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Packagelt.hl7.fhir.cvd
Resource TypeQuestionnaire
IdQuestionnaire-questionnaire-cvd-risk-assessment.json
FHIR VersionR5
Sourcehttps://build.fhir.org/ig/HL7LT/ig-lt-cvd/Questionnaire-questionnaire-cvd-risk-assessment.html
URLhttps://hl7.lt/fhir/cvd/Questionnaire/cvd-risk-assessment
Version0.1.0
Statusdraft
Date2025-10-01
NameCvdRiskAssessment
TitlePatient cardiovascular disease risk assessment questionnaire
DescriptionRepresentative 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).

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

Note: links and images are rebased to the (stated) source


English


Generated Narrative: Questionnaire questionnaire-cvd-risk-assessment

Language: en

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. CvdRiskAssessmentRepresentative 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).Questionnairehttps://hl7.lt/fhir/cvd/Questionnaire/cvd-risk-assessment#0.1.0
... grp-contextContext (registrar, institution, workstation — not itemised in this illustrative Questionnaire).0..1group
.... evaluation-datetimeEvaluation date and time1..1dateTime
... grp-chronicAccompanying chronic diseases (programme list)0..1group
.... chronic-condition-summaryRelevant chronic conditions0..1text
... grp-risk-factorsRisk factors0..1group
.... risk-factor-hypertensionArterial hypertension1..1codingOptions: 3 options
.... risk-factor-dyslipidemiaDyslipidemia1..1codingOptions: 3 options
.... risk-factor-diabetesDiabetes1..1codingOptions: 3 options
.... risk-factor-glucose-toleranceGlucose tolerance disorder or fasting glucose disorder1..1codingOptions: 3 options
.... risk-factor-familial-hypercholesterolemiaFamilial hypercholesterolemia1..1codingOptions: 2 options
.... risk-factor-smokingSmoking1..1codingOptions: 3 options
..... smoking-duration-yearsSmoking duration (years)0..1decimalEnable When: risk-factor-smoking = smoking-current (cvd-questionnaire-options#smoking-current)
..... smoking-typeForm of smoking0..*codingEnable When: risk-factor-smoking = smoking-current (cvd-questionnaire-options#smoking-current)
.... risk-factor-physical-activityPhysical activity1..1codingOptions: 2 options
.... risk-factor-nutritionNutrition1..1codingOptions: 2 options
.... risk-factor-alcoholAlcohol consumption1..1codingOptions: 3 options
..... audit-c-scoreAUDIT / AUDIT-C test result interpretation0..1decimalEnable When: risk-factor-alcohol = alcohol-yes (cvd-questionnaire-options#alcohol-yes)
.... risk-factor-family-cvdFamily history of early CVD (men <55, women <60) or early cardiac death1..1codingOptions: 3 options
.... risk-factor-family-diabetesFamily history of diabetes1..1codingOptions: 3 options
