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Scientific Data Documentation
Medical Examination (Ages 1-74) Data (1971-75)DSN: CC37.HANES1.MEDEXAM ABSTRACT HEALTH AND NUTRITION EXAMINATION SURVEY, 1971-1975 Contents HANES 1971-1975 Description of Survey Target Population Data Collection Use of HANES Data Errors in the Data Sets and Survey Differences Variance Estimation General Notes Demographic Data Demographic Data Summary Record Layout Demographic Data Detailed Notes Demographic Data DESCRIPTION OF SURVEY Description of Survey: A detailed description of the design, content and operation of HANES I is provided in the following reports: Plan and Opera- tion of the Health and Nutrition Examination Survey, DHEW Pub. No. (HSM) 73- 1310, Series 1, Nos. 10a and 10b, Public Health Service, Washington, D. C., U. S. Government Printing Office, February 1973. Also provided is a draft report on the augmentation survey of adults describing the relevant field work conducted between July 1974 and October 1975. TARGET POPULATION Target Population: HANES I was conducted on a nationwide probability sample of approximately 32,000 persons, ages 1-74 years, from the civilian, noninstitutionalized population of the coterminous United States, excepting those persons residing on Indian reservations. The survey started in April 1971 and for many survey components was completed in June 1974. The HANES I sample was selected so that certain population groups thought to be at high risk of malnutrition (persons with low incomes, preschool children, women of childbearing age and the elderly) were oversampled at known rates. Adjusted sampling weights were then computed within 60 age, sex and race categories in order to inflate the sample in such a manner as to closely reflect the noninstitutionalized population, ages 1-74 years, of the United States at the midpoint of the survey. Although the main emphasis of HANES I was on nutrition, a subset of those sample persons aged 25-74 received a more detailed health examination which was continued through October 1975. No particular oversampling of subgroups of the population was done in this subsample (e.g., women of childbearing age were not oversampled as they were for the major nutrition component of HANES I). This subsample is also representative of the United States population aged 25-74 during the time of HANES I. After the nutrition survey was completed, the detailed examination given to the 25-74 age group was continued until the total number of examined persons was approximately double the number of examinees who received the detailed examination during the nutrition survey. DATA COLLECTION Data Collection: Information for all examined sample persons in HANES I was obtained by means of a household interview, a general medical history, a 24-hour dietary intake recall interview, a food frequency interview, a food program questionnaire, a general medical examination, dental, dermatological and ophthalmological examinations, anthropometric measurement, hand-wrist x-rays (of those ages 1-17 only) and 24 hematological, blood chemistry, and urological laboratory determinations. In addition to the information received on all examined persons by means of the above questionnaires, procedures and measurements, the following data were gathered on the subsample of adults aged 25-74: a medical history supplement; supplementary questionnaires concerning arthritis, respiratory and cardiovascular conditions (when applicable); a health care needs ques- tionnaire; a general well-being questionnaire; an extended medical examina- tion; x-rays of the chest and hip and knee joints; audiometry, electrocardio- graphy; goniometry; spirometry; pulmonary diffusion and tuberculin tests; along with additional laboratory determinations. USE OF HANES DATA With the goal of mutual benefit, NCHS requests the cooperation of recipients of data tapes in certain actions related to their use: A. Any published material derived from the data should acknowledge the National Center for Health Statistics as the original source. It should also include a disclaimer which credits any analyses, interpretations, or conclusions reached to the author (recipient of the tape) and not to NCHS, which is responsible only for the initial data. B. Consumers who wish to publish a technical description of the data will make a reasonable effort to insure that the description is not inconsistent with that published by NCHS. This does not mean, however that NCHS will review such descriptions. ERRORS IN THE DATA SETS AND SURVEY DIFFERENCES The data users' tapes have been subjected to a great deal of careful editing. However, due to the large volume of data in the series, it is likely that a small number of errors or discrepancies remain undetected. We would appre- ciate if any such errors are detected that they be brought to our attention so that new corrected copies of the tape can be created and errata sheets issued to previous purchasers. Some of the continuous data items have extremely high or low values and we have verified that they do in fact appear that way on the hard documents; that is, we have verified that the values have not been incorrectly keyed. In general, we have not attempted to resolve any differences that may exist between estimates derived from the various subsamples of HANES I. Nor have we made any comparisons between estimates from HANES I and previous surveys conducted by the Division of Health Examination Statistics. VARIANCE ESTIMATION Because the Health and Nutrition Examination Survey is based upon a complex sample design, the assumptions of many statistical tests and routinely avail- able statistical programs are not met. For this reason, when estimates of the variances of statistics from HANES are computed, the technique of estimation must be based upon complex sampling theory. In order to provide the user with the capability of estimating the complex sample variances, we have provided Strata and Primary Sampling Unit (PSU) codes on the HANES user tapes in tape positions 194-198. However, these codes are suitable for making variance estimates only for examination locations 1-65 and 1-100. To compute variance estimates for examination locations 1-35 or 66-100, it is necessary to recode the current Strata-PSU codes according to the specifica- tions that follow. The resultant recoded Strata-PSU codes should be used only for locations 1-35 and 66-100. One computer program that should be widely available sometime around the summer of 1978 as part of the Statistical Analysis System (available from the SAS Institute, Inc., Post Office Box 10066, Raleigh, North Carolina 27605) is capable of using the Strata-PSU codes provided for HANES to compute complex sample variances. Other programs may also be available. In those Strata, referred to as certainty or self-representing Strata, the PSU codes are actually the segment numbers. Neither the Strata codes nor the PSU codes are the original codes used in the formation of the HANES sample design, but are nonetheless a unique Recoding of the original codes. For further discussion of the sample design of HANES, the user should consult the publications of the National Center for Health Statistics--Series-Nos. 10a and 14 and the detailed note for tape positions 158-193. Recode Specifications for Strata-PSU Codes First.--Create a files with only those records in the file for examination locations 1-35.* Second.--Retain 1he original Strata-PSU codes in Strata 7-10 and 13 in the original form as the recoded Strata-PSU codes. Third.--Recode the remaining strata according tot he chart below. Fourth.--Repeat the process for examination locations 66-100.* Old Strata # (tape positions 194-195) New Strata # New PSU 01 01 001 02 01 002 03 03 001 06 03 002 04 04 001 05 04 002 11 11 001 12 11 002 14 14 001 21 14 002 15 15 001 16 15 002 17 17 001 20 17 002 18 18 001 19 18 002 22 22 001 25 22 002 23 23 001 24 23 002 26 26 001 27 26 002 28 28 001 29 28 002 30 30 001 35 30 002 31 31 001 32 31 002 33 33 001 34 33 002 *See detailed note for tape positions 158-193. GENERAL NOTES, DEMOGRAPHIC DATA, HANES I Demographic Information: An advance letter, announcing the forthcoming arrival of an interviewer from the U. S. Bureau of the Census, was mailed to each household that fell into the sample area. The interviewer subsequently visited the household to ascertain its composition and to administer a ques- tionnaire, the primary purpose of which was to obtain demographic informa- tion. The questionnaire was administered to each potential sample person that was available and competent enough to respond to questions. In the event that a potential sample person was not at home at the time of inter- view, any responsible adult in the household was asked to respond to the questions for the absent person. Asterisks on the Tape Description: Some of the data items were obtained only for a particular subsample of HANES. Consequently some of these items appear to have a great deal of missing data (coded as blank) due to nonresponse, but in fact the data are missing because the design of HANES dictated that the item was to be obtained only for a particular subsample. (For further discussion of the various subsamples in HANES the user should see the detailed note for tape positions 158-193.) To alert the user to this fact asterisks were put on the tape des- cription. One asterisk denotes that the data item was obtained only on examinees at locations 1-65, two asterisks denote that it was ob- tained only at location 66-100 and three asterisks denote that it was obtained only on examinees receiving the detailed examination. DEMOGRAPHIC DATA SUMMARY - HANES I Tape Positions Sample sequence number ............................................. 1 Size of place ...................................................... 10 SMSA-not SMSA ...................................................... 11 Type of living quarters............................................. 12 Land usage ......................................................... 13 If rural, asked - How many acres of land are included .............. 14 If 10 acres/more asked - Sale of crops/etc. amount to $50 or more .. 15 If 10 acres/less asked - Sale of crops/etc. amount to $250 or more . 16 Age - head of household ............................................ 17 Sex - head of household ............................................ 19 Highest grade attended - head of household ......................... 20 Race - head of household ........................................... 22 Total number of persons in household ............................... 23 Total sample persons in household .................................. 25 Number of rooms in house ........................................... 27 Is there piped water ............................................... 28 If yes, is there hot and cold piped water .......................... 29 If yes to piped water - Does house have a sink with piped water .... 30 Does house have a range or cook stove .............................. 31 Does house have a refrigerator ..................................... 32 Are kitchen facilities used by anyone not living in household ...... 33 Total family income group .......................................... 34 NOTE: The following income questions were asked only if "Total Family Income" was less than $7,000 Tape Positions During Past Year Did you or Any Members of Your Family Receive Money From: Wages or salaries .................................................. 36 If yes - How much altogether before deductions ..................... 37 Social Security or Railroad Retirement ............................. 41 If yes - How much altogether ....................................... 42 Welfare payments or other public assistance ........................ 46 If yes - How much altogether ....................................... 47 Unemployment or Workman's Compensation ............................. 51 If yes - How much altogether ....................................... 52 Government employee pensions or private pensions ................... 56 If yes - How much altogether ....................................... 57 Dividends, interest or rent ........................................ 61 If yes - How much altogether ....................................... 62 Net income from own non-farm business, professional practice or partnership ...................................................... 66 If yes - How much altogether ....................................... 67 Net income from a farm ............................................. 71 If yes - How much altogether ....................................... 72 Veteran's payments ................................................. 76 If yes - How much altogether ....................................... 77 Alimony, child support or contributions from persons not living in household ........................................................ 81 If yes - How much altogether ....................................... 82 Any other income ................................................... 86 If yes - How much altogether ...................................... 87 Total amount....................................................... 91 Family unit code ................................................... 95 Relationship to head of household .................................. 100 Age at interview ................................................... 101 Race of examined person ............................................ 103 Sex of examined person ............................................. 104 Marital status ..................................................... 105 Date of birth (month and year) ..................................... 106 Place of birth ..................................................... 110 Highest grade of regular school ever attended ...................... 112 Did he finish the grade ............................................ 114 Is he attending school now ......................................... 115 Has he ever attended a school of any kind .......................... 116 If yes - What kind of school ....................................... 117 Any language other than English frequently spoken in the household.. 