Inclusion Criteria:  Patients will be eligible for the PedsBP CDS if  6-17 years of age BP measured and entered in the vital sign section during an ambulatory primary care visit in a randomized primary care clinic not pregnant or postpartum  Patients must meet these eligibility criteria to be included into study analyses:  have at least one index visit with a primary care provider at a randomized clinic in the intervention period meet eligibility for PedsBP CDS at index visit (a-c above) no previous HT diagnosis prior to index visit not taking antihypertensive medication prior to index visit not opted out of use of their data for research via general consent prior to performing analyses  Primary care providers must meet these eligibility criteria to participate in this study:  practice at a randomized primary care clinic be a pediatric or family medicine care provider (pediatrician, family physician, nurse practitioner or physician assistant), and provide ongoing clinical care for children and adolescents  Exclusion Criteria:  Patients will be excluded from analyses if the following criteria are met:  outside of the inclusion age range (<6 years and ≥18 years) at index visit pregnant or postpartum adolescents during study period known HT diagnosis or taking antihypertensive medication at index visit opted out of use of their data for research via general consent prior to performing analyses