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	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	FINDING ITEM: VA-MHV HYPERTENSION DX OCCURRENCE COUNT: 2 STATUS LIST: 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 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.\\ \\ ________________________________________________________________ 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. FINDING ITEM: VA-BP >=140/90 NO. OF FOUND TEXT LINES: 0 NO. NOT FOUND TEXT LINES: 0 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 FINDING ITEM: VA-MHV DIABETES OR KIDNEY DISEASE STATUS LIST: 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 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	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: FUNCTION NUMBER: 1 FUNCTION: COUNT FUNCTION PARAMETER LIST: 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: FUNCTION NUMBER: 1 FUNCTION: FI FUNCTION PARAMETER LIST: FUNCTION NUMBER: 2 FUNCTION: FI FUNCTION PARAMETER LIST: 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: FUNCTION NUMBER: 1 FUNCTION: FI FUNCTION PARAMETER LIST: 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	URL: http://www.nhlbi.nih.gov/hbp/index.html WEB SITE TITLE: NHLBI: Your Guide to Lowering High Blood Pressure 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	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

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