import * as t from 'io-ts' ; import { RTTI_id } from '../Scalar/RTTI_id' ; import { RTTI_Meta , IMeta } from './RTTI_Meta' ; import { RTTI_uri } from '../Scalar/RTTI_uri' ; import { RTTI_Element , IElement } from './RTTI_Element' ; import { RTTI_code } from '../Scalar/RTTI_code' ; import { RTTI_Narrative , INarrative } from './RTTI_Narrative' ; import { RTTI_ResourceList , IResourceList } from '../Union/RTTI_ResourceList' ; import { RTTI_Extension , IExtension } from './RTTI_Extension' ; import { RTTI_Identifier , IIdentifier } from './RTTI_Identifier' ; import { RTTI_CodeableConcept , ICodeableConcept } from './RTTI_CodeableConcept' ; import { RTTI_Reference , IReference } from './RTTI_Reference' ; import { RTTI_dateTime } from '../Scalar/RTTI_dateTime' ; import { RTTI_Period , IPeriod } from './RTTI_Period' ; import { RTTI_ClaimResponse_Item , IClaimResponse_Item } from './RTTI_ClaimResponse_Item' ; import { RTTI_ClaimResponse_AddItem , IClaimResponse_AddItem } from './RTTI_ClaimResponse_AddItem' ; import { RTTI_ClaimResponse_Adjudication , IClaimResponse_Adjudication } from './RTTI_ClaimResponse_Adjudication' ; import { RTTI_ClaimResponse_Total , IClaimResponse_Total } from './RTTI_ClaimResponse_Total' ; import { RTTI_ClaimResponse_Payment , IClaimResponse_Payment } from './RTTI_ClaimResponse_Payment' ; import { RTTI_Attachment , IAttachment } from './RTTI_Attachment' ; import { RTTI_ClaimResponse_ProcessNote , IClaimResponse_ProcessNote } from './RTTI_ClaimResponse_ProcessNote' ; import { RTTI_ClaimResponse_Insurance , IClaimResponse_Insurance } from './RTTI_ClaimResponse_Insurance' ; import { RTTI_ClaimResponse_Error , IClaimResponse_Error } from './RTTI_ClaimResponse_Error' ; import { IDomainResource } from './IDomainResource' ; export interface IClaimResponse extends IDomainResource { /**
     * This is a ClaimResponse resource
     */ resourceType : 'ClaimResponse' ; /**
     * A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
     */ type : ICodeableConcept ; /**
     * The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for facast reimbursement is sought.
     */ patient : IReference ; /**
     * The party responsible for authorization, adjudication and reimbursement.
     */ insurer : IReference ; /**
     * The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
     */ id ? : string ; /**
     * 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.
     */ meta ? : IMeta ; /**
     * 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.
     */ implicitRules ? : string ; /**
     * Extensions for implicitRules
     */ _implicitRules ? : IElement ; /**
     * The base language in which the resource is written.
     */ language ? : string ; /**
     * Extensions for language
     */ _language ? : IElement ; /**
     * 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.
     */ text ? : INarrative ; /**
     * These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
     */ contained ? : IResourceList [ ] ; /**
     * 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 manageable, 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.
     */ extension ? : IExtension [ ] ; /**
                     * 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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, 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).
                     */ modifierExtension ? : IExtension [ ] ; /**
     * A unique identifier assigned to this claim response.
     */ identifier ? : IIdentifier [ ] ; /**
     * The status of the resource instance.
     */ status ? : string ; /**
     * Extensions for status
     */ _status ? : IElement ; /**
     * 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 ; /**
     * 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.
     */ use ? : string ; /**
     * Extensions for use
     */ _use ? : IElement ; /**
     * The date this resource was created.
     */ created ? : string ; /**
     * Extensions for created
     */ _created ? : IElement ; /**
     * The provider which is responsible for the claim, predetermination or preauthorization.
     */ requestor ? : IReference ; /**
     * Original request resource reference.
     */ request ? : IReference ; /**
     * The outcome of the claim, predetermination, or preauthorization processing.
