Netherlands - Generic Functions for data exchange Implementation Guide
0.9.0-ballot - ballot

Netherlands - Generic Functions for data exchange Implementation Guide, published by Ministerie van Volksgezondheid, Welzijn en Sport. This guide is not an authorized publication; it is the continuous build for version 0.9.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/minvws/generiekefuncties-docs/ and changes regularly. See the Directory of published versions

## Resource Profile: NL Generic Functions OrganizationAffiliation Profile ( Experimental )

Official URL: http://minvws.github.io/generiekefuncties-docs/StructureDefinition/nl-gf-organizationaffiliation | Version: 0.9.0-ballot
Active as of 2026-04-02 | Computable Name: NlGfOrganizationAffiliation

OrganizationAffiliation profile aligned with IHE mCSD OrganizationAffiliation constraints, with a required custodian-assigned identifier and extended with a value set constraint on code and support for device identifiers in extensions.

Usages:

- Examples for this Profile: OrganizationAffiliation/8ee51b54-bafb-562d-87d1-9429f8bbfc1b, OrganizationAffiliation/c5d6c9d6-7562-589e-9b34-c20a3488daa1 and OrganizationAffiliation/fe43d49a-4748-5c42-a731-e40d614be8f9
- CapabilityStatements using this Profile: Directory capability [ITI-130-NL] for a Data Source actor, Directory capability [ITI-90-NL] for Update Client actor and Directory capability [ITI-91-NL] for an Update Client actor

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
OrganizationAffiliation |  | 0..* | OrganizationAffiliation | Defines an affiliation/assotiation/relationship between 2 distinct oganizations, that is not a part-of relationship/sub-division relationship This profile also complies with the profile mCSD Organization Affiliation
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:device |  | 0..* | Reference(NL Generic Functions Device Profile) | An identifier for a device, such as a software application, that is used in the context of an affiliation between two organizations. URL: http://minvws.github.io/generiekefuncties-docs/StructureDefinition/nl-gf-device-identifier
Slices for identifier | Σ | 1..* | Identifier | Business identifiers that are specific to this role Slice: Unordered, Open by profile:$this
identifier:AssignedId | Σ | 1..1 | CustodianAssignedIdentifier | Business identifiers that are specific to this role
active | Σ | 1..1 | boolean | Whether this organization affiliation record is in active use
organization | Σ | 1..1 | Reference(Organization) | Organization where the role is available
participatingOrganization | Σ | 1..1 | Reference(Organization) | Organization that provides/performs the role (e.g. providing services or is a member of)
code | Σ | 1..* | CodeableConcept | Definition of the role the participatingOrganization plays Binding: NL GF Authorization Type ValueSet (required)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
OrganizationAffiliation.​code | Base | required | NL GF Authorization Type ValueSet | 📦0.9.0-ballot | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | OrganizationAffiliation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | OrganizationAffiliation | 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 | OrganizationAffiliation | 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 | OrganizationAffiliation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | OrganizationAffiliation | 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 OrganizationAffiliation

