Klinik für Allgemein- und Viszeralchirurgie

Illnesses according to ICD

Service ICD number Number of cases Info
Calculus of gallbladder with chronic cholecystitis without obstruction K80.10 115
Inguinal hernia - Unilateral inguinal hernia without obstruction or gangrene not specified as recurrent K40.90 100
Calculus of gallbladder with acute cholecystitis without obstruction K80.00 98
Cutaneous abscess furuncle and carbuncle L02.2 85
Cutaneous abscess furuncle and carbuncle L02.4 62
Ventral hernia - Incisional hernia without obstruction or gangrene K43.2 56
Acute appendicitis - Acute appendicitis with localized peritonitis without perforation or gangrene K35.30 50
Malignant neoplasm of rectum C20 49
Diverticular disease of intestine K57.22 49
Abdominal and pelvic pain R10.3 45
Pilonidal cyst L05.0 42
Abscess of anal and rectal regions - Anal abscess K61.0 41
Inguinal hernia - Bilateral inguinal hernia without obstruction or gangrene not specified as recurrent K40.20 38
Diverticular disease of intestine - Diverticulitis of large intestine without perforation or abscess without bleeding K57.32 36
Other nontoxic goitre - Nontoxic multinodular goiter E04.2 31
Acute appendicitis - Acute appendicitis with localized peritonitis and gangrene without perforation K35.31 31
Cutaneous abscess furuncle and carbuncle L02.3 31
Paralytic ileus and intestinal obstruction without hernia K56.6 28
Paralytic ileus and intestinal obstruction without hernia K56.5 27
Umbilical hernia - Umbilical hernia without obstruction or gangrene K42.9 26
Paralytic ileus and intestinal obstruction without hernia K56.4 24
Malignant neoplasm of colon - Malignant neoplasm of ascending colon C18.2 22
Acute appendicitis K35.8 22
Follicular cysts of skin and subcutaneous tissue L72.1 22
Umbilical hernia - Umbilical hernia with obstruction without gangrene K42.0 20
Ventral hernia - Incisional hernia with obstruction without gangrene K43.0 20
Inguinal hernia - Unilateral inguinal hernia without obstruction or gangrene recurrent K40.91 18
Malignant neoplasm of colon - Malignant neoplasm of sigmoid colon C18.7 16
Inguinal hernia - Unilateral inguinal hernia with obstruction without gangrene not specified as recurrent K40.30 16
Fissure and fistula of anal and rectal regions - Anal fistula K60.3 16
Peritonitis - Acute peritonitis - Other and unspecified acute peritonitis K65.09 16
Calculus of gallbladder without cholecystitis without obstruction K80.20 16
Haemorrhoids and perianal venous thrombosis - Third degree hemorrhoids K64.2 15
Malignant neoplasm of colon - Malignant neoplasm of cecum C18.0 14
Other follicular disorders - Hidradenitis suppurativa L73.2 14
Malignant neoplasm of anus and anal canal - Malignant neoplasm of anal canal C21.1 13
Other functional intestinal disorders - Other constipation K59.09 13
Haemorrhoids and perianal venous thrombosis - Fourth degree hemorrhoids K64.3 13
Diarrhoea and gastroenteritis of presumed infectious origin A09.9 12
Other nontoxic goitre - Nontoxic single thyroid nodule E04.1 12
Secondary malignant neoplasm of respiratory and digestive organs - Secondary malignant neoplasm of liver and intrahepatic bile duct C78.7 11
Abdominal and pelvic pain R10.4 11
Other diseases of intestine - Perforation of intestine nontraumatic K63.1 10
Malignant neoplasm of liver and intrahepatic bile ducts - Liver cell carcinoma C22.0 9
Other peritonitis K65.8 9
Malignant neoplasm of pancreas - Malignant neoplasm of head of pancreas C25.0 8
Secondary malignant neoplasm of respiratory and digestive organs - Secondary malignant neoplasm of retroperitoneum and peritoneum C78.6 8
Benign lipomatous neoplasm - Benign lipomatous neoplasm of skin and subcutaneous tissue of trunk D17.1 8
Neoplasm of uncertain or unknown behaviour of oral cavity and digestive organs - Neoplasm of uncertain behavior of liver gallbladder and bile ducts D37.6 8
Neoplasm of uncertain or unknown behaviour of oral cavity and digestive organs D37.70 8
Malignant melanoma of skin C43.5 7
Thyrotoxicosis hyperthyroidism E05.2 7
Abscess of anal and rectal regions - Rectal abscess K61.1 7
