Advance Care Planning (PZP)
1.0.0 - release

This page is part of the Advance Care Planning (PZP) (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, 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
Active as of 2026-08-17 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.

How to Read this Guide

This guide is divided into several pages which are listed at the top of each page in the menu bar.

  • Home: This page provides the introduction and scope of this implementation guide.
  • Information Standard: This page describes the documents that together comprise the ACP information standard.
  • Data Model: This page provides an overview of the FHIR profiles used to represent the ACP dataset and includes mappings between the dataset and FHIR artifacts.
  • Data Exchange: This page describes the two transaction methods for exchanging a patient's Advance Care Planning (ACP) information using RESTful API and includes the client requests that can be used to retrieve the ACP information.
  • Artifacts: This page provides a list of the FHIR artifacts defined as part of this implementation guide, including actor definitions, profiles, value sets, examples, questionnaires, questionnaire responses and capability statements.
  • Change Log:This page summarizes changes introduced in each published release of the implementation guide.
  • Downloads: This page provides links to downloadable artifacts.

Dependencies

IGPackageFHIRComment
.. Advance Care Planning (PZP)iknl.fhir.r4.pzp#1.0.0R4
... HL7 Terminology (THO)hl7.terminology.r4#7.3.0R4Automatically added as a dependency - all IGs depend on HL7 Terminology
... FHIR implementation of zibs 2020nictiz.fhir.nl.r4.nl-core#0.12.0-beta.4R4
.... FHIR implementation of zibs 2020nictiz.fhir.nl.r4.zib2020#0.12.0-beta.4R4
... FHIR Extensions Packhl7.fhir.uv.extensions.r4#5.2.0R4

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.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 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)