import { Annotation } from './Annotation.js';
import { Attachment } from './Attachment.js';
import { BiologicallyDerivedProduct } from './BiologicallyDerivedProduct.js';
import { CarePlan } from './CarePlan.js';
import { CareTeam } from './CareTeam.js';
import { CodeableConcept } from './CodeableConcept.js';
import { Composition } from './Composition.js';
import { Device } from './Device.js';
import { DiagnosticReport_Media } from './DiagnosticReport_Media.js';
import { DiagnosticReport_SupportingInfo } from './DiagnosticReport_SupportingInfo.js';
import { Encounter } from './Encounter.js';
import { Extension } from './Extension.js';
import { FhirPrimitive } from './FhirPrimitive.js';
import { GenomicStudy } from './GenomicStudy.js';
import { Group } from './Group.js';
import { Identifier } from './Identifier.js';
import { ImagingStudy } from './ImagingStudy.js';
import { ImmunizationRecommendation } from './ImmunizationRecommendation.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 { NutritionOrder } from './NutritionOrder.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 { Reference } from './Reference.js';
import { Resource } from './Resource.js';
import { ServiceRequest } from './ServiceRequest.js';
import { Specimen } from './Specimen.js';
import { Substance } from './Substance.js';
export interface DiagnosticReport {
    /**
     * @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 Identifiers assigned to this report by the performer or other systems.
     * @comment Usually assigned by the Information System of the diagnostic service provider (filler id).
     * @short Business identifier for report
     */
    identifier?: Identifier[];
    /**
     * @description Details concerning a service requested.
     * @comment Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.
     * @short What was requested
     */
    basedOn?: Reference<CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest>[];
    /**
     * @description The status of the diagnostic report.
     * @short registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
     */
    status: FhirPrimitive<string>;
    /**
     * @description A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.
     * @comment Multiple categories are allowed using various categorization schemes.   The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata andor terminology hierarchy in DiagnosticReport.code.
     * @short Service category
     */
    category?: CodeableConcept[];
    /**
     * @description A code or name that describes this diagnostic report.
     * @short NameCode for this diagnostic report
     */
    code: CodeableConcept;
    /**
     * @description The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources.
     * @short The subject of the report - usually, but not always, the patient
     */
    subject?: Reference<Patient | Group | Device | Location | Organization | Practitioner | Medication | Substance | BiologicallyDerivedProduct>;
    /**
     * @description The healthcare event  (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.
     * @comment This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter  but still be tied to the context of the encounter  (e.g. pre-admission laboratory tests).
     * @short Health care event when test ordered
     */
    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 The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified.
     * @comment May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.
     * @short DateTime this version was made
     */
    issued?: FhirPrimitive<string>;
    /**
     * @description The diagnostic service that is responsible for issuing the report.
     * @comment This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.
     * @short Responsible Diagnostic Service
     */
    performer?: Reference<Practitioner | PractitionerRole | Organization | CareTeam>[];
    /**
     * @description The practitioner or organization that is responsible for the report's conclusions and interpretations.
     * @comment Might not be the same entity that takes responsibility for the clinical report.
     * @short Primary result interpreter
     */
    resultsInterpreter?: Reference<Practitioner | PractitionerRole | Organization | CareTeam>[];
    /**
     * @description Details about the specimens on which this diagnostic report is based.
     * @comment If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group.
     * @short Specimens this report is based on
     */
    specimen?: Reference<Specimen>[];
    /**
     * @description [Observations](observation.html)  that are part of this diagnostic report.
     * @comment Observations can contain observations.
     * @short Observations
     */
    result?: Reference<Observation>[];
    /**
     * @description Comments about the diagnostic report.
     * @comment May include general statements about the diagnostic report, or statements about significant, unexpected or unreliable results values contained within the diagnostic report, or information about its source when relevant to its interpretation.
     * @short Comments about the diagnostic report
     */
    note?: Annotation[];
    /**
     * @description One or more links to full details of any study performed during the diagnostic investigation. An ImagingStudy might comprise a set of radiologic images obtained via a procedure that are analyzed as a group. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images. A GenomicStudy might comprise one or more analyses, each serving a specific purpose. These analyses may vary in method (e.g., karyotyping, CNV, or SNV detection), performer, software, devices used, or regions targeted.
     * @comment For laboratory-type studies like GenomeStudy, type resources will be used for tracking additional metadata and workflow aspects of complex studies. ImagingStudy and the media element are somewhat overlapping - typically, the list of image references in the media element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.
     * @short Reference to full details of an analysis associated with the diagnostic report
     */
    study?: Reference<GenomicStudy | ImagingStudy>[];
    /**
     * @backbone Nested BackboneElement: supportingInfo [0..*]
     */
    supportingInfo?: DiagnosticReport_SupportingInfo[];
    /**
     * @backbone Nested BackboneElement: media [0..*]
     */
    media?: DiagnosticReport_Media[];
    /**
     * @description Reference to a Composition resource instance that provides structure for organizing the contents of the DiagnosticReport.
     * @comment The Composition provides structure to the content of the DiagnosticReport (and only contains contents referenced in the DiagnosticReport) - e.g., to order the sections of an anatomic pathology structured report.
     * @short Reference to a Composition resource for the DiagnosticReport structure
     */
    composition?: Reference<Composition>;
    /**
     * @description Concise and clinically contextualized summary conclusion (interpretationimpression) of the diagnostic report.
     * @short Clinical conclusion (interpretation) of test results
     */
    conclusion?: FhirPrimitive<string>;
    /**
     * @description One or more codes that represent the summary conclusion (interpretationimpression) of the diagnostic report.
     * @short Codes for the clinical conclusion of test results
     */
    conclusionCode?: CodeableConcept[];
    /**
     * @description Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.
     * @comment "applicationpdf" is recommended as the most reliable and interoperable in this context.
     * @short Entire report as issued
     */
    presentedForm?: Attachment[];
    /**
     * @const Auto-injected fixed value: DiagnosticReport
     */
    resourceType: "DiagnosticReport";
}
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