OHSU Hypertension Implementation Guide
0.1.0 - CI Build Unknown region code '840'

OHSU Hypertension Implementation Guide, published by Oregon Health and Science University. This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of https://github.com/OHSUCMP/htnu18ig/ and changes regularly. See the Directory of published versions

: Hypertension Diagnosis - JSON Representation

Draft as of 2020-02-04

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{
  "resourceType" : "PlanDefinition",
  "id" : "plandefinition-Hypertension",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PlanDefinition</b><a name=\"plandefinition-Hypertension\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource PlanDefinition &quot;plandefinition-Hypertension&quot; </p></div><p><b>url</b>: <code>http://fhir.org/guides/ohsuhypertensionig/PlanDefinition/plandefinition-Hypertension</code></p><p><b>identifier</b>: id:\u00a0ohsu-hypertension\u00a0(use:\u00a0OFFICIAL)</p><p><b>version</b>: 0.1.0</p><p><b>name</b>: Hypertension</p><p><b>title</b>: Hypertension Diagnosis</p><p><b>type</b>: ECA Rule <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (plan-definition-type#eca-rule)</span></p><p><b>status</b>: draft</p><p><b>date</b>: 2020-02-04 00:00:00-0800</p><p><b>publisher</b>: Oregon Health and Science University</p><p><b>contact</b>: Oregon Health and Science University: <a href=\"https://www.ohsu.edu/\">https://www.ohsu.edu/</a></p><p><b>description</b>: This PlanDefinition looks for indications a patient should be diagnosed with hypertension.</p><h3>UseContexts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Clinical Focus (Details: http://hl7.org/fhir/usage-context-type code focus = 'focus', stated as 'Clinical Focus')</td><td>Elevated BP without HTN diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#371622005)</span></td></tr></table><p><b>jurisdiction</b>: Unknown region code '840' <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (m49.htm#840)</span></p><p><b>purpose</b>: The purpose is to identify undiagnosed patients and provide recommendations for care.</p><p><b>usage</b>: This is to be used in conjunction with a patient-facing FHIR application.</p><p><b>copyright</b>: © OHSU 2020+.</p><p><b>topic</b>: Hypertension Management <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>library</b>: <a href=\"Library-Hypertension.html\">Initial Diagnosis Logic</a></p><blockquote><p><b>action</b></p><p><b>title</b>: Diagnosis Recommendation</p><p><b>description</b>: Recommendation for undiagnosed patients in the population.</p><h3>Triggers</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Name</b></td></tr><tr><td>*</td><td>named-event</td><td>patient-view</td></tr></table><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td>-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</td><td>Determine if patient has a recommendation.</td><td>text/cql.identifier</td><td>Recommendation Needed</td></tr></table></blockquote><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: action.title</p><h3>Expressions</h3><table class=\"grid\"><tr><td>-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</td><td>Recommendation</td><td>text/cql.identifier</td><td>Recommendation</td></tr></table></blockquote><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: action.description</p><h3>Expressions</h3><table class=\"grid\"><tr><td>-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</td><td>Rationale</td><td>text/cql.identifier</td><td>Rationale Combined Data</td></tr></table></blockquote><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: action.extension</p><h3>Expressions</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</td><td>text/cql.identifier</td><td>Indicator Status</td></tr></table></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Exclusion from Hypertension Diagnosis</p><p><b>description</b>: Recommendation for patient excluded from intervention</p><h3>Triggers</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Name</b></td></tr><tr><td>*</td><td>named-event</td><td>patient-view</td></tr></table><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td>-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</td><td>Determine if patient is excluded from this intervention.</td><td>text/cql.identifier</td><td>Meets Exclusion Criteria</td></tr></table></blockquote><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: action.description</p><h3>Expressions</h3><table class=\"grid\"><tr><td>-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</td><td>Rationale for why patient was excluded from the hypertension diagnosis.</td><td>text/cql.identifier</td><td>Exclusion Reason</td></tr></table></blockquote><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: action.extension</p><h3>Expressions</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</td><td>text/cql.identifier</td><td>Info</td></tr></table></blockquote></blockquote></div>"
  },
  "url" : "http://fhir.org/guides/ohsuhypertensionig/PlanDefinition/plandefinition-Hypertension",
  "identifier" : [
    {
      "use" : "official",
      "value" : "ohsu-hypertension"
    }
  ],
  "version" : "0.1.0",
  "name" : "Hypertension",
  "title" : "Hypertension Diagnosis",
  "type" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/plan-definition-type",
        "code" : "eca-rule",
        "display" : "ECA Rule"
      }
    ]
  },
  "status" : "draft",
  "date" : "2020-02-04T00:00:00-08:00",
  "publisher" : "Oregon Health and Science University",
  "contact" : [
    {
      "name" : "Oregon Health and Science University",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.ohsu.edu/"
        }
      ]
    }
  ],
  "description" : "This PlanDefinition looks for indications a patient should be diagnosed with hypertension.",
  "useContext" : [
    {
      "code" : {
        "system" : "http://hl7.org/fhir/usage-context-type",
        "code" : "focus",
        "display" : "Clinical Focus"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "371622005",
            "display" : "Elevated BP without HTN diagnosis"
          }
        ]
      }
    }
  ],
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "840"
        }
      ]
    }
  ],
  "purpose" : "The purpose is to identify undiagnosed patients and provide recommendations for care.",
  "usage" : "This is to be used in conjunction with a patient-facing FHIR application.",
  "copyright" : "© OHSU 2020+.",
  "topic" : [
    {
      "text" : "Hypertension Management"
    }
  ],
  "library" : [
    "http://fhir.org/guides/ohsuhypertensionig/Library/Hypertension"
  ],
  "action" : [
    {
      "title" : "Diagnosis Recommendation",
      "description" : "Recommendation for undiagnosed patients in the population.",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "patient-view"
        }
      ],
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "Determine if patient has a recommendation.",
            "language" : "text/cql.identifier",
            "expression" : "Recommendation Needed"
          }
        }
      ],
      "dynamicValue" : [
        {
          "path" : "action.title",
          "expression" : {
            "description" : "Recommendation",
            "language" : "text/cql.identifier",
            "expression" : "Recommendation"
          }
        },
        {
          "path" : "action.description",
          "expression" : {
            "description" : "Rationale",
            "language" : "text/cql.identifier",
            "expression" : "Rationale Combined Data"
          }
        },
        {
          "path" : "action.extension",
          "expression" : {
            "language" : "text/cql.identifier",
            "expression" : "Indicator Status"
          }
        }
      ]
    },
    {
      "title" : "Exclusion from Hypertension Diagnosis",
      "description" : "Recommendation for patient excluded from intervention",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "patient-view"
        }
      ],
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "Determine if patient is excluded from this intervention.",
            "language" : "text/cql.identifier",
            "expression" : "Meets Exclusion Criteria"
          }
        }
      ],
      "dynamicValue" : [
        {
          "path" : "action.description",
          "expression" : {
            "description" : "Rationale for why patient was excluded from the hypertension diagnosis.",
            "language" : "text/cql.identifier",
            "expression" : "Exclusion Reason"
          }
        },
        {
          "path" : "action.extension",
          "expression" : {
            "language" : "text/cql.identifier",
            "expression" : "Info"
          }
        }
      ]
    }
  ]
}