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
| Draft as of 2025-10-01 |
<ConceptMap xmlns="http://hl7.org/fhir">
<id value="conceptmap-cvd-risk-assessment-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-risk-assessment-questionnaire</b></p><a name="conceptmap-cvd-risk-assessment-questionnaire"> </a><a name="hcconceptmap-cvd-risk-assessment-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-risk-assessment-item.html">CVD risk assessment 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-context (Context group)</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>Section header. Registrar, institution, and workstation context typically use LT Base Patient, Practitioner, Organization, and PractitionerRole (not itemised in the illustrative Questionnaire). LT Base IG: https://hl7.lt/fhir/base/ImplementationGuide/lt.hl7.fhir.base</td></tr><tr><td>evaluation-datetime (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>cvd-risk-assessment-lt-cvd</td><td>Aligns with Observation.effectiveDateTime on CVDRiskAssessmentLtCvd. StructureDefinition: https://hl7.lt/fhir/cvd/StructureDefinition/cvd-risk-assessment-lt-cvd. Example: observation-cvd-risk-assessment-example. CVD IG: https://hl7.lt/fhir/cvd/ImplementationGuide/lt.hl7.fhir.cvd</td></tr><tr><td>grp-chronic (Accompanying chronic diseases)</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>cvd-chronic-condition-lt-cvd</td><td>Section header for accompanying chronic diseases; child items use CvdChronicConditionLtCvd.</td></tr><tr><td>chronic-condition-summary (Chronic conditions summary)</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>cvd-chronic-condition-lt-cvd</td><td>Map programme text to Condition with CvdChronicConditionLtCvd (ICD-10). StructureDefinition: https://hl7.lt/fhir/cvd/StructureDefinition/cvd-chronic-condition-lt-cvd. Example: condition-cvd-heart-failure-example.</td></tr><tr><td>grp-risk-factors (Risk factors)</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-factor-status-lt-cvd</td><td>Section header for programme risk-factor items (RiskFactorStatusLtCvd).</td></tr><tr><td>risk-factor-hypertension (Arterial hypertension)</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-factor-status-lt-cvd</td><td>RiskFactorStatusLtCvd. Example: observation-hypertension-negligible-example. StructureDefinition: https://hl7.lt/fhir/cvd/StructureDefinition/risk-factor-status-lt-cvd</td></tr><tr><td>risk-factor-dyslipidemia (Dyslipidemia)</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-factor-status-lt-cvd</td><td>RiskFactorStatusLtCvd. Example: observation-dyslipidemia-treated-example.</td></tr><tr><td>risk-factor-diabetes (Diabetes)</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-factor-status-lt-cvd</td><td>RiskFactorStatusLtCvd. Example: observation-diabetes-untreated-example.</td></tr><tr><td>risk-factor-smoking (Smoking)</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>TobaccoUseLtLifestyle (LT Lifestyle). StructureDefinition: https://hl7.lt/fhir/lifestyle/StructureDefinition/tobacco-use-lt-lifestyle. CI example: https://build.fhir.org/ig/HL7LT/ig-lt-lifestyle/Observation-observation-tobacco-use-current-smoker-example.html</td></tr><tr><td>grp-objective (Objective condition and investigations)</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>body-height (BodyHeight (Vital Signs))</td><td>Section header for anthropometrics and blood pressure (LT Vital Signs IG). See child items for BodyHeight, BodyWeight, WaistCircumference, BloodPressurePanel. Vital Signs IG: https://hl7.lt/fhir/vitalsigns/ImplementationGuide/lt.hl7.fhir.vitalsigns</td></tr><tr><td>height-cm (Height (cm))</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>body-height (BodyHeight (Vital Signs))</td><td>BodyHeight. StructureDefinition: https://hl7.lt/fhir/vitalsigns/StructureDefinition/body-height. CI: https://build.fhir.org/ig/HL7LT/ig-lt-vitalsigns/Observation-observation-body-height-example.html</td></tr><tr><td>weight-kg (Weight (kg))</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>body-weight (BodyWeight (Vital Signs))</td><td>BodyWeight. StructureDefinition: https://hl7.lt/fhir/vitalsigns/StructureDefinition/body-weight. CI: https://build.fhir.org/ig/HL7LT/ig-lt-vitalsigns/Observation-observation-body-weight-example.html</td></tr><tr><td>waist-cm (Waist circumference (cm))</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>waist-circumference (WaistCircumference (Vital