118 If yes - What language ............................................. 119 What is your main ancestry or national origin ...................... 120 What was he doing most of past three months ........................ 122 If "something else" - What was he doing ............................ 123 If "keeping house" or "something else" - Did he work at a job or business at any time during the past three months ................ 124 If "working" - Did he work full-time or part-time .................. 125 Did he work at any time last week or week before (not around house). 126 If no - Even though he did not work during that time, does he have a job or business ................................................ 127 Tape Positions Was he looking for work or on lay-off from a job ................... 128 If yes - Which ..................................................... 129 Class of worker .................................................... 130 If self-employed in "own" business and not a farm, is the business incorporated ..................................................... 131 Business or industry code .......................................... 132 Occupation code .................................................... 135 Date of examination ................................................ 138 Age at examination ................................................. 144 Farm/non-farm ...................................................... 146 Poverty index ...................................................... 147 Region ............................................................. 150 FOOD PROGRAMS APPLICABILITY ........................................ 151 Are you certified to participate in the food stamp program? ........ 152 Are you buying food stamps now? .................................... 153 What is the main reason you aren't participating in the program? ... 154 Are you certified to participate in commodity distribution program?. 155 Are you receiving commodity foods now for your family? ............. 156 Why aren't you participating in the program? ....................... 157 SAMPLE WEIGHTS ..................................................... 158 STRATA - Primary Sampling Unit (PSU) ............................... 194RECORD LAYOUT, DEMOGRAPHIC DATA HEALTH AND NUTRITION EXAMINATION SURVEY (HANES I) Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source DEMOGRAPHIC DATA 1-5 Sample Sequence Number 6-9 Catalog Number 10 Size of Place Urbanized area with: 1 - 3,000,000 or more Hshld Questionnaire 2 - 1,000,000 to 2,999,999 See Detailed Notes 3 - 250,000 to 999,999 4 - under 250,000 5 - Urban place 25,000 or more outside urbanized area 6 - Urban place 10,000 to 24,999 outside urbanized area 7 - Urban place 2,500 to 9,999 outside urbanized area 8 - Rural 11 SMSA - Not SMSA 1 - In SMSA, in central city Hsehld Questionnaire 2 - In SMSA, not in central city See Detailed Notes 3 - Not in SMSA 12 Type of Living Quarters 1 - Housing Unit Hsehld Questionnaire 2 - Other unit 13 Land Usage 1 - All other Hsehld Questionnaire 2 - Rural 7136 14 If Rural, asked How Many Acres of Land Are Included? Hsehld Questionnaire 1 - 10 or more acres 2 - Less than 10 acres 9 - Not applicable Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 15 If 10 acres or more, asked if Sale of Crops, Etc. Amount to $50 or more? Hsehld Questionnaire 2 - Yes 4 - No 9 - Not applicable 16 If 10 acres or less, asked if Sale of Crops, Etc. Amount to $250 or more? Hsehld Questionnaire 3 - Yes 5 - No 9 - Not applicable 17-18 Age - Head of Hsehld 16-92 as given Hsehld Questionnaire 00 Blank, but applicable 19 Sex - Head of Hsehld Hsehld Questionnaire 1 - Male 2 - Female 20-21 Highest Grade Attended - Head of Hsehld 10 - None Hsehld Questionnaire 21 - 1st grade 22 - 2nd grade 23 - 3rd grade 24 - 4th grade 25 - 5th grade 26 - 6th grade 27 - 7th grade 28 - 8th grade 31 - 9th grade 32 - 10th grade 33 - 11th grade 34 - 12th grade 41 - First year of college 42 - Second year of college 43 - Third year of college 44 - Fourth year of college 45 - Graduate 88 - Blank, but applicable Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 22 Race - Head of Household 1 - White Hsehld Questionnaire 2 - Negro See Detailed Notes 3 - Other 23-24 Total Number of Persons in Household 01-19 - As given Hsehld Questionnaire 25-26 Total Sample Persons in Household 01-07 - As given Hsehld Questionnaire 27 Number of Rooms in House 1-8 - As given Hsehld Questionnaire 9 - 9 or more 28 Is there piped water? 1 - Yes Hsehld Questionnaire 2 - No 29 If yes Is there Hot and Cold piped water? 1 - Yes Hsehld Questionnaire 2 - No 9 - Not applicable 30 If yes to piped water - Does House Have a Sink with Piped Water? 1 - Yes Hsehld Questionnaire 2 - No 9 - Not applicable 31 Does House Have a Range or Cook Stove? 1 - Yes Hsehld Questionnaire 2 - No Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 32 Does House have a Regrigerator? 1 - Yes Hsehld Questionnaire 2 - No 33 Are kitchen facilities used by anyone not living in household? 1 - Yes Hsehld Questionnaire 2 - No 9 - Not applicable 34-35 Total Family Income Group 11 - Under $1,000(including loss) Hsehld Questionnaire 12 - $1,000-1,999 See Detailed Notes 13 - $2,000-2,999 14 - $3,000-3,999 15 - $4,000-4,999 16 - $5,000-5,999 17 - $6,000-6,999 18 - $7,000-9,999 19 - $10,000-14,999 20 - $15,000-19,999 21 - $20,000-24,999 22 - $25,000 and over 88 - Blank, but applicable NOTE: The following income questions were asked only if "Total Family Income" was less than $7,000 DURING PAST YEAR DID YOU OR ANY MEMBERS OF YOUR FAMILY RECEIVE MONEY FROM: 36 Wages or Salaries? 1 - Yes Hsehld Questionnaire 2 - No 3 - Blank, but applicable 9 - Not applicable Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 37-40 If yes to above, how much altogether before deductions? 0001-8000 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 41 Social Security or Railroad Retirement? 1 - Yes Hsehld Questionnaire 2 - No 3 - Blank, but applicable 9 - Not applicable 42-45 If yes to above, how much altogether? 0001-6999 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 46 Welfare Payments or Other Public Assistance? 1 - Yes Hsehld Questionnaire 2 - No 3 - Blank, but applicable 9 - Not applicable 47-50 If yes to above, hyow much altogether? 0001-6999 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 51 Unemployment or Workmen's Compensation? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 52-55 If yes to above, how much altogether? 0001-6999 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 56 Government Employee Pensions or Private Pensions? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable 57-60 If yes to above, how much altogether? 0001-6999 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 61 Dividends, interest or rent? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable 62-65 If yes to above, how much altogether? 0001-6999 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 66 Net income from own non-farm business, professional practice or partnership? 1 - Yes Hsehld Questionnaire 2 - No 3 - Loss 8 - Blank, but applicable 9 - Not applicable Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 67-70 If yes to above, how much altogether? 0000-7500 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 71 Net income from a farm? 1 - Yes Hsehld Questionnaire 2 - No 3 - Loss 8 - Blank, but applicable 9 - Not applicable 72-75 If yes to above, how much altogether? 0000-7500 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 76 Veteran's Payments? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable 77-80 If yes to above, how much altogether? 0001-6999 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 81 Alimony, child support or contributions from persons not living in Hsehld? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 82-85 If yes to above, how much altogether? 0001-6999 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 86 Any other income? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable 87-90 If yes to above, how much altogether? 0001-6900 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 91-94 Total Amount (Total of Positions 37-90) 0000-6999 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 95-99 FAMILY UNIT CODE Computer generated 00001-23180 See Detailed Notes 100 Relationship to Head of Household (Hsehld Questionnaire) 1 - Head (1 person living along or with non-relatives) 1920 2 - Head (2 or more related persons in family) 4912 3 - Wife 5256 4 - Child 7733 5 - Other relative 928 101-2 Age at Interview 01-74 - As given Hsehld Questionnaire Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 103 Race of Examined Person 1 - White Hsehld Questionnaire 2 - Negro See Detailed Notes 3 - Other 104 Sex of Examined Person 1 - Male Hsehld Questionnaire 2 - Female 105 Marital Status 1 - Under 17 Hsehld Questionnaire 2 - Married 3 - Widowed 4 - Never Married 5 - Divorced 6 - Separated 8 - Blank, but applicable 106-9 Date of Birth (month, year) 01-12 - Month as given Hsehld Questionnaire 00-99 - Year (1896-1973) as given 110-11 Place of Birth (As given) 01-02 Hsehld Questionnaire 04-06 See Detailed Notes 08-13 15-42 44-51 53-56 60-81 91-97 88 - Blank, but applicable 144 Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 112-13 Highest Grade of regular school ever attended? 10 - None Hsehld Questionnaire 21 - 1st grade 22 - 2nd grade 23 - 3rd grade 24 - 4th grade 25 - 5th grade 26 - 6th grade 27 - 7th grade 28 - 8th grade 31 - 9th grade 32 - 10th grade 33 - 11th grade 34 - 12th grade 41 - First year of college 42 - Second year of college 43 - Third year of college 44 - Fourth year of college 45 - Graduate 77 - Special school 88 - Blank, but applicable 99 - Not applicable 114 Did he finish the grade? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable 115 Is he attending school now? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 116 Has he ever attended a school of any kind? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable 117 If yes, what kind of school? 1 - Nursery Hsehld Questionnaire 2 - Kindergarten 3 - Other 4 - Headstart 5 - Daycare 8 - Blank, but applicable 9 - Not applicable 118 Is any language other than English frequently spoken in the household? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 119 If yes, what language? 0 - German Hsehld Questionnaire 1 - Italian 2 - French 3 - Polish 4 - Russian 5 - Spanish 6 - Chinese 7 - Other language 8 - Blank, but applicable 9 - Not applicable Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 120-21 What is your main ancestry or national origin? 00 - German Hsehld Questionnaire 01 - Irish 02 - Italian 03 - French 04 - Polish 05 - Russian 06 - English 07 - Spanish 08 - Mexican 09 - Chinese 10 - Japanese 11 - American Indian 12 - Negro 13 - Jewish 14 - American 15 - Other 88 - Blank, but applicable 99 - Don't know 122 What was he doing most of past three months? 1 - Working Hsehld Questionnaire 2 - Keeping house 3 - Something else 8 - Blank, but applicable 9 - Not applicable 123 If "something else" from above, what was he doing? 0 - Laid off Hsehld Questionnaire 1 - Retired 2 - Student 3 - Other 4 - Ill 5 - Staying home 6 - Looking for work 7 - Unable to work 8 - Blank, but applicable 9 - Not applicable Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 124 If "keeping house" or "something else" from above, did he work at a job or business at any time during the past three months? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable 125 If "Working" from above, did he work full-time or part-time? 1 - Full-time Hsehld Questionnaire 2 - Part-time 8 - Blank, but applicable 9 - Not applicable 126 Did he work at any time last week or the week before (not around house)? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable 127 If "no" to above, even though he did not work during that time, does he have a job or business? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable 128 If "no" in Position 126, was he looking for work or on lay-off from a job? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 129 If yes to above - which? 1 - Looking Hsehld Questionnaire 2 - Lay-off 3 - Both 8 - Blank, but applicable 9 - Not applicable 130 Class of Worker 1 - Private paid Hsehld Questionnaire 2 - Government-Federal 3 - Government-Other 4 - Own 5 - Non-paid 6 - Never worked 8 - Blank, but applicable 9 - Not applicable 131 If self-employed in "own" business and not a farm, is the business incorporated? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable 132-34 Business or Industry Code 017-999 - As given Hsehld Questionnaire 135-37 Occupation Code 001-995 - As given Hsehld Questionnaire 138-43 Date of Examination Month - 01-12 as given Control Record Day - 01-31 as given Year - 71-75 as given Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 144-45 Age at Examination 01-75 - As given Computer Generated 146 Farm 1 - Farm Computer Generated 2 - Nonfarm See Detailed Notes 147-49 Poverty Index (X.XX) 001-997 - As given Computer Generated 998 - Index computed 998 See Detailed Notes or greater 999 - Unknown 150 Region 1 - Northeast Computer Generated 2 - Midwest See Detailed Notes 3 - South 4 - West 151 FOOD PROGRAMS APPLICABILITY 1 - Not applicable Food Programs Quest. 2 - No program available 3 - Food stamps available 4 - Commodities available 8 - Blank, but applicable 152 Are you certified to participate in the food stamp program? 1 - Yes Food Programs Quest. 2 - No 9 - Don't know Blank Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 153 Are you buying stamps now? 1 - Yes, regularly Food Programs Quest. 2 - Yes, occasionally 3 - No 8 - Blank, but applicable Blank 154 What is the main reason you aren't participating in the program? 1 - No need Food Programs Quest. 2 - Not enough money at the time 3 - No transportation 4 - Pride 5 - Other 8 - Blank, but applicable Blank 155 Are you certified to participate in the commodity distribution program? 1 - Yes Food Programs Quest. 2 - No 9 - Don't know Blank 156 Are you receiving commodity foods now for your family? 1 - Yes, regularly Food Programs Quest. 2 - Yes, occasionally 3 - No 8 - Blank, but applicable Blank 157 Why aren't you participating in the program? 1 - No need Food Porgrams Quest. 