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cds.ahrq.gov/sites/default/files/workgroups/1191/CDS%20Connect%20Work%20Group%20June%202020%20Meeting%20Slides.pdf
June 01, 2020 - treatment using FHIR resources
5
Hypertension CDS Development – cont. … Prototype Hypertension FHIR App
• Displays over-time BP chart
detailing raw data points,
regression … Updating Libraries should be
easier.
9
Hypertension CDS Development – cont.5
Questions? … Hypertension CDS Development
Hypertension CDS Development – cont. … Hypertension CDS Development – cont.2
Hypertension CDS Development - cont.3
Hypertension CDS Development
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cds.ahrq.gov/sites/default/files/workgroups/38971/CDS_Connect_Work_Group_December_2021.pdf
January 01, 2021 - Goal: Develop a patient-facing clinical decision support tool
(using SMART on FHIR and CQF-RULER) for high … blood
pressure management … • Impact: Provide guidance to patients with hypertension
and promote patient agency in hypertension … tool based on patient/provider input in
accordance with agreed-upon clinical practice guidelines for
high … blood pressure
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cds.ahrq.gov/sites/default/files/workgroups/1191/CDS%20Connect%20Work%20Group%20June%202020%20Meeting%20Summary.pdf
June 18, 2020 - Plus Team, gave a lessons learned presentation on
their experience with developing CDS artifacts for hypertension … Developing CDS Artifacts for Hypertension
Mr. d’Autremont and Mr. … Storer described their use of the Authoring Tool in their development of a
hypertension Fast Healthcare … https://digital.ahrq.gov/ahrq-funded-projects/translating-hypertension-guidelines-practice-development-interoperable-clinical … 18, 2020
Attendees
MEETING OBJECTIVES
ACTION ITEMS
MEETING SUMMARY
Developing CDS Artifacts for Hypertension
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cds.ahrq.gov/sites/default/files/cds/artifact/18/2023_CDS_Connect_IG_Statin_CVD_Clinician_Facing.pdf
January 01, 2023 - How High Blood Pressure Can Lead to a Heart Attack. 2022;
https://www.heart.org/en/health-topics/high-blood-pressure … /health-threats-from-high-blood-
pressure/how-high-blood-pressure-can-lead-to-a-heart-attack. … AHRQ-CDS-Connect-CQL-SERVICES
https://vsac.nlm.nih.gov/
https://cds-hooks.org/
https://www.heart.org/en/health-topics/high-blood-pressure … /health-threats-from-high-blood-pressure/how-high-blood-pressure-can-lead-to-a-heart-attack
https://www.heart.org … /en/health-topics/high-blood-pressure/health-threats-from-high-blood-pressure/how-high-blood-pressure-can-lead-to-a-heart-attack
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cds.ahrq.gov/sites/default/files/cds/artifact/18/2024_CDS_Connect_IG_Statin_CVD_Clinician_Facing.pdf
January 01, 2024 - How High Blood Pressure Can Lead to a Heart Attack. 2022;
https://www.heart.org/en/health-topics/high-blood-pressure … /health-threats-from-high-blood-
pressure/how-high-blood-pressure-can-lead-to-a-heart-attack. … AHRQ-CDS-Connect-CQL-SERVICES
https://vsac.nlm.nih.gov/
https://cds-hooks.org/
https://www.heart.org/en/health-topics/high-blood-pressure … /health-threats-from-high-blood-pressure/how-high-blood-pressure-can-lead-to-a-heart-attack
https://www.heart.org … /en/health-topics/high-blood-pressure/health-threats-from-high-blood-pressure/how-high-blood-pressure-can-lead-to-a-heart-attack
-
cds.ahrq.gov/sites/default/files/cds/artifact/18/Implementation_Guide_CDS_Connect_Statin_CVD_Clinician_Facing_0.pdf
September 01, 2022 - How High Blood Pressure Can Lead to a Heart Attack.
