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

ConceptMap: CVD risk assessment Questionnaire item → profile mapping (Eksperimentinis)

Oficialus URL: https://hl7.lt/fhir/cvd/ConceptMap/cvd-risk-assessment-questionnaire Versija: 0.1.0
Mašiniškai apdorojamas pavadinimas: CvdRiskAssessmentQuestionnaireItemMap

Maps ESPBI form 1 Questionnaire linkIds to Lithuanian FHIR profiles and related IGs. Human-readable narrative is in each target.comment; Questionnaire.item.definition repeats canonical StructureDefinition URIs where applicable. Source: linkId codes; target: profile identifiers (CodeSystem cvd-questionnaire-mapping-target).

Aligned with DSTU1 data structures.

In DSTU1, the CarePlan used inline <goal> elements with extensions for target values and <activity> elements for lifestyle interventions. In R5:

  • Goals are referenced via CarePlan.goal pointing to standalone Goal resources (or contained inline). Goal types: LDL target, BP target, BMI target, weight loss ≥5%.
  • Activities use CarePlan.activity.plannedActivityReference for structured references or CarePlan.activity.performedActivity for completed activities.
  • Risk group moved from DSTU1 inline Observation to an extension on CarePlan.
  • Informational text (healthy nutrition, healthy weight, regular medication) is carried in CarePlan.note or CarePlan.supportingInfo.display.

Language: lt

Mapping from (not specified) to (not specified)


