This page is part of the FHIR Specification (v5.0.0: R5 - STU v6.0.0-ballot4: Release 6 Ballot (1st Full Ballot) (see Ballot Notes ). This is the The current published version in it's permanent home (it will always be available at this URL). is 5.0.0 . For a full list of available versions, see the Directory of published versions for published versions

1.2 Patterns Index

Maturity Level : N/A

Responsible Owner: FHIR Infrastructure Work Group

Standards Status : Informative

Types Framework Cross Reference: Base Types | Datatypes | Resources | Patterns

This specification defines 157 126 Resources as the primary means for exchange for data. In addition, this specification defines a number of patterns to assist implementers to better understand the relationships between the resources, and also to support the use of abstractions of the resources when implementing common tasks.

There are two different types of patterns:

• Design Patterns : General patterns that resources may follow to some degree, depending on the requirements of the domain that they represent
• Interface Patterns : Specific patterns that are intended to be used as operation abstractions for the resources that follow (=implement) them

Design Patterns

These patterns provide general guidelines around the design of the resources that follow them. The resources that follow these patterns indicate how they follow the pattern by mapping elements in the resource to the pattern. In general, resources may:

• have a matching element, or not (or define an extension for the element)
• split different possible values between different elements
• use different types, or codes that have different values
• have different cardinalities, based on domain analysis

The following Design Patterns are defined:

• FiveWs (Attribution) :
• Event : AdverseEvent , AuditEvent , ChargeItem , ClaimResponse , ClinicalImpression , Communication , Composition , Consent , Contract , Coverage , CoverageEligibilityResponse , DetectedIssue , DeviceDispense , DeviceUsage DeviceAlert , DiagnosticReport , DocumentReference , Encounter , EnrollmentResponse , EpisodeOfCare , ExplanationOfBenefit , FamilyMemberHistory , GenomicStudy , GuidanceResponse , ImagingSelection , ImagingStudy , Immunization , ImmunizationEvaluation , InventoryReport , Invoice , MedicationAdministration , MedicationDispense , MedicationStatement , MessageHeader , NutritionIntake , Observation , PaymentNotice , PaymentReconciliation , Procedure , Provenance , QuestionnaireResponse , RiskAssessment , SupplyDelivery , Transport
• Request : Appointment , AppointmentResponse , CarePlan , Claim , CommunicationRequest , CoverageEligibilityRequest , DeviceRequest , EnrollmentRequest , ImmunizationRecommendation , MedicationRequest , NutritionOrder , RequestOrchestration , ServiceRequest , SupplyRequest , Task , Transport , VisionPrescription
• Definition : ActivityDefinition , ChargeItemDefinition , ClinicalUseDefinition , EventDefinition , Measure , MessageDefinition , ObservationDefinition , OperationDefinition , PlanDefinition , Questionnaire , Requirements , SubscriptionTopic , TestPlan , TestScript

Interface Patterns

These patterns are intended to provide abstractions for the resources that follow them, for use by implementers. The resources that follow these patterns indicate how they follow the pattern by mapping elements in the resource to the pattern. These patterns are followed more closely, and resources may:

• use a different name for the element
• allow for a higher cardinality that the pattern
• provide a concept map to map between values in the resource and the element values e.g. e.g., mapping a set of status codes to an active : boolean
• use a different type with a defined conversion to the pattern type

The following Interface Patterns are defined:

• Participant : CareTeam , Device , Group , HealthcareService , Location , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson
  • Participant - Contactable : Location , Organization , Patient , Practitioner , RelatedPerson
    • Participant - Living : Patient , Practitioner , RelatedPerson

Pattern Candidates

Patterns are a work in progress. This analysis helps identify candidate patterns:

