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Generic Functions for data exchange - Implementation Guide
26.0.0 - trial-use Netherlands flag

Generic Functions for data exchange - Implementation Guide - Local Development build (v26.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: NL Generic Functions Localization Patient Profile ( Experimental )

Official URL: http://fhir.generiekefuncties.nl/StructureDefinition/nl-gf-localization-patient Version: 26.0.0
Active as of 2026-10-30 Computable Name: NlGfLocalizationPatient

A Patient resource used to register a patient at one custodian for localization. It contains the NVI patient pseudonym, the custodian-assigned patient identifier, the custodian Organization identifier, and the registering OAuth client in meta.source. Demographic and clinical Patient data is not part of this profile.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Patient 0..* Patient Information about an individual or animal receiving health care services
Patient.Slices for identifier This element is included in summaries. 2..2 Identifier An identifier for this patient
Slice: Unordered, Closed by profile:$this

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:nvi This element is included in summaries. 1..1 NviIdentifier An identifier for this patient
Patient.Slices for identifier.identifier:custodian This element is included in summaries. 1..1 CustodianAssignedIdentifier An identifier for this patient
Patient.managingOrganization This element is included in summaries. 1..1 Reference(Organization) Organization that is the custodian of the patient record
Patient.managingOrganization.identifier This element is included in summaries. 1..1 Identifier Logical reference, when literal reference is not known
Patient.managingOrganization.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.managingOrganization.identifier.system This element is included in summaries. 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.528.1.1007.3.3 (no extensions allowed)
Patient.managingOrganization.identifier.value This element is included in summaries. 1..1 string The value that is unique
Example General: 123456

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Patient.communication.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
Patient.managingOrganization.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.link.type Base required LinkType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Patient If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Patient If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Patient If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Patient If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Patient A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Patient

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Patient 0..* Patient Information about an individual or animal receiving health care services
Patient.meta
Patient.meta.source 1..1 uri URI identifying the OAuth client that registered this localization Patient.
Patient.implicitRules 0..0 A set of rules under which this content was created
Patient.contained 0..0 Contained, inline Resources
Patient.modifierExtension 0..0 Extension
Patient.Slices for identifier 2..2 Identifier An identifier for this patient
Slice: Unordered, Closed by profile:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:nvi 1..1 NviIdentifier An identifier for this patient
Patient.Slices for identifier.identifier:custodian 1..1 CustodianAssignedIdentifier An identifier for this patient
Patient.active 0..0 Whether this patient's record is in active use
Patient.name 0..0 A name associated with the patient
Patient.telecom 0..0 A contact detail for the individual
Patient.gender 0..0 male | female | other | unknown
Patient.birthDate 0..0 The date of birth for the individual
Patient.deceased[x] 0..0 Indicates if the individual is deceased or not
Patient.address 0..0 An address for the individual
Patient.maritalStatus 0..0 Marital (civil) status of a patient
Patient.multipleBirth[x] 0..0 Whether patient is part of a multiple birth
Patient.photo 0..0 Image of the patient
Patient.contact 0..0 A contact party (e.g. guardian, partner, friend) for the patient
Patient.communication 0..0 A language which may be used to communicate with the patient about his or her health
Patient.generalPractitioner 0..0 Patient's nominated primary care provider
Patient.managingOrganization 1..1 Reference(Organization) Organization that is the custodian of the patient record
Patient.managingOrganization.reference 0..0 Literal reference, Relative, internal or absolute URL
Patient.managingOrganization.identifier 1..1 Identifier Logical reference, when literal reference is not known
Patient.managingOrganization.identifier.system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.528.1.1007.3.3 (no extensions allowed)
Patient.managingOrganization.identifier.value 1..1 string The value that is unique
Patient.link 0..0 Link to another patient resource that concerns the same actual person

