HLTCCD003 Use medical terminology in health care

Release: 2

HLTCCD003 Use medical terminology in health care

Modification History

Release	Comments
Release 2	Release 2 HLTCCD003 Use medical terminology in health care supersedes and is equivalent to Release 1 HLTCCD003 Use medical terminology in health care. Updated: Mapping details and minor corrections
Release 1	HLTCCD003 Use medical terminology in health care no equivalent unit.

Application

This unit describes the performance outcomes, skills and knowledge required to apply an understanding of medical terminology to interpret clinical documentation and communicate with health care professionals.

This unit applies to health care professionals who are responsible for interpreting patient clinical information for the purposes of providing health care services. Work may be performed as an individual or as part of a team under limited supervision.

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.

Pre-requisite Unit

Nil

Competency Field

Clinical Coding

Unit Sector

Health Administration

Elements and Performance Criteria

ELEMENTS	PERFORMANCE CRITERIA
Elements describe the essential outcomes	Performance criteria describe the performance needed to demonstrate achievement of the element.
1. Identify medical terms used in clinical documentation.	1.1. Analyse and interpret medical terms by identifying and dividing into constituent parts. 1.2. Build medical terms using constituent parts. 1.3. Interpret clinical abbreviations and acronyms in clinical documentation.
2. Communicate using medical terminology.	2.1. Document medical terms accurately, including singular and plurals of medical terms. 2.2. Articulate medical terms correctly. 2.3. Use appropriate medical terminology in written and oral communication.
3. Identify health status of patients.	3.1. Interpret medical terminology to identify sources and types of information in patient health care records. 3.2. Analyse patient health care records applying an understanding of medical terminology to determine reason for episode of care. 3.3. Analyse patient health care record applying an understanding of medical terminology to determine surgery and intervention performed.

Foundation Skills

Foundation skills essential to performance are explicit in the performance criteria of this unit of competency.

Unit Mapping Information

No Equivalent Unit

Links

Companion Volume implementation guides are found in VETNet - https://vetnet.gov.au/Pages/TrainingDocs.aspx?q=ced1390f-48d9-4ab0-bd50-b015e5485705