import { Claim_Accident } from './Claim_Accident.js';
import { Claim_CareTeam } from './Claim_CareTeam.js';
import { Claim_Diagnosis } from './Claim_Diagnosis.js';
import { Claim_Event } from './Claim_Event.js';
import { Claim_Insurance } from './Claim_Insurance.js';
import { Claim_Item } from './Claim_Item.js';
import { Claim_Payee } from './Claim_Payee.js';
import { Claim_Procedure } from './Claim_Procedure.js';
import { Claim_Related } from './Claim_Related.js';
import { Claim_SupportingInfo } from './Claim_SupportingInfo.js';
import { CodeableConcept } from './CodeableConcept.js';
import { DeviceRequest } from './DeviceRequest.js';
import { Encounter } from './Encounter.js';
import { Extension } from './Extension.js';
import { FhirPrimitive } from './FhirPrimitive.js';
import { Identifier } from './Identifier.js';
import { Location } from './Location.js';
import { MedicationRequest } from './MedicationRequest.js';
import { Meta } from './Meta.js';
import { Money } from './Money.js';
import { Narrative } from './Narrative.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 { RelatedPerson } from './RelatedPerson.js';
import { Resource } from './Resource.js';
import { ServiceRequest } from './ServiceRequest.js';
import { VisionPrescription } from './VisionPrescription.js';
export interface Claim {
    /**
     * @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 claim.
     * @short Business Identifier for claim
     */
    identifier?: Identifier[];
    /**
     * @description Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners.
     * @short Number for tracking
     */
    traceNumber?: Identifier[];
    /**
     * @description The status of the resource instance.
     * @comment This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
     * @short active | cancelled | draft | entered-in-error
     */
    status: FhirPrimitive<string>;
    /**
     * @description The category of claim, e.g. oral, pharmacy, vision, institutional, professional.
     * @comment The code system provides oral, pharmacy, vision, professional and institutional claim types. Those supported depends on the requirements of the jurisdiction. The valueset is extensible to accommodate other types of claims as required by the jurisdiction.
     * @short Category or discipline
     */
    type: CodeableConcept;
    /**
     * @description A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient andor a specialty service.
     * @comment This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type.
     * @short More granular claim type
     */
    subType?: CodeableConcept;
    /**
     * @description A code to indicate whether the nature of the request is: Claim - A request to an Insurer to adjudicate the supplied charges for health care goods and services under the identified policy and to pay the determined Benefit amount, if any; Preauthorization - A request to an Insurer to adjudicate the supplied proposed future charges for health care goods and services under the identified policy and to approve the services and provide the expected benefit amounts and potentially to reserve funds to pay the benefits when Claims for the indicated services are later submitted; or, Pre-determination - A request to an Insurer to adjudicate the supplied 'what if' charges for health care goods and services under the identified policy and report back what the Benefit payable would be had the services actually been provided.
     * @short claim | preauthorization | predetermination
     */
    use: FhirPrimitive<string>;
    /**
     * @description The party to whom the professional services andor products have been supplied or are being considered and for whom actual or forecast reimbursement is sought.
     * @short The recipient of the products and services
     */
    patient: Reference<Patient>;
    /**
     * @description The period for which charges are being submitted.
     * @comment Typically this would be today or in the past for a claim, and today or in the future for preauthorizations and predeterminations. Typically line item dates of service should fall within the billing period if one is specified.
     * @short Relevant time frame for the claim
     */
    billablePeriod?: Period;
    /**
     * @description The date this resource was created.
     * @comment This field is independent of the date of creation of the resource as it may reflect the creation date of a source document prior to digitization. Typically for claims all services must be completed as of this date.
     * @short Resource creation date
     */
    created: FhirPrimitive<string>;
    /**
     * @description Individual who created the claim, predetermination or preauthorization.
     * @short Author of the claim
     */
    enterer?: Reference<Practitioner | PractitionerRole | Patient | RelatedPerson>;
    /**
     * @description The Insurer who is target of the request.
     * @short Target
     */
    insurer?: Reference<Organization>;
    /**
     * @description The provider which is responsible for the claim, predetermination or preauthorization.