Signs))</td><td>WaistCircumference. StructureDefinition: https://hl7.lt/fhir/vitalsigns/StructureDefinition/waist-circumference. CI: https://build.fhir.org/ig/HL7LT/ig-lt-vitalsigns/Observation-observation-waist-circumference-example.html</td></tr><tr><td>bp-systolic (Systolic blood pressure (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). StructureDefinition: https://hl7.lt/fhir/vitalsigns/StructureDefinition/blood-pressure-panel. CI: https://build.fhir.org/ig/HL7LT/ig-lt-vitalsigns/Observation-observation-blood-pressure-example.html</td></tr><tr><td>bp-diastolic (Diastolic blood pressure (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>grp-lipidogram (Lipidogram)</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>lipidogram-lab-lt</td><td>Lipid panel section. Composite lab example: observation-lipidogram-example. Lab IG: https://hl7.lt/fhir/lab/ImplementationGuide/lt.hl7.fhir.lab. CI: https://build.fhir.org/ig/HL7LT/ig-lt-lab/Observation-observation-lipidogram-example.html</td></tr><tr><td>lipid-tc (Total 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>total-cholesterol-lab-lt</td><td>TotalCholesterolLabLt. StructureDefinition: https://hl7.lt/fhir/lab/StructureDefinition/total-cholesterol-lab-lt. Same CI lipidogram example as other lipid items.</td></tr><tr><td>lipid-hdl (HDL 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-hdl-lab-lt</td><td>CholesterolHdlLabLt. StructureDefinition: https://hl7.lt/fhir/lab/StructureDefinition/cholesterol-hdl-lab-lt.</td></tr><tr><td>lipid-ldl (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>CholesterolLdlLabLt. StructureDefinition: https://hl7.lt/fhir/lab/StructureDefinition/cholesterol-ldl-lab-lt.</td></tr><tr><td>lipid-tg (Triglycerides (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>triglycerides-lab-lt</td><td>TriglyceridesLabLt. StructureDefinition: https://hl7.lt/fhir/lab/StructureDefinition/triglycerides-lab-lt.</td></tr><tr><td>grp-risk-estimate (Risk estimate and group)</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>cvd-risk-assessment-lt-cvd</td><td>Section for SCORE2 and programme risk group (CVD IG).</td></tr><tr><td>score2-percent (SCORE2 cardiovascular risk (%))</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>cvd-risk-assessment-lt-cvd</td><td>SCORE2 as valueQuantity (%). CVDRiskAssessmentLtCvd. Example: observation-cvd-risk-assessment-example.</td></tr><tr><td>risk-group-cvd (Risk group for heart and vascular diseases)</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-observation-lt-cvd</td><td>RiskGroupObservationLtCvd. StructureDefinition: https://hl7.lt/fhir/cvd/StructureDefinition/risk-group-observation-lt-cvd. Example: observation-risk-group-high-example.</td></tr><tr><td>grp-migration-md-parity (Migration mapping.md — extended parity)</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>Section for input/fsh/migration/mapping.md parity: concepts listed as missing in sibling IGs or as extended investigations. Rows 3–12,16–17 (BP, vitals, lipids, smoking) are covered by sibling items above.</td></tr><tr><td>mig-encounter (Encounter (visit context))</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>encounter-lt (EncounterLt (LT Base))</td><td>mapping.md row 1 — Encounter. StructureDefinition: https://hl7.lt/fhir/base/StructureDefinition/encounter-lt. Base example: encounter-psychiatric-example.</td></tr><tr><td>mig-practitioner-role (PractitionerRole (workplace))</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>practitioner-role-lt (PractitionerRoleLt (LT Base))</td><td>mapping.md row 2 — PractitionerRole. StructureDefinition: https://hl7.lt/fhir/base/StructureDefinition/practitioner-role-lt. Example: practitioner-role-doctor-vilnius-hospital-example.</td></tr><tr><td>mig-heart-rate (Heart rate (bpm))</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>heart-rate (HeartRate (Vital Signs))</td><td>mapping.md row 4 — Heart rate. Vital Signs heart-rate profile. CI: https://build.fhir.org/ig/HL7LT/ig-lt-vitalsigns/</td></tr><tr><td>mig-bmi (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>mapping.md row 7 — BMI. StructureDefinition: https://hl7.lt/fhir/vitalsigns/StructureDefinition/bmi</td></tr><tr><td>mig-glucose-fasting (Fasting glucose (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>glucose-venous-lab-lt</td><td>mapping.md row 13 — Fasting glucose. Lab: glucose-venous-lab-lt.