Documentation of nonclinical data, such as social determinants of health, health literacy, and shared decision making. Clinical Recommendations 2017 Hypertension Clinical Practice Guidelines4 Recommendations for EHR and Patient Registries (Guideline Section 12.3) Use of the EHR and patient registries is beneficial for identification of patients with undiagnosed or undertreated hypertension.55 57 (Class 1, Level of Evidence: B-NR) Use of the EHR and patient registries is beneficial for guiding quality improvement efforts designed to improve hypertension control.55 57 Level of Evidence: B-NR) ACC indicates American College of Cardiology; AHA, American Heart Association; ASCVD, atherosclerotic cardiovascular disease; BP, blood pressure; CDC, Centers for Disease Control and Prevention; CDS, clinical decision support; CDU, care delivery unit; EHR, electronic health record; GDMT, guideline-directed medical therapy/treatment; HBP, high blood pressure; HHS, Health and Human Services; ICD-10, International Classification of Diseases, 10th edition; NCQA, National Committee for Quality Assurance; PCE, pooled cohort equations; and SM, structural measure. 37 Appendix A. Continued A Patient-Centered Approach for Controlling HBP SM-5: Use of a Standard Process to Engage Patients in Shared Decision-Making, Tailored to Their Personal Benefits, Goals, and Values for Evidence- Based Interventions to Improve Control of HBP Measure Components The CDU uses a standard process/protocol for implementing SDM in clinical settings for patients with HBP, including: One of the following: Structured decision aids A formal SDM tool is available, with evidence that it is being routinely used in clinical encounters. The choice of a decision aid should be informed by a formal quality assessment, as recommended by IPDAS.165 The tool should be published, free of bias, and ideally endorsed by professional organizations. A process exists whereby patients with hypertension are identified and exposed to the SDM tool. 