Course Description
This course is a continuation of the theory and application of medical terminology, pathophysiology, and health data classification. The most common disorders for specific body systems are studied in depth according to terminology, abbreviations, demographics, etiology, signs and symptoms, method of diagnosis, common comorbidities, diagnostic, medical (including pharmaceutical) and surgical interventions, mode of encounter, documentation requirements, and classification standards. Portions of the lecture-practice component of this course may take place at an acute care facility.
Course Content
For a given disease/disorder within a major clinical category:
- define the terminology and abbreviations
- describe:
- predisposing and risk factors (demographics)
- etiology
- signs and symptoms
- method of diagnosis
- common comorbidities (including complications)
- typical and alternate interventions (diagnostic, medical including pharmaceutical agents, surgical)
- likely mode of encounter with the health care delivery system
- classify to ICD-10-CA and CCI
- assign patient service category
Major Clinical Categories included in this course:
- diseases and disorders of the kidney and urinary tract
- diseases and disorders of the male reproductive system
- diseases and disorders of the female reproductive system
- endocrine, nutritional and metabolic diseases and disorders
- diseases and disorders of the nervous system
- mental diseases and disorders
- injury, poisoning and toxic effects of drugsother reasons for hospitalization
- burns
- significant trauma
- complications of medical care
- pregnancy, childbirth and the puerperium
- newborns and other neonates
Learning Activities
1. Lecture/Practice
2. Group discussion
3. Application exercise/case studies/health records
4. Technology (software, audiovisual, Internet, etc.)
5. Guest lecturer
6. Independent study of courseware and specific topics
Means of Assessment
Typical evaluations would include:
- Final Exam
- Midterm Exam
- Quizzes
- Reflective Journals
Course evaluation is based on course objectives and is consistent with ÁñÁ«ÊÓƵ Curriculum Development and Approval policy.
A detailed evaluation schedule is presented to the students at the beginning of the course.
Outline of evaluation may be subject to change.
This is a graded course.
Learning Outcomes
In this course participants have opportunities to:
- develop skills in data classification by applying knowledge of the pathophysiology for specified major clinical categories using the ICD-10-CA and CCI classification systems
- understand and predict the course of specified pathophysiological conditions in terms of demographics, etiology, signs and symptoms, method of diagnosis, common comorbidities, typical and alternate
- interventions (diagnostic, medical including pharmaceutical agents, surgical) and likely mode of encounter with the health care delivery system
- apply critical thinking skills including documentation interpretation to the coding process
- apply national, provincial and local standards for data collection
- apply patient service classification system
- apply research skills to independent study of disease pathophysiology and classification
- continue using both a manual and computerized abstracting system to collect data
- continue to develop an appreciation for the importance of data integrity
Textbook Materials
Textbooks and Materials to be Purchased by Students:
A list of mandatory and optional textbooks and materials is provided for students at the beginning of the course