Innere Medizin

Illnesses according to ICD

Service ICD number Number of cases Info
Left ventricular failure unspecified I50.13 46
Essential primary hypertension I10.01 34
Left ventricular failure unspecified I50.14 34
Volume depletion E86 31
Heart failure I50.01 29
Diarrhoea and gastroenteritis of presumed infectious origin A09.9 27
Syncope and collapse R55 26
Atrial fibrillation and flutter - Paroxysmal atrial fibrillation I48.0 17
Other functional intestinal disorders - Other constipation K59.09 17
Pneumonia organism unspecified - Pneumonia unspecified organism J18.9 16
Other disorders of urinary system - Urinary tract infection site not specified N39.0 16
Other and unspecified infectious diseases B99 15
Erysipelas A46 14
Pneumonia organism unspecified - Lobar pneumonia unspecified organism J18.1 12
Pain in throat and chest R07.4 12
Acute bronchitis - Acute bronchitis unspecified J20.9 10
Mental and behavioural disorders due to use of alcohol F10.3 9
Dorsalgia - Low back pain M54.5 9
Nausea and vomiting R11 9
Dizziness and giddiness R42 9
Acute myocardial infarction - Non-ST elevation NSTEMI myocardial infarction I21.4 8
Other diseases of oesophagus - Esophageal obstruction K22.2 8
Diarrhoea and gastroenteritis of presumed infectious origin A09.0 7
Pneumonitis due to solids and liquids - Pneumonitis due to inhalation of food and vomit J69.0 7
Diverticular disease of intestine - Diverticulitis of large intestine without perforation or abscess without bleeding K57.32 7
Other diseases of intestine - Polyp of colon K63.5 7
Iron deficiency anaemia - Iron deficiency anemia secondary to blood loss chronic D50.0 6
Other disorders of fluid electrolyte and acid-base balance - Hypo-osmolality and hyponatremia E87.1 6
Unspecified acute lower respiratory infection J22 6
Chronic obstructive pulmonary disease with acute exacerbation J44.19 6
Gastro-oesophageal reflux disease - Gastro-esophageal reflux disease with esophagitis K21.0 6
Dorsalgia M54.4 6
Acute tubulo-interstitial nephritis N10 6
Bacterial infection of unspecified site A49.0 5
Bacterial infection of unspecified site - Other bacterial infections of unspecified site A49.8 5
Other anxiety disorders - Panic disorder episodic paroxysmal anxiety F41.0 5
Atrial fibrillation and flutter I48.9 5
Pneumonia organism unspecified - Bronchopneumonia unspecified organism J18.0 5
Paralytic ileus and intestinal obstruction without hernia - Ileus unspecified K56.7 5
Haemorrhoids and perianal venous thrombosis - Second degree hemorrhoids K64.1 5
Other intervertebral disc disorders M51.1 5
Cystitis N30.0 5
Abdominal and pelvic pain R10.1 5
Adverse effects not elsewhere classified T78.3 5
Malignant neoplasm of rectum C20 4
Malignant neoplasm of pancreas - Malignant neoplasm of head of pancreas C25.0 4
Malignant neoplasm of prostate C61 4
Other anaemias D64.8 4
Other anaemias - Anemia unspecified D64.9 4
Type 2 diabetes mellitus with diabetic nephropathy E11.21 4
Type 2 diabetes mellitus without complications E11.91 4
Mental and behavioural disorders due to use of alcohol F10.0 4
Mental and behavioural disorders due to use of alcohol F10.2 4
Atrial fibrillation and flutter I48.2 4
Atrial fibrillation and flutter - Atypical atrial flutter I48.4 4
Paralytic ileus and intestinal obstruction without hernia K56.4 4
Ulcer of lower limb not elsewhere classified L97 4
Osteoporosis with pathological fracture M80.08 4
Abnormalities of heart beat - Tachycardia unspecified R00.0 4
Retention of urine R33 4
Symptoms and signs concerning food and fluid intake - Abnormal weight loss R63.4 4
Fracture of lumbar spine and pelvis S32.5 4
Other bacterial intestinal infections - Campylobacter enteritis A04.5 not specified
Other bacterial intestinal infections A04.70 not specified
Other bacterial intestinal infections - Other specified bacterial intestinal infections A04.8 not specified
Other protozoal intestinal diseases - Giardiasis lambliasis A07.1 not specified
Viral and other specified intestinal infections - Rotaviral enteritis A08.0 not specified
Viral and other specified intestinal infections A08.1 not specified
Viral and other specified intestinal infections - Viral intestinal infection unspecified A08.4 not specified
