@medplum/fhirtypes 2.2.7 → 3.0.0

package/dist/CatalogEntry.d.ts

@@ -119,13 +119,13 @@ export interface CatalogEntry {
   /**
    * Whether the entry represents an orderable item.
    */
-  orderable?: boolean;
+  orderable: boolean;
 
   /**
    * The item in a catalog or definition.
    */
-  referencedItem?: Reference<Medication | Device | Organization | Practitioner | PractitionerRole | HealthcareService
-      | ActivityDefinition | PlanDefinition | SpecimenDefinition | ObservationDefinition | Binary>;
+  referencedItem: Reference<Medication | Device | Organization | Practitioner | PractitionerRole | HealthcareService |
+      ActivityDefinition | PlanDefinition | SpecimenDefinition | ObservationDefinition | Binary>;
 
   /**
    * Used in supporting related concepts, e.g. NDC to RxNorm.
@@ -221,10 +221,10 @@ export interface CatalogEntryRelatedEntry {
    * The type of relation to the related item: child, parent,
    * packageContent, containerPackage, usedIn, uses, requires, etc.
    */
-  relationtype?: 'triggers' | 'is-replaced-by';
+  relationtype: 'triggers' | 'is-replaced-by';
 
   /**
    * The reference to the related item.
    */
-  item?: Reference<CatalogEntry>;
+  item: Reference<CatalogEntry>;
 }

package/dist/ChargeItem.d.ts

@@ -143,7 +143,7 @@ export interface ChargeItem {
   /**
    * The current state of the ChargeItem.
    */
-  status?: 'planned' | 'billable' | 'not-billable' | 'aborted' | 'billed' | 'entered-in-error' | 'unknown';
+  status: 'planned' | 'billable' | 'not-billable' | 'aborted' | 'billed' | 'entered-in-error' | 'unknown';
 
   /**
    * ChargeItems can be grouped to larger ChargeItems covering the whole
@@ -154,13 +154,13 @@ export interface ChargeItem {
   /**
    * A code that identifies the charge, like a billing code.
    */
-  code?: CodeableConcept;
+  code: CodeableConcept;
 
   /**
    * The individual or set of individuals the action is being or was
    * performed on.
    */
-  subject?: Reference<Patient | Group>;
+  subject: Reference<Patient | Group>;
 
   /**
    * The encounter or episode of care that establishes the context for this
@@ -334,5 +334,5 @@ export interface ChargeItemPerformer {
    * The device, practitioner, etc. who performed or participated in the
    * service.
    */
-  actor?: Reference<Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson>;
+  actor: Reference<Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson>;
 }

package/dist/ChargeItemDefinition.d.ts

@@ -113,7 +113,7 @@ export interface ChargeItemDefinition {
    * SHALL remain the same when the charge item definition is stored on
    * different servers.
    */
-  url?: string;
+  url: string;
 
   /**
    * A formal identifier that is used to identify this charge item
@@ -164,7 +164,7 @@ export interface ChargeItemDefinition {
   /**
    * The current state of the ChargeItemDefinition.
    */
-  status?: 'draft' | 'active' | 'retired' | 'unknown';
+  status: 'draft' | 'active' | 'retired' | 'unknown';
 
   /**
    * A Boolean value to indicate that this charge item definition is
@@ -439,7 +439,7 @@ export interface ChargeItemDefinitionPropertyGroupPriceComponent {
   /**
    * This code identifies the type of the component.
    */
-  type?: 'base' | 'surcharge' | 'deduction' | 'discount' | 'tax' | 'informational';
+  type: 'base' | 'surcharge' | 'deduction' | 'discount' | 'tax' | 'informational';
 
   /**
    * A code that identifies the component. Codes may be used to

package/dist/Claim.d.ts

@@ -123,13 +123,13 @@ export interface Claim {
   /**
    * The status of the resource instance.
    */
-  status?: 'active' | 'cancelled' | 'draft' | 'entered-in-error';
+  status: 'active' | 'cancelled' | 'draft' | 'entered-in-error';
 
   /**
    * The category of claim, e.g. oral, pharmacy, vision, institutional,
    * professional.
    */
-  type?: CodeableConcept;
+  type: CodeableConcept;
 
   /**
    * A finer grained suite of claim type codes which may convey additional
@@ -145,14 +145,14 @@ export interface Claim {
    * or requesting the non-binding adjudication of the listed products and
    * services which could be provided in the future.
    */
-  use?: 'claim' | 'preauthorization' | 'predetermination';
+  use: 'claim' | 'preauthorization' | 'predetermination';
 
