# ACP TreatmentDirective - Advance Care Planning (PZP) STU3 v1.0.0

## Resource Profile: ACP TreatmentDirective 

 
This profile specifies **verified** treatment directives. A treatment directive contains a joint decision between a health professional (for example a general practitioner) and a patient or his representative(s) about the desirability of performing a certain treatment, such as resuscitation, before this treatment becomes (acute) necessary. 

**Usages:**

* Examples for this Profile: [Consent/ACP-TreatmentDirective-AdministrationOfBloodProduct-2025-Pat1](Consent-ACP-TreatmentDirective-AdministrationOfBloodProduct-2025-Pat1.md), [Consent/ACP-TreatmentDirective-AdministrationOfBloodProduct-Pat1](Consent-ACP-TreatmentDirective-AdministrationOfBloodProduct-Pat1.md), [Consent/ACP-TreatmentDirective-AdmissionToICU-1-Pat1](Consent-ACP-TreatmentDirective-AdmissionToICU-1-Pat1.md), [Consent/ACP-TreatmentDirective-AdmissionToICU-2-Pat1](Consent-ACP-TreatmentDirective-AdmissionToICU-2-Pat1.md)... Show 20 more, [Consent/ACP-TreatmentDirective-AdmissionToICU-2025-Pat1](Consent-ACP-TreatmentDirective-AdmissionToICU-2025-Pat1.md), [Consent/ACP-TreatmentDirective-AdmissionToICU-Pat2](Consent-ACP-TreatmentDirective-AdmissionToICU-Pat2.md), [Consent/ACP-TreatmentDirective-AntibioticTherapy-2025-Pat1](Consent-ACP-TreatmentDirective-AntibioticTherapy-2025-Pat1.md), [Consent/ACP-TreatmentDirective-AntibioticTherapy-Pat1](Consent-ACP-TreatmentDirective-AntibioticTherapy-Pat1.md), [Consent/ACP-TreatmentDirective-AntibioticTherapy-Pat2](Consent-ACP-TreatmentDirective-AntibioticTherapy-Pat2.md), [Consent/ACP-TreatmentDirective-ArtificialRespiration-1-Pat2](Consent-ACP-TreatmentDirective-ArtificialRespiration-1-Pat2.md), [Consent/ACP-TreatmentDirective-ArtificialRespiration-2-Pat2](Consent-ACP-TreatmentDirective-ArtificialRespiration-2-Pat2.md), [Consent/ACP-TreatmentDirective-ArtificialRespiration-2025-Pat1](Consent-ACP-TreatmentDirective-ArtificialRespiration-2025-Pat1.md), [Consent/ACP-TreatmentDirective-ArtificialRespiration-Pat1](Consent-ACP-TreatmentDirective-ArtificialRespiration-Pat1.md), [Consent/ACP-TreatmentDirective-CardiopulmonaryResuscitaion-Pat2](Consent-ACP-TreatmentDirective-CardiopulmonaryResuscitaion-Pat2.md), [Consent/ACP-TreatmentDirective-CardiopulmonaryResuscitation-2025-Pat1](Consent-ACP-TreatmentDirective-CardiopulmonaryResuscitation-2025-Pat1.md), [Consent/ACP-TreatmentDirective-CardiopulmonaryResuscitation-Pat1](Consent-ACP-TreatmentDirective-CardiopulmonaryResuscitation-Pat1.md), [Consent/ACP-TreatmentDirective-HospitalAdmission-2025-Pat1](Consent-ACP-TreatmentDirective-HospitalAdmission-2025-Pat1.md), [Consent/ACP-TreatmentDirective-HospitalAdmission-Pat1](Consent-ACP-TreatmentDirective-HospitalAdmission-Pat1.md), [Consent/ACP-TreatmentDirective-HospitalAdmission-Pat2](Consent-ACP-TreatmentDirective-HospitalAdmission-Pat2.md), [Consent/ACP-TreatmentDirective-Other-Pat1](Consent-ACP-TreatmentDirective-Other-Pat1.md), [Consent/ACP-TreatmentDirective-Other-Pat2](Consent-ACP-TreatmentDirective-Other-Pat2.md), [Consent/ACP-TreatmentDirective-SwitchOffICD-2025-Pat1](Consent-ACP-TreatmentDirective-SwitchOffICD-2025-Pat1.md), [Consent/ACP-TreatmentDirective-SwitchOffICD-Pat1](Consent-ACP-TreatmentDirective-SwitchOffICD-Pat1.md) and [Consent/ACP-TreatmentDirective-SwitchOffICD-Pat2](Consent-ACP-TreatmentDirective-SwitchOffICD-Pat2.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/resource/iknl.fhir.stu3.pzp|current/StructureDefinition/StructureDefinition-ACP-TreatmentDirective.json)

