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 guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/OHSUCMP/htnu18ig/ and changes regularly. See the Directory of published versions

: Therapy - Lifestyle changes - JSON Representation

Draft as of 2020-02-04

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{
  "resourceType" : "PlanDefinition",
  "id" : "plandefinition-NonPharmacologicIntervention",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: PlanDefinition plandefinition-NonPharmacologicIntervention</b></p><a name=\"plandefinition-NonPharmacologicIntervention\"> </a><a name=\"hcplandefinition-NonPharmacologicIntervention\"> </a><p><b>url</b>: <a href=\"PlanDefinition-plandefinition-NonPharmacologicIntervention.html\">PlanDefinition Therapy - Lifestyle changes</a></p><p><b>identifier</b>: ohsu-NonPharmacologicIntervention\u00a0(use:\u00a0official,\u00a0)</p><p><b>version</b>: 0.1.0</p><p><b>name</b>: NonPharmacologicIntervention</p><p><b>title</b>: Therapy - Lifestyle changes</p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/plan-definition-type eca-rule}\">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>: </p><div><p>This PlanDefinition identifies Non-Pharmacologic Interventions for Hypertension</p>\n</div><h3>UseContexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>usage-context-type: focus (Clinical Focus)</td><td><span title=\"Codes:{http://snomed.info/sct 371622005}\">Elevated BP without HTN diagnosis</span></td></tr></table><p><b>jurisdiction</b>: <span title=\"Codes:{http://unstats.un.org/unsd/methods/m49/m49.htm 840}\">Unknown region code '840'</span></p><p><b>purpose</b>: </p><div><p>The purpose of this is to recommend lifestyle changes that may help address high blood pressure.</p>\n</div><p><b>usage</b>: This is to be used in conjunction with a patient-facing FHIR application.</p><p><b>copyright</b>: </p><div><p>© OHSU 2020+.</p>\n</div><p><b>topic</b>: <span title=\"Codes:\">Hypertension Management</span></p><p><b>library</b>: <a href=\"Library-NonPharmacologicIntervention.html\">Non-medicinal Therapy Logic</a></p><blockquote><p><b>action</b></p><p><b>title</b>: Does Patient Smoke or have a Tobacco Cessation Goal?</p><p><b>description</b>: Determines if a recommendation or reminder regarding Patient smoking should be presented.</p><h3>Triggers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Name</b></td></tr><tr><td style=\"display: none\">*</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 style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>Determine if patient is in the recommendation.</td><td>text/cql.identifier</td><td>Patient Smoking Goals Action Path</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 style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>Applicable text for the Smoking Recommendation</td><td>text/cql.identifier</td><td>Smoking 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 style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>Rationale for recommendation type.</td><td>text/cql.identifier</td><td>Smoking 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 style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql.identifier</td><td>Smoking Indicator Status</td></tr></table></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Is Patient's BMI Greater Than 25 or do they have a weight loss goal?</p><p><b>description</b>: Determines if a recommendation or reminder regarding the Patient's BMI being over 25 should be presented.</p><h3>Triggers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Name</b></td></tr><tr><td style=\"display: none\">*</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 style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>Determine if patient is in the recommendation.</td><td>text/cql.identifier</td><td>Patient Weight Loss Goals Action Path</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 style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>Applicable text for the BMI Recommendation</td><td>text/cql.identifier</td><td>BMI 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 style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>Rationale for recommendation type.</td><td>text/cql.identifier</td><td>BMI 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 style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql.identifier</td><td>Weight Loss Indicator Status</td></tr></table></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Does the Patient Drink Heavily?</p><p><b>description</b>: Determines if a recommendation or reminder regarding the Patient's Alcohol Drinking should be presented.</p><h3>Triggers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Name</b></td></tr><tr><td style=\"display: none\">*</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 style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>Determine if patient is in the recommendation.</td><td>text/cql.identifier</td><td>Patient Alcohol Goals Action Path</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 style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>Applicable text for the Alcohol Recommendation</td><td>text/cql.identifier</td><td>Alcohol 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 style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>Rationale for recommendation type.</td><td>text/cql.identifier</td><td>Alcohol 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 style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql.identifier</td><td>Alcohol Moderation Indicator Status</td></tr></table></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Does the Patient Need Nutrition Counseling?</p><p><b>description</b>: Determines if a recommendation regarding the patient's Nutrition should be established.</p><h3>Triggers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Name</b></td></tr><tr><td style=\"display: none\">*</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 style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>Determine if patient is in the recommendation.</td><td>text/cql.identifier</td><td>Patient Nutrition Goals Action Path</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 style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>Applicable text for the Nutrition Recommendation</td><td>text/cql.identifier</td><td>Nutrition 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 style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>Rationale for recommendation type.</td><td>text/cql.identifier</td><td>Nutrition 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 style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql.identifier</td><td>Nutrition Indicator Status</td></tr></table></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Does the Patient Need Physical Activity Counseling?</p><p><b>description</b>: Determines if a recommendation regarding the patient's Physical Activity should be established.</p><h3>Triggers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Name</b></td></tr><tr><td style=\"display: none\">*</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 style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>Determine if patient is in the recommendation.</td><td>text/cql.identifier</td><td>Patient Physical Activity Goals Action Path</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 style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>Applicable text for the Physical Activity Recommendation</td><td>text/cql.identifier</td><td>Physical Activity 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 style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>Rationale for recommendation type.</td><td>text/cql.identifier</td><td>Physical Activity 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 style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql.identifier</td><td>Physical Activity Indicator Status</td></tr></table></blockquote></blockquote></div>"
