘1.0

●2.9

“1.7

“0.5

●3.5

“0.6

“1.2

“0.7

“1.1

‘0.4

2.4

9.8

‘1.1

‘5.1

11,0

15,4

13,5

12.1

13.7

13.5

17.4

15.8

●8.3

17.6

11.8

9.3

‘7.1

●8.5

‘9.8

16.9

“0.9

‘0.3

*2.6

“2.0

‘1.5

20.9

16.6

16.5

20.4

35.6

10.9

25.7

30.4

23.3

18.7

22.4

25.0

‘0.2

‘0.2

“0.2

“0.4

‘0,4

2.1

“1.4

‘2.3

‘2.4

‘1.5

“3.3

“0.5

“0.9

●2.6

‘2.8

“ 0.6

●3,2

12.3 2.5

*2.6 “0.9

“11.4 ‘1.1

15.5 ‘2,0

17,1 “2.5

22,4 ‘4.5

10,8 4.0

34.4 3,2

27.1 ‘2.7

36.7 “3.0

33.8 “2.7

38.6 “2.3

48.9 5,8

32.2 *2,8

23.5 ‘1.4

33.2 “1.5

37.9 *4.4

25.5 *3.8

35.1 “3.7

lSOO reference 1.

‘Includes vision test, endasvapv, and other diagnostic services ordered Or prcwlded.

3Perce”t$ will not add to 100.0 because more than 1 service may have been re”dwed

4N.o.s. = not otherwise spacl fled; N.E. C. = not elsewhere classified,

51ncludes vision tests in 10,750,596 wsits (29.2 percent).

61ncludas endoscopies in 1,717,321 visits (5. o percem).

82
Table 44. Number and percent of office wsits made by female patients, by diagnostic service ordered or provided and principal reason for visit in the Disease, Injuries

and Adverse Effects, Test Results, and Administrative Modules United States, 1977-78

Number Diagnostic service

Principal reason for visit and R VC code~ of visits

in Limited General Pap Clinical Blood Other

thousands None examl examl test lab X-ray EKG pressure

histow history

diagnostic

test test services2

Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Disease Module

Infective and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . .DOO1-D089

Viral diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DO15

All other infective and parasitic diseases . . . . . . DO05-DO1 O, D020-D035

NeoPlatms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D1OO-D199

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . .. D1OO-D135

Benign neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D14o.D1LI5

Endocrine, nutritional and metabolic diseases . . . . . . . . . . . . . .D200.D249

Diseases of the thyroid gland . . . . . . . . . . . . . . . . . . . . . . . . . .. D2OO

Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D205

All other endocrine, nutritional, and metabolic

diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D21O-D215

Diseases of the blood and blood-forming organs . . . . . . . . . . . .D250-D299

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D300-D349

Diwmesof thenewous $ystem . . . . . . . . . . . . . . . . . . . . . . .. D35O.D399

Diseases of theeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D400-D449

Diseases of theear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D45GD499

Diseases of the circulsto!y system . . . . . . . . . . . . . . . . . . . .D500-D599

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D51O

Ischemic heart dkease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D515

All other diseases of the circulatory sWtem . . . . D500-D505. D520-D550

Diseases of the respmatory system . . . . . . . . . . . . . . . . . . . . . .D60C-D649

Diseasesof the digestive system . . . . . . . . . . . . . . . . . . . . . .D650-D699

Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . .D700-D769

Diseases of the skin and sub-cutaneous tissue , . . . . . . . . . . . . . .D800.D899

Diseases of the musculoskeletd system and connective

tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D900-D949

Injuries and Adverse Effects Module

lnjurfby type and/or location . . . . . . . . . . . . . . . . . . . . . . . . .JOO1-J799

injury, N.0.S.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J800-J899

Test Results Module

Test results module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. RI OO-R700

Administrative Module

Administrative module . . . . . . . . . . . . . . . . . . . . . . . . . . . .. A1OO-A14O

Persent of visits3

694,431

2,506

1.366

1;140

4,467

3,398

1,C69

7,296

1,342

5,255

699

917

607

1,241

3,830

1,174

13,335

9,249

1,247

2,839

6,167

2,397

3,732

4,192

4,910

16,863

2,156

4,193

6,957

10.0

●10.7

‘1 6.8

“3.5

7.6

“8.9

“3.5

●3.1

“ 2.9

“1.0

19.1

“15.5

62.4

●10.3

“1.8

“3.9

“2.1

“2.0

“0.3

+3.5

12.3

“6.3

●3.1

19.6

“6.6

8.B

“ 7.9

16.0

“4.6

59.2

65.0

65.0

65.0

60.1

60.8

58.0

5a.o

65.9

56.9

51.4

44.1

‘30.7

58.0

66.8

87.6

61.2

60.9

50.8

66.5

68.8

63.5

58.7

88.2

63.6

72.7

70.4

44.0

19.5

21.9

“11.1

“11.3

“1O.9

20.6

17.1

31.8

19.9

“23.2

19.4

‘16.1

● 14.4

‘1.8

“14.1

10.1

“ 12.2

21.3

19.1

29.8

24.7

13.3

28.4

18.8

12.0

19.5

9.7

18.6

11.7

64.5

8.5

‘6.7

‘6.2

97.4

●7.5

‘5.6

“13.7

●2.1

“2.3

“1.3

‘ 7.5

“ 0.7

“0.6

“2.3

“2.7

‘2.0

“0.6

“2.2

16.1

“0.7

“1.6

“0.4

‘1.2

16.4

5.8

23.1

28.0

“ 20.4

39.2

30.8

34.1

“20.2

62.8

43.3

70.6

39.9

62.3

●2.5

“5.7

“3.0

“6.4

15.2

14.8

●18.1

15.1

13.6

● 12.6

54.9

“7.7

23.4

2.9

“6.7

29.0

45.0

6.6

‘5.7

“5.3

“6.3

●7.4

●9.3

●1.3

●3.9

“6.6

●2.9

‘6.5

+3.7

“4.1

5.4

4.5

“11.0

●5.6

8.1

●7.6

“1.1

“0.7

12.4

24.8

29.4

8.2

“4.6

2.6

“1.0

“1.7

“0.4

‘0.5

6.0

“6.7

“6.4

“1.4

“0.5

*o. 1

7.7

6.5

“ 19.4

“6.4

●1.4

●3.6

“0.1

● 4.4

“0.4

“2.4

“3.7

“ 2.2

38.1

18.3

‘16.3

‘20.6

31.1

27.3

43.4

61.3

41.5

66.9

57.0

44.7

‘8.5

41.1

“2.2

“3.7

72.0

81.0

66.2

44.2

27.9

35.2

33.3

12.2

43.6

13.1

36.5

37.3

47.4

9.5

‘ 10.7

‘11.0

“9.0

6.9

‘4.9

“13.1

5.1

“4.0

‘ 5.9

“1.0

“4.1

● 2.3

“6.8

491.2

“1.4

5.1

●3.3

“2.6

12.0

“4.7

‘2.5

93.3

●3.3

“2.1

4.8

‘7.3

12.9

22.2

1S90 reference 1.

21n.dudes vision test andoscopv; and othar diagnostic services ordered or Provided.

3P0rcenm will “m add to 100.0 because morn than 1 sewice may have bann rendered

41ndudes vision tests in 2,59 S,564 visits (67.9 permnt).

5N.o.s. = not Olh.rwme specified.

83
Table 45. Number and percent of office vmts made by female patients, by dlagnm.tm service ordered or provided and principal reason for visit in the Diagnostic, Screening,

and Prevent we Modu Ie and the Treatment Module: United States, 1977-78

Prmc)pal reason for visit and R VC code 1

Number

Diagnostic swvice

of Vlslts L(m!ted General

m Pap Clin(cal Blood Other

None examl exam/ lab X-ray

thousands historv

test EKG pressure diagnostic

historv test test servict+

Allvisits by femdepatie”ts, ,., . . . ,,, ,,, ..,,,,,,,,,,,,,,,,

Dlagnost!c, Screentng, a“d Preventive Module ,

General examination . . . . . . . . .,, xI130.x199

General medmalexamnnatltm., ,. ..,.. .Xloo

Well baby exami”atv.m,. . . . ,, ... ,,, ,., ,,, ,xI05

Special exa~matiOm . . . . . . . . . . . . ...,,,, .,,,,,.xzoo.xpg~

Preg”a”cy, u”co”firmed ,XZOCI

Prenatal examination, rcwtim ., ., XZ05

Postpartum examlnatmn, ...,,.., . . . . . . . . . . ., ,X215

Gynecologmalexaminatlon.,, ,.. . . . . . . . . . ,., ... .,xzz5

Eyeexaminatmn . . . . . . . . . . . . . . . . . . ... ,.. ,,, xz3o

Heart examinatm” . .,, ...,.... . ,., ,,. ,,, ,X235

All other specml exammwons . XZZO, X240

Diagnostic tests .,... . . .,, ,,, ..x3oo.x399

Glucose level detemmmmm. . . . . . . . . . . . . . . . . . . . . . ..x31o

Blood pressure test,.... . . . . . . . . . . . . . . . . . . . . . . ..x3zo

Papsmear ..,............,,. ... . .. X365

All other dmgnmt!c tests X300-X305, X315, X325-X360, X370

Other screening and pre.entwe pmced”res ., ., ., X400.X499

Prophylactic i”.aculmions, .,.... . . . . . . . . . . . . ..x4oo

Family plannin g . . . . . . . . . . . . . . . . . . . .. X5OO.X599

Treatment Module

Medications, ..,.,........,.. ,.. .,, ,.. ,,, ,,, .TIoo.T199

Allergy medication ..,.... . . . . . . . . . . . ,.. ,,, Tloo

Injections ...,...,,....,.. ... ,,. ,,. ... . . . . .. T11o

Medication, other ond .“specified kinds ., T115

Preoperative and postoperative care . . . . . ., T200-T2gg

Preoperatwe visit for speclf ied and unspeclf led types

of surge ry . . . . . . ...,,....,,,, ,,, ,,, ,,, ,,, ,, ,,, .T200

Postoperative visit ., . ., .,....,. . . . . . . . ., .,,. .,, .. Tzo5

Specific types of therapy . . . .. T400-T499

Psychotherapy. . . . . . . . . . . . . . . T41o

All other speclflc types of therapy . . .T400-T405, T4{5T425

Speclflc therapeutic procedures . T500.T599

Fitting glasses andcont.actlem.es ,, . . . ,T515

Suture-insertion, removal, ...,.... ... .,. ... . . . . . . . .. T555

Al I other spec!f Ic therapeutic procedures T500.T51 O, T520-T550, T560

Med!cal counselin g .,, . ...,...,. . . . . . . . . . . . ,.. ., T6OT6gggg

Diet andnutr!ticmal counwli”g T600

Counseling, N. O. S.6 ...,,... . . . . . . . . . . . . . . . . . . . . . . ... T605

.%clalproblem counsel ing .,...... .,. ,. T700.T799

694,431

41,699

34,881

6,711

71,384

3,254

40,394

4,114

13,262

7,467

1,819

1,075

27,175

1,236

13,7B3

7,631

4,524

4,785

4,318

7.972

12,134

6,230

4,127

1,776

19,529

1,406

18,122

2,9BB

1,717

1,271

7,809

1,896

2,515

3,397

5,503

4,016

1,487

2,647

Percent of vwts3

10.0

3.5

3.1

‘3.7

1,4

“0.1

1.8

“1.7

“0.8

‘1.5

‘1.5

‘1,1

1.3

‘1.9

‘0.1

“1.9

71.5

73.7

11.5

71,0

88,5

64,2

25.5

13.B

‘13.2

13.8

59.4

90.2

“17.7

26.5

“5.3

39.9

2B.5

14.6

“6.0

38.0

72,2

59.2

24.8

25.9

19.9

65,8

49.4

76,7

68.2

37.7

59,0

73.9

74.0

52.8

47.8

61.3

42.4

46.1

15.3

14.4

51.5

18,0

9.7

14.3

55.7

71.9

46.5

73.9

24.9

‘7.6

48.3

59.0

69.3

55,5

55.7

60,5

65,9

45.8

16,8

21.9

66.7

65.2

75.3

23.3

37.9

13.6

20.9

53.6

18,8

‘17.2

18.0

19.4

“14.2

14.1

35.9

9.4

‘4.3

‘4.4

31.4

3.2

‘0,5

‘3,5

‘12,1

9,1

35.4

7.1

‘6.1

14.4

5.2

“7.1

‘2.2

“6.3

8.9

9.6

“6.8

“6.2

8.5

25.4

30.3

22.7

32.8

5,5

40.6

83.8

‘2.5

“8.5

28.7

3.7

92.5

“4.7

“0.2

36.0

‘0,5

‘0,2

“0.8

‘1.4

2.8

‘4.3

2.7

‘0.5

●1.3

“0.7

‘1.4

“0.7

“2.0

“2.2

“1.4

23,1

36.7

412

14.3

43.5

58.9

53.0

25.5

43.8

“3.7

24.8

‘11.0

30.2

89.1

15.6

27.2

63.8

“6.2

‘3.0

24,1

‘;:

‘4.3

‘1 5.5

8.3

‘13.5

7.9

22.6

“0.6

52.1

5.8

‘2,2

11.7

12.1

10.5

‘16.4

“2.0

6.8

9.4

11.2

“0.3

1.2

‘0.3

0.9

“0.3

‘2.1

“9.6

“5.7

3.5

‘2 1

3,5

‘2,9

‘4,7

‘0.3

“0.4

‘0.3

‘0.2

●1.3

3.9

‘8.6

3.5

‘1,5

3,4

4,5

●1.4

‘9.3

“1.1

‘1.0

‘1.2

2.6

7.5

9.0

“0.3

0,6

“0.3

+0.1

‘0.1

‘17.4

“4.0

2.8

‘0.4

4.2

“0.5

●3.2

‘0.4

‘0.2

“2.2

‘0,7

● 7.2

“0.2

“0.7

‘1.7

‘1.2

‘2.8

“1.5

●1.8

“0.9

38,1

48.0

57.1

‘1.5

65.9

56,6

75.9

60.4

75.3

“2.2

81,6

41.8

69,0

56.5

86.8

65.6

23.9

‘3.4

●3.4

48.4

14.0

‘2.3

20.4

40.3

19.8

38.4

18.3

10.7

‘1,1

“23,6

9.4

‘8,7

15,1

54,0

65.1

24.2

‘6.B

9.5

9.3

11.0

‘1.0

15.0

“4.0

4.4

‘6.1

6.1

4101,8

‘4.3

●7.7

7.4

●5,3

3.7

5,8

22.2

“4.6

“4.7

“2.2

‘2.0

‘0.6

“2.6

“5.7

7.1

“9.7

6.9

4.7

“0,5

‘12.2

25.1

591,5

‘1.2

‘5,6

6.7

“7.1

●5.8

‘5.4

1See reference 1

2tncludes vmon test .mdoscopy, and mher d,ag”ost!c sew,ces ordered or pro”!ded,

3Permmts WIII nor add m 100,0 bwause more Thm 1 service may have bee” Pmder.d,

41nclud.a$ vmm tex$ #n 5,569,806 vmts (54.6 percent).

51ncludes vision tests in 1,362,814 “iSits (71,9 percent).

6N.0.S, . “ot otherwise sm. !fmd.
Table 46. Number and percent of office visits made by male patients, by diagnostic service ordered or provided and principal reason for visit in the Symptom

Module: United States, 1977-78

Number D!zgnostic service

Principal reason for visit and R VC codel

of visits

Limited General in Clin[cal Blood Other

thousands None examl exam/ lab X-ray EKG pressure diagnost~

history history test check sewices

Allvisits by male patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Generalsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . ..sooI.s099

Fever, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SOlO

Tirednes$,exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . . s015

Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .s040

Chest pain and related symptoms (not referable to body

system) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S050

Pain, site notreferableto aspecific body system . . . . . . . . .S055

Pain andrelated Wmptoms, general ized, site unspecified . . . . S060

Allergy,N.0.S.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S090

Another general symptoms . . . . . . . . . . S005, S020-S035, S045,

S065-S085, S095

Symptoms referable to psychological and marital

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s100.s199

Anxietyandnervousness . . . . . . . . . . . . . . . . . . . . . . . ..s100

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S11O

All other symptoms referable to psychological and mental

disorders . . . . . . . . . . . . . . . . . . . . . . . . ..S105.s115.S165

Symptoms referable to the newous system (excluding sense

or9ans) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S200-S259

Headache,pain inhead . . . . . . . . . . . . . . . . . . . . . . . . ..S210

Disturbancesofsensation . . . . . . . . . . . . . . . . . . . . . . ..s220

Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S225

Allothersymptoms referable tothenervous system (excluding

sense organs) . . . . . . . . . . . . . . .S200-S205, S215, S230-S240

“Symptoms referable to the cardiovascular and lymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S260-S299

Abnormal pulsations and palpitations . . . . . . . . . . . . . . . . S260

Al I other symptoms referable to the cardiovascular and lymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S265-S280

Symptoms referable totheeyes andears . . . . . . . . . . . . S300-S399

Visiondysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305

Abnormal sansationsoftheeye . . . . . . . . . . . . . . . . . . ..S320

Another symptoms referable to the eyes . .S310-S315, S325-S34O

Hearingdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . ..S345

Earache,orearinfaction . . . . . . . . . . . . . . . . . . . . . . . ..S355

Another symptoms referable to the ears . . . . . .S350, S360-S365

Symptoms referable totherespiratory system . . . . . . . . . S400-S499

Naselcongestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S400

Shortnessofbreath . . . . . . . . . . . . . . . . . . . . . . . . . . ..S415

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440

Heedcold,uppar respiratory infection (coryza) . . . . . . . . ..S445

Symptomsreferabletothroat . . . . . . . . . . . . . . . . . . . ..S455

All other symptoms referable to the respiratory

system . . . . . . . . . . . . S405-S41 O, S420-S435, S450, S460-S485

Symptoms raferableto the digestive system , . . . . . . . . . S500-S639

Stomech pain,cramps,and spasms . . . . . . . . . . . . . . . . ..S645

Abdominal pain,cramps, spasms. . . . . . . . . . . . . . . . . . . .s550

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s595

All other symptoms referable to tha digestive

system. . . . . . . . . . . . . . . S500-S540, S565-S590, S600-S61 5

Symptoms referable tothegenitourinary system . . . . . . . S640-S829

Sea footnotes at end of table.

460,119

37,130

9,109

2,348

1,870

9,049

2,467

1,642

2,893

7,753

11,682

4,117

3,868

4,497

13,319

6,194

1,264

3,937

1,924

2.868

1,227

1,641

29,445

6,225

2,271

4,552

2,237

9,219

4,941

56,761

5,102

3,292

13,290

9,206

14,805

11,085

20,846

2,525

5,126

2,496

10,698

12,788

Percent of visits3

11,4

9.1

‘2.0

●6.9

● 10.7

●2.8

“2.0

‘3.0

63.6

8.4

53.0

42.0

66.5

52.5

5,9

5,7

● 5.6

“3,0

●12,7

●1.8

“3.6

“0.5

3.9

“3.0

‘2.9

●3.6

‘3.0

4.4

“ 5.4

5.4

22.3

“0.9

3.0

3.8

2.7

6.5

4.3

“2.3

●3.2

●4.4

5.2

4.0

59.0

56.2

62.2

56.4

43.1

58.7

60.0

69.0

29.5

56.4

31.1

39.0

23,2

29.2

61.3

61.8

65.4

59.4

60.9

69.4

63.3

74.0

73.5

55.9

71.1

74.4

77.2

80.8

81.0

71.0

61.6

66.6

68.8

72.2

76.1

77.4

61.6

63.5

60.2

52.0

64,1

64.7

21.7

26.9

33.2

28.1

‘15.2

28.9

28.2

18.9

* 5.8

28.5

10.9

13,4

●3.6

13.6

25.8

25.9

‘21.3

29.1

21.9

18.9

*17.4

● 19.9

13.5

14.2

913.4

9.3

19.4

15.1

10.8

19.6

11.8

24.2

26.0

21.3

16.2

17.1

27.3

29.1

32.1

34.5

23.0

18.6

18.2

25.2

27.2

37.4

●11.5

24.7

25.6

22.4

‘3.0

31.7

7,2

●6.3

‘3.1

10.9

19.3

17.0

“16.6

24.3

18.5

22.5

●2I .5

23.3

4.9

‘2.0

●2.1

7.9

●7.3

5.4

“5.3

16.1

13.3

20,6

13,3

10.3

27,3

9.3

19.1

25.1

25.4

16.5

15.4

59.2

9.9

12.1

“3.1

●9.8

‘2.8

26.4

24.4

‘6.0

“0.1

10.5

‘1.8

“4.0

+1.1

10.9

12.5

“13.9

●7.8

●9.8

*1O.2

‘13.8

●7.5

1.6

1.2

“1.6

●3.9

“2.1

“1.2

8.0

6.8

23.3

12.0

4.9

●1.2

10.6

12.5

“12.3

16.7

‘7.0

11.8

6.7

4.3

12.0

‘0.9

‘11.3

●~,o

37.9

‘2.7

“0.1

7.5

‘2.0

‘4.4

●1.2

6.5

●4.4

“4.6

10.3

●6.4

27.8

48.8

‘12.0

“0.6

‘0.7

‘1.0

“ 0.4

“0.6

2.0

●0.5

17.3

‘1.5

“0.3

“0.2

3.8

2.9

“2.7

●4 3

●1.6

●2.6

“0.8

27.0

36.1

9.8

59.9

73.0

55.5

28.1

36.6

“9.8

40.2

20.2

33.5

13.6

12,6

46.9

43.7

28.9

63.9

34.3

54.4

65.9

45.7

6.8

●3.3

“5.6

●6.O

“8.1

9.3

7.3

25.0

11.7

58.3

21.3

26.5

20.0

31.6

31.0

35.2

34.1

20.5

31.0

24.0

10.1

5.5

*2.5

*3.7

●14.4

5.1

“4.5

●2.6

‘2.7

7.7

5.1

‘3.8

“3.0

7.7

12.8

14.4

“11.6

8.6

17.0

●8.9

‘10.3

‘7.8

536,5

94.1

46.6

27.9

“1O.4

5.0

11.1

4,1

3.8

‘9.5

‘1.6

4.5

3.9

5.5

69.7

●5.4

“4.4

● 5.5

14.2

15.0

85

?.
Table 46. Number and percent of of ficevisits made bymalepatients, bydiagnosic sewiceordered orprovided andprincipal reason forvisit inthe Sqmptom

Module: United States, 1977-78–Con.

Number Diagnostic service

Principal reason forvisit and RVCcode2

of visits

Limited Genetal in Clinical Blood Other

thousands None exam/ examl lab X-ray EKG pressure diagnostic

histow history test test services2

Symptoms referable totheskin, nails, andhalr . . . S830-S899

Acne orpimple$ . . . . . . . . . . . , . . . . . . . . . . . . . . . . .. S830

Warts, N.0.S.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S850

Skinrash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . swjo

skinlesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s865

Skinirritations,N.E.C.4 .,.... . . . . . . . . . . . . . . . . . ..S870

All other symptoms referable to the skin, nails, and

hair . . . . . . . . . . . . . . . . . . . . ..S835-S645.S855,S875-S895

Symptoms referable tothemusculoskeletal system ., . S900-S999

Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s900

8acksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s905

Lowbacksymptoms . . . . . . . . . . . . . . . . . . . . . . ..S910

Hipsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s915

Legsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S920

Kneesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925

Anklesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S930

Footandtoesymptoms . . . . . . . .,.S935

Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . ..S940

Armsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S945

Elbowsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . S950

Handandfingersymptoms . . . , . . . . . . . . . . . . . . . . . ..S960

Allothersymptoms referable tothemusculoskeletal

system . . . . . . . . . . . . . . . . . . . . . . . . . . ..S955. S965-S980

27,477

3,480

2,389

8,901

3,432

1,816

7,459

50,982

4,060

11,010

4,811

1,561

4,560

5,653

1,695

4,243

3,933

1,610

1,608

2,822

3,416

Percent of visits3

12.1

18.6

18.4

7.5

14,1

8,1

12,8

7,6

10.3

9,4

10.7

‘0,3

●3.6

●5.4

●7.8

●6.5

‘7.4

*6.9

‘7.4

‘1O.O

●7.3

74.1

72.1

72.5

75,0

73.3

81.6

73.0

69.3

64.5

64.4

66.7

80.7

67.0

71.0

76.3

74.6

69.6

70.6

78.1

75.8

68.4

11.0

●8.2

*6.6

14.8

*9.8

* 10.4

9.8

17.0

19.8

20.0

19.2

‘12.1

22.2

16.7

+11.5

12.7

15.0

14.6

+9.1

“10.3

17.3

9.0

*2.3

●5.7

11.5

10.9

*6.4

9.9

10.8

9.1

13.0

8.6

● 10.9

20.2

7.6

●5.3

9.5

*5.7

* 9.6

*4.2

*8.3

17.4

“0.6

●0.2

‘0.6

●0.3

●0.7

+0.9

24.0

22.5

21.4

22.1

34.4

16.2

32.3

30.7

26.0

24.7

*18.5

22.1

25.4

24.4

+0.3

●0.6

‘0.7

‘0.2

2.0

‘1.5

‘1.5

*2.5

●2.2

●2.8

+1.7

●2.6

‘4.4

*2.5

‘0.8

*0.3

+1.7

11.3 2.7

“1.4 ‘0.2

*8.3 ‘5.0

11.6 *3.O

18.5 +3.1

19.1 ●0.3

11.2 3.3

24.4 3.3

32.7 +5.1

23.5 *3. O

27.1 ●1.8

32.0 +4.5

35.8 ●5.8

14.9 ++3.4

*14.9 ●0.9

21.1 +1.9

29.4 *4.4

22.8 “4.5

18.8 *1.2

14.7 ‘2.8

25.6 *2.8

lSeareferance 1,

‘Includes vision test, andoscopy, and other diagnostic services ordered or provided.

3Percants will “ot add to 100. Obecause more than 1 servica mav hava been rendered.

4N.o.s. = “~t~thar~i~a~pe~ifiad; N.E, C. = “~t~l~a~hare~lassifiad.

Slncludas vision tests in 6,844,958 visits (23.3 percent).

61ncludes endoscopiasin l,369,243visits (6.6 peccant).

