ministry of health & family welfare · 2013. 9. 8. · health informatics standards & data...

Government of the People’s Republic of Bangladesh

Ministry of Health & Family Welfare

1. Geographic location registry;

2. Health organization and personal care provider registry;

3. Sanctioned / approved posts registry assigned to each specific organizations;

4. Health care professional registry;

5. Population health registry;

6. Public health service provision registry;

7. Facility-based health service provision registry;

8. Health academic/training institutions performance registry; and

9. Equipment/ asset registry.

Version 1.0 October 2012

Health Informatics Standards & Data Structure for Bangladesh (Version 1.0) Page-2

Introduction

This document describes the standards and inter-operability procedures of the Bangladesh Health Information Systems Architecture (BHISA) across a multi-stakeholders environment inclusive of Ministry of Health & Family Welfare (MOHFW) with its subsidiary agencies and programs; health-related programs and health data producers of other ministries; NGOs; development partners; and private and personal care providers. The document will use the word “health” interchangeably to mean “health, population, nutrition and all other activities related to broader domain of health”. This is a technical document and is growing in nature. Therefore, there is provision for revisions as and when required to further enrich or refine the ideas and widen the technical guidelines. The eHealth Steering Committee of the MOHFW is the authority to endorse the revisions.

Objectives

This document presents the business requirements of Bangladesh Health Information Systems Registry, a building block for the Bangladesh eHealth Architecture.

Specific objectives

To provide technical guidelines on how the data for:

1. To provide technical guidelines on how the data for geographic boundaries of the country, viz., divisions, districts, upazilas/thanas, unions, wards, villages, mouzas, etc. will be coded, structured and represented in the enterprise database;

2. To provide technical guidelines on how the data for health organizations and personal care providers will be coded, structured and represented across the enterprise systems, and how each organization will be further departmentalized for recording assigned responsibilities, sanctioned/approved posts, human resources, assets, etc. and measuring performance;

3. To provide technical guidelines on how the data for sanctioned/ approved posts in different organizations will be coded, structured and represented;

4. To provide technical guidelines on how the data for staffs, health care providers including personal care providers, trainees and students in health and allied fields will be coded, structured and represented;

5. To provide technical guidelines on how the data elements will be named, coded and structured for collection of individual and population health information with a view to measuring national and sub-national demographic and health situation and coverage of public health service;

6. To provide technical guidelines on how the facility-based health services will be coded, structured and represented to estimate service utilization, disease burden, mortality statistics, performance and productivity;

7. To provide technical guidelines on how the different functions of the academic/training institutions across health sector will be coded, structured and represented to estimate their outputs, performance, productivity and matching with national needs;

8. To provide technical guidelines on how to create an ICT-based online inventory with coding, structuring and representing system of the existing and new equipment and assets across the health systems and how to track them;

9. To provide technical guidelines on how the data from the existing databases particularly from those of MIS, DGHS will be migrated to the above-mentioned ICT platforms;


10. To provide technical guidelines on how the inter-operability and data sharing model between MOHFW and Birth & Death Registration Project of MOLGRD; MOHFW and BBS; MOHFW and NPR; and MOHFW and private providers will be established and operated; and

11. To describe how the responsibility of updating the data will be assigned, followed up and enforced.

Methods

To achieve the specific objectives following registries will be created:

1. Geographic location registry;

2. Health organization and personal care provider registry;

3. Sanctioned / approved posts registry assigned to each specific organizations;

4. Health care professional registry;

5. Population health registry;

6. Public health service provision registry;

7. Facility-based health service provision registry;

8. Health academic/training institutions performance registry; and

9. Equipment/ asset registry.

The coding, structuring and nomenclature system will be maintained by a dedicated cell adequately staffed and operated by the MOHFW. This cell will work as support and reference center for the national health information system. The National eHealth Oversight Body will determine the areas of delegation of authority to the cell. Individual organization may maintain their own databases. However, the data elements set by the National Oversight Body will be an obligation for every organization to follow. Therefore, the individual organizations will require follow the standards set by this document or other guidelines provided by the National eHealth Oversight Body.

Geographic location registry: Bangladesh already have standard codes for geographic locations, officially provided by the Bangladesh Bureau of Statistics (BBS). The codes are known as geocodes. For geographic locations, geocodes supplied by the BBS will be used. The spelling of nomenclatures for divisions, districts, upazilas / thanas, unions / wards, etc. will follow the standards provided by BBS. In case, there is a new geographic location created by MOLGRD; but official geo-coding is yet to be done, the eHealth Steering Committee will provide a temporary geocoding. This temporary coding will be replaced by the official geocoding when it is available;

Health organization & personal care provider registry: Each health organization in the country will be given a unique code number (8-digits numeric sequential unique number automatically generates from the system). The personal care provider will also be treated as a health provision organization and identified in the way described in Table-1 under agency listing. Each organization will be linked with its specific geographic location from data pulled from geographic location registry. Each organization will also be linked with its specific agency code and name as shown in Table-2. All organizations currently part of the existing databases of the MOHFW should be imported to the organization registry, if possible. The organizations may be required to assign new ID number. The new ID number will be communicated to the organization. After the initial load, new facilities will have their unique number automatically generated by the system. Inception date field should accept partial dates in month/year or only year. Inception date must be lower or equal the current date. The core data of health organization registry will be maintained at the central level directly at the health organization registry form of the database. Health organization name, type, user creation will be done at the central level. Other data if not available at the central level will be


filled by the organization itself. The MOHFW must establish a minimum frequency for this registry to be updated (trimester? semester? Or whenever a new facility is created). In addition to that, it will be necessary to define the staff who will be responsible for the data entry and quality control of the registry.

Each organization will also be divided to two sub-ordinate divisions. The organograms of the existing organizations in health care sector have been analyzed, which shows that two sub-ordinate divisions of any organization can successfully manage staff and asset assignments and also simplify complex processes of staffs and inventory management. Therefore, each organization will be divided into two sub-ordinate divisions, viz., first level division (e.g., administration, preclinical division, clinical division, research division, etc.) and second level division (e.g., Office of Director, Office of Deputy Director, Dept. of Anatomy, Dept. of Surgery, etc). In organization, where there is no first level division, the First Level Division field will be filled as “No First Level Division”. Each first level division will be further divided into one or more second level division(s).). In organization, where there is no second level division, the Second Level Division field will be filled as “No Second Level Division”. In organization, where both first and second level divisions are absent, the fields will be filled up by options “No First Level Division” and “No Second Level Division” respectively. Sanctioned posts, staffs and assets will always be assigned to second level division.

Sanctioned / approved posts registry assigned to each specific organizations: Each sanctioned/ approved post across all organizations of health sector is unique and therefore, will be given unique ID number and the profile of the sanctioned/ approved post will be described in appropriate database fields (Table-13). Sanctioned/ approved posts will always be assigned to second level division of an organization. The staff posted/recruited in each organization will be assigned to the sanctioned post either by the placement authority or by the organization where s/he works.

Health care professional registry: There will be one national health care professional registry that will provide health care professional information to all stakeholders. However, individual organization may have their own health care professional registry, subject to, organizations fulfill the national requirement of provision of data for national health care professional registry. Each health care professional will be given a unique identification number (8-digits, numeric, unique and sequential). All individuals including those serving in MOHFW or other ministries, in private or other providers, individual practice or personal care providers, informal healers, etc. will be part of health care professional registry. This registry will be built on incremental basis. The students or trainees in pre-service education in health and allied fields and enrolled in any academic and training institutions approved by MOHFW will be eligible for inclusion in this registry. Each record of professional will have one mandatory unique identifier called HPIN (Health Professional ID Number) and four optional identification number fields, viz., HIN (Health ID Number to be provided by GR database), NID (National ID Number provided by Bangladesh Election Commission); BIN (Birth ID Number provided by Birth & Death Registration Project of MOLGRD) and NPRIN (National Population Register ID Number if available). Besides, all other required fields suggested by Cabinet Division of the Government of Bangladesh as the “Core Citizen’s Data Structure (CCDS)” will be added in individual health care professional record. Some data may be editable by the staff themselves, while some data may be only readable; and still other data may be kept restricted. The MIS, DGHS maintains a database called Personal Data sheets (PDS) and a Human Resource Management (HRM) System. The PDS provides PDS code for each staff. This document proposes that there shall be another field for PDS codes to enable tracking older records of staffs. It is also proposed to import the existing human resource profiles (viz., PDS, HRM, Field Staff Info and other databases, if exist in the new system). For professional categorization, both the Bangladesh system (Class I to IV and Physician, Nurse, Medical technologist, etc.) as well as the World Health Organization prescribed health occupation categorization will be applied. The health care professionals, where applicable will be assigned to specific organizations under appropriate second level division. A separate module will be integrated with this registry to automate human resource management processes for MOHFW.

