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
{
"resourceType" : "CarePlan",
"id" : "care-plan-cvd-screening-example",
"meta" : {
"profile" : [
🔗 "https://hl7.lt/fhir/cvd/StructureDefinition/care-plan-lt-cvd"
]
},
"language" : "lt",
"text" : {
"status" : "extensions",
"div" : "<div xml:lang=\"lt\" lang=\"lt\"><hr/><p><b>Lithuanian</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: CarePlan care-plan-cvd-screening-example</b></p><a name=\"lt-care-plan-cvd-screening-example\"> </a><a name=\"lt-hccare-plan-cvd-screening-example\"> </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><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-care-plan-lt-cvd.html\">Care Plan: CVD prevention measures (LT)</a></p></div><p><b>CVD Risk Group Extension</b>: <span title=\"Codes:{https://tx.hl7.lt/fhir/CodeSystem/risk-group very-large}\">Very large</span></p><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>title</b>: Plan for Heart and Blood Vessel Disease Screening Measures</p><p><b>description</b>: Comprehensive plan detailing lifestyle modifications, pharmacological advice, and biometric targets for CVD risk reduction.</p><p><b>subject</b>: <a href=\"Patient-patient-male-example.html\">Jonas Petrauskas(official) Male, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>created</b>: 2025-10-31 10:00:00+0200</p><p><b>supportingInfo</b>: </p><ul><li>A healthy weight is when Body Mass Index (BMI) is 18.5-24.9 kg/m2.</li><li>Regular use of prescribed medication: Antilipid treatment, Antihypertensive and heart rate regulating (cardioprotective) treatment, Currently used medications.</li></ul><p><b>goal</b>: </p><ul><li><a href=\"#lt-hccare-plan-cvd-screening-example/goal-ldl\">Goal: lifecycleStatus = active; description = </a></li><li><a href=\"#lt-hccare-plan-cvd-screening-example/goal-bmi\">Goal: lifecycleStatus = active; description = </a></li><li><a href=\"#lt-hccare-plan-cvd-screening-example/goal-bp\">Goal: lifecycleStatus = planned; description = </a></li></ul><blockquote><p><b>activity</b></p><h3>PerformedActivities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 702388001}\">Tobacco use cessation education (procedure)</span></td></tr></table><p><b>progress</b>: </p><blockquote><div><p>Quitting smoking intervention selected: Pharmacological and Behavior change tools.</p>\n</div></blockquote></blockquote><blockquote><p><b>activity</b></p><h3>PerformedActivities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 11816003}\">Diet education (procedure)</span></td></tr></table><p><b>progress</b>: , </p><blockquote><div><p>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.\nSaturated 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.\nSalt ˂ 5–6 g per day.\nAvoid 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.</p>\n</div></blockquote><blockquote><div><p>Focus on reducing processed sugar intake dramatically by eliminating soft drinks.</p>\n</div></blockquote></blockquote><blockquote><p><b>activity</b></p><h3>PerformedActivities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 1287704009}\">Physical activity consultation (procedure)</span></td></tr></table><p><b>progress</b>: , </p><blockquote><div><p>30-60 minutes of moderate physical activity daily, beneficial and irregular physical activity.</p>\n</div></blockquote><blockquote><div><p>Focus on 3 sessions of swimming per week in addition to daily walks.</p>\n</div></blockquote></blockquote><blockquote><p><b>activity</b></p><h3>PerformedActivities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">Antilipid treatment prescribed by the doctor.</span></td></tr></table><p><b>progress</b>: </p><blockquote><div><p>Atorvastatin 20mg daily.</p>\n</div></blockquote></blockquote><p><b>note</b>: </p><blockquote><div><p>Recommend follow-up appointment with a cardiologist in three months to review treatment efficacy and progress toward goals.</p>\n</div></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Goal #goal-ldl</b></p><a name=\"lt-care-plan-cvd-screening-example/goal-ldl\"> </a><a name=\"lt-hccare-plan-cvd-screening-example/goal-ldl\"> </a><p><b>lifecycleStatus</b>: Active</p><p><b>description</b>: <span title=\"Codes:\">Target LDL Cholesterol, considering the cardiovascular disease risk group</span></p><p><b>subject</b>: <a href=\"Patient-patient-male-example.html\">Jonas Petrauskas(official) Male, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005\u00a0(use:\u00a0usual,\u00a0))</a></p><h3>Targets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Measure</b></td><td><b>Detail[x]</b></td><td><b>Due[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://loinc.org 13457-7}\">Cholesterol in LDL [Mass/volume] in Serum or Plasma by calculation</span></td><td>1.4 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemmol/L = 'mmol/L')</span></td><td>2026-10-31</td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Goal #goal-bmi</b></p><a name=\"lt-care-plan-cvd-screening-example/goal-bmi\"> </a><a name=\"lt-hccare-plan-cvd-screening-example/goal-bmi\"> </a><p><b>lifecycleStatus</b>: Active</p><p><b>description</b>: <span title=\"Codes:\">Target Body Mass Index (BMI) of 22.5 kg/m2</span></p><p><b>subject</b>: <a href=\"Patient-patient-male-example.html\">Jonas Petrauskas(official) Male, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005\u00a0(use:\u00a0usual,\u00a0))</a></p><h3>Targets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Measure</b></td><td><b>Detail[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://loinc.org 39156-5}\">Body mass index (BMI) [Ratio]</span></td><td>22.5 kg/m2<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codekg/m2 = 'kg/m2')</span></td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Goal #goal-bp</b></p><a name=\"lt-care-plan-cvd-screening-example/goal-bp\"> </a><a name=\"lt-hccare-plan-cvd-screening-example/goal-bp\"> </a><p><b>lifecycleStatus</b>: Planned</p><p><b>description</b>: <span title=\"Codes:\">Target BP 120-129/<80 mmHg</span></p><p><b>subject</b>: <a href=\"Patient-patient-male-example.html\">Jonas Petrauskas(official) Male, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005\u00a0(use:\u00a0usual,\u00a0))</a></p></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Goal",
"id" : "goal-ldl",
"lifecycleStatus" : "active",
"description" : {
"text" : "Target LDL Cholesterol, considering the cardiovascular disease risk group"
},
"subject" : {
🔗 "reference" : "Patient/patient-male-example"
},
"target" : [
{
"measure" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "13457-7",
"display" : "Cholesterol in LDL [Mass/volume] in Serum or Plasma by calculation"
}
]
},
"detailQuantity" : {
"value" : 1.4,
"unit" : "mmol/L",
"system" : "http://unitsofmeasure.org",
"code" : "mmol/L"
},
"dueDate" : "2026-10-31"
}
]
},
{
"resourceType" : "Goal",
"id" : "goal-bmi",
"lifecycleStatus" : "active",
"description" : {
"text" : "Target Body Mass Index (BMI) of 22.5 kg/m2"
},
"subject" : {
🔗 "reference" : "Patient/patient-male-example"
},
"target" : [
{
"measure" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "39156-5",
"display" : "Body mass index (BMI) [Ratio]"
}
]
},
"detailQuantity" : {
"value" : 22.5,
"unit" : "kg/m2",
"system" : "http://unitsofmeasure.org",
"code" : "kg/m2"
}
}
]
},
{
"resourceType" : "Goal",
"id" : "goal-bp",
"lifecycleStatus" : "planned",
"description" : {
"text" : "Target BP 120-129/<80 mmHg"
},
"subject" : {
🔗 "reference" : "Patient/patient-male-example"
}
}
],
"extension" : [
{
"url" : "https://hl7.lt/fhir/cvd/StructureDefinition/risk-group-ext-lt-cvd",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://tx.hl7.lt/fhir/CodeSystem/risk-group",
"code" : "very-large",
"display" : "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" : {
🔗 "reference" : "Patient/patient-male-example"
},
"created" : "2025-10-31T10:00:00+02:00",
"supportingInfo" : [
{
"display" : "A healthy weight is when Body Mass Index (BMI) is 18.5-24.9 kg/m2."
},
{
"display" : "Regular use of prescribed medication: Antilipid treatment, Antihypertensive and heart rate regulating (cardioprotective) treatment, Currently used medications."
}
],
"goal" : [
{
"reference" : "#goal-ldl"
},
{
"reference" : "#goal-bmi"
},
{
"reference" : "#goal-bp"
}
],
"activity" : [
{
"performedActivity" : [
{
"concept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "702388001",
"display" : "Tobacco use cessation education (procedure)"
}
]
}
}
],
"progress" : [
{
"text" : "Quitting smoking intervention selected: Pharmacological and Behavior change tools."
}
]
},
{
"performedActivity" : [
{
"concept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "11816003",
"display" : "Diet education (procedure)"
}
]
}
}
],
"progress" : [
{
"text" : "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.\nSaturated 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.\nSalt ˂ 5–6 g per day.\nAvoid 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."
},
{
"text" : "Focus on reducing processed sugar intake dramatically by eliminating soft drinks."
}
]
},
{
"performedActivity" : [
{
"concept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1287704009",
"display" : "Physical activity consultation (procedure)"
}
]
}
}
],
"progress" : [
{
"text" : "30-60 minutes of moderate physical activity daily, beneficial and irregular physical activity."
},
{
"text" : "Focus on 3 sessions of swimming per week in addition to daily walks."
}
]
},
{
"performedActivity" : [
{
"concept" : {
"text" : "Antilipid treatment prescribed by the doctor."
}
}
],
"progress" : [
{
"text" : "Atorvastatin 20mg daily."
}
]
}
],
"note" : [
{
"text" : "Recommend follow-up appointment with a cardiologist in three months to review treatment efficacy and progress toward goals."
}
]
}