Klinik für Dermatologie, Venerologie und Allergologie

Illnesses according to ICD

Service ICD number Number of cases Info
Other malignant neoplasms of skin C44.3 551
Erysipelas A46 281
Other malignant neoplasms of skin C44.4 206
Other special examinations and investigations of persons without complaint or reported diagnosis Z01.5 197
Zoster herpes zoster B02.3 188
Malignant melanoma of skin C43.5 181
Malignant melanoma of skin C43.6 132
Malignant melanoma of skin C43.7 132
C44.59 122
Other malignant neoplasms of skin C44.2 119
Psoriasis vulgaris L40.0 100
Zoster herpes zoster - Zoster without complications B02.9 90
Other malignant neoplasms of skin C44.6 77
Other malignant neoplasms of skin C44.7 77
Atopic dermatitis L20.8 76
Other follicular disorders - Hidradenitis suppurativa L73.2 76
Other medical care - Encounter for desensitization to allergens Z51.6 71
Pemphigoid - Bullous pemphigoid L12.0 60
Malignant melanoma of skin C43.3 50
Failure and rejection of transplanted organs and tissues T86.81 49
Peripheral and cutaneous T-cell lymphomas C84.0 47
Peripheral and cutaneous T-cell lymphomas C84.1 43
Pyoderma gangrenosum L88 43
Other malignant neoplasms of skin C44.1 37
Dermatopolymyositis M33.1 37
Malignant melanoma of skin - Malignant melanoma of scalp and neck C43.4 33
Dermatitis due to substances taken internally - Generalized skin eruption due to drugs and medicaments taken internally L27.0 32
Other malignant neoplasms of skin C44.8 29
Pemphigus - Pemphigus vulgaris L10.0 28
Other dermatitis - Other specified dermatitis L30.8 27
Malignant neoplasm without specification of site - Disseminated malignant neoplasm unspecified C80.0 26
Other malignant neoplasms of skin C44.0 23
Venous insufficiency chronic peripheral I87.21 22
Melanoma in situ D03.3 21
Systemic sclerosis - Progressive systemic sclerosis M34.0 20
Purpura and other haemorrhagic conditions - Allergic purpura D69.0 19
Varicose veins of lower extremities I83.1 18
Varicose veins of lower extremities I83.2 18
Adverse effects not elsewhere classified T78.3 16
Spread metastasis of cancer in otherwise unspecified areas of the body - Secondary malignant neoplasm of skin C79.2 15
Benign lipomatous neoplasm D17.2 15
Other noninfective gastroenteritis and colitis - Toxic gastroenteritis and colitis K52.1 15
Cellulitis L03.11 15
Lichen simplex chronicus and prurigo - Other prurigo L28.2 15
Other disorders of penis N48.8 14
Zoster herpes zoster - Disseminated zoster B02.7 13
Benign lipomatous neoplasm - Benign lipomatous neoplasm of skin and subcutaneous tissue of trunk D17.1 13
Malignant neoplasm of lip - Malignant neoplasm of external lower lip C00.1 12
Neoplasm of uncertain or unknown behaviour of other and unspecified sites - Neoplasm of uncertain behavior of connective and other soft tissue D48.1 12
Dermatitis due to substances taken internally - Localized skin eruption due to drugs and medicaments taken internally L27.1 12
Zoster herpes zoster B02.2 11
Other psoriasis L40.8 11
Follicular cysts of skin and subcutaneous tissue L72.1 11
Other localized connective tissue disorders - Localized scleroderma morphea L94.0 11
Herpesviral herpes simplex infections - Eczema herpeticum B00.0 10
Scabies B86 10
Malignant melanoma of skin - Malignant melanoma of skin unspecified C43.9 10
Carcinoma in situ of skin D04.3 10
Lichen simplex chronicus and prurigo - Prurigo nodularis L28.1 10
Other dermatitis - Nummular dermatitis L30.0 10
Adverse effects not elsewhere classified T78.1 10
Viral warts B07 9
Other benign neoplasms of skin D23.3 9
Cutaneous abscess furuncle and carbuncle L02.0 9
Pustulosis palmaris et plantaris L40.3 9
Guttate psoriasis L40.4 9
Other disorders of skin and subcutaneous tissue not elsewhere classified L98.4 9
Other disorders of skin and subcutaneous tissue not elsewhere classified - Mucinosis of the skin L98.5 9
Adverse effects not elsewhere classified T78.2 9
Malignant neoplasm of other connective and soft tissue - Malignant neoplasm of connective and soft tissue of head face and neck C49.0 8
