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
This page lists all example instances in the Lithuanian CVD Implementation Guide, grouped by category. See the Questionnaires page for questionnaire and response examples, and the CVD Report page for the DiagnosticReport + Composition pattern.
| Instance | Profile | Description |
|---|---|---|
| diagnosticreport-cvd-example | CvdReportLtCvd | CVD programme DiagnosticReport anchoring the composition and listing risk assessment, risk group, ECG, and follow-up observations. |
| composition-cvd-example | CvdCompositionLtCvd | Full three-section CVD programme composition: assessment, prevention plan, and achievement evaluation. |
| Instance | Profile | Description |
|---|---|---|
| observation-cvd-risk-assessment-example | CVDRiskAssessmentLtCvd | SCORE2 cardiovascular risk score of 24% (high-risk age group). |
| observation-risk-group-high-example | RiskGroupObservationLtCvd | Programme risk group classification: large (high) risk. |
| Instance | Profile | Description |
|---|---|---|
| observation-hypertension-negligible-example | RiskFactorStatusLtCvd | Arterial hypertension: present, treated. |
| observation-dyslipidemia-treated-example | RiskFactorStatusLtCvd | Dyslipidemia: present, treated. |
| observation-diabetes-untreated-example | RiskFactorStatusLtCvd | Diabetes: present, untreated. |
| observation-impaired-glucose-tolerance-example | RiskFactorStatusLtCvd | Glucose tolerance disorder: present. |
| observation-diabetes-duration-gt10-example | RiskFactorStatusLtCvd | Diabetes duration greater than 10 years. |
| Instance | Profile | Description |
|---|---|---|
| condition-cvd-heart-failure-example | CvdChronicConditionLtCvd | Accompanying chronic condition: heart failure (ICD-10 I50). |
| Instance | Profile | Description |
|---|---|---|
| observation-ekg-normal-example | EKGLtCvd | Normal 12-lead ECG with SampledData component and Normal interpretation (SNOMED CT 164854000). |
| Instance | Profile | Description |
|---|---|---|
| care-plan-cvd-screening-example | CarePlanLtCvd | CVD prevention care plan with risk group extension, LDL/BP/BMI contained goals, and lifestyle activities. |
| example-cvd-screening-plan-external | CarePlan | Alternative CVD plan using external (non-contained) Goal references. |
| example-goal-ldl | Goal | Target LDL cholesterol goal: <1.8 mmol/l (very large risk group). |
| example-goal-bp | Goal | Target blood pressure goal: 120–129/<80 mmHg. |
| example-goal-bmi | Goal | Target BMI goal: <25 kg/m². |
| Instance | Profile | Description |
|---|---|---|
| observation-cvd-followup-ldl-example | ObservationLt | Follow-up LDL cholesterol measurement at achievement evaluation. |
| observation-cvd-followup-bp-example | ObservationLt | Follow-up blood pressure measurement at achievement evaluation. |
| Instance | Profile | Description |
|---|---|---|
| medication-statement-screening-example | MedicationStatementLtCvd | Current statin therapy recorded at time of CVD risk assessment. |
| Instance | Profile | Description |
|---|---|---|
| patient-male-example | PatientLt | Male patient used across all CVD examples. |
| practitioner-example | PractitionerLt | GP practitioner performing the CVD screening. |
| organization-example | OrganizationLt | Healthcare organisation (primary care setting). |
The migration/ folder contains instances migrated from legacy DSTU1 ESPBI documents (SKL01/02/03). These examples demonstrate the DSTU1→R5 mapping and are typed against the document-specific composition profiles:
| Instance | Profile | DSTU1 document |
|---|---|---|
| skl01-composition-1 | CvdRiskAssessmentCompositionLtCvd | SKL01 — ŠKL rizikos vertinimas |
| skl02-composition-1 | CvdPreventionPlanCompositionLtCvd | SKL02 — ŠKL prevencijos priemonių planas |
| skl03-composition-1 | CvdAchievementCompositionLtCvd | SKL03 — ŠKL plano pasiekimų vertinimas |
The CVD pathway collects measurements modelled in other Lithuanian FHIR IGs:
Vital Signs IG (https://build.fhir.org/ig/HL7LT/ig-lt-vitalsigns/):
| Example | Description |
|---|---|
| observation-blood-pressure-example | Blood pressure panel (systolic + diastolic). |
| observation-body-height-example | Body height measurement. |
| observation-body-weight-example | Body weight measurement. |
| observation-bmi-example | BMI calculation. |
| observation-waist-circumference-example | Waist circumference with obesity interpretation. |
Lifestyle IG (https://build.fhir.org/ig/HL7LT/ig-lt-lifestyle/):
| Example | Description |
|---|---|
| observation-tobacco-use-current-smoker-example | Tobacco use status (current smoker). |
| observation-alcohol-consumption-no-example | Alcohol consumption (no use). |
| observation-physical-activity-below-example | Insufficient physical activity. |
| observation-family-history-cvd-positive-example | Family history of cardiovascular disease. |