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_Period , IPeriod } from './RTTI_Period' ; import { RTTI_dateTime } from '../Scalar/RTTI_dateTime' ; import { RTTI_Claim_Related , IClaim_Related } from './RTTI_Claim_Related' ; import { RTTI_Claim_Payee , IClaim_Payee } from './RTTI_Claim_Payee' ; import { RTTI_Claim_CareTeam , IClaim_CareTeam } from './RTTI_Claim_CareTeam' ; import { RTTI_Claim_SupportingInfo , IClaim_SupportingInfo } from './RTTI_Claim_SupportingInfo' ; import { RTTI_Claim_Diagnosis , IClaim_Diagnosis } from './RTTI_Claim_Diagnosis' ; import { RTTI_Claim_Procedure , IClaim_Procedure } from './RTTI_Claim_Procedure' ; import { RTTI_Claim_Insurance , IClaim_Insurance } from './RTTI_Claim_Insurance' ; import { RTTI_Claim_Accident , IClaim_Accident } from './RTTI_Claim_Accident' ; import { RTTI_Claim_Item , IClaim_Item } from './RTTI_Claim_Item' ; import { RTTI_Money , IMoney } from './RTTI_Money' ; export enum ClaimUseKind { _claim = 'claim' , _preauthorization = 'preauthorization' , _predetermination = 'predetermination' } import { createEnumType } from '../../EnumType' ; import { IDomainResource } from './IDomainResource' ; export interface IClaim extends IDomainResource { /**
     * This is a Claim resource
     */ resourceType : 'Claim' ; /**
     * The category of claim, e.g. oral, pharmacy, vision, institutional, professional.
     */ type : ICodeableConcept ; /**
     * 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 ; /**
     * The provider which is responsible for the claim, predetermination or preauthorization.
     */ provider : IReference ; /**
     * The provider-required urgency of processing the request. Typical values include: stat, routine deferred.
     */ priority : ICodeableConcept ; /**
     * Financial instruments for reimbursement for the health care products and services specified on the claim.
     */ insurance : IClaim_Insurance [ ] ; /**
     * 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.
     */ 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 ? : ClaimUseKind ; /**
     * Extensions for use
     */ _use ? : IElement ; /**
     * The period for which charges are being submitted.
     */ billablePeriod ? : IPeriod ; /**
     * The date this resource was created.
     */ created ? : string ; /**
     * Extensions for created
     */ _created ? : IElement ; /**
     * Individual who created the claim, predetermination or preauthorization.
     */ enterer ? : IReference ; /**
     * The Insurer who is target of the request.
     */ insurer ? : IReference ; /**
     * A code to indicate whether and for whom funds are to be reserved for future claims.
     */ fundsReserve ? : ICodeableConcept ; /**
     * Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.
     */ related ? : IClaim_Related [ ] ; /**
     * Prescription to support the dispensing of pharmacy, device or vision products.
     */ prescription ? : IReference ; /**
     * Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.
     */ originalPrescription ? : IReference ; /**
     * The party to be reimbursed for cost of the products and services according to the terms of the policy.
     */ payee ? : IClaim_Payee ; /**
     * A reference to a referral resource.
     */ referral ? : IReference ; /**
     * Facility where the services were provided.
     */ facility ? : IReference ; /**
     * The members of the team who provided the products and services.
     */ careTeam ? : IClaim_CareTeam [ ] ; /**
     * Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.
     */ supportingInfo ? : IClaim_SupportingInfo [ ] ; /**
     * Information about diagnoses relevant to the claim items.
     */ diagnosis ? : IClaim_Diagnosis [ ] ; /**
     * Procedures performed on the patient relevant to the billing items with the claim.
     */ procedure ? : IClaim_Procedure [ ] ; /**
     * Details of an accident which resulted in injuries which required the products and services listed in the claim.
     */ accident ? : IClaim_Accident ; /**
     * A claim line. Either a simple  product or service or a 'group' of details which can each be a simple items or groups of sub-details.
     */ item ? : IClaim_Item [ ] ; /**
     * The total value of the all the items in the claim.
     */ total ? : IMoney ; } export const RTTI_Claim = t . recursion ( 'IClaim' , ( ) => t . intersection ( [ t . type ( { resourceType : t . literal ( 'Claim' ) , type : RTTI_CodeableConcept , patient : RTTI_Reference , provider : RTTI_Reference , priority : RTTI_CodeableConcept , insurance : t . array ( RTTI_Claim_Insurance ) } ) , 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 : createEnumType < ClaimUseKind > ( ClaimUseKind , 'ClaimUseKind' ) , _use : RTTI_Element , billablePeriod : RTTI_Period , created : RTTI_dateTime , _created : RTTI_Element , enterer : RTTI_Reference , insurer : RTTI_Reference , fundsReserve : RTTI_CodeableConcept , related : t . array ( RTTI_Claim_Related ) , prescription : RTTI_Reference , originalPrescription : RTTI_Reference , payee : RTTI_Claim_Payee , referral : RTTI_Reference , facility : RTTI_Reference , careTeam : t . array ( RTTI_Claim_CareTeam ) , supportingInfo : t . array ( RTTI_Claim_SupportingInfo ) , diagnosis : t . array ( RTTI_Claim_Diagnosis ) , procedure : t . array ( RTTI_Claim_Procedure ) , accident : RTTI_Claim_Accident , item : t . array ( RTTI_Claim_Item ) , total : RTTI_Money } ) ] ) ) ;