Other diseases of anus and rectum K62.8 8
Cutaneous abscess furuncle and carbuncle L02.4 8
Other dermatitis - Infective dermatitis L30.3 8
Lichen planus - Other lichen planus L43.8 8
Melanoma in situ D03.6 7
Other pruritus L29.8 7
Other papulosquamous disorders - Pityriasis rubra pilaris L44.0 7
Urticaria - Other urticaria L50.8 7
Malignant melanoma of skin C43.2 6
Malignant melanoma of skin - Malignant melanoma of overlapping sites of skin C43.8 6
Melanoma in situ D03.7 6
Carcinoma in situ of skin D04.2 6
Carcinoma in situ of skin - Carcinoma in situ of skin of scalp and neck D04.4 6
Varicose veins of lower extremities I83.9 6
Other local infections of skin and subcutaneous tissue - Pyoderma L08.0 6
Other dermatitis - Dyshidrosis pompholyx L30.1 6
Rosacea - Rhinophyma L71.1 6
Zoster herpes zoster - Zoster with other complications B02.8 5
Malignant neoplasm of accessory sinuses - Malignant neoplasm of overlapping sites of accessory sinuses C31.8 5
Carcinoma in situ of skin D04.6 5
Melanocytic naevi D22.3 5
Encephalitis myelitis and encephalomyelitis G04.8 5
Lymphedema not elsewhere classified I89.01 5
Other inflammatory liver diseases - Autoimmune hepatitis K75.4 5
Bacterial rash impetigo L01.0 5
Cellulitis L03.2 5
Pilonidal cyst L05.9 5
Pemphigoid - Cicatricial pemphigoid L12.1 5
Urticaria - Allergic urticaria L50.0 5
Vasculitis limited to skin not elsewhere classified - Livedoid vasculitis L95.0 5
Other systemic involvement of connective tissue - Other specified systemic involvement of connective tissue M35.8 5
Varicella chickenpox - Varicella without complication B01.9 4
Malignant melanoma of skin C43.1 4
C44.50 4
Other malignant neoplasms of skin C44.9 4
Malignant neoplasm of penis - Malignant neoplasm of body of penis C60.2 4
Secondary malignant neoplasm of respiratory and digestive organs - Secondary malignant neoplasm of liver and intrahepatic bile duct C78.7 4
Melanoma in situ D03.5 4
Carcinoma in situ of skin - Carcinoma in situ of skin of trunk D04.5 4
Carcinoma in situ of skin D04.7 4
Benign lipomatous neoplasm - Benign lipomatous neoplasm of skin and subcutaneous tissue of head face and neck D17.0 4
Melanocytic naevi - Melanocytic nevi of trunk D22.5 4
Other benign neoplasms of skin - Other benign neoplasm of skin of scalp and neck D23.4 4
Other histiocytosis syndromes D76.3 4
Lymphedema not elsewhere classified I89.02 4
Cutaneous abscess furuncle and carbuncle L02.2 4
Allergic contact dermatitis L23.8 4
Seborrhoeic keratosis L82 4
Ulcer of lower limb not elsewhere classified L97 4
Complications of procedures not elsewhere classified T81.4 4
Other bacterial intestinal infections A04.70 not specified
Diarrhoea and gastroenteritis of presumed infectious origin A09.9 not specified
Streptococcal septicaemia - Sepsis due to streptococcus group A A40.0 not specified
Streptococcal septicaemia - Other streptococcal sepsis A40.8 not specified
Other septicaemia - Sepsis due to Escherichia coli E. coli A41.51 not specified
Other septicaemia - Sepsis unspecified organism A41.9 not specified
Bacterial infection of unspecified site A49.0 not specified
Bacterial infection of unspecified site - Streptococcal infection unspecified site A49.1 not specified
Early syphilis A51.3 not specified
Late syphilis - Neurosyphilis unspecified A52.3 not specified
Other and unspecified syphilis - Latent syphilis unspecified as early or late A53.0 not specified
Anogenital herpesviral herpes simplex infection A60.0 not specified
Herpesviral herpes simplex infections - Herpesviral vesicular dermatitis B00.1 not specified
Herpesviral herpes simplex infections - Herpesviral gingivostomatitis and pharyngotonsillitis B00.2 not specified
Herpesviral herpes simplex infections B00.5 not specified
Herpesviral herpes simplex infections B00.8 not specified
Herpesviral herpes simplex infections - Herpesviral infection unspecified B00.9 not specified
Varicella chickenpox B01.8 not specified
