GP-led continuity infrastructure

Dutch Primary Care,
Anywhere.

Huisarts-led referral and reporting for patients abroad. Your gatekeeper role stays intact β€” from first contact to follow-up.

How a referral works
1
Patient contacts GP
Patient abroad reports symptoms to their Dutch huisarts via regular channels.
2
GP creates referral
ZorgDomein-aligned referral workflow. GP remains in control of the decision.
3
Appointment + report back
Dutch-compatible clinical report returned directly to the GP's system.
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GP remains in control
The huisarts initiates every referral, retains clinical authority, and receives the report back. No bypassing the gatekeeper.
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Minimal data transfer
Only what is strictly necessary for scheduling and clinical handover. Designed for GDPR-aligned data minimization.
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Standardized reporting
SOAP-compatible clinical encounter notes, formatted for direct integration with Dutch GP systems.
Positioning
"Not a marketplace. Not a tourism service. A continuity layer for Dutch primary care."

Ready to extend your practice?

Join pilot clinics already using BuitenArts to maintain continuity for patients abroad.

Clinical workflow

How BuitenArts Works

A structured clinical pathway β€” not a marketplace. Every step is designed around the huisarts as the gatekeeper.

01
Phase 1

Patient Abroad

The patient experiences symptoms while abroad. They contact their Dutch huisarts through existing channels β€” phone, email, or patient portal β€” exactly as they would from home.

This first step is deliberately unchanged from standard Dutch primary care practice. BuitenArts does not create a separate patient-facing channel. The relationship between patient and huisarts remains the entry point.

What happens
  • Patient contacts huisarts through normal practice channels
  • GP conducts initial triage by phone or video consultation
  • Location and local context are documented for referral
  • Emergency escalation handled separately (local emergency services)
02
Phase 2

Referral Decision

The huisarts makes a clinical judgment about whether a referral is indicated. If so, a structured referral is created using a ZorgDomein-aligned workflow β€” preserving the familiar clinical decision architecture.

The GP retains full clinical authority at this stage. BuitenArts provides the referral infrastructure; it does not influence the clinical decision. Referral documentation follows Dutch standards for indication clarity and handover content.

Referral content
  • Clinical indication and presenting complaint
  • Relevant history (minimal, GDPR-aligned dataset)
  • Specialty required and urgency level
  • Preferred language and communication preferences
03
Phase 3

Appointment & Encounter

BuitenArts coordinates the appointment with an appropriate physician in its verified network. The patient is seen locally. The encounter follows structured documentation standards.

Network physicians are trained in NGH-aligned clinical documentation standards and reporting templates. This ensures the encounter note is formatted for Dutch GP system integration from the start β€” not retrofitted afterward.

Network standards apply
  • Structured encounter documentation (SOAP-compatible)
  • Findings, diagnosis, and differential noted clearly
  • Prescribed treatment and medications documented
  • Follow-up plan and escalation criteria specified
04
Phase 4

Dutch-Compatible Report Back

A structured clinical report is sent back to the huisarts. It is formatted to be directly usable in Dutch GP workflows β€” not a foreign clinical summary that requires translation or interpretation.

This is the core output of BuitenArts. The report enables the GP to continue care as if the patient had been seen locally. It includes all information required for follow-up, with nothing extraneous that would complicate downstream workflows.

Report structure
  • SOAP-format clinical summary
  • Diagnosis and relevant findings
  • Treatment given and ongoing medications
  • Follow-up plan with timeline
  • Escalation criteria if condition changes
05
Phase 5

If Hospital Care Is Needed

When the network physician determines that hospital-level care is required, a structured escalation pathway is initiated. This is a deliberate, documented decision β€” not an automatic referral.

BuitenArts coordinates with local hospital facilities where network relationships exist, or supports the patient in accessing appropriate local emergency care where they do not. The GP is notified at every escalation step.

Escalation logic
  • Clinical decision by network physician, not automated
  • GP informed and consulted before escalation where possible
  • Local emergency services for acute/life-threatening presentations
  • Escalation documented and included in final report back

Start your first referral

Designed around your existing workflow. Minimal onboarding, maximum clinical continuity.

For Huisartsen

Your gatekeeper role,
extended abroad.

When your patient is abroad, your clinical authority shouldn't disappear. BuitenArts keeps continuity intact β€” without changing how you work.

Value proposition

What BuitenArts gives your practice

You remain the clinical decision-maker. We provide the coordination infrastructure around you.

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Gatekeeper role preserved

You initiate the referral. You receive the report. You decide on follow-up. BuitenArts never bypasses your clinical authority β€” it supports it.

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Continuity where it breaks

When patients travel, clinical continuity typically fails. BuitenArts fills that gap without creating a separate parallel care structure.

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Dutch-compatible reports

Reports come back in SOAP-compatible format, structured for direct use in your existing system. No translation or reprocessing required.

⚑

ZorgDomein-aligned workflow

The referral process follows a ZorgDomein-aligned structure. Your existing clinical decision logic stays intact β€” we adapt to you.

