FHIR IG analytics| Package | lt.hl7.fhir.cvd |
| Resource Type | ImplementationGuide |
| Id | ImplementationGuide-lt.hl7.fhir.cvd.json |
| FHIR Version | R5 |
| Source | https://build.fhir.org/ig/HL7LT/ig-lt-cvd/index.html |
| URL | https://hl7.lt/fhir/cvd/ImplementationGuide/lt.hl7.fhir.cvd |
| Version | 0.0.1 |
| Status | draft |
| Date | 2026-03-31T08:29:44+00:00 |
| Name | LTCvd |
| Title | Lithuanian CVD Implementation Guide |
| Description | Lithuanian CVD Implementation Guide |
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No resources found
Note: links and images are rebased to the (stated) source
FHIR
FHIRsmith{
"resourceType": "ImplementationGuide",
"id": "lt.hl7.fhir.cvd",
"language": "en",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"url": "https://hl7.lt/fhir/cvd/ImplementationGuide/lt.hl7.fhir.cvd",
"version": "0.0.1",
"name": "LTCvd",
"title": "Lithuanian CVD Implementation Guide",
"status": "draft",
"date": "2026-03-31T08:29:44+00:00",
"publisher": "Lithuanian Medical Library",
"contact": [
{
"name": "Lithuanian Medical Library",
"telecom": [
{
"system": "url",
"value": "https://medicinosnk.lt"
},
{
"system": "email",
"value": "info@medicinosnk.lt"
}
]
}
],
"description": "Lithuanian CVD Implementation Guide",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "LT"
}
]
}
],
"packageId": "lt.hl7.fhir.cvd",
"license": "CC0-1.0",
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"uri": "http://hl7.org/fhir/extensions/ImplementationGuide/hl7.fhir.uv.extensions",
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},
{
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"uri": "https://hl7.lt/fhir/lifestyle/ImplementationGuide/lt.hl7.fhir.lifestyle",
"packageId": "lt.hl7.fhir.lifestyle",
"version": "current"
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{
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},
{
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"uri": "https://hl7.lt/fhir/vitalsigns/ImplementationGuide/lt.hl7.fhir.vitalsigns",
"packageId": "lt.hl7.fhir.vitalsigns",
"version": "current"
},
{
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{
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],
"definition": {
"extension": [
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],
"resource": [
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
}
],
"reference": {
"reference": "CodeSystem/abi-component"
},
"name": "ABI Component",
"description": "Component codes for ankle-brachial index observations (laterality).",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/ankle-brachial-index-lt-cvd"
},
"name": "Ankle-Brachial Index (ABI)",
"description": "Ankle-brachial pressure index for peripheral arterial disease assessment.\nIndicated for diabetic patients and smokers within the CVD screening programme.\nInterpretation: > 0.9 normal, 0.41-0.90 mild/moderate PAD, <= 0.40 severe PAD.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/abi-interpretation"
},
"name": "Ankle-Brachial Index Interpretation",
"description": "Interpretation categories for ankle-brachial index (ABI) peripheral arterial disease severity.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
}
],
"reference": {
"reference": "CodeSystem/abi-interpretation"
},
"name": "Ankle-Brachial Index Interpretation",
"description": "Interpretation categories for ankle-brachial index (ABI) peripheral arterial disease severity.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/arterial-stiffness-lt-cvd"
},
"name": "Arterial Stiffness (PWV)",
"description": "Pulse wave velocity (PWV) carotid-femoral measurement for arterial stiffness assessment.\nNormal value: < 10 m/s. Values >= 10 m/s indicate increased arterial stiffness.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/arterial-stiffness-interpretation"
},
"name": "Arterial Stiffness Interpretation",
"description": "Interpretation of pulse wave velocity (PWV) carotid-femoral measurement: normal (< 10 m/s) or increased (>= 10 m/s).",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/cvd-risk-degree"
},
"name": "Cardiovascular Disease Risk Degree (SCORE2)",
"description": "Degree of cardiovascular disease risk according to SCORE2 risk estimation table.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/cvd-risk-group"
},
"name": "Cardiovascular Disease Risk Group",
"description": "Defines the interpretation categories for cardiovascular disease risk assessment results, based on HL7 Observation Interpretation codes.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/care-plan-lt-cvd"