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Patient 0..* Patient Information about an individual or animal receiving health care services
Patient.id This element is included in summaries. 0..1 id Logical id of this artifact
Patient.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Patient.meta.id 0..1 string Unique id for inter-element referencing
Patient.meta.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Patient.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
Patient.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource version last changed
Patient.meta.source This element is included in summaries. 1..1 uri URI identifying the OAuth client that registered this localization Patient.
Patient.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
Patient.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Patient.meta.tag This element is included in summaries. 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Patient.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Patient.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Patient.Slices for identifier This element is included in summaries. 2..2 Identifier An identifier for this patient
Slice: Unordered, Closed by profile:$this

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:nvi This element is included in summaries. 1..1 NviIdentifier An identifier for this patient
Patient.Slices for identifier.identifier:custodian This element is included in summaries. 1..1 CustodianAssignedIdentifier An identifier for this patient
Patient.managingOrganization This element is included in summaries. 1..1 Reference(Organization) Organization that is the custodian of the patient record
Patient.managingOrganization.id 0..1 string Unique id for inter-element referencing
Patient.managingOrganization.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Patient.managingOrganization.type This element is included in summaries. 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Patient.managingOrganization.identifier This element is included in summaries. 1..1 Identifier Logical reference, when literal reference is not known
Patient.managingOrganization.identifier.id 0..1 string Unique id for inter-element referencing
Patient.managingOrganization.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Patient.managingOrganization.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.managingOrganization.identifier.type This element is included in summaries. 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Patient.managingOrganization.identifier.system This element is included in summaries. 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.528.1.1007.3.3 (no extensions allowed)
Patient.managingOrganization.identifier.value This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
Patient.managingOrganization.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Patient.managingOrganization.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Patient.managingOrganization.display This element is included in summaries. 0..1 string Text alternative for the resource

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Patient.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Patient.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Patient.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Patient.contact.relationship Base extensible Patient Contact Relationship 📍4.0.1 FHIR Std.
Patient.contact.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
Patient.communication.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
Patient.managingOrganization.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Patient.managingOrganization.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.managingOrganization.​identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Patient.link.type Base required LinkType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Patient If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Patient If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Patient If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Patient If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Patient A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Patient

Summary

Mandatory: 6 elements(1 nested mandatory element)
Fixed: 1 element
Prohibited: 19 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Patient.identifier (Closed)

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Patient 0..* Patient Information about an individual or animal receiving health care services
Patient.Slices for identifier This element is included in summaries. 2..2 Identifier An identifier for this patient
Slice: Unordered, Closed by profile:$this

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:nvi This element is included in summaries. 1..1 NviIdentifier An identifier for this patient
Patient.Slices for identifier.identifier:custodian This element is included in summaries. 1..1 CustodianAssignedIdentifier An identifier for this patient
Patient.managingOrganization This element is included in summaries. 1..1 Reference(Organization) Organization that is the custodian of the patient record
Patient.managingOrganization.identifier This element is included in summaries. 1..1 Identifier Logical reference, when literal reference is not known
Patient.managingOrganization.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.managingOrganization.identifier.system This element is included in summaries. 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.528.1.1007.3.3 (no extensions allowed)
Patient.managingOrganization.identifier.value This element is included in summaries. 1..1 string The value that is unique
Example General: 123456

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Patient.communication.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
Patient.managingOrganization.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.link.type Base required LinkType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Patient If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Patient If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Patient If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Patient If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Patient A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from Patient

