This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions 
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:
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:
Patterns are a work in progress. This analysis helps identify candidate patterns:
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, DeviceDefinition, Endpoint, Group, HealthcareService, Location, Medication, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson, Specimen, Substance |
|
ActivityDefinition.participant.typeReference PlanDefinition.actor.option.typeReference PlanDefinition.action.participant.typeReference |
BiologicallyDerivedProduct, CareTeam, Device, Group, HealthcareService, Location, Medication, NutritionProduct, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson, Specimen, Substance |
|
Group.member.entity |
BiologicallyDerivedProduct, Device, Group, Location, Medication, NutritionProduct, Organization, Patient, Practitioner, Procedure, Substance |
|
DetectedIssue.subject Observation.subject |
BiologicallyDerivedProduct, Device, Group, Location, Medication, Organization, Patient, Practitioner, Substance |
|
DiagnosticReport.subject |
BiologicallyDerivedProduct, Device, Group, Location, NutritionProduct, Patient, Substance |
|
Specimen.subject |
BiologicallyDerivedProduct, Device, Group, Medication, Patient, Specimen, Substance, SubstanceDefinition |
|
ResearchSubject.subject |
BiologicallyDerivedProduct, Group, NutritionProduct, Patient, Substance |
|
GenomicStudy.subject |
CareTeam, Device, DeviceDefinition, Endpoint, Group, HealthcareService, Location, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson |
Participant + [Endpoint, DeviceDefinition] |
RequestOrchestration.action.participant.typeReference |
CareTeam, Device, DeviceDefinition, Group, Group, HealthcareService, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson |
Participant + [DeviceDefinition] - [Location] |
Permission.rule.activity.actor.reference |
CareTeam, Device, DeviceDefinition, Group, HealthcareService, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson |
Participant + [DeviceDefinition] - [Location] |
AuditEvent.agent.who |
CareTeam, Device, Endpoint, Group, HealthcareService, Location, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson |
Participant + [Endpoint] |
Communication.recipient |
CareTeam, Device, Endpoint, Group, HealthcareService, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson |
Participant + [Endpoint] - [Location] |
CommunicationRequest.recipient |
CareTeam, Device, Endpoint, HealthcareService, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson |
Participant + [Endpoint] - [Group, Location] |
Communication.sender |
CareTeam, Device, Group, HealthcareService, Location, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson |
Participant |
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 |
CareTeam, Device, Group, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson |
Participant - [HealthcareService, Location] |
AdverseEvent.participant.actor Consent.provision.actor.reference DocumentReference.author FamilyMemberHistory.participant.actor List.source MedicationDispense.performer.actor NutritionIntake.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 ImagingSelection.performer.actor ImagingStudy.series.performer.actor Procedure.performer.actor Transport.owner |
CareTeam, Device, HealthcareService, Organization, Practitioner, PractitionerRole |
|
DiagnosticReport.performer |
CareTeam, Device, Location, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson, Substance |
Participant + [Substance] - [Group, HealthcareService] |
Contract.term.action.performer |
CareTeam, Device, Organization, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson |
Participant - [Group, HealthcareService, Location] |
Task.performer.actor |
CareTeam, Device, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson |
Participant - [Group, HealthcareService, Location] |
AuditEvent.source.observer Basic.author CarePlan.custodian CarePlan.contributor Composition.author Composition.section.author DeviceDispense.performer.actor SupplyRequest.requester |
CareTeam, DeviceDefinition, Group, HealthcareService, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson |
Participant + [DeviceDefinition] - [Device, Location] |
MedicationRequest.performer |
CareTeam, Group, HealthcareService, Organization, Patient, Practitioner, PractitionerRole |
Participant - [Device, RelatedPerson, Location] |
Provenance.agent.onBehalfOf |
CareTeam, Group, HealthcareService, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson |
Participant - [Device, Location] |
Consent.grantor Consent.grantee |
CareTeam, Group, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson |
Participant - [Device, HealthcareService, Location] |
CareTeam.participant.member CareTeam.participant.onBehalfOf |
CareTeam, Group, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson, Specimen |
|
Procedure.focus |
CareTeam, Group, Patient, Practitioner, PractitionerRole, RelatedPerson |
ParticipantLiving + [Group, CareTeam, PractitionerRole] |
Goal.source |
CareTeam, HealthcareService, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson |
Participant - [Group, Device, Location] |
Observation.performer Permission.asserter Subscription.managingEntity |
CareTeam, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson |
ParticipantContactable + [CareTeam, PractitionerRole] - [Location] ParticipantLiving + [Organization, CareTeam, PractitionerRole] |
Goal.acceptance.participant Task.owner |
CareTeam, Organization, Practitioner, PractitionerRole |
|
