# ACP TreatmentDirective - Advance Care Planning (PZP) v1.0.0-rc2

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **ACP TreatmentDirective**

## Resource Profile: ACP TreatmentDirective 

| | |
| :--- | :--- |
| *Official URL*:https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-TreatmentDirective | *Version*:1.0.0-rc2 |
| Draft as of 2026-03-03 | *Computable Name*:ACPTreatmentDirective |
| **Copyright/Legal**: 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. | |

 
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. Based on nl-core-TreatmentDirective2 and HCIM TreatmentDirective2. 

### Changes compared to nl-core

This profile adds ACP-specific mappings to the ART-DECOR dataset and obligation extensions for Provider and Consulter actors. Profile references are constrained to ACP profiles where available. The following change affects implementation beyond the base profile:

* Additional guidance is written for `.modifierExtension:specificationOther` and for `.provision.type`.

**Usages:**

* Examples for this Profile: [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), [Consent/ACP-TreatmentDirective-AdmissionToICU-Pat2](Consent-ACP-TreatmentDirective-AdmissionToICU-Pat2.md)... Show 12 more, [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-Pat1](Consent-ACP-TreatmentDirective-ArtificialRespiration-Pat1.md), [Consent/ACP-TreatmentDirective-CardiopulmonaryResuscitaion-Pat2](Consent-ACP-TreatmentDirective-CardiopulmonaryResuscitaion-Pat2.md), [Consent/ACP-TreatmentDirective-CardiopulmonaryResuscitation-Pat1](Consent-ACP-TreatmentDirective-CardiopulmonaryResuscitation-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-Pat2](Consent-ACP-TreatmentDirective-Other-Pat2.md), [Consent/ACP-TreatmentDirective-SwitchOffICD-Pat1](Consent-ACP-TreatmentDirective-SwitchOffICD-Pat1.md) and [Consent/ACP-TreatmentDirective-SwitchOffICD-Pat2](Consent-ACP-TreatmentDirective-SwitchOffICD-Pat2.md)
* CapabilityStatements using this Profile: [ACP CapabilityStatement Consulter](CapabilityStatement-ACP-CapabilityStatementConsulter.md) and [ACP CapabilityStatement Provider](CapabilityStatement-ACP-CapabilityStatementProvider.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/iknl.fhir.r4.pzp|current/StructureDefinition/ACP-TreatmentDirective)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](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/r4/StructureDefinition/ACP-TreatmentDirective",
  "version" : "1.0.0-rc2",
  "name" : "ACPTreatmentDirective",
  "title" : "ACP TreatmentDirective",
  "status" : "draft",
  "experimental" : false,
  "date" : "2026-03-03T12:29:58+01:00",
  "publisher" : "IKNL",
  "contact" : [{
    "name" : "IKNL",
    "telecom" : [{
      "system" : "url",
      "value" : "https://iknl.nl/"
    },
    {
      "system" : "email",
      "value" : "info@iknl.nl"
    }]
  }],
  "description" : "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. Based on nl-core-TreatmentDirective2 and HCIM TreatmentDirective2.",
  "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" : "4.0.1",
  "mapping" : [{
    "identity" : "pall-izppz-zib2020v2026-02-24",
    "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=2026-02-24T09:29:59",
    "name" : "ACP dataset"
  },
  {
    "identity" : "zib-treatmentdirective2-v1.0-2020EN",
    "uri" : "https://zibs.nl/wiki/TreatmentDirective2-v1.0(2020EN)",
    "name" : "zib TreatmentDirective2-v1.0(2020EN)"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Consent",
  "baseDefinition" : "http://nictiz.nl/fhir/StructureDefinition/nl-core-TreatmentDirective2",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Consent",
      "path" : "Consent",
      "mapping" : [{
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "602",
        "comment" : "Behandelgrens (BehandelAanwijzing)"
      },
      {
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "637",
        "comment" : "Afspraak uitzetten ICD (BehandelAanwijzing)"
      }]
    },
    {
      "id" : "Consent.extension:comment",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate-if-known"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:no-error"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Consent.extension",
      "sliceName" : "comment",
      "mapping" : [{
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "618",
        "comment" : "Toelichting"
      },
      {
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "653",
        "comment" : "Toelichting"
      }]
    },
    {
      "id" : "Consent.extension:additionalAdvanceDirective",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate-if-known"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:no-error"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Consent.extension",
      "sliceName" : "additionalAdvanceDirective"
    },
    {
      "id" : "Consent.extension:additionalAdvanceDirective.value[x]",
      "path" : "Consent.extension.value[x]",
      "mapping" : [{
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "644",
        "comment" : "Wilsverklaring"
      }]
    },
    {
      "id" : "Consent.modifierExtension:specificationOther",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate-if-known"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:no-error"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Consent.modifierExtension",
      "sliceName" : "specificationOther",
      "mapping" : [{
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "605",
        "comment" : "SpecificatieAnders"
      },
      {
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "638",
        "comment" : "Afspraak uitzetten ICD (BehandelBesluit)"
      }]
    },
    {
      "id" : "Consent.modifierExtension:specificationOther.value[x]",
      "path" : "Consent.modifierExtension.value[x]",
      "comment" : "In addition to the default zib/nl-core guidance, this extension is used to communicate further details about agreements concerning ICD."
    },
    {
      "id" : "Consent.patient",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate-if-known"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:no-error"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Consent.patient",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-Patient|1.0.0-rc2"]
      }]
    },
    {