  },
  "url" : "http://fhir.org/guides/ohsuhypertensionig/PlanDefinition/plandefinition-NonPharmacologicIntervention",
  "identifier" : [
    {
      "use" : "official",
      "value" : "ohsu-NonPharmacologicIntervention"
    }
  ],
  "version" : "0.1.0",
  "name" : "NonPharmacologicIntervention",
  "title" : "Therapy - Lifestyle changes",
  "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 identifies Non-Pharmacologic Interventions for 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 of this is to recommend lifestyle changes that may help address high blood pressure.",
  "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/NonPharmacologicIntervention"
  ],
  "action" : [
    {
      "title" : "Does Patient Smoke or have a Tobacco Cessation Goal?",
      "description" : "Determines if a recommendation or reminder regarding Patient smoking should be presented.",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "patient-view"
        }
      ],
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "Determine if patient is in the recommendation.",
            "language" : "text/cql.identifier",
            "expression" : "Patient Smoking Goals Action Path"
          }
        }
      ],
      "dynamicValue" : [
        {
          "path" : "action.title",
          "expression" : {
            "description" : "Applicable text for the Smoking Recommendation",
            "language" : "text/cql.identifier",
            "expression" : "Smoking Recommendation"
          }
        },
        {
          "path" : "action.description",
          "expression" : {
            "description" : "Rationale for recommendation type.",
            "language" : "text/cql.identifier",
            "expression" : "Smoking Rationale Combined Data"
          }
        },
        {
          "path" : "action.extension",
          "expression" : {
            "language" : "text/cql.identifier",
            "expression" : "Smoking Indicator Status"
          }
        }
      ]
    },
    {
      "title" : "Is Patient's BMI Greater Than 25 or do they have a weight loss goal?",
      "description" : "Determines if a recommendation or reminder regarding the Patient's BMI being over 25 should be presented.",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "patient-view"
        }
      ],
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "Determine if patient is in the recommendation.",
            "language" : "text/cql.identifier",
            "expression" : "Patient Weight Loss Goals Action Path"
          }
        }
      ],
      "dynamicValue" : [
        {
          "path" : "action.title",
          "expression" : {
            "description" : "Applicable text for the BMI Recommendation",
            "language" : "text/cql.identifier",
            "expression" : "BMI Recommendation"
          }
        },
        {
          "path" : "action.description",
          "expression" : {
            "description" : "Rationale for recommendation type.",
            "language" : "text/cql.identifier",
            "expression" : "BMI Rationale Combined Data"
          }
        },
        {
          "path" : "action.extension",
          "expression" : {
            "language" : "text/cql.identifier",
            "expression" : "Weight Loss Indicator Status"
          }
        }
      ]
    },
    {
      "title" : "Does the Patient Drink Heavily?",
      "description" : "Determines if a recommendation or reminder regarding the Patient's Alcohol Drinking should be presented.",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "patient-view"
        }
      ],
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "Determine if patient is in the recommendation.",
            "language" : "text/cql.identifier",
            "expression" : "Patient Alcohol Goals Action Path"
          }
        }
      ],
      "dynamicValue" : [
        {
          "path" : "action.title",
          "expression" : {
            "description" : "Applicable text for the Alcohol Recommendation",
            "language" : "text/cql.identifier",
            "expression" : "Alcohol Recommendation"
          }
        },
        {
          "path" : "action.description",
          "expression" : {
            "description" : "Rationale for recommendation type.",
            "language" : "text/cql.identifier",
            "expression" : "Alcohol Rationale Combined Data"
          }
        },
        {
          "path" : "action.extension",
          "expression" : {
            "language" : "text/cql.identifier",
            "expression" : "Alcohol Moderation Indicator Status"
          }
        }
      ]
    },
    {
      "title" : "Does the Patient Need Nutrition Counseling?",
      "description" : "Determines if a recommendation regarding the patient's Nutrition should be established.",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "patient-view"
        }
      ],
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "Determine if patient is in the recommendation.",
            "language" : "text/cql.identifier",
            "expression" : "Patient Nutrition Goals Action Path"
          }
        }
      ],
      "dynamicValue" : [
        {
          "path" : "action.title",
          "expression" : {
            "description" : "Applicable text for the Nutrition Recommendation",
            "language" : "text/cql.identifier",
            "expression" : "Nutrition Recommendation"
          }
        },
        {
          "path" : "action.description",
          "expression" : {
            "description" : "Rationale for recommendation type.",
            "language" : "text/cql.identifier",
            "expression" : "Nutrition Rationale Combined Data"
          }
        },
        {
          "path" : "action.extension",
          "expression" : {
            "language" : "text/cql.identifier",
            "expression" : "Nutrition Indicator Status"
          }
        }
      ]
    },
    {
      "title" : "Does the Patient Need Physical Activity Counseling?",
      "description" : "Determines if a recommendation regarding the patient's Physical Activity should be established.",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "patient-view"
        }
      ],
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "Determine if patient is in the recommendation.",
            "language" : "text/cql.identifier",
            "expression" : "Patient Physical Activity Goals Action Path"
          }
        }
      ],
      "dynamicValue" : [
        {
          "path" : "action.title",
          "expression" : {
            "description" : "Applicable text for the Physical Activity Recommendation",
            "language" : "text/cql.identifier",
            "expression" : "Physical Activity Recommendation"
          }
        },
        {
          "path" : "action.description",
          "expression" : {
            "description" : "Rationale for recommendation type.",
            "language" : "text/cql.identifier",
            "expression" : "Physical Activity Rationale Combined Data"
          }
        },
        {
          "path" : "action.extension",
          "expression" : {
            "language" : "text/cql.identifier",
            "expression" : "Physical Activity Indicator Status"
          }
        }
      ]
    }
  ]
}