Unit of competency Outline

Date retreived
22/07/2026 1:13 PM AWST

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Use medical terminology in health care

Use medical terminology in health care

Unit of competency
National Code
HLTCCD003
State Code
ODI94
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
75
Description
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.
Notes
Elements and Performance Criteria
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.
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