     */ outcome ? : string ; /**
     * Extensions for outcome
     */ _outcome ? : IElement ; /**
     * A human readable description of the status of the adjudication.
     */ disposition ? : string ; /**
     * Extensions for disposition
     */ _disposition ? : IElement ; /**
     * Reference from the Insurer which is used in later communications which refers to this adjudication.
     */ preAuthRef ? : string ; /**
     * Extensions for preAuthRef
     */ _preAuthRef ? : IElement ; /**
     * The time frame during which this authorization is effective.
     */ preAuthPeriod ? : IPeriod ; /**
     * Type of Party to be reimbursed: subscriber, provider, other.
     */ payeeType ? : ICodeableConcept ; /**
     * A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.
     */ item ? : IClaimResponse_Item [ ] ; /**
     * The first-tier service adjudications for payor added product or service lines.
     */ addItem ? : IClaimResponse_AddItem [ ] ; /**
     * The adjudication results which are presented at the header level rather than at the line-item or add-item levels.
     */ adjudication ? : IClaimResponse_Adjudication [ ] ; /**
     * Categorized monetary totals for the adjudication.
     */ total ? : IClaimResponse_Total [ ] ; /**
     * Payment details for the adjudication of the claim.
     */ payment ? : IClaimResponse_Payment ; /**
     * A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.
     */ fundsReserve ? : ICodeableConcept ; /**
     * A code for the form to be used for printing the content.
     */ formCode ? : ICodeableConcept ; /**
     * The actual form, by reference or inclusion, for printing the content or an EOB.
     */ form ? : IAttachment ; /**
     * A note that describes or explains adjudication results in a human readable form.
     */ processNote ? : IClaimResponse_ProcessNote [ ] ; /**
     * Request for additional supporting or authorizing information.
     */ communicationRequest ? : IReference [ ] ; /**
     * Financial instruments for reimbursement for the health care products and services specified on the claim.
     */ insurance ? : IClaimResponse_Insurance [ ] ; /**
     * Errors encountered during the processing of the adjudication.
     */ error ? : IClaimResponse_Error [ ] ; } export const RTTI_ClaimResponse = t . recursion ( 'IClaimResponse' , ( ) => t . intersection ( [ t . type ( { resourceType : t . literal ( 'ClaimResponse' ) , type : RTTI_CodeableConcept , patient : RTTI_Reference , insurer : RTTI_Reference } ) , t . partial ( { id : RTTI_id , meta : RTTI_Meta , implicitRules : RTTI_uri , _implicitRules : RTTI_Element , language : RTTI_code , _language : RTTI_Element , text : RTTI_Narrative , contained : t . array ( RTTI_ResourceList ) , extension : t . array ( RTTI_Extension ) , modifierExtension : t . array ( RTTI_Extension ) , identifier : t . array ( RTTI_Identifier ) , status : RTTI_code , _status : RTTI_Element , subType : RTTI_CodeableConcept , use : RTTI_code , _use : RTTI_Element , created : RTTI_dateTime , _created : RTTI_Element , requestor : RTTI_Reference , request : RTTI_Reference , outcome : RTTI_code , _outcome : RTTI_Element , disposition : t . string , _disposition : RTTI_Element , preAuthRef : t . string , _preAuthRef : RTTI_Element , preAuthPeriod : RTTI_Period , payeeType : RTTI_CodeableConcept , item : t . array ( RTTI_ClaimResponse_Item ) , addItem : t . array ( RTTI_ClaimResponse_AddItem ) , adjudication : t . array ( RTTI_ClaimResponse_Adjudication ) , total : t . array ( RTTI_ClaimResponse_Total ) , payment : RTTI_ClaimResponse_Payment , fundsReserve : RTTI_CodeableConcept , formCode : RTTI_CodeableConcept , form : RTTI_Attachment , processNote : t . array ( RTTI_ClaimResponse_ProcessNote ) , communicationRequest : t . array ( RTTI_Reference ) , insurance : t . array ( RTTI_ClaimResponse_Insurance ) , error : t . array ( RTTI_ClaimResponse_Error ) } ) ] ) ) ;