... grp-objectiveObjective condition and investigations0..1group
.... height-cmHeight (cm)1..1decimal
.... weight-kgWeight (kg)1..1decimal
.... waist-cmWaist circumference (cm)1..1decimal
.... bp-systolicSystolic blood pressure (mmHg)1..1decimal
.... bp-diastolicDiastolic blood pressure (mmHg)1..1decimal
.... heart-rateHeart rate (bpm)1..1decimal
.... bmi-calculatedBMI (kg/m², automatically calculated)1..1decimal
.... abdominal-obesityAbdominal obesity (waist circumference men ≥ 102 cm, women ≥ 88 cm)1..1codingOptions: 2 options
.... obesity-bmiObesity (BMI ≥ 25)1..1codingOptions: 2 options
... grp-lipidogramLipidogram0..1group
.... lipid-tcTotal cholesterol (mmol/l)1..1decimal
.... lipid-hdlHDL cholesterol (mmol/l)1..1decimal
.... lipid-non-hdlNon-HDL cholesterol (mmol/l)1..1decimal
.... lipid-ldlLDL cholesterol (mmol/l)1..1decimal
.... lipid-tgTriglycerides (mmol/l)1..1decimal
... grp-risk-estimateRisk estimate and group0..1group
.... score2-percentSCORE2 cardiovascular risk (%)0..1decimal
.... metabolic-syndromeMetabolic syndrome (at least 3 out of 5 NCEP ATP III criteria)1..1codingOptions: 2 options
.... risk-group-cvdRisk group for heart and vascular diseases1..1codingOptions: 3 options
.... albumin-creatinine-ratioAlbumin/Creatinine ratio (for patients with diabetes)0..1decimal
... grp-migration-md-parityExtended parity (migration/mapping.md — missing-concepts rows)0..1group
.... mig-encounterEncounter (visit id / context)0..1string
.... mig-practitioner-rolePractitionerRole (workplace / specialist)0..1string
.... mig-heart-rateHeart rate (bpm)0..1decimal
.... mig-bmiBMI (kg/m²)0..1decimal
.... mig-glucose-fastingFasting glucose (mmol/l)1..1decimal
.... mig-hba1cHbA1c (%)1..1decimal
.... mig-creatinineCreatinine1..1decimal
.... mig-egfreGFR1..1decimal
.... mig-alcoholAlcohol consumption (summary)0..1string
.... mig-physical-activityPhysical activity (summary)0..1string
.... mig-nutritionDietary habits / nutrition0..1string
.... mig-family-cvdFamily history of CVD0..1string
.... mig-referralReferral (cardiology / service)0..1string
.... mig-follow-up-appointmentFollow-up visit (appointment)0..1dateTime
.... mig-achievement-roundAchievement evaluation (narrative)0..1text
.... mig-chronic-additionalAdditional chronic conditions0..1text
... grp-ig-example-parityIG example parity (migration already-covered)0..1group
.... ac-patient-contextPatient (context note)0..1string
.... ac-practitioner-contextPractitioner (context note)0..1string
.... ac-organization-contextOrganization (context note)0..1string
.... ac-ekg-summaryECG (summary)0..1text
.... ac-medication-contextMedications (context)0..1text
.... ac-diabetes-durationDiabetes duration0..1text