},
"name": "Care Plan: CVD prevention measures (LT)",
"description": "Care plan for cardiovascular disease prevention within the Lithuanian CVD screening programme.\nCaptures prevention targets (LDL cholesterol, blood pressure, BMI), lifestyle interventions\n(smoking cessation, diet, physical activity), and follow-up achievement evaluation.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CarePlan"
}
],
"reference": {
"reference": "CarePlan/care-plan-cvd-screening-example"
},
"name": "Care Plan: CVD Screening (example)",
"description": "An example instance of a CarePlan for a patient at risk of Cardiovascular Disease (CVD), covering goals and activities related to lifestyle changes.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cvd/StructureDefinition/care-plan-lt-cvd|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CarePlan"
}
],
"reference": {
"reference": "CarePlan/skl02-care-plan-3"
},
"name": "Care Plan: ŠKL prevention plan (SKL02)",
"description": "Plan of care with LDL, BP, smoking cessation, diet, physical activity, BMI goals. Migrated from DSTU1.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cvd/StructureDefinition/care-plan-lt-cvd|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CarePlan"
}
],
"reference": {
"reference": "CarePlan/skl03-care-plan-3"
},
"name": "Care Plan: ŠKL progress assessment (SKL03)",
"description": "Care plan goals with achievement status. Migrated from DSTU1.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cvd/StructureDefinition/care-plan-lt-cvd|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CarePlan"
}
],
"reference": {
"reference": "CarePlan/example-cvd-screening-plan-external"
},
"name": "CarePlan: CVD Screening with External Goals (example)",
"description": "CVD screening plan for a patient at high cardiovascular risk, where goals are separate Goal resources referenced by the CarePlan.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cvd/StructureDefinition/care-plan-lt-cvd|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CarePlan"
}
],
"reference": {
"reference": "CarePlan/example-cvd-screening-plan"
},
"name": "CarePlan: CVD Screening with Inline Goals (example)",
"description": "CVD screening plan for a patient at high cardiovascular risk, including goals, risk group, lifestyle recommendations and medication instructions.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cvd/StructureDefinition/care-plan-lt-cvd|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/carotid-plaque-category"
},
"name": "Carotid Plaque Category",
"description": "Categories for atherosclerotic plaque assessment in carotid arteries.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
}
],
"reference": {
"reference": "CodeSystem/carotid-plaque-category"
},
"name": "Carotid Plaque Category",
"description": "Categories for atherosclerotic plaque assessment in carotid arteries.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/carotid-ultrasound-lt-cvd"
},
"name": "Carotid Ultrasound",
"description": "Carotid artery ultrasound for atherosclerotic plaque assessment within CVD screening.\nCaptures plaque categories (none, present, stenosis grades) and intima-media thickness (IMT)\nfor right and left common carotid arteries. IMT > 1.5 mm is considered pathological.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
}
],
"reference": {
"reference": "CodeSystem/carotid-component"
},
"name": "Carotid Ultrasound Component",
"description": "Component codes for carotid artery ultrasound observations (plaque and IMT, laterality).",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Composition"
}
],
"reference": {
"reference": "Composition/composition-cvd-example"
},
"name": "Composition: CVD programme document (example)",
"description": "Synoptic CVD prevention document with assessment (risk and findings), prevention plan (CarePlan), and achievement evaluation (follow-up observations).",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cvd/StructureDefinition/cvd-composition-lt-cvd|1.0.0"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/cvd-composition-lt-cvd"
},
"name": "Composition: CVD programme document (LT)",
"description": "Combined composition for the Lithuanian CVD prevention programme containing all three sections. Use the specific profiles (CvdRiskAssessmentCompositionLtCvd, CvdPreventionPlanCompositionLtCvd, CvdAchievementCompositionLtCvd) when producing individual documents.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Composition"
