TCVN 9213:2012 District Hospital – Design standard

Foreword

TCVN 9213:2012 was compiled by the Institute of Architecture, Urban and Rural Planning, proposed by the Ministry of Construction, appraised by the Directorate for Standards, Metrology and Quality, and announced by the Ministry of Science and Technology.

1. Scope

This standard applies to the design of new construction and renovation of district hospitals nationwide.

2. Normative references

The following normative references are indispensable for the application of this standard. For dated references, only the cited edition applies. For undated references, the latest edition of the referenced document (including any amendments) applies.

TCVN 4470:2012¹⁾, General hospitals – Design standards;

3. Terms and definitions

This standard uses the terms and definitions given in TCVN 4470:2012 and the following terms and definitions:

District hospital

Is a medical examination, treatment and healthcare facility for patients, including several specialties and fields that meet the medical examination and treatment needs of people in the district.

4. General provisions

When designing district hospitals, it is required to comply with the general provisions stated in Article 4 of TCVN 4470:2012 and the provisions in this standard.

5. Requirements for construction land and overall site planning

5.1. Requirements for construction land

5.1.1. The location of the construction land must conform to the approved planning, have convenient transportation and take into account future development needs.

5.1.2. Sanitation is airy and quiet, avoiding land areas with polluted environments.

5.1.3. The scale of district hospitals and the average floor area index per hospital bed are specified in Table 1.

Table 1 – Minimum scale and construction land area index of district hospitals

Scale	Number of beds beds	Average floor area m²/bed	Land area ha
Large	from 150 to 250	from 70 to 90	from 1.2 to 1.5
Small	from 50 to 150	from 100 to 120	1.0
NOTE: 1) The construction land area specified above does not include residential and public welfare works serving the life of officials and employees. These works are built outside the hospital’s construction land. 2) In case the construction land area of hospitals in urban areas does not meet the above regulations, it is encouraged to design concentrated, high-rise hospitals but must comply with and ensure the hospital’s operation chain.

5.2. Requirements for overall site planning

5.2.1. Comply with the general requirements for overall site planning stated in 5.2 of TCVN 4470:2012.

5.2.2. The minimum sanitary and safety distance between buildings and separately arranged works for patient buildings is specified in Table 2 of TCVN 4470:2012.

6. Work content and design solutions

6.1. General requirements

6.1.1. Work content

– Department of General Medical Examination and Outpatient Treatment;

– Inpatient Treatment Area;

– Technical and Professional Area;

– Administrative Management Area;

– Logistics and General Services Area.

6.1.2. Requirements for clear dimensions

Comply with the requirements for clear dimensions specified in 6.1.2 of TCVN 4470:2012.

6.2. Department of General Medical Examination and Outpatient Treatment

6.2.1. Comply with the general provisions of the Department of General Medical Examination and Outpatient Treatment specified in 6.2 of TCVN 4470:2012 and the provisions in this standard.

6.2.2. The structure and minimum number of examination rooms are specified in Table 3.

Table 3 – Number of examination rooms by number of beds

Specialty	Number of examination rooms rooms		Ratio %	Note
Specialty	Large scale from 150 to 250 beds	Low scale from 50 to 150 beds	Ratio %	Note
1. Internal	from 4 to 5	from 1 to 3	20
2. Surgery	from 3 to 4	from 1 to 2	15	02 exam rooms are arranged with 1 treatment room
Obstetrics	2	1	10
4. Gynecology	1	1	6
5. Pediatrics	from 2 to 3	1	15	Combined exam and treatment
6. Dentist	from 1 to 2	from 1 to 2	6	Combined exam and treatment
7. Otorhinolaryngology	from 1 to 2	1	6	Combined exam and treatment
8. Ophthalmology	from 1 to 2	1	6	Combined exam and treatment
9. Infectious	from 1 to 2	1	6	Isolated examination and treatment rooms
10. Traditional medicine	from 1 to 2	1	10	Combined internal medicine examination

6.2.3. The areas of rooms in the Department of General Medical Examination and Outpatient Treatment are specified in Table 4.

