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Generic Functions for data exchange - Implementation Guide
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: Localization Service (Patient)

Active as of 2026-10-08

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<CapabilityStatement xmlns="http://hl7.org/fhir">
  <id value="nl-gf-localization-repository-patient"/>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CapabilityStatement nl-gf-localization-repository-patient</b></p><a name="nl-gf-localization-repository-patient"> </a><a name="hcnl-gf-localization-repository-patient"> </a><h2 id="title">Localization Service (Patient)</h2><ul><li>Implementation Guide Version: 26.0.0 </li><li>FHIR Version: 4.0.1 </li><li>Supported Formats: <code>application/fhir+json</code></li><li>Published on: 2026-10-08 </li><li>Published by: Ministerie van Volksgezondheid, Welzijn en Sport </li></ul><blockquote class="impl-note"><p><strong>Note to Implementers: FHIR Capabilities</strong></p><p>Any FHIR capability may be 'allowed' by the system unless explicitly marked as 'SHALL NOT'. A few items are marked as MAY in the Implementation Guide to highlight their potential relevance to the use case.</p></blockquote><h2 id="rest">FHIR RESTful Capabilities</h2><div class="panel panel-default"><div class="panel-heading"><h3 id="mode1" class="panel-title">Mode: <code>server</code></h3></div><div class="panel-body"/></div><h3 id="resourcesCap1">Capabilities by Resource/Profile</h3><h4 id="resourcesSummary1">Summary</h4><p>The summary table lists the resources that are part of this configuration, and for each resource it lists:</p><ul><li>The relevant profiles (if any)</li><li>The interactions supported by each resource (<b><span class="bg-info">R</span></b>ead, <b><span class="bg-info">S</span></b>earch, <b><span class="bg-info">U</span></b>pdate, and <b><span class="bg-info">C</span></b>reate, are always shown, while <b><span class="bg-info">VR</span></b>ead, <b><span class="bg-info">P</span></b>atch, <b><span class="bg-info">D</span></b>elete, <b><span class="bg-info">H</span></b>istory on <b><span class="bg-info">I</span></b>nstance, or <b><span class="bg-info">H</span></b>istory on <b><span class="bg-info">T</span></b>ype are only present if at least one of the resources has support for them.</li><li><span>The required, recommended, and some optional search parameters (if any). </span></li><li>The linked resources enabled for <code>_include</code></li><li>The other resources enabled for <code>_revinclude</code></li><li>The operations on the resource (if any)</li></ul><div class="table-responsive"><table class="table table-condensed table-hover"><thead><tr><th><b>Resource Type</b></th><th><b>Profile</b></th><th class="text-center"><b title="GET a resource (read interaction)">R</b></th><th class="text-center"><b title="GET all set of resources of the type (search interaction)">S</b></th><th class="text-center"><b title="PUT a new resource version (update interaction)">U</b></th><th class="text-center"><b title="POST a new resource (create interaction)">C</b></th><th class="text-center"><b title="DELETE a resource (delete interaction)">D</b></th><th><b title="Required and recommended search parameters">Searches</b></th><th><code><b>_include</b></code></th><th><code><b>_revinclude</b></code></th><th><b>Operations</b></th></tr></thead><tbody><tr><td><a href="#Patient1-1">Patient</a></td><td>Supported Profiles<br/>  <a href="StructureDefinition-nl-gf-localization-patient.html">NL Generic Functions Localization Patient Profile</a></td><td class="text-center"/><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"/><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td>identifier, organization, _source</td><td/><td/><td/></tr></tbody></table></div><hr/><div class="panel panel-default"><div class="panel-heading"><h4 id="Patient1-1" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>Patient</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/patient.html">Patient</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>delete</code><br/><code>create</code><div><p>SHALL support conditional create with <code>If-None-Exist: identifier=[custodian-assigned identifier]&amp;_source=[client URI]</code>, so a registering client cannot create duplicate registrations.</p>
</div><code>search-type</code><div><p>SHALL support data-user search using <code>POST [base]/Patient/_search</code> (<code>application/x-www-form-urlencoded</code>). This search SHALL include the NVI patient identifier and MAY combine it with managing-organization filters. SHALL support the standard chained searches <code>organization:identifier</code>, <code>organization.type</code>, <code>organization.endpoint.payload-type</code>, and <code>organization._has:HealthcareService:organization:service-type</code>; the NVI resolves managing-organization identifiers against its LRZa replica. SHALL return only matching Patient projections for which the Authorization Decision is allow, marked with the <code>SUBSETTED</code> tag and omitting all Patient.identifier values and meta.source. These projections SHALL NOT be used to update registrations. An authorized registering client MAY search its registrations by <code>_source</code> for maintenance; those results are distinct from data-user search results.</p>
