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

<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="conceptmap-cvd-prevention-plan-questionnaire"/>
  <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: ConceptMap conceptmap-cvd-prevention-plan-questionnaire</b></p><a name="conceptmap-cvd-prevention-plan-questionnaire"> </a><a name="hcconceptmap-cvd-prevention-plan-questionnaire"> </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></div><p>Mapping from (not specified) to (not specified)</p><br/><p><b>Group 1 </b>Mapping from <a href="CodeSystem-cvd-questionnaire-prevention-plan-item.html">CVD prevention plan questionnaire item (linkId)version: 0.1.0)</a> to <a href="CodeSystem-cvd-questionnaire-mapping-target.html">CVD questionnaire mapping target (profiles)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>grp-plan-header (Plan header)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>care-plan-lt-cvd</td><td>Section header for plan metadata, risk group, LDL target, and smoking cessation (CarePlanLtCvd). Example: care-plan-cvd-screening-example. CVD IG: https://hl7.lt/fhir/cvd/ImplementationGuide/lt.hl7.fhir.cvd</td></tr><tr><td>plan-created-datetime (Plan creation date and time)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>care-plan-lt-cvd</td><td>CarePlan.created / period on CarePlanLtCvd. StructureDefinition: https://hl7.lt/fhir/cvd/StructureDefinition/care-plan-lt-cvd. Example: care-plan-cvd-screening-example.</td></tr><tr><td>plan-risk-group (Risk group (plan))</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>risk-group-ext-lt-cvd</td><td>Risk group on the plan: RiskGroupExtLtCvd on CarePlan and/or persisted RiskGroupObservationLtCvd. Extension: https://hl7.lt/fhir/cvd/StructureDefinition/risk-group-ext-lt-cvd. Example observation: observation-risk-group-high-example.</td></tr><tr><td>plan-target-ldl (Target LDL cholesterol)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>care-plan-lt-cvd</td><td>Target LDL as CarePlan.goal (e.g. LOINC 18262-6) on CarePlanLtCvd; compare to CholesterolLdlLabLt at follow-up. Lab profile: https://hl7.lt/fhir/lab/StructureDefinition/cholesterol-ldl-lab-lt</td></tr><tr><td>plan-smoking-cessation (Quitting smoking (interventions))</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>care-plan-lt-cvd</td><td>CarePlan.activity for cessation interventions; related behaviour may appear as TobaccoUseLtLifestyle. Lifestyle: https://hl7.lt/fhir/lifestyle/StructureDefinition/tobacco-use-lt-lifestyle</td></tr><tr><td>grp-plan-lifestyle (Lifestyle and weight)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>physical-activity-lt-lifestyle</td><td>Section header for lifestyle and weight (physical activity, target BMI).</td></tr><tr><td>plan-physical-activity (Physical activity plan)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>physical-activity-lt-lifestyle</td><td>PhysicalActivityLtLifestyle. StructureDefinition: https://hl7.lt/fhir/lifestyle/StructureDefinition/physical-activity-lt-lifestyle. CI: https://build.fhir.org/ig/HL7LT/ig-lt-lifestyle/Observation-observation-physical-activity-below-example.html</td></tr><tr><td>plan-target-bmi (Target BMI (kg/m²))</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>bmi (BMI (Vital Signs))</td><td>Target BMI as goal on CarePlan; measured BMI uses vitalsigns BMI profile. StructureDefinition: https://hl7.lt/fhir/vitalsigns/StructureDefinition/bmi</td></tr><tr><td>grp-achievement (Achievement evaluation)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>observation-lt (ObservationLt (LT Base))</td><td>Achievement evaluation section; aligns with follow-up Observations in this IG (e.g. observation-cvd-followup-*). CVD IG examples bundle with CvdReportLtCvd / CvdCompositionLtCvd as appropriate.</td></tr><tr><td>achievement-datetime (Achievement evaluation date and time)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>observation-lt (ObservationLt (LT Base))</td><td>Effective time on follow-up Observations or encounter context. Base profile: https://hl7.lt/fhir/base/StructureDefinition/observation-lt. LT Base IG: https://hl7.lt/fhir/base/ImplementationGuide/lt.hl7.fhir.base</td></tr><tr><td>achievement-ldl-mmol (Achieved LDL cholesterol (mmol/l))</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>cholesterol-ldl-lab-lt</td><td>Achieved LDL: CholesterolLdlLabLt. CI lipidogram: https://build.fhir.org/ig/HL7LT/ig-lt-lab/Observation-observation-lipidogram-example.html</td></tr><tr><td>achievement-ldl-target-met (Target LDL achieved (boolean))</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>care-plan-lt-cvd</td><td>Interpret against CarePlan LDL goals and latest CholesterolLdlLabLt Observation.