88
Table 47. Number andpercentof oticevisiti made bymalepatienS, Wdagno@ic sewimor&red orprwi&d andprincipal reason forvisit inthe Diwaw, injuries

and Adverse Effects, Tem Results, and Administrative Modul~ United States, 1977-78

Principal reason for visit and R !/C Wde 1

Number

Diagnostic service

of visits

. . Limited General Clinical Blood Other

m

None

thousands

examl exam/ lab X-ray EKG pressure diagnostic

hktory history test check services2

Percent of visits3

Allvisits by male patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Disca~ Module

Infactive and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . .DOOI.D099

Viral diaemea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D015

Another infective andparasitic diseasas . . . . . . . . . . . . . . .DO05.D035

Neoplasm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. DIo0.D199

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . .. D1oo-DI35

Endocrine, nutritional, and metabolic diseases . . . . . . . . . . . . .D200-D249

Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D205

All other endocrina, nutritional, and metabolic

diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D200. D21O-D215

Diseams of the blood and blood.forming organs , . . . . . . . . . . .D25@D2gg

Marital disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D300-D349

Diaeasesof thenewoussystam . . . . . . . . . . . . . . . . . . . . . . .. D350.D399

Diseases of theeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D400.D499

Diseases of the ear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D450-D499

Dissases of thecirculatory system . . . . . . . . . . . . . . . . . . . . . .D500.D599

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D51o

I.whemic heart disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D515

Another diseaaes of thecirculatoV system . . . .D500-D505, D520-D550

Diseases of there~iratory system . . . . . . . . . . . . . . . . . . . . .. D6WD64g

Diseaaes of the digestive system . . . . . . . . . . . . . . . . . . . . . . .D650.D6gg

Harniaof abdominal ccvity. . . . . . . . . . . . . . . . . . . . . . . . . . .. D660

Allotherdiseases of thedigastivesystem . . . . . .D650-D655, D665-D675

Diseases of thegenitourinary system . . . . . . . . . . . . . . . . .D700.D7gg

Diseases of theskin and subcutaneous tissue . . . . . . . . . . , . . .D800.D8gg

Diseases of the muexloskeletal system and con”active

tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D900-D949

Injuries and Adverse Effects Modu Ie

lnju~by typeand/or location . . . . . . . . . . . . . . . . . . . . . . . . .JOO1.J799

ln]ury, N.0.S.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J900.J999

Test Results Module

Testrewlts module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. R1oo.R7oo

Administrative Module

Administrative module . . . . . . . . . . . . . . . . . . . . . . . . . . . .. A1oo-A14o

460,119

2,372

1,120

1,251

2,526

2,292

4,736

3,726

1,010

492

818

766

2,396

1,066

11,178

6,724

1,869

2,485

5,604

3,144

1,734

1,409

1,942

3,921

2,523

27. W2

2,217

2,044

12,072

11.4

+16.3

● 19.4

●13.6

●8.3

‘8.6

‘0.9

“0.3

“2.9

“11.8

‘43.8

“6.1

“3.8

‘ 5.6

4.3

“2.8

‘ 2.4

+9.7

10.9

‘5.5

‘4.9

“6.2

●4.8

18.8

‘11.4

10.6

●8.8

20.5

3.2

59.0

59.9

54.7

64.7

70.6

73.5

65.4

62.9

74.5

‘40.9

“34.3

59.7

68.7

79.6

60.2

58.3

72.0

55.8

67.3

60.4

63.8

56.2

46.3

68.4

66.1

74.3

58.7

45.8

24.8

21.7

●13.1

●15.5

“11.0

“ 12.0

“1O.2

17.4

17.9

● 15.7

●33.4

‘1 7.0

“32.2

“7.9

●13.2

21.8

22.4

18.6

22.7

16.1

27.5

29.3

25.2

“16.1

10.1

17.3

6.8

27.7

“11.0

66.5

18.2

36.8

32.2

40.8

36.5

38.8

66.2

71.0

48.2

“57.2

“2.1

+8.8

*1.9

‘5.8

19.1

19.5

19.0

18.1

12.0

12.7

●4.5

“22.7

62.9

● 7.2

20.2

1.7

‘5.1

32.2

44.6

9.9

“0.5

“1.0

●6.7

●6.4

“2.4

“2.2

“3.1

*1 2.6

●3.O

●3.4

“0.5

●6.1

7.5

7.4

●5.5

“9.3

8.2

“6.6

●4.1

“9.6

“8.3

“0.9

‘ 13.2

24.0

21.9

●6.4

11.0

4.3

“0.2

‘0.5

‘2.1

●1.7

+5.0

‘4.6

●6.3

“9.2

●2.9

“0.6

“1.1

‘4.0

14.2

12.0

22.4

13.9

●1.7

●2.O

●2.1

“1.9

‘1.5

“0.4

●4.5

0.4

“1.5

●5.9

5.1

27.0

16.2

‘18.1

‘ 14.4

24.4

25.2

59.0

62.8

44.9

‘47.9

“28.1

●24.7

2.0

●7.6

67.2

78.6

62.4

40.5

25.8

25.2

“15.5

37.1

● 10.5

13.2

36.5

9.3

23.0

45.1

48.2

10.1

●3.5

●4.4

● 2.7

●6.9

●3.6

4.7

●5.5

●1.5

●6.5

‘3.3

“7.7

486.3

●3.3

5.5

6.1

●3.5

5.7

“3.4

‘5.5

●2.5

●7.3

“4.4

●2.1

●2.2

6.0

“1O.2

“6.9

630.3

lSaernferanca 1.

21nctudasvision t.st, endoscopy, and other diagnostic sew[cas ordered or provided.

3Parcantswlll not add to 100.0 because more than 1 serviceman have been renderad,

41ncludas vicio”taHsi” l,527,116vislts (63.7 ParCent).

5N.o.s. = nototherwise $pacifled.

61ncludas vision tasts in 2,940,674 visits (24.4 ParCant).

87
Table 48. Number andpercent ofoffice v!sits made by male patients, byd!agnostic sewiceordered Orprovided and principal reason forvisit inthe Diagnostic, !Screening,

and Preventive Module and the Treatment Module: United States, 1977-78

Number Diagnostic service

Principal reason forvis#t a”d RVCcodel of Vlslts

Limited in General Clinical Blood Other

thousands None examl examl lab X-ray EKG pressure diagnowc

history history test test servic.952

Percent of visits3

Allvisits by male patients .,... . . . . . . . . . . . . . . . . . . . . . . . .

Diagnostic, Screen lng, and Preventive Module

General examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. XX199Xl99

General medical examination . . . . . . . . . . . . . . . . . . . . . . . . .. X1OO

Well baby exam! nation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. X105

Special examinations, . . . . . . . . . . . . . . . . . . . . .X200-X299

Eyeexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. X23O

Heart examination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. X235

Diagnostic tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. X30C!-X399

Glucose level determination ., . . . . . . . . . . . . . . . . . . . . . . . .. X31 O

Blood pressure test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. X32O

Another diagnostic tests . . . . . X300-X305,X315,X325-X370

Other screening andpreventive procedures ., . . . . . . . . .X400-X499

Prophylactic inoculations . . . . . . . . . . . . . . . . . . . . . . . . . . . .. X4OO

Family planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. X5 O&X599

Treetment Module

Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. TIOO-T199

Allergy medication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. TIOO

Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T11O

Medication, other andunspecified kinds . . . . . . . . . . . . . . . . .T115

Preoperative and postoperative care . . . . . . . . . . . . .T200-T205

Specific types of therapy . . . . . . . . . . . . . . . . . . . . . . . . . . .T40cI-T499

Specific therapeutic procedures . . . . . . . . . . . . . . . . . . .T500-T599

Fitting glasses andcontact lenses . . . . . . . . . . . . . . . . . . . . . . .. T515

Suture-insartion, removal . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T555

Another specific therapeutic procedures . . T500-T510, T520-T550, T56O

Medical counsel ing ..,,.... . . . . . . . . . . . . . . . . . . . . . . .. T600-T699

Social problem counseling . . . . . . . . . . . . . . . . . . . . . . . . . .. T700-T799

460,119

31,269

24,234

7,015

7,762

4,4B5

2,B64

14.335

1,161

9,913

3,261

4,089

3,s33

1,240

9,742

6,761

1.734

1,248

12,301

2,032

7,644

1,057

3,580

3,007

1,919

2,222

11.4

3.4

2.9

5.0

●2.5

‘ 2.9

●1.6

‘0.8

“0.3

“2.7

71.3

73.7

53.1

73.2

84.2

69.0

19.6

14.1

6B.O

2B.3

● 2.5

36.7

27.5

19.1

73.2

59.0

21.7

22.8

17.8

59.1

58.B

61.0

56.5

59.0

60.7

42.8

17.6

16.2

“26.7

20.2

13.2

+19.4

59.2

70>5

19.2

55.9

66.9

53.5

54.8

52.3

●15.1

21.7

70.3

68.7

76.1

22.3

18.1

29.6

13.2

●11.4

16.8

‘2.9

‘7.0

“7.2

“10.7

●2.6

●1 .0

“5.3

“7.3

7.9

“1.9

6.0

‘12.5

“3.0

+7.4

‘15.7

“ 7.5

18.2

35.8

42.5

12.9

13.0

“6.5

24.3

31.8

81.3

17.1

58.9

“3.5

‘1.4

“17.6

“3.0

“0.6

●4.5

“13.9

10.2

‘13.6

●2.7

●2.4

‘4.0

‘13.1

●3.5

9.9

12.6

16.2

“0.3

*3.2

‘0.3

“6.6

5.8

●2.2

5.9

“6.6

“0.3

‘1.1

‘0.2

1.5

4.7

‘1.2

5.6

‘0.8

13.3

‘5.1

●0.8

4.3

13.1

16.9

10.1

“0.3

20.7

7.0

●2.2

7.6

*6.8

“1.2

‘0.2

‘0.3

“0.8

‘3.0

27.0

36.9

47.1

●2.1

31.1

●1.O

77.4

77.6

63.8

88.9

21.7

●4.6

“ 4.9

●6.8

7.8

+2.0

‘7.7

39.5

10.4

“ 5.6

12.8

18.0

11.1

42.7

‘4.6

10.1

11.6

14.8

●1.5

61.5

4102.6

“3.3

9.3

●7.3

3.5

27.6

“1.7

●1.B

“0.6

“1.3

“0.3

●2.9

●4.9

9.4

“3.0

15.3

579.0

+3.0

‘ 7.4

‘ 12.4

●4.5

lSeerefer.3nce 1.

21ncludes wsi.m test endm.scapy and other diagrvastlc services ordered Or provided.

3percen~~ill n~taddt~l oo,obe=au*a m~re than 1 s~~i=emayhavnb~e”ra”dared,

41ncludas vision tests in 3,230,697 visits {72.0 percent).

51mAudes vision tams m 715,598 visits (67.7 percent).

88
Table 49. Numkrand pement& office visits made by female patien@, ~theraWutic sewiceorderd orprovi&d andprincipal reason forvisit inthe Symptom Module

United States, 1977-78

Therapeutic servka

Number

4

Princip /raason forvisitand RVCcodel of visits

in None ::::; (Pr$%io.1 :% Offfm $%% ,h~~~~~t,c

thousands desensi- dOn- madical surgery therapeutic

tization prescription) counseling listening

Serv/cesz

Percent of vism3

Allvisits by female patients.. . . . . . . . . . . . . . . . . . . . . . . . . . . .

General symptoms . . . . . . . . . . . . . . . . . . . . . . . . . ..soo1.s099

Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..soIo

Tiredness, exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . . sol 5

Weight gain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s040

Chest pain and related symptoms (not referable to body

system} . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S050

Pain, site notreferable toaspecific body eystem . . . . . . . . .S055

Pain andrelated symptoms, generalized, site umpecified . . . .SC160

Allergy, N.0.S.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s090

Aliother general symptoms . . . . . . . . . . . . . . .S005, S020-S035,

S045, S065-SOS5, S095

Symptoms referable to psychological and mental

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s100-s199

Anxiety andnewousness . . . . . . . . . . . . . . . . . . . . . . . .. S100

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S110

Al I other symptoms referable to psychological and mental

disorders . . . . . . . . . . . . . . . . . . . . . . . . .. S105. S115.S165

Symptoms referable to the nervous system {excluding sense

organs), . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S200-S259

Headache, pain in head . . . . . . . . . . . . . . . . . . . . . . . . . .S210

Disturbanc=?s of sensation . . . . . . . . . . . . . . . . . . . . . . . ..s220

Vertig@dizzineec . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s225

All other symptoms referable to the newous system (excluding

eansa organs) . . . . . . . . . . . . . . .. S200-S205, S215, S230-S240

Symptoms referable to the cardiovaalar and lymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S260-S289

Aixsormal pulsations and palpitations. . . . . . . . . . . . . . . . .S260

All other symptoms referable to the cardiovascular and lymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S265-S2S0

Symptoms referable totheeyesandears. . . . . . . . . . . .. S300-S399

Vision dysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . .. S305

Abnormal eansations of theeye . . . . . . . . . . . . . . . . . . . .. S320

Another symptoms raferableto theeyes .. S310-S315,S 325-S340

Hearing dysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . S345

Earache, orear infaction . . . . . . . . . . . . . . . . . . . . . . . . .S355

Another eymptoms referable totheears. . . . . . .S350, S36C-S365

Symptoms rafereble totherespiratory sytiem . . . . . . . . . S400.S499

Nasal congestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S400

Shortness of breath . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S415

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S440

Headcold, upper respiratory infaction(coryza] . . . . . . . . . . S445

Symptoms referable to throat . . . . . . . . . . . . . . . . . . . ...8455

All other symptoms referable to the re~iratory

system . . . . . . . . . . . .S405-S41 O, S420-S435, S450, S460-S485

Symptoms referable tothedigestive syetem . . . . . . . . . . . S500-S639

Naueae . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S525

Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S530

Stomach pain, cramps, andepesms. . . . . . . . . . . . . . . . . .. S545

Abdominal pain, cramps, spasms . . . . . . . . . . . . . . . . . . .. S550

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S595

All other symptoms referable to the digestive

system . . . . . . . . S50CkS520, S535-S640, S565-S590, S6COS61 5

Symptoms referable to the genitourinary system . . . . . . . S640-S829

Fraquency and urgency of urination . . . . . . . . . . . . . . . . . S645

Painful urination . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S650

Absence ofmenstruation (amenorrhea) . . . . . . . . . . . . . . .S730

Irregularity ofmenstrualintewal . . . . . . . . . . . . . . . . . . . .S735

Irregularity ofmenstrual flow . . . . . . . . . . . . . . . . . . . . .. S740

Menstrual symptoms, other and unspecified . . . . . . . . . . . .S745

Menopausdsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . .S750

Uterine andvaginal bleeding . . . . . . . . . . . . . . . . . . . . . .. S755

Vaginal discharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S760

Other vaginal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . S765

Pelvic symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S775

Pain orsorerwss of breast . . . . . . . . . . . . . . . . . . . . . . . .. S800

Lumpormaes of breast . . . . . . . . . . . . . . . . . . . . . . . . .. S805

Another symptoms referable tothegenitourinary eystam . . .S640,

S656-S680, S770, S790-S795, S61 0-S625

See footnotes at end of table.

684,431

57,110

8,930

5,678

10,625

9,032

3,635

2,903

3,509

12,598

19,260

7,962

6,014

5,285

23,956

12,148

2,060

7,405

2,323

4,150

1,860

2,190

36,763

9,589

3,617

5,879

2,535

9,661

5,253

69,397

5,950

3,182

15,769

11,939

20,079

12,477

34,324

3,162

2,178

3,882

12,441

2,350

10,310

46,199

2,635

4,043

1,745

1,793

1,282

1,566

2,642

4,196

3,939

4,481

1,693

1,627

3,963

10,375

19.8

10.9

6.3

14.4

●2.3

12.0

20.9

15.0

●8.1

15.8

2.9

●4.2

●1.2

●3.O

14.0

11.7

27.4

12.6

18.4

19.7

20.6

18.9

19.5

30.9

13.0

16.7

30.2

10.4

18.5

5.6

●4.3

12.5

4.1

H

8.4

15.5

‘9.5

“ 10.3

●11.2

19.1

‘11.4

16.6

18.4

●6.2

●6.2

28.1

“17.0

31.2

●17.9

●2.8

27.2

●7.4

9.1

20.8

34.6

42.8

m.o

6.4

6.6

4.6

7.7

‘0.8

*1.9

‘1.6

●1 .9

66.3

“1.8

“ 0.6

‘1.1

●0.5

2.6

3.6

●2.1

‘1.3

●1.4

81,8

90.6

●2.8

1.1

0.3

●0.2

‘1.2

“0.1

“1.6

*2.1

8.3

36.2

‘4.1

5.0

3.9

4.0

11.5

2.0

‘4.7

‘4.4

●0.8

“1.5

‘3.0

1.0

+1.5

+0.4

●5.8

‘0.6

●1.6

●2. 1

‘1.2

●0.3

●1.O

53.7

71.3

89.1

64.6

79.5

73.6

60.9

73.5

32.8

66.4

50.7

60.7

43.7

43.5

70.8

74.3

48.0

75.0

59.1

63.9

65.2

62.7

54.3

21.8

73.8

59.1

42.6

79.8

53.5

85.1

61.9

81.6

92.0

92.8

66.9

74.9

6S.0

78.8

79.2

60.8

63.5

75.3

60.9

60.5

80.2

85.1

46.4

58.4

50.3

66.6

85.9

37.7

82.4

78.4

2.:

12.1

57.1

27.9

39.7

25.7

37.4

69.4

36.2

36.9

34.6

6.8

37.9

16.7

24.3

9.1

13.9

29.6

26.5

31.6

37.4

19.2

39.0

45.5

33.2

15.2

12.4

*8.5

14.2

21.9

19.0

15.2

m.8

11.2

42.1

22.4

19.5

18.2

22.7

43.3

41.7

46.4

46.7

41.9

55.9

39.9

29.3

22.0

22.9

33.1

39.5

32.3

42.9

30.6

42.9

17.9

26.9

33.5

27.3

28.2

28.3

6.8

2.1

+0.7

●1.2

●0.2

“0.7

●4.9

●2.8

● 4.9

4.2

‘0.3

● 0.4

‘ 0.3

●1.3

“1.s

●1.9

●1.2

+1.1

+2.0

9.4

●1.1

“4.8

9.5

14.2

9,9

25.7

1.8

‘4.7

“0.8

“0.7

“0.7

5,0

2.5

‘0.5

● 0.2

●2.2

“0.4

5.3

8.7

19.6

10.5

●4.5

“3.2

●7.3

+1.0

●1.2

10.6

‘6.2

●4.6

*8.7

+5.5

19.1

8.9

5.6

6.6

‘0.7

10.7

10.0

6.6

‘6.5

●7.O

8.2

67.3

46.8

83.7

76.6

6.4

5.3

‘4.4

5.4

17.2

“3.6

●6.O

“1.5

‘0.9

“1.5

+0.7

‘0.8

‘ 2.3

“0.1

“1.0

1.0

“0.7

“2.1

‘0.7

“0.5

‘1.2

“1.6

4.9

‘5.1

‘2.1

‘5.2

3.9

“6.1

6.2

3.6

●1.2

‘0.6

“1.7

“8.0

●5.7

●5.5

“ 10.8

‘4.9

‘ 2.8

“3.0

●2.7

‘1.3

●4.2

2.8

7.8

2.6

●1.1

+1.9

*1.6

+3.0

‘7.1

●6.7

+0.3

3.0

2.2

‘ 2.4

‘2.7

“1.4

6.4

8.0

● 7.4

*3.5

‘6.6

‘ 0.8

●0.3

●1.1

14.0

39.7

●9.2

11.0

●5.5

‘0.7

2.5

1.8

“1.3

‘ 2.6

‘1.2

●1.O

●1.5

3.7

2.6

● 2.3

“1.2

“1.3

●3.9

‘0.5

“2.5

5.2

● 0.4

●1.4

●1O.O

● 10.2

‘4.6

●6.5

‘ 2.6

●7.4

●5.6

‘ 5.7

‘ 9.3

● 2.4

‘6.6

4.9

89
Table 49. Number and percent of office vis!ts made by female patients, by therapeutic service ordered or provided and principal reason for visit in the Symptom Module

United States, 1977-78—Con.

Therapeutic service

Number

Principal reason for visir and R VC code I

0 f visits /mmuni- Drugs Dier Psychoin

Other

None zationl (prescription/ andlor Office therapy/

rhousands desensi- nontherapeutic

medical surgery therapeutic

tization

services2

prescription) counseling listening

Symptoms referable totheskin, na,ls, andha!r . S830-S899

Acne orpimples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S830

Warts, N.0.S.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S850

Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s860

Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S865

Skin irritations, N. E.C.4 . . . . . . . . . . . . . . . . . . . . . S870

All other symptoms referable to the skin, nails, and

hair . . . . . . . . . . . . . . . . . . . . .. S835-S845. S855. S875-S895

Symptoms referable tothemusculoskeletal system . . S900-S999

Neck symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S900

8acksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S905

Low backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . .. S910

Hip symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S915

Lag symptoms, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S920

Kneesymptoms, . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S925

Foot and toesymptoms . . . . . . . . . . . . . . . . . . . . . . . . .. S935

Shoulder symptoms . . . . . . . . . . . . . . . . . . . . . . . . . .. S940

Arm symptoms, . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S945

Hand and finger symptoms . . . . . . . . . . . . . . . . . . . . . . .. S960

All other symptoms referable to the musxxloskeletal

system . . . . . . . . . . . . . . . S930, S950-S955, S965-S980

36,591

6,759

2,102

11,152

4,o23

2,654

9,900

57,934

5,654

11,497

4,833

2,186

5,916

5,156

4,306

4,773

2,651

3,440

7,522

Percent of visns3

8.7 2.0 66.5 16.4 28.5 ‘0.8

“2.0 “0.6 85.0 12.9 43.0 ‘0.4

“9,7 - 23.3 4.8 71.7 ‘0.7

5,5 3.6 88.5 19.7 ‘2.7 ‘0.5

13,3 ‘0.8 39.5 15,0 43.7 ‘0.4

●4.9 “3.0 89.9 15.6 ●5.3 ●2.2

15,9 “1.9

15.4 2.2

15,3 “2.0

11.8 ●1.4

12.1 “2.0

18.2 “1.5

15.7 “0.8

16.0 ●4.6

21.9 “1.5

12.1 “4.6

21.0 ‘1.2

19.5 “0.9

43.0

56.3

52.8

60.5

49.3

56.3

65.1

59.8

41.0

63.4

56.2

47.8

18.2 38.4 ‘1.1

26.1 6.6 3.7

22.0 “2.5 “4.1

25.2 ●2.3 5.5

20.2 *1.7 ‘3.0

18.8 “2.1 *5.8

35.8 ‘3.8 ‘1.8

25.1 6.9 ●3.1

30.6 16.7 *4.4

19.6 7.7 ‘2.1

24.7 ‘7.0 ●2.4

27.0 19.6 +0.4

16.5 *3.2 55.9 31.4 9.9 4.8

10.0

533.4

●4.8

*2.8

‘6.5

*6.7

5.4

21.6

‘535.9

723.5

842,7

22.0

9.0

15.6

12.1

‘25.7

13.0

10.6

9.7

lSae reference 1.

21ncludes family planning, physiotherapy, andotier therapeutic sorvicas ordered or provided.

3Percantswlll not add to 100. Obecausa moro than 1 service may hava been rendered.

4PJ.o.s, = “Ot otherwise spacified; N.E.C. = not elsawhere classified.

51ncludes physiotherapy in2,130,752 visits (31.5 percent).

61nctudes physiotherapy in 1,S6i3,660 visits (33.O PerCent).

71ncludes physiotherapy in 2,962,513 visits (25.8 parcent).

81ncludas physiotherapy in l,90S,487visits (39.5 percent).

91ncludes ph.fsiotherapyin l,155,637visits (24.2 percent).

90
Table 50. Numbrand percent ofoffice visit$ma& by female patients, bytherawutic wwimordered orprovi&d andprincipal reamnfor visit inthe Di~a~, injuries

and Adverse Effects, Tem Rewl&, and Administrative ModuIes: United States, 1977-78

Principal reason for visit and R VC code 1

Number Therapeutic service

of visits

lmmuni- in None Drugs Diet Psychozationl (pmscriptionl and/or Office Other

thousands therapyl

desensi- non- medical surgwy therapeutic therapeutic

tization prescription) counseling listening sewices2

Percent of visits3

Allvisits t.f female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Disease Module

Infective andparasitic diseases . . . . . . . . . . . . . . . . . . . . . . .DOOI-D099

Viral diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D015

Allotherinfective andparaaitic diaeases . . . . .. DOO%DOIO. DO2O-DO35

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D1OO-D189

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . D100-DI 35

Benign neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D140-D145

Endocric+, nutritional, and metabolic diseases . . . . . . . . . . . . . D200-D249

Disaasas of thethyroid gland . . . . . . . . . . . . . . . . . . . . . . . . . .. D200

Diabetes nwllitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D205

All other endocrine, nutritional, and metabolic

diseams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D21O-D215

Diseases of the blood and blood- forming organs . . . . . . . . . . . .D250-D299

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D30GD349

Diseases of thenervous system... . . . . . . . . . . . . . . . . . . . .. D350-D399

Dimases of theeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D4oO-D449

Diseases of the ear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D450-D499

Disaases of the circulatory system. . . . . . . . . . . . . . . . . . . . .. D50DD599

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D51O

Isohemic heart disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D515

Allothw diseases of thecirculatory system . . . .D500-D505, D520-D550

Di$eases of therespiratory system... . . . . . . . . . . . . . . . . . .. D60GD649

Diseaaas of the digestive system . . . . . . . . . . . . . . . . . . . . . .. D650-D699

Diseases of thegenitourinary system . . . . . . . . . . . . . . . . . . .. D700.D799

Di$?ams of theskin andwbcutaneous tissue . . . . . . . . . . . . . .. D8CQ-D899

Diseases of the musculoskeletal ayatem and connective

tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D900-D949

Injuries and Advarw Effects Module

lnjuryby tywandlor location . . . . . . . . . . . . . . . . . . . . . . . ..JOOIJ799

injury, N.0.S.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J800-J899

Test Results Module

Testresults module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. R1OO.R7OO

Administrative Module

Administrative module . . . . . . . . . . . . . . . . . . . . . . . . . . . .. A1OQ-A14O

694,431

2,506

1,366

1,140

4,467

3,388

1,069

7,296

1,342

5,255

699

917

607

1,241

3,630

1,174

13,335

9,249

1.247

2,839

6,167

2,397

3,732

4,182

4,910

16,883

2,156

4,193

6,957

19.8

21.0

+22.0

19.8

33.0

31.1

39.1

16.8

● 22.4

15.5

16.0

●10.7

“1.8

● 15.2

36.1

41.4

12.1

10.3

“6.4

20.6

10.0

34.1

19.5

8.3

13.9

23.4

25.2

29.8

62.0

6.4

‘2.7

“4.0

●1.2

●1.1

“1.4

“2.7

“0.5

●2.6

“8.0

●8.3

●2.O

“ 0.8

“4.3

●1.5

●1.5

“3.0

“1.0

23.9

“2.4

“0.3

“5.2

●2.9

9.2

“1.6

‘1.3

18.4

53.7

57.8

49.3

67.9

36.8

38.2

32.3

61.4

62.0

63.4

“44.8

77.1

34.2

71.8

44.3

46.6

75.7

82.9

73.0

53.4

63.4

41.0

53.6

69.2

69.2

31.8

44.7

36.1

9.6

27.9

32.9

30.8

35.4

21.4

21.9

● 19.7

57.8

34.0

63.6

59.2

“26.0

‘15.0

24.7

“8.3

“22.7

39.5

39.3

49.0

36.2

24.8

52.2

20.7

15.1

31.0

19.7

21.8

47.9

12.2

6.8

*13.O

“18.1

“6.7

11.8

10.5

*1 5.9

‘ 0.3

*0.5

●1 .3

“2.9

*1.2

“2.7

“1O.O

‘4.3

‘8.8

24.9

18.1

*0.4

28.9

6.7

+7.7

●2.5

5.6

●1.6

● 2.6

“0.4

●3.4

+4.4

●1.6

‘0.6

“1.9

●1 .4

●1.6

79.6

‘6.0

“1.1

*1.7

*3.O

●2.7

*2.O

‘1.4

●3.2

*1.4

*0.6

‘3.9

1.8

“5.4

●2.3

‘ 2.0

7.8

●1.6

“2.3

●0.7

‘2.5

‘1.4

‘1.7

‘2.8

●0.8

+0.9

21.6

‘1.6

“4.4

●1.2

10.6

‘0.8

2.8

●1.1

●4.1

‘“1.7

● 2.3

●3.5

“7.9

9.7

49.8

20.5

‘2.7

“4.7

lS*erderenca 1.

2 Includas famil y planning, psychotherapy, and other therapeutic sarvicasordarad or providad.

3Parcantswill notaddto 100.0 bacausamorethanl aswicemay havabaanrendarad.

41ncludasphysiotherapy inl,205,004 visits (7.1 percent).

5N.O.S. = not otharwisa specified.

91
Table51 Number and percent of of f!cev!slts made by female patients, by therapeutic serwceorderedor prowdedand principal reason for visit in the Diagnostic, Screening,

and Preventwe Module and the Treatment Module: United States, 1977-78

Therapeutic service

Number

Pr;nc/pa/ reason forvwtandRVCcodel of Vls!ts lmmuni- Drugs Diet Psycho- Other

m None za tiOn/ (prescription/ andlor Office therapyl

thousands desenw non- medical therapeutic

therapeutic

surgery

tization

setvices2

prescription) counseling listening

Percent of visits3

Allwsltsby female pat!ents .

Dmgnostlc, Screening, and Preventwe Module

General examinations .,, . . . . . . . . . ... .,. .,, ,., .,. ,,, x100-xl99

General med!cal examtnat,on . . . ,., ,X1OO

Well baby examination ..,....,,, .,, , . . . . . . . . . . .. X105

Special exam! nattions .,... X200-X299

Pregnancy, unconfirmed . . . . . . . ., .,, ... .,, ... X2002OO

Prenatal examinatmn, rout,ne X205

Postpartum exammatlon .X215

Gynecolog&cal examination X225

Eyeexaminatmn. . . . . . . . . . . . . . . . . . ,, . . . . . . .. X23O

Heart examination ..,.,. . . . . . . . . . . . . . . . .. X235 . . . . .. X235

All other special examlnat!ons X220, X240

Diagnostic tests... . . .X300-X399

Glucose level determmatmn ,X31O

Blood pressure test..... . . . . . . . . . . . . . . . . . . . . .. X320

Pap smear.... X365

Another dlagnost,c tests x30@x305, X31”5, X3 Z5.”X”360, X370

Other screening and preventive procedures .X400.X499

Prophylactic moculatlons ...,, . . . . . . . . . . . . . .. X4OO

Famrlyplannlng . . . . . . . . . . . . . . . . . . . .. X50 DX599

Treatment Module

Med!cat!ons, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. TIOO.T199

Allergy medication .,,..... . . . . . . . . . . . . . . . . . . . .. TIOO

@ectlons. . . . . . . . . . . . . . . . . . . . .. T11O

Medication, otherandu nspec,f!edkinds .T115

Preoperative andpostoperattve care ,T200-T299

Preoperatwe vw,t for specified and unspec!fled types

of surgery.,.. . . . . . . . . . . . . .. T200

Postoperatwe visit . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T2O5

Spec!fic types of therapv . .T40C-T499

Ps+’chotherapy, ...,.,,,,. . . . . . . . . . . . . . . . . .. T4IO

Another spec,f,c tvpesoftherapv .T40CLT405, T415-T425

Specif!c therapeutic procedures .T500-T599

F,ttlng glasses and contact lenses . . ,T515

Suture-insertion, remo.al . . .. T555

Another specific therapeutic procedures T500-T510, T520-T550, T560

Medical counseling..,.....,,.,. ... ,. T600-T699

D,etand nutrtttonal counseling . . . . . . . . . . . . . . . . . . . . . . . .. T6OO

Counseling, N. 0.S,6 . . . . . . . . . . . . . . . . . . . . . . .. T605 . . .. T6O5

.%clalproblem counseling . . .T700-T799

lSee reference 1.

