Table of Contents


Population Criteria

        • "Qualifying Encounter During Measurement Period" QualifyingEncounter
            with ["Patient Characteristic Birthdate": "Birth date"] BirthDate
              such that Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 18
         
        • "Initial Population"
         
        • "Qualifying Encounter During Measurement Period" QualifyingEncounter
            with ["Diagnosis": "Diagnosis of Hypertension"] Hypertension
              such that Hypertension.prevalencePeriod overlaps before QualifyingEncounter.relevantPeriod
         
        • "Encounter with Normal Blood Pressure Reading"
            union ( "Encounter with Prehypertensive Blood Pressure Reading"
                intersect ( ( "Encounter with Order for Intervention for Hypertension"
                      intersect "Encounter with Order for Follow Up Within One Year"
                  )
                    union "Encounter with Referral to Alternate Provider for High Blood Pressure Reading"
                )
            )
            union ( "Encounter with First Hypertensive Reading"
                intersect ( ( "Encounter with Order for Intervention for Hypertension"
                      intersect "Encounter with Order for Follow Up Within 4 Weeks"
                  )
                    union "Encounter with Referral to Alternate Provider for High Blood Pressure Reading"
                )
            )
            union ( "Encounter with Second Hypertensive Reading"
                intersect ( ( "Encounter with Order for Intervention for Hypertension"
                      intersect ( "Encounter with Order for Laboratory Test for Hypertension"
                          union "Encounter with Order for Electrocardiogram for Hypertension"
                          union "Encounter with Order for Hypertension Medication"
                      )
                  )
                    union "Encounter with Referral to Alternate Provider for High Blood Pressure Reading"
                )
            )
         
        • None
         
        • "Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement"
            union "Encounter with Order for Hypertension Follow Up Declined by Patient"
         
        • None
         
  • Definitions

    Functions

    Terminology

    • code "Birth date" ("LOINC Code (21112-8)")
    • code "Diastolic blood pressure" ("LOINC Code (8462-4)")
    • code "EKG 12 channel panel" ("LOINC Code (34534-8)")
    • code "EKG study" ("LOINC Code (11524-6)")
    • code "Systolic blood pressure" ("LOINC Code (8480-6)")
    • valueset "Diagnosis of Hypertension" (2.16.840.1.113883.3.600.263)
    • valueset "Dietary Recommendations" (2.16.840.1.113883.3.600.1515)
    • valueset "Encounter to Screen for Blood Pressure" (2.16.840.1.113883.3.600.1920)
    • valueset "Ethnicity" (2.16.840.1.114222.4.11.837)
    • valueset "Finding of Elevated Blood Pressure or Hypertension" (2.16.840.1.113762.1.4.1047.514)
    • valueset "Follow Up Within 4 Weeks" (2.16.840.1.113883.3.526.3.1578)
    • valueset "Follow Up Within One Year" (2.16.840.1.113883.3.526.3.1579)
    • valueset "Laboratory Tests for Hypertension" (2.16.840.1.113883.3.600.1482)
    • valueset "Lifestyle Recommendation" (2.16.840.1.113883.3.526.3.1581)
    • valueset "Medical Reason" (2.16.840.1.113883.3.526.3.1007)
    • valueset "ONC Administrative Sex" (2.16.840.1.113762.1.4.1)
    • valueset "Patient Declined" (2.16.840.1.113883.3.526.3.1582)
    • valueset "Payer" (2.16.840.1.114222.4.11.3591)
    • valueset "Pharmacologic Therapy for Hypertension" (2.16.840.1.113883.3.526.1577)
    • valueset "Race" (2.16.840.1.114222.4.11.836)
    • valueset "Recommendation to Increase Physical Activity" (2.16.840.1.113883.3.600.1518)
    • valueset "Referral or Counseling for Alcohol Consumption" (2.16.840.1.113883.3.526.3.1583)
    • valueset "Referral to Primary Care or Alternate Provider" (2.16.840.1.113883.3.526.3.1580)
    • valueset "Weight Reduction Recommended" (2.16.840.1.113883.3.600.1510)

    Data Criteria (QDM Data Elements)

