Advance Care Planning (PZP)
1.0.0-rc2 - trial-use

Advance Care Planning (PZP), published by IKNL. This guide is not an authorized publication; it is the continuous build for version 1.0.0-rc2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IKNL/PZP-FHIR-R4/ and changes regularly. See the Directory of published versions

## Data Model Overview

This page provides an overview of the FHIR profiles used to represent the ACP dataset, many of which are based on nl-core profiles.

### FHIR Data Model Overview

The diagram below illustrates the FHIR data model for this implementation guide. The resources represent the core event where the advance care plan is discussed, the individuals involved in the ACP process, the documented outcomes of the ACP and additional clinical context relevant to the ACP agreements.

#### Data Model Overview Diagram

flowchart TB %% ---- Style Definitions for Categories ---- classDef C0 fill:#e6f3ff,stroke:#b3d9ff,color:#000 classDef C1 fill:#e6ffe6,stroke:#b3ffb3,color:#000 classDef C2 fill:#fff5e6,stroke:#ffddb3,color:#000 classDef C3 fill:#f0e6ff,stroke:#d9b3ff,color:#000 classDef C4 fill:#f2f2f2,stroke:#cccccc,color:#000 %% ---- Subgraph Definitions ---- subgraph "CommunicationRequest" ACPInformRelativesRequest end subgraph "Consent" ACPAdvanceDirective ACPTreatmentDirective end subgraph "Device" ACPMedicalDeviceProductICD end subgraph "DeviceUseStatement" ACPMedicalDevice end subgraph "Encounter" ACPEncounter end subgraph "Goal" ACPMedicalPolicyGoal end subgraph "Patient" ACPPatient end subgraph "Practitioner" ACPHealthProfessionalPractitioner end subgraph "PractitionerRole" ACPHealthProfessionalPractitionerRole end subgraph "Procedure" ACPProcedure end subgraph "RelatedPerson" ACPContactPerson end subgraph "Observation" ACPOrganDonationChoiceRegistration ACPPositionRegardingEuthanasia ACPPreferredPlaceOfDeath ACPSenseOfPurpose ACPSpecificCareWishes end %% ---- Style Assignments ---- class ACPInformRelativesRequest C2 class ACPAdvanceDirective C0 class ACPTreatmentDirective C0 class ACPMedicalDeviceProductICD C2 class ACPMedicalDevice C2 class ACPEncounter C3 class ACPMedicalPolicyGoal C0 class ACPSpecificCareWishes C0 class ACPPreferredPlaceOfDeath C0 class ACPPositionRegardingEuthanasia C0 class ACPOrganDonationChoiceRegistration C0 class ACPSenseOfPurpose C0 class ACPPatient C1 class ACPHealthProfessionalPractitioner C1 class ACPHealthProfessionalPractitionerRole C1 class ACPProcedure C3 class ACPContactPerson C1 %% ---- Resource Type References ---- CommunicationRequest -- "encounter" --> Encounter CommunicationRequest -- "sender, subject" --> Patient CommunicationRequest -- "requester" --> PractitionerRole CommunicationRequest -- "recipient" --> RelatedPerson Consent -- "patient, provision.actor" --> Patient Consent -- "provision.actor" --> PractitionerRole Consent -- "provision.actor" --> RelatedPerson DeviceUseStatement -- "device" --> Device DeviceUseStatement -- "subject" --> Patient DeviceUseStatement -- "extension" --> PractitionerRole Encounter -- "subject" --> Patient Encounter -- "participant" --> PractitionerRole Encounter -- "reasonReference" --> Procedure Encounter -- "participant" --> RelatedPerson Goal -- "subject" --> Patient Observation -- "encounter" --> Encounter Observation -- "subject" --> Patient Observation -- "performer" --> PractitionerRole Patient -- "contact.extension" --> RelatedPerson PractitionerRole -- "practitioner" --> Practitioner Procedure -- "encounter" --> Encounter Procedure -- "performer, subject" --> Patient Procedure -- "performer" --> PractitionerRole Procedure -- "performer" --> RelatedPerson RelatedPerson -- "patient" --> Patient

### ACP Questionnaire

A patient's ACP preferences can be documented using a structured form, such as the one developed by IKNL. This implementation guide provides a corresponding FHIR Questionnaire resource to ensure standardized and interoperable data capture.