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Minimal data transfer

Only the data needed for scheduling and clinical handover is shared. Designed for GDPR-aligned minimization from the ground up.

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Structured improvement feedback

Optional QA feedback loop through the BuitenArts network β€” helps your practice track cross-border referral outcomes over time.

Workflow

How it fits your day

Three steps, integrated into your existing practice rhythm.

1

You create the referral

Using the BuitenArts referral module β€” aligned with ZorgDomein workflow. Takes the same clinical information you would already document.

2

We coordinate the appointment

BuitenArts handles scheduling with a verified network physician. You are notified when confirmed. No administrative back-and-forth for your team.

3

Report returns to you

Structured clinical report arrives in Dutch-compatible format. Directly addable to your patient file. You pick up care as normal.

Onboarding

Pilot clinic program

πŸš€

Pilot clinic onboarding

Limited pilot cohort. Direct setup support, clinical template integration, and a dedicated onboarding contact for your practice.

πŸ“š

Training & clinical templates

Practical onboarding session covering the referral workflow, documentation standards, and report interpretation. Tailored for GP practice teams.

For Patients Abroad

Your huisarts
stays involved.

When you need care abroad, you won't need to navigate alone. BuitenArts ensures your Dutch GP remains part of your care β€” wherever you are.

How it works for you

Simple. Coordinated. GP-led.

You contact your huisarts as you normally would. If a referral is needed, BuitenArts coordinates an appointment with a verified physician near you β€” and sends the report back to your GP. You don't choose doctors. You don't navigate alone.

βœ“ What BuitenArts does

  • βœ“ Coordinates an appointment within a standardized network
  • βœ“ Keeps your huisarts informed and in control
  • βœ“ Returns a structured report to your GP
  • βœ“ Ensures continuity when you return home

βœ— What BuitenArts does not do

  • βœ— Replace emergency care (contact local services)
  • βœ— Let you choose or browse physicians
  • βœ— Operate independently of your huisarts
  • βœ— Provide medical advice or diagnoses
🚨
In an emergency: always contact local emergency services first (112 in Europe). BuitenArts coordinates planned and semi-urgent care β€” not acute emergencies.

Have questions about care abroad?

Your huisarts is the right first contact. BuitenArts supports the conversation from there.

For Insurers

Traceability.
Standard pathways.
Less fragmentation.

BuitenArts provides structured, GP-led care coordination for Dutch patients abroad β€” creating a documented pathway where currently there is none.

Value for insurers

What the pathway provides

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Structured pathway reduces fragmentation

Currently, patients abroad access care ad hoc β€” outside any structured pathway. BuitenArts creates a documented, GP-initiated referral chain with traceability at every step.

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Standardized reporting improves claim clarity

Clinical encounter reports in structured format reduce ambiguity in claims processing. Indication, procedure, and follow-up are documented according to consistent standards.

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Optional audit signals

Through integration with the Buiten.ai governance infrastructure, structured audit signals can be made available for participating insurers β€” on agreed terms.

Service model

How the commercial model works

Element Description
Service type B2B service agreement between BuitenArts and insurer
Invoicing Clear invoicing chain per referral episode β€” structured for reconciliation
Reporting Structured clinical report per encounter, in Dutch-compatible format
Optional add-on Complication governance and audit signaling (via Buiten.ai β€” separate brief available)
Data handling GDPR-aligned data processing agreement required; full DPA available under NDA
Network β€” Physicians

A verified network
built on standards,
not volume.

BuitenArts is not a physician marketplace. Network membership is criteria-based, standards-driven, and maintained through ongoing QA.

Network standards

What network membership requires

Membership is not automatic. Each physician in the BuitenArts network meets and maintains the following standards.

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NGH-aligned clinical standards training

Completion of BuitenArts clinical standards training, aligned with NGH (Nederlands Genootschap voor Huisartsen) documentation and handover principles.

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Documentation standards

Proficiency in structured clinical documentation as required by Dutch GP system integration. SOAP-compatible encounter notes, mandatory fields verified before onboarding.

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Reporting templates

Use of BuitenArts standardized reporting templates for all encounter notes. Templates are versioned and updated when Dutch GP system requirements change.

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QA feedback loop

Participation in the BuitenArts QA process β€” including periodic structured feedback on documentation quality and reporting completeness from GP partners.

Apply to join the network

Network applications are reviewed against published criteria. We will contact you within 5 working days.

Compliance

Designed for
GDPR-aligned
data minimization.

We do not claim full compliance β€” we design for it. Every architectural decision in BuitenArts is made to minimize data exposure and maintain clear role accountability.

Data flow

8.1 Data minimization & flow

The architecture is built around a principle: transfer only what is necessary for the specific step, and no more.

Data flow across the referral pathway
Dutch GP System
Patient identity stays here. Full record never leaves.
β†’
Referral Data
Minimum dataset for scheduling + clinical handover only
β†’
Network Physician
Encounter notes stored locally where care is delivered
β†’
Report Back
Structured clinical summary returned to GP only
Patient identity remains in the Dutch primary care system. The minimum dataset transferred is limited to what is strictly necessary for scheduling and clinical handover at each specific step.
Roles & responsibilities

8.2 Who is responsible for what

01

GP clinic responsibilities

The huisarts practice is the data controller for the patient's primary care record. They initiate the referral, define what minimal data is shared, and receive the report. Their existing data processing obligations apply.