2022; https://www.heart.org/en/health-topics/high-blood-pressure … /health-threats-from-high-
blood-pressure/how-high-blood-pressure-can-lead-to-a-heart-attack. … vsac.nlm.nih.gov/
https://cds-hooks.org/
https://cds-hooks.org/
https://www.heart.org/en/health-topics/high-blood-pressure … /health-threats-from-high-blood-pressure/how-high-blood-pressure-can-lead-to-a-heart-attack
https://www.heart.org … /en/health-topics/high-blood-pressure/health-threats-from-high-blood-pressure/how-high-blood-pressure-can-lead-to-a-heart-attack
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cds.ahrq.gov/sites/default/files/cds/artifact/1056/2023_CDS_Connect_IG_Statin_CVD_Patient_Facing.pdf
January 01, 2023 - How High Blood Pressure Can Lead to a Heart Attack. 2022;
https://www.heart.org/en/health-topics/high-blood-pressure … /health-threats-from-high-blood-
pressure/how-high-blood-pressure-can-lead-to-a-heart-attack. … AHRQ-CDS-Connect-CQL-SERVICES
https://vsac.nlm.nih.gov/
https://cds-hooks.org/
https://www.heart.org/en/health-topics/high-blood-pressure … /health-threats-from-high-blood-pressure/how-high-blood-pressure-can-lead-to-a-heart-attack
https://www.heart.org … /en/health-topics/high-blood-pressure/health-threats-from-high-blood-pressure/how-high-blood-pressure-can-lead-to-a-heart-attack
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cds.ahrq.gov/sites/default/files/cds/artifact/1056/508_2022_CDS_Connect_IG_Statin_CVD_Patient_Facing_final.pdf
January 01, 2022 - How High Blood Pressure Can Lead to a Heart Attack.
2022; https://www.heart.org/en/health-topics/high-blood-pressure … /health-threats-from-
high-blood-pressure/how-high-blood-pressure-can-lead-to-a-heart-attack. … AHRQ-CDS-Connect-CQL-SERVICES
https://vsac.nlm.nih.gov/
https://cds-hooks.org/
https://www.heart.org/en/health-topics/high-blood-pressure … /health-threats-from-high-blood-pressure/how-high-blood-pressure-can-lead-to-a-heart-attack
https://www.heart.org … /en/health-topics/high-blood-pressure/health-threats-from-high-blood-pressure/how-high-blood-pressure-can-lead-to-a-heart-attack
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cds.ahrq.gov/sites/default/files/cds/artifact/1056/2024_CDS_Connect_IG_Statin_CVD_Patient_Facing_2.pdf
January 01, 2024 - How High Blood Pressure Can Lead to a Heart Attack. 2022;
https://www.heart.org/en/health-topics/high-blood-pressure … /health-threats-from-high-blood-
pressure/how-high-blood-pressure-can-lead-to-a-heart-attack. … AHRQ-CDS-Connect-CQL-SERVICES
https://vsac.nlm.nih.gov/
https://cds-hooks.org/
https://www.heart.org/en/health-topics/high-blood-pressure … /health-threats-from-high-blood-pressure/how-high-blood-pressure-can-lead-to-a-heart-attack
https://www.heart.org … /en/health-topics/high-blood-pressure/health-threats-from-high-blood-pressure/how-high-blood-pressure-can-lead-to-a-heart-attack
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cds.ahrq.gov/sites/default/files/workgroups/221/feb-2017-cholesterol-wg-notes.docx
January 01, 2017 - .
· Discussion on the appropriate representation to identify patients being treated for hypertension: … After discussion, the WG members suggested the use of an explicitly documented hypertension diagnosis … medications alone may compromise specificity since there is a fair amount of overlap in indications between hypertension … data.
· Discussion on the approach to identify patients with a history of diabetes:
· Similar to the hypertension
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cds.ahrq.gov/sites/default/files/cds/artifact/76/CMSs%20Million%20Hearts%20Model%20Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Shared%20Decision%20Making.pdf
April 01, 2021 - HDL), systolic blood pressure,
smoking within the past year, presence of diabetes, and treatment for high … blood pressure. … , MOST RECENT within past 6 years (measured as millimeters of mercury [mmHg])
Display treated for high … blood pressure (yes/no – determined by a diagnosis of hypertension and an active anti-hypertensive … To evaluate positively as being treated for
hypertension, the patient must have a diagnosis of hypertension
-
cds.ahrq.gov/sites/default/files/cds/artifact/76/Implementation%20Guide_Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Shared%20Decision%20Making_Final_0.docx
October 01, 2017 - cholesterol, systolic blood pressure, smoking within the past year, presence of diabetes, and treatment for high … blood pressure. … Replace values for systolic hypertension, HDL cholesterol, and total cholesterol that are outside the … Define “treatment for hypertension” as the existence of an active antihypertensive medication in the … To evaluate positively as being treated for hypertension, the patient must have a diagnosis of hypertension
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cds.ahrq.gov/sites/default/files/cds/artifact/18/Implementation%20Guide_Statin%20Use%20for%20CVD%20Prevention%20in%20Adults_Clinician%20Facing%20CDS%20Intervention.pdf
January 01, 2020 - He has a diagnosis of hypertension, which he is able to control with medications. … Inclusions “hypertension” Defined as essential (primary) and nonessential (secondary) hypertension conditions … How High Blood Pressure Can Lead to a Heart Attack |
American Heart Association. https://www.heart.org … /en/health-topics/high-blood-
pressure/health-threats-from-high-blood-pressure/how-high-blood-pressure-can-lead-to-a … Prevention of Hypertension and Cardiovascular Diseases.
