Klinik für Innere Medizin

Illnesses according to ICD

Service ICD number Number of cases Info
Volume depletion E86 116
Essential primary hypertension I10.01 80
Left ventricular failure unspecified I50.14 78
Pneumonia organism unspecified - Pneumonia unspecified organism J18.9 70
Acute bronchitis - Acute bronchitis unspecified J20.9 64
Hypertensive heart disease without heart failure I11.91 60
Diarrhoea and gastroenteritis of presumed infectious origin A09.9 52
Syncope and collapse R55 52
Chronic obstructive pulmonary disease with acute exacerbation J44.19 51
Left ventricular failure unspecified I50.13 49
Other disorders of urinary system - Urinary tract infection site not specified N39.0 49
Dizziness and giddiness R42 45
Pain in throat and chest R07.3 44
Gastritis and duodenitis K29.1 41
Mental and behavioural disorders due to use of alcohol F10.0 36
Iron deficiency anaemia - Other iron deficiency anemias D50.8 29
Type 2 diabetes mellitus not insulin dependent from the start E11.61 21
Atrial fibrillation and flutter - Paroxysmal atrial fibrillation I48.0 20
Bacterial infection of unspecified site - Other bacterial infections of unspecified site A49.8 18
Atrial fibrillation and flutter I48.9 18
Pneumonia organism unspecified - Bronchopneumonia unspecified organism J18.0 18
Other disorders of fluid electrolyte and acid-base balance - Hypo-osmolality and hyponatremia E87.1 17
Erysipelas A46 16
Type 2 diabetes mellitus without complications E11.91 16
I21.48 16
Other and unspecified infectious diseases B99 15
Pulmonary embolism I26.9 15
Heart failure I50.01 15
Chronic obstructive pulmonary disease with acute lower respiratory infection J44.09 15
Alcoholic liver disease K70.3 13
Pneumonia organism unspecified - Lobar pneumonia unspecified organism J18.1 12
Pneumonitis due to solids and liquids - Pneumonitis due to inhalation of food and vomit J69.0 12
Gastro-oesophageal reflux disease - Gastro-esophageal reflux disease with esophagitis K21.0 12
Other noninfective gastroenteritis and colitis K52.8 12
Adverse effects not elsewhere classified T78.3 12
Acute bronchitis - Acute bronchitis due to other specified organisms J20.8 11
Respiratory conditions due to inhalation of chemicals gases fumes and vapours - Other acute and subacute respiratory conditions due to chemicals gases fumes and vapors J68.3 11
Other anaemias - Anemia unspecified D64.9 10
Other diseases of digestive system - Gastrointestinal hemorrhage unspecified K92.2 10
Acute kidney failure unspecified N17.93 10
Adverse effects not elsewhere classified T78.4 10
Viral and other specified intestinal infections A08.1 9
Acute posthaemorrhagic anaemia D62 9
Pain in throat and chest R07.4 9
Other septicaemia - Sepsis unspecified organism A41.9 8
Influenza due to other identified influenza virus with other respiratory manifestations J10.1 8
Gastritis and duodenitis K29.0 8
Viral and other specified intestinal infections - Rotaviral enteritis A08.0 7
Malignant neoplasm of bronchus and lung C34.8 7
Unstable angina I20.0 7
Pneumonia organism unspecified - Hypostatic pneumonia unspecified organism J18.2 7
Gastric ulcer - Acute gastric ulcer with hemorrhage K25.0 7
Nausea and vomiting R11 7
Other septicaemia - Sepsis due to Escherichia coli E. coli A41.51 6
Type 2 diabetes mellitus not insulin dependent from the start E11.73 6
Hypertensive heart disease with heart failure I11.01 6
Paralytic ileus and intestinal obstruction without hernia K56.4 6
Other diseases of intestine - Polyp of colon K63.5 6
Abdominal and pelvic pain R10.1 6
Ascites R18 6
Other bacterial intestinal infections A04.70 5
Sleep disorders - Primary central sleep apnea G47.31 5
Other forms of angina pectoris I20.8 5
Angina pectoris unspecified I20.9 5
Atrioventricular and left bundle-branch block - Atrioventricular block complete I44.2 5
Viral pneumonia not elsewhere classified J12.8 5
