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

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

  Exchange Install
  

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.

• 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 FINDING NUMBER:   1
  LOGIC:   FN(1)>1
  USE IN PATIENT COHORT LOGIC:   AND
  FUNCTION STRING:   COUNT(1)>1
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  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

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    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.
  

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  FUNCTION STRING:   FI(4)&'FI(7)
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  NO. NOT FOUND TEXT LINES:   0

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    FUNCTION:   FI

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• 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

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 

• REMINDER FREQUENCY:   99Y
  NO. OF AGE MATCH LINES:   0
  NO. OF AGE NO MATCH LINES:   0

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