Other septicaemia - Sepsis due to Escherichia coli E. coli A41.51 not specified
Other bacterial diseases not elsewhere classified - Legionnaires disease A48.1 not specified
Bacterial infection of unspecified site - Streptococcal infection unspecified site A49.1 not specified
Bacterial infection of unspecified site - Bacterial infection unspecified A49.9 not specified
Zoster herpes zoster B02.3 not specified
Zoster herpes zoster - Zoster without complications B02.9 not specified
Viral infection of unspecified site - Viral infection unspecified B34.9 not specified
Candidiasis - Candidal stomatitis B37.0 not specified
Candidiasis - Candidal esophagitis B37.81 not specified
Malignant neoplasm of gum - Malignant neoplasm of upper gum C03.0 not specified
Malignant neoplasm of stomach - Malignant neoplasm of body of stomach C16.2 not specified
Malignant neoplasm of stomach - Malignant neoplasm of pyloric antrum C16.3 not specified
Malignant neoplasm of colon - Malignant neoplasm of ascending colon C18.2 not specified
Malignant neoplasm of colon - Malignant neoplasm of transverse colon C18.4 not specified
Malignant neoplasm of colon - Malignant neoplasm of sigmoid colon C18.7 not specified
Malignant neoplasm of liver and intrahepatic bile ducts - Liver cell carcinoma C22.0 not specified
Malignant neoplasm of pancreas - Malignant neoplasm of body of pancreas C25.1 not specified
Malignant neoplasm of pancreas - Malignant neoplasm of pancreas unspecified C25.9 not specified
Malignant neoplasm of bronchus and lung C34.1 not specified
Malignant neoplasm of bronchus and lung C34.3 not specified
Malignant neoplasm of bronchus and lung C34.9 not specified
Malignant neoplasm of breast C50.4 not specified
Malignant neoplasm of breast C50.9 not specified
Malignant neoplasm of ovary C56 not specified
Malignant neoplasm of penis - Malignant neoplasm of penis unspecified C60.9 not specified
Malignant neoplasm of bladder - Malignant neoplasm of overlapping sites of bladder C67.8 not specified
Malignant neoplasm of brain - Malignant neoplasm of cerebrum except lobes and ventricles C71.0 not specified
Malignant neoplasm of brain - Malignant neoplasm of overlapping sites of brain C71.8 not specified
Spread metastasis of cancer in otherwise unspecified areas of the body C79.3 not specified
Malignant neoplasm without specification of site - Disseminated malignant neoplasm unspecified C80.0 not specified
Multiple myeloma and malignant plasma cell neoplasms - Multiple myeloma not having achieved remission C90.00 not specified
Benign neoplasm of colon rectum anus and anal canal - Benign neoplasm of ascending colon D12.2 not specified
Benign neoplasm of colon rectum anus and anal canal - Benign neoplasm of transverse colon D12.3 not specified
Benign neoplasm of other and ill-defined parts of digestive system - Benign neoplasm of duodenum D13.2 not specified
Benign neoplasm of other and ill-defined parts of digestive system D13.3 not specified
Neoplasm of uncertain or unknown behaviour of oral cavity and digestive organs D37.70 not specified
Neoplasm of uncertain or unknown behaviour of oral cavity and digestive organs D37.78 not specified
Neoplasm of uncertain or unknown behaviour of middle ear and respiratory and intrathoracic organs - Neoplasm of uncertain behavior of pleura D38.2 not specified
Neoplasm of uncertain or unknown behaviour of endocrine glands - Neoplasm of uncertain behavior of pituitary gland D44.3 not specified
Myelodysplastic syndromes - Refractory anemia with ring sideroblasts D46.1 not specified
Myelodysplastic syndromes - Myelodysplastic syndrome unspecified D46.9 not specified
Vitamin B12 deficiency anaemia - Vitamin B12 deficiency anemia due to intrinsic factor deficiency D51.0 not specified
Vitamin B12 deficiency anaemia - Vitamin B12 deficiency anemia unspecified D51.9 not specified
Other aplastic anaemias - Aplastic anemia unspecified D61.9 not specified
Other coagulation defects D68.33 not specified
Sarcoidosis - Sarcoidosis unspecified D86.9 not specified
Thyrotoxicosis hyperthyroidism E05.4 not specified
Type 1 diabetes mellitus with diabetic nephropathy E10.21 not specified