2 - No transportation 3 - Pride 4 - Other 8 - Blank, but applicable Blank Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source SAMPLE WEIGHTS 158-63 Detailed Persons, Location 01-35 See Detailed Notes Blanks 164-69 All Sample Persons, Locations 01-35 See Detailed Notes Blanks 170-75 Detailed Persons, Locations 01-65 See Detailed Notes Blanks 176-81 All Sample Persons, Locations 01-65 See Detailed Notes Blanks 182- Work Area 193 194- STRATA 1/ 195 196- Primary Sampling Unit1/ 198 199- Work Area 200 1/Use only for producing variance estimates for examination locations 1-65 or 1-100. See General Note titled "Variance Estimation" for producing variance estimates for examination locations 1-35 or 66-100. DETAILED NOTES, DEMOGRAPHIC DATA Tape Position 10 - Size of Place Size of place classification was derived from the 1960 census. According to the definition used in the 1960 census, the urban population was comprised of all persons living in (a) places of 2,500 inhabitants or more incorporated as cities, boroughs, villages and towns (except towns in New York, New England, and Wisconsin); (b) the densely settled urban fringe, whether incorporated or unincorporated, or urbanized areas; (c) towns in New England and townships in New Jersey and Pennsylvania which contained no incorporated municipalities as subdivisions and had either 2,500 inhabitants or more, or a population of 2,500 to 25,000 and a density of 1,500 persons or more per square mile; (d) counties in states other than the New England states, New Jersey, and Pennsylvania, that had no incorporated municipalities within their boundaries and had a density of 1,500 persons per square mile; and (e) unincorporated places of 2,500 inhabitants or more not included in any urban fringe. The remaining population was classified as rural. Urban areas are further classified by population size for places within urbanized areas and other places outside urbanized areas. Tape Position 11 - SMSA A standard metropolitan statistical area is basically a county or a group of contiguous counties which contains at least one city of 50,000 inhabitants or more, or "twin cities" with a combined population of at least 50,000. In addition to the county or counties containing such a city or cities, contiguous counties are included in an SMSA if, according to the 1960 Census, they are socially and economically integrated with the central city. Each SMSA must include at least one central city, and the complete title of an SMSA identifies the central city or cities. Tape Positions 22 and 103 - Race The race of the respondent was marked by observation and it was assumed the race of all related persons was the same as the respondent unless otherwise learned. The race categories were "White", "Negro", or "other." If the appropriate category could not be marked by observation, then race was asked. Persons of races other than White or Negro, such as Japanese, Chinese, American Indian, Korean, Hindu, Eskimo, etc. were reported as "Other." Mexicans were included with "White" unless definitely known to be American Indian or of other nonwhite race. Tape Positions 34-35 - Total Family Income Group The income group represents the total combined family income for the past twelve (12) months. It includes income from all sources such as wages, salaries, social security or retirement benefits, help from relatives, rent from property and so forth. The income groups were not reconciled to the component parts (tape positions 36-94). The income component parts were not asked when the gross income was greater than $6,999 per annum. However, amounts greater than $6,999 appear in tape positions 37-40, 67-70, and 72-75. Some respondents reported a loss of income from their nonfarm business, professional practice, partnership or farm and this explains why some data fields are greater than $6,999, but the individual total in tape positions 91-94 does not exceed this figure. Tape Positions 95-99 - Family Unit Code All related sample persons in the same family unit have the same computer generated family unit code. This will enable detailed analysis of the individual family unit. Tape Positions 110-111 - State Codes UNITED STATES OUTLYING AREAS OF THE U.S. Standard Abbreviation Code Name of Place Cod ALABAMA Ala. 01 American Samoa 60 ALASKA Alaska 02 Canal Zone 61 ARIZONA Ariz. 04 Canton and Enderbury Islands 62 ARKANSAS Ark. 05 Caroline Islands 63 CALIFORNIA Calif. 06 Cook Islands 64 COLORADO Colo. 08 Gilbert and Ellice Islands 65 CONNECTICUT Conn. 09 Guam 66 DELAWARE Del. 10 Johnston Atoll 67 DIST. OF COLUMBIA D.C. 11 Line Islands - Southern 68 FLORIDA Fla. 12 Mariana Islands 69 GEORGIA Ga. 13 Marchall Islands 70 HAWAII Hawaii 15 Midway Islands 71 IDAHO Idaho 16 Puerto Rico 72 ILLINOIS Ill. 17 Ryukyn Islands - Southern 73 INDIANA Ind. 18 Swan Islands 74 IOWA Iowa 19 Tokelau Islands 75 KANSAS Kans. 20 U.S. Misc. Caribbean 76 KENTUCKY Ky. 21 U.S. Misc. Pacific Islands 77 LOUISIANA La. 22 Virgin Islands 78 MAINE Maine 23 Wake Islands 79 MARYLAND Md. 24 Cuba 80 MASSACHUSETTS Mass. 25 West Indies 81 MICHIGAN Mich. 26 North America 91 MINNESOTA Minn. 27 South America 92 MISSISSIPPI Miss. 28 Europe 93 MISSOURI Mo. 29 Africa 94 MONTANA Mont. 30 Asia 95 NEBRASKA Nebr. 31 Australasia 96 NEVADA Nev. 32 Pacific Islands 97 NEW HAMPSHIRE Nebr. 33 NEW JERSEY N.J. 34 NEW MEXICO N. Mex. 35 NEW YORK N.Y 36 NORTH CAROLINA N.C. 37 NORTH DAKOTA N. Dak. 38 OHIO Ohio 39 OKLAHOMA Okla. 40 OREGON Oreg. 41 PENNSYLVANIA Pa. 42 RHODE ISLANDS R.I. 44 SOUTH CAROLINA S.C. 45 SOUTH DAKOTA S. Dak. 46 UNITED STATES Standard Abbreviation Code TENNESSEE Tenn. 47 TEXAS Tex. 48 UTAH Utah 49 VERMONT Vt. 50 VIRGINIA Va. 51 WASHINGTON Wash. 53 WEST VIRGINIA W. Va. 54 WISCONSIN Wis. 55 WYOMING Wyo. 56 Tape Positions 132-134 and 135-137 - Industry & Occupation Codes A person's occupation may be defined as his principal job or business. For this survey purpose, the principal job or business of a respondent is defined in one of the following ways: If the person worked during the two week interview period or had a job or business, the question concerning his occupation (or work) applies to his job during that period. If the respon- dent held more than one job, the question is directed to the one at which he spent the most time. It refers to the one he considers most important when equal time is spent at each job. A person who has not begun work at a new job, is looking for work, or is on layoff from work is questioned about his last full-time civilian job. A full-time job is defined as one at which the person spent 35 or more hours per week and which lasted two consecutive weeks or more. A person who has a job to which he has not yet reported and has never had a previous job or business is classified as a "new worker." The 1970 census of population Alphabetical Index of Industries and Occupa- tions was used in the coding of both the industry and occupation. Library of Congress Number 74-612012. For sale by the Superintendent of Documents, U.S. Government Printing Office, Washington, D.C. 20402. $3.00. Stock Number 0301-2283. Tape Position 146 - Land Land used for farming purposes (Code 1 in Tape Position 146) was identified as being rural land (Code 2 in Tape Position 13) consisting of 10 or more acres (Code 1 in Tape Position 14) with crop sales amounting to $50 or more (Code 2 in Tape Position 15), or rural land (Code 2 in Tape Position 13) consisting of less than 10 acres (Code 2 in Tape Position 14) with crop sales amounting to $250 or more (Code 3 in Tape Position 16). All Other land is classified as nonfarm (Code 2 in Tape Position 146). Tape Positions 147-149 - Poverty Index Poverty Index--Income status was determined by the Poverty Income Ratio(PIR). Poverty statistics published in the Census Bureau reports1/ were based on the poverty index developed by the Social Security Administration in 1964. (For a detailed discussion of the SSA poverty standards, see reference 2.) Modifications in the definition of poverty were adopted in 1969.3/ The standard data series in poverty for statistical use by all executive departments and establishments has been established.4/ The two components of the PIR are the total income of the household (numerator) and a multiple of the total income necessary to maintain a family with given characteristics on a nutritionally adequate food plan3/ (denominator). The dollar value of the denominator of the PIR is constructed from a food plan (economy plan) necessary to maintain minimum recommended daily nutritional requirements. The economy plan is designated by the Department of Agriculture for "emergency or temporary use when funds are low." For families of three or more persons, the poverty level was set at three times the cost of the economy food plan. For smaller families and persons living alone, the cost of the economy food plan was adjusted by the relatively higher fixed expenses of these smaller households. The denominator or poverty income cutoff adjusts the family poverty income maintenance requirements by the family size, the sex of the family head, the age of the family head in families with one or two members, and the place of residence (farm, nonfarm). Annual revisions of the poverty income cutoffs are based on the changes in the average cost of living as reflected in the Consumer Price Index. As shown in the table, the annual income considered to be the poverty level increases as the family size increases. A family with any combination of characteristics and with the same income as shown in the table has been designated as having a PIR or poverty level of 1.0. The same family with twice the income found in the table would have a PIR of 2.0. Ratios of less than 1.0 can be described as "below poverty," ratios greater than or equal to 1.0, as "at or above poverty." Poverty thresholds are computed on a national basis only. No attempt has been made to adjust these thresholds for regional, State, or other local variation in the cost of living (except for the farm, nonfarm difference). None of the noncash public welfare benefits such as food stamp bonuses or free food commodities are included in the income of the low income families receiving these benefits. 1/ Current Populatrion Reports, "Consumer Income," Series P-60, No. 77, May 7, 1971 2/ Orshansky, M.: "Counting the Poor: Another Look at the Poverty Profile, Social Security Bulletin, January 1965; "Who's Who Among the Poor: A Demographic View of Poverty," Social Security Bulletin, July 1965. 3/ Current Population Reports, "Special Studies," Series P-23, No. 28, August 12, 1969. 4/ Circular No. A-46, Transmitted Memorandum No. 9, Executive Office of the President, Bureau of the Budget, August 29, 1969, and Exhibit L (rev.) Weighted average thresholds at the low income level in 1971 by size of family and sex of head, by farm-nonfarm residence Nonfarm Farm Size of family Total Total Male1 Female1 Total Male1 Female1 head head head head All unrelated individuals- $2,033 $2,040 $2,136 $1,978 $1,727 $1,783 $1,669 Under 65 years--------- 2,093 3,098 2,181 2,017 1,805 1,853 1,715 65 years and over------ 1,931 1,940 1,959 1,934 1,652 1,666 1,643 All families-------------- 3,700 3,724 3,764 3,428 3,235 3,242 3,079 2 persons-------------- 2,612 2,633 2,641 2,581 2,219 2,224 2,130 Head under 65 years---- 2,699 2,716 2,731 2,635 2,317 2,322 2,195 Head 65 years and over- 2,424 2,448 2,450 2,437 2,082 2,081 2,089 3 persons-------------- 3,207 3,229 3,248 3,127 2,745 2,749 2,627 4 persons-------------- 4,113 4,137 4,139 4,116 3,527 3,528 3,513 5 persons-------------- 4,845 4,880 4,884 4,837 4,159 4,159 4,148 6 persons-------------- 5,441 5,489 5,492 5,460 4,688 4,689 4,656 7 persons or more------ 6,678 6,751 6,771 6,583 5,736 5,749 5,516 1For unrelated individuals, sex of the individual. SOURCE: U.S. Department of Commerce, Social and Economic Statistics Administration, U.S. Bureau of the Census "Characteristics of the Low Income Population: 1971," Current Population Reports, Series P-60, No. 86, p. 18. Tape Position 150 - Region The United States was divided into four broad geographic regions of approximately equal population. These regions, which deviate somewhat from the groups used by the Bureau of the Census, are as follows: Region States Included Northeast Maine, Vermont, New Hampshire, Massachusetts, Connecticut, Rhode Island, New York, New Jersey, and Pennsylvania South Delaware, Maryland, District of Columbia, West Virginia, Virginia, Kentucky, Tennessee, North Carolina, South Carolina, Georgia, Florida, Alabama, Mississippi, Louisiana, and Arkansas Midwest Ohio, Illinois, Indiana, Michigan, Wisconsin, Minnesota, Iowa, Missouri West Washington, Oregon, California, Nevada, New Mexico, Arizona, Texas, Oklahoma, Kansas, Nebraska, North Dakota, South Dakota, Idaho, Utah, Colorado, Montana, and Wyoming. Tape Positions 158-193 - HANES HANES is a multistage, stratified, probability sample of loose clusters of persons in land-based segments. In addition, HANES is composed of two distinct examination components--a nutrition screening examination (taken by all examinees) and a more detailed examination taken by a pre-selected subsample of all examinees, ages 25-74. For the nutrition screening examination, locations 1-35 and 1-65 constituted national probability samples and for the detailed examination, locations 1-35, 1-65, 66-100 and 1-100 all constitute national probability samples. In other words, HANES is composed of six distinct subsamples of the U.S. population. For a more detailed discussion of the sample design see Series 1, No. 10a. Since each of these six subsamples is a distinct subsample of the U.S. population, such subsample requires a different set of weights. The weights are based upon the probability of selection into the sample, adjustments for nonresponse and further adjustments to approximate the U.S. noninstitu- tionalized population as of the midpoint of each subsample. In order to select all of those examinees in a particular subsample, i.e. received a particular exam component, it is necessary to exclude all exami- nees with a weight of zero or blank. It is also necessary to exclude all zero or blank weights because that is the only way to differentiate missing data due to nonresponse from data that is missing because the sample design dictated that a particular examinee was not supposed to receive particular examination component. It is suggested that any analyses that are desired by the researcher be per- formed using the greatest number of examinees possible; that is, if the researcher is interested in an exam component of the nutrition screening examination he should use the weight and consequently the data from the 65 location subsample rather than the 35 location subsample. For the detailed examination, the researcher should use the 100 location subsample rather than one of the others. However, some exam components were only done in a particular subsample; for example, only at the first 35 locations. In that case, the researcher has no choice in selecting a particular subsample. There may be occasions when a researcher may want to make comparisons of estimates obtained from various subsamples. For example, the prevalence of some disease condition as estimated from the first 35 locations could be compared with an estimate based upon locations 66-100. The researcher may also want to formulate hypotheses using 1 subsample and test those hypotheses using another subsample. MEDICAL EXAMINATION DATA SUMMARY - HANES I GENERAL MEDICAL EXAMINATION (AGES 1-74) DATA SUMMARY - HANES I Tape Positions CATALOGUE NUMBER - 4233 ................................................ 