### Formal Views of Profile Content

 [Description Differentials, Snapshots, and other representations](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](../StructureDefinition-ACP-TreatmentDirective.csv), [Excel](../StructureDefinition-ACP-TreatmentDirective.xlsx), [Schematron](../StructureDefinition-ACP-TreatmentDirective.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "ACP-TreatmentDirective",
  "url" : "https://api.iknl.nl/docs/pzp/stu3/StructureDefinition/ACP-TreatmentDirective",
  "version" : "1.0.0",
  "name" : "ACPTreatmentDirective",
  "title" : "ACP TreatmentDirective",
  "status" : "draft",
  "experimental" : false,
  "date" : "2026-08-11T11:10:11+02:00",
  "publisher" : "IKNL",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.iknl.nl"
    }]
  }],
  "description" : "This profile specifies **verified** treatment directives. A treatment directive contains a joint decision between a health professional (for example a general practitioner) and a patient or his representative(s) about the desirability of performing a certain treatment, such as resuscitation, before this treatment becomes (acute) necessary.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001"
    }]
  }],
  "copyright" : "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
  "fhirVersion" : "3.0.2",
  "mapping" : [{
    "identity" : "pall-izppz-zib2017",
    "uri" : "https://decor.nictiz.nl/exist/apps/api/dataset/2.16.840.1.113883.2.4.3.11.60.117.1.1/2020-07-29T10%3A37%3A48/$view?language=nl-NL&ui=nl-NL&format=html&hidecolumns=3456gh&release=2026-08-10T10%3A11%3A40",
    "name" : "ACP zib2017 dataset"
  },
  {
    "identity" : "hcim-treatmentdirective-v3.1-2017EN",
    "uri" : "https://zibs.nl/wiki/TreatmentDirective-v3.1(2017EN)",
    "name" : "HCIM TreatmentDirective-v3.1(2017EN)"
  },
  {
    "identity" : "hcim-basicelements-v1.0-2017EN",
    "uri" : "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)",
    "name" : "HCIM BasicElements-v1.0(2017EN)"
  },
  {
    "identity" : "hcim-treatmentdirective-v3.0-2016EN",
    "uri" : "https://zibs.nl/wiki/TreatmentDirective-v3.0(2016EN)",
    "name" : "HCIM TreatmentDirective-v3.0(2016EN)"
  },
  {
    "identity" : "hcim-treatmentdirective-v1.0.1-2015EN",
    "uri" : "https://zibs.nl/wiki/TreatmentDirective-v1.0.1(2015EN)",
    "name" : "HCIM TreatmentDirective-v1.0.1(2015EN)"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Consent",
  "baseDefinition" : "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective|2.2.3",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Consent",
      "path" : "Consent",
      "mapping" : [{
        "identity" : "pall-izppz-zib2017",
        "map" : "54",
        "comment" : "Behandelgrens (BehandelAanwijzing)"
      },
      {
        "identity" : "pall-izppz-zib2017",
        "map" : "90",
        "comment" : "Afspraak uitzetten ICD (BehandelAanwijzing)"
      }]
    },
    {
      "id" : "Consent.extension",
      "path" : "Consent.extension",
      "min" : 1
    },
    {
      "id" : "Consent.extension:verification",
      "path" : "Consent.extension",
      "sliceName" : "verification",
      "min" : 1,
      "mapping" : [{
        "identity" : "pall-izppz-zib2017",
        "map" : "55",
        "comment" : "Verificatie"
      },
      {
        "identity" : "pall-izppz-zib2017",
        "map" : "91",
        "comment" : "Verificatie"
      }]
    },
    {
      "id" : "Consent.extension:verification.extension",
      "path" : "Consent.extension.extension",
      "min" : 1
    },
    {
      "id" : "Consent.extension:verification.extension:Verified",
      "path" : "Consent.extension.extension",
      "sliceName" : "Verified",
      "mapping" : [{
        "identity" : "pall-izppz-zib2017",
        "map" : "56",
        "comment" : "Geverifieerd"
      },
      {
        "identity" : "pall-izppz-zib2017",
        "map" : "92",
        "comment" : "Geverifieerd"
      }]
    },
    {
      "id" : "Consent.extension:verification.extension:Verified.value[x]",
      "path" : "Consent.extension.extension.value[x]",
      "min" : 1,
      "fixedBoolean" : true
    },
    {
      "id" : "Consent.extension:verification.extension:VerifiedWith",
      "path" : "Consent.extension.extension",
      "sliceName" : "VerifiedWith",
      "mapping" : [{
        "identity" : "pall-izppz-zib2017",
        "map" : "57",
        "comment" : "GeverifieerdBij"
      },
      {
        "identity" : "pall-izppz-zib2017",
        "map" : "93",