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
OrganizationAffiliation |  | 0..* | OrganizationAffiliation | Defines an affiliation/assotiation/relationship between 2 distinct oganizations, that is not a part-of relationship/sub-division relationship This profile also complies with the profile mCSD Organization Affiliation
implicitRules |  | 0..0 |  | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:device |  | 0..* | Reference(NL Generic Functions Device Profile) | An identifier for a device, such as a software application, that is used in the context of an affiliation between two organizations. URL: http://minvws.github.io/generiekefuncties-docs/StructureDefinition/nl-gf-device-identifier
modifierExtension |  | 0..0 |  | Extension
Slices for identifier |  | 1..* | Identifier | Business identifiers that are specific to this role Slice: Unordered, Open by profile:$this
identifier:AssignedId |  | 1..1 | CustodianAssignedIdentifier | Business identifiers that are specific to this role
active |  | 1..1 | boolean | Whether this organization affiliation record is in active use
organization |  | 1..1 | Reference(Organization) | Organization where the role is available
participatingOrganization |  | 1..1 | Reference(Organization) | Organization that provides/performs the role (e.g. providing services or is a member of)
network |  | 0..0 |  | Health insurance provider network in which the participatingOrganization provides the role's services (if defined) at the indicated locations (if defined)
code |  | 1..* | CodeableConcept | Definition of the role the participatingOrganization plays Binding: NL GF Authorization Type ValueSet (required)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
OrganizationAffiliation.​code | Base | required | NL GF Authorization Type ValueSet | 📦0.9.0-ballot | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
OrganizationAffiliation |  | 0..* | OrganizationAffiliation | Defines an affiliation/assotiation/relationship between 2 distinct oganizations, that is not a part-of relationship/sub-division relationship This profile also complies with the profile mCSD Organization Affiliation
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:device |  | 0..* | Reference(NL Generic Functions Device Profile) | An identifier for a device, such as a software application, that is used in the context of an affiliation between two organizations. URL: http://minvws.github.io/generiekefuncties-docs/StructureDefinition/nl-gf-device-identifier
Slices for identifier | Σ | 1..* | Identifier | Business identifiers that are specific to this role Slice: Unordered, Open by profile:$this
identifier:AssignedId | Σ | 1..1 | CustodianAssignedIdentifier | Business identifiers that are specific to this role
active | Σ | 1..1 | boolean | Whether this organization affiliation record is in active use
period | Σ | 0..1 | Period | The period during which the participatingOrganization is affiliated with the primary organization
organization | Σ | 1..1 | Reference(Organization) | Organization where the role is available
participatingOrganization | Σ | 1..1 | Reference(Organization) | Organization that provides/performs the role (e.g. providing services or is a member of)
code | Σ | 1..* | CodeableConcept | Definition of the role the participatingOrganization plays Binding: NL GF Authorization Type ValueSet (required)
specialty | Σ | 0..* | CodeableConcept | Specific specialty of the participatingOrganization in the context of the role Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the participating organization.
location | Σ | 0..* | Reference(Location) | The location(s) at which the role occurs
healthcareService |  | 0..* | Reference(HealthcareService) | Healthcare services provided through the role
telecom | Σ | 0..* | ContactPoint | Contact details at the participatingOrganization relevant to this Affiliation
endpoint |  | 0..* | Reference(Endpoint) | Technical endpoints providing access to services operated for this role
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
OrganizationAffiliation.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
OrganizationAffiliation.​code | Base | required | NL GF Authorization Type ValueSet | 📦0.9.0-ballot | This IG
OrganizationAffiliation.​specialty | Base | preferred | Practice Setting Code Value Set | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | OrganizationAffiliation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | OrganizationAffiliation | 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 | OrganizationAffiliation | 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 | OrganizationAffiliation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | OrganizationAffiliation | 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 OrganizationAffiliation

Summary

Mandatory: 6 elements
Prohibited: 3 elements

Structures

This structure refers to these other structures:

- Custodian Assigned Identifier (http://minvws.github.io/generiekefuncties-docs/StructureDefinition/nl-gf-custodianassignedidentifier)

Extensions

This structure refers to these extensions:

- http://minvws.github.io/generiekefuncties-docs/StructureDefinition/nl-gf-device-identifier

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of OrganizationAffiliation.identifier

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
OrganizationAffiliation |  | 0..* | OrganizationAffiliation | Defines an affiliation/assotiation/relationship between 2 distinct oganizations, that is not a part-of relationship/sub-division relationship This profile also complies with the profile mCSD Organization Affiliation
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:device |  | 0..* | Reference(NL Generic Functions Device Profile) | An identifier for a device, such as a software application, that is used in the context of an affiliation between two organizations. URL: http://minvws.github.io/generiekefuncties-docs/StructureDefinition/nl-gf-device-identifier
Slices for identifier | Σ | 1..* | Identifier | Business identifiers that are specific to this role Slice: Unordered, Open by profile:$this
identifier:AssignedId | Σ | 1..1 | CustodianAssignedIdentifier | Business identifiers that are specific to this role
active | Σ | 1..1 | boolean | Whether this organization affiliation record is in active use
organization | Σ | 1..1 | Reference(Organization) | Organization where the role is available
participatingOrganization | Σ | 1..1 | Reference(Organization) | Organization that provides/performs the role (e.g. providing services or is a member of)
code | Σ | 1..* | CodeableConcept | Definition of the role the participatingOrganization plays Binding: NL GF Authorization Type ValueSet (required)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
OrganizationAffiliation.​code | Base | required | NL GF Authorization Type ValueSet | 📦0.9.0-ballot | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | OrganizationAffiliation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | OrganizationAffiliation | 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 | OrganizationAffiliation | 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 | OrganizationAffiliation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | OrganizationAffiliation | 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 OrganizationAffiliation

