import { Annotation } from './Annotation.js';
import { CarePlan } from './CarePlan.js';
import { CodeableConcept } from './CodeableConcept.js';
import { CodeableReference } from './CodeableReference.js';
import { Condition } from './Condition.js';
import { DiagnosticReport } from './DiagnosticReport.js';
import { Encounter } from './Encounter.js';
import { Extension } from './Extension.js';
import { FhirPrimitive } from './FhirPrimitive.js';
import { Identifier } from './Identifier.js';
import { ImmunizationRecommendation } from './ImmunizationRecommendation.js';
import { Immunization_Performer } from './Immunization_Performer.js';
import { Immunization_ProgramEligibility } from './Immunization_ProgramEligibility.js';
import { Immunization_ProtocolApplied } from './Immunization_ProtocolApplied.js';
import { Immunization_Reaction } from './Immunization_Reaction.js';
import { Location } from './Location.js';
import { Medication } from './Medication.js';
import { MedicationRequest } from './MedicationRequest.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 { Practitioner } from './Practitioner.js';
import { PractitionerRole } from './PractitionerRole.js';
import { Quantity } from './Quantity.js';
import { Reference } from './Reference.js';
import { RelatedPerson } from './RelatedPerson.js';
import { Resource } from './Resource.js';
import { ServiceRequest } from './ServiceRequest.js';
export interface Immunization {
    /**
     * @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 unique identifier assigned to this immunization record.
     * @short Business identifier
     */
    identifier?: Identifier[];
    /**
     * @description A plan, order or recommendation fulfilled in whole or in part by this immunization.
     * @comment Allows tracing of an authorization for the Immunization.
     * @short Authority that the immunization event is based on
     */
    basedOn?: Reference<CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation>[];
    /**
     * @description Indicates the current status of the immunization event.
     * @comment Will generally be set to show that the immunization has been completed or not done.  This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
     * @short completed | entered-in-error | not-done
     */
    status: FhirPrimitive<string>;
    /**
     * @description Indicates the reason the immunization event was not performed.
     * @comment This is generally only used for the status of "not-done". The reason for performing the immunization event is captured in reasonCode, not here.
     * @short Reason for current status
     */
    statusReason?: CodeableConcept;
    /**
     * @description Vaccine that was administered or was to be administered.
     * @comment The code for the administered vaccine may be reported at various levels of granularity from a very generic code for a general type of vaccine (e.g. the SNOMED or CVX code for the flu vaccine) to a very discrete code for a specific product including the form and packaging (e.g. an NDC code). Because vaccineCode uses the CodeableConcept data type, multiple codes at different levels of granularity may be reported for a single immunization event provided that all codes are appropriate for the same vaccine. For example, both NDC and CVX codes may be provided for a given immunization event by repeating the coding element within vaccineCode.
     * @short Vaccine administered
     */
    vaccineCode: CodeableConcept;
    /**
     * @description An indication of which product was administered to the patient. This is typically a more detailed representation of the concept conveyed by the vaccineCode data element. If a Medication resource is referenced, it may be to a stand-alone resource or a contained resource within the Immunization resource.
     * @short Product that was administered
     */
    administeredProduct?: CodeableReference<Medication>;
    /**
     * @description Name of vaccine manufacturer.
     * @short Vaccine manufacturer
     */
    manufacturer?: CodeableReference<Organization>;
    /**
     * @description Lot number of the  vaccine product.
     * @short Vaccine lot number
     */
    lotNumber?: FhirPrimitive<string>;
    /**
     * @description Date vaccine batch expires.
     * @short Vaccine expiration date
     */
    expirationDate?: FhirPrimitive<string>;
    /**
     * @description The patient who either received or did not receive the immunization.
     * @short Who was immunized
     */
    patient: Reference<Patient>;
    /**
     * @description The visit or admission or other contact between patient and health care provider the immunization was performed as part of.
