ZZVA-MHV HYPERTENSION (452)    REMINDER DEFINITION (811.9)

Name Value
NAME ZZVA-MHV HYPERTENSION
PRINT NAME ZZ Hypertension (High Blood Pressure)
INACTIVE FLAG INACTIVE
INACTIVE CHANGE DATE 2017-12-27 16:27:46
CLASS NATIONAL
SPONSOR National Clinical Practice Guideline Council
USAGE CRP
EDIT HISTORY
  1. EDIT DATE:   2012-03-23 12:52:52
    EDIT BY:   USER,SEVENTEEN
    EDIT COMMENTS:   
    Exchange Install
    
DESCRIPTION
Patient reminder due on anyone with 2 entries of a diagnosis of HTN in 
the past 3 years.  This reminder does not resolve.  Additional text is 
displayed to the patient if the last 3 BPs were <= 130/80, if the last BP 
was >140/90 or if any of the last 3 BPs was >=160/100.
 
If you use a different taxonomy for HTN or for renal diseases, you can 
substitute you local taxonomies into the national reminder term.
FINDINGS
  1. FINDING ITEM:   VA-MHV HYPERTENSION DX
    OCCURRENCE COUNT:   2
    STATUS LIST:
    1. STATUS:   ACTIVE
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    USE IN PATIENT COHORT LOGIC:   AND
    BEGINNING DATE/TIME:   T-3Y
  2. FINDING ITEM:   BLOOD PRESSURE
    OCCURRENCE COUNT:   3
    NO. OF FOUND TEXT LINES:   3
    NO. NOT FOUND TEXT LINES:   0
    FOUND TEXT:   
    Your last 3 recorded blood pressure readings are recorded below.\\
    \\
    ________________________________________________________________
    
  3. FINDING ITEM:   VA-BP >130/80 (ANY OF LAST 3)
    CONDITION:   I (V("SYSTOLIC")>130)!(V("DIASTOLIC")>80)
    OCCURRENCE COUNT:   3
    USE STATUS/COND IN SEARCH:   YES
    INTERNAL CONDITION:   I ($G(V("SYSTOLIC"))>130)!($G(V("DIASTOLIC"))>80)
    V SUBSCRIPT LIST:   "SYSTOLIC";"DIASTOLIC";
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   2
    NOT FOUND TEXT:   
    All 3 of your most recently recorded blood pressure readings show
    excellent control of your blood pressure.
    
  4. FINDING ITEM:   VA-BP >=140/90
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
  5. FINDING ITEM:   VA-BP >=160/100
    CONDITION:   I (V("SYSTOLIC")>159)!(V("DIASTOLIC")>99)
    OCCURRENCE COUNT:   3
    USE STATUS/COND IN SEARCH:   YES
    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
    BEGINNING DATE/TIME:   T-1M
  6. FINDING ITEM:   VA-MHV DIABETES OR KIDNEY DISEASE
    STATUS LIST:
    1. STATUS:   ACTIVE
    NO. OF FOUND TEXT LINES:   2
    NO. NOT FOUND TEXT LINES:   0
    FOUND TEXT:   
    Your blood pressure goal may be lower than 130/80 if you have other 
    conditions such as diabetes or kidney disease.
    
    BEGINNING DATE/TIME:   T-2Y
  7. FINDING ITEM:   VA-BP >=160/100
    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:   4
    NO. NOT FOUND TEXT LINES:   0
    FOUND TEXT:   
    Your most recently recorded blood pressure reading was 160/100 or 
    higher.This is much higher than it should be and shows that your blood 
    pressure is not under control.  Please make sure that efforts are in 
    progress to get better control of your blood pressure.
    
FUNCTION FINDINGS
  1. FUNCTION FINDING NUMBER:   1
    LOGIC:   FN(1)>1
    USE IN PATIENT COHORT LOGIC:   AND
    FUNCTION STRING:   COUNT(1)>1
    NO. FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    FUNCTION LIST:
    1. FUNCTION NUMBER:   1
      FUNCTION:   COUNT
      FUNCTION PARAMETER LIST:
  2. FOUND TEXT:   
    One of your recent 3 blood pressure readings was 160/100 or higher. This
    is much higher than it should be and shows that your blood pressure may
    not be under good control.  Please make sure that efforts are being made
    to get better control of your blood pressure.
    