Other viral infections characterized by skin and mucous membrane lesions not elsewhere classified - Other specified viral infections characterized by skin and mucous membrane lesions B08.8 not specified
Human immunodeficiency virus HIV disease resulting in infectious and parasitic diseases B20 not specified
Dermatophytosis - Tinea barbae and tinea capitis B35.0 not specified
Dermatophytosis - Tinea manuum B35.2 not specified
Dermatophytosis - Other dermatophytoses B35.8 not specified
Candidiasis - Candidal stomatitis B37.0 not specified
Candidiasis - Candidiasis of skin and nail B37.2 not specified
Other and unspecified infectious diseases B99 not specified
Malignant neoplasm of lip - Malignant neoplasm of external upper lip C00.0 not specified
Malignant neoplasm of floor of mouth - Malignant neoplasm of overlapping sites of floor of mouth C04.8 not specified
Kaposi sarcoma - Kaposis sarcoma of skin C46.0 not specified
Malignant neoplasm of other connective and soft tissue C49.1 not specified
Malignant neoplasm of other connective and soft tissue - Malignant neoplasm of connective and soft tissue unspecified C49.9 not specified
Malignant neoplasm of vulva - Malignant neoplasm of vulva unspecified C51.9 not specified
Malignant neoplasm of penis - Malignant neoplasm of prepuce C60.0 not specified
Malignant neoplasm of prostate C61 not specified
Malignant neoplasm of other and unspecified male genital organ - Malignant neoplasm of overlapping sites of male genital organs C63.8 not specified
Malignant neoplasm of eye and adnexa C69.0 not specified
Malignant neoplasm of other and ill-defined sites - Malignant neoplasm of head face and neck C76.0 not specified
Malignant neoplasm of other and ill-defined sites - Malignant neoplasm of pelvis C76.3 not specified
Secondary and unspecified malignant neoplasm of lymph nodes - Secondary and unspecified malignant neoplasm of lymph nodes of head face and neck C77.0 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 C78.0 not specified
Secondary malignant neoplasm of respiratory and digestive organs - Secondary malignant neoplasm of retroperitoneum and peritoneum C78.6 not specified
Spread metastasis of cancer in otherwise unspecified areas of the body C79.3 not specified
Spread metastasis of cancer in otherwise unspecified areas of the body C79.5 not specified
Follicular lymphoma C82.6 not specified
Non-follicular lymphoma C83.0 not specified
Non-follicular lymphoma C83.3 not specified
Other and unspecified malignant neoplasms of lymphoid haematopoietic and related tissue - Unifocal Langerhans-cell histiocytosis C96.6 not specified
Melanoma in situ D03.1 not specified
Melanoma in situ of scalp and neck D03.4 not specified
Carcinoma in situ of other and unspecified genital organs - Carcinoma in situ of penis D07.4 not specified
Carcinoma in situ of other and unspecified genital organs D07.6 not specified
Other benign neoplasms of connective and other soft tissue - Benign neoplasm of connective and other soft tissue of head face and neck D21.0 not specified
Other benign neoplasms of connective and other soft tissue D21.1 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 pelvis D21.5 not specified
Melanocytic naevi - Melanocytic nevi of scalp and neck D22.4 not specified
Melanocytic naevi D22.6 not specified
Other benign neoplasms of skin D23.6 not specified
Other benign neoplasms of skin D23.7 not specified
Benign neoplasm of other and unspecified sites D36.1 not specified
Benign neoplasm of other and unspecified sites - Benign neoplasm of other specified sites D36.7 not specified
Neoplasm of uncertain or unknown behaviour of other and unspecified sites - Neoplasm of uncertain behavior of skin D48.5 not specified
Drug-induced aplastic anemia D61.18 not specified
Other aplastic anaemias D61.8 not specified
Other disorders of white blood cells - Eosinophilia D72.1 not specified
Type 2 diabetes mellitus not insulin dependent from the start E11.72 not specified
Type 2 diabetes mellitus not insulin dependent from the start E11.74 not specified