Diabetes = type 1 diabetes mellitus insulin dependent from the start E10.61 not specified
Type 1 diabetes mellitus without complications E10.91 not specified
Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene E11.51 not specified
Type 2 diabetes mellitus not insulin dependent from the start E11.73 not specified
Type 2 diabetes mellitus not insulin dependent from the start E11.75 not specified
Hyperfunction of pituitary gland - Syndrome of inappropriate secretion of antidiuretic hormone E22.2 not specified
Deficiency of other nutrient elements - Iron deficiency E61.1 not specified
Lactose intolerance - Other lactose intolerance E73.8 not specified
Other disorders of carbohydrate metabolism E74.1 not specified
Other disorders of fluid electrolyte and acid-base balance - Hypokalemia E87.6 not specified
Other metabolic disorders E88.0 not specified
Vascular dementia F01.2 not specified
Vascular dementia F01.9 not specified
Unspecified dementia F03 not specified
Other mental disorders due to brain damage and dysfunction and to physical disease F06.9 not specified
Mental and behavioural disorders due to use of alcohol F10.4 not specified
Mental and behavioural disorders due to use of alcohol F10.6 not specified
Mental and behavioural disorders due to use of sedatives or hypnotics F13.2 not specified
Schizophrenia F20.8 not specified
Bipolar affective disorder - Bipolar disorder current episode depressed severe without psychotic features F31.4 not specified
Depressive episode - Major depressive disorder single episode moderate F32.1 not specified
Depressive episode - Major depressive disorder single episode severe without psychotic features F32.2 not specified
Depressive episode - Major depressive disorder single episode severe with psychotic features F32.3 not specified
Recurrent depressive disorder - Major depressive disorder recurrent moderate F33.1 not specified
Recurrent depressive disorder - Major depressive disorder recurrent severe without psychotic features F33.2 not specified
Reaction to severe stress and adjustment disorders F43.2 not specified
Somatoform disorders F45.30 not specified
Other neurotic disorders F48.0 not specified
Parkinson disease G20.00 not specified
Parkinson disease G20.10 not specified
Alzheimer disease - Other Alzheimers disease G30.8 not specified
Migraine G43.9 not specified
Transient cerebral ischemic attack unspecified G45.92 not specified
Sleep disorders - Other sleep apnea G47.39 not specified
Facial nerve disorders - Bells palsy G51.0 not specified
Other mononeuropathies - Intercostal neuropathy G58.0 not specified
Other polyneuropathies - Polyneuropathy unspecified G62.9 not specified
Disorders of vestibular function H81.1 not specified
Disorders of vestibular function H81.2 not specified
Other disorders of ear not elsewhere classified H93.1 not specified
Rheumatic fever with heart involvement - Acute rheumatic endocarditis I01.1 not specified
Essential primary hypertension I10.91 not specified
Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease or end stage renal disease I13.21 not specified
Angina pectoris unspecified I20.9 not specified
Acute myocardial infarction I21.0 not specified
Acute myocardial infarction - Acute myocardial infarction unspecified I21.9 not specified
Chronic ischaemic heart disease I25.12 not specified
Chronic ischaemic heart disease I25.19 not specified
Pulmonary embolism I26.9 not specified
Other diseases of pericardium - Pericardial effusion noninflammatory I31.3 not specified
Acute and subacute endocarditis - Acute and subacute infective endocarditis I33.0 not specified
Nonrheumatic aortic valve disorders - Nonrheumatic aortic valve stenosis I35.0 not specified
Atrioventricular and left bundle-branch block - Atrioventricular block second degree I44.1 not specified
Paroxysmal tachycardia - Supraventricular tachycardia I47.1 not specified
Paroxysmal tachycardia - Ventricular tachycardia I47.2 not specified
Atrial fibrillation and flutter I48.1 not specified
Atrial fibrillation and flutter - Typical atrial flutter I48.3 not specified
Other cardiac arrhythmias I49.4 not specified
Other cardiac arrhythmias - Other specified cardiac arrhythmias I49.8 not specified
