HL7.FHIR.US.OHSUHYPERTENSIONIG\Therapy - Non-medicinal - XML Representation

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
: Therapy - Non-medicinal - XML Representation

Draft as of 2020-02-04
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<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="plandefinition-NonPharmacologicIntervention"/>
  <text>
    <status value="generated"/>
    <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 &quot;plandefinition-NonPharmacologicIntervention&quot; </p></div><p><b>url</b>: <code>http://fhir.org/guides/ohsuhypertensionig/PlanDefinition/plandefinition-NonPharmacologicIntervention</code></p><p><b>identifier</b>: id: ohsu-NonPharmacologicIntervention (use: OFFICIAL)</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>
  </text>
  <url
       value="http://fhir.org/guides/ohsuhypertensionig/PlanDefinition/plandefinition-NonPharmacologicIntervention"/>
  <identifier>
    <use value="official"/>
    <value value="ohsu-NonPharmacologicIntervention"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="NonPharmacologicIntervention"/>
  <title value="Therapy - Non-medicinal"/>
  <type>
    <coding>
      <system value="http://hl7.org/fhir/plan-definition-type"/>
      <code value="eca-rule"/>
      <display value="ECA Rule"/>
    </coding>
  </type>
  <status value="draft"/>
  <date value="2020-02-04T00:00:00-08:00"/>
  <publisher value="Oregon Health and Science University"/>
  <contact>
    <name value="Oregon Health and Science University"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.ohsu.edu/"/>
    </telecom>
  </contact>
  <description
               value="This PlanDefinition identifies Non-Pharmacologic Interventions for Hypertension"/>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="371622005"/>
        <display value="Elevated BP without HTN diagnosis"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="840"/>
    </coding>
  </jurisdiction>
  <purpose
           value="The purpose of this is to recommend lifestyle changes that may help address high blood pressure."/>
  <usage
         value="This is to be used in conjunction with a patient-facing FHIR application."/>
  <copyright value="© OHSU 2020+."/>
  <topic>
    <text value="Hypertension Management"/>
  </topic>
  <library
           value="http://fhir.org/guides/ohsuhypertensionig/Library/NonPharmacologicIntervention"/>
  <action>
    <title value="Does Patient Smoke or have a Tobacco Cessation Goal?"/>
    <description
                 value="Determines if a recommendation or reminder regarding Patient smoking should be presented."/>
    <trigger>
      <type value="named-event"/>
      <name value="patient-view"/>
    </trigger>
    <condition>
      <kind value="applicability"/>
      <expression>
        <description value="Determine if patient is in the recommendation."/>
        <language value="text/cql.identifier"/>
        <expression value="Patient Smoking Goals Action Path"/>
      </expression>
    </condition>
    <dynamicValue>
      <path value="action.title"/>
      <expression>
        <description value="Applicable text for the Smoking Recommendation"/>
        <language value="text/cql.identifier"/>
        <expression value="Smoking Recommendation"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="action.description"/>
      <expression>
        <description value="Rationale for recommendation type."/>
        <language value="text/cql.identifier"/>
        <expression value="Smoking Rationale Combined Data"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="action.extension"/>
      <expression>
        <language value="text/cql.identifier"/>
        <expression value="Smoking Indicator Status"/>
      </expression>
    </dynamicValue>
  </action>
  <action>
    <title
           value="Is Patient's BMI Greater Than 25 or do they have a weight loss goal?"/>
    <description
                 value="Determines if a recommendation or reminder regarding the Patient's BMI being over 25 should be presented."/>
    <trigger>
      <type value="named-event"/>
      <name value="patient-view"/>
    </trigger>
    <condition>
      <kind value="applicability"/>
      <expression>
        <description value="Determine if patient is in the recommendation."/>
        <language value="text/cql.identifier"/>
        <expression value="Patient Weight Loss Goals Action Path"/>
      </expression>
    </condition>
    <dynamicValue>
      <path value="action.title"/>
      <expression>
        <description value="Applicable text for the BMI Recommendation"/>
        <language value="text/cql.identifier"/>
        <expression value="BMI Recommendation"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="action.description"/>
      <expression>
        <description value="Rationale for recommendation type."/>
        <language value="text/cql.identifier"/>
        <expression value="BMI Rationale Combined Data"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="action.extension"/>
      <expression>
        <language value="text/cql.identifier"/>
        <expression value="Weight Loss Indicator Status"/>
      </expression>
    </dynamicValue>
  </action>
  <action>
    <title value="Does the Patient Drink Heavily?"/>
    <description
