Abstract: Disclosed herein is a clinical decision support tool designed to address problems with blood pressure control, compliance with frequent monitoring requirements, diagnostic inertia, therapeutic inertia, and disease misclassification by using peak diurnal blood pressure. In some aspects, the systems and processes of the disclosure sort secondary hypertension conditions from a multitude of other underlying factors. The systems of the disclosure can use a drug sequencing algorithm based on age, ethnicity, associated-disease, renin/aldosterone levels, and other factors to evaluate their effects on blood pressure control, provider time, and provider/patient satisfaction.