Participation type Patterns

PlanDefinition.action.participant.typeReference

Resources	Pattern (or candidates)	Locations
ActivityDefinition , BiologicallyDerivedProduct , DeviceDefinition , Ingredient , Location , ManufacturedItemDefinition , MedicinalProductDefinition , NutritionProduct , ObservationDefinition , Organization , PackagedProductDefinition , PlanDefinition , Practitioner , ResearchStudy , SubstanceDefinition		RegulatedAuthorization.subject
BiologicallyDerivedProduct , CareTeam , Device , Group Endpoint , HealthcareService , Location , Medication , NutritionProduct MedicinalProductDefinition , Organization , Patient , Practitioner , Procedure PractitionerRole , RelatedPerson , Specimen , Substance , SubstanceDefinition		DetectedIssue.subject ActivityDefinition.participant.typeReference Observation.subject PlanDefinition.actor.option.typeReference PlanDefinition.action.participant.typeReference RequestOrchestration.action.participant.typeReference
BiologicallyDerivedProduct , CareTeam , Device , Group , HealthcareService , Location , Medication , MedicinalProductDefinition , NutritionProduct , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson , Specimen , Substance , SubstanceDefinition		DiagnosticReport.subject Group.member.entity
BiologicallyDerivedProduct , CareTeam , Device , Group , Location , Medication , NutritionProduct , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson , Specimen , Substance		Specimen.subject DeviceAssociation.subject DeviceAssociation.focus
BiologicallyDerivedProduct , Device , Group , Location , Medication , NutritionProduct , Organization , Patient , Specimen Practitioner , Procedure , Substance		ResearchSubject.subject DetectedIssue.subject Observation.subject
BiologicallyDerivedProduct , Device , Group , Location , Medication , NutritionProduct , Patient , Substance Specimen		GenomicStudy.subject MolecularSequence.subject DeviceAlert.subject
CareTeam BiologicallyDerivedProduct , Device , DeviceDefinition , Endpoint , Group , HealthcareService , Location , Medication , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson Substance		Participant DiagnosticReport.subject + [Endpoint, DeviceDefinition]
ActivityDefinition.participant.typeReference BiologicallyDerivedProduct , Device , Group , Location , NutritionProduct , Patient , Substance	PlanDefinition.actor.option.typeReference	Specimen.subject
BiologicallyDerivedProduct , Device , Group , Medication , Patient , Specimen , Substance , SubstanceDefinition	RequestOrchestration.action.participant.typeReference	ResearchSubject.subject
CareTeam , Device , Endpoint DeviceDefinition , Group , HealthcareService , Location , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson	Participant + [Endpoint] [DeviceDefinition] - [Location]	Communication.recipient AuditEvent.agent.who
CareTeam , Device , Endpoint , Group , HealthcareService , Location , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson	Participant + [Endpoint] - [Location]	CommunicationRequest.recipient Communication.recipient
CareTeam , Device , Endpoint , Group , HealthcareService , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson	Participant + [Endpoint] - [Group, Location] [Location]	Communication.sender CommunicationRequest.recipient
CareTeam , Device , Group Endpoint , HealthcareService , Location , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson	Participant + [Endpoint] - [Group, Location]	MeasureReport.subject MeasureReport.group.subject RequestOrchestration.subject Communication.sender
CareTeam , Device , Group , HealthcareService , Location , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson , Specimen	Participant + [Specimen]	Group.member.entity MeasureReport.subject MeasureReport.group.subject RequestOrchestration.subject