Intracerebral haemorrhage - Nontraumatic intracerebral hemorrhage in hemisphere cortical I61.1 not specified
Cerebral infarction I63.8 not specified
Atherosclerosis I70.24 not specified
Arterial embolism and thrombosis - Embolism and thrombosis of arteries of the lower extremities I74.3 not specified
Phlebitis and thrombophlebitis I80.20 not specified
Phlebitis and thrombophlebitis I80.28 not specified
Venous insufficiency chronic peripheral I87.21 not specified
Hypotension - Hypotension due to drugs I95.2 not specified
Acute upper respiratory infections of multiple and unspecified sites - Acute upper respiratory infection unspecified J06.9 not specified
Influenza due to other identified influenza virus with other respiratory manifestations J10.1 not specified
Viral pneumonia not elsewhere classified - Viral pneumonia unspecified J12.9 not specified
Pneumonia due to Haemophilus influenzae J14 not specified
Bacterial pneumonia not elsewhere classified - Pneumonia due to Escherichia coli J15.5 not specified
Pneumonia organism unspecified - Hypostatic pneumonia unspecified organism J18.2 not specified
Pneumonia organism unspecified - Other pneumonia unspecified organism J18.8 not specified
Acute bronchitis - Acute bronchitis due to other specified organisms J20.8 not specified
Acute bronchiolitis - Acute bronchiolitis unspecified J21.9 not specified
Diseases of vocal cords and larynx not elsewhere classified - Paralysis of vocal cords and larynx unilateral J38.01 not specified
Bronchitis not specified as acute or chronic J40 not specified
Chronic obstructive pulmonary disease with acute lower respiratory infection J44.01 not specified
Chronic obstructive pulmonary disease with acute lower respiratory infection J44.02 not specified
Chronic obstructive pulmonary disease with acute lower respiratory infection J44.03 not specified
Chronic obstructive pulmonary disease with acute lower respiratory infection J44.09 not specified
Chronic obstructive pulmonary disease with acute exacerbation J44.10 not specified
Chronic obstructive pulmonary disease with acute exacerbation J44.11 not specified
Chronic obstructive pulmonary disease with acute exacerbation J44.12 not specified
Chronic obstructive pulmonary disease with acute exacerbation J44.13 not specified
Other chronic obstructive pulmonary disease J44.89 not specified
Asthma J45.9 not specified
Other interstitial pulmonary diseases J84.1 not specified
Abscess of lung and mediastinum - Abscess of lung with pneumonia J85.1 not specified
Pyothorax without fistula J86.9 not specified
3 Pneumothorax - Pneumothorax unspecified J93.9 not specified
Other pleural conditions - Hemothorax J94.2 not specified
Respiratory failure not elsewhere classified - Acute respiratory failure unspecified whether with hypoxia or hypercapnia J96.00 not specified
Diseases of pulp and periapical tissues - Periapical abscess without sinus K04.7 not specified
Stomatitis and related lesions - Other forms of stomatitis K12.1 not specified
Other diseases of oesophagus K22.1 not specified
Gastric ulcer - Chronic or unspecified gastric ulcer with hemorrhage K25.4 not specified
Duodenal ulcer - Acute duodenal ulcer with hemorrhage K26.0 not specified
Gastritis and duodenitis K29.0 not specified
Gastritis and duodenitis K29.1 not specified
Gastritis and duodenitis K29.5 not specified
Gastritis and duodenitis K29.6 not specified
Other diseases of the stomach and duodenum - Pyloric stenosis in adults - Inflammatory pyloric stenosis in adults K31.11 not specified
Other diseases of stomach and duodenum - Dieulafoy lesion hemorrhagic of stomach and duodenum K31.82 not specified
Acute appendicitis K35.8 not specified
Inguinal hernia - Unilateral inguinal hernia with obstruction without gangrene not specified as recurrent K40.30 not specified
Ventral hernia - Incisional hernia without obstruction or gangrene K43.2 not specified
Diaphragmatic hernia - Diaphragmatic hernia without obstruction or gangrene K44.9 not specified
Ulcerative colitis K51.9 not specified
Other noninfective gastroenteritis and colitis K52.8 not specified
Other noninfective gastroenteritis and colitis - Noninfective gastroenteritis and colitis unspecified K52.9 not specified
