Spanish-only. This is a support document to help in adapting the official Spanish coding guidelines to the controlled use case of coding clinical cases outside a hospital. The complete Spanish coding guidelines are found in the reference sections of this document and here: Diagnostico: http://www.mscbs.gob.es/estadEstudios/estadisticas/normalizacion/CIE10/CIE10ES_2018_norm_MANUAL_CODIF_DIAG_.pdf Procedimiento: http://www.mscbs.gob.es/estadEstudios/estadisticas/normalizacion/CIE10/CIE10ES_2018_norm_MANUAL_CODIFICACION_PROCEDIMIENTOS_EDICION_2018.pdf