The Questionnaire's primary function is to specify its identity and question identifiers required to capture answers in a QuestionnaireResponse. The Questionnaire is based on the ACP form dataset and aims to preserve the zib structure as much as possible. To ensure the intended meaning is preserved in both the Questionnaire and QuestionnaireResponse, some questions correspond to zib concepts with preset answer codes that are marked as readOnly. This approach tightly couples the Questionnaire and QuestionnaireResponse to the underlying zib data model. The Questionnaire is not specifically designed for direct use in a user interface, though this is possible. For optimal user interaction, the questionnaire may need customization, for example, hiding preselected and read-only questions.

Two example QuestionnaireResponse resources, based on this Questionnaire, are included:

- QuestionnaireResponse for Hendrik Hartman (01-01-2020)
- QuestionnaireResponse for Hendrik Hartman (08-11-2022)

### Associating ACP dataset to FHIR

The FHIR profiles in this guide are directly linked to the ACP dataset elements published in ART-DECOR.

Each StructureDefinition includes a `StructureDefinition.mapping.uri` that points to the specific version of the ACP dataset used. Additionally, every element within a profile is individually mapped to its corresponding dataset element using the `ElementDefinition.mapping` property. The mapping table below shows all mappings in one view, while the "Mappings" tab of each profile page displays the mappings consolidated per profile. These mappings provide a straightforward way to highlight the elements that are especially relevant for the ACP use case.

#### Obligation flags

To indicate which elements are essential for the ACP use case, Obligation flags have been added to all elements mapped to the ACP dataset. These flags are visible in the formal profile views.

In this version of the IG, Obligation flags are applied to all mapped elements, regardless of whether the dataset element is mandatory or optional. The obligations are defined for the following actors:

- ACP Actor Provider: `SHALL:populate-if-known`
- ACP Actor Consulter: `SHALL:no-error`

In future versions of the IG, these obligations may be refined on a per-element basis.

#### Note on referenced zibs

The ACP dataset is built from reusable components known as Zorginformatiebouwstenen (zibs). A zib can reference other zibs to create a comprehensive clinical picture. The ACP dataset, however, only includes the first level of these references. If a nested zib (i.e., a zib referenced by another) was not deemed essential for the primary ACP use case, it was not added to the dataset and is therefore not profiled or mapped in this guide.

Nevertheless, the FHIR profiles in this guide are based on the nl-core (zib) profiles and remain open by design. If a system contains deeper information that is not explicitly profiled in this ACP guide, it is encouraged to include it.

For example, the zib AdvanceDirective can reference the zib Problem to which the directive applies. While this guide does not define a specific ACP profile for the target Problem, this data provides important context. When including such information, systems should make it available by conforming to the general-purpose nl-core profiles for those resources.

#### Mappings by dataset ID

This table provides an overview of all dataset elements that are mapped to FHIR profiles in this implementation guide.