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")

Lithuanian


Generated Narrative: Questionnaire questionnaire-cvd-risk-assessment

Language: en

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. CvdRiskAssessmentRepresentative 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).Questionnairehttps://hl7.lt/fhir/cvd/Questionnaire/cvd-risk-assessment#0.1.0
... grp-contextContext (registrar, institution, workstation — not itemised in this illustrative Questionnaire).0..1group
.... evaluation-datetimeEvaluation date and time1..1dateTime
... grp-chronicAccompanying chronic diseases (programme list)0..1group
.... chronic-condition-summaryRelevant chronic conditions0..1text
... grp-risk-factorsRisk factors0..1group
.... risk-factor-hypertensionArterial hypertension1..1codingOptions: 3 options
.... risk-factor-dyslipidemiaDyslipidemia1..1codingOptions: 3 options
.... risk-factor-diabetesDiabetes1..1codingOptions: 3 options
.... risk-factor-glucose-toleranceGlucose tolerance disorder or fasting glucose disorder1..1codingOptions: 3 options
.... risk-factor-familial-hypercholesterolemiaFamilial hypercholesterolemia1..1codingOptions: 2 options
.... risk-factor-smokingSmoking1..1codingOptions: 3 options
..... smoking-duration-yearsSmoking duration (years)0..1decimalEnable When: risk-factor-smoking = smoking-current (cvd-questionnaire-options#smoking-current)
..... smoking-typeForm of smoking0..*codingEnable When: risk-factor-smoking = smoking-current (cvd-questionnaire-options#smoking-current)
.... risk-factor-physical-activityPhysical activity1..1codingOptions: 2 options
.... risk-factor-nutritionNutrition1..1codingOptions: 2 options
.... risk-factor-alcoholAlcohol consumption1..1codingOptions: 3 options
..... audit-c-scoreAUDIT / AUDIT-C test result interpretation0..1decimalEnable When: risk-factor-alcohol = alcohol-yes (cvd-questionnaire-options#alcohol-yes)
.... risk-factor-family-cvdFamily history of early CVD (men <55, women <60) or early cardiac death1..1codingOptions: 3 options
.... risk-factor-family-diabetesFamily history of diabetes1..1codingOptions: 3 options
... grp-objectiveObjective condition and investigations0..1group
.... height-cmHeight (cm)1..1decimal
.... weight-kgWeight (kg)1..1decimal
.... waist-cmWaist circumference (cm)1..1decimal
.... bp-systolicSystolic blood pressure (mmHg)1..1decimal
.... bp-diastolicDiastolic blood pressure (mmHg)1..1decimal
.... heart-rateHeart rate (bpm)1..1decimal
.... bmi-calculatedBMI (kg/m², automatically calculated)1..1decimal
.... abdominal-obesityAbdominal obesity (waist circumference men ≥ 102 cm, women ≥ 88 cm)1..1codingOptions: 2 options
.... obesity-bmiObesity (BMI ≥ 25)1..1codingOptions: 2 options
... grp-lipidogramLipidogram0..1group
.... lipid-tcTotal cholesterol (mmol/l)1..1decimal
.... lipid-hdlHDL cholesterol (mmol/l)1..1decimal
.... lipid-non-hdlNon-HDL cholesterol (mmol/l)1..1decimal
.... lipid-ldlLDL cholesterol (mmol/l)1..1decimal
.... lipid-tgTriglycerides (mmol/l)1..1decimal
... grp-risk-estimateRisk estimate and group0..1group
.... score2-percentSCORE2 cardiovascular risk (%)0..1decimal
.... metabolic-syndromeMetabolic syndrome (at least 3 out of 5 NCEP ATP III criteria)1..1codingOptions: 2 options
.... risk-group-cvdRisk group for heart and vascular diseases1..1codingOptions: 3 options
.... albumin-creatinine-ratioAlbumin/Creatinine ratio (for patients with diabetes)0..1decimal
... grp-migration-md-parityExtended parity (migration/mapping.md — missing-concepts rows)0..1group
.... mig-encounterEncounter (visit id / context)0..1string
.... mig-practitioner-rolePractitionerRole (workplace / specialist)0..1string
.... mig-heart-rateHeart rate (bpm)0..1decimal
.... mig-bmiBMI (kg/m²)0..1decimal
.... mig-glucose-fastingFasting glucose (mmol/l)1..1decimal
.... mig-hba1cHbA1c (%)1..1decimal
.... mig-creatinineCreatinine1..1decimal
.... mig-egfreGFR1..1decimal
.... mig-alcoholAlcohol consumption (summary)0..1string
.... mig-physical-activityPhysical activity (summary)0..1string
.... mig-nutritionDietary habits / nutrition0..1string
.... mig-family-cvdFamily history of CVD0..1string
.... mig-referralReferral (cardiology / service)0..1string
.... mig-follow-up-appointmentFollow-up visit (appointment)0..1dateTime
.... mig-achievement-roundAchievement evaluation (narrative)0..1text
.... mig-chronic-additionalAdditional chronic conditions0..1text
... grp-ig-example-parityIG example parity (migration already-covered)0..1group
.... ac-patient-contextPatient (context note)0..1string
.... ac-practitioner-contextPractitioner (context note)0..1string
.... ac-organization-contextOrganization (context note)0..1string
.... ac-ekg-summaryECG (summary)0..1text
.... ac-medication-contextMedications (context)0..1text
.... ac-diabetes-durationDiabetes duration0..1text

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")