</td></tr><tr><td>mig-hba1c (HbA1c (%))</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>hba1c-lab-lt</td><td>mapping.md row 14 — HbA1c. Lab: hba1c-lab-lt.</td></tr><tr><td>mig-creatinine (Creatinine)</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>creatinine-test-lab-lt</td><td>mapping.md row 15 — Creatinine. Lab: creatinine-test-lab-lt.</td></tr><tr><td>mig-egfr (eGFR)</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>egfr-lab-lt</td><td>mapping.md row 15 — eGFR. Lab: egfr-lab-lt.</td></tr><tr><td>mig-alcohol (Alcohol consumption)</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>alcohol-consumption-lt-lifestyle</td><td>mapping.md row 18 — Alcohol. Lifestyle: alcohol-consumption-lt-lifestyle.</td></tr><tr><td>mig-physical-activity (Physical activity (summary))</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>mapping.md row 19 — Physical activity. Lifestyle: physical-activity-lt-lifestyle.</td></tr><tr><td>mig-nutrition (Dietary habits / nutrition)</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>nutrition-lt-lifestyle</td><td>mapping.md row 20 — Dietary habits. Lifestyle: nutrition-lt-lifestyle.</td></tr><tr><td>mig-family-cvd (Family history of CVD)</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>family-history-cvd-lt-lifestyle</td><td>mapping.md row 21 — Family CVD history. Lifestyle: family-history-cvd-lt-lifestyle.</td></tr><tr><td>mig-referral (Referral)</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>service-request-lt (ServiceRequestLt (LT Base))</td><td>mapping.md row 22 — Referral. Base ServiceRequestLt (no example in IGs; profile only).</td></tr><tr><td>mig-follow-up-appointment (Follow-up visit / appointment)</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>appointment-lt (AppointmentLt (LT Base))</td><td>mapping.md row 23 — Follow-up visit. Base AppointmentLt (no example in IGs; profile only).</td></tr><tr><td>mig-achievement-round (Achievement evaluation (narrative))</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>mapping.md row 24 — Achievement evaluation at second timepoint; use prevention Questionnaire achievement group or repeat vitals/labs/lifestyle Observations.</td></tr><tr><td>mig-chronic-additional (Additional chronic conditions)</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>cvd-chronic-condition-lt-cvd</td><td>mapping.md row 25 — Additional chronic conditions (depression, COPD, AF, …). CvdChronicConditionLtCvd.</td></tr><tr><td>grp-ig-example-parity (IG example parity (migration already-covered))</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>Section for migration already-covered table: context notes and EKG/medication/diabetes duration.</td></tr><tr><td>ac-patient-context (Patient (context note))</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>patient-lt (PatientLt (LT Base))</td><td>Maps to PatientLt; QuestionnaireResponse.subject typically carries the Patient. Example: patient-male-example.</td></tr><tr><td>ac-practitioner-context (Practitioner (context note))</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>practitioner-lt (PractitionerLt (LT Base))</td><td>Maps to PractitionerLt; QuestionnaireResponse.author. Example: practitioner-example.</td></tr><tr><td>ac-organization-context (Organization (context note))</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>organization-lt (OrganizationLt (LT Base))</td><td>Maps to OrganizationLt; use context in CarePlan/Encounter. Example: organization-example.</td></tr><tr><td>ac-ekg-summary (ECG (summary))</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>ekg-lt-cvd</td><td>mapping.md already covered — ECG. EKGLtCvd. Example: observation-ekg-normal-example.</td></tr><tr><td>ac-medication-context (Medications (context))</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>medication-statement-lt-cvd</td><td>MedicationStatementLtCvd. Example: medication-statement-screening-example.</td></tr><tr><td>ac-diabetes-duration (Diabetes duration)</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>diabetes-duration-status-lt-cvd</td><td>DiabetesDurationStatusLtCvd. Example: observation-diabetes-duration-gt10-example.</td></tr></table></div>
</text>
<url
value="https://hl7.lt/fhir/cvd/ConceptMap/cvd-risk-assessment-questionnaire"/>
<version value="0.1.0"/>
<name value="CvdRiskAssessmentQuestionnaireItemMap"/>
<title value="CVD risk assessment 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 1 Questionnaire linkIds to Lithuanian FHIR profiles and related IGs.