02

Local provider responsibilities

Network physicians are responsible for encounter notes and local record-keeping in accordance with their own jurisdiction's regulations. Encounter data is stored where care is delivered, not centrally.

03

BuitenArts responsibilities

BuitenArts coordinates referral and report transmission as a data processor. We do not store clinical data beyond what is necessary for coordination. Full role definition available in our DPA.

04

Contractual controls

Data Processing Agreement (DPA) and Service Agreement required for all GP and insurer partners. Full documentation available under NDA. Detailed contractual terms available under NDA on request.

Patient consent & security
8.3

Patient consent

Informed consent is obtained prior to any referral data being shared outside the GP system. The consent process is documented and forms part of the referral record. Consent templates are provided to GP practices as part of onboarding.

8.4

Security (overview)

Data in transit is encrypted. Access controls are role-based and audited. Audit logs are maintained for all data access events. Full technical security documentation is available on request β€” we avoid publishing implementation specifics publicly.

Mission
"Extend Dutch primary care continuity beyond borders β€” keeping the huisarts as the gatekeeper, wherever the patient is."

BuitenArts exists because Dutch primary care has one of the most coherent GP-gatekeeper systems in the world β€” and that system fails the moment a patient crosses a border. We exist to close that gap, without creating a parallel structure.

Roadmap

Where we are

βœ“

Pilot design & methodology

Clinical workflow design, reporting template development, and legal architecture. Completed with input from Dutch GP partners.

β†’

Pilot clinic onboarding

Recruiting initial cohort of GP practices for the pilot program. Limited places available β€” apply via onboarding call.

3

Network expansion

Scaling the physician network across key European destinations based on pilot demand and clinical feedback.

4

Insurer integration

Structured B2B agreements with Dutch health insurers, including optional audit signal integration via Buiten.ai.

Platform context

Part of Buiten.ai

BuitenArts operates within the Buiten.ai European Clinical Governance Infrastructure. Buiten.ai provides the underlying governance architecture, data standards, and β€” optionally β€” audit signal infrastructure.

BuitenArts is the clinical coordination layer. Buiten.ai is the governance infrastructure. They are designed to work together β€” but BuitenArts functions independently as a GP referral service.

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Powered by Buiten.ai

For governance infrastructure, audit signals, and cross-border clinical standards. buiten.ai β†’

Resources

Documentation & materials

Clinical templates, methodology documentation, and reference materials for GP practices, patients, and partners.

πŸ“„ Whitepaper

BuitenArts Clinical Governance Model

The full clinical and governance rationale behind BuitenArts β€” including referral architecture, data flow principles, and compliance approach.

πŸ“‹ Templates

Clinical Report Templates

Example SOAP-compatible encounter report templates used by network physicians. Formatted for Dutch GP system integration.

πŸ“‹ Templates

Referral Documentation Guide

Step-by-step guide for GP practices on creating a BuitenArts referral β€” including required fields and data minimization checklist.

πŸ“° Press

Press & Updates

Press kit, announcements, and pilot program updates. For media enquiries, use the contact form selecting 'Partner' category.

FAQ

Frequently asked questions

For Huisartsen
Does BuitenArts replace ZorgDomein? +
No. BuitenArts uses a ZorgDomein-aligned referral workflow β€” meaning the clinical logic and documentation structure mirrors what you already use. It is not a ZorgDomein integration and does not replace your existing referral system for domestic care.
Do I lose clinical authority when using BuitenArts? +
No. You initiate every referral, you receive the report, and you continue care. BuitenArts provides the coordination infrastructure around your clinical decision β€” it does not participate in or influence clinical judgment.
What data leaves my system? +
Only the minimum dataset necessary for scheduling and clinical handover β€” typically presenting complaint, relevant history, and specialty required. Patient identity stays in your system. Full data flow documentation is available in the compliance pack.
For Patients
Can I contact BuitenArts directly as a patient? +
No. BuitenArts operates through your huisarts. Contact your GP practice first β€” they will initiate a referral through BuitenArts if appropriate. This is intentional: your GP remains in control of your care.
What happens in an emergency abroad? +
Contact local emergency services immediately (112 in Europe). BuitenArts handles planned and semi-urgent care β€” not acute emergencies. After stabilization, your GP can initiate a BuitenArts referral for follow-up care if needed.
For Insurers
Is BuitenArts a covered service under Dutch health insurance? +
Coverage depends on individual insurer agreements and the patient's policy. BuitenArts does not make coverage determinations β€” this remains between the patient, GP, and insurer. We provide structured documentation to support reimbursement claims.
How do audit signals connect to Buiten.ai? +
BuitenArts operates within the Buiten.ai governance infrastructure. Optional audit signal integration for insurers is available under a separate agreement β€” contact us for the insurer brief which covers this in detail.
Contact

Get in touch

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