201 Pulse .................................................................. 225 BLOOD PRESSURE Systolic ............................................................... 228 Diastolic .............................................................. 231 HEAD, EYES, EARS, NOSE, AND THROAT Findings/No findings ................................................... 234 Dry, staring hair ...................................................... 235 Dyspigmented hair ...................................................... 236 Easily pluckable hair .................................................. 237 Abnormal texture or loss of curl ....................................... 238 Circumcorneal injection ................................................ 239 Conjunctival injection ................................................. 240 Angular blepharitis .................................................... 241 Xerosis ................................................................ 242 Bitot's spots .......................................................... 243 Keratomalacia .......................................................... 244 Xerophthalmia .......................................................... 245 Angular lesions of lips ................................................ 246 Angular scars of lips .................................................. 247 Cheilosis .............................................................. 248 Filiform papillary atrophy of tongue ................................... 249 Fungiform papillary hypertrophy of tongue .............................. 250 Geographic tongue ...................................................... 251 Fissures of tongue ..................................................... 252 Serrations or swelling of tongue ....................................... 253 Scarlet beefy tongue ................................................... 254 Magenta tongue ......................................................... 255 Naso-labial seborrhea .................................................. 256 Visible enlarged parotids .............................................. 257 Bossing of skull ....................................................... 258 Other .................................................................. 259 THYROID EVALUATION Group .................................................................. 260 Other thyroid .......................................................... 261 Tenderness ............................................................. 262 Nodule ................................................................. 263 Isthmus ................................................................ 264 Other .................................................................. 265 GENERAL MEDICAL EXAMINATION (AGES 1-74) DATA SUMMARY (Cont.) Tape Positions CHEST EVALUATION Findings/No findings ................................................... 266 Beading of ribs ........................................................ 267 Follicular hyperkeratosis of upper back ................................ 268 Wheezing on auscultation (diffuse) ..................................... 269 Wheezing on auscultation (focus) ....................................... 270 Decreased breath sounds ................................................ 271 Other findings ......................................................... 272 CARDIOVASCULAR EVALUATION Findings/No findings ................................................... 273 Cyanosis ............................................................... 274 Irregular pulse ........................................................ 275 Cardiac murmur ......................................................... 276 Other findings ......................................................... 277 ABDOMINAL EVALUATION Findings/No findings ................................................... 278 Hepatomegaly ........................................................... 279 Splenomegaly ........................................................... 280 Uterine enlargement .................................................... 281 Umbilical hernia ....................................................... 282 Pot belly .............................................................. 283 Mass(es) ............................................................... 284 Area(s) of mass(es) .................................................... 285 Other findings ......................................................... 290 Surgical scars ......................................................... 291 Area(s) of surgical scar(s) ............................................ 292 Other findings ......................................................... 297 MUSCULOSKELETAL EVALUATION Findings/No findings ................................................... 306 Bowed legs ............................................................. 307 Knock knees............................................................ 308 Epiphysial enlargement, wrists ......................................... 309 Other findings ......................................................... 310 NEUROLOGICAL EVALUATION Findings/No findings ................................................... 311 Absent knee jerks ...................................................... 312 Absent ankle jerks ..................................................... 313 Positive Chvostek sign ................................................. 314 Apathy ................................................................. 315 Marked hyperirritability ............................................... 316 Other .................................................................. 317 GENERAL MEDICAL EXAMINATION (AGES 1-74) DATA SUMMARY (Cont.) Tape Positions SKIN EVALUATION Findings/No findings ................................................... 318 Follicular hyperkeratosis, arms ........................................ 319 Hyperpigmentation, hands and face ...................................... 320 Dry or scaling skin .................................................... 321 Perifolliculosis ....................................................... 322 Petechial .............................................................. 323 Mosaic skin............................................................ 324 Pellagrous dermatitis .................................................. 325 Ecchymoses ............................................................. 326 Other findings ......................................................... 327 GENERAL EVALUATION Findings/No findings ................................................... 328 Summary of Findings by ICD Codes (nine possible findings) .............. 333 Examiner's Subjective Impression of Nutritional Status ................. 360 Obesity ................................................................ 361 Temperature............................................................ 362 EXTERNAL EAR (Except canal) Findings/No findings (right ear) ....................................... 425 Findings/No findings (left ear) ........................................ 426 Operative scar - right ................................................. 427 Operative scar - left .................................................. 428 Other - right .......................................................... 429 Other - left ........................................................... 430 Pierced ears ........................................................... 431 AUDITORY CANAL Findings/No findings (right ear) ....................................... 432 Findings/No findings (left ear) ........................................ 433 Occluded - right ....................................................... 434 Occluded - left ........................................................ 435 Occluded by - right .................................................... 436 Occluded by left ....................................................... 437 Drum - right ........................................................... 438 Drum - left............................................................ 439 Dull-transparent - right ............................................... 440 Dull-transparent - left ................................................ 441 Bulging-retracted - right .............................................. 442 Bulging-retracted - left ............................................... 443 Calcium plaques - right ................................................ 444 Calcium plaques - left ................................................. 445 GENERAL MEDICAL EXAMINATION (AGES 1-74) DATA SUMMARY (Cont.) Tape Positions AUDITORY CANAL Other findings - right ................................................. 446 Other findings - left .................................................. 447 Red, other discoloration - right ....................................... 448 Red, other discoloration - left ........................................ 449 Fluid - right .......................................................... 450 Fluid - left ........................................................... 451 Scars - right .......................................................... 452 Scars - left ........................................................... 453 Perforated - right ..................................................... 454 Perforated - left ...................................................... 455 Nares - right .......................................................... 456 Nares - left ........................................................... 457 Obstruction - right .................................................... 458 Obstruction - left ..................................................... 459 OTHER SIGNIFICANT FINDINGS Deviated septum - right ................................................ 460 Deviated septum - left ................................................. 461 Swollen turbinates - right ............................................. 462 Swollen turbinates - left .............................................. 463 Chronic inflammation - right ........................................... 464 Chronic inflammation - left ............................................ 465 Other - right .......................................................... 466 Other - left ........................................................... 467 NECK Findings/No findings ................................................... 468 Adenopathy ............................................................. 469 Tracheal deviation ..................................................... 470 Other .................................................................. 471 CHEST AUSCULTATION Findings/No findings ................................................... 472 Right chest - upper lobe (diminished/absent breath sounds) ............. 473 Bronchial breath sounds ................................................ 474 Rales .................................................................. 475 Rhonchi ................................................................ 476 Wheeze ................................................................. 477 Middle lobe (diminished/absent breath sounds) .......................... 478 Bronchial breath sounds ................................................ 479 Rales .................................................................. 480 Rhonchi ................................................................ 481 Wheeze ................................................................. 482 GENERAL MEDICAL EXAMINATION (AGES 1-74) DATA SUMMARY (Cont.) Tape Positions CHEST AUSCULTATION - continued Lower lobe (diminished/absent breath sounds) ........................... 483 Bronchial breath sounds ................................................ 484 Rales .................................................................. 485 Rhonchi ................................................................ 486 Wheeze ................................................................. 487 Left chest - upper lobe (diminished/absent breath sounds) .............. 488 Bronchial breath sounds ................................................ 489 Rales .................................................................. 490 Rhonchi ................................................................ 491 Wheeze ................................................................. 492 Lower lobe (diminished/absent breath sounds) ........................... 493 Bronchial breath sounds ................................................ 494 Rales .................................................................. 495 Rhonchi ................................................................ 496 Wheeze ................................................................. 497 Other chest findings ................................................... 498 HEART Point of maximal impulse ............................................... 