Classifications and Terminologies, June 2018


Welcome to the ninth edition of our Classifications and Terminologies e-newsletter. It aims to promote Classifications and Terminologies activities, upcoming education courses, coding questions, topical data quality initiatives and more!

Classifications and Terminologies highlights

v2018 ICD-10-CA/CCI and Coding Standards

Earlier this year, CIHI announced the release of version 2018 of the following products, which are available to download in English and French from CIHI’s eStore:

  • Folio application for the International Statistical Classification of Diseases and Related Health Problems, 10th Revision, Canada and the Canadian Classification of Health Interventions (ICD-10-CA/CCI)
  • Canadian Coding Standards
  • Canadian Coding Standards Evolution Chronicle
  • ICD-10-CA and CCI Trending (Evolution), 2018

Reminder: that version 2018 of both ICD-10-CA/CCI and the Canadian Coding Standards came into effect April 1, 2018, for use with 2018–2019, 2019–2020 and 2020–2021 data. They apply to all data submitted to the Discharge Abstract Database (DAD) and the National Ambulatory Care Reporting System (NACRS) (Level 3 NACRS reporting). 

ICD-10-CA and CCI Folio Views

ICD-10-CA and CCI Folio Views has many features. 2 features to bring to your attention are Shadow File and Code Basket.

Shadow File: Create a personal copy of the infobase for annotation purposes. A shadow file allows you to add information — like notes, highlights or bookmarks — in a personal view of an infobase without affecting the master infobase. It provides a great deal of flexibility, since the way you choose to implement it depends only on your imagination. Some of the more common uses for shadow files are annotating edits, facility/provincial mandates, standards, eQuery coding questions, etc.

Code Basket: Easily transfer information between Folio and an abstracting system when active. Code Basket will make it easier to collect, organize and reuse commonly used classification codes so they can be exported for use in patient record abstracting systems. Code Baskets are ideally used in the ambulatory care setting (e.g., emergency department, day surgery, clinic). Get the Code Basket instructions.

Opioid poisoning

Collecting accurate data on opioid overdoses is imperative for evaluating the extent of the public health crisis. Statistics depend on coded data captured by coders, and coded data depends on specificity in the clinical documentation. With the release of v2018 ICD-10-CA/CCI, the Opioid Overdose Coding Direction Bulletin (PDF) has been updated. We also encourage you to review the clinical documentation Guidelines to Support Capturing Cases of Opioid Overdose (Poisoning). Finally, plan to attend our upcoming webinar (see below).

CED-DxS V5.0 SNOMED CT Mappings – Alpha version

CIHI has developed an alpha version of SNOMED CT mappings for the common terms contained in CED-DxS v5.0. This alpha version is intended to assist with implementation and testing where implementation involves the use of SNOMED CT concepts, and is intended to promote end user feedback on use cases.  The target release date is June 30th and will be available on the CIHI website.

Education and related resources

For 2018–2019, Classifications and Terminologies products and services have been streamlined for clients. Some education courses were updated to comply with version 2018, while others were either retired or moved to a reference material format. No pertinent content was lost due to the retirement of products — it has been incorporated into the Canadian Coding Standards for Version 2018 ICD-10-CA and CCI, released in February 2018. In addition, the Education Roadmap: Reach Your GOAL With Classifications, DAD, NACRS and Case Mix (PDF) has been updated to reflect the current roster of available courses.

In the Spotlight webinars

Join us on June 26, 2018, as Classifications and Terminologies hosts our first In the Spotlight webinar! These 30-minute education sessions focus on a current topic of interest. This first session focuses on opioid poisoning and provides an overview of the coding direction as well as the opportunity to ask questions. These In the Spotlight webinars will not be available in CIHI’s Learning Centre and do not require registration. Watch your inbox for an email with details and an invitation you can export to your calendar. Sessions will be recorded and uploaded to our Codes and Classifications web page in both English and French.


The World Health Organization (WHO) will release ICD-11 for Mortality and Morbidity Statistics (MMS) in June 2018. This release version (also referred to as the “version for implementation”) will allow member states and other stakeholders to begin preparations and implementation exercises to provide feedback to WHO on the national requirements and support needed for implementation. CIHI, particularly Classifications and Terminologies, is still involved in assessing ICD-11 and determining the business and statistical implications of adoption in Canada. For more information on ICD-11, visit WHO’s website External link, opens in new window.

Coding questions

Archiving coding questions

When a new version of the classifications (i.e., ICD-10-CA, CCI) and the Canadian Coding Standards is released, we undertake a mass archive of historic coding questions in CIHI’s eQuery service. This reduces the number of invalid or irrelevant answers that eQuery users have to filter through to find the answer to a question. With the release of version 2018, coding questions pertaining to fiscal years 2012–2013, 2013–2014 and 2014–2015 will be archived. Mass archiving will take place in July 2018.

Also note that a number of questions that addressed the classification of a documented diagnosis of non-insulin-dependent diabetes mellitus (NIDDM) and a documented diagnosis of insulin-dependent diabetes mellitus (IDDM) were recently archived. The alphabetical index look-up in ICD-10-CA provides clear direction that NIDDM is classified to a code from category E11 Type 2 diabetes mellitus and that IDDM is classified to a code from category E10 Type 1 diabetes mellitus. For more information, refer to coding question #70237.

Updated coding questions

On occasion, a coding question is reopened to revise the answer. This is done when an error is identified, there is new information or there is a change of direction and there is value in revising the answer.

The following coding questions have been revised and updated since December 2017. Log in to eQuery now to review them.






































Note: The tagline ******* Updated on YYYY.MM.DD ********* identifies the date the answer was revised; a brief description of the change, in square brackets, immediately follows the tagline.

Get in touch

For additional information about content in this e-newsletter, please contact us at classifications@cihi.ca or visit the Classifications and Terminologies web page.