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: Patient cardiovascular disease risk assessment questionnaire

Oficialus URL: https://hl7.lt/fhir/cvd/Questionnaire/cvd-risk-assessment Versija: 0.1.0
Mašiniškai apdorojamas pavadinimas: CvdRiskAssessment

Representative subset of programme fields: context, chronic diseases, key risk factors, anthropometrics, blood pressure, lipid panel, SCORE2, risk group, plus optional items aligned with input/fsh/migration/mapping.md (extended parity).

Language: en

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. CvdRiskAssessment Representative subset of programme fields: context, chronic diseases, key risk factors, anthropometrics, blood pressure, lipid panel, SCORE2, risk group, plus optional items aligned with input/fsh/migration/mapping.md (extended parity). Questionnaire https://hl7.lt/fhir/cvd/Questionnaire/cvd-risk-assessment#0.1.0
... grp-context Context (registrar, institution, workstation — not itemised in this illustrative Questionnaire). 0..1 group Value Set:
.... evaluation-datetime Evaluation date and time 1..1 dateTime Value Set:
... grp-chronic Accompanying chronic diseases (programme list) 0..1 group Value Set:
.... chronic-condition-summary Relevant chronic conditions 0..1 text Value Set:
... grp-risk-factors Risk factors 0..1 group Value Set:
.... risk-factor-hypertension Arterial hypertension 1..1 coding Value Set:
Options: 3 options
.... risk-factor-dyslipidemia Dyslipidemia 1..1 coding Value Set:
Options: 3 options
.... risk-factor-diabetes Diabetes 1..1 coding Value Set:
Options: 3 options
.... risk-factor-glucose-tolerance Glucose tolerance disorder or fasting glucose disorder 1..1 coding Value Set:
Options: 3 options
.... risk-factor-familial-hypercholesterolemia Familial hypercholesterolemia 1..1 coding Value Set:
Options: 2 options
.... risk-factor-smoking Smoking 1..1 coding Value Set:
Options: 3 options
..... smoking-duration-years Smoking duration (years) 0..1 decimal Enable When: risk-factor-smoking = smoking-current (cvd-questionnaire-options#smoking-current)
Value Set:
..... smoking-type Form of smoking 0..* coding Enable When: risk-factor-smoking = smoking-current (cvd-questionnaire-options#smoking-current)
Value Set:
.... risk-factor-physical-activity Physical activity 1..1 coding Value Set:
Options: 2 options
.... risk-factor-nutrition Nutrition 1..1 coding Value Set:
Options: 2 options
.... risk-factor-alcohol Alcohol consumption 1..1 coding Value Set:
Options: 3 options
..... audit-c-score AUDIT / AUDIT-C test result interpretation 0..1 decimal Enable When: risk-factor-alcohol = alcohol-yes (cvd-questionnaire-options#alcohol-yes)
Value Set:
.... risk-factor-family-cvd Family history of early CVD (men <55, women <60) or early cardiac death 1..1 coding Value Set:
Options: 3 options
.... risk-factor-family-diabetes Family history of diabetes 1..1 coding Value Set:
Options: 3 options
.... height-cm Height (cm) 1..1 decimal Value Set:
.... weight-kg Weight (kg) 1..1 decimal Value Set:
.... waist-cm Waist circumference (cm) 1..1 decimal Value Set:
.... bp-systolic Systolic blood pressure (mmHg) 1..1 decimal Value Set:
.... bp-diastolic Diastolic blood pressure (mmHg) 1..1 decimal Value Set:
.... heart-rate Heart rate (bpm) 1..1 decimal Value Set:
.... bmi-calculated BMI (kg/m², automatically calculated) 1..1 decimal Value Set:
.... abdominal-obesity Abdominal obesity (waist circumference men ≥ 102 cm, women ≥ 88 cm) 1..1 coding Value Set:
Options: 2 options
.... obesity-bmi Obesity (BMI ≥ 25) 1..1 coding Value Set:
Options: 2 options
... grp-lipidogram Lipidogram 0..1 group Value Set:
.... lipid-tc Total cholesterol (mmol/l) 1..1 decimal Value Set:
.... lipid-hdl HDL cholesterol (mmol/l) 1..1 decimal Value Set:
.... lipid-non-hdl Non-HDL cholesterol (mmol/l) 1..1 decimal Value Set:
.... lipid-ldl LDL cholesterol (mmol/l) 1..1 decimal Value Set:
.... lipid-tg Triglycerides (mmol/l) 1..1 decimal Value Set:
... grp-risk-estimate Risk estimate and group 0..1 group Value Set:
.... score2-percent SCORE2 cardiovascular risk (%) 0..1 decimal Value Set:
.... metabolic-syndrome Metabolic syndrome (at least 3 out of 5 NCEP ATP III criteria) 1..1 coding Value Set:
Options: 2 options
.... risk-group-cvd Risk group for heart and vascular diseases 1..1 coding Value Set:
Options: 3 options
.... albumin-creatinine-ratio Albumin/Creatinine ratio (for patients with diabetes) 0..1 decimal Value Set:
... grp-migration-md-parity Extended parity (migration/mapping.md — missing-concepts rows) 0..1 group Value Set:
.... mig-encounter Encounter (visit id / context) 0..1 string Value Set:
.... mig-practitioner-role PractitionerRole (workplace / specialist) 0..1 string Value Set:
.... mig-heart-rate Heart rate (bpm) 0..1 decimal Value Set:
.... mig-bmi BMI (kg/m²) 0..1 decimal Value Set:
.... mig-glucose-fasting Fasting glucose (mmol/l) 1..1 decimal Value Set:
.... mig-hba1c HbA1c (%) 1..1 decimal Value Set:
.... mig-creatinine Creatinine 1..1 decimal Value Set:
.... mig-egfr eGFR 1..1 decimal Value Set:
.... mig-alcohol Alcohol consumption (summary) 0..1 string Value Set:
.... mig-physical-activity Physical activity (summary) 0..1 string Value Set:
.... mig-nutrition Dietary habits / nutrition 0..1 string Value Set:
.... mig-family-cvd Family history of CVD 0..1 string Value Set:
.... mig-referral Referral (cardiology / service) 0..1 string Value Set:
.... mig-follow-up-appointment Follow-up visit (appointment) 0..1 dateTime Value Set:
.... mig-achievement-round Achievement evaluation (narrative) 0..1 text Value Set:
.... mig-chronic-additional Additional chronic conditions 0..1 text Value Set:
... grp-ig-example-parity IG example parity (migration already-covered) 0..1 group Value Set:
.... ac-patient-context Patient (context note) 0..1 string Value Set:
.... ac-practitioner-context Practitioner (context note) 0..1 string Value Set:
.... ac-organization-context Organization (context note) 0..1 string Value Set:
.... ac-ekg-summary ECG (summary) 0..1 text Value Set:
.... ac-medication-context Medications (context) 0..1 text Value Set:
.... ac-diabetes-duration Diabetes duration 0..1 text Value Set:

