import { CareTeam } from './CareTeam.js';
import { CodeableConcept } from './CodeableConcept.js';
import { Device } from './Device.js';
import { Extension } from './Extension.js';
import { FhirPrimitive } from './FhirPrimitive.js';
import { Group } from './Group.js';
import { HealthcareService } from './HealthcareService.js';
import { Identifier } from './Identifier.js';
import { Location } from './Location.js';
import { MeasureReport_Group } from './MeasureReport_Group.js';
import { Meta } from './Meta.js';
import { Narrative } from './Narrative.js';
import { Organization } from './Organization.js';
import { Parameters } from './Parameters.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 { RelatedPerson } from './RelatedPerson.js';
import { Resource } from './Resource.js';
export interface MeasureReport {
    /**
     * @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 A formal identifier that is used to identify this MeasureReport when it is represented in other formats or referenced in a specification, model, design or an instance.
     * @comment Typically, this is used for identifiers that can go in an HL7 V3 II data type - e.g. to identify this {{title}} outside of FHIR, where the logical URL is not possible to use.
     * @short Additional identifier for the MeasureReport
     */
    identifier?: Identifier[];
    /**
     * @description The MeasureReport status. No data will be available until the MeasureReport status is complete.
     * @comment This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
     * @short complete | pending | error
     */
    status: FhirPrimitive<string>;
    /**
     * @description The type of measure report. This may be an individual report, which provides the score for the measure for an individual member of the population; a subject-listing, which returns the list of members that meet the various criteria in the measure; a summary report, which returns a population count for each of the criteria in the measure; or a data-collection, which enables the MeasureReport to be used to exchange the data-of-interest for a quality measure.
     * @comment Data-exchange reports are used only to communicate data-of-interest for a measure. They do not necessarily include all the data for a particular subject or population, but they may.
     * @short individual | subject-list | summary | data-exchange
     */
    type: FhirPrimitive<string>;
    /**
     * @description Indicates whether the data submitted in a data-exchange report represents a snapshot or incremental update. A snapshot update replaces all previously submitted data for the receiver, whereas an incremental update represents only updated andor changed data and should be applied as a differential update to the existing submitted data for the receiver.
     * @comment This element only applies to Data-collection reports used to communicate the data-of-interest for a measure
     * @short incremental | snapshot
     */
    dataUpdateType?: FhirPrimitive<string>;
    /**
     * @description A reference to the Measure that was calculated to produce this report.
     * @short What measure was calculated
     */
    measure?: FhirPrimitive<string>;
    /**
     * @description Optional subject identifying the individual or individuals the report is for.
     * @short What individual(s) the report is for
     */
    subject?: Reference<CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson>;
    /**
     * @description The date this measure was calculated.
     * @short When the measure was calculated
     */
    date?: FhirPrimitive<string>;
    /**
     * @description The individual or organization that is reporting the data.
     * @short Who is reporting the data
     */
    reporter?: Reference<Practitioner | PractitionerRole | Organization | Group>;
    /**
     * @description A reference to the vendor who queried the data, calculated results andor generated the report. The ‘reporting vendor’ is intended to represent the submitting entity when it is not the same as the reporting entity. This extension is used when the Receiver is interested in getting vendor information in the report.
     * @short What vendor prepared the data
     */
    reportingVendor?: Reference<Organization>;
    /**
     * @description A reference to the location for which the data is being reported.
     * @short Where the reported data is from
     */
    location?: Reference<Location>;
    /**
     * @description The reporting period for which the report was calculated.
     * @short What period the report covers
     */
    period: Period;
    /**
     * @description A reference to a Parameters resource (typically represented using a contained resource) that represents any input parameters that were provided to the operation that generated the report.
     * @comment Whenever an operation returns a MeasureReport, the IN parameters from that operation can be returned to the caller of the operation using MeasureReport.inputParameters. Operations include but are not limited to $evaluate-measure, $care-gaps, $data-requirements, and $collect-data. The inputParameters can also be used in a MeasureReport used to define a test case (i.e., not as a result of an operation).
     * @short What parameters were provided to the report
     */
    inputParameters?: Reference<Parameters>;
    /**
     * @description Indicates how the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort. The value set is extensible, allowing additional measure scoring types to be represented. It is expected to be the same as the scoring element on the referenced Measure.
     * @short What scoring method (e.g. proportion, ratio, continuous-variable)
     */
    scoring?: CodeableConcept;
    /**
     * @description Whether improvement in the measure is noted by an increase or decrease in the measure score.
     * @comment This element is typically defined by the measure, but reproduced here to ensure the measure score can be interpreted. The element is labeled as a modifier because it changes the interpretation of the reported measure score. Note also that a MeasureReport instance includes the improvementNotation as defined by the Measure being reported. It is duplicated in the MeasureReport because it is a critical aspect of interpreting the measure score but it is not intended to reflect whether the measure report is an increase or decrease. It helps interpret if the measure score is an increase or decrease, I.e., moving in the direction of the desired outcome.
     * @short increase | decrease
     */
    improvementNotation?: CodeableConcept;
    /**
     * @backbone Nested BackboneElement: group [0..*]
     */
    group?: MeasureReport_Group[];
    /**
     * @description A reference to a Resource that represents additional information collected for the report. If the value of the supplemental data is not a Resource (i.e. evaluating the supplementalData expression for this case in the measure results in a value that is not a FHIR Resource), it is reported as a reference to a contained Observation resource.
     * @comment For individual measure reports, the supplementalData elements represent the direct result of evaluating the supplementalData expression for the subject of the report. For summary reports, supplementalData is reported as references to contained Observation resources that represent the number of times each value appeared as a supplementalData result for members of the population.
     * @short Additional information collected for the report
     */
    supplementalData?: Reference<Resource>[];
    /**
     * @description Evaluated resources are used to capture what data was involved in the calculation of a measure. This usage is only allowed for individual reports to ensure that the size of the MeasureReport resource is bounded.
     * @comment Evaluated resources are only reported for individual reports.
     * @short What data was used to calculate the measure score
     */
    evaluatedResource?: Reference<Resource>[];
    /**
     * @const Auto-injected fixed value: MeasureReport
     */
    resourceType: "MeasureReport";
}
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