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="example-cvd-screening-plan"/>
<meta>
<profile
value="https://hl7.lt/fhir/cvd/StructureDefinition/care-plan-lt-cvd"/>
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<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 >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.</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 < 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/<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>
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<description>
<text
value="Target LDL Cholesterol < 1.8 mmol/L based on cardiovascular risk group."/>
</description>
<subject>🔗
<reference value="Patient/patient-male-example"/>
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<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"/>
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<detailQuantity>
<value value="1.8"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
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<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>
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<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/<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"/>
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<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 >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."/>
</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>