     * @comment Typically this field would be 1..1 where this party is accountable for the data content within the claim but is not necessarily the facility, provider group or practitioner who provided the products and services listed within this claim resource. This field is the Billing Provider, for example, a facility, provider group, lab or practitioner.
     * @short Party responsible for the claim
     */
    provider?: Reference<Practitioner | PractitionerRole | Organization>;
    /**
     * @description The provider-required urgency of processing the request. Typical values include: stat, normal, deferred.
     * @comment If a claim processor is unable to complete the processing as per the priority then they should generate an error and not process the request.
     * @short Desired processing urgency
     */
    priority?: CodeableConcept;
    /**
     * @description A code to indicate whether and for whom funds are to be reserved for future claims.
     * @comment This field is only used for preauthorizations.
     * @short For whom to reserve funds
     */
    fundsReserve?: CodeableConcept;
    /**
     * @backbone Nested BackboneElement: related [0..*]
     */
    related?: Claim_Related[];
    /**
     * @description Prescription is the documentauthorization given to the claim author for them to provide products and services for which consideration (reimbursement) is sought. Could be a RX for medications, an 'order' for oxygen or wheelchair or physiotherapy treatments.
     * @short Prescription authorizing services and products
     */
    prescription?: Reference<DeviceRequest | MedicationRequest | VisionPrescription>;
    /**
     * @description Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.
     * @comment For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefore issues a new prescription for an alternate medication which has the same therapeutic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.
     * @short Original prescription if superseded by fulfiller
     */
    originalPrescription?: Reference<DeviceRequest | MedicationRequest | VisionPrescription>;
    /**
     * @backbone Nested BackboneElement: payee [0..1]
     */
    payee?: Claim_Payee;
    /**
     * @description The referral information received by the claim author, it is not to be used when the author generates a referral for a patient. A copy of that referral may be provided as supporting information. Some insurers require proof of referral to pay for services or to pay specialist rates for services.
     * @comment The referral resource which lists the date, practitioner, reason and other supporting information.
     * @short Treatment referral
     */
    referral?: Reference<ServiceRequest>;
    /**
     * @description Healthcare encounters related to this claim.
     * @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 Encounters associated with the listed treatments
     */
    encounter?: Reference<Encounter>[];
    /**
     * @description Facility where the services were provided.
     * @short Servicing facility
     */
    facility?: Reference<Location | Organization>;
    /**
     * @description A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.
     * @comment For example DRG (Diagnosis Related Group) or a bundled billing code. A patient may have a diagnosis of a Myocardial Infarction and a DRG for HeartAttack would be assigned. The Claim item (and possible subsequent claims) would refer to the DRG for those line items that were for services related to the heart attack event.
     * @short Package billing code
     */
    diagnosisRelatedGroup?: CodeableConcept;
    /**
     * @backbone Nested BackboneElement: event [0..*]
     */
    event?: Claim_Event[];
    /**
     * @backbone Nested BackboneElement: careTeam [0..*]
     */
    careTeam?: Claim_CareTeam[];
    /**
     * @backbone Nested BackboneElement: supportingInfo [0..*]
     */
    supportingInfo?: Claim_SupportingInfo[];
    /**
     * @backbone Nested BackboneElement: diagnosis [0..*]
     */
    diagnosis?: Claim_Diagnosis[];
    /**
     * @backbone Nested BackboneElement: procedure [0..*]
     */
    procedure?: Claim_Procedure[];
    /**
     * @backbone Nested BackboneElement: insurance [0..*]
     */
    insurance?: Claim_Insurance[];
    /**
     * @backbone Nested BackboneElement: accident [0..1]
     */
    accident?: Claim_Accident;
    /**
     * @description The amount paid by the patient, in total at the claim claim level or specifically for the item and detail level, to the provider for goods and services.
     * @short Paid by the patient
     */
    patientPaid?: Money;
    /**
     * @backbone Nested BackboneElement: item [0..*]
     */
    item?: Claim_Item[];
    /**
     * @description The total value of the all the items in the claim.
     * @short Total claim cost
     */
    total?: Money;
    /**
     * @const Auto-injected fixed value: Claim
     */
    resourceType: "Claim";
}
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