499 Interspace ............................................................. 500 Midclavicular .......................................................... 501 Thrills ................................................................ 502 Systolic ............................................................... 503 Diastolic .............................................................. 504 First heart sound ...................................................... 505 Second heart sound ..................................................... 506 Murmurs If murmur - type (systolic) ............................................ 508 If murmur - type (diastolic) ........................................... 509 Location of murmurs Apex-systolic ........................................................ 510 Apex-diastolic ....................................................... 511 Midprecordium-systolic ............................................... 512 Midprecordium-diastolic .............................................. 513 Left base-systolic ................................................... 514 Left base-diastolic .................................................. 515 Right base-systolic .................................................. 516 Right base-diastolic ................................................. 517 Murmurs - Origin Mitral ............................................................... 518 Aortic ............................................................... 519 Tricuspid............................................................ 520 GENERAL MEDICAL EXAMINATION (AGES 1-74) DATA SUMMARY (Cont.) Tape Positions Murmurs - Origin - continued Pulmonic ............................................................. 521 ASD .................................................................. 522 VSD .................................................................. 523 Other ................................................................ 524 Don't know ........................................................... 525 Other Cardia or Cardiovascular Findings Yes/No ................................................................. 526 If findings--- Edema .................................................................. 527 Other .................................................................. 528 Neck vein distension ................................................... 529 PULSE - ARTERIAL EVALUATION Palpation Right radial ......................................................... 530 Right femoral ........................................................ 531 Right dorsalis pedis ................................................. 532 Left radial .......................................................... 533 Left femoral ......................................................... 534 Left dorsalis pedis .................................................. 535 Pulsations Right radial ......................................................... 536 Right femoral ........................................................ 537 Right dorsalis pedis ................................................. 538 Other ................................................................ 539 Left radial .......................................................... 540 Left femoral ......................................................... 541 Left dorsalis pedis .................................................. 542 Other ................................................................ 543 KNEES Findings/No findings ................................................... 544 Bony Irregularity Genu varum ........................................................... 545 Genu valgum .......................................................... 546 Genu recurvatum ...................................................... 547 Fixed flexion ........................................................ 548 Other ................................................................ 549 GENERAL MEDICAL EXAMINATION (AGES 1-74) DATA SUMMARY (Cont.) Tape Positions KNEES - continued Pain on motion Right medial (active/passive) ........................................ 550 Right medial (tenderness) ............................................ 551 Right lateral (active/passive) ....................................... 552 Right lateral (tenderness) ........................................... 553 Right diffuse (active/passive) ....................................... 554 Right diffuse (tenderness) ........................................... 555 Left medial (active/passive) ......................................... 556 Left medial (tenderness) ............................................. 557 Left lateral (active/passive) ........................................ 558 Left lateral (tenderness) ............................................ 559 Left diffuse (active/passive) ........................................ 560 Left diffuse (tenderness) ............................................ 561 Tenderness Right suprapatellar .................................................. 562 Left suprapatellar ................................................... 563 Right infrapatellar .................................................. 564 Left infrapatellar ................................................... 565 Other findings Swelling ............................................................. 566 Fluid ................................................................ 567 Soft tissue proliferation ............................................ 568 Subpatellar crepitus ................................................. 569 Muscular wasting thigh ............................................... 570 Other ................................................................ 571 HIPS Findings/No findings ................................................... 572 Pain on motion Extension (active) ................................................... 573 Extension (passive) .................................................. 574 Flexion (active) ..................................................... 575 Abduction (active) ................................................... 577 Abduction (active) ................................................... 577 Abduction (passive) .................................................. 578 Adduction (active) ................................................... 579 Adduction (passive) .................................................. 580 External rotation (active) ........................................... 581 External rotation (passive) .......................................... 582 Internal rotation (active) ........................................... 583 Internal rotation (passive) .......................................... 584 GENERAL MEDICAL EXAMINATION (AGES 1-74) DATA SUMMARY (Cont.) Tape Positions HIPS - continued Other findings Muscle wastings (gluteal) ............................................ 585 Trochanter tenderness ................................................ 586 Groin tenderness ..................................................... 587 Other ................................................................ 588 JOINTS Findings/No findings ................................................... 589 Shoulder Tender ............................................................... 590 Swelling ............................................................. 591 Deformity............................................................ 592 Limitation ........................................................... 593 Pain on motion ....................................................... 594 Other ................................................................ 595 Elbow Tender ............................................................... 596 Swelling ............................................................. 597 Deformity............................................................ 598 Limitation ........................................................... 599 Pain on motion ....................................................... 600 Other ................................................................ 601 Wrist Tender ............................................................... 602 Swelling ............................................................. 603 Deformity............................................................ 604 Limitation ........................................................... 605 Pain on motion ....................................................... 606 Other ................................................................ 607 Metacarpophalangeal (Number involved) Tender - right/left .................................................. 608 Swelling - right/left ................................................ 610 Deformity - right/left ............................................... 612 Limitation - right/left .............................................. 614 Pain on motion - right/left .......................................... 616 Other - right/left ................................................... 618 GENERAL MEDICAL EXAMINATION (AGES 1-74) DATA SUMMARY (Cont.) Tape Positions Proximalinterphalangeal (Number involved) Tender - right/left .................................................. 620 Swelling - right/left ................................................ 622 Deformity - right/left ............................................... 624 Limitation - right/left .............................................. 626 Pain on motion - right/left .......................................... 628 Other - right/left ................................................... 630 Distalinterphalangeal (Number involved) Tender - right/left .................................................. 632 Swelling - right/left ................................................ 634 Deformity - right/left ............................................... 636 Limitation - right/left .............................................. 638 Herberden's Nodes - right/left ....................................... 640 Pain on motion - right/left .......................................... 642 Other - right/left ................................................... 644 Ankle Joints Tender - right/left .................................................. 646 Swelling - right/left ................................................ 647 Deformity - right/left ............................................... 648 Limitation - right/left .............................................. 649 Pain on motion - right/left .......................................... 650 Other - right/left ................................................... 651 Feet Tender - right/left .................................................. 652 Swelling - right/left ................................................ 653 Deformity - right/left ............................................... 654 Limitation - right/left .............................................. 655 Pain on motion - right/left .......................................... 656 Other - right/left ................................................... 657 BACK Findings/No findings ................................................... 658 If findings--- Scoliosis .............................................................. 659 Kyphosis ............................................................... 660 Lordosis ............................................................... 661 Sciatic Notch .......................................................... 662 Sacroiliac ............................................................. 663 Other .................................................................. 664 GENERAL MEDICAL EXAMINATION (AGES 1-74) DATA SUMMARY (Cont.) Tape Positions BACK - continued Limitation on motion Cervical spine ....................................................... 665 Thoracic spine ....................................................... 666 Lumbar spine flexion ................................................. 667 Lumbar spine - right/left lateral flexion ............................ 668 Full extension ....................................................... 670 Pain on motion ....................................................... 671 Flexion Cervical ............................................................. 672 Thoracic ............................................................. 673 Low back ............................................................. 674 Diffuse .............................................................. 675 Uncertain............................................................ 676 Extension Cervical ............................................................. 677 Thoracic ............................................................. 678 Low back ............................................................. 679 Diffuse .............................................................. 680 Uncertain............................................................ 681 Right/Left Lateral Bending Cervical ............................................................. 682 Thoracic ............................................................. 683 Low back ............................................................. 684 Diffuse .............................................................. 685 Uncertain............................................................ 686 Right/Left Rotation Cervical ............................................................. 687 Thoracic ............................................................. 688 Low back ............................................................. 689 Diffuse .............................................................. 690 Uncertain............................................................ 691 STRAIGHT-LEG RAISING TEST Right leg - negative/positive ........................................ 702 Increase on ankle .................................................... 703 Left leg - negative/positive ......................................... 704 Increase dorsiflexion ................................................ 705 Other systems--Findings/No findings .................................. 