Group 1 Mapping from CVD risk assessment questionnaire item (linkId)version: 0.1.0) to CVD questionnaire mapping target (profiles)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
grp-context (Context group)is related toobservation-lt (ObservationLt (LT Base))Section header. Registrar, institution, and workstation context typically use LT Base Patient, Practitioner, Organization, and PractitionerRole (not itemised in the illustrative Questionnaire). LT Base IG: https://hl7.lt/fhir/base/ImplementationGuide/lt.hl7.fhir.base
evaluation-datetime (Evaluation date and time)is related tocvd-risk-assessment-lt-cvdAligns with Observation.effectiveDateTime on CVDRiskAssessmentLtCvd. StructureDefinition: https://hl7.lt/fhir/cvd/StructureDefinition/cvd-risk-assessment-lt-cvd. Example: observation-cvd-risk-assessment-example. CVD IG: https://hl7.lt/fhir/cvd/ImplementationGuide/lt.hl7.fhir.cvd
grp-chronic (Accompanying chronic diseases)is related tocvd-chronic-condition-lt-cvdSection header for accompanying chronic diseases; child items use CvdChronicConditionLtCvd.
chronic-condition-summary (Chronic conditions summary)is related tocvd-chronic-condition-lt-cvdMap programme text to Condition with CvdChronicConditionLtCvd (ICD-10). StructureDefinition: https://hl7.lt/fhir/cvd/StructureDefinition/cvd-chronic-condition-lt-cvd. Example: condition-cvd-heart-failure-example.
grp-risk-factors (Risk factors)is related torisk-factor-status-lt-cvdSection header for programme risk-factor items (RiskFactorStatusLtCvd).
risk-factor-hypertension (Arterial hypertension)is related torisk-factor-status-lt-cvdRiskFactorStatusLtCvd. Example: observation-hypertension-negligible-example. StructureDefinition: https://hl7.lt/fhir/cvd/StructureDefinition/risk-factor-status-lt-cvd
risk-factor-dyslipidemia (Dyslipidemia)is related torisk-factor-status-lt-cvdRiskFactorStatusLtCvd. Example: observation-dyslipidemia-treated-example.
risk-factor-diabetes (Diabetes)is related torisk-factor-status-lt-cvdRiskFactorStatusLtCvd. Example: observation-diabetes-untreated-example.
risk-factor-smoking (Smoking)is related totobacco-use-lt-lifestyleTobaccoUseLtLifestyle (LT Lifestyle). StructureDefinition: https://hl7.lt/fhir/lifestyle/StructureDefinition/tobacco-use-lt-lifestyle. CI example: https://build.fhir.org/ig/HL7LT/ig-lt-lifestyle/Observation-observation-tobacco-use-current-smoker-example.html
grp-objective (Objective condition and investigations)is related tobody-height (BodyHeight (Vital Signs))Section header for anthropometrics and blood pressure (LT Vital Signs IG). See child items for BodyHeight, BodyWeight, WaistCircumference, BloodPressurePanel. Vital Signs IG: https://hl7.lt/fhir/vitalsigns/ImplementationGuide/lt.hl7.fhir.vitalsigns
height-cm (Height (cm))is related tobody-height (BodyHeight (Vital Signs))BodyHeight. StructureDefinition: https://hl7.lt/fhir/vitalsigns/StructureDefinition/body-height. CI: https://build.fhir.org/ig/HL7LT/ig-lt-vitalsigns/Observation-observation-body-height-example.html
weight-kg (Weight (kg))is related tobody-weight (BodyWeight (Vital Signs))BodyWeight. StructureDefinition: https://hl7.lt/fhir/vitalsigns/StructureDefinition/body-weight. CI: https://build.fhir.org/ig/HL7LT/ig-lt-vitalsigns/Observation-observation-body-weight-example.html
waist-cm (Waist circumference (cm))is related towaist-circumference (WaistCircumference (Vital Signs))WaistCircumference. StructureDefinition: https://hl7.lt/fhir/vitalsigns/StructureDefinition/waist-circumference. CI: https://build.fhir.org/ig/HL7LT/ig-lt-vitalsigns/Observation-observation-waist-circumference-example.html
bp-systolic (Systolic blood pressure (mmHg))is related toblood-pressure-panel (BloodPressurePanel (Vital Signs))BloodPressurePanel (systolic component). StructureDefinition: https://hl7.lt/fhir/vitalsigns/StructureDefinition/blood-pressure-panel. CI: https://build.fhir.org/ig/HL7LT/ig-lt-vitalsigns/Observation-observation-blood-pressure-example.html
bp-diastolic (Diastolic blood pressure (mmHg))is related toblood-pressure-panel (BloodPressurePanel (Vital Signs))BloodPressurePanel (diastolic component); same Observation as systolic.
grp-lipidogram (Lipidogram)is related tolipidogram-lab-ltLipid panel section. Composite lab example: observation-lipidogram-example. Lab IG: https://hl7.lt/fhir/lab/ImplementationGuide/lt.hl7.fhir.lab. CI: https://build.fhir.org/ig/HL7LT/ig-lt-lab/Observation-observation-lipidogram-example.html
lipid-tc (Total cholesterol (mmol/l))is related tototal-cholesterol-lab-ltTotalCholesterolLabLt. StructureDefinition: https://hl7.lt/fhir/lab/StructureDefinition/total-cholesterol-lab-lt. Same CI lipidogram example as other lipid items.
lipid-hdl (HDL cholesterol (mmol/l))is related tocholesterol-hdl-lab-ltCholesterolHdlLabLt. StructureDefinition: https://hl7.lt/fhir/lab/StructureDefinition/cholesterol-hdl-lab-lt.
lipid-ldl (LDL cholesterol (mmol/l))is related tocholesterol-ldl-lab-ltCholesterolLdlLabLt. StructureDefinition: https://hl7.lt/fhir/lab/StructureDefinition/cholesterol-ldl-lab-lt.