Population health registry: The MIS of DGHS has collected citizens’ data (~120 million living in rural area) using a “machine readable GR (Geographic Reconnaissance) form”. Data entry process will be outsourced and expected to


be completed in a short period of time. The aim of the GR is to create a citizens’ health registry. Once the records will be available, each individual will have a unique GR number. This document proposes to call the number HIN (Health ID Number). Citizens enrolled for voting in the national election also have a NID number (National ID Number provided by Bangladesh Election Commission). Majority of the citizens should also have a BIN (Birth ID Number provided by Birth & Death Registration Project of MOLGRD). If the planned National Population Register project becomes complete, it will also generate National Population Register ID Number. Therefore, population health registry will have fields for all the different identification numbers, so that records between two or more database systems can be harmonized. In additional to the data element fields of the GR records, each citizen’s record will also accommodate fields suggested in the “Core Citizen’s Data Structure (CCDS) endorsed by the Cabinet Division of the Government of Bangladesh. A citizen’s record will also accommodate fields used in Birth and Death Registration Form used by MOLGRD and Sample Vital Registration Form used by the BBS. Currently, a “Civil Registration and Vital Statistics (CRVS)” assessment and strategic plan development process is ongoing in the country. If this assessment and strategic plan suggest any modification in civil registration and vital statistics related data elements, population registry will also accommodate such modifications. The National eHealth Oversight Body will try to find a collective and concerted efforts of all stakeholders to keep the population registry updated constantly. If such mechanism takes time to happen, the MOHFW will try to utilize its domiciliary health workers (Health Assistants and Family Welfare Assistants) and community clinics staffs (Community Health Care Providers) to update the registry. Dialogue will be started with MOLGRD to include and update records of urban citizens in the population registry. The population registry will link a citizen’s record with his/her residence information (geographic location) and try to assign a linkage to nearest primary government health care facility. The IT experts will determine which database platform will be used for maintaining the population health registry. It can be either DHIS, OpenMRS or a newly created database system. If DHIS is used, the existing DHIS system of DGHS and DMIS will be prepared for adding the citizens’ records. The preparation is nothing but adding geocodes for the geographic locations (divisions, districts, upazilas, unions, wards, etc.) and new organizational codes to allow organizations becoming inter-operable with the enterprise database systems. In the population registry, causes of death data (either determined by qualified medical practitioners or by verbal autopsy) following international classification systems of diseases version 10 (ICD-10) will be used.

Public health service provision registry: Public health service provision registry will track essential public health service delivery, like registering pregnancies, recording antenatal, natal and postnatal cares, child birth histories, immunization profiles, vitamin A capsule distribution, deworming coverage, disease surveillance, water and sanitation situation, and core population based indicators required for measuring results framework and relevant OP-level indicators of the HPNSDP 2011-16 of the MOHFW. Some of the data elements will be covered by the population registry. The public health service provision registry will include those data elements not covered by the population registry. Until the population registry is ready for use, if required, the public health service provision registry may begin with gathering age- and sex-aggregated data to quantify public health service coverage. DHIS, OpenMRS or newly developed database can be used for this registry. This registry will link itself with the geographic locations registry, health organization registry, health care professionals’ registry, population registry and facility-based health service provision registry.

Facility-based health service provision registry: Clinics and hospitals are the places from where facility-based health care is delivered. The MOHFW is now implementing hospital automation projects using OpenMRS. On completion of customization, copy of OpenMRS will be distributed to all clinics and hospitals of Bangladesh (public or private) free of costs. OpenMRS is an open source hospital process automation software having all the software modules for completely automating a clinic or hospital. Linked with several registries like geographic location, health organization, health care professional, population and public health service provision, this registry will allow generation of all kinds of health facility utilization statistics including disease burden, intervention/procedure and


mortality statistics using ICD-10. This registry will also help understanding of the health facilities’ contributions to improving population-based public health indicators.

Health academic/training institutions performance registry: The health academic/ training institutions have multiple ways to measure performance, such as, intakes and passing outs, courses offered, number of classes held, teachers’ participation, students’ class and examination attendance, examination scores, research, study tours, etc. Presentations, lecture notes, educational videos, question papers, dissertations and theses all can create a registry of knowledge resource. The academic/ training institutions performance registry will link with the geographic location registry, health organization registry, health care professional registry, etc.

Equipment and asset registry: At this moment, there is no inventory or equipment /asset registry across the country’s health care systems. To fill up this gap, an online inventory of equipment/assets will be developed. The registry will utilize the equipment or assets classification system used in the online Procurement Portal for MOHFW, under development, by Management Sciences for Health (MSH) and a Table of Equipment prepared by DGHS as the basis for developing this inventory. Each equipment or asset will be given a unique numeric code (HAIN - Health Asset ID Number) and its record will include a profile of the equipment/asset. The equipment/asset will be assigned to second level division of the organization. The registry will have links with geographical location registry and organization registry. The organization itself will enter the equipment /asset information of all existing equipment/asset and new addition in the organization. The organization will also maintain the log of the equipment/ asset through the online system.

Users and roles

The access to the registries will be role-based to be varied by type of users, viz., system administrators, developers, organizations and staffs. View, edit and delete options will be assigned module by module and within each module data element by data element. Users with security passwords will be created by system administrators, who will also assign the user role during user creation.

Migration of data from the existing databases

The MIS of DGHS maintains four databases covering majority of health organizations under MOHFW. These databases are PDS, HRM, Field Staff Info and DHIS 2.9. Data on organizations and human resources from these databases will be migrated in the new database system. Other ministries, agencies within MOHFW and non-state organizations may have their own databases. If these data are available and are technically feasible to import, the same will also be tried to be imported in the new system.

Inclusion of new records

Any new organization, health professional, citizen, or equipment/ asset will be added gradually. To include a new record, it will always be necessary to query in the specific registry to check whether the record already exists in the system. New records in organization and sanctioned/ approved post registry will always be added at the central level. To ease this process, the new user may be given option for submitted an application form with all required entries, which then will be reviewed by any of the system administrators for approval and adding to the registry.

Inter-operability and data sharing model

The National eHealth Oversight Body will determine how the data between MOHFW and Birth & Death Registration Project of MOLGRD; MOHFW and BBS; MOHFW and NPR; and MOHFW and private providers will be shared and how different databases, if applicable and required, will be made inter-operable.

Responsibility of updating the eHealth registries

Each health organization will be individually responsible to update data on their own organization, staffs, services, equipment/asset, if need arises. Some data may be accessible by the health care professionals themselves for


updating. The respective agency, ministry and non-state group will be responsible authority for taking measures for updating their own section of the database. The respective organization, agency, ministry, non-state group will also be responsible for providing training to their own staffs. The National eHealth Oversight Body will issue guidelines for follow-up and enforcement of the data updating requirement.

Development of databases, hosting, maintenance and support

A single enterprise-wide database will be tried to be developed with different required modules. The MOHFW will develop the database/software. The database will be hosted in the data center of the MIS, DGHS. The MOHFW will provide necessary financial support to MIS, DGHS for maintaining, upgrading, disaster-recovery, and bandwidth provision for the data center. A dedicated team will be made available from the MOHFW to maintain and upgrade the system and provide support to the users (organizations and professionals).

Phasing out plan

For practical purposes, all the registries will not be ready at a time. Because works will need lot of initial assessment, background data collection and planning. Therefore, following phasing out will be followed:

1. Geographic location registry

2. Health organization and personal care provider registry

3. Sanctioned / approved posts registry assigned to each specific organizations

4. Health care professional registry

5. Public health service provision registry

6. Equipment/ asset registry

7. Facility-based health service provision registry

8. Population health registry

9. Health academic/training institutions performance registry


Data structure for Organization Registry

Table-1: Organizational Profile

Data element Description Length/ Type Obligation

(R=required; O=Optional)

Answer option Additional information

Basic information

Agency code Unique number given for agency

2 digits, numeric

R Please see Table-2

Agency name Agency name 25 characters

R

Automatically displayed (agency code should be on right side in parenthesis)

Organization code

Unique number 8 digits, numeric

R NA Existing organization number from HRM may be continued

Organization name

Exact name of organization, as officially registered

255 characters; text/ string

R NA

Existing organization name from HRM may be continued (organization code should be on right side in parenthesis)

Financial (revenue) code for govt. organization

Revenue code for govt. organization

Numeric, 4 digits

R NA

Year established

Month/Year or Year organization officially started functioning

Date/ Month Or dropdown

O NA

Organization photo

An image of the organization taken from front that includes signboard of organization

300 pixels X 200 pixels, JPG

O NA

The server will automatically convert the photo to required pixels, size & storage size; Store in separate table/database for quick access

Urban/Rural location of the organization

Urban/Rural location

Located in urban or rural setting

Radio button R

1-Within city corporation area 2-Within Municipality area





3-Rural (neither in city corporation nor in municipality area)

Regional location of the organization

Division Division name Drop down list

R Single selection; Existing divisional list from HRM will be migrated

Separate division table Geocode will be used for ID (division code should be on right side in parenthesis)

District District name Dropdown filtered

R Do

Separate district table (district code should be on right side in parenthesis)

Upazila / Thana

Upazila/ Thana name

Do R Do

Separate upazila/thana table (upazila / thana code should be on right side in parenthesis)

Union Union name Do R Do

Separate union table (union code should be on right side in parenthesis)

Ward Ward No. Dropdown R Select one For rural area, use 9 wards as designated by MOLGRD

Village/Street Village name/ Street No. & name

255 characters, string

R Type the information

House No. House No. or related information

255 characters

R Descriptive texts may also be used to explain location

Longitude Geo-coordinate Degree, Minutes

O

Latitude Geo-coordinate Degree, Minutes

O

Ownership, function, type, organization & health care level,

Ownership Govt. / Non-govt. organization

Radio button R Please see Table-3 Single selection





Organization function(s)

Type of organizational functions

Check box R Please see Table-4 Multiple selection

Organization type

Type of organization

Dropdown R Please see Table-5 Filtered from Ownership & Organizational functions

Organization level

Level of organization

Radio button R Please see Table-6

Health care level

Health care level of the organization

Radio button R

1-Primary 2-Secondary 3-Tertiary 4-Not applicable

Special service/ status of the hospital/ clinic

Some hospitals are designated as Women Friendly, Baby friendly, etc.

