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Scientific Data Documentation
Patient 1980,1981,1985,1989,1990
*SEE NAMCS PATIENT DATASET NAMES FOR DSN ABSTRACT General Information This material provides documentation for users of the Micro-Data tapes of the National Ambulatory Medical Care Survey (NAMCS) conducted by the National Center for Health Statistics. Section I, "Description of the National Ambulatory Medical Care Survey," includes information on the scope of the survey, the sample, field activities, data collection procedures, medical coding procedures, population estimates, and sampling errors. Section II provides technical details of the tape (number of tracks, record length, etc.), and a detailed description of the contents of each data record by location. Section III contains marginal data or estimates for each item on the data record in Section II. The appendixes contain sampling errors, instructions and definitions for completing the patient record form, and lists of codes used in the survey. 2Introduction This Micro-Data Tape comprises the data collected by the National Ambulatory Medical Care Survey (NAMCS) in 1989, conducted by the National Center for Health Statistics (NCHS). The National Ambulatory Medical Care Survey provides data from samples of patient records selected from a national sample of office-based physicians. These national estimates describe the utilization of ambulatory medical care services in the United States. In 1990 there were approximately 43,469 patient records provided by 1,684 doctors that participated in the survey. For a brief description of the survey design and data collection procedures, see below. For a more detailed description of the survey design, data collection procedures, and the estimation process see references 1 and 2. There are two important points relative to analyzing data from this micro-data tape that should be noted: 1-Micro-data tape users should be fully aware of the importance of the "patient weight" and how it must be used. Information about the patient weight is presented on page 13. If more information is needed the staff of the Ambulatory Care Statistics Branch can be consulted by calling 301/436-7132 during regular working hours. 2-Users should also be aware of the reliability or unreliability of certain estimates, particularly the smaller estimates. The National Center for Health Statistics, which conducts many health surveys of the American people, considers an estimate to be reliable if it has a relative standard error of 30% or less. Therefore, it is important to know the value of the lowest possible estimate in this survey that is considered reliable, so as not to present data in a journal article or paper that may be unreliable. Most data tape users can obtain an adequate working knowledge of the relative standard error from the information presented in the Appendix. If you would like more information, do not hesitate to consult the staff of the Ambulatory Care Statistics Branch. METHODOLOGY Scope of the Survey The basic sampling unit for the NAMCS is the physician-patient encounter or visit. Only visits in the offices of nonfederally employed physicians classified by the American Medical Association (AMA) or the American Osteopathic Association (AOA) as "office-based, patient care" were included in the 1990 NAMCS. In addition, physicians in the specialties of anesthesiology, pathology, and radiology were excluded from the physician universe. Major types of ambulatory encounters not included in the 1990 NAMCS were those made by telephone, those made outside of the physician's office, and those made in hospital or institutional settings. Sampling Frame and Size of Sample The sampling frame for the 1990 NAMCS was composed of all physicians contained in the master files maintained by the AMA and AOA as of December 31, 1989, who met the following criteria: Office-based, as defined by the AMA and AOA: Principally engaged in patient care activities; Nonfederally employed; Not in specialties of anesthesiology, pathology, and radiology. The 1990 NAMCS sample included 3,063 physicians: 2,770 MD's and 293 doctors of osteopathy. Sample physicians were screened at the time of the survey to assure that they met the above-mentioned criteria, 794 physicians did not meet all of the criteria and were, therefore, ruled out of scope (ineligible) for the study. The most frequent reasons for being out of scope were that the physician was retired, deceased, or employed in teaching, research, or administration. Of the 2,269 in-scope (eligible) physicians, 74 percent, participated in the study. The physician universe, sample size, and response rates by physician specialty are shown in table I. Of the participating physicians, 237 saw no patients during their assigned reporting period because of vacations, illness, or other reasons for being temporarily not in practice. Sample Design The 1990 NAMCS utilized a multistage probability design that involved probability samples of primary sampling units (PSU's), physician practices within PSU's, and patient visits within practices. The first-stage sample included 112 PSU's. A PSU is a county, a group of adjacent counties, or a standard metropolitan statistical area (SMSA). The second stage consisted of a probability sample of practicing physicians selected from the master files maintained by the American Medical Association (AMA) and American Osteopathic Association (AOA). Within each PSU, all eligible physicians were stratified by fifteen specialty groups: general and family practice, osteopathy, internal medicine, pediatrics, general surgery, obstetrics and gynecology, orthopedic surgery, cardiovascular disease, dermatology, urology, psychiatry, neurology, ophthalmology, otolaryngology, and all other specialties. The final stage was the selection of patient visits within the annual practices of sample physicians. This involved two steps. First, the total physician sample was divided into 52 random subsamples of approximately equal size, and each subsample was randomly assigned to 1 of the 52 weeks in 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 sample for very small practices to a 20-percent sample for very large practices as determined in a presurvey interview. The method by which the sampling rate was determined is described in reference 3. Field Activities The first contact with the sample physician is through a letter from the Director, NCHS, which may be accompanied by a letter from one of the 16 national medical associations that endorse the NAMCS providing the physician is a member of one or more of these associations. After the physician has received the introductory letter(s) the field representative telephones the physician to set up an appointment with him or her to discuss the survey and instruct the doctor on how to complete the forms. Data Collection The actual data collection for the 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 (Figure 1). The Patient Log is used to sequentially list patients seen in the physician's office during his assigned reporting week. This list served as the sampling frame to indicate the visit for which data were to be recorded. A perforation between the patient names and patient visit characteristics permitted the physician to remove patient names and protect confidentiality. 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 Records were completed during the assigned reporting week. Physicians expecting 10 or fewer visits each day recorded data for all of them, while 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 on each succeeding page of the log provided a systematic random sample of patient visits during the reporting period. Data Processing In addition to the completeness checks made by the field staff, clerical edits were performed upon receipt of the data for central processing. These procedures proved quite efficient, reducing the item nonresponse rates to a negligible amount--6 percent or less for all data items. Information from the Induction Interview and Patient Record was keypunched, with 100-percent verification and converted to computer tape. Extensive computer consistency and edit checks were also performed. Data items still unanswered at this point were imputed by randomly assigning a value from a Patient Record with similar characteristics; imputations were based on physician specialty and broad diagnostic categories. Medical Coding The patient record form contains three medical items, each of which requires a separate coding system. The three coding systems are described briefly below. A two-way independent verification procedure was used to control the medical coding operation. Differences between coders were adjudicated by a third coder. Definitions of the three medical items are on pages 31 and 33 of this documentation. (A) Patient's Reason for Visit: Information contained in item 9 (patient's reason for visit) of the Patient Record was coded according to an updated version of A Reason for Visit Classification for Ambulatory Care (RVC).4/ The updated classification has not been published as of this writing but the list of codes is contained in Appendix II. The classification was updated to incorporate several new codes as well as changes to existing codes. The system continues to utilize a modular structure composed of seven modules. The digits 1 through 8 precede the 3-digit RVC codes to identify the various modules as follows: Prefix Module "1" = symptom module "2" = disease module "3" = diagnostic, screening, and preventive module "4" = treatment module "5" = injuries and adverse effects module "6" = test results module "7" = administrative module "8" = Uncodable entries "9" = special code = blank A maximum of 3 reasons were coded, in sequence; coding instructions concerning the patient reason for visit are contained in the NAMCS Medical Coding Manual.7/ Copies are available upon request. (B) Physician's Diagnoses: Diagnostic information in item 10 of the Patient Record was coded according to the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM).5/ For 1990 NAMCS micro-data tape tabulations involving principal diagnoses, the following characteristics exist: 1. The prefix "1" preceding the diagnostic codes has been added to identify all codes in the range 001.00-999.90, e.g. '138100' = '381.00' = Acute nonsupporative otitis media, unspecified. 2. The prefix "20" preceding diagnostic codes represents V code diagnoses V01.00-V82.90, e.g. '201081' = 'V10.81' = personal history of malignant neoplasm of bone. In other words, change the "20" to "V." NOTE: The use of prefixes facilitates the calculation of percent distributions, while substituting "20" for the letter "V" allows that all diagnostic fields on the data tape will contain numerical data. 3. In addition to the diagnostic codes from the ICD-9-CM there are 3 unique codes in the diagnostic fields that were developed by the NAMCS staff: 209900 = - noncodable diagnosis - insufficient information for coding - illegible diagnosis 209970 = diagnosis of "none" 900000 = blank diagnosis A maximum of three diagnoses were coded in sequence: coding instructions concerning diagnoses are contained in the NAMCS Medical Coding Manual.7/ (C) Medication Therapy This Visit: The NAMCS drug data in item 15 have been classified and coded according to a unique classification scheme6/ developed at NCHS. A list of the drug codes are in Appendix III. The patient record form allows for the recording of up to 5 drugs. The tape format includes a corresponding allocation of drug fields. More complete coding lists and instructions for using the NAMCS 1990 drug information are contained in the publication entitled: "The Collection and Processing of Drug Information, National Ambulatory Medical Care Survey, United States, 1980."8/ Copies are available upon request. It should be noted that a substantial amount of information concerning each drug is not contained in these data. This additional drug information is contained in a special NAMCS Drug File and is available as a separate micro-data tape.* For information on ordering the micro-data tape for drugs, interested persons should contact the Ambulatory Care Statistics Branch, Division of Health Care Statistics, Room 9-52, 6525 Belcrest Road, Hyattsville, Maryland 20782. The telephone number is 301/436-7132. POPULATION FIGURES The base population used in computing annual visit rates is presented in table II. These figures are based on provisional estimates for the civilian noninstitutionalized population as of July 1, 1990, provided by the U.S. Bureau of the Census. The population estimates are presented here solely for the purpose of providing denominators for rate computation and should not be considered as official population estimates. *It should be noted, however, that it is not possible to link the information on the drug file with the information on the patient file. ESTIMATION PROCEDURES Statistics produced from the 1990 National Ambulatory Medical Care Survey were derived by a multistage estimating procedure. The procedure produces essentially unbiased national estimates and has basically three components: (1) inflation by reciprocals of the probabilities of selection, (2) adjustment for nonresponse, and (3) a ratio adjustment to fixed totals. Each of these components is described briefly below. (1) INFLATION BY RECIPROCALS OF SAMPLING PROBABILITIES.--Since the survey utilized a three-stage sample design, there were three probabilities: (A) The probability of selecting the PSU, (B) the probability of selecting a physician within the PSU, and (C) the probability of selecting a patient visit within the physician's practice. The last probability was defined to be the exact number of office visits during the physician's specified reporting week divided by the number of Patient Records completed. All weekly estimates were inflated by a factor of 52 to derive annual estimates. (2) ADJUSTMENT FOR NONRESPONSE--Estimates from the NAMCS data were adjusted to account for sample physicians who did not participate in the study. This was done in such a manner as to minimize the impact of nonresponse on final estimates by imputing to nonresponding physicians the practice characteristics of similar responding physicians. For this purpose, similar physicians were judged to be physicians having the same specialty designation and practicing in the same PSU. (3) RATIO-ADJUSTMENT.--A poststratification adjustment was made within each of fifteen physician specialty groups. The ratio adjustment is a multiplication factor which had as its numerator the number of physicians in the universe in each physician specialty group, and as its denominator the estimated number of physicians in that particular specialty group. The numerator was based on figures obtained from the AMA-AOA master files, and the denominator was based on data from the sample. SAMPLING ERRORS Procedures for calculating sampling errors as well as estimates of standard errors of statistics derived from the NAMCS are described in the technical notes of reference 2 or 10, as well as Appendix I of this document. PATIENT WEIGHT The "patient weight" is a vital component in the process of producing national estimates from sample data and its use should be clearly understood by all micro-data tape users. The statistics contained on the micro-data tape reflect data concerning only a sample of patient visits--and not a complete count of all the visits that occurred in the United States. Each record on the data tape represents one visit in the sample of 43,469 visits. In order to obtain national estimates from the sample, each record is assigned an inflation factor called the "patient weight". By aggregating the "patient weights" on the 43,469 sample records for 1990 the user can obtain the total of 704,603,932 estimated visits made by all patients in the United States. The marginal tables on pages 23 to 27 contain data on numbers of records for selected variables as well as the corresponding national estimated number of visits obtained by aggregating the "patient weights" on those records. Designated Specialty Codes ______________________________________________________________________________ Designated Specialties in the National Ambulatory Medical Care Survey, 1989 (From 1984 AMA List of Designated Specialty Codes) ______________________________________________________________________________ GENERAL PRACTICE OTORHINOLARYNGOLOGY GP General Practice OTO Otorhinolaryngology FP Family Practice FPS Facial plastic surgery, Otolaryngology INTERNAL MEDICINE NEUROLOGY IM Internal Medicine CHN Child Neurology N Neurology PEDIATRICS UROLOGY ADL Adolescent Medicine NPM Neonatal-Perinatal Medicine U Urologic Surgery PD Pediatrics PDA Pediatric Allergy ALL OTHER SPECIALTIES PDC Pediatric Cardiology PDE Pediatrics, Endocrinology ABS Abdominal Surgery PHO Pediatrics, Hematology-Oncology AM Aerospace Medicine PNP Pediatrics, Nephrology A Allergy AI Allergy and Immunology GENERAL SURGERY CDS Cardiovascular Surgery PA Clinical Pharmacology GS General Surgery CRS Colon and Rectal Surgery CCM Critical Care Medicine OBSTETRICS AND GYNECOLOGY DIA Diabetes EM Emergency Medicine GYN Gynecology END Endocrinology OBG Obstetrics and Gynecology GE Gastroenterology OBS Obstetrics GPM General Preventive Medicine PSYCHIATRY GER Geriatrics HS Hand Surgery CHP Child Psychiatry HNS Head and Neck Surgery P Psychiatry HEM Hematology PYA Psychoanalysis IG Immunology ID Infectious Diseases CARDIOVASCULAR DISEASES LM Legal Medicine NEP Nephrology CD Cardiovascular Diseases NS Neurological Surgery NTR Nutrition DERMATOLOGY OM Occupational Medicine ON Oncology D Dermatology OS Other Specialty PDS Pediatric Surgery ORTHOPEDIC SURGERY PM Physical Medicine and Rehabilitation ORS Orthopedic Surgery PS Plastic Surgery PH Public Health OPHTHALMOLOGY PUD Pulmonary Disease RHU Rheumatology OPH Ophthalmology TS Thoracic Surgery TRS Traumatic Surgery US Unspecified Specialty VS Vascular Surgery Tables Table I TABLE I. DISTRIBUTION OF PHYSICIANS IN THE UNIVERSE AND IN THE 1990 NATIONAL AMBULATORY MEDICAL CARE SURVEY SAMPLE BY PHYSICIAN SPECIALTY AND RESPONSE STATUS: UNITED STATES, 1990. _______________________________________________________________________________ UNITED NAMCS OUT OF IN NON- GOOD RESPONSE STATES SAMPLE SCOPE SCOPE RE- RE- RATE** UNIVERSE* SPONSE SPONSE _______________________________________________________________________________ ALL SPECIALTIES 326,987 3063 794 2269 585 1684 74 GENERAL/ FAMILY 56,523 450 114 336 83 253 75 PRACTICE OSTEOPATHY 12,844 293 74 219 40 179 82 INTERNAL MEDICINE 46,317 257 61 196 62 134 68 PEDIATRICS 26,580 204 72 132 26 106 80 GENERAL SURGERY 19,458 280 83 197 48 149 76 OBSTETRICS & GYNECOLOGY 25,458 197 40 157 43 114 73 ORTHOPEDIC SURGERY 14,291 140 23 117 34 83 71 CARDIOVASCULAR DISEASES 10,769 149 35 114 38 76 67 DERMATOLOGY 5,953 135 22 113 34 79 70 UROLOGY 7,356 141 31 110 31 79 72 PSYCHIATRY 22,163 127 36 91 26 65 71 NEUROLOGY 5,704 133 40 93 15 78 84 OPHTHALMOLOGY 13,082 130 19 111 19 92 83 OTOLARYNGOLOGY 6,337 126 23 103 34 69 67 ALL OTHER SPECIALTIES 54,152 301 121 180 52 128 71 ___________________________ *THESE DATA ARE DERIVED FROM THE AMERICAN MEDICAL ASSOCIATION AND THE AMERICAN OSTEOPATHIC ASSOCIATION AND REPRESENT THE TOTAL NUMBER OF PHYSICIANS WHO ARE ELIGIBLE FOR NAMCS. ** RESPONSE RATE (PERCENT) = RESPONSE DIVIDED BY IN SCOPE. Table II - Pop. Estimates Used in Computing Annual Visit Rate Estimates for Ages 0-44 Table II. U.S. population 1/ estimates used in computing annual visit rates for the National Ambulatory Care Survey, by age, sex, race, and geographic region: July 1, 1990. All <5 5-14 15-24 25-34 35-44 Ages years years years years years _______________________________________________________________________________ (in 1,000's 2/) TOTAL 246,098 19,085 35,637 34,952 42,730 37,329 SEX Male 119,364 9,768 18,243 17,318 21,025 18,274 Female 126,734 9,317 17,394 17,635 21,705 19,055 RACE AND SEX White 207,125 15,388 28,754 28,283 35,676 31,896 Male 101,042 7,943 14,793 14,043 17,759 15,835 Female 106,083 7,445 13,961 14,240 17,917 16,061 Black 30,371 2,986 5,562 5,110 5,344 4,077 Male 14,175 1,518 2,825 2,439 2,422 1,820 Female 16,196 1,468 2,737 2,671 2,922 2,257 Other 8,602 711 1,321 1,559 1,710 