ID | Dataset name | Resource | FHIR element
--- | --- | --- | ---
808 | Contact | Encounter (ACPEncounter) | ``
809 | ContactType | Encounter (ACPEncounter) | `class`
810 | ContactMet | Encounter (ACPEncounter) | `participant`
842 | Gesprek gevoerd door (Zorgverlener) | Encounter (ACPEncounter) | `participant[healthProfessional].individual`
814 | BeginDatumTijd | Encounter (ACPEncounter) | `period.start`
819 | Verrichting | Encounter (ACPEncounter) | `reasonReference[procedure]`
820 | Verrichting | Procedure (ACPProcedure) | ``
827 | PZP-gesprek (VerrichtingType) | Procedure (ACPProcedure) | `code`
822 | ToelichtingRedenContact | Encounter (ACPEncounter) | `reasonReference.extension[commentContactReason]`
822 | ToelichtingRedenContact | Encounter (ACPEncounter) | `reasonCode[deviatingResult].extension[commentContactReason]`
736 | Datum van invullen | Encounter (ACPEncounter) | `period.start`
351 | Patient | Patient (ACPPatient) | ``
352 | Naamgegevens | Patient (ACPPatient) | `name`
353 | Voornamen | Patient (ACPPatient) | `name[nameInformation].given`
354 | Initialen | Patient (ACPPatient) | `name[nameInformation].given`
355 | Roepnaam | Patient (ACPPatient) | `name[nameInformation-GivenName].given`
356 | Naamgebruik | Patient (ACPPatient) | `name[nameInformation].use`
358 | Voorvoegsels | Patient (ACPPatient) | `name[nameInformation].family.extension[prefix]`
359 | Achternaam | Patient (ACPPatient) | `name[nameInformation].family.extension[lastName]`
361 | VoorvoegselsPartner | Patient (ACPPatient) | `name[nameInformation].family.extension[partnerPrefix]`
362 | AchternaamPartner | Patient (ACPPatient) | `name[nameInformation].family.extension[partnerLastName]`
363 | Titels | Patient (ACPPatient) | `name[nameInformation].suffix`
364 | Adresgegevens | Patient (ACPPatient) | `address`
365 | Straat | Patient (ACPPatient) | `address.line.extension[streetName]`
366 | Huisnummer | Patient (ACPPatient) | `address.line.extension[houseNumber]`
367 | Huisnummerletter | Patient (ACPPatient) | `address.line.extension[houseNumberLetter-houseNumberAddition]`
368 | Huisnummertoevoeging | Patient (ACPPatient) | `address.line.extension[houseNumberLetter-houseNumberAddition]`
369 | AanduidingBijNummer | Patient (ACPPatient) | `address.line.extension[houseNumberIndication]`
370 | Postcode | Patient (ACPPatient) | `address.postalCode`
371 | Woonplaats | Patient (ACPPatient) | `address.city`
372 | Gemeente | Patient (ACPPatient) | `address.district`
373 | Land | Patient (ACPPatient) | `address.country.extension[countryCode]`
374 | AdditioneleInformatie | Patient (ACPPatient) | `address.line.extension[additionalInformation]`
375 | AdresSoort | Patient (ACPPatient) | `address.use`
375 | AdresSoort | Patient (ACPPatient) | `address.type`
376 | Contactgegevens | Patient (ACPPatient) | `telecom`
377 | Telefoonnummers | Patient (ACPPatient) | `telecom[telephoneNumbers]`
378 | Telefoonnummer | Patient (ACPPatient) | `telecom[telephoneNumbers].value`
379 | TelecomType | Patient (ACPPatient) | `telecom[telephoneNumbers].system`
379 | TelecomType | Patient (ACPPatient) | `telecom[telephoneNumbers].system.extension[telecomType].valueCodeableConcept`
380 | NummerSoort | Patient (ACPPatient) | `telecom[telephoneNumbers].use`
381 | Toelichting | Patient (ACPPatient) | `telecom[telephoneNumbers].extension[comment]`
382 | EmailAdressen | Patient (ACPPatient) | `telecom[emailAddresses]`
383 | EmailAdres | Patient (ACPPatient) | `telecom[emailAddresses].value`
384 | EmailSoort | Patient (ACPPatient) | `telecom[emailAddresses].system`
385 | Identificatienummer | Patient (ACPPatient) | `identifier`
386 | Geboortedatum | Patient (ACPPatient) | `birthDate`
387 | Geslacht | Patient (ACPPatient) | `gender`
387 | Geslacht | Patient (ACPPatient) | `gender.extension[genderCodelist]`
391 | Gesprek gevoerd door (Zorgverlener) | Practitioner (ACPHealthProfessionalPractitioner) | ``
391 | Gesprek gevoerd door (Zorgverlener) | PractitionerRole (ACPHealthProfessionalPractitionerRole) | ``
