# Translating Hypertension Guidelines into Practice: Development of Interoperable Clinical Decision Support

> **NIH AHRQ U18** · OREGON HEALTH & SCIENCE UNIVERSITY · 2020 · $456,812

## Abstract

Project Summary
 Despite near universal adoption of Electronic Health Records (EHRs), resulting in increasing amount of
clinical data available to improve care, challenges remain about how to best leverage Health IT for Clinical
Decision Support (CDS). In this proposal, we will use hypertension to use new technologies to make tailored,
useful CDS available across settings and implementations. We will use Clinical Quality Language (CQL), a
new Health Level Seven International Standard that focuses on a common model for representing expression
logic for Clinical Decision Support (CDS), and the Fast Healthcare Interoperable Resources (FHIR) standard,
to demonstrate how one can reduce the burden of implementing CDS rules across sites.
 Per the 5 Rights framework, well-implemented CDS aims to deliver the right information, to the right
person, using the right format, in the right channel, and at the right time during workflow. This grant proposes
to enhance our ability to tailor CDS by creating patient-centered, interoperable, sharable CDS tools by allowing
providers and patients to make patient-centered decisions about clinical actions based on how they interpret
variation in conflicting guidelines in practice. Next, leveraging previous work, we will build clinical decision
support components using the AHRQ CDS Authoring tool and build a FHIR application that can elicit and
provide guidance to both patients and health care teams, validating against a database of patients with
hypertension. Finally, we will evaluate this application with appropriate patients and health care teams to learn
its potential impact in assisting in tailored decision making, refining the approach and disseminating. We'll
disseminate all of the elements in this study to the public and measure how often they are used and adapted.

## Key facts

- **NIH application ID:** 10020963
- **Project number:** 5U18HS026849-02
- **Recipient organization:** OREGON HEALTH & SCIENCE UNIVERSITY
- **Principal Investigator:** DAVID A. DORR
- **Activity code:** U18 (R01, R21, SBIR, etc.)
- **Funding institute:** AHRQ
- **Fiscal year:** 2020
- **Award amount:** $456,812
- **Award type:** 5
- **Project period:** 2019-09-30 → 2021-12-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10020963

## Citation

> US National Institutes of Health, RePORTER application 10020963, Translating Hypertension Guidelines into Practice: Development of Interoperable Clinical Decision Support (5U18HS026849-02). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10020963. Licensed CC0.

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