2.0 638 PQRI HTN MANAGMENT KING,MATTHEW M MD CAMP MASTER 10/12/2010@21:50:34 REMINDER 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. ]]> REMINDER SPONSOR 811.6 National Clinical Practice Guideline Council 14 3848705059 REMINDER SPONSOR 811.6 Office of Quality & Performance 15 1008763345 GMRV VITAL TYPE 120.51 BLOOD PRESSURE 1 4024959586 REMINDER TAXONOMY 811.2 VA-HYPERTENSION 1 564275230 REMINDER TAXONOMY 811.2 VA-DIABETES 28 1037194614 REMINDER TERM 811.5 VA-MHV HYPERTENSION DX 581 377188760 REMINDER TERM 811.5 VA-MHV DIABETES OR KIDNEY DISEASE 582 2893758758 REMINDER TERM 811.5 VA-BP >=140/90 923 310415324 =140/90 811.5;+923,;100~NATIONAL 811.5;+923,;101~Office of Quality & Performance 811.52;+924,+923,;.01~VM.BLOOD PRESSURE 811.52;+924,+923,;14~I $P(V,"/",1)>139!($P(V,"/",2)>89) 811.52;+924,+923,;22~I $P(V,"/",1)>139!($P(V,"/",2)>89) 811.53;+925,+923,;.01~10/12/2010@21:51:08 811.53;+925,+923,;1~ 811.53;+925,+923,;2~WP-start~1 Exchange Stub ]]> REMINDER TERM 811.5 VA-BP >=160/100 924 1508575983 =160/100 811.5;+924,;100~NATIONAL 811.5;+924,;101~Office of Quality & Performance 811.52;+925,+924,;.01~VM.BLOOD PRESSURE 811.52;+925,+924,;14~I $P(V,"/",1)>159!($P(V,"/",2)>99) 811.52;+925,+924,;22~I $P(V,"/",1)>159!($P(V,"/",2)>99) 811.53;+926,+924,;.01~10/12/2010@21:51:08 811.53;+926,+924,;1~ 811.53;+926,+924,;2~WP-start~1 Exchange Stub ]]> REMINDER TERM 811.5 VA-BP >130/80 925 3506528114 130/80 811.5;+925,;100~NATIONAL 811.5;+925,;101~Office of Quality & Performance 811.52;+926,+925,;.01~VM.BLOOD PRESSURE 811.52;+926,+925,;14~I $P(V,"/",1)>130!($P(V,"/",2)>80) 811.52;+926,+925,;22~I $P(V,"/",1)>130!($P(V,"/",2)>80) 811.53;+927,+925,;.01~10/12/2010@21:51:08 811.53;+927,+925,;1~ 811.53;+927,+925,;2~WP-start~1 Exchange Stub ]]> REMINDER DEFINITION 811.9 PQRI HTN MANAGMENT 56 3228859825 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. 811.9;+56,;30~FI(1)&FF(1) 811.9;+56,;31~FI(1)&FF(1) 811.9;+56,;32~2 811.9;+56,;33~1;FF1 811.9;+56,;36~0 811.9;+56,;40~0 811.9;+56,;42~8 811.9;+56,;43~2;3;4;5;6;7;FF2;FF3 811.9;+56,;60~WP-start~28 Blood pressure or BP is the pressure of blood inside the blood vessels as it flows within the body. A BP reading is expressed as a high number over 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 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. \\ 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. \\ 811.9;+56,;62~28 811.9;+56,;63~0 811.9;+56,;67~0 811.9;+56,;68~0 811.9;+56,;70~WP-start~10 Anyone with high blood pressure or hypertension should aim to keep his or 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 outside the VA, and discuss these with your primary care team. 811.9;+56,;72~10 811.9;+56,;73~0 811.9;+56,;77~0 811.9;+56,;78~0 811.9;+56,;100~LOCAL 811.9;+56,;103~CRP 811.9001;+57,+56,;.01~10/12/2010@21:51:09 811.9001;+57,+56,;1~ 811.9001;+57,+56,;2~WP-start~1 Exchange Stub 811.9002;+58,+56,;.01~http://www.nhlbi.nih.gov/hbp/index.html 811.9002;+58,+56,;.02~NHLBI: Your Guide to Lowering High Blood Pressure 811.9002;+59,+56,;.01~http://www.healthwise.net/myhealthevet/Content/StdDocument.aspx?DOCHWID=hw62787&SECHWID=hw62789 811.9002;+59,+56,;.02~Hypertension 811.902;+60,+56,;.01~RT.VA-MHV HYPERTENSION DX 811.902;+60,+56,;8~AND 811.902;+60,+56,;9~T-3Y 811.902;+60,+56,;17~2 811.902;+60,+56,;24~0 811.902;+60,+56,;25~0 811.902;+61,+56,;.01~VM.BLOOD PRESSURE 811.902;+61,+56,;4~WP-start~3 Your last 3 recorded blood pressure readings are recorded below.