Table 4 – Areas of rooms in the Department of General Medical Examination and Outpatient Treatment

Department/Room Name	Area
	Large scale from 150 to 250 beds	Low scale from 50 to 150 beds
A. Reception Block
1. Numbering, no less than	18 m²/area
2. Procedures – payment, no less than	24 m²/area
3. Toilets (separate for men/women)	18 m²/area 02 area
4. Waiting area for exam	See 6.2.6 TCVN 4470 : 2012
B. Examination – Outpatient Treatment Block
1. Internal Medicine
– Examination room	from 9 m²/seat to 12 m²/seat
– First aid room (from 01 to 02 beds)	from 15 m²/room to 18 m²/room
2. Neurology	from 12 m²/seat to 15 m²/seat
3. Dermatology
– Examination room	from 12 m²/seat to 15 m²/seat
– Treatment room	from 9 m²/seat to 12 m²/seat
4. Traditional Medicine
– Examination room	12 m²/seat
– Room châm cứu	12 m²/seat
5. Surgery
– Examination room	from 9 m²/seat to 12 m²/seat
– Surgical procedure	from 24 m²/seat to 30 m²/seat
– Instrument preparation	from 9 m²/seat to 12 m²/seat
6. Pediatrics
– General pediatric exam room	from 9 m²/seat to 12 m²/seat
– Infectious pediatric exam room	Dùng chung room khám của khoa Truyền nhiễm
7. Infectious disease	from 12 m²/seat to 15 m²/seat
8. Gynecology, Obstetrics
– Obstetrics exam room	from 15 m²/seat to 18 m²/seat
– Gynecology exam room	from 15 m²/seat to 18 m²/seat
9. Dentistry
– Exam room (01 chair)	from 12 m²/seat to 15 m²/seat
– Minor surgery room	from 12 m²/seat to 15 m²/seat
– Orthodontic room	from 9 m²/seat to 12 m²/seat
– Instrument washing sterilization room	from 4 m²/seat to 6 m²/seat
10. Otorhinolaryngology
– Examination room	from 12 m²/seat to 15 m²/seat
– Treatment room	from 15 m²/seat to 18 m²/seat
11. Ophthalmology
– Examination room (light)	from 15 m²/seat to 18 m²/seat
– Examination room (dark)	from 12 m²/seat to 18 m²/seat
– Treatment room	from 18 m²/seat to 24 m²/seat
C. Professional Services
1. Pharmacy, medicine storage	from 15 m²/room to 18 m²/room
2. Medicine sale	from 15 m²/room to 18 m²/room
3. Quick diagnosis and testing room
– Waiting area	See 6.2.6 TCVN 4470 : 2012
– Sample collection	from 12 m²/area to 15 m²/area
– Testing room	from 24 m²/room to 36 m²/room
– X-ray room	from 24 m²/room to 36 m²/room
– Ultrasound room	from 24 m²/room to 36 m²/room
– X-ray doctor’s office and records	from 12 m²/room to 15 m²/room
4. Examination room record storage	from 18 m²/room to 24 m²/room
5. Clean storage	from 18 m²/room to 21 m²/room
6. Equipment management room	from 15 m²/room to 18 m²/room
7. Chemical storage	from 12 m²/room to 15 m²/room
8. Dirty storage	from 12 m²/room to 15 m²/room
D. Reception Area
1. Clothing change/storage room	from 6 m²/room to 9 m²/room
2. Reception room	from 9 m²/room to 12 m²/room
3. Patient clothing/supplies storage:
– Clean items	from 12 m²/room to 15 m²/room
– Checked items	from 12 m²/room to 15 m²/room
E. Administration Area
1. Department head office	18 m²/room
2. Staff lounges	from 18 m²/room to 24 m²/room
3. Staff changing room	from 9 m²/room to 12 m²/room
4. Toilets	from 18 m²/area to 24 m²/area

6.3. Inpatient Treatment Area

6.3.1. Comply with the general requirements of the Inpatient Treatment Area specified in 6.3 of TCVN 4470:2012 and the provisions in this standard.

6.3.2. The Inpatient Treatment Area includes the following departments:

1)	Internal Medicine;	6)	Infectious Diseases;
2)	Surgery;	7)	Emergency – Intensive Care – Poison Control;
3)	Obstetrics and Gynecology;	7)	Emergency – Intensive Care – Poison Control;
4)	Khoa Nhi;	8)	Traditional Medicine;
5)	Dentistry – ENT – Ophthalmology;	9)	Physical Therapy – Rehabilitation.

6.3.3. The Inpatient Treatment Area of the Hospital must be designed into treatment units with a scale of 10 to 35 beds according to the requirements of each separate department. For departments with an insufficient minimum number of inpatient beds for a treatment unit, it is allowed to arrange a joint department (from 2 to 3 departments). The joint patient area must have separate patient rooms for each specialty. The minimum ratio structure of inpatient beds by specialty is shown in Table 5.

