Go to Charter Oak State College home page
Request InfoApply Now

HIM 235: Oncology Treatment and Coding

Course Description

This course will focus on oncology treatment and coding. Other topics include an overview of nomenclature and classification systems. Students will examine major sites of cancer, diagnostic and staging procedures, treatment modalities, clinical trials and research protocols. There will be an overview of AJCC staging, SEER Summary Staging and Extent of Disease. Concepts used by physicians and cancer survival organizations to determine treatment and survival will be emphasized. (3 credits)

Prerequisites

  • BIO 212: Anatomy and Physiology
  • BIO 215: Pathophysiology
  • HCA 105: Medical Terminology
  • HIM 230: Introduction to Cancer Registry and Management
  • HIM 231: Cancer Registry Operations

Student Learning Outcomes (SLOs)

Upon successful completion of the course, the student will be able to:

  1. Describe standard treatment modalities given to eliminate cancer.
  2. Explain how a treatment modality works against cancer.
  3. Identify the likely treatment based on cancer type and stage.
  4. Differentiate between treatment guidelines available to help document complete and appropriate care.
  5. Differentiate between first line of treatment and subsequent treatment.
  6. Identify treatment modalities in case scenarios.
  7. Recognize and utilize the correct coding for surgery, chemotherapy, and other treatments appropriately.

Course Activities and Grading

Note: A "C" grade or higher must be earned to pass this course.

Letter GradePercentage
A93.0-100.0 
A -90.0-92.9 
B+87.0-89.9 
B83.0-86.9 
B -80.0-82.9 
C +77.0-79.9 
C73.0-76.9 
F72.99% and below



AssignmentsWeight

Discussions (Weeks 1-8)

30%

Quizzes (Weeks 1-7)

20%

Application Activities (Week 3 and Week 5)

10%

Treatment Guideline PowerPoint (Week 8)

20%

Final Exam (Week 8)

20%

Total

100%

Required Textbooks

Available through Charter Oak State College's Book Bundle

  • National Cancer Registrars Association. Cancer Registry Management Principles and Practice for Hospitals and Central Registries. 4th ed. NCRA, 2021. 

  • Amin MB, Edge S, Greene F, Byrd DR, Brookland RK, Washington MK, Gershenwald JE, Compton CC, Hess KR, et al. (Eds.). AJCC Cancer Staging Manual. 8th ed. Springer International Publishing: American Joint Commission on Cancer; 2017. 

  • Note: These textbooks are used in most of the Cancer Registry Management courses and should be saved for preparation for the CTR exam.

Course Schedule

Week

SLOs

Readings and Exercises

Assignments

1

1,2

Topic: Overview of Treatment

  • Read and Review:
    • National Cancer Registrars Association, Chapter 10
    • Cancer Basics: How chemotherapy works
  • Read assigned chapter
  • Review assigned materials
  • Review the Lecture material
  • Participate in the discussions
  • Complete Week 1 - Quiz

2

1,2,3

Topics: Terminology and Types of Treatment

  • Read and Review:
    • National Cancer Registrars Association, Chapter 10 - concentrate on surgery
    • Chemotherapy Drugs
  • Read assigned chapter
  • Review assigned materials
  • Review the Lecture material
  • Participate in the discussions
  • Complete Week 2 - Quiz

3

4,5,6,7

Topics: Coding Chemotherapy, Immunotherapy, and Hormone Therapy

  • Read and Review:
    • National Cancer Registrars Association, Chapter 7, pp. 149-154
    • SEER Website
    • SEER*Rx - Interactive Antineoplastic Drugs Database.
    • STORE Manual
    • NCCN Guidelines for Patients:
      • Adult Acute Lymphoblastic Leukemia
      • B-Cell Lymphoma
      • Bladder Cancer
  • Read assigned chapter
  • Review assigned materials
  • Participate in the discussions
  • Submit Week 3 - Application Activity: Systemic Treatment Coding
  • Complete Week 3 - Quiz

4

2,5,6,7

Topic: Coding RT

  • Read and Review:
    • STORE Manual, pp. 263-290
    • CTR Guide to Coding Radiation Therapy Treatment in the STORE
    • The Pros and Cons of Proton Therapy
  • Review assigned materials
  • Participate in the discussions
  • Complete Week 4 - Quiz

5

1,2,7

Topics: Radiation and Surgery Techniques

  • Read and Review:
    • National Cancer Registrars Association, pp. 144-149
    • Radiation Therapy
    • STORE Manual, pp. 259-290
    • Knee Replacement Using the MAKO Robotic Arm
  • Read assigned pages
  • Review assigned materials
  • Participate in the discussions
  • Submit Week 5 - Application Activity: Radiation Coding
  • Complete Week 5 - Quiz

6

1,3,4,7

Topics: NCCN Guidelines and Coding Surgery

  • Read and Review:
    • National Cancer Registrars Association, p. 112 and pp. 237-238
    • STORE Manual, pp. 142-143 and 354-376
    • NCCN Guidelines for Patients:
      • Kidney Cancer
      • Liver Cancer
  • Read assigned pages
  • Review assigned materials
  • Participate in the discussions
  • Complete Week 6 - Quiz
  • Begin working on your Treatment Guideline PowerPoint due in Week 8

7

2,4,6

Topics: Experimental Treatments and Clinical Trials

  • Read and Review:
    • National Cancer Registrars Association, p. 112 and pp. 237-238
    •  STORE Manual, pp. 52-64
  • Read assigned pages
  • Review assigned materials
  • Participate in the discussions
  • Complete Week 7 - Quiz
  • Continue working on your Treatment Guideline PowerPoint due in Week 8

8

1-7

Topic: Course Review

  • Read and Review:
    • Road To Recovery
    • SEER Website
    • NCCN Guidelines for Patients
  • Review assigned materials
  • Participate in the discussions
  • Submit Week 8 - Assignment: Treatment Guideline PowerPoint
  • Complete Week 8 - Final Exam
  • Complete the Course Evaluation

04162026

COSC Accessibility Statement

Charter Oak State College encourages students with disabilities, including non-visible disabilities such as chronic diseases, learning disabilities, head injury, attention deficit/hyperactive disorder, or psychiatric disabilities, to discuss appropriate accommodations with the Office of Accessibility Services at OAS@charteroak.edu.

COSC Policies, Course Policies, Academic Support Services and Resources

Students are responsible for knowing all Charter Oak State College (COSC) institutional policies, course-specific policies, procedures, and available academic support services and resources. Please see COSC Policies for COSC institutional policies, and see also specific policies related to this course. See COSC Resources for information regarding available academic support services and resources.