SEQUENCE;CODE;LEVEL;TITLE;GENERAL_NOTES;INCLUDES;ALSO_INCLUDES;EXCLUDES;CASELAW;UNITOFMEASURE
1;"HC.1";1;Curative care;Comprises health care contacts during which the principal intent is to relieve symptoms of illness or injury, to reduce the severity of an illness or injury, or to protect against exacerbation and/or complication of an illness and/or injury that could threaten life or normal function.;;;;;
2;"HC.1.1";2;Inpatient curative care;Comprises of a formal admission into a health care facility for treatment and/or care that is expected to constitute an overnight stay. The principal intent of curative care is to relieve symptoms of illness or injury, to reduce the severity of an illness or injury, or to protect against exacerbation and/or complication of an illness and/or injury that could threaten life or normal function.;;;;;
3;"HC.1.1.1";3;General inpatient curative care;Comprises of a formal admission into a health care facility for treatment and/or care that is expected to constitute an overnight stay with general curative care. General care is often the entry point to the health care system, before referral is made to a specialist when a more complex health condition is found. General care involves the components of the contact for care, such as routine examinations, medical assessments, prescription of pharmaceuticals, routine counselling of patients, dietary regime, injections and vaccination (unless covered under preventive programmes) of all patients.;;;;;
4;"HC.1.1.2";3;Specialised inpatient curative care;Comprises of a formal admission into a health care facility for treatment and/or care that is expected to constitute an overnight stay with specialised curative care. These services relate to curative care involving a higher level of technology, which are expected to be consumed by selected cases of less frequent and more complex health care needs. These services are linked to a deep but narrower set of conditions that require a high technology service, involving more complex diagnostic and treatment procedures. They are frequently performed by providers devoted to a particular condition, disease or class of patients.;;;;;
5;"HC.1.2";2;Day curative care;Comprises of planned medical and paramedical services delivered to patients who have been formally admitted for diagnosis, treatment or other types of health care but with the intention to discharge the patient on the same day. The principal intent of curative care is to relieve symptoms of illness or injury, to reduce the severity of an illness or injury, or to protect against exacerbation and/or complication of an illness and/or injury that could threaten life or normal function.;;;;;
6;"HC.1.2.1";3;General day curative care;Comprises of planned medical and paramedical services delivered to patients who have been formally admitted for diagnosis, treatment or other types of health care but with the intention to discharge the patient on the same day with general curative care. General care is often the entry point to the health care system, before referral is made to a specialist when a more complex health condition is found. General care involves the components of the contact for care, such as routine examinations, medical assessments, prescription of pharmaceuticals, routine counselling of patients, dietary regime, injections and vaccination (unless covered under preventive programmes) of all patients.;;;;;
7;"HC.1.2.2";3;Specialised day curative care;Comprises of planned medical and paramedical services delivered to patients who have been formally admitted for diagnosis, treatment or other types of health care but with the intention to discharge the patient on the same day with specialised curative care. These services are linked to a deep but narrower set of conditions that require a high technology service, involving more complex diagnostic and treatment procedures. They are frequently performed by providers devoted to a particular condition, disease or class of patients.;;;;;
8;"HC.1.3";2;Outpatient curative care;Comprises medical and paramedical services delivered to a patient who is not formally admitted to a facility and does not stay overnight. The principal intent of curative care is to relieve symptoms of illness or injury, to reduce the severity of an illness or injury, or to protect against exacerbation and/or complication of an illness and/or injury that could threaten life or normal function.;;;;;
9;"HC.1.3.1";3;General outpatient curative care;Comprises medical and paramedical services delivered to a patient who is not formally admitted to a facility and does not stay overnight with general curative care. General care is often the entry point to the health care system, before referral is made to a specialist when a more complex health condition is found. General care involves the components of the contact for care, such as routine examinations, medical assessments, prescription of pharmaceuticals, routine counselling of patients, dietary regime, injections and vaccination (unless covered under preventive programmes) of all patients.;;;;;
10;"HC.1.3.2";3;Dental outpatient curative care;Dental outpatient curative care services focus on oral health, including teeth, gum and other related disorders. It includes the whole range of services usually performed in an outpatient setting, such as tooth extraction, the fitting of dental prostheses, and dental implants and orthodontics.;;;;;
