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" : "example-cvd-screening-plan",
"meta" : {
"profile" : [
🔗 "https://hl7.lt/fhir/cvd/StructureDefinition/care-plan-lt-cvd"
]
},
"language" : "lt",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"lt\" lang=\"lt\"><hr/><p><b>Lithuanian</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: CarePlan example-cvd-screening-plan</b></p><a name=\"lt-example-cvd-screening-plan\"> </a><a name=\"lt-hcexample-cvd-screening-plan\"> </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>status</b>: Active</p><p><b>intent</b>: Plan</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>contributor</b>: <a href=\"PractitionerRole-practitioner-role-example.html\">Dr. Petras Kazlauskas, Vilniaus miesto ligoninė</a></p><p><b>supportingInfo</b>: </p><ul><li>Specialist's workstation: Cardiologist</li><li><a href=\"Observation-observation-risk-group-high-example.html\">Cardiovascular disease risk assessment: 24% (High)</a></li></ul><p><b>goal</b>: </p><ul><li><a href=\"#lt-hcexample-cvd-screening-plan/goal-ldl-cvdp\">Goal: lifecycleStatus = active; description = </a></li><li><a href=\"#lt-hcexample-cvd-screening-plan/goal-bmi-cvdp\">Goal: lifecycleStatus = active; description = </a></li><li><a href=\"#lt-hcexample-cvd-screening-plan/goal-bp-cvdp\">Goal: lifecycleStatus = active; 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>Pharmacological and behavior change tools selected.</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 370847001}\">Dietary needs education (procedure)</span></td></tr></table><p><b>progress</b>: </p><blockquote><div><p>Dietary recommendations: fruits and vegetables >200 g/day, 35–45 g of fiber (mainly from grains), moderate unsalted nuts (30 g/day), fish 1–2 servings per week (one fatty), limited lean meat, low-fat dairy, and vegetable oils. Saturated fats <10% of total fat intake (replace with polyunsaturated fats), trans fats <1% of total energy (avoid processed foods). Salt <5–6 g/day. Alcohol <100 g per week (<15 g/day). Avoid sugary soft drinks and high-energy foods.</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 819961005}\">Physical activity guidance (procedure)</span></td></tr></table><p><b>progress</b>: </p><blockquote><div><p>30–60 minutes of moderate activity daily.</p>\n</div></blockquote></blockquote><p><b>note</b>: </p><blockquote><div><p>Follow-up visit with cardiologist in 3 months.</p>\n</div></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Goal #goal-ldl-cvdp</b></p><a name=\"lt-example-cvd-screening-plan/goal-ldl-cvdp\"> </a><a name=\"lt-hcexample-cvd-screening-plan/goal-ldl-cvdp\"> </a><p><b>lifecycleStatus</b>: Active</p><p><b>description</b>: <span title=\"Codes:\">Target LDL Cholesterol < 1.8 mmol/L based on cardiovascular 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>1.8 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-cvdp</b></p><a name=\"lt-example-cvd-screening-plan/goal-bmi-cvdp\"> </a><a name=\"lt-hcexample-cvd-screening-plan/goal-bmi-cvdp\"> </a><p><b>lifecycleStatus</b>: Active</p><p><b>description</b>: <span title=\"Codes:\">Target BMI 22.5 kg/m² (healthy weight range 18.5–24.9).</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-cvdp</b></p><a name=\"lt-example-cvd-screening-plan/goal-bp-cvdp\"> </a><a name=\"lt-hcexample-cvd-screening-plan/goal-bp-cvdp\"> </a><p><b>lifecycleStatus</b>: Active</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><h3>Targets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Measure</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://loinc.org 85354-9}\">Blood pressure panel with all children optional</span></td></tr></table></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Goal",
"id" : "goal-ldl-cvdp",
"lifecycleStatus" : "active",
"description" : {
"text" : "Target LDL Cholesterol < 1.8 mmol/L based on cardiovascular 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" : 1.8,
"unit" : "mmol/L",
"system" : "http://unitsofmeasure.org",
"code" : "mmol/L"
},
"dueDate" : "2026-10-31"
}
]
},
{
"resourceType" : "Goal",
"id" : "goal-bmi-cvdp",
"lifecycleStatus" : "active",
"description" : {
"text" : "Target BMI 22.5 kg/m² (healthy weight range 18.5–24.9)."
},
"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-cvdp",
"lifecycleStatus" : "active",
"description" : {
"text" : "Target BP 120–129/<80 mmHg."
},
"subject" : {
🔗 "reference" : "Patient/patient-male-example"
},
"target" : [
{
"measure" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85354-9",
"display" : "Blood pressure panel with all children optional"
}
]
}
}
]
}
],
"status" : "active",
"intent" : "plan",
"subject" : {
🔗 "reference" : "Patient/patient-male-example"
},
"created" : "2025-10-31T10:00:00+02:00",
"contributor" : [
{
🔗 "reference" : "PractitionerRole/practitioner-role-example",
"display" : "Dr. Petras Kazlauskas, Vilniaus miesto ligoninė"
}
],
"supportingInfo" : [
{
"display" : "Specialist's workstation: Cardiologist"
},
{
🔗 "reference" : "Observation/observation-risk-group-high-example",
"display" : "Cardiovascular disease risk assessment: 24% (High)"
}
],
"goal" : [
{
"reference" : "#goal-ldl-cvdp"
},
{
"reference" : "#goal-bmi-cvdp"
},
{
"reference" : "#goal-bp-cvdp"
}
],
"activity" : [
{
"performedActivity" : [
{
"concept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "702388001",
"display" : "Tobacco use cessation education (procedure)"
}
]
}
}
],
"progress" : [
{
"text" : "Pharmacological and behavior change tools selected."
}
]
},
{
"performedActivity" : [
{
"concept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "370847001",
"display" : "Dietary needs education (procedure)"
}
]
}
}
],
"progress" : [
{
"text" : "Dietary recommendations: fruits and vegetables >200 g/day, 35–45 g of fiber (mainly from grains), moderate unsalted nuts (30 g/day), fish 1–2 servings per week (one fatty), limited lean meat, low-fat dairy, and vegetable oils. Saturated fats <10% of total fat intake (replace with polyunsaturated fats), trans fats <1% of total energy (avoid processed foods). Salt <5–6 g/day. Alcohol <100 g per week (<15 g/day). Avoid sugary soft drinks and high-energy foods."
}
]
},
{
"performedActivity" : [
{
"concept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "819961005",
"display" : "Physical activity guidance (procedure)"
}
]
}
}
],
"progress" : [
{
"text" : "30–60 minutes of moderate activity daily."
}
]
}
],
"note" : [
{
"text" : "Follow-up visit with cardiologist in 3 months."
}
]
}