1,356 Male 4,147 307 625 836 844 619 Female 4,455 404 696 723 866 737 REGION Northeast 49,901 Midwest 59,788 South 84,223 West 52,187 ___________________________ 1/ Civilian noninstitutional population 2/ Numbers may not add to totals because of rounding. Estimates for Ages 45-75 and Over Table II. U.S. population 1/ estimates used in computing annual visit rates for the National Ambulatory Care Survey, by age, sex, race, and geographic region: July 1, 1990. All 45-54 55-64 65-74 75 years Ages years years years and over _______________________________________________________________________________ (in 1,000's 2/) TOTAL 246,098 25,319 21,266 18,096 11,685 SEX Male 119,364 12,276 10,049 8,077 4,336 Female 126,734 13,043 11,217 10,019 7,348 RACE AND SEX White 207,125 21,801 18,538 16,213 10,578 Male 101,042 10,682 8,817 7,252 3,920 Female 106,083 11,119 9,721 8,961 6,658 Black 30,371 2,647 2,138 1,576 930 Male 14,175 1,172 966 676 336 Female 16,196 1,475 1,172 899 594 Other 8,602 870 590 307 177 Male 4,147 421 266 149 80 Female 4,455 449 324 159 97 REGION Northeast 49,901 Midwest 59,788 South 84,223 West 52,187 ___________________________ 1/ Civilian noninstitutional population 2/ Numbers may not add to totals because of rounding. RECORD LAYOUT General Information This section consists of a detailed breakdown of each tape record, providing a brief description of each item of data included in the records. The data are arranged sequentially according to their physical location on the tape record. Unless otherwise stated in the "Item description" column, the data are derived from the patient record (Page 9). The AMA and the induction interview (reference 3) are alternate sources of data, while the computer generates other items by recoding selected data items. Record Layout Item Field Tape No. Length Location Item Description and Codes 1 4 1-4 Date of visit 1.1 2 1-2 Month of visit 01-12: January-December 1.2 2 3-4 Year of visit Last 2 digits of year 2 4 5-8 Date of birth 2.1 2 5-6 Month of birth 01-12: January-December 2.2 2 7-8 Year of birth Last 2 digits of year 3 1 9 Sex 1=Female 2=Male 4 1 10 Race 1=White 2=Black 3=Asian/Pacific Islander 4=American Indian/Alaskan Native 5 1 11 Ethnicity 1=Hispanic Origin 2=Not Hispanic 6 15 12-26 Patient Problems (see Page 10) 6.1 5 12-16 Most important problem #1 6.2 5 17-21 Most important problem #2 (if any reported) 6.3 5 22-26 Other problem 7 1 27 Major reason for this visit 1=Acute problem 2=Chronic problem, routine 3=Chronic problem, flareup 4=Post surgery/post injury 5=Non-illness care (routine prenatal, general exam, well baby, etc.) 8 12 28-39 Diagnostic services this visit 8.1 1 28 None (1=yes, and 0=no) 8.2 1 29 Limited history/exam " 8.3 1 30 General history/exam " 8.4 1 31 Pap test " 8.5 1 32 Clinical lab. test " 8.6 1 33 X-ray " 8.7 1 34 Blood pressure check " 8.8 1 35 EKG " 8.9 1 36 Vision test " 8.10 1 37 Endoscopy " 8.11 1 38 Mental status exam " 8.12 1 39 Other " 9 18 40-57 Physician's principal diagnosis (see page 11) 9.1 6 40-45 First diagnosis associated with item 6a 9.2 6 46-51 Second diagnosis associated with item 6a (if any reported) 9.3 6 52-57 Other significant current diagnosis 10 2 58-59 Ever seen patient before 10.1 1 58 1=yes 2=no 10.2 1 59 "If yes, for the condition in item 9a?" 0=Blank 1=yes 2=no 11 40 60-99 Medication Therapy This Visit (see page 11) a. For principal diagnoses in item 9a 11.1 5 60-64 Medication #1 11.2 5 65-69 Medication #2 11.3 5 70-74 Medication #3 11.4 5 75-79 Medication #4 b. For all other reasons 11.5 5 80-64 Medication #1 11.6 5 85-89 Medication #2 11.7 5 90-94 Medication #3 11.8 5 95-99 Medication #4 12 1 100 Number of Drugs Coded Range: 0-8 13 9 101-109 Non-medication therapy 13.1 1 101 None (1=yes and 2=no) 13.2 1 102 Physiotherapy " 13.3 1 103 Office surgery " 13.4 1 104 Family Planning " 13.5 1 105 Psychotherapy/therapeutic listening " 13.6 1 106 Diet counseling " 13.7 1 107 Family/social counseling " 13.8 1 108 Medical counseling " 13.9 1 109 Other " 14 1 110 Patient Referred by Another Physician 1=yes 2=no 15 8 111-118 Disposition of Visit 15.1 1 111 No follow-up planned (1=Yes and 0=No) 15.2 1 112 Return at specified time " 15.3 1 113 Return if needed " 15.4 1 114 Telephone follow-up " 15.5 1 115 Referral " 15.6 1 116 Return to referring physician " 15.7 1 117 Admit to hospital " 15.8 1 118 Other " 16 3 119-121 Duration of visit in minutes (000-999) 17 10 122-131 Patient Weight A right justified, alphanumeric integer developed by the NAMCS staff for the purpose of producing national estimates from sample estimates. See notes on page 16 of these documentation. 18 1 132 Geographic Region (Based on actual location of physician's practice.) 1=Northeast 2=North Central 3=South 4=West 19 1 133 Metropolitan/Nonmetropolitan (Based on actual location in conjunction with the definition of the Bureau of the Census and the U.S. Office of Management and Budget.) 1=Standard Metropolitan Statistical Area (SMSA) 2=Non-SMSA 20 3 134-136 Physician Specialty (Derived from Induction Interview - reference 3) ALSO: See "List of Designated Specialty Codes" on Page 23 of these documentation. 21 1 137 Type of Practice (Derived from Induction Interview - reference 3) 1=solo 2=partnership 3=group 4=other 22 1 138 Type of doctor 1=AMA (American Medical Association) 2=AOA (American Osteopathic Association) Record Layout - 1981 General Information This section consists of a detailed breakdown of each tape record, providing a brief description of each item of data included in the records. The data are arranged sequentially according to their physical location on the tape record. Unless otherwise stated in the "Item description" column, the data are derived from the patient record (Page 9). The AMA and the induction interview (reference 3) are alternate sources of data, while the computer generates other items by recoding selected data items. Record Layout Item Field Tape No. Length Location Item Description and Codes 1 4 1-4 Date of visit 1.1 2 1-2 Month of visit 01-12: January-December 1.2 2 3-4 Year of visit Last 2 digits of year 2 4 5-8 Date of birth 2.1 2 5-6 Month of birth 01-12: January-December 2.2 2 7-8 Year of birth Last 2 digits of year 3 1 9 Sex 1=Female 1=Male 4 1 10 Race 1=White 2=Black 3=Asian/Pacific Islander 4=American Indian/Alaskan Native 5 1 11 Ethnicity 1=Hispanic Origin 2=Not Hispanic 6 15 12-26 Patient Problems (see Page 10) 6.1 5 12-16 Most important problem #1 6.2 5 17-21 Most important problem #2 (if any reported) 6.3 5 22-26 Other problem 7 1 27 Major reason for this visit 1=Acute problem 2=Chronic problem, routine 3=Chronic problem, flareup 4=Post surgery/post injury 5=Non-illness care (routine prenatal, general exam, well baby, etc.) 8 12 28-39 Diagnostic services this visit 8.1 1 28 None (1=yes, and 0=no) 8.2 1 29 Limited history/exam " 8.3 1 30 General history/exam " 8.4 1 31 Pap test " 8.5 1 32 Clinical lab. test " 8.6 1 33 X-ray " 8.7 1 34 Blood pressure check " 8.8 1 35 EKG " 8.9 1 36 Vision test " 8.10 1 37 Endoscopy " 8.11 1 38 Mental status exam " 8.12 1 39 Other " 9 18 40-57 Physician's principal diagnosis (see page 11) 9.1 6 40-45 First diagnosis associated with item 6a 9.2 6 46-51 Second diagnosis associated with item 6a (if any reported) 9.3 6 52-57 Other significant current diagnosis 10 2 58-59 Ever seen patient before 10.1 1 58 1=yes 2=no 10.2 1 59 "If yes, for the condition in item 9a?" 0=Blank 1=yes 2=no 11 40 60-99 Medication Therapy This Visit (see page 11) a. For principal diagnoses in item 9A 11.1 5 60-64 Medication #1 11.2 5 65-69 Medication #2 11.3 5 70-74 Medication #3 11.4 5 75-79 Medication #4 b. For all other reasons 11.5 5 80-64 Medication #1 11.6 5 85-89 Medication #2 11.7 5 90-94 Medication #3 11.8 5 95-99 Medication #4 12 1 100 Number of Drugs Coded Range: 0-8 13 9 101-109 Non-medication therapy 13.1 1 101 None (1=yes and 0=no) 13.2 1 102 Physiotherapy " 13.3 1 103 Office surgery " 13.4 1 104 Family Planning " 13.5 1 105 Psychotherapy/therapeutic listening " 13.6 1 106 Diet counseling " 13.7 1 107 Family/social counseling " 13.8 1 108 Medical counseling " 13.9 1 109 Other " 14 1 110 Patient Referred by Another Physician 1=yes 2=no 15 8 111-118 Disposition of Visit 15.1 1 111 No follow-up planned (1=Yes and 0=No) 15.2 1 112 Return at specified time " 15.3 1 113 Return if needed " 15.4 1 114 Telephone follow-up " 15.5 1 115 Referral " 15.6 1 116 Return to referring physician " 15.7 1 117 Admit to hospital " 15.8 1 118 Other " 16 3 119-121 Duration of visit in minutes (000-999) 17 10 122-131 Patient Weight A right justified, alphanumeric integer developed by the NAMCS staff for the purpose of producing national estimates from sample estimates. See notes on page 16 of these documentation. 18 1 132 Geographic Region (Based on actual location of physician's practice.) 1=Northeast 2=North Central 3=South 4=West 19 1 133 Metropolitan/Nonmetropolitan (Based on actual location in conjunction with the definition of the Bureau of the Census and the U.S. Office of Management and Budget.) 1=Standard Metropolitan Statistical Area (SMSA) 2=Non-SMSA 20 3 134-136 Physician Specialty (Derived from Induction Interview - reference 3) ALSO: See "List of Designated Specialty Codes" on Page 23 of these documentation. 21 1 137 Type of Practice (Derived from Induction Interview - reference 3) 1=solo 2=partnership 3=group 4=other 22 1 138 Type of doctor 1=AMA (American Medical Association) 2=AOA (American Osteopathic Association) 23 5 139-143 Age of patient (in days) 00000-44,000 Record Layout - 1985 General Information This section consists of a detailed breakdown of each tape record, providing a brief description of each item of data included in the records. The data are arranged sequentially according to their physical location on the tape record. Unless otherwise stated in the "Item description" column, the data are derived from the patient record (Page 7). The AMA and the induction interview (reference 3) are alternate sources of data, while the computer generates other items by recoding selected data items. Record Layout Item Field Tape No. Length Location Item Description and Codes 1 6 1-6 Date of visit 1.1 2 1-2 Month of visit 01-12: January-December 1.2 2 3-4 Day of visit 01-31 1.3 2 5-6 Year of visit Last 2 digits of year 2 2 7-8 Patient age (in years) 00-99 3 1 9 Sex 1=Female 1=Male 4 1 10 Race 1=White 2=Black 3=Asian/Pacific Islander 4=American Indian/Alaskan Native 5 1 11 Ethnicity 1=Hispanic Origin 2=Not Hispanic 6 9 12-20 Expected source(s) of payment 6.1 1 12 Self-pay (1=yes, and 0=no) 6.2 1 13 Medicare " 6.3 1 14 Medicaid " 6.4 1 15 Blue Cross/Blue Shield " 6.5 1 16 Other commercial insurance " 6.6 1 17 HMO/Pre-paid plan " 6.7 1 18 No charge " 6.8 1 19 Other " 6.9 1 20 Unknown " 7 1 21 Was patient referred by another physician 1=yes 2=no 8 15 22-36 Patient reasons for visit (see page 8) 8.1 5 22-26 Reason #1 S0050-U9990=10050-89990 Blank =90000 8.2 5 27-31 Reason #2 S0050-U9990=10050-89990 Blank =90000 8.3 5 32-36 Reason #3 S0050-U9990=10050-89990 Blank =90000 9 4 37-40 Glucose tests this visit 9.1 1 37 None (1=yes, and 0=no) 9.2 1 38 Blood " 9.3 1 39 Urine " 9.4 1 40 Oral " 10 16 41-56 Other Diagnostic services this visit 10.1 1 41 None (1=yes, and 0=no) 10.2 1 42 Breast exam " 10.3 1 43 Pelvic exam " 10.4 1 44 Rectal exam " 10.5 1 45 Visual acuity " 10.6 1 46 Urinalysis " 10.7 1 47 Hematology " 10.8 1 48 Blood chemistry " 10.9 1 49 Pap test " 10.10 1 50 Other lab test " 10.11 1 51 Blood pressure check " 10.12 1 52 EKG " 10.13 1 53 Chest x-ray " 10.14 1 54 Other radiology " 10.15 1 55 Ultrasound " 10.16 1 56 Other service " 11 18 57-74 Physician's diagnosis (see page 9) 11.1 6 57-62 Diagnosis #1 00100-V9990=100100-209990 Blank =900000 11.2 6 63-68 Diagnosis #2 00100-V9990=100100-209990 Blank =900000 11.3 6 69-74 Diagnosis #3 00100-V9990=100100-209990 Blank =900000 12 2 75-76 Have you seen patient before 12.1 1 75 1=yes 0=no 12.2 1 76 "If yes, for the condition in item 11a?" 0=not applicable 1=yes 0=no 13 10 77-86 Non-medication therapy 13.1 1 77 None 13.2 1 78 Physiotherapy 13.3 1 79 Ambulatory surgery 13.4 1 80 Radiation therapy 13.5 1 81 Psychotherapy 13.6 1 82 Family Planning 13.7 1 83 Diet counseling 13.8 1 84 Other counseling 13.9 1 85 Corrective lenses 13.10 1 86 Other 14 1 87 Were the medications ordered or provided at this visit? 1=yes 0=no 15 1 88 Number of medications coded (0-5) 16 35 89-123 Medication Therapy 7 89-95 Medication #1 16.1 5 89-93 Code: 00005-41895 90000-no entry made 99980-unknown entry 16.2 1 94 New Medication 0-unknown 1-yes 2-no 3-not applicable 16.3 1 95 For dx in item 11a?: 0-unknown 1-yes 2-no 3-not applicable 7 96-102 Medication #2 16.4 5 96-100 Code: 00005-41895 90000-no entry made 99980-unknown entry 16.5 1 101 New Medication?: 0-unknown 1-yes 2-no 3-not applicable 16.6 1 102 For dx in item 11a?: 0-unknown 1-yes 2-no 3-not applicable 7 103-109 Medication #3 16.7 5 103-107 Code: 00005-41895 90000-no entry made 99980-unknown entry 16.8 1 108 New Medication?: 0-unknown 1-yes 2-no 3-not applicable 16.9 1 109 For dx in item 11a?: 0-unknown 1-yes 2-no 3-not applicable 7 110-116 Medication #4 16.10 5 110-114 Code: 00005-41895 90000-no entry made 99980-unknown entry 16.11 1 115 New Medication?: 0-unknown 1-yes 2-no 3-not applicable 16.12 1 116 For dx in item 11a?: 0-unknown 1-yes 2-no 3-not applicable 7 117-123 Medication #5 16.13 5 117-121 Code: 00005-41895 90000-no entry made 99980-unknown entry 16.14 1 122 New Medication?: 0-unknown 1-yes 2-no 3-not applicable 16.15 1 123 For dx in item 11a?: 0-unknown 1-yes 2-no 3-not applicable 17 8 124-131 Disposition of this visit 1 124 No follow-up planned (1=Yes and 0=No) 1 125 Return at specified time " 1 126 Return if needed, P.R.N. " 1 127 Telephone follow-up planned " 1 128 Referred to other physician " 1 129 Returned to referring physician " 1 130 Admit to hospital " 1 131 Other " 18 3 132-134 Duration of this visit (in minutes) 000-999 19 5 135-139 Patient Weight (See page 13.) A right justified, alphanumeric integer developed by the NAMCS staff for the purpose of producing national estimates from sample estimates. 20 1 140 Geographic Region (Based on actual location of physician's practice.) 1=Northeast 2=North Central 3=South 4=West 21 1 141 Metropolitan/Nonmetropolitan (Based on actual location in conjunction with the definitions of the Bureau of the Census and the U.S. Office of Management and Budget.) 1=Standard Metropolitan Statistical Area (SMSA) 2=Non-SMSA 22 3 142-144 Physician Specialty (Collected from Induction Interview - reference 3) See "List of Designated Specialty Codes" on Page 21 of this documentation. 23 1 145 Type of practice (Derived from Induction Interview - reference 3) 1=solo 2=partnership 3=group 4=other 24 1 146 Type of doctor 1=AMA (American Medical Association) 2=AOA (American Osteopathic Association) Record Layout - 1989 Technical Description of Tape Date Set Name: NAMC1989 Number of Reels: 1 Number of Recording Tracks: 9 Density (bpi): 1600 or 6250 Language: EBEDIC Parity: ODD Record Length: 152 Blocksize: 15,200 Number of Records: 38,384 Computer Compatibility: IBM 360 or 370 Record Layout This section consists of a detailed breakdown of each tape record, providing a brief description of each item of data included in the records. The data are arranged sequentially according to their physical location on the tape record. Unless otherwise stated in the "Item description" column, the data are derived from the patient record (Page 7). The AMA and the induction interview (reference 3) are alternate sources of data, while the computer generates other items by recoding selected data items. Item Field Tape No. Length Location Item Description and Codes 1 6 1-6 Date of visit 1.1 2 1-2 Month of visit 01-12: January-December 1.2 2 3-4 Day of visit 01-31 1.3 2 5-6 Year of visit Last 2 digits of year (89,90) 3 2 7-8 Patient age (in years; derived from date of birth) 00-99 4 1 9 Sex 1=Female 2=Male 5 1 10 Race 0=Unspecified 1=White 2=Black 3=Asian/Pacific Islander 4=American Indian/Eskimo/Aleut 6 1 11 Ethnicity 0=Unspecified 1=Hispanic Origin 2=Not Hispanic 7 9 12-20 Expected Source(s) of Payment 7.1 1 12 Self-pay (1=yes, and 0=no) 7.2 1 13 Medicare " 7.3 1 14 Medicaid " 7.4 1 15 Blue Cross/Blue Shield " 7.5 1 16 Other commercial insurance " 7.6 1 17 HMO/Pre-paid plan " 7.7 1 18 No charge " 7.8 1 19 Other " 7.9 1 20 Unknown " 8 1 21 Was patient referred by another physician 1=yes 2=no 9 15 22-36 Patient reasons for visit (see page 8 and Ref. 4) 9.1 5 22-26 Reason #1 10050-89990=10050-89990 Blank =90000 9.2 5 27-31 Reason #2 10050-89990=10050-89990 Blank =90000 9.3 5 32-36 Reason #3 10050-89990=10050-89990 Blank =90000 10 18 37-54 Physician's diagnoses (see page 9 and Ref. 5) 10.1 6 37-42 Diagnosis #1 00100-V9990=100100-209990 Blank =900000 10.2 6 43-48 Diagnosis #2 00100-V9990=100100-209990 Blank =900000 10.3 6 49-54 Diagnosis #3 00100-V9990=100100-209990 Blank =900000 11.1 1 55 Have you seen patient before? 1=yes--- 2=no 11.2 1 56 If yes, for the diagnosis in item 10a? 0=not applicable 1=yes 2=no 12 17 57-73 Screening/Diagnostic services this visit 12.1 1 57 None (1=yes, and 0=no) 12.2 1 58 Pap test " 12.3 1 59 Pelvic exam " 12.4 1 60 Breast palpation " 12.5 1 61 Mammogram " 12.6 1 62 Visual acuity " 12.7 1 63 Blood pressure check " 12.8 1 64 Urinalysis " 12.9 1 65 Chest x-ray " 12.10 1 66 Digital rectal exam " 12.11 1 67 Proct/sigmoidoscopy " 12.12 1 68 Stool blood exam " 12.13 1 69 Oral glucose tolerance " 12.14 1 70 Cholesterol measure " 12.15 1 71 HIV serology " 12.16 1 72 Other blood test " 12.17 1 73 Other (specify) " 13 7 74-80 Counseling/Advice 13.1 1 74 None (1=yes, and 0=no) 13.2 1 75 Weight reduction " 13.3 1 76 Cholesterol reduction " 13.4 1 77 Smoking cessation " 13.5 1 78 HIV transmission " 13.6 1 79 Breast self exam " 13.7 1 80 Other " 14 6 81-86 Non-medication therapy 14.1 1 81 None (1=yes, and 0=no) 14.2 1 82 Psychotherapy " 14.3 1 83 Corrective lenses " 14.4 1 84 Ambulatory surgery " 14.5 1 85 Physiotherapy " 14.6 1 86 Other " 15 1 87 Were medications ordered or provided at this visit? 1=yes 0=no 16 1 88 Number of medications coded (0-5) 17 35 89-123 Medications 7 89-95 Medication #1 17.1 5 89-93 Code: 00005-61610 90000-Blank 99980-Unknown entry 99999-Illegible entry 17.2 1 94 New Medication?: 0=unknown 1=yes 2=no 3=not applicable 17.3 1 95 For dx in item 10a?: 0=unknown 1=yes 2=no 3=not applicable 7 96-102 Medication #2 17.4 5 96-100 Code: 00005-61610 90000-Blank 99980-Unknown entry 99999-Illegible entry 17.5 1 101 New Medication?: 0=unknown 1=yes 2=no 3=not applicable 17.6 1 102 For dx in item 10a?: 0=unknown 1=yes 2=no 3=not applicable 7 103-109 Medication #3 17.7 5 103-107 Code: 00005-61610 90000-no entry made 99980-unknown entry 99999-Illegible entry 17.8 1 108 New Medication?: 0=unknown 1=yes 2=no 3=not applicable 17.9 1 109 For dx in item 10a?: 0=unknown 1=yes 2=no 3=not applicable 7 110-116 Medication #4 17.10 5 110-114 Code: 00005-61610 90000-no entry made 99980-unknown entry 99999-Illegible entry 17.11 1 115 New Medication?: 0=unknown 1=yes 2=no 3=not applicable 17.12 1 116 For dx in item 10a?: 0=unknown 1=yes 2=no 3=not applicable 7 117-123 Medication #5 17.13 5 117-121 Code: 00005-61610 90000-no entry made 99980-unknown entry 99999-Illegible entry 17.14 1 122 New Medication?: 0=unknown 1=yes 2=no 3=not applicable 17.15 1 123 For dx in item 10a?: 0=unknown 1=yes 2=no 3=not applicable 18 8 124-131 Disposition of this visit 18.1 1 124 No follow-up planned (1=Yes and 0=No) 18.2 1 125 Return at specified time " 18.3 1 126 Return if needed, P.R.N. " 18.4 1 127 Telephone follow-up planned " 18.5 1 128 Referred to other physician " 18.6 1 129 Returned to referring physician " 18.7 1 130 Admit to hospital " 18.8 1 131 Other (specify) " 19 3 132-134 Duration of this visit (in minutes) 000-999 20 6 135-140 Patient Weight (See page 13) A right justified, alphanumeric integer developed by the NAMCS staff for the purpose of producing national estimates from sample estimates. 21 1 141 Geographic Region (Based on actual location of physician's practice) 1=Northeast 2=North Central 3=South 4=West 22 3 142-144 Physician Specialty (Collected from Induction Interview - reference 3) See "List of Designated Specialty Codes" on Page 21 of this documentation. 