Type 2 diabetes mellitus not insulin dependent from the start E11.75 not specified
Amyloidosis - Organ-limited amyloidosis E85.4 not specified
Encephalitis myelitis and encephalomyelitis G04.9 not specified
Transient cerebral ischemic attack unspecified G45.99 not specified
Facial nerve disorders - Bells palsy G51.0 not specified
Toxic encephalopathy - Toxic encephalopathy under immunotherapy G92.0 not specified
Hordeolum and chalazion H00.0 not specified
Unstable angina I20.0 not specified
Other cerebrovascular diseases - Cerebral arteritis not elsewhere classified I67.7 not specified
Atherosclerosis I70.24 not specified
Atherosclerosis - Atherosclerosis of native arteries of other extremities with ulceration I70.25 not specified
Aortic aneurysm and dissection - Abdominal aortic aneurysm without rupture I71.4 not specified
Other peripheral vascular diseases I73.0 not specified
Other peripheral vascular diseases - Thromboangiitis obliterans Buergers disease I73.1 not specified
Other peripheral vascular diseases I73.8 not specified
Phlebitis and thrombophlebitis of other sites I80.80 not specified
Varicose veins of lower extremities I83.0 not specified
Other disorders of veins I87.01 not specified
Other noninfective disorders of lymphatic vessels and lymph nodes - Lymphangitis I89.1 not specified
Flu through seasonally proven influenza viruses J10.0 not specified
Viral pneumonia not elsewhere classified J12.8 not specified
Pneumonia organism unspecified - Lobar pneumonia unspecified organism J18.1 not specified
Pneumonia organism unspecified - Other pneumonia unspecified organism J18.8 not specified
Pneumonia organism unspecified - Pneumonia unspecified organism J18.9 not specified
Other disorders of nose and nasal sinuses - Abscess furuncle and carbuncle of nose J34.0 not specified
J67.60 not specified
Cellulitis and abscess of mouth K12.23 not specified
Other diseases of lip and oral mucosa - Diseases of lips K13.0 not specified
Other diseases of oesophagus K22.1 not specified
Ulcerative colitis K51.5 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 K56.4 not specified
Toxic liver disease - Toxic liver disease with hepatitis not elsewhere classified K71.6 not specified
Acute pancreatitis - Drug induced acute pancreatitis without necrosis or infection K85.30 not specified
Impetiginization of other dermatoses L01.1 not specified
Cutaneous abscess furuncle and carbuncle L02.1 not specified
Cutaneous abscess furuncle and carbuncle L02.3 not specified
Cutaneous abscess furuncle and carbuncle L02.9 not specified
Cellulitis L03.10 not specified
Cellulitis L03.3 not specified
Pilonidal cyst L05.0 not specified
Other local infections of skin and subcutaneous tissue L08.8 not specified
Pemphigus - Pemphigus vegetans L10.1 not specified
Pemphigus - Pemphigus foliaceous L10.2 not specified
Pemphigus L10.8 not specified
Pemphigoid - Other pemphigoid L12.8 not specified
Other bullous disorders - Other specified bullous disorders L13.8 not specified
Other bullous disorders - Bullous disorder unspecified L13.9 not specified
Atopic dermatitis - Besniers prurigo L20.0 not specified
Allergic contact dermatitis - Allergic contact dermatitis due to cosmetics L23.2 not specified
Allergic contact dermatitis - Allergic contact dermatitis due to drugs in contact with skin L23.3 not specified
Allergic contact dermatitis - Allergic contact dermatitis unspecified cause L23.9 not specified
Irritant contact dermatitis - Irritant contact dermatitis unspecified cause L24.9 not specified
Unspecified contact dermatitis - Unspecified contact dermatitis due to cosmetics L25.0 not specified
Unspecified contact dermatitis - Unspecified contact dermatitis due to other agents L25.8 not specified
Unspecified contact dermatitis - Unspecified contact dermatitis unspecified cause L25.9 not specified
Dermatitis due to substances taken internally - Dermatitis due to ingested food L27.2 not specified
Other dermatitis - Erythema intertrigo L30.4 not specified