CareTeam , Device , Group , HealthcareService , Location , Patient , Practitioner , PractitionerRole , RelatedPerson	Participant - [Organization]	Appointment.participant.actor
CareTeam , Device , Group , HealthcareService , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson	Participant - [Location]	Provenance.agent.who Requirements.statement.source ServiceRequest.performer Subscription.managingEntity
CareTeam , Device , Group , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson	Participant - [HealthcareService, Location]	AdverseEvent.participant.actor Consent.provision.actor.reference Permission.rule.activity.actor DeviceRequest.requester DocumentReference.author FamilyMemberHistory.asserter List.source MedicationDispense.performer.actor NutritionIntake.performer.actor Task.performer.actor
CareTeam , Device , HealthcareService , Location , Patient , Practitioner , PractitionerRole , RelatedPerson	Participant - [Group, Organization]	Schedule.actor
CareTeam , Device , HealthcareService , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson	Participant - [Group, Location]	ChargeItem.performer.actor DiagnosticReport.performer ImagingSelection.performer.actor ImagingStudy.series.performer.actor Procedure.performer.actor ServiceRequest.performer Transport.owner
CareTeam , Device , Location , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson , Substance	Participant + [Substance] - [Group, HealthcareService]	Contract.term.action.performer
CareTeam , Device , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson	Participant - [Group, HealthcareService, Location]	AllergyIntolerance.participant.actor AuditEvent.agent.who AuditEvent.source.observer Basic.author CarePlan.custodian CarePlan.contributor Condition.participant.actor DeviceDispense.performer.actor DocumentReference.author FamilyMemberHistory.participant.actor List.source MedicationDispense.performer.actor NutritionIntake.performer.actor Provenance.agent.who Composition.author SupplyRequest.requester Composition.section.author
CareTeam , Device DeviceDefinition , Group , HealthcareService , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson , ResearchSubject	Participant + [DeviceDefinition] - [Device, Location]	AdverseEvent.participant.actor MedicationRequest.performer
CareTeam , DeviceDefinition Group , HealthcareService , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson	Participant - [Device, RelatedPerson, Location]	MedicationRequest.performer Provenance.agent.onBehalfOf
CareTeam , Group , HealthcareService , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson , Specimen	Participant - [Device, Location]	Procedure.focus CareTeam.participant.member CareTeam.participant.onBehalfOf Consent.grantor Consent.grantee Observation.performer
CareTeam , HealthcareService Group , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson	Participant - [Group, Device, [Device, HealthcareService, Location]	Consent.grantor Consent.grantee FamilyMemberHistory.recorder Permission.asserter Goal.acceptance.participant Subscription.managingEntity Task.owner
CareTeam , Group , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson , Specimen		Provenance.agent.onBehalfOf Procedure.focus
CareTeam , Organization Group , Patient , Practitioner , PractitionerRole , RelatedPerson	ParticipantContactable + [CareTeam, PractitionerRole] - [Location] ParticipantLiving + [Organization, [Group, CareTeam, PractitionerRole]	CareTeam.participant.member Observation.performer Task.owner Task.performer.actor Goal.source
CareTeam , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson	DiagnosticReport.performer ParticipantContactable + [CareTeam, PractitionerRole] - [Location] ParticipantLiving + [Organization, CareTeam, PractitionerRole]	DiagnosticReport.resultsInterpreter
CareTeam Device , Patient DeviceDefinition , Organization , Practitioner , PractitionerRole , RelatedPerson	ParticipantLiving + [CareTeam, PractitionerRole]	Goal.source Group.characteristic.determiner
