Lithuanian CVD Implementation Guide
0.0.1 - ci-build
Lithuanian CVD Implementation Guide
0.0.1 - ci-build
Lithuanian CVD Implementation Guide, published by Lithuanian Medical Library. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7LT/ig-lt-cvd/ and changes regularly. See the Directory of published versions
<CarePlan xmlns="http://hl7.org/fhir">
<id value="care-plan-cvd-screening-example"/>
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<status value="extensions"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><p class="res-header-id"><b>Generated Narrative: CarePlan care-plan-cvd-screening-example</b></p><a name="care-plan-cvd-screening-example"> </a><a name="hccare-plan-cvd-screening-example"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: en</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-care-plan-lt-cvd.html">Care Plan: CVD prevention measures (LT)</a></p></div><p><b>CVD Risk Group Extension</b>: <span title="Codes:{https://tx.hl7.lt/fhir/CodeSystem/risk-group very-large}">Very large</span></p><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>title</b>: Plan for Heart and Blood Vessel Disease Screening Measures</p><p><b>description</b>: Comprehensive plan detailing lifestyle modifications, pharmacological advice, and biometric targets for CVD risk reduction.</p><p><b>subject</b>: <a href="Patient-patient-male-example.html">Jonas Petrauskas(official) Male, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005 (use: usual, ))</a></p><p><b>created</b>: 2025-10-31 10:00:00+0200</p><p><b>supportingInfo</b>: </p><ul><li>A healthy weight is when Body Mass Index (BMI) is 18.5-24.9 kg/m2.</li><li>Regular use of prescribed medication: Antilipid treatment, Antihypertensive and heart rate regulating (cardioprotective) treatment, Currently used medications.</li></ul><p><b>goal</b>: </p><ul><li><a href="#hccare-plan-cvd-screening-example/goal-ldl">Goal: lifecycleStatus = active; description = </a></li><li><a href="#hccare-plan-cvd-screening-example/goal-bmi">Goal: lifecycleStatus = active; description = </a></li><li><a href="#hccare-plan-cvd-screening-example/goal-bp">Goal: lifecycleStatus = planned; description = </a></li></ul><blockquote><p><b>activity</b></p><h3>PerformedActivities</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 702388001}">Tobacco use cessation education (procedure)</span></td></tr></table><p><b>progress</b>: </p><blockquote><div><p>Quitting smoking intervention selected: Pharmacological and Behavior change tools.</p>
</div></blockquote></blockquote><blockquote><p><b>activity</b></p><h3>PerformedActivities</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 11816003}">Diet education (procedure)</span></td></tr></table><p><b>progress</b>: , </p><blockquote><div><p>Healthy Nutrition Plan: Diet should include consumption of fruits and vegetables > 200 g/day, 35–45 g of fiber (recommended from grains), moderate consumption of nuts (30 g/day, unsalted), 1–2 servings of fish per week (one fatty fish), limited amounts of lean meat, low-fat dairy products, and liquid vegetable oils.
Saturated fats <10% of total fat intake, replacing them with polyunsaturated fats, reducing trans fats, preferably not from processed foods and making up <1% of total energy intake.
Salt ˂ 5–6 g per day.
Avoid alcohol if consumed, limit intake to ˂100 g per week or <15 g per day. Avoid high-energy foods, such as sugar-sweetened soft drinks.</p>
</div></blockquote><blockquote><div><p>Focus on reducing processed sugar intake dramatically by eliminating soft drinks.</p>
</div></blockquote></blockquote><blockquote><p><b>activity</b></p><h3>PerformedActivities</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 1287704009}">Physical activity consultation (procedure)</span></td></tr></table><p><b>progress</b>: , </p><blockquote><div><p>30-60 minutes of moderate physical activity daily, beneficial and irregular physical activity.</p>
</div></blockquote><blockquote><div><p>Focus on 3 sessions of swimming per week in addition to daily walks.</p>
</div></blockquote></blockquote><blockquote><p><b>activity</b></p><h3>PerformedActivities</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:">Antilipid treatment prescribed by the doctor.</span></td></tr></table><p><b>progress</b>: </p><blockquote><div><p>Atorvastatin 20mg daily.</p>
</div></blockquote></blockquote><p><b>note</b>: </p><blockquote><div><p>Recommend follow-up appointment with a cardiologist in three months to review treatment efficacy and progress toward goals.</p>
</div></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Goal #goal-ldl</b></p><a name="care-plan-cvd-screening-example/goal-ldl"> </a><a name="hccare-plan-cvd-screening-example/goal-ldl"> </a><p><b>lifecycleStatus</b>: Active</p><p><b>description</b>: <span title="Codes:">Target LDL Cholesterol, considering the cardiovascular disease risk group</span></p><p><b>subject</b>: <a href="Patient-patient-male-example.html">Jonas Petrauskas(official) Male, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005 (use: usual, ))</a></p><h3>Targets</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Measure</b></td><td><b>Detail[x]</b></td><td><b>Due[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://loinc.org 13457-7}">Cholesterol in LDL [Mass/volume] in Serum or Plasma by calculation</span></td><td>1.4 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM codemmol/L = 'mmol/L')</span></td><td>2026-10-31</td></tr></table></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Goal #goal-bmi</b></p><a name="care-plan-cvd-screening-example/goal-bmi"> </a><a