23 1 145 Type of doctor 1=M.D. - Doctor of Medicine 2=D.O. - Doctor of Osteopathy ********* The following fields had data imputed to replace blanks ********* 24 1 146 Birth Year (1=imputed, and blank=not imputed) 25 1 147 Sex " 26 1 148 Referral " 27 1 149 Seen patient before " 28 1 150 If yes, for diagnosis in 10a " 29 1 151 Disposition of visit " 30 1 152 Duration of visit " Record Layout - 1990 General Information 1990 FORMAT FOR PATIENT MICRO DATA TAPE THIS SECTION CONSISTS OF A DETAILED BREAKDOWN OF EACH TAPE RECORD, PROVIDING A BRIEF DESCRIPTION OF EACH ITEM OF DATA INCLUDED IN THE RECORDS. THE DATA ARE ARRANGED SEQUENTIALLY ACCORDING TO THEIR PHYSICAL LOCATION ON THE TAPE RECORD. UNLESS OTHERWISE STATED IN THE "ITEM DESCRIPTION" COLUMN, THE DATA ARE DERIVED FROM THE PATIENT RECORD (PAGE 7). THE AMA AND THE INDUCTION INTERVIEW (REFERENCE 3) ARE ALTERNATE SOURCES OF DATA, WHILE THE COMPUTER GENERATES OTHER ITEMS BY RECODING SELECTED DATA ITEMS. Record Layout ITEM FIELD TAPE NO. LENGTH LOCATION ITEM DESCRIPTION AND CODES _______________________________________________________________________________ 1 6 1-6 DATE OF VISIT 1.1 2 1-2 MONTH OF VISIT 01-12: JANUARY-DECEMBER 1.2 2 3-4 DAY OF VISIT 01-31 1.3 2 5-6 YEAR OF VISIT LAST 2 DIGITS OF YEAR (90,91) 3 2 7-8 PATIENT AGE (IN YEARS; DERIVED FROM DATE OF BIRTH) 00-99 4 1 9 SEX 1 = FEMALE 2 = MALE 5 1 10 RACE 0 = UNSPECIFIED 1 = WHITE 2 = BLACK 3 = ASIAN/PACIFIC ISLANDER 4 = AMERICAN INDIAN/ESKIMO/ALEUT 6 1 11 ETHNICITY 0 = UNSPECIFIED 1 = HISPANIC ORIGIN 2 = NOT HISPANIC 7 9 12-20 EXPECTED SOURCE(S) OF PAYMENT 7.1 1 12 SELF-PAY (1=YES, AND 0=NO) 7.2 1 13 MEDICARE 7.3 1 14 MEDICAID 7.4 1 15 BLUE CROSS/BLUE SHIELD 7.5 1 16 OTHER COMMERCIAL INSURANCE 7.6 1 17 HMO/PRE=PAID PLAN 7.7 1 18 NO CHARGE 7.8 1 19 OTHER 7.9 1 20 UNKNOWN 8 1 21 WAS PATIENT REFERRED BY ANOTHER PHYSICIAN 1 = YES 2 = NO 9 15 22-36 PATIENT REASONS FOR VISIT (SEE PAGE 8 AND REF. 4) 9.1 5 22-26 REASON # 1 10050-89990 = 10050-89990 BLANK = 90000 9.2 5 27-31 REASON # 2 10050-89990 = 10050-89990 BLANK = 90000 9.3 5 32-36 REASON # 3 10050-89990 = 10050-89990 BLANK = 90000 10 18 37-54 PHYSICIAN'S DIAGNOSES (SEE PAGE 9 AND REF. 5) 10.1 6 37-42 DIAGNOSIS # 1 00100-V9990 = 100100-209990 BLANK = 900000 10.2 6 43-48 DIAGNOSIS # 2 00100-V9990 = 100100-209990 BLANK = 900000 10.3 6 49-54 DIAGNOSIS # 3 00100-V9990 = 100100-209990 BLANK = 900000 11.1 1 55 HAVE YOU SEEN PATIENT BEFORE? 1 = YES 2 = NO 11.2 1 56 IF YES, FOR THE DIAGNOSIS IN ITEM 10A? 0 = NOT APPLICABLE 1 = YES 2 = NO 12 17 57-73 SCREENING/DIAGNOSTIC SERVICES THIS VISIT 12.1 1 57 NONE (1=YES, AND 0=NO) 12.2 1 58 PAP TEST 12.3 1 59 PELVIC EXAM 12.4 1 60 BREAST PALPATION 12.5 1 61 MAMMOGRAM 12.6 1 62 VISUAL ACUITY 12.7 1 63 BLOOD PRESSURE CHECK 12.8 1 64 URINALYSIS 12.9 1 65 CHEST X-RAY 12.10 1 66 DIGITAL RECTAL EXAM 12.11 1 67 PROCT/SIGMOIDOSCOPY 12.12 1 68 STOOL BLOOD EXAM 12.13 1 69 ORAL GLUCOSE TOLERANCE 12.14 1 70 CHOLESTEROL MEASURE 12.15 1 71 HIV SEROLOGY 12.16 1 72 OTHER BLOOD TEST 12.17 1 73 OTHER (SPECIFY) 13 7 74-80 COUNSELING/ADVICE 13.1 1 74 NONE (1=YES, AND 0=NO) 13.2 1 75 WEIGHT REDUCTION 13.3 1 76 CHOLESTEROL REDUCTION 13.4 1 77 SMOKING CESSATION 13.5 1 78 HIV TRANSMISSION 13.6 1 79 BREAST SELF EXAM 13.7 1 80 OTHER 14 6 81-86 NON-MEDICATION THERAPY 14.1 1 81 NONE (1=YES, AND 0=NO) 14.2 1 82 PSYCHOTHERAPY 14.3 1 83 CORRECTIVE LENSES 14.4 1 84 AMBULATORY SURGERY 14.5 1 85 PHYSIOTHERAPY 14.6 1 86 OTHER (SPECIFY) 15 1 87 WERE MEDICATIONS ORDERED OR PROVIDED AT THIS VISIT? 1 = YES 0 = NO 16 1 88 NUMBER OF MEDICATIONS CODED (0 TO 5) 17 35 89-123 MEDICATIONS 7 89-95 MEDICATION # 1 17.1 5 89-93 CODE: 00005-61610 90000- BLANK 99980- UNKNOWN ENTRY 99999- ILLEGIBLE ENTRY 17.2 1 94 NEW MEDICATION?: 0 = UNKNOWN 1 = YES 2 = NO 3 = NOT APPLICABLE 17.3 1 95 FOR DX IN ITEM 10A?: 0 = UNKNOWN 1 = YES 2 = NO 3 = NOT APPLICABLE 7 96-102 MEDICATION # 2 17.4 5 96-100 CODE: 00005-61610 90000- BLANK 99980- UNKNOWN ENTRY 99999- ILLEGIBLE ENTRY 17.5 1 101 NEW MEDICATION?: 0 = UNKNOWN 1 = YES 2 = NO 3 = NOT APPLICABLE 17.6 1 102 FOR DX IN ITEM 10A?: 0 = UNKNOWN 1 = YES 2 = NO 3 = NOT APPLICABLE 7 103-109 MEDICATION # 3 17.7 5 103-107 CODE: 00005-61610 90000- BLANK 99980- UNKNOWN ENTRY 99999- ILLEGIBLE ENTRY 17.8 1 108 NEW MEDICATION?: 0 = UNKNOWN 1 = YES 2 = NO 3 = NOT APPLICABLE 17.9 1 109 FOR DX IN ITEM 10A?: 0 = UNKNOWN 1 = YES 2 = NO 3 = NOT APPLICABLE 7 110-116 MEDICATION # 4 17.10 5 110-114 CODE: 00005-61610 90000- BLANK 99980- UNKNOWN ENTRY 99999- ILLEGIBLE ENTRY 17.11 1 115 NEW MEDICATION?: 0 = UNKNOWN 1 = YES 2 = NO 3 = NOT APPLICABLE 17.12 1 116 FOR DX IN ITEM 10A?: 0 = UNKNOWN 1 = YES 2 = NO 3 = NOT APPLICABLE 7 117-123 MEDICATION # 5 17.13 5 117-121 CODE: 00005-61610 90000- BLANK 99980- UNKNOWN ENTRY 99999- ILLEGIBLE ENTRY 17.14 1 122 NEW MEDICATION?: 0 = UNKNOWN 1 = YES 2 = NO 3 = NOT APPLICABLE 17.15 1 123 FOR DX IN ITEM 10A?: 0 = UNKNOWN 1 = YES 2 = NO 3 = NOT APPLICABLE 18 8 124-131 DISPOSITION OF THIS VISIT 18.1 1 124 NO FOLLOW-UP PLANNED (1=YES, AND 0=NO) 18.2 1 125 RETURN AT SPECIFIED TIME 18.3 1 126 RETURN IF NEEDED, P.R.N. 18.4 1 127 TELEPHONE FOLLOW-UP PLANNED 18.5 1 128 REFERRED TO OTHER PHYSICIAN 18.6 1 129 RETURNED TO REFERRING PHYSICIAN 18.7 1 130 ADMIT TO HOSPITAL 18.8 1 131 OTHER (SPECIFY) 19 3 132-134 DURATION OF THIS VISIT (IN MINUTES) 000-999 20 6 135-140 PATIENT WEIGHT (SEE PAGE 13) A RIGHT JUSTIFIED, ALPHANUMERIC INTEGER DEVELOPED BY THE NAMCS STAFF FOR THE PURPOSE OF PRODUCING NATIONAL ESTIMATES FROM SAMPLE ESTIMATES. 21 1 141 GEOGRAPHIC REGION (BASED ON ACTUAL LOCATION OF PHYSICIAN'S PRACTICE) 1 = NORTHEAST 2 = MIDWEST 3 = SOUTH 4 = WEST 22 1 142 METROPOLITAN/NONMETROPOLITAN (BASED ON ACTUAL LOCATION IN CONJUNCTION WITH THE DEFINITION OF THE BUREAU OF THE CENSUS AND THE U.S. OFFICE OF MANAGEMENT AND BUDGET.) 1 = SMSA (STANDARD METROPOLITAN STATISTICAL AREA) 2 = NON-SMSA 23 3 143-145 PHYSICIAN SPECIALTY (COLLECTED FROM INDUCTION INTERVIEW - REFERENCE 3) SEE "LIST OF DESIGNATED SPECIALTY CODES" ON PAGE 21 OF THIS DOCUMENTATION. 24 1 146 TYPE OF DOCTOR 1 = M.D. - DOCTOR OF MEDICINE 2 = D.O. - DOCTOR OF OSTEOPATHY *** THE FOLLOWING FIELDS HAD DATA IMPUTED TO REPLACE BLANKS *** 25 1 147 BIRTH YEAR (1 = IMPUTED) , (BLANK = NOT IMPUTED) 26 1 148 SEX 27 1 149 REFERRAL 28 1 150 SEEN PATIENT BEFORE 29 1 151 IF YES, FOR DIAGNOSIS IN 10A 30 1 152 DISPOSITION OF VISIT 31 1 153 DURATION OF VISIT MARGINAL DATA General Information For all specialties any cell with an estimate of 549,000 visits or less has a relative standard error of 30 percent or more. Such an estimate is consi- dered an unreliable statistic according to the standards of reliability of the National Center for Health Statistics. For individual specialties the 30 percent relative standard error level varies. See Table III in Appendix I for the errors for individual specialties. --- Data not available ... Category not applicable - Quantity zero 0.0 Quantity more than 0 but less than 0.05 * Figure does not meet standards of reliability or precision = Figure suppressed to comply with confidentiality requirements 1990 Marginal Data _____________________________________________________________________________ PATIENT AGE TOTAL < 15 15-24 25-44 45-64 65-74 75+ _________ _________ _________ _________ _________ _________ _________ ALL 43469 7105 4072 12300 9786 5753 4453 704603932 138427244 68917861 194195125 149785681 86421898 66856123 100.000 19.646 9.781 27.561 21.258 12.265 9.488 _____________________________________________________________________________ PATIENT SEX TOTAL FEMALE MALE _________ _________ _________ ALL 43469 25737 17732 RECORDS 704603932 427151485 277452447 VISITS 100.000 60.623 39.377 PERCENT _____________________________________________________________________________ PATIENT AGE AND SEX FEMALE FEMALE FEMALE FEMALE FEMALE FEMALE TOTAL < 15 15-24 25-44 45-64 65-74 75 + ________ _________ _________ _________ _________ _________ _________ ALL 43469 3344 2597 8079 5723 3244 2750 704603932 65229184 45164732 132182801 89696775 51529352 43348641 100.000 9.258 6.410 18.760 12.730 7.313 6.152 MALE MALE MALE MALE MALE MALE < 15 15-24 25-44 45-64 65-74 75 + _________ _________ _________ _________ _________ _________ 3761 1475 4221 4063 2509 1703 73198060 23753129 62012324 60088906 34892546 23507482 10.389 3.371 8.801 8.528 4.952 3.336 _____________________________________________________________________________ PATIENT ASIAN/PA AMER IN/ UNSPECI RACE TOTAL WHITE BLACK ISLANDER ESK/ALEU FIED _________ _________ _________ _________ _________ _________ ALL 43469 37404 3641 1097 149 1178 RECORDS 704603932 597305535 62317477 21311949 2382418 21286553 VISITS 100.000 84.772 8.844 3.025 0.338 3.021 PERCENT _____________________________________________________________________________ ETHNICITY NOT UNSPECI- TOTAL HISPANIC HISPANIC FIED _________ _________ _________ _________ ALL 43469 2235 38456 2778 RECORDS 704603932 35455966 619747449 49400517 VISITS 100.000 5.032 87.957 7.011 PERCENT _____________________________________________________________________________ SOURCE OF BL CROSS OTHER PAYMENT TOTAL SELF PAY MEDICARE MEDICAID BL SHELD COMMER _________ _________ _________ _________ _________ _________ ALL 43469 12547 9287 3435 5693 10401 RECORDS 704603932 214456001 139765557 59588042 85158174 168943656 VISITS 100.000 30.436 19.836 8.457 12.086 23.977 PERCENT HMO/PRE- NO PAIDPLAN CHARGE OTHER UNKNOWN _________ _________ _________ _________ 5783 1015 2537 901 RECORDS 101872428 12810494 38065646 13749455 VISITS 14.458 1.818 5.402 1.951 PERCENT _____________________________________________________________________________ PATIENT TOTAL YES NO _________ _________ _________ REFERRAL STATUS ALL 43469 3379 40090 RECORDS 704603932 38806462 665797470 VISITS 100.000 5.508 94.492 PERCENT _____________________________________________________________________________ VISIT OLD PAT OLD PAT STATUS TOTAL NEW PAT NEWPROB OLDPROB _________ _________ _________ _________ ALL 43469 7962 8435 27072 RECORDS 704603932 113962103 159635337 431006492 VISITS 100.000 16.174 22.656 61.170 PERCENT _____________________________________________________________________________ DIAGNOSTIC PELVIC BREAST MAMMO VISUAL SERVICES TOTAL NONE PAP TEST EXAM PALPATON GRAM ACUITY _________ _________ _________ _________ _________ _________ ________ ALL 43469 16191 1686 2657 2081 641 2897 704603932 254305069 33898003 51421992 39508759 11773313 45290714 100.000 36.092 4.811 7.298 5.607 1.671 6.428 BLOOD CHEST DIG-RECT PROCTO STOOL-BL PRESSURE URINE X RAY AL EXAM SIGMOID OOD EXAM _________ _________ _________ _________ _________ _________ 14995 5372 1144 1572 183 916 271390139 89903669 20292518 25823146 3056707 17480381 38.517 12.759 2.880 3.665 0.434 2.481 ORAL GLU CHOLESTR HIV OTHER BL OTHER COSE TOL MEASURE SEROLOGY OOD TEST DX SERV _________ _________ _________ _________ _________ 168 1401 77 5038 11467 RECORDS 3421022 26155232 1280325 94008659 176389679 VISITS 0.486 3.712 0.182 13.342 25.034 PERCENT _____________________________________________________________________________ COUNSELING/ WEIGHT CHOLEST SMOKING ADVICE TOTAL NONE REDUCT REDUCT CESSATN _________ _________ _________ _________ _________ ALL 43469 27298 2439 1208 832 704603932 442832526 44378101 22565544 14937311 100.000 62.848 6.298 3.203 2.120 HIV BREAST TRANSMI SELF EX OTHER _________ _________ _________ 89 888 12637 RECORDS 1740467 16173737 198607455 VISITS 0.247 2.295 28.187 PERCENT _____________________________________________________________________________ NON-MEDICATION THERAPY PSYCHO CORRECT AMBULAT PHYSIO TOTAL NONE THERAPY LENSES SURGERY THERAPY OTHER _________ _________ _________ _________ _________ _________ _________ ALL 43469 33834 1786 650 1240 1229 5065 704603932 566077396 26922487 9580216 14203476 16572358 75338015 100.000 80.340 3.821 1.360 2.016 2.352 10.692 _____________________________________________________________________________ NUMBER OF MEDICATIONS TOTAL 0 MEDS 1 MED 2 MEDS 3 MEDS 4 MEDS _________ _________ _________ _________ _________ _________ ALL 43469 18794 13536 6423 2564 1042 704603932 280016515 230715556 110864853 44477093 19120582 100.000 39.741 32.744 15.734 6.312 2.714 5 MEDS _________ 1110 RECORDS 19409333 VISITS 2.755 PERCENT _____________________________________________________________________________ DISPOSITION NO RETURN RETURN TELEPHON REFER TO RETURNTO TOTAL FOLLOW SPECTIME IFNEEDED FOLLOWUP OTR PHYS REF PHYS _________ _________ _________ _________ _________ _________ _________ ALL 43469 3871 27543 9221 1659 1301 642 704603932 68309720 437529637 159101311 27206621 22938595 7209576 100.000 9.695 62.096 22.580 3.861 3.256 1.023 ADMIT TO OTHR DIS HOSPITAL POSITION _________ _________ 496 914 RECORDS 6801684 11512920 VISITS 0.965 1.634 PERCENT _____________________________________________________________________________ DURATION OF VISIT ZERO 1-5 6-10 11-15 16-30 31+ TOTAL MINUTES MINUTES MINUTES MINUTES MINUTES MINUTES _________ _________ _________ _________ _________ _________ _________ ALL 43469 503 3720 11506 12985 11154 3601 704603932 8261906 63382795 199086194 217607654 167689929 48575454 100.000 1.173 8.996 28.255 30.884 23.799 6.894 _____________________________________________________________________________ MSA-NONMSA TOTAL MSA* NONMSA (*MSA = METROPOLITAN STATISTICAL AREA) _________ _________ _________ ALL 43469 31840 11629 RECORDS 704603932 502762107 201841825 VISITS 100.000 71.354 28.646 PERCENT _____________________________________________________________________________ MD VS DO TOTAL DO MD _________ _________ _________ ALL 43469 5434 38035 RECORDS 704603932 39287285 665316647 VISITS 100.000 5.576 94.424 PERCENT _____________________________________________________________________________ 13 MOST FREQUENTLY VISITED SPECIALTIES TOTAL GEN PRAC INT MED PEDIATRI GEN SURG OB-GYNS ORTH SUR _________ _________ _________ _________ _________ _________ _________ ALL 38948 12896 4493 3536 1312 1556 657 730755569 258914116 125640626 84513816 15248851 34736399 12586648 100.000 35.431 17.193 11.565 2.087 4.753 1.722 CARD VAS DERMATOL URO SURG PSYCHIAT NEUR SUR OPHTHALM _________ _________ _________ _________ _________ _________ 2648 3249 873 946 1169 1284 25585261 32236820 5804342 13350610 6578003 23895802 3.501 4.411 0.794 1.827 0.900 3.270 OTOLARYN OTHER _________ _________ 1332 2997 RECORDS 12601116 79063159 VISITS 1.724 10.819 PERCENT _____________________________________________________________________________ GEOGRAPHIC NORTH- MID- REGION TOTAL EAST WEST SOUTH WEST _________ _________ _________ _________ _________ ALL 38948 6679 10340 13538 8391 RECORDS 730755569 123873757 200236367 249075758 157569687 VISITS 100.000 16.951 27.401 34.085 21.563 PERCENT _____________________________________________________________________________ GENERAL RFV-7 INJURY + TEST MODULES DAGNOSTC SYMPTOM DISEASE SCRENING TREATMENT ADVERSE RESULTS TOTAL MODULE MODULE PREVNTIV MODULE EFFECTS MODULE _________ _________ _________ _________ _________ _________ _________ ALL 38948 24985 4766 4349 3136 789 324 730755569 455981419 90557762 92075183 55597998 16526855 6072596 100.000 62.399 12.392 12.600 7.608 2.262 0.831 ADMINIST UNCODE- MODULE ABLE BLANK _________ _________ _________ 109 304 186 RECORDS 2382017 5953225 5608514 VISITS 0.326 0.815 0.767 PERCENT _____________________________________________________________________________ MAJOR ICD-9-CM CLASSES INF/PAR ENDOCRIN MENTAL NERVOUS CIRCULAT TOTAL DISEASES NEOPLASM NUT+META DISORDRS SYSTEM SYSTEM _________ _________ _________ _________ _________ _________ _________ ALL 38948 1319 948 1936 1554 3795 5929 730755569 25682527 18983960 39434641 24139083 67710069 103089036 100.000 3.515 2.598 5.396 3.303 9.266 14.107 RESPIRAT DIGESTIV GENITOUR SKIN+SUB MUSCULOS SYMPTOMS SYSTEM SYSTEM SYSTEM TISSUE SYSTEM SIGNS+IL _________ _________ _________ _________ _________ _________ 6639 1457 1933 3626 2752 1512 145401108 30377010 32866406 47018498 54687465 25808253 19.897 4.157 4.498 6.434 7.484 3.532 INJURY + SUPLEMEN ALL OTHR UNKNOWN POISNING CLASIFIC DAGNOSES + BLANK _________ _________ _________ _________ 1869 2839 511 329 RECORDS 37217920 61259200 10280658 6799735 VISITS 5.093 8.383 1.407 0.931 PERCENT _____________________________________________________________________________ ALL SPECIALTIES ALLERGY CARDIOV CHILD COLON + DERMA EMERGEN DISEASS PSYCH REC SUR TOLOGY CY MED TOTAL A CD CHP CRSS D EM _________ _________ _________ _________ _________ _________ _________ ALL 38948 6 2648 60 8 3249 280 730755569 380550* 25585261 762435 204536*32236820 11122482 100.000 0.052 3.501 0.104 0.028 4.411 1.522 GASTRO FAMILY GENERAL GENERAL CARDIOV GENERAL ENTEROL PRACTIC PRACTIC PREV ME SURGERY SURGERY GE FP GP GPM CDS GS _________ _________ _________ _________ _________ _________ 244 6133 6763 24 50 1312 5142961 151043763 107870353 613608* 783946* 15248851 0.704 20.670 14.761 0.084 0.107 2.087 HAND HEAD + PEDIATR VASCULA ALLERGY DIA- SURGERY NECK SU IC SURG SURGERY + IMMUNO BETES HS HNS PDS VS AI DIA _________ _________ _________ _________ _________ _________ 14 18 43 18 193 59 403440* 460206* 2762535 737246 9586426 877271 0.055 0.063 0.378 0.101 1.312 0.120 ENDO- HEMA- INFECTI INTERNL NEPHRO- ONCOLOGY CRINOLO TOLOGY OUS DSS MEDICIN LOGY END HEM ID IM NEP ON _________ _________ _________ _________ _________ _________ 228 95 14 4493 125 508 4002999 1999955 312256*125640626 1597875* 13710944 0.548 0.274 0.043 17.193 0.219 1.876 RHEUMA NEUROLO CHILD NEUROLOGY GYNECO- OBSTETRIC TOLOGY SURGERY NEUROLOGY LOGY + GYNECO RHU NS CHN N GYN OBG _________ _________ _________ _________ _________ _________ 376 31 17 1152 107 1449 7040486 1147013 73878* 6504125 2406676 32329723 0.963 0.157 0.010 0.890 0.329 4.424 OCCUPAT- OPHTHAL- ORTHOPE FAC PLA OTOLARY ADOLESC NAL MED MOLOGY SURGERY SUR OTO NGOLOGY ENT MED OM OPH ORS FPS OTO ADL _________ _________ _________ _________ _________ _________ 37 1284 657 9 1323 22 919709 23895802 12586648 50770*12550346 1691602 0.126 3.270 1.722 0.007 1.717 0.231 PEDIA PEDIATR PHYS ME PLASTIC PSYCH- PSYCHOA TRICS CARDIOL + REHAB SURGERY IATRY NALYSIS PD PDC PM PS P PYA _________ _________ _________ _________ _________ _________ 3455 59 6 22 875 11 81711401 1110813 134226* 619561 12450686 137489 11.182 0.152 0.018 0.085 1.704 0.019 PUBLIC PULMONA THORACI UROLOGI OTHER UNSPECI- HEALTH RY DISS SURGERY CAL SUR SPECLTY FIED PH PUD TS U OS US _________ _________ _________ _________ _________ _________ 22 246 7 873 48 275 168058* 6594555 159845* 5804342 1646623 5933847 0.023 0.902 0.022 0.794 0.225 0.812 _____________________________________________________________________________ *FIGURE DOES NOT MEET STANDARDS OF RELIABILITY. SEE TABLE III ON PAGE 29. APPENDICES Appendix I Provisional Relative Standard Errors The standard error is primarily a measure of the sampling variability that occurs by chance because only a sample is surveyed, rather than the entire universe. The relative standard error (R.S.E.) of an estimate is obtained by dividing the standard error of the estimate by the estimate itself and is expressed as a percentage of the estimate. Table III.Relative standard errors for estimated numbers of DRUG MENTIONS: National Ambulatory Medical Care Survey, 1990. _______________________________________________________________________________ Estimated number Specialty Group* of drug mentions ___________________________________________________________ (x 1000) All A B C D _______________________________________________________________________________ 100 --------- 69.7 55.7 50.5 32.3 61.8 200 --------- 49.4 39.8 36.6 24.8 44.6 300 --------- 40.4 32.8 30.6 21.6 37.1 400 --------- 35.0 28.6 27.1 19.9 32.7 500 --------- 31.4 25.8 24.7 18.8 29.7 700 --------- 26.6 22.2 21.8 17.4 26.0 1,000 --------- 22.4 19.0 19.2 16.3 22.7 2,000 --------- 16.1 14.5 15.8 14.9 18.3 5,000 --------- 10.6 10.9 13.3 14.0 14.9 10,000 --------- 8.0 9.4 12.4 13.7 13.7 50,000 --------- 5.1 8.0 11.5 13.5 12.5 100,000 --------- 4.6 7.8 11.4 13.4 12.4 690,000 --------- 4.1 ______________________________________________________________________________ * All Specialties....................................(30% R.S.E. = 549,000) * A. General and Family Practice....................(30% R.S.E. = 362,000) * B. Pediatrics and OBG.............................(30% R.S.E. = 313,000) * c. General Surgery, Orthopedic Surgery, Cardiovascular Diseases, Psychiatry, Urology, Dermatology, Neurology, Ophthalmology, Otolaryngology, and Doctors of Osteopathy..........................