Postprocedural disorders of digestive system not elsewhere classified K91.4 7
Complications of procedures not elsewhere classified T81.0 7
Malignant neoplasm of stomach - Malignant neoplasm of body of stomach C16.2 6
Benign lipomatous neoplasm D17.2 6
Thyrotoxicosis hyperthyroidism E05.0 6
Ventral hernia without obstruction or gangrene K43.90 6
Fissure and fistula of anal and rectal regions - Chronic anal fissure K60.1 6
Other diseases of liver K76.8 6
Other fibroblastic disorders M72.88 6
Abdominal and pelvic pain R10.1 6
Malignant neoplasm of colon - Malignant neoplasm of transverse colon C18.4 5
Malignant neoplasm of liver and intrahepatic bile ducts - Intrahepatic bile duct carcinoma C22.1 5
Malignant melanoma of skin C43.6 5
Malignant neoplasm of thyroid gland C73 5
Carcinoma in situ of other and unspecified digestive organs - Carcinoma in situ of anus and anal canal D01.3 5
Gastric ulcer - Acute gastric ulcer with perforation K25.1 5
Duodenal ulcer - Acute duodenal ulcer with perforation K26.1 5
Vascular disorders of intestine K55.0 5
Paralytic ileus and intestinal obstruction without hernia - Ileus unspecified K56.7 5
Abscess of anal and rectal regions K61.3 5
Haemorrhoids and perianal venous thrombosis - Other hemorrhoids K64.8 5
Calculus of bile duct without cholangitis or cholecystitis without obstruction K80.50 5
Postprocedural disorders of digestive system not elsewhere classified - Postprocedural hepatorenal syndrome K91.83 5
Cellulitis L03.3 5
Complications of cardiac and vascular prosthetic devices implants and grafts T82.7 5
Complications of other internal prosthetic devices implants and grafts T85.6 5
Follow-up examination after treatment for malignant neoplasms Z08.7 5
Malignant neoplasm of stomach - Malignant neoplasm of pyloric antrum C16.3 4
Malignant neoplasm of colon - Malignant neoplasm of hepatic flexure C18.3 4
Malignant neoplasm of pancreas - Malignant neoplasm of body of pancreas C25.1 4
C44.59 4
Spread metastasis of cancer in otherwise unspecified areas of the body - Secondary malignant neoplasm of skin C79.2 4
Benign lipomatous neoplasm - Benign lipomatous neoplasm of skin and subcutaneous tissue of head face and neck D17.0 4
Mononeuropathies of upper limb G56.8 4
Gastritis and duodenitis K29.6 4
Acute appendicitis K35.2 4
Acute appendicitis - Acute appendicitis with perforation and localized peritonitis without abscess K35.32 4
Inguinal hernia - Unilateral inguinal hernia with obstruction without gangrene recurrent K40.31 4
Paralytic ileus and intestinal obstruction without hernia - Intussusception K56.1 4
Other diseases of intestine - Fistula of intestine K63.2 4
Calculus of gallbladder with acute cholecystitis with obstruction K80.01 4
Calculus of bile duct with cholecystitis unspecified with obstruction K80.41 4
Calculus of bile duct without cholangitis or cholecystitis with obstruction K80.51 4
Other diseases of biliary tract - Fistula of bile duct K83.3 4
Eccrine sweat disorders - Other eccrine sweat disorders L74.8 4
Pressure sore decubitus and pressure area L89.35 4
Abdominal and pelvic pain - Acute abdomen R10.0 4
Complications of procedures not elsewhere classified T81.8 4
Other bacterial intestinal infections - Campylobacter enteritis A04.5 not specified
Other protozoal intestinal diseases - Cryptosporidiosis A07.2 not specified
Viral and other specified intestinal infections A08.3 not specified
Diarrhoea and gastroenteritis of presumed infectious origin A09.0 not specified
Erysipelas A46 not specified
Bacterial infection of unspecified site - Other bacterial infections of unspecified site A49.8 not specified
Malignant neoplasm of stomach - Malignant neoplasm of cardia C16.0 not specified
Malignant neoplasm of stomach - Malignant neoplasm of fundus of stomach C16.1 not specified
Malignant neoplasm of stomach - Malignant neoplasm of overlapping sites of stomach C16.8 not specified
Malignant neoplasm of small intestine - Malignant neoplasm of jejunum C17.1 not specified
Malignant neoplasm of small intestine - Malignant neoplasm of ileum C17.2 not specified