392 | ZorgverlenerIdentificatienummer | Practitioner (ACPHealthProfessionalPractitioner) | `identifier`
393 | Naamgegevens | Practitioner (ACPHealthProfessionalPractitioner) | `name`
394 | Voornamen | Practitioner (ACPHealthProfessionalPractitioner) | `name[nameInformation-GivenName].given`
398 | Geslachtsnaam | Practitioner (ACPHealthProfessionalPractitioner) | `name[nameInformation].family`
399 | Voorvoegsels | Practitioner (ACPHealthProfessionalPractitioner) | `name[nameInformation].family.extension[prefix]`
400 | Achternaam | Practitioner (ACPHealthProfessionalPractitioner) | `name[nameInformation].family.extension[lastName]`
405 | Functie (Specialisme) | PractitionerRole (ACPHealthProfessionalPractitionerRole) | `specialty[specialty]`
761 | Wilsbekwaamheid m.b.t. medische behandelbeslissingen | Patient (ACPPatient) | `extension[legallyCapableMedicalTreatmentDecisions]`
762 | Wilsbekwaamheid m.b.t. medische behandelbeslissingen | Patient (ACPPatient) | `extension[legallyCapableMedicalTreatmentDecisions].extension[legallyCapable]`
763 | Toelichting | Patient (ACPPatient) | `extension[legallyCapableMedicalTreatmentDecisions].extension[legallyCapableComment]`
441 | Wettelijk vertegenwoordiger (Contactpersoon) | RelatedPerson (ACPContactPerson) | ``
442 | Naamgegevens | RelatedPerson (ACPContactPerson) | `name`
443 | Voornamen | RelatedPerson (ACPContactPerson) | `name[nameInformation].given`
444 | Initialen | RelatedPerson (ACPContactPerson) | `name[nameInformation].given`
445 | Roepnaam | RelatedPerson (ACPContactPerson) | `name[nameInformation-GivenName].given`
446 | Naamgebruik | RelatedPerson (ACPContactPerson) | `name[nameInformation].use`
448 | Voorvoegsels | RelatedPerson (ACPContactPerson) | `name[nameInformation].family.extension[prefix]`
449 | Achternaam | RelatedPerson (ACPContactPerson) | `name[nameInformation].family.extension[lastName]`
451 | VoorvoegselsPartner | RelatedPerson (ACPContactPerson) | `name[nameInformation].family.extension[partnerPrefix]`
452 | AchternaamPartner | RelatedPerson (ACPContactPerson) | `name[nameInformation].family.extension[partnerLastName]`
453 | Titels | RelatedPerson (ACPContactPerson) | `name[nameInformation].suffix`
454 | Contactgegevens | RelatedPerson (ACPContactPerson) | `telecom`
455 | Telefoonnummers | RelatedPerson (ACPContactPerson) | `telecom[telephoneNumbers]`
456 | Telefoonnummer | RelatedPerson (ACPContactPerson) | `telecom[telephoneNumbers].value`
457 | TelecomType | RelatedPerson (ACPContactPerson) | `telecom[telephoneNumbers].system`
457 | TelecomType | RelatedPerson (ACPContactPerson) | `telecom[telephoneNumbers].system.extension[telecomType]`
458 | NummerSoort | RelatedPerson (ACPContactPerson) | `telecom[telephoneNumbers].use`
459 | Toelichting | RelatedPerson (ACPContactPerson) | `telecom[telephoneNumbers].extension[comment]`
460 | EmailAdressen | RelatedPerson (ACPContactPerson) | `telecom[emailAddresses]`
461 | EmailAdres | RelatedPerson (ACPContactPerson) | `telecom[emailAddresses].value`
462 | EmailSoort | RelatedPerson (ACPContactPerson) | `telecom[emailAddresses].system`
463 | Adresgegevens | RelatedPerson (ACPContactPerson) | `address`
464 | Straat | RelatedPerson (ACPContactPerson) | `address.line.extension[streetName]`
465 | Huisnummer | RelatedPerson (ACPContactPerson) | `address.line.extension[houseNumber]`
466 | Huisnummerletter | RelatedPerson (ACPContactPerson) | `address.line.extension[houseNumberLetter-houseNumberAddition]`
467 | Huisnummertoevoeging | RelatedPerson (ACPContactPerson) | `address.line.extension[houseNumberLetter-houseNumberAddition]`
468 | AanduidingBijNummer | RelatedPerson (ACPContactPerson) | `address.line.extension[houseNumberIndication]`
469 | Postcode | RelatedPerson (ACPContactPerson) | `address.postalCode`
470 | Woonplaats | RelatedPerson (ACPContactPerson) | `address.city`
471 | Gemeente | RelatedPerson (ACPContactPerson) | `address.district`
