Level	Code	Description	Rulings	Reference to isic rev. 4	This item includes	This item also includes	This item excludes
1	Q	HUMAN HEALTH AND SOCIAL WORK ACTIVITIES		Q	This section includes the provision of health and social work activities. Activities include a wide range of activities, starting from health care provided by trained medical professionals in hospitals and other facilities, over residential care activities that still involve a degree of health care activities to social work activities without any involvement of health care professionals.
2	86	Human health activities		86	This division includes activities of short- or long-term hospitals, general or specialty medical, surgical, psychiatric and substance abuse hospitals, sanatoria, preventoria, medical nursing homes, asylums, mental hospital institutions, rehabilitation centres, leprosaria and other human health institutions which have accommodation facilities and which engage in providing diagnostic and medical treatment to inpatients with any of a wide variety of medical conditions.	It also includes medical consultation and treatment in the field of general and specialised medicine by general practitioners and medical specialists and surgeons. It includes dental practice activities of a general or specialised nature and orthodontic activities. Additionally, this division includes activities for human health not performed by hospitals or by practicing medical doctors but by paramedical practitioners legally recognised to treat patients.
3	86.1	Hospital activities		861
4	86.10	Hospital activities		8610	This class includes: - short- or long-term hospital activities, i.e. medical, diagnostic and treatment activities, of general hospitals (e.g. community and regional hospitals, hospitals of non-profit organisations, university hospitals, military-base and prison hospitals) and specialised hospitals (e.g. mental health and substance abuse hospitals, hospitals for infectious diseases, maternity hospitals, specialised sanatoriums). The activities are chiefly directed to inpatients, are carried out under the direct supervision of medical doctors and include: • services of medical and paramedical staff • services of laboratory and technical facilities, including radiologic and anaesthesiologic services • emergency room services • provision of operating room services, pharmacy services, food and other hospital services • services of family planning centres providing medical treatment such as sterilisation and termination of pregnancy, with accommodation		This class excludes: - laboratory testing and inspection of all types of materials and products, except medical, see 71.20 - veterinary activities, see 75.00 - health activities for military personnel in the field, see 84.22 - dental practice activities of a general or specialised nature, e.g. dentistry, endodontic and pediatric dentistry; oral pathology, orthodontic activities, see 86.23 - private consultants' services to inpatients, see 86.2 - medical laboratory testing, see 86.90 - ambulance transport activities, see 86.90
3	86.2	Medical and dental practice activities		862	This group includes medical consultation and treatment done by general medical practitioners and medical specialists, including surgeons, dentists etc. These activities can be carried out in private practice, group practices and in hospital outpatient clinics, and in clinics such as those attached to firms, schools, homes for the aged, labour organisations and fraternal organisations, as well as in patients' homes.	This group also includes: - private consultants' services to inpatients
4	86.21	General medical practice activities		8620	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 - paramedical activities such as those of midwives, nurses and physiotherapists, see 86.90
4	86.22	Specialist medical practice activities		8620	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 such as sterilisation and termination of pregnancy, without accommodation	This class excludes: - inpatient hospital activities, see 86.10 - activities of midwives, physiotherapists and other paramedical practitioners, see 86.90
4	86.23	Dental practice activities		8620	This class includes: - dental practice activities of a general or specialised nature, e.g. dentistry, endodontic and pediatric 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 such as dental hygienists, see 86.90
3	86.9	Other human health activities		869
4	86.90	Other human health activities		8690	This class includes: - activities for human health not performed by hospitals or by medical doctors or dentists: • activities of nurses, midwives, physiotherapists or other paramedical practitioners in the field of optometry, hydrotherapy, medical massage, occupational therapy, speech therapy, chiropody, homeopathy, chiropractic, acupuncture etc. These activities may be carried out in health clinics such as those attached to firms, schools, homes for the aged, labour organisations and fraternal organisations and in residential health facilities other than hospitals, as well as in own consulting rooms, patients' homes or elsewhere.	This class also includes: - activities of dental paramedical personnel such as dental therapists, school dental nurses and dental hygienists, who may work remote from, but are periodically supervised by, the dentist - activities of medical laboratories such as: • X-ray laboratories and other diagnostic imaging centres • blood analysis laboratories - activities of blood banks, sperm banks, transplant organ banks etc. - ambulance transport of patients by any mode of transport including airplanes. These services are often provided during a medical emergency.	This class excludes: - production of artificial teeth, denture and prosthetic appliances by dental laboratories, see 32.50 - transfer of patients, with neither equipment for lifesaving nor medical personnel, see divisions 49, 50, 51 - 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 - residential nursing care facilities, see 87.10
2	87	Residential care activities		87	This division includes the provision of residential care combined with either nursing, supervisory or other types of care as required by the residents. Facilities are a significant part of the production process and the care provided is a mix of health and social services with the health services being largely some level of nursing services.