Human-readable narrative is in each target.comment; Questionnaire.item.definition repeats canonical StructureDefinition URIs where applicable.
Source: linkId codes; target: profile identifiers (CodeSystem cvd-questionnaire-mapping-target).
Aligned with DSTU1 data structures.
In DSTU1, the CarePlan used inline `<goal>` elements with extensions for target values and
`<activity>` elements for lifestyle interventions. In R5:
- **Goals** are referenced via `CarePlan.goal` pointing to standalone `Goal` resources
(or contained inline). Goal types: LDL target, BP target, BMI target, weight loss ≥5%.
- **Activities** use `CarePlan.activity.plannedActivityReference` for structured references
or `CarePlan.activity.performedActivity` for completed activities.
- **Risk group** moved from DSTU1 inline Observation to an extension on CarePlan.
- **Informational text** (healthy nutrition, healthy weight, regular medication) is carried
in `CarePlan.note` or `CarePlan.supportingInfo.display`."/>
<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-risk-assessment-item|0.1.0"/>
<target
value="https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-mapping-target|0.1.0"/>
<element>
<code value="grp-context"/>
<display value="Context group"/>
<target>
<code value="observation-lt"/>
<display value="ObservationLt (LT Base)"/>
<relationship value="related-to"/>
<comment
value="Section header. Registrar, institution, and workstation context typically use LT Base Patient, Practitioner, Organization, and PractitionerRole (not itemised in the illustrative Questionnaire). LT Base IG: https://hl7.lt/fhir/base/ImplementationGuide/lt.hl7.fhir.base"/>
</target>
</element>
<element>
<code value="evaluation-datetime"/>
<target>
<code value="cvd-risk-assessment-lt-cvd"/>
<relationship value="related-to"/>
<comment
value="Aligns with Observation.effectiveDateTime on CVDRiskAssessmentLtCvd. StructureDefinition: https://hl7.lt/fhir/cvd/StructureDefinition/cvd-risk-assessment-lt-cvd. Example: observation-cvd-risk-assessment-example. CVD IG: https://hl7.lt/fhir/cvd/ImplementationGuide/lt.hl7.fhir.cvd"/>
</target>
</element>
<element>
<code value="grp-chronic"/>
<target>
<code value="cvd-chronic-condition-lt-cvd"/>
<relationship value="related-to"/>
<comment
value="Section header for accompanying chronic diseases; child items use CvdChronicConditionLtCvd."/>
</target>
</element>
<element>
<code value="chronic-condition-summary"/>
<target>
<code value="cvd-chronic-condition-lt-cvd"/>
<relationship value="related-to"/>
<comment
value="Map programme text to Condition with CvdChronicConditionLtCvd (ICD-10). StructureDefinition: https://hl7.lt/fhir/cvd/StructureDefinition/cvd-chronic-condition-lt-cvd. Example: condition-cvd-heart-failure-example."/>
</target>
</element>
<element>
<code value="grp-risk-factors"/>
<target>
<code value="risk-factor-status-lt-cvd"/>
<relationship value="related-to"/>
<comment
value="Section header for programme risk-factor items (RiskFactorStatusLtCvd)."/>
</target>
</element>
<element>
<code value="risk-factor-hypertension"/>
<target>
<code value="risk-factor-status-lt-cvd"/>
<relationship value="related-to"/>
<comment
value="RiskFactorStatusLtCvd. Example: observation-hypertension-negligible-example. StructureDefinition: https://hl7.lt/fhir/cvd/StructureDefinition/risk-factor-status-lt-cvd"/>
</target>
</element>
<element>
<code value="risk-factor-dyslipidemia"/>
<target>
<code value="risk-factor-status-lt-cvd"/>
<relationship value="related-to"/>
<comment
value="RiskFactorStatusLtCvd. Example: observation-dyslipidemia-treated-example."/>
</target>
</element>
<element>
<code value="risk-factor-diabetes"/>
<target>
<code value="risk-factor-status-lt-cvd"/>