}
],
"reference": {
"reference": "Composition/composition-cvd-eu-im-example"
},
"name": "Composition: CVD Risk Assessment (EU IM style, cross-IG examples)",
"description": "CVD questionnaire/plan narrative composition: local CVD profiles plus Base, VitalSigns, Lab, Lifestyle analogue examples per mapping.md.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Composition"
}
],
"reference": {
"reference": "Composition/skl02-composition-1"
},
"name": "Composition: ŠKL Plan of care (SKL02)",
"description": "ŠKL prevencijos priemonių planas. Migrated from DSTU1 SKL02.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Composition"
}
],
"reference": {
"reference": "Composition/skl03-composition-1"
},
"name": "Composition: ŠKL Progress note (SKL03)",
"description": "ŠKL prevencijos priemonių plano pasiekimų vertinimas. Migrated from DSTU1 SKL03.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Composition"
}
],
"reference": {
"reference": "Composition/composition-skl-risk-assessment-example"
},
"name": "Composition: ŠKL Risk Assessment (SKL01 format)",
"description": "Example composition mirroring SKL01 XML structure; references migrated skl01 instances.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Composition"
}
],
"reference": {
"reference": "Composition/skl01-composition-1"
},
"name": "Composition: ŠKL Risk Assessment (SKL01)",
"description": "ŠKL rizikos vertinimas. Migrated from DSTU1 SKL01.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Condition"
}
],
"reference": {
"reference": "Condition/condition-cvd-heart-failure-example"
},
"name": "Condition: CVD Heart Failure (example)",
"description": "Example instance showing a patient with a high-risk condition of heart failure.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cvd/StructureDefinition/cvd-chronic-condition-lt-cvd|1.0.0"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Condition"
}
],
"reference": {
"reference": "Condition/351"
},
"name": "Condition: DSTU1 Legacy chronic condition (id:351)",
"description": "Minimal stub for the DSTU1 chronic disease referenced in the SKL01 diagnosis list.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/coronary-calcium-score-lt-cvd"
},
"name": "Coronary Artery Calcium Score (Agatston)",
"description": "Coronary artery calcium score (Agatston method) for CVD risk stratification.\nOrdered when the need for medication treatment is unclear or the patient does not tolerate statins.\nSix-level interpretation: 0 (no calcification), 1-10 (minimal), 11-100 (mild),\n101-400 (moderate), 401-1000 (significant), > 1000 (very significant).",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/coronary-calcium-interpretation"
},
"name": "Coronary Artery Calcium Score Interpretation",
"description": "Six-level interpretation scale for coronary artery calcium (Agatston) score.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
}
],
"reference": {
"reference": "CodeSystem/coronary-calcium-interpretation"
},
"name": "Coronary Artery Calcium Score Interpretation",
"description": "Six-level interpretation scale for coronary artery calcium (Agatston) score.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/cvd-composition-code"
},
"name": "CVD Composition Codes",
"description": "Concepts representing codes used in Cvd Composition.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/cvd-chronic-condition-lt-cvd"
},
"name": "CVD High Risk Condition",
"description": "Condition profile for CVD high-risk chronic conditions (e.g. heart failure, CKD).",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/cvd-high-risk-condition"
},
"name": "CVD High Risk Conditions",
"description": "ICD-10 codes representing conditions that significantly increase cardiovascular disease risk, often used for risk stratification in Screening programs.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
}
],
"reference": {
"reference": "CodeSystem/cvd-questionnaire-prevention-plan-item"
},
"name": "CVD prevention plan questionnaire item (linkId)",
"description": "Stable linkId values for the illustrative ESPBI form 2 Questionnaire; used as ConceptMap source codes.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ConceptMap"
}
],
"reference": {
"reference": "ConceptMap/conceptmap-cvd-prevention-plan-questionnaire"
},
"name": "CVD prevention plan Questionnaire item → profile mapping",
