R – HUMAN HEALTH AND SOCIAL WORK ACTIVITIES

This class includes activities for human health, performed by hospitals, legally recognised to treat patients. · This class includes: - short- or long-term provision of medical, diagnostic and treatment services, including physician, nursing and other health services to inpatients and the specialised accommodation services required by inpatients, as provided by general hospitals and specialised hospitals (e.g. community and regional hospitals, hospitals of non-profit organisations, university hospitals, military and prison hospitals) · The activities are chiefly directed to inpatients, are carried out under the direct supervision of medical doctors and include: - activities of medical and paramedical staff - activities of laboratory and technical facilities, including radiologic and anaesthesiologic activities - emergency room activities - provision of operating room services, pharmacy services, food and other hospital services - activities of family planning centres providing medical treatment (e.g. sterilisation, termination of pregnancy), with accommodation · This class also includes: - activities of mental health or psychiatric hospitals, providing diagnostic and medical treatment · This class excludes: - laboratory testing and inspection of all types of materials and products, except medical laboratory testing, see 71.20 - veterinary activities, see 75.00 - health activities for military personnel in the field, see 84.22 - private consultants’ services to inpatients, see 86.2 - dental practice activities of a general or specialised nature (e.g. dentistry, endodontic and paediatric dentistry); oral pathology, orthodontic activities, see 86.23 - diagnostic imaging services and medical laboratory activities, not part of hospital activities, see 86.91 - patient transport by ambulance, see 86.92

This group includes medical consultation and treatment, performed by general medical practitioners and medical specialists (for example, medical doctors, dentists), legally recognised to treat patients. · These activities can be carried out in private practice, group practices, hospital outpatient clinics and in clinics attached to businesses, schools, homes for older persons, labour organisations and fraternal organisations, as well as in patients’ homes. · This group also includes: - private consultants’ services to inpatients

This class includes: - medical consultation and treatment in the field of general medicine carried out by general practitioners · This class excludes: - inpatient hospital activities, see 86.10 - medical specialists’ activities, see 86.22 - nursing and midwifery activities, see 86.94 - physiotherapy activities, see 86.95 - traditional, complementary and alternative medicine activities, see 86.96

This class includes: - medical consultation and treatment in the field of specialised medicine by medical specialists and surgeons · This class also includes: - family planning centres providing medical treatment (e.g. sterilisation, termination of pregnancy), without accommodation - cosmetic surgery activities performed by medical specialists - treatment in outpatient or day clinics (e.g. dialysis, chemotherapy, insulin therapy, respiratory treatment, radiation treatment) - medical analysis and interpretation of diagnostic medical images (x-ray, electrocardiograms, endoscopies, etc.) - activities provided by psychiatrists - activities of vaccination centres (immunisation, inoculation) - activities of thrombosis centres · This class excludes: - inpatient hospital activities, see 86.10 - nursing and midwifery activities, see 86.94 - activities of physiotherapists, see 86.95 - beauty treatment activities not performed by medical specialists (e.g. by cosmetologists), see 96.22

This class includes: - dental practice activities of a general or specialised nature (e.g. dentistry, endodontic and paediatric dentistry); oral pathology - orthodontic activities · This class also includes: - dental activities in operating rooms · This class excludes: - production of artificial teeth, denture and prosthetic appliances by dental laboratories, see 32.50 - inpatient hospital activities, see 86.10 - activities of dental paramedical personnel (e.g. dental hygienists, dental therapists), see 86.99

This group includes medical, curative, rehabilitative or prevention activities (without the provision of accommodation services) by paramedical practitioners and health professionals other than hospitals or practicing medical doctors.

This class includes activities of medical laboratories providing analytic or diagnostic services (without the medical analysis or interpretation itself), including body fluid analysis or genetic testing, directly to outpatients with or without referral from healthcare practitioners, for example: - X-ray laboratories and other diagnostic imaging centres - blood analysis laboratories - DNA sequencing for ruling out or curing a specific disease · This class also includes: - laboratory doping control activities · This class excludes: - non-medical laboratory testing, testing activities in the field of food hygiene, activities of forensic laboratories, see 71.20 - medical analysis and interpretation of diagnostic medical images (X-ray, electrocardiograms, endoscopies, etc.), see 86.22 - activities of genome data centres, blood and organ banks, see 86.99

This class includes ambulance transport of patients by any mode of transport, including airplanes. Ambulance vehicles carry paramedics / medical doctors and are usually equipped with lifesaving equipment. · This class also includes: - specialised transport of patients, accompanied by paramedics - primary care given by a paramedic or a doctor during the patient’s transport by ambulance · This class excludes: - transport of patients in vehicles without paramedical practitioners and equipment for lifesaving, see divisions 49, 50 - transport of patients in airplanes without paramedical practitioners and equipment for lifesaving, see division 51 - transport of blood and body organs/fluids, see 86.99