11;"HC.1.3.3";3;Specialised outpatient curative care;Comprises medical and paramedical services delivered to a patient who is not formally admitted to a facility and does not stay overnight with specialised care. These services relate to curative care involving a higher level of technology, which are expected to be consumed by selected cases of less frequent and more complex health care needs. These services are linked to a deep but narrower set of conditions that require a high technology service, involving more complex diagnostic and treatment procedures. They are frequently performed by providers devoted to a particular condition, disease or class of patients.;;;;;
12;"HC.1.3.9";3;Other outpatient curative care;Other outpatient curative care consists of outpatient curative care services not included under general (HC.1.3.1), dental (HC.1.3.2), nor specialised outpatient curative care (HC.1.3.3). This e.g. includes physiotherapy, chiropractic, and psychotherapy.;;;;;
13;"HC.1.4";2;Home-based curative care;Comprises medical services that are consumed by patients at their home and involve the provider’s physical presence. The principal intent of curative care is to relieve symptoms of illness or injury, to reduce the severity of an illness or injury, or to protect against exacerbation and/or complication of an illness and/or injury that could threaten life or normal function.;;;;;
14;"HC.2";1;Rehabilitative care;Rehabilitative care stabilise, improve or restore impaired body functions and structures, compensate for the absence or loss of body functions and structures, improve activities and participation, and prevent impairments, medical complications and risks.;;;;;
15;"HC.2.1";2;"Inpatient rehabilitative care ";Comprises of a formal admission into a health care facility for treatment and/or care that is expected to constitute an overnight stay. Rehabilitative care stabilise, improve or restore impaired body functions and structures, compensate for the absence or loss of body functions and structures, improve activities and participation, and prevent impairments, medical complications and risks.;;;;;
16;"HC.2.2";2;Day rehabilitative care;Comprises of planned medical and paramedical services delivered to patients who have been formally admitted for diagnosis, treatment or other types of health care but with the intention to discharge the patient on the same day.  Rehabilitative care stabilise, improve or restore impaired body functions and structures, compensate for the absence or loss of body functions and structures, improve activities and participation, and prevent impairments, medical complications and risks.;;;;;
17;"HC.2.3";2;Outpatient rehabilitative care;Comprises medical and paramedical services delivered to a patient who is not formally admitted to a facility and does not stay overnight. Rehabilitative care stabilise, improve or restore impaired body functions and structures, compensate for the absence or loss of body functions and structures, improve activities and participation, and prevent impairments, medical complications and risks.;;;;;
18;"HC.2.4";2;"Home-based rehabilitative care ";Comprises medical services that are consumed by patients at their home and involve the provider’s physical presence. Rehabilitative care stabilise, improve or restore impaired body functions and structures, compensate for the absence or loss of body functions and structures, improve activities and participation, and prevent impairments, medical complications and risks.;;;;;
19;"HC.3";1;Long-term care (health);Long-term care (health) consists of a range of medical and personal care services that are consumed with the primary goal of alleviating pain and suffering and reducing or managing the deterioration in health status in patients with a degree of long-term dependency.;;;;;
20;"HC.3.1";2;Inpatient long-term care (health);Comprises comprises long-term care (health) services provided in a health care facility (hospital, nursing home) and requiring an overnight stay with medical supervision. The package of services covers nursing and/or personal care, usually provided together, along with a range of other components such as accommodation and support services.;;;;;
21;"HC.3.2";2;"Day long-term care (health) ";Comprises planned long-term care (health) services in a health care facility but without an overnight stay. Services may be provided in a hospital or nursing home or in a dedicated or stand-alone day centre facility.;;;;;
22;"HC.3.3";2;Outpatient long-term care (health);Comprises services that have the purpose of managing damaged health conditions and the associated clinical difficulties. Dependent patients with a chronic condition may require periodic verification of medication doses and of the evolution of their condition, and advice on how to handle symptoms that emerge as the disease evolves. These services may refer to regular outpatient visits or to the increasing provision of remote monitoring services for LTC patients.;;;;;
23;"HC.3.4";2;Home-based long-term care (health);Comprises services provided to persons within their own home, or in residential settings such as adapted housing that can be considered as their home, rather than in an “institution”. Such residential facilities include community-based settings, such as adapted housing, which provide an individual housing environment in combination with certain services, such as health protection and surveillance, often for elderly people who are becoming more dependent. It can involve specialised health care at home and services to support informal (family or community) care.;;;;;
24;"HC.4";1;Ancillary services (non-specified by function);Ancillary services (non-specified by function) includes the health care or long-term care services, non-specified by function and non-specified by mode of provision, which the patient consumes directly, in particular during an independent contact with the health system, and that are not integral part of a care service package.;;;;;
