Lithuanian CVD Implementation Guide
0.0.1 - ci-build Lithuania vėliava

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

Pavyzdys CarePlan: Care Plan: CVD Screening (example)


Lithuanian


CVD Risk Group Extension: Very large

status: Active

intent: Plan

title: Plan for Heart and Blood Vessel Disease Screening Measures

description: Comprehensive plan detailing lifestyle modifications, pharmacological advice, and biometric targets for CVD risk reduction.

subject: Jonas Petrauskas(official) Male, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005 (use: usual, ))

created: 2025-10-31 10:00:00+0200

supportingInfo:

  • A healthy weight is when Body Mass Index (BMI) is 18.5-24.9 kg/m2.
  • Regular use of prescribed medication: Antilipid treatment, Antihypertensive and heart rate regulating (cardioprotective) treatment, Currently used medications.

goal:

activity

PerformedActivities

-Concept
*Tobacco use cessation education (procedure)

progress:

Quitting smoking intervention selected: Pharmacological and Behavior change tools.

activity

PerformedActivities

-Concept
*Diet education (procedure)

progress: ,

Healthy Nutrition Plan: Diet should include consumption of fruits and vegetables > 200 g/day, 35–45 g of fiber (recommended from grains), moderate consumption of nuts (30 g/day, unsalted), 1–2 servings of fish per week (one fatty fish), limited amounts of lean meat, low-fat dairy products, and liquid vegetable oils. Saturated fats <10% of total fat intake, replacing them with polyunsaturated fats, reducing trans fats, preferably not from processed foods and making up <1% of total energy intake. Salt ˂ 5–6 g per day. Avoid alcohol if consumed, limit intake to ˂100 g per week or <15 g per day. Avoid high-energy foods, such as sugar-sweetened soft drinks.

Focus on reducing processed sugar intake dramatically by eliminating soft drinks.

activity

PerformedActivities

-Concept
*Physical activity consultation (procedure)

progress: ,

30-60 minutes of moderate physical activity daily, beneficial and irregular physical activity.

Focus on 3 sessions of swimming per week in addition to daily walks.

activity

PerformedActivities

-Concept
*Antilipid treatment prescribed by the doctor.

progress:

Atorvastatin 20mg daily.

note:

Recommend follow-up appointment with a cardiologist in three months to review treatment efficacy and progress toward goals.


Generated Narrative: Goal #goal-ldl

lifecycleStatus: Active

description: Target LDL Cholesterol, considering the cardiovascular disease risk group

subject: Jonas Petrauskas(official) Male, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005 (use: usual, ))

Targets

-MeasureDetail[x]Due[x]
*Cholesterol in LDL [Mass/volume] in Serum or Plasma by calculation1.4 mmol/L (Details: UCUM codemmol/L = 'mmol/L')2026-10-31

Generated Narrative: Goal #goal-bmi

lifecycleStatus: Active

description: Target Body Mass Index (BMI) of 22.5 kg/m2

subject: Jonas Petrauskas(official) Male, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005 (use: usual, ))

Targets

-MeasureDetail[x]
*Body mass index (BMI) [Ratio]22.5 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')

Generated Narrative: Goal #goal-bp

lifecycleStatus: Planned

description: Target BP 120-129/<80 mmHg

subject: Jonas Petrauskas(official) Male, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005 (use: usual, ))