-
cds.ahrq.gov/sites/default/files/cds/artifact/81/Implementation%20Guide_Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Updated%20Risk_Final_0.docx
October 01, 2017 - cholesterol, systolic blood pressure, smoking within the past year, presence of diabetes, and treatment for high … blood pressure. … Replace values for systolic hypertension, HDL cholesterol, and total cholesterol that are outside the … Define “treatment for hypertension” as the existence of an active antihypertensive medication in the … To evaluate positively as being treated for hypertension, the patient must have a diagnosis of hypertension
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/Implementation%20Guide_Statin%20Use%20for%20CVD%20Prevention%20in%20Adults_Patient%20Facing%20CDS%20Intervention_Final.pdf
September 01, 2019 - materials that explain CVD risks pertinent to this
recommendation in patient-friendly language (having high … blood pressure or high
cholesterol levels), along with ways to modify those risks such as taking a … Inclusions “hypertension” Defined as essential (primary) and nonessential (secondary) hypertension conditions … How High Blood Pressure Can Lead to a Heart Attack |
American Heart Association. https://www.heart.org … /en/health-topics/high-blood-
pressure/health-threats-from-high-blood-pressure/how-high-blood-pressure-can-lead-to-a
-
cds.ahrq.gov/sites/default/files/cds/artifact/81/CMSs%20Million%20Hearts%20Model%20Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Updated%2010-Year%20ASCVD%20Risk.pdf
January 01, 2010 - cholesterol, systolic blood
pressure, smoking within the past year, presence of diabetes, and treatment for high … blood
pressure. … , MOST RECENT within past 6 years (measured in millimeters of mercury [mmHg])
Display treated for high … blood pressure (yes/no – determined by a diagnosis of hypertension and an active anti-hypertensive … To evaluate positively as being treated for
hypertension, the patient must have a diagnosis of hypertension
-
cds.ahrq.gov/sites/default/files/workgroups/236/may-2017-cholesterol-wg-notes.docx
January 01, 2017 - Statin Artifact Specifications
· Define hypertension as primary (essential) and secondary HTN
· Hypertension … : 2013 NCQA Hypertension value set vs 2017 QIP value set … · Both represent primary and secondary hypertension but QIP’s value set includes findings represented
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cds.ahrq.gov/sites/default/files/cds/artifact/18/Implementation%20Guide_Statin%20Use%20for%20CVD%20Prevention%20in%20Adults_Clinician%20Facing%20CDS%20Intervention_2.pdf
April 01, 2021 - He has a diagnosis of hypertension, which he can control with
medication. … Inclusions “hypertension” Defined as essential (primary) and nonessential (secondary) hypertension conditions … How High Blood Pressure Can Lead to a Heart Attack |
American Heart Association. https://www.heart.org … /en/health-topics/high-blood-
pressure/health-threats-from-high-blood-pressure/how-high-blood-pressure-can-lead-to-a … Prevention of Hypertension and Cardiovascular Diseases.
-
cds.ahrq.gov/sites/default/files/workgroups/246/jul-2017-cholesterol-wg-notes.docx
January 01, 2017 - Hypertension: Initially, VSAC only listed essential hypertension (HTN) value sets. … Hypertension:
This overlaps with dyslipidemia. It is more manageable and somewhat finite. … There hasn’t been much success with hypertension either, although one organization noted some successes
-
cds.ahrq.gov/sites/default/files/cds/artifact/18/Implementation%20Guide_USPSTF%20Statin%20Use%20for%20the%20Primary%20Prevention%20of%20CVD%20in%20Adults_Final.docx
October 01, 2017 - they are aged 40 to 75 years; 2) they have 1 or more CVD risk factors (i.e., dyslipidemia, diabetes, hypertension … they are aged 40 to 75 years; 2) they have 1 or more CVD risk factors (i.e., dyslipidemia, diabetes, hypertension … of cardiovascular disease (CVD) who have 1 or more CVD risk factors (i.e., dyslipidemia, diabetes, hypertension … of cardiovascular disease (CVD) who have 1 or more CVD risk factors (i.e., dyslipidemia, diabetes, hypertension … "
high blood pressure
Grade B and C
"Smoking"
cigarette smoker
Grade B and C
"calculated 10-Year