Malignant neoplasm of small intestine - Malignant neoplasm of small intestine unspecified C17.9 not specified
Malignant neoplasm of colon - Malignant neoplasm of appendix C18.1 not specified
Malignant neoplasm of colon - Malignant neoplasm of splenic flexure C18.5 not specified
Malignant neoplasm of colon - Malignant neoplasm of descending colon C18.6 not specified
Malignant neoplasm of anus and anal canal - Malignant neoplasm of anus unspecified C21.0 not specified
Malignant neoplasm of gallbladder C23 not specified
Malignant neoplasm of other and unspecified parts of biliary tract - Malignant neoplasm of extrahepatic bile duct C24.0 not specified
Malignant neoplasm of pancreas - Malignant neoplasm of tail of pancreas C25.2 not specified
Malignant neoplasm of pancreas - Malignant neoplasm of overlapping sites of pancreas C25.8 not specified
Malignant neoplasm of pancreas - Malignant neoplasm of pancreas unspecified C25.9 not specified
Malignant neoplasm of larynx - Malignant neoplasm of supraglottis C32.1 not specified
Malignant melanoma of skin C43.7 not specified
C44.50 not specified
Other malignant neoplasms of skin C44.6 not specified
Other malignant neoplasms of skin C44.7 not specified
Malignant neoplasm of cervix uteri - Malignant neoplasm of endocervix C53.0 not specified
Malignant neoplasm of corpus uteri - Malignant neoplasm of endometrium C54.1 not specified
Malignant neoplasm of ovary C56 not specified
Malignant neoplasm of kidney except renal pelvis C64 not specified
Malignant neoplasm of adrenal gland C74.1 not specified
Secondary and unspecified malignant neoplasm of lymph nodes - Secondary and unspecified malignant neoplasm of axilla and upper limb lymph nodes C77.3 not specified
Secondary and unspecified malignant neoplasm of lymph nodes - Secondary and unspecified malignant neoplasm of inguinal and lower limb lymph nodes C77.4 not specified
Secondary malignant neoplasm of respiratory and digestive organs - Secondary malignant neoplasm of small intestine C78.4 not specified
Secondary malignant neoplasm of respiratory and digestive organs - Secondary malignant neoplasm of large intestine and rectum C78.5 not specified
Spread metastasis of cancer in otherwise unspecified areas of the body C79.88 not specified
Malignant neoplasm without specification of site - Disseminated malignant neoplasm unspecified C80.0 not specified
Hodgkin lymphoma C81.1 not specified
Follicular lymphoma C82.1 not specified
Non-follicular lymphoma C83.3 not specified
Carcinoma in situ of skin - Carcinoma in situ of skin of trunk D04.5 not specified
Carcinoma in situ of cervix uteri - Carcinoma in situ of endocervix D06.0 not specified
Benign neoplasm of colon rectum anus and anal canal - Benign neoplasm of transverse colon D12.3 not specified
Benign neoplasm of colon rectum anus and anal canal - Benign neoplasm of anus and anal canal D12.9 not specified
Haemangioma and lymphangioma any site D18.04 not specified
Other benign neoplasms of connective and other soft tissue D21.2 not specified
Other benign neoplasms of connective and other soft tissue - Benign neoplasm of connective and other soft tissue of thorax D21.3 not specified
Other benign neoplasms of skin D23.7 not specified
Leiomyoma of uterus - Leiomyoma of uterus unspecified D25.9 not specified
Benign neoplasm of thyroid gland D34 not specified
Benign neoplasm of other and unspecified endocrine glands D35.0 not specified
Benign neoplasm of other and unspecified endocrine glands - Benign neoplasm of parathyroid gland D35.1 not specified
Benign neoplasm of other and unspecified sites D36.1 not specified
Neoplasm of uncertain or unknown behaviour of oral cavity and digestive organs - Neoplasm of uncertain behavior of colon D37.4 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 trachea bronchus and lung D38.1 not specified
Neoplasm of uncertain or unknown behaviour of other and unspecified sites - Neoplasm of uncertain behavior of peritoneum D48.4 not specified
Iron deficiency anaemia - Other iron deficiency anemias D50.8 not specified
Other coagulation defects D68.33 not specified