</td></tr><tr><td>achievement-bp-systolic (Current systolic BP (mmHg))</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>blood-pressure-panel (BloodPressurePanel (Vital Signs))</td><td>BloodPressurePanel systolic component. CI: https://build.fhir.org/ig/HL7LT/ig-lt-vitalsigns/Observation-observation-blood-pressure-example.html</td></tr><tr><td>achievement-bp-diastolic (Current diastolic BP (mmHg))</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>blood-pressure-panel (BloodPressurePanel (Vital Signs))</td><td>BloodPressurePanel diastolic component; same Observation as systolic.</td></tr><tr><td>achievement-bp-target-met (Target BP achieved (boolean))</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>care-plan-lt-cvd</td><td>Interpret against CarePlan BP goals and BloodPressurePanel Observations.</td></tr><tr><td>achievement-comments (Achievement evaluator comments)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>observation-lt (ObservationLt (LT Base))</td><td>Free-text comments; may appear as note on ObservationLt or related resource. StructureDefinition: https://hl7.lt/fhir/base/StructureDefinition/observation-lt</td></tr><tr><td>achievement-smoking-quit (Smoking cessation achieved)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>tobacco-use-lt-lifestyle</td><td>mapping.md row 24 — Smoking cessation at achievement; TobaccoUseLtLifestyle vs plan smoking cessation items.</td></tr></table></div>
  </text>
  <url value="https://hl7.lt/fhir/cvd/ConceptMap/cvd-prevention-plan-questionnaire"/>
  <version value="0.1.0"/>
  <name value="CvdPreventionPlanQuestionnaireItemMap"/>
  <title value="CVD prevention plan questionnaire item to profile mapping"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2025-10-01"/>
  <publisher value="Lithuanian Medical Library"/>
  <contact>
    <name value="Lithuanian Medical Library"/>
    <telecom>
      <system value="url"/>
      <value value="https://medicinosnk.lt"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="info@medicinosnk.lt"/>
    </telecom>
  </contact>
  <description value="Maps ESPBI form 2 Questionnaire linkIds to Lithuanian FHIR profiles and related IGs. Human-readable narrative is in each target.comment. Source: linkId codes; target: profile identifiers (CodeSystem cvd-questionnaire-mapping-target)."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="LT"/>
    </coding>
  </jurisdiction>
  <group>
    <source value="https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-prevention-plan-item|0.1.0"/>
    <target value="https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-mapping-target|0.1.0"/>
    <element>
      <code value="grp-plan-header"/>
      <target>
        <code value="care-plan-lt-cvd"/>
        <relationship value="related-to"/>
        <comment value="Section header for plan metadata, risk group, LDL target, and smoking cessation (CarePlanLtCvd). Example: care-plan-cvd-screening-example. CVD IG: https://hl7.lt/fhir/cvd/ImplementationGuide/lt.hl7.fhir.cvd"/>
      </target>
    </element>
    <element>
      <code value="plan-created-datetime"/>
      <target>
        <code value="care-plan-lt-cvd"/>
        <relationship value="related-to"/>
        <comment value="CarePlan.created / period on CarePlanLtCvd. StructureDefinition: https://hl7.lt/fhir/cvd/StructureDefinition/care-plan-lt-cvd. Example: care-plan-cvd-screening-example."/>
      </target>
    </element>
    <element>
      <code value="plan-risk-group"/>
      <target>
        <code value="risk-group-ext-lt-cvd"/>
        <relationship value="related-to"/>
        <comment value="Risk group on the plan: RiskGroupExtLtCvd on CarePlan and/or persisted RiskGroupObservationLtCvd. Extension: https://hl7.lt/fhir/cvd/StructureDefinition/risk-group-ext-lt-cvd. Example observation: observation-risk-group-high-example."/>
      </target>
    </element>
    <element>
      <code value="plan-target-ldl"/>
      <target>
        <code value="care-plan-lt-cvd"/>
        <relationship value="related-to"/>
        <comment value="Target LDL as CarePlan.goal (e.g. LOINC 18262-6) on CarePlanLtCvd; compare to CholesterolLdlLabLt at follow-up. Lab profile: https://hl7.lt/fhir/lab/StructureDefinition/cholesterol-ldl-lab-lt"/>
      </target>
    </element>
    <element>
      <code value="plan-smoking-cessation"/>
      <target>
        <code value="care-plan-lt-cvd"/>