NOTE: The inpatient treatment unit includes the following areas:

– Patient rooms and patient living rooms;
– Staff work and living rooms;
– Professional rooms of the unit.

Table 5 – Minimum ratio structure of inpatient beds by specialty

Department Name	Large scale 150-250 beds		Low scale 50-150 beds
Department Name	Number of beds (beds)	Ratio (%)	Number of beds (beds)	Ratio (%)
1. Internal Medicine		from 28 to 31		28
+ General Internal	from 20 to 40		from 14 to 42
+…	37		–
2. General Surgery	from 30 to 50	20	from 10 to 30	20
3. Obstetrics and Gynecology	from 15 to 25	10	from 7 to 18	from 14 to 12
4. Pediatrics	from 15 to 25	10	from 5 to 15	10
5. Ophthalmology	from 15 to 25	10	from 5 to 15	10
6. ENT
7. Dentistry
8. Infectious Diseases	from 9 to 15	6	from 3 to 9	6
9. Emergency – Intensive Care – Poison Control	from 9 to 20	from 6 to 8	from 3 to 12	from 6 to 8
10. Traditional Medicine	from 15 to 13	from 10 to 5	from 3 to 9	6
Total	from 150 to 250	100	from 50 to 150	10

6.3.4. The Traditional Medicine Department in a small-scale District Hospital (50 to 150 beds) can be combined with the Internal Medicine Department. In a large-scale hospital (150 to 250 beds), it can be arranged independently for each hospital. When arranged independently, it is necessary to comply with the general provisions of the Traditional Medicine Department specified in TCVN 4470:2012.

6.3.5. The patient room area of the Gynecology Department should have one room with 02 to 04 beds. Do not arrange testing rooms in the Obstetrics and Gynecology Department of District Hospitals.

6.3.6. Pediatrics Department

6.3.6.1. The area standard and number of beds in a room of the pediatric unit are specified as follows:

– For newborns and infants: from 3 m²/bed to 4 m²/bed, arrange a maximum of 08 beds/room;

– For older children: from 5 m²/bed to 6 m²/bed, arrange a maximum of 06 beds/room.

NOTE: In case it is necessary to organize eating and resting spaces for mothers, it must be stated in the investment report and approved by the Ministry of Health or competent authority.

6.3.6.2. The number of newborn beds is equal to the number of maternity beds.

6.3.6.3. Rooms for premature and isolated newborns must be separately partitioned, with each room not exceeding 02 beds. The newborn treatment room must have doors or glass partitions for observation and monitoring.

6.3.6.4. Living service rooms in the pediatric unit include: Food preparation and eating area, bathing area, laundry area, toilet area, storage, etc.

6.3.7. In the joint Dentistry – ENT – Ophthalmology Department of large-scale district hospitals, an X-ray room should be arranged for at least 01 dental X-ray machine, a dental lab for 1 to 2 technicians.

6.3.8. Emergency – Intensive Care – Poison Control Department

6.3.8.1. The emergency holding area should have about 03 to 04 emergency holding beds to handle on-site emergencies brought in from outside.

6.3.8.2. The areas of rooms in the Emergency – Intensive Care – Poison Control Department are specified in Table 6.

6.3.9. The Physical Therapy – Rehabilitation Department of a small-scale District Hospital can be combined with the Internal Medicine Department with a scale of 5 to 10 beds. The minimum number of treatment spaces in the Physical Therapy – Rehabilitation Department is specified in Table 7 with the minimum room area criteria specified in Table 21 of TCVN 4470:2012.

Table 6 – Minimum areas of rooms in the Emergency – Intensive Care – Poison Control Department

Room Name	Minimum Area m²/room
	Large scale 150-250 beds	Small scale 50-150 beds
Emergency Unit
1. Lobby	from 24 to 36
2. Patient family waiting room	xem 6.2.6
3. First aid, triage	from 18 to 24
4. Emergency holding room	15 m²/bedsx 04 beds	15 m²/bedsx 03 beds
Intensive Care Unit
5. Intensive care	15 m²/beds	15 m²/beds
6. Procedure room	from 18 to 24
7. Monitoring room	from 18 to 24	from 24 to 36
8. Department head’s room	18
9. Doctors’ room	24
10. Nurses’, orderlies’ room	from 15 to 24
11. Consultation, meeting, training room	from 24 to 36
12. Clean storage	from 12 to 18
13. Dirty storage	from 12 to 18
14. Staff toilets, changing rooms ^a)(separate for men/women)	18 m²/areas x 02 areas
NOTE: ^a) and not less than 1.0 m²/staff member.