Multiple select check box


Mailing address & other contact information

Mailing address

Postal address Text area R NA

Land phone1

Land phone number

Preformatted field

O Show all land phone fields in same line

At least one phone number is a must

Land phone2

Landphone3

Mobile phone1

Mobile Phone number

Do O Show all mobile phone fields in same line

Mobile Phone2

Mobile Phone3

Fax1

Fax No. Do O Show all fax fields in same line

Fax2

Fax3

Email1

Email address Do O Show all email fields in same line

Email2

Email3

Website1 Web site address

Text O Show all web site fields in same line

Website2





Website3

Facebook Facebook address

Do O

Google+ Google+ address

Do O

Twitter Twitter address Do O

YouTube YouTube address

Do O

Land Information

O Please see Table-8

Permission/ Approval/ License information (Tabular) – Tabular date; rows can be added

R Please Table-9

Source of electricity

Main source of electricity

Main source of electricity

Radio button R

10-National Grid 11-Gas Generator 12-Diesel Generator 13-Solar Power 14-Biogas 15-Other, not elsewhere classified 16-No electricity

Is it possible to furnish from single table? Please don’t ignore: 17-No alternate source

Alternate source of electricity

Alternate source of electricity

Radio button R

10-National Grid 11-Gas Generator 12-Diesel Generator 13-Solar Power 14-Biogas 15-Other, not elsewhere classified 17-No alternate source

Source of water supply

Main water supply

Main source of water supply

Radio button R

10-Municipality/ City corporation/ Community piped supply 11-Own piped supply 12-Tube well 13-Protected well 14-Open well 15-Pond 16-River water

Is it possible to furnish from single table? Please don’t ignore: 20-No alternate water supply





17-Rain water 18-Other, not elsewhere classified 19-No water supply

Alternate water supply

Alternate source of water

Radio button R

10- Municipality/ City corporation/ Community piped supply 11-Own piped supply 12-Tube well 13-Protected well 14-Open well 15-Pond 16-River water 17-Rain water 18-Other, not elsewhere classified 20-No alternate water supply

Toilet facility

Toilet type Toilet facility type

Radio button R 1-Sanitary 2-Non-sanitary 3-No toilet facility

Toilet adequacy

Adequacy of toilet

Radio button R

10-Adequate with male & female privacy 11-Adequate with no male & female privacy 12-Inadequate but with male & female privacy 13-Inadequate & no male & female privacy 14-Other, not elsewhere classified 15-No toilet facility

Fuel source

Fuel source Source of fuel Multiple selection check box

R

10-Natural piped national gas 11-CNG gas cylinder 12-Kerosene burner 13-Biogas 14-Wood / bamboo/ other fossil fuel 15-Coal 16-Electric burner





17-Other, not elsewhere classified 18-Not applicable

Laundry system

Laundry Organization’s laundry system

Multiple selection checkbox

R

10-Own mechanized laundry 11-Outsourced laundry service (modern) 12-Outsourced laundry service (not modern) 13-Other, not classified elsewhere 14-Not applicable

Autoclave system

Autoclave Organization’s autoclave system


R

10-Hospital’s centralized autoclave system 11-Small autoclave machine 12-No autoclaving arrangement 13-Other, not elsewhere classified 14-Not applicable

Waste disposal system

Waste disposal Waste disposal system


R

10-Municipality run standard waste disposal 11-Hospital’s own waste management (standard) 12-Hospital’s own waste management (pit) 13-No waste standard management 14-Other, not elsewhere classified 15-Not applicable

Additional Information

Additional information

Additional information which is not covered above

Text area O

Defined functions and sanctioned assets as mentioned in the organogram of the organization





Organizational functions

Functions of organization as described in organogram

Text area O NA

Sanctioned vehicles

Different type of vehicles sanctioned for organization as described in organogram

Text area O NA

Sanctioned office equipment

Different type of office equipment sanctioned for office as described in organogram

Text area O NA

Other miscellaneous issues

Other miscellaneous issues as described in organogram

Text are O

Document upload (Tabular, allows multiple files upload)

O Please see Table-10


Table-2: Agency Codes [Relationship with Organization Code]

Agency code Agency

10 Directly under MOHFW

11 DGHS

12 DGFP

13 DGDA

14 DGHED

15 NIPORT

16 DNS

17 Ministry Home Affairs

18 MOLGRD

19 Ministry of Social Welfare

20 Ministry of Women’s & Children’s Affairs

21 Ministry of Defense

22 Ministry of Railway

23 Ministry of Freedom Fighters

24 Other ministry, not elsewhere classified

25 Non-state: Commercial

26 Non-state: NGO

27 Non-state: Charity

28 Other, not elsewhere classified

Table-3: Ownership of authority [Relationship with Organization Code]

Ownership code Ownership

10 Fully Government-owned

11 Government- Autonomous

12 Government – Semi-autonomous

13 Non-Government (International development agency)

14 Non-Government (NGO)

15 Non-Government (Private commercial)

16 Non-Government (Private charity)

17 Non-Government (Private personal occupational business)

Table-4: Organizational functions [Relationship with Organization Code]

Organizational function code

Organizational function

10 Academic

11 Administrative

12 Training

13 Research

14 Public Health

15 Hospital/Clinic

16 Outpatient Clinic

17 Medical practice/diagnostic

18 Knowledge management (medical library)


Table-5: Organization Type [Relationship with Organization Code]


Organization type code

Organization Type

1001 Medical University

1002 Specialty Postgraduate Institute & Hospital (e.g.

1003 Medical University Hospital

1004 Medical College

1005 Medical College Hospital

1006 Dental College

1007 Dental College Hospital

1008 College of Alternative Medicine

1009 Hospital of Alternative Medicine

1010 Public Health Institution (e.g. NIPSOM/BIHS/IPH)

1011 Public Health Organization (e.g. NGO)

1012 Fellowship/Membership College (e.g.BCPS)

1013 Nursing College/Nursing Institute

1014 Physiotherapy College

1015 Institute of Health Technology

1016 Medical Assistants’ Training School

1017 Institute of Midwifery

1018 Institute of Population Research & Training (e.g.

1019 Specialized Hospital (e.g. Abu Naser Hospital)

1020 Special Purpose Hospital (e.g. Pabna Mental Hospit

1021 Specialized Health Center (e.g. Asthma Center, Bur

1022 General Hospital (not district hospital)

1023 200-250 bed Hospital (not district hospital)

1024 50-bed Hospital




1028 District Hospital

1029 Upazila Health Complex

1030 Upazila Field Service (e.g. to include field work

1031 MCWC

1032 Family Planning Clinic

1033 Infectious Disease Hospital

1034 Chest Hospital

1035 Leprosy Hospital

1036 Trauma Center

1037 Union Health & Family Welfare Center

1038 Union Sub-center

1039 Community Clinic

1040 Urban Dispensary

1041 City Corporation / Municipality Hospital

1042 Urban Primary Health Care Center

1043 Private Hospital / Clinic

1044 NGO Hospital / Clinic

1045 Consultancy & Diagnostic Center

1046 Research organization (e.g., BMRC / BIHPERT, etc.)

1047 Directorate General or Directorate (e.g., DGHS / D

1048 Community Clinic Project Office

1049 Divisional Level Office (e.g. Divisional Director)

1050 District Level Office (e.g. CS, DD-FP, etc.)

1051 Upazila Level Office (e.g., Upazila Health Office


Organization type code

Organization Type

1052 Knowledge Management (e.g., National Library & Do

1053 Private practice

1054 Medicine shop

1055 School Health Clinic

1056 Chest Clinic / TB Clinic

1057 Family welfare visitor training institute

1058 Medical Sub Depot

1059 Port Health Office

1060 Other

Table-6: Organization level [Relationship with Organization Code]

Organizational level code

Organizational level

10 National

11 Divisional

12 Regional

13 District

14 Upazila

15 Union

16 Ward

17 Domiciliary

18 Not applicable

19 Other, not classified elsewhere

Table-7: Special service [Relationship with Organization Code]

Special service code

Special service

10 Women friendly

11 Baby friendly

12 BEOC (Basic Emergency Obstetric Care)

13 CEmOC (Comprehensive Emergency Care)

14 IMCI

15 Demand Side Financing

16 Has diarrhea corner

17 Has breast feeding corner

18 has IMCI corner


Table-8: Land Information (new row can be added) [Relationship with Organization Code]

Sl. No. Land size (in acre)

Mouza name

Geocode of

Mouza JL No.

SS Dag No.

RS Dag No.

Khatian No.

Mutation No.

Other land information

Numeric, auto

Numeric, decimal 2 points

Text, 100 characters

Geo-code from BBS

Text Text Text Tex Text Text area

Table-9: Permission/ Approval Information [Relationship with Organization Code]


Sl. No.

