Code Analysis: Code Set Manager

Code Analysis: Code Set Manager

The Code Analysis report can be found within the Productivity and QI tab in the menu for both practice and Enterprise organisations. This report allows you to access a broad range of analytics and context based on coded care record entries, including encounter context, clinician-level utilisation and patient demographics. You can choose to add codes on the go within the report, as well as defining particular groups of codes to save them for future searches by accessing the Code Set Manager in Settings. 

Code Set Manager allows users to generate their own code libraries and save them to run whenever they need to. It also allows you to create exclusions to remove any child/descendant codes from a parent SNOMED code should you not wish to include them, allowing for very specific code set searches.  



To get started, simply navigate your way to the Apex Settings and select the ‘Code Set Manager’ option within the Data Standardisation section.
Once in the Code Set Manager select ‘New Code Set’ to get started building your new library item. You will first need to give it an applicable name (to represent your included code sets), and optionally, you can add a description. Once this is created, you can then begin to identify the codes you wish to include. 



To add a code simply select the ‘Add’ option adjacent to ‘Included Codes’ and add whichever individual SNOMED codes you would like to include. You then can add the code alongside its descendant codes or even add the descendant codes only. Choose the option most suited to your desired search and confirm your selection by pressing the ‘Add’ button. If you need help searching for your SNOMED codes, you can use the browser here.

If, when creating your library item, you choose to add a code alongside it’s descendants, but do not wish to include all the descendants, there is an exclusion option for you to remove descendant codes. To remove the undesirables simply select the ‘Add’ option adjacent to ‘Excluded Codes’, add the code you wish to exclude and then confirm by selecting ‘Add’. You can repeat this step as often as necessary to allow you to add as many codes as you wish to your set so continue to add codes until you have met your desired criteria. Once you have done this simply select the ‘Save & Close’ option in the top right and your new library item will be available for you to use at will within the Code Analysis Apex dashboard. 

What Codes Shall I Add?

Supporting other NHS Services using Code Analysis

CPCS Referrals | 1362511000000107
Patients Seen in A&E | 185210004
Patients using NHS 111 | 887641000000105
Patients using Out of Hours Services | 25781000000108
Social Prescribing Referrals | 871731000000106

These examples of how code sets were used have allowed practices to understand the patients utilising different NHS services such as A&E, NHS 111, and Social Prescribers. By identifying patients through Code Usage by Patient, we can use this code set to identify those who are regularly visiting A&E and NHS 111. Utilising this, practices have been able to support other NHS services in reducing the number of patient contacts and implementing a care plan to support the patient moving forward. 

Monitoring Additional Winter Demand 

Please also find a link to another article detailing the Code Analysis Code Set built to understand the additional pressure on NHS services in the winter of 2022/23 due to the Strep A outbreak: 

Treatment Room Reporting

The below table provides an example of treatment room related coding that may form part of a search. 

225358003

Wound care

168308006

Skin wound swab taken

184043001

Removal of skin sutures/clips

13197004

Contraception

170557005

Chronic disease initial assessment

1034771000000106

NHS Health Check commenced

268400002

12 lead ECG

59108006

Injection

714731000000104

Adult immunisation administration

714761000000109

Child immunisation administration

171072005

Recommend travel vaccinations

313334002

Blood sample taken

1007881000000101

Urine dipstick test

431323001

Ultrasound doppler scan of artery of lower limb

417036008

Liquid based cervical cytology screening

438633009

Sampling of vaginal vault for smear

1149454006

Annual physical examination for people with mental illness completed

164783007

Ambulatory blood pressure recording

448678005

Application of ambulatory blood pressure monitor

448489007

Removal of ambulatory blood pressure monitor




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