21ncl. desfam,ly plann,ng phvsiOtherapy, andrhetherapeut[ cwrvices0rdered w provided.

3Perc.mts will “maddto 100.0 because more than 1 service may havebmm rendered

41ncl. desfamtlv plann, ngm 5,522,944 visits (7.7 Percent].

51ncludesfam,ly pls””ingi” 1,019,913 .!slt$( 13.4 percent).

6N.0,S. = not otherw,somecif ted.

694,431

41,699

34,8BI

6,711

71,384

3,254

40,394

4,114

13,282

7,467

1,819

1,075

27,175

1,236

13,783

7,631

4,524

4,785

4,318

7,972

12,134

6,230

4,127

1,776

19,529

1,406

18,122

2,988

1,717

1,271

7,809

1,896

2,515

3,397

5,503

4,016

1,487

2,647

19.8

27.6

29,2

19.8

461

22.7

52.0

30.9

41.5

47.7

‘13.5

53.2

24.9

26.6

11.6

35.8

46.5

●4.7

“1.1

16.3

3.2

“0,8

“4.2

“9.3

45.4

48.9

45.1

“4.2

“9.9

19.2

43.8

“7.9

13.8

7.6

‘3.8

“17.9

‘2.4

6.4

24.4

17.9

58.3

0.5

●1.6

“ 0.3

“0.7

● 0.6

“0.7

“0.5

2.0

●1.8

●1.9

“1.0

●4.7

90.0

96,5

“0,1

58.3

95.1

26.2

● 4.0

“0.7

“5.0

‘0.4

●1.8

‘4.2

‘1.1

“0.9

●2.4

“0.2

“1.7

‘1.6

‘1.7

‘0.3

53.7

31.9

38.3

8.6

23.9

42.0

15.9

31.0

39.6

17.1

86.0

‘23.9

57.6

52.5

74.4

41.0

35.7

6.0

‘3.8

43,4

39.3

7.2

69.1

82.7

20.5

*4.7

21.8

34.7

● 19.4

55,4

11.3

“7.5

“7,8

15.9

58.7

71.6

23.7

18.0

27.9

37.1

36.3

41.7

32.7

40.B

41,4

20,7

19.4

7.4

55.2

*25.4

34.8

50.1

43,1

25.8

20.3

“4.3

●1.8

19.1

6.7

‘2.4

‘4.7

26.0

21.9

35.2

20.8

●6.4

‘0.4

“1 4.5

11.3

“9.4

“B.O

14.7

77.4

B5.7

54.7

“4.9

6.8

1,8

2.2

1.0

“0.5

‘0.5

‘4.8

‘ 2.4

0.5

“0.4

1.7

“0.6

“2.0

‘5.2

“0.7

“0.5

26.4

‘0.6

●1.6

“0.3

15.1

“2.2

16,1

58.4

“0.7

83.o

60.8

“1.4

“0.6

‘3.4

‘1.1

5.6

2.9

3.0

‘0.5

3.8

‘7.2

4.1

‘5.1

3.9

“0.3

3.2

●3.3

2.6

●2.1

3.6

●1.5

●1.2

‘0.4

‘0.2

●1.8

2,9

●1.3

‘16.9

2.4

‘5.6

2.1

57.8

98.5

*2.8

‘1.0

“0.7

1.7

8.2

‘5.9

‘ 14.6

90.3

7.8

4.2

4.7

‘f.8

411.7

11.5

4.4

48.5

14.3

30.0

●5.2

4:5

●4.8

“0.6

513.7

“0.7

“0.6

49.1

● 0.4

“ 0.4

● 0.3

“0.5

6.3

‘8.1

6.1

18.6

43.7

19.3

45.7

‘2.6

16.7

●2.2

●1.1

‘ 5.2

‘2.5

92
Tarble52. Numkrand wmntofoffica visits made bymalepatients, bytherawutic wwiceor&wd orprwi&dwdpriwi@l raaaonfor visit inthe Symptom Module

United States, 1977-78

Principal reason for visit and R VC coda~

Therapeutic sarvios

Numbdr

of visits Immuni- Drugs Diet

Otier

in None zatiorr/ (prescription/ andlor Office

thousands daserrsi- nOn- medical

tharapautic

surgery

tization

servicas2

prescription) counseling

Percent of visits3

Allvisits by malepatients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Generalsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S001-S099

Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S010

Tiredness,exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s015

Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S040

Chest pain and related symptoms (not referable to body

aymem) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S050

Pain, site notraferable toaspacific bodyaystem . . . . . . . . . . . .. S055

Pain andrelated symptoms, generalized, $iteunspecified . . . . . . . .SC60

Allargy, N.0.S.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S090

Allothergeneral symptoms . . . . . . . . . . . . . . .S005, S02!2-S035,S045

S065-S085,S095

Symptoms referable topsychological and mental

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S1OC-S199

Anxietyandnervousneaa . . . . . . . . . . . . . . . . . . . . . . . . . . . ..sIoo

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110

All other symptoms referabla to psychological and mental

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S105. S11%S165

Symptoms referable to the nervous system (excluding sense

OrWnS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S200-S259

Headache,pain inhead . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S210

Disturbancesofeansation . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s2z0

Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S225

All other symptoms referable to the nervous system (excluding

saneaorgansl . . . . . . . . . . . . . . . . . . ..S200-S205,S215,S230-S240

Symptoms referable to the cardiovascular and lymphatic

systama . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S260-S299

Abnormal pulsations andpalpitations . . . . . . . . . . . . . . . . . . . . .S260

All other symptoms referable to the cardiovascular and lymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S265-S280

Symptomsreferabletotheeyesand ears . . . . . . . . . . . . . . . .. S300-S399

Visiondysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305

Abnormalsensationsoftheeye . . . . . . . . . . . . . . . . . . . . . . . ..S320

Allothersymptoms referablatotheeyas . . . . . .S310-S315, S325-S340

Hearingdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S345

Earache,orearinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S355

Another symptoms referable tothe ears . . . . . . . . . . .S350, S36CW365

Symptoms referabletothe respiratory system . . . . . . . . . . . . . S400-S499

Naselcongeation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S400

Shortnessofbn?ath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S415

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440

Headcold,uppar respiratory infection (coryza) . . . . . . . . . . . . ..S445

Symptomsreferabletothroat. . . . . . . . . . . . . . . . . . . . . . . . ..S455

Allothersymptoms referabletothe respiratory

system . . . . . . . . . . . . . . . . S405341 O, S420-S435, S450, S460.S485

Symptoms referable tothedigestive system . . . . . . . . . . . . . . . S500S639

Stomachpain,cramps,andepasms . . . . . . . . . . . . . . . . . . . . . . .S545

Abdominalpain,cramps,spasms . . . . . . . . . . . . . . . . . . . . . . ..S550

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S595

All other symptoms referable to the digestive

system . . . . . . . . . . . . . . . . . . ..S50@S540. S565-S590,S600-S615

Symptoms referabletothegenitourinary system. . . . . . . . . . . . S640-S829

See fOOmOt%s at end of table.

460,119

37,130

9,109

2,348

1,870

9,049

2,467

1,642

2,893

7,753

11.682

4,717

3,068

4,497

13,319

6,194

1,264

3,937

1,924

2,866

1,227

1,641

28,445

6,225

2,271

4,552

2,237

9,219

4,841

56,761

5,102

3,292

13,290

9,206

14,805

11 ,C65

20,346

2,525

5,126

2,486

10,698

12,788

18.9

14.6

10.3

● 12.5

‘ 5.5

18.7

29.2

●1 3.1

‘3.8

17.2

5.8

●6.3

●2.4

7.6

15.6

13.1

●24.7

12.9

23.1

13.9

14.5

●13.4

19.6

33.1

* 14.4

18.6

23.1

11.4

19.8

6.4

“5.5

12.0

“2.5

4.2

7.5

10.4

15.4

●9.9

17.6

‘8.4

17.3

18.7

8.4

8.6

●3.6

*3.1

‘0.3

“3.5

‘0.6

●3.1

73.9

‘3.6

●0.5

●0.3

●1.O

● 2.2

●2.1

●3.3

●3.O

90.6

●1.1

“2.6

1.6

‘2.4

92.1

●1.O

‘ 2.4

●1.9

6.6

29.8

“5.4

3.5

●1.3

3.2

8.8

2.1

+1.9

+ 0.4

+0.7

3.3

+1.2

51.2

65.9

83.4

64.3

71.0

67.0

48.6

71.4

29.5

61.3

44.5

50.2

43.8

39.7

67.0

72.9

33.5

74.1

55.6

66.3

67.2

65.6

56.3

16.7

73.2

59.5

44.9

81.5

53.4

83.9

61.8

77.2

92.8

84.1

66.8

72.9

65.9

78.3

66.2

79.2

59.8

59.4

25.9

34.8

26.4

42.5

68.2

12.4

30.6

28.6

●9.5

37.8

13.1

19.1

5.7

12.6

31.6

29.2

42.2

32.8

30.1

43.7

51.4

37.3

16.3

12.1

12.0

13.5

20.9

19.4

18.3

21.7

14.1

43.3

27.0

13.7

16.7

25.8

44.0

45.0

49.0

50.0

38.1

28.6

9.4

2.0

‘ 0.6

●1.8

‘4.3

*6.6

‘0.4

3.9

‘0.5

●0.3

‘0.4

‘0.8

●1.3

●1.1

●5.2

●1.1

“0.2

‘0.8

●1.5

11.2

‘2.0

●1O.1

11.9

19.1

8.5

23.9

1.9

●4.7

‘0.8

+0.7

“0.6

+0.7

5.1

3.6

●1.1

+ 0.4

6.5

8.0

11.7

46.1

●1 .2

+11.7

‘6.5

8.4

6.0

●9.7

8.7

672.2

57.5

89.5

74.0

9.4

9.3

13.6

4.3

17.1

●3.O

●2.1

‘3.6

12.2

741.5

●6.8

10.1

●6.3

●1.6

●2.1

2.5

2.5

8.3

+1.5

*1.3

●1.9

3.8

5.8

●4.6

*6.6

●3.9

6.1

8.0

93
Table 52. Number and percent of office vis!ts made by maiepatfenS, bytherapeutic service ordered orprovided andprincrpal reason forvisit inthe Symptom Module:

Un!ted States, 1977-78-Con.

Therapeutic service

Number

Principal reason forvisit and RVCcodel of visits lmmuni- Drugs Diet

Other

in None

zatiOn/ (prescription/ and/or Office

thousands desensi- nontherapeuticmedical surgary

tization prescription)

sarvicas2

counseling

Symptoms referable totheskin, nails, and hair . . . . S830-S899

Acneorplmples . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S830

Warts,N,0,S.4 . ., ..,.,.., . . . . . . . . . . . . . . . . . . . . ..S850

Skin rash....,......,.. . . . . . . . . . . . . . . . . . . . . . . . . ..S860

Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S865

Skin!rritations, N.E.C.4 ...,. . . . . . . . . . . . . . . . . . . . . . . . ..S870

All other symptoms referable to the sk.,?, nads, and

hair . . . . . . . . . . . . . . . . . ,. ..S835-S845,S855,S875-S895

Symptoms referableto the musculoskeletal system . . S900.S999

Necksymptoms, .,....,.. . . . . . . . . . . . . . . . . . ..S900

8acksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,. ..S905

Lowbacksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . ..S910

Hlpsymptoms ..,..,.,.. . . . . . . . . . . . . . . . . . . . . . ... ..S915

Lagsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S920

Kneesfmptoms .,....... . . . . . . . . . . . . . . . . . . . . . ,.. ..S925

Anklesymptoms . . . . . . . . . . . . . . . . . . . ... . . . . . . . . ..S930

Footandtoesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . ..S935

Shouldersymptoms . . . . . . . . . . . . . . . . . . ... . . . . . ..S940

Armsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S945

Elbowsymptoms .,....,. . . . . . . . . . . . . . . . . . . .,. ..S950

Handandfingersymptoms, . . . . . . . . . . . . . . . . . . . . . . ..S960

All othar symptoms referabla to the musculoskeletal

system . . . . . . . . S955, S965-S980

27,477

3,480

2,389

8,901

3,432

1,816

7,459

50,982

4,060

11,010

4,811

1,561

4,560

5,653

1,695

4,243

3,933

1,610

1,608

2,822

3,416

Percent of visits3

9.4

●1.9

‘6.1

7.1

13.2

‘1.3

17.0

17.8

11.9

13.4

11.0

*1 5.0

21.6

24.0

27.0

20.3

12.1

“19.0

22.8

32.5

18.8

1.7 63.6 18.8 30.0

‘0.6 64.9 23.2 42.4

21.9 *5.8 81.7

“3.2 86.3 21.8 3.3

‘0.4 46.8 16.1 40.7

‘1.7 94.3 29.7 ●3.6

‘1.6 40.3 15.8 41.1

1.9 49.4 22.8 9.6

‘1.2 57.6 24.1 ‘5.0

‘0.9 57.9 19.1 4.3

*1.5 45.5 13.5 “1.2

*4.6 57.9 33.0 ‘0.7

“3.2 48.3 34.1 7.6

‘1.4 36.1 25.4 12.4

‘0.5 26.3 21.4 18.7

*1 .7 47.3 28.9 19.2

‘4.4 62.6 21.4 ●7.2

●3.9 48.3 27.2 ‘15.5

*2.4 48.2 ‘15.1 ● 18.6

*0.5 30.7 21.2 24.6

“2.4 52.0 19.7 13.6

1Seart3ferance 1.

21n~lucfe~ familv ~Ia””ln~, phy~iotherap.f, psychotherapy/therapeutic listening, a“d other therapeutic sarvlces ordered or prov;dad.

3Perce”ts will “ot add to 100. Obecause more than 1 ssrvice mavhava baen rendered.

41ncludes 1,216,522 visits with psvchotherapyltharapautic listening (3.3 percent).

5N.0.S. = not otherwise specified; N.E. C, = notelxwhera classified.

61ncludas 8,024,406 visits with psvchotherapv/therapauticlistening (68.7 percent).

71ncludes physwtherapy in l,116,493vis,ts 132.1 percent).

81ncludes physiotherapy in892,680visits (22. O parcent).

‘Includes physiotherapy In 3,244,805 visits (29.5 parcant).

lol”cludas physiotherapy i“2,412,428 visits (50.1 Percent).

Ill”cludes physiotherapy in902,718visits (16. O Parcant).

121”cludas physiotherapy in889,202visits (22.6 parcant).

8.8

35.6

*1.9

*3.9

●6.3

●3.5

6.9

25.4

825.9

933.8

7056.5

21.7

15.4

1122.6

21.8

19.0

IZ274

*13.1

*14.3

●9.3

14.0
Table 53. Num&rand ~rcentofoffice visits made bymalepatien6, ~thera~utic mwimor&red orprovi&d andprinci~l reason forvisit inthe Diaaaae, injuries

and Adverse Effecta, Teat Results, and Administrative Modulas United States, 1977-78

Therapeutic service

Mrrnber

Principal reason for visit and R VC code ~

of visirs lmmrmi- Drugs Dier Other

in None zariOn/ (prescription/ and/or Office

thousands dasensirherapautic

non- radical surgery

rizarion rxescrirxion)

services2

counselirw

Allvisits by male patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Disease Module

Infactiveandparasitic diseases . . . . . . . . . . . . . . . . . . . . . . . .DOOI.D099

~raldiaaaaas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D015

All other infective and parasitic diseases . . . . . . . . . . . . . . .DO05-D035

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D1OGD1W

Malignantneoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . .DIW-D135

Endocrine, nutritional, andmetatmlic diseases . . . . . . . . . . . . .D200.D249

Diabxesmellitu s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D205

All other endocrine, nutritional, and metabolic

diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D2oo.D21o.D215

Disaasasof the bloodand blood-forming organs . . . . . . . . . . . .D250.D29g

Mantaldisorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D30cPD349

Dis8asesofthenarvousswtem . . . . . . . . . . . . . . . . . . . . . . ..D350-D399

Diseasesoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D4DGD449

Dieaasasoftheear . . . . . . . . . . . .

Disaasesof tha circulatory system . .

Hypertension . . . . . . . . . . . . .

Ischemic heart disease . . . . . . .

All other diseases of the circulator

Diaeasasof the respiratory system . .

Diseases of thedigastivesyatem . . .

Hernia of abdominal cavity . . . . .

. . . . . . . . . . . . . . . . . . .D450-D499

. . . . . . . . . . . . . . . . . . . D500-D599

. . . . . . . . . . . . . . . . . . . . . . . D51 O

. . . . . . . . . . . . . . . . . . . . . . . D515

system . . . . D500-D505, D520-D550

. . . . . . . . . . . . . . . . . . . D600-D649

. . . . . . . . . . . . . . . . . . . D65GD699

. . . . . . . . . . . . . . . . . . . . . . . D660

Another diseases of thedigestivesyarem . . . . . .D650-D655, D665-D675

Diseasasofthegenitourinaryaystem . . . . . . . . . . . . . . . . . . ..D70c-D799

Disaasesof theskin andsubcutaneous tissue . . . . . . . . . . . . . ..D80r3-D89g

Die%ases of the musculoskeletal system and connective

tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D900-D849

lnjuriesand Adverse Effects Module

lnjurybytypeand/orlocation . . . . . . . . . . . . . . . . . . . . . . . ..JOO1-J799

lnjury,N.0.S.6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J900-J999

Test Results Module

Testrasultsmodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..R1OOR7OO

Administrative Module

Administrativemodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . .AIOO.A140

Percent of visits3

460,119

2.372

1,120

1,251

2,526

2,292

4,736

3,726

1,010

492

818

766

2,396

1,066

11,178

6,724

1,869

2,485

5,604

3,144

1,734

1,409

1,942

3,921

2,523

27,002

2,217

2,044

12,072

18.9

16.4

● 19.0

● 14.0

35.3

34.9

14.6

14.2

●1 5.9

●1 2.3

‘6.0

‘ 24.6

36.3

34.2

14.4

11.0

+14.4

23.6

12.3

37.7

52.2

●19.7

19.3

9.2

13.7

22.5

26.8

21.8

76.;

8.4

‘5.7

●5.9

●5.5

‘0.2

‘0.2

●2.4

●2.2

●3.3

●3.2

‘ 2.3

●3.1

●1.9

●5.6

“1.6

●1.2

●1.1

●3.1

15.8

●1.9

‘1.8

●2.1

●I.?

●6.3

●5.7

7.2

‘1.0

●1.3

10.9

51.2

58.6

46.7

69.4

31.6

33.0

56.9

58.3

51.9

77.6

47.4

59.4

47.7

48.8

70.0

76.6

65.1

55.9

69.4

32.4

●13.6

58.5

60.0

62.6

70.5

28.6

38.8

40.4

2.9

25.9

23.9

26.0

●22.1

23.9

23.2

64.2

67.4

52.7

●1 8.3

‘27.0

●2I .4

‘8.0

● 17.3

45.9

50.3

56.4

25.8

23.2

39.2

27.2

53.9

17.1

19.2

21.5

17.1

19.7

68.5

9.8

9.4

●1O.O

18.4

*2.5

*11.O

● 10.0

*0.5

“0.6

●1 .2

‘0.5

‘0.6

●4.2

“4.3

‘2.0

‘0.3

+1.0

●7.3

●2.7

●9.5

●10.7

●8.2

+ 10.6

23.0

‘4.9

37.9

19.3

+0.5

‘0.6

11.7

+3.0

‘0.9

*4.9

18.1

20.0

●6.8

‘4.0

‘17.6

‘0.7

464.9

●11.O

●9.3

‘1.6

4.1

●3.6

●6.5

‘3.4

●2.7

●4.7

●3.5

●6.2

21.4

‘6.3

●9.9

510.5

15.1

●3.5

4.7

1see ~efere”ca ,,

21ncjud@s familv planning, physiotherapy, psychotherapy/therapeutic Iistenirrg, and other thwapeutic sarvices ordered or provided.

Sporcentawi,l “Ot add tO loo.oba~au~ rnoretha” 1 ~rvica may havabae” rendered.

dlncludes psychotherapy/therapeutic listening in 511,137 visits (62.5 PCrcant).

51ncl”das physiotherapy in 2,068,373 visits (7.7 percent).

6N.o.s. = nOt Otherwi~spncifi@d.

95
Table 54. Numbrand percent ofoffice visits amdebymale patients, bythera~utic %wimordered orprovi&d andprincipal reason forvisit in the Diagnostic,

Screening, and Prwentive Module andthe Treatment Module: United States, 1977-78

PrinciPal reason for visit and R VC code 1

Therapeutic service

Number

of visits lmmuni- Drugs Diet

in

Other

None zatiOn/ (prescription/ and/or Office

thousands desansitherapeuticnOn- medical surgery

tization prescription)

sawi=s2

counseling

Percent of visits3

Allvisits bymalepatiants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diagnostic, Screening, and Preventive Module

Generalexaminations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,XIOO-X199

General medicalexamination. . . . . . . . . . . . . . . . . . . . . . ,.. ..X1OO

Well babyexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X105

SPecialaxaminatiOns . . . . . . . . . . . . . . . . . . . . . . . . . . . ..x200-x2gg

Eyeexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X230

Heartexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X235

Diagnostictests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X3OO-X399

Glucoselevel determination . . . . . . . . . . . . . . . . . . . . . . . ..X31O

Bloodprassureteat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X320

Another diagnostic teats . . . . . . . . . . . X300-X305, X3 15, X32%X370

Other screening andpreventive promdures . . . . . . . . . . . . . . ..X40D-X499

Prophylactic inoculations . . . . . . . . . . . . . . . . . . . . . . . . . . ..X400

Familyplanning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X500-X599

Treatment Modu Ie

Medications . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . ..TIOO-T199

Allergymedication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO

Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TI1O

Medication, other andunspacified kinds . . . . . . . . . . . . .T115

Preoperative and postoperative cara . . . . . . . . . . . . . .T200-T205

Specifictypesoftherapy . . . . . . . . . . . . . . . . . . . . . . . . . ..T400-T499

Specific therapeutic procedures . . . . . . . . . . . . . . . . .T500-T599

Fittingglassesandcontactlenses . . . . . . . . . . . . . . . . . . . . . . . .T515

Suture-insartion,removal . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T555

Another spacific therapeutic procedures . .T500-T510, T520-T550, T56O

Medical counseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .T600-T699

Socialproblemcounseling . . . . . . . . . . . . . . . . . . . . . . . . . ..T700-T799

460,119

31,269

24,234

7,015

7,762

4,465

2,864

14,335

1,161

9,9? 3

3,261

4,cni9

3,833

1,240

9,742

6,761

1,734

1,248

12,301

2,032

7,644

1,057

3,580

3,007

1,919

2,222

18.9

28.4

31.8

16.5

36.3

50.5

12.5

24.4

19.6

16.3

50.6

●4.7

● 2.9

●15.2

‘1.3

● 0.6

*0.7

●5.9

44.4

*2.6

15.9

39.5

‘6.8

16.5

21.1

3.7

8.4

30.7

24.9

50.8

“ 0.9

●0.2

●2.O

●1.6

‘1,4

‘0,9

●3.7

92.7

96.2

78.7

98.4

56.6

2.5

‘0.2

●3.8

●0.2

“0.5

*3.6

51.2

24.3

28.3

10.6

34.0

12.7

67.5

59.9

56.8

70.7

28.4

●4.9

●3.6

●7.2

20.0

“2.6

42.1

83.7

17.6

25.6

8.2

●8.2

●6.7

“1 0.0

38.6

19.9

25.9

40.1

36.7

51.9

32.7

●6.4

75.4

40.8

75.5

42.0

24.7

*3.5

“3.1

● 16.6

5.3

‘1.9

●4.9

* 24.0

20.2

‘7.8

14.8

●9.6

15.4

16.0

50.5

●4.2

9.4

1.4

1.6

*0.9

●0.7

+0.3

+0.7

‘2.0

+0. 7

+6.6

‘0.2

+0.1

49.9

0

20.6

‘0.9

60.1

83.9

52.8

“3.9

11.7

3.9

3.9

●3.6

21.5

33.2

●6.1

4.1

10.5

3.4

3.4

● 0.2

+0.2

33.4

3.5

‘0.5

*3.6

*19.4

8.2

481.2

16.5

44.1

4.2

21.5

16.4

595.6

lSae rafarance 1

‘Includes family planning, physiotherapy, paychotharapyhherapeutic listening, and othar therapeutic sarvicas ordered or providad.

3parca”ts will not add to 100. Obecausamora than 1 sarvico mayhave been rendered.

41ncludes psychotherapy/therapeutic listening in 1,407,610 visits (69.3 percent).

5, “clude~ psy=hOthOrapy/tharapeutlc IIsterrine in 2,049,992 visits (92.3 Percent).