Vascular disorders of intestine K55.0 not specified
Vascular disorders of intestine - Angiodysplasia of colon with hemorrhage K55.21 not specified
Vascular disorders of intestine K55.22 not specified
Vascular disorders of intestine - Stage 2 necrotizing enterocolitis K55.32 not specified
Paralytic ileus and intestinal obstruction without hernia - Intussusception K56.1 not specified
Paralytic ileus and intestinal obstruction without hernia K56.5 not specified
Paralytic ileus and intestinal obstruction without hernia K56.6 not specified
Diverticular disease of intestine K57.22 not specified
Diverticular disease of intestine - Diverticulosis of large intestine without perforation or abscess without bleeding K57.30 not specified
Diverticular disease of intestine - Diverticulosis of large intestine without perforation or abscess with bleeding K57.31 not specified
Other functional intestinal disorders - Outlet dysfunction constipation K59.02 not specified
Other diseases of anus and rectum - Rectal prolapse K62.3 not specified
Other diseases of anus and rectum - Stenosis of anus and rectum K62.4 not specified
Other diseases of intestine - Abscess of intestine K63.0 not specified
Haemorrhoids and perianal venous thrombosis - Third degree hemorrhoids K64.2 not specified
Peritonitis - Acute peritonitis - Spontaneous bacterial peritonitis SBP acute K65.00 not specified
Other disorders of peritoneum - Peritoneal adhesions postprocedural postinfection K66.0 not specified
Alcoholic liver disease K70.1 not specified
Alcoholic liver disease K70.3 not specified
Toxic liver disease - Toxic liver disease with fibrosis and cirrhosis of liver K71.7 not specified
Calculus of gallbladder with acute cholecystitis without obstruction K80.00 not specified
Calculus of gallbladder without cholecystitis without obstruction K80.20 not specified
Calculus of bile duct with cholangitis unspecified without obstruction K80.30 not specified
Calculus of bile duct with cholangitis unspecified with obstruction K80.31 not specified
Cholecystitis - Acute cholecystitis K81.0 not specified
Cholecystitis - Chronic cholecystitis K81.1 not specified
Other diseases of the bile ducts - Cholangitis - Cholangitis unspecified K83.09 not specified
Acute pancreatitis - Biliary acute pancreatitis without necrosis or infection K85.10 not specified
Acute pancreatitis - Acute pancreatitis without necrosis or infection unspecified K85.90 not specified
Other diseases of digestive system - Gastrointestinal hemorrhage unspecified K92.2 not specified
Cellulitis L03.02 not specified
Cellulitis L03.10 not specified
Dermatitis due to substances taken internally - Generalized skin eruption due to drugs and medicaments taken internally L27.0 not specified
Urticaria - Allergic urticaria L50.0 not specified
Urticaria - Urticaria unspecified L50.9 not specified
Erythema multiforme - Other erythema multiforme L51.8 not specified
Pressure sore decubitus and pressure area L89.34 not specified
Pyogenic arthritis unspecified M00.96 not specified
Rheumatoid arthritis with rheumatoid factor unspecified M05.90 not specified
Rheumatoid arthritis unspecified M06.90 not specified
Coxarthrosis arthrosis of hip M16.1 not specified
Coxarthrosis arthrosis of hip - Osteoarthritis of hip unspecified M16.9 not specified
Other joint disorders not elsewhere classified M25.46 not specified
Other joint disorders not elsewhere classified M25.55 not specified
Other joint disorders not elsewhere classified M25.58 not specified
Systemic lupus erythematosus M32.1 not specified
Other systemic involvement of connective tissue - Polymyalgia rheumatica M35.3 not specified
Other inflammatory spondylopathies - Discitis unspecified thoracic region M46.44 not specified
Other inflammatory spondylopathies - Discitis unspecified lumbosacral region M46.47 not specified
Spondylosis - Other spondylosis with radiculopathy lumbar region M47.26 not specified
Other spondylopathies - Spinal stenosis cervical region M48.02 not specified
Other spondylopathies M48.06 not specified
Cervical disc disorders M50.2 not specified
Dorsalgia - Cervicalgia M54.2 not specified
Soft tissue disorders related to use overuse and pressure M70.5 not specified
