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

Artifacts Summary

Contents:

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.

Blood Pressure Warning

This PlanDefinition detects a recent high or low blood pressure reading.
Hypertension Diagnosis

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

This PlanDefinition provides patient recommendations for monitoring a preexisting Hypertension condition.
Potential Side Effect Detection

This PlanDefinition detects recent adverse reactions that could be related to Hypertension medication.
Therapy - Lifestyle changes

This PlanDefinition identifies Non-Pharmacologic Interventions for Hypertension
Therapy - Medicines

This PlanDefinition provides pharmacologic recommendations for patients with Hypertension

Knowledge Artifacts: Libraries

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

Adverse Event Logic

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

Common logic spanning multiple interventions.
FHIR Model Definition

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

FHIRHelpers R4 conversion logic library
Initial Diagnosis Logic

Decision logic for identifying hypertension in undiagnosed patients
Monitoring Logic

Decision logic for monitoring progress in a patient previously diagnosed with hypertension
Non-medicinal Therapy Logic

Decision logic for providing tailored lifestyle recommendations based on patient behaviors.
Therapy - Medicines Logic

Decision logic for recommendations concerning hypertension medications
Very High Blood Pressure Alert Logic

Decision logic for identifying a recent very high blood pressure

Terminology: Value Sets

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

ValueSet/2.16.840.1.113762.1.4.1178.10
ValueSet/2.16.840.1.113762.1.4.1200.242-20221201
ValueSet/2.16.840.1.113883.3.464.1003.104.12.1016
Alcohol Abuse Disorder

This value set contains concepts related to alcohol abuse conditions.
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.
Ambulatory Blood Pressure Monitoring (ABPM)

This value set contains concepts that represent ambulatory blood pressure monitoring.
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.
BMI Follow Up Plan SNOMEDCT

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

This valueset contains codes for defining Blood Pressure Measured code attribute.
Conditions Adversely Related to Antihypertensives

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

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

This valueset contains codes for defining Diastolic Blood Pressure.
End Stage Renal Disease

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

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

A set of SNOMED codes for Hypertension
Non essential Hypertension SNOMEDCT

This value set contains terms defining non-essential hypertension.
Physical Activity Recommendations

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

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

This valueset contains codes for defining Systolic Blood Pressure.
Tobacco Smoking Status [Current] (Social History) (LOINC)

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

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

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

This value set contains concepts related to weight loss counseling.

Other

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

AdverseEvent/example-TreatedAdverseEvent
AdverseEvent/example-UntreatedAdverseEvent
Goal/example-BloodPressureGoal

Example of an active Blood Pressure Goal of 135/85
Medication/example-Antihypertensive
MedicationRequest/example-ActiveAntihypertensive
Observation/example-HomeBloodPressure