25;"HC.4.1";2;Laboratory services;Comprises a variety of tests of clinical specimens aimed at obtaining information about the health of a patient.;;;;;
26;"HC.4.2";2;Imaging services;Comprises a variety of services that employ imaging technology, such as X-rays and radiation for the diagnosis and monitoring of patients.;;;;;
27;"HC.4.3";2;Patient transportation;Comprises the transportation of patients to a health care facility on medical recommendation or as a necessary inter-facility transfer to complement a package of health care services.;;;;;
28;"HC.5";1;Medical goods (non-specified by function);Medical goods (non-specified by function) comprises pharmaceutical products and non-durable medical goods intended for use in the diagnosis, cure, mitigation or treatment of disease, including prescribed medicine and over-the-counter drugs, as well as therapeutic appliances and other medical durable goods, such as glasses, hearing aids, other orthopaedic appliances, prosthetics and other medical-technical devices, where the function and the mode of provision are not specified.;;;;;
29;"HC.5.1";2;Pharmaceuticals and other medical non-durable goods;Comprises pharmaceutical products and non-durable medical goods intended for use in the diagnosis, cure, mitigation or treatment of disease. This includes medicinal preparations, branded and generic medicines, drugs, patent medicines, serums and vaccines, and oral contraceptives. Fluids required for dialysis, as well as gases used in health care, such as oxygen, should also be included when the patient or relatives purchase them directly.;;;;;
30;"HC 5.1.1";3;Prescribed medicines;Prescribed medicines comprises all pharmaceuticals, including branded and generic pharmaceutical products, which are provided in response to a prescription issued by a licensed medical practitioner or pharmacist.;;;;;
31;"HC 5.1.2";3;Over-the-counter medicines;Over-the-counter medicines comprises all pharmaceuticals, including branded and generic pharmaceutical products which may or may not be available without prescription but have been purchased independently. Inclusions on this category should be linked to the health purpose.;;;;;
32;"HC 5.1.3";3;Other medical non-durable goods;Other medical non-durable goods includes adhesive and non-adhesive bandages, hypodermic syringes, first-aid kits, hot-water bottles and ice bags, medical hosiery items such as elastic stockings and knee supports, condoms and other mechanical contraceptive devices. This sub-category also includes medical non-durable goods that have been prescribed by a licensed medical practitioner.;;;;;
33;"HC.5.2";2;Therapeutic appliances and other medical goods;Therapeutic appliances and other medical goods comprises medical durable goods, such as glasses, hearing aids, other orthopaedic appliances, prosthetics and other medical-technical devices, where the function and the mode of provision are not specified.;;;;;
34;"HC.5.2.1";3;Glasses and other vision products;;;;;;
35;"HC.5.2.2";3;Hearing aids;;;;;;
36;"HC.5.2.3";3;Other orthopaedic appliances and prosthetics (excluding glasses and hearing aids);;;;;;
37;"HC.5.2.9";3;All other medical durables, including medical technical devices;;;;;;
38;"HC.6";1;Preventive care;Preventive care is any measure that aims to avoid or reduce the number or the severity of injuries and diseases, their sequelae and complications. Prevention is based on a health promotion strategy that involves a process to enable people to improve their health through the control over some of its immediate determinants. This includes a wide range of expected outcomes, which are covered through a diversity of interventions.;;;;;
39;"HC.6.1";2;Information, education and counseling programmes;"Information, education and counselling programmes can be related to risk avoidance strategies, self-protection, medication adherence, self-management guidelines for diseases, pre-operative education, or discharge plans. They can also be related to self-applied tests to monitor health conditions, orienting individuals on how to stay well if the results are negative, and orienting and referring them for follow-up, if positive. Examples include information about the health consequences of smoking, diet, physical activity or salt consumption; special warnings to pregnant women about drug abuse and alcohol consumption; information on risk protection effectiveness through the use of crash helmets and seat belts; and information on vaccination or screening programmes.";;;;;
40;"HC.6.2";2;Immunisation programmes;In order to prevent the development of a disease, before or after exposure, through the use of pharmaceutical products, such as vaccines. This is primary prevention. It can involve consumption by specific individuals in a campaign or in continued programme operations. Examples include immunisation for diphtheria, hepatitis, herpes zoster, HPV, influenza, measles, meningococcal infections, mumps, pertussis (whooping cough), pneumococcal infections, polio, rabies, rubella, tetanus, varicella (chicken pox) and yellow fever. The expenditure involved in the consultation, both for the time and skills of the personnel and the purchase of the vaccine itself, is accounted for.;;;;;
41;"HC.6.3";2;Early disease detection programmes;"This item concerns the active search for a disease early in its course, before symptoms appear, within the risk groups, as organised programme activities. This can involve screening, diagnostic tests and medical examinations. These are directed to specific diseases, such as breast cancer, cervical cancer, colon rectal cancer, diabetes, HIV/AIDS, malaria, tuberculosis, prostate cancer and so on. According to the criteria set for prevention, it would involve only early disease detection before a diagnosis is made.

