HLTCCD006 — Undertake basic clinical coding

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What an assessment for HLTCCD006 must cover

23 assessable components: 2 elements (11 performance criteria), 3 performance evidence and 9 knowledge evidence requirements. An audit-defensible tool maps every question and task back to these — that mapping is the coverage matrix Auditori generates alongside the assessment.

Elements & performance criteria

1 Access basic patient health care records to evaluate clinical data.

1.1Access basic patient health care records according to organisational policies and procedures.
1.2Ascertain episodes of care to be clinically coded.
1.3Identify principal diagnosis and additional diagnoses for episodes of care.
1.4Identify condition onset flag (COF).
1.5Identify interventions for episodes of care.

2 Assign codes to episodes of care.

2.1Assign diagnosis and intervention codes according to current classification indices, standards and conventions.
2.2Determine sequencing of diagnoses codes according to current classification standards and conventions.
2.3Assign condition onset flag (COF).
2.4Determine sequencing of intervention codes according to current classification standards and conventions.
2.5Establish sequencing of diagnoses and interventions according to the current coding standards for the episodes of care.
2.6Use resources to assist in making coding decisions.

Performance evidence

use current coding manuals and standards to produce coded clinical data from basic patient health care records for at least ten episodes of care for each of the following: infectious and parasitic diseases, neoplasms, diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism, endocrine, nutritional and metabolic diseases, mental and behavioural disorders, diseases of the nervous system, diseases of the eye and adnexa, diseases of the ear and mastoid process, diseases of the circulatory system, diseases of the respiratory system, diseases of the digestive system, diseases of the skin and subcutaneous tissue, diseases of the musculoskeletal system and connective tissue, diseases of the genitourinary system, pregnancy, childbirth and the puerperium conditions originating in the perinatal period including congenital malformations, deformations and chromosomal abnormalities, symptoms, signs and abnormal clinical and laboratory findings not elsewhere classified, injury, poisoning and causes of morbidity and mortality
for each of the above, use reference materials to inform code assignment for unfamiliar clinical concepts
for the above, episodes of care should collectively include the following: same-day episodes of care cases, minor injuries, basic surgeries, overnight episodes of care, both acute and chronic forms of a disease or condition.

Knowledge evidence

definition of a clinical coder and clinical coding, and the purpose of coded clinical data
codes of practice and guidelines in relation to clinical coding, including professional ethics
Australian and State/Territory clinical coding standards and protocols
rules and conventions applied to clinical data and relevant to coding
sequencing protocols for clinical coding, including those for principal, additional diagnoses and interventions
timescales within which clinical coding must take place
key performance indicators (KPI’s) and quality indicators for coded clinical data
classifications and nomenclature relevant to clinical coding
coding classifications, standards and conventions for: infectious and parasitic diseases, neoplasms, diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism, endocrine, nutritional and metabolic diseases, mental and behavioural disorders, diseases of the nervous system, diseases of the eye and adnexa, diseases of the ear and mastoid process, diseases of the circulatory system, diseases of the respiratory system, diseases of the digestive system, diseases of the skin and subcutaneous tissue, diseases of the musculoskeletal system and connective tissue, diseases of the genitourinary system, pregnancy, childbirth and the puerperium conditions originating in the perinatal period including congenital malformations, deformations and chromosomal abnormalities, symptoms, signs and abnormal clinical and laboratory findings not elsewhere classified, injury, poisoning and causes of morbidity and mortality.

Unit content sourced from training.gov.au — © Commonwealth of Australia, licensed under CC BY 4.0. Auditori is not affiliated with the Department of Employment and Workplace Relations.

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Questions about assessing HLTCCD006

What does an assessment tool for HLTCCD006 need to cover?

To satisfy the Principles of Assessment and Rules of Evidence, an assessment for HLTCCD006 needs to address all 23 unit components: 2 elements with 11 performance criteria, 3 performance evidence requirements, 9 knowledge evidence requirements, and the foundation skills. A coverage matrix mapping each question and task to these components is what an auditor looks for.

How does Auditori generate an assessment tool for HLTCCD006?

Auditori pulls the current release of HLTCCD006 from training.gov.au and generates a complete package: candidate assessment, assessor guide with model answers and observation criteria, and a coverage matrix mapping every component. A suitably qualified person then reviews and approves the draft in a built-in workflow — consistent with ASQA's guidance on AI use in VET — before export as branded PDF and editable Word.

Is the first assessment tool really free?

Yes. Every new account includes one free credit — enough to generate the complete assessment tool for HLTCCD006 — with no card and no subscription required. After that it's pay-as-you-go per unit.

Can I check my existing HLTCCD006 assessment instead of generating a new one?

Yes — upload your existing assessment or learner guide and Auditori maps it against every element, performance criterion, PE and KE of HLTCCD006, showing exactly what's covered and what's missing. Mapping costs a quarter of a credit.

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