Lithuanian CVD Implementation Guide
0.0.1 - ci-build Lithuania flag

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

Examples

Examples

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.

Report and Composition Examples

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.

SCORE2 and Risk Group Examples

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.

Risk Factor Examples

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.

Chronic Condition Example

Instance Profile Description
condition-cvd-heart-failure-example CvdChronicConditionLtCvd Accompanying chronic condition: heart failure (ICD-10 I50).

ECG Example

Instance Profile Description
observation-ekg-normal-example EKGLtCvd Normal 12-lead ECG with SampledData component and Normal interpretation (SNOMED CT 164854000).

Care Plan and Goal Examples

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.

Achievement Follow-up Observation Examples

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.

Medication Example

Instance Profile Description
medication-statement-screening-example MedicationStatementLtCvd Current statin therapy recorded at time of CVD risk assessment.

Base Context Examples

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).

DSTU1 Migration Examples

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

Cross-IG Example References

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.