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Patient 0..* Patient Information about an individual or animal receiving health care services
Patient.meta
Patient.meta.source 1..1 uri URI identifying the OAuth client that registered this localization Patient.
Patient.implicitRules 0..0 A set of rules under which this content was created
Patient.contained 0..0 Contained, inline Resources
Patient.extension 0..0 Extension
Patient.modifierExtension 0..0 Extension
Patient.Slices for identifier 2..2 Identifier An identifier for this patient
Slice: Unordered, Closed by profile:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:nvi 1..1 NviIdentifier An identifier for this patient
Patient.Slices for identifier.identifier:custodian 1..1 CustodianAssignedIdentifier An identifier for this patient
Patient.active 0..0 Whether this patient's record is in active use
Patient.name 0..0 A name associated with the patient
Patient.telecom 0..0 A contact detail for the individual
Patient.gender 0..0 male | female | other | unknown
Patient.birthDate 0..0 The date of birth for the individual
Patient.deceased[x] 0..0 Indicates if the individual is deceased or not
Patient.address 0..0 An address for the individual
Patient.maritalStatus 0..0 Marital (civil) status of a patient
Patient.multipleBirth[x] 0..0 Whether patient is part of a multiple birth
Patient.photo 0..0 Image of the patient
Patient.contact 0..0 A contact party (e.g. guardian, partner, friend) for the patient
Patient.communication 0..0 A language which may be used to communicate with the patient about his or her health
Patient.generalPractitioner 0..0 Patient's nominated primary care provider
Patient.managingOrganization 1..1 Reference(Organization) Organization that is the custodian of the patient record
Patient.managingOrganization.reference 0..0 Literal reference, Relative, internal or absolute URL
Patient.managingOrganization.identifier 1..1 Identifier Logical reference, when literal reference is not known
Patient.managingOrganization.identifier.system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.528.1.1007.3.3 (no extensions allowed)
Patient.managingOrganization.identifier.value 1..1 string The value that is unique
Patient.link 0..0 Link to another patient resource that concerns the same actual person

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Patient 0..* Patient Information about an individual or animal receiving health care services
Patient.id This element is included in summaries. 0..1 id Logical id of this artifact
Patient.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Patient.meta.id 0..1 string Unique id for inter-element referencing
Patient.meta.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Patient.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
Patient.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource version last changed
Patient.meta.source This element is included in summaries. 1..1 uri URI identifying the OAuth client that registered this localization Patient.
Patient.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
Patient.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Patient.meta.tag This element is included in summaries. 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Patient.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Patient.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Patient.Slices for identifier This element is included in summaries. 2..2 Identifier An identifier for this patient
Slice: Unordered, Closed by profile:$this

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:nvi This element is included in summaries. 1..1 NviIdentifier An identifier for this patient
Patient.Slices for identifier.identifier:custodian This element is included in summaries. 1..1 CustodianAssignedIdentifier An identifier for this patient
Patient.managingOrganization This element is included in summaries. 1..1 Reference(Organization) Organization that is the custodian of the patient record
Patient.managingOrganization.id 0..1 string Unique id for inter-element referencing
Patient.managingOrganization.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Patient.managingOrganization.type This element is included in summaries. 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Patient.managingOrganization.identifier This element is included in summaries. 1..1 Identifier Logical reference, when literal reference is not known
Patient.managingOrganization.identifier.id 0..1 string Unique id for inter-element referencing
Patient.managingOrganization.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Patient.managingOrganization.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.managingOrganization.identifier.type This element is included in summaries. 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Patient.managingOrganization.identifier.system This element is included in summaries. 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.528.1.1007.3.3 (no extensions allowed)
Patient.managingOrganization.identifier.value This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
Patient.managingOrganization.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Patient.managingOrganization.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Patient.managingOrganization.display This element is included in summaries. 0..1 string Text alternative for the resource

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Patient.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Patient.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Patient.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Patient.contact.relationship Base extensible Patient Contact Relationship 📍4.0.1 FHIR Std.
Patient.contact.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
Patient.communication.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
Patient.managingOrganization.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Patient.managingOrganization.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.managingOrganization.​identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Patient.link.type Base required LinkType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Patient If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Patient If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Patient If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Patient If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Patient A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Patient

Summary

Mandatory: 6 elements(1 nested mandatory element)
Fixed: 1 element
Prohibited: 19 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Patient.identifier (Closed)

 

Other representations of profile: CSV, Excel, Schematron