(30% R.S.E. = 121,000) * D. Internal Medicine and "other" specialties......(30% R.S.E. = 490,000) Example of use of table: An aggregate estimate of 2 million drug mentions from a dermatologist has a relative standard error of 14.9%, or a standard error of 298,000 drug mentions (19.9 percent of 2 million). 1/ These errors may be used temporarily until the final errors are developed. Instructions ITEM 1 - DATE OF VISIT Self-explanatory ITEM 3 - DATE OF BIRTH Self-explanatory ITEM 4 - SEX Self-explanatory ITEM 5 - COLOR OR RACE If the patient's race is not obvious, the physician (or assistant) should mark the box which in his judgment is most appropriate. 1 - White: A person having origins in any of the original peoples of Europe, North Africa, or the Middle East. 2 - Black: A person having origins in any of the black racial groups of Africa. 3 - Asian/Pacific Islander: A person having origins in any of the original peoples of Far East, Southeast Asia, the Indian subcontinent, or the Pacific Islands. This area includes, for example, China, India, Japan, Korea, the Philippine Islands and Samoa. 4 - American Indian/Eskimo/Aleut: A person having origins in any of the original peoples of North America, and who maintains cultural identification through tribal affiliation or community recognition. ITEM 6 - Ethnicity If the patient's ethnicity is not obvious, the physician (or assistant) should mark the box which in his judgment is most appropriate. 1 - Hispanic Origin: A person of Mexican, Puerto Rican, Cuban, Central or South America or other Spanish culture or origin, regardless of race. 2 - Not Hispanic: Check "Not Hispanic" for all persons who are not of Hispanic Origin. ITEM 7 - EXPECTED SOURCE(S) OF PAYMENT Check the source or sources which, to the best of your knowledge, describe how this visit will be paid for. If several categories are necessary to describe payment sources, check all that apply. 1 - Self-Pay: Any charges billed directly to the patient or patient's family which will not be reimbursed by a third party. Includes "co-payments" and "deductibles." Does not include pre-paid plans for which no co-payment is charged. 2 - Medicare: Any charges paid in-part or in-full by a Medicare plan. Include payments made directly to the physician as well as payments reimbursed to the patient. 3 - Medicaid: Any charges paid in-part or in-full by a Medicaid plan. Include payments made directly to the physician as well as payments reimbursed to the patient. 4 - Blue Cross/Blue Shield: Any charges paid by B.C. or B.S. either directly to physician or reimbursed to patient. If charges are covered under a BC/BS sponsored prepaid plan, check this box and the HMO/prepaid plan box below. 5 - Other Commercial Insurance: Any charges paid by a private insurance company. Include payment made directly to physician as well as reim- bursed to the patient. 6 - HMO/Prepaid Plans: Charges included under a health maintenance organization plan or other pre-payment plan. Include IPA's, PPO's, etc. 7 - No Charge: Visits for which no fee is charged. Do not include visits paid for as part of a total care package, e.g., post-operative visits included in a surgical fee, pregnancy visits for which a flat fee was charged covering entire pregnancy, and HMO and prepaid systems. 8 - Other: (Specify) Any other source of payment not covered in above categories. Examples include workman's compensation programs, local welfare, CHAMPUS, and VA. ITEM 8 - WAS PATIENT REFERRED FOR THIS VISIT BY ANOTHER PHYSICIAN? This item is intended to provide an idea of the "flow" of ambulatory patients from one physician to another. This item concerns referral to the sample physician by a different physician. The counterpart to this item is box 5 of Item 16 which concerns referrals by the sample physician to another physi- cian. The interest is in referrals for this visit and not in referrals for any prior visit. Referrals are any visits that are made because of the advice or direction of a physician other than the one being visited. ITEM 9 - PATIENT'S COMPLAINT(S), SYMPTOM(S) OR OTHER REASON(S) FOR THIS VISIT (in patient's own words) (1) We want the patient's principal complaint, symptom or other reason as it seems to the patient. The physician may recognize right away, or may find out after examination, that the real problem is some- thing entirely different, but here we are interested in how the patient defines his trouble. (2) The item (like all other items on the Patient Record) refers to patient's complaint, symptom or other reason for this visit. Conceivably, the patient may be in treatment for a serious illness, but if his principal problem on this visit is a cut finger or a twisted ankle, that is the information we want. (3) The complaint or symptom should be described in the patient's own words. We will obtain the physician's diagnosis in Item 10. Here we want the patient's description of the problem: "pain in chest," "cramps after eating," or whatever. Space has been allotted for: (a) most important, and (b) other complaints, symptoms, and reasons, if mentioned by patient. In actuality we code up to three patient problems regardless of whether they are listed in (a) or (b), or both. They are coded in the order they are listed. There will, of course, be visits by patients for reasons other than some complaint or symptom. Examples might be: annual checkup, routine prenatal or postnatal care. In such cases, the physician should simply enter the reason for the visit. (But remember that if the reason for patient visit was only to pay a bill or ask the physician to fill out an insurance form or to drop off a specimen, no Patient Record should be completed. ITEM 10 - PHYSICIAN'S DIAGNOSES This item should never be blank. a. Under "PRINCIPAL DIAGNOSIS" record best assessment of diagnosis associated with the patient's most important complaint/reason in Item 9. If possible, enter a final or provisional diagnosis; otherwise diagnosis may be expressed in "problem" terms. If no diagnosis exists for the reason in Item 9 (e.g., visits for well-person exam), enter "well person" or other appropriate description of the situation. ITEM 11 - HAVE YOU SEEN PATIENT BEFORE? "Seen," means "provided care for" at any time in the past. If no (never saw patient before), the physician marks that box and goes on to Item 12. If he marks "Yes," he must also answer the sub-question: Has he seen this patient before for the condition diagnosed in Item 10? ITEM 12 - DIAGNOSTIC/SCREENING SERVICES Check appropriate boxes for all services ordered or provided during this visit. 1. None: Self-explanatory 2. Pap test: Papanicolaou test 3. Pelvic exam: Self-explanatory 4. Breast palpation: Manual examination to detect abnormalities. 5. Mammogram: A roentgenogram of the breast. 6. Visual Acuity: Self-explanatory 7. Blood pressure check: Self-explanatory 8. Urinalysis: Physical, chemical, or microscopic examination of urine. 9. Chest X-ray: Single or multiple x-rays of the chest for diagnosis or screening purposes. Excludes fluoroscopy and studies of ribs, bony thorax and spine. 10. Digital rectal exam: Manual examination of the rectum. 11. Proct/sigmoidoscopy: Examination of the rectum and sigmoid by means of the sigmoidoscope. 12. Stool blood exam: Self-explanatory 13. Oral glucose tolerance: An oral test taken to measure a patient's glucose level. 14. Cholesterol measure: A blood test taken to measure the level of cholesterol in a patient's blood. 15. HIV Serology: The study of the HIV antigen-antibody reaction in vitro. 16. Other Blood Test: Self-explanatory 17. Other(specify): Services not listed or included in the boxes above. Any such "other" services should be described on the line provided. ITEM 13 - COUNSELING/ADVICE (check all ordered or provided) 1. None 2. Weight Reduction 3. Cholesterol Reduction 4. Smoking Cessation 5. HIV Transmission 6. Breast Self-exam 7. Other The physician should check each box for which he or she ordered or provided counseling, advice, education, instructions, or recommendations to the patient during this visit. ITEM 14 - NON-MEDICATION THERAPY Check all services, ordered or provided at this visit. 1. None. 2. PSYCHOTHERAPY: 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. 3. CORRECTIVE LENSES: Provision, ordering or prescription for glasses or contact lenses. 4. AMBULATORY SURGERY: Any surgical procedure performed in the office or ordered to be performed elsewhere on an outpatient basis. Include management of fractures, suture of wounds, application or removal of casts, incision and draining of abscesses, irrigations, aspirations, dilation, and excisions. 5. 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, whirlpool, diathermy, cold, and manipulative therapy. 6. OTHER: Treatments or nonmedication therapies ordered or provided that are not listed or included in the preceding categories. ITEM 15 - MEDICATION THERAPY THIS VISIT: List all medications, including biologicals, ordered, injected, administered, or otherwise provided at this visit. Include nonprescription as well as prescription drugs. Use the same specific drug name (brand or generic) that you used on any prescription or office medical record. Do not enter broad drug classes, such as "laxative" or "cough preparation". Limit entries to drug name only. Additional information such as dosage strength or regimen is not required. Check "yes" or "no" before each drug name to indicate whether the drug is a new prescription for this patient. Check "yes" or "no" after drug name to indicate whether or not the drug was provided/prescribed for the principal diagnosis in Item 10. ITEM 16 - DISPOSITION THIS VISIT Eight codes are provided to describe the physician's disposition of the case on this visit. The physician should mark as many categories as apply. DISPOSITION DEFINITION 1. No Follow-up Planned: No return visit or telephone contact is scheduled for the patient's problem on this visit. 2. Return at Specified Time: The patient is told to schedule an appointment or is instructed to return at a particular time. 3. Return if Needed, P.R.N.: No future appointment is made, but the patient is instructed to make an appointment with the physician if the patient considers it necessary. (P.R.N., pro re nata, as necessary, as the occasion arises.) 4. Telephone Follow-up The patient is instructed to telephone Planned: the physician on a particular day (to report on this progress), or if the need arises (if he has any trouble or wishes further consultation. 5. Referred to Other The patient is instructed to consult or Physician: seek care from another physician. The patient may or may not return to this physician at a later date. 6. Returned to Referring Patient was referred to this physician Physician: and is now instructed to consult again with the physician who referred him. 7. Admit to Hospital: Patient is instructed that further care or treatment will be provided in a hospital. No further office visits are expected prior to that admission. 8. Other (Specify): Any other disposition of the case not included in the above categories. Any such "other" disposition should be described on the line provided. ITEM 17 - DURATION OF THIS VISIT Include here the entire time the doctor spent with the patient. DO NOT include the time patient spent waiting to see the doctor. DO NOT include the time patient spent receiving care from someone other than the doctor. For example, the nurse gave the patient an inoculation, or a technician administered an electrocardiogram. It is entirely possible that for visits such as these, the patient would not see the doctor at all. In that case, zero minutes should be entered in Item 17. The intent of this item is to get the total time spent in face-to-face contact with the doctor. If more than one patient is seen by the doctor at the same time, apply the following rule: If the doctor can easily segregate the time spent with each (e.g., 3 minutes with one and 27 minutes with the other), he should record that on the patient record forms. If he cannot estimate how much time was spent with each, he should divide the total time equally among the patients seen together. DEFINITIONS OF CERTAIN TERMS USED IN THIS DOCUMENT Office(s).--Premises that the physician identifies as locations for his ambulatory practice. Responsibility over time for patient care and professional services rendered there generally resides with the individual physician rather than with any institution. Visit.--A direct, personal exchange between ambulatory patient and the physician (or members of his staff) for the purpose of seeking care and rendering health services. Ambulatory patient.--An individual presenting for personal health services, neither bedridden nor currently admitted to any health care institution on the premises. Drug mention(s).--The physician's entry of a pharmaceutical agent ordered or provided--by any route of administration--for prevention, diagnosis, or treatment. Generic as well as brand-name drugs are included. Along with all new drugs, the physician also records continued medications, if the patient was specifically instructed during the visit to continue the medication. Patients.--Can be classified as either: In-scope: All patients seen by the physician or 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 doctor has a private office (which fits definition of "office") located in a hospital, the ambulatory patients seen there would be considered "in-scope." The following types of patients are also considered out of scope: patients seen by the physician in any institution (including outpatient clinics of hospitals) for which the institution has the primary responsibility for the care of the patient 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 bills patients who come to the office only to pick up medications previously prescribed by the physician Physician.--Can be classified as either: In-Scope: All duly licensed doctors of medicine and doctors of osteopathy currently in practice who devote most of their practice to 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 physi- cians. 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 VA, the Ford Motor Company, etc.) physicians who either spend no time seeing ambulatory patients or whose patient-care activity is secondary to another principal activity, such as teaching, administration, or research. 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 AOA. Region of practice location.--The four geographic regions which correspond to those used by the U.S. Bureau of the Census, are as follows: Region States Included Northeast..........................Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont Midwest............................Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska North Dakota, Ohio, South Dakota, Wisconsin South..............................Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia West Virginia West...............................Arizona, California, Colorado, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, Wyoming, Alaska, Hawaii Appendix II - Reason For Visit Classification Summary of Codes MODULE CODE NUMBER ______________________________________________________________________________ SYMPTOM MODULE General Symptoms................................1001-1099 Symptoms Referable to Psychological and Mental Disorders..............................1100-1199 Symptoms Referable to the Nervous Sys- tem (excluding sense organs)..................1200-1259 Symptoms Referable to the Cardiovascular and Lymphatic Systems.........................1260-1299 Symptoms Referable to the Eyes and Ears.........1300-1399 Symptoms Referable to the Respiratory System........................................1400-1499 Symptoms Referable to the Digestive System........................................1500-1639 Symptoms Referable to the Genitourinary System........................................1640-1829 Symptoms Referable to the Skin, Nails, and Hair......................................1830-1899 Symptoms Referable to the Musculoskele- tal System....................................1900-1999 DISEASE MODULE Infective and Parasitic Diseases................2001-2099 Neoplasms.......................................2100-2199 Endocrine, Nutritional, and Metabolic Diseases......................................2200-2249 Diseases of the Blood and Blood-Forming Organs........................................2250-2299 Mental Disorders................................2300-2349 Diseases of the Nervous System..................2350-2399 Diseases of the Eye.............................2400-2449 Diseases of the Ear.............................2450-2499 Diseases of the Circulatory System..............2500-2599 Diseases of the Respiratory.....................2600-2649 Diseases of the Digestive System................2650-2699 Diseases of the Genitourinary System............2700-2799 Diseases of the Skin and Subcutaneous Tissue........................................2800-2899 Diseases of the Musculoskeletal System and Connective Tissue..................2900-2949 Congenital anomalies............................2950-2989 Perinatal Morbidity and Mortality Conditions....................................2990-2999 DIAGNOSTIC,SCREENING, AND PREVENTIVE MODULE General Examinations............................3100-3199 Special Examinations............................3200-3299 Diagnostic Tests................................3300-3399 Other Screening and Preventive Pro- cedures.......................................3400-3499 Family Planning.................................3500-3599 TREATMENT MODULE Medications.....................................4100-4199 Preoperative and Postoperative Care.............4200-4299 Specific Types of Therapy.......................4400-4499 Specific Therapeutic Procedures.................4500-4599 Medical Counseling..............................4600-4699 Social Problem Counseling.......................4700-4799 Progress Visit, NEC.............................4800-4899 INJURIES AND ADVERSE EFFECTS MODULE Injury by Type and/or Location..................5001-5799 Injury, NOS.....................................5800-5899 Poisoning and Adverse Effects...................5900-5999 TEST RESULTS MODULE.............................6100-6700 ADMINISTRATIVE MODULE...........................7100-7140 UNCODABLE ENTRIES...............................8990-8999 Note: NEC = not elsewhere classifiable; NOS = not otherwise specified. SYMPTOM MODULE General Symptoms (1001-1099) 1005.0 Chills 1010.0 Fever Includes: High temperature 1015.0 Tiredness, exhaustion Includes: Fatigue No energy Run down Worn out 1020.0 General weakness 1025.0 General ill feeling Includes: Not feeling well Multiple complaints Diffuse Cx Malaise Illness, NOS Sick, NOS 1030.0 Fainting (syncope) Includes: Blacking out Passing out Fainting spells Excludes: Unconsciousness (5840.0) 1035.0 Symptoms of fluid abnormalities 1035.1 Edema Includes: Bloated Holding water Swollen with water Dropsy Ankles swelling (both) Excludes: Swelling of one ankle (1930.5) 1035.2 Excessive sweating, perspiration 1035.3 Excessive thirst 1040.0 Weight gain Includes: Obesity Overweight Too fat Excludes: Counseling for weight problem (4600.0) 1045.0 Weight loss 1045.1 Recent weight loss 1045.2 Underweight 1050.0 Chest pain and related symptoms (not referable to body system) 1050.1 Chest pain Excludes: Heart pain (1265.0) 1050.2 Chest discomfort, pressure, tightness 1050.3 Burning sensation in the chest 1055.0 Pain, site not referable to a specific body system Includes: Buttock pain Gluteal pain Perineal pain Excludes: Chest pain (1050.1) Abdominal pain (1545.1-1545.3) 1055.1 Rib pain 1055.2 Side pain, flank pain 1055.3 Groin pain Includes: Pubic pain 1055.4 Facial pain Includes: Jaw pain Pain over eye 1060.0 Pain and related symptoms, generalized, site unspecified 1060.1 Pain, unspecified Includes: Ache all over 1060.2 Cramps, spasms, site unspecified Excludes: Menstrual cramps (1745.2) 1060.3 Stiffness, site unspecified 1065.0 Tumor or mass, site unspecified 1070.0 Bleeding, site unspecified 1075.0 Symptoms of growth and developmental disorders 1075.1 Lack of growth Includes: Failure to thrive Slowness, physical Too short Immaturity, physical Poor