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
OrganizationAffiliation |  | 0..* | OrganizationAffiliation | Defines an affiliation/assotiation/relationship between 2 distinct oganizations, that is not a part-of relationship/sub-division relationship This profile also complies with the profile mCSD Organization Affiliation
implicitRules |  | 0..0 |  | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:device |  | 0..* | Reference(NL Generic Functions Device Profile) | An identifier for a device, such as a software application, that is used in the context of an affiliation between two organizations. URL: http://minvws.github.io/generiekefuncties-docs/StructureDefinition/nl-gf-device-identifier
modifierExtension |  | 0..0 |  | Extension
Slices for identifier |  | 1..* | Identifier | Business identifiers that are specific to this role Slice: Unordered, Open by profile:$this
identifier:AssignedId |  | 1..1 | CustodianAssignedIdentifier | Business identifiers that are specific to this role
active |  | 1..1 | boolean | Whether this organization affiliation record is in active use
organization |  | 1..1 | Reference(Organization) | Organization where the role is available
participatingOrganization |  | 1..1 | Reference(Organization) | Organization that provides/performs the role (e.g. providing services or is a member of)
network |  | 0..0 |  | Health insurance provider network in which the participatingOrganization provides the role's services (if defined) at the indicated locations (if defined)
code |  | 1..* | CodeableConcept | Definition of the role the participatingOrganization plays Binding: NL GF Authorization Type ValueSet (required)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
OrganizationAffiliation.​code | Base | required | NL GF Authorization Type ValueSet | 📦0.9.0-ballot | This IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
OrganizationAffiliation |  | 0..* | OrganizationAffiliation | Defines an affiliation/assotiation/relationship between 2 distinct oganizations, that is not a part-of relationship/sub-division relationship This profile also complies with the profile mCSD Organization Affiliation
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:device |  | 0..* | Reference(NL Generic Functions Device Profile) | An identifier for a device, such as a software application, that is used in the context of an affiliation between two organizations. URL: http://minvws.github.io/generiekefuncties-docs/StructureDefinition/nl-gf-device-identifier
Slices for identifier | Σ | 1..* | Identifier | Business identifiers that are specific to this role Slice: Unordered, Open by profile:$this
identifier:AssignedId | Σ | 1..1 | CustodianAssignedIdentifier | Business identifiers that are specific to this role
active | Σ | 1..1 | boolean | Whether this organization affiliation record is in active use
period | Σ | 0..1 | Period | The period during which the participatingOrganization is affiliated with the primary organization
organization | Σ | 1..1 | Reference(Organization) | Organization where the role is available
participatingOrganization | Σ | 1..1 | Reference(Organization) | Organization that provides/performs the role (e.g. providing services or is a member of)
code | Σ | 1..* | CodeableConcept | Definition of the role the participatingOrganization plays Binding: NL GF Authorization Type ValueSet (required)
specialty | Σ | 0..* | CodeableConcept | Specific specialty of the participatingOrganization in the context of the role Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the participating organization.
location | Σ | 0..* | Reference(Location) | The location(s) at which the role occurs
healthcareService |  | 0..* | Reference(HealthcareService) | Healthcare services provided through the role
telecom | Σ | 0..* | ContactPoint | Contact details at the participatingOrganization relevant to this Affiliation
endpoint |  | 0..* | Reference(Endpoint) | Technical endpoints providing access to services operated for this role
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
OrganizationAffiliation.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
OrganizationAffiliation.​code | Base | required | NL GF Authorization Type ValueSet | 📦0.9.0-ballot | This IG
OrganizationAffiliation.​specialty | Base | preferred | Practice Setting Code Value Set | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | OrganizationAffiliation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | OrganizationAffiliation | 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 | OrganizationAffiliation | 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 | OrganizationAffiliation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | OrganizationAffiliation | 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 OrganizationAffiliation

Summary

Mandatory: 6 elements
Prohibited: 3 elements

Structures

This structure refers to these other structures:

- Custodian Assigned Identifier (http://minvws.github.io/generiekefuncties-docs/StructureDefinition/nl-gf-custodianassignedidentifier)

Extensions

This structure refers to these extensions:

- http://minvws.github.io/generiekefuncties-docs/StructureDefinition/nl-gf-device-identifier

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of OrganizationAffiliation.identifier

Other representations of profile: CSV, Excel, Schematron