Date of permission/

approval/ License

Permission/ Approval/

License Type (dropdown)


License Authority


License No.

Next renewal Date

Conditions given for

permission/ approval/ license or renewal thereof

Date

11-Line Ministry 12-Line Agency 13-Regulatory body 14-University 15-Trade license 16-Other, not elsewhere classified

Text area Text, 40 characters

Date Text area

Table-10: File upload (multiple files may be uploaded)[Relationship with Organization Code]

Sl. No. Document title File name File type File size Document description

Date uploaded

Auto Text, 255

characters

Automatic from actual file

name

Automatic, icon

Numeric, showing KB, MB, GB, etc.

Text area Date/Time

Table-11: Login table [Relationship with Organization Code]

Data element Description Additional information

Login name Short unique username for organization Format: email address Minimum 3 characters, not allowed to change by organization

Please import existing usernames and passwords from HRM system

Password User can change


Organizational Hierarchies

For medium or large health organization in Bangladesh, the organization is usually divided into first level and second level divisions. These divisions of organizations are needed to assign sanctioned/approved posts, staffs, equipment/assets, beds and academic courses. The assignment is always done to second level divisions.

Figure-1: Schematic diagram of relationship between organization, first level division, second level division,sanctioned posts, equipment, bed, academic course in any organization.

Table-12: Bed assignment

Data element Description Length/

Type

Obligation (R=required; O=Optional)

Answer option Additional

information

Code of organization with which affiliated

Organization code 8 digit, numeric

R NA

Name of organization with which affiliated

Organization name Text R NA

Automatically displayed, when code is given in above field

First level division name Name of first level organization division

Dropdown R Please see Table-14

Second level division name

Name of first level organization division

Dropdown, filtered


No. of sanctioned beds No. of sanctioned beds Numeric, 4-digits

R In case no beds, type “0”

Org

aniz

atio

n First Level Division

Second Level Division

Sanctioned Post_1

Sanctioned Post_2

Equipment_1

Equipment_2

Bed_1

Bed_2

Academic courses

Second Level DivisionFirst Level Division

First Level Division


Table-13: Academic courses offered by the organization [Relationship with Organization Code]

Sl. No. Course type Course

duration (months)

Specific discipline

Sanctioned seats for national students

(Govt.) (No.)

Sanctioned seats for national students (Private)

(No.)

Sanctioned seats for foreign

students (No.)

10-Midwifery 11-Diploma 12-Undergraduate 13-Graduate 14-Masters 15-PhD 16-Post-Doctoral 17-Other, not elsewhere classified

Please see Table-

Numeric, auto

Dropdown Numeric Text Numeric Numeric Numeric


Sanctioned/ approved Post Registry

Table-14: Sanctioned/ Approved Post


Type



information

Sanctioned/ Approved post code

Unique code for each of the sanctioned/ approved post across country health systems

8 digit, numeric

R NA

Code of organization with which affiliated

Organization code 8 digit, numeric

R NA

Name of organization with which affiliated

Organization name Text R NA

Automatically displayed, when code is given in above field

First level division name Name of first level organization division

Dropdown R Please see Table-15


Name of first level organization division

Dropdown, filtered


Class of the sanctioned post

Class of the sanctioned post

Radio button

R

1-Class I 2-Class II 3-Class III 4-Class IV 5-Not applicable 6-Other, not elsewhere classified

Pay scale of the sanctioned post

Pay scale of the post Dropdown R Please see Annex-1

Rank of the sanctioned post

Rank of the post Dropdown R Do

Name of sanctioned post (post name + discipline)

Name of the sanctioned post with discipline, if applicable

Dropdown R Do

Discipline of the sanctioned post

Discipline of post Dropdown R Do



Type



information

Type of the sanctioned post

Type of post Radio button

R

1-Cadre 2-Revenue Permanent 3-Revenue Temporary 4-Development 5-Fixed pay 6-Outsourced 7-Not applicable 8-Other, not elsewhere classified

Bangladesh Professional Category

Professional category used in Bangladesh Health Systems

Radio button

R

1-Physician 2-Nurse 3-Medical Technologist 4-Field staff 5-Support staff 6-Informal healer 7-Other, not elsewhere classified

WHO Major Health Occupation Group

Major Professional Group suggested by WHO

Radio button


WHO-ISCO Occupation Name

Exact name of Occupation as per WHO-ISCO code

Dropdown R

Table-18 (filtered by WHO Health Occupation Group

Year when the post created

Month/ Year or only Year when the post created

Month/ Year; or only Year

O

Recruitment rule for the post

Recruitment rule of the sanctioned post

Text area O

For each post, there is a recruitment rule. Please paste in this field


Table-15: First Level Division Code First level division

code First level division name

1001 Academic Division

1002 Additional Director General (Admin)’s Office

1003 Additional Director General (Planning & Development)’s Office

1004 Administration

1005 Assistant director (admin)'s Office

1006 Assistant director (hospital service)'s Office

1007 Assistant director's Office

1008 Civil Surgeon's Office

1009 Clinical Division

1010 Deputy Civil Surgeon's Office

1011 Deputy Director (admin)'s Office

1012 Deputy Director/Superintendent's Office

1013 Deputy Director's Office

1014 Director (Admin)

1015 Director (CDC)

1016 Director (Dental Education)

1017 Director (Finance)

1018 Director (Medical Education & HMPD)

1019 Director (Planning, Research & Development)

1020 Director (Primary Health Care)

1021 Director cum professor’s Office

1022 Director General’s Office

1023 Director's Office

1024 Disease Control/Program Division

1025 District Electromedical Workshop

1026 District Reserve

1027 Divisional Director (Health)'s Office

1028 Entomology Section

1029 EPI section

1030 Health Education section

1031 Hospital administration section

1032 Hospital Division

1033 Indoor section

1034 Laboratory section

1035 MIS section

1036 Outdoor & Indoor section

1037 Outdoor section

1038 Preclinical Division

1039 Principal's Office

1040 Professor's Office

1041 RMO/Officer In- charge's Office

1042 Sanitary Inspection section

1043 Store section

1044 Superintendent's Office

1045 Support service division

1046 UHFPO's Office

1047 Vice Principal's Office


Table-16: Second level division code and name Second level division code


10001 Accounts

10002 Administration

10003 Anatomy

10004 Anesthesia

10006 Artificial Limb Center

10007 Biochemistry

10008 Blood Bank

10009 Blood Transfusion

10010 Blood Transfusion Medicine

10011 BT

10012 Burn Unit

10013 Cardiac Surgery

10014 Cardiology

10015 Cardiology & CCU

10016 Cardiothoracic surgery

10017 Casualty

10018 Cleaning service

10019 Community Medicine

10020 CSSD

10021 Dentistry

10022 Development

10023 Emergency Medical Service

10024 Emergency Medicine

10025 Endocrine & Metabolic Disorders

10026 Endocrinology

10027 Enforcement of Public Health Act

10028 ENT

10029 Entomology

10030 Food & Kitchen Service

10031 Forensic Medicine

10032 Gastroenterology

10033 Gyne & Obs

10034 Health education

10035 Hematology

10036 Hepatology

10037 Histopathology

10038 Homeo /Unani/ Ayurvedic

10039 Hospital Management

10040 Hostel

10041 Infertility

10042 Laboratory service

10043 Library

10044 Medical Oncology

10045 Medicine

10046 Microbiology

10047 MIS

10048 Neonatology

10049 Nephrology

10050 Neuro-medicine

10051 Neurosurgery

10052 Nuclear Medicine

10053 Nursing


Second level division code


10054 Occupational Therapy

10055 Office

10056 OPD

10057 OPD Cardiology

10058 OPD/Hospital management

10059 Operation Theater

10060 Ophthalmology

10061 Oral & Maxillofacial Surgery

10062 Orthopedic Nursing Training

10063 Orthopedic Surgery

10064 Orthopedics & Traumatology

10065 Pathology

10066 Pediatric Hematology & Oncology

10067 Pediatric Nephrology

10068 Pediatric surgery

10069 Pediatrics

10070 Pharmacology

10071 Pharmacy

10072 Physical medicine

10073 Physiology

10074 Physiotherapy

10075 Plastic & Reconstructive Surgery

10076 Psychiatry

10077 PT & OT Section

10078 Radiation Oncology

10079 Radiology & Imaging

10080 Radiotherapy

10081 Radiotherapy/Oncology

10082 Respiratory Medicine

10083 RMO

10084 Security Service

10085 Skin & VD

10086 Store

10087 Store & dispensary

10088 Surgery

10089 Surgical Oncology

10090 Technical Assistant

10091 Thoracic Surgery

10092 Transport Service

10093 UHFPO Office

10094 Urology

10095 Virology

10096 Ward Attendant

10097 Ward Service

10098 X-ray


Table-17: WHO Major Health Professional Group WHO Major

Occupation Code WHO Major Occupation Group

101 HEALTH PROFESSIONALS

102 HEALTH ASSOCIATE PROFESSIONALS

103 PERSONAL CARE WORKERS IN HEALTH SERVICES

104 HEALTH MANAGEMENT AND SUPPORT PERSONNEL

105 HEALTH SERVICE PROVIDERS NOT ELSEWHERE CLASSIFIED

Table-18: WHO-ISCO Occupation Name (always display ISCO name, definition, example and note during selection)

WHO Major

Occupation Code

WHO Specific

Occupation Group Code

WHO Specific

Occupation Group Name

ISCO Code

ISCO Occupation

Name Definition Example Note

101 2211 Generalist medical practitioners

2211.0 Generalist medical doctors

Generalist medical doctors (including family and primary care doctors) diagnose, treat and prevent illness, disease, injury, and other physical and mental impairments and maintain general health in humans through application of the principles and procedures of modern medicine. They plan, supervise and evaluate the implementation of care and treatment plans by other health care providers. They do not limit their practice to certain disease categories or methods of treatment, and may assume responsibility for the provision of continuing and comprehensive medical care to individuals, families and communities.