        <relationship value="related-to"/>
        <comment value="CarePlan.activity for cessation interventions; related behaviour may appear as TobaccoUseLtLifestyle. Lifestyle: https://hl7.lt/fhir/lifestyle/StructureDefinition/tobacco-use-lt-lifestyle"/>
      </target>
    </element>
    <element>
      <code value="grp-plan-lifestyle"/>
      <target>
        <code value="physical-activity-lt-lifestyle"/>
        <relationship value="related-to"/>
        <comment value="Section header for lifestyle and weight (physical activity, target BMI)."/>
      </target>
    </element>
    <element>
      <code value="plan-physical-activity"/>
      <target>
        <code value="physical-activity-lt-lifestyle"/>
        <relationship value="related-to"/>
        <comment value="PhysicalActivityLtLifestyle. StructureDefinition: https://hl7.lt/fhir/lifestyle/StructureDefinition/physical-activity-lt-lifestyle. CI: https://build.fhir.org/ig/HL7LT/ig-lt-lifestyle/Observation-observation-physical-activity-below-example.html"/>
      </target>
    </element>
    <element>
      <code value="plan-target-bmi"/>
      <target>
        <code value="bmi"/>
        <relationship value="related-to"/>
        <comment value="Target BMI as goal on CarePlan; measured BMI uses vitalsigns BMI profile. StructureDefinition: https://hl7.lt/fhir/vitalsigns/StructureDefinition/bmi"/>
      </target>
    </element>
    <element>
      <code value="grp-achievement"/>
      <target>
        <code value="observation-lt"/>
        <relationship value="related-to"/>
        <comment value="Achievement evaluation section; aligns with follow-up Observations in this IG (e.g. observation-cvd-followup-*). CVD IG examples bundle with CvdReportLtCvd / CvdCompositionLtCvd as appropriate."/>
      </target>
    </element>
    <element>
      <code value="achievement-datetime"/>
      <target>
        <code value="observation-lt"/>
        <relationship value="related-to"/>
        <comment value="Effective time on follow-up Observations or encounter context. Base profile: https://hl7.lt/fhir/base/StructureDefinition/observation-lt. LT Base IG: https://hl7.lt/fhir/base/ImplementationGuide/lt.hl7.fhir.base"/>
      </target>
    </element>
    <element>
      <code value="achievement-ldl-mmol"/>
      <target>
        <code value="cholesterol-ldl-lab-lt"/>
        <relationship value="related-to"/>
        <comment value="Achieved LDL: CholesterolLdlLabLt. CI lipidogram: https://build.fhir.org/ig/HL7LT/ig-lt-lab/Observation-observation-lipidogram-example.html"/>
      </target>
    </element>
    <element>
      <code value="achievement-ldl-target-met"/>
      <target>
        <code value="care-plan-lt-cvd"/>
        <relationship value="related-to"/>
        <comment value="Interpret against CarePlan LDL goals and latest CholesterolLdlLabLt Observation."/>
      </target>
    </element>
    <element>
      <code value="achievement-bp-systolic"/>
      <target>
        <code value="blood-pressure-panel"/>
        <relationship value="related-to"/>
        <comment value="BloodPressurePanel systolic component. CI: https://build.fhir.org/ig/HL7LT/ig-lt-vitalsigns/Observation-observation-blood-pressure-example.html"/>
      </target>
    </element>
    <element>
      <code value="achievement-bp-diastolic"/>
      <target>
        <code value="blood-pressure-panel"/>
        <relationship value="related-to"/>
        <comment value="BloodPressurePanel diastolic component; same Observation as systolic."/>
      </target>
    </element>
    <element>
      <code value="achievement-bp-target-met"/>
      <target>
        <code value="care-plan-lt-cvd"/>
        <relationship value="related-to"/>
        <comment value="Interpret against CarePlan BP goals and BloodPressurePanel Observations."/>
      </target>
    </element>
    <element>
      <code value="achievement-comments"/>
      <target>
        <code value="observation-lt"/>
        <relationship value="related-to"/>
        <comment value="Free-text comments; may appear as note on ObservationLt or related resource. StructureDefinition: https://hl7.lt/fhir/base/StructureDefinition/observation-lt"/>
      </target>
    </element>
    <element>
      <code value="achievement-smoking-quit"/>
      <target>
        <code value="tobacco-use-lt-lifestyle"/>
        <relationship value="related-to"/>
        <comment value="mapping.md row 24 — Smoking cessation at achievement; TobaccoUseLtLifestyle vs plan smoking cessation items."/>
      </target>
    </element>
  </group>
</ConceptMap>