ACP-zib2017
type: Questionnaire
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id:
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text:
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  div:
    v: Generated Narrative: Questionnaire ACP-zib2017 Structure LinkID Text Cardinality Type Flags Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> ACPzib2017 This form was developed to clearly document agreements resulting from the advance care planning (ACP) process. It is NOT a checklist. It can only be completed by a healthcare provider after a professional and nuanced conversation. For advice on conducting these conversations, please refer to the guideline for proactive care planning in the palliative phase and Palliaweb, see https://palliaweb.nl/zorgpraktijk/proactieve-zorgplanning. Enter 'unknown' if a topic is not discussed or if the patient does not (yet) have an opinion.When transferring to a long-term care setting, consider adding conversation records about advance care planning (ACP) to the transfer documents. Questionnaire https://api.iknl.nl/docs/pzp/stu3/Questionnaire/ACP-zib2017#1.0.0-alpha1 #xD; 385 Datum van invullen 0..1 dateTime #xD; 7 Naam patiënt 0..1 group #xD; 386 Voornamen 0..1 string #xD; 387 Voorvoegsels 0..1 string #xD; 388 Achternaam 0..1 string #xD; 6 Geboortedatum patiënt 0..1 dateTime #xD; 8 Gesprek gevoerd door: 0..1 group #xD; 16 Naam zorgverlener 0..1 group #xD; 389 Voornamen 0..1 string #xD; 390 Voorvoegsels 0..1 string #xD; 391 Achternaam 0..1 string #xD; 786 Functie (Specialisme) 0..1 choice Options: 6 options #xD; 26 1.. Wilsbekwaamheid & Wettelijke vertegenwoordiging 0..1 group #xD; 787 Is de patiënt op dit moment wilsbekwaam m.b.t. medische behandelbeslissingen? 0..1 choice Options: 2 options #xD; 788 Toelichting 0..1 string #xD; 29 Bij wilsonbekwaamheid m.b.t. medische behandelbeslissingen is/wordt de wettelijke vertegenwoordiger: 0..1 group #xD; 30 a). Naam wettelijk vertegenwoordiger 0..1 group #xD; 392 Voornamen 0..1 string #xD; 393 Voorvoegsels 0..1 string #xD; 394 Achternaam 0..1 string #xD; 39 b). Contactgegevens wettelijk vertegenwoordiger 0..1 group #xD; 40 Telefoonnummers 0..* gro…
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name:
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title:
  v: Uniform vastleggen proactieve zorgpanning advance care planning (ACP) o.b.v. zibs2017 - Beta3 28-08-2025
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experimental:
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date:
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publisher:
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description:
  v: This form was developed to clearly document agreements resulting from the advance care planning (ACP) process. It is NOT a checklist. It can only be completed by a healthcare provider after a professional and nuanced conversation. For advice on conducting these conversations, please refer to the guideline for proactive care planning in the palliative phase and Palliaweb, see https://palliaweb.nl/zorgpraktijk/proactieve-zorgplanning. Enter 'unknown' if a topic is not discussed or if the patient does not (yet) have an opinion.When transferring to a long-term care setting, consider adding conversation records about advance care planning (ACP) to the transfer documents.
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item:
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v: urn:oid:2.16.840.1.113883.2.4.3.11.22.472
l: 2.16.840.1.113883.2.4.3.11.22.472

v: 9

value: Coding
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value: Coding
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  display:
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value: Coding
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value: Coding
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value: Coding
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value: Coding
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link id:
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text:
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type:
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enable when:
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required:
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link id:
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prefix:
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type:
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item:
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item:
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link id:
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prefix:
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text:
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item:
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v: 89666000

v: Cardiopulmonale resuscitatie (verrichting)

v: urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4
l: 2.16.840.1.113883.2.4.3.11.60.40.4

v: JA

v: Ja

v: urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4
l: 2.16.840.1.113883.2.4.3.11.60.40.4

v: JA_MAAR

v: Ja, maar met beperkingen

v: urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4
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v: NEE

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Coding
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code:
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v: 48767-8

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v: Kunstmatige beademing (verrichting)

v: urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4
l: 2.16.840.1.113883.2.4.3.11.60.40.4

v: JA

v: Ja

v: urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4
l: 2.16.840.1.113883.2.4.3.11.60.40.4

v: JA_MAAR

v: Ja, maar met beperkingen

v: urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4
l: 2.16.840.1.113883.2.4.3.11.60.40.4

v: NEE

v: Nee

v: UNK

v: Onbekend

v: 588

Coding
system:
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  l: 2.16.840.1.113883.2.4.3.11.60.40.4
code:
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v: 48767-8

v: choice

v: false

v: false

v: false

value: Coding
  type: http://snomed.info/id/305351004
  system:
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  display:
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Coding
type: http://snomed.info/id/305351004
system:
  v: http://snomed.info/sct
  l: sct
code:
  v: 305351004
display:
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link id:
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text:
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required:
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repeats:
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option:
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option:
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      l: 2.16.840.1.113883.2.4.3.11.60.40.4
    code:
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    display:
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option:
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      l: 2.16.840.1.113883.2.4.3.11.60.40.4
    code:
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option:
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    system:
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    display:
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item:
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  enable when:
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  repeats:
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item:
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  repeats:
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link id:
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text:
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type:
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repeats:
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item:
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  code: http://snomed.info/id/50731006
    system:
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      display:
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  initial: Coding
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item:
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  option:
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item:
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