96
Table 55. Number andpercent dietributionof office visits made by female patients bydumtion ofvisit, according toprincipal reason forvisit in the

Symptom Module: United States, 1977-78

Number

Duration of visit

Principal reason for visit and R VC code ~

of visits

in Zero 1-5 6- ?0 11-15 16-30 37

thousands Total minutes2 minures minutes minutes minutes minutes

or more

Percent distribution

Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

General aymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..sooI-s099

Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S010

Tiredness,exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . ..s015

Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S040

Chest pain and related symptoms (not referable to body

system) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S050

Pain, site notreferable toaspecific body system . . . . . . . . . . . S055

Pain andrelated Wmptoms, generalized, site unspecified . . . . . S060

Allergy,N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S090

Another general symptoms . . . . . . . . . . . . . . . .S005, S020-S035,

S045, S065-S085, S095

Symptoms referable to psychological and mental

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s1ocw99

Anxietyandnervousness . . . . . . . . . . . . . . . . . . . . . . . . ..sIoo

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S11O

All other symptoms referable to psychological and mental

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . ..S105.SII5-S165

Symptoms referable to the nervous system (excluding sense

organs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S200-S259

Headache,pain inhaad . . . . . . . . . . . . . . . . . . . . . . . . . ..S210

Diaturbancesofsensation . . . . . . . . . . . . . . . . . . . . . . . . ..s220

Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S225

All other symptoms referable to the nervous system (excluding

sense organs) . . . . . . . . . . . . . . . . .S200-S205, S215, S230-S240

Symptoms referable to the cardiovascular and lymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S260-S299

Abnormal pulsationsand palpitations . . . . . . . . . . . . . . . . ..S260

All other symptoms referable to the cardiovascular and lymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S26SS280

Symptoms referable totheeyesand ears . . . . . . . . . . . . .. S300-S399

Visiondyefunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S305

Abnormal sensationsoftheeye . . . . . . . . . . . . . . . . . . . . . .S320

Another symptoms referable to the eyes . . . . S310-S315, S325-S34O

Heeringdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s345

Earache,orearinfection . . . . . . . . . . . . . . . . . . . . . . . . . ..S355

Another symptoms referable totheears . . . . . . . .S350, S360-S385

Symptoms referableto the respiratory system . . . . . . . . . . S400-S499

Naselcongestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .s400

Shortnessofbreath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S415

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440

Headcold, upparrespiratory infection (coryza) . . . . . . . . . . .S445

Symptomsreferabletothroat . . . . . . . . . . . . . . . . . . . . . . .S455

All other symptoms referable to the respiratory

system . . . . . . . . . . . . .S405-S41 O, S420-S435, S450, S48GS485

Symptoms referableto thedigestive system . . . . . . . . . . . . S500-S639

Nausea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S525

Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S530

Stomach pain,cramps,and spasms . . . . . . . . . . . . . . . . . . ..S545

AMominal pain, cramps,spasms . . . . . . . . . . . . . . . . . . . . . S550

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s595

All other symptoms referable to the digestive

system . . . . . . . . . S50CLS520, S535-S540, S565-S590, S60CLS615

694,431

57,110

8,930

5,678

10,625

9,032

3,835

2,903

3,509

12,598

19,260

7,962

6,014

5,285

23,956

12,148

2,080

7,405

2,323

4,150

1,960

2,180

36,763

9,599

3,617

5,879

2,535

9,881

5,253

69,397

5,950

3,182

15,769

11,939

20,079

12,477

34,324

3,162

2,178

3,882

12,441

2,350

10,310

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

3.0

59.9

●0.1

●4.4

19.4

*1.3

●1.7

‘1.6

18.6

●1.4

*1.4

*1.O

+1.7

●1.6

2.3

● 2.4

+1.2

‘2.7

+1.0

‘0.6

$’0.7

‘0.5

“0.5

“1.0

“1.0

‘0.8

1.6

*3.5

+1.0

*1.O

● 2.3

●1.3

●1.4

1.2

“4.0

●1.1

●1.1

*1.1

‘0.7

14.6

15.0

19.2

6.9

20.5

6.7

●7.2

13.2

47.4

10.8

3.7

6.7

‘0.9

●2.5

9.2

10.8

●13.9

4.8

+10.6

8.8

‘4.0

● 13.2

13.2

●3.1

14.0

16.2

●1O.1

18.7

18.8

18.4

29.9

●5.2

15.1

18.7

20.3

17.0

9.5

11.1

19.1

‘5.5

*7.6

●10. I

10.5

29.2

27.9

40.8

29.1

28.0

22.1

32.3

31.9

13.6

24.3

9.4

74.2

●4.8

7.5

24.6

26.9

17.7

24.9

17’.6

22.0

●14.1

29.0

30.8

14.1

30.8

28.2

34.4

42.9

39.5

40.0

32.7

22.0

39.7

41.2

44.0

39.5

28.6

27.7

41.4

30.8

25.3

29.5

29.2

27.3

26.1

26.7

27.8

17.9

29.5

29.7

27.5

11.0

32.4

17.6

29.0

8.1

11.1

31.2

31.6

28.1

34.4

22.1

31.0

34.5

27.9

26.3

26.7

24.4

25.6

31.7

26.6

24.3

25.6

18.4

29.1

30.0

25.9

25.3

22.9

30.7

31.9

24.1

35.1

30.0

36.6

29.6

. 20.4

20.1

12.6

24.4

10.1

33.0

23.9

22.7

*7.4

24.4

20.6

18.0

25.4

19.0

24.6

21.3

27.8

28.0

28.2

30.4

37.9

23.8

24.4

43.8

26.1

24.5

19.9

10.6

16.1

13.3

12.5

38.2

13.3

11.0

8.5

17.1

25.5

21.7

“ 14.6

23.3

31.1

17.7

25.0

5.5

5.0

‘0.6

7.6

4.2

7.5

‘5.2

*3.3

+2.1

6.8

47.3

31.2

59.0

58.4

8.1

6.9

●11.3

6.3

20.4

7.1

‘8.8

*5.6

4.8

12.3

●4.8

●4.5

●3.9

‘0.2

● 0.5

1.4

“3.0

‘4.5

●1.O

‘0.9

‘0.7

●2.1

4.5

●3.7

● 0.9

●4.2

5.0

‘5.0

5.1

See footnotas at and of table.

97
Table 55. Number andpercent distribution of officav!sits made by female patients byduration ofvisit, xcording to principal reason forvisit in the

Symptom Module: United States, 1977-78–Con.

Number Duration of visit

Principal reason forvisitand RVCcodel

of visits

in Zero 1-5 6-10 11-15 16-30 31

Total

thousands minutes2 minutes minutes minutes minutes minutes

or more

Symptoms referable to the genitourinary system . S640-S829

Frequency and urgency of urination . . . . . S645

Painful urination . . . . . . . . . . . . . . ., .,...,....,.,.,..5650

Absence of menstruation (amenorrhea) . . S730

Irregularity of menstrual interval . . . . . S735

Irregularity of menstrual flow . . . . . . . . . . . . . . . . . . . . . . . S740

Menstrual symptoms, other andunspecifled . . . . . . . . . . . S745

Menopausal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . .,S750

Uterineandvaginal bleeding . . . . . . . . . . . . . . . . . . . . . . ..S755

Vaginal discharge, . . . . . . . . . . . . . . . . . . . . . . . . . .,S760

Othervaginal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . S765

Pelvlcsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S775

Painorsorenessofbreast, . . . . . . . . . . . . . . . . . . . . . . . ..S800

Lumpormassof breast.,.. . . . . . . . . . . . . . . . . . . ..S805

Another symptoms referable tothegenltourinary system . . . .S640,

S655-S680, S770, S790-S795, S81 0.S825

Symptoms referable totheskin, nails, and hair . . . . . . ., . S830-S899

Acneorpimples . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S830

Warts, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S850

Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,s860

Skin lesion . . . . . . . . . . . . . . . . ... ., . . . . . . . . . . . . . ..S865

Skin irritations, N.E.C.3 . . . . . . . . . . . . . . . . . . . . . . . . . ..S870

All other symptoms referable to the skin, nails, and

hair . . . . . . . . . . . . . . . . . . . . . S835-S845, S855, S875-S895

Symptoms referable tothemuaculoskeletal system . . . . . S900-S999

Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S900

Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S905

Lowbacksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S910

Hipsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S915

Legsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S920

Kneesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925

Footandtoesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . S935

Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S940

Armsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S945

Handandfingersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . S960

All other symptoms referable to tha musculoskeletal

aystem . . . . . . . . . . . . . . . . . . . . . S930, S950-S955, S965-S980

Percent distribution

46,199

2,635

4,043

1,745

1,793

1,282

1,566

2,842

4,198

3,939

4,481

1,693

1,627

3,983

10,375

36,591

6,759

2,102

11,152

4,023

2,654

9,900

57,934

5,654

11 #497

4,833

2,186

5,916

5,156

4,308

4,773

2,651

3,440

7,522

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

1.7

“0.8

‘3.2

‘0.4

‘4.0

‘2.8

●1O.6

‘0.5

‘0.8

‘1.7

+0.2

●1.5

●0.7

“ 0.4

●1.6

‘1.1

‘0.9

1.0

* 0.6

●2.2

*1.1

“0.7

*0.2

‘0,6

“0.7

“1.8

* 0.9

8.3

‘5.3

9.0

●3.3

*8.2

‘0.8

●6.3

13.6

*2.5

‘7.2

10.4

‘4.7

●6.6

13.0

10.1

20.8

18.8

27.0

27.7

14.0

13.6

17.8

11.0

6.3

10.2

8.9

*5.5

10.3

10.4

16.1

●6.9

15.5

19.1

13.7

28.1

34.5

33.2

27.6

●12.0

29.5

*16.1

19.2

22.9

28.1

27.0

33,2

40.6

28.7

30.8

35.7

44.7

31.5

36.7

32.3

35.7

30.7

27.6

26.3

25.4

21.7

16.2

27.4

28.3

35.3

28.1

29.9

32.3

31.0

32.8

30.9

36.9

39.3

41.9

* 25.8

33.5

30.6

33.9

34.8

36.5

32.4

34.1

35.2

26.3

25.2

25.2

23.4

22.3

28.9

29.1

26.3

30.6

30.8

31,6

33.6

37.8

33.7

32.4

26.5

31.8

26.2

25.0

27.2

25.3

24.4

16.7

25.7

32.6

33.1

28.4

21.7

34.5

27.2

23.2

22.5

‘18.5

20.2

27.1

16.1

10.8

17.6

11.4

20.0

18.8

22.2

24.8

26.4

25.2

27.9

33.9

24.5

23.5

18.0

29.9

18.0

20.0

24.5

3.9

*4.2

‘1,1

*3.6

*5.3

*6.7

*12.8

●4.4

*5.8

‘2.7

‘2.1

●5.5

+0.2

●2.8

4.2

1.5

●0. I

*0.5

● 0.3

*3.7

‘2.1

*3.1

5.1

9.5

5.4

6.8

*5.8

*3.9

*4.8

*4.2

‘2.6

‘8.7

*3.6

●2.6

lSea referenca 1.

2Repre~a”ts visits i“ which there wa$nofaca-to-faca contact between the patient and the phvsician.

3N,0.5. = “otothemisa specified; N. E. C,= notelsawhere classified.

98
Table E& Numkrand pemntdstribution ofotice visits made by female wtients byduration ofvisit, according toprincipal mason forvisit inthe Diwase, injuries

and Advarae Effacts, Teat Rawlts, and Administrative Modulaa: Unitad Statas,1977-78

Number Duration of visit

Principal reason for visit and R VC codel

of visits

in Zerv 1-5 6-10 71-15 76-30 31

thousands Total minutes2 minutes minutes minutes minutes minutes

or more

Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Disease Module

Infective andparasiticdiseases . . . . . . . . . . . . . . . . . . . . . . . ..DOO1-DD99

Viraldiaaasas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D015

Another infective andparasitic disaases . . . . . . . .DO06-D010, DO2O-DO35

Neophssms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIDO-D199

Malignantneoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D1OO-D135

8enignneoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D14@D145

Endocrine, nutritional, andmetabolic disaases . . . . . . . . . . . . . .. D20&D249

Disaaaasofthethyroidgland... . . . . . . . . . . . . . . . . . . . . . . . ..D200

Diabatesmallitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D205

All other endccrine, nutritional, and metabolic

diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D20D-D215

Oiseaaas ofthebloodand blood-forming organs . . . . . . . . . . . . ..D25C-D299

Mentaldisordars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D300-D349

Disaaaasofthenervoussyatem . . . . . . . . . . . . . . . . . . . . . . . ..D350-D399

Disaasesoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D40@D449

Diaaasesofthaaar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D433-D499

Ois?aaasofthecirculatory system . . . . . . . . . . . . . . . . . . . . . . .D500-D599

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D51O

Ischemicheartdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D515

All other dieaaaasofthecirculatory swam . . . . .. D50D-D505. D520-D550

Diseamsoftherespiratory systam . . . . . . . . . . . . . . . . . . . . . ..D600-D849

Dieaaa%softhedigestivaayatem . . . . . . . . . . . . . . . . . . . . . . . ..D650-D699

Diweeesof theganitourinary aystem . . . . . . . . . . . . . . . . . . . . .D700-D799

Diaeaaesoftheskin andsubcuteneoustisaue . . . . . . . . . . . . . . . .D80CLD899

Oiaaasasof the musculoskeletal system and connective

tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D90C-D849

Injuries and Adverse Effacts Modula

lnjurybytypeand/orlocation . . . . . . . . . . . . . . . . . . . . . . . . ..JOO14799

lnjury,N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. J80C-J899

Taat Results Module

Testresultsmodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..RIOO-R700

Administrative Module

Administrativemodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..A1oO-A14O

684,431

2,5(X

1,386

1,140

4,487

3,398

1,069

7,286

1,342

699

917

607

1,241

3,830

1,174

13,335

9,249

1,247

2,839

6,167

2,397

3,732

4,192

4,910

16,683

2,156

4,193

6,957

Parcant distribution

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

3.0

●2.2

●1.2

●3.5

91.4

●1.8

‘3.4

‘3.8

●6.5

+4.1

●2.8

●1.8

●2.5

●1.3

“0.1

● 5.4

●1.2

●1.O

‘2.8

‘4.7

2.0

● 0.5

‘ 2.6

●1.3

14.6

18.1

“20.8

‘14.8

8.4

●9.9

●3.8

12.9

*4.3

12.8

● 29.6

●1 6.0

*3.2

+1 0.3

9.4

‘27.0

8.3

8.2

●I 3.9

●5.9

17.6

14.7

17.3

22.2

10.5

19.1

16.3

11.3

10.9

29.2

41.3

43.8

38.4

24.4

21.7

33.2

28.6

35.6

26.5

+ 15.6

‘21.1

●5.7

30.9

34.4

45.4

30.3

33.8

●24.9

21.2

29.4

26.1

31.4

34.1

25.9

32.7

26.1

24.9

27.2

27.3

25.3

23.3

●27.6

37.5

40.1

●29.3

31.7

33.2

32.2

‘25.2

‘34.8

●9.3

‘25.3

26.6

●21 .5

36.1

35.3

31.6

40.8

27.8

31.2

26.8

24.4

31.3

25.3

33.7

33.3

31.1

20.4

t9.9

●6.7

*11.3

24.6

23.3

*28.9

20.0

‘ 22.0

19.5

+20.0

●16.9

*15.3

27.6

24.6

*6.1

20.6

17.5

* 25.4

28.3

17.0

20.6

21.6

15.2

23.2

18.7

17.2

24.7

24.3

5.5

●3.3

*2.3

●4.5

*3.7

*3.3

●4.7

●3.4

●4.9

++3.1

●3.1

‘5.1

66.5

●2.9

●5.1

2.9

‘2.7

3.0

●3.6

●2.8

●6.2

‘1.9

●1.4

●4.4

2.3

‘6.2

*3.2

5.3

1sea ~efere”=o ‘1.

2Rep,ew”ts visits i“ which tham was no face-to-face contact between the patient and the physicisn.

3N.o.s. = nototherwisa specified.

99
Table 57. Number andpercent distribution of office visits made by femelepatients bydumtion ofvisit, according to principal reason forvisit in the Diagnostic,

Screening, and Prwentive Module andthe Treatment Modulw United States, 1977-78

Number Duration of visit

Principal reason forvisitand RVCcodel

of visits

in Zero 7-5 6-10 17-15 16-30

31

thousands Total minutes2 minutes minutes minutes minutes minutes

or more

Percent distributmn

Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Dmgnoatlc, Screening, and Preventive Module

Generai examinations . . . . . . . . . . . . . . . . . . . . . . . . . ... ..xIoo-x199

Generalmedical examination . . . . . . . . . . . . . . . . . . . . . . . . . . ..XIOO

Wall babyexamination . . . . . . . . . . . . . . . ,.XI05

Specialexaminations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X2OC-X299

Pregnancy,unconfirmed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X200

Prenatalexamination,routine... . . . . . . . . . . . . . . . . . . . . . . . ..X205

Postpartumaxamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X215

Gynecologicalexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X225

Eyeexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X230

Heartaxamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X235

All other special examinations . . . . . . . . . . . . . . . . X220,X240

Diagnostictests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X300-X399

Glucoaalevel determination . . . . . . . . . . . . . . . . . . . . . . . . . . . X31O

Bloodpreasuretest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X320

Papsrnear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X365

All otherdiagnostic tests . . . . . . . X300-X305, X31 5, X325-X360, X370

Other screeningand pravantive procedures . . . . . . . . . . . . . .X400-X499

Prophylacticinoculations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X400

Familyplanning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X500-X599

Treatment Module

Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOCLT199

Allergymedication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO

Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T11O

Medication, other andunspecified kinds . . . . . . . . . . . . . . . . . . . . .T115

Preoperative andpoatoperativecare . . . . . . . . . . . . . . . . . . . . . .T200-T299

Preoperative visit for specified and unspecified types

ofsurgety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T200

Poatoperativevisit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T205

Specifictypesoftharapy . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T40@T499

Psychotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T410

Another specific typesof therapy . . . . . . . . . . . . .T400-T405, T415-T425

Specific therapeuticproeedures . . . . . . . . . . . . . . . . . . . . . . . ..T50GT599

Fittingglasaesandcontactlenses . . . . . . . . . . . . . . . . . . . . . . . . ..T515

Suture-insertion,remcwal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T555

Another apeclfic therapeutic procedures .. T500-T510, T520-T550, T56O

Medicalcounsaling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T60GT699

Dietandnutritionalcounseling. . . . . . . . . . . . . . . . ..T600

Counseling,N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T605

scrcialproblemcodnseling . . . . . . . . . . . . . . . . . . . . . . . . . . ..T700T799

694,431

41,699

34,881

6,711

71,384

3,254

40,384

4,114

13,262

7,467

1,819

1,075

27,175

1,236

13,783

7,631

4,524

4,785

4,318

7,972

12,134

6,230

4,127

1,776

19,529

1,406

18,122

2,988

1,717

1,271

7,809

1,896

2,515

3,397

5,503

4,016

1,487

2,647

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

3.0

“0.6

* 0.4

‘1.7

0.6

‘1.5

‘0.8

‘0.2

‘0.1

‘0.1

‘2.0

6.4

*1 7.8

4.7

‘ 0.4

18.1

40.5

44.0

*0.4

42.2

45.8

53.3

●4.2

+0.3

“0.3

“6.2

‘14.5

●1.6

+1.7

●1.9

+1.4

*2.1

●2.6

‘0.6

+1.0

14.6

7.5

7.7

6.6

21.5

●8.1

32.7

8.3

3.5

8.5

●11.5

“20.6

11.5

+11.9

14.3

4.9

14.1

38.1

37.4

11.6

30.6

36.3

28.9

* 14.9

22.1

*9.2

23.1

*6.9

‘16.3

26.7

6.5

43.6

25.4

24.3

27.7

15.0

●1.O

29.2

28.5

27.0

36.4

30.5

26.4

35.9

3S.8

20.4

15.4

33.4

33.2

30.9

29.9

34.5

27.5

25.8

13.1

11.7

25,6

10.4

+5.4

8.4

32.2

37.1

* 18.9

38.5

11.9

28.0

24.5

22.1

27.7

23.5

30.6

32.8

24.5

“0.9

27.3

29.8

28.2

38.2

25.7

35.0

19.6

32.2

41.1

23.6

25.2

“29.5

29.9

29.9

30.6

33.5

21.7

‘6.4

‘5.5

27.8

11.2

9.2

7.8

26.2

24.9

26.2

24.8

‘9.0

*4.3

● 15.4

22.8

27.1

16.5

25.2

21.1

18.4

28.2

‘8.7

20.4

26.0

27.7

17.0

19.2

26.5

10.0

19.6

32.4

42.2

22.6

‘15.5

19.4

‘10.2

13.7

31.9

18.1

‘1.6

‘1.0

30.8

5.0

*2.8

*1.6

20.6

14.1

38.5

12.2

18.5

● 15.3

●22.9

21.8

38.6

‘10.4

21.0

16.1

14.2

21.2

+8.8

5.5

7.6

9.1

+0.2

2.5

‘2.5

1.1

‘0.8

●2.4

10.4

*5.3

*1.3

2.0

‘0.4

*2.1

*1.8

*2.2

“0.4

“0.4

“3.7

‘0.6

‘0.6

●0.I

*2.O

1.6

*7.2

“1.1

47.5

80.5

*3.O

*2.6

*4.3

*3.6

5.9

●4.3

●10.5

79.7

1sea ~efarence 1.

‘Reprasants visitsin which there wasnoface-m-faca contact batweenthe patient andthephvsician.

3N,0.s. = nototherwisa specified.

100
Table 58. Number andpercent distribution ofoffice visiGmade bymalepatients byduration ofvisit, according to principal reason for visit in the Symptom

Module: United States, 1977-78

fiinCiRaireaSOn forvisitand RVCcode~

Number Duration of visit

of visits

in Zero 1-5 6-10 11-15 16-30

31

thousands Toral minutes2 minutes minutes minutes minutes minutes

or more

Allvisits by malepatients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Generalsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s001-s099

Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S010

Tiredness,exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . ..so15

Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S040

Chest pain and related symptoms (not referable to body

system) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S050

Pain, sitenot referable toaspecific body system . . . . . . . . . . .s055

Pain andrelatad symptoms, generalized, site unspecified . . . . . S080

Allergy,N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S090

Another ganeral symptoms . . . . . . . . . . . S005, S020-S035, S045,

S065-S085, S095

Symptoms referable to psychological and mental

disorde~ . .-.’ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s100.s199

Anxietyandnervousness . . . . . . . . . . . . . . . . . . . . . . . . ..S100

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110

All other symptoms referable to psychological and mental

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . ..S105.S115-S165

Symptoms referable to the nervous system (excluding sense

organs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S200-S259

Headache,painin head . . . . . . . . . . . . . . . . . . . . . . . . . ..S210

Disturbancesofsensation . . . . . . . . . . . . . . . . . . . . . . . . ..s220

Vertig&dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S225

All other symptoms referable to the nervous system (excluding

sense organs) . . . . . . . . . . . . . . . . .S200-S205,S215,S230-S240

Symptoms referable tothecardiovascular and lymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S260-S299

Abnormal pulsationsandpalpitations . . . . . . . . . . . . . . . . ..S260

All other symptoms referable to the cardiovascular and lymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S265-S280

Symptoms referableto theeyes andears . . . . . . . . . . . . . . S300-S399

Visiondysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s305

Abnormalaansationsoftheeye . . . . . . . . . . . . . . . . . . . . . . S320

Another symptoms raferablatothe eyes . . . .S310-S315, S325-S340

Heeringdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S345

Earache,orearinfection . . . . . . . . . . . . . . . . . . . . . . . . ..S355

Another symptoms referable to the ears . . . . . . . .S350, S360-S365

Symptoms refarableto therespiratory system . . . . . . . . . . S400-S499

Nesalcongastion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s400

Shortnessof breath . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S415

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440

Headcold,uppar respiratory infection (mryza) . . . . . . . . . ..S445

Symptomsrefarabletothroat . . . . . . . . . . . . . . . . . . . . . ..S455

All other symptoms referable to the respiratory

system . . . . . . . . . . . . .S405-S41 O, S420-S435, S450, S460-S485

Symptoms referable tothedigestive system . . . . . . . . . . . . S500.S639

Stomrch pain,cramps,andspasms . . . . . . . . . . . . . . . . . . ..S545

Abdominalpain,cramps, epasms . . . . . . . . . . . . . . . . . . . ..s550

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s595

All other symptoms referable to the digestive

system . . . . . . . . . . . . . . . . . S500-S540, S56%S590, S60C-S61 5

Symptoms referableto thegenitourinary system . . . . . . . . . S640-S829

See footnotes at end of table.

460,119

37,130

9,109

2,348

1,870

9,049

2,467

1,642

2,893

7,753

11,682

4,177

3,068

4,497

13,319

6,194

1,264

3,937

1,924

2,888

1,227

1,641

29,445

6,225

2,271

4,552

2,237

9,219

4,941

56,761

5,102

3,292

13,290

9,206

14,805

1I,C65

20,646

2,525

5,126

2,486

10,698

12,788

Percent distribution

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100,0

100.0

100.0

100.0

2.6

3.4

“0.6

●3.1

21.3

‘0.3

19.0

●2.1

“0.8

●1.9

“0.5

●1.5

‘1.7

‘ 2.4

●1.5

●0.5

‘0.9

●2.O

‘0.7

‘0.3

+1.7

+1.3

1.7

●3.2

“2.1

●1.3

“1.6

*1.5

●1.8

‘0.2

●1.7

‘0.0

●0.4

15.6

13.9

12.9

●12.O

15.2

7.1

●13.5

23.4

46.5

9.3

4.2

●5.8

●1.7

+4.4

9.9

11.9

●7.1

●8.3

‘8.7

14.2

6.6

19.9

15.0

●2.9

18.9

16.5

●7.7

18.5

24.2

17.6

29.1

●4.7

15.6

20.9

20.6

11.9

11.5

●10.9

‘6.1

●12.5

14.0

1?.3

30.1

30.3

49.2

19.5

20.4

21.3

28.0

24.4

15.1

32.2

9.2

13.3

“5.0

8.4

25.8

27.0

●15.0

31.7

●16.9

24.0

●22.5

25.2

32.7

13.5

31.8

30.4

34.9

42.2

40.6

39.2

30.0

20.6

42.1

43.9

43.9

35.2

31.5

35.8

30.3

38.1

29.5

32.0

28.2

25.1

25.6

28.8

24.1

28.6

23.4

25.2

●8.7

26.4

11.7

17.5

*7.4

9.4

29.3

28.4

34.7

30.0

27.2

29.5

●26.5

31.7

26.3

25.1

25.4

23.4

33.4

26.9

26.4

26.9

20.7

35.4

27.9

25.8

25.5

29.0

29.9

26.8

30.7

32.7

29.5

29.8

19.5

22.0

11.0

26.1

+15.0

33.7

27.6

24.0

*8.6

24.8

21.9

21.3

24.0

20.9

24.2

22.6

33.1

22.8

26.5

26.0

33.3

20.5

21.2

45.6

21.8

21.2

21.8

10.9

8.9

13.0

14.1

32.3

11.9

7.2

8.3

19.1

23.1

21.8

27.3

13.7

23.6

23.3

6.0

5.2

●0.8

* 10.6

‘4.0

9.2

*7.6

+3.1

●2.1

5.2

52.1

40.3

62.0

56.4

9.3

8.5

‘7.8

● 5.8

20.2

5.5

●9.1

●2.7

4.1

12.7

●2.1

‘6.8

●2.2

“0.2

1.6

“2.9

●4.9

●1.2

●0.7

“0.3

3.1

3.8

“3.0

● 5.6

‘ 3.0

3.4

3.3

101
Table 58. Number andpercent distribution of of flee visits made by male patients by duration of visit, accordi ng to principal reason for visit in the Symptom

Module: United Statas, 1977-78–Con.

Principal reason for visit and R VC code q

Number Duration of visit

0 f visits

in Zaro 1-5 6-10 71-15 16-30 31

thousands Total minutes2 minutes minutes minutas minutes minutes

or more

Symptoms referable to the skin, nails, and hair . . S830-S899

Acne or pimples . . . . . . . . . . . . . ., . . . . . . . . . . . . . . . .. S830

Warts,N.0.S.3, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S850

Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S860

Skin lasion . . . . . . . . . . . . . . . . . . . ..s865

Skin irritations, N.E.C.3 . . . . . . . . . . . . . . . . . . . . . . . . ..S870

All other symptoms referable to the skin, nails, and

hair . . . . . . . . . . . . . . . . . . . . . ..S835-S845. S855,S875-S895

Symptoms referable tothemusculoskeletal system . . S900-S999

Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S900

Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S905

Lowbacksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . ..S910

Hipsymptoms . . . . . . . . . . . . . . . . . . S915

Lagsymptoms . . . . . . . . . . . . . . . . . . ..S920

Kneeaymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . S925

AnkleWmptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S930

Footandtoesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . ..S935

Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . S940

Armsymptoms, . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S945

Ellmwsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S950

Handandfingarsymptoms . . . . . . . . . . . . . . . . . . . . . . . . S960

All other symptoms rafarable to the musculoskalatal

swam. . . . . . . . . . . . . . . . . . . . . . . . . . . . . S955,S965-S980

27,477

3,480

2,389

8,901

3,432

1,S16

7,459

50,982

4,060

11,010

4,811

1,561

4,560

5,653

1,695

4,243

3,933

1,610

1,608

2,822

3,416

Percent distribution

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

‘0.4

‘0.2

“2.0

* 0.4

‘1.1

‘0.3

* 0.8

“1.7

“0.9

‘0.5

*0.3

“0.6

*0.8

*1.9

“1.9

●1.4

20.5

21.0

13.7

25.8

17.2

*12.1

19.6

12.5

10.2

9.3

*6.6

●11.O

11.1

12.3

●12.5

19.6

17.6

‘13.4

‘14.9

16.3

17.3

34.9

42.7

27.3

39.7

28.5

42.2

29.1

29.7

21.3

32.6

25.5

34.6

25.7

27.9

34.2

30.2

29.0

27.8

37.9

40.7

28.3

26.0

26.2

29.4

22.3

27.6

28.4

28.1

29.9

29.7

27.7

35.9

30.7

32.2

32.0

35.0

29.8

24.7

31.9

26.9

29.4

26.2

17.1

9.9

25.4

11.7

24.3

●15.9

21.3

22.6

30.4

22.9

24.9

22.2

26.5

24.4

*1 5.3

17.7

23.4

● 20.3

*17.O

*11.9

23.0

*1.1

‘2.3

*0.5

‘2.1

●0.3

‘1.7

4.5

‘6.7

6.7

*6.6

*1.2

*4.6

*2.9

●3.1

●2.O

*3.4

●6.6

*1.4

‘1.7

*3.8

lSaarefwanca 1.

2Reprasants visits in which there was no faca-to-faca contact batween the patient and tha physician.

3N. o.!3, = “ototherwisa spacifiad; N. E,C. = not elsewhere classified.

