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Narrative

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Source1

{
  "resourceType": "PlanDefinition",
  "id": "plandefinition-Hypertension",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://fhir.org/guides/ohsuhypertensionig/PlanDefinition/plandefinition-Hypertension",
  "identifier": [
    {
      "use": "official",
      "value": "ohsu-hypertension"
    }
  ],
  "version": "0.1.0",
  "name": "Hypertension",
  "title": "Hypertension Diagnosis",
  "type": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/plan-definition-type",
        "code": "eca-rule",
        "display": "ECA Rule"
      }
    ]
  },
  "status": "draft",
  "date": "2020-02-04T00:00:00-08:00",
  "publisher": "Oregon Health and Science University",
  "contact": [
    {
      "name": "Oregon Health and Science University",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.ohsu.edu/"
        }
      ]
    }
  ],
  "description": "This PlanDefinition looks for indications a patient should be diagnosed with hypertension.",
  "useContext": [
    {
      "code": {
        "system": "http://hl7.org/fhir/usage-context-type",
        "code": "focus",
        "display": "Clinical Focus"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "371622005",
            "display": "Elevated BP without HTN diagnosis"
          }
        ]
      }
    }
  ],
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "840"
        }
      ]
    }
  ],
  "purpose": "The purpose is to identify undiagnosed patients and provide recommendations for care.",
  "usage": "This is to be used in conjunction with a patient-facing FHIR application.",
  "copyright": "© OHSU 2020+.",
  "topic": [
    {
      "text": "Hypertension Management"
    }
  ],
  "library": [
    "http://fhir.org/guides/ohsuhypertensionig/Library/Hypertension"
  ],
  "action": [
    {
      "title": "Diagnosis Recommendation",
      "description": "Recommendation for undiagnosed patients in the population.",
      "trigger": [
        {
          "type": "named-event",
          "name": "patient-view"
        }
      ],
      "condition": [
        {
          "kind": "applicability",
          "expression": {
            "description": "Determine if patient has a recommendation.",
            "language": "text/cql.identifier",
            "expression": "Recommendation Needed"
          }
        }
      ],
      "dynamicValue": [
        {
          "path": "action.title",
          "expression": {
            "description": "Recommendation",
            "language": "text/cql.identifier",
            "expression": "Recommendation"
          }
        },
        {
          "path": "action.description",
          "expression": {
            "description": "Rationale",
            "language": "text/cql.identifier",
            "expression": "Rationale Combined Data"
          }
        },
        {
          "path": "action.extension",
          "expression": {
            "language": "text/cql.identifier",
            "expression": "Indicator Status"
          }
        }
      ]
    },
    {
      "title": "Exclusion from Hypertension Diagnosis",
      "description": "Recommendation for patient excluded from intervention",
      "trigger": [
        {
          "type": "named-event",
          "name": "patient-view"
        }
      ],
      "condition": [
        {
          "kind": "applicability",
          "expression": {
            "description": "Determine if patient is excluded from this intervention.",
            "language": "text/cql.identifier",
            "expression": "Meets Exclusion Criteria"
          }
        }
      ],
      "dynamicValue": [
        {
          "path": "action.description",
          "expression": {
            "description": "Rationale for why patient was excluded from the hypertension diagnosis.",
            "language": "text/cql.identifier",
            "expression": "Exclusion Reason"
          }
        },
        {
          "path": "action.extension",
          "expression": {
            "language": "text/cql.identifier",
            "expression": "Info"
          }
        }
      ]
    }
  ]
}