Device , Endpoint , Group , HealthcareService , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson	Participant + [Endpoint] - [CareTeam, Location]	CommunicationRequest.informationProvider
Device , Group , HealthcareService , Location , Patient , Practitioner , PractitionerRole , RelatedPerson	Participant - [Organization, CareTeam]	AppointmentResponse.actor
Device , Group , HealthcareService , Patient , Practitioner , PractitionerRole , RelatedPerson	Participant - [Organization, CareTeam, Location]	Encounter.participant.actor
Device , Group , Location , Medication , Organization , Patient , Practitioner , Procedure , Specimen , Substance	ParticipantContactable + [Group, Device] - [RelatedPerson]	ImagingSelection.subject Procedure.subject
Device , Group , Location , Organization , Patient , Practitioner		ParticipantContactable DeviceRequest.subject + [Group, Device] - [RelatedPerson] Procedure.subject ServiceRequest.subject
Device , Group , Location Medication , Patient , Practitioner , Procedure , Specimen , Substance		DeviceRequest.subject ServiceRequest.subject ImagingSelection.subject
Device , Group , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson	Participant - [CareTeam, HealthcareService, Location]	CommunicationRequest.requester Contract.term.offer.party.reference Contract.term.action.subject.reference Contract.term.action.requester EvidenceReport.section.author MedicationStatement.informationSource QuestionnaireResponse.author ServiceRequest.requester Task.requester Task.restriction.recipient
Device , Group , Patient		ImagingStudy.subject
Device , Group , Patient , Practitioner , PractitionerRole , RelatedPerson	ParticipantLiving + [Group, Device] Device, PractitionerRole]	DeviceAssociation.subject Condition.asserter
Device , HealthcareService , Location , Organization , Patient , Practitioner , PractitionerRole	Participant - [Group, CareTeam, RelatedPerson]	Account.subject
Device , Organization , Patient , Practitioner , PractitionerRole		ArtifactAssessment.content.author MessageHeader.source.sender
Device , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson	ParticipantContactable + [Device, PractitionerRole] - [Location] ParticipantLiving + [Organization, Device, PractitionerRole]	Signature.who Signature.onBehalfOf ChargeItem.enterer CommunicationRequest.requester Composition.author Composition.section.author Composition.participant.party Flag.author Invoice.participant.actor MedicationRequest.requester QuestionnaireResponse.author QuestionnaireResponse.source ServiceRequest.requester Task.requester Transport.requester Device , Organization , Practitioner , PractitionerRole DeviceRequest.requester GenomicStudy.analysis.performer.actor MedicationStatement.author MessageHeader.sender MessageHeader.destination.receiver MessageHeader.author QuestionnaireResponse.source
Device , Patient , Practitioner , PractitionerRole , RelatedPerson	ParticipantLiving + [Device, PractitionerRole]	DetectedIssue.author DeviceAlert.acknowledgedBy RiskAssessment.performer
Device , Patient , Practitioner , RelatedPerson PractitionerRole	ParticipantContactable + [Device] - [Organization, Location] ParticipantLiving + [Device]	InventoryReport.reporter RequestOrchestration.author
Device Group , Location , Medication , Organization , Patient , PlanDefinition , Practitioner , PractitionerRole , Procedure , RelatedPerson		RequestOrchestration.author Flag.subject
Group , Location , Medication , Organization , Patient , PlanDefinition , Practitioner , PractitionerRole , Procedure , RelatedPerson	Participant - [CareTeam, Device, HealthcareService] ParticipantContactable + [Group, PractitionerRole]	Flag.subject MedicationDispense.receiver
Group , Organization , Patient		Composition.custodian Goal.subject
