<?xml version="1.0" encoding="UTF-8"?>

<CarePlan xmlns="http://hl7.org/fhir">
  <id value="example-cvd-screening-plan"/>
  <meta>
    <profile value="https://hl7.lt/fhir/cvd/StructureDefinition/care-plan-lt-cvd"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/><div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><p class="res-header-id"><b>Generated Narrative: CarePlan example-cvd-screening-plan</b></p><a name="example-cvd-screening-plan"> </a><a name="hcexample-cvd-screening-plan"> </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>status</b>: Active</p><p><b>intent</b>: Plan</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>contributor</b>: <a href="PractitionerRole-practitioner-role-example.html">Dr. Petras Kazlauskas, Vilniaus miesto ligoninė</a></p><p><b>supportingInfo</b>: </p><ul><li>Specialist's workstation: Cardiologist</li><li><a href="Observation-observation-risk-group-high-example.html">Cardiovascular disease risk assessment: 24% (High)</a></li></ul><p><b>goal</b>: </p><ul><li><a href="#hcexample-cvd-screening-plan/goal-ldl-cvdp">Goal: lifecycleStatus = active; description = </a></li><li><a href="#hcexample-cvd-screening-plan/goal-bmi-cvdp">Goal: lifecycleStatus = active; description = </a></li><li><a href="#hcexample-cvd-screening-plan/goal-bp-cvdp">Goal: lifecycleStatus = active; 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>Pharmacological and behavior change tools selected.</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 370847001}">Dietary needs education (procedure)</span></td></tr></table><p><b>progress</b>: </p><blockquote><div><p>Dietary recommendations: fruits and vegetables &gt;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 &lt;10% of total fat intake (replace with polyunsaturated fats), trans fats &lt;1% of total energy (avoid processed foods). Salt &lt;5–6 g/day. Alcohol &lt;100 g per week (&lt;15 g/day). Avoid sugary soft drinks and high-energy foods.</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 819961005}">Physical activity guidance (procedure)</span></td></tr></table><p><b>progress</b>: </p><blockquote><div><p>30–60 minutes of moderate activity daily.</p>
</div></blockquote></blockquote><p><b>note</b>: </p><blockquote><div><p>Follow-up visit with cardiologist in 3 months.</p>
</div></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Goal #goal-ldl-cvdp</b></p><a name="example-cvd-screening-plan/goal-ldl-cvdp"> </a><a name="hcexample-cvd-screening-plan/goal-ldl-cvdp"> </a><p><b>lifecycleStatus</b>: Active</p><p><b>description</b>: <span title="Codes:">Target LDL Cholesterol &lt; 1.8 mmol/L based on cardiovascular 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>1.8 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-cvdp</b></p><a name="example-cvd-screening-plan/goal-bmi-cvdp"> </a><a name="hcexample-cvd-screening-plan/goal-bmi-cvdp"> </a><p><b>lifecycleStatus</b>: Active</p><p><b>description</b>: <span title="Codes:">Target BMI 22.5 kg/m² (healthy weight range 18.5–24.9).</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-cvdp</b></p><a name="example-cvd-screening-plan/goal-bp-cvdp"> </a><a name="hcexample-cvd-screening-plan/goal-bp-cvdp"> </a><p><b>lifecycleStatus</b>: Active</p><p><b>description</b>: <span title="Codes:">Target BP 120–129/&lt;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><h3>Targets</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Measure</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://loinc.org 85354-9}">Blood pressure panel with all children optional</span></td></tr></table></blockquote></div>
  </text>
  <contained>
    <Goal>
      <id value="goal-ldl-cvdp"/>
      <lifecycleStatus value="active"/>
      <description>
        <text value="Target LDL Cholesterol &lt; 1.8 mmol/L based on cardiovascular risk group."/>
      </description>
      <subject>
        <reference value="Patient/patient-male-example"/>
      </subject>
      <target>
        <measure>
          <coding>
            <system value="http://loinc.org"/>