Bacterial pneumonia not elsewhere classified - Pneumonia due to Mycoplasma pneumoniae J15.7 5
Unspecified acute lower respiratory infection J22 5
Ulcerative colitis K51.9 5
Diverticular disease of intestine - Diverticulitis of large intestine without perforation or abscess without bleeding K57.32 5
Fibrosis and cirrhosis of liver K74.6 5
Calculus of bile duct without cholangitis or cholecystitis with obstruction K80.51 5
Acute pancreatitis - Biliary acute pancreatitis without necrosis or infection K85.10 5
Other bacterial intestinal infections - Campylobacter enteritis A04.5 4
Drug-induced aplastic anemia D61.10 4
Other anaemias D64.8 4
Other functional intestinal disorders - Outlet dysfunction constipation K59.02 4
Other functional intestinal disorders - Other constipation K59.09 4
Hepatic failure not elsewhere classified K72.0 4
Calculus of bile duct with cholangitis unspecified with obstruction K80.31 4
Acute pancreatitis - Alcohol induced acute pancreatitis without necrosis or infection K85.20 4
Urticaria - Allergic urticaria L50.0 4
Abnormalities of breathing - Hyperventilation R06.4 4
Abdominal and pelvic pain R10.4 4
Other salmonella infections - Salmonella enteritis A02.0 not specified
Other bacterial intestinal infections - Other intestinal Escherichia coli infections A04.4 not specified
Other bacterial intestinal infections - Enterocolitis due to Clostridium difficile recurrent A04.71 not specified
Other bacterial intestinal infections A04.79 not specified
Other bacterial intestinal infections - Other specified bacterial intestinal infections A04.8 not specified
Other bacterial foodborne intoxications not elsewhere classified - Bacterial foodborne intoxication unspecified A05.9 not specified
Diarrhoea and gastroenteritis of presumed infectious origin A09.0 not specified
Whooping coug A37.0 not specified
Streptococcal septicaemia - Sepsis due to Streptococcus pneumoniae A40.3 not specified
Streptococcal septicaemia - Other streptococcal sepsis A40.8 not specified
Other septicaemia A41.0 not specified
Other septicaemia - Sepsis due to other specified staphylococcus A41.1 not specified
Other septicaemia - Sepsis due to Pseudomonas A41.52 not specified
Other septicaemia A41.58 not specified
Other septicaemia A41.8 not specified
Other bacterial diseases not elsewhere classified - Gas gangrene A48.0 not specified
Other bacterial diseases not elsewhere classified - Legionnaires disease A48.1 not specified
Bacterial infection of unspecified site A49.0 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 - Zoster without complications B02.9 not specified
Other acute viral hepatitis - Acute hepatitis E B17.2 not specified
Candidiasis - Pulmonary candidiasis B37.1 not specified
Candidiasis - Candidal sepsis B37.7 not specified
Malignant neoplasm of oesophagus C15.1 not specified
Malignant neoplasm of oesophagus - Malignant neoplasm of overlapping sites of esophagus C15.8 not specified
Malignant neoplasm of stomach - Malignant neoplasm of cardia C16.0 not specified
Malignant neoplasm of stomach - Malignant neoplasm of body of stomach C16.2 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 descending colon C18.6 not specified
Malignant neoplasm of colon - Malignant neoplasm of sigmoid colon C18.7 not specified
Malignant neoplasm of rectosigmoid junction C19 not specified
Malignant neoplasm of rectum C20 not specified
Malignant neoplasm of liver and intrahepatic bile ducts - Intrahepatic bile duct carcinoma C22.1 not specified
Malignant neoplasm of pancreas - Malignant neoplasm of head of pancreas C25.0 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 melanoma of skin C43.7 not specified
Malignant neoplasm of ovary C56 not specified
Malignant neoplasm of prostate C61 not specified
Secondary malignant neoplasm of respiratory and digestive organs C78.0 not specified