Source1

{
  "resourceType": "Questionnaire",
  "id": "questionnaire-cvd-risk-assessment",
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://hl7.lt/fhir/cvd/Questionnaire/cvd-risk-assessment",
  "version": "0.1.0",
  "name": "CvdRiskAssessment",
  "title": "Patient cardiovascular disease risk assessment questionnaire",
  "status": "draft",
  "subjectType": [
    "Patient"
  ],
  "date": "2025-10-01",
  "publisher": "Lithuanian Medical Library",
  "contact": [
    {
      "name": "Lithuanian Medical Library",
      "telecom": [
        {
          "system": "url",
          "value": "https://medicinosnk.lt"
        },
        {
          "system": "email",
          "value": "info@medicinosnk.lt"
        }
      ]
    }
  ],
  "description": "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).",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "LT"
        }
      ]
    }
  ],
  "item": [
    {
      "linkId": "grp-context",
      "text": "Context (registrar, institution, workstation — not itemised in this illustrative Questionnaire).",
      "type": "group",
      "item": [
        {
          "linkId": "evaluation-datetime",
          "text": "Evaluation date and time",
          "type": "dateTime",
          "required": true
        }
      ]
    },
    {
      "linkId": "grp-chronic",
      "text": "Accompanying chronic diseases (programme list)",
      "type": "group",
      "item": [
        {
          "linkId": "chronic-condition-summary",
          "text": "Relevant chronic conditions",
          "type": "text"
        }
      ]
    },
    {
      "linkId": "grp-risk-factors",
      "text": "Risk factors",
      "type": "group",
      "item": [
        {
          "linkId": "risk-factor-hypertension",
          "text": "Arterial hypertension",
          "type": "coding",
          "required": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "risk-factor-no",
                "display": "No"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "risk-factor-untreated",
                "display": "There is, untreated"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "risk-factor-treated",
                "display": "There is, treated"
              }
            }
          ]
        },
        {
          "linkId": "risk-factor-dyslipidemia",
          "text": "Dyslipidemia",
          "type": "coding",
          "required": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "risk-factor-no",
                "display": "No"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "risk-factor-untreated",
                "display": "There is, untreated"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "risk-factor-treated",
                "display": "There is, treated"
              }
            }
          ]
        },
        {
          "linkId": "risk-factor-diabetes",
          "text": "Diabetes",
          "type": "coding",
          "required": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "risk-factor-no",
                "display": "No"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "risk-factor-untreated",
                "display": "There is, untreated"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "risk-factor-treated",
                "display": "There is, treated"
              }
            }
          ]
        },
        {
          "linkId": "risk-factor-glucose-tolerance",
          "text": "Glucose tolerance disorder or fasting glucose disorder",
          "type": "coding",
          "required": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "risk-factor-no",
                "display": "No"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "risk-factor-untreated",
                "display": "There is, untreated"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "risk-factor-treated",
                "display": "There is, treated"
              }
            }
          ]
        },
        {
          "linkId": "risk-factor-familial-hypercholesterolemia",
          "text": "Familial hypercholesterolemia",
          "type": "coding",
          "required": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "risk-factor-no",
                "display": "No"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "risk-factor-present",
                "display": "There is"
              }
            }
          ]
        },
        {
          "linkId": "risk-factor-smoking",
          "text": "Smoking",
          "type": "coding",
          "required": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "smoking-never",
                "display": "Did not smoke"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "smoking-current",
                "display": "Smokes"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "smoking-former",
                "display": "Smoked before"
              }
            }
          ],
          "item": [
            {
              "linkId": "smoking-duration-years",
              "text": "Smoking duration (years)",
              "type": "decimal",
              "enableWhen": [
                {
                  "question": "risk-factor-smoking",
                  "operator": "=",
                  "answerCoding": {
                    "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                    "code": "smoking-current"
                  }
                }
              ]
            },
            {
              "linkId": "smoking-type",
              "text": "Form of smoking",
              "type": "coding",
              "enableWhen": [
                {
                  "question": "risk-factor-smoking",
                  "operator": "=",