<relationship value="related-to"/>
<comment
value="RiskFactorStatusLtCvd. Example: observation-diabetes-untreated-example."/>
</target>
</element>
<element>
<code value="risk-factor-smoking"/>
<target>
<code value="tobacco-use-lt-lifestyle"/>
<relationship value="related-to"/>
<comment
value="TobaccoUseLtLifestyle (LT Lifestyle). StructureDefinition: https://hl7.lt/fhir/lifestyle/StructureDefinition/tobacco-use-lt-lifestyle. CI example: https://build.fhir.org/ig/HL7LT/ig-lt-lifestyle/Observation-observation-tobacco-use-current-smoker-example.html"/>
</target>
</element>
<element>
<code value="grp-objective"/>
<target>
<code value="body-height"/>
<relationship value="related-to"/>
<comment
value="Section header for anthropometrics and blood pressure (LT Vital Signs IG). See child items for BodyHeight, BodyWeight, WaistCircumference, BloodPressurePanel. Vital Signs IG: https://hl7.lt/fhir/vitalsigns/ImplementationGuide/lt.hl7.fhir.vitalsigns"/>
</target>
</element>
<element>
<code value="height-cm"/>
<target>
<code value="body-height"/>
<relationship value="related-to"/>
<comment
value="BodyHeight. StructureDefinition: https://hl7.lt/fhir/vitalsigns/StructureDefinition/body-height. CI: https://build.fhir.org/ig/HL7LT/ig-lt-vitalsigns/Observation-observation-body-height-example.html"/>
</target>
</element>
<element>
<code value="weight-kg"/>
<target>
<code value="body-weight"/>
<relationship value="related-to"/>
<comment
value="BodyWeight. StructureDefinition: https://hl7.lt/fhir/vitalsigns/StructureDefinition/body-weight. CI: https://build.fhir.org/ig/HL7LT/ig-lt-vitalsigns/Observation-observation-body-weight-example.html"/>
</target>
</element>
<element>
<code value="waist-cm"/>
<target>
<code value="waist-circumference"/>
<relationship value="related-to"/>
<comment
value="WaistCircumference. StructureDefinition: https://hl7.lt/fhir/vitalsigns/StructureDefinition/waist-circumference. CI: https://build.fhir.org/ig/HL7LT/ig-lt-vitalsigns/Observation-observation-waist-circumference-example.html"/>
</target>
</element>
<element>
<code value="bp-systolic"/>
<target>
<code value="blood-pressure-panel"/>
<relationship value="related-to"/>
<comment
value="BloodPressurePanel (systolic component). StructureDefinition: https://hl7.lt/fhir/vitalsigns/StructureDefinition/blood-pressure-panel. CI: https://build.fhir.org/ig/HL7LT/ig-lt-vitalsigns/Observation-observation-blood-pressure-example.html"/>
</target>
</element>
<element>
<code value="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="grp-lipidogram"/>
<target>
<code value="lipidogram-lab-lt"/>
<relationship value="related-to"/>
<comment
value="Lipid panel section. Composite lab example: observation-lipidogram-example. Lab IG: https://hl7.lt/fhir/lab/ImplementationGuide/lt.hl7.fhir.lab. CI: https://build.fhir.org/ig/HL7LT/ig-lt-lab/Observation-observation-lipidogram-example.html"/>
</target>
</element>
<element>
<code value="lipid-tc"/>
<target>
<code value="total-cholesterol-lab-lt"/>
<relationship value="related-to"/>
<comment
value="TotalCholesterolLabLt. StructureDefinition: https://hl7.lt/fhir/lab/StructureDefinition/total-cholesterol-lab-lt. Same CI lipidogram example as other lipid items."/>
</target>
</element>
<element>
<code value="lipid-hdl"/>
<target>
<code value="cholesterol-hdl-lab-lt"/>
<relationship value="related-to"/>
<comment
value="CholesterolHdlLabLt. StructureDefinition: https://hl7.lt/fhir/lab/StructureDefinition/cholesterol-hdl-lab-lt."/>
</target>
</element>
<element>
<code value="lipid-ldl"/>
<target>
<code value="cholesterol-ldl-lab-lt"/>
<relationship value="related-to"/>
<comment
value="CholesterolLdlLabLt. StructureDefinition: https://hl7.lt/fhir/lab/StructureDefinition/cholesterol-ldl-lab-lt."/>