102
Table 59. Number andpercant distribution of office visits ma& bymalapatients byduration ofvisit, xcording toprincipal raasonfor visit intha Di%asa, injuries

and Adversa Effacts, Tast Results, and Administrative Modulex United States, 1977-78

Number Duration of visit

Principal reason for visit and R VC code 1

of visits

in Zero 1-5 6-10 71-15 16-30 31

thousands TotW minutes2 minutes minutes minutes minutes minutes

or mora

Allvisits bymalepatiants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Disaam Modu [e

Infactiva andparasitic disaasas . . . . . . . . . . . . . . . . . . . . . . . ..DOO1-D099

Viral diwases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D015

All other infectiveandparasiticdiseasas . . . . . . . . . . . . . . . ..DO05-D035

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIOD-D199

Malignantneoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIoo-D135

Endocrine, nutritional,and metabolic diseasas . . . . . . . . . . . . . . .D200-D249

Diabetesmallitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D205

All other endocrine, nutritional, and metabolic

dieaasas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D200. D21O.D215

Diseases ofthebloodand blood-forming organs . . . . . . . . . . . . . .D250.D299

Mentaldisorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D30@D349

Disaasasofthenawoussystem . . . . . . . . . . . . . . . . . . . . . . . ..D35C-D399

Disasesofthaaya . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D40GD449

Dieaasesofthaaar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D450-D499

Disaasas ofthecirculatory system . . . . . . . . . . . . . . . . . . . . . . .D50C-D599

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D51O

Ischemicheartdieaaea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D515

Another diseases of thecirculatory system . . . . . .D50GD505, D520-D550

Diseases oftherespiratory aystem . . . . . . . . . . . . . . . . . . . . . . .D60D.D649

Diteasesofthedigestive system. . . . . . . . . . . . . . . . . . . . . . . ..D650-D699

Harniaofabdominalcavity . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D660

All otherdisaasasofthadigestive wstem . . . . . . .D650-D655, D665-D675

Diseasas ofthaganitourinary syatam . . . . . . . . . . . . . . . . . . . .D700-D799

Disaasasoftheskin andsubcutanaoustissue . . . . . . . . . . . . . . . .D80D-D899

Dieaaws of tha musculoskaletal system and connective

tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D90D-D949

lniuriesandA&erse Effects Module

lnjurybytypaand/orlocation . . . . . . . . . . . . . . . . . . . . . . . .. JO01J799

lnjury,N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .J900-J999

Teat Rasults Module

Testresultsmodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..R1OD-R7OO

Administrative Module

Adminiatrativemodula . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..AIOO-A140

460,119

2,372

1,120

1,251

2,526

2,292

4,736

3,726

1,010

492

818

766

2,388

1,086

11,178

6,724

1,969

2,485

5,604

3,144

1,734

1,408

1,942

3,921

2,523

27,002

2,217

2,044

12,072

Percent distribution

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

2.6

● 3.6

●5.7

‘1.7

“0.3

+0.3

●1.6

●1.7

+2.2

‘3.8

●5.1

‘0.6

●1.1

●1.4

●1.4

●0.2

●2.2

● 0.4

‘0.7

+0.4

●1.5

●5.2

2.0

●1.8

“1.3

15.6

16.6

●17.1

●16.1

14.1

‘ 14.8

14.9

13.3

‘20.8

●12.2

●1O.9

‘0.8

15.0

* 29.6

5.2

6.8

●1.5

●3.7

21.4

19.7

24.4

*14.O

29.9

18.5

+13.0

22.6

‘ 14.4

●13.2

11.3

30.1

32.3

30.7

33.7

29.2

29.5

31.1

32.2

*26.9

●19.2

‘1 2.4

‘25.9

19.2

35.6

27.0

28.8

+16.6

30.3

35.4

28.9

26.2

32.1

27.7

43.3

27.1

32.6

21.4

27.5

28.8

26.2

32.4

33.5

31.4

26.4

27.6

30.9

29.5

36.2

“26.4

● 3.9

“22.0

38.1

●19.1

37.7

36.1

40.1

40.3

23.6

27.7

26.0

29.9

21.5

20.8

27.7

22.6

26.3

28.1

26.1

19.5

14.5

* 12.6

●1 6.2

24.9

22.7

18.2

20.5

‘9.9

● 28.0

● 29.3

‘37.3

23.4

*12.6

23.2

21.3

36.3

18.2

15.5

20.1

19.7

‘20.8

18.8

15.1

22.9

17.4

29.5

23.8

26.6

6.0

‘0.7

●0.5

‘0.8

‘5.2

●5.2

+3.1

●2.8

‘ 4.0

* 10.4

43.5

8.9

* 3.6

●3.1

5.8

5.7

●4.2

●7.4

● 2.0

*3.2

‘3.0

●3.5

‘1.8

* 0.8

●4. 1

2.8

●8.5

●5.7

5.9

l~m~efere”ca I .

2 Rep~ase”ts visits i“ which thare was no face-to-face contact batwaen the patient and the phvsician.

3N.~,s. = “~t~ther~im~e~ified.

103
Table 60. Numkrand percent distribution ofoffice visNtsmade bymalepatients byduration ofvislt, according toprincipal reason forvisit inthe Diagnosis, Screening,

and Preventive Module and the Treatment Modula: United States, 1977-78

Number Duration of visit

Principal reason for visit and R VC code 1 of visits

in ZerO 1-5 6-10 11-15 16-30 31

thousands Total mmutes2 minutes minutes minutes minutes minutes

or more

Percent distribution

Allvisits by malepatients . . . . . . . . . . . . . . . . .

Diagnostic, Screening, and preventive Module

Generalexaminations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X100-X!99

General medical examination . . . . . . . . . . . . . . . . . . , . . . . . . ..X1OO

Well babyexamination . . . . . . . . . . ..XI05

Spacialexaminations, . . . . . . . . . . . . . . . . . . . . . . . . . .,. .X2OO-X299

Eyeexamination . . . . . . . . . . . . . . . . . . . ..X23O

Heartexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X235

Diagnosticteats, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X3OO-X399

Glucosalevel determination .,... . . . . . . . . . . . . . . . . . . . . . X31O

Bloodpressuretest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X320

Another diagnostic tests . . . . . . . . X300-X305,X315,X325-X370

Other screaming and preventive procedures . . . . . .X400-X499

Prophylacticinoculations . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X400

Family planning . . . . . . . . . . . . . . . . . . . . .X500-X599

Treatment Module

Medications . . . . . . . . . . . . . . . . . . . TIOWT199

Allargymedication . . . . . . . . . . . . . . . . . . ..TIOO

Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIIO

Medication, otherand unspecified kinds . . . . . . . . . . . . . . . . . . . ..T115

Preoperative andpostoperative care . . . . . . . . . . . . . . . . . . . . ..T200-T205

Specifictypesoftherapy . . . . . . . . . . . . . . . . . . . . . . . ..T400-T499

Spacific therapeutic procedures . . . . . . . . . . . .T500-T599

Fittingglassesandcontact lenses . . . . . . . . . . . . . . . . . . , . . . ..T515

Suture-insertion,removal . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T555

Another specific therapeutic procedures . .T500-T510, T520-T550, T56O

Medicalcounseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T60GT699

Socialproblemcounseling . . . . . . . . . . . . . . . . . . . . . . . . . . ..T700-T799

480,119

31,269

24,234

7,015

7,762

4,485

2,864

14,335

1,161

9,913

3,261

4,069

3,833

1,240

9,742

6,761

1,734

1,248

12,301

2,022

7,644

1,057

3,580

3,007

1,919

2,222

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

2.6

*0.8

‘0.8

“0.5

‘0.9

●1.4

‘0.3

8.9

12.8

4,0

22.5

36.3

37.4

34.6

39.3

49.6

‘2.0

‘0.3

‘9.6

“1.8

‘3.0

‘1.4

*1.8

●2.2

●2.3

15.6

7.0

6.7

7.9

13.3

10.2

17.7

14.9

16.0

14.2

16.6

40.5

41.2

*6.2

37.0

41.3

33.8

*18.5

25.2

*3.2

38,1

“9.9

48.5

35.6

●16.6

‘0.6

30.1

29.0

26.3

38.3

21.2

13.3

32.1

32.1

33.5

35.0

22.5

12.8

12.8

*1 7.2

11.6

7.7

“11.1

*33.7

35.1

*7.5

24.9

‘11.3

32.0

21.3

23.1

‘1.8

26.2

30.9

29.5

35.7

24,4

23,3

26.1

27.9

‘27.4

30.1

21.4

10.1

*8.3

*17.3

10.8

8.5

“11.6

‘22.1

24.9

+6.6

17.7

39.3

10.6

18.4

25.4

‘1.0

19.5

23.1

24.7

17.4

34.3

44.4

20.3

12.9

“7.1

12.7

15.5

‘0.3

“0.4

30.3

5.6

*2.9

‘4.0

’21,8

13.9

‘11.3

15.9

32.1

‘7.2

20,5

27.1

12.5

6.0

9.4

12.0

‘0.2

5.8

‘7.4

*3.6

3.5

●3.3

4.1

‘1.4

29.0

‘0.4

++0.3

* 2.0

‘0.6

61.8

“1.7

*4.4

“0.3

‘2.4

‘5.6

81.9

‘Sac reference 1.

2Repraaants visits in which thera was no face-to-face contact between the patient and tha physician.

104
Table 61. Numbarand parcent ofoffice visits made by female patients, bydisposition ofvisit andprincipal reason forvisit in the

Symptom Module: United States, 1977-78

Number Disposition of visit

Principal reason for visit and R VC code 7

of visits

No Return at in Return Telephone Other

thousands followup specified if followup disposiplanned time needed planned tions2

Percent of visits3

Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

General symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S001-S099

Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S010

Tiredness,exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s015

Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S040

Chest pain and related symptoms (not referable to body

system) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S050

Pain, site not referable to aspecific body system . . . . . . . . . . . S055

Pain andrelated symptoms, general ized, site unspecified . . . . . . S060

Allergy, N.0.S.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S090

All other general symptoms . . . . . . . . . . . . . . . . .S005,S020-S035

S045,S065-S085, S095

Symptoms referable to psychological and mental

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S100-S199

Anxiety andnervousness . . . . . . . . . . . . . . . . . . . . . . . . . ..S100

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110

All other symptoms referable to psychological and marital

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . ..S105.S1 15-S165

Symptoms referable to the nervous system (excluding sense

organs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S200-S259

Headache,pain in head..... . . . . . . . . . . . . . . . . . . . . . ..S210

Disturbancesof sensation . . . . . . . . . . . . . . . . . . . . . . . . ..s220

Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S225

Another symptoms referable tothe nervous system (excluding

sensaorgans) . . . . . . . . . . . . . . . . .S200-S205, S215,S230-S240

Symptoms referable to the cardiovascular and lymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S260-S299

Abnormal pulsations andpalpitetions . . . . . . . . . . . . . . . . ..S260

All other symptoms referable to the cardiovascular and lymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S265-S280

Symptoms referable totheeyes andears . . . . . . . . . . . . . . S300-S399

Vision dysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305

Abnormal sensationsoftheeye . . . . . . . . . . . . . . . . . . . . . .S320

All other symptoms raferableto theeyes . . . .S310-S315, S325-S340

Hearingdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S345

Eareche,orearinfection . . . . . . . . . . . . . . . . . . . . . . . . . ..S355

All other symptoms raferableto the ears . . . . . . . .S350, S360-S365

Symptoms referable totherespiratory systam . . . . . . . . . . . S400-S499

Nasel congestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S400

Shortness of breath . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S415

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S440

Head cold, upper respiratory infection (coryza) . . . . . . . . . . . .S445

Symptoms referable tothroat . . . . . . . . . . . . . . . . . . . . . .. S455

All other symptoms referable to the respiratory

system . . . . . . . . . . . . . .S405-S410, S420-S435, S450, S460-S485

Symptoms referable tothedigastive system . . . . . . . . . . . . S500-S639

Nausea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S525

Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S530

Stomach pain, cramps, and spasms . . . . . . . . . . . . . . . . . . . .S545

Abdominal pain, cramps, spasms . . . . . . . . . . . . . . . . . . . . . .s550

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s595

All othar symptoms referable to the digestive

system . . . . . . . . . . S500-S520, S535-S540, S565-S590, S600-S615

See footnotes at end of tabla.

694,431

57,110

8,930

5,678

10,625

9,032

3,835

2,903

3,509

12,598

19,260

7,862

6,014

5,285

23,956

12,148

2,080

7,405

2,323

4,150

1,960

2,190

36,763

9,599

3,617

5,879

2,535

9,881

5,253

69,397

5,950

3,182

15,769

11,939

20,079

12,477

34,324

3,162

2,178

3,882

12,441

2,350

10,310

9.8

6.1

13.8

●3.9

*1.2

5.3

*7.3

*7.2

‘6.7

5.7

3.6

5.8

“0.8

*3.6

6.9

9.1

*7.7

4.6

●2.6

8.5

“2.0

*14.3

14.3

13.6

11.4

12.5

*1 2.8

14.8

18.9

15.5

8.3

*3.2

15.2

18.2

20.6

11.8

7.1

*6.O

*15.4

*7.7

3.4

* 12.6

8.7

62.6

63.9

30.2

69.1

95.0

62.1

53.2

45.3

84.0

62.6

78.0

69.1

88.8

82.6

59.7

53.8

61.0

64.0

75.7

62.1

75.3

50.2

49.0

56.3

47.9

47.9

45.2

46.2

44.9

36.3

61.1

76.8

34.7

28.5

25.0

41.7

49.3

49.5

29.5

49.9

53.1

45.7

49.5

22.2

23.4

48.8

20.6

4.3

24.3

28.5

35.8

*6.7

22.5

14.6

22.5

8.1

10.0

26.3

31.8

18.4

24.3

*1 0.9

21.8

* 12.2

30.4

30.4

24.3

32.9

33.2

27.0

34.4

30.7

41.6

27.8

12.1

44.5

49.4

44.9

39.6

28.7

38.8

38.5

34.3

25.7

32.3

24.4

3.5

4.9

11.5

*4.7

‘0.4

5.1

*4.5

*3.8

*2.9

4.8

2.4

*1.9

2.3

*3.4

4.5

3.2

*3.5

7.1

*4.2

*4.7

*3.O

*6.2

2.4

‘0.9

*1.2

“2.4

*3.8

4.2

*2.2

6.4

*1.6

*4.1

6.9

4.4

10.1

4.6

6.6

*6.7

*11.2

*3.5

7.1

8.5

5.7

6.3

7.0

3.2

*5.7

●1.2

8.6

12.6

12.4

4.6

11.6

4.4

4.4

*3.4

*5.8

9.0

8.2

16.3

6.9

*13.1

8.4

*12.5

*4.8

7.1

7.9

*8.1

6.8

18.2

4.0

6.1

3.8

3.5

●8.3

2.9

*1.3

3.2

7.5

14.6

*7.5

* 10.3

*8.7

517,5

*4.2

18.6

105
Table 61. Number and percent of office visits made by female patients, by disposition of visit and principal reason for visit in the

Symptom Module: United States, 1977-78–Con.

Number Disposition of visit

Principal reason for visit and R VC code 1

of visits

No Return at in Return Telephone Other

follo Wup specified if followup thousands disposiplanned time needed planned tions2

Percent of visits3

Symptoms referable to the genitounnary system . . . . . . S640-S829

Frequency and urgency of urination . . . . . . . . . . . . . S645

painful urination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S650

Absence of menstruation (amenorrhea) . . . . . . . . . S730

Irregularity of menstrual interval . . . . . . . . . . . . . . . . S735

Irregularity of menstrual flow . . . . . . . . . . . . . . . . . . . . . . ,S740

Manstrual symptoms, other and unspecified . . . . . . . . . . . S745

Menopausal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . ..s750

Uterine andvaginai bleeding . . . . . . . . . . . . . . . . . . . . . . . .S755

Vaginal discharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S760

Other vaginal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . .. S765

Palvic symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S775

pain orsoreness of breast . . . . . . . . . . . . . . . . . . . . . . . . .. S800

Lump ormass of breast . . . . . . . . . . . . . . . . . . . . . . . . . . .. S805

Another symptoms referable tothegenitourinary system . . . . .S640,

S655-S680, S770, S790-S795, S810-S825

Symptoms referable totheskin, nails, and hair . . . . . . . . S830-S899

Acne or pimples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S830

Warts, N.0.S.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S850

Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S860

Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S865

Skin irritations, N. E. C.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . S870

All other symptoms referable to the skin, nails, and

hair . . . . . . . . . . . . . . . . . . . . . . ..S835-S845. S855.S875-S895

Symptoms referable tothemusculoskeletal system . . . . . . . . S900-S999

Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S900

Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S905

Lowbacksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S910

Hip symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S915

Leg symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S920

Knea symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925

Foot andtoesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . ..S935

Shoulder symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s940

Arm symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S945

Hand andfingersymptoms . . . . . . . . . . . . . . . . . . . . . . . ..S960

All other symptoms referable to the musculoskeletal

system . . . . . . . . . . . . . . . . . . . . ..S930,S950-S955, S965-S980

46,199

2,635

4,043

1,745

1,793

1,282

1,566

2,842

4,196

3,939

4,481

1,693

1,627

3,983

10,375

36,591

6,759

2,102

11,152

4,023

2,654

9,900

57,934

5,654

11,497

4,833

2,186

5,916

5,156

4,306

4,773

2,651

3,440

7,522

5.5

*3.2

*5.3

“6.4

*2.9

*2.9

“4.4

*4.8

●2.3

*8.2

*8.2

“3.9

*12.3

*7.9

4.3

13.2

*3.3

22.9

15.7

16.3

*10.5

14.4

7.3

8.6

7.2

7.3

●4.4

‘4.6

*4.6

9.1

7.9

*9.3

+9.5

8.3

58.8

69.5

58.5

62.2

58.9

60.6

68.6

58.0

52.3

55.7

46.5

63.3

54.8

55.1

64.4

55.5

89.6

41.9

41.8

57.0

50.2

51.3

57.1

57.7

54.5

55.1

54.2

58.5

60.4

50.3

57.1

57.0

57.2

62.9

25.5

20.2

25.0

21.7

25.0

20.2

24.8

36.0

26.1

31.4

41.7

*1 7.9

26.9

13.2

21.9

25.3

6.5

32.2

37.0

17.0

31.1

25.2

26.0

24.3

28.4

29.8

30.2

25.7

22.0

29.5

28.6

23.2

23.5

21.3

5.5

*5.9

9.8

*8.4

*9.O

*5.O

*7.2

*2.5

*6.2

*6.2

* 5.0

*3.7

*4.2

*3.6

4.0

3.4

‘0.6

5.5

*5.2

*3.9

*2.8

4.3

+3.7

4.7

++3.1

*3.8

*4. 1

*6.1

*3.9

*5.1

*3.O

*2.6

4.7

11.6

*6.7

*5.3

*6.O

*9.8

*16.5

*10.3

*3.7

25.3

*3.7

*3.7

* 18.4

*1 6.6

27.6

11.2

5.2

*1.O

*4.7

*2.7

*7.3

*7.3

9.6

9.4

9.6

8.6

8.6

12.7

10.9

10.9

12.4

*5.1

12.5

10.9

6.9

lSee reference 1.

21ncl~de~referred toothar physician, returned to raferring physician, admit to hospital, and other dispositions.

3perce”t~ will “Ot add to 100.() because more than 1 disposition waspossibla

4N.o,S,= ~otother~ise specified; N. E. C.= notalsewhere classified.

51ncludes 1,067,459 visitsin which thepatient wasadmitted totha hospital (8.6 percent).

106
Table 62. Num&rand @rcentof office visits made by female patients, bydisposition ofvisit andprincipal reason forvisit inthe Diseaw, injuries

and Adverse Effects, Test Results, end Administrative Module: United States, 1977-78

Number Disposition of visit

Principal reason for visit and R VC code 1 of visits

No Return at Return in Telephone Other

thousends followup specified if foflowup disposinlanned time needed srlanned tions2

Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Disease Module

Infective and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . .DOOI-D099

Viraldisea.sw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D015

Another infective and parasitic diseases . . . . . . . .DO05-D010, DO2O-DO35

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIoo-D199

Malignantneoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIoo-D135

Benignnaoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D140-D145

Endocrine, nutritional, and metabolic diseases . . . . . . . . . . . . . . .D200-D249

Diseasesofthethyroidgland. . . . . . . . . . . . . . . . . . . . . . . . . . . ..D200

Diebetesmellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D205

All other endorrine, nutritional, and metabolic

diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D210-D7H5

Diseaaesofthe blood andblood-forming organs . . . . . . . . . . . . . .D250-D299

Mentaldisorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D300-D349

Diseasesofthenervoussystem . . . . . . . . . . . . . . . . . . . . . . . . ..D35c-D3wI

Diseasesoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D400-D449

Diseasesoftheear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D450-D499

Diseasesofthecirculatory system . . . . . . . . . . . . . . . . . . . . . ..D500-D599

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D51O

Ischemicheartdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D515

All otherdiseases ofthecirculatory system . . . . . . . . . . . . . ..D520-D550

Diseawsofthe respiratory system . . . . . . . . . . . . . . . . . . . . . . .D600-D649

Diseasesofthedigestivesystem . . . . . . . . . . . . . . . . . . . . . . . ..D650-D699

Disea~softhegenitourinarysystem . . . . . . . . . . . . . . . . . . . . . .D700-D799

Diseasesoftheskin andsubcutaneoustissue . . . . . . . . . . . . . . . . .D800-D888

Diseases of the muscu Ioskeletal system and connective

tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D900-D849

1njuries and Adverse Effects Module

lnjurybytypeand/orlocation . . . . . . . . . . . . . . . . . . . . . . . . . ..JO01-J799

lnjury,N.0.S.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J800-J899

Test Results Module

Testrewltsmodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..RIOC-R700

Administrative Module

Administrativemodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..AIoo-A140

694,431

2,506

1,366

1,140

4,467

3,398

1,069

7,296

1,342

5,255

699

917

607

1,241

3,830

1,174

13,335

9,249

1,247

2,839

6,167

2,397

3,732

4,192

4,910

16,883

2,156

4,193

6,957

Percent of visits3

9.8

15.2

*16.1

*14.1

*1.6

●1.3

●2.5

●0.7

*0.9

“0.5

●1.8

“0.5

*2.O

●5.7

*7.5

35.4

●2.4

●2.4

‘0.5

●3.2

8.5

*7.9

●6.5

11.7

2.8

lB.1

●11.8

●6.6

69.5

62.6

49.1

60.7

35.3

64.3

88.5

71.1

89.7

81.9

91.7

89.9

92.0

82.1

63.5

80.2

35.7

85.7

90.1

95.0

67.2

56.1

57.8

69.8

57.8

67.8

55.6

58.3

67.3

12.6

22.2

32.2

24.8

41.1

7.9

“4,4

* 18.9

5.5

‘3.2

*5.6

●9.1

“6.4

●14.1

31.4

●6.6

‘24.3

9.8

6.6

●4.3

22.4

29.6

18.2

17.3

24.6

26.4

23.0

23.4

14.0

15.6

3.5

*4.1

*1.2

‘7.6

‘O.B

*0.7

*1.2

*4.1

+ 10.4

*2.8

++1.0

*1.4

+0.7

*1.3

* 2.0

“6.0

*0.5

*0.2

1.6

*2.3

*0.8

●2.8

*3.5

*1.3

2.1

*3.5

* 7.6

*1.6

6.3

* 2.3

●2.2

●1.4

12.1

10.5

*I 7.1

5.3

*8.9

*4.9

*1.9

* 9.7

*3.3

●5.6

●6.6

● 5.8

5.9

3.6

4.4

14.1

6.0

18.9

‘8.5

‘4.9

‘6.0

3.3

‘6.0

9.6

*2.5

lSeereferemce 1.

2fnclud@s referred tOOther physic ian, returnedt0 referring physician, admit tohowiGl, andother dispositions.

Spercents will nOtaddto 100. Obecause more than 1 disposition was possible.

4N.o.s. = not otherwisa specified.

107
Tabla 63. Num&rand percent ofoffice visits made by female patients, ~disposition ofvisit andprincipal reason forvisit inthe Diagnostic, Scraeningr

and Preventive Module and the Treatment Module: United States, 1977-78

Number Disposition of visit

Principal reason for visit and R VC code I 0 f visits

No Return at Return Telephone in Other

follo Wup thousands specified if follo Wup disposiplanned time needed planned tions2

Percent of visits3

Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diagnostic, Screening, and Preventive Module

General examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X1OGX199

General medical examination . . . . . . . . . . . . . . . . . . . . . . . . . . ..X1OO

Well babyexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X105

Special examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X2O@X2gg

Pregnancy,unconfirmed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X200

Prenatal examination, routina . . . . . . . . . . . . . . . . . . . . . . . . . . ..X205

Postpartumexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..x215

Gynecological examination. . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X225

Eyeexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X230

Heartexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X235

All other spacial examinations . . . . . . . . . . . . . . . . . . . . . . X220,X240

Diagnostictests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .x300-x399

Glucose levaldetarmination . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X31O

Bloodpressuratest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X320

Papsmear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X365

All othar diagnostic tests . . . . . . . . .X300-X305,X315,X325-X360, X370

Other screening and preventive procedures . . . . . . . . . . . . . . . . . .X400X499

Prophylactic inoculations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X400

Family planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .x500-x599

Treatment Modu Ie

Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIoo-T199

Allergy medication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO

Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIIO

Medication, other and unspecified kinds , . , . . . . . . . . ,T115

Praoparative and postoperative care . , . . . . . , . . . . . .T200-T299

Preoperative visit for specified and unspecified types

of surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T200

Postoperativevisit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T205

Specifictypesoftherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T400-T499

Psychotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T41O

Another specific types of therapy . . . . . . .T400-T405, T415-T425

Specific therapeutic procedures . . . . . . . . . . . . . . . . . . . . . . .T500-T599

Fittingglassesandcontactlenses . . . . . . . . . . . . . . . . . . . . . . . . ..T515

Suture-insertion,removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T555

Another specific therapeutic procedures . . . . T500-T510, T520.T550, T56O

Medicalcounseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T600-T699

Dietand nutritional counseling . . . . . . . . . . . . . . . . . . . . . . . . . ..T600

Counseling, N.0.S.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T605

SOcial problemcounseling . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T700-T799

694,431

41,699

34,881

6,711

71,364

3,254

40,394

4,114

13,262

7,467

1,819

1,075

27,175

1,236

13,783

7,631

4,524

4,785

4,318

7,972

12,134

6,230

4,127

1,776

19,529

1,406

18,122

2,988

1,717

1,271

7,809

1,896

2,515

3,397

5,503

4,016

1,487

2,647

9.8

14.2

15.6

6.9

4.6

●1.8

*0.5

12.6

5.5

22.6

‘0.4

*9.5

8.6

*3.8

2.6

16.0

15.9

43.1

42.2

8.4

4.9

*1.5

9.8

*5.6

8.4

*1 0.0

8.3

‘3.0

*0.I

*6.8

18.1

*I 0.7

38.3

7.4

5.5

4.2

“9.0

+1.2

62.6

70.9

67.6

87.6

84.4

77.1

96.3

65.7

73.1

53.6

91.7

70.4

75.8

76.1

88.9

58.0

65.8

45.4

48.1

70.1

78.1

94.9

66.6

69.1

72.7

34.4

75.7

91.3

94.9

86.5

62.7

57.8

40.2

82.1

73.7

85.9

40.7

91.6

22.2

14.9

16.6

6.4

11.5

13.8

4.8

21.6

21.9

22.9

“6.9

*15.3

13.3

*10.2

8.9

22.7

11.5

10.1

9.2

16.7

16.2

“4.0

31.5

23.3

14.1

*7.O

14.7

5.2

‘3.9

*6.9

17.9

28.2

20.5

10.2

18.0

14.8

26.4

‘5.5

3.5

2.0

2.3

‘0.9

1.5

*6.7

“0.8

*1.4

3.0

0.4

‘0.8

●2.6

3.7

*11.7

*0.6

7.3

*4.8

*1.3

*0.2

*3.4

*0.4

*0.2

*2.1

*0.8

+0.5

*0.8

*0.9

‘0.5

*1.5

●1.4

*3.6

‘0.5

“0.8

*1.1

*0.7

*2.2

‘0.3

6.3

2.8

3.1

1.2

3.4

*6.3

3.3

2.4

4.6

*1.2

*1.8

*6.5

2.6

4.6

1.7

*2.1

*5.8

* 0.3

*0.3

8.0

*1.4

‘0.9

*2.1

*1.4

8.5

60.0

4.5

●3.6

*2.9

*4.6

*2.3

*1.1

*4.5

*1.4

7.2

*0.2

25.9

*3.4

lSaareferenca 1.

21nelu~a~referred t~othar phy~ician, returnad t~raferring phy~ician, admit t~ho~pital, and ~therdisposition,

3Percants will notaddto 100. Obecausemora than 1 disposition was possible.

4N. rJ.S. = nototherwise specified.