                  "answerCoding": {
                    "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                    "code": "smoking-current"
                  }
                }
              ],
              "repeats": true
            }
          ]
        },
        {
          "linkId": "risk-factor-physical-activity",
          "text": "Physical activity",
          "type": "coding",
          "required": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "pa-sufficient",
                "display": "Sufficient"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "pa-insufficient",
                "display": "Insufficient"
              }
            }
          ]
        },
        {
          "linkId": "risk-factor-nutrition",
          "text": "Nutrition",
          "type": "coding",
          "required": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "nutrition-balanced",
                "display": "Balanced"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "nutrition-unbalanced",
                "display": "Unbalanced"
              }
            }
          ]
        },
        {
          "linkId": "risk-factor-alcohol",
          "text": "Alcohol consumption",
          "type": "coding",
          "required": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "alcohol-no",
                "display": "No"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "alcohol-yes",
                "display": "Yes"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "alcohol-unknown",
                "display": "Unknown"
              }
            }
          ],
          "item": [
            {
              "linkId": "audit-c-score",
              "text": "AUDIT / AUDIT-C test result interpretation",
              "type": "decimal",
              "enableWhen": [
                {
                  "question": "risk-factor-alcohol",
                  "operator": "=",
                  "answerCoding": {
                    "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                    "code": "alcohol-yes"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId": "risk-factor-family-cvd",
          "text": "Family history of early CVD (men <55, women <60) or early cardiac death",
          "type": "coding",
          "required": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "family-no",
                "display": "No"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "family-yes",
                "display": "Yes"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "family-unknown",
                "display": "Unknown"
              }
            }
          ]
        },
        {
          "linkId": "risk-factor-family-diabetes",
          "text": "Family history of diabetes",
          "type": "coding",
          "required": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "family-no",
                "display": "No"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "family-yes",
                "display": "Yes"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "family-unknown",
                "display": "Unknown"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId": "grp-objective",
      "text": "Objective condition and investigations",
      "type": "group",
      "item": [
        {
          "linkId": "height-cm",
          "text": "Height (cm)",
          "type": "decimal",
          "required": true
        },
        {
          "linkId": "weight-kg",
          "text": "Weight (kg)",
          "type": "decimal",
          "required": true
        },
        {
          "linkId": "waist-cm",
          "text": "Waist circumference (cm)",
          "type": "decimal",
          "required": true
        },
        {
          "linkId": "bp-systolic",
          "text": "Systolic blood pressure (mmHg)",
          "type": "decimal",
          "required": true
        },
        {
          "linkId": "bp-diastolic",
          "text": "Diastolic blood pressure (mmHg)",
          "type": "decimal",
          "required": true
        },
        {
          "linkId": "heart-rate",
          "text": "Heart rate (bpm)",
          "type": "decimal",
          "required": true
        },
        {
          "linkId": "bmi-calculated",
          "text": "BMI (kg/m², automatically calculated)",
          "type": "decimal",
          "required": true
        },
        {
          "linkId": "abdominal-obesity",
          "text": "Abdominal obesity (waist circumference men ≥ 102 cm, women ≥ 88 cm)",
          "_text": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString": "Derived from WaistCircumference observation interpretation. Use interpretation code to indicate obesity status."
              }
            ]
          },
          "type": "coding",
          "required": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "risk-factor-no",
                "display": "No"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "risk-factor-present",
                "display": "There is"
              }
            }
          ]
        },
        {
          "linkId": "obesity-bmi",
          "text": "Obesity (BMI ≥ 25)",
          "type": "coding",
          "required": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "risk-factor-no",
                "display": "No"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "risk-factor-present",
                "display": "There is"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId": "grp-lipidogram",
      "text": "Lipidogram",
      "type": "group",
      "item": [
        {
          "linkId": "lipid-tc",
          "text": "Total cholesterol (mmol/l)",