Medical doctor (general), Medical officer (general), Physician (general), General practitioner, Family medical practitioner, Primary health care physician, District medical doctor, Resident medical officer specializing in general practice

Occupations included in this category require completion of a university-level degree in basic medical education plus postgraduate clinical training or equivalent. Medical interns who have completed their university education in basic medical education and are undertaking postgraduate clinical training are included here. Although in some countries ‘general practice’ and 'family medicine' may be considered as medical specializations, these occupations should always be classified here.

101 2212 Specialist medical practitioners

2212.6 Doctors in specialties not elsewhere classified

Doctors in specialties not elsewhere classified includes medical doctors in specialist practice excepting obstetric, gynecological, pediatric, psychiatric, surgical or medical specialties as classified elsewhere.


2212.0 Specialist medical practitioners (please also check

Specialist medical doctors diagnose, treat and prevent illness, disease, injury and other physical and mental impairments using specialized testing,

Specialist physician (internal medicine), Surgeon, Anesthetist, Cardiologist, Emergency

Occupations included in this category require completion of a university-level degree in basic


WHO Major

Occupation Code

WHO Specific


WHO Specific


ISCO Code

ISCO Occupation


2212.1 to 2212.5)

diagnostic, medical, surgical, physical and psychiatric techniques, through application of the principles and procedures of modern medicine. They plan, supervise and evaluate the implementation of care and treatment plans by other health care providers. They specialize in certain disease categories, types of patient or methods of treatment, and may conduct medical education and research activities in their chosen areas of specialization.

medicine specialist, Ophthalmologist, Gynecologist, Obstetrician, Pediatrician, Pathologist, Preventive medicine specialist, Psychiatrist, Radiologist, Resident medical officer in specialist training

medical education plus postgraduate clinical training in a medical specialization (except general practice) or equivalent. Resident medical officers training as specialist practitioners (except general practice) are included here. Although in some countries 'stomatology' may be considered as a medical specialization, stomatologists should be included under 'Dentists'-2261. Medical research professionals who participate in biomedical research using living organisms and do not undertake clinical practice should be excluded from here (classified under 'Life science professionals').


2212.1 Doctors in obstetric and gynecological specialties

Doctors in obstetric and gynecological specialties and related branches focusing on the care of the reproductive system of women including before, during and after pregnancy and childbirth.

Gynecologist, Obstetrician


2212.2 Doctors in pediatrics

Doctors in pediatrics and related specialties focusing on the prevention, diagnosis and treatment of health problems in infants, children and adolescents.

Pediatrician, Neonatologist


2212.3 Doctors in psychiatric specialties

Doctors in psychiatric specialties and related branches focusing on the study and treatment of mental illness and behavioral disorders.

Psychiatrist, Child psychiatrist, Gerontopsychiatrist, Neuropsychiatrist


WHO Major

Occupation Code

WHO Specific


WHO Specific


ISCO Code

ISCO Occupation



2212.4 Doctors in the medical group of specialties

Doctors in the medical group of specialties and related branches (not elsewhere classified) focusing on the diagnosis, management and nonsurgical treatment of health problems.

Specialist medical doctor in cardiology, dermatovenerology, forensic medicine, gastroenterology, hematology, immunology, infectious disease, internal medicine, neurology, occupational medicine, oncology, radiology, rehabilitative medicine, respiratory medicine, urology


2212.5 Doctors in the surgical group of specialties

Doctors in the surgical group of specialties and related branches (not elsewhere classified) focusing on the treatment of health problems with surgery.

Specialist medical doctor in general surgery, accident and emergency medicine, anesthesiology, intensive care, neurological surgery, ophthalmology, orthopedics, otolaryngology, pediatric surgery, plastic surgery, thoracic surgery, vascular surgery

101 2221 Nursing professionals

2221.0 Nursing professionals

Nursing professionals provide treatment, support and care services for people who are in need of nursing care due to the effects of ageing, injury, illness or other physical or mental impairment, or potential risks to health, according to the practice and standards of modern nursing. They assume responsibility for the planning and management of the care of patients, including the supervision of other health care workers, working autonomously or in teams with medical doctors and others in the practical application of preventive and curative measures in clinical and community settings.

Professional nurse, Specialist nurse, Nurse practitioner, Clinical nurse, District nurse, Operating theatre nurse, Public health nurse, Nurse anesthetist, Nurse educator

This category includes occupations for which competent performance usually requires formal training at a higher educational institution in nursing. The distinction between nursing and midwifery professionals and associate professionals should be made on the basis of the nature of the work performed in relation to this definition. The qualifications held by individuals or that predominate in the country are


WHO Major

Occupation Code

WHO Specific


WHO Specific


ISCO Code

ISCO Occupation


not the main factor in making this distinction, as training arrangements for nurses and midwives vary widely between countries and have varied over time within countries.

101 2222 Midwifery professionals

2222.0 Midwifery

professiona

ls

Midwifery professionals plan, manage, provide and evaluate midwifery care services before, during and after pregnancy and childbirth. They provide delivery care for reducing health risks to women and newborn children according to the practice and standards of modern midwifery, working autonomously or in teams with other health care providers. They may conduct research on midwifery practices and procedures, and implement midwifery education activities in clinical and community settings.

Professional midwife

This category includes occupations for which competent performance usually requires formal training at a higher educational institution in midwifery. The distinctions between nursing and midwifery professionals and associate professionals should be made on the basis of the nature of the work performed in relation to this definition. The qualifications held by individuals or that predominate in the country are not the main factor in making this distinction, as training arrangements for nurses and midwives vary widely between countries and have varied over time within countries.

101 2230 Traditional and complementary medicine professionals

2230.0 Traditional

and

complemen

tary

medicine

professiona

ls

Traditional and complementary medicine professionals examine patients and prevent and treat illness, disease, injury and other physical, mental and psychosocial ailments by applying knowledge, skills and practices acquired through extensive study of the theories and

Acupuncturist, Ayurvedic practitioner, Chinese herbal medicine practitioner, Homeopath, Naturopath, Unani practitioner

This category includes occupations for which competent performance requires an extensive understanding of the benefits and applications of traditional and complementary


WHO Major

Occupation Code

WHO Specific


WHO Specific


ISCO Code

ISCO Occupation


experiences originating in specific cultures. They research, develop and implement treatment plans using applications such as acupuncture, ayurvedic, homoeopathic and herbal medicine.

therapies, developed as the result of extended formal study of these techniques as well as human anatomy and elements of modern medicine. Practitioners working in the singular application of approaches to herbal medicines, spiritual therapies or manual therapeutic activity are excluded from here.

101 2240 Paramedical practitioners

2240.0 Paramedical practitioners

Paramedical practitioners (including clinical officers and related) provide advisory, diagnostic, curative and preventive medical services more limited in scope and complexity than those carried out by medical doctors. They work autonomously or with limited supervision of medical doctors, and perform clinical, therapeutic and surgical procedures for treating and preventing diseases, injuries, and other physical or mental impairments common to specific communities.

Clinical officer, Primary care paramedic, Advanced care paramedic, Surgical technician, Feldsher

Occupations included in this category normally require completion of tertiary-level training in theoretical l and practical medical services. Workers providing services limited to emergency treatment and ambulance practice are classified under 'Ambulance workers'-3258.

101 2261 Dentists 2261.0 Dentists Dentists (including dental surgeons and related) diagnose, treat and prevent diseases, injuries and abnormalities of the teeth, mouth, jaws and associated tissues by applying the principles and procedures of modern dentistry. They use a broad range of specialized diagnostic, surgical and other techniques to promote and restore oral health.

Dentist, Dental practitioner, Dental surgeon, Endodontist, Oral and maxillofacial surgeon, Oral pathologist, Orthodontist, Pedodontist, Periodontist,

Occupations included in this category normally require completion of university-level training in theoretical and practical dentistry or a related field. Although in some countries ‘stomatology’ and 'dental, oral and maxillofacial surgery' may be considered as medical specializations, occupations in


WHO Major

Occupation Code

WHO Specific


WHO Specific


ISCO Code

ISCO Occupation


these fields should always be classified here.

101 2262 Pharmacists 2262.0 Pharmacists

Pharmacists store, preserve, compound and dispense medicinal products. They counsel on the proper use and adverse effects of drugs and medicines following prescriptions issued by medical doctors and other health professionals. They contribute to researching, testing, preparing, prescribing and monitoring medicinal therapies for optimizing human health.