doco Documentation for this format

Options Sets

Answer options for risk-factor-hypertension

  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#risk-factor-no ("No")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#risk-factor-untreated ("There is, untreated")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#risk-factor-treated ("There is, treated")

Answer options for risk-factor-dyslipidemia

  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#risk-factor-no ("No")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#risk-factor-untreated ("There is, untreated")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#risk-factor-treated ("There is, treated")

Answer options for risk-factor-diabetes

  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#risk-factor-no ("No")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#risk-factor-untreated ("There is, untreated")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#risk-factor-treated ("There is, treated")

Answer options for risk-factor-glucose-tolerance

  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#risk-factor-no ("No")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#risk-factor-untreated ("There is, untreated")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#risk-factor-treated ("There is, treated")

Answer options for risk-factor-familial-hypercholesterolemia

  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#risk-factor-no ("No")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#risk-factor-present ("There is")

Answer options for risk-factor-smoking

  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#smoking-never ("Did not smoke")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#smoking-current ("Smokes")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#smoking-former ("Smoked before")

Answer options for risk-factor-physical-activity

  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#pa-sufficient ("Sufficient")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#pa-insufficient ("Insufficient")

Answer options for risk-factor-nutrition

  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#nutrition-balanced ("Balanced")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#nutrition-unbalanced ("Unbalanced")

Answer options for risk-factor-alcohol

  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#alcohol-no ("No")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#alcohol-yes ("Yes")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#alcohol-unknown ("Unknown")