lipid-tg (Triglycerides (mmol/l))is related totriglycerides-lab-ltTriglyceridesLabLt. StructureDefinition: https://hl7.lt/fhir/lab/StructureDefinition/triglycerides-lab-lt.
grp-risk-estimate (Risk estimate and group)is related tocvd-risk-assessment-lt-cvdSection for SCORE2 and programme risk group (CVD IG).
score2-percent (SCORE2 cardiovascular risk (%))is related tocvd-risk-assessment-lt-cvdSCORE2 as valueQuantity (%). CVDRiskAssessmentLtCvd. Example: observation-cvd-risk-assessment-example.
risk-group-cvd (Risk group for heart and vascular diseases)is related torisk-group-observation-lt-cvdRiskGroupObservationLtCvd. StructureDefinition: https://hl7.lt/fhir/cvd/StructureDefinition/risk-group-observation-lt-cvd. Example: observation-risk-group-high-example.
grp-migration-md-parity (Migration mapping.md — extended parity)is related toobservation-lt (ObservationLt (LT Base))Section for input/fsh/migration/mapping.md parity: concepts listed as missing in sibling IGs or as extended investigations. Rows 3–12,16–17 (BP, vitals, lipids, smoking) are covered by sibling items above.
mig-encounter (Encounter (visit context))is related toencounter-lt (EncounterLt (LT Base))mapping.md row 1 — Encounter. StructureDefinition: https://hl7.lt/fhir/base/StructureDefinition/encounter-lt. Base example: encounter-psychiatric-example.
mig-practitioner-role (PractitionerRole (workplace))is related topractitioner-role-lt (PractitionerRoleLt (LT Base))mapping.md row 2 — PractitionerRole. StructureDefinition: https://hl7.lt/fhir/base/StructureDefinition/practitioner-role-lt. Example: practitioner-role-doctor-vilnius-hospital-example.
mig-heart-rate (Heart rate (bpm))is related toheart-rate (HeartRate (Vital Signs))mapping.md row 4 — Heart rate. Vital Signs heart-rate profile. CI: https://build.fhir.org/ig/HL7LT/ig-lt-vitalsigns/
mig-bmi (BMI (kg/m²))is related tobmi (BMI (Vital Signs))mapping.md row 7 — BMI. StructureDefinition: https://hl7.lt/fhir/vitalsigns/StructureDefinition/bmi
mig-glucose-fasting (Fasting glucose (mmol/l))is related toglucose-venous-lab-ltmapping.md row 13 — Fasting glucose. Lab: glucose-venous-lab-lt.
mig-hba1c (HbA1c (%))is related tohba1c-lab-ltmapping.md row 14 — HbA1c. Lab: hba1c-lab-lt.
mig-creatinine (Creatinine)is related tocreatinine-test-lab-ltmapping.md row 15 — Creatinine. Lab: creatinine-test-lab-lt.
mig-egfr (eGFR)is related toegfr-lab-ltmapping.md row 15 — eGFR. Lab: egfr-lab-lt.
mig-alcohol (Alcohol consumption)is related toalcohol-consumption-lt-lifestylemapping.md row 18 — Alcohol. Lifestyle: alcohol-consumption-lt-lifestyle.
mig-physical-activity (Physical activity (summary))is related tophysical-activity-lt-lifestylemapping.md row 19 — Physical activity. Lifestyle: physical-activity-lt-lifestyle.
mig-nutrition (Dietary habits / nutrition)is related tonutrition-lt-lifestylemapping.md row 20 — Dietary habits. Lifestyle: nutrition-lt-lifestyle.
mig-family-cvd (Family history of CVD)is related tofamily-history-cvd-lt-lifestylemapping.md row 21 — Family CVD history. Lifestyle: family-history-cvd-lt-lifestyle.
mig-referral (Referral)is related toservice-request-lt (ServiceRequestLt (LT Base))mapping.md row 22 — Referral. Base ServiceRequestLt (no example in IGs; profile only).
mig-follow-up-appointment (Follow-up visit / appointment)is related toappointment-lt (AppointmentLt (LT Base))mapping.md row 23 — Follow-up visit. Base AppointmentLt (no example in IGs; profile only).
mig-achievement-round (Achievement evaluation (narrative))is related toobservation-lt (ObservationLt (LT Base))mapping.md row 24 — Achievement evaluation at second timepoint; use prevention Questionnaire achievement group or repeat vitals/labs/lifestyle Observations.
mig-chronic-additional (Additional chronic conditions)is related tocvd-chronic-condition-lt-cvdmapping.md row 25 — Additional chronic conditions (depression, COPD, AF, …). CvdChronicConditionLtCvd.
grp-ig-example-parity (IG example parity (migration already-covered))is related toobservation-lt (ObservationLt (LT Base))Section for migration already-covered table: context notes and EKG/medication/diabetes duration.
ac-patient-context (Patient (context note))is related topatient-lt (PatientLt (LT Base))Maps to PatientLt; QuestionnaireResponse.subject typically carries the Patient. Example: patient-male-example.
ac-practitioner-context (Practitioner (context note))is related topractitioner-lt (PractitionerLt (LT Base))Maps to PractitionerLt; QuestionnaireResponse.author. Example: practitioner-example.
ac-organization-context (Organization (context note))is related toorganization-lt (OrganizationLt (LT Base))Maps to OrganizationLt; use context in CarePlan/Encounter. Example: organization-example.
ac-ekg-summary (ECG (summary))is related toekg-lt-cvdmapping.md already covered — ECG. EKGLtCvd. Example: observation-ekg-normal-example.
ac-medication-context (Medications (context))is related tomedication-statement-lt-cvdMedicationStatementLtCvd. Example: medication-statement-screening-example.
ac-diabetes-duration (Diabetes duration)is related todiabetes-duration-status-lt-cvdDiabetesDurationStatusLtCvd. Example: observation-diabetes-duration-gt10-example.