          "type": "decimal",
          "required": true
        },
        {
          "linkId": "lipid-hdl",
          "text": "HDL cholesterol (mmol/l)",
          "type": "decimal",
          "required": true
        },
        {
          "linkId": "lipid-non-hdl",
          "text": "Non-HDL cholesterol (mmol/l)",
          "type": "decimal",
          "required": true
        },
        {
          "linkId": "lipid-ldl",
          "text": "LDL cholesterol (mmol/l)",
          "type": "decimal",
          "required": true
        },
        {
          "linkId": "lipid-tg",
          "text": "Triglycerides (mmol/l)",
          "type": "decimal",
          "required": true
        }
      ]
    },
    {
      "linkId": "grp-risk-estimate",
      "text": "Risk estimate and group",
      "type": "group",
      "item": [
        {
          "linkId": "score2-percent",
          "text": "SCORE2 cardiovascular risk (%)",
          "type": "decimal"
        },
        {
          "linkId": "metabolic-syndrome",
          "text": "Metabolic syndrome (at least 3 out of 5 NCEP ATP III criteria)",
          "type": "coding",
          "required": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "risk-factor-no",
                "display": "No"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "risk-factor-present",
                "display": "Yes"
              }
            }
          ]
        },
        {
          "linkId": "risk-group-cvd",
          "text": "Risk group for heart and vascular diseases",
          "type": "coding",
          "required": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "cvd-rg-small-medium",
                "display": "Small to medium"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "cvd-rg-large",
                "display": "Large"
              }
            },
            {
              "valueCoding": {
                "system": "https://hl7.lt/fhir/cvd/CodeSystem/cvd-questionnaire-options",
                "code": "cvd-rg-very-large",
                "display": "Very large"
              }
            }
          ]
        },
        {
          "linkId": "albumin-creatinine-ratio",
          "text": "Albumin/Creatinine ratio (for patients with diabetes)",
          "type": "decimal"
        }
      ]
    },
    {
      "linkId": "grp-migration-md-parity",
      "text": "Extended parity (migration/mapping.md — missing-concepts rows)",
      "type": "group",
      "item": [
        {
          "linkId": "mig-encounter",
          "text": "Encounter (visit id / context)",
          "type": "string"
        },
        {
          "linkId": "mig-practitioner-role",
          "text": "PractitionerRole (workplace / specialist)",
          "type": "string"
        },
        {
          "linkId": "mig-heart-rate",
          "text": "Heart rate (bpm)",
          "type": "decimal"
        },
        {
          "linkId": "mig-bmi",
          "text": "BMI (kg/m²)",
          "type": "decimal"
        },
        {
          "linkId": "mig-glucose-fasting",
          "text": "Fasting glucose (mmol/l)",
          "type": "decimal",
          "required": true
        },
        {
          "linkId": "mig-hba1c",
          "text": "HbA1c (%)",
          "type": "decimal",
          "required": true
        },
        {
          "linkId": "mig-creatinine",
          "text": "Creatinine",
          "type": "decimal",
          "required": true
        },
        {
          "linkId": "mig-egfr",
          "text": "eGFR",
          "type": "decimal",
          "required": true
        },
        {
          "linkId": "mig-alcohol",
          "text": "Alcohol consumption (summary)",
          "type": "string"
        },
        {
          "linkId": "mig-physical-activity",
          "text": "Physical activity (summary)",
          "type": "string"
        },
        {
          "linkId": "mig-nutrition",
          "text": "Dietary habits / nutrition",
          "type": "string"
        },
        {
          "linkId": "mig-family-cvd",
          "text": "Family history of CVD",
          "type": "string"
        },
        {
          "linkId": "mig-referral",
          "text": "Referral (cardiology / service)",
          "type": "string"
        },
        {
          "linkId": "mig-follow-up-appointment",
          "text": "Follow-up visit (appointment)",
          "type": "dateTime"
        },
        {
          "linkId": "mig-achievement-round",
          "text": "Achievement evaluation (narrative)",
          "type": "text"
        },
        {
          "linkId": "mig-chronic-additional",
          "text": "Additional chronic conditions",
          "type": "text"
        }
      ]
    },
    {
      "linkId": "grp-ig-example-parity",
      "text": "IG example parity (migration already-covered)",
      "type": "group",
      "item": [
        {
          "linkId": "ac-patient-context",
          "text": "Patient (context note)",
          "type": "string"
        },
        {
          "linkId": "ac-practitioner-context",
          "text": "Practitioner (context note)",
          "type": "string"
        },
        {
          "linkId": "ac-organization-context",
          "text": "Organization (context note)",
          "type": "string"
        },
        {
          "linkId": "ac-ekg-summary",
          "text": "ECG (summary)",
          "type": "text"
        },
        {
          "linkId": "ac-medication-context",
          "text": "Medications (context)",
          "type": "text"
        },
        {
          "linkId": "ac-diabetes-duration",
          "text": "Diabetes duration",
          "type": "text"
        }
      ]
    }
  ]
}