| Source Element | Usage | Target |
| OperationOutcome.id | UseElementSameName | OperationOutcome.id |
| OperationOutcome.meta | UseElementSameName | OperationOutcome.meta |
| OperationOutcome.implicitRules | UseElementSameName | OperationOutcome.implicitRules |
| OperationOutcome.language | UseElementSameName | OperationOutcome.language |
| OperationOutcome.text | UseElementSameName | OperationOutcome.text |
| OperationOutcome.contained | UseElementSameName | OperationOutcome.contained |
| OperationOutcome.extension | UseElementSameName | OperationOutcome.extension |
| OperationOutcome.modifierExtension | UseElementSameName | OperationOutcome.modifierExtension |
| OperationOutcome.issue | UseElementSameName | OperationOutcome.issue |
| OperationOutcome.issue.id | UseElementSameName | OperationOutcome.issue.id |
| OperationOutcome.issue.extension | UseElementSameName | OperationOutcome.issue.extension |
| OperationOutcome.issue.modifierExtension | UseElementSameName | OperationOutcome.issue.modifierExtension |
| OperationOutcome.issue.severity | UseExtension | http://hl7.org/fhir/5.0/StructureDefinition/extension-OperationOutcome.issue.severity |
| OperationOutcome.issue.code | UseExtension | http://hl7.org/fhir/5.0/StructureDefinition/extension-OperationOutcome.issue.code |
| OperationOutcome.issue.details | UseElementSameName | OperationOutcome.issue.details |
| OperationOutcome.issue.diagnostics | UseElementSameName | OperationOutcome.issue.diagnostics |
| OperationOutcome.issue.location | UseElementSameName | OperationOutcome.issue.location |
| OperationOutcome.issue.expression | UseElementSameName | OperationOutcome.issue.expression |