import { AllergyIntolerance } from './AllergyIntolerance.js';
import { Annotation } from './Annotation.js';
import { ClinicalImpression_Finding } from './ClinicalImpression_Finding.js';
import { CodeableConcept } from './CodeableConcept.js';
import { Condition } from './Condition.js';
import { Encounter } from './Encounter.js';
import { Extension } from './Extension.js';
import { FhirPrimitive } from './FhirPrimitive.js';
import { Group } from './Group.js';
import { Identifier } from './Identifier.js';
import { Meta } from './Meta.js';
import { Narrative } from './Narrative.js';
import { Patient } from './Patient.js';
import { Period } from './Period.js';
import { Practitioner } from './Practitioner.js';
import { PractitionerRole } from './PractitionerRole.js';
import { Reference } from './Reference.js';
import { Resource } from './Resource.js';
import { RiskAssessment } from './RiskAssessment.js';
export interface ClinicalImpression {
    /**
     * @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 Business identifiers assigned to this clinical impression by the performer or other systems which remain constant as the resource is updated and propagates from server to server.
     * @comment This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.
     * @short Business identifier
     */
    identifier?: Identifier[];
    /**
     * @description Identifies the workflow status of the assessment.
     * @comment This element is labeled as a modifier because the status contains the code entered-in-error that marks the clinical impression as not currently valid.
     * @short preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
     */
    status: FhirPrimitive<string>;
    /**
     * @description Captures the reason for the current state of the ClinicalImpression.
     * @comment This is generally only used for "exception" statuses such as "not-done", "on-hold" or "stopped".
     * @short Reason for current status
     */
    statusReason?: CodeableConcept;
    /**
     * @description A summary of the context andor cause of the assessment - why  where it was performed, and what patient eventsstatus prompted it.
     * @short Whyhow the assessment was performed
     */
    description?: FhirPrimitive<string>;
    /**
     * @description The patient or group of individuals assessed as part of this record.
     * @short Patient or group assessed
     */
    subject: Reference<Patient | Group>;
    /**
     * @description The Encounter during which this ClinicalImpression was created or to which the creation of this record is tightly associated.
     * @comment This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.
     * @short The Encounter during which this ClinicalImpression was created
     */
    encounter?: Reference<Encounter>;
    /**
     * @choice This is part of the effective[x] choice.
     * @oneOf effectiveDateTime, effectivePeriod
     */
    effectiveDateTime?: FhirPrimitive<string>;
    /**
     * @choice This is part of the effective[x] choice.
     * @oneOf effectiveDateTime, effectivePeriod
     */
    effectivePeriod?: Period;
    /**
     * @description Indicates when the documentation of the assessment was complete.
     * @short When the assessment was documented
     */
    date?: FhirPrimitive<string>;
    /**
     * @description The clinician performing the assessment.
     * @short The clinician performing the assessment
     */
    performer?: Reference<Practitioner | PractitionerRole>;
    /**
     * @description A reference to the last assessment that was conducted on this patient. Assessments are oftenusually ongoing in nature; a care provider (practitioner or team) will make new assessments on an ongoing basis as new data arises or the patient's conditions changes.
     * @comment It is always likely that multiple previous assessments exist for a patient. The point of quoting a previous assessment is that this assessment is relative to it (see resolved).
     * @short Reference to last assessment
     */
    previous?: Reference<ClinicalImpression>;
    /**
     * @description A list of the relevant problemsconditions for a patient.
     * @comment e.g. The patient is a pregnant, has congestive heart failure, has an ‎Adenocarcinoma, and is allergic to penicillin.
     * @short Relevant impressions of patient state
     */
    problem?: Reference<Condition | AllergyIntolerance>[];
    /**
     * @description Change in the statuspattern of a subject's condition since previously assessed, such as worsening, improving, or no change.  It is a subjective assessment of the direction of the change.
     * @short Change in the statuspattern of a subject's condition since previously assessed, such as worsening, improving, or no change
     */
    changePattern?: CodeableConcept;
    /**
     * @description Reference to a specific published clinical protocol that was followed during this assessment, andor that provides evidence in support of the diagnosis.
     * @short Clinical Protocol followed
     */
    protocol?: FhirPrimitive<string>[];
    /**
     * @description A text summary of the investigations and the diagnosis.
     * @short Summary of the assessment
     */
    summary?: FhirPrimitive<string>;
    /**
     * @backbone Nested BackboneElement: finding [0..*]
     */
    finding?: ClinicalImpression_Finding[];
    /**
     * @description Estimate of likely outcome.
     * @short Estimate of likely outcome
     */
    prognosisCodeableConcept?: CodeableConcept[];
    /**
     * @description RiskAssessment expressing likely outcome.
     * @short RiskAssessment expressing likely outcome
     */
    prognosisReference?: Reference<RiskAssessment>[];
    /**
     * @description Information supporting the clinical impression, which can contain investigation results.
     * @short Information supporting the clinical impression
     */
    supportingInfo?: Reference<Resource>[];
    /**
     * @description Commentary about the impression, typically recorded after the impression itself was made, though supplemental notes by the original author could also appear.
     * @comment Don't use this element for content that should more properly appear as one of the specific elements of the impression.
     * @short Comments made about the ClinicalImpression
     */
    note?: Annotation[];
    /**
     * @const Auto-injected fixed value: ClinicalImpression
     */
    resourceType: "ClinicalImpression";
}
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