Netherlands - Generic Functions for data exchange Implementation Guide, published by Stichting Nuts. This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nuts-foundation/nl-generic-functions-ig/ and changes regularly. See the Directory of published versions

HealthcareProfessionalDelegationCredential

HealthcareProfessionalDelegationCredential

The HealthcareProfessionalDelegationCredential proves that a healthcare professional delegates authority to a healthcare provider. It is the Verifiable Credential counterpart of the AORTA SAML mandate token (mandaattoken). The healthcare professional signs the credential with the signing key of their UZI healthcare professional pass.

Overview

Purpose: Assert that a healthcare professional has delegated a defined set of authorized actions to a healthcare provider, within the scope of an authorization rule from the applicable agreement framework (afspraakstelsel).

Issuer: did:x509 of the healthcare professional that signs the credential. The certificate MUST be a UZI healthcare professional pass (pastype Z).

Subject: did:web of the healthcare provider within which the mandate is valid.

Status: draft

VC type: ["VerifiableCredential", "HealthcareProfessionalDelegationCredential"]

Trust anchors: PKIoverheid intermediate CAs for UZI healthcare professional passes, or future GIS-VN intermediate CAs.

Background

This credential replaces the AORTA SAML mandate token used to delegate authority from a healthcare professional to a healthcare provider.

The credential names the healthcare provider the mandate is issued to (hasDelegation.issuedTo) by its URA number. The binding between that URA number and the subject did:web of the healthcare provider must still be established through an additional credential presented in the same Verifiable Presentation.

By signing the credential with their UZI Z-pas, the healthcare professional makes a personal claim about the scope of the delegation: the authorization rule and the set of authorized actions.

Attributes

All fields below are scoped to credentialSubject.

The set of valid values for authorizationRule and authorizedActions is determined by the applicable agreement framework (afspraakstelsel).

Semantic relations

The credential expresses the following entity model:

graph TD
    VC[HealthcareProfessionalDelegationCredential]
    VC -->|issuer| ISSUER["did:x509 (UZI Z-pas)"]
    VC -->|credentialSubject| HP["HealthcareProvider"]
    HP -->|id| HPID["did:web:huisarts-delinden.nl"]
    HP -->|hasDelegation| DEL["Delegation"]
    DEL -->|issuedTo| ITO["HealthcareProvider"]
    ITO -->|identifier| ITOID["Identifier"]
    ITOID -->|system| ITOSYS["http://fhir.nl/fhir/NamingSystem/ura"]
    ITOID -->|value| ITOVAL["12345678 (URA)"]
    DEL -->|delegatedBy| HCP["HealthcareProfessional"]
    HCP -->|identifier| HCPID["Identifier"]
    HCPID -->|system| HCPSYS["http://fhir.nl/fhir/NamingSystem/uzi-nr-pers"]
    HCPID -->|value| HCPVAL["90001234 (UZI-nr-pers)"]
    HCP -->|roleCode| HCPROLE["01.015 (UZI rolcode)"]
    DEL -->|scope| SCOPE["DelegationScope"]
    SCOPE -->|authorizationRule| RULE["http://gis-nl.example/authorizationRule/example"]
    SCOPE -->|authorizedActions| ACTIONS["[read, write]"]

JSON-LD Context

The credential uses the GIS JSON-LD context.

Example credential

The following is a non-normative example of a HealthcareProfessionalDelegationCredential using the W3C Verifiable Credentials Data Model 1.1 JWT encoding. It asserts that the healthcare professional with UZI 90001234 (role code 01.015) has delegated the actions read and write to the healthcare provider identified by did:web:huisarts-delinden.nl.

The values used for authorizationRule and authorizedActions are placeholders; actual values are governed by the applicable agreement framework.

JWT Header:

{
  "alg": "PS256",
  "typ": "JWT",
  "kid": "did:x509:0:sha256:YmFzZTY0...dHJ1c3Q=::san:otherName:2.16.528.1.1007.99.2110-1-12345678-Z-90001234-01.015-12345678#0",
  "x5c": [
    "MIIFjDCCA3SgAwIBAgIUe8Y...kortLeafCert...==",
    "MIIFcDCCA1igAwIBAgIUa5B...kortIntermediateCert...==",
    "MIIFZDCCAxygAwIBAgIUbGp...kortRootCert...=="
  ],
  "x5t#S256": "dGhpcyBpcyBhIGV4YW1wbGUgdGh1bWJwcmludA"
}

JWT Payload:

{
  "iss": "did:x509:0:sha256:YmFzZTY0...dHJ1c3Q=::san:otherName:2.16.528.1.1007.99.2110-1-12345678-Z-90001234-01.015-12345678",
  "sub": "did:web:huisarts-delinden.nl",
  "jti": "urn:uuid:b2c3d4e5-f6a7-8901-bcde-f23456789012",
  "nbf": 1740000000,
  "exp": 1786320000,
  "vc": {
    "@context": [
      "https://www.w3.org/2018/credentials/v1",
      "http://gis-nl.example/"
    ],
    "type": [
      "VerifiableCredential",
      "HealthcareProfessionalDelegationCredential"
    ],
    "issuanceDate": "2025-02-20T00:00:00Z",
    "expirationDate": "2026-08-08T00:00:00Z",
    "credentialSubject": {
      "id": "did:web:huisarts-delinden.nl",
      "@type": "HealthcareProvider",
      "hasDelegation": {
        "@type": "Delegation",
        "issuedTo": {
          "@type": "HealthcareProvider",
          "identifier": {
            "@type": "Identifier",
            "system": "http://fhir.nl/fhir/NamingSystem/ura",
            "value": "12345678"
          }
        },
        "delegatedBy": {
          "@type": "HealthcareProfessional",
          "identifier": {
            "@type": "Identifier",
            "system": "http://fhir.nl/fhir/NamingSystem/uzi-nr-pers",
            "value": "90001234"
          },
          "roleCode": "01.015"
        },
        "scope": {
          "@type": "DelegationScope",
          "authorizationRule": "http://gis-nl.example/authorizationRule/example",
          "authorizedActions": ["read", "write"]
        }
      }
    }
  }
}

Validation

In addition to the generic validation steps from the Credential Catalog, verifiers MUST perform the following checks:

1. The issuer is a did:x509 DID anchored in a trusted PKIoverheid intermediate CA for UZI healthcare professional passes (or a future GIS-VN intermediate CA), see "Trust Anchors" section.
2. The pastype encoded in the issuer did:x509 MUST be Z (healthcare professional pass). Other pastypes (e.g. N for named employee passes) MUST be rejected.
3. The UZI number in credentialSubject.hasDelegation.delegatedBy.identifier.value MUST correspond to the UZI number encoded in the issuer did:x509.
4. The UZI role code in credentialSubject.hasDelegation.delegatedBy.roleCode MUST correspond to the role code encoded in the issuer did:x509.
5. The credential expirationDate MUST be on or before the notAfter date of the signing key's certificate.
6. The values for authorizationRule and authorizedActions MUST be valid within the applicable agreement framework.

Example use cases

• A healthcare professional delegating a defined set of actions to the healthcare provider they work for, replacing the AORTA SAML mandate token.
• A healthcare provider presenting proof of a personal mandate from a healthcare professional when requesting access to data held by another care organization, in addition to the organisational credentials of the requesting party.

Trust Anchors

The following trust chains are used for validating the credential:

• Staat der Nederlanden Root CA - G3
  • Staat der Nederlanden Organisatie Persoon CA - G3
    • UZI-register Zorgverlener CA G3

Refer to https://cert.pkioverheid.nl/ for the certificates.