Group , Organization , Patient , Practitioner , PractitionerRole , RelatedPerson	ParticipantContactable + [Group, PractitionerRole] - [Location] ParticipantLiving + [Group, Organization, PractitionerRole]	Task.restriction.recipient Composition.attester.party Transport.restriction.recipient Group , Organization , Practitioner , PractitionerRole DocumentReference.attester.party MeasureReport.reporter MedicationRequest.informationSource
Group , Patient	ParticipantLiving + [Group] - [Practitioner, RelatedPerson]	Appointment.subject CarePlan.subject CareTeam.subject ChargeItem.subject Claim.subject ClinicalImpression.subject Claim.item.subject ClaimResponse.subject ClaimResponse.addItem.subject Communication.subject CommunicationRequest.subject Condition.subject Encounter.subject EncounterHistory.subject EnrollmentRequest.candidate EnrollmentResponse.candidate EpisodeOfCare.subject ExplanationOfBenefit.subject ExplanationOfBenefit.item.subject ExplanationOfBenefit.addItem.subject GuidanceResponse.subject Invoice.subject MedicationAdministration.subject MedicationDispense.subject MedicationRequest.subject MedicationStatement.subject NutritionIntake.subject NutritionOrder.subject RiskAssessment.subject
Group , Patient , Practitioner , PractitionerRole , RelatedPerson	ParticipantLiving + [Group] - [RelatedPerson] [Group, PractitionerRole]	Consent.subject Condition.recorder Goal.recorder
Group , Patient , Practitioner , RelatedPerson	ParticipantContactable + [Group] - [Organization, Location] ParticipantLiving + [Group]	AdverseEvent.subject
Group , Patient , Practitioner , ResearchSubject	ParticipantLiving + [Group, ResearchSubject] - [RelatedPerson]	AdverseEvent.subject Consent.subject
HealthcareService Group , Organization Patient , RelatedPerson	ParticipantLiving + [Group] - [Practitioner]	SupplyRequest.supplier Consent.verification.verifiedWith
HealthcareService , Organization , Patient , Practitioner	ParticipantContactable + [HealthcareService] - [RelatedPerson, Location] ParticipantLiving + [Organization, HealthcareService] - [RelatedPerson]	Consent.manager Consent.controller
Location , Organization	ParticipantContactable - [Practitioner, Patient, RelatedPerson]	Claim.facility CoverageEligibilityRequest.item.facility Encounter.admission.origin Encounter.admission.destination ExplanationOfBenefit.facility SupplyRequest.deliverFrom Location , Organization , Patient , RelatedPerson ParticipantContactable - [Practitioner] ParticipantLiving + [Organization, Location] - [Practitioner] SupplyRequest.deliverTo
Location , Organization , ResearchStudy		ResearchStudy.site
Location , Patient , Practitioner , PractitionerRole , RelatedPerson ParticipantContactable + [PractitionerRole] - [Organization] ParticipantLiving + [PractitionerRole, Location] DeviceDispense.receiver MedicationDispense.receiver Organization , Patient ParticipantContactable - [Practitioner, RelatedPerson, Location] ParticipantLiving + [Organization] - [Practitioner, RelatedPerson] BiologicallyDerivedProduct.collection.source InventoryItem.instance.subject Organization , Patient , Practitioner , PractitionerRole ParticipantContactable + [PractitionerRole] - [RelatedPerson, Location] ParticipantLiving + [Organization, PractitionerRole] - [RelatedPerson] Contract.author Organization , Patient , Practitioner , PractitionerRole , RelatedPerson	ParticipantContactable + [PractitionerRole] - [Location] ParticipantLiving + [Organization, PractitionerRole]	Annotation.author[x] AllergyIntolerance.recorder Claim.payee.party Composition.attester.party Contract.author Contract.term.asset.valuedItem.responsible Contract.term.asset.valuedItem.recipient Contract.signer.party DeviceUsage.informationSource DocumentReference.attester.party ExplanationOfBenefit.payee.party Immunization.performer.actor MedicationRequest.informationSource MedicationStatement.informationSource Specimen.collection.collector