472 | Land | RelatedPerson (ACPContactPerson) | `address.country.extension[countryCode]`
473 | AdditioneleInformatie | RelatedPerson (ACPContactPerson) | `address.line.extension[additionalInformation]`
474 | AdresSoort | RelatedPerson (ACPContactPerson) | `address.use`
474 | AdresSoort | RelatedPerson (ACPContactPerson) | `address.type`
475 | Rol | RelatedPerson (ACPContactPerson) | `relationship[role]`
476 | Relatie | RelatedPerson (ACPContactPerson) | `relationship[relationship]`
477 | Vertegenwoordiger is contactpersoon | RelatedPerson (ACPContactPerson) | `relationship[role]`
478 | Eerste contactpersoon (Contactpersoon) | RelatedPerson (ACPContactPerson) | ``
479 | Naamgegevens | RelatedPerson (ACPContactPerson) | `name`
480 | Voornamen | RelatedPerson (ACPContactPerson) | `name[nameInformation].given`
481 | Initialen | RelatedPerson (ACPContactPerson) | `name[nameInformation].given`
482 | Roepnaam | RelatedPerson (ACPContactPerson) | `name[nameInformation-GivenName].given`
483 | Naamgebruik | RelatedPerson (ACPContactPerson) | `name[nameInformation].use`
485 | Voorvoegsels | RelatedPerson (ACPContactPerson) | `name[nameInformation].family.extension[prefix]`
486 | Achternaam | RelatedPerson (ACPContactPerson) | `name[nameInformation].family.extension[lastName]`
488 | VoorvoegselsPartner | RelatedPerson (ACPContactPerson) | `name[nameInformation].family.extension[partnerPrefix]`
489 | AchternaamPartner | RelatedPerson (ACPContactPerson) | `name[nameInformation].family.extension[partnerLastName]`
490 | Titels | RelatedPerson (ACPContactPerson) | `name[nameInformation].suffix`
491 | Contactgegevens | RelatedPerson (ACPContactPerson) | `telecom`
492 | Telefoonnummers | RelatedPerson (ACPContactPerson) | `telecom[telephoneNumbers]`
493 | Telefoonnummer | RelatedPerson (ACPContactPerson) | `telecom[telephoneNumbers].value`
494 | TelecomType | RelatedPerson (ACPContactPerson) | `telecom[telephoneNumbers].system`
494 | TelecomType | RelatedPerson (ACPContactPerson) | `telecom[telephoneNumbers].system.extension[telecomType]`
495 | NummerSoort | RelatedPerson (ACPContactPerson) | `telecom[telephoneNumbers].use`
496 | Toelichting | RelatedPerson (ACPContactPerson) | `telecom[telephoneNumbers].extension[comment]`
497 | EmailAdressen | RelatedPerson (ACPContactPerson) | `telecom[emailAddresses]`
498 | EmailAdres | RelatedPerson (ACPContactPerson) | `telecom[emailAddresses].value`
499 | EmailSoort | RelatedPerson (ACPContactPerson) | `telecom[emailAddresses].system`
500 | Adresgegevens | RelatedPerson (ACPContactPerson) | `address`
501 | Straat | RelatedPerson (ACPContactPerson) | `address.line.extension[streetName]`
502 | Huisnummer | RelatedPerson (ACPContactPerson) | `address.line.extension[houseNumber]`
503 | Huisnummerletter | RelatedPerson (ACPContactPerson) | `address.line.extension[houseNumberLetter-houseNumberAddition]`
504 | Huisnummertoevoeging | RelatedPerson (ACPContactPerson) | `address.line.extension[houseNumberLetter-houseNumberAddition]`
505 | AanduidingBijNummer | RelatedPerson (ACPContactPerson) | `address.line.extension[houseNumberIndication]`
506 | Postcode | RelatedPerson (ACPContactPerson) | `address.postalCode`
507 | Woonplaats | RelatedPerson (ACPContactPerson) | `address.city`
508 | Gemeente | RelatedPerson (ACPContactPerson) | `address.district`
509 | Land | RelatedPerson (ACPContactPerson) | `address.country.extension[countryCode]`
510 | AdditioneleInformatie | RelatedPerson (ACPContactPerson) | `address.line.extension[additionalInformation]`
511 | AdresSoort | RelatedPerson (ACPContactPerson) | `address.use`
511 | AdresSoort | RelatedPerson (ACPContactPerson) | `address.type`
512 | Rol | RelatedPerson (ACPContactPerson) | `relationship[role]`
513 | Relatie | RelatedPerson (ACPContactPerson) | `relationship[relationship]`
514 | Gesprek gevoerd in bijzijn van (Patient) | Encounter (ACPEncounter) | `subject`
515 | Naamgegevens | Patient (ACPPatient) | `name`