This class includes: - consultation and treatment activities of psychologists (e.g. clinical psychologists, health psychologists, psychotherapists), except medical doctors · This class also includes: - music therapy activities performed by psychotherapists/psychologists · This class excludes: - activities of psychiatrists, see 86.22

This class includes nursing and midwifery activities not performed by medical doctors, for example: - activities of independent nurses, who work in own consulting rooms or at patients’ homes - activities of maternity facilities, without permanent supervision of medical doctors · This class also includes: - palliative nursing care activities for outpatients · This class excludes: - maternity wards in hospitals, under the direct supervision of medical doctors, see 86.10 - residential nursing care facilities, see 87.10 - homecare services, see 88.10

This class includes therapies provided by independent professionals to improve mobility, restore function or reduce pain. The therapies provided include physiotherapy, and so on. · This class also includes: - activities of medical massage therapists - activities of ergotherapists - activities of occupational therapists · This class excludes: - activities of osteopaths, see 86.96 - activities of chiropractors, see 86.96 - body treatment techniques (e.g. shiatsu, Thai massage, Watsu, tui na qigong), see 86.99 - activities of massage salons for non-medical massage, see 96.23

This class includes the provision of preventive, curative, or rehabilitative healthcare services by health professionals. The health benefits of these services are not based on scientific data for diagnosing and treating diseases and have so far not been fully assessed in ways that can be universally accepted as being evidence-based. · This class includes: - provision of traditional medicine services that comprise a range of long-standing and still-evolving practices, developed within various societies before or during the development of modern medicine (e.g. traditional Chinese therapies such as acupuncture and Chinese herbal medicines, Unani, and traditional African medicines) - provision of complementary therapeutic services (e.g. Alexander therapy, aromatherapy, Bach therapy and other flower therapies, body therapy, Ayurvedic, herbal medicine, naturopathy, nutritional therapy) - provision of alternative therapeutic services (e.g. homeopathy, chiropractic treatments, osteopathy, crystal therapy, iridology, kinesiology, radionics) · This class also includes: - activities of healers - hypnotherapy - reflexology activities - remedial therapists Cesar and Mensendieck - naprapathy · This class excludes: - body treatment techniques (e.g. shiatsu, Thai massage, Watsu, tui na qigong), see 86.99

This class includes the intermediation of medical, dental and other human health services, by bringing clients and service providers together for a fee or commission, without the intermediary providing the medical, dental and other human health services that are intermediated. These intermediation activities can be carried out on digital platforms or through non-digital channels (including face-to-face, door-to-door, telephone, mail, and so on). The fee or commission can be received from either the client or the provider of the medical, dental or other human health service. Revenue for the intermediation activities can include other sources of income (for example, revenues from the sale of advertising space). · This class also includes: - appointment reservations for medical, dental and other human health services · This class excludes: - intermediation service activities for residential care activities, see 87.91

This class includes: - activities for human health n.e.c.: • activities of paramedical practitioners in the field of optometry, hydrotherapy, speech therapy, podiatry/chiropody, etc. · This class also includes: - activities of dental paramedical personnel (e.g. dental therapists, school dental nurses or dental hygienists) who may work remote from – but are periodically supervised by – dentists - activities of blood banks, tissue banks, sperm banks, transplant organ banks, biobanks, genome data centres, etc., including collecting, processing, storage and shipping - operation of bone marrow donor registries - activities of orthoptists - activities of podiatrists - activities of skin therapists - health-related monitoring activities (infant nutrition, child health) - activities of dieticians - prevention health activities and disease detection (cancer, tuberculosis, venereal diseases) - transport of blood and body organs/fluids - shiatsu, Thai massage, Watsu, tui na qigong - animal therapy activities (e.g. hippotherapy) - colonic hydrotherapy - dance and movement therapy - art therapy · This class excludes: - production of artificial teeth, denture and prosthetic appliances by dental laboratories, see 32.50 - non-medical laboratory testing, see 71.20 - testing activities in the field of food hygiene, see 71.20 - hospital activities, see 86.10 - medical and dental practice activities, see 86.2 - diagnostic imaging services and medical laboratory activities, see 86.91 - activities of psychologists (e.g. clinical psychologists, health psychologists, psychotherapists, except medical doctors), see 86.93 - nursing and midwifery activities, see 86.94 - physiotherapy activities, see 86.95 - activities of medical massage therapists, see 86.95 - residential nursing care facilities, see 87.10 - activities of massage salons for non-medical massage, see 96.23