Hospital pharmacist, Industrial pharmacist, Retail pharmacist, Dispensing chemist

Occupations included in this category normally require completion of university-level training in theoretical and practical pharmacy, pharmaceutical chemistry or a related field. Pharmacologists and related professionals who study living organisms are excluded from here (classified under 'Life science professionals').

101 2263 Environmental and occupational health and hygiene professionals

2263.0 Environmental and occupational health and hygiene professionals

Environmental and occupational health and hygiene professionals assess, plan and implement programs to recognize, monitor and control environmental factors that can potentially affect human health, to ensure safe and healthy working conditions, and to prevent disease or injury caused by chemical, physical, radiological and biological agents or ergonomic factors.

Environmental health officer, Occupational health and safety adviser, Occupational hygienist, Radiation protection adviser

This category includes occupations for which competent performance usually requires formal training at a higher educational institution in environmental or occupational health and safety, or a related field. Professionals who assess, plan and implement programs to monitor or control the impact of human activities on the environment are excluded from here (classified under 'Life science professionals').

101 2264 Physiotherapists

2264.0 Physiotherapists

Physiotherapists assess, plan and implement rehabilitative programs that improve or restore human motor functions, maximize movement ability, relieve pain syndromes, and treat or prevent physical challenges associated

Physiotherapist, Geriatric physical therapist, Orthopedic physical therapist, Pediatric physical therapist

This category includes occupations for which competent performance usually requires formal training at a higher educational institution in


WHO Major

Occupation Code

WHO Specific


WHO Specific


ISCO Code

ISCO Occupation


with injuries, diseases and other impairments. They apply a broad range of physical therapies and techniques such as movement, ultrasound, heating, laser and other techniques. They may develop and implement programs for screening and prevention of common physical ailments and disorders.

physiotherapy or a related field.

101 2265 Dieticians and nutritionists

2265.0 Dieticians and nutritionists

Dieticians and nutritionists assess, plan and implement programs to enhance the impact of food and nutrition on human health. They may conduct research, assessments and education to improve nutritional levels among individuals and communities.

Dietician, Clinical dietician, Food service dietician, Nutritionist, Public health nutritionist, Sports nutritionist

This category includes occupations for which competent performance usually requires formal training at a higher educational institution in food and nutritional science, nutrition education, dietetics, or a related field.

101 2266 Audiologists and speech therapists

2266.0 Audiologists and speech therapists

Audiologists and speech therapists evaluate, manage and treat physical disorders affecting human hearing, speech communication and swallowing. They prescribe corrective devices or rehabilitative therapies for hearing loss, speech disorders, and related sensory and neural problems. They plan hearing screening programs and provide counselling on hearing safety and communication performance.

Audiologist, Speech therapist, Speech pathologist, Language therapist

This category includes occupations for which competent performance usually requires formal training at a higher educational institution in audiology, speech pathology, clinical language sciences or a related field.

101 2267 Optometrists and ophthalmic opticians

2267.0 Optometrists and ophthalmic opticians

Optometrists and ophthalmic opticians provide diagnosis, management and treatment services for disorders of the eyes and visual system. They counsel and advise on eye care and safety, and prescribe optical aids or other therapies for visual disturbance.

Optometrist, Ophthalmic optician, Orthoptist

This category includes occupations for which competent performance usually requires formal training at a higher educational institution in optometry, orthoptics or a related field.

101 2269 Health professionals

2269.0 Health professiona

This group covers health professionals not

Podiatrist, Occupational


WHO Major

Occupation Code

WHO Specific


WHO Specific


ISCO Code

ISCO Occupation


not classified elsewhere

ls not classified elsewhere

classified elsewhere such as podiatrists, occupational therapists, recreational therapists and other professionals providing diagnostic, preventive, curative and rehabilitative health services.

therapist, Recreational therapist, Arts therapist, Dance and movement therapist

102 3211 Medical imaging and therapeutic equipment technicians

3211.0 Medical imaging and therapeutic equipment technicians

Medical imaging and therapeutic equipment technicians test and operate radiographic, ultrasound and other medical imaging equipment to produce images of body structures for the diagnosis and treatment of injury, disease and other impairments. They may administer radiation treatments and monitor patients' conditions under the supervision of a radiologist or other health professional.

Diagnostic medical radiographer, Medical radiation therapist, Magnetic resonance imaging technologist, Nuclear medicine technologist, Mammographer, Sonographer

This category includes occupations for which competent performance usually requires formal training in medical technology, radiology, sonography, nuclear medical technology or a related field.

102 3212 Medical and pathology laboratory technicians

3212.0 Medical and pathology laboratory technicians

Medical and pathology laboratory technicians perform clinical tests on specimens of bodily fluids and tissues in order to get information about the health of a patient or cause of death. They test and operate equipment such as spectrophotometers, calorimeters and flame photometers for analysis of biological material including blood, urine and spinal fluid.

Medical laboratory technician, Medical laboratory assistant, Blood bank technician, Cytology technician, Pathology technician

This category includes occupations for which competent performance usually requires formal training in biomedical science, medical technology or a related field. Technicians who conduct laboratory tests on living organisms should be classified under 'Life science technicians'. Forensic science technicians, who perform clinical tests to aid in the investigation of crimes, should be classified under 'Physical and engineering science technicians'.

102 3213 Pharmaceutical technicians

3213.0 Pharmaceutical technicians

Pharmaceutical technicians and assistants perform a variety of tasks associated with

Pharmaceutical technician, Pharmaceutical assistant,

Occupations included in this category normally require knowledge


WHO Major

Occupation Code

WHO Specific


WHO Specific


ISCO Code

ISCO Occupation


and assistants

and assistants

dispensing medicinal products under the guidance of a pharmacist or other health professional. They inventory, prepare and store medications and other pharmaceutical compounds and supplies, and may dispense medicines and drugs to clients and instruct on their use as prescribed by health professionals.

Dispensing technician

and skills in pharmaceutical services as obtained through formal training. Pharmacology technicians and related associate professionals who work with living organisms are excluded from here (classified under 'Life science technicians').

102 3214 Medical and dental prosthetic technicians

3214.0 Medical and dental prosthetic technicians

Medical and dental prosthetic technicians design, fit, service and repair medical and dental devices and appliances following prescriptions or instructions established by a health professional. They may service a wide range of support instruments to correct physical medical or dental problems such as neck braces, orthopedic splints, artificial limbs, hearing aides, arch supports, dentures, and dental crowns and bridges.

Medical appliance technician, Orthotist, Orthotic technician, Prosthetist, Prosthetic technician, Denturist, Dental technician

Occupations included in this category normally require some medical, dental and anatomical knowledge obtained through formal training. Technicians who construct and repair precision medical and surgical instruments are excluded from here (classified under 'Trades workers').

102 3221 Nursing associate professionals

3221.0 Nursing associate professionals

Nursing associate professionals provide basic nursing and personal care for people in need of such care due to effects of ageing, illness, injury, or other physical or mental impairment. They provide health advice to patients and families; monitor patients' conditions; and implement care, treatment and referral plans usually established by medical, nursing and other health professionals.

Assistant nurse, Enrolled nurse, Practical nurse

This category includes occupations for which competent performance usually requires knowledge and skills obtained as the result of study in nursing; in some cases, extensive on the-job training may substitute for the formal education formal. The criteria for inclusion of individuals in this category should be made on the basis of the nature of the work performed in relation to this definition, and not the qualifications


WHO Major

Occupation Code

WHO Specific


WHO Specific


ISCO Code

ISCO Occupation


held by individuals or that predominate in the country.

102 3222 Midwifery associate professionals

3222.0 Midwifery associate professionals

Midwifery associate professionals provide basic health care and advice before, during and after pregnancy and childbirth. They provide advice to women, families and communities on birth and emergency plans, breastfeeding, infant care, family planning and related topics; monitor health status during pregnancy and childbirth; and implement care, treatment and referral plans usually established by medical, midwifery and other health professionals.

Assistant midwife, Traditional midwife

This category includes occupations for which competent performance requires knowledge and skills in routine and emergency midwifery care acquired through formal or informal training. The criteria for inclusion of individuals in this category should be made on the basis of the nature of the work performed in relation to this definition, and not the qualifications held by individuals or that predominate in the country. Traditional and lay midwives, who provide basic pregnancy and birthing care and advice based primarily on experience and knowledge acquired informally through the traditions and practices of the communities where they originated, are included here. Birth assistants, who provide emotional support and general care and advice to women and families during pregnancy and labor, are excluded from here (classified under


WHO Major

Occupation Code

WHO Specific


WHO Specific


ISCO Code

ISCO Occupation


'Personal care workers in health services').

102 3230 Traditional and complementary medicine associate professionals

3230.0 Traditional and complementary medicine associate professionals

Traditional and complementary medicine associate professionals prevent, care for and treat physical and mental illnesses, disorders and injuries using herbal and other therapies based on theories and experiences originating in specific cultures. They administer treatments using traditional techniques and medicaments, either acting independently or according to therapeutic care plans established by a traditional medicine or other health professional.