108
Table 64. Number andpement ofoffice visits made bymalepatients, bydisposition ofvisit andprincipal reason forvisit inthe Symptom Module:

United States, 1977-78

Number Disposition of visit

principal reason for visit and R VC code 1 of visits

No Return at Return in Telephone Other

thousands followup specified if followup disposiplanned time needed planned tions2

Percent of visits3

Allvisits by malepatients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Generel symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S001-S089

Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S010

Tiredness,exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . . ..so15

Waightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S040

Chest pain and related symptoms (not referable to body

system) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S050

Pain, site not referable to aspecific body system . . . . . . . . . . .S055

Pain andrela&d symptoms, generalized, site unspecified . . . . . . S060

Allergy, N.0.S.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S090

Aliothergeneral symptoms . . . . . . . . . . . . S005, S020-S035,S045,

S065-S085,S095

Symptomsrefereble topsychological and mental

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .SIOO-S199

Anxietyand nervousness . . . . . . . . . . . . . . . . . . . . . . . . . ..S100

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110

All other symptoms refarable to psychological and mental

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . ..S105.S116-S165

Symptoms referable tothe nervous system (excluding sanse

organs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S20@S259

Headache,pain in head..... . . . . . . . . . . . . . . . . . . . . . ..S210

Disturbencesofsensation . . . . . . . . . . . . . . . . . . . . . . . . ..S220

Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S225

Another symptoms referable tothe nervous system (excluding

sense organs) . . . . . . . . . . . . . . . . .S200-S205, S215,S230-S240

Symptoms refarable to the cardiovascu Iar and Iymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S260-S299

Abnormal pulsations and palpitations . . . . . . . . . . . . . . . . . .S260

All other symptoms raferable to the cardiovascular and lymphatic

systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S265-S280

Symptoms referable totheeyes andaars . . . . . . . . . . . . . . S300-S399

Visiondysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305

Abnormal sensationsoftheeye . . . . . . . . . . . . . . . . . . . . . .S320

Another symptoms referablatotheeyas . . . . S310-S315, S325-S340

Hearingdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S345

Eareche,orear infaction . . . . . . . . . . . . . . . . . . . . . . . . . ..S355

Another symptoms referable to the ears . . . . . . . .S350, S360-S365

Symptoms referable totheraspiratory systam . . . . . . . . . . . S400-S499

Nasal congestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S400

Shortnessofbreath . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S415

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S440

Headcold, upper respiratory infection (coryza) . . . . . . . . . . ..S445

Symptomsreferabletothroat . . . . . . . . . . . . . . . . . . . . . ..S455

All other symptoms referable to the respiratory

system . . . . . . . . . . . . . .S406-S410, S420-S435, S450, S460-S485

Symptoms referable tothe digestive system . . . . . . . . . . . . S500-S639

Stomach pain, cramps, and spasms . . . . . . . . . . . . . . . . . . . .S545

Abdominal pain, cramps, spasms. . . . . . . . . . . . . . . . . . . . .. S550

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S595

All other symptoms referable to the digestive

system . . . . . . . . . . . . . . . . . . S500-S540, S565-S590, S600-S615

Symptoms referable tothegenitourinary systam . . . . . . . . . S640-S829

See footnotas at end of table.

460,119

37,130

9,109

2,348

1,870

9,049

2,467

1,642

2,893

7,753

11,682

4,717

3,068

4,497

13,319

6,194

1,264

3,937

1,924

2,868

1,227

1,641

29,445

6,225

2,271

4,552

2,237

9,219

4,941

56,761

5,102

3,292

13,290

9,206

14,805

11,065

20,846

2,525

5,126

2,486

10,698

12,788

13.2

9.9

16.6

*5.4

3.2

7.4

9.1

“14.2

*5.5

8.8

3.5

*5.2

*1.4

“3.5

7.8

10.1

●8.9

*4.8

*5.7

*4.1

*0.4

6.8

14.8

13.9

15.0

15.7

●13.8

13.5

17.7

14.4

6.9

*2.3

16.4

17.6

19.3

10.1

9.7

*7.7

8.0

11.0

10.8

5.2

57.7

53.9

27.8

59.9

94.5

61.3

43.2

53.5

82.5

57.2

80.9

73.3

92.9

79.5

56.8

49.5

49.4

63.3

71.8

63.8

73.1

56.8

49.8

57.5

48.0

43.2

50.5

49.7

47.2

36.6

57.7

73.5

36.3

25.4

22.2

45.0

47.3

48.7

55.3

32.1

46.8

59.7

23.1

27.2

47.4

22.9

+0.7

21.6

26.1

22.9

●1O.7

25.1

12.1

17.7

●4.6

12.1

26.4

33.2

19.6

25.6

*11.1

26.9

‘21.3

31.0

29.6

23.2

33.9

33.6

22.7

31.1

32.4

42.0

30.4

12.0

41.3

52.7

48.9

39.0

30.8

28.9

24.8

47.3

30.3

21.3

3.3

6.3

12.0

*6.5

*2.O

4.5

*7.O

●3.1

*2.4

4.8

*1.9

* 2.4

*1. O

*2.O

3.8

●3.5

*4.O

*4.5

●3.3

●4.5

‘6.1

*3.2

2.4

*1.2

*0.5

*3.1

*2.5

3.8

1.4

6.7

“3.6

●3.6

7.7

5.6

10.6

3.6

6.5

8.6

●6.2

“8.2

5.7

4.3

6.5

8.9

3.8

●8.6

*0.8

12.0

26,0

*10.9

* 2.3

10.2

4.9

●3.O

*2.O

*6.1

10.1

8.6

*20.6

*6.4

*15.5

12.4

●9.7

+14.3

7.2

8.5

*3.3

8.0

*1 5.3

6.3

4.9

4.5

*4.2

14.0

*2.3

2.5

3.8

8.0

% 0.7

*11.2

11.5

*6.2

11.1

614.3

109
Table 64. Number and percent of office visits made bymalepatients, bydisposition ofvisit and principal raasonfor visit inthe Symptom Modula:

United States, 1977-78–Con,

Number Disposition of visits

Principal reason forvisit and RVCcode~ of visits

No Return et Return in Telephone Other

thousands followup specified if followup disposiplanned time needed planned tions2

Symptoms referable to the skin, nails, and hair . . . . . . . . S830S899

Acne or pimples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S830

Warts,N.0.S.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S850

SIdn rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S860

Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S865

Skin irritations, N.E.C.4 . . . . . . . . . . . . . . . . . . . . . . . . ..S870

All other symptoms referable to the skin, nails, and

hair . . . . . . . . . . . . . . . . . . . . . . ..S835-S845.S855. S875-S895

Symptoms referable tothemuscu loskeletal system . . . . . . . . S900-S999

Neck symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S900

Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S905

Lowbacksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S910

Hip symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s915

Legsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S920

Knee symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925

Ankle symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S930

Footand toesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . ..S935

Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S940

Arm symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S945

Elbowsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S950

Hand andfingersymptoms. . . . . . . . . . . . . . . . . . . . . . . ..S960

All other symptoms referable to the musculoskeletal

system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S955,S965-S980

27,477

3,480

2,389

8,901

3,432

1,816

7,459

50,982

4,060

11,010

4,811

1,561

4,560

5,653

1,695

4,243

3,933

1,610

1,608

2,822

3,416

Percent of visits3

14.4

●4.5

21.2

18.5

10.4

* 17.2

13.1

9.2

9.3

10.4

*6.7

*4.8

8.0

7.0

*12.7

10.7

10.8

*14.1

*14.5

+10.1

‘4.0

50.1 29.9 2.9 4.1

83.5 11.3 *0.7

48.4 26.1 +1.4 *2.9

34.7 40.8 5.5 *2.2

60.4 20.5 ++3.1 +8.1

45.1 36.4 *2.1 “0.5

50.0 29.6 ●1.5

56.4 24,9 3.3

50.3 27.1 ‘4.8

57.1 23.2 *2.7

59.2 27.4 “3.0

55.3 28.7 *1.8

62.2 17.4 “3.2

56.7 22.1 *2.8

59.8 21.3 *1.5

54.1 24.7 *4.2

53.4 31.1 ‘4.7

49.1 31.3 *1.3

43.1 36.0 *5.3

47.1 29.8 *4.6

71.8 20.2 *2.2

7.6

10.4

13.9

9.4

7.7

* 10.8

14.1

16.5

8,6

10.8

*4.9

*8.7

*6.4

*I 3.2

*4.8

lSee reference 1.

Zlncludes referred to other physician, returnad to referring physician, admit to hospital, and other dispositions.

3Percents will not add to 100.0 becauae more than 1 disposition was possible.

4N.o..s. = nototherwise specified; N. E, C.= not elsewhere classified.

sln~lude~l,loz,olgvi$itsin which thepatiant wasadmitted to the hospital (.5.3 Percent).

51ncl"des g15,212visits i"~hi~h thepatie"t wasadmitted tothehoapital (7.2 percent).

110
Table 65. Numkrand parcant ofoffice visits made bymalepatients, bydisposition ofvisit aAprincipal mawnforvisit intha Disaasa, injuries

and Advarw Effacts, Tam Results, and Administrative Modules: United States, 1977-78

Principal reason for visit and R VC code 7

Number Disposition of visit

of visits

No Return at Return Telephone in Other

thousands followup specified if followup disposiplanned time needed planned tions2

Percent of visits3

Allvisits bymalepatiants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diseaw Module

Infactive and parasitic diseases . . . , . . . . . . . . . . . . . . . . . . . . . .DOOI-D089

Viral diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D015

All other infective andparesitic diseases . . . . . . . . . . . . . . . . .DO05-D035

Naoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIOO-D199

Malignantneoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D1OO-DI35

Endocrine, nutritional, andmatabolic diseases . . . . . . . . . . . . . . .D200-D249

Diabetesmellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..Dz05

Al I other endocrine, nutritional, and metabolic

diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D200. D21C-D215

Dikeaaesofthe blood andblood-forming organs . . . . . . . . . . . . . .D250-D299

Marital disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D300-D349

Diaeasesofthenervoussystem . . . . . . . . . . . . . . . . . . . . . . . . ..D35GD399

Diseasesoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D400-D449

Diseasesoftheaar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D450-D4w

Diseases ofthacirculatory system . . . . . . . . . . . . . . . . . . . . . ..D500-D599

Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D51O

Ischemicheartdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D515

All otherdiseasesofthe circulator system . . . . .. D500-D505, D520-D550

Diseasesofthe respiratorysystam . . . . . . . . . . . . . . . . . . . . . ..D600-D649

Disaasesofthedigestiveaystem . . . . . . . . . . . . . . . . . . . . . . . ..D650-D699

Herniaofabdominalcavity . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D660

All other diseasas ofthadigastive systam . . . . . . .. D650-D655. D665-D675

Diseasesofthegenitourinarysystem . . . . . . . . . . . . . . . . . . . . ..D700-D799

Diseases oftheskin and subcutaneous tissue . . . . . . . . . . . . . . . . .D800-D899

Diseases of the muscu Ioskelatal system end connective

tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D900-D949

Injuries and Adverse Effects Module

lnjurybytypaand/orlocation. . . . . . . . . . . . . . . . . . . . . . . . . ..JOOI-J799

lnjury,N.0.S.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J900-J999

Test Results Module

Testresultsmodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..R1OO-R7OO

Administrative Module

Administrativemodula . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..A1OO-A14O

460,119

2,372

1,120

1,251

2,526

2,292

4,736

3,726

1,010

492

818

766

2,386

1,066

11,178

6,724

1,8s9

2,485

5,604

3,144

1,734

1,409

1,942

3,921

2,523

27,002

2,217

2,044

128072

13.2

17.3

● 15.7

* 18.7

●1.1

●1.O

+1.0

*0.4

●3.4

●2.3

●2.3

●7.1

●5.1

● 22.8

*3.O

*1.7

●2.4

●7.O

10.0

●9.6

●12.9

●5.5

●3.9

14.7

4.3

18.1

+ 14.6

●7.9

79.7

57.7

50.0

62.1

39.2

85.6

87.8

90.5

93.5

79.7

78.9

87.1

67.1

83.4

38.6

85.6

90.8

87.7

69.9

51.8

57.9

40.2

79.8

69.2

54.7

65.7

55.9

54.5 -

63.3

8.2

23.1

27.6

●21 .3

33.2

*3.6

●2.9

4.2

2.0

*12.3

9.9

“7.4

●17.7

*8.3

*31.O

7.2

5.7

9.7

●9.4

33.9

11.0

●12.8

*8.7

19.1

26.7

24.6

21.4

22.1

20.0

9.0

3.3

8.6

*1O.O

“7.3

“0.7

‘0.8

3.2

*3.3

* 2.7

“3.7

“0.8

‘ 0.4

“3.6

+1.7

*1.9

*1.O

●1.7

4.8

●1.1

“0.3

*2.1

●2.3

●1.8

●2.5

1.5

3.4

●2.6

●0.6

6.5

“6.8

* 3.8

●9.6

●13.5

*12.1

*6.1

6.3

● 5.2

*5.4

* 10.8

●13.1

*7.5

+9.7

6.7

●3.2

‘6.0

*16.7

*5.2

26.0

440.8

*7.8

7.7

*4.5

● 10.6

4.7

* 10.3

‘7.9

4.0

7See reference 1.

21ncjudeS referred to othar physician, returned to referring physician, admit to hospital, and other dispositions.

3per=ent~will n~taddto Ioo.obeceuse more than ‘1di$p~sitj~nwaspossible.

41ncludaS 376,118visits inwhich thepatiant wasadmi~ed totheh0Spiml (21.7 Percent).

5N.0.s. = not otherwise specified.

111
Table 66. Number andpercent ofofflce visits made bymalepatients, bydisposition ofvisit andprincipal reason forvisit inthe Diagnostic, Screening,

and Preventive Module and the Treatment Module: United States, 1977-78

Number Disposition of visit

Principal raason forvisit and RVCcodel of visits

No Return at Return Telephone in Other

follo Wup thousands specified if folio Wup disposiplanned time needed planned tions2

Allvisits by male patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diagnostic, Screening, and Preventive Module

General examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..XIOO-X199

General medical examination . . . . . . . . . . . . . . . . . . . . . . . . . . ..XIOO

Well baby examination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X105

Special examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X200-X299

Eyeexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X230

Heartexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X235

Diagnostictests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X300-X399

Glucose level determination . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X310

Bloodpressure test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X320

Another diagnostic tests . . . . . . X300-X305,X315,X325-X370

Other screening and preventive procedures . . . . . . . . . . . . . . . . .X400-X499

Prophylactic inoculations.. . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X400

Family planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X500-X599

Treatment Module

Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO-TI99

Allergy madlcation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO

Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T11O

Medicatmn, other and unspecified kinds . . . . . . . . . . .T115

Preoperative and postoperative care . . . . . . . . . . . . . . .T200-T205

Specifictypesoftherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T400-T499

Specifictherapeuttc procedures . . . . . . . . . . .T500T599

Fittinggla~esandcontact lenses . . . . . . . . . . . . . . . . . . . . . ..T515

Suture+nsertion,r emoval. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T555

Another specific therapeutic procedures . T500-T510, T520T550, T56O

Medicalcounseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T60GT699

Social problemcounseling. . . . . . . . . . . . . . . . . . . . . . . . . . . ..T700-T799

460,119

31,269

24,234

7,015

7,762

4,485

2,864

14,335

1,161

9,913

3,261

4,069

3,833

1,240

9,742

6,761

1,734

1,248

2,301

2,032

7,644

1,057

3,580

3,007

1,919

2,222 —

Percent of visits3

13.2

16.1

19.6

*3.8

15.2

25.4

‘0.8

5.1

*0.5

*2.5

14.9

36.8

36.9

+1.9

5.4

‘3.2

●12.8

“7.0

9.2

‘0.9

24.4

‘ 20.3

40.5

*6.8

*3.O

‘3.6

57.7

71.2

64.9

93.0

68.8

54.9

89.3

83.6

85.3

88.1

69.2

50.3

52.5

76.3

87.4

93.9

74.1

70.4

74.3

94.9

56.0

59.7

34.1

80.8

70.3

85.1

23.1

12.8

15.4

*3.9

15.2

19.2

*9.8

9.2

*5.2

9.5

*9.6

11.9

10.5

*8.4

8.2

‘4.4

*14.1

* 20.6

11.0

*3.9

18.4

‘20.0

24.2

*11.1

18.5

*9.3

3.3

1.9

2.4

++0.2

*1.O

“0.3

*2.2

2.5

*11.7

* 0.4

* 5.6

*1.O

*o. 1

*2.8

‘0.2

‘0.8

‘ 0.4

*0.8

*0.3

‘0.4

++0.9

‘0.9

‘0.4

6.5

8.3

2.6

+1.1

++ 1.7

*1.1

*0.9

2.5

*0.7

●1.6

*5.6

*0. I

*1O.8

‘0.6

*0.3

“3.4

7.6

“3.0

*2.8

‘0.6

‘2.9

*3.4

*12.O

*3.7

lSee reference 1.

21nclude~referred t~othar physician, returnadto referring physician, admit tohospital, andothar dispositions.

spercent~will no~addto Ioo, obacau$e more than ona disposition was possible.

’112
Table 67. Number a nd percent of office visits made by female patients, by selected principal reasons for visit in the Symptom Module and the most frequent principal

diagnoses: United States, 1977.78

Number Number Percent Percent

Principal reason for visit and diagnoses, and ICDA code I

of visits

of Principal reason for visit and diagnoses, and /CDA codel of visits

in of

visits in

thousands thousands

visits

Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Acute upper respiratory infection of multiple or

unspecified sites . . . . . . . . . . . . . . . . . . . . .465

Acutepharyngitis . . . . . . . . . . . . . . . . . . . ...482

Otitismedia without mention ofmastoiditis . . ..38 I

Acutetonsillitis . . . . . . . . . . . . . . . . . . . . ...463

Influenza,unqualified . . . . . . . . . . . . . . . . . . .470

Other generai symptoms. . . . . . . . . . . . . . . ...788

Otherviral diseases . . . . . . . . . . . . . . . . . . ...079

bronchitis, unqualified . . . . . . . . . . . . . . . . ..49o

Tiredness,exhauetionq . . . . . . . . . . . . . . . . . . . . . . .

Other and unspecified anemias . . . . . . . . . . . .. 285

Newousnessanddebility . . . . . . . . . . . . . . . ..79o

Neuroses . . . . . . . . . . . . . . . . . . . . . . . . . . ..3oo

Essential benign hypertension . . . . . . . . . . . ...401

Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Obasity notspecified asofendocrine origin . . ...277

Other andunspecified metabolic diseases . . . . . .279

Othergeneralsymptoms . . . . . . . . . . . . . . ...788

Myxedema . . . . . . . . . . . . . . . . . . . . . . . ...244

Polyglandular dysfunction and other diseases of

endocrineglands . . . . . . . . . . . . . . . . . . ...258

Chest pain and related symptoms (not referable to

body system) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Chronic ischemic heart diseaea . . . . . . . . . . . .412

Symptoms referable to respiratory system . . . ...783

Angina pectoris . . . . . . . . . . . . . . . . . . . . ...413

Other acute and subacute forms of ischemic

heartdisease . . . . . . . . . . . . . . . . . . . . . ...411

Otherdiseaeasof]oint . . . . . . . . . . . . . . . . ...729

Other nonarticular rheumatism . . . . . . . . . . ...717

Neuroses . . . . . . . . . . . . . . . . . . . . . . . . . . ..3oO

Anxietyandnervousness ..,. . . . . . . . . . . . . . . . . . .

Neuroses . . . . . . . . . . . . . . . . . . . . . . . . . . ..3oO

Essential banign hypertension . . . . . . . . . . . ...401

Nervousness anddebility2 . . . . . . . . . . . . . ...790

Menopausal symptoms . . . . . . . . . . . . . . . ...627

Personalitydisorders . . . . . . . . . . . . . . . . . ...301

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Neuroses . . . . . . . . . . . . . . . . . . . . . . . . . ...300

Newousnessand debilityz . . . . . . . . . . . . . ...790

Affectivepsychoses . . . . . . . . . . . . . . . . . ...286

Personality dkorders . . . . . . . . . . . . . . . . . ...301

Headache,pain inhead . . . . . . . . . . . . . . . . . . . . . . .

Headache . . . . . . . . . . . . . . . . . . . . . . . . ...791

Essential banign hypertension . . . . . . . . . . . ...401

Special symptoms notelsewhere claseified3 . . ...306

Migraine . . . . . . . . . . . . . . . . . . . . . . . . . ...346

Chronicsinusitis . . . . . . . . . . . . . . . . . . . . ...503

Neuroses . . . . . . . . . . . . . . . .,...........300

Refractiveerrors . . . . . . . . . . . . . . . . . . . . . .370

Acute upper respiratory infection of multiple or

unepecifiedsites . . . . . . . . . . . . . . . . . . . ..465

Hayfever . . . . . . . . . . . . . . . . . . . . . . . . ...507

Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . .

Essential banign hypertension . . . . . . . . . . ...401

Certain symptoms referable to nervous system

andspecial senses . . . . . . . . . . . . . . . . . ...780

Other inflammatory diseasesof ear . . . . . . . ...384

Neuroses . . . . . . . . . . . . . . . . . . . . . . . . . . ..3oO

Abnormal pulsations and palpitations . . . . . . . . . . . . . .

Symptomatic heartdisease . . . . . . . . . . . . . ...427

Vkiondysfunctions . . . . . . . . . . . . . . . . . . . . . . . . .

Refractiveerrors . . . . . . . . . . . . . . . . . . . . ..370

8,930

1,597

1,217

698

860

668

502

490

416

5,678

691

674

480

431

10,625

5,344

2,165

722

623

412

9,032

1,327

774

766

418

382

●317

“303

7,962

4,196

440

439

378

366

6,014

2,800

1,042

591

432

12,148

1,681

1,590

1,369

1,264

729

500

352

344

“320

7,405

1,369

1,009

815

’297

1,960

831

9,599

4,436

100.0

17.9

13.6

10.1

9.6

7.5

5.6

5.5

4,7

100,0

12.2

11.9

8.5

7.6

100,0

50.3

20.4

6.8

5.9

3.9

100.0

14.7

8.6

8.5

4.6

4.2

3.5

3.4

100.0

52.7

5.5

5.5

4.8

4.6

100.0

46.6

17.3

9.8

7.2

100.0

13.8

13.1

11.3

10.6

6.0

4.1

2.9

2.8

2.6

100.0

18.7

13.6

11.0

4.0

100.0

42.4

100.0

46.2

Cataract . . . . . . . . . . . . . . . . . . . . . . . . . ...374

Otherdiseaeasofeye . . . . . . . . . . . . . . . . . ...378

Otherdiseasesof retinaandoptic nerve . . . . . .,377

Glaucoma . . . . . . . . . . . . . . . . . . . . . . . . ...375

Abnormalsensationsoftheeye . . . . . . . . . . . . . . . . . .

Conjunctivitis and ophthalmia . . . . . . . . . . ...360

Refractiveerrors . . . . . . . . . . . . . . . . . . . . . .37o

Kemtitis . . . . . . . . . . . . . . . . . . . . . . . . . ...363

Shortnessofbreath . . . . . . . . . . . . . . . . . . . . . . . . . .

Chronic ischemic heart disease , . . . . . . . . . . . .412

Symptomatic heart disease . . . . . . . . . . . . . ...427

Asthma . . . . . . . . . . . . . . . . . . . . . . . . . ...493

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Acute upper respiratory infection of multiple or

unspacifiedsites . . . . . . . . . . . . . . . . . . ...465

bronchitis, unqualified . . . . . . . . . . . . . . . ...490

Acute bronchitis and bronchiolitis . . . . . . . . . . .466

Acute nasopharyngitis (common cold) . . . . . ...460

Influenza, unqualified . . . . . . . . . . . . . . . . ...470

Acutepharyngitis . . . . . . . . . . . . . . . . . . . ...462

Asthma . . . . . . . . . . . . . . . . . . . . . . . . . ...493

Hayfever . . . . . . . . . . . . . ., . . . . . . . . . ...507

Otherdiseases of respiratory system . . . . . . . ...519

Otitismadia without mentio”of mamoidltis . . .. 381

Pneumonia,unspacified . . . . . . . . . . . . . . . ...466

Chronicsinusitis . . . . . . . . . . . . . . . . . . . . ...503

Symptomsreferabletothroat. . . . . . . . . . . . . . . . . . .

Acutepharyngitis . . . . . . . . . . . . . . . . . . . ...462

Acutetonsillitis . . . . . . . . . . . . . . . . . . . . ...483

Acute upper respiratory infection of multiple

orunspecifiedsites . . . . . . . . . . . . . . . . . ...465

Streptococcal sore throat and scarlet fever . . . ..034

Othardiseasesof the respiratory tract . . . . . ...508

Otitismedia without mention of mastoiditis . . . .361

Chronicsinusitis . . . . . . . . . . . . . . . . . . . . ...503

Acutenasopharyngitis . . . . . . . . . . . . . . . . ...460

[nfluenza,unqualified . . . . . . . . . . . . . . . . . ..47o

6ronchitis,unqualified . . . . . . . . . . . . . . . . . .490

Hayfever . . . . . . . . . . . . . . . . . . . . . . . . . ..5o7

Nausea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diarrhealdisease . . . . . . . . . . . . . . . . . . . . ..oo9

Prenatalcare . . . . . . . . . . . . . . . . . . . . . . . ..Y06

Gaetritisandduodenitis . . . . . . . . . . . . . . . ...536

Neurons . . . . . . . . . . . . . . . . . . . . . . . . . ...300

Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diarrhealdisease . . . . . . . . . . . . . . . . . . . . ..oog

Enteritis duetoother specified organism . . . . .008

Stomach pain, crampsandspasms . . . . . . . . . . . . . . . .

Gastritisand duodenitis . . . . . . . . . . . . . . . ...535

Diarrheal disease . . . . . . . . . . . . . . . . . . . ...009

Abdominal paln,cramps, spasms . . . . . . . . . . . . . . .

Symptoms referable toabdomenand

lowergastrointestinal tract . . . . . . . . . . . . . .785

Diarrhealdisease . . . . . . . . . . . . . . . . . . . . ..009

Functional disorders of intestines . . . . . . . . . .564

Diverticulaofintestine . . . . . . . . . . . . . . . ...562

Diseases ofparametrium andpalvic peritoneum . ,6I6

Gastritis andduodenitis -.................535

Other hernia of abdominal cavity without

mention ofobstruct!on . . . . . . . . . . . . . . .551

Cholelithiaeis . . . . . . . . . . . . . . . . . . . . . . ...574

Peptic ulcer, site unspecified . . . . . . . . . . . . . . .533

Cholecystitis and cholangitis without mention

ofcalculus . . . . . . . . . . . . . . . . . . . . . . ...575

1,504

764

606

405

3,617

807

364

● 324

3,182

609

525

455

15,769

4,602

3,269

1,032

621

598

544

530

496

406

399

365

345

20,079

6,854

3,512

2,650

1,309

385

’331

’331

’315

’303

* 298

● 281

3,162

484

●254

“253

“208

2,176

571

“ 297

‘3,882

670

425

12,441

1,236

633

759

633

631

496

466

466

389

364

15.7

6.0

6.3

4.2

100.0

22.3

10.1

9.0

100.0

19.1

16.5

14.3

100.0

29.2

20.7

6.6

3.9

3.8

3.5

3.4

3.1

2.6

2.5

2.4

2.2

100.0

34.1

17.5

13.2

6.6

1.9

+1.7

+1.7

●1.6

●1.6

●1.5

‘1.4

100.0

15.3

8.0

8.0

6.6

100.0

26.2

17.7

100.0

17.3

11.0

100.0

9.9

6.7

6.1

5.1

5.1

4.0

3.8

3.7

3.1

2.9

See footnotasat and of tabla.

113
Table 67. Number andpercent ofofflce visits made by female patients, by selected principal reasons for visit inthe Symptom Module andthemost frequent principal

diagnoses: United States, lg77.78_C~”.

Number

Percent Number Percent

Principal reason forvisitand diagnows, andlCDA codel i“ of visits

of Principal reason forvis!tand diagnoses, andlCDAcode~ in of visits

of

visits

thousands visits

thousands

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diarrhealdisease . . . . . . . . . . . . . . . . . . . . . . cjcrg

Frequency and urgency of urination . . . . . . . . .

Cystitis . . . . . . . . . . . . . . . . , . . . . . . . . . ...595

Strictureofurethra . . . . . . . . . . . . .,.......598

painful urination . . . . . . . . . . . . . . . . . . . . . . . . . .

Cystitis . . . . . . . . . . . . . . . . . . . . . . . . . . ...595

Other diseases of urinary tract ., . . . ...599

Urethritis (nonvenereal) . . . . . . . . . . . . . ,. ...597

Menstrual symptoms, other andunspeclfied . . . .

Disordersof menstruatio” . . . . . . . . . . . . . ...626

Menopausal symptoms . . . . . . . . . . . . . . . . . . . . . . . .

Menopausal symptoms . . . . . . . . . . . . . . . ...627

Uterineandvaginal bleedi”g . . . . . . . . . . . . . . . . . . . .