    LOGIC:   FN(1)&'FN(2)
    FUNCTION STRING:   FI(5)&'FI(7)
    NO. FOUND TEXT LINES:   4
    NO. NOT FOUND TEXT LINES:   0
    FUNCTION LIST:
    1. FUNCTION NUMBER:   1
      FUNCTION:   FI
      FUNCTION PARAMETER LIST:
    2. FUNCTION NUMBER:   2
      FUNCTION:   FI
      FUNCTION PARAMETER LIST:
  3. FOUND TEXT:   
    Your most recent blood pressure reading is 140/90 or higher. This is
    higher than it should be. You should recheck your blood pressure within 2
    months (or sooner if your provider recommends it). You should also
    continue taking your medications as prescribed; follow a healthy eating
    plan; and engage in physical activity as recommended by your provider.
    
    LOGIC:   FN(1)&'FN(2)
    FUNCTION STRING:   FI(4)&'FI(7)
    NO. FOUND TEXT LINES:   5
    NO. NOT FOUND TEXT LINES:   0
    FUNCTION LIST:
    1. FUNCTION NUMBER:   1
      FUNCTION:   FI
      FUNCTION PARAMETER LIST:
    2. FUNCTION NUMBER:   2
      FUNCTION:   FI
      FUNCTION PARAMETER LIST:
CUSTOMIZED COHORT LOGIC FI(1)&FF(1)
INTERNAL PATIENT COHORT LOGIC FI(1)&FF(1)
PATIENT COHORT FINDINGS COUNT 2
PATIENT COHORT FINDINGS LIST 1;FF1
INFORMATION FINDINGS COUNT 8
INFORMATION FINDINGS LIST 2;3;4;5;6;7;FF2;FF3
WEB SITES
  1. URL:   http://www.nhlbi.nih.gov/hbp/index.html
    WEB SITE TITLE:   NHLBI: Your Guide to Lowering High Blood Pressure
  2. URL:   http://www.healthwise.net/myhealthevet/Content/StdDocument.aspx?DOCHWID=hw62787&SECHWID=hw62789
    WEB SITE TITLE:   Hypertension
GENERAL COHORT FOUND TEXT
Blood pressure or BP is the pressure of blood inside the blood vessels as 
measuring equipment. High blood pressure increases the risk for heart 
disease and stroke. It can also cause other problems such as heart 
failure, kidney disease, and blindness.  In most cases, high blood 
pressure can be controlled but not cured.  Good control prevents 
complications. 
 
High blood pressure can be lowered with changes in lifestyle and 
medications. Here are some things you can do.  \\
    Work with your provider and dietitian to develop a\\ 
         healthy eating plan.  \\
it flows within the body. A BP reading is expressed as a high number over 
    Eat less salt. \\
    Keep a normal weight. Lose weight if you need to. \\
    Engage in physical activity for at least 30 minutes on\\
         most days.  Check with your provider for an activity\\
         good for you. \\
    Do not smoke cigarettes or tobacco. \\
    Consult your provider about drinking alcohol. \\
    Take your medications as prescribed.   \\
    Talk to your provider about measuring your BP at home. \\
a low number such as 139/89. The high number is the pressure as the heart 
beats and the low number is the pressure as the heart rest between beats. 
When either or both pressures stay high over time, it is called high 
blood pressure or hypertension.  
 
High blood pressure is a serious illness that usually does not have any 
symptoms. Therefore, a BP reading should be taken regularly with BP 
# OF GEN. COHORT FOUND LINES 28
# GEN. COHORT NOT FOUND LINES 0
# GEN. RES. FOUND LINES 0
# GEN. RES. NOT FOUND LINES 0
RESCISSION DATE 2017-12-27 00:00:00
BASELINE AGE FINDINGS
  1. REMINDER FREQUENCY:   99Y
    NO. OF AGE MATCH LINES:   0
    NO. OF AGE NO MATCH LINES:   0
SUMMARY COHORT FOUND TEXT
Anyone with high blood pressure or hypertension should aim to keep his or 
outside the VA, and discuss these with your primary care team.
her blood pressure reading less than 140/90.  For most patients with high 
blood pressure, a lower blood pressure is better so maintaining a blood 
pressure reading of 130/80 or lower is likely to be beneficial to you.  
Please check with your primary care team about your specific blood 
pressure goals.\\
This blood pressure goal may be lower if you have other conditions such 
as diabetes and kidney disease.  Please review your blood pressure 
readings below and any other blood pressure readings you may have from 
# SUM. COHORT FOUND LINES 10
# SUM. COHORT NOT FOUND LINES 0
# SUM. RES. FOUND LINES 0
# SUM. RES. NOT FOUND LINES 0