DiagnosticReport.resultsInterpreter |
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, Organization, Patient, Practitioner |
ParticipantContactable + [Group, Device] - [RelatedPerson] |
Procedure.subject |
Device, Group, Location, Patient |
|
DeviceRequest.subject ServiceRequest.subject |
Device, Group, Medication, Patient, Practitioner, Procedure, Specimen, Substance |
|
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 DeviceAssociation.subject MedicationStatement.informationSource ServiceRequest.requester |
Device, Group, Patient |
|
ImagingStudy.subject |
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 Flag.author Invoice.participant.actor MedicationRequest.requester MedicationStatement.author MessageHeader.destination.receiver QuestionnaireResponse.author QuestionnaireResponse.source Task.requester Transport.requester |
Device, Organization, Practitioner, PractitionerRole |
|
DeviceRequest.requester GenomicStudy.analysis.performer.actor |
Device, Patient |
ParticipantLiving + [Device] - [Practitioner, RelatedPerson] |
DeviceAlert.subject |
Device, Patient, Practitioner, PractitionerRole, RelatedPerson |
ParticipantLiving + [Device, PractitionerRole] |
Condition.asserter DetectedIssue.author RiskAssessment.performer |
Device, Patient, Practitioner, RelatedPerson |
ParticipantContactable + [Device] - [Organization, Location] ParticipantLiving + [Device] |
InventoryReport.reporter |
Device, Practitioner, PractitionerRole |
|
RequestOrchestration.author |
Group, Location, Medication, Organization, Patient, PlanDefinition, Practitioner, PractitionerRole, Procedure, RelatedPerson |
|
Flag.subject |
Group, Location, Patient, Practitioner, PractitionerRole, RelatedPerson |
ParticipantContactable + [Group, PractitionerRole] - [Organization] ParticipantLiving + [Group, PractitionerRole, Location] |
MedicationDispense.receiver |
Group, Organization, Patient |
|
Goal.subject |
Group, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson |
ParticipantContactable + [Group, PractitionerRole] - [Location] ParticipantLiving + [Group, Organization, PractitionerRole] |
DocumentReference.attester.party MedicationRequest.informationSource Task.restriction.recipient Transport.restriction.recipient |
Group, Patient |
ParticipantLiving + [Group] - [Practitioner, RelatedPerson] |
Appointment.subject CarePlan.subject CareTeam.subject ChargeItem.subject ClinicalImpression.subject Communication.subject CommunicationRequest.subject Condition.subject Encounter.subject EncounterHistory.subject EpisodeOfCare.subject GuidanceResponse.subject Invoice.subject MedicationAdministration.subject MedicationDispense.subject MedicationRequest.subject MedicationStatement.subject NutritionIntake.subject NutritionOrder.subject RiskAssessment.subject |
Group, Patient, Practitioner, RelatedPerson |
ParticipantContactable + [Group] - [Organization, Location] ParticipantLiving + [Group] |
AdverseEvent.subject |
Group, Patient, Practitioner, ResearchSubject |
ParticipantLiving + [Group, ResearchSubject] - [RelatedPerson] |
Consent.subject |
Group, Patient, RelatedPerson |
ParticipantLiving + [Group] - [Practitioner] |
Consent.verification.verifiedWith |
HealthcareService, Organization |
|
SupplyRequest.supplier |
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, Practitioner, PractitionerRole |
ParticipantContactable + [PractitionerRole] - [Patient, RelatedPerson] |
SupplyDelivery.destination |
Location, Organization, ResearchStudy |
|
ResearchStudy.site |
Location, Patient, Practitioner, PractitionerRole, RelatedPerson |
ParticipantContactable + [PractitionerRole] - [Organization] ParticipantLiving + [PractitionerRole, Location] |
DeviceDispense.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.term.asset.valuedItem.responsible Contract.term.asset.valuedItem.recipient Contract.signer.party Device.additive.performer DeviceUsage.informationSource ExplanationOfBenefit.payee.party Immunization.performer.actor Specimen.collection.collector |
Organization, Patient, Practitioner, RelatedPerson |
ParticipantContactable - [Location] ParticipantLiving + [Organization] |
PersonalRelationship.asserter |
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 MeasureReport.reporter 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 |
Organization, RelatedPerson |
ParticipantContactable - [Practitioner, Patient, Location] ParticipantLiving + [Organization] - [Practitioner, Patient] |
NutritionProduct.manufacturer |
Patient, Person, Practitioner, RelatedPerson |
ParticipantContactable + [Person] - [Organization, Location] ParticipantLiving + [Person] |
Person.link.target |
Patient, Person, RelatedPerson |
ParticipantLiving + [Person] - [Practitioner] |
PersonalRelationship.source PersonalRelationship.target |
Patient, Practitioner |
ParticipantContactable - [Organization, RelatedPerson, Location] ParticipantLiving - [RelatedPerson] |
DeviceDispense.subject |
Patient, Practitioner, PractitionerRole, RelatedPerson |
ParticipantContactable + [PractitionerRole] - [Organization, Location] ParticipantLiving + [PractitionerRole] |
AdverseEvent.recorder AdverseEvent.suspectEntity.causality.author AllergyIntolerance.asserter Claim.enterer Condition.recorder ExplanationOfBenefit.enterer Procedure.recorder Specimen.processing.performer |
Patient, Practitioner, RelatedPerson |
ParticipantLiving |
DeviceAssociation.operation.operator |
Patient, RelatedPerson |
ParticipantContactable - [Practitioner, Organization, Location] ParticipantLiving - [Practitioner] |
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.requester VisionPrescription.prescriber |