"description": "Maps ESPBI form 2 Questionnaire linkIds to Lithuanian FHIR profiles and related IGs. Human-readable narrative is in each target.comment. Source: linkId codes; target: profile identifiers (CodeSystem cvd-questionnaire-mapping-target).",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
}
],
"reference": {
"reference": "CodeSystem/cvd-questionnaire-mapping-target"
},
"name": "CVD questionnaire mapping target (profiles)",
"description": "Target codes for ConceptMap rows: Lithuanian programme StructureDefinitions and related profiles referenced from ESPBI Questionnaires.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
}
],
"reference": {
"reference": "CodeSystem/cvd-questionnaire-risk-assessment-item"
},
"name": "CVD risk assessment questionnaire item (linkId)",
"description": "Stable linkId values for the illustrative ESPBI form 1 Questionnaire; used as ConceptMap source codes.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ConceptMap"
}
],
"reference": {
"reference": "ConceptMap/conceptmap-cvd-risk-assessment-questionnaire"
},
"name": "CVD risk assessment Questionnaire item → profile mapping",
"description": "Maps ESPBI form 1 Questionnaire linkIds to Lithuanian FHIR profiles and related IGs. \nHuman-readable narrative is in each target.comment; Questionnaire.item.definition repeats canonical StructureDefinition URIs where applicable. \nSource: linkId codes; target: profile identifiers (CodeSystem cvd-questionnaire-mapping-target).\n\nAligned with DSTU1 data structures.\n\nIn DSTU1, the CarePlan used inline `<goal>` elements with extensions for target values and\n`<activity>` elements for lifestyle interventions. In R5:\n\n- **Goals** are referenced via `CarePlan.goal` pointing to standalone `Goal` resources\n (or contained inline). Goal types: LDL target, BP target, BMI target, weight loss ≥5%.\n- **Activities** use `CarePlan.activity.plannedActivityReference` for structured references\n or `CarePlan.activity.performedActivity` for completed activities.\n- **Risk group** moved from DSTU1 inline Observation to an extension on CarePlan.\n- **Informational text** (healthy nutrition, healthy weight, regular medication) is carried\n in `CarePlan.note` or `CarePlan.supportingInfo.display`.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/risk-group-observation-lt-cvd"
},
"name": "CVD Risk Group",
"description": "Records the patient's cardiovascular Screening risk classification, expressed as a percentage value and interpreted using HL7 Observation Interpretation codes.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
}
],
"reference": {
"reference": "StructureDefinition/risk-group-ext-lt-cvd"
},
"name": "CVD Risk Group Extension",
"description": "Cardiovascular disease risk classification for the patient (Large or Very large).",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "DiagnosticReport"
}
],
"reference": {
"reference": "DiagnosticReport/diagnosticreport-cvd-example"
},
"name": "DiagnosticReport: CVD programme report (example)",
"description": "Example DiagnosticReport anchoring the CVD composition and listing all Observations included in the programme document (assessment and achievement).",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cvd/StructureDefinition/cvd-report-lt-cvd|1.0.0"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/cvd-report-lt-cvd"
},
"name": "DiagnosticReport: CVD programme report (LT)",
"description": "Anchor resource for the Lithuanian CVD prevention programme document: links a **CvdComposition** narrative with **Observation** results (SCORE2, risk group, EKG, etc.). Modelled after the **ImagingReport** pattern (DiagnosticReport + Composition) but specialised for cardiovascular screening and prevention rather than imaging.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/echocardiography-lt-cvd"
},
"name": "Echocardiography",
"description": "Echocardiography observation for CVD screening.\nCaptures left ventricular ejection fraction (EF), EF category, and optional established pathology (ICD-10).",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/ejection-fraction-category"
},
"name": "Ejection Fraction Category",
"description": "Categories for left ventricular ejection fraction (LVEF) classification.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
}
],
"reference": {
"reference": "CodeSystem/ejection-fraction-category"
},
"name": "Ejection Fraction Category",
"description": "Categories for left ventricular ejection fraction (LVEF) classification.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/ekg-lt-cvd"
},
"name": "EKG",
