Welcome to the seventh 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

MAID coding and abstracting direction

Interim coding and abstracting direction for medical assistance in dying (MAID) cases is available for Discharge Abstract Database (DAD) and National Ambulatory Care Reporting System (NACRS) clients, as described in the MAID Coding and Abstracting Direction bulletin that was recently circulated.

If facilities have not coded MAID cases per the direction in the bulletin, the Canadian Institute for Health Information (CIHI) strongly encourages them to correct and resubmit this data to the DAD and/or NACRS for data years 2016–2017 and 2017–2018.

Opioid coding

CIHI is currently developing a bulletin that will be released soon to address questions regarding coding of opioid overdoses. Please note that the bulletin on opioid coding will replace the Tip for Coders scheduled for June. The next scheduled Tip for Coders will be released in September.

Please submit any opioid-related questions to the eQuery coding question service. You can also find many opioid-related questions and answers in eQuery:

  • For coding or classification questions related to coding opioid cases, select “Classifications coding (CED-DxS, ICD-10-CA, CCI, Canadian Coding Standards)” and search on the keyword “OpPsn.”
  • For abstracting or data submission questions related to opioid cases, select “Inpatient/ambulatory abstracting and education (DAD and NACRS)” and search on the keywords “opioid reporting.”

Clinician-friendly short titles

In June 2016, CIHI’s Classifications and Terminologies team released clinician-friendly short titles for 792 Canadian Classification of Health Interventions (CCI) rubrics and codes that are used in the top 60% of reported cases in the DAD and NACRS. The clinician-friendly short titles are provided in an English and French stand-alone table, which includes the following fields: CCI code, short title, long title and clinician-friendly short title.

We invite you to provide feedback on the usefulness and uptake of the clinician-friendly short titles by completing this short survey. The survey will be open until August 7, 2017. 

Education and related resources

New eLearning course: Hip Joint Replacement

The new eLearning course Hip Joint Replacement is now available, in both English and French. It explores the differences between a hip joint resurfacing, a partial hip replacement and a total hip joint replacement. It also provides the learner with key information regarding correct classification as well as some practice in applying the appropriate CCI codes from rubric 1.VA.53.^^ Implantation of internal device, hip joint, including the mandatory attributes.

To register for CIHI education sessions, please visit CIHI’s Learning Centre.

Field trials of ICD-11

WHO and line coding

As we shared with you in the last e-newsletter, the World Health Organization (WHO) is conducting field trials of which the CIHI’s Classifications and Terminologies team is significantly involved. 

The field testing exercises are called line coding. We have just completed Phase 4 of line coding of priority areas for ICD-11, which involves classifying the terms in ICD-11 and ICD-10. This phase was a bit more challenging and complex than the previous phases as, in some cases; more than one code is required to identify the condition in ICD-11.

The completion of this phase allows the WHO to further develop the instructional notes required to guide users through the coding process with ICD-11. It will also help those who are involved in the line coding to further enhance their ICD-11 knowledge and coding skills.

The WHO is extremely pleased with our participation in the previous phases we completed and our contribution to the development of ICD-11, its instructions and its learning materials.

The next phase will begin in the near future and will involve the classification of cases and the application of the main condition and morbidity rules.

Collaboration with University of Calgary

The Classifications and Terminologies team has also been collaborating with a team of researchers at the University of Calgary. These researchers will be conducting field trials using ICD-11 by working with inpatient charts from Calgary facilities and using local coding specialists to assign the applicable codes using the April 2017 frozen release of ICD-11. Classifications and Terminologies staff have been involved in developing training materials and in helping train the coding specialists. As we move forward, we will continue to work together on this exciting project and hope to also collaborate on other initiatives that revolve around coding quality in Canada.

Member state comments with Health Canada

As mentioned in the last e-newsletter, the WHO released a version of ICD-11 for member state comments in October 2016. As part of our efforts to provide feedback on ICD-11 and ensure that it is fit for use in Canada, we are collaborating with Health Canada, the body in Canada required to provide the response to the WHO.

Quick links to more information

If you are interested in learning more about ICD-11, you may access the most recent (April 2017) frozen version of ICD-11.

The document ICD-11 2016 Edition for Member State Comment High Level Overview provides instructions on how to use the browser and the coding tool, descriptions of the new terminology and concepts in ICD-11, and an outline of the chapters and blocks.

Coding questions: 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 2016. Log in to eQuery now to review them.

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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.

Coders’ Resource Page

The Coders’ Resource Page was designed as a one-stop shop, where you will find resources that support your work in the coding and abstracting of data for the DAD and NACRS.

Since the release of the last e-newsletter in December 2016, the following Tip for Coders has been posted on the Coders’ Resource Page:

  • March 2017: Infections: Interpretation of This Versus That

Note: The bulletin on opioid coding (see above) will replace the Tip for Coders scheduled for June. The next scheduled Tip for Coders will be released in September.

Get in touch

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