This class includes the provision of residential care, with medical assistance, nursing and rehabilitation treatments. These establishments have a permanent core staff of registered or licensed practical nurses that, along with other staff, provide nursing care in combination with personal care. The medical or nursing care services typically include administering medication, performing medical diagnoses and dressing wounds, and are chiefly provided without the supervision of a medical doctor located on the premises. · This class includes activities of: - homes for older persons with nursing care - convalescent homes, other than mental health and substance abuse facilities - rest homes with nursing care - nursing care facilities - nursing homes/hospices - inpatient care hospices for palliative care · This class excludes: - palliative nursing care for outpatients, see 86.94 - activities of homes for older persons without or with only minimal nursing care, see 87.30 - provision of residential care and assistance services (e.g. orphanages, children’s boarding homes and hostels, temporary homeless shelters), see 87.99

This class includes the provision of residential care (but not licensed hospital care), protective supervision and counselling to persons living with or having a diagnosis of a mental illness, intellectual disability or substance abuse, irrespective of their age. · This class includes activities of: - facilities for the treatment of substance abuse - mental health convalescent homes - residential group homes for the emotionally disturbed - mental health halfway houses - assisted living facilities for persons having a diagnosis of intellectual disability · This class excludes: - mental health hospitals, see 86.10 - provision of residential nursing care and rehabilitative services for individuals other than those living with or having a diagnosis of a mental illness, see 87.10, 87.30 - social work activities with accommodation (e.g. temporary homeless shelters), see 87.99 - non-residential care activities for persons living with or having a diagnosis of a mental illness (e.g. mental healthcare centres), see division 88

This class includes the provision of residential and personal care services for older persons or persons with physical disabilities who are unable to fully care for themselves and/or who choose not to live independently. The care typically includes room, board, supervision and assistance in daily living (for example, housekeeping activities). Nursing care is sometimes provided for residents in separate on-site facilities. · This class includes activities of: - assisted living facilities - continuing care retirement communities - homes for older persons with minimal nursing care - rest homes without nursing care · This class excludes: - residential nursing care activities for older persons, see 87.10 - provision of residential nursing and rehabilitative services for older persons or persons living with or having a diagnosis of a mental illness, see 87.20 - social work activities with accommodation, see 87.99

This class includes the intermediation of residential care activities, by bringing clients and service providers together for a fee or commission, without the intermediary providing the residential care services that are intermediated. These intermediation activities can be carried out on digital platforms or through non-digital channels (including door-to-door, face-to-face, telephone, mail, and so on). The fee or commission can be received from either the client or the provider of the residential care service. Revenue for the intermediation activities can include other sources of income (for example, revenues from the sale of advertising space). · This class excludes: - intermediation service activities for medical, dental and other human health services, see 86.97

This class includes the provision of residential care and assistance services for persons, except older persons and persons with disabilities, who are unable to fully care for themselves or who do not wish to live on their own. · This class includes: - residential and social assistance activities provided on a round-the-clock basis to special categories of persons, but where medical treatment or education are not essential elements: • orphanages • children’s boarding homes and hostels • provision of residential services for homeless persons, refugees, immigrants, etc. • other residential family support activities · The activities are usually carried out by government offices or private organisations. · This class also includes activities of: - halfway houses for groups of persons with social or personal problems - halfway houses for delinquents and offenders - juvenile correction homes · This class excludes: - funding and administration of compulsory social security programmes, see 84.30 - activities of residential nursing care facilities, see 87.10 - provision of residential nursing and rehabilitative services for persons living with or having a diagnosis of a mental illness, see 87.20 - residential care activities for persons having a diagnosis of intellectual disability, see 87.20 - residential care activities for older persons or persons with physical disabilities, see 87.30 - child day-care activities, see 88.91 - adoption service activities, see 88.99

This class includes: - social, counselling, welfare, referral and similar services which are aimed at older persons or persons with disabilities in their homes or elsewhere and carried out by government offices or by private organisations, national or local self-help organisations and by specialists providing counselling services: • visiting older persons and persons with disabilities • day-care activities for older persons or adults with disabilities • home assistance services for older persons or persons with disabilities • vocational rehabilitation and habilitation activities for persons with physical disabilities where the education component is limited · This class also includes: - activities of caregivers (home assistance) - homecare services - home assistance services, such as to carry out domestic tasks, rendered to persons having a diagnosis of temporary medical impairment · This class excludes: - funding and administration of compulsory social security programmes, see 84.30 - activities similar to those described in this class, but including accommodation, see 87.30 - day-care activities for children with disabilities, see 88.91

This class includes: - day-care activities for children provided in private homes or day-care centres - after-school care activities · This class also includes: - day-care activities for children with disabilities