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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/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
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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/1056/2024_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/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/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/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
-
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/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/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_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
-
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
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cds.ahrq.gov/sites/default/files/cds/artifact/71/Implementation%20Guide_CMS%20Million%20Hearts_ASCVD%20Risk%20Assessment_Level3_Final.pdf
February 01, 2018 - cholesterol, systolic blood pressure, smoking within
the past year, presence of diabetes, and treatment for high … blood pressure. … Bravo, a 55-year-old African-American nondiabetic patient with hypertension, comes in for
a regular … 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/18/Enhanced%20CDS%20Artifact%20Based%20on%20Pilot%20Implementation_Final.docx
October 01, 2017 - data categories are:
· Conditions (i.e., Pregnancy, Breastfeeding, Familial Hypercholesterolemia, and Hypertension … · Hypertension
Initial Definition
Grouped Hypertension value set that expressed essential and … secondary hypertension,
OID: 2.16.840.1.113762.1.4.1032.9
Test Result
Pilot site clinicians utilize … a broader range of ICD-10 codes to express hypertension (i.e., I10-I16). … 2.16.840.1.113762.1.4.1032.9) was expanded to include a broader range of ICD-10 codes, including non-essential/non-secondary hypertension
-
cds.ahrq.gov/sites/default/files/workgroups/58631/CDS_Connect_Work_Group_February_2022_slides.pdf
January 01, 2022 - education
- ACTIVATE Co-designers
ACTIVATE Solutions
Products
• Digital health pathways care model for hypertension … diagnosis in
last year
• Non-insulin dependent diabetes
with most recent A1C > 8.0
• Essential hypertension … for patients with diabetes at
3 months = 2.4-point reduction
• Blood pressure for patients with
hypertension
-
cds.ahrq.gov/sites/default/files/cds/artifact/1071/2024_CDS_Connect_IG_Healthy_Diet_Physical_Activity.pdf
January 01, 2024 - Alpha is 47 years old and has high blood pressure and a sedentary lifestyle. … educational materials that explain CVD risks in patient-friendly
language (such as having elevated or high … blood pressure, non-normal cholesterol levels, or
an increased risk for stroke or heart attack), along … Inclusions “Hypertension” Defined as essential and nonessential hypertension conditions. … This concept is defined by the
value set Hypertension.
-
cds.ahrq.gov/sites/default/files/cds/artifact/71/Implementation_Guide_CMS_Million_Hearts_ASCVD_Risk_Assessment.pdf
September 01, 2021 - Bravo, a 55-year-old African-American nondiabetic patient with hypertension, comes
in for a regular … Define “treatment for hypertension” as the existence of an active antihypertensive medication
in the … patient’s file and a diagnosis of hypertension since several antihypertensive medications
are used … Disambiguate Logic definition of
“Treated for
Hypertension” for
data input to risk
equation … To evaluate positively as being treated for hypertension, the patient must have a
diagnosis of hypertension
-
cds.ahrq.gov/sites/default/files/cds/artifact/1056/2024_Data_Requirements_Statin_CVD_Patient_Facing.xlsx
January 01, 2024 - 'mmol/L' units Union of 2 VS 2.16.840.1.113883.3.464.1003.104.12.1012 2.16.840.1.113883.3.600.873
Hypertension … 'mmol/L' units Union of 2 VS 2.16.840.1.113883.3.464.1003.104.12.1012 2.16.840.1.113883.3.600.873
Hypertension
-
cds.ahrq.gov/sites/default/files/cds/artifact/1071/2024_Data_Requirements_Healthy_Diet_and_Physical_Activity.xlsx
January 01, 2024 - 'mmol/L' units Union of 2 VS 2.16.840.1.113883.3.464.1003.104.12.1012 2.16.840.1.113883.3.600.873
Hypertension … 'mmol/L' units Union of 2 VS 2.16.840.1.113883.3.464.1003.104.12.1012 2.16.840.1.113883.3.600.873
Hypertension
-
cds.ahrq.gov/sites/default/files/workgroups/58631/CDS_Connect_WG_February_2022_Summary.pdf
January 01, 2022 - ACTIVATE feasibility pilot enrolled twelve Spanish- or English-speaking adults with Type 2
diabetes and hypertension