import { CodeableConcept } from './CodeableConcept.js';
import { Extension } from './Extension.js';
import { FhirPrimitive } from './FhirPrimitive.js';
import { Immunization } from './Immunization.js';
import { ImmunizationEvaluation } from './ImmunizationEvaluation.js';
import { ImmunizationRecommendation_Recommendation_DateCriterion } from './ImmunizationRecommendation_Recommendation_DateCriterion.js';
import { Reference } from './Reference.js';
import { Resource } from './Resource.js';
export interface ImmunizationRecommendation_Recommendation {
    /**
     * @description Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
     * @short Unique id for inter-element referencing
     */
    id?: string;
    /**
     * @description May be used to represent additional information that is not part of the basic definition of the element. 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 element and that modifies the understanding of the element in which it is contained 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 can 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 even if unrecognized
     */
    modifierExtension?: Extension[];
    /**
     * @description Vaccine(s) or vaccine group that pertain to the recommendation.
     * @short Vaccine  or vaccine group recommendation applies to
     */
    vaccineCode?: CodeableConcept[];
    /**
     * @description The targeted disease for the recommendation.
     * @comment A given instance of the .recommendation backbone element should correspond to a single recommended administration but sometimes that administration (e.g. MMR) will encompass multiple diseases, thus the targetDisease element is allowed to repeat.
     * @short Disease to be immunized against
     */
    targetDisease?: CodeableConcept[];
    /**
     * @description Vaccine(s) which should not be used to fulfill the recommendation.
     * @short Vaccine which is contraindicated to fulfill the recommendation
     */
    contraindicatedVaccineCode?: CodeableConcept[];
    /**
     * @description Indicates the patient status with respect to the path to immunity for the target disease.
     * @short Vaccine recommendation status
     */
    forecastStatus: CodeableConcept;
    /**
     * @description The reason for the assigned forecast status.
     * @short Vaccine administration status reason
     */
    forecastReason?: CodeableConcept[];
    /**
     * @backbone Nested BackboneElement: dateCriterion [0..*]
     */
    dateCriterion?: ImmunizationRecommendation_Recommendation_DateCriterion[];
    /**
     * @description Contains the description about the protocol under which the vaccine was administered.
     * @short Protocol details
     */
    description?: FhirPrimitive<string>;
    /**
     * @description One possible path to achieve presumed immunity against a disease - within the context of an authority.
     * @short Name of vaccination series
     */
    series?: FhirPrimitive<string>;
    /**
     * @description Nominal position of the recommended dose in a series as determined by the evaluation and forecasting process (e.g. dose 2 is the next recommended dose).
     * @comment The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).
     * @short Recommended dose number within series
     */
    doseNumber?: FhirPrimitive<string>;
    /**
     * @description The recommended number of doses to achieve immunity as determined by the evaluation and forecasting process.
     * @comment The use of an integer is preferred if known.
     * @short Recommended number of doses for immunity
     */
    seriesDoses?: FhirPrimitive<string>;
    /**
     * @description Immunization event history andor evaluation that supports the status and recommendation.
     * @short Past immunizations supporting recommendation
     */
    supportingImmunization?: Reference<Immunization | ImmunizationEvaluation>[];
    /**
     * @description Patient Information that supports the status and recommendation.  This includes patient observations, adverse reactions and allergyintolerance information.
     * @short Patient observations supporting recommendation
     */
    supportingPatientInformation?: Reference<Resource>[];
}
//# sourceMappingURL=ImmunizationRecommendation_Recommendation.d.ts.map