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 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
| Draft as of 2020-02-04 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="plandefinition-NonPharmacologicIntervention"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table class="narrative-table">
<tbody>
<tr>
<th colspan="2" scope="row" class="row-header">Metadata</th>
</tr>
<tr>
<th scope="row" class="row-header">Title</th>
<td class="content-container">Therapy - Lifestyle changes</td>
</tr>
<tr>
<th scope="row" class="row-header">Version</th>
<td class="content-container">0.1.0</td>
</tr>
<tr>
<th scope="row" class="row-header">Identifier</th>
<td class="content-container">ohsu-NonPharmacologicIntervention</td>
</tr>
<tr>
<th scope="row" class="row-header">Status</th>
<td class="content-container">Draft</td>
</tr>
<tr>
<th scope="row" class="row-header">Use Context</th>
<td class="content-container">
Clinical Focus
=
Elevated BP without HTN diagnosis
</td>
</tr>
<tr>
<th scope="row" class="row-header">Jurisdiction</th>
<td class="content-container">
840 from <a href="http://unstats.un.org/unsd/methods/m49/m49.htm">http://unstats.un.org/unsd/methods/m49/m49.htm</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Topic</th>
<td class="content-container">Hypertension Management
</td>
</tr>
<tr>
<th scope="row" class="row-header">Steward (Publisher)</th>
<td class="content-container">Oregon Health and Science University</td>
</tr>
<tr>
<th scope="row" class="row-header">Steward Contact</th>
<td class="content-container">Oregon Health and Science University</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container"><div><p>This PlanDefinition identifies Non-Pharmacologic Interventions for Hypertension</p>
</div></td>
</tr>
<tr>
<th scope="row" class="row-header">Purpose</th>
<td class="content-container"><div><p>The purpose of this is to recommend lifestyle changes that may help address high blood pressure.</p>
</div></td>
</tr>
<tr>
<th scope="row" class="row-header">Copyright</th>
<td class="content-container"><div><p>© OHSU 2020+.</p>
</div></td>
</tr>
<tr>
<th scope="row" class="row-header">Type</th>
<td class="content-container">
ECA Rule
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">PlanDefinition Action</th>
</tr>
<tr>
<th scope="row" class="row-header">Title</th>
<td class="content-container">Does Patient Smoke or have a Tobacco Cessation Goal?</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container">Determines if a recommendation or reminder regarding Patient smoking should be presented.</td>
</tr>
<tr>
<th scope="row" class="row-header">Trigger Type</th>
<td class="content-container">Named Event</td>
</tr>
<tr>
<th scope="row" class="row-header">Trigger Name</th>
<td class="content-container">patient-view</td>
</tr>
<tr>
<th scope="row" class="row-header">Condition</th>
<td class="content-container">
<em>Kind</em>: Applicability
<br/>
<em>Logic Definition</em>: <a href="#nonpharmacologicintervention-patient-smoking-goals-action-path">Patient Smoking Goals Action Path</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dynamic Value</th>
<td class="content-container">
<em>Path</em>: action.title
<br/>
<em>Logic Definition</em>: <a href="#nonpharmacologicintervention-smoking-recommendation">Smoking Recommendation</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dynamic Value</th>
<td class="content-container">
<em>Path</em>: action.description
<br/>
<em>Logic Definition</em>: <a href="#nonpharmacologicintervention-smoking-rationale-combined-data">Smoking Rationale Combined Data</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dynamic Value</th>
<td class="content-container">
<em>Path</em>: action.extension
<br/>
<em>Logic Definition</em>: <a href="#nonpharmacologicintervention-smoking-indicator-status">Smoking Indicator Status</a>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">PlanDefinition Action</th>
</tr>
<tr>
<th scope="row" class="row-header">Title</th>
<td class="content-container">Is Patient's BMI Greater Than 25 or do they have a weight loss goal?</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container">Determines if a recommendation or reminder regarding the Patient's BMI being over 25 should be presented.</td>
</tr>
<tr>
<th scope="row" class="row-header">Trigger Type</th>
<td class="content-container">Named Event</td>
</tr>
<tr>
<th scope="row" class="row-header">Trigger Name</th>
<td class="content-container">patient-view</td>
</tr>
<tr>
<th scope="row" class="row-header">Condition</th>
<td class="content-container">
<em>Kind</em>: Applicability
<br/>
<em>Logic Definition</em>: <a href="#nonpharmacologicintervention-patient-weight-loss-goals-action-path">Patient Weight Loss Goals Action Path</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dynamic Value</th>
<td class="content-container">
<em>Path</em>: action.title
<br/>
<em>Logic Definition</em>: <a href="#nonpharmacologicintervention-bmi-recommendation">BMI Recommendation</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dynamic Value</th>
<td class="content-container">
<em>Path</em>: action.description
<br/>
<em>Logic Definition</em>: <a href="#nonpharmacologicintervention-bmi-rationale-combined-data">BMI Rationale Combined Data</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dynamic Value</th>
<td class="content-container">
<em>Path</em>: action.extension
<br/>
<em>Logic Definition</em>: <a href="#nonpharmacologicintervention-weight-loss-indicator-status">Weight Loss Indicator Status</a>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">PlanDefinition Action</th>