weight gain 1075.2 Excessive growth Includes: Too tall Too big for age Development, early (physical) 1080.0 General Symptoms of infants, NEC 1080.1 Crying too much, fussy, fidgety, irritable Regurgitation, spitting up Excludes: Vomiting (1530.0) 1080.3 Feeding problem 1085.0 General or unspecified nonviral infection 1090.0 Allergy, NOS Includes: Allergic reaction, NOS Food allergy, NOS Milk allergy, NOS Excludes: Allergic skin reaction (2825.0) Allergy to medications (5905.0) Nasal allergy (2635.0) 1095.0 Disorders of motor functions Includes: Ataxia Difficulty in walking Clumsiness Limping Staggering Stumbling Uncoordinated Symptoms Referable to Psychological and Mental Disorders (1100-1199) 1100.0 Anxiety and nervousness Includes: Apprehension Bad nerves Panicky feeling Stress Tension Upset Worried 1105.0 Fears and phobias 1110.0 Depression Includes: Crying excessively Dejected Feeling low Grief Hopelessness Sadness Unhappy 1115.0 Anger Includes: Bitterness Hostile feelings Excludes: Temper problems (1130.4) 1120.0 Problems with identity and Self Esteem Includes: No confidence Loss of identity | Identity crisis No goals Don't like myself Guilt Poor boundaries 1125.0 Restlessness Includes: Hyperactivity Overactivity 1130.0 Behavioral disturbances 1130.1 Antisocial behavior Includes: Avoiding people Excessive shyness Social isolation Withdrawal Lying 1130.2 Hostile Behavior Includes: Aggressiveness Criminality Cruelty Destructiveness Negativism Quarrelsome 1130.3 Hysterical behavior 1130.4 Temper problems Includes: Blowing up Losing temper Temper tantrums 1130.5 Obsessions and compulsions 1135.0 Disturbances of sleep Includes: Night terrors 1135.1 Insomnia Includes: Sleeplessness Can't sleep Trouble falling asleep 1135.2 Sleepiness (hypersomnia) Includes: Drowsiness Can't stay awake 1135.3 Nightmares 1135.4 Sleepwalking 1140.0 Smoking problems Includes: Smoking too much Can't quit smoking Excludes: Smoker's cough (1440.0) Physical symptoms of smoking (see particular symptom) 1145.0 Alcohol-related problems Includes: Drinking problem Excludes: Adverse effects of alcohol (5915.0) Alcoholism (2320.0) 1150.0 Abnormal drug usage Includes: Drug Abuse Frequent or excessive use of stimulants, hallucinogens, depressants, etc. Excludes: Drug addiction (2321.0) Drug dependence (2321.0) Intoxication with drugs (5910.0 Overdose, intentional (5820.1) Overdose, unintentional, NOS (5910.0) 1155.0 Delusions or hallucinations Includes: Seeing things Hearing voices Medicine is poisoned Grandiosity 1160.0 Psychosexual disorders 1160.1 Frigidity, loss of sex drive, lack of response, lack of libido 1160.2 Homosexuality, concerns with 1160.3 Impotence 1160.4 Premature ejaculation 1160.5 Masturbation excessive, concerns about 1160.6 Orgasm, problem with 1165.0 Other symptoms or problems relating psychological and mental disorders, NEC Includes: Can't cope Going crazy Losing my mind Disoriented Mood fluctuation Hate everybody Blunted affect Peculiar thinking Inhibited Excludes: Character disorder (2315.0) Personality disorder (2315.0) 1165.1 Nailbiting 1165.2 Thumbsucking SYMPTOMS REFERABLE TO THE NERVOUS SYSTEM (EXCLUDING SENSE ORGANS) (1200-1259) 1200.0 Abnormal involuntary movements Includes: Shaking Jerking Tics Tremors Twitch Excludes: Eye movements (see 1325.0-1325.4) Eyelid twitch (1340.4) 1205.0 Convulsions Includes: Fits Febrile convulsions Seizures Spells Excludes: Fainting (1030.0) 1210.0 Headache, pain in head Excludes: Sinus headache (1410.1) Migraine (2365.0) 1215.0 Memory, disturbances of Includes: Amnesia Forgetfulness Lack or loss of memory Temporary loss of memory 1220.0 Disturbances of sensation 1220.1 Loss of feeling (anesthesia) Includes: Numbness No response to pain 1220.2 Increased sensation (hyperesthesia) 1220.3 Abnormal sensation (paresthesia) Includes: Prickly feeling Burning, tingling sensation Needles and pins 1220.4 Other disturbances of sense, including smell and taste 1225.0 Vertigo - dizziness Includes: Falling sensation Giddiness (dizziness) Lightheadedness Loss of sense of equilibrium or balance Room spinning 1230.0 Weakness (neurologic) Includes: Right- or left-sided weakness Drooping, facial or NOS Excludes: General weakness (1020.0) 1235.0 Disorders of speech, speech disturbance 1235.1 Stuttering, stammering 1235.2 Slurring 1240.0 Other symptoms referable to the nervous system Includes: Pinched nerve Confusion SYMPTOMS REFERABLE TO THE CARDIOVASCULAR AND LYMPHATIC SYSTEMS (1260-1299) 1260.0 Abnormal pulsations and palpitations 1260.1 Increased heartbeat Includes: Pulse too fast Rapid heartbeat 1260.2 Decreased heartbeat Includes: Pulse too slow Slow heart 1260.3 Irregular heartbeat Includes: Fluttering Skipped beat 1265.0 Heart pain Includes: Heart distress Anginal pain Pain over heart Excludes: Angina pectoris (2515.0) Chest pain (1050.1) 1270.0 Other symptoms of the heart Includes: Bad heart Poor heart Weak heart Heart condition 1275.0 Symptoms of lymph glands (or nodes) 1275.1 Swollen or enlarged glands 1275.2 Sore glands 1280.0 Other symptoms referable to the cardiovascular/lymphatic system, NEC 1280.1 Poor circulation 1280.2 Pallor, paleness 1280.3 Flushed, blushing SYMPTOMS REFERABLE TO THE EYES AND EARS (1300-1399) 1305.0 Vision dysfunctions Excludes: Refractive errors (2405.0) 1305.1 Blindness and half vision 1305.2 Diminished vision Includes: Blurred vision Difficulty reading Poor vision Trouble seeing Can't see distances Weak eyes Scotoma 1305.3 Extraneous vision Includes: Cloudy vision Hazy vision Spots in front of eyes (floaters) 1305.4 Double vision (diplopia) 1310.0 Discharge from eye 1310.1 Bleeding 1310.2 Tearing, watering (lacrimation) 1310.3 Pus, matter, white discharge 1315.0 Eye infection and inflammation 1315.1 Pinkeye 1320.0 Abnormal sensations of the eye Includes: Foreign body sensation 1320.1 Pain Includes: Irritation 1320.2 Itching 1320.3 Burning 1320.4 Strain 1325.0 Abnormal eye movements 1325.1 Abnormal retraction 1325.2 Cross-eyed 1325.3 Pupils unequal 1325.4 Deviation 1330.0 Abnormal appearance of eyes 1330.1 Abnormal color Includes: Bloodshot Red Excludes: Yellow (1610.2) 1330.2 Protrusion (exophthalmos) 1330.3 Cloudy, dull, hazy appearance 1335.0 Other symptoms referable to eye, NEC Includes: Defect, NOS 1335.1 Contact lens problems 1335.2 Allergy 1335.3 Swelling Excludes: Foreign body (5600.0) Injury (5510.0) Abrasion (5410.0) 1340.0 Symptoms of eyelids 1340.1 Infection, inflammation, swelling 1340.2 Itching 1340.3 Mass or growth 1340.4 Abnormal movement Includes: Twitching Blinking Squinting Drooping 1345.0 Hearing dysfunctions 1345.1 Diminished hearing Includes: Deafness Trouble hearing Hearing loss 1345.2 Heightened or acute hearing 1345.3 Extraneous hearing Includes: Ringing (tinnitus) Excludes: Hearing things (1155.0) 1350.0 Discharge from ear Includes: Fluid in ear 1350.1 Bleeding 1350.2 Pus (purulent drainage) 1350.3 Swimmer's ear 1355.0 Earache, or ear infection 1355.1 Earache, pain 1355.2 Ear infection 1360.0 Plugged feeling in ear Includes: Ear wax Ear feels full Congestion in ear Blocked Cracking Popping Ears need cleaning 1365.0 Other symptoms referable to the ears, NEC 1365.1 Itching 1365.2 Growths or mass 1365.3 Pulling at ears, picking at ears 1365.4 Abnormal size or shape, "ears stick out" Excludes: Foreign body in ear (5620.0) SYMPTOMS REFERABLE TO THE RESPIRATORY SYSTEM (1400-1499) 1400.0 Nasal congestion Includes: Drippy nose Runny nose Post-nasal drip Sniffles Stuffy nose Nasal obstruction Excess mucus 1405.0 Other symptoms of nose Excludes: 1405.1 Nosebleed (epistaxis) 1405.2 Sore in nose 1405.3 Inflammation and swelling Includes: Sore nose Infection Red nose 1405.4 Problem with appearance of nose Includes: Too large Bump(s) Undesirable appearance 1410.0 Sinus problems Includes: Sinus drainage 1410.1 Pain and pressure Includes: Sinus headache 1410.2 Sinus inflammation, infection 1410.3 Sinus congestion 1415.0 Shortness of breath Includes: Breathlessness Sensation of suffocation 1420.0 Labored or difficult breathing (dyspnea) Includes: Smothering 1425.0 Wheezing Includes: Sighing respiration 1430.0 Breathing problems, NEC 1430.1 Disorders of respiratory sound, NEC Includes: Abnormal breathing sounds Snoring Rattles Stridor 1430.2 Rapid breathing (hyperventilation) 1435.0 Sneezing 1440.0 Cough Includes: Croupy cough Smoker's cough 1445.0 Head cold, upper respiratory infection (coryza) Includes: Cold, NOS Excludes: Chest cold (1475.0) 1450.0 General viral infection 1450.1 Flu Includes: Grip Influenza Excludes: Croup (2600.0) 1455.0 Symptoms referable to throat 1455.1 Soreness Includes: Throat hurts 1455.2 Pain 1455.3 Infection Includes: Throat virus Excludes: Strep throat (2010.0) 1455.4 Irritation, scratch, tickle 1455.5 Swelling 1455.6 Lump or mass Includes: Sensation of something in throat Excludes: Foreign body in throat (5615.0) 1460.0 Symptoms referable to tonsils Includes: Infection Inflammation 1470.0 Abnormalities of sputum or phlegm 1470.1 Coughing up blood Includes: Hemophysis 1470.2 Pus in sputum 1470.3 Excessive sputum 1475.0 Congestion in chest Includes: Lung congestion Chest cold 1480.0 Disorders of voice 1480.1 Hoarseness, loss of voice 1480.2 Hypernasality 1485.0 Other symptoms referable to the respiratory system, NEC Includes: Drainage in throat SYMPTOMS REFERABLE TO THE DIGESTIVE SYSTEM (1500-1639) 1500.0 Symptoms of teeth and gums 1500.1 Toothache 1500.2 Gum pain 1500.3 Bleeding gums 1505.0 Symptoms referable to lips 1505.1 Cracked, bleeding, dry 1505.2 Abnormal color 1505.3 Cold sore 1510.0 Symptoms referable to mouth Includes: Saliva too thick 1510.1 Pain, burning, soreness 1510.2 Bleeding 1510.3 Dryness 1510.4 Ulcer, sore 1515.0 Symptoms referable to tongue Includes: Ulcer on tongue 1515.1 Pain 1515.2 Bleeding 1515.3 Inflammation, infection, swelling 1515.4 Abnormal color, ridges, coated 1520.0 Difficulty in swallowing (dysphagia) Includes: Choking Inability to swallow 1525.0 Nausea Includes: Upset stomach Sick to stomach Nervous stomach Feel like throwing up 1530.0 Vomiting Includes: Can't keep food down Throwing up Retching Excludes: Regurgitation, infants (1080.2) Vomiting blood (1580.2) 1535.0 Heartburn and indigestion (dyspepsia) Includes: Excessive belching 1540.0 Gastrointestinal infection Includes: Stomach flu Stomach virus Intestinal virus 1545.0 Stomach and abdominal pain, cramps and spasms Includes: Gastric pain Excludes: Groin pain (1055.3) 1545.1 Abdominal pain, cramps, spasms, NOS Includes: Intestinal colic Gas pains Abdominal discomfort, NOS 1545.2 Lower abdominal pain, cramps, spasms Includes: Right lower quadrant (RLQ) pain Left lower quadrant (LLQ) pain Inguinal pain 1545.3 Upper abdominal pain, cramps, spasms Includes: Epigastric pain Left upper quadrant (LUQ) pain Pain in umbilical region Right upper quadrant (RUQ) pain 1565.0 Change in abdominal size 1565.1 Distention, fullness, NOS Includes: Abdominal bloating Stomach fullness 1565.2 Mass or tumor Includes: Mass in groin 1565.3 Abdominal swelling, NOS 1570.0 Appetite, abnormal 1570.1 Excessive appetite Eats too much Always hungry 1570.2 Decreased appetite Not hungry Loss of appetite 1580.0 Gastrointestinal bleeding 1580.1 Blood in stool (melena) 1580.2 Vomiting blood (hematemesis) 1585.0 Flatulence Includes: Gas Bloated, gas Excessive gas Distention due to gas Excludes: Gas pains (1545.1) 1590.0 Constipation 1595.0 Diarrhea Includes: Loose stools The runs 1600.0 Other symptoms or changes in bowel function 1600.1 Discharge in stools Includes: Mucus Pus 1600.2 Worms 1600.3 Changes in size, color, shape, or odor Includes: Bulky stools Too narrow Unusual odor or color 1600.4 Incontinence of stool Includes: Dirty pants (encopresis) Leaking stools 1605.0 Symptoms referable to anus-rectum 1605.1 Pain Includes: Burning Irritation 1605.2 Bleeding 1605.3 Swelling or mass 1605.4 Itching 1610.0 Symptoms of liver, gallbladder, and biliary tract 1610.1 Pain 1610.2 Jaundice Includes: Yellow eyes Yellow skin 1615.0 Other symptoms referable to digestive system Includes: Bad breath Halitosis Stomach problem Stomach trouble Hiccoughs Gastrointestinal distress Epigastric distress SYMPTOMS REFERABLE TO THE GENITOURINARY SYSTEM (1640-1829) 1640.0 Abnormalities of urine Excludes: Abnormal findings of urine tests (6200.0) 1640.1 Blood in urine (hematuria) 1640.2 Pus in urine 1640.3 Unusual color or odor 1645.0 Frequency and urgency of urination 1645.1 Excessive urination, night (nocturia) 1650.0 Painful urination Includes: Burning, discomfort 1655.0 Incontinence of urine (enuresis) 1655.1 Involuntary urination, can't hold urine, dribbling 1655.2 Bedwetting 1660.0 Other urinary dysfunctions 1660.1 Retention of urine Includes: Weak stream Can't urinate 1660.2 Hesitancy Includes: Difficulty in starting stream 1660.3 Large volume Includes: Polyuria 1665.0 Symptoms of bladder Includes: Bladder trouble 1665.1 Pain 1665.2 Infection 1670.0 Symptoms of the kidneys Includes: Kidney trouble 1670.1 Pain 1670.2 Infection 1675.0 Urinary tract infection, NOS Includes: Genitourinary infection Urine infection 1680.0 Other symptoms referable to urinary tract Includes: Passed stones Excludes: Kidney stones or bladder stones (2705.0) 1700.0 Symptoms of penis 1700.1 Pain, aching, soreness, tenderness, painful erection 1700.2 Infection, inflammation, swelling 1700.3 Lumps, bumps, growths, warts 1705.0 Penile discharge 1710.0 Symptoms of prostate Includes: Prostate trouble 1710.1 Swelling 1710.2 Infection 1715.0 Symptoms of the scrotum and testes 1715.1 Pain, aching, tenderness 1715.2 Swelling, inflammation 1715.3 Growths, warts, lumps, bumps 1715.4 Itching, jock itch 1720.0 Other symptoms of male reproductive system Excludes: Psychosexual problems (1160.0-1160.6) 1730.0 Absence of menstruation (amenorrhea) Excludes: Suspected pregnancy (3200.0) Missed a period (3200.0) Period late (3200.0) 1735.0 Irregularity of menstrual interval 1735.1 Frequent 1735.2 Infrequent 1735.3 Unpredictable 1740.0 Irregularity of menstrual flow 1740.1 Excessively heavy (menorrhagia) 1740.2 Scanty flow (oligomenorrhea) 1740.3 Abnormal material, including clots 1745.0 Menstrual symptoms, other and unspecified Includes: Long periods 1745.1 Premenstrual symptoms Includes: Premenstrual tension or irritability Bloating before periods 1745.2 Painful menstruation (dysmenorrhea) Includes: Menstrual cramps Pain in legs and back during menstruation 1750.0 Menopausal symptoms 1750.1 Early or late onset of menopause 1750.2 Vasomotor symptoms-hot flashes 1750.3 Emotional symptoms, change of life problems 1755.0 Uterine and vaginal bleeding Excludes: Bleeding during pregnancy (1790.2) 1755.1 Intermenstrual bleeding (metrorrhagia) Includes: Breakthrough bleeding Bleeding between periods 1755.2 Postmenopausal bleeding 1755.3 Postcoital bleeding, female 1760.0 Vaginal discharge Includes: Bloody, brown, white (leukorrhea), execssive 1765.0 Other vaginal symptoms 1765.1 Pain 1765.2 Infection 1765.3 Itching, burning 1770.0 Vulvar disorders 1770.1 Itching and irritation, swelling 1770.2 Mass, lump 1770.3 Growth, wart, cyst, ulcer, sore 1775.0 Pelvic symptoms 1775.1 Pain 1775.2 Pressure or dropping sensation Includes: Feeling of uterus falling out 1775.3 Infection, inflammation 1790.0 Problems of pregnancy Excludes: Routine prenatal visits (3205.0) 1790.1 Pain during pregnancy 1790.2 Spotting, bleeding during pregnancy 1790.3 Symptoms of onset of labor Includes: Water broke Ruptured membranes Labor pain, contractions 1791.0 Postpartum problems Includes: Bleeding Pain Excludes: Postpartum examination, routine (3215.0) 1795.0 Other symptoms referable to the female reproductive system Includes: Frequent miscarriage 1800.0 Pain or soreness of breast Includes: Tenderness 1805.0 Lump or mass of breast Includes: Bump Knot Nodule Cyst 1810.0 Other symptoms referable to breast 1810.1 Bleeding or discharge from nipple 1810.2 Postpartum problems Includes: Engorgement Postpartum infection Nursing difficulties 1810.3 Problems with shape or size Includes: Too large Too small Sagging Uneven development 1815.0 Symptoms of infertility Includes: Can't get pregnant Inability to conceive Sterility 1820.0 Hormone deficiency or problem 1825.0 Symptoms of sexual dysfunction Includes: Dyspareunia Painful intercourse Excludes: Psychological disorders (see 1160.0-1160.6) SYMPTOMS REFERABLE TO THE SKIN, NAILS, AND HAIR (1830-1899) 1830.0 Acne or pimples Includes: Bad complexion Blackheads Blemishes Breaking out Complexion, NOS Whiteheads 1835.0 Discoloration or pigmentation Includes: Freckles Blotches Redness Spots Circles under eyes Birthmark Excludes: Jaundice (1610.2) Bruise (see 5405.0-5430.0) Flushing (1280.3) Blushing (1280.3) 1840.0 Infections of skin, NOS Includes: Infected blister Excludes: Athlete's foot (2025.0) 1840.1 Infection of skin of head or neck area 1840.2 Infection of skin of arm, hand, or finger 1840.3 Infection of skin of leg, foot, or toe 1845.0 Symptoms of skin moles Includes: Skin mole, NOS 1845.1 Change in size or color 1845.2 Bleeding mole 1850.0 Warts, NOS Includes: Condyloma Condyloma acuminatum Excludes: Plantar's warts (2015.0) 1855.0 Other growths of skin Includes: Skin growth, NOS Skin tag Cysts, NOS Callus Corns 1860.0 Skin rash Includes: Rash Skin eruption Excludes: Poison ivy (2825.0) Poison oak (2825.0) 1860.1 Diaper rash 1865.0 Skin lesion Includes: Ulcer Sore Blister Postule 1870.0 Skin irritations, NEC 1870.1 Pain 1870.2 Itching 1875.0 Swelling of skin Includes: Bumps, lumps Nodules Welts, except hives (2825.0) Tumor, skin 1880.0 Other symptoms referable to skin Includes: Navel problems Umbilicus not healing 1880.1 Oiliness 1880.2 Dryness, peeling, scaliness, roughness 1880.3 Wrinkles 1885.0 Symptoms referable to nails 1885.1 Infected 1885.2 Ingrown 1885.3 Brittle, breaking, splitting, cracked, ridged 1890.0 Symptoms referable to hair and scalp 1890.1 Too little hair Includes: Baldness Alopecia Falling out Losing hair 1890.2 Unwanted hair Includes: Superfluous hair Abnormal hairiness Hirsutism 1890.3 Dryness, flaky scalp 1890.4 Itching 1895.0 Other symptoms of nails and hair SYMPTOMS REFERABLE TO THE MUSCULOSKELETAL SYSTEM (1900-1999) These codes exclude all injuries (See Injuries and Adverse Effects Module.) The following fourth digits should be used with categories 1900-1970: .1 pain, ache, soreness, discomfort .2 cramps, contractures, spasms .3 limitation of movement, stiffness .4 weakness .5 swelling .6 lump, mass,tumor 1900.0 Neck symptoms 1905.0 Back symptoms 1910.0 Low back symptoms 1915.0 Hip symptoms 1920.0 Leg symptoms 1925.0 Knee symptoms 1930.0 Ankle symptoms 1935.0 Foot and toe symptoms 1940.0 Shoulder symptoms 1945.0 Arm symptoms 1950.0 Elbow symptoms 1955.0 Wrist symptoms 1960.0 Hand and finger symptoms 1965.0 Symptoms of unspecified muscles 1970.0 Symptoms of unspecified joints 1975.0 Musculoskeletal deformities Excludes: Clubfoot (2960.0) Curvature of spine (2910.0) 1975.1 Bowlegged, knock-kneed 1975.2 Posture problems 1975.3 Pigeon-toed, feet turn in 1980.0 Other musculoskeletal symptoms Includes: Bone pain Stump pain Disease Module INFECTIVE AND PARASITIC DISEASES (2001-2099) 2005.0 Intestinal infectious diseases Includes: Gastroenteritis Enteritis Cholera Salmonella Dysentery 2010.0 Streptococcal infection Includes: Streptococcal tonsillitis Scarlet fever 2015.0 Viral diseases Includes: Chickenpox Shingles (Herpes zoster) Herpes simplex Measles German measles (rubella) Mumps Infectious mononucleosis Hepatitis (infectious and NOS) Smallpox Poliomyelitis Verruca (Plantar's warts) 2015.1 Human immunodeficiency virus (HIV) with associated conditions Includes: Acquired immunodeficiency syndrome AIDS AIDS-like syndrome AIDS-related complex ARC 2015.2 History of positive serological or viral culture findings for human immunodeficiency virus (HIV) without associated conditions Includes: HIV positive Excludes: Results, follow-up of test for HIV (6106.0) 2020.0 Venereal diseases Includes: Syphilis Gonorrhea Venereal diseases, NOS 2025.0 Fungus infections (mycoses) Ringworm Ringworm Yeast infection Moniliasis Dermatophytoses Athlete's foot Ringworm Thrush Tinea 2030.0 Parasitic diseases Includes: Pinworms Ascaris Lice Maggots Leeches 2035.0 Other and unspecified infectious and parasitic diseases Includes: Staphylococcal infections Trichomonas vaginitis Tuberculosis Neoplasms Malignant Neoplasms 2100.0 Cancer, gastrointestinal tract Includes: Esophagus Stomach Small intestine Colon 2105.0 Cancer, respiratory tract Includes: Bronchus Lung Larynx Trachea Throat 2110.0 Cancer, skin and subcutaneous tissues Includes: Melanoma Basal cell carcinoma Squamous cell carcinoma 2115.0 Cancer, breast 2120.0 Cancer, female genital tract Includes: Uterus Cervix Fallopian tube(s) Vagina Vulva Ovary(ies) Endometrium 2125.0 Cancer, urinary and male genital tract Includes: Bladder Kidney Prostate 2130.0 Other malignant and unspecified neoplasms Includes: Metastic carcinoma Brain tumor Bone cancer 2135.0 Hodgkin's disease, lymphomata, leukemias Includes: Multiple myeloma Polycythemia vera Lymphosarcoma Cancer of blood Benign Neoplasms 2140.0 Fibroids and other uterine neoplasms Includes: Myoma Leiomyomata Cervical polyp Nabothian cyst 2145.0 Other benign neoplasms Includes: Rectal polyp Ovarian cyst Bartholin's cyst Lipoma Vaginal inclusion Nasal polyp Dermoid cyst (ovary) Nevus Excludes: Pilonidal cyst (2825.0) Sebaceous cyst (2825.0) Epidermoid cyst (2825.0) Cyst, NOS (1855.0) ENDOCRINE, NUTRITIONAL, AND METABOLIC DISEASES (2200-2249) 2200.0 Diseases of the thyroid gland Includes: Thyrotoxicosis Thyroid nodule Hyperthyroidism Goiter Myxedema Hypothyroidism 2205.0 Diabetes mellitus 2210.0 Gout, hyperuricemia 2215.0 Other endocrine, nutritional, and metabolic diseases Includes: Hypoglycemia Hyperlipidemia Disorders of intestinal absorption Ovarian dysfunction Poor nutrition DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS (2250-2299) 2250.0 Anemia Includes: Iron deficiency anemia Sickle cell anemia Pernicious anemia Anemia, NOS 2255.0 Other diseases of blood and blood-forming organs MENTAL DISORDERS (2300-2349) 2300.0 Organic psychoses Includes: Organic brain syndromes Senile dementia Alcoholic psychoses 2305.0 Functional psychoses Includes: Schizophrenia, all types Manic-depressive psychoses Paranoid states Psychosis, NOS 2310.0 Neuroses Includes: Depressive neurosis Depressive reaction Anxiety reaction Obsessive compulsive neurosis Neurosis, NOS Excludes: Depression (1110.0) Anxiety (1100.0) 2315.0 Personality and character disorders 2320.0 Alcoholism Excludes: Alcohol-related problems (1145.0) Adverse effect of alcohol (5915.0) 2321.0 Drug dependence Includes: Drug addiction Excludes: Abnormal drug usage (1150.0) Adverse effect of drug abuse (5910.0) Overdose, intentional (5820.1) 2325.0 Mental retardation 2330.0 Other mental disease Includes: Transient situational disturbances Adolescent adjustment reaction Grief reaction Sexual deviations Attention deficit disorder DISEASES OF THE NERVOUS SYSTEM (2350-2399) 2350.0 Multiple sclerosis 2355.0 Parkinson's disease (paralysis agitans) 2360.0 Epilepsy 2365.0 Migraine headache 2370.0 Other diseases of central nervous system Includes: Carpal tunnel syndrome Bell's palsy Cerebral palsy Demyelinating disease Paralysis, NOS Meningitis Muscular dystrophy Morton's neuroma Myasthenia gravis DISEASES OF THE EYE (2400-2449) 2400.0 Inflammatory diseases of the eye Includes: Conjunctivitis Ophthalmia Sty Blepharitis Keratitis Ulcer Excludes: Infection, NOS (1315.0) 2405.0 Refractive error Includes: Myopia, nearsightedness Hyperopia, farsightedness Astigmatism Excludes: Test for refractive errors (3230.0) 2410.0 Cataract 2415.0 Glaucoma 2420.0 Other diseases of the eye Includes: Retinal detachment Strabismus Aphakia Amblyopia Color blindness Iritis Esotropia DISEASES OF THE EAR (2450-2499) 2450.0 Otitis media 2455.0 Other diseases of the ear Includes: Ruptured tympanic membrane Labyrinthitis Excludes: Infection, NOS (1355.2) Deafness (1345.1) DISEASES OF THE CIRCULATORY SYSTEM (2500-2599) 2500.0 Rheumatic fever and chronic rheumatic heart disease Includes: Chorea 2505.0 Hypertension with involvement of target organs Includes: Hypertensive heart disease Renal hypertension HCD HCVD Hypertensive cardiovascular disease 2510.0 Hypertension Includes: High blood pressure 2515.0 Ischemic heart disease Includes: Myocardial infarction Coronary artery disease Coronary Heart attack Arteriosclerotic heart disease (ASHD) Arteriosclerotic cardiovascular disease (ACVD) Angina pectoris 2520.0 Other heart disease Includes: Cardiac dysrhythmias Atrial fibrillation Paroxysmal tachycardia Congestive heart failure Heart failure Heart murmur Premature ventricular contractions (PVSs) Mitral valve prolapse 2525.0 Cerebrovascular disease Includes: Cerebrovascular accident (CVA) Stroke 2530.0 Atherosclerosis Includes: Arteriosclerosis Hardening of the arteries 2535.0 Phlebitis, thrombophlebitis Includes: Phlebothrombosis 2540.0 Varicose veins 2545.0 Hemorrhoids Includes: Perineal tags 2550.0 Other disease of circulatory system Includes: Pulmonary embolism Heart disease, NOS Lymphadenopathy Lymphadenitis Venous insufficiency Aneurysm DISEASES OF THE RESPIRATORY SYSTEM (2600-2649) 2600.0 Upper respiratory infections except tonsillitis Includes: Pharyngitis Sinusitis Laryngitis Croup Rhinitis Excludes: Allergic rhinitis (2635.0) Cold (1445.0) Throat infection, NOS (1455.3) Nose infection, NOS (1405.3) Sinus infection, NOS (1410.2) 2605.0 Tonsillitis 2610.0 Bronchitis Includes: Chronic bronchitis Bronchitis, NOS Acute bronchitis 2620.0 Emphysema 2625.0 Asthma 2630.0 Pneumonia Includes: Viral pneumonia Bacterial pneumonia Bronchopneumonia Pneumonitis 2635.0 Hay fever Includes: Allergic rhinitis Nasal allergy Pollenosis Allergy to: Dust Pollen Animals Ragweed 2640.0 Other respiratory diseases Includes: Pulmonary edema Deviated nasal septum Pneumothorax Hemothorax Pleurisy Chronic obstructive pulmonary disease DISEASES OF THE DIGESTIVE SYSTEM (2650-2699) 2650.0 Diseases of the esophagus, stomach, and duodenum Includes: Esophagitis Duodenal ulcer Peptic ulcer Gastritis Stomach ulcer Excludes: Stomach flu (1540.0) Gastroenteritis (2005.0) 2655.0 Appendicitis, all types 2660.0 Hernia of abdominal cavity Includes: Inguinal Hiatus Abdominal Femoral Umbilical Ventral 2665.0 Diseases of the intestine and peritoneum Includes: Diverticulitis Diverticulosis Spastic colitis Irritable bowel syndrome Ulcerative colitis Crohn's disease Ileitis Fistula - rectal, anal Fissure - rectal, anal Excludes: Intestinal virus (1540.0) 2670.0 Diseases of the liver, gallbladder, and pancreas Includes: Biliary colic Cirrhosis Liver diseases Cholelithiasis (gallstones) Cholecystitis Pancreatitis 2675.0 Other diseases of digestive system Includes: Stomatitis Canker sore Temperomandibular joint (TMJ) pain Temperomandibular joint (TMJ) syndrome DISEASES OF THE GENITOURINARY SYSTEM (2700-2799) 2700.0 Cystitis Excludes: Bladder infection (1665.2) 2705.0 Urinary tract disease except cystitis Includes: Urethritis Pyelonephritis Glomerulonephritis Glomerulonephrosis Ureteral calculus Renal failure Kidney stones Bladder stones Neurogenic bladder Excludes: Bladder infection (1665.2) Kidney infection, NOS (1670.2) Passed stones (1680.0) Urinary tract infection (1675.0) 2710.0 Diseases of the male genital organs Includes: Prostatitis Benign prostatic hypertrophy (BPH) Hydrocele Phimosis Epididymitis Peyronie's disease Excludes: Prostate infection (1710.2) 2715.0 Fibrocystic and other diseases of breast Includes: Mastitis Excludes: Infection (1810.0) Cancer (2115.0) 2720.0 Pelvic inflammatory disease (PID) Includes: Salpingitis Oophoritis Pelvic peritonitis Excludes: Pelvic infection, NOS (1775.3) 2725.0 Cervicitis, vaginitis Includes: Cervical erosion Vulvovaginitis 2730.0 Other diseases of female reproductive system Includes: Endometriosis Rectal-vaginal fistula Prolapse of uterus Dysfunctional uterine bleeding Vulvitis Polycystic ovaries Cystocele Rectocele 2735.0 Diagnosed complications of pregnancy and puerperium Includes: Placenta previa Ectopic pregnancy Toxemia Threatened abortion Spontaneous abortion Hyperemesis Fetal death in utero Diabetes during pregnancy Edema of pregnancy High blood pressure during pregnancy RH sensitization Multiple pregnancy Excludes: Abortion induced (3520.0) DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE (2800-2899) 2800.0 Carbuncle, furuncle, boil, cellulitis, abscess, NEC 2805.0 Impetigo 2810.0 Seborrheic dermatitis Includes: Dandruff 2815.0 Eczema and dermatitis, NOS 2820.0 Psoriasis 2825.0 Other diseases of the skin Includes: Allergic skin reactions Pilonidal cyst Urticaria Hives Keloid Keratosis Sebaceous cyst Paronychia Lupus erythematosus discoid Epidermal inclusion cyst Poison ivy Poison oak Excludes: Cyst, NOS (1855.0) Acne (1830.0) DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE (2900-2949) 2900.0 Arthritis Includes: Osteoarthritis Rheumatoid arthritis Rheumatism, NOS 2905.0 Nonarticular rheumatism Includes: Bursitis Synovitis Tenosynovitis Tendinitis Myositis Lumbago Excludes: Rheumatism, NOS (2900.0) 2910.0 Other musculoskeletal or connective tissue disease Includes: Systemic lupus erythematosus Curvatures of spine Scoliosis Kyphoscoliosis Kyphosis Osteoporosis Degenerative disc diseases Slipped disc Osteomyelitis Bone cysts Bunions CONGENITAL ANOMALIES (2950-2989) 2950.0 Congenital anomalies of heart and circulatory system 2955.0 Undescended testicles Includes: Hypospadias 2960.0 Other congenital anomalies Includes: Cleft palate Cleft lip Deformed earlobe Clubfoot Harelip Congenital dislocation of hip Blocked tear duct Absence of organs Duplication of organs PERINATAL MORBIDITY AND MORTALITY CONDITIONS (2990-2999) 2990.0 All perinatal conditions Diagnostic, Screening and Preventive Module GENERAL EXAMINATIONS (3100-3199) 3100.0 General medical examination Includes: Annual exam Checkup, NOS Checkup, routine General exam Multiphasic screening exam Regular exam Routine exam Physical exam History and physical (H&P) Excludes: Administrative exam (7100.0-7140.0) Followup visit (4800.0) Gynecological exam (3225.0) Prenatal exam (3205.0) Progress visit (4800.0) 3105.0 Well baby examination 3130.0 General psychiatric or psychological examination Includes: Psychological testing Excludes: Court- or school-ordered rexamination (7140.0) SPECIAL EXAMINATIONS (3200-3299) 3200.0 Pregnancy, unconfirmed Includes: Might be pregnant Period late Late menses Pregnancy test Possible pregnancy Missed period 3205.0 Prenatal examination, routine Includes: Routine obstetrical care Normal antepartum visit Pregnancy, NOS 3215.0 Postpartum examination, routine 3220.0 Breast examination Excludes: Mammography (3340.0) Xerography (3340.0) Breast thermography (3340.0) 3225.0 Gynecological examination Includes: Pelvic exam Excludes: Repeat or abnormal Pap smear (6300.0) Examination involving IUD (3510.0) Examination for birth control medication (3505.0) Examination for birth control NOS (3500.0) 3230.0 Eye examination Includes: Routine ophthalmological exam To test my eyes Need new glasses Test for nearsightedness, farsightedness For glasses Check glasses For contacts Check contacts Vision test Excludes: Fitting glasses or contacts (4515.0) 3235.0 Heart examination Includes: Heart checkup Cardiac checkup 3240.0 Other special examination Includes: Neurological exam Check tubes Examination of functioning internal prosthetic devices implants, shunts, etc. DIAGNOSTIC TESTS (3300-3399) 3300.0 Sensitization test Includes: Allergy test Excludes: To check results of skin tests (6600.0) 3305.0 Skin immunity test Includes: Tuberculin test PPD test Excludes: To check results of skin tests (6600.0) 3310.0 Glucose level determination Includes: Blood sugar test Check sugar Glucose tolerance test Test for diabetes 3314.0 Human immunodeficiency virus (HIV) test Includes: AIDS test Excludes: To check results of human immunodeficiency virus test (6106.0) 3315.0 Other blood test Includes: Blood count Blood culture Blood test, NOS Blood thinning test Check cholesterol Prothrombin time Sickle cell anemia test Excludes: Premarital blood test (7135.1) 3315.1 Blood test for venereal disease 3320.0 Blood pressure test Includes: Check blood pressure Blood pressure check 3325.0 Urine test Includes: Test urine for sugar Urinalysis Estriol for fetal evaluation Urine culture 3330.0 Diagnostic endoscopies Includes: Proctoscopy Sigmoidoscopy Cystoscopy Laparoscopy 3335.0 Biopsies 3340.0 Mammography, xerography, breast thermography Excludes: Breast examination (3220.0) 3345.0 Diagnostic radiology Includes: X-ray Myelogram Radioisotope scanning IVP Angiogram Venogram Hysterosalpingogram 3350.0 EKG, ECG, electrocardiogram, treadmill, stress testing 3355.0 EEG, electroencephalogram 3360.0 Hearing test Includes: Hearing exam 3365.0 Pap smear 3370.0 Other and unspecified diagnostic tests Includes: Centesis Electronic fetal monitoring Lab test, NOS Spinal tap Pulmonary function test Drug screening 3370.1 Glaucoma test Includes: Check intraocular pressure 3370.2 Throat culture OTHER SCREENING AND PREVENTIVE PROCEDURES (3400-3499) 3400.0 Prophylactic inoculations Includes: Vaccination Immunization Flu shot Tetanus shot 3405.0 Exposure to venereal disease Includes: May have V.D. Check for V.D. 3409.0 Exposure to human immunodeficiency virus (HIV) Includes: Exposed to AIDS 3410.0 Exposure to other infectious diseases Includes: Chickenpox Infectious hepatitis Measles Mumps Tuberculosis FAMILY PLANNING (3500-3599) 3500.0 Family Planning, NOS Includes: Counseling, examinations, and general advice regarding Birth control, NOS Unwanted pregnancy Contraceptive, NOS Sterilization Infertility Genetics Contraception followup, NOS Excludes: Specified types of birth control: Birth control medication (3505.0) IUD (3510.0) Procedures performed +see Counseling and examinations for pregnancy interruption (3515.0) through Artificial insemination (3530.0)+ 3505.0 Contraceptive medication Includes: Examinations, instructions, and advice regarding: Birth control pills Renewing pill prescription Oral contraceptives Contraceptive implants Foams, jellies 3510.0 Contraceptive device Includes: IUD insertion, removal, checkup Diaphragm insertion, removal, checkup 3515.0 Counseling and examinations for pregnancy interruption Includes: Evaluation for an arrangement for abortion Wants abortion 3520.0 Abortion to be performed (at this visit) 3525.0 Sterilization to be performed (at this visit) Includes: Male - vasectomy Female - tubal ligation 3530.0 Artificial insemination Treatment Module MEDICATIONS (4100-4199) 4100.0 Allergy medication Includes: Allergy shots Allergy treatments Excludes: Allergy testing (3300.0) 4110.0 Injections Includes: Hormones Vitamins Iron Injections, NOS Shots, NOS Excludes: Immunizations (3400.0) Vaccinations (3400.0) Inoculations (3400.0) Allergy shots (4100.0) 4115.0 Medication, other and unspecified kinds Includes: Renew prescription For medication Request prescription Prescribe medication Check medication Scripts Renew scripts Excludes: Birth control medication (3505.0) Eyeglass prescription +see Eye examination (3230.0) and Fitting glasses and contact lenses (4515.0)+ Antibiotic medication (4110.0) PREOPERATIVE AND POSTOPERATIVE CARE (4200-4299) 4200.0 Preoperative visit for specified and unspecified types of surgery Includes: Discussion of cosmetic surgery 4205.0 Postoperative visit Includes: Postop care Postop pain Postop suture removal Check surgical wound SPECIFIC TYPES OF THERAPY (4400-4499) 4400.0 Physical medicine and rehabilitation Includes: Physical therapy Heat therapy Hydrotherapy Therapeutic exercises Back adjustment Occupational therapy Recreational therapy Speech therapy Vocational rehabilitation 4405.0 Respiratory therapy Includes: Inhalation therapy Asthma treatment 4410.0 Psychotherapy Includes: Group therapy Psychoanalysis 4415.0 Radiation therapy 4420.0 Acupuncture 4425.0 Chemotherapy SPECIFIC THERAPEUTIC PROCEDURES (4500-4599) 4500.0 Tube insertion Includes: Chest tube Bad tube 4505.0 Cauterization, all sites 4510.0 Urinary tract instrumentation and catheterization Includes: Urethral dilation Excludes: Cystoscopy +see Diagnostic endoscopies (3330.0)+ 4515.0 Fitting glasses and contact lenses Includes: Prescription renewal Broken or lost glasses or contacts Pick up glasses or contacts Clean glasses or contacts Excludes: Eye examination (3230.0) 4520.0 Minor surgery Includes: Ears pierced Joint manipulation Tattoo removal 4520.1 Wart removed 4525.0 Kidney dialysis 4530.0 External prosthetic devices, artificial body parts (fit, adjust, remove) 4535.0 Corrective appliances Includes: Fitting and adjusting: Back brace Leg brace Neck brace Orthopedic shoes 4540.0 Cast, splint - application, removal 4545.0 Dressing, bandage - application, change 4550.0 Irrigation, lavage 4555.0 Suture - insertion, removal 4560.0 Other specific therapeutic procedures, NEC Includes: Ultraviolet treatment Enema Eye exercises Cryotherapy Wound care, NOS MEDICAL COUNSELING (4600-4699) 4600.0 Diet and nutritional counseling Includes: Check weight Counseling for weight reduction 4604.0 Human immunodeficiency virus (HIV) counseling Includes: AIDS counseling ARC counseling Worried, concerned about getting, transmitting AIDS AIDS information, education 4605.0 Counseling, NOS Includes: Wants to talk to doctor To meet doctor Medical consultation Patient education To learn about a condition Personal problem Disease counseling Referral Second opinion SOCIAL PROBLEM COUNSELING (4700-4799) 4700.0 Economic problem Includes: Too little income Can't pay bills 4705.0 Marital problems Includes: Problem with husband, wife Alcoholic spouse Marriage counseling, NOS Premarital counseling Divorce, desertion, separation Custody battle 4710.0 Parent-child problems Includes: Working mother Concern about childhood behavior Discipline Maturation problems Child neglect and abuse Adopted or foster child 4715.0 Other problems of family relationship Includes: Aged parents or in-laws Problems with relatives Family fights and disruptions 4720.0 Educational problems Includes: Absenteeism, truancy Problems with teachers Hates school School behavior problems 4725.0 Occupational problems Includes: Unemployment Out of work Job dissatisfaction Problem with boss or coworkers 4730.0 Social adjustment problems Includes: Loneliness Social isolation Neighborhood and community relations problems Discrimination problems Don't have any friends 4735.0 Legal problems Includes: Imprisonment, prosecution Lawsuits, litigation 4740.0 Other social problems Includes: Pregnancy out-of-wedlock Disasters Housing and clothing problems Problem with boyfriend or girlfriend Problems of aging PROGRESS VISIT,NEC (4800-4899) 4800.0 Progress visit, NOS (Use only when the only information given is progress or followup) Includes: Followup, NOS Routine followup Routine, NOS I'm better I'm worse I'm the same Chronic, NOS Touching base Excludes: General checkup (3100.0) Followup, disease (Code to disease) Followup, injury (Code to injury) Followup, symptom (Code to symptom) Followup, test results (Code to 6100.0-6700.0) Postoperative followup (4205.0) Injuries and Adverse Effects Module Injury by Type and/or Location Fractures and dislocations: 5005.0 Head and face Includes: Skull Jaw Nose Facial bones 5010.0 Spinal column Includes: Neck Vertebrae Back 5015.0 Trunk area, except spinal column Includes: Rib Clavicle Collarbone Pelvic scapula 5020.0 Leg Includes: Knee Femur Tibia Fibula Hip 5025.0 Ankle 5030.0 Foot and toes 5035.0 Arm Includes: Radius Ulna Elbow Humerus Shoulder 5040.0 Wrist 5045.0 Hand and fingers 5050.0 Fracture, other and unspecified Sprains and strains: 5105.0 Cervical spine, neck Includes: Whiplash 5110.0 Back 5115.0 Knee 5120.0 Ankle 5125.0 Wrist 5130.0 Sprain or strain, other and unspecified Laceratons and cuts: 5205.0 Head and neck area Excludes: Face (5210.0) 5210.0 Facial area Includes: Eye Ear Nose 5215.0 Trunk area 5220.0 Lower extremity Includes: Ankle Foot 5225.0 Upper extremity Includes: Hand Fingers Arm Wrist 5230.0 Laceration and cuts, site unspecified Puncture wounds: 5305.0 Head, neck and facial area 5310.0 Trunk area 5315.0 Lower extremity 5320.0 Upper extremity 5325.0 Puncture wound, site unspecified Includes: Needlestick, NOS Contusions, abrasions, and bruises: 5405.0 Head, neck, and face Excludes: Eye(5410.0) 5410.0 Eye Includes: Corneal abrasion Black eye 5415.0 Trunk area Includes: Injury to scrotum 5420.0 Lower extremity 5425.0 Upper extremity 5430.0 Contusion, abrasion, bruise, site unspecified Injury, type unspecified: 5505.0 Head, neck, and face 5510.0 Eye 5515.0 Back Includes: Tail bone 5520.0 Chest and abdomen Includes: Internal injuries 5525.0 Hip 5530.0 