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General information

Name: nl.zorg.AdvanceDirective NL.png
Version: 4.0
HCIM Status:Final
Release: 2021
Release status: Prepublished
Release date: 01-12-2021

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DCM::CoderList Kerngroep Registratie aan de Bron
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::CreationDate 25-10-2012
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Name PM
DCM::Id 2.16.840.1.113883.
DCM::KeywordList wilsverklaring
DCM::LifecycleStatus Final
DCM::ModelerList Kerngroep Registratie aan de Bron
DCM::Name nl.zorg.Wilsverklaring
DCM::PublicationDate 01-12-2021
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 16-11-2021
DCM::Supersedes nl.zorg.Wilsverklaring-v3.1.1
DCM::Version 4.0
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-04-2015)

ZIB-91 Opsplitsen OverdrachtBehandelAanwijzing in OverdrachtWilsverklaring en OverdrachtBehandelAanwijzing, incl. uitbreiding WilsverklaringTypeCodelijst.
ZIB-213 In klinische bouwsteen OverdrachtBehandelAanwijzing de waarde van DCM::Name aanpassen van <<DCM>> nl.nfu. ... naar nl.nfu. ....
ZIB-214 De naam van gekoppelde waardenlijst TypeWilsverklaringTypeCodelijst is onjuist in de bouwsteen OverdrachtBehandelAanwijzing, dit zou WilsverklaringTypeCodelijst moeten zijn.
ZIB-308 Prefix Overdracht weggehaald bij de generieke bouwstenen
ZIB-356 Concept WilsverklaringDatum toevoegen

Incl. algemene wijzigingsverzoeken:

ZIB-94 Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
ZIB-154 Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.
ZIB-200 Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.
ZIB-201 Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.
ZIB-309 EOI aangepast
ZIB-324 Codelijsten Name en Description beginnen met een Hoofdletter
ZIB-326 Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015

Publicatieversie 3.0 (01-05-2016)

ZIB-453 Wijziging naamgeving ZIB's en logo's door andere opzet van beheer

Publicatieversie 3.1 (04-09-2017)

ZIB-564 Aanpassing/harmonisatie Engelse conceptnamen
ZIB-574 Alleen verwijzen naar het rootconcept van de ZIB.

Publicatieversie 3.1.1 (01-09-2020)

ZIB-1004 links/referenties in zib wilsverklaring zijn niet meer actueel
ZIB-937 aanpassen wilsverklaring met type (zelfbindingsverklaring)

Publicatieversie 4.0 (01-12-2021)

ZIB-1173 Wilsverklaring: Orgaandonatie verder specificeren


A living will is a verbal or written description of the patient’s wishes with regard to future medical action or end of their life. A living will is mainly used for situations in which the patient is no longer able to speak about these decisions with their healthcare provider.

The option to select 'Verklaring donorschap' as 'WilsverklaringType' within the HCIM has been removed as this information is registered in a national register and access to this information is subject to strict requirements. See


A good overview of the patient’s wishes is important. A healthcare provider can use the living will to discuss the existing wishes with the persons involved and to incorporate these wishes in their own policy. A concise, orderly list is of particular importance in acute care situations.

Evidence Base

The list with types of living wills was developed in close consultation with the Dutch Patient and Consumer Federation (NPCF), the Dutch Association for Voluntary End of Life (NVVE) and the Dutch Patient Organization (NPV).

The list of types matches the living wills for which the various associations offer examples on their websites.

In the pre-release 2021-2, "Verklaring donorschap" was set to deprecated, because legally this information may only be viewed in the event of the patient's death under strict conditions in a national register.

Information Model


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:7.15.1 Arrowdown.pngAdvanceDirective Root concept of the LivingWill information model. This concept contains all data elements of the LivingWill information model.
CD.png NL-CM:7.15.2 Arrowright.pngLivingWillType 1 List of the different types of living wills.
List2.png TypeOfLivingWillCodelist
TS.png NL-CM:7.15.7 Arrowright.pngLivingWillDate 1 The date on which the living will was recorded.
Verwijzing.png NL-CM:7.15.4 Arrowright.pngDisorder::Problem 0..* The problem or disorder to which the living will applies.
Block.png Problem
Verwijzing.png NL-CM:7.15.3 Arrowright.pngRepresentative::Contact 0..1 The person who is the legal representative or is appointed as the authorized representative in the signed authorization.
Block.png ContactPerson
ED.png NL-CM:7.15.5 Arrowright.pngLivingWillDocument 0..1 Scanned source document with the living will and the patient's signature, such as a PDF.
ST.png NL-CM:7.15.6 Arrowright.pngComment 0..1 Comment on the living will: the form, such as a medallion, tattoo, etc., or where the living will can be found.
48767-8 Annotation comment [Interpretation] Narrative

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page List2.png

Example Instances

Only available in Dutch

WilsverklaringType Niet reanimeren verklaring
Datum 15-08-2011
Aandoening ALS
Toelichting Niet-reanimerenpenning
Initialen J.P.M.
Geslachtsnaam Pietersen
Rol Wettelijk vertegenwoordiger
Telefoonnummer +31611234567
NummerSoort Mobiel telefoonnummer


1. NPCF - Wilsverklaring [Online] Beschikbaar op: [Geraadpleegd: 15 juni 2020].

2. Wilsverklaringen van de NVVE [Online] Beschikbaar op: [Geraadpleegd: 15 juni 2020].

3. NPV - Levenswensverklaring [Online] Beschikbaar op: [Geraadpleegd: 15 juni 2020].



Valueset OID: 2.16.840.1.113883. Binding: Required
Conceptname Conceptcode Codesystem name Codesystem OID Description
Niet reanimeren verklaring NR WilsverklaringType 2.16.840.1.113883. Niet reanimeren verklaring
Volmacht VOL WilsverklaringType 2.16.840.1.113883. Volmacht
Behandelverbod VERB WilsverklaringType 2.16.840.1.113883. Behandelverbod
Behandelverbod met aanvulling Voltooid Leven VERBVL WilsverklaringType 2.16.840.1.113883. Behandelverbod met aanvulling Voltooid Leven
Mondelinge afspraak MON WilsverklaringType 2.16.840.1.113883. Mondelinge afspraak
Euthanasieverzoek EU WilsverklaringType 2.16.840.1.113883. Euthanasieverzoek
Euthanasieverzoek met aanvulling Dementie EUD WilsverklaringType 2.16.840.1.113883. Euthanasieverzoek met aanvulling Dementie
Levenswensverklaring LW WilsverklaringType 2.16.840.1.113883. Levenswensverklaring
Verklaring donorschap [DEPRECATED] DO WilsverklaringType 2.16.840.1.113883. Verklaring donorschap [DEPRECATED]
Zelfbindingsverklaring ZB WilsverklaringType 2.16.840.1.113883. Zelfbindingsverklaring
Verklaring ter beschikkingstelling aan de wetenschap VBW WilsverklaringType 2.16.840.1.113883. Verklaring ter beschikkingstelling aan de wetenschap
Other OTH NullFlavor 2.16.840.1.113883.5.1008 Anders

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Technical specifications in HL7v3 CDA and HL7 FHIR

To exchange information based on health and care information models, additional, more technical specifications are required.
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:

  • HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png


This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

About this information

The information in this wikipage is based on Pre-release 2021-2
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20210731 [R] (July 2021 Release)
  • LOINC version 2.67

Conditions for use are located on the mainpage List2.png
This page is generated on 30/11/2021 09:47:09 with ZibExtraction v. 6.4.8004.1652

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