Lithuanian Lifestyle Implementation Guide
0.0.1 - ci-build
Lithuanian Lifestyle Implementation Guide
0.0.1 - ci-build
Lithuanian Lifestyle 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-lifestyle/ and changes regularly. See the Directory of published versions
Contents:
This page provides a list of the FHIR artifacts defined as part of this implementation guide.
These define constraints on FHIR resources for systems conforming to this implementation guide.
| AUDIT-C Total Score |
AUDIT-C total score (0–12) as a quantitative Observation; linked to QuestionnaireResponse if necessary. |
| Alcohol Consumption |
Observation of a patient's current alcohol consumption status. Optionally includes an AUDIT-C score component when alcohol intake is present. |
| Alcohol Use History |
This profile constrains the Observation resource to represent a simple yes/no alcohol use history item. |
| Diabetes Mellitus Duration Over 10 Years |
Observation indicating whether the patient has had Diabetes Mellitus for 10 years or more. |
| Family History of Cardiovascular Disease |
Observation indicating whether the patient has a family history of cardiovascular disease. |
| Family History of Diabetes |
Observation indicating whether the patient has a family history of diabetes mellitus. |
| Family Member History for screening program |
Family Member History record. |
| Medication Statement for screening programs |
A simplified profile for MedicationStatement focusing on essential elements. |
| Metabolic Syndrome (NCEP ATP III) |
Observation indicating presence of metabolic syndrome according to NCEP ATP III criteria (≥3 of 5 signs). |
| Number of Steps |
The measurement tracks the count of steps taken by an individual during one day. |
| Nutrition |
Observation profile representing the patient's nutrition status (balanced vs. unbalanced). |
| Physical Activity |
This profile constrains the Observation resource to represent the patient's level of physical activity compared to recommended standards. |
| Physical Activity Measurement Device |
Device used to measure physical activity metrics such as number of steps. |
| Tobacco Smoking Consumption |
This profile constrains the Observation resource to represent Tobacco smoking consumption assessment in a patient summary. |
| Tobacco Smoking Stopped - Number of Years Ago |
Records how long it has been since the patient stopped smoking, as a quantitative time interval (e.g., years). |
| Tobacco Type Used |
Records the type of tobacco product currently or previously used by the patient (e.g., cigarettes, cigars, e-cigarettes). |
| Tobacco Use |
This profile constrains the Observation resource to represent Tobacco use assessment in a patient summary. |
| Tobacco Use Duration - Number in Years |
Amount of time (e.g. years) the patient has used smoking or smokeless tobacco products |
These define constraints on FHIR data types for systems conforming to this implementation guide.
| Medication Timing Extension for LT Lifestyle |
The timing instructions for the medication (e.g., 'Before Meals', 'With Food'). |
| Other Activity Description |
Free text description required when the 'Other' option is selected for physical activity or a similar behavioral intervention. |
| Other Desired Dietary Changes |
Additional information provided about desired dietary changes (text field). |
These define sets of codes used by systems conforming to this implementation guide.
| Alcohol Consumption Status |
Whether the patient currently consumes alcohol, does not consume alcohol, or the status is unknown. |
| Alcohol Use Frequency |
Frequency of alcohol consumption. |
| Family Member History Screening Program Diseases |
Indicates whether the patient has a family member history related to the screening program. |
| Medication taken by patient during treatment |
SNOMED CT concepts representing medication given/used during treatment. |
| Metabolic Syndrome Assessment (NCEP ATP III) |
Assessment of metabolic syndrome presence according to NCEP ATP III criteria. |
| Nutrition Status |
Categorical assessment of whether the patient's nutrition is balanced or unbalanced. |
| Physical Activity Level |
Categorical assessment of whether the patient's physical activity meets, exceeds, or falls below recommended levels. |
| Screening Programme |
Represents the various screening programmes supported in Lithuania. |
| Status of the Family History of Cardiovascular Disease |
Indicates whether the patient has a family history of cardiovascular disease. |
| Status of the Family History of Diabetes |
Indicates whether the patient has a family history of diabetes mellitus. |
| Tobacco Smoking Consumption - Cigarettes per day |
Categorical representation of average cigarettes smoked per day. |
| Tobacco Type User |
Records the type of tobacco product currently or previously used by the person (e.g., cigarettes, cigars, e-cigarettes). |
| Tobacco. Current Smoking Status |
HL7 LT SNOMED value set for smoking status. |
| Treatment Status |
Indicates whether a screening treatment or intervention has been provided for a risk factor. |
| Yes-No options |
Selection Yes or No. |
These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.
| Alcohol Use Disorder Identification Test - Consumption [AUDIT-C] |
The Alcohol Use Disorder Identification Test - Consumption (AUDIT-C) is a 3-item alcohol screen that can help identify persons who are hazardous drinkers or have active alcohol use disorders (including alcohol abuse or dependence). It is a subset of the 10-question AUDIT instrument and has been found to be as effective as the full AUDIT in identifying patients who are hazardous drinkers or have active alcohol use disorders. [PMID: 12695273] |
| Condition: Hypercholesterolemia (example) |
Patient has a confirmed diagnosis of hypercholesterolemia. |
| Device: Physical Activity (example) |
A smartwatch used to measure and record the number of steps taken. |
| FamilyMemberHistory: Mother disease absent (example) |
Patient reports a positive family member history of cardiovascular disease. |
| FamilyMemberHistory: Positive CVD (example) |
Patient reports a positive family member history of cardiovascular disease, diabetes milites and familial hypercholesterolemia. |
| MedicationStatement: Screening (example) |
Example instance of a MedicationStatement for screening programs. |
| Observation: AUDIT-C (example) |
AUDIT-C total score with reference to the answer. |
| Observation: Alcohol Consumption History – Yes (example) |
Patient reports alcohol consumption with additional structured details. |
| Observation: Alcohol Consumption – No (example) |
Patient is currently not drinking alcohol (sober) at the time of assessment. |
| Observation: Family History of Cardiovascular Disease – Positive (example) |
Patient reports a positive family history of cardiovascular disease. |
| Observation: Family History of Diabetes – Positive (example) |
Patient reports a family history of diabetes mellitus. |
| Observation: Metabolic Syndrome Assessment (example) |
Example showing metabolic syndrome present according to NCEP ATP III criteria. |
| Observation: Number of Steps (example) |
Example observation representing the number of steps taken by a person in 24 hours. |
| Observation: Nutrition – Balanced (example) |
Example showing a patient with balanced (healthy) nutrition. |
| Observation: Physical Activity - Below Recommended Level (example) |
Example instance showing a patient whose physical activity level is below recommended standards. |
| Observation: Smoking Consumption - Light cigarette smoker (example) |
Example instance showing a patient who is a light cigarette smoker. |
| Observation: Smoking Status - Current Smoker (example) |
Example instance showing a patient who currently smokes. |
| Observation: Tobacco Smoking Stopped - 2 years ago (example) |
Example instance showing a patient who has stopped smoking 2 years ago. |
| Observation: Tobacco Type Used - Cigarette smoker (example) |
Example instance showing a patient who is a cigarette smoker. |
| Observation: Tobacco Use Duration - 5 years (example) |
Example instance showing a patient who has been smoking for 5 years. |
| Patient: Jonas Petrauskas (example) |
An example Patient conforming to the Lithuanian Base Profile. |
| Practitioner: Dr. Petras Kazlauskas (example) |
An example Practitioner conforming to the Lithuanian Base Profile. |
| QuestionnaireResponse: AUDIT-C (example) |
Minimal QR to which the Observation refers. |
| example-organization |
Example of a healthcare organization |