516 | Voornamen | Patient (ACPPatient) | `name[nameInformation].given`
517 | Initialen | Patient (ACPPatient) | `name[nameInformation].given`
518 | Roepnaam | Patient (ACPPatient) | `name[nameInformation-GivenName].given`
519 | Naamgebruik | Patient (ACPPatient) | `name[nameInformation].use`
521 | Voorvoegsels | Patient (ACPPatient) | `name[nameInformation].family.extension[prefix]`
522 | Achternaam | Patient (ACPPatient) | `name[nameInformation].family.extension[lastName]`
524 | VoorvoegselsPartner | Patient (ACPPatient) | `name[nameInformation].family.extension[partnerPrefix]`
525 | AchternaamPartner | Patient (ACPPatient) | `name[nameInformation].family.extension[partnerLastName]`
526 | Titels | Patient (ACPPatient) | `name[nameInformation].suffix`
554 | Gesprek gevoerd in bijzijn van (Contactpersoon) | Encounter (ACPEncounter) | `participant[contactPerson].individual`
554 | Gesprek gevoerd in bijzijn van (Contactpersoon) | RelatedPerson (ACPContactPerson) | ``
555 | Naamgegevens | RelatedPerson (ACPContactPerson) | `name`
556 | Voornamen | RelatedPerson (ACPContactPerson) | `name[nameInformation].given`
557 | Initialen | RelatedPerson (ACPContactPerson) | `name[nameInformation].given`
558 | Roepnaam | RelatedPerson (ACPContactPerson) | `name[nameInformation-GivenName].given`
559 | Naamgebruik | RelatedPerson (ACPContactPerson) | `name[nameInformation].use`
561 | Voorvoegsels | RelatedPerson (ACPContactPerson) | `name[nameInformation].family.extension[prefix]`
562 | Achternaam | RelatedPerson (ACPContactPerson) | `name[nameInformation].family.extension[lastName]`
564 | VoorvoegselsPartner | RelatedPerson (ACPContactPerson) | `name[nameInformation].family.extension[partnerPrefix]`
565 | AchternaamPartner | RelatedPerson (ACPContactPerson) | `name[nameInformation].family.extension[partnerLastName]`
566 | Titels | RelatedPerson (ACPContactPerson) | `name[nameInformation].suffix`
588 | Rol | RelatedPerson (ACPContactPerson) | `relationship[role]`
589 | Relatie | RelatedPerson (ACPContactPerson) | `relationship[relationship]`
590 | Belangrijkste doel van behandeling ([Meting]) | Goal (ACPMedicalPolicyGoal) | ``
591 | Belangrijkste doel van behandeling ([MetingNaam]) | Goal (ACPMedicalPolicyGoal) | ``
592 | Doel ([MetingWaarde]) | Goal (ACPMedicalPolicyGoal) | `description`
596 | [MeetDatumBeginTijd] | Goal (ACPMedicalPolicyGoal) | `startDate`
598 | [Toelichting] | Goal (ACPMedicalPolicyGoal) | `note.text`
602 | Behandelgrens (BehandelAanwijzing2) | Consent (ACPTreatmentDirective) | ``
603 | BehandelBesluit | Consent (ACPTreatmentDirective) | `provision.type`
604 | Behandeling | Consent (ACPTreatmentDirective) | `provision.code`
605 | SpecificatieAnders | Consent (ACPTreatmentDirective) | `modifierExtension[specificationOther]`
606 | MeestRecenteBespreekdatum | Consent (ACPTreatmentDirective) | `dateTime`
607 | DatumBeeindigd | Consent (ACPTreatmentDirective) | `provision.period.end`
608 | RedenBeeindigd | Consent (ACPTreatmentDirective) | `provision.extension[reasonForEnding]`
609 | Wilsverklaring | Consent (ACPTreatmentDirective) | `sourceReference`
610 | Wilsverklaring | Consent (ACPAdvanceDirective) | ``
611 | AfspraakPartij | Consent (ACPTreatmentDirective) | `provision.actor[agreementParty]`
612 | Patient | Consent (ACPTreatmentDirective) | `provision.actor[agreementParty].reference`
613 | Patient | Patient (ACPPatient) | ``
614 | Vertegenwoordiger | Consent (ACPTreatmentDirective) | `provision.actor[agreementParty].reference`
615 | Contactpersoon | RelatedPerson (ACPContactPerson) | ``
616 | Zorgverlener | Consent (ACPTreatmentDirective) | `provision.actor[agreementParty].reference`
617 | Zorgverlener | PractitionerRole (ACPHealthProfessionalPractitionerRole) | ``
618 | Toelichting | Consent (ACPTreatmentDirective) | `extension[comment]`
619 | Heeft de patient een ICD? | Device (ACPMedicalDeviceProductICD) | `type`
619 | Heeft de patient een ICD? | DeviceUseStatement (ACPMedicalDevice) | ``
