import { Age } from './Age.js';
import { Annotation } from './Annotation.js';
import { BiologicallyDerivedProduct } from './BiologicallyDerivedProduct.js';
import { CarePlan } from './CarePlan.js';
import { CareTeam } from './CareTeam.js';
import { CodeableConcept } from './CodeableConcept.js';
import { CodeableReference } from './CodeableReference.js';
import { Composition } from './Composition.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 { Extension } from './Extension.js';
import { FhirPrimitive } from './FhirPrimitive.js';
import { Group } from './Group.js';
import { Identifier } from './Identifier.js';
import { Location } from './Location.js';
import { Medication } from './Medication.js';
import { MedicationAdministration } from './MedicationAdministration.js';
import { Meta } from './Meta.js';
import { Narrative } from './Narrative.js';
import { Observation } from './Observation.js';
import { Organization } from './Organization.js';
import { Patient } from './Patient.js';
import { Period } from './Period.js';
import { Practitioner } from './Practitioner.js';
import { PractitionerRole } from './PractitionerRole.js';
import { Procedure_FocalDevice } from './Procedure_FocalDevice.js';
import { Procedure_Performer } from './Procedure_Performer.js';
import { Range } from './Range.js';
import { Reference } from './Reference.js';
import { RelatedPerson } from './RelatedPerson.js';
import { Resource } from './Resource.js';
import { ServiceRequest } from './ServiceRequest.js';
import { Specimen } from './Specimen.js';
import { Substance } from './Substance.js';
import { Timing } from './Timing.js';
export interface Procedure {
    /**
     * @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 procedure by the performer or other systems which remain constant as the resource is updated and is propagated 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 Person resource instances might share the same social insurance number.
     * @short External Identifiers for this procedure
     */
    identifier?: Identifier[];
    /**
     * @description The URL pointing to a FHIR-defined protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure.
     * @short Instantiates FHIR protocol or definition
     */
    instantiatesCanonical?: FhirPrimitive<string>[];
    /**
     * @description The URL pointing to an externally maintained protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure.
     * @comment This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.
     * @short Instantiates external protocol or definition
     */
    instantiatesUri?: FhirPrimitive<string>[];
    /**
     * @description A reference to a resource that contains details of the request for this procedure.
     * @short A request for this procedure
     */
    basedOn?: Reference<CarePlan | ServiceRequest>[];
    /**
     * @description A larger event of which this particular procedure is a component or step.
     * @comment The MedicationAdministration resource has a partOf reference to Procedure, but this is not a circular reference.   For example, the anesthesia MedicationAdministration is part of the surgical Procedure (MedicationAdministration.partOf = Procedure).  For example, the procedure to insert the IV port for an IV medication administration is part of the medication administration (Procedure.partOf = MedicationAdministration).
     * @short Part of referenced event
     */
    partOf?: Reference<Procedure | Observation | MedicationAdministration>[];
    /**
     * @description A code specifying the state of the procedure. Generally, this will be the in-progress or completed state.
     * @comment The "unknown" code is not to be used to convey other statuses.  The "unknown" code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure.
  
  This element is labeled as a modifier because the status contains codes that mark the resource 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 procedure.
     * @comment This is generally only used for "exception" statuses such as "not-done", "suspended" or "aborted". The reason for performing the event at all is captured in reasonCode, not here.
     * @short Reason for current status
     */
    statusReason?: CodeableConcept;
    /**
     * @description A code that classifies the procedure for searching, sorting and display purposes (e.g. "Surgical Procedure").
     * @short Classification of the procedure
     */
    category?: CodeableConcept[];
    /**
     * @description The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. "Laparoscopic Appendectomy").
     * @short Identification of the procedure
     */
    code?: CodeableConcept;
    /**
     * @description On whom or on what the procedure was performed. This is usually an individual human, but can also be performed on animals, groups of humans or animals, organizations or practitioners (for licensing), locations or devices (for safety inspections or regulatory authorizations).  If the actual focus of the procedure is different from the subject, the focus element specifies the actual focus of the procedure.
     * @short Individual or entity the procedure was performed on
     */
    subject: Reference<Patient | Group | Device | Practitioner | Organization | Location>;
    /**
     * @description Who is the target of the procedure when it is not the subject of record only.  If focus is not present, then subject is the focus.  If focus is present and the subject is one of the targets of the procedure, include subject as a focus as well. If focus is present and the subject is not included in focus, it implies that the procedure was only targeted on the focus. For example, when a caregiver is given education for a patient, the caregiver would be the focus and the procedure record is associated with the subject (e.g. patient).  For example, use focus when recording the target of the education, training, or counseling is the parent or relative of a patient.
     * @short Who is the target of the procedure when it is not the subject of record only
     */
    focus?: Reference<Patient | Group | RelatedPerson | Practitioner | Organization | CareTeam | PractitionerRole | Specimen>;
    /**
     * @description The Encounter during which this Procedure was created or performed 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 Procedure was created
     */
    encounter?: Reference<Encounter>;
    /**
     * @choice This is part of the occurrence[x] choice.
     * @oneOf occurrenceDateTime, occurrencePeriod, occurrenceString, occurrenceAge, occurrenceRange, occurrenceTiming
     */
    occurrenceDateTime?: FhirPrimitive<string>;
    /**
     * @choice This is part of the occurrence[x] choice.