Organization , Patient , RelatedPerson	ParticipantContactable - [Practitioner, Location] ParticipantLiving + [Organization] - [Practitioner]	Account.guarantor.party Coverage.paymentBy.party Coverage.policyHolder Invoice.recipient PaymentReconciliation.paymentIssuer
Organization , Practitioner ParticipantContactable - [Patient, RelatedPerson, Location] ParticipantLiving + [Organization] - [Patient, RelatedPerson] Citation.citedArtifact.contributorship.entry.contributor Organization , Practitioner , PractitionerRole		Claim.provider Claim.careTeam.provider ClaimResponse.requestor ClaimResponse.addItem.provider Consent.verification.verifiedBy Contract.contentDefinition.publisher CoverageEligibilityRequest.provider CoverageEligibilityResponse.requestor EnrollmentRequest.provider EnrollmentResponse.requestProvider ExplanationOfBenefit.provider ExplanationOfBenefit.careTeam.provider ExplanationOfBenefit.addItem.provider Linkage.author MedicationDispense.substitution.responsibleParty Invoice.issuer MessageHeader.destination.receiver MeasureReport.reporter MessageHeader.responsible MedicationDispense.substitution.responsibleParty Patient.generalPractitioner PaymentNotice.reporter PaymentNotice.payee PaymentReconciliation.enterer PaymentReconciliation.requestor PaymentReconciliation.allocation.submitter PaymentReconciliation.allocation.payee ResearchStudy.associatedParty.party SupplyDelivery.supplier SupplyDelivery.receiver VerificationResult.primarySource.who VerificationResult.attestation.who VerificationResult.attestation.onBehalfOf
Organization , Practitioner , PractitionerRole , RelatedPerson	ParticipantContactable + [PractitionerRole] - [Patient, Location] ParticipantLiving + [Organization, PractitionerRole] - [Patient]	Group.managingEntity
Organization , PractitionerRole		Citation.citedArtifact.contributorship.entry.affiliation MedicinalProductDefinition.contact.contact
Patient , Person , Practitioner Organization , RelatedPerson	ParticipantContactable + [Person] - [Organization, [Practitioner, Patient, Location] ParticipantLiving + [Person] [Organization] - [Practitioner, Patient]	Person.link.target NutritionProduct.manufacturer
Patient , Person , Practitioner , RelatedPerson	ParticipantContactable + [Person] - [Organization, RelatedPerson, Location] ParticipantLiving - [RelatedPerson] + [Person]	DeviceDispense.subject Person.link.target
Patient , Practitioner , PractitionerRole , RelatedPerson	ParticipantContactable + [PractitionerRole] - [Organization, Location] ParticipantLiving + [PractitionerRole]	Claim.enterer AdverseEvent.recorder ExplanationOfBenefit.enterer AdverseEvent.suspectEntity.causality.author Procedure.recorder AllergyIntolerance.asserter Specimen.collection.collector Patient , Practitioner , PractitionerRole , RelatedPerson , ResearchSubject ParticipantLiving + [PractitionerRole, ResearchSubject] AdverseEvent.recorder Claim.enterer AdverseEvent.suspectEntity.causality.author Patient , Practitioner , RelatedPerson ExplanationOfBenefit.enterer ParticipantLiving Procedure.recorder DeviceAssociation.operation.operator Specimen.processing.performer
Patient , RelatedPerson	ParticipantContactable - [Practitioner, Organization, Location] ParticipantLiving - [Practitioner]	Consent.verification.verifiedWith Coverage.subscriber Patient.link.other
Practitioner , PractitionerRole	ParticipantLiving + [PractitionerRole] - [Patient, RelatedPerson]	BiologicallyDerivedProduct.collection.collector ClinicalImpression.performer CoverageEligibilityRequest.enterer CoverageEligibilityRequest.item.provider CoverageEligibilityResponse.insurance.item.provider DetectedIssue.mitigation.author EpisodeOfCare.careManager GenomicStudy.referrer GenomicStudy.interpreter ImagingStudy.referrer MedicationRequest.recorder NutritionOrder.orderer NutritionOrder.requester VisionPrescription.prescriber