Acupuncture technician, Ayurvedic technician, Bonesetter, Herbalist, Homeopathy technician, Scraping and cupping therapist, Village healer, Witch doctor

This category includes occupations for which competent performance requires knowledge and skills acquired through relatively short periods of education and training, or informally through the traditions and practices of the communities where they originated. Faith healers, who treat human ailments through spiritual therapies, without using herbal therapies or other medicaments or physical treatments, are excluded from here (classified under 'Religious associate professionals'). Occupations that provide therapy using traditional forms of massage and the application of pressure, such as acupressure and shiatsu therapists, are classified under 'Physiotherapy technicians and assistants'-3255.

102 3251 Dental assistants and therapists

3251.0 Dental assistants and therapists

Dental assistants and therapists provide basic dental care services for the prevention and treatment of diseases and disorders of the teeth and mouth, as per care plans and procedures established by a dentist or other oral health professional. They examine patients'

Dental assistant, Dental hygienist, Dental therapist

This category includes occupations for which competent performance usually requires formal training in dental hygiene, dental-assisting or a related field.


WHO Major

Occupation Code

WHO Specific


WHO Specific


ISCO Code

ISCO Occupation


mouths, teeth and related structures to assess oral health status; provide advice on dental hygiene; perform basic or routine clinical dental procedures; and assisting dentists during complex dental procedures.

102 3252 Medical records and health information technicians

3252.0 Medical records and health information technicians

Medical records and health information technicians develop, implement and assess health records processing, storage and retrieval systems in medical facilities and other health care settings to meet the legal, professional, ethical and administrative records-keeping requirements of health services delivery.

Medical records technician, Health information clerk, Medical records analyst, Medical records unit supervisor, Clinical coder, Disease registry technician

Occupations included in this category require knowledge of medical terminology, legal aspects of health information, health data standards, and computer- or paper-based data management as obtained through formal education and/or prolonged on-the-job training. General secretarial or clerical workers are excluded from here.

102 3253 Community health workers

3253.0 Community health workers

Community health workers provide health education, referral and follow up, case management, and basic preventive health care and home visiting services to specific communities. They provide support and assistance to individuals and families in navigating the health and social services system.

Community health worker, Community health aide, Community health promoter, Village health worker

Occupations included in this category normally require formal or informal training and supervision recognized by the health and social services authorities. Providers of routine personal care services and traditional medicine practitioners are not included here.

102 3254 Dispensing opticians

3254.0 Dispensing opticians

Dispensing opticians design, fit and dispense optical lenses based on a prescription from an ophthalmologist or optometrist for the correction of reduced visual acuity. They service corrective eyeglasses, contact lenses, low-vision aids and other optical devices.

Dispensing optician, Contact lens optician

This category includes occupations for which competent performance usually requires formal training in opticianry.


WHO Major

Occupation Code

WHO Specific


WHO Specific


ISCO Code

ISCO Occupation


102 3255 Physiotherapy technicians and assistants

3255.0 Physiotherapy technicians and assistants

Physiotherapy technicians and assistants provide physical therapeutic treatments to patients in circumstances where functional movement is threatened by injury, disease or impairment. They fit patients for physical supportive devices and administer and monitor manual treatments, electrical modality treatments, ultrasound and other physical therapies. Therapies are usually provided as per rehabilitative plans established by a physiotherapist or other health professional.

Physiotherapy technician, Physical rehabilitation technician, Acupressure therapist, Electrotherapist, Hydrotherapist, Massage therapist, Shiatsu therapist

This category includes occupations for which competent performance usually requires formal training in physical rehabilitation therapy or a related field. Fitness instructors, who teach body movements used in fitness routines and recreational activities, are excluded from here (classified under 'Social, cultural and related associate professionals').

102 3256 Medical assistants

3256.0 Medical assistants

Medical assistants perform basic clinical and administrative tasks to support patient care under the direct supervision of a medical practitioner or other health professional. They perform routine tasks and procedures such as measuring patients' vital signs, administering medications and injections, recording information in medical recordkeeping systems, preparing and handling medical instruments and supplies, and collecting and preparing specimens of bodily fluids and tissues for laboratory testing.

Medical assistant, Clinical assistant, Ophthalmic assistant

This category includes occupations for which competent performance normally requires formal training in health services provision. Clinical care providers with advanced training and skills to provide independent medical diagnostic and treatment services should be classified under 'Paramedical practitioners'-2240.

102 3257 Environmental and occupational health inspectors and associates

3257.0 Environmental and occupational health inspectors and associates

Environmental and occupational health inspectors and associates investigate the implementation of rules and regulations relating to environmental factors that can potentially affect human health, health and safety in the workplace, and safety of processes for the production of goods and services. They may implement and evaluate programs to

Health inspector, Food sanitation and safety inspector, Occupational health and safety inspector, Sanitarian, Sanitary inspector

This category includes occupations for which competent performance usually requires formal training in sanitary sciences, occupational and institutional safety and sanitation, or a related field.


WHO Major

Occupation Code

WHO Specific


WHO Specific


ISCO Code

ISCO Occupation


restore or improve safety and sanitary conditions under the supervision of a health professional.

102 3258 Ambulance workers

3258.0 Ambulance workers

Ambulance workers provide emergency health care to patients who are injured, sick, infirm or otherwise physically or mentally impaired prior to and during transport to medical, rehabilitation and other health care facilities. They monitor changes in health status of patients during transport and perform procedures according to protocol for emergency medical treatment. They may patrol and provide information on first aid at large-scale public gatherings and other events where health emergencies are more likely to occur.

Ambulance officer, Ambulance paramedic, Emergency medical technician, Emergency paramedic

Occupations included in this category normally require formal training in emergency medical treatment, patient transport, ambulance principles and practice, or a related field. Ambulance drivers who do not provide health care are excluded from here (classified under 'Plant and machine operators').

103 5321 Health care assistants

5321.0 Health care assistants

Health care assistants provide routine personal care, support and assistance with activities of daily living to patients and residents in a variety of health care settings such as hospitals, clinics and residential nursing care facilities. They assist patients with personal, physical mobility and therapeutic care needs as per established care plans and practices, and generally under the direct supervision of medical, nursing or other health professionals or associate professionals.

Nursing aide (hospital or clinic), Patient care assistant, Birth assistant (hospital or clinic), Psychiatric aide

Occupations included in this category generally do not require extensive health care knowledge or training. Classified here are workers providing services in health care settings such as hospitals, health care facilities, rehabilitation centers, residential nursing care facilities, and other establishments with permanent medical or nursing supervision.

103 5322 Home-based personal care workers

5322.0 Home-based personal care workers

Home-based personal care workers provide routine personal care, support and assistance with activities of daily living to persons who are in need of such care due to effects of ageing, illness, injury, or other physical or mental condition in private homes and other

Nursing aide (home), Home care aide, Home birth assistant, Personal care provider

Occupations included in this category generally do not require extensive health care knowledge or training. Classified here are workers providing services in primary residential settings including assisted-


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independent residential settings. They assist clients with personal, physical mobility and therapeutic care needs, usually as per care plans established by a health professional.

living facilities, continuing care retirement communities, and other types of residential facilities with minimal or no on-site medical or nursing supervision. Home birth assistants, who provide emotional support and general care and advice to women and families during pregnancy and labor, but not delivery care to reduce health risks, are included here. Care workers who provide care and supervision for children in residential homes and care centers are excluded from here.

103 5329 Personal care workers in health services not classified elsewhere

5329.0 Personal care workers in health services not classified elsewhere

This group covers personal care workers in health services not classified elsewhere including, for instance, dental aides, hospital orderlies, medical imaging assistants, pharmacy aides and other providers of routine health and personal care support services.

Dental aide, First-aid attendant, Hospital orderly, Medical imaging assistant, Pharmacy aide, Phlebotomist, Sterilization aide

104 1342 Health service managers

1342.0 Health service managers

Health service managers plan, direct, coordinate and evaluate the provision of clinical and community health care services in hospitals, clinics, public health agencies and similar organizations. They provide overall direction, policy standards and operational criteria for the units they manage, including supervising and evaluating the recruitment, training and work activities of personnel. They monitor

Health facility administrator, Medical administrator, Clinical director, Director of nursing, Hospital matron, Community health care coordinator, Chief public health officer

The main tasks and duties for jobs in this occupational category include guiding and directing the activities of organizations, departments and other workers, and other tasks which require complex problem solving and decision making based on knowledge and skills normally obtained as the


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the use of health services and resources. They liaise with other health and welfare service providers, boards and funding bodies to coordinate the provision of services.

result of some combination of higher education, extensive work experience and prolonged on-the-job training.

104 2131 Managers and administrators not classified elsewhere

2131.0 Managers and administrators not classified elsewhere

This group covers managers and administrators not classified elsewhere (except health service mangers) working in health systems including, for instance, government health department heads, human resource managers, supply chain managers, regional health policy and planning directors, and others whose main tasks and duties include guiding and directing the activities of organizations, departments and other workers.

Government health department head, Human resource manager, Medical commodities procurement manager, Regional health planning director, Aged care service manager, Social welfare manager, Information and communications technology service manager

104 2133 Life science professionals

2133.0 Life science professionals

Life science professionals (including bacteriologists, pharmacologists and related) study living organisms and their interactions with each other and the environment, and apply this knowledge to solve human health and environmental problems. They gather, examine and analyze human, animal, insect, plant, soil, water and air specimens and samples in laboratories and in the field using specialized equipment, instruments, technologies and techniques. They work in diverse fields such as bacteriology, biochemistry, genetics, immunology, pharmacology, toxicology and virology.

