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

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Official URL: https://api.iknl.nl/docs/pzp/r4/ImplementationGuide/iknl.fhir.r4.pzp | Version: 1.0.0-rc2
Active as of 2026-06-02 | Computable Name: PZP

### Project Description and Scope

This Implementation Guide (IG) supports the Advance Care Planning (ACP) information standard (Dutch: informatiestandaard Proactieve Zorgplanning) and is intended for use within the palliative care domain in the Netherlands. This domain involves care for patients with an incurable illness or condition from which they are expected to die.

Developed by the Netherlands Comprehensive Cancer Organisation (Dutch: Integraal Kankercentrum Nederland (IKNL)), this guide provides technical direction for using FHIR to exchange ACP data. It is based on HL7 FHIR R4 and builds on top of the Dutch Core R4 profiles.

This guide assumes that readers are familiar with the functional specifications of ACP and the R4 version of FHIR.

### Version

You are currently viewing the FHIR R4 version of the IG for the ACP information standard.
If you are looking for the STU3 version, you can find it here: Advance Care Planning STU3 HCIM 2017.

### Dependencies

IG | Package | FHIR | Comment
--- | --- | --- | ---
Advance Care Planning (PZP) | iknl.fhir.r4.pzp#1.0.0-rc2 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#7.1.0 | R4 | Automatically added as a dependency - all IGs depend on HL7 Terminology
FHIR Extensions Pack | hl7.fhir.uv.extensions.r4#5.2.0 | R4 |
FHIR implementation of zibs 2020 | nictiz.fhir.nl.r4.nl-core#0.12.0-beta.4 | R4 |
FHIR implementation of zibs 2020 | nictiz.fhir.nl.r4.zib2020#0.12.0-beta.4 | R4 |
FHIR Tooling Extensions IG | hl7.fhir.uv.tools.r4#1.1.2 | R4 | for example references

Package hl7.fhir.uv.extensions.r4#5.2.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00)

Package nictiz.fhir.nl.r4.zib2020#0.12.0-beta.4 NL package of FHIR R4 conformance resources for zib (Zorginformatiebouwstenen, Clinical Information Models) release 2020.

Package nictiz.fhir.nl.r4.nl-core#0.12.0-beta.4 NL package of FHIR R4 conformance resources for zib (Zorginformatiebouwstenen, Clinical Information Models) release 2020.

Package hl7.fhir.uv.tools.r4#1.1.2 This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Mar 24, 2026 11:13+1100+11:00)