Other dermatitis - Dermatitis unspecified L30.9 not specified
Generalized pustular psoriasis L40.1 not specified
Psoriasis L40.5 not specified
Psoriasis unspecified L40.9 not specified
Pityriasis lichenoides et varioliformis acuta L41.0 not specified
Large plaque parapsoriasis L41.4 not specified
Other parapsoriasis L41.8 not specified
Other papulosquamous disorders - Other specified papulosquamous disorders L44.8 not specified
Urticaria - Urticaria unspecified L50.9 not specified
Erythema multiforme - Nonbullous erythema multiforme L51.0 not specified
Erythema multiforme - Stevens-Johnson syndrome L51.1 not specified
Toxic epidermal necrolysis Lyell L51.20 not specified
Toxic epidermal necrolysis Lyell L51.21 not specified
Erythema multiforme - Other erythema multiforme L51.8 not specified
Erythema multiforme - Erythema multiforme unspecified L51.9 not specified
Erythema nodosum L52 not specified
Other erythematous conditions - Other specified erythematous conditions L53.8 not specified
Other acute skin changes due to ultraviolet radiation - Photocontact dermatitis berloque dermatitis L56.2 not specified
Other acute skin changes due to ultraviolet radiation - Other specified acute skin changes due to ultraviolet radiation L56.8 not specified
Skin changes due to chronic exposure to nonionizing radiation - Actinic keratosis L57.0 not specified
Skin changes due to chronic exposure to nonionizing radiation - Other skin changes due to chronic exposure to nonionizing radiation L57.8 not specified
Chronic radiodermatitis L58.1 not specified
Other disorders of skin and subcutaneous tissue related to radiation - Other specified disorders of the skin and subcutaneous tissue related to radiation L59.8 not specified
Nail disorders - Ingrowing nail L60.0 not specified
Nail disorders - Nail dystrophy L60.3 not specified
Rosacea - Perioral dermatitis L71.0 not specified
Rosacea - Other rosacea L71.8 not specified
Follicular cysts of skin and subcutaneous tissue - Epidermal cyst L72.0 not specified
Other follicular disorders - Acne keloid L73.0 not specified
Apocrine sweat disorders - Other apocrine sweat disorders L75.8 not specified
Other disorders of pigmentation - Other melanin hyperpigmentation L81.4 not specified
Other epidermal thickening - Other specified epidermal thickening L85.8 not specified
Transepidermal elimination disorders - Reactive perforating collagenosis L87.1 not specified
Atrophic disorders of skin - Scar conditions and fibrosis of skin L90.5 not specified
Granulomatous disorders of skin and subcutaneous tissue - Necrobiosis lipoidica not elsewhere classified L92.1 not specified
Granulomatous disorders of skin and subcutaneous tissue - Granulomatous disorder of the skin and subcutaneous tissue unspecified L92.9 not specified
Lupus erythematosus - Discoid lupus erythematosus L93.0 not specified
Other localized connective tissue disorders - Linear scleroderma L94.1 not specified
Other localized connective tissue disorders - Calcinosis cutis L94.2 not specified
Vasculitis limited to skin not elsewhere classified - Other vasculitis limited to the skin L95.8 not specified
Other disorders of skin and subcutaneous tissue not elsewhere classified - Pyogenic granuloma L98.0 not specified
Other disorders of skin and subcutaneous tissue not elsewhere classified - Factitial dermatitis L98.1 not specified
Other disorders of skin and subcutaneous tissue not elsewhere classified - Febrile neutrophilic dermatosis Sweet L98.2 not specified
Other disorders of skin and subcutaneous tissue not elsewhere classified - Other specified disorders of the skin and subcutaneous tissue L98.8 not specified
Polyarteritis nodosa and related conditions - Polyarteritis nodosa M30.0 not specified
Other necrotizing vasculopathies - Hypersensitivity angiitis M31.0 not specified
Other necrotizing vasculopathies - Other specified necrotizing vasculopathies M31.8 not specified
Systemic lupus erythematosus - Drug-induced systemic lupus erythematosus M32.0 not specified
