Unit of competency Outline

Date retreived
23/07/2026 6:00 PM AWST

Whilst all efforts are made to provide accurate and timely information from the relevant source/documentation, please be aware that the information supplied may not be the most current version. The accuracy of the detail has not been confirmed by the Department and therefore should not be relied upon without first confirming the contents.

Undertake basic clinical coding

Undertake basic clinical coding

Unit of competency
National Code
HLTCCD006
State Code
ODI91
TGA Status
Current
DTWD Status
Approved
Current Release Number
2.00
Current Release Date
02/07/2021
View on TGA
State Implementation and Classification
Approved Date
29/10/2021
Field of Education
080313 - Public And Health Care Administration
Original Release Date
29/10/2021
Nominal Hours
110
Description
This unit describes the performance outcomes, skills and knowledge required to assign clinical classification codes to an admitted episode of care using patient and clinical data from basic patient health care records.This unit applies to clinical coders who are responsible for understanding and extracting patient clinical information for the purposes of clinical coding.The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian standards and industry codes of practice.No occupational licensing, certification or specific legislative requirements apply to this unit at the time of publication.
Notes
Elements and Performance Criteria
1. Access basic patient health care records to evaluate clinical data.
  • 1.1. Access basic patient health care records according to organisational policies and procedures.
  • 1.2. Ascertain episodes of care to be clinically coded.
  • 1.3. Identify principal diagnosis and additional diagnoses for episodes of care.
  • 1.4. Identify condition onset flag (COF).
  • 1.5. Identify interventions for episodes of care.
2. Assign codes to episodes of care.
  • 2.1. Assign diagnosis and intervention codes according to current classification indices, standards and conventions.
  • 2.2. Determine sequencing of diagnoses codes according to current classification standards and conventions.
  • 2.3. Assign condition onset flag (COF).
  • 2.4. Determine sequencing of intervention codes according to current classification standards and conventions.
  • 2.5. Establish sequencing of diagnoses and interventions according to the current coding standards for the episodes of care.
  • 2.6. Use resources to assist in making coding decisions.
No information
No information
Replaces
State Code National Code Title Type
AVB14 HLTADM005 Produce coded clinical data Unit of competency
State Code National Code Title Type
BGW4 HLT50321 Diploma of Clinical Coding Qualification
AWM6 HLT37315 Certificate III in Health Administration Qualification