Leg 5535.0 Knee 5540.0 Ankle 5545.0 Foot and toe(s) 5550.0 Shoulder 5555.0 Arm 5560.0 Elbow 5565.0 Wrist 5570.0 Hand and finger(s) 5575.0 Injury, multiple or unspecified Foreign body: 5600.0 Eye 5605.0 Nose 5610.0 Skin 5615.0 Digestive tract Includes: Mouth Throat Rectum 5620.0 Other and unspecified sites Burns, all degrees: 5705.0 Head, neck, and face 5710.0 Trunk area 5715.0 Extremities Includes: Upper Lower 5720.0 Burn, site unspecified 5750.0 Sunburn, windburn Includes: Sun poisoning Bites: 5755.0 Insect Includes: Sting 5760.0 Animal, human INJURY, NOS (5800-5899) 5800.0 Late effects of an old injury Includes: Scars Deformities 5805.0 Motor vehicle accident, type of injury unspecified Includes: Car accident Auto accident Motorcycle accident 5810.0 Accident, NOS Includes: Fall, type or location of injury unspecified 5815.0 Violence, NOS Includes: Beat up Stabbing Gunshot wound In a fight Excludes: Violence against oneself (5820.0) 5820.0 Suicide attempt Includes: Found in car with motor running Hanging oneself Stabbed oneself Slashed wrists Code also: Laceration of wrists (5225.0) 5820.1 Overdose, intentional 5830.0 Rape Includes: Sexual assault Sexual abuse Molestation 5835.0 Dead on arrival (DOA) Includes: Death 5840.0 Unconscious on arrival Includes: Coma Stupor Knocked out Shock Cardiac arrest Unresponsive Found unconscious POISONING AND ADVERSE EFFECTS (5900-5999) 5900.0 Accidental poisoning Includes: Food poisoning, ingestion of potentially poisonous food products Accidental ingestion of: Household products Chemicals Drugs 5905.0 Adverse effect of medication Includes: Allergy to medication Penicillin allergy Anaphylactic shock Bad reaction to prescribed medication 5910.0 Adverse effect of drug abuse Includes: Drug-induced hallucinations Combination of drugs and alcohol (nonsuicidal) Ingestion of drugs for nonmedicinal purposes Bad trip Freaked out on drugs Unintentional overdose Excludes: Intentional overdose (5820.1) 5915.0 Adverse effect of alcohol Includes: Intoxication Drunk Acute intoxication 5920.0 Adverse effects of environment Includes: Air pollution Water pollution Noise pollution Frostbite Sun damage 5925.0 Adverse effects, other and unspecified Includes: Seasickness Test Results Module 6100.0 For results of blood glucose tests Includes: High blood sugar Abnormal glucose tolerance test Sugar in blood Elevated blood sugar 6105.0 For results of cholesterol and triglyceride tests Includes: High cholesterol 6106.0 For results of test for human immunodeficiency virus (HIV) Includes: Results of AIDS test Excludes: History of positive HIV test findings (2105.2) 6110.0 For other findings of blood tests Includes: Positive serology, VDRL Positive blood culture Elevated sed rate 6200.0 For results of urine tests Includes: Sugar in urine Positive urine culture Abnormal urinalysis 6300.0 For cytology findings Includes: Positive Pap smear Repeat Pap smear Atypical Pap smear For results of Pap smear of cervix or other area 6400.0 For radiological findings Includes: X-ray results Abnormal X-ray Xeromammography results 6500.0 For results of EKG 6600.0 For results of skin tests 6700.0 For other and unspecified test results Includes: Abnormal scans Abnormal pulmonary function test Abnormal EEG Abnormal lab test results, NOS To discuss test results with physician Ultrasonography results Results of fetal evaluation tests ADMINISTRATIVE MODULE 7100.0 Physical examination required for school or employment 7100.1 Physical examination required for employment Includes: Preemployment examination Required company physical Return to work checkup Teacher's certificate physical 7100.2 Executive physical examination 7100.3 Physical examination required for school Includes: High school Nursery school College Grade school Day care center 7100.4 Physical examination for extracurricular activities Includes: Boy Scouts or Girl Scouts Little League Camp Athletics 7120.0 Driver's license examination 7125.0 Insurance examination 7130.0 Disability examination Includes: Evaluation of disability Social Security examination 7135.0 Premarital examination 7135.1 Premarital blood test 7140.0 Other reason for visit required by party other than the patient or the health care provider Includes: Physical examination for adoption Psychiatric examination required by court UNCODABLE ENTRIES 8990.0 Problems, complaints, NEC 8997.0 Entry of "none" or "no complaint" Includes: Asymptomatic 8998.0 Inadequate data base 8999.0 Illegible entry Appendix III - Drug Entry Names and Codes Illegible #MCLNAMES 99999 ILLEGIBLE #MCLNAMES Other 99980 OTHER Drugs beginning with A 00010 A AND D 00025 A.D.C. VITAMIN DROPS 00095 A.P.L. 00100 A.S.A. 00110 A.S.A. COMPOUND 00163 A/T/S 00220 ACCURBRON 00223 ACCUTANE 00250 ACETA W/CODEINE 00260 ACETAMINOPHEN 00305 ACETIC ACID 00340 ACHROMYCIN 00345 ACHROMYCIN V 60030 ACHROMYCIN OPHTHALMIC 00355 ACI-JEL 00385 ACIDULIN 60035 ACLOVATE 00400 ACNE-AID 00455 ACTH 00475 ACTIFED 00480 ACTIFED-C 60040 ADALAT 00510 ADAPIN 00540 ADIPEX 00560 ADRENALIN 00570 ADRIAMYCIN 00590 ADSORBONAC 60065 ADSORBONAC OPHTHALMIC 00597 ADVIL 00598 AEROBID 00615 AEROSEB-HC 00645 AFRIN 00685 AKINETON 00740 ALBALON-A 00825 ALDACTAZIDE 00830 ALDACTONE 00835 ALDOCLOR 00845 ALDOMET 00850 ALDORIL 00903 ALKALINIZING AGENT 00905 ALKALOL 00925 ALLBEE 00935 ALLBEE W/C 00979 ALLERGINE 00980 ALLERGY RELIEF OR SHOTS 01030 ALLOPURINOL 01090 ALPHA-KERI 01100 ALPHADERM 60070 ALPHA-TREX 01255 ALUPENT 01270 ALUSIL 01290 AMANTADINE 01305 AMBENYL 60075 AMBENYL EXPECTORANT 01325 AMEN 01335 AMERICAINE 01420 AMINO-CERV 01450 AMINOPHYLLINE 01530 AMITRIPTYLINE 01565 AMMONIATED MERCURY 01630 AMOXICILLIN 01635 AMOXICILLIN TRIHYDRATE 01640 AMOXIL 01670 AMPHOJEL 01685 AMPICILLIN 01725 AMYTAL 01755 ANACIN 01775 ANALGESIC 01780 ANALGESIC BALM 01825 ANANASE 01835 ANAPHYLATIC SHOCK DRUG KIT 01838 ANAPROX 01840 ANASPAZ 01850 ANATUSS 01865 ANCEF 01995 ANEXSIA 02053 ANOREXIC AGENT 02070 ANSPOR 02075 ANTABUSE 02080 ANTACID 02122 ANTI ACID NO. 1 02150 ANTI-TUSS 02157 ANTIANEMIA AGENT 02125 ANTIACID 02158 ANTIBIOTIC AGENT 35410 ANTICONVULSANT AGENT 35420 ANTIDIABETIC AGENT 35425 ANTIDIARRHEAL AGENT 35445 ANTIFUNGAL AGENT 35450 ANTIHISTAMINE 35455 ANTIINFECTIVE AGENT 35460 ANTIINFLAMMATORY AGENT 02180 ANTIMINTH 02220 ANTISPAS 02225 ANTISPASMODIC 35505 ANTITUBERCULAR AGENT 02250 ANTIVERT 02285 ANTURANE 02310 ANUSOL 02315 ANUSOL-HC 02340 APAP W/CODEINE 02395 APRESAZIDE 02405 APRESOLINE 02470 AQUAPHOR 02510 AQUATENSEN 41975 AQUATAR 02575 ARISTOCORT 02580 ARISTOCORT A 02585 ARISTOCORT FORTE 02595 ARISTOCORT INTRALESIONAL 02615 ARISTOSPAN 02625 ARLIDIN 02627 ARMOUR THYROID 02645 ARTANE 02705 ASCORBIC ACID 02725 ASCRIPTIN 41980 ASCRIPTIN A/D 02748 ASENDIN 02805 ASPIRIN 02850 ASTHMACON 02855 ASTRING-O-SOL 02875 ATARAX 02900 ATIVAN 02925 ATROMID-S 02940 ATROPINE 02944 ATROPINE BUFOPTO 02950 ATROPINE SULFATE 02982 ATROVENT 02987 AUGMENTIN 125 60115 AUGMENTIN 60120 AUGMENTIN 250 60125 AUGMENTIN 500 02995 AURALGAN 03000 AURASOL 03040 AVC 03050 AVEENO 03070 AVENTYL HCL 03095 AVP-NATAL-FA 03101 AXID 03110 AXOTAL 03115 AYR SALINE MIST 03117 AZACTAM 03123 AZATHIOPRINE 40170 AZMA-CORT 03135 AZO GANTANOL 03140 AZO GANTRISIN 03225 AZULFIDINE Drugs beginning with B 03250 B COMPLEX 03285 B COMPLEX W/B-12 03355 B-12 03233 B-13 03395 BACID 03410 BACITRACIN 60150 BACITRACIN OPHTHALMIC 03423 BACLOFEN 35530 BACTINE 03430 BACTRIM 03435 BACTRIM DS 03438 BACTROBAN 03445 BAKER'S BEST HAIR LOTION 03485 BALNETAR 03510 BANALG LINIMENT 03635 BASALJEL 03645 BASIS SOAP 40185 BAYER ASPIRIN 03685 BCG VACCINE 03705 BECLOVENT 03709 BECONASE 03743 BEE STING ANTIVENIN 03740 BEELITH 03800 BELLADONNA 03825 BELLADONNA W/PHENOBARBITAL 03840 BELLALPHEN 03845 BELLERGAL 03850 BELLERGAL-S 03880 BEMEX 03900 BEN GAY 03905 BENADRYL 03955 BENEMID 04000 BENTYL 04010 BENYLIN DM COUGH SYRUP 04015 BENYLIN SYRUP 60170 BENYLIN DECONGESTANT COUGH FORMULA 60175 BENZAMYCIN 04020 BENZAC 04025 BENZAC W GEL 04030 BENZAGEL 04085 BENZOYL 04088 BENZOYL PEROXIDE 60180 BENZTROPINE MESYLATE 04100 BEROCCA 04188 BETA-VAL 04120 BETADINE 04130 BETADINE VAGINAL DOUCHE 04135 BETADINE VAGINAL GEL 60185 BETAGAN LIQUIFILM 04190 BETHANECHOL 60205 BETOPTIC 04230 BICHLORACETIC ACID 04235 BICILLIN 04240 BICILLIN C-R 04245 BICILLIN LONG-ACTING 04355 BIOZYME 04470 BLEACHING PEROXIDE 20 VOLUME 04478 BLEOMYCIN 04480 BLEPH 04485 BLEPHAMIDE 04511 BLOCADREN 04515 BLUBORO 04580 BONINE 04585 BONTRIL PDM 04595 BORIC ACID 60225 BORIC ACID OPHTHALMIC 50000 BRETHAIRE 04650 BRETHINE 04660 BREVICON 04668 BREXIN 04803 BROMFED 04808 BROMOCRIPTINE 05010 BUFFERIN 05024 BUMEX 60270 BUSPAR 40250 BUTALBITAL/ASPIRIN/CAFFEINE 05085 BUTAL 05110 BUTAZOLIDIN 05115 BUTAZOLIDIN ALKA 05145 BUTISOL Drugs beginning with C 05250 CAFERGOT 05255 CAFERGOT P-B 05538 CAL-SUP 05310 CALADRYL 05320 CALAMINE 05335 CALAMINE LOTION 05340 CALAMINE LOTION W/PHENOL 05347 CALAN 05350 CALCEE 05355 CALCET 05390 CALCIMAR 05405 CALCIUM CARBONATE 05415 CALCIUM 05430 CALCIUM GLUCONATE 05445 CALCIUM LACTATE 05465 CALCIUM-D 60285 CALEL-D 05510 CALMOL 4 05555 CAMALOX 05570 CAMPHOR 05598 CANTHARONE 05645 CAPITROL 05648 CAPOTEN 60290 CAPOZIDE 41875 CAPTOPRIL 05663 CARAFATE 05670 CARBACEL 05675 CARBACHOL 05680 CARBAMAZEPINE 05695 CARBOCAINE 05720 CARBONIS DETERGENS USP 05758 CARDIAC AGENT 05760 CARDILATE 05785 CARDIOQUIN 05789 CARDIZEM 05810 CARISOPRODOL 05820 CARMOL 05825 CARMOL-HC 05883 CASTELLANI'S PAINT 05895 CATAPRES 05955 CECLOR 05995 CEFAZOLIN 05990 CEFOL 05993 CEFTIN 06005 CELESTONE 06010 CELESTONE PHOSPHATE 06015 CELESTONE SOLUSPAN 06050 CENAFED 06095 CENTRAX 06100 CENTRUM 06110 CEPACOL 06120 CEPASTAT 06125 CEPHALEXIN 06128 CEPHALOSPORINS 06133 CEPHRADINE 06170 CERUMENEX 06175 CERYLIN 06210 CETAPHIL 06215 CETAPRED 06294 CHEMOTHERAPY 40335 CHEMSTRIP UGK 06400 CHLOR-TRIMETON 06405 CHLOR-TRIMETON DECONGESTANT 06415 CHLOR-TRIMETON REPETAB 06420 CHLOR-TRIMETON SYRUP 06430 CHLORAFED 06440 CHLORAL HYDRATE 06455 CHLORAMBUCIL 06465 CHLORAMPHENICOL 06470 CHLORASEPTIC 06485 CHLORASEPTIC GEL 06495 CHLORDIAZEPOXIDE 06520 CHLOROFON-F 06535 CHLOROMYCETIN 06570 CHLOROPTIC 06580 CHLOROQUINE 06590 CHLOROTHIAZIDE 06605 CHLORPHENIRAMINE 06620 CHLORPROMAZINE 06625 CHLORPROPAMIDE 06645 CHLORTHALIDONE 06695 CHOLEDYL 06705 CHOLESTEROL 06710 CHOLESTYRAMINE RESIN DRIED 06748 CHOLYBAR 06780 CHROMAGEN 06800 CHRONULAC SYRUP 40383 CHYMODIACTIN 06815 CIMETIDINE 06838 CINOBAC PULVULE 06839 CIPRO 06860 CITRATE OF MAGNESIA 60325 CITRUCEL 06883 CLAFORAN 06905 CLEOCIN 06913 CLEOCIN T 06920 CLINDAMYCIN 06930 CLINDEX 06935 CLINORIL 06975 CLOMID 06980 CLONAZEPAM 06985 CLONIDINE 07003 CLOTRIMAZOLE 60335 CLOXACILLIN 07045 CO-APAP 60340 CO-GESIC 07075 COAL TAR 07180 CODEINE 07200 CODIMAL DH SYRUP 07205 CODIMAL DM SYRUP 07250 COGENTIN 07265 COLACE 07270 COLBENEMID 07275 COLCHICINE 07293 COLD RELIEF 07300 COLD TABLET 07313 COLDRINE 07315 COLESTID 07405 COLY-MYCIN 07410 COLY-MYCIN S 07435 COMBIPRES 07440 COMBISTIX 07458 COMFORT DROPS 07465 COMHIST 07470 COMPAZINE 07503 CONDRIN-LA 07535 CONHIST 07543 CONJUGATED ESTROGENS 07553 CONSTANT-T 04368 CONTRACEPTIVE AGENT 60370 CORDARONE 07660 CORDRAN 07670 CORGARD 07730 CORRECTIVE MIXTURE 07755 CORTAID 07770 CORTENEMA 07775 CORTICAINE 07793 CORTISOL 07795 CORTISONE 07800 CORTISPORIN 60385 CORTISPORIN OPHTHALMIC 40445 CORZIDE 07875 COTAZYM 07905 COTUSSIS SYRUP 07910 COTYLENOL 07913 COUGH FORMULA 07920 COUGH SYRUP 07930 COUMADIN 07980 CP2 08015 CROMOLYN 08060 CUPRIMINE 08090 CYANOCOBALAMIN 08130 CYCLAPEN 08135 CYCLOCORT 08140 CYCLOGYL 08150 CYCLOPAR 08153 CYCLOPHOSPHAMIDE 40455 CYCLOPENTOLATE 08163 CYCRIN 08175 CYLERT 08180 CYPROHEPTADINE 08205 CYSTOSPAZ 40460 CYT-O-TEC 08213 CYTADREN 08230 CYTOMEL 08240 CYTOSAR 08245 CYTOXAN Drugs beginning with D 08270 D.H.E. 45 08345 DACRIOSE 08368 DALALONE 08385 DALLERGY 08390 DALMANE 08395 DALOLONE 08397 DAMASON-P 08400 DANAZOL 08410 DANOCRINE 08420 DANTRIUM 08440 DAPSONE 08470 DARVOCET-N 08475 DARVON 08480 DARVON COMPOUND 08490 DARVON-N 08535 DDAVP 08560 DEBRISAN 08565 DEBROX 08570 DECA-DURABOLIN 08575 DECADERM 08585 DECADRON 08590 DECADRON ELIXIR 08595 DECADRON PHOSPHATE 08605 DECADRON-LA 08608 DECADRON TURBINAIRE 08660 DECONAMINE 08670 DECONGESTANT 08690 DECONGESTCAPS 08705 DEHIST 08720 DELADUMONE 08730 DELATESTRYL 08745 DELESTROGEN 08753 DELSYM 08770 DELTASONE 08780 DEMEROL 08795 DEMI-REGROTON 08805 DEMULEN 08810 DEMULEN-28 08835 DEPAKENE 08836 DEPAKOTE 08840 DEPEN 08860 DEPO-ESTRADIOL 08865 DEPO-MEDROL 08870 DEPO-PROVERA 08875 DEPO-TESTADIOL 08880 DEPO-TESTOSTERONE 60400 DEPONIT 08955 DERMACORT 09000 DERMOPLAST 09020 DESIPRAMINE 09025 DESITIN 09033 DESOWEN 09035 DESOXYCORTICOSTERONE 09040 DESOXYN 09043 DESQUAM-E 09045 DESQUAM-X 09050 DESQUAM-X WASH 40520 DESYREL 60405 DEXACIDIN 09075 DEXAMETHASONE 09080 DEXAMETHASONE ACETATE 09120 DEXEDRINE 09130 DEXONE 09155 DEXSONE L.A. 09173 DEXTROMETHORPHAN COUGH 09175 DEXTROSE 09193 DHS SHAMPOO 60435 DHS ZINC 42245 DI-GESIC 40580 DIABETA 09250 DIABINESE 09290 DIALOSE 09305 DIAMOX 09352 DIASORB 09370 DIAZEPAM 09373 DIAZOXIDE 09385 DIBENZYLINE 09395 DICAL-D 09433 DICLOXACILLIN 09455 DICYCLOMINE 09465 DIDREX 09475 DIENESTROL 09500 DIETHYLSTILBESTROL 09535 DIGITALIS 09540 DIGITOXIN 09545 DIGOXIN 40585 DIHYDROERGOTOXINE MESYLATE 09585 DILANTIN 09590 DILANTIN W/PHENOBARBITAL 09593 DILATRATE 09600 DILAUDID 09625 DILOR 09630 DILOR-G 09635 DIMACOL 09650 DIMENTABS 09660 DIMETANE 09665 DIMETANE ELIXIR 09675 DIMETANE EXPECTORANT-DC 09680 DIMETANE EXTENTAB 09690 DIMETAPP 09815 DIPH TET TOXIODS 09850 DIPHENHYDRAMINE 09880 DIPHENOXYLATE HCL & ALTROPINE SULFATE 09895 DIPHTHERIA ANTITOXIN 09900 DIPHTHERIA TETANUS TOXOIDS 09905 DIPHTHERIA TOXOID ADULT 09990 DIPHTHERIA TETANUS TOXOIDS PERTUSSIS 09993 DIPHTHERIA TOXOID 09915 DIPROSONE 40615 DIPROLENE 09920 DIPYRIDAMOLE 09925 DISALCID 09995 DITROPAN 10005 DIULO 10015 DIUPRES 10020 DIURETIC 10025 DIURIL 10048 DOB OIL 10086 DOCUATE SODIUM W/CASANTHRANOL 10087 DOCUSATE 10126 DOLOBID 10130 DOLOPHINE 10145 DOMEBORO 10150 DOMEBORO OTIC 10180 DONATUSSIN 10200 DONNAGEL 10205 DONNAGEL-PG 10210 DONNATAL 10213 DONNATAL NO.2 10215 DONNAZYME 10250 DORCOL PEDIATRIC COUGH SYRUP 10254 DORCOL 10255 DORIDEN 60485 DORYX 10273 DOSS COMPOUND PLUS 10325 DOXEPIN 10330 DOXIDAN 10355 DOXYCYCLINE 10380 DRAMAMINE 10485 DRIXORAL 10518 DRYSOL 10535 DTIC 10550 DUADACIN 10575 DULCOLAX 10630 DUOFILM 10650 DUOLUBE 10755 DURAQUIN 10760 DURATEARS 10800 DURICEF 10805 DUVOID 10810 DV 10815 DYAZIDE 10835 DYMELOR 10845 DYNAPEN 10855 DYPAP ELIXIR 10865 DYRENIUM Drugs beginning with E 10875 E.E.S. 11553 E.P. MYCIN 10905 E-MYCIN 10910 E-PILO 10925 EAR DROPS 10948 EASPRIN 10970 ECONOPRED 10975 ECOTRIN 10985 EDECRIN 11025 EFUDEX 11065 ELAVIL 11100 ELDERTONIC ELIXIR 11115 ELDOPAQUE 11120 ELDOQUIN 11140 ELIXOPHYLLIN 11152 ELOCON 11190 EMETROL 11210 EMPIRIN 11230 EMPIRIN COMPOUND #3 11240 EMPIRIN COMPOUND W/CODEINE 11250 EMPIRIN NO. #3 11260 EMPIRIN W/CODEINE 11325 ENDEP 11340 ENDURON 11345 ENDURONYL 11372 ENKAID 11390 ENSURE 11395 ENTEX 11400 ENTOZYME 11433 ENZYME 11525 EPIFRIN 11540 EPINEPHRINE 11548 EPIPEN 11555 EPPY 11575 EPSOM SALT 11580 EQUAGESIC 11585 EQUANIL 11615 ERGOCALCIFEROL 11616 ERGOLOID MESYLATES 11640 ERGOTAMINE 11645 ERGOTRATE 11658 ERY-TAB 11651 ERYC 60535 ERYCETTE 11653 ERYDERM 11654 ERYGEL 40725 ERYMAX 11657 ERYPED 11660 ERYTHROCIN 11665 ERYTHROMYCIN 11667 ERYTHRO-RX 11668 ERYTHROMYCIN OPHTHALMIC 11680 ESERINE 11688 ESGIC 11690 ESIDRIX 11695 ESIMIL 11700 ESKALITH 11715 ESTAR 11725 ESTINYL 11730 ESTIVIN 11740 ESTRACE 11745 ESTRADIOL 11765 ESTRATEST 60545 ESTRADERM 40730 ESTROGENIC SUBSTANCE 40735 ESTROGENS 11800 ESTROGEN 11815 ESTRONE 11830 ESTRONE SUSPENSION 11845 ESTROVIS 11860 ETHAQUIN 11880 ETHINYL ESTRADIOL 11920 ETRAFON 11945 EUCERIN 11960 EURAX 11965 EUTHROID 12035 EXCEDRIN 11978 EXPECTORANT 12050 EXSEL LOTION 12055 EXTENDRYL 60550 EYE DROPS Drugs beginning with F 12120 F-E-P 12140 FASTIN 12160 FEDAHIST 12193 FELDENE 60560 FEMSTAT 12245 FENOPROFEN 12255 FEOSOL 12260 FEOSOL ELIXIR 12270 FEOSOL SPANSULE 12275 FEOSTAT 12285 FER-IN-SOL 12290 FERANCEE 12300 FERGON 12340 FERO-FOLIC-500 12415 FERRO-SEQUEL 12465 FERROUS FUMARATE 12480 FERROUS GLUCONATE 12490 FERROUS SULATE 12510 FESTAL 12521 FIBERCON 12550 FIORINAL 12565 FIORINAL NO. 3 12570 FIORINAL W/CODEINE 60595 FIORICET 12585 FLAGYL 12620 FLEET ENEMA 12635 FLEXERIL 12663 FLORICAL 12665 FLORINEF 12670 FLORONE 12695 FLUOGEN 12735 FLUORIDE 12763 FLUOROMETHOLONE 12765 FLUOROPLEX 12770 FLUOROURACIL 60605 FLUOR-OP 12780 FLUPHENAZINE 12810 FLURAZEPAM 12830 FLUZONE 12847 FML FORTE OPHTHALMIC 12845 FML LIQUIFILM 42380 FML-FORTE OPHTHALMIC 41860 FOLATE 12865 FOLIC ACID 12955 FORMULA 44-D COUGH MIXTURE 12975 FOSFREE 12980 FOSTEX 12998 FOTOTAR 13045 FULVICIN 13096 FUNGOID 13100 FURACIN 13105 FURADANTIN 13118 FUROSEMIDE Drugs beginning with G 13180 GAMULIN RH 13195 GANTANOL 13200 GANTRISIN 13205 GARAMYCIN 13220 GAVISCON 13295 GELUSIL 13310 GENOPTIC 13320 GENTAMICIN 60640 GENTAMICIN OPHTHALMIC 40775 GENTACIDIN 13325 GENTIAN VIOLET 13350 GEOCILLIN 13510 GG 13550 GLUCOSE 13553 GLUCOTROL 13565 GLUTAMIC ACID 13595 GLY-OXIDE 60665 GLYCERIN 13750 GOLD SODIUM THIOSULFATE 13765 GONIOSOL 13785 GRIFULVIN 13790 GRIS-PEG 13795 GRISACTIN 13800 GRISEOFULVIN 13818 GUAIFED 13835 GUAIFENESIN 13858 GUIAPHED 13865 GUIATEX 13875 GUIATUSS 13930 GYNE-LOTRIMIN 42433 GYNOGEN Drugs beginning with H 13999 HALCION 14000 HALDOL 14015 HALEY'S MO 14035 HALOG 14040 HALOPERIDOL 14045 HALOTESTIN 14050 HALOTEX 14080 HC 41800 HCTZ 14090 HEAD & SHOULDERS 14091 HEALON 14240 HEPARIN 14279 HEPTAVAX-B 14280 HEPTUNA PLUS 14380 HI B-COMPLEX W/C 60695 HIB-IMUNE 60700 HIB-VAX 14415 HIBICLENS 14500 HISTALET 14535 HISTAMINE 14540 HISTAMINE PHOSPHATE 14625 HMS 14645 HOMATROPINE 14683 HORMONE 14695 HOSPITAL RUB 14725 HUMORSOL 14727 HUMULIN 41895 HUMULIN INSULIN 14768 HYCODAPHEN 14770 HYCODAN 14795 HYCOMINE 14805 HYCOTUSS 14810 HYDELTRA-T.B.A. 14820 HYDERGINE 14840 HYDRALAZINE 14875 HYDREA 14900 HYDRO-CHLORO-THIAZIDE 14903 HYDROCORT 14917 HYDROCET 14930 HYDROCHLOROTHIAZIDE 14945 HYDROCIL 14955 HYDROCOCONE 14960 HYDROCODONE SYRUP 14965 HYDROCORTISONE 14980 HYDROCORTONE 14985 HYDRODIURIL 14990 HYDROGEN PEROXIDE 15010 HYDROMOX 15035 HYDROPRES 15040 HYDROQUINONE 15090 HYDROXYUREA 15100 HYDROXYZINE 15115 HYGROTON 15138 HYLOREL 41840 HYOSCINE 15190 HYPER-TET 15220 HYPERSTAT I.V. 15240 HYPOTEARS 15243 HYPOTENSIVE AGENT 15305 HYTONE 15307 HYTRIN Drugs beginning with I 15370 IBERET 15375 IBERET-FOLIC-500 15395 IBUPROFEN 15485 ILOPAN-CHOLINE 15490 ILOSONE 15495 ILOTYCIN 15515 IMFERON 15520 IMIPRAMINE 15535 IMMUGLOBIN 15540 IMMUNE SERUM GLOBULIN 15545 IMODIUM 15555 IMURAN 15575 INDERAL 15580 INDERIDE 15590 INDOCIN 15600 INDOMETHACIN 15615 INFLAMASE 60735 INFLUENZA VIRUS VACC 15630 INH 15665 INPERSOL 15680 INSULIN 15685 INTAL 15705 INTROPIN 15710 INULIN 15725 IODIDES TINCTURE 15780 IONAMIN 15785 IONAX 15790 IONIL 15805 IOPIDINE 60760 IRIGATE ISOTONIC BUFFERED 15860 IROMIN-G 15870 IRON PREPARATION 15930 ISO-BID 15980 ISOLLYL 16005 ISOPHRIN 16020 ISOPROPYL ALCOHOL 16045 ISOPTO CARPINE 16050 ISOPTO CETAMIDE 16055 ISOPTO CETAPRED 40905 ISOPTIN 16095 ISORDIL 16100 ISORDIL W/PHENOBARBITAL 16105 ISOSORBIDE Drugs beginning with K 16195 K-C 60775 K-DUR 16210 K-LOR 41915 K-LYTE 16222 K-NORM 16255 K-PHOS NEUTRAL 16268 K-TAB 16270 K-Y STERILE LUBRICATING JELLY 16310 KANTREX 16325 KAOCHLOR 16360 KAON 16365 KAOPECTATE 16405 KARAYA GUM 16440 KAY CIEL 16455 KAYEXALATE 41850 KCL 16475 KEFLEX 16482 KEFTAB 16485 KEFZOL 16490 KELEX 16505 KENALOG 16520 KERALYT 16525 KERI 16535 KERODEX 16635 KIE 60790 KLONOPIN 16728 KLOTRIX 16735 KOATE 16765 KOMED 16785 KONDREMUL 16800 KONSYL 16820 KOROMEX 16860 KUTAPRESSIN 16870 KWELL Drugs beginning with L 16895 L-THYROXINE 40908 L-TRYPTOPHANE 16905 LABID 60795 LACHYDRIN 16915 LACRI-LUBE 16940 LACTIC ACID 16945 LACTICARE LOTION 16950 LACTINEX 60805 LACTRASE 16975 LACTULOSE 17010 LANAMINS 17113 LANOXICAPS 17115 LANOXIN 17150 LAROTID 17165 LASIX 17243 LAXATIVE 17265 LECITHIN 17270 LEDERCILLIN VK 17295 LENSINE 17304 LENTE INSULIN SUSPENSION 17320 LEUCOVORIN 17325 LEUKERAN 60815 LEVLEN 17340 LEVO-DROMORAN 17365 LEVOTHROID 17370 LEVOTHYROXINE 17375 LEVSIN 17390 LEVSINEX 17395 LEVSINEX/PHENOBARBITAL 17440 LIBRAX 17445 LIBRITABS 17450 LIBRIUM 17470 LIDA-MANTLE-HC 17475 LIDEX 17485 LIDOCAINE 17530 LIMBITROL 17540 LINCOCIN 17545 LINCOMYCIN 17548 LINDANE 17560 LIORESAL 17668 LIQUID PRED 17670 LIQUIFILM 17715 LITHIUM 17725 LITHOBID 17735 LITHOTABS 17755 LIVER 17760 LIVER, IRON & VITAMINS 17825 LO/OVRAL 17834 LOCOID 17835 LOCORTEN 17840 LOESTRIN 17865 LOMOTIL 17875 LONITEN 