Other Patterns

EvidenceVariable.characteristic.definitionReference

Resources	Pattern (or candidates)	Locations
Account , ChargeItem , Claim , Contract , Encounter , Invoice		PaymentReconciliation.allocation.target
ActivityDefinition , BiologicallyDerivedProduct , Device , DeviceDefinition AdministrableProductDefinition , Medication ManufacturedItemDefinition , MedicinalProductDefinition , NutritionProduct , PlanDefinition , Substance		ClinicalUseDefinition.subject ActivityDefinition , Device , DeviceDefinition , HealthcareService , Medication , PlanDefinition , Substance ChargeItemDefinition.instance Ingredient.for
AdministrableProductDefinition , ManufacturedItemDefinition , MedicinalProductDefinition Ingredient.for AllergyIntolerance , Condition PackagedProductDefinition		ClinicalImpression.problem Medication.definition
AllergyIntolerance , Condition , Device , DeviceUsage DiagnosticReport , DocumentReference , FamilyMemberHistory , Immunization , MedicationAdministration , MedicationStatement ImagingStudy , Observation , Procedure		AdverseEvent.contributingFactor.item[x] DiagnosticReport.supportingInfo.reference
AllergyIntolerance , Condition , DocumentReference , FamilyMemberHistory , Immunization , MedicationAdministration , MedicationStatement , Observation , Procedure , QuestionnaireResponse RiskAssessment		AdverseEvent.supportingInfo.item[x] Flag.supportingInfo
Appointment , AppointmentResponse , CarePlan , Claim , CommunicationRequest , Contract , CoverageEligibilityRequest , DeviceRequest , EnrollmentRequest , ImmunizationRecommendation , MedicationRequest , NutritionOrder , RequestOrchestration , ServiceRequest , SupplyRequest , Task , VisionPrescription	Request + [Contract] - [Transport] [AppointmentResponse, Contract]	GuidanceResponse.result
Appointment , AppointmentResponse , CarePlan , Claim , CommunicationRequest , Contract , CoverageEligibilityRequest , DeviceRequest , EnrollmentRequest , ImmunizationRecommendation , MedicationRequest , NutritionOrder , RequestOrchestration , ServiceRequest , SupplyRequest , VisionPrescription	Request + [Contract] [AppointmentResponse, Contract] - [Task, Transport] [Task]	DocumentReference.basedOn
Appointment , AppointmentResponse , CarePlan , ServiceRequest , Task ImagingSelection.basedOn ImagingStudy.basedOn Appointment Claim , CommunicationRequest , CoverageEligibilityRequest , DeviceRequest , ImmunizationRecommendation EnrollmentRequest , MedicationRequest , NutritionOrder , RequestOrchestration , ServiceRequest , SupplyRequest , Task , VisionPrescription	Request + [AppointmentResponse]	CarePlan.activity.plannedActivityReference Composition.basedOn
Appointment , Encounter CarePlan , EpisodeOfCare ServiceRequest , Task		DocumentReference.context ImagingSelection.basedOn ImagingStudy.basedOn
BiologicallyDerivedProduct Appointment , Device CommunicationRequest , DeviceDefinition DeviceRequest , InventoryItem MedicationRequest , Medication NutritionOrder , MedicationKnowledge RequestOrchestration , NutritionProduct ServiceRequest , Task , VisionPrescription		InventoryItem.association.relatedItem CarePlan.activity.plannedActivityReference
BiologicallyDerivedProduct , Device Appointment , Medication Encounter , NutritionProduct EpisodeOfCare		InventoryItem.productReference DocumentReference.context
BiologicallyDerivedProduct , Medication , MedicinalProductDefinition , NutritionProduct , ObservationDefinition , Substance SubstanceDefinition		ClinicalUseDefinition.interaction.interactant.item[x]
CarePlan Bundle , DeviceRequest Composition , DiagnosticReport , DocumentReference		DeviceDispense.basedOn Procedure.report
CarePlan , CommunicationRequest , DeviceRequest , ImmunizationRecommendation , MedicationRequest , NutritionOrder , RequestOrchestration , ServiceRequest , VisionPrescription		Observation.basedOn ServiceRequest.replaces
CarePlan , CommunicationRequest , DeviceRequest , ImmunizationRecommendation , MedicationRequest , NutritionOrder , ServiceRequest , Task , VisionPrescription		AuditEvent.basedOn Provenance.basedOn Communication.basedOn
CarePlan , DeviceRequest , MedicationRequest , NutritionOrder , RequestOrchestration , ServiceRequest , VisionPrescription		Appointment.basedOn Encounter.basedOn
CarePlan , ImmunizationRecommendation DeviceRequest , MedicationRequest , NutritionOrder , ServiceRequest		DiagnosticReport.basedOn Observation.basedOn
CarePlan , ImmunizationRecommendation DocumentReference , DocumentReference , MedicationRequest , NutritionOrder , RequestOrchestration , ServiceRequest		Immunization.basedOn MedicationRequest.basedOn ServiceRequest.basedOn
CarePlan , MedicationRequest , NutritionOrder , ServiceRequest		ServiceRequest.basedOn DiagnosticReport.basedOn