\\ \\ ________________________________________________________________ 811.902;+61,+56,;17~3 811.902;+61,+56,;24~3 811.902;+61,+56,;25~0 811.902;+62,+56,;.01~RT.VA-BP >130/80 811.902;+62,+56,;5~WP-start~2 All 3 of your most recently recorded blood pressure readings show excellent control of your blood pressure. 811.902;+62,+56,;14~I $P(V,"/",1)>130!($P(V,"/",2)>80) 811.902;+62,+56,;17~3 811.902;+62,+56,;18~YES 811.902;+62,+56,;22~I $P(V,"/",1)>130!($P(V,"/",2)>80) 811.902;+62,+56,;24~0 811.902;+62,+56,;25~2 811.902;+63,+56,;.01~RT.VA-BP >=140/90 811.902;+63,+56,;24~0 811.902;+63,+56,;25~0 811.902;+64,+56,;.01~RT.VA-BP >=160/100 811.902;+64,+56,;9~T-1M 811.902;+64,+56,;14~I $P(V,"/",1)>159!($P(V,"/",2)>99) 811.902;+64,+56,;17~3 811.902;+64,+56,;18~YES 811.902;+64,+56,;22~I $P(V,"/",1)>159!($P(V,"/",2)>99) 811.902;+64,+56,;24~0 811.902;+64,+56,;25~0 811.902;+65,+56,;.01~RT.VA-MHV DIABETES OR KIDNEY DISEASE 811.902;+65,+56,;4~WP-start~2 Your blood pressure goal may be lower than 130/80 if you have other conditions such as diabetes or kidney disease. 811.902;+65,+56,;9~T-2Y 811.902;+65,+56,;24~2 811.902;+65,+56,;25~0 811.902;+66,+56,;.01~RT.VA-BP >=160/100 811.902;+66,+56,;4~WP-start~4 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. 811.902;+66,+56,;14~I $P(V,"/",1)>159!($P(V,"/",2)>99) 811.902;+66,+56,;22~I $P(V,"/",1)>159!($P(V,"/",2)>99) 811.902;+66,+56,;24~4 811.902;+66,+56,;25~0 811.90221;+67,+60,+56,;.01~ACTIVE 811.90221;+68,+65,+56,;.01~ACTIVE 811.925;+69,+56,;.01~1 811.925;+69,+56,;3~COUNT(1)>1 811.925;+69,+56,;10~FN(1)>1 811.925;+69,+56,;12~AND 811.925;+69,+56,;41~0 811.925;+69,+56,;42~0 811.925;+70,+56,;.01~2 811.925;+70,+56,;1~WP-start~4 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. 811.925;+70,+56,;3~FI(5)&'FI(7) 811.925;+70,+56,;10~FN(1)&'FN(2) 811.925;+70,+56,;41~4 811.925;+70,+56,;42~0 811.925;+71,+56,;.01~3 811.925;+71,+56,;1~WP-start~5 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. 811.925;+71,+56,;3~FI(4)&'FI(7) 811.925;+71,+56,;10~FN(1)&'FN(2) 811.925;+71,+56,;41~5 811.925;+71,+56,;42~0 811.9255;+72,+69,+56,;.01~1 811.9255;+72,+69,+56,;.02~COUNT 811.9255;+73,+70,+56,;.01~1 811.9255;+73,+70,+56,;.02~FI 811.9255;+74,+71,+56,;.01~1 811.9255;+74,+71,+56,;.02~FI 811.9255;+75,+70,+56,;.01~2 811.9255;+75,+70,+56,;.02~FI 811.9255;+76,+71,+56,;.01~2 811.9255;+76,+71,+56,;.02~FI 811.9256;+77,+72,+69,+56,;.01~1 811.9256;+78,+73,+70,+56,;.01~5 811.9256;+79,+74,+71,+56,;.01~4 811.9256;+80,+75,+70,+56,;.01~7 811.9256;+81,+76,+71,+56,;.01~7 811.97;+82,+56,;.01~99Y 811.97;+82,+56,;5~0 811.97;+82,+56,;6~0 ]]> 11 36 31 23 41 41 58 53 45 63 63 75 75 67 136 87 79 181 141 240 193 185 283 245 303 295 287 310 308 330 322 314 337 335 358 349 341 364 363 385 376 368 391 390 412 403 395 418 417 604 430 422 634 609