Z61.2Altered pattern of family relationships in childhood
Code usage status
Primary diagnosis
May be used as the primary diagnosis
Apply only when it matches the confirmed diagnosis and the documented clinical record.
Specificity
Complete code in the classification
Use when the diagnosis matches and no exclusion applies.
- Official Vietnamese name
- Mô hình của mối quan hệ gia đình biến đổi trong thời kỳ thơ ấu
- Additional WHO coding guidance
- Arrival of a new person into a family resulting in adverse change in child's relationships. May include new marriage by a parent or birth of a sibling.
Related Z61 codes
Z61
Problems related to negative life events in childhood
Z61.0
Primary diagnosis candidate
Loss of love relationship in childhood
Z61.1
Primary diagnosis candidate
Removal from home in childhood
Z61.3
Primary diagnosis candidate
Events resulting in loss of self-esteem in childhood
Z61.4
Primary diagnosis candidate
Problems related to alleged sexual abuse of child by person within primary support group
Z61.5
Primary diagnosis candidate
Problems related to alleged sexual abuse of child by person outside primary support group
Z61.6
Primary diagnosis candidate
Problems related to alleged physical abuse of child
Z61.7
Primary diagnosis candidate
Personal frightening experience in childhood
Z61.8
Primary diagnosis candidate
Other negative life events in childhood
Z61.9
Primary diagnosis candidate
Negative life event in childhood, unspecified
Clinical record checklist
View coding guide →- Confirm that the code matches the final documented diagnosis.
- Use one primary-diagnosis code and record only relevant additional conditions.
- Review Ministry indicators, inclusions, exclusions and notes.
- Do not infer a diagnosis beyond the clinical record.
2026 regulatory basis
Indicators are taken from columns 24–29 of the classification accompanying Circular 06/2026/TT-BYT, cross-referenced with Decision 1849/QĐ-BYT and Official Dispatch 4059/BYT-BH.
