import { ICoverageClass, ICoverageCostToBeneficiary } from '../backbones';
import { IDomainResource, IElement } from '../base';
import { ICodeableConcept, IIdentifier, IPeriod, IReference } from '../datatypes';
import { FinancialResourceStatusCodesType } from '../types';
/**
 * @name ICoverage
 * @description Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment.
 * @see <a href="https://hl7.org/fhir/R4/coverage.html">Coverage</a>
 * @version R4
 * @extends {IDomainResource}
 * @author Claudia Alarcón Lazo
 */
export interface ICoverage extends IDomainResource {
    /**
     * @description A unique identifier assigned to this coverage.
     */
    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">FinancialResourceStatusCodes</a>
     */
    status: FinancialResourceStatusCodesType;
    /**
     * @description The type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.
     */
    type?: ICodeableConcept;
    /**
     * @description The party who 'owns' the insurance policy.
     */
    policyHolder?: IReference;
    /**
     * @description The party who has signed-up for or 'owns' the contractual relationship to the policy or to whom the benefit of the policy for services rendered to them or their family is due.
     */
    subscriber?: IReference;
    /**
     * @description The insurer assigned ID for the Subscriber.
     */
    subscriberId?: string;
    /**
     * @description The party who benefits from the insurance coverage; the patient when products and/or services are provided.
     */
    beneficiary: IReference;
    /**
     * @description A unique identifier for a dependent under the coverage.
     */
    dependent?: string;
    /**
     * @description The relationship of beneficiary (patient) to the subscriber.
     */
    relationship?: ICodeableConcept;
    /**
     * @description Time period during which the coverage is in force. A missing start date indicates the start date isn't known, a missing end date means the coverage is continuing to be in force.
     */
    period?: IPeriod;
    /**
     * @description The program or plan underwriter or payor including both insurance and non-insurance agreements, such as patient-pay agreements.
     */
    payor: IReference[];
    /**
     * @description Additional information regarding the plan.
     */
    class?: ICoverageClass[];
    /**
     * @description The order of applicability of this coverage relative to other coverages which are currently in force.
     */
    order?: number;
    /**
     * @description The insurer-specific identifier for the insurer-defined network of providers to which the beneficiary may seek treatment which will be covered at the 'in-network' rate, otherwise 'out of network' terms and conditions apply.
     */
    network?: string;
    /**
     * @description A suite of codes indicating the cost category and associated amount which have been detailed in the policy and may have been included on the health card.
     */
    costToBeneficiary?: ICoverageCostToBeneficiary[];
    /**
     * @description When 'subrogation=true' this insurance instance has been included not for adjudication but to provide insurers with the details to recover costs.
     */
    subrogation?: boolean;
    /**
     * @description The policy(s) which constitute this insurance coverage.
     */
    contract?: IReference[];
    /**
     * @description Extensions for status
     */
    _status?: IElement;
    /**
     * @description Extensions for subscriberId
     */
    _subscriberId?: IElement;
    /**
     * @description Extensions for dependent
     */
    _dependent?: IElement;
    /**
     * @description Extensions for order
     */
    _order?: IElement;
    /**
     * @description Extensions for network
     */
    _network?: IElement;
    /**
     * @description Extensions for subrogation
     */
    _subrogation?: IElement;
}