706 GENERAL MEDICAL EXAMINATION (AGES 1-74) DATA SUMMARY (Cont.) Tape Positions BLOOD PRESSURE Time ................................................................... 707 AM or PM ............................................................... 711 Recumbent - systolic ................................................... 712 Recumbent - diastolic .................................................. 715 Sitting - systolic ..................................................... 718 Sitting - diastolic .................................................... 721 SUMMARY OF DIAGNOSTIC IMPRESSION - Normal/Abnormal ..................... 724 Severity Certainty ICD Code Ocular Fundi Normal ................................................................. 825 Fundus not visualized .................................................. 826 Globe absent ........................................................... 827 Increase light reflex .................................................. 828 Narrow arterioles ...................................................... 829 Tortuous arterioles .................................................... 830 AV compression ......................................................... 831 Hemorrhage ............................................................. 832 Exeduate ............................................................... 833 Venous engorgement ..................................................... 834 Papilledma ............................................................. 835 Disc abnormal .......................................................... 836 Lens opacities ......................................................... 837 Iritis ................................................................. 838 Other .................................................................. 839 RECORD LAYOUT, MEDICAL EXAMINATION DATA 201-204. Catalogue Number Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 201- Catalogue Number 204 4233 General Medical 205-224. Data User Work Area Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source Examination (Ages 1-74) 205- DATA USER WORK AREA 224 225-227. Pulse Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 225- Pulse 227 020-210 - Range as given 23646 888 - Blank, but applicable 113 Blank 49 228-233. Blood Pressure Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source BLOOD PRESSURE 228- Systolic 230 065-300 - Range as given 20714 See Detailed Notes 888 - Blank, but applicable 154 999 - Age under 6 2889 Blank 51 231- Diastolic 233 010-180 - Range as given 20704 See Detailed Notes 888 - Blank, but applicable 164 999 - Age under 6 2889 Blank 51 234-259. Head, Eyes, Ears, Nose and Throat Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 234 HEAD, EYES, EARS, NOSE AND THROAT 1 - Findings 5825 2 - No findings 17934 Blank 49 IF FINDINGS: 235 Dry, staring hair 1 - Yes 13 Blank 23795 * Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 236 Dyspigmented hair 1 - Yes 9 * Blank 23799 237 Easily pluckable hair 1 - Yes 2 * Blank 23806 238 Abnormal texture or loss of curl 1 - Yes 4 * Blank 23804 239 Circumcorneal injection 1 - Yes 14 * Blank 23794 240 Conjunctival injection 1 - Yes 164 Blank 23644 241 Angular blepharitis 1 - Yes 0 * Blank 23808 242 Xerosis 1 - Yes 7 * Blank 23801 243 Bitot's spots 1 - Yes 4 * Blank 23804 244 Keratomalacia 1 - Yes 0 * Blank 23808 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 245 Xerophthalmia 1 - Yes 0 * Blank 23808 246 Angular lesions of lips 1 - Yes 63 * Blank 23745 247 Angular scars of lips 1 - Yes 79 * Blank 23729 248 Cheilosis 1 - Yes 116 * Blank 23692 249 Filiform paillary atrophy of tongue 1 - Yes 320 Blank 23488 250 Fungiform papillary hypertrophy of tongue 1 - Yes 889 Blank 22919 251 Geographic tongue 1 - Yes 172 * Blank 23636 252 Fissures of tongue 1 - Yes 1083 Blank 22725 253 Serrations or swelling of tongue 1 - Yes 1080 Blank 22728 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 254 Scarlet beefy tongue 1 - Yes 81 Blank 23727 255 Magenta tongue 1 - Yes 29 * Blank 23779 256 Naso-labial seborrhea 1 - Yes 112 * Blank 23696 257 Visible enlarged parotids 1 - Yes 9 * Blank 23799 258 Bossing of skull 1 - Yes 21 * Blank 23787 259 Other 1 - Yes 2887 Blank 20921 260-265. Thyroid Evaluation Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 260 THYROID EVALUATION 1 - Group 0 22535 See detailed notes 2 - Group 1 982 3 - Group 2 186 4 - Group 3 18 8 - Blank, but applicable 38 Blank 49 261 Other thyroid findings 1 - Findings 362 2 - No findings 23397 Blank 49 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 262 Findings - Tenderness 1 - Right 1 2 - Left 1 3 - Both 22 Blank 23784 263 Findings - Nodule 1 - Right 20 2 - Left 29 3 - Both 12 Blank 23747 264 Isthmus 1 - Findings 73 Blank 23735 265 Other 1 - Findings 222 Blank 23586 266-272. Chest Evaluation Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 266 CHEST EVALUATION 1 - Findings 1227 * 2 - No findings 19475 Blank 3106 IF FINDINGS: 267 Beading of ribs 1 - Yes 12 * Blank 23796 268 Follicular hyperkeratosis of upper back 1 - Yes 94 * Blank 23714 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 269 Wheezing on auscultation (Diffuse) 1 - Yes 173 * Blank 23635 270 Wheezing on auscultation (Focal) 1 - Yes 80 * Blank 23728 271 Decreased breath sounds 1 - Yes 327 * Blank 23481 272 Other findings 1 - Yes 707 * Blank 23101 273-277. Cardiovascular Evaluation Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 273 CARDIOVASCULAR EVALUATION 1 - Findings 2987 2 - No findings 20772 Blank 49 IF FINDINGS: 274 Cyanosis 1 - Yes 35 Blank 23773 275 Irregular pulse 1 - Yes 403 Blank 23405 276 Cardiac murmur 1 - Yes 1200 * Blank 22608 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 277 Other findings 1 - Yes 1596 * Blank 22212 278-297. Abdominal Evaluation Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 278 ABDOMINAL EVALUATION 1 - Findings 7040 2 - No findings 16719 Blank 49 IF FINDINGS: 279 Hepatomegaly 1 - Yes 288 Blank 23520 280 Splenomegaly 1 - Yes 23 Blank 23785 281 Uterine Enlargement 1 - Yes 161 Blank 23647 282 Umbilical hernia 1 - Yes 346 Blank 23462 283 Pot belly 1 - Yes 185 * Blank 23623 284 Mass(es) 1 - Yes 202 Blank 23606 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 285- Area(s) of Mass(es) 289 00001-77899 - As given 197 See Detailed Notes 88888 - Blank, but applicable 2 Blank 23609 290 Other findings 1 - Yes 157 Blank 23651 291 Surgical scars 1 - Yes 6156 Blank 17652 292- Area(s) of Surgical Scar 296 00001-85824 - As given 6150 See Detailed Notes 88888 - Blank, but applicable 4 Blank 17654 297 Other findings 1 - Yes 5177 Blank 18631 298-305. Work Area Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 298- WORK AREA 305 306-310. Musculoskeletal Evaluation Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 306 MUSCULOSKELETAL EVALUATION 1 - Findings 2762 2 - No findings 20997 Blank 49 IF FINDINGS: 307 Bowed Legs 1 - Yes 781 * Blank 23027 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 308 Knock Knees 1 - Yes 395 * Blank 23413 309 Epiphysial enlargement, wrists 1 - Yes 17 * Blank 23791 310 Other findings 1 - Yes 1684 Blank 22124 311-317. Neurological Evaluation Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 311 NEUROLOGICAL EVALUATION 1 - Findings 2323 2 - No findings 21436 Blank 49 IF FINDINGS: 312 Absent knee jerks 1 - Yes 446 Blank 23362 313 Absent ankle jerks 1 - Yes 818 Blank 22990 314 Positive Chvostek sign 1 - Yes 1014 * Blank 22794 315 Apathy 1 - Yes 11 * Blank 23797 316 Marked hyperirritability 1 - Yes 26 * Blank 23782 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 317 Other 1 - Yes 403 Blank 23405 318-327. Skin Evaluation Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 318 SKIN EVALUATION 1 - Findings 2942 2 - No findings 20817 Blank 49 IF FINDINGS: 319 Follicular hyperkeratosis, arms 1 - Yes 650 * Blank 23158 320 Hyperpigmentation, hands and face 1 - Yes 20 * Blank 23788 321 Dry or scaling skin 1 - Yes 696 * Blank 23112 322 Perifolliculosis 1 - Yes 6 * Blank 23802 323 Petechial 1 - Yes 15 Blank 23793 324 Mosaic skin 1 - Yes 13 * Blank 23795 325 Pellagrous dermatitis 1 - Yes 1 * Blank 23807 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 326 Ecchymoses 1 - Yes 35 Blank 23773 327 Other findings 1 - Yes 1716 Blank 22092 328. General Evaluation Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 328 GENERAL EVALUATION 1 - Findings 265 * 2 - No findings 20398 8 - Blank, but applicable 39 Blank 3106 329-332. Work Area Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 329- WORK AREA 332 333-365. Summary of Findings by ICD Codes Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source SUMMARY OF FINDINGS BY ICD CODES See Detailed Notes 333- Findings #1 335 X01-998 - As given 8197 * Blank 15611 336- Findings #2 338 X03-997 - As given 3215 * Blank 20593 339- Findings #3 341 X02-998 - As given 1583 * Blank 22225 342- Findings #4 344 X03-996 - As given 741 * Blank 23067 345- Findings #5 347 X20-871 - As given 271 * Blank 23537 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 348- Findings #6 350 X22-886 - As given 87 * Blank 23721 351- Findings #7 353 X22-782 - As given 29 * Blank 23779 354- Findings #8 356 019-784 - As given 10 * Blank 23798 357- Findings #9 359 429-897 - As given 4 * Blank 23804 360 Examiner's subjective impression of nutritional status 1 - Normal nutrition 17047 * 2 - Abnormal nutrition 3582 8 - Blank, but applicable 73 Blank 3106 361 Obese 1 - Obesity 3943 2 - No obesity 19804 8 - Blank, but applicable 12 Blank 49 362- Temperature (xxx.x) 365 0800-1032 - As given 22385 Control Record 8888 - Blank, but applicable 1423 366-424. Work Area Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 366- WORK AREA 424 425-431. External Ear (Except Canal) Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source EXTERNAL EAR (EXCEPT CANAL) General Medical Examination 425 Right Ear (Ages 25-74) 1 - No findings 5673 2 - Findings 1220 Blank 16916 426 Left Ear 1 - No findings 5672 2 - Findings 1220 Blank 16916 427 Operative Scar (right) 1 - Findings 17 Blank 23791 428 Operative Scar (left) 1 - Findings 7 Blank 23801 429 Other (right) 1 - Findings 22 Blank 23786 430 Other (left) 1 - Findings 32 Blank 23776 431 Pierced Ears 1 - Yes 1177 2 - No 5715 Blank 16916 432-467. Auditory Canal Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source AUDITORY CANAL 432 Right ear 1 - No findings 6079 2 - Findings 813 Blank 16916 433 Left ear 1 - No findings 5849 2 - Findings 1043 Blank 16916 434 Occluded (right) 1 - Partially 303 2 - Completely 452 Blank 23053 435 Occluded (left) 1 - Partially 285 2 - Completely 434 Blank 23089 436 Occluded by - (right) 1 - Cerumen 733 2 - Other 28 Blank 23047 437 Occluded by - (left) 1 - Cerumen 699 2 - Other 28 Blank 23081 438 Drum (right) 1 - No findings 6035 2 - Findings 349 3 - Not visible 495 8 - Blank, but applicable 13 Blank 16916 439 Drum (left) 1 - No findings 6079 2 - Findings 320 3 - Not visible 480 8 - Blank, but applicable 13 Blank 16916 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 440 Dull - Transparent (right) 1 - Dull (opaque) 124 2 - Transparent 3 Blank 23681 441 Dull - Transparent (left) 1 - Dull (opaque) 119 2 - Transparent 3 Blank 23686 442 Bulging - Retracted (right) 1 - Bulging 4 2 - Retracted 44 Blank 23760 443 Bulging - Retracted (left) 1 - Bulging 1 2 - Retracted 50 Blank 23757 444 Calcium Plaques (right) 1 - Findings 38 Blank 23770 445 Calcium Plaques (left) 1 - Findings 34 Blank 23774 446 Other (right) 1 - Findings 23 Blank 23785 447 Other (left) 1 - Findings 20 Blank 23788 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 448 Red - Other discoloration (right) 1 - Red 26 2 - Other discoloration 2 Blank 23780 449 Red - Other discoloration (left) 1 - Red 24 2 - Other discoloration 2 Blank 23782 450 Fluid (right) 1 - Yes 6 Blank 23802 451 Fluid (left) 1 - Yes 3 Blank 23805 452 Scars (right) 1 - Yes 83 Blank 23725 453 Scars (left) 1 - Yes 74 Blank 23734 454 Perforated (right) 1 - With discharge 15 2 - Without discharge 27 Blank 23766 455 Perforated (left) 1 - With discharge 12 2 - Without discharge 28 Blank 23768 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 456 Nares (right) 1 - No findings 6536 2 - Findings 356 Blank 16916 457 Nares (left) 1 - No findings 6526 2 - Findings 366 Blank 16916 458 Obstruction (right) 1 - Acute 13 2 - Chronic 37 Blank 23758 459 Obstruction (left) 1 - Acute 17 2 - Chronic 34 Blank 23757 OTHER SIGNIFICANT FINDINGS 460 Deviated Septum (right) 1 - Yes 100 Blank 23708 461 Deviated Septum (left) 1 - Yes 114 Blank 23694 462 Swollen turbinates (right) 1 - Yes 152 Blank 23656 463 Swollen turbinates (left) 1 - Yes 163 Blank 23645 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 464 Chronic Inflammation (right) 1 - Yes 64 Blank 23744 465 Chronic Inflammation (left) 1 - Yes 60 Blank 23748 466 Other (right) 1 - Yes 66 Blank 23742 467 Other (left) 1 - Yes 61 Blank 23747 468-471. Neck Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 468 NECK 1 - No findings 6669 2 - Findings 223 Blank 16916 469 Adenopathy 1 - No findings 18 Blank 23790 470 Tracheal deviation 1 - No findings 0 Blank 23808 471 Other 1 - No findings 207 Blank 23601 472-498. Chest Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 472 CHEST AUSCULTATION 1 - No findings 6342 2 - Findings 550 Blank 16916 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 473 RIGHT CHEST - Upper Lobe 1 - Diminished breath sounds 174 2 - Absent breath sounds 2 Blank 23632 474 Bronchial breath sounds 1 - Yes 6 Blank 23802 475 Rales 1 - Yes 13 Blank 23795 476 Rhonchi 1 - Yes 42 Blank 23766 477 Wheeze 1 - Yes 69 Blank 23739 478 Middle Lobe 1 - Diminished breath sounds 167 2 - Absent breath sounds 5 Blank 23636 479 Bronchial breath sounds 1 - Yes 6 Blank 23802 480 Rales 1 - Yes 16 Blank 23792 481 Rhonchi 1 - Yes 39 Blank 23769 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 482 Wheeze 1 - Yes 729 Blank 23736 483 Lower Lobe 1 - Diminished breath sounds 184 2 - Absent breath sounds 7 Blank 23617 484 Bronchial breath sounds 1 - Yes 8 Blank 23800 485 Rales 1 - Yes 64 Blank 23744 486 Rhonchi 1 - Yes 52 Blank 23756 487 Wheeze 1 - Yes 73 Blank 23735 LEFT CHEST 488 Upper Lobe 1 - Diminished breath sounds 166 2 - Absent breath sounds 3 Blank 23639 489 Bronchial breath sounds 1 - Yes 8 Blank 23800 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 490 Rales 1 - Yes 13 