This document discusses schema design in MongoDB and how it differs from relational databases. It provides examples of modeling one-to-one, one-to-many, and many-to-many relationships using embedding and referencing. The document also discusses two examples - a medical records system and time series device data - and how different schema designs can significantly impact performance and hardware requirements. Relationships can be modeled flexibly in MongoDB and the best approach depends on the application's data and queries.