Secondary malignant neoplasm of respiratory and digestive organs - Secondary malignant neoplasm of liver and intrahepatic bile duct C78.7 not specified
Benign neoplasm of colon rectum anus and anal canal - Benign neoplasm of ascending colon D12.2 not specified
Neoplasm of uncertain or unknown behaviour of oral cavity and digestive organs - Neoplasm of uncertain behavior of stomach D37.1 not specified
Neoplasm of uncertain or unknown behaviour of oral cavity and digestive organs - Neoplasm of uncertain behavior of liver gallbladder and bile ducts D37.6 not specified
Neoplasm of uncertain or unknown behaviour of oral cavity and digestive organs D37.70 not specified
Myelodysplastic syndromes - Myelodysplastic syndrome unspecified D46.9 not specified
Other neoplasms of uncertain or unknown behaviour of lymphoid haematopoietic and related tissue - Monoclonal gammopathy D47.2 not specified
Iron deficiency anaemia - Iron deficiency anemia secondary to blood loss chronic D50.0 not specified
Vitamin B12 deficiency anaemia - Other vitamin B12 deficiency anemias D51.8 not specified
Vitamin B12 deficiency anaemia - Vitamin B12 deficiency anemia unspecified D51.9 not specified
Folate deficiency anaemia - Folate deficiency anemia unspecified D52.9 not specified
Other aplastic anaemias - Aplastic anemia due to other external agents D61.2 not specified
Other aplastic anaemias - Aplastic anemia unspecified D61.9 not specified
Purpura and other haemorrhagic conditions - Immune thrombocytopenic purpura D69.3 not specified
Diseases of spleen - Infarction of spleen D73.5 not specified
Other hypothyroidism - Hypothyroidism unspecified E03.9 not specified
Thyrotoxicosis hyperthyroidism E05.9 not specified
Diabetes = type 1 diabetes mellitus insulin dependent from the start E10.01 not specified
Type 1 diabetes mellitus with ketoacidosis with coma E10.11 not specified
Diabetes = type 1 diabetes mellitus insulin dependent from the start E10.61 not specified
Diabetes = type 1 diabetes mellitus insulin dependent from the start E10.73 not specified
Diabetes = type 1 diabetes mellitus insulin dependent from the start E10.75 not specified
Type 2 diabetes mellitus with hyperosmolarity with coma E11.01 not specified
Type 2 diabetes mellitus with ketoacidosis with coma E11.11 not specified
Type 2 diabetes mellitus with diabetic mononeuropathy E11.41 not specified
Type 2 diabetes mellitus not insulin dependent from the start E11.75 not specified
Other specified diabetes mellitus - Other specified diabetes mellitus with ketoacidosis with coma E13.11 not specified
Other specified diabetes mellitus - Other specified diabetes mellitus with diabetic mononeuropathy E13.41 not specified
Other specified diabetes mellitus E13.75 not specified
Nutritional marasmus E41 not specified
Unspecified severe protein-energy malnutrition E43 not specified
Amyloidosis - Organ-limited amyloidosis E85.4 not specified
Other disorders of fluid electrolyte and acid-base balance - Hyperkalemia E87.5 not specified
Other disorders of fluid electrolyte and acid-base balance - Hypokalemia E87.6 not specified
Other disorders of fluid electrolyte and acid-base balance - Other disorders of electrolyte and fluid balance not elsewhere classified E87.8 not specified
Delirium not induced by alcohol and other psychoactive substances F05.1 not specified
Mental and behavioural disorders due to use of alcohol F10.2 not specified
Mental and behavioural disorders due to use of alcohol F10.3 not specified
Mental and behavioural disorders due to use of opioids F11.2 not specified
Other anxiety disorders - Panic disorder episodic paroxysmal anxiety F41.0 not specified
Parkinson disease G20.90 not specified
Epilepsy G40.7 not specified
Migraine G43.9 not specified
Sleep disorders - Other sleep apnea G47.39 not specified