Blank 23795 491 Rhonchi 1 - Yes 36 Blank 23772 492 Wheeze 1 - Yes 75 Blank 23733 493 Lower Lobe 1 - Diminished breath sounds 174 2 - Absent breath sounds 8 Blank 23626 494 Bronchial breath sounds 1 - Yes 8 Blank 23800 495 Rales 1 - Yes 62 Blank 23746 496 Rhonchi 1 - Yes 47 Blank 23761 497 Wheeze 1 - Yes 81 Blank 23727 498 Other chest findings 1 - None 6680 2 - Findings 209 8 - Blank, but applicable 3 Blank 16916 499-529. Heart Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source HEART 499 PMI (Point of Maximal Impulse) 1 - Felt 3842 2 - Not felt 3050 Blank 16916 500 Interspace 4-7 felt - as given 3830 8 - Blank, but applicable 1 Blank 19977 501 Midclavicular 1 - At 2405 2 - Inside 1154 3 - Outside 272 Blank 19977 502 Thrills 1 - Absent 6855 2 - Present 33 Blank 16920 503 Systolic 1 - Base 17 2 - Apex 13 Blank 23778 504 Diastolic 1 - Base 12 2 - Apex 6 Blank 23790 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 505 First Heart Sound 1 - Normal 6580 2 - Accentuated 32 3 - Diminished 243 8 - Blank, but applicable 37 Blank 16916 506 Second Heart Sound 1 - Normal 6541 2 - Accentuated 111 3 - Diminished 203 8 - Blank, but applicable 37 Blank 16916 MURMURS 507 Murmurs 1 - None 6457 Blank 17351 508 If Murmur - Type (systolic) 1 - Functional 118 2 - Organic 192 9 - Don't know 86 Blank 23412 509 If murmur - type (diastolic) 1 - Functional 2 2 - Organic 41 9 - Don't know 2 Blank 23763 LOCATION OF MURMURS 510 Apex - Systolic 1-6 - Grade as given 240 Blank 23568 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 511 Apex - Diastolic 1-6 - Grade as given 33 Blank 23775 512 Midprecordium - Systolic 1-6 - Grade as given 148 Blank 23660 513 Midprecordium - Diastolic 1-6 - Grade as given 6 Blank 23802 514 Left Base - Systolic 1-6 - Grade as given 104 Blank 23704 515 Left Base - Diastolic 1-6 - Grade as given 4 Blank 23804 516 Right Base - Systolic 1-6 - Grade as given 133 Blank 23675 517 Right Base - Diastolic 1-6 - Grade as given 8 Blank 23800 MURMURS - ORIGIN 518 Mitral 1 - Systolic 113 2 - Diastolic 22 3 - Both 5 Blank 23668 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 519 Aortic 1 - Systolic 106 2 - Diastolic 6 3 - Both 6 Blank 23690 520 Tricuspid 1 - Systolic 2 2 - Diastolic 0 3 - Both 0 Blank 23806 521 Pulmonic 1 - Systolic 13 2 - Diastolic 2 3 - Both 0 Blank 23793 522 ASD 1 - Systolic 2 2 - Diastolic 0 3 - Both 0 Blank 23806 523 VSD 1 - Systolic 11 2 - Diastolic 0 3 - Both 0 Blank 23797 524 Other 1 - Systolic 50 2 - Diastolic 1 3 - Both 0 Blank 23757 525 Don't Know 9 - Systolic 99 Blank 23709 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 526 Other Cardiac or Cardiovascular Findings 1 - No 5928 2 - Yes 964 Blank 16916 IF FINDINGS ABOVE: 527 Edema 1 - Yes 203 Blank 23605 528 Other 1 - Yes 826 Blank 22982 529 Neck Vein Distension 1 - Yes 44 Blank 23764 530-543. Pulse - Arterial Evaluation Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source PULSE - ARTERIAL EVALUATION Palpation 530 Right Radial 1 - Normal 6823 2 - Sclerotic 37 3 - Tortuous 3 4 - Sclerotic and Tortuous 12 8 - Blank, but applicable 17 Blank 16916 531 Right Femoral 1 - Normal 6825 2 - Sclerotic 28 3 - Tortuous 0 4 - Sclerotic and Tortuous 7 8 - Blank, but applicable 32 Blank 16916 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 532 Right Dorsolis Pedis 1 - Normal 6711 2 - Sclerotic 46 3 - Tortuous 1 4 - Sclerotic and Tortuous 12 8 - Blank, but applicable 122 Blank 16916 533 Left Radial 1 - Normal 6817 2 - Sclerotic 38 3 - Tortuous 2 4 - Sclerotic and Tortuous 11 8 - Blank, but applicable 24 Blank 16916 534 Left Femoral 1 - Normal 6816 2 - Sclerotic 30 3 - Tortuous 0 4 - Sclerotic and Tortuous 6 8 - Blank, but applicable 40 Blank 16916 535 Left Dorsolis Pedis 1 - Normal 6712 2 - Sclerotic 51 3 - Tortuous 2 4 - Sclerotic and Tortuous 11 8 - Blank, but applicable 116 Blank 16916 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source Pulsations 536 Right Radial 1 - Normal 6815 2 - Diminished 33 3 - Bounding 19 4 - Absent 12 8 - Blank, but applicable 13 Blank 16916 537 Right Femoral 1 - Normal 6753 2 - Diminished 68 3 - Bounding 19 4 - Absent 33 8 - Blank, but applicable 19 Blank 16916 538 Right Dorsolis Pedis 1 - Normal 6243 2 - Diminished 302 3 - Bounding 20 4 - Absent 290 8 - Blank, but applicable 37 Blank 16916 539 Other 1 - Normal 346 2 - Diminished 50 3 - Bounding 1 4 - Absent 40 Blank 23371 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 540 Left Radial 1 - Normal 6808 2 - Diminished 37 3 - Bounding 18 4 - Absent 6 8 - Blank, but applicable 23 Blank 16916 541 Left Femoral 1 - Normal 6737 2 - Diminished 73 3 - Bounding 20 4 - Absent 37 8 - Blank, but applicable 25 Blank 16916 542 Left Dorsolis Pedis 1 - Normal 6264 2 - Diminished 299 3 - Bounding 20 4 - Absent 265 8 - Blank, but applicable 44 Blank 16916 543 Other 1 - Normal 309 2 - Diminished 47 3 - Bounding 1 4 - Absent 35 Blank 23416 544-571. Knees Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 544 KNEES 1 - Findings 913 2 - No findings 5979 Blank 16916 BONY IRREGULARITY 545 Genu varum 1 - Right 4 2 - Left 1 3 - Both 99 Blank 23704 546 Genu valgum 1 - Right 3 2 - Left 3 3 - Both 66 Blank 23736 547 Genu recurvatum 1 - Right 0 2 - Left 0 3 - Both 2 Blank 23806 548 Fixed flexion 1 - Right 5 2 - Left 4 3 - Both 4 Blank 23795 549 Other 1 - Right 27 2 - Left 19 3 - Both 24 Blank 23738 PAIN ON MOTION 550 Right medial 1 - Active 8 2 - Passive 8 3 - Both 24 Blank 23768 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 551 Right medial 1 - Tenderness 25 Blank 23783 552 Right lateral 1 - Active 3 2 - Passive 5 3 - Both 24 Blank 23776 553 Right lateral 1 - Tenderness 23 Blank 23785 554 Right diffuse 1 - Active 4 2 - Passive 16 3 - Both 46 Blank 23742 555 Right diffuse 1 - Tenderness 51 Blank 23757 556 Left diffuse 1 - Active 7 2 - Passive 4 3 - Both 18 Blank 23779 557 Left medial 1 - Tenderness 28 Blank 23780 558 Left lateral 1 - Active 4 2 - Passive 7 3 - Both 21 Blank 23776 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 559 Left lateral 1 - Tenderness 20 Blank 23788 560 Left diffuse 1 - Active 6 2 - Passive 7 3 - Both 31 Blank 23764 561 Left diffuse 1 - Tenderness 40 Blank 23768 Tenderness 562 Right suprapatellar 1 - Tenderness 27 Blank 23781 563 Left suprapatellar 1 - Tenderness 31 Blank 23777 564 Right infrapatellar 1 - Tenderness 27 Blank 23781 565 Left infrapatellar 1 - Tenderness 22 Blank 23786 Other findings 566 Swelling 1 - Right 19 2 - Left 10 3 - Both 19 Blank 23760 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 567 Fluid 1 - Right 7 2 - Left 6 3 - Both 0 Blank 23795 568 Soft tissue proliferation 1 - Right 10 2 - Left 3 3 - Both 18 Blank 23777 569 Subpatellar crepitus 1 - Right 86 2 - Left 127 3 - Both 274 Blank 23321 570 Muscular wasting thigh 1 - Right 3 2 - Left 7 3 - Both 1 Blank 23797 571 Other 1 - Right 40 2 - Left 31 3 - Both 24 Blank 23713 572-588. Hips Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 572 HIPS 1 - Findings 275 2 - No findings 6617 Blank 16916 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source PAIN ON MOTION 573 Extension--Active 1 - Right 15 2 - Left 15 3 - Both 20 Blank 23758 574 Extension--Passive 1 - Right 10 2 - Left 15 3 - Both 28 Blank 23755 575 Flexion--Active 1 - Right 19 2 - Left 15 3 - Both 25 Blank 23749 576 Flexion--Passive 1 - Right 18 2 - Left 15 3 - Both 31 Blank 23744 577 Abduction--Active 1 - Right 18 2 - Left 17 3 - Both 25 Blank 23748 578 Abduction--Passive 1 - Right 14 2 - Left 19 3 - Both 36 Blank 23739 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source PAIN ON MOTION 579 Adduction--Active 1 - Right 15 2 - Left 14 3 - Both 18 Blank 23761 580 Adduction--Passive 1 - Right 12 2 - Left 17 3 - Both 26 Blank 23753 581 External Rotation--Active 1 - Right 37 2 - Left 28 3 - Both 37 Blank 23706 582 External Rotation--Passive 1 - Right 31 2 - Left 27 3 - Both 48 Blank 23702 583 Internal Rotation--Active 1 - Right 27 2 - Left 21 3 - Both 28 Blank 23732 584 Internal Rotation--Passive 1 - Right 25 2 - Left 25 3 - Both 37 Blank 23721 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source Other Findings: 585 Muscle Wastings (Gluteal) 1 - Right 1 2 - Left 8 3 - Both 7 Blank 23792 586 Trochanter tenderness 1 - Right 9 2 - Left 12 3 - Both 17 Blank 23770 587 Groin tenderness 1 - Right 1 2 - Left 3 3 - Both 0 Blank 23804 588 Other 1 - Right 23 2 - Left 8 3 - Both 31 Blank 23746 589-706. Joints 589. Joints Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 589 JOINTS 1 - No findings 5826 2 - Findings 1066 Blank 16916 590-595. Shoulder Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source SHOULDER 590 Tender 1 - Right 25 2 - Left 26 3 - Both 23 Blank 23734 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 591 Swelling 1 - Right 1 2 - Left 1 3 - Both 0 Blank 23806 592 Deformity 1 - Right 1 2 - Left 1 3 - Both 1 Blank 23805 593 Limitation 1 - Right 39 2 - Left 44 3 - Both 43 Blank 23682 594 Pain on motion 1 - Right 55 2 - Left 53 3 - Both 43 Blank 23657 595 Other 1 - Right 7 2 - Left 6 3 - Both 4 Blank 23791 596-601. Elbow Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source ELBOW 596 Tender 1 - Right 23 2 - Left 17 3 - Both 10 Blank 23758 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 597 Swelling 1 - Right 1 2 - Left 0 3 - Both 2 Blank 23805 598 Deformity 1 - Right 4 2 - Left 7 3 - Both 3 Blank 23794 599 Limitation 1 - Right 18 2 - Left 13 3 - Both 5 Blank 23772 600 Pain on motion 1 - Right 17 2 - Left 9 3 - Both 5 Blank 23777 601 Other 1 - Right 4 2 - Left 1 3 - Both 6 Blank 23797 602-607. Wrist Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source WRIST 602 Tender 1 - Right 18 2 - Left 7 3 - Both 15 Blank 23768 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 603 Swelling 1 - Right 8 2 - Left 1 3 - Both 1 Blank 23798 604 Deformity 1 - Right 11 2 - Left 7 3 - Both 7 Blank 23783 605 Limitation 1 - Right 13 2 - Left 4 3 - Both 13 Blank 23778 606 Pain on motion 1 - Right 7 2 - Left 6 3 - Both 8 Blank 23787 607 Other 1 - Right 2 2 - Left 2 3 - Both 5 Blank 23799 608-619. Metacarpophalangeal (Number Involved) Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source METACARPOPHALANGEAL (Number involved) 608 Tender--Right 1-5 - Number as given 36 Blank 23772 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 609 Tender--Left 1-5 - Number as given 22 Blank 23786 610 Swelling--Right 1-5 - Number as given 17 Blank 23791 611 Swelling--Left 1-5 - Number as given 12 Blank 23796 612 Deformity--Right 1-5 - Number as given 28 Blank 23780 613 Deformity--Left 1-5 - Number as given 26 Blank 23782 614 Limitation--Right 1-5 - Number as given 17 Blank 23791 615 Limitation--Left 1-5 - Number as given 15 Blank 23793 616 Pain on motion--Right 1-5 - Number as given 9 Blank 23799 617 Pain on motion--Left 1-5 - Number as given 10 Blank 23798 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 618 Other--Right 1-5 - Number as given 9 Blank 23799 619 Other--Left 1-5 - Number as given 13 Blank 23795 620-631. Proximalinter Phalangeal (Number Involved) Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source PROXIMALINTER PHALANGEAL (number involved) 620 Tender--Right 1-5 - Number as given 56 Blank 23752 621 Tender--Left 1-5 - Number as given 32 Blank 23776 622 Swelling--Right 1-5 - Number as given 71 Blank 23737 623 Swelling--Left 1-5 - Number as given 48 Blank 23760 624 Deformity--Right 1-5 - Number as given 95 Blank 23713 625 Deformity--Left 1-5 - Number as given 79 Blank 23729 626 Limitation--Right 1-5 - Number as given 84 Blank 23724 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 627 Limitation--Left 1-5 - Number as given 64 Blank 23744 628 Pain on motion--Right 1-5 - Number as given 19 Blank 23789 629 Pain on motion--Left 1-5 - Number as given 17 Blank 23791 630 Other--Right 1-5 - Number as given 13 Blank 23795 631 Other--Left 1-5 - Number as given 22 Blank 23786 632-645. Distalinter Phalangeal Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source DISTALINTER PHALANGEAL 632 Tender--Right 1-5 - Number as given 46 Blank 23762 633 Tender--Left 1-5 - Number as given 26 Blank 23782 634 Swelling--Right 1-5 - Number as given 35 Blank 23773 635 Swelling--Left 1-5 - Number as given 28 Blank 23780 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 636 Deformity--Right 1-5 - Number as given 103 Blank 23705 637 Deformity--Left 1-5 - Number as given 98 Blank 23710 638 Limitation--Right 1-5 - Number as given 65 Blank 23743 639 Limitation--Left 1-5 - Number as given 65 Blank 23743 640 Herberden's Nodes--Right 1-5 - Number as given 315 Blank 23493 641 Herberden's Nodes--Left 1-5 - Number as given 286 Blank 23522 642 Pain on motion--Right 1-5 - Number as given 9 Blank 23799 643 Pain on motion--Left 1-5 - Number as given 9 Blank 23799 644 Other--Right 1-5 - Number as given 17 Blank 23791 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 645 Other--Left 1-5 - Number as given 21 Blank 23787 646-651. Ankle Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source OTHER JOINTS ANKLE 646 Tender 1 - Right 10 2 - Left 4 3 - Both 8 Blank 23786 647 Swelling 1 - Right 10 2 - Left 5 3 - Both 9 Blank 23784 648 Deformity 1 - Right 13 2 - Left 5 3 - Both 9 Blank 23781 649 Limitation 1 - Right 11 2 - Left 7 3 - Both 9 Blank 23781 650 Pain on motion 1 - Right 10 2 - Left 9 3 - Both 4 Blank 23785 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 651 Other 1 - Right 5 2 - Left 6 3 - Both 1 Blank 23796 652-657. Feet Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source FEET 652 Tender 1 - Right 2 2 - Left 1 3 - Both 3 Blank 23802 653 Swelling 1 - Right 2 2 - Left 2 3 - Both 4 Blank 23800 654 Deformity 1 - Right 6 2 - Left 1 3 - Both 12 Blank 23789 655 Limitation 1 - Right 1 2 - Left 4 3 - Both 1 Blank 23802 656 Pain on motion 1 - Right 0 2 - Left 2 3 - Both 2 Blank 23804 657 Other 1 - Right 6 2 - Left 1 3 - Both 5 Blank 23796 658-701. Back Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 658 Back 1 - No findings 5716 2 - Findings 1176 Blank 16916 Findings 659 Scoliosis 1 - Yes 202 Blank 23606 660 Kyphosis 1 - Yes 230 Blank 23578 661 Lordosis 1 - Yes 129 Blank 23679 Tenderness 662 Sciatic Notch 1 - Right 25 2 - Left 14 3 - Both 36 Blank 23733 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 663 Sacroiliac 1 - Right 34 2 - Left 22 3 - Both 78 Blank 23674 664 Other 1 - Yes 106 Blank 23702 Limitation on Motion 665 Cervical