Answer options for risk-factor-family-cvd

  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#family-no ("No")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#family-yes ("Yes")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#family-unknown ("Unknown")

Answer options for risk-factor-family-diabetes

  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#family-no ("No")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#family-yes ("Yes")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#family-unknown ("Unknown")

Answer options for abdominal-obesity

  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#risk-factor-no ("No")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#risk-factor-present ("There is")

Answer options for obesity-bmi

  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#risk-factor-no ("No")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#risk-factor-present ("There is")

Answer options for metabolic-syndrome

  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#risk-factor-no ("No")
  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#risk-factor-present ("Yes")

Answer options for risk-group-cvd

  • https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options#cvd-rg-small-medium ("Small to medium")
  • 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")

Language: en

Context (registrar, institution, workstation — not itemised in this illustrative Questionnaire).

  • linkId: grp-context
  • Answers:

Evaluation date and time*

  • linkId: evaluation-datetime
  • Answers:

Accompanying chronic diseases (programme list)

  • linkId: grp-chronic
  • Answers:

Relevant chronic conditions

  • linkId: chronic-condition-summary
  • Answers:

Risk factors

  • linkId: grp-risk-factors
  • Answers:

Arterial hypertension*

Dyslipidemia*

Diabetes*

Glucose tolerance disorder or fasting glucose disorder*

Familial hypercholesterolemia*

Smoking*

Smoking duration (years)

  • linkId: smoking-duration-years
  • Enable When: todo
  • Answers:

Form of smoking

  • linkId: smoking-type
  • Enable When: todo
  • Answers:

Physical activity*

Nutrition*

Alcohol consumption*

AUDIT / AUDIT-C test result interpretation

  • linkId: audit-c-score
  • Enable When: todo
  • Answers:

Family history of early CVD (men <55, women <60) or early cardiac death*

Family history of diabetes*

Objective condition and investigations

  • linkId: grp-objective
  • Answers:

Height (cm)*

  • linkId: height-cm
  • Answers:

Weight (kg)*

  • linkId: weight-kg
  • Answers:

Waist circumference (cm)*

  • linkId: waist-cm
  • Answers:

Systolic blood pressure (mmHg)*

  • linkId: bp-systolic
  • Answers:

Diastolic blood pressure (mmHg)*

  • linkId: bp-diastolic
  • Answers:

Heart rate (bpm)*

  • linkId: heart-rate
  • Answers:

BMI (kg/m², automatically calculated)*

  • linkId: bmi-calculated
  • Answers:

Abdominal obesity (waist circumference men ≥ 102 cm, women ≥ 88 cm)*

Obesity (BMI ≥ 25)*

Lipidogram

  • linkId: grp-lipidogram
  • Answers:

Total cholesterol (mmol/l)*

  • linkId: lipid-tc
  • Answers:

HDL cholesterol (mmol/l)*

  • linkId: lipid-hdl
  • Answers:

Non-HDL cholesterol (mmol/l)*

  • linkId: lipid-non-hdl
  • Answers:

LDL cholesterol (mmol/l)*

  • linkId: lipid-ldl
  • Answers:

Triglycerides (mmol/l)*

  • linkId: lipid-tg
  • Answers:

Risk estimate and group

  • linkId: grp-risk-estimate
  • Answers:

SCORE2 cardiovascular risk (%)

  • linkId: score2-percent
  • Answers:

Metabolic syndrome (at least 3 out of 5 NCEP ATP III criteria)*

Risk group for heart and vascular diseases*

Albumin/Creatinine ratio (for patients with diabetes)

  • linkId: albumin-creatinine-ratio
  • Answers:

Extended parity (migration/mapping.md — missing-concepts rows)

  • linkId: grp-migration-md-parity
  • Answers:

Encounter (visit id / context)

  • linkId: mig-encounter
  • Answers:

PractitionerRole (workplace / specialist)

  • linkId: mig-practitioner-role
  • Answers:

Heart rate (bpm)

  • linkId: mig-heart-rate
  • Answers:

BMI (kg/m²)

  • linkId: mig-bmi
  • Answers:

Fasting glucose (mmol/l)*

  • linkId: mig-glucose-fasting
  • Answers:

HbA1c (%)*

  • linkId: mig-hba1c
  • Answers:

Creatinine*

  • linkId: mig-creatinine
  • Answers:

eGFR*

  • linkId: mig-egfr
  • Answers:

