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

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Knowledge Artifacts: Plan Definitions

These define workflows, rules, strategies, or protocols as part of content in this implementation guide.

Therapy - Non-medicinal

This PlanDefinition identifies Non-Pharmacologic Interventions for Hypertension

Potential Adverse Reaction Detection

This PlanDefinition detects recent adverse reactions that could be related to Hypertension medication.

Monitoring

This PlanDefinition provides patient recommendations for monitoring a preexisting Hypertension condition.

Hypertension Diagnosis

This PlanDefinition looks for indications a patient should be diagnosed with hypertension.

Therapy - Medicines

This PlanDefinition provides pharmacologic recommendations for patients with Hypertension

High Blood Pressure Warning

This PlanDefinition detects a recent high blood pressure reading.

Knowledge Artifacts: Libraries

These define logic, asset collections and other libraries as part of content in this implementation guide.

FHIRHelpers R4 Logic

FHIRHelpers R4 conversion logic library

Monitoring Logic

Decision logic for monitoring progress in a patient previously diagnosed with hypertension

Adverse Event Logic

Decision logic for identifying recent adverse reactions that may be related to hypertension medications

Non-medicinal Therapy Logic

Decision logic for providing tailored lifestyle recommendations based on patient behaviors.

Initial Diagnosis Logic

Decision logic for identifying hypertension in undiagnosed patients

Therapy - Medicines Logic

Decision logic for recommendations concerning hypertension medications

FHIR Model Definition

Model definition for the FHIR R4 (v4.0.1) Model

Very High Blood Pressure Alert Logic

Decision logic for identifying a recent very high blood pressure

Common Logic

Common logic spanning multiple interventions.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Physical Activity Recommendations

This value set contains concepts related to physical activity counseling procedures.

Ambulatory Blood Pressure Monitoring (ABPM)

This value set contains concepts that represent ambulatory blood pressure monitoring.

Hospice care ambulatory

This value set contains concepts that represent patients receiving hospice care outside of a hospital or long term care facility.

Tobacco Use Cessation Counseling

The purpose of this value set is to represent concepts for tobacco cessation counseling.

ValueSet/2.16.840.1.113762.1.4.1200.242-20221201
Hypertension

A set of SNOMED codes for Hypertension

Weight Reduction Recommendations

This value set contains concepts related to weight loss counseling.

Systolic blood pressure

This valueset contains codes for defining Systolic Blood Pressure.

Non essential Hypertension SNOMEDCT

This value set contains terms defining non-essential hypertension.

Average Number of Drinks per Drinking Day

The purpose of this value set is to represent concepts for assessments measuring the number of alcoholic drinks per drinking day.

Tobacco User

The purpose of this value set is to represent concepts for an observation of tobacco user status.

Blood Pressure Measured

This valueset contains codes for defining Blood Pressure Measured code attribute.

Diastolic Blood Pressure

This valueset contains codes for defining Diastolic Blood Pressure.

Alcohol Brief Intervention and Counseling

Alcohol brief intervention and counseling services that may be provided to an individual that screens “positive” for excessive alcohol intake (i.e., unhealthy alcohol intake, risky alcohol use) in an outpatient setting.

Tobacco Smoking Status [Current] (Social History) (LOINC)

LOINC code for the Tobacco Smoking Status type of social history observation.

Pregnancy

This value set contains concepts related to the diagnosis of pregnancy.

Conditions Adversely Related to Antihypertensives

A set of condition codes that may indicate an adverse reaction to an Antihypertensive Medication

End Stage Renal Disease

This value set contains concepts that represent a diagnosis of end stage renal disease.

ValueSet/2.16.840.1.113762.1.4.1178.10
BMI Ratio

The purpose of this value set is to represent concepts for a physical exam where a body mass index (BMI) ratio is calculated.

Alcohol Abuse Disorder

This value set contains concepts related to alcohol abuse conditions.

Counseling for Nutrition

The purpose of this value set is to represent concepts for nutrition counseling interventions.

ValueSet/2.16.840.1.113883.3.464.1003.104.12.1016
BMI Follow Up Plan SNOMEDCT

Numerator criteria as defined in Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan MSSPPREV9.

Other

These are resources that are used within this implementation guide that do not fit into one of the other categories.

AdverseEvent/example-UntreatedAdverseEvent
Medication/example-Antihypertensive
AdverseEvent/example-TreatedAdverseEvent
Observation/example-HomeBloodPressure
MedicationRequest/example-ActiveAntihypertensive
Goal/example-BloodPressureGoal

Example of an active Blood Pressure Goal of 135/85