VA-HTN ASSESSMENT BP >=140/90 (150)    REMINDER DEFINITION (811.9)

• EDIT DATE:   2012-03-23 12:52:56
  EDIT BY:   USER,SEVENTEEN
  EDIT COMMENTS:   

  Exchange Install
  

This reminder is due every 6 months for patients who have their last 
The reminder is resolved for 6 months by any of the interventions listed 
below:
 
  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) 
     
recorded DBP >89 or the last SBP >139 and the patient has a diagnosis of 
 
  Medication   (reminder term HTN MED & OTHER INTERVENTIONS) 
     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 in PCE, problem list or PTF in the past 18 months.  
     HTN NO MED CHANGE - OTHER                  (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 the last BP <140/90 is recorded.  
It is also not applicable if the last SBP is >159 or the last DBP is >99 
since the "HTN ASSESSMENT BP >160/100" reminder will be applicable for 
the patient with the higher measured BPs.
 

• FINDING ITEM:   BLOOD PRESSURE
  CONDITION:   I (V("SYSTOLIC")>139)!(V("DIASTOLIC")>89)
  INTERNAL CONDITION:   I ($G(V("SYSTOLIC"))>139)!($G(V("DIASTOLIC"))>89)
  V SUBSCRIPT LIST:   "SYSTOLIC";"DIASTOLIC";
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN PATIENT COHORT LOGIC:   AND
• 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 NOT
• 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
• 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-6M
• FINDING ITEM:   VA-HTN EDUCATIONAL INTERVENTIONS
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
  BEGINNING DATE/TIME:   T-6M
• FINDING ITEM:   VA-BMI
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
• FINDING ITEM:   VA-HTN INCORRECT DIAGNOSIS
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0

• LOGIC:   FN(1)>FN(2)
  FUNCTION STRING:   MRD(2)>MRD(9)
  NO. FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0

  FUNCTION LIST:

  • FUNCTION NUMBER:   1
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

  • FUNCTION NUMBER:   2
    FUNCTION:   MRD

    FUNCTION PARAMETER LIST:

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.

• URL:   http://www.oqp.domain.ext/cpg/HTN/HTN_base.htm
  WEB SITE TITLE:   VA HTN Guideline Web Page
• URL:   http://www.oqp.domain.ext/cpg/HTN/HTN_cpg/algo1frame.htm
  WEB SITE TITLE:   VA HTN Guideline Algorithm
• URL:   http://www.oqp.domain.ext/cpg/HTN/G/HTN_pock.pdf
  WEB SITE TITLE:   VA HTN Guideline Pocket Card
• URL:   http://www.oqp.domain.ext/cpg/HTN/HTN_cpg/AnnKframe.htm
  WEB SITE TITLE:   VA HTN Guideline Diet and Lifestyle Counseling

• REMINDER FREQUENCY:   6M
  NO. OF AGE MATCH LINES:   0
  NO. OF AGE NO MATCH LINES:   0