VA-HTN ASSESSMENT BP >=160/100 (151)    REMINDER DEFINITION (811.9)

Name Value
NAME VA-HTN ASSESSMENT BP >=160/100
PRINT NAME HTN Assess for Elevated BP>=160/100
CLASS NATIONAL
SPONSOR Office of Quality & Performance
USAGE C
EDIT HISTORY
  1. EDIT DATE:   2012-03-23 12:52:54
    EDIT BY:   USER,SEVENTEEN
    EDIT COMMENTS:   
    Exchange Install
    
DESCRIPTION
This reminder is due every 1 month for patients whose last DBP was >99 
     HTN MEDICATIONS ADJUSTED                   (HF)
     HTN REFUSAL OF MED INTERVENTION            (HF)
     HTN EVALUATION OF RESISTANT/SECONDARY      (HF)
     HTN NO MED CHANGE - BP CONTROLLED          (HF)
     HTN NO MED CHANGE - COMORBID ILLNESS       (HF)
     HTN NO MED CHANGE - SIDE EFFECTS FROM RX   (HF)
     HTN NO MED CHANGE - LIMITED LIFE EXP       (HF)
     HTN NO MED CHANGE - NONCOMPLIANCE          (HF)
     HTN NO MED CHANGE - OTHER                  (HF)
 
or the last SBP was > 159 and the patient has a diagnosis of HTN.  
Educational interventions are optional:
  Education  (reminder term HTN EDUCATIONAL INTERVENTIONS)
     VA-HTN EXERCISE EDUCATION                    (ED)
     VA-HTN NUTRITION EDUCATION                   (ED)
     HTN LIFESTYLE MODIFICATIONS RECOMMENDED      (HF)
     VA-HTN MEDICATION ADHERENCE                  (ED)
     HTN NO EDUC INTERVENTION WARRANTED           (HF)
 
The reminder becomes not applicable if the health factor of INCORRECT HTN 
DIAGNOSIS is entered.  The reminder is reactivated the next time that an 
 
ICD code for HTN is entered.  
 
The following findings are included in the reminder to provide additional 
information in the clinical maintenance display:
 
Any diabetes diagnoses, drug classes for HTN meds (CV100, CV150, 
CV400, CV490, CV700, CV709, CV800, CV805), patient's BMI.
The reminder becomes not applicable if a BP lower than 160/100 is entered.
 
The reminder is resolved for 1 month by recording at least one
intervention from the list below.
 
  Medication   (reminder term HTN MED & OTHER INTERVENTIONS) 
FINDINGS
  1. FINDING ITEM:   BLOOD PRESSURE
    CONDITION:   I (V("SYSTOLIC")>159)!(V("DIASTOLIC")>99)
    INTERNAL CONDITION:   I ($G(V("SYSTOLIC"))>159)!($G(V("DIASTOLIC"))>99)
    V SUBSCRIPT LIST:   "SYSTOLIC";"DIASTOLIC";
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    USE IN PATIENT COHORT LOGIC:   AND
  2. FINDING ITEM:   VA-HYPERTENSION CODES
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    USE IN PATIENT COHORT LOGIC:   AND
    BEGINNING DATE/TIME:   T-18M
  3. FINDING ITEM:   VA-HTN MED & OTHER INTERVENTIONS
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    USE IN RESOLUTION LOGIC:   OR
    BEGINNING DATE/TIME:   T-2Y
  4. FINDING ITEM:   VA-HTN EDUCATIONAL INTERVENTIONS
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    BEGINNING DATE/TIME:   T-2Y
  5. FINDING ITEM:   VA-BMI
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
  6. FINDING ITEM:   VA-HTN INCORRECT DIAGNOSIS
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
FUNCTION FINDINGS
  1. LOGIC:   FN(1)>FN(2)
    FUNCTION STRING:   MRD(2)>MRD(9)
    NO. FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    FUNCTION LIST:
    1. FUNCTION NUMBER:   1
      FUNCTION:   MRD
      FUNCTION PARAMETER LIST:
    2. FUNCTION NUMBER:   2
      FUNCTION:   MRD
      FUNCTION PARAMETER LIST:
TECHNICAL DESCRIPTION
To modify this reminder from its distributed definition, copy the 
reminder to a new reminder and then make the modifications necessary to 
define your sites guideline.  
 
This reminder has customized cohort logic that uses the MRD function to 
use the INCORRECT DIAGNOSIS heath factor or the ICD code - whichever is 
entered most recently.
CUSTOMIZED COHORT LOGIC (SEX)&(AGE)&FI(2)&FI(13)&FF(1)
INTERNAL PATIENT COHORT LOGIC (SEX)&(AGE)&FI(2)&FI(13)&FF(1)
PATIENT COHORT FINDINGS COUNT 5
PATIENT COHORT FINDINGS LIST SEX;AGE;2;13;FF1
INTERNAL RESOLUTION LOGIC (0)!FI(27)
RESOLUTION FINDINGS COUNT 1
RESOLUTION FINDINGS LIST 27
INFORMATION FINDINGS COUNT 3
INFORMATION FINDINGS LIST 7;9;28
WEB SITES
  1. URL:   http://www.oqp.domain.ext/cpg/HTN/HTN_base.htm
    WEB SITE TITLE:   VA HTN Guideline Web Page
  2. URL:   http://www.oqp.domain.ext/cpg/HTN/HTN_cpg/algo1frame.htm
    WEB SITE TITLE:   VA HTN Guideline Algorithm
  3. URL:   http://www.oqp.domain.ext/cpg/HTN/G/HTN_pock.pdf
    WEB SITE TITLE:   VA HTN Guideline Pocket Card
  4. URL:   http://www.oqp.domain.ext/cpg/HTN/HTN_cpg/AnnKframe.htm
    WEB SITE TITLE:   VA HTN Guideline Diet and Lifestyle Counseling
# OF GEN. COHORT FOUND LINES 0
# GEN. COHORT NOT FOUND LINES 0
# GEN. RES. FOUND LINES 0
# GEN. RES. NOT FOUND LINES 0
BASELINE AGE FINDINGS
  1. REMINDER FREQUENCY:   1M
    NO. OF AGE MATCH LINES:   0
    NO. OF AGE NO MATCH LINES:   0
# SUM. COHORT FOUND LINES 0
# SUM. COHORT NOT FOUND LINES 0
# SUM. RES. FOUND LINES 0
# SUM. RES. NOT FOUND LINES 0