Table 7 – Minimum number of treatment spaces in the Physical Therapy – Rehabilitation Department

Room Name	Number of spaces
1. Light therapy room
– Infrared therapy spaces	2
– Ultraviolet therapy space	1
– Electrotherapy space	1
– Other machines therapy space	–
2. Heat therapy room
– Paraffin, moxibustion	2
– Steam	1
3. Exercise and physical therapy room
– Gym
– Massage	2
4. Hydrotherapy
– Bathing, soaking spaces	3
– Mineral mud bath spaces	4

6.4. Technical and Professional Area

6.4.1. The Technical and Professional Area includes the following departments:

1) Surgery Unit;

2) Medical Imaging Department;

3) Laboratory Department;

4) Pathology Department;

5) Pharmacy Department;

6) Nutrition Department;
7) Infection Control Department.

6.4.2. The Technical and Professional Area of District Hospitals must comply with the provisions specified in 6.4 of TCVN 4470:2012 and the provisions in this standard.

6.4.3. The minimum areas of rooms in the Surgery Unit are specified in Table 8.

Table 8 – Minimum areas of rooms in the Surgery Unit

Department, Room Name	Minimum Area (m²/room)
	Large scale 150-250 beds	Small scale 50-150 beds
A. Sterile Area
1. General operating rooms	36 x 02 rooms	36 x 01 room
2. Aseptic operating room	36 x 01 room	36 x 01 room
3. Sterile scrubbing	Depends on usage requirements and layout of operating rooms to calculate appropriately
4. Supply	18
B. Clean Area
1. Pre-anesthesia (can be combined with clean corridor)	9 m²/bed x 02 beds
1. Pre-anesthesia (can be combined with clean corridor)	from 16 to 18
3. Surgery record room	9
4. Sterilization room	from 12 to 24
5. Waste room	from 12 to 18
6. Equipment storage	from 18 to 24
C. Support Area
1. Patient reception	24
2. Recovery room	12 m²/bed x 02 beds
3. Administration, monitoring	from 15 to 18
4. Consultation, training	from 18 to 24
5. Changing room, toilets (separate for men/women)	18 x 02 rooms
6. Department head’s room	18
7. Doctors’ room	18 x 02 rooms
8. Nurses’, orderlies’ room	18 x 02 rooms

6.4.4. Medical Imaging Department

6.4.4.1. The areas of rooms in the Technical Area of the Medical Imaging Department are specified in Table 9.

Table 9 – Areas of rooms in the Technical Area of the Medical Imaging Department

Department, Room Name	Minimum Area
Department, Room Name	Large scale 150-250 beds	Small scale 50-150 beds
A. Regular X-ray Room
1. Machine area
– Shooting room	20 m²/machine	20 m²/machine
– Control room	02 rooms x 6 m²/room	01 room x 6 m²/room
2. Preparation area
– Enema, evacuation room	9 m²/room	9 m²/room
– Patient rest room	02 beds x 9 m²/bed	01 bed x 9 m²/bed
B. Ultrasound
– Ultrasound room	03 machines x 9 m²/machine	02 machines x 9 m²/machine
– Preparation room	9 m²/room	9 m²/room
C. Endoscopy
– Gastroscopy room	01 room x 24 m²/room	01 room x 24 m²/room
– Urinary endoscopy room	01 room x 24 m²/room	–
– Preparation room	9 m²/room	9 m²/room
Image reading and processing room	24 m²/room	24 m²/room
Film developing and sorting room	18 m²/room	18 m²/room
NOTE: If the shooting or viewing machine has a machine room design from the manufacturer, the minimum room size must not be smaller than the size specified by the manufacturer.

6.4.4.2. The minimum areas of the administrative and support areas of the Medical Imaging Department are specified in Table 10.