Disorders ofmenstruatio” , . . . . . . . . . . ,626

Vaginal discharge . . . . . . . . . . . . . . . . . . . . . . . . . . .

Infective diseasas of uterus (except cervix),

vaglna,andvulva . . . . . . . . . . . . . . . . . . ...622

MOniliasis . . . . . . . . . . . . . . . . . . . . . . . . . ..II2

Infective diseasesof cervix uteri . . . . . ,620

Painorsoreneaaof breast . . . . . . . . . . . . . . . . . . . . . .

Chroniccysticdisease of breast . . . . . . . . .610

Otherdiseasesofbreast . . . . . . . . . . . . . . . . ..61I

Lumpormassofbrmst . . . . . . . . . . . . . . . . . . . . . . .

Chronic cystic diseaseofbreast . . . . . , . . .610

Neoplasm of unspecified nature of skin and

musculoskeletal system . . . . . . . . . . . .232

Otherdiseaaesofbreast . . . . . . . . . . . . . . . ...611

Malignant neoplasm of breast . . . . . . . . 174

Benignneoplasmofbreast . . . . . . . . . . . . . . ..2I7

Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Sprains and strains of other ‘md ““specified

partaofback . . . . . . . . . . . . . . . . . . . . . ...847

Other nonarticular rheumatism . . . . .7I7

2,350

1,268

2,635

877

‘ 279

4,043

2,295

672

“261

1,566

991

2,642

2,074

4,196

1,957

3,939

1,455

724

411

1,627

451

“307

3,983

1,425

719

504

● 269

’218

5,654

1,214

604

53.9

100.0

33.3

10.6

100.0

54.8

16.6

6.5

100.0

63.3

100.0

73.0

100.0

46.6

100.0

37.0

18.4

10.5

100.0

27.7

18.9

100.0

35.8

18.1

12.7

6.7

5.5

100.0

21.5

10.7

Osteoarthritis andallied conditions . . . . . . . ...713

Vertebrogenic pain syndrome . . . . . . . . . . . ...728

Arthritisunspecified . . . . . . . . . . . . . . . . . ...715

Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Sprains and strains of other and unspecified parts

ofback . . . . . . . . . . . . . . . . . . . . . . . . ...847

Sprainsand strainsof sacroiliac region . . . . . ...846

Osteoarthritis and allied conditions . . . .713

Other nonarticular rheumatism . . . . . . . . . . ...717

Displacement of intervertebral disc . . . . . . . ...725

Vertebrogenicpain syndrome . . . . . . . . . . . .728

Arthritisunspecified . . . . . . . . . . . . . . . . . ...715

Lowbacksymptoms . . . . . . . . . . . . . . . . . . . . . . . . .

Sprainsand strains ofsacroiliac region . . . . . .846

Sprains and strains of other and unspecified parts

of back . . . . . . . . . . . . . . . . . . . . . . . . ...847

Vertebrogenic pain syndrome . . . . . . . . .728

Arthritisunspecified . . . . . . . . . . . . . . . . . . ..7I5

Hipsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Osteoarthritis andalliedconditmns . . . . . . . .713

Legsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Phlebitis andthrombophlebitis . . . , . . . . . . . .45 I

Arthritisunspecified . . . . . . . . . . . . . . . . . . . . . . .

Kneesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Osteoarthritis and allied conditions . . . . . . .713

Arthritiaunspecified . . . . . . . . . . . . . . . . . ...715

Synovitis, bursitis, andtenoaynovitis . . . . . . ...731

Sprainsand strainsofknaeand lag. . . . . . . . . .644

Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . .

Synovitis, bursitis, andtenoaynovitis . . . . . . ...731

Other nonarticular rheumatism . . . . . . . . . . .717

Osteoarthritis and allied conditions . . . . . . .713

Armaymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Synovitis, bursitis, andtenosynovitis . . . . . . .. 731

398

392

342

11,497

1,899

1,103

949

885

583

576

538

4,833

855

787

657

368

2,186

407

5,916

932

’311

5,156

1,279

569

452

388

4,733

1,479

506

363

2,651

400

7.0

6.9

6.1

100.0

16.5

9.6

8.3

7.7

5.1

5.0

4.7

100.0

17.7

16.3

13.6

7.6

100.0

18.6

100.0

15.8

5.3

100.0

24.8

9.6

8.6

7.5

100.0

31.0

10.6

7.6

100.0

15.1

lSee reference 1.

2Chiefly 790.2, depraSion “ot of psychotic orpsvchoneu rotlc origin.

3Chiefly 306.8, cephalalgia (hmdacheof nonorganic origin, or tension headache).

114
Table 68. Number andpercent ofoffice visits made bymalepatients, bywlected principal reasons forvisit inthe Symptom Module andthemost frequent principal

dia9noses: United States, 1977-78

Number

Percenr Number

Principal reason for visit and diagnoses, and ICDA codesi of visits Percent

of Principal reason forvisit anddiagnoses, andlCDAcode7 of visits

in of

visits in

rhousands visits

thousands

Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Acute upper respiratory infection of multiple or

unspecified sitas . . . . . . . . . . . . . . . . . . . . . 465

Acutepharyngitis . . . . . . . . . . . . . . . . . . . ...462

Acutetonsillitis . . . . . . . . . . . . . . . . . . . . ...463

Otitismedia without mention of mastoiditis . . . .381

Irrfluanza,unqualified . . . . . . . . . . . . . . . . ...470

Otherviral diseases . . . . . . . . . . . . . . . . . . ...079

Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Obesity notspacified asofendccrine origin . . . . .277

Other andunspecified metabolic diseases . . . . . .279

Chest pain and related symptoms (not referable to

bodysystem) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Chronic ischemic heart diseaae . . . . . . . . . . ...412

Anginapactoris . . . . . . . . . . . . . . . . . . . . ...413

Anxietyandnewousneaa . . . . . . . . . . . . . . . . . . . . . .

Neuroses . . . . . . . . . . . . . . . . . . . . . . . . . ...300

Personalitydisorders . . . . . . . . . . . . . . . . . ...301

Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Neuroses . . . . . . . . . . . . . . . . . . . . . . . . . ...300

Newousneaeanddebility2 . . . . . . . . . . . . . ...790

Schizophrenia . . . . . . . . . . . . . . . . . . . . . ...295

Parsonalitydisorders . . . . . . . . . . . . . . . . . ...301

Headache,pain inhead . . . . . . . . . . . . . . . . . . . . . . .

Essential banign hypertension . . . . . . . . . . . ...401

Headache . . . . . . . . . . . . . . . . . . . . . . . . ...791

Chronicsinusitis . . . . . . . . . . . . . . . . . . . . . ..5o3

Migraine . . . . . . . . . . . . . . . . . . . . . . . . . ...346

Special symptoms noteIsewhere classified3 . . ...308

Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . .

Eseantial banign hypertension . . . . . . . . . . . ...401

Certain symptoms referable to nervous system

andspecialsenses . . . . . . . . . . . . . . . . . . ...780

Other inflammatory dieaaeasofear . . . . . . . ...384

Chronic ischemic heatidieease . . . . . . . . . . ...412

Abnormal pulsations and palpitations . . . . . . . . . . . . . .

Symptomatic heartdiseaaa . . . . . . . . . . . . . ...427

Chronic ischemic heart disease . . . . . . . . . . . ..412

Visiondysfunctions . . . . . . . . . . . . . . . . . . . . . . . . .

Refractiveerrors . . . . . . . . . . . . . . . . . . . . . .370

Cataract . . . . . . . . . . . . . . . . . . . . . . . . . ...374

Other diseasasof retinaandoptic nerve . . . . ...377

Otherdiseasesofeye . . . . . . . . . . . . . . . . . ...378

Abnormal sansationsoftheeye . . . . . . . . . . . . . . . . . .

Conjunctivitisandophthalmia . . . . . . . . . . ...360

Shortnessofbraeth . . . . . . . . . . . . . . . . . . . . . . . . . .

Chronic ischemic heartdiseasa . . . . . . . . . . . ..412

Emphysema . . . . . . . . . . . . . . . . . . . . . . . ..492

Symptomatic heart disease . . . . . . . . . . . . . ...427

Otherdisaasesof respiratory system . . . . . . . ...519

Asthma . . . . . . . . . . . . . . . . . . . . . . . . . ...493

Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Eron~hiti$,unqualified . . . . . . . .. . . . . . . . . . . . . .

Acute upper respiratory infection of multiple or

unspecifiedsites . . . . . . . . . . . . . . . . . . . ..465

Acute bronchitis and bronchiolitis . . . . . . . . ...466

Pneumonia,unspecified . . . . . . . . . . . . . . . ...486

Asthma . . . . . . . . . . . . . . . . . . . . . . ,. . ...493

Acutepharyngitis . . . . . . . . . . . . . . . . . . . ...462

Otherdiseasesofrespiratorysystem . . . . . . . ...519

Chronicsinusitis . . . . . . . . . . . . . . . . . . . . . ..5o3

Hayfever . . . . . . . . . . . . . . . . . . . . . . . . ...507

Symptomsreferabletothroat.. . . . . . . . . . . . . . . . . .

Acutepharyngitis . . . . . . . . . . . . . . . . . . . ...462

Acutetonsiltitis ...,..... . . . . . . . . . . . ...463

Acute upper respiratory infection of mu Itiple

orun.specifiedsites . . . . . . . . . . . . . . . . . ...465

9,109

1,504

1,257

1,165

829

646

595

1,870

950

374

9,049

1,807

811

4,117

2,203

●254

3,068

1,475

345

“304

’295

6,194

905

621

603

351

’323

1,264

753

443

443

339

1,227

477

“324

6,225

2,611

1,001

486

361

2,271

478

3,292

544

449

420

403

●31 1

73,290

2,973

2,937

1,145

509

482

439

430

412

360

14,805

4,798

3,276

2,150

100.0

16.5

13.8

12.8

9.0

7.1

6.5

100.0

50.8

20.0

100.0

20.0

9.0

100.0

53.5

6.2

100.0

48.1

11.3

9.9

9.6

100.0

14.6

10.0

9.7

5.7

5.2

100.0

19.1

11.3

11.3

8.6

100.O

38.9

26.4

100.0

45.2

16.1

7.8

5.8

100.0

21.1

100.0

16.5

13.6

12.8

12.2

9.5

100.0

22.4

22.1

8.6

3.8

3.6

3.3

3.2

3.1

2.7

100.0

32.4

22.1

14.5

Symptomsreferabie tothroat–Con.

Streptococcal sore throat andacarlatfever . . ...034

Influenza, unqualified . . . . . . . . . . . . . . . . ...470

Acute laryngitis andtracheitia . . . . . . . . . . . ...464

Bronchitis,unqualified . . . . . . . . . . . . . . . . ..49o

Otherdiseasesofrespirator#tred . . . . . . . . ...508

Stomach pain,crampsandspasms . . . . . . . . . . . . . . . .

Gaatritisandduodanitis . . . . . . . . . . . . . . . ...535

Abdominal pain,cramps,and apasms . . . . . . . . . . . . . .

Diarrhealdisaase . . . . . . . . . . . . . . . . . . . ...009

Gastritisandduodenitis . . . . . . . . . . . . . . . ...535

Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diarrhealdiaaasa . . . . . . . . . . . . . . . . . . . . . . 009

Frequency andurgency of urination . . . . . . . . . . . . . . .

Hyperplasiaofprostata . . . . . . . . . . . . . . . ...600

Prostatitis . . . . . . . . . . . . . . . . . . . . . . . . ...601

painfulurination . . . . . . . . . . . . . . . . . . . . . . . . . . .

Prostatitis . . . . . . . . . . . . . . . . . . . . . . . . ...601

Qsitis . . . . . . . . . . . . . . . . . . . . . . . . . . ...595

Urethritia (nonvaneraal) . . . . . . . . . . . . . . . ...597

Symptoms ofmalereproductivesystem . . . . . . . . . . . .

Other diseases of malegenital organs . . . . . . . . .6o7

Prostatitis . . . . . . . . . . . . . . . . . . . . . . . . . ..6o1

Orchitisandapididymitis . . . . . . . . . . . . . . . . .604

Urethritis (nonvenereal) . . . . . . . . . . . . . . . ...597

Othervenerealdisaasa . . . . . . . . . . . . . . . . ...099

Hyparplasiaofprostate . . . . . . . . . . . . . . . ...600

Gonococcal infections . . . . . . . . . . . . . . . . ...098

Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Sprains and atrains of other and unspecified

partsofback . . . . . . . . . . . . . . . . . . . . . ...847

Other nonerticularrheumatism . . . . . . . . . . . ..717

Osteoarthritis andallied conditions . . . . . . . . ..713

Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Sprains and strains of other and unspecified

partsofback . . . . . . . . . . . . . . . . . . . . . ...347

Sprainsand strainsofsacroiliac region . . . . . . . .646

Displacement of interverrebra[ disc . . . . . . . ...725

Othernonarticu[arrheumatism . . . . . . . . . . . . .717

Osteoarthritis andallied conditions . . . . . . . . ..713

Vertebrogenicpain eyndrome . . . . . . . . . . . ...728

Arthritis,unspecified . . . . . . . . . . . . . . . . . ..71!5

Lowbmksymptoms . . . . . . . . . . . . . . . . . . . . . . . . .

Sprains and strains of other and unspecified

partsofback . . . . . . . . . . . . . . . . . . . . . ...647

Sprains andstrains ofsacroiliac ragion . . . . . . ..646

Vertebroganicpain syndrome . . . . . . . . . . . ...728

Hipsymptoms ...,...,.. . . . . . . . . . . . . . . . . . . .

Osteoarthritis andalliad conditions . . . . . . . . ..713

Legaymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Phlcbitisandthrombophlebitis . . . . . . . . . . ...451

Other peripheral vaecular disease . . . . . . . . . ...443

Kneesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Didocationofknee . . . . . . . . . . . . . . . . . . ...836

Osteoarthritis andallied conditions . . . . . . . . ..713

Otherdiseasesofjoint . . . . . . . . . . . . . . . . ...729

Sprainsandstrainsof kneeandlag . . . . . . . . ...844

Arthritis,unspecified. .,... . . . . . . . . . . . ...715

Synovitw, bursitis, andtenosynovitis . . . . . . ...731

Contusion of hip, thigh, legand ankle . . . . . . ..927

Ostacchondrosis . . . . . . . . . . . . . . . . . . . . ...722

internal darangamantofjoint . . . . . . . . . . . ...724

Medical andsurgical aftercare . . . . . . . . . . . . ..Y1O

Shoulderaymptoms . . . . . . . . . . . . . . . . . . . . . . . . .

Synovitis, bursitis, andtanosynovitis . . . . . . ...731

Sprains andstrains ofshoulder and upper arm . ..840

878

362

‘ 265

●262

*226

2,525

423

5,126

451

369

2,496

1,363

1,705

395

389

1,424

411

‘ 243

“211

4,884

710

604

516

342

’309

● 263

● 225

4,080

882

513

● 287

11,010

2,160

1,603

1,132

659

657

588

393

4,811

1,162

958.

353

1,561

’303

4,580

383

’234

5,653

751

671.

664

517

447

‘ 337

“324

’321

’317

“308

3,933

1,316

507

5.9

2.5

1.8

1.8

1.5

100.0

16.8

1 Cro.o

8.8

7.2

100.0

54.6

100.0

23.2

22.8

100.0

28.8

17.1

14.6

100.0

15.2

13.0

11.1

7.3

6.6

5.6

4.8

100.0

21.7

12.6

7.1

100.0

19.6

14.6

10.3

6.0

6.0

5.2

3.6

100.0

24.1

19.9

7.3

100.0

19.4

100.0

8.4

5.1

100.0

13.3

11.9

11.7

9.1

7.9

6.0

5.7

5.7

5.6

5.5

?00.0

33.5

12.9

‘See reference 1.

2Chiefly 7g0.2, depression not of psychotic orpsychonaurotic origin.

3Chiefly 306.8, cephalalgia [headache of nonorganic origin, or tension headache).

115
Appendixes

Contents

1. Technical notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117

Statistical design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 117

Datacollection andprocessing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 118

Estimation procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119

Reliability ofestimates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119

Tests ofsignificance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120

Population figures and ratecomputation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122

Systematic bias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123

Il. Definition ofterms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..’125

Terms relating tothesurvey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125

Terms relatingto thePatientRecord form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126

lil. Survey instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128

Listofappendix figures

1.

Il.

Ill.

Approximate relative standard errors for estimated numbers of office visits basedon all physician specialties (A), and

individual specialties(B), 1977-78 National Ambulatory Medical Care Survey. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121

Approximate relative standard errors forpercentages ofestimated numbers ofoffice visits based onall physician specialties, 1977-78 National Ambulatory Medical Care Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122

Approximate relative standard errors for percentages of estimated numbers ofoffice visits based on individual physician

specialties, 1977-78 National Ambulatory Medical Care Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123

List of appendix tables

1. Distribution of physicians in the 1977-78National Ambulatory Medical Care Survey sample andresponse rates, byphysician’s specialty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118

Il. Estimates of the civilian noninstitutional izedpopulation of the United States used incomputing annual visit rates inthtis

report, by age, race, sex, geographic region, and metropolitan and nonmetropolitan area: United States, 1977-78. . . . . . 124

116
Appendix L Technical notes

This report is based on data collected during 1977

and 1978 in the Natiomd Ambulatory Medical Care

Survey (NAMCS), an annual sample survey of officebased physicians conducted by the Division of Health

Care Statistics of the National Center for Health Statistic (NCHS). Because the 1977 and 1978 surveys

were conducted with the same instruments, definitions, and procedures, the 2 years of data are readily

combined to provide greater reliability of data. Details of the annual survey’s design and procedures are

presented in the following sections.

Statistical design

Scope of the survey. –The target population of

NAMCS encompasses office visits made within the

conterminous United States by ambulatory patients

to nonfederally employed physicians who are principally engaged in office practice, but not in the specialties of anesthesiology, pathology, or radiology.

Telephone contacts and nonoffice visits are excluded.

Sample design. –The NAMCS utilizes a multistage

probability design that involves probability samples

of primary sampling units (PSU’S), physician practices

within PSU’S, and patient visits within practices. The

first-stage sample of 87 PSU’S was selected by the National Opinion Research Center of the University of

Chicago, the organization responsible for NAMCS

field and data processing operations under contract to

NCHS. A PSU is a county, a group of adjacent counties, or a standard metropolitan statistical area

(SMSA). A modified probability-proportional-to-size

procedure using separate sampling frames for SMSA’S

and for nonmetropolitan counties was employed. After sorting and stratifying by size, region, and demographic characteristics, each frame was divided into

sequential zones of 1 million residents, and a random

number was drawn to determine which PSU came

into the sample from each zone.

The second stage consisted of a probability sample of practicing physicians selected from the master

fdes maintained by the American Medical Association

(AMA) and the American Osteopathic Association

(AOA) who met the following criteria:

Office-based, as defined by AMA and AOA.

Principally engaged in patient care activities.

Nonfederally employed.

Not in the specialties of anesthesiology, pathology,

clinical pathology, forensic pathology, radiology,

diagnostic radiology, pediatric radiology, or therapeutic radiology.

Within each PSU, all eligible physicians were arranged by nine specialty groups: general and family

medicine, internal medicine, pediatrics, other medical

specialties, general surgery, obstetrics and gynecology, other surgical specialties, psychiatry, and all

other specialties. Then, with each PSU, a systematic

random sample of physicians was selected so that the

overall probability of selecting any physician in the

United States was approximately constant.

During 1977-78 the NAMCS physician sample included 6,007 physicians. Sample physicians were

screened at the time of the survey to ensure that they

met the aforementioned criteria; 973 physicians did

not meet all the criteria and were therefore ruled out

of scope (ineligible) for the study. The most common

reasons for being out of scope were that the physician

was retired, deceased, or employed in teaching, research or administration. Of the 5,034 in-scope (eligible) physicians 3,782 (75. 1 percent) participated in

the study. Of the participating physicians, 560 saw

no patients during their assigned reporting period

because of vacations, illnesses, or other reasons for

being temporarily not in practice. The physician

sample size and response data by physician specialty

are shown in table I.

The final stage was the selection of patient visits

within the annual practices of the sample physicians.

This stage involved two steps. First, the total physician sample was divided into 52 random subsamples

117
Table 1. Distribution of physicians in the 1977-78 National Ambulatory Medical Care Survey sample and response rates, by physician specialty

Physician specialty

Gross out Net Non- Respond- Response

total of total respondscopeen ts rate

ents

All specialties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,007 973 5,034 1,252 3,782 75.1

General and family practice . . . . . . . . . . . . . . . . . . . . . . 1,496 269 1,227 365 862 70.3

Medical specialties . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,646 255 1,391 355 1,036 74.5

Internal medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . 851 126 725 193 532 73.4

Pediatrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411 71 340 74 266 78.2

Other medical specialties . . . . . . . . . . . . . . . . . . . . . . 384 58 326 88 238 73.0

Surgical specialties . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,120 217 1,903 438 1,465 77.0

General surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . 586 76 510 109 401 78.6

Obstetricsandgynecology . . . . . . . . . . . . . . . . . . . . . 494 43 451 115 336 74.5

Other surgical specialties . . . . . . . . . . . . . . . . . . . . . . 1,040 98 942 214 728 77.3

Otherspecialties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 745 232 513 94 419 81.7

Psychiatry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 441 84 357 68 289 81.0

Otherspecialties . . . . . . . . . . . . . . . . . . . . . . . . . . . . 304 148 156 26 13.0 83.3

of approximately equal size, and each subsample was

randomly assigned to 1 of the 52 weeksin the survey

year. Second, a systematic random sample of visits

was selected by the physician during the assigned

week. The sampling rate varied for this final step

from a 100-percent sampIeforvery small practicesto

a 20-percent sample for very large practices. The

method by which thesamplingrate wasdeterminedis

described laterin this appendix and in the Induction

Interview form.2 During 1977-78, 98,335 usable

Patient Record forms were completed by physicians

participating in NAMCS.

Data collection and processing

Field procedures. –Both mail and telephone congacts were used to enlist sample physicians for

NAMCS. Physicians received introductory letters

from NCHS and AMA or AOA? When appropriate, a

letter from the physician’s specialty organization endorsing the survey and urging his participation, was

enclosed with the NCHS letter. A few days later, a

field representative telephoned the physician to explain briefly the study and arrange an appointment

for a personal interview. A physician who did not respond initially was generally recontacted via a telephone call or special explanatory letter requesting

him to reconsider participation in the study.

During the personal interview the field representative determined the physician’s eligibility, ascertained

his cooperation, delivered survey materials with verbal and printed instructions, and assigned a predetermined Monday-Sunday reporting period. A short interview concerning basic practice characteristics, such

as type of practice and expected number of office

visits, was conducted. Office staff who were to assist

with data collection were invited to attend the instruction session or were offered separate instruction

sessions.

NOTE: A list of references follows the text.

118

Before the beginning of and again during the

week assigned for data collection, the interviewer

telephoned the sample physician to answer questions

that might have arisen and to ensure that procedures

were going smoothly. At the end of the survey week,

the participating physician mailed the finished survey

materials to the interviewer, who edited the forms for

completeness before transmitting them for central

data processing. Problems of missing or incomplete

data were resolved at this stage by interviewer telephone followup to the sample physician; if no problems were found, field procedures were considered

complete regarding the sample physician’s participation in NAMCS. After the end of the survey year,

each sample physician was sent a thank-you letter

from NCHS along with one of the survey’s statistical

reports.

Data collection. –The actual data collection for

NAMCS was carried out by the physician, aided by

his office staff when possible. Two data collection

forms were employed by the physician: the Patient

Log and the Patient Record (appendix III). The Patient Log is a sequential listing of patients seen in the

physician’s office during his assigned reporting week.

This list served as the sampling frame to indicate the

visits for which data were to be re,corded. A perforation between the patient names and patient visit

characteristics permitted the physician to remove and

retain the patient names, thus protecting the confidentiality of the patients.

Based on the physician’s estimate of the expected

number of office visits, each physician was assigned a

patient sampling ratio. These ratios were designed so

that about 30 Patient Record forms were completed’

during the assigned reporting week. Physicians expecting 10 or fewer visits each day recorded data for

all visits, those expecting more than 10 visits per day

recorded data for every second, third, or fifth visit,

based on the predetermined sampling interval. These

procedures minimized the data collection workload
and maintained approximately equal reporting levels

among sample physicians regardless of practice size.

For physicians assigned a patient sampling ratio, a

random start was provided on the first page of the

log, so that predesignated sample visits recorded on

each succeeding page of the log provided a systematic

random sample of patient visits during the reporting

period.

Data processing. –In addition to completeness

checks made by the field staff, clerical edits were

performed on receipt of the data for central processing. These procedures proved quite efficient, reducing

the item nonresponse rates to a negligible amount–2

percent or less for all items.

Information contained in item 6 (patient’s problem or reason for visit) of the Patient Record form

was coded according to A Reason for Visit Classification for Anzbzdatory Care.1 Diagnostic information

(item 8 of the Patient Record form) was coded according to the Eighth Revision International Classification of Diseases, Adapted for Use in the United

States (ICDA).l 1 A maximum of three entries was

coded from each of these items. Quality control in

the medical coding operation involved a two-way

independent verification procedure with 100-percent

verification. Coding differences were adjudicated at

NCHS.

Information from the Induction Interview and

Patient Record forms was keypunched, with 100-

percent verification, and converted to computer tape

(see Series 13, No. 44 for a complete listing of survey

instruments). At this point, extensive computer consistency and edit checks were performed. Incomplete

items were imputed by assigning a value from a Patient Record form with similar characteristics; physician specialty and broad diagnostic categories were

used as the basis for these imputations.

Estimation procedures

Statistics from the NAMCS were derived by a

multistage estimation procedure, which produces

essentially unbiased national estimates and has three

basic components: (1) inflation by reciprocals of the

probabilities of selection, (2) adjustment for nonresponse, and (3) a ratio adjustment to fixed totals.

Each component is described briefly.

Inflation by reciprocals of sampling probabilities. —Because the survey utilized a three-stage sample

design, three probabilities of selection existed: (1) the

probability of selecting the PSU, (2) the probability

of selecting a physician within the PSU, and (3) the

probability of selecting a patient visit within the physician’s practice. The last probabilityy was defined to

be the exact number of office visits during the physician’s specified reporting week divided by the numNOTE: A list of references follows the text.

ber of Patient Record forms completed. All weekly

estimates were inflated by a factor of 52 to derive

annual estimates.

Adjustment for nonresponse. –Estimates from the

NAMCS data were adjusted to account for sample

physicians who did not participate in the study. This

adjustment was performed to minimize the impact of

response on final estimates by imputing to nonresponding physicians the practice characteristics

of similar responding physicians. For this purpose,

physicians were judged similar if they had the same

specialty designation and practiced in the same PSU.

Ratio adjustment. –A poststratification adjustment was made within each of nine physician specialty

groups. The ratio adjustment was a multiplication factor of which the numerator was the number of physicians in the universe in each physician specialty group

and the denominator the estimated number of physicians in that particular specialty group. The numerator was based on figures obtained from the AMAAOA master fdes, and the denominator was based on

data from the sample.

Reliability of estimates

Because the statistics presented in this report are

based on a sample, they differ somewhat from the

figures that would be obtained if a complete census

had been taken by using the same forms, instructions,

and procedures. However, the probability design of

NAMCS permits the calculation of sampling errors.

The standard error is primarily a measure of sampling

variability that occurs by chance because only a

sample rather than the entire population is surveyed.

The standard error, as calculated in this report, also

reflects part of the variation that arises in the

measurement process. It does not include estimates of

any systematic biases that may be in the data. The

chances are about 68 out of 100 that an estimate

from the sample would differ from a complete census

by less than the standard error. The chances are about

95 out of 100 that the difference would be less than

twice the standard error, and about 99 out of 100

that it would be less than 2Y2 times as large.

The relative standard error of an estimate is

obtained by dividing the standard error by the

estimate itself and is expressed as a percent of the

estimate. For this report, an asterisk (*) precedes any

estimate with more than a 30-percent relative standard error.

Estimates of sampling variability were calculated

by using the method of half-sample replication. This

method yields overall variability tlmough observation

of variability among random subsamples of the total

sample. A description of the development and evaluation of the replication technique for error estimation

has been published.1 Z>13

Approximate relative standard errors for aggre119
gates and percentages are presented in figures I-HI.

To derive error estimates that would be applicable to

a wide variety of statistics and could be prepared at

moderate cost, several approximations were required.

As a result, the relative standard errors shown in tigures I-III should be interpreted as approximate rather

than exact for any specific estimate. Directions for

determining approximate relative standard errors

follow.