name="hccare-plan-cvd-screening-example/goal-bmi"> </a><p><b>lifecycleStatus</b>: Active</p><p><b>description</b>: <span title="Codes:">Target Body Mass Index (BMI) of 22.5 kg/m2</span></p><p><b>subject</b>: <a href="Patient-patient-male-example.html">Jonas Petrauskas(official) Male, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005 (use: usual, ))</a></p><h3>Targets</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Measure</b></td><td><b>Detail[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://loinc.org 39156-5}">Body mass index (BMI) [Ratio]</span></td><td>22.5 kg/m2<span style="background: LightGoldenRodYellow"> (Details: UCUM codekg/m2 = 'kg/m2')</span></td></tr></table></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Goal #goal-bp</b></p><a name="care-plan-cvd-screening-example/goal-bp"> </a><a name="hccare-plan-cvd-screening-example/goal-bp"> </a><p><b>lifecycleStatus</b>: Planned</p><p><b>description</b>: <span title="Codes:">Target BP 120-129/<80 mmHg</span></p><p><b>subject</b>: <a href="Patient-patient-male-example.html">Jonas Petrauskas(official) Male, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005 (use: usual, ))</a></p></blockquote></div>
</text>
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<dueDate value="2026-10-31"/>
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<contained>
<Goal>
<id value="goal-bmi"/>
<lifecycleStatus value="active"/>
<description>
<text value="Target Body Mass Index (BMI) of 22.5 kg/m2"/>
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<subject>🔗
<reference value="Patient/patient-male-example"/>
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<coding>
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<display value="Body mass index (BMI) [Ratio]"/>
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<value value="22.5"/>
<unit value="kg/m2"/>
<system value="http://unitsofmeasure.org"/>
<code value="kg/m2"/>
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<Goal>
<id value="goal-bp"/>
<lifecycleStatus value="planned"/>
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<text value="Target BP 120-129/<80 mmHg"/>
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<subject>🔗
<reference value="Patient/patient-male-example"/>
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<extension
url="https://hl7.lt/fhir/cvd/StructureDefinition/risk-group-ext-lt-cvd">
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<coding>
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<display value="Very large"/>
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<intent value="plan"/>
<title value="Plan for Heart and Blood Vessel Disease Screening Measures"/>
<description
value="Comprehensive plan detailing lifestyle modifications, pharmacological advice, and biometric targets for CVD risk reduction."/>
<subject>🔗
<reference value="Patient/patient-male-example"/>
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<created value="2025-10-31T10:00:00+02:00"/>
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<display
value="A healthy weight is when Body Mass Index (BMI) is 18.5-24.9 kg/m2."/>
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<goal>
<reference value="#goal-bmi"/>
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<reference value="#goal-bp"/>
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<coding>
<system value="http://snomed.info/sct"/>
<code value="702388001"/>
<display value="Tobacco use cessation education (procedure)"/>
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value="Quitting smoking intervention selected: Pharmacological and Behavior change tools."/>
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<system value="http://snomed.info/sct"/>
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<display value="Diet education (procedure)"/>
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value="Healthy Nutrition Plan: Diet should include consumption of fruits and vegetables > 200 g/day, 35–45 g of fiber (recommended from grains), moderate consumption of nuts (30 g/day, unsalted), 1–2 servings of fish per week (one fatty fish), limited amounts of lean meat, low-fat dairy products, and liquid vegetable oils.
Saturated fats <10% of total fat intake, replacing them with polyunsaturated fats, reducing trans fats, preferably not from processed foods and making up <1% of total energy intake.
Salt ˂ 5–6 g per day.
Avoid alcohol if consumed, limit intake to ˂100 g per week or <15 g per day. Avoid high-energy foods, such as sugar-sweetened soft drinks."/>
</progress>
<progress>
<text
value="Focus on reducing processed sugar intake dramatically by eliminating soft drinks."/>
</progress>
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<coding>
<system value="http://snomed.info/sct"/>
<code value="1287704009"/>
<display value="Physical activity consultation (procedure)"/>
</coding>
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</performedActivity>
<progress>
<text
value="30-60 minutes of moderate physical activity daily, beneficial and irregular physical activity."/>
</progress>
<progress>
<text
value="Focus on 3 sessions of swimming per week in addition to daily walks."/>
</progress>
</activity>
<activity>
<performedActivity>
<concept>
<text value="Antilipid treatment prescribed by the doctor."/>
</concept>
</performedActivity>
<progress>
<text value="Atorvastatin 20mg daily."/>
</progress>
</activity>
<note>
<text
value="Recommend follow-up appointment with a cardiologist in three months to review treatment efficacy and progress toward goals."/>
</note>
</CarePlan>