</tr>
<tr>
<th scope="row" class="row-header">Title</th>
<td class="content-container">Does the Patient Drink Heavily?</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container">Determines if a recommendation or reminder regarding the Patient's Alcohol Drinking should be presented.</td>
</tr>
<tr>
<th scope="row" class="row-header">Trigger Type</th>
<td class="content-container">Named Event</td>
</tr>
<tr>
<th scope="row" class="row-header">Trigger Name</th>
<td class="content-container">patient-view</td>
</tr>
<tr>
<th scope="row" class="row-header">Condition</th>
<td class="content-container">
<em>Kind</em>: Applicability
<br/>
<em>Logic Definition</em>: <a href="#nonpharmacologicintervention-patient-alcohol-goals-action-path">Patient Alcohol Goals Action Path</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dynamic Value</th>
<td class="content-container">
<em>Path</em>: action.title
<br/>
<em>Logic Definition</em>: <a href="#nonpharmacologicintervention-alcohol-recommendation">Alcohol Recommendation</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dynamic Value</th>
<td class="content-container">
<em>Path</em>: action.description
<br/>
<em>Logic Definition</em>: <a href="#nonpharmacologicintervention-alcohol-rationale-combined-data">Alcohol Rationale Combined Data</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dynamic Value</th>
<td class="content-container">
<em>Path</em>: action.extension
<br/>
<em>Logic Definition</em>: <a href="#nonpharmacologicintervention-alcohol-moderation-indicator-status">Alcohol Moderation Indicator Status</a>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">PlanDefinition Action</th>
</tr>
<tr>
<th scope="row" class="row-header">Title</th>
<td class="content-container">Does the Patient Need Nutrition Counseling?</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container">Determines if a recommendation regarding the patient's Nutrition should be established.</td>
</tr>
<tr>
<th scope="row" class="row-header">Trigger Type</th>
<td class="content-container">Named Event</td>
</tr>
<tr>
<th scope="row" class="row-header">Trigger Name</th>
<td class="content-container">patient-view</td>
</tr>
<tr>
<th scope="row" class="row-header">Condition</th>
<td class="content-container">
<em>Kind</em>: Applicability
<br/>
<em>Logic Definition</em>: <a href="#nonpharmacologicintervention-patient-nutrition-goals-action-path">Patient Nutrition Goals Action Path</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dynamic Value</th>
<td class="content-container">
<em>Path</em>: action.title
<br/>
<em>Logic Definition</em>: <a href="#nonpharmacologicintervention-nutrition-recommendation">Nutrition Recommendation</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dynamic Value</th>
<td class="content-container">
<em>Path</em>: action.description
<br/>
<em>Logic Definition</em>: <a href="#nonpharmacologicintervention-nutrition-rationale-combined-data">Nutrition Rationale Combined Data</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dynamic Value</th>
<td class="content-container">
<em>Path</em>: action.extension
<br/>
<em>Logic Definition</em>: <a href="#nonpharmacologicintervention-nutrition-indicator-status">Nutrition Indicator Status</a>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">PlanDefinition Action</th>
</tr>
<tr>
<th scope="row" class="row-header">Title</th>
<td class="content-container">Does the Patient Need Physical Activity Counseling?</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container">Determines if a recommendation regarding the patient's Physical Activity should be established.</td>
</tr>
<tr>
<th scope="row" class="row-header">Trigger Type</th>
<td class="content-container">Named Event</td>
</tr>
<tr>
<th scope="row" class="row-header">Trigger Name</th>
<td class="content-container">patient-view</td>
</tr>
<tr>
<th scope="row" class="row-header">Condition</th>
<td class="content-container">
<em>Kind</em>: Applicability
<br/>
<em>Logic Definition</em>: <a href="#nonpharmacologicintervention-patient-physical-activity-goals-action-path">Patient Physical Activity Goals Action Path</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dynamic Value</th>
<td class="content-container">
<em>Path</em>: action.title
<br/>
<em>Logic Definition</em>: <a href="#nonpharmacologicintervention-physical-activity-recommendation">Physical Activity Recommendation</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dynamic Value</th>
<td class="content-container">
<em>Path</em>: action.description
<br/>
<em>Logic Definition</em>: <a href="#nonpharmacologicintervention-physical-activity-rationale-combined-data">Physical Activity Rationale Combined Data</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dynamic Value</th>
<td class="content-container">
<em>Path</em>: action.extension
<br/>
<em>Logic Definition</em>: <a href="#nonpharmacologicintervention-physical-activity-indicator-status">Physical Activity Indicator Status</a>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">PlanDefinition Logic</th>
</tr>
<tr>
<th scope="row" class="row-header">Primary Library</th>
<td class="content-container"><a href="Library-NonPharmacologicIntervention.html">Non-medicinal Therapy Logic</a></td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Generated using version 0.5.4 of the sample-content-ig Liquid templates</th>
</tr>
</tbody>
</table>
</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 - Lifestyle changes"/>
<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>
</PlanDefinition>