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

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

## Resource Profile: ACP Procedure 

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

 
Advance Care Planning procedure. Based on nl-core-Procedure-event profile and HCIM Procedure. 

### 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 nl-core profile:

* `.code` must use a fixed value to indicate that an ACP procedure has taken place.

**Usages:**

* Examples for this Profile: [Procedure/ACP-Procedure-1-Pat2](Procedure-ACP-Procedure-1-Pat2.md), [Procedure/ACP-Procedure-2-Pat2](Procedure-ACP-Procedure-2-Pat2.md) and [Procedure/ACP-Procedure-Pat1](Procedure-ACP-Procedure-Pat1.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-Procedure)

### 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-Procedure.csv), [Excel](StructureDefinition-ACP-Procedure.xlsx), [Schematron](StructureDefinition-ACP-Procedure.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "ACP-Procedure",
  "url" : "https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-Procedure",
  "version" : "1.0.0-rc2",
  "name" : "ACPProcedure",
  "title" : "ACP Procedure",
  "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" : "Advance Care Planning procedure. Based on nl-core-Procedure-event profile and HCIM Procedure.",
  "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-procedure-v5.2-2020EN",
    "uri" : "https://zibs.nl/wiki/Procedure-v5.2(2020EN)",
    "name" : "zib Procedure-v5.2(2020EN)"
  },
  {
    "identity" : "zib-textresult-v4.4-2020EN",
    "uri" : "https://zibs.nl/wiki/TextResult-v4.4(2020EN)",
    "name" : "zib TextResult-v4.4(2020EN)"
  },
  {
    "identity" : "zib-medicaldevice-v3.3.1-2020EN",
    "uri" : "https://zibs.nl/wiki/MedicalDevice-v3.3.1(2020EN)",
    "name" : "zib MedicalDevice-v3.3.1(2020EN)"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Procedure",
  "baseDefinition" : "http://nictiz.nl/fhir/StructureDefinition/nl-core-Procedure-event",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Procedure",
      "path" : "Procedure",
      "mapping" : [{
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "820",
        "comment" : "Verrichting"
      }]
    },
    {
      "id" : "Procedure.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" : "Procedure.code",
      "min" : 1,
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "713603004"
        }]
      },
      "mapping" : [{
        "identity" : "pall-izppz-zib2020v2026-02-24",
        "map" : "827",
        "comment" : "PZP gesprek (VerrichtingType)"
      }]
    },
    {
      "id" : "Procedure.subject",
      "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" : "Procedure.subject",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-Patient|1.0.0-rc2"]
      }]
    },
    {
      "id" : "Procedure.encounter",
      "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" : "Procedure.encounter",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-Encounter|1.0.0-rc2"]
      }]
    }]
  }
}

```