      "id" : "Consent.dateTime",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate-if-known"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:no-error"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Consent.dateTime",
      "mapping" : [{
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "606",
        "comment" : "MeestRecenteBespreekdatum"
      },
      {
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "641",
        "comment" : "MeestRecenteBespreekdatum"
      }]
    },
    {
      "id" : "Consent.source[x]:sourceReference",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate-if-known"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:no-error"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Consent.source[x]",
      "sliceName" : "sourceReference",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-AdvanceDirective|1.0.0-rc2"]
      }],
      "mapping" : [{
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "609",
        "comment" : "Wilsverklaring"
      },
      {
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "644",
        "comment" : "Wilsverklaring"
      }]
    },
    {
      "id" : "Consent.provision.extension:reasonForEnding",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate-if-known"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:no-error"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Consent.provision.extension",
      "sliceName" : "reasonForEnding",
      "mapping" : [{
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "608",
        "comment" : "RedenBeeindigd"
      },
      {
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "643",
        "comment" : "RedenBeeindigd"
      }]
    },
    {
      "id" : "Consent.provision.type",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate-if-known"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:no-error"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Consent.provision.type",
      "comment" : "Additional terminology mapping guidance, in addition to the default zib/nl-core guidance: \r\n- BehandelBesluit (dataset id 603) values: \r\n    - _Wel uitvoeren_ -> _permit_\r\n    - _Niet uitvoeren_ -> _deny_\r\n    - _Anders_ or _Onbekend_ -> do not set a value. Instead, communicate this via the `modifierExtension[specificationOther].valueString` element.\r\n- Afspraak uitzetten ICD (dataset id 638) values: \r\n    - _Wel uitvoeren_ -> _permit_ \r\n    - No value is mapped to _deny_\r\n    - _Nee, nog geen besluit genomen_ or _Niet besproken_ -> do not set a value. Instead, communicate this via the `modifierExtension[specificationOther].valueString` element.",
      "mapping" : [{
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "603",
        "comment" : "BehandelBesluit"
      },
      {
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "638",
        "comment" : "Afspraak uitzetten ICD (BehandelBesluit)"
      }]
    },
    {
      "id" : "Consent.provision.period.end",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate-if-known"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:no-error"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Consent.provision.period.end",
      "mapping" : [{
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "607",
        "comment" : "DatumBeeindigd"
      },
      {
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "642",
        "comment" : "DatumBeeindigd"
      }]
    },
    {
      "id" : "Consent.provision.actor:agreementParty",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate-if-known"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:no-error"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Consent.provision.actor",
      "sliceName" : "agreementParty",
      "mapping" : [{
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "611",
        "comment" : "AfspraakPartij"
      },
      {
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "646",
        "comment" : "AfspraakPartij"
      }]
    },
    {
      "id" : "Consent.provision.actor:agreementParty.reference",
      "path" : "Consent.provision.actor.reference",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-Patient|1.0.0-rc2",
        "https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-HealthProfessional-PractitionerRole|1.0.0-rc2",
        "https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-ContactPerson|1.0.0-rc2"]
      }],
      "mapping" : [{
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "612",
        "comment" : "Patient"
      },
      {
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "614",
        "comment" : "Vertegenwoordiger"
      },
      {
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "616",
        "comment" : "Zorgverlener"
      },
      {
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "647",
        "comment" : "Patient"
      },
      {
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "649",
        "comment" : "Vertegenwoordiger"
      },
      {
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "651",
        "comment" : "Zorgverlener"
      }]
    },
    {
      "id" : "Consent.provision.code",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate-if-known"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:no-error"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Consent.provision.code",
      "mapping" : [{
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "604",
        "comment" : "Behandeling"
      }]
    },
    {
      "id" : "Consent.provision.code.text",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean" : true
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate-if-known"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorProvider|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:no-error"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://api.iknl.nl/docs/pzp/r4/ActorDefinition/ACPActorConsulter|1.0.0-rc2"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Consent.provision.code.text",
      "comment" : "`.code.type` has a required binding. Therefore, only codes in the bound ValueSet are permitted. For concepts not present in the ValueSet, such as SNOMED CT code 400231000146108 (Uitzetten van cardioverter-defibrillator in laatste levensfase), use the `.text` field as per FHIR guidance.",
      "mapping" : [{
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "639",
        "comment" : "Behandeling van ICD (Behandeling)"
      }]
    }]
  }
}

```
