1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
//! DocumentReference
//!
//! URL: http://hl7.org/fhir/StructureDefinition/DocumentReference
//!
//! Version: 5.0.0
//!
//! DocumentReference Resource: A reference to a document of any kind for any purpose.
//!
//! FHIR: <https://build.fhir.org/>
//!
//! UML: <https://build.fhir.org/uml.html>
// Allow unused crate::r5::types as types;
#![allow(unused_imports)]
use crate::r5::types;
use ::serde::{Deserialize, Serialize};
use fhir_derive_macros::Validate;
/// A reference to a document of any kind for any purpose.
///
/// While the term "document" implies a narrow focus, for this resource a
/// "document" encompasses any serialized object with a mime-type. It includes
/// formal patient-centric documents (CDA), clinical notes, scanned paper, and
/// non-patient specific documents like policy text, as well as photos, videos,
/// or audio recordings acquired or used in healthcare. In FHIR R5 it provides
/// metadata about the document plus one or more content attachments describing
/// where and how to access the actual bytes.
///
/// Clinically and administratively, `DocumentReference` acts as an index or
/// pointer resource: rather than embedding the full document content inline,
/// it typically references externally stored bytes (via an attachment URL or
/// inline base64 data) and carries descriptive metadata such as the document
/// type, category, authoring context, subject, time period covered, and
/// security labeling. This separation allows document management systems,
/// registries, and repositories (for example, those conforming to IHE XDS or
/// similar architectures) to catalog, discover, and retrieve documents without
/// duplicating their content in the FHIR server itself. The resource also
/// supports versioning and relationships between documents, such as
/// replacement, transformation, or appending, via its `relates_to` element.
///
/// See also: [`Patient`](crate::r5::resources::patient::Patient) or other
/// resource types are commonly referenced via the `subject` element to
/// identify who the document is about, and `types::CodeableConcept` values
/// (for example LOINC codes) are used to describe the document's `type` and
/// `category`. Related resources with similar indexing purposes include
/// `Binary` (for raw content storage) and `Composition` (for structured,
/// FHIR-native clinical documents).
///
/// # Examples
///
/// ```ignore
/// use fhir::r5::resources::document_reference::DocumentReference;
///
/// let value = DocumentReference::default();
/// let json = ::serde_json::to_value(&value).unwrap();
/// let back: DocumentReference = ::serde_json::from_value(json).unwrap();
/// assert_eq!(value, back);
/// ```
#[serde_with::skip_serializing_none]
#[derive(Debug, Clone, Serialize, Deserialize, PartialEq, Eq, Validate)]
#[serde(rename_all = "camelCase")]
pub struct DocumentReference {
/// Logical id of this artifact
pub id: Option<types::String>,
/// Metadata about the resource
pub meta: Option<types::Meta>,
/// A set of rules under which this content was created
pub implicit_rules: Option<types::Uri>,
/// Primitive extension sibling for [`implicit_rules`](Self::implicit_rules) (FHIR `_implicitRules`).
#[serde(rename = "_implicitRules")]
pub implicit_rules_ext: Option<types::Element>,
/// Language of the resource content
pub language: Option<types::Code>,
/// Primitive extension sibling for [`language`](Self::language) (FHIR `_language`).
#[serde(rename = "_language")]
pub language_ext: Option<types::Element>,
/// Text summary of the resource, for human interpretation
pub text: Option<types::Narrative>,
/// Contained, inline Resources
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub contained: Vec<::serde_json::Value>,
/// Additional content defined by implementations
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub extension: Vec<types::Extension>,
/// Extensions that cannot be ignored
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub modifier_extension: Vec<types::Extension>,
/// Business identifiers for the document
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub identifier: Vec<types::Identifier>,
/// An explicitly assigned identifer of a variation of the content in the DocumentReference
pub version: Option<types::String>,
/// Primitive extension sibling for [`version`](Self::version) (FHIR `_version`).
#[serde(rename = "_version")]
pub version_ext: Option<types::Element>,
/// Procedure that caused this media to be created
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub based_on: Vec<types::Reference>,
/// The status of this document reference (current | superseded | entered-in-error).
pub status: crate::r5::coded::Coded<crate::r5::codes::DocumentReferenceStatus>,
/// Primitive extension sibling for [`status`](Self::status) (FHIR `_status`).
#[serde(rename = "_status")]
pub status_ext: Option<types::Element>,
/// registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
pub doc_status: Option<crate::r5::coded::Coded<crate::r5::codes::CompositionStatus>>,
/// Primitive extension sibling for [`doc_status`](Self::doc_status) (FHIR `_docStatus`).
#[serde(rename = "_docStatus")]
pub doc_status_ext: Option<types::Element>,
/// Imaging modality used
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub modality: Vec<types::CodeableConcept>,
/// Kind of document, ideally coded using a LOINC document type code
pub r#type: Option<types::CodeableConcept>,
/// Categorization of document, such as a broad class like "clinical note"
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub category: Vec<types::CodeableConcept>,
/// Who/what the document is about, most often a reference to a Patient
pub subject: Option<types::Reference>,
/// Context of the document content
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub context: Vec<types::Reference>,
/// Main clinical acts documented
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub event: Vec<types::CodeableReference>,
/// Body part included
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub body_site: Vec<types::CodeableReference>,
/// Kind of facility where patient was seen
pub facility_type: Option<types::CodeableConcept>,
/// Additional details about where the content was created (e.g. clinical specialty)
pub practice_setting: Option<types::CodeableConcept>,
/// Time of service that is being documented
pub period: Option<types::Period>,
/// When this document reference was created
pub date: Option<types::Instant>,
/// Primitive extension sibling for [`date`](Self::date) (FHIR `_date`).
