//    Copyright 2019 Google Inc.
//
//    Licensed under the Apache License, Version 2.0 (the "License");
//    you may not use this file except in compliance with the License.
//    You may obtain a copy of the License at
//
//        https://www.apache.org/licenses/LICENSE-2.0
//
//    Unless required by applicable law or agreed to in writing, software
//    distributed under the License is distributed on an "AS IS" BASIS,
//    WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
//    See the License for the specific language governing permissions and
//    limitations under the License.

syntax = "proto3";

package google.fhir.r4.core;

import "google/protobuf/any.proto";
import "google/fhir/core/proto/annotations.proto";
import "google/fhir/r4/proto/core/codes.proto";
import "google/fhir/r4/proto/core/datatypes.proto";

option java_multiple_files = true;
option java_package = "com.google.fhir.r4.core";
option (.google.fhir.proto.fhir_version) = R4;
option go_package = "github.com/google/fhir/go/google/fhir/r4/proto/core/resources/coverage_eligibility_response_go_proto";

// Auto-generated from StructureDefinition for CoverageEligibilityResponse.
// CoverageEligibilityResponse resource.
// See http://hl7.org/fhir/StructureDefinition/CoverageEligibilityResponse
message CoverageEligibilityResponse {
  option (.google.fhir.proto.structure_definition_kind) = KIND_RESOURCE;
  option (.google.fhir.proto.fhir_structure_definition_url) =
      "http://hl7.org/fhir/StructureDefinition/CoverageEligibilityResponse";

  // Logical id of this artifact
  Id id = 1;

  // Metadata about the resource
  Meta meta = 2;

  // A set of rules under which this content was created
  Uri implicit_rules = 3;

  // Language of the resource content
  Code language = 4;

  // Text summary of the resource, for human interpretation
  Narrative text = 5;

  // Contained, inline Resources
  repeated protobuf.Any contained = 6;

  // Field 7 reserved for strongly-typed ContainedResource for id:
  // CoverageEligibilityResponse.contained
  reserved 7;

  // Additional content defined by implementations
  repeated Extension extension = 8;

  // Extensions that cannot be ignored
  repeated Extension modifier_extension = 9;

  // Business Identifier for coverage eligiblity request
  repeated Identifier identifier = 10;

  // active | cancelled | draft | entered-in-error
  message StatusCode {
    option (.google.fhir.proto.structure_definition_kind) = KIND_PRIMITIVE_TYPE;
    option (.google.fhir.proto.fhir_valueset_url) =
        "http://hl7.org/fhir/ValueSet/fm-status";
    option (.google.fhir.proto.fhir_profile_base) =
        "http://hl7.org/fhir/StructureDefinition/code";

    FinancialResourceStatusCode.Value value = 1;

    String id = 2;

    repeated Extension extension = 3;
  }
  StatusCode status = 11
      [(.google.fhir.proto.validation_requirement) = REQUIRED_BY_FHIR];

  // auth-requirements | benefits | discovery | validation
  message PurposeCode {
    option (.google.fhir.proto.structure_definition_kind) = KIND_PRIMITIVE_TYPE;
    option (.google.fhir.proto.fhir_valueset_url) =
        "http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose";
    option (.google.fhir.proto.fhir_profile_base) =
        "http://hl7.org/fhir/StructureDefinition/code";

    EligibilityResponsePurposeCode.Value value = 1;

    String id = 2;

    repeated Extension extension = 3;
  }
  repeated PurposeCode purpose = 12
      [(.google.fhir.proto.validation_requirement) = REQUIRED_BY_FHIR];

  // Intended recipient of products and services
  Reference patient = 13 [
    (.google.fhir.proto.validation_requirement) = REQUIRED_BY_FHIR,
    (.google.fhir.proto.valid_reference_type) = "Patient"
  ];

  // Estimated date or dates of service
  message ServicedX {
    option (.google.fhir.proto.is_choice_type) = true;

    oneof choice {
      Date date = 1;
      Period period = 2;
    }
  }
  ServicedX serviced = 14;

  // Response creation date
  DateTime created = 15
      [(.google.fhir.proto.validation_requirement) = REQUIRED_BY_FHIR];

  // Party responsible for the request
  Reference requestor = 16 [
    (.google.fhir.proto.valid_reference_type) = "Practitioner",
    (.google.fhir.proto.valid_reference_type) = "PractitionerRole",
    (.google.fhir.proto.valid_reference_type) = "Organization"
  ];

  // Eligibility request reference
  Reference request = 17 [
    (.google.fhir.proto.validation_requirement) = REQUIRED_BY_FHIR,
    (.google.fhir.proto.valid_reference_type) = "CoverageEligibilityRequest"
  ];