   /**
    * 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?: Reference<Patient>;
+  patient: Reference<Patient>;
 
   /**
    * The period for which charges are being submitted.
@@ -162,7 +162,7 @@ export interface Claim {
   /**
    * The date this resource was created.
    */
-  created?: string;
+  created: string;
 
   /**
    * Individual who created the claim, predetermination or
@@ -179,13 +179,13 @@ export interface Claim {
    * The provider which is responsible for the claim, predetermination or
    * preauthorization.
    */
-  provider?: Reference<Practitioner | PractitionerRole | Organization>;
+  provider: Reference<Practitioner | PractitionerRole | Organization>;
 
   /**
    * The provider-required urgency of processing the request. Typical
    * values include: stat, routine deferred.
    */
-  priority?: CodeableConcept;
+  priority: CodeableConcept;
 
   /**
    * A code to indicate whether and for whom funds are to be reserved for
@@ -254,7 +254,7 @@ export interface Claim {
    * Financial instruments for reimbursement for the health care products
    * and services specified on the claim.
    */
-  insurance?: ClaimInsurance[];
+  insurance: ClaimInsurance[];
 
   /**
    * Details of an accident which resulted in injuries which required the
@@ -319,7 +319,7 @@ export interface ClaimAccident {
    * Date of an accident event  related to the products and services
    * contained in the claim.
    */
-  date?: string;
+  date: string;
 
   /**
    * The type or context of the accident event for the purposes of
@@ -382,12 +382,12 @@ export interface ClaimCareTeam {
   /**
    * A number to uniquely identify care team entries.
    */
-  sequence?: number;
+  sequence: number;
 
   /**
    * Member of the team who provided the product or service.
    */
-  provider?: Reference<Practitioner | PractitionerRole | Organization>;
+  provider: Reference<Practitioner | PractitionerRole | Organization>;
 
   /**
    * The party who is billing and/or responsible for the claimed products
@@ -451,7 +451,7 @@ export interface ClaimDiagnosis {
   /**
    * A number to uniquely identify diagnosis entries.
    */
-  sequence?: number;
+  sequence: number;
 
   /**
    * The nature of illness or problem in a coded form or as a reference to
@@ -529,13 +529,13 @@ export interface ClaimInsurance {
    * A number to uniquely identify insurance entries and provide a sequence
    * of coverages to convey coordination of benefit order.
    */
-  sequence?: number;
+  sequence: number;
 
   /**
    * A flag to indicate that this Coverage is to be used for adjudication
    * of this claim when set to true.
    */
-  focal?: boolean;
+  focal: boolean;
 
   /**
    * The business identifier to be used when the claim is sent for
@@ -549,7 +549,7 @@ export interface ClaimInsurance {
    * to locate the patient's actual coverage within the insurer's
    * information system.
    */
-  coverage?: Reference<Coverage>;
+  coverage: Reference<Coverage>;
 
   /**
    * A business agreement number established between the provider and the
@@ -615,7 +615,7 @@ export interface ClaimItem {
   /**
    * A number to uniquely identify item entries.
    */
-  sequence?: number;
+  sequence: number;
 
   /**
    * CareTeam members related to this service or product.
@@ -655,7 +655,7 @@ export interface ClaimItem {
    * related claim details, otherwise this contains the product, service,
    * drug or other billing code for the item.
    */
-  productOrService?: CodeableConcept;
+  productOrService: CodeableConcept;
 
   /**
    * Item typification or modifiers codes to convey additional context for
@@ -794,7 +794,7 @@ export interface ClaimItemDetail {
   /**
    * A number to uniquely identify item entries.
    */
-  sequence?: number;
+  sequence: number;
 
   /**
    * The type of revenue or cost center providing the product and/or
@@ -813,7 +813,7 @@ export interface ClaimItemDetail {
    * related claim details, otherwise this contains the product, service,
    * drug or other billing code for the item.
    */
-  productOrService?: CodeableConcept;
+  productOrService: CodeableConcept;
 
   /**
    * Item typification or modifiers codes to convey additional context for
@@ -908,7 +908,7 @@ export interface ClaimItemDetailSubDetail {
   /**
    * A number to uniquely identify item entries.
    */
-  sequence?: number;
+  sequence: number;
 