620 | ICD (MedischHulpmiddel) | DeviceUseStatement (ACPMedicalDevice) | ``
621 | Product | Device (ACPMedicalDeviceProductICD) | ``
622 | ProductID | Device (ACPMedicalDeviceProductICD) | `identifier[gs1ProductID]`
622 | ProductID | Device (ACPMedicalDeviceProductICD) | `identifier[hibcProductID]`
622 | ProductID | Device (ACPMedicalDeviceProductICD) | `udiCarrier[gs1UdiCarrier].carrierHRF`
622 | ProductID | Device (ACPMedicalDeviceProductICD) | `udiCarrier[hibcUdiCarrier].carrierHRF`
623 | ProductType van ICD | Device (ACPMedicalDeviceProductICD) | `type`
624 | ProductOmschrijving | Device (ACPMedicalDeviceProductICD) | `note.text`
625 | AnatomischeLocatie | DeviceUseStatement (ACPMedicalDevice) | `bodySite`
626 | Locatie | DeviceUseStatement (ACPMedicalDevice) | `bodySite`
627 | Lateraliteit | DeviceUseStatement (ACPMedicalDevice) | `bodySite.extension[laterality]`
628 | Indicatie | DeviceUseStatement (ACPMedicalDevice) | `reasonReference[indication]`
630 | BeginDatum | DeviceUseStatement (ACPMedicalDevice) | `timingPeriod.start`
631 | EindDatum | DeviceUseStatement (ACPMedicalDevice) | `timingPeriod.end`
632 | Toelichting | DeviceUseStatement (ACPMedicalDevice) | `note.text`
633 | Locatie | DeviceUseStatement (ACPMedicalDevice) | `extension[location]`
635 | Zorgverlener | DeviceUseStatement (ACPMedicalDevice) | `extension[healthProfessional]`
636 | Zorgverlener | PractitionerRole (ACPHealthProfessionalPractitionerRole) | ``
637 | Afspraak uitzetten ICD (BehandelAanwijzing2) | Consent (ACPTreatmentDirective) | ``
638 | Afspraak uitzetten ICD (BehandelBesluit) | Consent (ACPTreatmentDirective) | `modifierExtension[specificationOther]`
638 | Afspraak uitzetten ICD (BehandelBesluit) | Consent (ACPTreatmentDirective) | `provision.type`
639 | Behandeling van uitzetten ICD (Behandeling) | Consent (ACPTreatmentDirective) | `provision.code.text`
641 | MeestRecenteBespreekdatum | Consent (ACPTreatmentDirective) | `dateTime`
642 | DatumBeeindigd | Consent (ACPTreatmentDirective) | `provision.period.end`
643 | RedenBeeindigd | Consent (ACPTreatmentDirective) | `provision.extension[reasonForEnding]`
644 | Wilsverklaring | Consent (ACPTreatmentDirective) | `extension[additionalAdvanceDirective].valueReference`
644 | Wilsverklaring | Consent (ACPTreatmentDirective) | `sourceReference`
645 | Wilsverklaring | Consent (ACPAdvanceDirective) | ``
646 | AfspraakPartij | Consent (ACPTreatmentDirective) | `provision.actor[agreementParty]`
647 | Patient | Consent (ACPTreatmentDirective) | `provision.actor[agreementParty].reference`
648 | Patient | Patient (ACPPatient) | ``
649 | Vertegenwoordiger | Consent (ACPTreatmentDirective) | `provision.actor[agreementParty].reference`
650 | Contactpersoon | RelatedPerson (ACPContactPerson) | ``
651 | Zorgverlener | Consent (ACPTreatmentDirective) | `provision.actor[agreementParty].reference`
652 | Zorgverlener | PractitionerRole (ACPHealthProfessionalPractitionerRole) | ``
653 | Toelichting | Consent (ACPTreatmentDirective) | `extension[comment]`
654 | Specifieke wensen ([Meting]) | Observation (ACPSpecificCareWishes) | ``
655 | Wens en verwachting patient ([MetingNaam]) | Observation (ACPSpecificCareWishes) | `code`
656 | Wens en verwachting patient ([MetingWaarde]) | Observation (ACPSpecificCareWishes) | `valueString`
656 | Wens en verwachting patient ([MetingWaarde]) | Observation (ACPSpecificCareWishes) | `dataAbsentReason`
657 | Vaststellen wens en verwachting patiënt ([MeetMethode]) | Observation (ACPSpecificCareWishes) | `method`
660 | [MeetDatumBeginTijd] | Observation (ACPSpecificCareWishes) | `effective[x]`
666 | Gewenste plek van overlijden ([Meting]) | Observation (ACPPreferredPlaceOfDeath) | ``
667 | Gewenste plek van overlijden ([MetingNaam]) | Observation (ACPPreferredPlaceOfDeath) | `code`
668 | Voorkeursplek ([MetingWaarde]) | Observation (ACPPreferredPlaceOfDeath) | `valueCodeableConcept`
668 | Voorkeursplek ([MetingWaarde]) | Observation (ACPPreferredPlaceOfDeath) | `dataAbsentReason`
