{ "resourceType" : "CarePlan", "id" : "example-cvd-screening-plan", "meta" : { "profile" : ["https://hl7.lt/fhir/cvd/StructureDefinition/care-plan-lt-cvd"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

English

Generated Narrative: CarePlan example-cvd-screening-plan

Language: en

Profile: Care Plan: CVD prevention measures (LT)

status: Active

intent: Plan

subject: Jonas Petrauskas(official) Male, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005\u00a0(use:\u00a0usual,\u00a0))

created: 2025-10-31 10:00:00+0200

contributor: Dr. Petras Kazlauskas, Vilniaus miesto ligoninė

supportingInfo:

goal:

activity

PerformedActivities

-Concept
*Tobacco use cessation education (procedure)

progress:

Pharmacological and behavior change tools selected.

\n

activity

PerformedActivities

-Concept
*Dietary needs education (procedure)

progress:

Dietary recommendations: fruits and vegetables >200 g/day, 35–45 g of fiber (mainly from grains), moderate unsalted nuts (30 g/day), fish 1–2 servings per week (one fatty), limited lean meat, low-fat dairy, and vegetable oils. Saturated fats <10% of total fat intake (replace with polyunsaturated fats), trans fats <1% of total energy (avoid processed foods). Salt <5–6 g/day. Alcohol <100 g per week (<15 g/day). Avoid sugary soft drinks and high-energy foods.

\n

activity

PerformedActivities

-Concept
*Physical activity guidance (procedure)

progress:

30–60 minutes of moderate activity daily.

\n

note:

Follow-up visit with cardiologist in 3 months.

\n

Generated Narrative: Goal #goal-ldl-cvdp

lifecycleStatus: Active

description: Target LDL Cholesterol < 1.8 mmol/L based on cardiovascular risk group.

subject: Jonas Petrauskas(official) Male, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005\u00a0(use:\u00a0usual,\u00a0))

Targets

-MeasureDetail[x]Due[x]
*Cholesterol in LDL [Mass/volume] in Serum or Plasma by calculation1.8 mmol/L (Details: UCUM codemmol/L = 'mmol/L')2026-10-31

Generated Narrative: Goal #goal-bmi-cvdp

lifecycleStatus: Active

description: Target BMI 22.5 kg/m² (healthy weight range 18.5–24.9).

subject: Jonas Petrauskas(official) Male, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005\u00a0(use:\u00a0usual,\u00a0))

Targets

-MeasureDetail[x]
*Body mass index (BMI) [Ratio]22.5 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')

Generated Narrative: Goal #goal-bp-cvdp

lifecycleStatus: Active

description: Target BP 120–129/<80 mmHg.

subject: Jonas Petrauskas(official) Male, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005\u00a0(use:\u00a0usual,\u00a0))

Targets

-Measure
*Blood pressure panel with all children optional
" }, "contained" : [{ "resourceType" : "Goal", "id" : "goal-ldl-cvdp", "lifecycleStatus" : "active", "description" : { "text" : "Target LDL Cholesterol < 1.8 mmol/L based on cardiovascular risk group." }, "subject" : { "reference" : "Patient/patient-male-example" }, "target" : [{ "measure" : { "coding" : [{ "system" : "http://loinc.org", "code" : "13457-7", "display" : "Cholesterol in LDL [Mass/volume] in Serum or Plasma by calculation" }] }, "detailQuantity" : { "value" : 1.8, "unit" : "mmol/L", "system" : "http://unitsofmeasure.org", "code" : "mmol/L" }, "dueDate" : "2026-10-31" }] }, { "resourceType" : "Goal", "id" : "goal-bmi-cvdp", "lifecycleStatus" : "active", "description" : { "text" : "Target BMI 22.5 kg/m² (healthy weight range 18.5–24.9)." }, "subject" : { "reference" : "Patient/patient-male-example" }, "target" : [{ "measure" : { "coding" : [{ "system" : "http://loinc.org", "code" : "39156-5", "display" : "Body mass index (BMI) [Ratio]" }] }, "detailQuantity" : { "value" : 22.5, "unit" : "kg/m2", "system" : "http://unitsofmeasure.org", "code" : "kg/m2" } }] }, { "resourceType" : "Goal", "id" : "goal-bp-cvdp", "lifecycleStatus" : "active", "description" : { "text" : "Target BP 120–129/<80 mmHg." }, "subject" : { "reference" : "Patient/patient-male-example" }, "target" : [{ "measure" : { "coding" : [{ "system" : "http://loinc.org", "code" : "85354-9", "display" : "Blood pressure panel with all children optional" }] } }] }], "status" : "active", "intent" : "plan", "subject" : { "reference" : "Patient/patient-male-example" }, "created" : "2025-10-31T10:00:00+02:00", "contributor" : [{ "reference" : "PractitionerRole/practitioner-role-example", "display" : "Dr. Petras Kazlauskas, Vilniaus miesto ligoninė" }], "supportingInfo" : [{ "display" : "Specialist's workstation: Cardiologist" }, { "reference" : "Observation/observation-risk-group-high-example", "display" : "Cardiovascular disease risk assessment: 24% (High)" }], "goal" : [{ "reference" : "#goal-ldl-cvdp" }, { "reference" : "#goal-bmi-cvdp" }, { "reference" : "#goal-bp-cvdp" }], "activity" : [{ "performedActivity" : [{ "concept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "702388001", "display" : "Tobacco use cessation education (procedure)" }] } }], "progress" : [{ "text" : "Pharmacological and behavior change tools selected." }] }, { "performedActivity" : [{ "concept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "370847001", "display" : "Dietary needs education (procedure)" }] } }], "progress" : [{ "text" : "Dietary recommendations: fruits and vegetables >200 g/day, 35–45 g of fiber (mainly from grains), moderate unsalted nuts (30 g/day), fish 1–2 servings per week (one fatty), limited lean meat, low-fat dairy, and vegetable oils. Saturated fats <10% of total fat intake (replace with polyunsaturated fats), trans fats <1% of total energy (avoid processed foods). Salt <5–6 g/day. Alcohol <100 g per week (<15 g/day). Avoid sugary soft drinks and high-energy foods." }] }, { "performedActivity" : [{ "concept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "819961005", "display" : "Physical activity guidance (procedure)" }] } }], "progress" : [{ "text" : "30–60 minutes of moderate activity daily." }] }], "note" : [{ "text" : "Follow-up visit with cardiologist in 3 months." }] }