Diseases of spleen - Abscess of spleen D73.3 not specified
Diseases of spleen - Cyst of spleen D73.4 not specified
Other nontoxic goitre - Nontoxic diffuse goiter E04.0 not specified
Thyroiditis - Autoimmune thyroiditis E06.3 not specified
Hyperparathyroidism and other disorders of parathyroid gland - Primary hyperparathyroidism E21.0 not specified
Other disorders of fluid electrolyte and acid-base balance - Hypo-osmolality and hyponatremia E87.1 not specified
Recurrent depressive disorder - Major depressive disorder recurrent severe with psychotic symptoms F33.3 not specified
Atrial fibrillation and flutter - Paroxysmal atrial fibrillation I48.0 not specified
Left ventricular failure unspecified I50.12 not specified
Left ventricular failure unspecified I50.13 not specified
Other sac aneurysm or fissures of the layers of a blood vessel wall or a heart chamber - Aneurysm of other specified arteries I72.8 not specified
Phlebitis and thrombophlebitis of other sites I80.81 not specified
Portal vein thrombosis I81 not specified
Other noninfective disorders of lymphatic vessels and lymph nodes - Other specified noninfective disorders of lymphatic vessels and lymph nodes I89.8 not specified
Chronic obstructive pulmonary disease with acute lower respiratory infection J44.09 not specified
Gastro-oesophageal reflux disease - Gastro-esophageal reflux disease with esophagitis K21.0 not specified
Other diseases of oesophagus - Diverticulum of esophagus acquired K22.5 not specified
Gastric ulcer - Chronic or unspecified gastric ulcer with perforation K25.5 not specified
Duodenal ulcer - Acute duodenal ulcer with hemorrhage K26.0 not specified
Duodenal ulcer - Acute duodenal ulcer with both hemorrhage and perforation K26.2 not specified
Gastrojejunal ulcer - Acute gastrojejunal ulcer with perforation K28.1 not specified
Gastritis and duodenitis K29.0 not specified
Gastritis and duodenitis K29.1 not specified
Gastritis and duodenitis K29.8 not specified
Other appendicitis K36 not specified
Other diseases of appendix - Other specified diseases of appendix K38.8 not specified
Inguinal hernia - Unilateral inguinal hernia with gangrene recurrent K40.41 not specified
Femoral hernia - Unilateral femoral hernia with obstruction without gangrene not specified as recurrent K41.30 not specified
Femoral hernia - Unilateral femoral hernia without obstruction or gangrene not specified as recurrent K41.90 not specified
Femoral hernia - Unilateral femoral hernia without obstruction or gangrene recurrent K41.91 not specified
Umbilical hernia - Umbilical hernia with gangrene K42.1 not specified
Ventral hernia - Incisional hernia with gangrene K43.1 not specified
Ventral hernia - Parastomal hernia with obstruction without gangrene K43.3 not specified
Ventral hernia - Parastomal hernia without obstruction or gangrene K43.5 not specified
Other and unspecified ventral hernia with obstruction without gangrene K43.60 not specified
Ventral hernia without obstruction or gangrene K43.98 not specified
Ventral hernia without obstruction or gangrene K43.99 not specified
Diaphragmatic hernia - Diaphragmatic hernia with obstruction without gangrene K44.0 not specified
Crohn disease regional enteritis K50.0 not specified
Crohn disease regional enteritis K50.1 not specified
Ulcerative colitis K51.5 not specified
Ulcerative colitis K51.8 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
Paralytic ileus and intestinal obstruction without hernia - Paralytic ileus K56.0 not specified
Paralytic ileus and intestinal obstruction without hernia - Volvulus K56.2 not specified
Paralytic ileus and intestinal obstruction without hernia - Gallstone ileus K56.3 not specified
Diverticular disease of intestine K57.02 not specified
Diverticular disease of intestine K57.23 not specified
Diverticular disease of intestine - Diverticulosis of large intestine without perforation or abscess without bleeding K57.30 not specified
Diverticular disease of intestine - Diverticulitis of large intestine without perforation or abscess with bleeding K57.33 not specified
