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

<Composition xmlns="http://hl7.org/fhir">
  <id value="composition-cvd-example"/>
  <meta>
    <profile value="https://hl7.lt/fhir/cvd/StructureDefinition/cvd-composition-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: Composition composition-cvd-example</b></p><a name="composition-cvd-example"> </a><a name="hccomposition-cvd-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-cvd-composition-lt-cvd.html">Composition: CVD programme document (LT)</a></p></div><p><b>identifier</b>: <code>http://hospital.lt/sid/cvd-composition</code>/cvd-comp-2025-001</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 51848-0}">Evaluation note</span></p><p><b>category</b>: <span title="Codes:{http://loinc.org 11488-4}">Consult note</span></p><p><b>date</b>: 2025-10-01 14:30:00+0300</p><p><b>author</b>: <a href="Practitioner-practitioner-example.html">Practitioner Dr. Petras Kazlauskas(official)</a></p><p><b>title</b>: Cardiovascular disease risk assessment and prevention plan</p><h3>Attesters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://hl7.org/fhir/composition-attestation-mode legal}">Legal</span></td><td>2025-10-01 14:30:00+0300</td><td><a href="Organization-organization-example.html">Organization Vilniaus miesto ligoninė</a></td></tr></table><p><b>custodian</b>: <a href="Organization-organization-example.html">Organization Vilniaus miesto ligoninė</a></p></div>
  </text>
  <identifier>
    <system value="http://hospital.lt/sid/cvd-composition"/>
    <value value="cvd-comp-2025-001"/>
  </identifier>
  <status value="final"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="51848-0"/>
      <display value="Evaluation note"/>
    </coding>
  </type>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <code value="11488-4"/>
      <display value="Consult note"/>
    </coding>
  </category>
  <subject>
    <reference value="Patient/patient-male-example"/>
  </subject>
  <date value="2025-10-01T14:30:00+03:00"/>
  <author>
    <reference value="Practitioner/practitioner-example"/>
  </author>
  <title value="Cardiovascular disease risk assessment and prevention plan"/>
  <attester>
    <mode>
      <coding>
        <system value="http://hl7.org/fhir/composition-attestation-mode"/>
        <code value="legal"/>
        <display value="Legal"/>
      </coding>
    </mode>
    <time value="2025-10-01T14:30:00+03:00"/>
    <party>
      <reference value="Organization/organization-example"/>
    </party>
  </attester>
  <custodian>
    <reference value="Organization/organization-example"/>
  </custodian>
  <section>
    <title value="Risk assessment and objective findings"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="29299-5"/>
        <display value="Reason for visit Narrative"/>
      </coding>
    </code>
    <text>
      <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p>Accompanying chronic condition, SCORE2 estimate, programme risk group classification, and ECG interpretation.</p></div>
    </text>
    <entry>
      <reference value="Condition/condition-cvd-heart-failure-example"/>
    </entry>
    <entry>
      <reference value="Observation/observation-cvd-risk-assessment-example"/>
    </entry>
    <entry>
      <reference value="Observation/observation-risk-group-high-example"/>
    </entry>
    <entry>
      <reference value="Observation/observation-ekg-normal-example"/>
    </entry>
  </section>
  <section>
    <title value="Prevention measures plan"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="18776-5"/>
        <display value="Plan of care note"/>
      </coding>
    </code>
    <text>
      <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p>Lifestyle, lipid and blood pressure targets, and medication areas as structured in the CarePlan.</p></div>
    </text>
    <entry>
      <reference value="CarePlan/care-plan-cvd-screening-example"/>
    </entry>
  </section>
  <section>
    <title value="Achievement evaluation"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="11506-3"/>
        <display value="Progress note"/>
      </coding>
    </code>
    <text>
      <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p>Follow-up LDL and blood pressure compared to programme targets. Structured measurements are referenced from the <strong>DiagnosticReport.result</strong> list (see linked report example) to satisfy FHIR <code>dgr-1</code> when both Composition and DiagnosticReport are present.</p></div>
    </text>
  </section>
</Composition>