   /**
    * The type of revenue or cost center providing the product and/or
@@ -927,7 +927,7 @@ export interface ClaimItemDetailSubDetail {
    * related claim details, otherwise this contains the product, service,
    * drug or other billing code for the item.
    */
-  productOrService?: CodeableConcept;
+  productOrService: CodeableConcept;
 
   /**
    * Item typification or modifiers codes to convey additional context for
@@ -1016,7 +1016,7 @@ export interface ClaimPayee {
   /**
    * Type of Party to be reimbursed: subscriber, provider, other.
    */
-  type?: CodeableConcept;
+  type: CodeableConcept;
 
   /**
    * Reference to the individual or organization to whom any payment will
@@ -1069,7 +1069,7 @@ export interface ClaimProcedure {
   /**
    * A number to uniquely identify procedure entries.
    */
-  sequence?: number;
+  sequence: number;
 
   /**
    * When the condition was observed or the relative ranking.
@@ -1201,13 +1201,13 @@ export interface ClaimSupportingInfo {
   /**
    * A number to uniquely identify supporting information entries.
    */
-  sequence?: number;
+  sequence: number;
 
   /**
    * The general class of the information supplied: information; exception;
    * accident, employment; onset, etc.
    */
-  category?: CodeableConcept;
+  category: CodeableConcept;
 
   /**
    * System and code pertaining to the specific information regarding

package/dist/ClaimResponse.d.ts

@@ -114,14 +114,14 @@ export interface ClaimResponse {
   /**
    * The status of the resource instance.
    */
-  status?: 'active' | 'cancelled' | 'draft' | 'entered-in-error';
+  status: 'active' | 'cancelled' | 'draft' | 'entered-in-error';
 
   /**
    * A finer grained suite of claim type codes which may convey additional
    * information such as Inpatient vs Outpatient and/or a specialty
    * service.
    */
-  type?: CodeableConcept;
+  type: CodeableConcept;
 
   /**
    * A finer grained suite of claim type codes which may convey additional
@@ -137,25 +137,25 @@ export interface ClaimResponse {
    * or requesting the non-binding adjudication of the listed products and
    * services which could be provided in the future.
    */
-  use?: 'claim' | 'preauthorization' | 'predetermination';
+  use: 'claim' | 'preauthorization' | 'predetermination';
 
   /**
    * 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?: Reference<Patient>;
+  patient: Reference<Patient>;
 
   /**
    * The date this resource was created.
    */
-  created?: string;
+  created: string;
 
   /**
    * The party responsible for authorization, adjudication and
    * reimbursement.
    */
-  insurer?: Reference<Organization>;
+  insurer: Reference<Organization>;
 
   /**
    * The provider which is responsible for the claim, predetermination or
@@ -172,7 +172,7 @@ export interface ClaimResponse {
    * The outcome of the claim, predetermination, or preauthorization
    * processing.
    */
-  outcome?: 'queued' | 'complete' | 'error' | 'partial';
+  outcome: 'queued' | 'complete' | 'error' | 'partial';
 
   /**
    * A human readable description of the status of the adjudication.
@@ -332,7 +332,7 @@ export interface ClaimResponseAddItem {
    * related claim details, otherwise this contains the product, service,
    * drug or other billing code for the item.
    */
-  productOrService?: CodeableConcept;
+  productOrService: CodeableConcept;
 
   /**
    * Item typification or modifiers codes to convey additional context for
@@ -418,7 +418,7 @@ export interface ClaimResponseAddItem {
   /**
    * The adjudication results.
    */
-  adjudication?: ClaimResponseItemAdjudication[];
+  adjudication: ClaimResponseItemAdjudication[];
 
   /**
    * The second-tier service adjudications for payor added services.
@@ -471,7 +471,7 @@ export interface ClaimResponseAddItemDetail {
    * related claim details, otherwise this contains the product, service,
    * drug or other billing code for the item.
    */
-  productOrService?: CodeableConcept;
+  productOrService: CodeableConcept;
 
   /**
    * Item typification or modifiers codes to convey additional context for
@@ -514,7 +514,7 @@ export interface ClaimResponseAddItemDetail {
   /**
    * The adjudication results.
    */
-  adjudication?: ClaimResponseItemAdjudication[];
+  adjudication: ClaimResponseItemAdjudication[];
 
   /**
    * The third-tier service adjudications for payor added services.
@@ -567,7 +567,7 @@ export interface ClaimResponseAddItemDetailSubDetail {
    * related claim details, otherwise this contains the product, service,
    * drug or other billing code for the item.
    */
-  productOrService?: CodeableConcept;
+  productOrService: CodeableConcept;
 
