library Pharma version '0.1'
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1' called FHIRHelpers
include OHSUHTNCommon version '0.1' called Common
context Patient
define "Meets Inclusion Criteria":
exists Common."Condition Indicating Preexisting Hypertension"
define "Meets Exclusion Criteria":
Common."Patient Under Age 18"
or Common."Patient Over Age 80"
or exists Common."Condition Indicating End Stage Renal Disease"
or exists Common."Condition Indicating Pregnancy"
or Common."HTN Crisis"
define "In Population":
// Preserve this ordering so excluded patients fail fast
not "Meets Exclusion Criteria" and "Meets Inclusion Criteria"
// Tests conditions from other workflows needed for Pharma intervention to proceed
define "Enter Workflow":
"In Population" and Common."Receive Therapy"
define "Recommendation":
if Common."Patient is Using Antihypertensive Medications" then 'Use shared decision making for treatment.'
else 'Discuss using medication to treat high blood pressure with your care team.'
define "Rationale Combined Data":
"Rationale" + '|' + "Suggestions" + '|' + "Selection Behavior" + '|' + "Links"
define "Rationale":
if Common."Patient is Using Antihypertensive Medications" then '{{#patient}}Your <strong>blood pressure is still high despite current efforts to lower it</strong>; changing your medication may be an option. This may occur sooner than expected.{{/patient}}{{#careTeam}}Employ shared decision making practices when discussing treatment for high blood pressure with your patient.{{/careTeam}}'
else '{{#patient}}Your blood pressure is substantially elevated, to the point where <strong>medication should be considered</strong>.This may occur sooner than expected. Speak with your care team to discuss medication options.{{/patient}}{{#careTeam}}In patients under 55 with high blood pressure and listed comorbidities, use thiazide-type diuretic, ACE-I, ARB, or CCB for first-line therapy{{/careTeam}}'
define "Suggestions":
if Common."Patient is Using Antihypertensive Medications" then '[ { "id": "contact-suggestion", "label": "Contact care team", "type": "suggestion-link", "actions": [{"label":"Contact your care team about options to control your high blood pressure.", "url":"/contact?token=recommend-advancing-treatment"}] } ]'
else '[ { "id": "contact-suggestion", "label": "Contact care team", "type": "suggestion-link", "actions": [{"label":"Contact your care team about options to control your high blood pressure.", "url":"/contact?token=recommend-pharma"}] } ]'
define "Indicator Status":
'warning'
define "Selection Behavior":
'at-most-one'
define "Links":
''
define "Test Antihypertensive Medications":
Common."Patient is Using Antihypertensive Medications"
|
