import { IClaimAccident, IClaimCareTeam, IClaimDiagnosis, IClaimInsurance, IClaimItem, IClaimPayee, IClaimProcedure, IClaimRelated, IClaimSupportingInfo } from '../backbones';
import { IDomainResource, IElement } from '../base';
import { ICodeableConcept, IIdentifier, IMoney, IPeriod, IReference } from '../datatypes';
import { ClaimUseType, FmStatusType } from '../types';
/**
 * @name IClaim
 * @description A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement.
 * @see <a href="https://hl7.org/fhir/R4/claim.html">Claim</a>
 * @version R4
 * @extends {IDomainResource}
 * @author Claudia Alarcón Lazo
 */
export interface IClaim extends IDomainResource {
    /**
     * @description A unique identifier assigned to this claim.
     */
    identifier?: IIdentifier[];
    /**
     * @description The status of the resource instance.
     * @description active | cancelled | draft | entered-in-error
     * @see <a href="https://hl7.org/fhir/R4/valueset-fm-status.html">FmStatus</a>
     */
    status: FmStatusType;
    /**
     * @description Extensions for status
     */
    _status?: IElement;
    /**
     * @description The category of claim, e.g. oral, pharmacy, vision, institutional, professional.
     */
    type: ICodeableConcept;
    /**
     * @description A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
     */
    subType?: ICodeableConcept;
    /**
     * @description A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.
     * @description claim | preauthorization | predetermination
     * @see <a href="https://hl7.org/fhir/R4/valueset-claim-use.html">ClaimUse</a>
     */
    use: ClaimUseType;
    /**
     * @description Extensions for use
     */
    _use?: IElement;
    /**
     * @description The party to whom the professional services and/or products have been supplied or are being considered and for whom actual or forecast reimbursement is sought.
     */
    patient: IReference;
    /**
     * @description The period for which charges are being submitted.
     */
    billablePeriod?: IPeriod;
    /**
     * @description The date this resource was created.
     */
    created: string;
    /**
     * @description Extensions for created
     */
    _created?: IElement;
    /**
     * @description Individual who created the claim, predetermination or preauthorization.
     */
    enterer?: IReference;
    /**
     * @description The Insurer who is target of the request.
     */
    insurer?: IReference;
    /**
     * @description The provider which is responsible for the claim, predetermination or preauthorization.
     */
    provider: IReference;
    /**
     * @description The provider-required urgency of processing the request. Typical values include: stat, routine deferred.
     */
    priority: ICodeableConcept;
    /**
     * @description A code to indicate whether and for whom funds are to be reserved for future claims.
     */
    fundsReserve?: ICodeableConcept;
    /**
     * @description Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.
     */
    related?: IClaimRelated[];
    /**
     * @description Prescription to support the dispensing of pharmacy, device or vision products.
     */
    prescription?: IReference;
    /**
     * @description Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.
     */
    originalPrescription?: IReference;
    /**
     * @description The party to be reimbursed for cost of the products and services according to the terms of the policy.
     */
    payee?: IClaimPayee;
    /**
     * @description A reference to a referral resource.
     */
    referral?: IReference;
    /**
     * @description Facility where the services were provided.
     */
    facility?: IReference;
    /**
     * @description The members of the team who provided the products and services.
     */
    careTeam?: IClaimCareTeam[];
    /**
     * @description Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.
     */
    supportingInfo?: IClaimSupportingInfo[];
    /**
     * @description Information about diagnoses relevant to the claim items.
     */
    diagnosis?: IClaimDiagnosis[];
    /**
     * @description Procedures performed on the patient relevant to the billing items with the claim.
     */
    procedure?: IClaimProcedure[];
    /**
     * @description Financial instruments for reimbursement for the health care products and services specified on the claim.
     */
    insurance?: IClaimInsurance[];
    /**
     * @description Details of an accident which resulted in injuries which required the products and services listed in the claim.
     */
    accident?: IClaimAccident;
    /**
     * @description A claim line. Either a simple  product or service or a \u0027group\u0027 of details which can each be a simple items or groups of sub-details.
     */
    item?: IClaimItem[];
    /**
     * @description The total value of the all the items in the claim.
     */
    total?: IMoney;
}