            <code value="13457-7"/>
            <display value="Cholesterol in LDL [Mass/volume] in Serum or Plasma by calculation"/>
          </coding>
        </measure>
        <detailQuantity>
          <value value="1.8"/>
          <unit value="mmol/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mmol/L"/>
        </detailQuantity>
        <dueDate value="2026-10-31"/>
      </target>
    </Goal>
  </contained>
  <contained>
    <Goal>
      <id value="goal-bmi-cvdp"/>
      <lifecycleStatus value="active"/>
      <description>
        <text value="Target BMI 22.5 kg/m² (healthy weight range 18.5–24.9)."/>
      </description>
      <subject>
        <reference value="Patient/patient-male-example"/>
      </subject>
      <target>
        <measure>
          <coding>
            <system value="http://loinc.org"/>
            <code value="39156-5"/>
            <display value="Body mass index (BMI) [Ratio]"/>
          </coding>
        </measure>
        <detailQuantity>
          <value value="22.5"/>
          <unit value="kg/m2"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="kg/m2"/>
        </detailQuantity>
      </target>
    </Goal>
  </contained>
  <contained>
    <Goal>
      <id value="goal-bp-cvdp"/>
      <lifecycleStatus value="active"/>
      <description>
        <text value="Target BP 120–129/&lt;80 mmHg."/>
      </description>
      <subject>
        <reference value="Patient/patient-male-example"/>
      </subject>
      <target>
        <measure>
          <coding>
            <system value="http://loinc.org"/>
            <code value="85354-9"/>
            <display value="Blood pressure panel with all children optional"/>
          </coding>
        </measure>
      </target>
    </Goal>
  </contained>
  <status value="active"/>
  <intent value="plan"/>
  <subject>
    <reference value="Patient/patient-male-example"/>
  </subject>
  <created value="2025-10-31T10:00:00+02:00"/>
  <contributor>
    <reference value="PractitionerRole/practitioner-role-example"/>
    <display value="Dr. Petras Kazlauskas, Vilniaus miesto ligoninė"/>
  </contributor>
  <supportingInfo>
    <display value="Specialist's workstation: Cardiologist"/>
  </supportingInfo>
  <supportingInfo>
    <reference value="Observation/observation-risk-group-high-example"/>
    <display value="Cardiovascular disease risk assessment: 24% (High)"/>
  </supportingInfo>
  <goal>
    <reference value="#goal-ldl-cvdp"/>
  </goal>
  <goal>
    <reference value="#goal-bmi-cvdp"/>
  </goal>
  <goal>
    <reference value="#goal-bp-cvdp"/>
  </goal>
  <activity>
    <performedActivity>
      <concept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="702388001"/>
          <display value="Tobacco use cessation education (procedure)"/>
        </coding>
      </concept>
    </performedActivity>
    <progress>
      <text value="Pharmacological and behavior change tools selected."/>
    </progress>
  </activity>
  <activity>
    <performedActivity>
      <concept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="370847001"/>
          <display value="Dietary needs education (procedure)"/>
        </coding>
      </concept>
    </performedActivity>
    <progress>
      <text value="Dietary recommendations: fruits and vegetables &gt;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 &lt;10% of total fat intake (replace with polyunsaturated fats), trans fats &lt;1% of total energy (avoid processed foods). Salt &lt;5–6 g/day. Alcohol &lt;100 g per week (&lt;15 g/day). Avoid sugary soft drinks and high-energy foods."/>
    </progress>
  </activity>
  <activity>
    <performedActivity>
      <concept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="819961005"/>
          <display value="Physical activity guidance (procedure)"/>
        </coding>
      </concept>
    </performedActivity>
    <progress>
      <text value="30–60 minutes of moderate activity daily."/>
    </progress>
  </activity>
  <note>
    <text value="Follow-up visit with cardiologist in 3 months."/>
  </note>
</CarePlan>