17883 LOPID 17885 LOPRESSOR 40950 LOPROX 17889 LOPURIN 17888 LORAZEPAM 17890 LORELCO 17925 LOTRIMIN 60835 LOTRISONE 17940 LOXAPINE 17945 LOXITANE 40955 LOZOL 17975 LUBRIDERM 17978 LUDIOMIL 18000 LUFYLLIN-GG 18020 LURIDE DROPS 60845 LURIDE Drugs beginning with M 18080 M.V.I. 18100 M-M-R 18125 MAALOX 18130 MACRODANTIN 18190 MAGNESIUM CHLORIDE 18205 MAGNESIUM OXIDE 18295 MALTSUPEX 18315 MANDELAMINE 18345 MANNITOL 18375 MARAX 18380 MARAZIDE 18395 MARCAINE 18480 MATERNA 18498 MAXAIR 18515 MAXIDEX 18518 MAXIFLOR 18520 MAXITROL 60875 MAXIVATE 18523 MAXZIDE 18540 MEASLES VIRUS VACCINE 18550 MEBARAL 18553 MECLAN 18555 MECLIZINE 18558 MECLOMEN 18625 MEDIHALER-ERGOTAMINE 60885 MEDIPLAST PLASTERS 60890 MEDIPREN 18640 MEDROL 18643 MEDROXYPROGESTERONE 18655 MEGACE 18661 MEGAVITE-75 18664 MELANEX 18670 MELLARIL 18745 MENTHOL 18755 MEPERGAN 18795 MEPROBAMATE 60895 MERITAL 18920 MESTINON 18925 METAHYDRIN 18930 METAMUCIL 18935 METANDREN 18950 METARAMINOL 18985 METHADONE 19025 METHAZOLAMIDE 19045 METHERGINE 19070 METHOCARBAMOL 19090 METHOTREXATE 19118 METHYCLOTHIAZIDE 19130 METHYL SALICYLATE 19140 METHYLCELLULOSE 19155 METHYLDOPA 19160 METHYLENE BLUE 19180 METHYLPREDNISOLONE 19185 METHYLTESTOSTERONE 19205 METIMYD 19208 METOCLOPRAMIDE 19218 METOPROLOL 19231 METRO 19233 METRONIDAZOLE 19242 MEVACOR 60920 MEXITIL 19280 MICATIN 19313 MICRO-K EXTENCAPS 19320 MICRONOR 19337 MICROX 50035 MICRONASE 19343 MIDAMOR 19360 MIDRIN 19375 MILK OF MAGNESIA 19445 MINERAL OIL 19455 MINIPRESS 60925 MINIZIDE 1 42705 MINIZIDE 19460 MINOCIN 19465 MINOCYCLINE 19478 MINOXIDIL 19515 MISSION PRENATAL 19525 MISSION PRENATAL H.P. 19550 MITHRAMYCIN 19568 MIXTARD 19575 MOBAN 19590 MOBISYL 19605 MODICON 19610 MODICUM 60935 MODRASTANE 19618 MODURETIC 41865 MOM 42715 MONISTAT VAGINAL 42720 MONISTAT-DERM 19635 MONISTAT 19640 MONISTAT 7 19644 MONO-GESIC 19650 MORPHINE 19673 MOTOFEN 19675 MOTRIN 19699 MS CONTIN 19785 MULTI-VITAMIN 19790 MULTI-VITES 19815 MULTIPLE VITAMIN 19825 MULTIPLE VITAMINS 19840 MULTIVITAMIN 19905 MUMPS VIRUS VACCINE LIVE 19925 MURINE 60955 MURO TEARS 19940 MUROCEL 19955 MUSTARGEN 19995 MYADEC 20005 MYAMEAD 20010 MYCELEX 20035 MYCITRACIN 20055 MYCOLOG 20060 MYCOSTATIN 20075 MYDRIACYL 20080 MYLANTA 20095 MYLICON 20105 MYOCHRYSINE 20110 MYOFLEX 20135 MYSOLINE 20153 MYTREX Drugs beginning with N 60985 NA SAL 20185 NAFTIN 20190 NALDECON 20200 NALDELATE SYRUP 20210 NALFON 20260 NAPHCON 20270 NAPHCON-A 20285 NAPROSYN 20290 NAPROXEN 20300 NAQUA 20315 NARDIL 20320 NASAHIST 20338 NASALIDE 41150 NASALCROM 20360 NATABEC 20385 NATAFORT 20390 NATALINS 20395 NATALINS RX 20435 NAVANE 20455 NEBCIN 20485 NEGATAN 20490 NEGGRAM 20505 NEMBUTAL 20555 NEO-MEDROL 20585 NEO-SYNALAR 20595 NEO-SYNEPHRINE 20600 NEO-SYNEPHRINE II 20655 NEODECADRON 20665 NEOFED 20690 NEOMYCIN 20730 NEOSPORIN 42780 NEOSPORIN OPHTHALMIC 20765 NEOTHYLLINE-GG 20805 NEPTAZANE 20835 NEUTRA-PHOS 20855 NEUTROGENA 20885 NIACIN 20950 NICOBID 61025 NICORETTE 20980 NICOTINIC ACID 21020 NIFEREX-PN 21065 NILSTAT 21125 NITRO T.D. 21130 NITRO-BID 21137 NITROCINE 21143 NITRO-DUR 21144 NITRODISC 21155 NITROGEN 21160 NITROGLYCERIN 21165 NITROGLYN 21170 NITROL 21180 NITROSPAN 21185 NITROSTAT 21195 NITROUS OXIDE 21200 NIVEA 61035 NIX 21203 NIZORAL 21215 NOLAMINE 21218 NOLEX LA 21225 NOLVADEX 21245 NOR-Q.D. 21270 NORAZINE 21228 NORDETTE 21278 NORETHIN 21280 NORFLEX 21290 NORGESIC 21300 NORINYL 21305 NORISODRINE 21330 NORLESTRIN 21335 NORLUTATE 42800 NORMAL SALINE 21373 NORMODYNE 21385 NOROXINE 61040 NOROXIN 21390 NORPACE 21400 NORPRAMIN 21403 NORTRIPTYLINE 21425 NOVAFED 21430 NOVAFED A 21440 NOVAHISTINE 21450 NOVAHISTINE DH 21465 NOVAHISTINE EXPECTORANT 21494 NOVANTRONE 21500 NOVOCAIN 61045 NOVOLIN 41855 NPH INSULIN 21513 NTG 21515 NTZ 21550 NUBAIN 21555 NUCOFED 21585 NUPERCAINAL 61060 NUPRIN 21605 NUTRACORT 21610 NUTRADERM 21620 NUTRAMIGEN 21670 NYQUIL 21695 NYSTATIN 21700 NYSTATIN VAGINAL TABLET Drugs beginning with O 21723 OBCT S.R. CAPSULE 21750 OCEAN MIST 42835 OCTICAIR 21753 OCUCLEAR 21754 OCUFEN 41215 OCUTRICIN 21765 OGEN 21775 OILATUM SOAP 21795 OMNIPEN 21800 ONCOVIN 61095 OPHTHAINE 21893 OPTICROM 21900 OPTIMINE 21925 ORABASE 21995 ORETIC 22015 ORGANIDIN 22025 ORIMUNE POLIOVIRUS VAC LIVE ORAL 22030 ORINASE 22055 ORNADE 22065 ORPHENADRINE 22080 ORTHO-CREME 22085 ORTHO-GYNOL 22090 ORTHO-NOVUM 61100 ORUDIS 22110 OS-CAL 22120 OS-CAL 500 22160 OTIC DROPS 41220 OTICAIR 22180 OTOBIOTIC 22200 OTRIVIN 22210 OVCON 22215 OVRAL 22233 OXACILLIN 22270 OXSORALEN 22287 OXYBUTYNIN CHLORIDE 22315 OXYGEN 22338 OXYSTAT Drugs beginning with P 22405 P&S 22435 P-V TUSSIN 61130 PAIN RELIEVER 22520 PAMELOR 22630 PANCREASE 22670 PANMYCIN 22675 PANOXYL 22740 PANWARFIN 22770 PAPAVERINE 22810 PARAFON FORTE 22825 PARASAL SODIUM 22845 PAREGORIC 22858 PARENTERAL NUTRITION/VIA FLEX 22860 PAREPECTOLIN 22875 PARLODEL 22885 PARNATE 22890 PARSIDOL 22945 PAVABID 23015 PBZ 23047 PCE 23085 PEDAMETH 23100 PEDIACOF 23120 PEDIALYTE 23125 PEDIAMYCIN 23135 PEDIATRIC COUGH SYRUP 23150 PEDIAZOLE 61135 PEDIACARE 61140 PEDIAPRED 23159 PEDIOTIC 23185 PEN-VEE K 23210 PENICILLAMINE 23215 PENICILLIN 23220 PENICILLIN G 23223 PENICILLIN PROCAINE 23225 PENICILLIN V 23230 PENICILLIN VK 61145 PENNTUSS 61150 PENTAM 300 61160 PEPCID 23370 PEPTO-BISMOL 23385 PERCOCET-5 23390 PERCODAN 23415 PERDIEM GRANULE 23420 PERESTAN 23430 PERI-COLACE 23440 PERIACTIN 23490 PERITRATE 23500 PERMAPEN AQUEOUS SUSPENSION 23520 PERNOX 23521 PEROXYL 23525 PERSA-GEL 23535 PERSANTINE 23540 PERSISTIN 23545 PERTINEX 23560 PERTUSSIN 23585 PETROLATUM 23605 PFIZERPEN 23610 PHAZYME 23645 PHEN-DIMETRAZINE 23670 PHENAPHEN NO. 3 23680 PHENAPHEN W/CODEINE 23730 PHENCEN-50 23745 PHENDIMETRAZINE 23755 PHENERGAN 23765 PHENERGAN EXPECTORANT PLAIN 23770 PHENERGAN EXPECTORANT W/CODEINE 23780 PHENERGAN SYRUP 23785 PHENERGAN VC EXPECTORANT PLAIN 23790 PHENERGAN VC EXPECT W/CODEINE 23792 PHENERGEN W/DEXTROMETHORPHAN 23795 PHENERGAN-D 23798 PHENERGAN W/CODEINE 23845 PHENOBARBITAL 23870 PHENOBARBITAL ELIXIR 23935 PHENOL 23970 PHENTERMINE 24005 PHENYLBUATZONE 24015 PHENYLEPHRINE 24025 PHENYLPROPANOLAMINE 24045 PHENYTOIN 24075 PHISODERM 24080 PHISOHEX 61180 PHOSPHOLINE IODIDE 24140 PHRENILIN 24178 PILAGAN 24185 PILO 24190 PILOCAR 24195 PILOCARPINE 24280 PLACEBO 24300 PLAQUENIL 24355 PNEUMOVAX 24365 PODOPHYLLIN 24370 PODOPHYLLUM 24390 POISON IVY EXTRACT 24400 POLARAMINE 24405 POLIOMYELITIS VACCINE 24415 POLY-VI-FLOR 24420 POLY-VI-SOL 41310 POLY-VI-SOL W/IRON 24478 POLY-PRED 24445 POLYCITRA 24450 POLYCOSE 24465 POLYMOX 24510 POLYSPORIN 24535 POLYVITAMIN FLUORIDE 24545 PONDIMIN 24550 PONSTEL 61200 POSTURE 24595 POTABA 24640 POTASSIUM BROMIDE 24650 POTASSIUM 24653 POTASSIUM CHLORIDE 41330 PRAMASONE 24790 PRAMILET FA 24795 PRAMOSONE 24803 PRAX LOTION 24805 PRAZOSIN 24830 PRE-NATAL VITAMINS 24850 PRED FORTE 24855 PRED MILD 24880 PREDNICEN-M 24885 PREDNISOLONE 24890 PREDNISONE 24950 PREMARIN 24960 PREMARIN VAGINAL 24975 PRENATAL FORMULA (VITAMINS) 24980 PRENATAL STUART 24990 PRENATAMIN 24995 PREPARATION H 25025 PRESUN 25055 PRIMIDONE 25065 PRINCIPEN 25078 PRINIVIL 25100 PRO-BANTHINE 25140 PROBEN-C 25150 PROBENECID 25180 PROCAINAMIDE 25185 PROCAINE 25200 PROCAN SR 25210 PROCARBAZINE 25213 PROCARDIA 25243 PROCTOCREAM-HC 25250 PROCTOFOAM 25255 PROCTOFOAM-HC 25268 PROFAC-D 25305 PROGESTERONE 25318 PROHIBIT 25330 PROLIXIN 25338 PROLOPRIM 25359 PROMETH W/COD 25365 PROMETHAZINE 25395 PROMETHAZINE HCL EXPECTORANT 25432 PROMETHAZINE W/CODEINE 25455 PRONESTYL 25459 PROPAC 25470 PROPANOLOL 25475 PROPANTHELINE 25490 PROPHYLLIN 25493 PROPINE 25510 PROPOXYPHENE 25530 PROPOXYPHENE HCL W/ACETAMINOPHEN 42985 PROPRANOLOL 25550 PROPYLENE GLYCOL 25560 PROPYLTHIOURACIL 25585 PROSTIN 25608 PROTEXIN 25618 PROTOSTAT 25635 PROVAL 25638 PROVENTIL 25640 PROVERA 25670 PROXIGEL 25674 PROZAC 25675 PROZEX 25680 PROZINE 50 25695 PSEUDOEPHEDRINE 25696 PSEUDOEPHEDRINE W/TRIPROLIDINE 61260 PSORCON 25705 PSORIASIS CREAM 41845 PTU 35576 PURIFIED PORK INSULIN 25760 PURPOSE 25810 PYRIDIUM 25825 PYRIDOXINE 25890 P2E1 Drugs beginning with Q 25965 QUESTRAN 25970 QUIBRON 25995 QUIBRON-300 26015 QUINAGLUTE 26020 QUINAMM 41390 QUINATIME 26025 QUINE 26030 QUINIDEX EXTENTAB 26035 QUINIDINE 26040 QUINIDINE SULFATE 26043 QUININE & UREA 26045 QUININE SULFATE Drugs beginning with R 61275 R & C 26135 RAUDIXIN 26185 RAUWOLFIA 26190 RAUZIDE 26250 REGITINE 26255 REGLAN 26265 REGROTON 26320 RENACIDIN 26335 RENESE 26425 RESERPINE 26453 RESTORIL 26475 RETIN-A 26477 RETROVIR 26510 RHEUMATREX 26665 RHUS TOX ANTIGEN 26695 RID 61290 RIDAURA 26715 RIFAMPIN 26740 RIOPAN 26750 RIOPAN PLUS 26760 RITALIN 26785 ROBAXIN 26790 ROBAXISAL 26795 ROBICILLIN VK 26825 ROBITET 26830 ROBITUSSIN 26835 ROBITUSSIN A-C SYRUP 26840 ROBITUSSIN-CF 26845 ROBITUSSIN-CF SYRUP 26850 ROBITUSSIN-DAC SYRUP 26855 ROBITUSSIN-DM COUGH CALMERS 26860 ROBITUSSIN-DM SYRUP 26865 ROBITUSSIN-PE SYRUP 26870 ROCALTROL 61295 ROCEPHIN 26883 ROGAINE 26890 ROLAIDS 26930 RONDEC 26935 RONDEC-DM 41420 ROXANOL 26975 RU-CORT 27045 RU-TUSS 27075 RUBELLA VIRUS VACCINE LIVE 27103 RUFEN 27130 RUTIN 27155 RVP 27190 RYNATAN 27195 RYNATUSS Drugs beginning with S 27250 S-P-T 27327 SALFLEX 27340 SALICYLATE 27345 SALICYLIC ACID 27350 SALICYLIC ACID & SULFUR SOAP 27355 SALICYLIC ACID SOAP 27360 SALIGEL 27368 SALINE 27420 SALUTENSIN 27440 SANSERT 27459 SARNA 27495 SASTID 27512 SCABENE 27545 SCOPOLAMINE 27635 SEBULEX 27650 SECONAL 27660 SECRAN 61330 SECTRAL 61340 SELDANE 27725 SELENIUM 27730 SELSUN 27735 SELSUN BLUE 27785 SENOKOT 27816 SENSORCAINE 27835 SEPTRA 27840 SEPTRA DS 27845 SER-AP-ES 27855 SERAX 27865 SERENTIL 27895 SERPASIL ELIXIR 27948 SHUR-SEAL GEL 27960 SIGTAB 27985 SILVADENE 27995 SILVER NITRATE 28000 SILVER NITRATE TOUGHENED STICKS 28080 SINEMET 28085 SINEQUAN 28100 SINGLET 28145 SINULIN 28155 SINUS 28165 SINUTAB 28350 SKELAXIN 35580 SLO-BID 28366 SLO-NIACIN 28380 SLO-PHYLLIN SYRUP 28365 SLO-PHYLLIN 28382 SLOPRIN 41470 SLOW FE 28390 SLOW-K 28391 SLOW-MAG 28399 SMZ 28490 SODIUM CARBONATE 28495 SODIUM CHLORIDE 28595 SODIUM FLUORIDE 28620 SODIUM IODIDE 28675 SODIUM SALICYLATE 28683 SODIUM SULFACETAMIDE OPHTH 28695 SODIUM THIOSALICYLATE 41485 SODIUM L-THYROXINE 28734 SOLAQUIN 28750 SOLBAR 28755 SOLFOTON 28760 SOLGANAL SUSPENSION 28800 SOLU-MEDROL 28815 SOMA COMPOUND 28820 SOMA COMPOUND W/CODEINE 28825 SOMA 28840 SOMOPHYLLIN 28920 SORBITRATE 28940 SOTRADECOL 29078 SPECTROBID 41505 SPECTAZOLE 29250 SPIRONOLACTONE 61360 SPRX-105 29275 SSKI 29285 STADOL 29328 STATICIN 29365 STELAZINE 29435 STERAPRED 29498 STEROID(S) 29505 STILBESTROL 29533 STOOL SOFTENER 29581 STRESS TABLETS 41555 STRESSTABS W/ZINC 29615 STUARTNATAL 1+1 29675 SUCRETS 29705 SUDAFED 29760 SUFEDRIN 29785 SULAMYD SODIUM 29795 SULF-10 29800 SULFA VAGINAL 29810 SULFACET-R LOTION 29815 SULFACETAMID 29825 SULFADIAZINE 29860 SULFAPYRIDINE 29865 SULFASALAZINE 41565 SULFA-GYN 61385 SULFACETAMIDE SODIUM 29895 SULFEM 29900 SULFISOXAZOLE 29925 SULFONAMIDES DUPLEX 29945 SULFOXYL LOTION REGULAR 29955 SULFUR 29960 SULFUR & RESORCIN COMPOUND 30010 SULPHUR 30015 SULTRIN 30035 SUMYCIN 30050 SUNDOWN 30030 SUNSCREEN 30195 SURFAK 30235 SURMONTIL 61400 SUS-PHRINE 30305 SYMMETREL 30330 SYNALAR 30335 SYNALGOS 30340 SYNALGOS-DC 30365 SYNEMOL 30370 SYNKAYVITE 30395 SYNTHROID Drugs beginning with T 32690 T.B. TINE TEST 30468 T-STAT 30472 T/SAL 30475 TABRON 30478 TAC-3 30480 TACARYL 30485 TACE 30495 TAGAMET 30513 TALACEN 30520 TALOIN 30535 TALWIN 61405 TAMBOCOR 30553 TAMOXIFEN 30565 TANNIC ACID 30585 TAPAZOLE 30590 TAR 30630 TAVIST 30650 TEARISOL 30655 TEARS NATURALE 30660 TEARS PLUS 61425 TEC 30670 TEDRAL 61430 TEEV XX 61435 TEGISON 30725 TEGOPEN 30730 TEGRETOL 30740 TELDRIN 30755 TEMARIL 30756 TEMAZEPAM 61440 TEMOVATE 30760 TEMPRA 61445 TEN-K 30775 TENAX 30777 TENEX 30781 TENORETIC 100 30782 TENORMIN 61450 TENORETIC 50 30785 TENSILON 30790 TENUATE 30795 TEPANIL 30800 TERAZOL 30805 TERBUTALINE 30820 TERPIN HYDRATE 30825 TERPIN HYDRATE & CODEINE ELIXIR 30850 TERRAMYCIN 30855 TERRAMYCIN W/POLYMYXIN B SULFATE 30870 TES-TAPE 30880 TESSALON PERLE 30915 TESTOSTERONE 30930 TESTOSTERONE ENANTHATE 30955 TESTOSTERONE SUSPENSION 30980 TESTRED 31000 TETANUS ANTITOXIN 31005 TETANUS DIPHTHERIA TOXOID 31015 TETANUS TOXOID 31020 TETRA 31045 TETRACYCLINE 31055 TETRACYN 31085 TEXACORT 31110 THEELIN AQUEOUS SUSPENSION 31120 THEO-DUR 31130 THEO-LIX 41610 THEO-24 31175 THEODRINE 31195 THEOKIN 31200 THEOLAIR 31210 THEOLIXIR 31219 THEOPHENYLLINE 31225 THEOPHYL 31235 THEOPHYLLINE 31245 THEOPHYLLINE ELIXIR 31280 THEOZINE 31318 THERA-GESIC BALM 31325 THERAGRAN 31330 THERAGRAN HEMATINIC 31410 THERAVIT HEMATINIC 31455 THIAMINE 31543 THIORIDAZINE 31525 THIOSULFIL FORTE 31540 THIOTEPA 31542 THIOTHIXENE 31550 THORAZINE 31600 THYMOL 31620 THYRO-TERIC 31630 THYROID 41905 THYROXINE 31655 TIGAN 31658 TIMOLOL 31659 TIMOLIDE 31660 TIMOPTIC 31670 TINACTIN 31695 TINVER LOTION 31723 TOBRADEX 31725 TOBRAMYCIN 31728 TOBREX OPHTHALMIC 31740 TOFRANIL 61475 TOLAZAMIDE 31755 TOLBUTAMIDE 31760 TOLECTIN 31775 TOLINASE 61490 TONOCARD 61495 TOPICORT 31825 TOPIC 31830 TOPICORT EMOLLIENT 31850 TORECAN 61505 TORNALATE 31927 TRANDATE 31938 TRANSDERM-NITRO 31939 TRANSDERM-SCOP 31945 TRANXENE 31970 TRAVASE 31975 TRAVASOL 31990 TRAVERT 31997 TRAZODONE 32013 TRENTAL 32017 TREXAN 32065 TRI-HYDROSERPINE 61515 TRI-LEVLEN 41670 TRI-NORINYL 32140 TRI-VI-FLOR 32145 TRI-VI-SOL 32155 TRIACIN 32175 TRIAFED 32190 TRIAM 32195 TRIAMCINOLONE 32200 TRIAMCINOLONE ACETONIDE 32205 TRIAMCINOLONE DIACETATE 32210 TRIAMCINOLONE NYSTATIN 32215 TRIAMINIC DM 32220 TRIAMINIC EXPECTORANT 32235 TRIAMINIC INFANT DROPS 32245 TRIAMINIC 32255 TRIAMINICIN 32265 TRIAMINICOL SYRUP 32270 TRIAMOLONE 40 32273 TRIAMTERENE 32290 TRIAVIL 32310 TRICHLOROACETIC ACID 32345 TRIDESILON 32395 TRILAFON 32405 TRILISATE 32423 TRIMETHOPRIM W/SULFASOXAZOLE 35595 TRIMETHOPRIM/SULFAMETHOXAZOLE 32438 TRIMETHOPRIM 32430 TRIMOX 32433 TRIMPEX 41690 TRINALONE 32443 TRINALIN REPETABS 32460 TRINSICON 32478 TRIOVAL 32530 TRIPLE SULFA 32535 TRIPLE SULFOID 61535 TRIPLE SULFA VAGINAL 32555 TRIPROLIDINE W/PSEUDOEPHEDRINE 32625 TROCAL 32655 TROPHITE 32658 TROPICAMIDE 32660 TRYPTOPHAN 32665 TRYSUL VAGINAL 32680 TUBERCULIN TINE TEST 32685 TUBERCULIN PPD (HEAF) 32710 TUCKS 32735 TUMS 32765 TUSAL 32766 TUSS ADE 32775 TUSSADON T.D. 32800 TUSSAR DM 32805 TUSSAR 32810 TUSSAR-2 SYRUP 32825 TUSSEND 32830 TUSSEND EXPECTORANT 32770 TUSS-ORNADE 32840 TUSSI-ORGANIDIN DM 32845 TUSSI-ORGANIDIN 32855 TUSSIONEX 32905 TYLENOL 32915 TYLENOL NO. 2 32920 TYLENOL NO. 3 32925 TYLENOL NO. 4 32930 TYLENOL W/CODEINE 32935 TYLENOL W/CODEINE ELIXIR 32945 TYLOX 32955 TYMPAGESIC Drugs beginning with U 33068 ULTRACEF 33073 ULTRALENTE INSULIN 41745 UNIPHYL 33180 UNNA'S GELATIN PASTE 33225 URECHOLINE 33270 URIMED 33280 URISED 33290 URISEP 33300 URISPAS 33355 UROBIOTIC-250 Drugs beginning with V 33425 V-CILLIN 33430 V-CILLIN K 33448 VACCINATION 33538 VALESIN 33550 VALISONE 33555 VALIUM 33573 VALPROIC ACID 33574 VALRELEASE 33575 VANCERIL 35600 VANCENASE 33588 VANCOMYCIN 33600 VANOXIDE 33615 VANSEB LOTION 33670 VASELINE 33677 VASERETIC 33685 VASOCIDIN 33700 VASOCON 33705 VASOCON-A 33710 VASODILAN 33713 VASODILATOR 33735 VASOPRESSIN 33750 VASOSULF 61565 VASOTEC 33780 VEETIDS 33800 VELBAN 33805 VELOSEF 33830 VENTACOL 33843 VENTOLIN 33858 VERAPAMIL 33895 VERMOX 61570 VERSED 33965 VI-DAYLIN 33975 VI-DAYLIN F 33980 VI-DAYLIN F ADC DROP 34085 VIBRA 34090 VIBRAMYCIN 34103 VICKS VAPORUB 34110 VICODIN 34120 VICON FORTE 34125 VICON-C 34160 VINCRISTINE 34210 VIOFORM 34215 VIOFORM-HYDROCORTISONE 34235 VIRA-A 34240 VIRILON 34248 VIROPTIC 34260 VISINE 34263 VISKEN 34265 VISTACON 34270 VISTARIL 34293 VITA-FLOR 34360 VITAMIN A 34425 VITAMIN B COMPLEX 34445 VITAMIN B COMPLEX W/B-12 34450 VITAMIN B COMPLEX W/VITAMIN C 34455 VITAMIN B-1 34485 VITAMIN B-1 W/B-6 34495 VITAMIN B-12 34500 VITAMIN B-12 CRYSTALLINE 34505 VITAMIN B-2 34510 VITAMIN B-6 34520 VITAMIN C 34525 VITAMIN C & E 34565 VITAMIN D 34575 VITAMIN E 34623 VITAMIN K 34625 VITAMIN(S) 34628 VITAMINS AND MINERALS 34685 VIVACTIL 34693 VIVIKON 34725 VOLTAREN 34740 VOSOL 34745 VOSOL HC 34750 VULVAELINE 34755 VYTONE Drugs beginning with W 34780 WART OFF 34790 WATER DISTILLED 61605 WELLBUTRIN 34855 WESTCORT 34920 WITCH HAZEL 34970 WYCILLIN 34985 WYGESIC 34990 WYMOX 35603 WYTENSIN Drugs beginning with X 35023 XANAX 35025 XERAC AC 35050 XEROFOAM DRESSING 35060 XYLOCAINE 35080 XYLOCAINE HCL W/EPINEPHRINE 35085 XYLOCAINE VISCOUS Drugs beginning with Y 35120 YOHIMBINE Drugs beginning with Z 35130 Z-BEC 41780 ZANTAC 35150 ZARONTIN 35155 ZAROXOLYN 35165 ZEASORB MEDICATED 35224 ZESTRIL 35225 ZESTRIL 41785 ZINACEF 35240 ZINC 35250 ZINC OXIDE 35260 ZINC SULFATE 35310 ZINCON 35338 ZOMAX 41880 ZORPRIN 35341 ZOVIRAX 61610 ZYDONE 35350 ZYLOPRIM USER QUESTIONNAIRE In order to improve the NCHS Micro-Data Tape Release program, we would appreciate your assistance in regard to the following questionnaire. Name: ______________________________________________________________________ Title: ____________________________________________________________________ Organization: _____________________________________________________________ Address: __________________________________________________________________ ____________________________________________________________________________ Date of tape purchase: _________________________ Type of organization (university, insurance, etc.): ________________________ 1. Have you used this tape? (If not, please indicate why.) 2. Did you have any computer problems using the data? 3. Did you have any analytic problems with the data? 4. What output was produced using the tape? 5. How was this output used? 6. How was the overall quality of the documentation? 7. Did you find the explanation of the survey helpful? Was it clear, concise, etc.? 8. Was the description of the tape record format easy to use? Were the item descriptions understandable? Did you find any errors? 9. Do you have any other comments or complaints? Return this questionnaire to the address on back. Please feel free to in- clude additional comments. Thank you very much for your assistance. Data Tape Coordinator Scientific and Technical Information Branch National Center for Health Statistics 6525 Belcrest Road Hyattsville, Maryland 20782 REFERENCES NCHS published statistics from the NAMCS in Series 13 of VITAL AND HEALTH STATISTICS, PHS No. 1000, Public Health Service, Washington, U.S. Government Printing Office. 1. National Center for Health Statistics: National Ambulatory Medical Care Survey: Background and Methodology, United States, VITAL AND HEALTH STATISTICS. Series 2-No. 61 DHEW Pub. (HRA) 74-1335. Health Resources Administration. Washington. U.S. Government Printing Office. March 1974. 2. National Center for Health Statistics: 1989 Summary: National Ambulatory Medical Care Survey, United States. Advance Data from Vital and Heath Statistics, No. 203. DHHS Publication No. (PHS) 91-1250. Hyattsville, Maryland: National Center for Health Statistics 1991. 3. Induction Interview Form. National Ambulatory Medical Care Survey. Bureau of the Census. OMB NO. 068-572106. 4. National Center for Health Statistics: A Reason for Visit Classification for Ambulatory Care, United States. VITAL AND HEALTH STATISTICS. Series 2-No. 78. DHEW Pub. No. (PHS) 79-1352. Public Health Service. Hyattsville, Maryland. U.S. Government Printing Office, February 1979. 5. National Center for Health Statistics: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM). DHHS Pub. No. (PHS) 80-1260. Public Health Service. Washington. U.S. Government Printing Office, September, 1980. 6. National Ambulatory Medical Care Survey: MEDICATION CODE LIST, NAMCS 1981. 7. National Ambulatory Medical Care Survey: 1977 Medical Coding Manual. 8. National Center for Health Statistics, H. Koch: The Collection and Processing of Drug Information, National Ambulatory Medical Care Survey, United States, 1980. Vital and Health Statistics. Series 2-No. 90. DHHS Pub. No. (PHS) 82-1364. Public Health Service. Washington. U.S. Government Printing Office. March, 1982. 9. National Ambulatory Medical Care Survey: Coding Procedures for Medication Entries, NAMCS 1980. 10. National Center for Health Statistics: Highlights of Drug Utilization in Office Practice: National Ambulatory Medical Care Survey, 1985, United States. Advance Data from Vital and Health Statistics, No. 134. DHHS Publication No. (PHS) 87-1250. Public Health Service. Hyattsville, Maryland. May, 1987. 1/Information concerning reports being written, or planning to be written, on 1990 data may be obtained from the Ambulatory Care Statistics Branch.