</target>
</element>
<element>
<code value="lipid-tg"/>
<target>
<code value="triglycerides-lab-lt"/>
<relationship value="related-to"/>
<comment
value="TriglyceridesLabLt. StructureDefinition: https://hl7.lt/fhir/lab/StructureDefinition/triglycerides-lab-lt."/>
</target>
</element>
<element>
<code value="grp-risk-estimate"/>
<target>
<code value="cvd-risk-assessment-lt-cvd"/>
<relationship value="related-to"/>
<comment
value="Section for SCORE2 and programme risk group (CVD IG)."/>
</target>
</element>
<element>
<code value="score2-percent"/>
<target>
<code value="cvd-risk-assessment-lt-cvd"/>
<relationship value="related-to"/>
<comment
value="SCORE2 as valueQuantity (%). CVDRiskAssessmentLtCvd. Example: observation-cvd-risk-assessment-example."/>
</target>
</element>
<element>
<code value="risk-group-cvd"/>
<target>
<code value="risk-group-observation-lt-cvd"/>
<relationship value="related-to"/>
<comment
value="RiskGroupObservationLtCvd. StructureDefinition: https://hl7.lt/fhir/cvd/StructureDefinition/risk-group-observation-lt-cvd. Example: observation-risk-group-high-example."/>
</target>
</element>
<element>
<code value="grp-migration-md-parity"/>
<target>
<code value="observation-lt"/>
<relationship value="related-to"/>
<comment
value="Section for input/fsh/migration/mapping.md parity: concepts listed as missing in sibling IGs or as extended investigations. Rows 3–12,16–17 (BP, vitals, lipids, smoking) are covered by sibling items above."/>
</target>
</element>
<element>
<code value="mig-encounter"/>
<target>
<code value="encounter-lt"/>
<relationship value="related-to"/>
<comment
value="mapping.md row 1 — Encounter. StructureDefinition: https://hl7.lt/fhir/base/StructureDefinition/encounter-lt. Base example: encounter-psychiatric-example."/>
</target>
</element>
<element>
<code value="mig-practitioner-role"/>
<target>
<code value="practitioner-role-lt"/>
<relationship value="related-to"/>
<comment
value="mapping.md row 2 — PractitionerRole. StructureDefinition: https://hl7.lt/fhir/base/StructureDefinition/practitioner-role-lt. Example: practitioner-role-doctor-vilnius-hospital-example."/>
</target>
</element>
<element>
<code value="mig-heart-rate"/>
<target>
<code value="heart-rate"/>
<relationship value="related-to"/>
<comment
value="mapping.md row 4 — Heart rate. Vital Signs heart-rate profile. CI: https://build.fhir.org/ig/HL7LT/ig-lt-vitalsigns/"/>
</target>
</element>
<element>
<code value="mig-bmi"/>
<target>
<code value="bmi"/>
<relationship value="related-to"/>
<comment
value="mapping.md row 7 — BMI. StructureDefinition: https://hl7.lt/fhir/vitalsigns/StructureDefinition/bmi"/>
</target>
</element>
<element>
<code value="mig-glucose-fasting"/>
<target>
<code value="glucose-venous-lab-lt"/>
<relationship value="related-to"/>
<comment
value="mapping.md row 13 — Fasting glucose. Lab: glucose-venous-lab-lt."/>
</target>
</element>
<element>
<code value="mig-hba1c"/>
<target>
<code value="hba1c-lab-lt"/>
<relationship value="related-to"/>
<comment value="mapping.md row 14 — HbA1c. Lab: hba1c-lab-lt."/>
</target>
</element>
<element>
<code value="mig-creatinine"/>
<target>
<code value="creatinine-test-lab-lt"/>
<relationship value="related-to"/>
<comment
value="mapping.md row 15 — Creatinine. Lab: creatinine-test-lab-lt."/>
</target>
</element>
<element>
<code value="mig-egfr"/>
<target>
<code value="egfr-lab-lt"/>
<relationship value="related-to"/>
<comment value="mapping.md row 15 — eGFR. Lab: egfr-lab-lt."/>
</target>
</element>
<element>
<code value="mig-alcohol"/>
<target>
<code value="alcohol-consumption-lt-lifestyle"/>
<relationship value="related-to"/>
<comment
value="mapping.md row 18 — Alcohol. Lifestyle: alcohol-consumption-lt-lifestyle."/>
