List of detailed tables
*246 See footnotes at end of table
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 thou-sands
Principal reason for visit and R VC code 1,2
Number of visits in thou-sands
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.
Table2. Numbr, percent dttir,bution, andcumulat#ve perwntof office vnsits,bymostfrequent principal reamnsforvlsit inrankordec United States, 1977-78
Number Percent Cumu- Number
Cumu-Rank 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
0f visits sands of visits
1
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 Gynecologmal examination ., ., ., ., ., ,X225 Allergy medication ., ., .,.,.,.,. ,.. ., TIOO
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 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 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 Upper respiratory infections, except
tonsillitis . . . ., .,...0600 Other symptoms referable to eye,
N. E.c.2 . . . ..s335 Other symptoms or problems relating to
psychological and mental disorders,
N. E. C.2 . . . .. S165 Carbuncle, furuncle, boil, cellu litis,
abscess, N. E.C.2 . . . . . . . . . . . . . 0800 Otherand 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 Absence of menstruation [amenorrhea) . S730 Glaucoma ..,...,.,.,.,., . . .. D415 Pain or soreness of 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 Dre$smg, bandage.application, change . . . T545 Contusions, abrasions, and bruiwm foot
andtoels} . . . . . . . . .. J545 Cast, splint-application, removal . . ., . . T540 Behavioral disturbances . . . . . S130
See foomotes at end of table.
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
Cumu-Rank 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 thOu-
distri-bution percent in thou- percent
sands of visits bution
sands of visits
162
Urinary tract dissase, exc~pt cystitis . . . . D705 Diseases of the male genital organs . . . D71 O 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 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 Lacerations and cuts site unspecified . . . . J230 Inflammatory diseases of 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 Oiseases of 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 Other endocrine, nutritional, and metabolic
diseases . . . ...0215 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
lSee reference 1.
2N.O.S. = not otherwise specified; N.E.C. = not alsewhnra specifmd.
31ncluda% blank, illegible, and uncodabl. entries.
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, of visits Percent
distri- Age, principal reason for visit, of visits
and R VC code 1 in thou-
distri-bution and R VC code q in
thou-sands bution
sands
Under 15 years
All visits by female patients . . . . . . . . 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 Prenatal examination, routine . . . . . . .X205 Symptoms referable to throat . . . . . . . .S455 Head cold, upper respiratory infection
(coryza) . . . .. S445 Abdominal pain, crampsr spasms . . . . . S550 Pap smear . . . .. X365 Head cold, upper respiratory infection
(coryza) . . . S455 Head cold, upper respiratory infection
(coryza) . . . .. S445 Cough . . . .. S440 Chest pain and related symptoms, not
referable to body system . . . S050 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 See footnotes at end of table.
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
distri-in
thou-bution sands
Age, principal reason for visit, and R VC code 7
Number
Percent of visits
distri-in
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.
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, of visits Age, principal reason for visit, Percent
and R VC codeq distri- 0 f visits
in
Under 15 years
Allvisits by male patients . . . . 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 Physical examination for extracurricular
activities . . . .. A115 Physical examination required for
employ meri t . . . .. AIOO 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 Physical examination required for
employ meri t . . . .. AIOO
Chest pain and related symptoms, not
referable to body system . . . , . . . S050 Head cold, upper respiratory infection
(coryza) . . . .S445 Chest pain and related symptoms, not
referable to body system . . . S050 Head cold, upper respiratory infection
(coryza) . . . .. S445 Shoulder symptoms . . . ., . . .. S940 Physical examination required for
employment . . . .. AI()() Chest pain and related symptoms, not
referable to body system . . . S050 Head cold, upper respiratory infection
(coryza) . . . .S445