Irritable bowel syndrome - Mixed irritable bowel syndrome K58.2 not specified
Other functional intestinal disorders - Outlet dysfunction constipation K59.02 not specified
Other functional intestinal disorders K59.3 not specified
Fissure and fistula of anal and rectal regions - Anal fissure unspecified K60.2 not specified
Fissure and fistula of anal and rectal regions - Anorectal fistula K60.5 not specified
Abscess of anal and rectal regions - Intrasphincteric abscess K61.4 not specified
Other diseases of anus and rectum - Anal polyp K62.0 not specified
Other diseases of anus and rectum - Anal prolapse K62.2 not specified
Other diseases of the anus and rectum - Haemorrhage of the anus and rectum - Haemorrhage of the rectum K62.51 not specified
Other diseases of anus and rectum - Ulcer of anus and rectum K62.6 not specified
Other diseases of anus and rectum K62.8 not specified
Other diseases of intestine - Ulcer of intestine K63.3 not specified
Haemorrhoids and perianal venous thrombosis - Residual hemorrhoidal skin tags K64.4 not specified
Peritonitis unspecified K65.9 not specified
Other disorders of peritoneum - Peritoneal adhesions postprocedural postinfection K66.0 not specified
Other inflammatory liver diseases - Abscess of liver K75.0 not specified
Calculus of gallbladder with chronic cholecystitis with obstruction K80.11 not specified
Calculus of bile duct with cholangitis unspecified with obstruction K80.31 not specified
Calculus of bile duct with cholecystitis unspecified without obstruction K80.40 not specified
Cholecystitis - Acute cholecystitis K81.0 not specified
Cholecystitis - Chronic cholecystitis K81.1 not specified
Other diseases of gallbladder - Hydrops of gallbladder K82.1 not specified
Other diseases of gallbladder - Perforation of gallbladder K82.2 not specified
Other diseases of gallbladder - Fistula of gallbladder K82.3 not specified
Other diseases of gallbladder - Other specified diseases of gallbladder K82.8 not specified
Other diseases of the bile ducts - Cholangitis - Cholangitis unspecified K83.09 not specified
Other diseases of biliary tract - Obstruction of bile duct K83.1 not specified
Acute pancreatitis - Acute pancreatitis without necrosis or infection unspecified K85.90 not specified
Acute pancreatitis - Acute pancreatitis with uninfected necrosis unspecified K85.91 not specified
Other diseases of pancreas - Alcohol-induced chronic pancreatitis K86.0 not specified
Other diseases of pancreas - Other chronic pancreatitis K86.1 not specified
K86.18 not specified
Other diseases of pancreas - Pseudocyst of pancreas K86.3 not specified
Other diseases of the pancreas - Other specified diseases of the pancreas - Exocrine pancreatic insufficiency K86.83 not specified
Other diseases of the pancreas - Other specified diseases of the pancreas - Other specified diseases of the pancreas K86.88 not specified
Postprocedural disorders of digestive system not elsewhere classified - Postsurgical malabsorption not elsewhere classified K91.2 not specified
Postprocedural disorders of digestive system not elsewhere classified K91.88 not specified
Other diseases of digestive system - Hematemesis K92.0 not specified
Other diseases of digestive system - Gastrointestinal hemorrhage unspecified K92.2 not specified
Cutaneous abscess furuncle and carbuncle L02.1 not specified
Acute lymphadenitis - Acute lymphadenitis of lower limb L04.3 not specified
Other local infections of skin and subcutaneous tissue - Local infection of the skin and subcutaneous tissue unspecified L08.9 not specified
Pressure sore decubitus and pressure area L89.24 not specified
Pressure sore decubitus and pressure area L89.34 not specified
Pressure sore decubitus and pressure area L89.36 not specified
Atrophic disorders of skin - Scar conditions and fibrosis of skin L90.5 not specified
Granulomatous disorders of skin and subcutaneous tissue - Foreign body granuloma of the skin and subcutaneous tissue L92.3 not specified
Coxarthrosis arthrosis of hip M16.1 not specified
Acquired deformities of fingers and toes M20.5 not specified
