Z61Problems related to negative life events in childhood
Code usage status
Primary diagnosis
Select a more specific code
Apply only when it matches the confirmed diagnosis and the documented clinical record.
Specificity
Do not use Z61 directly
Use the most specific code supported by the record.
- Official Vietnamese name
- Vấn đề liên quan đến sự kiện tiêu cực trong cuộc sống thời thơ ấu
- Additional WHO coding guidance
- Excl.: maltreatment syndromes (T74.-)
Related Z61 codes
Z61.0
Primary diagnosis candidate
Loss of love relationship in childhood
Z61.1
Primary diagnosis candidate
Removal from home in childhood
Z61.2
Primary diagnosis candidate
Altered pattern of family relationships 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.