                 value="Determines if a recommendation or reminder regarding the Patient's Alcohol Drinking should be presented."/>
    <trigger>
      <type value="named-event"/>
      <name value="patient-view"/>
    </trigger>
    <condition>
      <kind value="applicability"/>
      <expression>
        <description value="Determine if patient is in the recommendation."/>
        <language value="text/cql.identifier"/>
        <expression value="Patient Alcohol Goals Action Path"/>
      </expression>
    </condition>
    <dynamicValue>
      <path value="action.title"/>
      <expression>
        <description value="Applicable text for the Alcohol Recommendation"/>
        <language value="text/cql.identifier"/>
        <expression value="Alcohol Recommendation"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="action.description"/>
      <expression>
        <description value="Rationale for recommendation type."/>
        <language value="text/cql.identifier"/>
        <expression value="Alcohol Rationale Combined Data"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="action.extension"/>
      <expression>
        <language value="text/cql.identifier"/>
        <expression value="Alcohol Moderation Indicator Status"/>
      </expression>
    </dynamicValue>
  </action>
  <action>
    <title value="Does the Patient Need Nutrition Counseling?"/>
    <description
                 value="Determines if a recommendation regarding the patient's Nutrition should be established."/>
    <trigger>
      <type value="named-event"/>
      <name value="patient-view"/>
    </trigger>
    <condition>
      <kind value="applicability"/>
      <expression>
        <description value="Determine if patient is in the recommendation."/>
        <language value="text/cql.identifier"/>
        <expression value="Patient Nutrition Goals Action Path"/>
      </expression>
    </condition>
    <dynamicValue>
      <path value="action.title"/>
      <expression>
        <description
                     value="Applicable text for the Nutrition Recommendation"/>
        <language value="text/cql.identifier"/>
        <expression value="Nutrition Recommendation"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="action.description"/>
      <expression>
        <description value="Rationale for recommendation type."/>
        <language value="text/cql.identifier"/>
        <expression value="Nutrition Rationale Combined Data"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="action.extension"/>
      <expression>
        <language value="text/cql.identifier"/>
        <expression value="Nutrition Indicator Status"/>
      </expression>
    </dynamicValue>
  </action>
  <action>
    <title value="Does the Patient Need Physical Activity Counseling?"/>
    <description
                 value="Determines if a recommendation regarding the patient's Physical Activity should be established."/>
    <trigger>
      <type value="named-event"/>
      <name value="patient-view"/>
    </trigger>
    <condition>
      <kind value="applicability"/>
      <expression>
        <description value="Determine if patient is in the recommendation."/>
        <language value="text/cql.identifier"/>
        <expression value="Patient Physical Activity Goals Action Path"/>
      </expression>
    </condition>
    <dynamicValue>
      <path value="action.title"/>
      <expression>
        <description
                     value="Applicable text for the Physical Activity Recommendation"/>
        <language value="text/cql.identifier"/>
        <expression value="Physical Activity Recommendation"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="action.description"/>
      <expression>
        <description value="Rationale for recommendation type."/>
        <language value="text/cql.identifier"/>
        <expression value="Physical Activity Rationale Combined Data"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="action.extension"/>
      <expression>
        <language value="text/cql.identifier"/>
        <expression value="Physical Activity Indicator Status"/>
      </expression>
    </dynamicValue>
  </action>
  <action>
    <title
           value="Exclusion from Hypertension Non-Pharmacologic Interventions"/>
    <description
                 value="Determines if patient was excluded from Hypertension Non-Pharmacologic Interventions Recommendation."/>
    <trigger>
      <type value="named-event"/>
      <name value="patient-view"/>
    </trigger>
    <condition>
      <kind value="applicability"/>
      <expression>
        <description
                     value="Determine if patient is in hypertension exclusion population."/>
        <language value="text/cql.identifier"/>
        <expression value="Meets Exclusion Criteria"/>
      </expression>
    </condition>
    <dynamicValue>
      <path value="action.description"/>
      <expression>
        <description
                     value="Rationale for why patient was excluded from the hypertension diagnosis."/>
        <language value="text/cql.identifier"/>
        <expression value="Exclusion Reason"/>
      </expression>
    </dynamicValue>
    <dynamicValue>
      <path value="action.extension"/>
      <expression>
        <language value="text/cql.identifier"/>
        <expression value="Info"/>
      </expression>
    </dynamicValue>
  </action>
</PlanDefinition>