Table 10 – Minimum areas of the administrative and support areas of the Medical Imaging Department

Room Name	Area (m²/room)	Note
1. Registration and result pick-up room	24
2. Patient toilets (male, female)	18 m² x 02 areas
3. Imaging waiting area	1.2 m2/seat/diagnostic unit
4. Department head’s room	18
5. Administration, meeting room	from 24 to 36	0.8 m²/seat to 1.0 m²/seat for teaching, meetings
6. Staff monitoring room	from 12 to 18
7. Equipment, tool storage	from 12 to 18
8. Film, chemical storage	from 12 to 18
9. Staff toilets, changing rooms (male/female)	18 m² x 02 areas

6.4.5. The minimum areas of rooms in the Laboratory Department are specified in Table 11.

Table 11 – Minimum areas of rooms in the Laboratory Department

Room Name	Minimum Area (m²/room)	Notes
Technical Area
1. Microbiology lab	30
2. Biochemistry lab	40
3. Hematology lab	40
4. Sterile room	9
5. Preparation	18
6. Washing/Sterilization room	12
7. Chemical storage	12
8. Blood storage room	12
Support Area
1. Monitoring + receiving/returning results	18
2. Sample collection room	12	Adjacent to procedure room
3. General storage	18	Adjacent to procedure room
4. Administration, meeting room	36
5. Department head’s room	18
6. Staff room, department monitorin	24
7. Staff toilets, changing rooms (male/female)	24 x 02 areas

6.4.6. The minimum areas of rooms in the Pathology Department are specified in Table 12.

Table 12 – Minimum areas of rooms in the Pathology Department

Department, Room Name	Area (m²/room)
Technical Area (Pathology Lab)
The Pathology Lab is organized as an integrated part of the Hospital’s Laboratory Department, arranged separately without affecting other parts of the Laboratory Department.
Support Area
1. Staff room, department monitoring	18
2. Department head’s room	18
3. Staff toilets, changing rooms (male/female)	12 m² x 02 areas
4. Funeral room	54
5. Funeral service room	15
6. Corpse storage room	18
7. Autopsy room ^a)	36
8. Specimen storage room	from 15 to 18
9. Storage	from 15 to 18
18. Washing, sterilization room	from 12 to 18
19. Administration room	18
NOTE: ^a) Small-scale hospitals do not have autopsy rooms

6.4.7. The minimum areas of rooms in the Pharmacy Department are specified in Table 13.

Table 13 – Minimum areas of rooms in the Pharmacy Department

Department, Room Name	Minimum Area (m²/room)
Production Area
1. Washing, sterilization room
– Bottle collection area	from 9 to 12
– Soaking, washing area	from 15 to 18
– Drying, sterilizing area	from 9 to 12
Pharmaceutical formulation room
– Water distillation room	from 6 to 9
– Liquid medicine formulation room	from 15 to 18
– Other medicine formulation room	from 9 to 15
– Testing room	from 12 to 15
– Labeling inspection room	from 9 to 12
3. Pharmaceutical and traditional medicine formulation rooms
– Fresh material storage room	from 18 to 24
– Soaking, washing, drying area	depends on specific conditions
– Drying, airing space	depends on specific conditions
4. Dry herbal formulation room
– Grinding room	from 9 to 12
– Pill making, packing, dispensing room	from 15 to 18
– Decoction, extract cooking kitchen	from 9 to 12
– Temporary finished product storage	from 9 to 12
Storage and Dispensing Area
1. Dispensing counter
– Waiting area	9
– Dispensing counter	from 15 to 18
2. Pharmacy storage	from 24 to 36
3. Storage – Cold room	from 9 to 12
4. Bandage, medical supply storage	from 24 to 36
5. Medical supply reserve storage	from 24 to 36
6. Waste storage	from 9 to 12
Administration and Living Rooms
1. Department head’s room	18
2. Statistics, accounting room	from 15 to 21
3. Staff lounges	from 15 to 18
4. Staff toilets, changing rooms (separate for men/women)	18 x 02 areas

6.4.8. The minimum areas of rooms in the Nutrition Department are specified in Table 14.

Table 14 – Minimum areas of rooms in the Nutrition Department

Department, Room Name	Area (m²)
Production Area
1. Raw processing section
– Production yard	from 18 to 24
– Water tanks	from 9 to 12
2. Refined processing section
– Cooking area	from 21 to 36
– LPG cylinder area	from 9 to 15
– Water boiling area	from 9 to 12
– Milk preparation and distribution area	9
3. Distribution section
– Cooked food cutting, meal delivery area	from 18 to 24
– Meal receiving, food cart lining area	from 18 to 30
– Individual storage, refrigerator	from 15 to 24
– Dish washing, food cart washing area	from 21 to 30
Storage and Administration Area
1. Storage
– Storage receiving/shipping area	from 12 to 15
– Food grains	from 15 to 18
– Dry food, spices	from 15 to 24
– Dishes and utensils	from 15 to 24
– Cold storage	from 12 to 18
2. Administration and living rooms
– Management, doctors, nutritionists, statistics, accounting room	from 15 to 24
– Staff lounges	from 18 to 24
– Monitoring and rest room	from 15 to 18
– Staff changing rooms (separate for men/women)	6 x 02 rooms
– Toilets (separate for men/women)	18 x 02 areas

