Managing Value Sets: The Building Blocks for Your Analytic Initiatives

Managing groups of codes is required for constructing quality measures, defining population cohorts, building decision support rules, and real-time care alerts.

What Are Value Sets?

Ensuring that patient information is accurately codified is critical to making informed decisions regarding care and utilization management, minimizing re-admissions, and ensuring medical adherence to treatment plans

Value sets, also called code groups, are defined sets of codes that represent clinical concepts derived from one or more standard terminologies such as SNOMED CT®, LOINC®, ICD-10, ICD-9, and RxNorm. For example, a clinical concept may consist of a number of diagnosis and procedure codes spanning several terminologies that can be used to represent patients with myocardial infarction or diabetes.