Air pollution analyst, Bacteriologist, Biotechnologist, Cell geneticist, Ecologist, Environmental protection adviser, Microbiologist, Molecular biologist, Molecular geneticist, Pharmacologist, Water quality analyst

The tasks and duties for occupations in this category include collecting, analyzing and evaluating experimental and field data to identify and develop new products, processes and techniques for pharmaceutical and environmental use. The knowledge and skills required are usually obtained as the result of study at a higher educational institution in life science or related field for a period of 3–6 years leading to the award of a first degree or higher qualification.

104 2635 Social work and

2635.0 Social work and

Social work and counselling professionals

Addictions counsellor,

The tasks and duties for


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counselling professionals

counselling professionals

provide counselling, therapy and mediation services to individuals, families, groups and communities in response to social and personal difficulties. They assist clients to develop skills and access resources and support services needed to respond to issues arising from health problems, life transitions, addictions, and other personal, family and social problems. They liaise with other social service agencies, educational institutions and health care providers to advocate for client and community needs.

Bereavement counsellor, Clinical social worker, District social welfare officer, Sexual assault counsellor, Women’s welfare organizer

occupations in this category include planning and providing counselling, skills development, crisis intervention and mediation services in individual, family or group settings to assist clients function within the limitations of their environment, improve their relationships, and solve personal and family problems. The knowledge and skills required are usually obtained as the result of study at a higher educational institution in social work and counselling for a period of 3–6 years leading to the award of a first degree or higher qualification.

104 2635 Professionals not classified elsewhere

2635.1 Professionals not classified elsewhere

This group covers professionals not classified elsewhere (except health, life science and social work) working in health systems including, for instance, physical, mathematical and engineering science professionals, teaching professionals, business and administration professionals, information and communications technology professionals, legal professionals and social science professionals.

Accountant, Biomedical engineer, Clinical psychologist, Environmental engineer, Health economist, Health policy analyst, Health policy lawyer, Health statistician, Health vocational education teacher, Medical and pharmaceutical products sales representative, Medical physicist, Operations research analyst, Optical engineer, Safety engineer, Software developer, Staff training officer, University medical

The tasks and duties of occupations in this category include conducting analysis and research and advising on applications of the physical, mathematical, engineering and social sciences to the medical and health fields; teaching the theory and practice of health science and services at higher education levels; and providing various technological, business and legal services in health systems.


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lecturer, Veterinary epidemiologist

104 3141 Life science technicians

3141.0 Life science technicians

Life science technicians (excluding medical) provide technical support for research, analysis and testing of living organisms, and development and application of products and processes resulting from research to solve human health and environmental problems. They collect and prepare specimens and samples generally under the guidance of a life science professional, calibrate and operate laboratory instruments and equipment, perform routine field and laboratory tests, and monitor experiments to ensure adherence to quality control procedures and health and safety guidelines. They work in areas such as biology, biochemistry, biotechnology, environmental protection and pharmacology.

Bacteriology technician, Biochemistry technician, Pharmacology technician, Serology technician, Tissue culture technician

Occupations included in this category usually require knowledge and skills as obtained through formal training in life science or related field.

104 3344 Medical secretaries

3344.0 Medical secretaries

Medical secretaries, using specialized knowledge of medical terminology and health care delivery procedures, perform a variety of communication, documentation, administrative and internal coordination functions, to support health workers in medical facilities and other health care-related organizations. They schedule medical appointments, record and review medical charts and correspondence, interview patients to complete case histories, prepare health insurance claims and acquisition orders, and supervise the work of other office support workers.

Medical secretary, Medical office administrative assistant, Hospital ward secretary, Patient care secretary, Medical insurance billing secretary, Medical laboratory secretary, Medical stenographer, Medical transcriptionist, Pathology secretary, Dental secretary

Occupations included in this category require basic knowledge of medical terminology and health care delivery procedures as obtained through formal education and/or prolonged on-the-job training. General secretaries, receptionists and clerical workers are excluded from here.


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104 3344 Health management and support personnel

3344.1 Technicians and associate professionals not classified elsewhere

This group covers technicians and associate professionals not classified elsewhere (except health, life science and medical secretarial) working in health systems including, for instance, physical and engineering science technicians, information and communications technicians, business and administration associate professionals, and social and religious associate professionals.

Bookkeeper, Computer network technician, Data entry supervisor, Disability services officer, Faith healer, Fitness instructor, Forensic science technician, Health insurance claims officer, Health facility licensing officer, Medical supplies procurement officer, Mental health support worker, Water treatment plant operator

The tasks and duties of occupations in this category include technical and related tasks connected with scientific research and operational methods and their applications to the medical and health fields; technical and practical services and support functions in finance, regulation and administration of health and social services; and technical tasks connected with the practical application of knowledge relating to sport, culture and religion to improve health and well-being.


3344.2 Clerical support workers

This group covers clerical support workers (excluding specialized health information technicians and medical secretaries) working in health systems including, for instance, general clerks, keyboard clerks, client services clerks, material recording clerks and others who record, organize, store, compute and retrieve information, and perform clerical and secretarial duties in connection with money-handling operations, requests for information and appointments.

General office clerk, General secretary, General receptionist, Accounts clerk, Data entry clerk, Health insurance clerk, Hospital admissions clerk, Human resource assistant, Medical appointments schedule clerk, Medical commodities stock controller, Payroll clerk

Many occupations in this category require relatively advanced literacy and numeracy skills, good interpersonal communication skills and a high level of manual dexterity. The knowledge and skills required are usually obtained as the result of secondary education and, in some case, specialized post-secondary vocational education and/or prolonged on-the-job training.


3344.3 Service and sales workers

This group covers service and sales workers (except personal care workers) working in health systems who provide personal and protective services, or

Building caretaker, Facility cafeteria cook, Hospital security guard, Medical products sales demonstrator,

Many occupations in this category require relatively advanced literacy and numeracy skills, good


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demonstrate and sell goods in wholesale or retail shops and similar establishments.

Undertaker, Pharmaceuticals retail shop cashier

interpersonal communication skills and a high level of manual dexterity. In some case, specialized post-secondary vocational education and/or prolonged on-the-job training may be required.


3344.4 Trades workers

This group covers trades workers working in health systems including, for instance, building trades workers, electrical and electronics trades workers, machinery trades workers, precision instrument makers and others who apply knowledge and skills to construct and maintain buildings, make and control equipment or tools, or apply chemical products on surroundings to prevent health risks.

Ambulance mechanic, Building exteriors cleaner, Computer hardware technician, Health information typesetter, Malaria control sprayer, Optical lens moulder, Orthopedic appliance maker, Surgical instruments maker, Refrigeration mechanic

The tasks and duties of occupations in this category generally require understanding of all stages of the production process, the materials and tools used, and the nature and purpose of the final product, as usually obtained through the completion of secondary education and, in some case, specialized post-secondary vocational education and/or prolonged on-the-job training.


3344.5 Plant and machine operators and assemblers

This group covers plant and machine operators and assemblers working in health systems including, for instance, assemblers, drivers and others who operate and monitor machinery and equipment, drive motor vehicles and mobile machinery, or assemble products from component parts according to specifications.

Ambulance driver, Eyeglass frame assembler, Laundry machine operator, Pharmaceutical products machine operator

The tasks and duties of occupations in this category generally call for experience with and an understanding of industrial machinery and equipment as well as an ability to cope with machine-paced operations and to adapt to technological innovations. A high level of manual dexterity is often required.


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3344.6 Elementary occupations

This group covers elementary occupations in health systems including, for instance, cleaners, food preparation assistants, refuse workers and others who perform simple and routine tasks which may require the use of hand-held tools and considerable physical effort.

Hospital garden laborer, Kitchen helper, Lavatory attendant, Medical commodities stock handler, Refuse collector, Window washer

Most occupations in this category require knowledge and skills generally obtained through primary education and/or a short period of on-the-job training.

105 6321 Members of the armed forces

6321.0 Members of the armed forces

This group covers members of the armed forces (not classified elsewhere) engaged in actions with primary intent to enhance health including, for instance, commissioned medical and nursing officers and combat medical technicians.

Commissioned armed forces medical doctor, Combat medical technician, Navy corps nurse, Veteran hospital nursing aide

Many jobs performed by members of the armed forces are similar, in terms of the nature of the work performed, to civilian occupations. For purposes of international comparability, where data pertaining to members of the armed forces are reported and classified by occupation, they should be included under 'Armed forces occupations'. Where it is not possible to produce information about the nature of work performed by members of the armed forces, they may be included with similar civilian jobs. In adapting this classification for national purposes, countries may wish to consider what approach best suits their circumstances and user needs.

105 6322 Other categories not classifiable

6322.0 Other categories not classifiable

This group covers other categories not classifiable as participating in the formal or informal health

Medical student intern, Hospital volunteer


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labor market but providing health services including, for instance, medical interns and trainees who are providing clinical services as part of their basic medical education.

Organization code First level division Second level division Sanctioned post

name No. of sanctioned

post

Type Dropdown; Table-13 Dropdown: Table-14 Dropdown; Table-15 Numeric

……………….to be further developed

ministry of health & family welfare · 2013. 9. 8. · health informatics standards & data...

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