6.4.9. The laundry section in the Infection Control Department is designed according to the areas specified in Table 15.

Table 15 – Design areas of the laundry section

Room Type	Area (m²)
1. Receiving inspection area (with separate door, not near clean fabric area)	from 12 to 15
2. Washing section:
– Rough soaking tanks	from 9 to 12
– Bleaching tanks	from 9 to 12
– Washing, spinning, drying machine area	from 24 to 36
3. Indoor drying room	from 24 to 36
4. Outdoor drying yard	from 48 to 60
5. Ironing, folding room	from 12 to 18
6. Mending area	from 9 to 12
7. Clean linen storage and dispensing area	from 15 to 18
8. Changing area	from 6 to 9
9. Staff rest area	from 12 to 18
10. Toilet, shower areas (male/female)	18 x 02 areas

NOTE: Where conditions allow, if using combined washing, spinning, sterilizing machines, the design should refer to the manufacturer’s catalog to calculate the space area of the washing – spinning – drying – sterilizing room.

6.5. Administrative Management Area

6.5.1. The Administrative Management Area of District Hospitals must comply with the provisions specified in 6.5 of TCVN 4470:2012 and the provisions in this standard.

6.5.2. The minimum areas of some functional rooms in the hospital are specified in Table 16.

Table 16 – Minimum areas of some functional rooms in the hospital

Room Type	Area (m²)
1. Meeting room	from 24 to 36
2. Party, Union room	from 12 to 15
3. General Planning room	from 15 to 18
4. Personnel Organization room	from 12 to 18
5. Finance – Accounting room	from 15 to 18
6. Nursing room	from 12 to 18
7. Administration – Management room	from 18 to 24
8. Record storage room	from 18 to 24
9. Medical supplies and equipment room	from 15 to 21
10. Training and scientific research room	from 15 to 21
11. Switchboard room	from 6 to 9
12. Library, reading room	from 36 to 48
NOTES: 1) When it is necessary to design a large meeting room or auditorium, the area index is 0.8 m²/seat, with 60% to 70% of the total number of hospital staff. 2) Design requirements for archive rooms and libraries can refer to relevant current standards.

6.6. Logistics and General Services Area

6.6.1. The Logistics and General Services Area of District Hospitals must comply with the provisions specified in 6.6 of TCVN 4470:2012 and the provisions in this standard.

6.6.2. The areas of warehouses and workshops are specified in Table 17.

Table 17 – Areas of warehouses and workshops

Room Type	Area (m²)
1. Storage for fabrics, stationery, patients’ and staff’s living supplies	from 27 to 30
2. Storage for old items, packaging	from 15 to 18
3. Small repair workshops:
– Electrical items	from 12 to 15
– Building equipment	from 15 to 18
NOTE: The calculated area index for regular medical supplies and equipment storage and for bedding storage is: 20 m²/100 beds.

6.6.3. The minimum areas of sections in the General Services area are specified in Table 18.

Table 18 – Minimum areas of sections in the General Services area

Room Type	Area (m²)
1. Medicine counter	from 15 to 18
2. Sundries counter	from 15 to 24
3. Refreshments counter	from 18 to 36
4. Books, stamps, telephone counter	from 12 to 18
5. Cafeteria (if any)	Can be combined with the Nutrition Department of the District Hospital
6. Accommodation for patient family caregivers	Calculated by the ratio of emergency and severe patients. Area standard is 6 m²/bed
NOTE: The areas of refreshment counters already include the sales area, storage and preparation area.

7. Requirements for technical system design

When designing the technical system of District Hospitals, it is necessary to comply with the provisions specified in Article 7 of TCVN 4470:2012.

Appendix A (Reference) Functional zoning diagram of district hospitals

Figure A.1 – Functional zoning diagram of District Hospitals

Appendix B (Reference) Flow diagram of the Surgery Unit

Figure B.1 – Flow diagram of the Surgery Unit

1) TCVN to be issued