        "comment" : "GeverifieerdBij"
      }]
    },
    {
      "id" : "Consent.extension:verification.extension:VerificationDate",
      "path" : "Consent.extension.extension",
      "sliceName" : "VerificationDate",
      "mapping" : [{
        "identity" : "pall-izppz-zib2017",
        "map" : "58",
        "comment" : "VerificatieDatum"
      },
      {
        "identity" : "pall-izppz-zib2017",
        "map" : "94",
        "comment" : "VerificatieDatum"
      }]
    },
    {
      "id" : "Consent.extension:comment",
      "path" : "Consent.extension",
      "sliceName" : "comment",
      "mapping" : [{
        "identity" : "pall-izppz-zib2017",
        "map" : "64",
        "comment" : "Toelichting"
      },
      {
        "identity" : "pall-izppz-zib2017",
        "map" : "100",
        "comment" : "Toelichting"
      }]
    },
    {
      "id" : "Consent.extension:treatment",
      "path" : "Consent.extension",
      "sliceName" : "treatment",
      "mapping" : [{
        "identity" : "pall-izppz-zib2017",
        "map" : "59",
        "comment" : "Behandeling"
      },
      {
        "identity" : "pall-izppz-zib2017",
        "map" : "95",
        "comment" : "Behandeling van uitzetten ICD"
      }]
    },
    {
      "id" : "Consent.extension:additionalSources",
      "path" : "Consent.extension",
      "sliceName" : "additionalSources",
      "mapping" : [{
        "identity" : "pall-izppz-zib2017",
        "map" : "65"
      }]
    },
    {
      "id" : "Consent.modifierExtension",
      "path" : "Consent.modifierExtension",
      "min" : 1
    },
    {
      "id" : "Consent.modifierExtension:treatmentPermitted",
      "path" : "Consent.modifierExtension",
      "sliceName" : "treatmentPermitted",
      "comment" : "If the value of the element NL-CM:2.1.4 TreatmentPermitted is YES_BUT/JA_MAAR, then the value of NL-CM:2.1.5 Restrictions is expected under Consent.except. \r\n\r\nAdditional terminology mapping guidance, in addition to the default zib/nl-core guidance for \"Afspraak uitzetten ICD\" (dataset id 96) values: \r\n   - _Ja_ -> _Yes_; \r\n   -  No value is mapped to _No_; \r\n   - _Nee, nog geen besluit genomen_ -> _ASKU_ \r\n _Niet besproken_ -> _NASK_ ",
      "mapping" : [{
        "identity" : "pall-izppz-zib2017",
        "map" : "60",
        "comment" : "BehandelingToegestaan"
      },
      {
        "identity" : "pall-izppz-zib2017",
        "map" : "96",
        "comment" : "Afspraak uitzetten ICD (BehandelingToegestaan)"
      }]
    },
    {
      "id" : "Consent.modifierExtension:treatmentPermitted.value[x]",
      "path" : "Consent.modifierExtension.value[x]",
      "binding" : {
        "strength" : "extensible",
        "valueSetReference" : {
          "reference" : "https://api.iknl.nl/docs/pzp/stu3/ValueSet/ACP-YesNoYesWithRestrictionsUnknownVS|1.0.0"
        }
      }
    },
    {
      "id" : "Consent.patient",
      "path" : "Consent.patient",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : "https://api.iknl.nl/docs/pzp/stu3/StructureDefinition/ACP-Patient|1.0.0"
      }]
    },
    {
      "id" : "Consent.period.start",
      "path" : "Consent.period.start",
      "mapping" : [{
        "identity" : "pall-izppz-zib2017",
        "map" : "62",
        "comment" : "BeginDatum"
      },
      {
        "identity" : "pall-izppz-zib2017",
        "map" : "98",
        "comment" : "BeginDatum"
      }]
    },
    {
      "id" : "Consent.period.end",
      "path" : "Consent.period.end",
      "mapping" : [{
        "identity" : "pall-izppz-zib2017",
        "map" : "63",
        "comment" : "EindDatum"
      },
      {
        "identity" : "pall-izppz-zib2017",
        "map" : "99",
        "comment" : "EindDatum"
      }]
    },
    {
      "id" : "Consent.source[x]",
      "path" : "Consent.source[x]",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : "https://api.iknl.nl/docs/pzp/stu3/StructureDefinition/ACP-AdvanceDirective|1.0.0"
      }],
      "mapping" : [{
        "identity" : "pall-izppz-zib2017",
        "map" : "65",
        "comment" : "Wilsverklaring"
      },
      {
        "identity" : "pall-izppz-zib2017",
        "map" : "101",
        "comment" : "Wilsverklaring"
      }]
    },
    {
      "id" : "Consent.except.extension:restrictions",
      "path" : "Consent.except.extension",
      "sliceName" : "restrictions",
      "mapping" : [{
        "identity" : "pall-izppz-zib2017",
        "map" : "61",
        "comment" : "Beperkingen"
      }]
    }]
  }
}

```