</div></li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-nl-gf-localization-patient.html">NL Generic Functions Localization Patient Profile</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><p>A Patient resource represents one patient at one custodian, registered by one client. Registration and maintenance use direct Patient REST interactions; transaction Bundles SHALL NOT be used.</p>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/patient.html#search">identifier</a></td><td><code>token</code></td><td><div><p>The NVI patient pseudonym. SHALL support the NVI identifier system. A registering client MAY also search by the custodian-assigned identifier, combined with <code>_source</code>, for record maintenance and conditional create.</p>
</div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/patient.html#search">organization</a></td><td><code>reference</code></td><td><div><p>SHALL support filtering on the managing Organization using its <code>:identifier</code> modifier and chained <code>type</code>, <code>endpoint.payload-type</code>, and <code>_has:HealthcareService:organization:service-type</code> parameters. SHALL also accept the equivalent type-qualified form <code>organization.endpoint:Endpoint.payload-type</code>. The Organization identifier is resolved against the LRZa replica.</p>
</div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/resource.html#search">_source</a></td><td><code>uri</code></td><td><div><p>Search by the registering OAuth client URI in meta.source for record maintenance.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div></div>
  </text>
  <url
       value="http://fhir.generiekefuncties.nl/CapabilityStatement/nl-gf-localization-repository-patient"/>
  <version value="26.0.0"/>
  <title value="Localization Service (Patient)"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-10-08"/>
  <publisher value="Ministerie van Volksgezondheid, Welzijn en Sport"/>
  <contact>
    <name value="Ministerie van Volksgezondheid, Welzijn en Sport"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.minvws.nl"/>
    </telecom>
  </contact>
  <description
               value="Dutch requirements for a Localization Service that registers and searches localization records as Patient resources."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="NL"/>
      <display value="Netherlands"/>
    </coding>
  </jurisdiction>
  <kind value="requirements"/>
  <fhirVersion value="4.0.1"/>
  <format value="application/fhir+json"/>
  <rest>
    <mode value="server"/>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <type value="Patient"/>
      <supportedProfile
                        value="http://fhir.generiekefuncties.nl/StructureDefinition/nl-gf-localization-patient"/>
      <documentation
                     value="A Patient resource represents one patient at one custodian, registered by one client. Registration and maintenance use direct Patient REST interactions; transaction Bundles SHALL NOT be used."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="create"/>
        <documentation
                       value="SHALL support conditional create with `If-None-Exist: identifier=[custodian-assigned identifier]&amp;_source=[client URI]`, so a registering client cannot create duplicate registrations."/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
        <documentation
                       value="SHALL support data-user search using `POST [base]/Patient/_search` (`application/x-www-form-urlencoded`). This search SHALL include the NVI patient identifier and MAY combine it with managing-organization filters. SHALL support the standard chained searches `organization:identifier`, `organization.type`, `organization.endpoint.payload-type`, and `organization._has:HealthcareService:organization:service-type`; the NVI resolves managing-organization identifiers against its LRZa replica. SHALL return only matching Patient projections for which the Authorization Decision is allow, marked with the `SUBSETTED` tag and omitting all Patient.identifier values and meta.source. These projections SHALL NOT be used to update registrations. An authorized registering client MAY search its registrations by `_source` for maintenance; those results are distinct from data-user search results."/>
      </interaction>
      <conditionalCreate value="true"/>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="identifier"/>
        <definition
                    value="http://hl7.org/fhir/SearchParameter/Patient-identifier"/>
        <type value="token"/>
        <documentation
                       value="The NVI patient pseudonym. SHALL support the NVI identifier system. A registering client MAY also search by the custodian-assigned identifier, combined with `_source`, for record maintenance and conditional create."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="organization"/>
        <definition
                    value="http://hl7.org/fhir/SearchParameter/Patient-organization"/>
        <type value="reference"/>
        <documentation
                       value="SHALL support filtering on the managing Organization using its `:identifier` modifier and chained `type`, `endpoint.payload-type`, and `_has:HealthcareService:organization:service-type` parameters. SHALL also accept the equivalent type-qualified form `organization.endpoint:Endpoint.payload-type`. The Organization identifier is resolved against the LRZa replica."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="_source"/>
        <definition
                    value="http://hl7.org/fhir/SearchParameter/Resource-source"/>
        <type value="uri"/>
        <documentation
                       value="Search by the registering OAuth client URI in meta.source for record maintenance."/>
      </searchParam>
    </resource>
  </rest>
</CapabilityStatement>