  // queued | complete | error | partial
  message OutcomeCode {
    option (.google.fhir.proto.structure_definition_kind) = KIND_PRIMITIVE_TYPE;
    option (.google.fhir.proto.fhir_valueset_url) =
        "http://hl7.org/fhir/ValueSet/remittance-outcome";
    option (.google.fhir.proto.fhir_profile_base) =
        "http://hl7.org/fhir/StructureDefinition/code";

    ClaimProcessingCode.Value value = 1;

    String id = 2;

    repeated Extension extension = 3;
  }
  OutcomeCode outcome = 18
      [(.google.fhir.proto.validation_requirement) = REQUIRED_BY_FHIR];

  // Disposition Message
  String disposition = 19;

  // Coverage issuer
  Reference insurer = 20 [
    (.google.fhir.proto.validation_requirement) = REQUIRED_BY_FHIR,
    (.google.fhir.proto.valid_reference_type) = "Organization"
  ];

  // Patient insurance information
  message Insurance {
    // Unique id for inter-element referencing
    String id = 1;

    // Additional content defined by implementations
    repeated Extension extension = 2;

    // Extensions that cannot be ignored even if unrecognized
    repeated Extension modifier_extension = 3;

    // Insurance information
    Reference coverage = 4 [
      (.google.fhir.proto.validation_requirement) = REQUIRED_BY_FHIR,
      (.google.fhir.proto.valid_reference_type) = "Coverage"
    ];

    // Coverage inforce indicator
    Boolean inforce = 5;

    // When the benefits are applicable
    Period benefit_period = 6;

    // Benefits and authorization details
    message Items {
      option (.google.fhir.proto.fhir_path_message_constraint) =
          "category.exists() xor productOrService.exists()";

      // Unique id for inter-element referencing
      String id = 1;

      // Additional content defined by implementations
      repeated Extension extension = 2;

      // Extensions that cannot be ignored even if unrecognized
      repeated Extension modifier_extension = 3;

      // Benefit classification
      CodeableConcept category = 4;

      // Billing, service, product, or drug code
      CodeableConcept product_or_service = 5;

      // Product or service billing modifiers
      repeated CodeableConcept modifier = 6;

      // Performing practitioner
      Reference provider = 7 [
        (.google.fhir.proto.valid_reference_type) = "Practitioner",
        (.google.fhir.proto.valid_reference_type) = "PractitionerRole"
      ];

      // Excluded from the plan
      Boolean excluded = 8;

      // Short name for the benefit
      String name = 9;

      // Description of the benefit or services covered
      String description = 10;

      // In or out of network
      CodeableConcept network = 11;

      // Individual or family
      CodeableConcept unit = 12;

      // Annual or lifetime
      CodeableConcept term = 13;

      // Benefit Summary
      message Benefit {
        // Unique id for inter-element referencing
        String id = 1;

        // Additional content defined by implementations
        repeated Extension extension = 2;

        // Extensions that cannot be ignored even if unrecognized
        repeated Extension modifier_extension = 3;

        // Benefit classification
        CodeableConcept type = 4
            [(.google.fhir.proto.validation_requirement) = REQUIRED_BY_FHIR];

        // Benefits allowed
        message AllowedX {
          option (.google.fhir.proto.is_choice_type) = true;

          oneof choice {
            UnsignedInt unsigned_int = 1;
            String string_value = 2 [json_name = "string"];
            Money money = 3;
          }
        }
        AllowedX allowed = 5;

        // Benefits used
        message UsedX {
          option (.google.fhir.proto.is_choice_type) = true;

          oneof choice {
            UnsignedInt unsigned_int = 1;
            String string_value = 2 [json_name = "string"];
            Money money = 3;
          }
        }
        UsedX used = 6;
      }
      repeated Benefit benefit = 14;

      // Authorization required flag
      Boolean authorization_required = 15;

      // Type of required supporting materials
      repeated CodeableConcept authorization_supporting = 16;

      // Preauthorization requirements endpoint
      Uri authorization_url = 17;
    }
    repeated Items item = 7;
  }
  repeated Insurance insurance = 21;

  // Preauthorization reference
  String pre_auth_ref = 22;

  // Printed form identifier
  CodeableConcept form = 23;

  // Processing errors
  message Errors {
    // Unique id for inter-element referencing
    String id = 1;

    // Additional content defined by implementations
    repeated Extension extension = 2;

    // Extensions that cannot be ignored even if unrecognized
    repeated Extension modifier_extension = 3;

    // Error code detailing processing issues
    CodeableConcept code = 4
        [(.google.fhir.proto.validation_requirement) = REQUIRED_BY_FHIR];
  }
  repeated Errors error = 24;
}