#[serde(rename = "_date")]
pub date_ext: Option<types::Element>,
/// Who and/or what authored the document
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub author: Vec<types::Reference>,
/// Attests to accuracy of the document
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub attester: Vec<DocumentReferenceAttester>,
/// Organization which maintains the document
pub custodian: Option<types::Reference>,
/// Relationships this document has to other documents, such as replaces or transforms
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub relates_to: Vec<DocumentReferenceRelatesTo>,
/// Human-readable description
pub description: Option<types::Markdown>,
/// Primitive extension sibling for [`description`](Self::description) (FHIR `_description`).
#[serde(rename = "_description")]
pub description_ext: Option<types::Element>,
/// Document security-tags
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub security_label: Vec<types::CodeableConcept>,
/// The document(s) referenced, each pairing an attachment with optional format/profile details
pub content: vec1::Vec1<DocumentReferenceContent>,
}
/// Attests to accuracy of the document.
#[serde_with::skip_serializing_none]
#[derive(Debug, Default, Clone, Serialize, Deserialize, PartialEq, Eq, Validate)]
#[serde(rename_all = "camelCase")]
pub struct DocumentReferenceAttester {
/// Unique id for inter-element referencing
pub id: Option<types::String>,
/// Additional content defined by implementations
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub extension: Vec<types::Extension>,
/// Extensions that cannot be ignored even if unrecognized
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub modifier_extension: Vec<types::Extension>,
/// personal | professional | legal | official
pub mode: types::CodeableConcept,
/// When the document was attested
pub time: Option<types::DateTime>,
/// Primitive extension sibling for [`time`](Self::time) (FHIR `_time`).
#[serde(rename = "_time")]
pub time_ext: Option<types::Element>,
/// Who attested the document
pub party: Option<types::Reference>,
}
/// Relationships to other documents.
#[serde_with::skip_serializing_none]
#[derive(Debug, Default, Clone, Serialize, Deserialize, PartialEq, Eq, Validate)]
#[serde(rename_all = "camelCase")]
pub struct DocumentReferenceRelatesTo {
/// Unique id for inter-element referencing
pub id: Option<types::String>,
/// Additional content defined by implementations
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub extension: Vec<types::Extension>,
/// Extensions that cannot be ignored even if unrecognized
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub modifier_extension: Vec<types::Extension>,
/// The relationship type with another document
pub code: types::CodeableConcept,
/// Target of the relationship
pub target: types::Reference,
}
/// Document referenced.
#[serde_with::skip_serializing_none]
#[derive(Debug, Default, Clone, Serialize, Deserialize, PartialEq, Eq, Validate)]
#[serde(rename_all = "camelCase")]
pub struct DocumentReferenceContent {
/// Unique id for inter-element referencing
pub id: Option<types::String>,
/// Additional content defined by implementations
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub extension: Vec<types::Extension>,
/// Extensions that cannot be ignored even if unrecognized
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub modifier_extension: Vec<types::Extension>,
/// Where to access the document
pub attachment: types::Attachment,
/// Content profile rules for the document
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub profile: Vec<DocumentReferenceContentProfile>,
}
/// Content profile rules for the document.
#[serde_with::skip_serializing_none]
#[derive(Debug, Default, Clone, Serialize, Deserialize, PartialEq, Eq, Validate)]
#[serde(rename_all = "camelCase")]
pub struct DocumentReferenceContentProfile {
/// Unique id for inter-element referencing
pub id: Option<types::String>,
/// Additional content defined by implementations
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub extension: Vec<types::Extension>,
/// Extensions that cannot be ignored even if unrecognized
#[serde(default, skip_serializing_if = "Vec::is_empty")]
pub modifier_extension: Vec<types::Extension>,
/// The `DocumentReference.content.profile.value[x]` choice element (0..1); see [`DocumentReferenceContentProfileValue`].
#[serde(flatten)]
pub value: Option<DocumentReferenceContentProfileValue>,
}
/// The `DocumentReference.content.profile.value[x]` choice element (see spec/11-choice-types.md).
#[derive(Debug, Clone, PartialEq, Eq, fhir_derive_macros::FhirChoice, Validate)]
#[allow(clippy::large_enum_variant)]
pub enum DocumentReferenceContentProfileValue {
/// `valueCoding` variant.
#[fhir("valueCoding")]
Coding(Box<types::Coding>),
/// `valueUri` variant.
#[fhir("valueUri")]
Uri(crate::r5::choice::Primitive<types::Uri>),
/// `valueCanonical` variant.
#[fhir("valueCanonical")]
Canonical(crate::r5::choice::Primitive<types::Canonical>),
}