     * @oneOf occurrenceDateTime, occurrencePeriod, occurrenceString, occurrenceAge, occurrenceRange, occurrenceTiming
     */
    occurrencePeriod?: Period;
    /**
     * @choice This is part of the occurrence[x] choice.
     * @oneOf occurrenceDateTime, occurrencePeriod, occurrenceString, occurrenceAge, occurrenceRange, occurrenceTiming
     */
    occurrenceString?: FhirPrimitive<string>;
    /**
     * @choice This is part of the occurrence[x] choice.
     * @oneOf occurrenceDateTime, occurrencePeriod, occurrenceString, occurrenceAge, occurrenceRange, occurrenceTiming
     */
    occurrenceAge?: Age;
    /**
     * @choice This is part of the occurrence[x] choice.
     * @oneOf occurrenceDateTime, occurrencePeriod, occurrenceString, occurrenceAge, occurrenceRange, occurrenceTiming
     */
    occurrenceRange?: Range;
    /**
     * @choice This is part of the occurrence[x] choice.
     * @oneOf occurrenceDateTime, occurrencePeriod, occurrenceString, occurrenceAge, occurrenceRange, occurrenceTiming
     */
    occurrenceTiming?: Timing;
    /**
     * @description The date the occurrence of the procedure was first captured in the record regardless of Procedure.status (potentially after the occurrence of the event).
     * @short When the procedure was first captured in the subject's record
     */
    recorded?: FhirPrimitive<string>;
    /**
     * @description Individual who recorded the record and takes responsibility for its content.
     * @short Who recorded the procedure
     */
    recorder?: Reference<Patient | RelatedPerson | Practitioner | PractitionerRole>;
    /**
     * @choice This is part of the reported[x] choice.
     * @oneOf reportedBoolean, reportedReference
     */
    reportedBoolean?: FhirPrimitive<boolean>;
    /**
     * @choice This is part of the reported[x] choice.
     * @oneOf reportedBoolean, reportedReference
     */
    reportedReference?: Reference;
    /**
     * @backbone Nested BackboneElement: performer [0..*]
     */
    performer?: Procedure_Performer[];
    /**
     * @description The location where the procedure actually happened.  E.g. a newborn at home, a tracheostomy at a restaurant.
     * @short Where the procedure happened
     */
    location?: Reference<Location>;
    /**
     * @description The coded reason or reference why the procedure was performed. This may be a coded entity of some type, be present as text, or be a reference to one of several resources that justify the procedure.
     * @comment Use Procedure.reason.concept when a code sufficiently describes the reason. Use Procedure.reason.reference when referencing a resource, which allows more information to be conveyed, such as onset date.  For a single Procedure.reason, if both Procedure.reason.concept and Procedure.reason.reference are present, they are expected to be consistent with each other.
     * @short The justification that the procedure was performed
     */
    reason?: CodeableReference<Condition | Observation | Procedure | DiagnosticReport | DocumentReference>[];
    /**
     * @description Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion.
     * @comment If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [http:hl7.orgfhirStructureDefinitionprocedure-targetBodyStructure](http:hl7.orgfhirextensionsStructureDefinition-procedure-targetBodyStructure.html).
     * @short Target body sites
     */
    bodySite?: CodeableConcept[];
    /**
     * @description The outcome of the procedure - did it resolve the reasons for the procedure being performed?
     * @comment If outcome contains narrative text only, it can be captured using the CodeableConcept.text.
     * @short The result of procedure
     */
    outcome?: CodeableConcept;
    /**
     * @description This could be a histology result, pathology report, surgical report, etc.
     * @comment There could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports.
     * @short Any report resulting from the procedure
     */
    report?: Reference<DiagnosticReport | DocumentReference | Composition>[];
    /**
     * @description Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the notes, which will typically describe the procedure itself rather than any 'post procedure' issues.
     * @comment If complications are only expressed by the narrative text, they can be captured using the CodeableReference.concept.text.
     * @short Complication following the procedure
     */
    complication?: CodeableReference<Condition>[];
    /**
     * @description If the procedure required specific follow up - e.g. removal of sutures. The follow up may be represented as a simple note or could potentially be more complex, in which case the CarePlan resource can be used.
     * @short Instructions for follow up
     */
    followUp?: CodeableConcept[];
    /**
     * @description Any other notes and comments about the procedure.
     * @short Additional information about the procedure
     */
    note?: Annotation[];
    /**
     * @backbone Nested BackboneElement: focalDevice [0..*]
     */
    focalDevice?: Procedure_FocalDevice[];
    /**
     * @description Identifies medications, devices and any other substance used as part of the procedure.
     * @comment For devices actually implanted or removed, use Procedure.focalDevice.manipulated.
     * @short Items used during procedure
     */
    used?: CodeableReference<Device | Medication | Substance | BiologicallyDerivedProduct>[];
    /**
     * @description Other resources from the patient record that may be relevant to the procedure.  The information from these resources was either used to create the instance or is provided to help with its interpretation. This extension should not be used if more specific inline elements or extensions are available.
     * @short Extra information relevant to the procedure
     */
    supportingInfo?: Reference<Resource>[];
    /**
     * @const Auto-injected fixed value: Procedure
     */
    resourceType: "Procedure";
}
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