Other mononeuropathies - Intercostal neuropathy G58.0 not specified
Disorders of vestibular function H81.0 not specified
Disorders of vestibular function H81.1 not specified
Disorders of vestibular function H81.3 not specified
Essential primary hypertension I10.00 not specified
Hypertensive heart disease without heart failure I11.90 not specified
Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease or end stage renal disease I13.20 not specified
Acute myocardial infarction - ST elevation STEMI myocardial infarction of unspecified site I21.3 not specified
I21.40 not specified
Pulmonary embolism I26.0 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
Nonrheumatic aortic valve disorders - Nonrheumatic aortic valve stenosis with insufficiency I35.2 not specified
Acute myocarditis - Acute myocarditis unspecified I40.9 not specified
Other cardiomyopathies I42.88 not specified
Atrioventricular and left bundle-branch block - Atrioventricular block second degree I44.1 not specified
Other conduction disorders I45.1 not specified
Other conduction disorders - Other specified heart block I45.5 not specified
Other conduction disorders - Conduction disorder unspecified I45.9 not specified
Paroxysmal tachycardia - Supraventricular tachycardia I47.1 not specified
Paroxysmal tachycardia - Ventricular tachycardia I47.2 not specified
Paroxysmal tachycardia - Paroxysmal tachycardia unspecified I47.9 not specified
Atrial fibrillation and flutter I48.1 not specified
Atrial fibrillation and flutter I48.2 not specified
Atrial fibrillation and flutter - Typical atrial flutter I48.3 not specified
Atrial fibrillation and flutter - Atypical atrial flutter I48.4 not specified
Other cardiac arrhythmias I49.4 not specified
Other cardiac arrhythmias - Sick sinus syndrome I49.5 not specified
Other cardiac arrhythmias - Other specified cardiac arrhythmias I49.8 not specified
Atherosclerosis I70.24 not specified
Atherosclerosis - Atherosclerosis of native arteries of other extremities with ulceration I70.25 not specified
Arterial embolism and thrombosis I74.1 not specified
Phlebitis and thrombophlebitis I80.0 not specified
Phlebitis and thrombophlebitis I80.1 not specified
Phlebitis and thrombophlebitis I80.20 not specified
Phlebitis and thrombophlebitis I80.28 not specified
Phlebitis and thrombophlebitis - Phlebitis and thrombophlebitis of unspecified site I80.9 not specified
Portal vein thrombosis I81 not specified
Hypotension - Orthostatic hypotension I95.1 not specified
Hypotension - Hypotension due to drugs I95.2 not specified
Acute pharyngitis - Acute pharyngitis due to other specified organisms J02.8 not specified
Acute tonsillitis J03.9 not specified
Flu through seasonally proven influenza viruses J10.0 not specified
Viral pneumonia not elsewhere classified - Respiratory syncytial virus pneumonia J12.1 not specified
Viral pneumonia not elsewhere classified - Parainfluenza virus pneumonia J12.2 not specified
Pneumonia due to Streptococcus pneumoniae J13 not specified
Pneumonia due to Haemophilus influenzae J14 not specified
Pneumonia organism unspecified - Other pneumonia unspecified organism J18.8 not specified
Acute bronchitis - Acute bronchitis due to Mycoplasma pneumoniae J20.0 not specified
Acute bronchitis - Acute bronchitis due to respiratory syncytial virus J20.5 not specified
Emphysema - Emphysema unspecified J43.9 not specified
Chronic obstructive pulmonary disease with acute exacerbation J44.10 not specified
Chronic obstructive pulmonary disease with acute exacerbation J44.12 not specified
Other chronic obstructive pulmonary disease J44.89 not specified
Respiratory conditions due to other external agents - Drug-induced interstitial lung disorders unspecified J70.4 not specified
Pulmonary oedema J81 not specified
J84.11 not specified
Pyothorax without fistula J86.9 not specified
Pleural effusion not elsewhere classified J90 not specified
