OHSU Hypertension Implementation Guide
0.1.0 - CI Build
Unknown region code '840'
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
| Draft as of 2020-02-04 |
{
"resourceType" : "PlanDefinition",
"id" : "plandefinition-NonPharmacologicIntervention",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PlanDefinition</b><a name=\"plandefinition-NonPharmacologicIntervention\"> </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 "plandefinition-NonPharmacologicIntervention" </p></div><p><b>url</b>: <code>http://fhir.org/guides/ohsuhypertensionig/PlanDefinition/plandefinition-NonPharmacologicIntervention</code></p><p><b>identifier</b>: id:\u00a0ohsu-NonPharmacologicIntervention\u00a0(use:\u00a0OFFICIAL)</p><p><b>version</b>: 0.1.0</p><p><b>name</b>: NonPharmacologicIntervention</p><p><b>title</b>: Therapy - Non-medicinal</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 identifies Non-Pharmacologic Interventions for 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 of this is to recommend lifestyle changes that may help address high blood pressure.</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-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>-</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 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>-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</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>-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</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>-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</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>-</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 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>-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</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>-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</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>-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</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>-</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 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>-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</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>-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</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>-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</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>-</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 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>-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</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>-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</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>-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</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>-</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 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>-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</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>-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</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>-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td>*</td><td>text/cql.identifier</td><td>Physical Activity Indicator Status</td></tr></table></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Exclusion from Hypertension Non-Pharmacologic Interventions</p><p><b>description</b>: Determines if patient was excluded from Hypertension Non-Pharmacologic Interventions Recommendation.</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 in hypertension exclusion population.</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-NonPharmacologicIntervention",
"identifier" : [
{
"use" : "official",
"value" : "ohsu-NonPharmacologicIntervention"
}
],
"version" : "0.1.0",
"name" : "NonPharmacologicIntervention",
"title" : "Therapy - Non-medicinal",
"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",
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}
},
{
"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",
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"description" : "Determine if patient is in the recommendation.",
"language" : "text/cql.identifier",
"expression" : "Patient Weight Loss Goals Action Path"
}
}
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{
"path" : "action.title",
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}
},
{
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"expression" : {
"description" : "Rationale for recommendation type.",
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"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"
}
}
]
},
{
"title" : "Exclusion from Hypertension Non-Pharmacologic Interventions",
"description" : "Determines if patient was excluded from Hypertension Non-Pharmacologic Interventions Recommendation.",
"trigger" : [
{
"type" : "named-event",
"name" : "patient-view"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"description" : "Determine if patient is in hypertension exclusion population.",
"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"
}
}
]
}
]
}
IG © 2020+ Oregon Health and Science University. Package hl7.fhir.us.ohsuhypertensionig#0.1.0 based on FHIR 4.0.1. Generated 2023-05-11
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