Necrotizing fasciitis M72.66 not specified
Osteoporosis with pathological fracture M80.88 not specified
Osteomyelitis unspecified M86.97 not specified
Tubulo-interstitial nephritis not specified as acute or chronic N12 not specified
Obstructive uropathy and refluxuropathy - Hydronephrosis in obstruction by renal and ureteral calculi - Hydronephrosis in obstruction by ureteral calculi N13.21 not specified
Obstructive and reflux uropathy N13.3 not specified
Obstructive uropathy and refluxuropathy - Pyonephrosis - Other and unspecified pyonephrosis N13.68 not specified
Obstructive and reflux uropathy - Obstructive and reflux uropathy unspecified N13.9 not specified
Acute kidney failure unspecified N17.91 not specified
Acute kidney failure unspecified N17.93 not specified
Chronic renal failure - Chronic kidney disease stage 4 severe N18.4 not specified
Unspecified renal colic N23 not specified
Cystitis N30.2 not specified
Other disorders of bladder N32.4 not specified
Hyperplasia of prostate N40 not specified
Inflammatory diseases of prostate - Acute prostatitis N41.0 not specified
Inflammatory diseases of prostate - Prostatocystitis N41.3 not specified
Abnormalities of heart beat - Palpitations R00.2 not specified
Haemorrhage from respiratory passages - Epistaxis R04.0 not specified
Abnormalities of breathing R06.0 not specified
Pain in throat and chest - Precordial pain R07.2 not specified
Pain in throat and chest R07.3 not specified
Other symptoms and signs involving the circulatory and respiratory systems - Pleurisy R09.1 not specified
Abdominal and pelvic pain - Acute abdomen R10.0 not specified
Abdominal and pelvic pain R10.3 not specified
Abdominal and pelvic pain R10.4 not specified
Dysphagia R13.9 not specified
Unspecified jaundice R17.0 not specified
Ascites R18 not specified
Other symptoms and signs involving the digestive system and abdomen - Change in bowel habit R19.4 not specified
Localized swelling mass and lump of skin and subcutaneous tissue - Localized swelling mass and lump neck R22.1 not specified
Abnormalities of gait and mobility R26.8 not specified
Other symptoms and signs involving the nervous and musculoskeletal systems - Repeated falls R29.6 not specified
Unspecified haematuria R31 not specified
Headache R51 not specified
Shock not elsewhere classified - Shock unspecified R57.9 not specified
Abnormal serum enzyme levels - Nonspecific elevation of levels of transaminase and lactic acid dehydrogenase LDH R74.0 not specified
Abnormal findings on diagnostic imaging of lung R91 not specified
Superficial injury of head S00.95 not specified
Intracranial injury S06.0 not specified
Intracranial injury S06.5 not specified
Superficial injury of thorax S20.2 not specified
Fracture of ribs sternum and thoracic spine S22.43 not specified
Fracture of ribs sternum and thoracic spine S22.44 not specified
Injury of other and unspecified intrathoracic organs S27.0 not specified
Superficial injury of abdomen lower back and pelvis S30.0 not specified
Fracture of lumbar spine and pelvis S32.01 not specified
Fracture of lumbar spine and pelvis S32.04 not specified
Fracture of lumbar spine and pelvis S32.05 not specified
Fracture of lumbar spine and pelvis S32.1 not specified
Fracture of lumbar spine and pelvis S32.4 not specified
Fracture of forearm S52.50 not specified
Dislocation sprain and strain of joints and ligaments at wrist and hand level S63.10 not specified
Fracture of femur S72.00 not specified
Superficial injury of lower leg S80.1 not specified
Superficial injury of lower leg S80.88 not specified
Effects of other external causes T75.4 not specified
Adverse effects not elsewhere classified T78.0 not specified
Adverse effects not elsewhere classified T78.2 not specified
Complications of procedures not elsewhere classified T81.3 not specified
Complications of genitourinary prosthetic devices implants and grafts T83.0 not specified
Complications of internal orthopaedic prosthetic devices implants and grafts T84.5 not specified
Other complications of surgical and medical care not elsewhere classified T88.0 not specified
Other complications of surgical and medical care not elsewhere classified T88.6 not specified