Advance Care Planning (PZP)
1.0.0-rc3 - trial-use
Advance Care Planning (PZP)
1.0.0-rc3 - trial-use
This page is part of the Advance Care Planning (PZP) (v1.0.0-rc3: Release 1) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions
| Issue | Short Description |
|---|---|
| #137 | Replaced legally capable extension on Patient with an Observation to better support representation of legal capacity. |
| #132 | Updated Procedure.code to support multiple ACP procedure codes and ensure compliance with zib/nl-core terminology requirements. |
| #157 | Updated CommunicationRequest cardinalities by requiring subject, requester and sender, and adding an invariant to ensure either authoredOn or a reference to Encounter. |
| #151 | Corrected search URLs by fixing code parameter syntax to ensure proper OR behavior. |
| #136 | Improved search query documentation by clarifying how to retrieve specific data items such as ContactPerson (e.g. legal representative). |
| #135 | Updated questionnaire answer options to use answerValueSet references where possible and improve alignment with terminology, resolving validation issues. |
| #138 | Updated a couple questionnaire items from choice to boolean to resolve validation issues and align with the dataset. |
| #126 | Updated questionnaire to align with latest dataset changes, including support for 'other' treatment directives and addition of missing 'MeetMethode' elements. |
| #131 | Replaced fixed questionnaire answer options for 'Functie (specialisme)' with AGB and UZI value sets. |
| #138 | Updated yes/no questions in the questionnaire to use boolean instead of choice. |
| #133 | Aligned API documentation by correcting CommunicationRequest category code in sequence diagram and updating CapabilityStatement to use CommunicationRequest. |
| #129 | Clarified ContactPerson artifact documentation for .relationship:roleAdditional slice. |
| #127 | Added missing subject references to QuestionnaireResponse examples and improved consistency of author/source formatting. |
| #156 | Applied QA fixes including ValueSet renaming to avoid duplicate titles. |
| Issue | Short Description |
|---|---|
| #90 | Refined the Medical Policy Goal profile by adding an ACP-specific SNOMED category, updating search parameters to use category-based retrieval and including the ‘unknown’ option to the valueset. |
| #83 | Aligned the ACP‑OtherImportantInformation profile metadata with the intended SNOMED concept by renaming the profile to ACPSenseOfPurpose, updating identity elements for consistency. |
| #84 | Corrected invalid _include: syntax in multiple search URLs and aligned all queries by standardizing the use of subject=Patient/[id] notation. |
| #92 | Added an ACP prefix to all StructureDefinition.title elements. |
| #81 | Added Observation.method.code to clarify that the organ‑donation finding is patient‑reported and improved description. |
| #93 | Expanded and refined the obligations guidance in the IG by adding the missing obligation flag for Consent.provision.code in the TreatmentDirective, and clarifying the overall obligation design principles and mapping approach. |
| #55 | Added a brief routing statement to the General API Requirements to clarify message/endpoint routing expectations. |
| #95 | Added the missing role field for the first contact person in the FHIR questionnaire and updated the birthdate datatype from dateTime to date. |
| #64 | Removed unnecessary constraints on Procedure.performer.actor in the ACP Procedure profile. |
| #70 | Addedd data‑exchange sequence diagrams. |
| #71 | Removed the EncounterReference extension |
| #101 | Added a reference to IHE‑ITI‑119 as an example mechanism for obtaining the Patient ID. |
| #43 | Prettified and standardized the search queries. |
| #50 | Fixed incorrect handling of obligation extensions. |
| #54 | Removed the outdated Beta3 28‑08‑2025 from the questionnaire title. |
| #56 | Reorganized the R4 and STU3 example sets for consistency and aligned naming across all examples. |
| #59 | Improved rendering of advance directive extension in the IG. |
| #62 | Improved how impactful differences from base profiles are shown in the IG. |
| #63 | Redesigned Communication profile into CommunicationRequest profile. |
| #73 | Corrected typo in comment provision.code.text. |
| #82 | Added an obligation flag for Observation.performer. |
| #99 | Made all ICD SNOMED codes explicit in the ValueSet ACP-MedicalDeviceProductType-ICD and search URLs to reduce implementation burden. |
| #107 | Added the missing contact‑person role code 310141000146103 for "schriftelijk gemachtigde" and relaxed the cardinality constraints. |
| #113 | Removed incorrect uses of Questionnaire.item.code and cleaned up all item code fields. |
| #91 | Updated the IG text and homepage to clearly separate the STU3/zib2017 and R4/zib2020 versions. |
| Issue | Short Description |
|---|---|
| #44 | Updated the Goal search query to directly use SNOMED codes instead of referencing the ACP-MedicalPolicyGoal value set, following HL7 validation feedback. |
| #40 | Added obligation extensions and updated IG documentation to clearly indicate which elements are relevant for the ACP/PZP use case. |
| #37 | Updated the canonical URLs in the Implementation Guide to align with the hosting location and prepare for release. |
| #31 | Separated STU3-related examples and utilities into a dedicated repository to comply with HL7 IG tooling requirements. |
| #30 | Updated textual references to reflect new naming conventions for PZP/ACP datasets and forms; package name remains unchanged. |
| #29 | Replaced the SNOMED OID with the correct URI (http://snomed.info/sct) in the Device value set. |
| #28 | Updated Questionnaire items to use the prefix element for numbering (e.g., "1.", "a)"), improving structure and FHIR compliance. |
| #26 | Replaced "ja" and "nee" with "wel uitvoeren" and "niet uitvoeren" in the treatment directive documentation for clarity. |
| #25 | Commented out the displayLanguage parameter to prevent automatic Dutch translations in the IG profiles. |
| #23 | Updated ValueSet displays to consistently use Dutch terms without additional qualifiers, aligning with Nictiz conventions. |
| #22 | Included links to the GitHub repository and issue tracker in both the STU3 and R4 Implementation Guides. |
| #19 | History to the IG following HL7 guidelines, including setup for canonical alignment. |
| #18 | Set up a process to publish FHIR packages on Simplifier.net, with plans for future automation via pipeline. |
| #14 | Added automated validation for R4 IG using a CI pipeline; STU3 support is pending improvements to Firely tooling. |
| #9 | Resolved a build error by updating resource instances and using IG Publisher v2.0.17 which handles multiple name elements. |
| #45 | Will define server and client responsibilities for supporting exchange methods, including conformance statements and enriched ActorDefinitions. |
| #24 | Proposed solutions for both STU3 and R4 to support an "unknown" value for the Treatment directive using custom or reused extensions; examples and test data updated accordingly. |
| #17 | Updated terminology (e.g., "Palliatieve Zorg Planning" → "Proactieve Zorgplanning") and improved documentation text without affecting implementers. |
| #15 | Identified and planned fixes for unresolved QA issues in STU3 examples, primarily by improving the conversion scripts from R4. |