     * @short Encounter immunization was part of
     */
    encounter?: Reference<Encounter>;
    /**
     * @description Additional information that is relevant to the immunization (e.g. for a vaccine recipient who is pregnant, the gestational age of the fetus). The reason why a vaccine was given (e.g. occupation, underlying medical condition) should be conveyed in Immunization.reason, not as supporting information. The reason why a vaccine was not given (e.g. contraindication) should be conveyed in Immunization.statusReason, not as supporting information.
     * @short Additional information in support of the immunization
     */
    supportingInformation?: Reference<Resource>[];
    /**
     * @choice This is part of the occurrence[x] choice.
     * @oneOf occurrenceDateTime, occurrenceString
     */
    occurrenceDateTime?: FhirPrimitive<string>;
    /**
     * @choice This is part of the occurrence[x] choice.
     * @oneOf occurrenceDateTime, occurrenceString
     */
    occurrenceString?: FhirPrimitive<string>;
    /**
     * @description Indicates whether the data contained in the resource was captured by the individualorganization which was responsible for the administration of the vaccine rather than as 'secondary reported' data documented by a third party. A value of 'true' means this data originated with the individualorganization which was responsible for the administration of the vaccine.
     * @comment Reflects the “reliability” of the content.
     * @short Indicates context the data was captured in
     */
    primarySource?: FhirPrimitive<boolean>;
    /**
     * @description Typically the source of the data when the report of the immunization event is not based on information from the person who administered the vaccine.
     * @comment Typically will not be populated if primarySource = True, not required even if primarySource = False.
     * @short Indicates the source of a  reported record
     */
    informationSource?: CodeableReference<Patient | Practitioner | PractitionerRole | RelatedPerson | Organization>;
    /**
     * @description The service delivery location where the vaccine administration occurred.
     * @short Where immunization occurred
     */
    location?: Reference<Location>;
    /**
     * @description Body site where vaccine was administered.
     * @short Body site vaccine  was administered
     */
    site?: CodeableConcept;
    /**
     * @description The path by which the vaccine product is taken into the body.
     * @short How vaccine entered body
     */
    route?: CodeableConcept;
    /**
     * @description The quantity of vaccine product that was administered.
     * @short Amount of vaccine administered
     */
    doseQuantity?: Quantity;
    /**
     * @backbone Nested BackboneElement: performer [0..*]
     */
    performer?: Immunization_Performer[];
    /**
     * @description Extra information about the immunization that is not conveyed by the other attributes.
     * @short Additional immunization notes
     */
    note?: Annotation[];
    /**
     * @description Describes why the immunization occurred in coded or textual form, or Indicates another resource (Condition, Observation or DiagnosticReport) whose existence justifies this immunization.
     * @short Why immunization occurred
     */
    reason?: CodeableReference<Condition | Observation | DiagnosticReport>[];
    /**
     * @description Indication if a dose is considered to be subpotent. By default, a dose should be considered to be potent.
     * @comment Typically, the recognition of the dose being sub-potent is retrospective, after the administration (ex. notification of a manufacturer recall after administration). However, in the case of a partial administration (the patient moves unexpectedly and only some of the dose is actually administered), subpotency may be recognized immediately, but it is still important to record the event.
     * @short Dose potency
     */
    isSubpotent?: FhirPrimitive<boolean>;
    /**
     * @description Reason why a dose is considered to be subpotent.
     * @short Reason for being subpotent
     */
    subpotentReason?: CodeableConcept[];
    /**
     * @backbone Nested BackboneElement: programEligibility [0..*]
     */
    programEligibility?: Immunization_ProgramEligibility[];
    /**
     * @description Indicates the source of the vaccine actually administered. This may be different than the patient eligibility (e.g. the patient may be eligible for a publically purchased vaccine but due to inventory issues, vaccine purchased with private funds was actually administered).
     * @short Funding source for the vaccine
     */
    fundingSource?: CodeableConcept;
    /**
     * @backbone Nested BackboneElement: reaction [0..*]
     */
    reaction?: Immunization_Reaction[];
    /**
     * @backbone Nested BackboneElement: protocolApplied [0..*]
     */
    protocolApplied?: Immunization_ProtocolApplied[];
    /**
     * @const Auto-injected fixed value: Immunization
     */
    resourceType: "Immunization";
}
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