Spine 1 - Yes 307 Blank 23501 666 Thoracic Spine 1 - Yes 65 Blank 23743 667 Lumbar Spine Flexion 1 - Yes 168 Blank 23640 668 Lumbar Spine--Right Lateral Flexion 1 - Yes 195 Blank 23613 669 Lumbar Spine--Left Lateral Flexion 1 - Yes 192 Blank 23616 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 670 Full Extension 1 - Yes 162 Blank 23646 671 Pain on Motion 1 - Negative 4521 2 - Positive 310 Blank 18977 Flexion 672 Cervical 1 - Yes 57 Blank 23751 673 Thoracic 1 - Yes 13 Blank 23795 674 Low Back 1 - Yes 132 Blank 23676 675 Diffuse 1 - Yes 9 Blank 23799 676 Uncertain 1 - Yes 1 Blank 23807 Extension 677 Cervical 1 - Yes 82 Blank 23726 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 678 Thoracic 1 - Yes 9 Blank 23799 679 Low Back 1 - Yes 125 Blank 23683 680 Diffuse 1 - Yes 8 Blank 23800 681 Uncertain 1 - Yes 0 Blank 23808 Right Lateral Bending 682 Cervical 1 - Yes 102 Blank 23706 683 Thoracic 1 - Yes 12 Blank 23796 684 Low Back 1 - Yes 129 Blank 23679 685 Diffuse 1 - Yes 15 Blank 23793 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 686 Uncertain 1 - Yes 1 Blank 23807 Right Lateral Bending 687 Cervical 1 - Yes 110 Blank 23698 688 Thoracic 1 - Yes 11 Blank 23797 689 Low Back 1 - Yes 145 Blank 23663 690 Diffuse 1 - Yes 15 Blank 23793 691 Uncertain 1 - Yes 0 Blank 23808 Right Rotation 692 Cervical 1 - Yes 76 Blank 23732 693 Thoracic 1 - Yes 12 Blank 23796 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 694 Low Back 1 - Yes 73 Blank 23735 695 Diffuse 1 - Yes 14 Blank 23794 696 Uncertain 1 - Yes 0 Blank 23808 Left Rotation 697 Cervical 1 - Yes 80 Blank 23728 698 Thoracic 1 - Yes 12 Blank 23796 699 Low Back 1 - Yes 76 Blank 23732 700 Diffuse 1 - Yes 15 Blank 23793 701 Uncertain 1 - Yes 0 Blank 23808 702-706. Straight-Leg Raising Test Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source STRAIGHT-LEG RAISING TEST 702 Right Leg 1 - Yes 6708 2 - No 149 8 - Blank, but applicable 35 Blank 16916 703 Increase on Ankle (right leg) 1 - Yes 79 2 - No 6698 8 - Blank, but applicable 115 Blank 16916 704 Left Leg 1 - Yes 6719 2 - No 138 8 - Blank, but applicable 35 Blank 16916 705 Increase Dorsiflexion (left leg) 1 - Yes 83 2 - No 6696 8 - Blank, but applicable 113 Blank 16916 706 Other Systems 1 - Findings 6615 2 - No findings 270 8 - Blank, but applicable 7 Blank 16916 707-724. Blood Pressure Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source BLOOD PRESSURE 707- 0100-1259 - Time as given 6877 See Detailed Notes 710 8888 - Blank, but applicable 15 Blank 16916 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 711 AM or PM 1 - A.M. 2491 2 - P.M. 4386 8 - Blank, but applicable 15 Blank 16916 712- Recumbent--Systolic See Detailed Notes 714 065-300 - Range as given 6858 888 - Blank, but applicable 34 Blank 16916 715- Recumbent--Diastolic See Detailed Notes 717 035-186 - Range as given 6854 888 - Blank, but applicable 38 Blank 16916 718 Sitting--Systolic See Detailed Notes 720 065-300 - Range as given 6853 888 - Blank, but applicable 39 Blank 16916 721- Sitting--Diastolic See Detailed Notes 723 022-180 - Range as given 6849 888 - Blank, but applicable 43 Blank 16916 724 Summary of Diagnostic Impression 1 - Normal 2337 2 - Abnormal 4555 Blank 16916 725-799. ICD Codes Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source ICD CODES See Detailed Notes 725 Severity 1 - Minimum 1044 2 - Moderate 946 3 - Severe 133 8 - Blank, but applicable 120 Blank 21565 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 726 Certainty 0-9 - Degree of certainty 2114 Dash - Blank, but applicable 129 Blank 21565 727- ICD Code 729 000-999 2243 Blank 21565 730 Severity 1 - Minimum 292 2 - Moderate 313 3 - Severe 54 8 - Blank, but applicable 78 Blank 23071 731 Certainty 0-9 - Degree of certainty 673 Dash - Blank, but applicable 64 Blank 23071 732- ICD Code 734 X00-999 Code as given 737 Blank 23071 735 Severity 1 - Minimum 117 2 - Moderate 110 3 - Severe 16 8 - Blank, but applicable 41 Blank 23524 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 736 Certainty 0-9 - Degree of certainty 256 Dash - Blank, but applicable 28 Blank 23524 737- ICD Code 739 000-999 284 Blank 23524 740 Severity 1 - Minimum 1000 2 - Moderate 700 3 - Severe 99 8 - Blank, but applicable 133 Blank 21876 741 Certainty 0-9 - Degree of certainty 1809 Dash - Blank, but applicable 123 Blank 21876 742- ICD Code 744 X00-999 Code as given 1932 Blank 21876 745 Severity 1 - Minimum 251 2 - Moderate 209 3 - Severe 31 8 - Blank, but applicable 62 Blank 23255 746 Certainty 0-9 - Degree of certainty 517 Dash - Blank, but applicable 36 Blank 23255 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 747- ICD Code 749 X00-999 Code as given 553 Blank 23255 750 Severity 1 - Minimum 58 2 - Moderate 45 3 - Severe 7 8 - Blank, but applicable 24 Blank 23674 751 Certainty 0-9 - Degree of certainty 121 Dash - Blank, but applicable 13 Blank 23674 752- ICD Code 754 X00-999 Code as given 134 Blank 23674 755 Severity 1 - Minimum 282 2 - Moderate 231 3 - Severe 36 8 - Blank, but applicable 39 Blank 23220 756 Certainty 0-9 - Degree of certainty 552 Dash - Blank, but applicable 36 Blank 23220 757- ICD Code 759 X00-999 Code as given 588 Blank 23220 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 760 Severity 1 - Minimum 39 2 - Moderate 44 3 - Severe 9 8 - Blank, but applicable 17 Blank 23699 761 Certainty 0-9 - Degree of certainty 99 Dash - Blank, but applicable 10 Blank 23699 762- ICD Code 764 X00-999 Code as given 109 Blank 23699 765 Severity 1 - Minimum 8 2 - Moderate 10 3 - Severe 2 8 - Blank, but applicable 3 Blank 23785 766 Certainty 0-9 - Degree of certainty 21 Dash - Blank, but applicable 2 Blank 23785 767- ICD Code 769 000-999 Code as given 23 Blank 23785 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 770 Severity 1 - Minimum 830 2 - Moderate 855 3 - Severe 183 8 - Blank, but applicable 169 Blank 21771 771 Certainty 0-9 - Degree of certainty 1890 Dash - Blank, but applicable 147 Blank 21771 772- ICD Code 774 X00-999 Code as given 2037 Blank 21771 775 Severity 1 - Minimum 283 2 - Moderate 327 3 - Severe 80 8 - Blank, but applicable 96 Blank 23022 776 Certainty 0-9 - Degree of certainty 725 Dash - Blank, but applicable 61 Blank 23022 777- ICD Code 779 X00-999 Code as given 786 Blank 23022 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 780 Severity 1 - Minimum 101 2 - Moderate 123 3 - Severe 22 8 - Blank, but applicable 45 Blank 23517 781 Certainty 0-9 - Degree of certainty 267 Dash - Blank, but applicable 24 Blank 23517 782- ICD Code 784 X00-999 Code as given 291 Blank 23517 785 Severity 1 - Minimum 122 2 - Moderate 86 3 - Severe 17 8 - Blank, but applicable 14 Blank 23569 786 Certainty 0-9 - Degree of certainty 232 Dash - Blank, but applicable 7 Blank 23569 787- ICD Code 789 X00-999 Code as given 239 Blank 23569 790 Severity 1 - Minimum 20 2 - Moderate 29 3 - Severe 6 8 - Blank, but applicable 9 Blank 23744 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 791 Certainty 0-9 - Degree of certainty 61 Dash - Blank, but applicable 3 Blank 23744 792- ICD Code 794 X00-999 Code as given 64 Blank 23744 795 Severity 1 - Minimum 8 2 - Moderate 19 3 - Severe 1 8 - Blank, but applicable 1 Blank 23779 796 Certainty 0-9 - Degree of certainty 28 Dash - Blank, but applicable 1 Blank 23799 797- ICD Code 799 000-999 - Code as given 29 888 - Blank, but applicable 0 Blank 23779 800-824. Data User Work Area Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 800- DATA USER WORK AREA 824 825-839. Ocular Fundi Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source OCULAR FUNDI Physician's Supplement 825 Normal 1 - Right 35 ** 2 - Left 28 3 - Both 2562 8 - Blank, but applicable 99 Blank 21084 826 Fundus Not Visualized 1 - Right 12 ** 2 - Left 16 3 - Both 50 Blank 23730 827 Globe Absent 1 - Right 2 ** 2 - Left 4 3 - Both 2 Blank 23800 828 Increased Light Reflex 1 - Right 3 ** 2 - Left 3 3 - Both 48 Blank 23754 829 Narrow Arterioles 1 - Right 5 ** 2 - Left 3 3 - Both 139 Blank 23661 830 Tortuous Arterioles 1 - Right 2 ** 2 - Left 1 3 - Both 95 Blank 23710 831 AV Compression 1 - Right 1 ** 2 - Left 2 3 - Both 76 Blank 23729 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 832 Hemorrhage 1 - Right 2 ** 2 - Left 1 3 - Both 1 Blank 23804 833 Exudate 1 - Right 7 ** 2 - Left 1 3 - Both 10 Blank 23790 834 Venous Engorgement 1 - Right 1 ** 2 - Left 0 3 - Both 26 Blank 23781 835 Papilledma 1 - Right 0 ** 2 - Left 0 3 - Both 0 Blank 23808 836 Disc Abnormal 1 - Right 1 ** 2 - Left 1 3 - Both 0 Blank 23806 837 Lens Opacities 1 - Right 20 ** 2 - Left 22 3 - Both 30 Blank 23736 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 838 Iritis 1 - Right 0 ** 2 - Left 0 3 - Both 0 Blank 23808 839 Other 1 - Right 15 ** 2 - Left 14 3 - Both 32 Blank 23747 840-850. Data User Work Area Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 840- DATA USER WORK AREA 850 DETAILED NOTES, MEDICAL EXAMINATION DATA Tape Positions 228-233, 707-723 - Blood Pressure At the beginning of the physical examination the physician took the sample person's blood pressure while the sample person was in a sitting position. For those in the detailed sample the nurse took the sample person's blood pressure twice more at the end of the exam, once while the sample person was recumbent and again while sitting.The following guidelines,based on the American Heart Association's "Recommendations for Human Blood Pressure Determinations by Sphygmomanometers" (Committee to Revise Standardization of High Blood Pressure Readings, New York, American Heart Association, October, 1951) were generally observed: 1. The cuff was at least 20 percent wider than the diameter of the arm or covered approximately two-thirds of the arm.(An adult 13 cm. cuff and a pediatric 9.5 cm. cuff were provided.) 2. The manometer was at eye level with the physician. 3. The meniscus of the mercury instruments was checked weekly for zero-level calibration. 4. While measuring, the rate of falling pressure was maintained 2-3 mm. Hg per heartbeat, which was slow enough to detect the first and last sounds but sufficiently rapid to avoid the intermittent trapping of blood between systolic and diastolic levels. 5. For diastolic pressure, the level was recorded at the point of complete cessation of Korotkoff's sounds or,if there was no cessation, the point of muffling. 6. Measurements were recorded to the nearest 2 mm. on the scale. For detailed evaluation and extensive analysis of the first blood pressure, see NCHS Series 11, Numbers 150 and 203. Tape Position 260 - Thyroid Evaluation Thyroid Evaluation: The World Health Organization (WHO) criteria used for grading goiter are: Grade 0: Persons without goiter. By definition, these are persons whose thyroid glands are less than 4 to 5 times enlarged. Grade 1: Persons with palpable goiters.The thyroid is considered to be more than 4 to 5 times enlarged although not visible with head in normal position.Most of these will be readily visible with the head thrown back and the neck fully extended. Grade 2: Persons with visible goiters. Persons with goiters which are easily visible with the head in normal position,but which are smaller than those in Grade 3. Palpation may be helpful in determining the mass of the gland, but is not needed for diagnosis. Grade 3: Persons with very large goiters. The goiters of persons in this category can be recognized at a considerable distance. They are grossly disfigured and may be of such size as to cause mechanical difficulties with respiration and the wearing of clothes. (Perez, C., Scrimshaw, N.S., and Munoz, J.A., Technique of endemic goitre surveys. In endemic Goitre; p. 369, see esp. p. 376, World Health Organization Monograph Series No. 44, Geneva, 1960.) Tape Pos. 285-289 (Areas of Masses) and 292-289 (Areas of Scars) Area(s) of Mass(es) -- Positions 285-289 If mass(es) were present, the number(s) of the location(s),using the number (s) on the body diagram, were recorded.The number used was the one which located the center of the mass. Area(s) of Surgical Scar(s) -- Positions 292-296 If scar(s) were present the number(s) of the location(s),using the number(s) on the body diagram, were recorded. The number used was the one which located the center of the scar(s). Tape Positions 333-359, 725-799 - ICDA Codes Physicians were instructed to record their findings of abnormal conditions on the examination form and to code these using the first 3 digits of the Eighth Revision of the International Classification of Diseases Adapted for Use in the United States. For those in the detailed sample there were conditions coded at the end of both the general (General Medical Examination,Ages 1-74), and detailed examination forms (General Medical Examination,Ages 25-74);these codes are not necessarily the same.In recording findings on the general form the physician generally recorded all abnormal conditions regardless of the severity of the condition or certainty of the diagnosis; but, some physicians were more selective than others,coding as ICDA codes (Positions 333-359) only those conditions they felt to be significant or were certain about.At the end of the detailed exam form (Positions 725-799) the physicians were instructed to indicate the severity of the condition and the certainty of their diagno- sis.Since the detailed examination emphasized the cardiovascular,respiratory and musculoskeletal systems,codes relating to these systems are more frequ- ently found and are more exact on the detailed form than on the general form, and codes relating to other systems may be found more frequently on the general form.Conditions coded on the general form by the physicians have been supplemented by Division staff who have coded physicians' write-in entries. In editing the data certain editorial decisions have been made.Surgical codes are prefaced with an "X" (e.g., X22, operations on thyroid and parathyroid). On the General Medical Examination Ages 1-74) form, the following conditions were not coded: ear wax, sparse hair, neck vein distention, deviated septum, pale conjunctiva, nose bleed, and pregnancy; the following codes for surgical scars have been removed: X00, X21, X38, X41, X43, X51, X52, X55-X60, X67- X72, X77-X78, X82-X85;and only current fractures were coded as fractures while old fractures were coded for limitation or deformity.
