import { ActivityDefinition } from './ActivityDefinition.js';
import { Annotation } from './Annotation.js';
import { Appointment } from './Appointment.js';
import { AppointmentResponse } from './AppointmentResponse.js';
import { CarePlan } from './CarePlan.js';
import { CodeableConcept } from './CodeableConcept.js';
import { CodeableReference } from './CodeableReference.js';
import { Condition } from './Condition.js';
import { Device } from './Device.js';
import { DiagnosticReport } from './DiagnosticReport.js';
import { DocumentReference } from './DocumentReference.js';
import { Encounter } from './Encounter.js';
import { Endpoint } from './Endpoint.js';
import { Extension } from './Extension.js';
import { FhirPrimitive } from './FhirPrimitive.js';
import { Group } from './Group.js';
import { Identifier } from './Identifier.js';
import { ImagingStudy_Series } from './ImagingStudy_Series.js';
import { Location } from './Location.js';
import { Meta } from './Meta.js';
import { Narrative } from './Narrative.js';
import { Observation } from './Observation.js';
import { Patient } from './Patient.js';
import { PlanDefinition } from './PlanDefinition.js';
import { Practitioner } from './Practitioner.js';
import { PractitionerRole } from './PractitionerRole.js';
import { Procedure } from './Procedure.js';
import { Reference } from './Reference.js';
import { Resource } from './Resource.js';
import { ServiceRequest } from './ServiceRequest.js';
import { Task } from './Task.js';
export interface ImagingStudy {
    /**
     * @description The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
     * @comment Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.
     * @short Logical id of this artifact
     */
    id?: string;
    /**
     * @description The 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.
     * @short Metadata about the resource
     */
    meta?: Meta;
    /**
     * @description A 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.
     * @comment Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers andor specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.
     * @short A set of rules under which this content was created
     */
    implicitRules?: FhirPrimitive<string>;
    /**
     * @description The base language in which the resource is written.
     * @comment Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
     * @short Language of the resource content
     */
    language?: FhirPrimitive<string>;
    /**
     * @description A 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.
     * @comment Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
     * @short Text summary of the resource, for human interpretation
     */
    text?: Narrative;
    /**
     * @description These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides contextmeaning.
     * @comment This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.
     * @short Contained, inline Resources
     */
    contained?: Resource[];
    /**
     * @description May 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 managable, 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.
     * @comment There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
     * @short Additional content defined by implementations
     */
    extension?: Extension[];
    /**
     * @description May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it andor the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
  
  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
     * @comment There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
     * @short Extensions that cannot be ignored
     */
    modifierExtension?: Extension[];
    /**
     * @description Identifiers for the ImagingStudy such as DICOM Study Instance UID.
     * @comment See discussion under [Imaging Study Implementation Notes](imagingstudy.html#notes) for encoding of DICOM Study Instance UID.
     * @short Identifiers for the whole study
     */
    identifier?: Identifier[];
    /**
     * @description The current state of the ImagingStudy resource. This is not the status of any ServiceRequest or Task resources associated with the ImagingStudy.
     * @comment Unknown does not represent "other" - one of the defined statuses must apply.  Unknown is used when the authoring system is not sure what the current status is.
     * @short registered | available | cancelled | entered-in-error | unknown
     */
    status: FhirPrimitive<string>;
    /**
     * @description A list of all the distinct values of series.modality. This may include both acquisition and non-acquisition modalities.
     * @short All of the distinct values for series' modalities
     */
    modality?: CodeableConcept[];
    /**
     * @description The subject, typically a patient, of the imaging study.
     * @comment QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group.
     * @short Who or what is the subject of the study
     */
    subject: Reference<Patient | Device | Group>;
    /**
     * @description The healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made.
     * @comment This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission test).
     * @short Encounter with which this imaging study is associated
     */
    encounter?: Reference<Encounter>;
    /**
     * @description Date and time the study started.
     * @short When the study was started
     */
    started?: FhirPrimitive<string>;
    /**
     * @description A list of the diagnostic requests that resulted in this imaging study being performed.
     * @short Request fulfilled
     */
    basedOn?: Reference<CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task>[];
    /**
     * @description A larger event of which this particular ImagingStudy is a component or step.  For example,  an ImagingStudy as part of a procedure.
     * @comment To link an ImagingStudy to an Encounter use `encounter`.
     * @short Part of referenced event
     */
    partOf?: Reference<Procedure>[];
    /**
     * @description The requestingreferring physician.
     * @short Referring physician
     */
    referrer?: Reference<Practitioner | PractitionerRole>;
    /**
     * @description The network service providing access (e.g., query, view, or retrieval) for the study. See implementation notes for information about using DICOM endpoints. A study-level endpoint applies to each series in the study, unless overridden by a series-level endpoint with the same Endpoint.connectionType.
     * @comment Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG), formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances; or IHE Invoke Image Display (IID), which provides standard invocation of an imaging web viewer.
     * @short Study access endpoint
     */
    endpoint?: Reference<Endpoint>[];
    /**
     * @description Number of Series in the Study. This value given may be larger than the number of series elements this Resource contains due to resource availability, security, or other factors. This element should be present if any series elements are present.
     * @short Number of Study Related Series
     */
    numberOfSeries?: FhirPrimitive<number>;
    /**
     * @description Number of SOP Instances in Study. This value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.
     * @short Number of Study Related Instances
     */
    numberOfInstances?: FhirPrimitive<number>;
    /**
     * @description This field corresponds to the DICOM Procedure Code Sequence (0008,1032). This is different from the FHIR Procedure resource that may include the ImagingStudy.
     * @short The performed procedure or code
     */
    procedure?: CodeableReference<PlanDefinition | ActivityDefinition>[];
    /**
     * @description The principal physical location where the ImagingStudy was performed.
     * @short Where ImagingStudy occurred
     */
    location?: Reference<Location>;
    /**
     * @description Description of clinical condition indicating why the ImagingStudy was requested, andor Indicates another resource whose existence justifies this Study.
     * @short Why the study was requested  performed
     */
    reason?: CodeableReference<Condition | Observation | DiagnosticReport | DocumentReference>[];
    /**
     * @description Per the recommended DICOM mapping, this element is derived from the Study Description attribute (0008,1030). Observations or findings about the imaging study should be recorded in another resource, e.g. Observation, and not in this element.
     * @short User-defined comments
     */
    note?: Annotation[];
    /**
     * @description The Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed.
     * @short Institution-generated description
     */
    description?: FhirPrimitive<string>;
    /**
     * @backbone Nested BackboneElement: series [0..*]
     */
    series?: ImagingStudy_Series[];
    /**
     * @const Auto-injected fixed value: ImagingStudy
     */
    resourceType: "ImagingStudy";
}
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