    • "Diagnosis: Diagnosis of Hypertension" using "Diagnosis of Hypertension (2.16.840.1.113883.3.600.263)"
    • "Diagnostic Study, Not Ordered: EKG 12 channel panel" using "EKG 12 channel panel (LOINC Code 34534-8)"
    • "Diagnostic Study, Not Ordered: EKG study" using "EKG study (LOINC Code 11524-6)"
    • "Diagnostic Study, Order: EKG 12 channel panel" using "EKG 12 channel panel (LOINC Code 34534-8)"
    • "Diagnostic Study, Order: EKG study" using "EKG study (LOINC Code 11524-6)"
    • "Encounter, Performed: Encounter to Screen for Blood Pressure" using "Encounter to Screen for Blood Pressure (2.16.840.1.113883.3.600.1920)"
    • "Intervention, Not Ordered: Dietary Recommendations" using "Dietary Recommendations (2.16.840.1.113883.3.600.1515)"
    • "Intervention, Not Ordered: Follow Up Within 4 Weeks" using "Follow Up Within 4 Weeks (2.16.840.1.113883.3.526.3.1578)"
    • "Intervention, Not Ordered: Follow Up Within One Year" using "Follow Up Within One Year (2.16.840.1.113883.3.526.3.1579)"
    • "Intervention, Not Ordered: Lifestyle Recommendation" using "Lifestyle Recommendation (2.16.840.1.113883.3.526.3.1581)"
    • "Intervention, Not Ordered: Recommendation to Increase Physical Activity" using "Recommendation to Increase Physical Activity (2.16.840.1.113883.3.600.1518)"
    • "Intervention, Not Ordered: Referral or Counseling for Alcohol Consumption" using "Referral or Counseling for Alcohol Consumption (2.16.840.1.113883.3.526.3.1583)"
    • "Intervention, Not Ordered: Referral to Primary Care or Alternate Provider" using "Referral to Primary Care or Alternate Provider (2.16.840.1.113883.3.526.3.1580)"
    • "Intervention, Not Ordered: Weight Reduction Recommended" using "Weight Reduction Recommended (2.16.840.1.113883.3.600.1510)"
    • "Intervention, Order: Dietary Recommendations" using "Dietary Recommendations (2.16.840.1.113883.3.600.1515)"
    • "Intervention, Order: Follow Up Within 4 Weeks" using "Follow Up Within 4 Weeks (2.16.840.1.113883.3.526.3.1578)"
    • "Intervention, Order: Follow Up Within One Year" using "Follow Up Within One Year (2.16.840.1.113883.3.526.3.1579)"
    • "Intervention, Order: Lifestyle Recommendation" using "Lifestyle Recommendation (2.16.840.1.113883.3.526.3.1581)"
    • "Intervention, Order: Recommendation to Increase Physical Activity" using "Recommendation to Increase Physical Activity (2.16.840.1.113883.3.600.1518)"
    • "Intervention, Order: Referral or Counseling for Alcohol Consumption" using "Referral or Counseling for Alcohol Consumption (2.16.840.1.113883.3.526.3.1583)"
    • "Intervention, Order: Referral to Primary Care or Alternate Provider" using "Referral to Primary Care or Alternate Provider (2.16.840.1.113883.3.526.3.1580)"
    • "Intervention, Order: Weight Reduction Recommended" using "Weight Reduction Recommended (2.16.840.1.113883.3.600.1510)"
    • "Laboratory Test, Not Ordered: Laboratory Tests for Hypertension" using "Laboratory Tests for Hypertension (2.16.840.1.113883.3.600.1482)"
    • "Laboratory Test, Order: Laboratory Tests for Hypertension" using "Laboratory Tests for Hypertension (2.16.840.1.113883.3.600.1482)"
    • "Medication, Not Ordered: Pharmacologic Therapy for Hypertension" using "Pharmacologic Therapy for Hypertension (2.16.840.1.113883.3.526.1577)"
    • "Medication, Order: Pharmacologic Therapy for Hypertension" using "Pharmacologic Therapy for Hypertension (2.16.840.1.113883.3.526.1577)"
    • "Patient Characteristic Birthdate: Birth date" using "Birth date (LOINC Code 21112-8)"
    • "Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity (2.16.840.1.114222.4.11.837)"
    • "Patient Characteristic Payer: Payer" using "Payer (2.16.840.1.114222.4.11.3591)"
    • "Patient Characteristic Race: Race" using "Race (2.16.840.1.114222.4.11.836)"
    • "Patient Characteristic Sex: ONC Administrative Sex" using "ONC Administrative Sex (2.16.840.1.113762.1.4.1)"
    • "Physical Exam, Not Performed: Diastolic blood pressure" using "Diastolic blood pressure (LOINC Code 8462-4)"
    • "Physical Exam, Not Performed: Systolic blood pressure" using "Systolic blood pressure (LOINC Code 8480-6)"
    • "Physical Exam, Performed: Diastolic blood pressure" using "Diastolic blood pressure (LOINC Code 8462-4)"
    • "Physical Exam, Performed: Systolic blood pressure" using "Systolic blood pressure (LOINC Code 8480-6)"

    Supplemental Data Elements

    Risk Adjustment Variables