The points being made are correct. Clinicians do not speak in ICD-10. CIEL provides clinically-friendly terms which have the correct level of granularity… such as multiple myeloma rather than “Other diseases of blood and blood-forming organs”. CIEL then maps all diagnosis terms to ICD-10-WHO. We have lots of Spanish translations. Your file might have strange encoding (I don’t see the accepts properly in my viewer). But my guess is that they are already there. You can search maternalconceptlab.com to see (search by ICD-10 code or term)