</target>
</element>
<element>
<code value="mig-physical-activity"/>
<target>
<code value="physical-activity-lt-lifestyle"/>
<relationship value="related-to"/>
<comment
value="mapping.md row 19 — Physical activity. Lifestyle: physical-activity-lt-lifestyle."/>
</target>
</element>
<element>
<code value="mig-nutrition"/>
<target>
<code value="nutrition-lt-lifestyle"/>
<relationship value="related-to"/>
<comment
value="mapping.md row 20 — Dietary habits. Lifestyle: nutrition-lt-lifestyle."/>
</target>
</element>
<element>
<code value="mig-family-cvd"/>
<target>
<code value="family-history-cvd-lt-lifestyle"/>
<relationship value="related-to"/>
<comment
value="mapping.md row 21 — Family CVD history. Lifestyle: family-history-cvd-lt-lifestyle."/>
</target>
</element>
<element>
<code value="mig-referral"/>
<target>
<code value="service-request-lt"/>
<relationship value="related-to"/>
<comment
value="mapping.md row 22 — Referral. Base ServiceRequestLt (no example in IGs; profile only)."/>
</target>
</element>
<element>
<code value="mig-follow-up-appointment"/>
<target>
<code value="appointment-lt"/>
<relationship value="related-to"/>
<comment
value="mapping.md row 23 — Follow-up visit. Base AppointmentLt (no example in IGs; profile only)."/>
</target>
</element>
<element>
<code value="mig-achievement-round"/>
<target>
<code value="observation-lt"/>
<relationship value="related-to"/>
<comment
value="mapping.md row 24 — Achievement evaluation at second timepoint; use prevention Questionnaire achievement group or repeat vitals/labs/lifestyle Observations."/>
</target>
</element>
<element>
<code value="mig-chronic-additional"/>
<target>
<code value="cvd-chronic-condition-lt-cvd"/>
<relationship value="related-to"/>
<comment
value="mapping.md row 25 — Additional chronic conditions (depression, COPD, AF, …). CvdChronicConditionLtCvd."/>
</target>
</element>
<element>
<code value="grp-ig-example-parity"/>
<target>
<code value="observation-lt"/>
<relationship value="related-to"/>
<comment
value="Section for migration already-covered table: context notes and EKG/medication/diabetes duration."/>
</target>
</element>
<element>
<code value="ac-patient-context"/>
<target>
<code value="patient-lt"/>
<relationship value="related-to"/>
<comment
value="Maps to PatientLt; QuestionnaireResponse.subject typically carries the Patient. Example: patient-male-example."/>
</target>
</element>
<element>
<code value="ac-practitioner-context"/>
<target>
<code value="practitioner-lt"/>
<relationship value="related-to"/>
<comment
value="Maps to PractitionerLt; QuestionnaireResponse.author. Example: practitioner-example."/>
</target>
</element>
<element>
<code value="ac-organization-context"/>
<target>
<code value="organization-lt"/>
<relationship value="related-to"/>
<comment
value="Maps to OrganizationLt; use context in CarePlan/Encounter. Example: organization-example."/>
</target>
</element>
<element>
<code value="ac-ekg-summary"/>
<target>
<code value="ekg-lt-cvd"/>
<relationship value="related-to"/>
<comment
value="mapping.md already covered — ECG. EKGLtCvd. Example: observation-ekg-normal-example."/>
</target>
</element>
<element>
<code value="ac-medication-context"/>
<target>
<code value="medication-statement-lt-cvd"/>
<relationship value="related-to"/>
<comment
value="MedicationStatementLtCvd. Example: medication-statement-screening-example."/>
</target>
</element>
<element>
<code value="ac-diabetes-duration"/>
<target>
<code value="diabetes-duration-status-lt-cvd"/>
<relationship value="related-to"/>
<comment
value="DiabetesDurationStatusLtCvd. Example: observation-diabetes-duration-gt10-example."/>
</target>
</element>
</group>
</ConceptMap>