3	87.1	Residential nursing care activities		871
4	87.10	Residential nursing care activities		8710	This class includes: - activities of: • homes for the elderly with nursing care • convalescent homes • rest homes with nursing care • nursing care facilities • nursing homes		This class excludes: - in-home services provided by health care professionals, see division 86 - activities of the homes for the elderly without or with minimal nursing care, see 87.30 - social work activities with accommodation, such as orphanages, children's boarding homes and hostels, temporary homeless shelters, see 87.90
3	87.2	Residential care activities for mental retardation, mental health and substance abuse		872
4	87.20	Residential care activities for mental retardation, mental health and substance abuse		8720	This class includes the provision of residential care (but not licensed hospital care) to people with mental retardation, mental illness, or substance abuse problems. Facilities provide room, board, protective supervision and counselling and some health care. This class includes: - activities of: • facilities for alcoholism or drug addiction treatment • psychiatric convalescent homes • residential group homes for the emotionally disturbed • mental retardation facilities • mental health halfway houses	This class also includes: - provision of residential care and treatment for patients with mental health and substance abuse illnesses	This class excludes: - mental hospitals, see 86.10 - social work activities with accommodation, such as temporary homeless shelters, see 87.90
3	87.3	Residential care activities for the elderly and disabled		873
4	87.30	Residential care activities for the elderly and disabled		8730	This class includes the provision of residential and personal care services for the elderly and disabled who are unable to fully care for themselves and/or who do not desire to live independently. The care typically includes room, board, supervision, and assistance in daily living, such as housekeeping services. In some instances these units provide skilled nursing care for residents in separate on-site facilities. This class includes: - activities of: • assisted-living facilities • continuing care retirement communities • homes for the elderly with minimal nursing care • rest homes without nursing care		This class excludes: - activities of homes for the elderly with nursing care, see 87.10 - social work activities with accommodation where medical treatment or education are not important elements, see 87.90
3	87.9	Other residential care activities		879
4	87.90	Other residential care activities		8790	This class includes the provision of residential and personal care services for persons, except the elderly and disabled, who are unable to fully care for themselves or who do not desire to live independently. This class includes: - activities provided on a round-the-clock basis directed to provide social assistance to children and special categories of persons with some limits on ability for self-care, but where medical treatment or education are not important elements: • orphanages • children's boarding homes and hostels • temporary homeless shelters • institutions that take care of unmarried mothers and their children The activities may be carried out by government offices or private organisations.	This class also includes: - activities of: • halfway group homes for persons with social or personal problems • halfway homes for delinquents and offenders • juvenile correction homes	This class excludes: - funding and administration of compulsory social security programmes, see 84.30 - activities of nursing care facilities, see 87.10 - residential care activities for the elderly or disabled, see 87.30 - adoption activities, see 88.99 - short-term shelter activities for disaster victims, see 88.99
2	88	Social work activities without accommodation		88	This division includes the provision of a variety of social assistance services directly to clients. The activities in this division do not include accommodation services, except on a temporary basis.
3	88.1	Social work activities without accommodation for the elderly and disabled		881
4	88.10	Social work activities without accommodation for the elderly and disabled		8810	This class includes: - social, counselling, welfare, referral and similar services which are aimed at the elderly and disabled 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 of the elderly and disabled • day-care activities for the elderly or for disabled adults • vocational rehabilitation and habilitation activities for disabled persons provided that the education component is limited		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 disabled children, see 88.91
3	88.9	Other social work activities without accommodation		889
4	88.91	Child day-care activities		8890		This class also includes: - activities of day nurseries for pupils, including day-care activities for disabled children
4	88.99	Other social work activities without accommodation n.e.c.		8890	This class includes: - social, counselling, welfare, refugee, referral and similar services which are delivered to individuals and families in their homes or elsewhere and carried out by government offices or by private organisations, disaster relief organisations and national or local self-help organisations and by specialists providing counselling services: • welfare and guidance activities for children and adolescents • adoption activities, activities for the prevention of cruelty to children and others • household budget counselling, marriage and family guidance, credit and debt counselling services • community and neighbourhood activities • activities for disaster victims, refugees, immigrants etc., including temporary or extended shelter for them • vocational rehabilitation and habilitation activities for unemployed persons provided that the education component is limited • eligibility determination in connection with welfare aid, rent supplements or food stamps • day facilities for the homeless and other socially weak groups • charitable activities like fund-raising or other supporting activities aimed at social work		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 87.90