Respiratory failure not elsewhere classified - Acute respiratory failure unspecified whether with hypoxia or hypercapnia J96.00 not specified
Respiratory failure not elsewhere classified - Acute respiratory failure with hypoxia J96.01 not specified
Other respiratory disorders - Disorders of diaphragm J98.6 not specified
Other respiratory disorders J98.7 not specified
Other diseases of oesophagus K22.1 not specified
Other diseases of oesophagus - Esophageal obstruction K22.2 not specified
Other diseases of oesophagus - Gastro-esophageal laceration-hemorrhage syndrome K22.6 not specified
Gastric ulcer - Acute gastric ulcer without hemorrhage or perforation K25.3 not specified
Duodenal ulcer - Acute duodenal ulcer with hemorrhage K26.0 not specified
Duodenal ulcer - Acute duodenal ulcer without hemorrhage or perforation K26.3 not specified
Gastritis and duodenitis K29.5 not specified
Gastritis and duodenitis K29.6 not specified
Dyspepsia K30 not specified
Other diseases of stomach and duodenum - Polyp of stomach and duodenum K31.7 not specified
Other diseases of stomach and duodenum - Dieulafoy lesion hemorrhagic of stomach and duodenum K31.82 not specified
Other diseases of stomach and duodenum K31.88 not specified
Diaphragmatic hernia - Diaphragmatic hernia without obstruction or gangrene K44.9 not specified
Crohn disease regional enteritis K50.9 not specified
Ulcerative colitis K51.5 not specified
Other noninfective gastroenteritis and colitis - Toxic gastroenteritis and colitis K52.1 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 K55.22 not specified
Paralytic ileus and intestinal obstruction without hernia K56.6 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
Diverticular disease of intestine - Diverticulitis of large intestine without perforation or abscess with bleeding K57.33 not specified
Irritable bowel syndrome - Other irritable bowel syndrome K58.8 not specified
Fissure and fistula of anal and rectal regions - Acute anal fissure K60.0 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
Alcoholic liver disease - Alcoholic liver failure - Acute and subacute alcoholic liver failure K70.40 not specified
Toxic liver disease - Toxic liver disease with acute hepatitis K71.2 not specified
Other diseases of liver - Hepatorenal syndrome K76.7 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 cholecystitis unspecified with obstruction K80.41 not specified
Cholecystitis - Acute cholecystitis K81.0 not specified
Other diseases of the bile ducts - Cholangitis - Other cholangitis K83.08 not specified
Other diseases of the bile ducts - Cholangitis - Cholangitis unspecified K83.09 not specified
Acute pancreatitis - Biliary acute pancreatitis with uninfected necrosis K85.11 not specified
Acute pancreatitis - Drug induced acute pancreatitis without necrosis or infection K85.30 not specified
Acute pancreatitis - Other acute pancreatitis without necrosis or infection K85.80 not specified
Acute pancreatitis - Acute pancreatitis without necrosis or infection unspecified K85.90 not specified
K86.18 not specified
Other diseases of the pancreas - Other specified diseases of the pancreas - Exocrine pancreatic insufficiency K86.83 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 - Melena K92.1 not specified
Other local infections of skin and subcutaneous tissue - Pyoderma L08.0 not specified
Urticaria - Idiopathic urticaria L50.1 not specified
Rheumatoid arthritis with rheumatoid factor unspecified M05.96 not specified
Gout unspecified M10.97 not specified
Other inflammatory spondylopathies - Discitis unspecified lumbar region M46.46 not specified
Other spondylopathies M48.06 not specified
Other intervertebral disc disorders M51.1 not specified
Other soft tissue disorders not elsewhere classified M79.66 not specified
