Others titles

  • FHIR Linkage Resource
  • Electronic Health Records Exchange Through FHIR


  • FHIR
  • HL7
  • Medical Terminology
  • Processes Data
  • Processes Information
  • Processes Documentation
  • Health Information Exchange
  • Electronic Health Records
  • FHIR Smart
  • Smart on FHIR


This resource allows the assertion of linkages between multiple resource instances (generally of the same type) that are referring to the same underlying business objects. For example, multiple Condition records that refer to the same underlying problem/issue for a Patient; multiple Allergy Intolerance records that refer to the same reaction susceptibility; multiple Patient, Practitioner and/or Related Person records that refer to the same human being or animal.

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Fast Healthcare Interoperability Resources (FHIR) supports a process for sharing electronic records. It is common for multiple records to exist that deal with the same real-world phenomenon. This can result from information being captured by different systems, information being captured within a single system by different users (either deliberately to represent distinct perspectives or accidentally when a new record is created rather than updating an existing record). These multiple records may be referred to as “duplicate” records, but in practice they aren’t often actually “duplicate” in that the data represented (and the history of the records) will be at least somewhat distinct.

In some cases, the solution after identifying duplicates is to deprecate one of the records (e.g. by changing the status to “Entered in Error”) and to move all relevant information to the surviving record. In other cases, the resource may support the ability to establish a linkage directly between the resources. However, in some cases, both records may need to survive or there might be a desire to have both resources continue to be maintained, perhaps because the resources live on different servers or have different ‘owners’. The Linkage resource is intended to satisfy this use-case.

The Person resource should be used to link a person independent of a specific health-related context. Linkage can be used for all other use cases.

About this Dataset

Data Info

Date Created


Last Modified




Update Frequency


Temporal Coverage


Spatial Coverage

United States


John Snow Labs; Health Level Seven International;

Source License URL

Source License Requirements


Source Citation



FHIR, HL7, Medical Terminology, Processes Data, Processes Information, Processes Documentation, Health Information Exchange, Electronic Health Records, FHIR Smart, Smart on FHIR

Other Titles

FHIR Linkage Resource, Electronic Health Records Exchange Through FHIR

Data Fields

Name Description Type Constraints
Concept_NameName of the concept in the FHIR structure.stringrequired : 1
Computer_Ready_NameA Computer-ready name (e.g. a token) that identifies the structure - suitable for code generation. Note that this name (and other names relevant for code generation, including element & slice names, codes etc) may collide with reserved words in the relevant target language, and code generators will need to handle this.string-
TypeThe type the structure describes.string-
Dollar_RefThe "$ref" string value contains a Uniform Resource Identifier (URI) which identifies the location of the JSON value being referenced.string-
DescriptionA free text natural language description of the structure and its use.string-
ItemsThe value of the keyword should be an object or an array of objects. If the keyword value is an object, then for the data array to be valid each item of the array should be valid according to the schema in this value.string-
EnumThe enum is used to restrict a value to a fixed set of values. It must be an array with at least one element, where each element is unique.string-
RequiredThe value of the keyword should be an array of unique strings. The data object to be valid should contain all properties with names equal to the elements in the keyword value.string-
ConstThe value of this keyword can be anything. The data is valid if it is deeply equal to the value of the keyword.string-

Data Preview

Concept NameComputer Ready NameTypeDollar RefDescriptionItemsEnumRequiredConst
LinkageresourceTypeThis is a Linkage resourceLinkage
Linkageid#/definitions/idThe logical id of the resource as used in the URL for the resource. Once assigned this value never changes.
Linkagemeta#/definitions/MetaThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
LinkageimplicitRules#/definitions/uriA reference to a set of rules that were followed when the resource was constructed and which must be understood when processing the content. Often this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Linkage_implicitRules#/definitions/ElementExtensions for implicitRules
Linkagelanguage#/definitions/codeThe base language in which the resource is written.
Linkage_language#/definitions/ElementExtensions for language
Linkagetext#/definitions/NarrativeA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
LinkagecontainedarrayThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently and nor can they have their own independent transaction scope.{'$ref': '#/definitions/ResourceList'}
LinkageextensionarrayMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension there is a set of requirements that SHALL be met as part of the definition of the extension.{'$ref': '#/definitions/Extension'}