Alcohol consumption (summary)

  • linkId: mig-alcohol
  • Answers:

Physical activity (summary)

  • linkId: mig-physical-activity
  • Answers:

Dietary habits / nutrition

  • linkId: mig-nutrition
  • Answers:

Family history of CVD

  • linkId: mig-family-cvd
  • Answers:

Referral (cardiology / service)

  • linkId: mig-referral
  • Answers:

Follow-up visit (appointment)

  • linkId: mig-follow-up-appointment
  • Answers:

Achievement evaluation (narrative)

  • linkId: mig-achievement-round
  • Answers:

Additional chronic conditions

  • linkId: mig-chronic-additional
  • Answers:

IG example parity (migration already-covered)

  • linkId: grp-ig-example-parity
  • Answers:

Patient (context note)

  • linkId: ac-patient-context
  • Answers:

Practitioner (context note)

  • linkId: ac-practitioner-context
  • Answers:

Organization (context note)

  • linkId: ac-organization-context
  • Answers:

ECG (summary)

  • linkId: ac-ekg-summary
  • Answers:

Medications (context)

  • linkId: ac-medication-context
  • Answers:

Diabetes duration

  • linkId: ac-diabetes-duration
  • Answers:

Language: en

LinkIDDescription & Constraintsdoco
.. grp-context Value Set:
... evaluation-datetime Value Set:
.. grp-chronic Value Set:
... chronic-condition-summary Value Set:
.. grp-risk-factors Value Set:
... risk-factor-hypertension Value Set:
Options: 3 options
... risk-factor-dyslipidemia Value Set:
Options: 3 options
... risk-factor-diabetes Value Set:
Options: 3 options
... risk-factor-glucose-tolerance Value Set:
Options: 3 options
... risk-factor-familial-hypercholesterolemia Value Set:
Options: 2 options
... risk-factor-smoking Value Set:
Options: 3 options
.... smoking-duration-years Enable When: Not done yet
Value Set:
.... smoking-type Enable When: Not done yet
Value Set:
... risk-factor-physical-activity Value Set:
Options: 2 options
... risk-factor-nutrition Value Set:
Options: 2 options
... risk-factor-alcohol Value Set:
Options: 3 options
.... audit-c-score Enable When: Not done yet
Value Set:
... risk-factor-family-cvd Value Set:
Options: 3 options
... risk-factor-family-diabetes Value Set:
Options: 3 options
.. grp-objective Value Set:
... height-cm Value Set:
... weight-kg Value Set:
... waist-cm Value Set:
... bp-systolic Value Set:
... bp-diastolic Value Set:
... heart-rate Value Set:
... bmi-calculated Value Set:
... abdominal-obesity Value Set:
Options: 2 options
... obesity-bmi Value Set:
Options: 2 options
.. grp-lipidogram Value Set:
... lipid-tc Value Set:
... lipid-hdl Value Set:
... lipid-non-hdl Value Set:
... lipid-ldl Value Set:
... lipid-tg Value Set:
.. grp-risk-estimate Value Set:
... score2-percent Value Set:
... metabolic-syndrome Value Set:
Options: 2 options
... risk-group-cvd Value Set:
Options: 3 options
... albumin-creatinine-ratio Value Set:
.. grp-migration-md-parity Value Set:
... mig-encounter Value Set:
... mig-practitioner-role Value Set:
... mig-heart-rate Value Set:
... mig-bmi Value Set:
... mig-glucose-fasting Value Set:
... mig-hba1c Value Set:
... mig-creatinine Value Set:
... mig-egfr Value Set:
... mig-alcohol Value Set:
... mig-physical-activity Value Set:
... mig-nutrition Value Set:
... mig-family-cvd Value Set:
... mig-referral Value Set:
... mig-follow-up-appointment Value Set:
... mig-achievement-round Value Set:
... mig-chronic-additional Value Set:
.. grp-ig-example-parity Value Set:
... ac-patient-context Value Set:
... ac-practitioner-context Value Set:
... ac-organization-context Value Set:
... ac-ekg-summary Value Set:
... ac-medication-context Value Set:
... ac-diabetes-duration Value Set:

doco Documentation for this format

Išbandykite šį klausimyną

Try this questionnaire out:

Atsakymai į šį klausimyną