"description": "Electrocardiogram (EKG/ECG) observation using 12 leads and SampledData data type.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/ekg-result-interpretation"
},
"name": "EKG Result Interpretation",
"description": "SNOMED CT codes for interpreting electrocardiogram (EKG/ECG) findings within the Lithuanian CVD screening programme.\nIncludes both high-level interpretation (normal/abnormal) and specific finding codes.\nMultiple findings may be recorded simultaneously (e.g., abnormal + atrial fibrillation).\nFree-text \"Other\" findings should be captured in Observation.note.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Encounter"
}
],
"reference": {
"reference": "Encounter/1000017570"
},
"name": "Encounter: DSTU1 Legacy (id:1000017570)",
"description": "Minimal stub for the DSTU1 encounter referenced by SKL01/02/03 migration composition examples.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Goal"
}
],
"reference": {
"reference": "Goal/example-goal-bp"
},
"name": "Goal: Blood Pressure (example)",
"description": "Target BP 120–129/<80 mmHg.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Goal"
}
],
"reference": {
"reference": "Goal/example-goal-bmi"
},
"name": "Goal: Body Mass Index (example)",
"description": "Target BMI 22.5 kg/m² (healthy weight range 18.5–24.9).",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Goal"
}
],
"reference": {
"reference": "Goal/example-goal-ldl"
},
"name": "Goal: LDL Cholesterol (example)",
"description": "Target LDL Cholesterol < 1.8 mmol/L.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "List"
}
],
"reference": {
"reference": "List/skl01-list-concomitant-risk-factors"
},
"name": "List: Concomitant risk factors (SKL01)",
"description": "Rizikos veiksniai. Migrated from DSTU1 cid:18espbi.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "List"
}
],
"reference": {
"reference": "List/skl01-list-cvd-risk-factors"
},
"name": "List: CVD risk factors (SKL01)",
"description": "ŠKL rizikos veiksniai. Migrated from DSTU1 cid:18cvd.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "List"
}
],
"reference": {
"reference": "List/skl01-list-meds-dispensed"
},
"name": "List: Medication dispensed (SKL01)",
"description": "Prescription medications list. Migrated from DSTU1 cid:3disp.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "List"
}
],
"reference": {
"reference": "List/skl01-list-diagnoses"
},
"name": "List: Past and current chronic diseases (SKL01)",
"description": "Hospital discharge diagnosis note list. Migrated from DSTU1 cid:2.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "List"
}
],
"reference": {
"reference": "List/skl01-list-meds-statement"
},
"name": "List: Patient medication list (SKL01)",
"description": "Non-prescription medications. Migrated from DSTU1 cid:3stmt.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
}
],
"reference": {
"reference": "Medication/1000017575"
},
"name": "Medication: DSTU1 Legacy (id:1000017575)",
"description": "Minimal stub for the DSTU1 medication referenced in the SKL01 MedicationStatement.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationDispense"
}
],
"reference": {
"reference": "MedicationDispense/1000043"
},
"name": "MedicationDispense: DSTU1 Legacy (id:1000043)",
"description": "Minimal stub for the DSTU1 dispensed medication referenced in the SKL01 medications-dispensed list.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationStatement"
}
],
"reference": {
"reference": "MedicationStatement/skl01-medication-statement-32"
},
"name": "MedicationStatement: Current medication (SKL01)",
"description": "Non-prescription medication. Migrated from DSTU1 cid:32.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationStatement"
}
],
"reference": {
"reference": "MedicationStatement/medication-statement-screening-example"
},
"name": "MedicationStatement: Screening (example)",
"description": "Example instance of a MedicationStatement for screening programs.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl01-observation-alcohol-189"
},
"name": "Observation: Alcohol consumption (SKL01)",
"description": "Alkoholio vartojimas. Migrated from DSTU1 cid:189.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl01-observation-bp-panel-197"
},
"name": "Observation: Blood pressure panel (SKL01)",
"description": "Sistolinis ir diastolinis kraujospūdis. Migrated from DSTU1 cid:197.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl03-observation-bp-panel-8"
},
"name": "Observation: Blood pressure panel (SKL03)",