Estimates of aggregates. -Approximate relative

standard errors (in percent) for aggregate statistics are

presented in figure I. Curve A presents relative standard errors appropriate for estimates based on all physician specialties, such as the number of visits by females under 15 years of age. Curve B presents relative

standard errors appropriate for estimates based on

an individual physician specialty, such as the number

of visits to internists by males over 65 years of age.

Alternatively, relative standard errors can be calculated directly by using the following formulae. For

estimates based on all physician specialties,

RSE(X) =

where x is the

=30”6:686401”””

aggregate of interest in thousands. For

estimates based on an individual physician specialty,

J--- 34.575057

RSE(X) = 0.003780 + “ 100.0

x

where x is the aggregate of interest in thousands.

Estimates of percentages, –Approximate relative

standard errors (in percent) for estimates of percentages can be calculated from figure I as follows. Obtain

the relative standard error of the numerator and denominator. Square each of the relative standard

errors, subtract the resulting value for the denominator from the resulting value for the numerator, and

extract the square root. This calculation has been

made for several percentages and bases, and is presented in figures II and III. Relative standard errors

appropriate for percentages based on all physician

specialties are presented in figure II. These errors may

be calculated directly by using the following formula:

RSE@) =

J

30.676864 ● (1 -p) . 1000

p“x

where p is the percentage of interest and x is the base

in thousands. Relative standard errors appropriate for

percentages based on an individual physician specialty

are presented in figure HI. These errors may be calculated directly by using the following formula:

RSE@) =

J

34.575057 “ (1 -p) . ~oo “

p“x

where p is the percentage of interest and x is the base

in thousands.

Estimates of rates where the numerator is not a

subclass of the denominator. —Approximate relative

standard errors for rates in which the denominator is

the total U.S. population or one or more of the

age-sex-race groups of the total population are equivalent to the relative standard error of the numerator

that can be obtained from figure I.

Estimates of differences between two statistics. –The relative standard errors shown in this

appendix are not directly applicable to differences

between two sample estimates. The standard error of

a difference is approximately the square root of the

sum of the squares of each standard error considered

separately. This formula represents the standard error

quite accurately for the difference between separate

and uncorrelated characteristics, although it is only a

rough approximation in most other cases.

In addition to sampling error, survey results are

subject to reporting and processing errors and biases

due to nonresponse or incomplete response. The

magnitude of these errors cannot be computed.

However, they were kept to a minimum by procedures built into the survey operation. Careful attention and extensive pretesting were given to the

phrasing of the questions and the terms (and their

definitions) employed to eliminate ambiguities and

encourage uniformity of reporting. The steps taken to

reduce nonresponse bias are discussed in th!e sections

on field procedures and data collection. Quality

control procedures and consistency and edit checks

discussed in the data processing section reduced

errors in data coding and processing.

Tests of significance

In this report, the determination of statistical

inference is based on the t-test with a critical value of

1.96 ,(0.05 level of significance). Terms relating to

differences, such as “higher,” “less,” etc,, indicate

that the differences are statistically significant. Terms

such as “similar” or “no difference” mean that no

statistical significance exists between the estimates

being compared. A lack of comment regarding the

difference between any two estimates does not mean

that the difference was tested and found to be not

significant.

120
100

90

80

70

80

50

40

30

20

10

~

6

5

4

3

2

;.9

::;

0.6

0,5

0.4

0.3

0.2

0.1

AZ 3 456789A 2 3 4 56789A 2 3 456789A 2 3 456789A

100

2 3 456789A

1,000 10,000 100,000 1,000,000 10,000,000

Size of estimate (in thousands)

Example of use of chart: An estimate of 20 million office visits to general surgeons (reed from scale et bottom of chart) has a relatlva standard error of 7.4 percent (read from curve B

on scale at left of chert) or a standerd error of 1,480,000 office visits (7,4 percent of 20 million visits),

Figure 1. Approximate relative standard errors for estimated numbers of office visits based on all physician specialties (A), and individual specialties (B),

1977-78 National Ambulatory Medical Care Survey
I00

90

80

70

60

50

40

30

20

1:

8

7

6

5

4

3

2

Oil

0.8

0.7

0.6

0.5

0.4

0.3

0.2

0.1

70

60

50

4U

30

20

10

100

90

80

~luu- !

N I I I ml I IN I 1 I 1 I 1 1 1 1 1 1 ! , 1

II iitfl 4

I i Ixl I I 1“ 3

Et%%

I I I I I 1 1 1 1 1 1 1 1 1

2

:.9

0.8

0.7

0.6

nil 0.!5

1 1 1

I

1111M-1 -

0.4

U.3

0.2

0.1

A 2 3 4 56789A 2 3 4 56789A 23 4 56789A

1 10 100 1,000

Estimated percentage

NOTE: Base of percentage shown on curves in millions.

Example of use of chert: An estimate of 40 percent ( read from scale at bottom of chart) based on an estimate of 50 million office visits

has a relative standard error of 3.2 percent (read from scale at left of chart) or a standard error of 1.3 percentage points (3.2 percent of

40 percent).

Figure II. Approximate relative standard errors for percentages of estimated numbers of office visits based on all physician specialties,

1977-78 National Ambulatory Medical Care survey

Population figures and rate computation

The base population used in computing annual

visit rates is presented in table II. The figures are

based on an average of the July 1, 1977 and July 1,

1978 provisional estimates for the civilian noninstitutionalized population of the United States provided

by the U.S. Bureau of the Census. Because NAMCS

includes data for only the conterminous United

States, the original census estimates were modified to

account for the exclusion of Alaska and Hawaii from

the study. For this reason, the population estimates

should not be considered official and are presented

here solely to provide denominators for rate

computations.

Estimates of numbers of visits in this report are

122
1::

80

70

60

50

40

30

20

1:

8

7

6

5

4

3

2

0.:

0.8

0.7

0.6

0.5

0.4

0.3

0.2

0.1

NOTE:

100

90

80

70

60

50

40

30

20

;0

8

7

6

5

4

3

2

1

:::

0.7

0.6

0.5

0.4

0.3

0.2

0.1

A 2 3 4 56789A 23 4 56789A 23 4 56789A

1 10 100 1,000

Estimated percentage

Base of percentage shown on curves in millions.

Example of use of chart: An estimate of 20 percent (read from scale at bottom of chart) based on an estimate of 100 million office

visits has a relative standard error of 3.5 percent (read from scale at Ieft of chart) or a standard error of 0.7 percentage points (3.5

percent of 20 percent).

Figure II 1. Approximate relative stendard errors for percentages of estimated numbers of office visits based on individual physician specialties,

1977-78 National Ambulatory Medical Care Suwey

for a 2-year period, but ratios and rates represent reliability estimates for average annual visit rates may

average annual estimates. The average annual esti- be calculated from figure I.

mates were calculated as follows. The numerator was

obtained by dividing the estimated number of office Systematic bias visits for 1977-78 by 2 to obtain an average annual

number of office visits. This number was then divided No attempts were undertaken to determine the

by the appropriate population figure to obtain an systematic bias on the data reported here. However,

average annual visit rate. As previously discussed, several factors, which the user of these data should

123
Table 11. Estimates of the civilian non institutionalized population of the United States used in computing annual visit rates in this repc}rt, by age,

race, sex, geographic region, and metropolitan and nonmetropolitan area: United States,l 1977-78

Age

Race, sex, geographic

region, and area All Under 15-24 25-34 35-44 45-54 55-64 65 years

agesz 15 years years years years years years and over

Race

All races . . . . . . . . . . . . . . .

Male . . . . . . . . . . . . . . . . . .

Female . . . . . . . . . . . . . . . .

White . . . . . . . . . . . . . . . . .

Male . . . . . . . . . . . . . . . . . .

Female . . . . . . . . . . . . . . . .

Black and another . . . . . . . .

Male . . . . . . . . . . . . . . . . . .

Female . . . . . . . . . . . . . . . .

Geographic region

Northeast . . . . . . . . . . . . . .

North Central . . . . . . . . . . .

South . . . . . . . . . . . . . . . . .

West . . . . . . . . . . . . . . . . . .

Area

Metropolitan . . . . . . . . . . . .

Nonmetropolitan . . . . . . . . .

211,679

102,137

109,541

183,351

88,883

94,468

28,328

13,255

15.073

48,555

56,966

69,057

37,101

144,767

66,911

50,804

25,917

24,887

42,111

21,539

20,572

8,693

4,378

4,315

. .

. . .

. . .

. . .

. . .

. . .

Number of persons in thousands

39,554 32,365 23,331

19,422 15,707 11,210

20,132 16,658 12,121

33,719 28,207 20,405

16,684 13,873 9,926

17,036 14,335 10,478

5,835 4,157 2,927

2,738 1,834 1,284

3,097 2,323 1,643

22,965

11,078

11,887

20,343

9,872

10,471

2,622

1,206

1,416

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

20,200

9,535

10,664

18,238

8,636

9,603

1,961

900

1,062

. . .

. . .

. . .

. . .

. . .

. . .

22,460

9,267

13,193

20,327

8,353

11,974

2,132

914

1,218

. . .

. . .

. . .

. . .

. . .

. . .

lExcludes Alaska and Hawaii.

2~igure~may rrotaddto tOta! duem rounding.

understand, indicate that these data underrepresent Visits to these physicians are not represented

the total number of office visits to office-based here.

physicians. Some ofthese factors are: 2. Physicians who participated in NAMCS did a

1.

thorough and conscientious job in keeping the

The sampling frames for the 1977 and 1978 Patient Log; however, the probability that a

NAMCS included all nonfederallyemp loyed,’’of- patient visit was accidentally omitted from the

fice-based, patient care” physicians on the AMA- survey ismuchgreater than theprobability thata

AOA master files. Certainly physicians who were patient was included who did not make a visit.

not classified thus at the time of the survey This factor also introduces an unknown bias into

would have met the criteria for that classification. the data.

124
Appendix IL Definition of terms

Terms relating to the survey

O~~ice(s).–Premises identified by the physician as

locations for his ambulatory practice. The responsibility over time for patient care and professional services

rendered there generally resides with the individual

physician rather than with any institution.

Ambulatory patient. -An individual seeking personal health services, who is neither bedridden nor

currently admitted to any health care institution on

the premises.

Physician. –Classified as either:

In scope: All duly licensed doctors of medicine

and doctors of osteopathy currently in practice

who spend some time in caring for ambulatory

patients at an office location.

Out of scope: Those physicians who treat patients

only indirectly, including specialists in anesthesiology, pathology, forensic pathology, radiology,

therapeutic radiology, and diagnostic radiology,

and the following physicians:

Physicians in military service.

Physicians who treat patients only in an

institutional setting (e.g., patients in nursing

homes and hospitals).

Physicians employed full time by an industry

or institution and having no private practice

(e.g., physicians who work for the Veterans

Administration, the Ford Motor Company,

etc.).

Physicians who spend no time seeing ambulatory patients (e.g., physicians who only teach,

are engaged in research, or are retired).

Patients. –Classified as either:

In scope: All patients seen by the physician or a

member of his staff in his office(s).

Out of scope: Patients seen by the physician in a

hospital, nursing home, or other extended care

institution, or the patient’s home. [Note: If the

physician has a private office (fitting the definition “office”) located in a hospital, the ambulatory patients seen there are considered in scope.]

The following types of patients are considered

out of scope:

Patients seen by the physician in an institution (including outpatient clinics of hospitals)

for whom the institution has the primary

responsibility over time.

Patients who telephone and receive advice

from the physician.

Patients who come to the office only to leave

a specimen, pick up insurance forms, or pay

their biIls.

Patients who come to the office only to pick

up medications previously prescribed by the

physician.

Visit. –A direct, personal exchange between an

ambulatory patient and a physician (or members of

his staff) to seek care and to render health services.

Physician specialty. –Principal specialty (including

general practice) as designated by the physician at the

time of the survey. Those physicians for whom a

specialty was not obtained were assigned the principal

specialty recorded in the master physician files

maintained by the AMA or the AOA.

Region of practice location. -The four geographic

regions, excluding Alaska and Hawaii, that correspond to those used by tie U.S. Bureau of the

Census:

Region States included

Northeast. . . . . . Connecticut, Maine, Massachusetts, New

Hampshire, New Jerseyr New York, Pennsylvania, Rhode Island, Vermont

North Central. . . Illinois, Indiana, Iowa, Kansasr Michigan,

Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, Wisconsin

125
Region States included

South . . . . . . . . . Alabama, Arkansas, Delaware, District of

Columbia, Florida, Georgia, Kentucky,

Louisiana, Maryland, Mississippi, North

Carol ina, Oklahoma, South Carolina, Tennessea, Texas, Virginia, West Virginia

Waft. ..,...... Arizonar California, Colorado, Idaho,

Montana, Nevada, New Mexico, Oregon,

Utah, Washington, Wyoming

Metropolitan status of practice location. –A

physician’s practice is classified by its location in a

metropolitan or nonmetropolitan area. Metropolitan

areas are standard metropolitan statistical areas

(SMSA’S) as defined by the U.S. Office of Management and Budget.

The definition of an individual SMSA involves

two considerations: first, a city or cities of a specified

population which constitute the central city and

identify the county in which it is located as the central county; second, ecoqomic and social relationships with “contiguous” counties that are metropolitan in character so that the periphery of the specific

metropolitan area may be determined. SMSA’S may

cross State lines. In New England, SMSA’S consist of

cities and towns rather than counties.

Terms relating to the Patient Record form

Age.–The age calculated from date of birth was

the age at last birthday on the date of visit.

Color or race.–On the Patient Record form, color

or race includes four categories: white, Negro or

black, other, and unknown. The physician was

instructed to mark the category, which in his judgment, was most appropriate for the patient based on

observation or prior knowledge of the patient or

both. The term “All other” was restricted to Orientals, American Indians, and persons of all other

races.

Was patient referred for this visit by another

physician 7–Referrals are any visits that are made

because of the advice or direction of a physician

other than the one being visited. The interest is in

referrals for the current visit and not in referrals for

any prior visit.

Patient’s complaint(s), symptom(s), or other reason(s) for this visit (in patient’s own words), –The

patient’s principal problem, complaint, symptom, or

other reason for this visit as expressed by the patient.

Physicians were instructed to record key words or

phrases verbatim to the extent possible, listing that

problem first which, in the physician’s judgment, was

most responsible for the patient’s visit.

Time since onset of complaint or symptom in

item 6a.—Physicians were instructed to check the

category corresponding to the length of time since

the known beginning of the patient’s most important

problem. The term “not applicable” was used when

the reason for visit was not a complaint or symptom

(e.g., annual and well-baby examinations). For postoperative visits, the term “onset” refers to the length

of time since surgery. For routine prenatal. visits,

onset refers to the length of time since conception.

For a flareup of a chronic condition (e.g., arthritis),

onset refers to the length of time since the flareup,

not the onset of the original condition.

Principal diagnosis. –The physician’s diagnosis of

the patient’s principal problem, complakt, or

symptom. In the event of multiple diagnoses, the

physician was instructed to list them in order of

decreasing importance; the term “principal” refers to

the first-listed diagnosis; The diagnosis represents the

physician’s best judgment at the time of the visit and

may be tentative, provisional, or definitive.

Other significant current diagnosis. –The diagnosis

of any other condition known to exist for the patient

at the time of the visit. Other diagnoses may or may

not be related to the reason for the visit.

Seriousness of problem in item 8a.–This item

includes four categories: very serious, serious, slightly

serious, and not serious. The physician was instructed

to check one of the four categories according to his

own evaluation of the seriousness of the patient’s

problem causing this visit. Seriousness refers to the

physician’s clinical judgment regarding the extent of

the impairment that might result if care vvas not

given.

Diagnostic services this visit. –Physicians were

instructed to check any of the following services that

were ordered or provided during the current visit:

Limited exam fhistory: History and/or physical

examination which is limited to a specific body

site or system or which is concerned primarily

with the patient’s chief complaint, for example,

pelvic examination or eye examination.

General exam/history: History and/or physical

examination of a comprehensive nature, including

all or most body systems.

Pap test: Papanicolaou test, self-explanatory.

Clinical lab test: One or more laboratory procedures or tests, including examination of blood,

urine, sputum, smears, exudates, transudates,

feces, and gastric content, and including chemistry, serology, bacteriology, and pregnancy test

(excludes Pap test).

X-ray: Any single or multiple X-ray examination

for diagnostic or screening purposes. Radiation

therapy is not included in this category.

EKG: Electrocardiogram, self-explanatory.

Vision test: Visual acuity test.

Endoscopy: Examination of the interior of any

body cavity, except ear, nose, and throat, by

means of an endoscope.

126
Blood pressure check: Self-explanatory.

Other: All other diagnostic services ordered or

provided that are not included in the preceding

categories.

Therapeutic services this visit. –Physicians were

instructed to check any of the following services that

were ordered or provided during the current visit:

Immunization/desensitization: Administration of

any immunizing, vaccinating, or desensitizing

agent or substance by any route, for example,

syringe, needle, oral, gun, or scarification.

Drugs (prescription/nonprescription): Drugs, vitamins, hormones, ointments, suppositories, or

other medications ordered or provided, except

injections and immunizations. Includes both prescription and nonprescription (over-the-counter)

medication.

Diet counseling: Instructions, recommendations,

or advice regarding diet or dietary habits.

Family planning: Services, counseling, or advice

that might enable patients to determine the

number and spacing of their children. Includes

both contraception and infertility services.

Medical counseling: Instructions and recommendations regarding any health problem, including

advice or counsel about change of habit or

behavior. Physicians were instructed to check this

category only if the medical counseling was a

significant part of the treatment. (Excludes diet

and family planning counseling.)

Physiotherapy: Any form of physical therapy

ordered or provided, including any treatment

using heat, light, sound, or physical pressure or

movement, for example, ultrasonic, ultraviolet,

infrared, whidpool, diathermy, cold therapy, and

manipulative therapy.

Office surgery: Any surgical procedure performed

in the office this visit, including suture of

wounds, reduction of fractures, application and/

or removal of casts, incision and draining of

abscesses, application of supportive materials for

fractures and sprains, and all irrigations, aspirations, dilatations, and excisions.

Psychotherapy/therapeutic listening: All treatments designed to produce a mental or emotional

response through suggestion, persuasion, reeducation, reassurance, or support, including psychological counseling, hypnosis, psychoanalysis, and

transactional therapy.

Other: Treatments ordered or provided that are

not included in the preceding categories.

Disposition this visit. –Eight categories are provided to describe the physician’s disposition of the

case as follows:

No followup planned: No return visit or telephone contact was scheduled for the patient’s

problem.

Return at specified time: Patient was told to

schedule an appointment or was instructed to

return at a particular time.

Return if needed, P.R.N.: No future appointment

was‘made, but the patient was instructed to make

an appointment with the physician if the patient

considered it necessary.

,Yelephone followup pihnned: Patient was instructed to telephone the physician on a particular day to report either on his progress, or if the

need arose.

Referred to other physician: Patient was instructed to consult or seek care from another

physician. The patient may or may not return to

this physician at a later date.

Returned to referring physician: Patient was

referred to this physician and was now instructed

to consult again with the physician who referred

him.

Admit to hospital: Patient was instructed that

further care or treatment would be provided in a

hospital. No further office visits were expected

prior to that admission.

Other: Any other disposition of the case not

included in the above categories.

Duration of this visit. –Time the physician spent

with the patient, not including the time the patient

spent waiting to see the physician, time the patient

spent receiving care from someone other than the

physician without the presence of the physician, and

time spent reviewing records, tests results, and so

forth. If patient was provided care by a member of

the physician’s staff but did not see the physician

during the visit, the duration of visit was recorded as

zero.

127
-

-

-

■

ASSURANCE OF CON FIDE NTIALITY–AII Inf.rmmkm which would permit ,d-s.t,fmm,.n of . . Indi., d.sl,

a r)ract,ce. 0, .“ e,t,bll,hment w,I1be held confidential. will be used 0“1” b“ Person, engaged,. and f.,

the Pur!Josnsof ,h. survey and will not be dl,closad O, rele.$%dto other Ixrs.an, ., used for ,“” other pur P.asn

1. DATE OF VISIT PATl ENT RECORD

/ / NATIONAL AMBULATORY MEDICAL CARE SURVEY PATIENT LOG

i

I

t’ ●wh pata”t ,,,%”,s,,CCO16“mm and ,,?

d .,%,1O. the @ Mbw F., Ihe pmmmen

Ia.9d . . km f2. ●Iw compte:ethe pawn

IuOld to lb rmh!.

!

2. DATE OF BIRTH 3. SEX 4. COLOROR 5. WAS PATIENT 6. PATlEt4T’S COMPLAlF4T(S), SYMPTOM(S) .OROTHER

RACE REFERRED FOR REASON(S] FOR THIS VISIT

THIS VISIT BY (In patient’s own wrdd

*

, ❑ WHITE ANOTHER

I ❑ FEh4AL6 z ❑ NEGRO/ PHYSICIAN? ,. MIJST

BLACK lMpORTANT

I ❑ MALE 1 ❑ YES

s ❑ OTHER b. OTHER

PATIENT’S NAME ~1 TIME OF

VISIT

I 140 UNKNOWN I

~mNO I

10. SERIOU2NE33 OF

CONDITION IN

lTEMSa iCheckon.3)

7. TIME SINCE ONSET

OF CDMPLAIPST/

SYMPTOM IN ITEM ~

(Check one)

8. PHYSICIANS DIAGNOSES

●. PIIINCIPAL DIAGNOSIS/PROBLEM ASSOCIATED WITH

ITEM 6,

9. tWVE YOU SEEN

PATIENT BEFORE?

1 ❑ YES *ONO

+

IF YES, FOR THE

CON DITlON IN

ITEM S.7

I ❑ vERY SERIOUS

1 ❑ SE R1OUS

an SLIGHTLY

SE R1OUS

4 ❑ NOT SERIOUS

, ❑ LESS THAN 1 OAY

, ❑ 1.6 DAYS

, ❑ 1.3wEEKS

4 ❑ 1-3 MONTHS +--l-l= b. OTHER SIGNIFICANT CUR FIENT DIAGNOSES

, ❑ YES ,UNO

s ❑ ‘ORE ‘HAN 3 MONTHS

Rscord Items 1-14 for Ibis patmnt

pm

I

I

[

[

[

[

I

I

13. DISPOSITION THIS VISIT

(Check 811tthvt WP!Y)

‘ ❑ No FOLLOw-up PLANNED

‘ ❑ RETURN AT SPECIFIED TIME

‘ ❑ RETU17N IF NE ED ED, P.17.N.

—

11. DIAGNOSTIC SERVICES THIS

VISIT (Cfmck all ordmd or providsd]

, ❑ NONE

, E LiMITEO ExAM/HlsTORY

, ❑ GENERAL EXAP,VHISTORY

4 ❑ PAP TEST

s ❑ CLINICAL LAB TEST

, ❑ X. F!$,Y

7 ❑ EKG

, ❑ VISION TEST

, ❑ EN DOSCOPY

, e II BLOOCI pRESSURE CHECK

I x ❑ OTHER (S!mcify)

12. THERAPEUTIC SSRVICES THIS

VISIT (Ch8ck ●ll ordwcd or provided]

I ❑ NONE

x ❑ IMMUN1ZATIONI

DESENSITIZATION

s ❑ DRUGS (PRESCRIPTIONI

NoNPRESCRIPTION)

4 ❑ DIET COUNSELING

s ❑ FAMILY PLANNING

6 ❑ MEDICAL COUNSELING

, ❑ PHYS1OTHERAPY

9 ❑ OFFICE SURGERY

* ❑ PSYCHOTHERAPYI

THERAPEUTIC LISTENING

, , ❑ oTHER (Sp@fy)

14. DURATION OF

THIS VISIT

(Tim X2LMIY

sPmt with

ph~ician)

“ ❑ TELEPHONE FOLLOW. UP PLANNED

‘ ❑ REFER RED TO OTHER PHYSICIAN

, ❑ RETURN ED’TO REFERRING

PHYSICIAN

‘ ❑ ADMIT TO HOSPITAL

‘ ❑ OTHER (S+M~”fy)

_ MINuTES

CONTINUE LISTING PATIENTS i

oOhl NEXT PAGE

[

I

lEA-34-2

EV. 9-76

AND WELFARE O.M.S. 568. R]498

PUBLIC HEALTH SERVICE

HEALTH RESOURCES ADMINISTRATION

NATIONAL CENTER FOR HEALTH 5TATN3TICS
Vital and Health Statistics series descriptions

SERIES 1.

SE RI ES2.

SE RIES3.

SERIES 4.

SERIES 10

SERIES 11

SERIES 12,

SERIES 13,

Programs and Collection Procedurec- Reports describing

the gmeral programs of the National Center for Health

Statistics and it~ offices and division? and the data collection methods used. They also include definitions and

other material necessary for understanding the data.

Data Evaluation and Methods Resxwch.–Studa?s of new

statistical mmhodology mcludlng svcpsmmentai tests of

new survev methods, studies of vital stat! stlcs col[ectton

methods, new analytical techrtlques, objectwe evaluations

of relmbll[ty af collected data, and corrtrrbut!ons to statistical theory.

Analytical and Epidemiological Studies. –Reports presenting anal$~t!cal or lnterpretow studies based on vital

and health statistics, carrying the analysls further than

the exposnory types of reports In the other sernx.

Documents and Committee Reports. – Final reports of

ma]or committees concerned vwth vital and health statistics and documents such as recommended model vital

regl~t ration lav~s and revwed btrth and death certificates.

Data From tho National Health lntervier~ SurveV, –SratIstlcs on Illness, accidental Injuries, dtsablllty, use of hospital, medlc~l, dental, and other ~ervlces, and other

health-related topics, all based on data collected In the

cmtlnu!ng national household lntervle~-~ survey.

Data From the National Health Examination Survey and

the National Health and Nutrition Examination Survey. -

Dma from clw:ct e~:amlnatlon, testing, and measurement

of mmonal samples of the cwfhan non!nstltut[ onallzed

population provide the basis for (1) estimates of the

medically defined prevalence of speclf!c d!seases In the

United States and the d!stributlons of the populatmn

with respect to phvslcal, ph;,cloioglcal, and psychoIoiycal characteristics and {2) analysls of relationships

among the various meawrements without reference to

an e:tpllclt fmlte unwerse of persons.

Data From the Institutionalized Population Suweys, –Dlscontinued in 1975. Reports from these surveys are tn -

cluded m S,:ries 13.

Data on Health Resources Utilization,–Statistics on the

utilization of health manpower and facillt!es prowdlng

SERIES 14.

SERIES 15.

SERIES 20.

SE RIES21

SE RI ES22.

SERIES 23

long-term care, ambulatory care, hosp!tal care, and family

planning serv[c?s.

Data on Health Resources: Manpower and Facilities.–

Statmct on the numb?rs, wographfc distribution, and

characteristics of health resources including physicians,

dentists, nurses, other health occupatlmw, hospitals,

nursing homes, and outpatwnt facilities.

Data From Special Surveys.-StatrstIcs on health and

health-related topics collected m special suwevs that

are not a part of the continuing data systems of the

National Center for Health Statistics.

Data on MortaliW .–Various statistics on mortallty other

than a~ included In regular annual or monthly reports.

Spec]al analyses by causs of death, age, and other demographic variable!: geographic and tjme series analyses;

and statistics an characteristlc~ of deaths not available

from the vital records bzxd on sample surt,eys of those

records.

Data on Natality, Marriager and Divorce. –Various stat[st]cs on natalmi, marriage, and divorce other than m

Included in regular annual or monthly reports. Special

analyses by demographic variables; geographic and time

:,~rles analyses; studies of fertility; and statistics on

characteristics of births not available from the vital

records bawd on sample suwe}w of those records.

Dato From the National Mortality and Natality Surveys.–

Dwcontinued m 1975. Report? from these sample surveys

bawd on wtal records are !ncluded m Smwx 20 and 21,

respect wely.

Data From the National Survey of Family Growth. –

Statistics on fertility, family formation and dissolution,

famdy planning, and related maternal and infant health

topics derived from a periodic suwey of a nationwide

probability wmp[e of ever-married women 15A4 yem

of age.

For a list of titles of report; published in thes? seriez, write to:

Scientific and Technical Information Branch

Na~ional Center for Health Statistics

Public Health Service

Hyattsville, Md. 20782
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

Public Health Service

Office of Health Research, Statistics, and Technology

National Center for Health Statistics

3700 East-West Highway

Hyattsville, Maryland 20782

OFFICIAL BUSINESS

PENALTY FOR PRIVATE USE, $300

from the Office of Health Research, Statistics, and Technology

POSTAGE AND FEES PAID

U.S. DEPARTMENT OF HHS

HHS 396

rl

*-

*Third Class ~

U.S.MAIL

DHHS Publication No. (PHS) 82-1717, Series 13, No. 56

for listings of publications [n the VIT-AL AND HEALTH STATISTICS series, call 301-436-NCHS