Other inflammatory spondylopathies - Osteomyelitis of vertebra sacral and sacrococcygeal region M46.28 not specified
Other inflammatory spondylopathies - Discitis unspecified lumbar region M46.46 not specified
Other dorsopathies not elsewhere classified - Sacrococcygeal disorders not elsewhere classified M53.3 not specified
Inflammation of the muscles myositis M60.05 not specified
Foreign body granuloma of soft tissue not elsewhere classified other site M60.28 not specified
Inflammation of the muscles myositis M60.85 not specified
Other disorders of muscle - Separation of muscle nontraumatic other site M62.08 not specified
Other disorders of muscle M62.85 not specified
Other bursopathies M71.55 not specified
Pseudosarcomatous fibromatosis M72.48 not specified
Other soft tissue disorders not elsewhere classified M79.88 not specified
Acute tubulo-interstitial nephritis N10 not specified
Acute kidney failure unspecified N17.92 not specified
Acute kidney failure unspecified N17.93 not specified
Cystitis N30.0 not specified
Other disorders of bladder - Vesicointestinal fistula N32.1 not specified
Other disorders of urethra - Urethral fistula N36.0 not specified
Other disorders of urinary system - Urinary tract infection site not specified N39.0 not specified
Other disorders of urinary system - Urge incontinence N39.41 not specified
Inflammatory disorders of other specified male genital organs N49.80 not specified
Other disorders of male genital organs - Vascular disorders of male genital organs N50.1 not specified
Endometriosis - Endometriosis in cutaneous scar N80.6 not specified
Female genital prolapse - Rectocele N81.6 not specified
Fistulae involving female genital tract - Fistula of vagina to large intestine N82.3 not specified
Noninflammatory disorders of ovary fallopian tube and broad ligament N83.2 not specified
Pain and other conditions associated with female genital organs and menstrual cycle - Dysmenorrhea unspecified N94.6 not specified
Other maternal diseases classifiable elsewhere but complicating pregnancy childbirth and the puerperium O99.6 not specified
Other maternal diseases classifiable elsewhere but complicating pregnancy childbirth and the puerperium O99.7 not specified
Faecal incontinence R15 not specified
Other specified symptoms and signs involving the digestive system and abdomen R19.88 not specified
Fever of other and unknown origin R50.88 not specified
Pain not elsewhere classified R52.0 not specified
Syncope and collapse R55 not specified
Enlarged lymph nodes - Localized enlarged lymph nodes R59.0 not specified
Open wound of thorax S21.1 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
Superficial injury of abdomen lower back and pelvis S30.1 not specified
Open wound of abdomen lower back and pelvis S31.1 not specified
Fracture of lumbar spine and pelvis S32.01 not specified
Injury of intra-abdominal organs S36.01 not specified
Injury of intra-abdominal organs S36.02 not specified
Injury of intra-abdominal organs S36.03 not specified
Injury of intra-abdominal organs S36.18 not specified
Injury of intra-abdominal organs S36.49 not specified
Injury of intra-abdominal organs S36.51 not specified
Injury of intra-abdominal organs S36.6 not specified
Other and unspecified injuries of abdomen lower back and pelvis S39.0 not specified
Fracture of femur S72.01 not specified
Fracture of femur S72.43 not specified
Foreign body in alimentary tract T18.4 not specified
Poisoning by drugs primarily affecting the autonomic nervous system T44.7 not specified
Complications of procedures not elsewhere classified T81.3 not specified
Complications of procedures not elsewhere classified T81.4 not specified
Complications of other internal prosthetic devices implants and grafts T85.1 not specified
Complications of other internal prosthetic devices implants and grafts T85.72 not specified
Complications of other internal prosthetic devices implants and grafts T85.74 not specified
Complications of other internal prosthetic devices implants and grafts T85.75 not specified
Adjustment and management of implanted device Z45.80 not specified