Health Data classification refresher (HDCR 540)

HDCR 540 Pause & Changes in 2022.

This course is based on the 2018 Canadian Coding Standards and uses Version 2018 of ICD-10-CA and CCI Folio Views. Both the Standards and ICD-10-CA/CCI typically undergo revision every three years, however due to COVID, the updates were delayed for one year. The next revision is tentatively set to be released in April 2022, at which point enrolment for this course will be paused briefly to update course content. Students enrolled prior to this will be learning only content aligned with the 2018 Standards.

To make content revisions, the HDCR 540 course will be paused for through the end of June 2022. Thank-you for making application plans around these dates.

Course Name

Health Data Classification Refresher

Course Description

This self-study program consists of ICD-10- pathophysiology and related interventions; application of coding theory to coding exercises with self-assessment, sectional and final exams. Students are assigned an instructor upon registration.

The focus of this course is on application of ICD-10-CA and CCI to classification in the acute care hospital environment. The course is organized according to the CIHI Major Clinical Categories (MCC).

The course is designed for health information management professionals who

  • have not coded for some years and who wish to update their coding knowledge and skills;
  • wish to refresh their coding knowledge and skills to keep current with industry changes;
  • have foreign credentials and are seeking to fulfill eligibility requirements for Canadian certification through CHIMA.

Subject Code

HDCR 540

Learning Objectives

By the end of this course, students will:

  • develop or review knowledge in health care classification using the ICD-10-CA and CCI classifications ;
  • develop or review knowledge of pathophysiology and health care interventions by applying classification standards for specified Major Clinical Categories using the ICD-10-CA and CCI classification systems;
  • apply critical thinking skills to the coding process;
  • apply national, provincial and local standards for data classification; and
  • develop an appreciation for the importance of data consistency and integrity.


$918.00 (as of Fall semester 2021)

Resource materials not included in tuition fee. Contact the Douglas College Bookstore for prices and ordering information.


  • Completion of English 12 with a minimum grade of “C+” or proof of equivalent.

    Students who register are understood to be confirming successful completion of this requirement. Proof of successful completion is not required on registration but may be requested by Douglas College.

  • copy of diploma or other proof of graduation from a CHIMA-recognized health information management program, or other proof of eligibility for CHIMA certification listed here:

  • a current CV outlining professional experience and qualifications
    • an appropriate combination of experience and education may satisfy eligibility requirement pending departmental review

Course Content

This course covers the following topics:

  • essentials of classification;
    • the coding process
    • ICD-10-CA
    • CCI
    • applying the coding process
  • application to body systems and special circumstances;
  • Neoplasia & Lymphoma, Leukemia or Unspecified Site Neoplasms
  • Multisystemic or Unspecified Site Infections
  • Diseases & Disorders of the Skin, Subcutaneous Tissue and Breast
  • Diseases & Disorders of the Musculoskeletal System and Connective Tissue
  • Diseases and Disorders of the Circulatory System (Cardiac)
  • Diseases and Disorders of the Circulatory System (Vascular)
  • Diseases and Disorders of the Blood & Blood Forming Organs and Immunological Disorders
  • Diseases and Disorders of the Respiratory System
  • Diseases and Disorders of the Digestive System
  • Diseases and Disorders of the Hepatobiliary System & Pancreas
  • HIV Infections
  • Diseases and Disorders of the Eye
  • Diseases and Disorders of the Ear, Nose, Mouth and Throat
  • 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 & Disorders
  • Diseases and Disorders of the Nervous System
  • Mental (and Behavioural) Diseases and Disorders
  • Injury, Poisoning and Toxic Effects
  • Other Reasons For Hospitalization
  • Burns
  • Significant Trauma
  • Complications of Medical Care
  • Pregnancy & Childbirth
  • Newborns & Other Neonates With Conditions Originating in the Perinatal Period

Learning Resources

ICD-10-CA and CCI Folio Views (Version 2018) [Computer software] Canadian Institute of Health Information.  Available from

Fletcher, J.  (2018).  ICD-10-CA/CCI Classification Primer (8th ed.) Self-published.

Available through the Douglas College Bookstore.

Canadian Institute of Health Information. (2018). Canadian Coding Standards for Version 2018 ICD-10-CA and CCI.


Instruction Method

Self-paced, self-guided independent study using the Classificaiton Primer and the Canadian Coding Standards; online interactions supported through use of Blackboard.

Due to the nature of an online delivery, the student will be expected to be proficient in computer skills including email, adding attachments, navigating the internet etc. Resources for getting started with Blackboard are available online to help get the student comfortable in the Blackboard environment.





  • Coding exercises from the Primer (ungraded)
  • Research exercises and chart reviews
  • 3 exams

Minimum grade to pass is C (65%).

An official Douglas College transcript can be ordered via my Account.


Upon successful completion of all program requirements, you will be awarded a Douglas College Continuing Education program certificate. This certificate is issued by the Graduation Office in the Office of the Registrar.

Completion Timeframe

8 months (210 hours) from course start date

Any deviations from the expected time frames must be communicated to your instructor beforehand and must meet the requirements posted on the CEHS website:


Registration and course start

Registration is easy; simply complete the CE-HS Registration Form and submit it to:, with proof of completion of the pre-requisite requirements. Payment of the tuition fee must accompany registration.

Instructions on how to access your course materials will be emailed to you by the Program Assistant within five (5) business days prior to your chosen course start date.

Course CRN provided by dept upon fulfilling pre-requisites.

Calendar - Registration dates & deadlines.