Systemic lupus erythematosus M32.1 not specified
Systemic lupus erythematosus - Other forms of systemic lupus erythematosus M32.8 not specified
Systemic lupus erythematosus - Systemic lupus erythematosus unspecified M32.9 not specified
Dermatopolymyositis M33.2 not specified
Systemic sclerosis - CREST syndrome M34.1 not specified
Systemic sclerosis M34.8 not specified
Systemic sclerosis - Systemic sclerosis unspecified M34.9 not specified
Other systemic involvement of connective tissue - Diffuse eosinophilic fasciitis M35.4 not specified
Other systemic involvement of connective tissue - Systemic involvement of connective tissue unspecified M35.9 not specified
Other myositis multiple sites M60.89 not specified
Synovitis and tenosynovitis M65.84 not specified
Panniculitis unspecified M79.30 not specified
Other soft tissue disorders not elsewhere classified M79.82 not specified
Other soft tissue disorders not elsewhere classified M79.83 not specified
Other soft tissue disorders not elsewhere classified M79.85 not specified
Other soft tissue disorders not elsewhere classified M79.86 not specified
Other soft tissue disorders not elsewhere classified - Other specified soft tissue disorders M79.89 not specified
Soft tissue disorder unspecified M79.97 not specified
Osteoporosis with pathological fracture M80.88 not specified
Other disorders of bone density and structure M85.41 not specified
Inflammation of the bone and bone marrow osteomyelitis M86.67 not specified
Other chronic osteomyelitis multiple sites M86.69 not specified
Inflammation of the bone and bone marrow osteomyelitis M86.87 not specified
Acute tubulo-interstitial nephritis N10 not specified
Obstructive and reflux uropathy N13.3 not specified
Obstructive uropathy and refluxuropathy - Pyonephrosis - Other and unspecified hydronephrosis with infection of the kidney N13.65 not specified
Acute kidney failure unspecified N17.92 not specified
Chronic renal failure - Chronic kidney disease stage 5 N18.5 not specified
Other disorders of urethra - Other specified disorders of urethra N36.8 not specified
Other noninflammatory disorders of vagina - Other specified noninflammatory disorders of vagina N89.8 not specified
Other noninflammatory disorders of vulva and perineum N90.8 not specified
Maternal care for other conditions predominantly related to pregnancy O26.4 not specified
Other maternal diseases classifiable elsewhere but complicating pregnancy childbirth and the puerperium O99.7 not specified
Congenital ichthyosis - Congenital bullous ichthyosiform erythroderma Q80.3 not specified
Other congenital malformations of skin - Other specified congenital malformations of skin Q82.8 not specified
Open wound of abdomen lower back and pelvis S31.1 not specified
Fracture of shoulder and upper arm S42.21 not specified
Superficial injury of lower leg S80.88 not specified
Dislocation sprain and strain of joints and ligaments at ankle and foot level S93.40 not specified
Injury of unspecified body region T14.03 not specified
Injury of unspecified body region T14.1 not specified
Frostbite with tissue necrosis T34.8 not specified
Toxic effect of contact with venomous animals T63.4 not specified
Other effencts of reduced temperature T69.1 not specified
Adverse effects not elsewhere classified T78.0 not specified
Certain early complications of trauma not elsewhere classified T79.3 not specified
Complications of procedures not elsewhere classified T81.0 not specified
Complications of procedures not elsewhere classified T81.8 not specified
Complications of other internal prosthetic devices implants and grafts T85.72 not specified
Other complications of surgical and medical care not elsewhere classified T88.6 not specified
Other complications of surgical and medical care not elsewhere classified T88.7 not specified
Medical observation and evaluation for suspected diseases and conditions Z03.8 not specified
Follow-up examination after treatment for malignant neoplasms Z08.0 not specified