672 | [MeetDatumBeginTijd] | Observation (ACPPreferredPlaceOfDeath) | `effective[x]`
674 | [Toelichting] | Observation (ACPPreferredPlaceOfDeath) | `note.text`
678 | Euthanasie standpunt ([Meting]) | Observation (ACPPositionRegardingEuthanasia) | ``
679 | Euthanasie standpunt ([MetingNaam]) | Observation (ACPPositionRegardingEuthanasia) | `code`
680 | Euthanasie standpunt ([MetingWaarde]) | Observation (ACPPositionRegardingEuthanasia) | `valueCodeableConcept`
680 | Euthanasie standpunt ([MetingWaarde]) | Observation (ACPPositionRegardingEuthanasia) | `dataAbsentReason`
684 | [MeetDatumBeginTijd] | Observation (ACPPositionRegardingEuthanasia) | `effective[x]`
686 | [Toelichting] | Observation (ACPPositionRegardingEuthanasia) | `note.text`
690 | Euthanasieverklaring (Wilsverklaring) | Consent (ACPAdvanceDirective) | ``
691 | Euthanasieverklaring (WilsverklaringType) | Consent (ACPAdvanceDirective) | `provision.code`
692 | WilsverklaringDatum | Consent (ACPAdvanceDirective) | `dateTime`
693 | Aandoening | Consent (ACPAdvanceDirective) | `extension[disorder]`
695 | Vertegenwoordiger | Consent (ACPAdvanceDirective) | `provision.actor[representative].reference`
696 | Contactpersoon | RelatedPerson (ACPContactPerson) | ``
697 | WilsverklaringDocument | Consent (ACPAdvanceDirective) | `sourceAttachment`
698 | Toelichting | Consent (ACPAdvanceDirective) | `extension[comment]`
746 | Keuze orgaandonatie vastgelegd in donorregister? ([Meting]) | Observation (ACPOrganDonationChoiceRegistration) | ``
747 | Keuze orgaandonatie vastgelegd in donorregister? ([MetingNaam]) | Observation (ACPOrganDonationChoiceRegistration) | `code`
748 | Keuze orgaandonatie in donorregister ([MetingWaarde]) | Observation (ACPOrganDonationChoiceRegistration) | `valueCodeableConcept`
748 | Keuze orgaandonatie in donorregister ([MetingWaarde]) | Observation (ACPOrganDonationChoiceRegistration) | `dataAbsentReason`
752 | [MeetDatumBeginTijd] | Observation (ACPOrganDonationChoiceRegistration) | `effective[x]`
700 | Keuze orgaandonatie vastgelegd (Wilsverklaring) | Consent (ACPAdvanceDirective) | ``
701 | Orgaandonatie (WilsverklaringType) | Consent (ACPAdvanceDirective) | `provision.code`
702 | WilsverklaringDatum | Consent (ACPAdvanceDirective) | `dateTime`
703 | Aandoening | Consent (ACPAdvanceDirective) | `extension[disorder]`
705 | Vertegenwoordiger | Consent (ACPAdvanceDirective) | `provision.actor[representative].reference`
706 | Contactpersoon | RelatedPerson (ACPContactPerson) | ``
707 | WilsverklaringDocument | Consent (ACPAdvanceDirective) | `sourceAttachment`
708 | Toelichting | Consent (ACPAdvanceDirective) | `extension[comment]`
709 | Wat verder nog belangrijk is ([Meting]) | Observation (ACPSenseOfPurpose) | ``
710 | Wat verder nog belangrijk is ([MetingNaam]) | Observation (ACPSenseOfPurpose) | `code`
711 | Wat verder nog belangrijk is ([MetingWaarde]) | Observation (ACPSenseOfPurpose) | `valueString`
711 | Wat verder nog belangrijk is ([MetingWaarde]) | Observation (ACPSenseOfPurpose) | `dataAbsentReason`
715 | [MeetDatumBeginTijd] | Observation (ACPSenseOfPurpose) | `effective[x]`
721 | Eerder vastgelegde behandelafspraken (Wilsverklaring) | Consent (ACPAdvanceDirective) | ``
722 | WilsverklaringType | Consent (ACPAdvanceDirective) | `provision.code`
723 | WilsverklaringDatum | Consent (ACPAdvanceDirective) | `dateTime`
724 | Aandoening | Consent (ACPAdvanceDirective) | `extension[disorder]`
726 | Vertegenwoordiger | Consent (ACPAdvanceDirective) | `provision.actor[representative].reference`
727 | Contactpersoon | RelatedPerson (ACPContactPerson) | ``
728 | WilsverklaringDocument | Consent (ACPAdvanceDirective) | `sourceAttachment`
729 | Toelichting | Consent (ACPAdvanceDirective) | `extension[comment]`
734 | Heeft u patient geïnformeerd over eigen verantwoordelijkheid om deze behandelafspraken met naasten te bespreken? | CommunicationRequest (ACPInformRelativesRequest) | ``