Age
Item
the eligible population includes patients less than 80 years of age enrolled in primary care clinics at the study sites that meet the following additional inclusion criteria:
boolean
C0001779 (UMLS CUI [1])
Thiazide Diuretic Prescription Absent | Hydrochlorothiazide Prescription Absent | Triamterene Prescription Absent
Item
no active prescription for a thiazide diuretic (or a medication that combines a thiazide and another agent (e.g., hydrochlorothiazide and triamterene)
boolean
C0012802 (UMLS CUI [1,1])
C0033080 (UMLS CUI [1,2])
C0332197 (UMLS CUI [1,3])
C0020261 (UMLS CUI [2,1])
C0033080 (UMLS CUI [2,2])
C0332197 (UMLS CUI [2,3])
C0040869 (UMLS CUI [3,1])
C0033080 (UMLS CUI [3,2])
C0332197 (UMLS CUI [3,3])
Hypertensive disease
Item
prior diagnosis of hypertension, as documented in va outpatient administrative files
boolean
C0020538 (UMLS CUI [1])
Primary care clinic Visit Quantity
Item
two or more visits to a primary care clinic in the prior 12 months;
boolean
C1552443 (UMLS CUI [1,1])
C1512346 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,3])
Blood Pressure Greater than Treatment goal | Systolic Pressure | Diastolic blood pressure | Diabetics Systolic Pressure | Diabetics Diastolic blood pressure
Item
blood pressure above treatment goal at the two most recent va outpatient clinic visits above goal is defined as a systolic pressure >140 mmhg or diastolic pressure >90 mmhg. for diabetics above goal is defined as systolic pressure >130 mmhg or diastolic pressure >80 mmhg
boolean
C0005823 (UMLS CUI [1,1])
C0439093 (UMLS CUI [1,2])
C0679840 (UMLS CUI [1,3])
C0871470 (UMLS CUI [2])
C0428883 (UMLS CUI [3])
C0241863 (UMLS CUI [4,1])
C0871470 (UMLS CUI [4,2])
C0241863 (UMLS CUI [5,1])
C0428883 (UMLS CUI [5,2])
Blood Pressure goal attainment | Calcium Channel Blockers prescribed
Item
blood pressure at goal (as defined above) during one of the last two outpatient clinic visits, but the patient is receiving a prescription for a calcium channel blocker (ccb)
boolean
C0005823 (UMLS CUI [1,1])
C0680230 (UMLS CUI [1,2])
C0006684 (UMLS CUI [2,1])
C0278329 (UMLS CUI [2,2])
Exclusion Criteria Reasons
Item
patients meeting the above inclusion criteria will be excluded for the following reasons:
boolean
C0680251 (UMLS CUI [1,1])
C3841427 (UMLS CUI [1,2])
allergy to thiazides | Allergy to sulfa drugs
Item
documented allergy to thiazides or to sulfa agents
boolean
C0749320 (UMLS CUI [1])
C0038757 (UMLS CUI [2])
Intolerance to Thiazide Diuretics | Thiazide diuretic adverse reaction
Item
previously documented intolerance or adverse drug reaction to thiazide diuretics
boolean
C1744706 (UMLS CUI [1,1])
C0012802 (UMLS CUI [1,2])
C0570426 (UMLS CUI [2])
Loop Diuretics Prescription | Furosemide
Item
active prescription for a loop diuretic agent (e.g. furosemide)
boolean
C0354100 (UMLS CUI [1,1])
C0033080 (UMLS CUI [1,2])
C0016860 (UMLS CUI [2])
Renal Insufficiency | Glomerular Filtration Rate
Item
renal insufficiency, defined by a glomerular filtration rate less than 30 ml/min
boolean
C1565489 (UMLS CUI [1])
C0017654 (UMLS CUI [2])
Creatinine Absent | Creatinine clearance measurement
Item
no serum creatinine in the past year (to permit calculation of a creatinine clearance)
boolean
C0010294 (UMLS CUI [1,1])
C0332197 (UMLS CUI [1,2])
C0373595 (UMLS CUI [2])
Hypokalemia | Serum potassium measurement
Item
prior history of hypokalemia or serum potassium less than 3.5 meq/l in the prior year
boolean
C0020621 (UMLS CUI [1])
C0302353 (UMLS CUI [2])
Gout | Allopurinol Prescription
Item
diagnosis of gout or active prescription for allopurinol
boolean
C0018099 (UMLS CUI [1])
C0002144 (UMLS CUI [2,1])
C0033080 (UMLS CUI [2,2])
Congestive heart failure Due to Systolic dysfunction | Left ventricular ejection fraction Echocardiography | Left ventricular ejection fraction Nuclear Medicine study | Left ventricular ejection fraction Ventriculography
Item
congestive heart failure (chf) due to systolic dysfunction with a documented left ventricular ejection fraction < 35% by echocardiography, nuclear medicine study, or ventriculography
boolean
C0018802 (UMLS CUI [1,1])
C0678226 (UMLS CUI [1,2])
C0749225 (UMLS CUI [1,3])
C0428772 (UMLS CUI [2,1])
C0013516 (UMLS CUI [2,2])
C0428772 (UMLS CUI [3,1])
C1547109 (UMLS CUI [3,2])
C0428772 (UMLS CUI [4,1])
C0596683 (UMLS CUI [4,2])
Long-term Facility Resident
Item
residence in a long-term care facility
boolean
C3640869 (UMLS CUI [1])
Follow-up Telephone call Lacking
Item
no telephone for follow-up calls
boolean
C3274571 (UMLS CUI [1,1])
C0302186 (UMLS CUI [1,2])
C0332268 (UMLS CUI [1,3])
Life Expectancy
Item
life-expectancy < 6 months
boolean
C0023671 (UMLS CUI [1])
Informed Consent Unable | Impaired cognition Mental status questionnaire
Item
inability to give informed consent or impaired cognitive function (defined as > 4 errors on the 10-item pfeiffer portable mental status questionnaire82, administered during study intake)
boolean
C0021430 (UMLS CUI [1,1])
C1299582 (UMLS CUI [1,2])
C0338656 (UMLS CUI [2,1])
C0451291 (UMLS CUI [2,2])