"description": "Blood pressure systolic and diastolic. Migrated from DSTU1 cid:8.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl01-observation-bmi-196"
},
"name": "Observation: BMI (SKL01)",
"description": "KMI 26.23 kg/m2. Migrated from DSTU1 cid:196.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl03-observation-bmi-11"
},
"name": "Observation: BMI (SKL03)",
"description": "Body mass index 29.1 kg/m2. Migrated from DSTU1 cid:11.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl01-observation-height-8"
},
"name": "Observation: Body height (SKL01)",
"description": "Body height 188 cm. Migrated from DSTU1 cid:8.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl03-observation-height-9"
},
"name": "Observation: Body height (SKL03)",
"description": "Body height 176 cm. Migrated from DSTU1 cid:9.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl01-observation-weight-9"
},
"name": "Observation: Body weight (SKL01)",
"description": "Kūno svoris 76 kg. Migrated from DSTU1 cid:9.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl03-observation-weight-10"
},
"name": "Observation: Body weight (SKL03)",
"description": "Body weight 90 kg. Migrated from DSTU1 cid:10.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl03-observation-comment-4"
},
"name": "Observation: Comment (SKL03)",
"description": "Annotation comment. Migrated from DSTU1 cid:4.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl01-observation-risk-group-1104"
},
"name": "Observation: CVD risk group (SKL01)",
"description": "Širdies ir kraujagyslių ligų rizikos grupė – High. Migrated from DSTU1 cid:1104.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-risk-group-high-example"
},
"name": "Observation: CVD Risk Group High (example)",
"description": "Example showing a patient assessed as having a 24% cardiovascular disease risk, categorized as High.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cvd/StructureDefinition/risk-group-observation-lt-cvd|1.0.0"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-diabetes-duration-gt10-example"
},
"name": "Observation: Diabetes Duration > 10 Years (example)",
"description": "Example showing a patient who has had Diabetes Mellitus for more than 10 years.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl01-observation-diabetes-duration-184"
},
"name": "Observation: Diabetes duration >10 years (SKL01)",
"description": "Ar CD > 10 metų? Migrated from DSTU1 cid:184.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl01-observation-diabetes-183"
},
"name": "Observation: Diabetes risk factor (SKL01)",
"description": "Cukrinis diabetas – Yra. Migrated from DSTU1 cid:183.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cvd/StructureDefinition/risk-factor-status-lt-cvd|1.0.0"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-diabetes-untreated-example"
},
"name": "Observation: Diabetes Untreated (example)",
"description": "Example showing a patient with confirmed diabetes mellitus but not yet receiving treatment.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cvd/StructureDefinition/risk-factor-status-lt-cvd|1.0.0"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl01-observation-diastolic-1981"
},
"name": "Observation: Diastolic BP (SKL01)",
"description": "Kraujospūdis: diastolinis 60 mm[Hg]. Migrated from DSTU1 cid:1981.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl03-observation-diastolic-82"
},
"name": "Observation: Diastolic BP (SKL03)",
"description": "Diastolic blood pressure 84 mm[Hg]. Migrated from DSTU1 cid:82.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl01-observation-diet-188"
},
"name": "Observation: Diet (SKL01)",
"description": "Mityba. Migrated from DSTU1 cid:188.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl01-observation-dyslipidemia-182"
},
"name": "Observation: Dyslipidemia risk factor (SKL01)",
"description": "Dislipidemija – Yra. Migrated from DSTU1 cid:182.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cvd/StructureDefinition/risk-factor-status-lt-cvd|1.0.0"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-dyslipidemia-treated-example"
},
"name": "Observation: Dyslipidemia Treated (example)",
"description": "Example showing a patient with confirmed dyslipidemia currently under lipid-lowering therapy.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cvd/StructureDefinition/risk-factor-status-lt-cvd|1.0.0"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-ekg-normal-example"
},
"name": "Observation: EKG Normal (example)",