According to the boundaries of health care, a self-examination performed without a transaction involved would not be accounted for. Self-examination can generate expenditure when it involves the purchase of tests to be self-performed, e.g. levels of sugar in blood or urine, which are to be reported as HC.5. Control and follow-up exams after diagnosis should be considered as part of curative care (HC.1).";;;;;
42;"HC.6.4";2;Healthy condition monitoring programmes;This item concerns the active monitoring of healthy conditions and is not focused on specific diseases. These can target specific conditions such as pregnancy (antenatal and postnatal care) or specific age groups such as children (e.g. child growth and development) or ageing groups, or specific health domains, such as dental and general health check-ups.;;;;;
43;"HC.6.5";2;Epidemiological surveillance and risk and disease control programmes;This class involves technical operations to manage knowledge and resources with a preventive and control focus. This is done through the planning, monitoring and evaluation of interventions. The generic content includes: conducting surveillance of outbreaks and patterns of communicable and non-communicable diseases and of injuries and exposure to environmental agents harmful to health, as well as investigating appropriate responses.;Waste water monitoring;;;;
44;"HC.6.6";2;Preparing for disaster and emergency response programmes;Includes preparations for an appropriate response in case of humanitarian emergencies, whether of human or natural origin. The aim is to protect health and to reduce mortality and morbidity due to health hazards through in particular field epidemiology as well as training in technical standards. This would involve e.g. the capacity to acquire or expand resources very quickly, and preparations for changing the handling and referencing of patients, such as patient triage and restructuring coverage in line with the nature of the emergency.;;;;;
45;"HC.7";1;Governance, and health system and financing administration;"These services focus on the health system rather than direct health care, and are considered to be collective, as they are not allocated to specific individuals but benefit all health system users. They direct and support health system functioning. These services
are expected to maintain and increase the effectiveness and efficiency of the health system and may enhance its equity. These expenditures are incurred mostly but not exclusively by governments.";;;;;
46;"HC.7.1";2;Governance and Health system administration;Governance has been defined as “the careful and responsible management of the well-being of the population” and comprises three broad tasks: providing vision and direction, collecting and using intelligence and exerting influence through regulation and other means. It includes planning, policy formulation and information intelligence for the entire health system, while administration involves a management focus, including to design regulatory measures, to generate incentives, and to control organisations and resources in the system.;;;Excludes any overhead expenses connected with the administration or functioning of health providers, including hospitals or other providers, which are to be included in the expenditures by service consumed (HC.1-HC.6). For example, if a group of public or private hospitals has a central unit that provides certain common services, such as purchasing, laboratories, ambulances, or other facilities, the value of these common services would be taken into account as part of the value of those individual services.;;
47;"HC.7.2";2;Administration of health financing;"Administration of health financing contains the management of the collection of funds and the administration, monitoring and evaluation of such resources. Among the specific services linked to resource mobilisation are the identification of members of the schemes; their enrolment; the billing and collection of contributions; and the management of exemptions.";;;The administrative costs of the health providers and the health care goods and services they provide. Also excluded are the opportunity costs of paperwork for consumers and the associated general revenue tax collection.;;
48;"HC.9";1;Other health care services not elsewhere classified (n.e.c.);This item includes any other health care services not classified in HC.1 to HC.7.;;;;;