CarePlan , NutritionOrder MedicationRequest , RequestOrchestration , ServiceRequest		CarePlan.basedOn MedicationRequest.basedOn
CarePlan , NutritionOrder MedicationRequest , ServiceRequest		NutritionIntake.basedOn Immunization.basedOn NutritionOrder.basedOn Procedure.basedOn
CarePlan , NutritionOrder , RequestOrchestration , ServiceRequest		Procedure.basedOn CarePlan.basedOn QuestionnaireResponse.basedOn NutritionOrder.basedOn VisionPrescription.basedOn
Citation CarePlan , DiagnosticReport NutritionOrder , EvidenceReport ServiceRequest		ResearchStudy.result NutritionIntake.basedOn
Citation , DiagnosticReport , Observation CarePlan , Procedure ServiceRequest		DiagnosticReport.supportingInfo.reference QuestionnaireResponse.basedOn
Claim , DocumentReference , Observation , Procedure , QuestionnaireResponse , ServiceRequest ExplanationOfBenefit		DeviceUsage.derivedFrom ExplanationOfBenefit.related.claim
ClaimResponse , Coverage		DeviceRequest.insurance MedicationRequest.insurance ServiceRequest.insurance Task.insurance Transport.insurance ClinicalImpression , DiagnosticReport , Observation Condition.stage.assessment
Composition , DiagnosticReport , DocumentReference Evidence		Procedure.report ResearchStudy.result
Condition , MedicationRequest , MedicationStatement , NutritionIntake , NutritionOrder , Observation , Procedure , RiskAssessment , ServiceRequest		Goal.addresses
Condition , Observation		AdverseEvent.resultingEffect MedicationStatement.relatedClinicalInformation
Consent , Contract , DocumentReference , QuestionnaireResponse		Consent.sourceReference
Contract , SupplyDelivery SupplyDelivery.partOf Device , DeviceDefinition ObservationDefinition.device Device , DeviceMetric		EvidenceVariable.characteristic.definitionByTypeAndValue.device DeviceAlert.device Observation.device
DeviceDefinition , ManufacturedItemDefinition		MedicinalProductDefinition.comprisedOf
DeviceRequest , MedicationRequest , NutritionOrder , ServiceRequest , SupplyRequest , VisionPrescription		Claim.item.request ClaimResponse.addItem.request ExplanationOfBenefit.item.request ExplanationOfBenefit.addItem.request
DeviceRequest , MedicationRequest , ServiceRequest , VisionPrescription		Claim.prescription Claim.originalPrescription DocumentReference , GenomicStudy , ImagingSelection , ImagingStudy , MolecularSequence , Observation , QuestionnaireResponse ExplanationOfBenefit.prescription Observation.derivedFrom ExplanationOfBenefit.originalPrescription
DocumentReference DiagnosticReport , ImagingStudy Observation		ImagingSelection.derivedFrom Condition.stage.assessment
DocumentReference , Immunization , MedicationAdministration , MedicationRequest , Procedure AdverseEvent.preventiveAction.item[x] DocumentReference ImagingSelection , MedicationAdministration ImagingStudy , MedicationRequest Observation , Procedure QuestionnaireResponse		AdverseEvent.mitigatingAction.item[x] Observation.derivedFrom
DocumentReference , Observation ImagingStudy		GenomicStudy.analysis.regionsStudied GenomicStudy.analysis.regionsCalled ImagingSelection.derivedFrom
Encounter , EpisodeOfCare		Contract.term.action.context Account.covers DeviceUsage.context Contract.term.action.context
Evidence , EvidenceVariable , Group	EvidenceVariable , Group	Evidence.variableDefinition.observed Evidence.variableDefinition.intended Evidence.statistic.modelCharacteristic.variable.variableDefinition ResearchStudy.recruitment.eligibility
GenomicStudy Group , ImagingStudy Specimen		DiagnosticReport.study Observation.specimen
GenomicStudy , ImagingStudy , Immunization , MedicationAdministration , MedicationDispense , MedicationStatement , Procedure		Observation.partOf
Group , Specimen Observation.specimen Immunization , ImmunizationEvaluation ImmunizationRecommendation.recommendation.supportingImmunization Ingredient , Medication , Substance MedicinalProductDefinition , SubstanceDefinition		ActivityDefinition.product[x]
MedicationAdministration , MedicationDispense , Procedure		MedicationAdministration.partOf
MedicationAdministration , Observation , Procedure		Procedure.partOf
MedicationAdministration , Procedure		MedicationDispense.partOf
MedicationRequest , VisionPrescription ExplanationOfBenefit.prescription MedicationStatement , Procedure		MedicationStatement.partOf
MolecularSequence , Observation , QuestionnaireResponse Observation.hasMember NutritionIntake , Observation , Procedure		NutritionIntake.partOf
Observation , Procedure		QuestionnaireResponse.partOf
ObservationDefinition , Questionnaire ObservationDefinition.hasMember Procedure Observation , Task QuestionnaireResponse		GenomicStudy.analysis.protocolPerformed Observation.hasMember
ServiceRequest ObservationDefinition , Task Questionnaire		GenomicStudy.basedOn ObservationDefinition.hasMember