Acute tubulo-interstitial nephritis N10 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
Acute kidney failure unspecified N17.92 not specified
Acute kidney failure unspecified N17.99 not specified
Chronic renal failure - Chronic kidney disease stage 5 N18.5 not specified
Unspecified renal failure N19 not specified
Unspecified renal colic N23 not specified
Cystitis N30.9 not specified
Orchitis and epididymitis N45.9 not specified
Other congenital malformations of intestine - Other specified congenital malformations of intestine Q43.8 not specified
Abnormalities of heart beat - Tachycardia unspecified R00.0 not specified
Abnormalities of heart beat - Bradycardia unspecified R00.1 not specified
Abnormalities of heart beat - Palpitations R00.2 not specified
Haemorrhage from respiratory passages - Hemoptysis R04.2 not specified
Cough R05 not specified
Abnormalities of breathing R06.0 not specified
Abnormalities of breathing - Hiccough R06.6 not specified
Pain in throat and chest - Chest pain on breathing R07.1 not specified
Other symptoms and signs involving the circulatory and respiratory systems - Pleurisy R09.1 not specified
Other symptoms and signs involving the circulatory and respiratory systems - Respiratory arrest R09.2 not specified
Abdominal and pelvic pain R10.3 not specified
Dysphagia R13.9 not specified
Unspecified jaundice R17.0 not specified
Other symptoms and signs involving the nervous and musculoskeletal systems - Tetany R29.0 not specified
Retention of urine R33 not specified
Fever of other and unknown origin R50.80 not specified
Fever of other and unknown origin R50.88 not specified
Pain not elsewhere classified R52.0 not specified
Symptoms and signs concerning food and fluid intake - Abnormal weight loss R63.4 not specified
Abnormal serum enzyme levels - Abnormal levels of other serum enzymes R74.8 not specified
Abnormal findings on diagnostic imaging of other body structures - Abnormal findings on diagnostic imaging of skull and head not elsewhere classified R93.0 not specified
Intracranial injury S06.0 not specified
Fracture of foot except ankle S92.5 not specified
Foreign body in alimentary tract T18.1 not specified
Poisoning by narcotics and psychodysleptics hallucinogens T40.2 not specified
Poisoning by psychotropic drugs not elsewhere classified T43.5 not specified
Poisoning by agents primarily affecting the cardiovascular system T46.0 not specified
Toxic effect of carbon monoxide T58 not specified
Toxic effect of other gases fumes and vapours T59.7 not specified
Toxic effect of other gases fumes and vapours T59.8 not specified
Toxic effect of contact with venomous animals T63.4 not specified
Effects of other external causes T75.4 not specified
Adverse effects not elsewhere classified T78.1 not specified
Adverse effects not elsewhere classified T78.2 not specified
Certain early complications of trauma not elsewhere classified T79.69 not specified
Complications of procedures not elsewhere classified T81.0 not specified
Complications of cardiac and vascular prosthetic devices implants and grafts T82.6 not specified
Complications of cardiac and vascular prosthetic devices implants and grafts T82.7 not specified
Complications of genitourinary prosthetic devices implants and grafts T83.8 not specified
Complications of other internal prosthetic devices implants and grafts T85.59 not specified
Medical observation and evaluation for suspected diseases and conditions Z03.5 not specified
Medical observation and evaluation for suspected diseases and conditions - Encounter for observation for suspected toxic effect from ingested substance ruled out Z03.6 not specified
Examination and observation for other reasons Z04.8 not specified
Follow-up examination after treatment for conditions other than malignant neoplasms Z09.9 not specified
Fitting and adjustment of other devices Z46.5 not specified