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

Questionnaire: Plan of cardiovascular disease prevention measures and achievement evaluation

Oficialus URL: https://hl7.lt/fhir/cvd/Questionnaire/cvd-prevention-plan Versija: 0.1.0
Mašiniškai apdorojamas pavadinimas: CvdPreventionPlan

Representative subset: plan metadata, risk group, LDL target, lifestyle areas, and achievement follow-up.

Language: en

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. CvdPreventionPlan Representative subset: plan metadata, risk group, LDL target, lifestyle areas, and achievement follow-up. Questionnaire https://hl7.lt/fhir/cvd/Questionnaire/cvd-prevention-plan#0.1.0
... grp-plan-header Plan 0..1 group Value Set:
.... plan-created-datetime Plan creation date and time 1..1 dateTime Value Set:
.... plan-risk-group Risk group for heart and vascular diseases (plan) 1..1 coding Value Set:
Options: 2 options
.... plan-target-ldl Target LDL cholesterol considering risk group 1..1 coding Value Set:
Options: 3 options
.... plan-target-bp Target blood pressure: 120-129/<80 mmHg 0..1 display Value Set:
.... plan-smoking-cessation Quitting smoking (interventions) 0..* coding Value Set:
Options: 2 options
... grp-plan-lifestyle Lifestyle and weight 0..1 group Value Set:
.... plan-physical-activity Physical activity plan 0..1 coding Value Set:
Options: 2 options
.... plan-target-bmi Target BMI (kg/m²) 1..1 decimal Value Set:
.... info-healthy-nutrition Healthy nutrition — Mediterranean diet recommended; reduce salt (<5 g/day), saturated fats, and added sugar. 0..1 display Value Set:
.... info-healthy-weight Healthy weight — target BMI < 25 kg/m²; waist circumference men < 94 cm, women < 80 cm. 0..1 display Value Set:
.... info-regular-medication Regular medication — take all prescribed medications (statins, antihypertensives) regularly and as directed. 0..1 display Value Set:
... grp-achievement Achievement evaluation 0..1 group Value Set:
.... achievement-datetime Achievement evaluation date and time 0..1 dateTime Value Set:
.... achievement-ldl-mmol Achieved LDL cholesterol (mmol/l) 0..1 decimal Value Set:
.... achievement-ldl-target-met Has the target LDL cholesterol been achieved? 0..1 boolean Value Set:
.... achievement-bp-systolic Current systolic blood pressure (mmHg) 0..1 decimal Value Set:
.... achievement-bp-diastolic Current diastolic blood pressure (mmHg) 0..1 decimal Value Set:
.... achievement-bp-target-met Has the target BP been achieved? 0..1 boolean Value Set:
.... achievement-smoking-quit Smoking cessation achieved (at follow-up) 0..1 boolean Value Set:
.... achievement-height-cm Height (cm) 1..1 decimal Value Set:
.... achievement-weight-kg Weight (kg) 1..1 decimal Value Set:
.... achievement-bmi Achieved BMI (kg/m², automatically calculated) 1..1 decimal Value Set:
.... achievement-comments Comments from the achievement evaluator 0..1 text Value Set:

doco Documentation for this format

Options Sets

Answer options for plan-risk-group

  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#cvd-rg-large ("Large")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#cvd-rg-very-large ("Very large")

Answer options for plan-target-ldl

  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#ldl-target-26 ("<2.6 mmol/l")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#ldl-target-18 ("<1.8 mmol/l")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#ldl-target-14 ("<1.4 mmol/l")

Answer options for plan-smoking-cessation

  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#cessation-pharmacological ("Pharmacological")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#cessation-behavior ("Behavior change tools")

Answer options for plan-physical-activity

  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#pa-moderate-daily ("30-60 minutes moderate activity daily")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#pa-other ("Other")

Language: en

Plan

  • linkId: grp-plan-header
  • Answers:

Plan creation date and time*

  • linkId: plan-created-datetime
  • Answers:

Risk group for heart and vascular diseases (plan)*

Target LDL cholesterol considering risk group*

Target blood pressure: 120-129/<80 mmHg

  • linkId: plan-target-bp
  • Answers:

Quitting smoking (interventions)

Lifestyle and weight

  • linkId: grp-plan-lifestyle
  • Answers:

Physical activity plan

Target BMI (kg/m²)*

  • linkId: plan-target-bmi
  • Answers:

Healthy nutrition — Mediterranean diet recommended; reduce salt (<5 g/day), saturated fats, and added sugar.

  • linkId: info-healthy-nutrition
  • Answers:

Healthy weight — target BMI < 25 kg/m²; waist circumference men < 94 cm, women < 80 cm.

  • linkId: info-healthy-weight
  • Answers:

Regular medication — take all prescribed medications (statins, antihypertensives) regularly and as directed.

  • linkId: info-regular-medication
  • Answers:

Achievement evaluation

  • linkId: grp-achievement
  • Answers:

Achievement evaluation date and time

  • linkId: achievement-datetime
  • Answers:

Achieved LDL cholesterol (mmol/l)

  • linkId: achievement-ldl-mmol
  • Answers:

Has the target LDL cholesterol been achieved?

  • linkId: achievement-ldl-target-met
  • Answers:

Current systolic blood pressure (mmHg)

  • linkId: achievement-bp-systolic
  • Answers:

Current diastolic blood pressure (mmHg)

  • linkId: achievement-bp-diastolic
  • Answers:

Has the target BP been achieved?

  • linkId: achievement-bp-target-met
  • Answers:

Smoking cessation achieved (at follow-up)

  • linkId: achievement-smoking-quit
  • Answers:

Height (cm)*

  • linkId: achievement-height-cm
  • Answers:

Weight (kg)*

  • linkId: achievement-weight-kg
  • Answers:

Achieved BMI (kg/m², automatically calculated)*

  • linkId: achievement-bmi
  • Answers:

Comments from the achievement evaluator

  • linkId: achievement-comments
  • Answers:

Language: en

LinkIDDescription & Constraintsdoco
.. grp-plan-header Value Set:
... plan-created-datetime Value Set:
... plan-risk-group Value Set:
Options: 2 options
... plan-target-ldl Value Set:
Options: 3 options
... plan-smoking-cessation Value Set:
Options: 2 options
.. grp-plan-lifestyle Value Set:
... plan-physical-activity Value Set:
Options: 2 options
... plan-target-bmi Value Set:
... info-healthy-nutrition Value Set:
... info-healthy-weight Value Set:
... info-regular-medication Value Set:
.. grp-achievement Value Set:
... achievement-datetime Value Set:
... achievement-ldl-mmol Value Set:
... achievement-ldl-target-met Value Set:
... achievement-bp-systolic Value Set:
... achievement-bp-diastolic Value Set:
... achievement-bp-target-met Value Set:
... achievement-smoking-quit Value Set:
... achievement-height-cm Value Set:
... achievement-weight-kg Value Set:
... achievement-bmi Value Set:
... achievement-comments Value Set:

doco Documentation for this format

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