"description": "Example of a normal 12-lead EKG recording with sampled waveform data.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cvd/StructureDefinition/ekg-lt-cvd|1.0.0"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl01-observation-evaluation-panel-110"
},
"name": "Observation: Evaluation note panel (SKL01)",
"description": "Automatiniai skaičiavimai/vertinimai. Migrated from DSTU1 cid:110.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-cvd-followup-bp-example"
},
"name": "Observation: Follow-up blood pressure (example)",
"description": "Example follow-up systolic/diastolic blood pressure for achievement evaluation.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-cvd-followup-ldl-example"
},
"name": "Observation: Follow-up LDL cholesterol (example)",
"description": "Example follow-up LDL measurement for achievement evaluation (CVD prevention programme).",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl01-observation-heart-rate-199"
},
"name": "Observation: Heart rate (SKL01)",
"description": "Širdies susitraukimų dažnis 72 bpm. Migrated from DSTU1 cid:199.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-hypertension-negligible-example"
},
"name": "Observation: Hypertension Negligible Risk (example)",
"description": "Example showing a patient with negligible risk for hypertension; treatment not indicated.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cvd/StructureDefinition/risk-factor-status-lt-cvd|1.0.0"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl01-observation-hypertension-181"
},
"name": "Observation: Hypertension risk factor (SKL01)",
"description": "Hipertenzija – Yra. Migrated from DSTU1 cid:181.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cvd/StructureDefinition/risk-factor-status-lt-cvd|1.0.0"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-impaired-glucose-tolerance-example"
},
"name": "Observation: Impaired Glucose Tolerance (example)",
"description": "Example showing a patient identified with impaired glucose tolerance or impaired fasting glycemia.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cvd/StructureDefinition/risk-factor-status-lt-cvd|1.0.0"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl01-observation-igt-185"
},
"name": "Observation: Impaired glucose tolerance (SKL01)",
"description": "Gliukozės tolerancijos sutrikimas – Yra. Migrated from DSTU1 cid:185.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cvd/StructureDefinition/risk-factor-status-lt-cvd|1.0.0"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl01-observation-lab-panel-191"
},
"name": "Observation: Laboratory studies panel (SKL01)",
"description": "Laboratoriniai tyrimai. Migrated from DSTU1 cid:191.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl03-observation-lab-panel-14"
},
"name": "Observation: Laboratory studies panel (SKL03)",
"description": "Laboratory studies set with LDL result. Migrated from DSTU1 cid:14.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl01-observation-ldl-1915"
},
"name": "Observation: LDL cholesterol (SKL01)",
"description": "MTL cholesterolis 2.8 mmol/L. Migrated from DSTU1 cid:1915.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl03-observation-ldl-7"
},
"name": "Observation: LDL cholesterol (SKL03)",
"description": "LDL cholesterol 1.7 mmol/L. Migrated from DSTU1 cid:7 (medicinosnk.lt code 39469-2).",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl01-observation-metabolic-syndrome-1102"
},
"name": "Observation: Metabolic syndrome (SKL01)",
"description": "Metabolinis sindromas – No. Migrated from DSTU1 cid:1102.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl02-observation-recommendations-4"
},
"name": "Observation: Other recommendations (SKL02)",
"description": "Diagnosis recommendations narrative. Migrated from DSTU1.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl01-observation-overweight-193"
},
"name": "Observation: Overweight or obesity (SKL01)",
"description": "Antsvoris arba nutukimas – Yra. Migrated from DSTU1 cid:193.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl01-observation-physical-activity-187"
},
"name": "Observation: Physical activity (SKL01)",
"description": "Fizinis aktyvumas. Migrated from DSTU1 cid:187.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/skl01-observation-score2-1103"
},
"name": "Observation: SCORE2 (SKL01)",
"description": "Bendras ŠKL rizikos vertinimas 20%. Migrated from DSTU1 cid:1103.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
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