   /**
    * Item typification or modifiers codes to convey additional context for
@@ -610,7 +610,7 @@ export interface ClaimResponseAddItemDetailSubDetail {
   /**
    * The adjudication results.
    */
-  adjudication?: ClaimResponseItemAdjudication[];
+  adjudication: ClaimResponseItemAdjudication[];
 }
 
 /**
@@ -678,7 +678,7 @@ export interface ClaimResponseError {
    * An error code, from a specified code system, which details why the
    * claim could not be adjudicated.
    */
-  code?: CodeableConcept;
+  code: CodeableConcept;
 }
 
 /**
@@ -726,13 +726,13 @@ export interface ClaimResponseInsurance {
    * A number to uniquely identify insurance entries and provide a sequence
    * of coverages to convey coordination of benefit order.
    */
-  sequence?: number;
+  sequence: number;
 
   /**
    * A flag to indicate that this Coverage is to be used for adjudication
    * of this claim when set to true.
    */
-  focal?: boolean;
+  focal: boolean;
 
   /**
    * Reference to the insurance card level information contained in the
@@ -740,7 +740,7 @@ export interface ClaimResponseInsurance {
    * to locate the patient's actual coverage within the insurer's
    * information system.
    */
-  coverage?: Reference<Coverage>;
+  coverage: Reference<Coverage>;
 
   /**
    * A business agreement number established between the provider and the
@@ -799,7 +799,7 @@ export interface ClaimResponseItem {
   /**
    * A number to uniquely reference the claim item entries.
    */
-  itemSequence?: number;
+  itemSequence: number;
 
   /**
    * The numbers associated with notes below which apply to the
@@ -812,7 +812,7 @@ export interface ClaimResponseItem {
    * adjudication of the detail items. If this item is a simple product or
    * service then this is the result of the adjudication of this item.
    */
-  adjudication?: ClaimResponseItemAdjudication[];
+  adjudication: ClaimResponseItemAdjudication[];
 
   /**
    * A claim detail. Either a simple (a product or service) or a 'group' of
@@ -871,7 +871,7 @@ export interface ClaimResponseItemAdjudication {
    * amounts paid by other coverages; and, the benefit payable for this
    * item.
    */
-  category?: CodeableConcept;
+  category: CodeableConcept;
 
   /**
    * A code supporting the understanding of the adjudication result and
@@ -935,7 +935,7 @@ export interface ClaimResponseItemDetail {
   /**
    * A number to uniquely reference the claim detail entry.
    */
-  detailSequence?: number;
+  detailSequence: number;
 
   /**
    * The numbers associated with notes below which apply to the
@@ -946,7 +946,7 @@ export interface ClaimResponseItemDetail {
   /**
    * The adjudication results.
    */
-  adjudication?: ClaimResponseItemAdjudication[];
+  adjudication: ClaimResponseItemAdjudication[];
 
   /**
    * A sub-detail adjudication of a simple product or service.
@@ -997,7 +997,7 @@ export interface ClaimResponseItemDetailSubDetail {
   /**
    * A number to uniquely reference the claim sub-detail entry.
    */
-  subDetailSequence?: number;
+  subDetailSequence: number;
 
   /**
    * The numbers associated with notes below which apply to the
@@ -1055,7 +1055,7 @@ export interface ClaimResponsePayment {
    * Whether this represents partial or complete payment of the benefits
    * payable.
    */
-  type?: CodeableConcept;
+  type: CodeableConcept;
 
   /**
    * Total amount of all adjustments to this payment included in this
@@ -1077,7 +1077,7 @@ export interface ClaimResponsePayment {
   /**
    * Benefits payable less any payment adjustment.
    */
-  amount?: Money;
+  amount: Money;
 
   /**
    * Issuer's unique identifier for the payment instrument.
@@ -1139,7 +1139,7 @@ export interface ClaimResponseProcessNote {
   /**
    * The explanation or description associated with the processing.
    */
-  text?: string;
+  text: string;
 
   /**
    * A code to define the language used in the text of the note.
@@ -1195,10 +1195,10 @@ export interface ClaimResponseTotal {
    * amounts paid by other coverages, and the benefit payable for this
    * item.
    */
-  category?: CodeableConcept;
+  category: CodeableConcept;
 
   /**
    * Monetary total amount associated with the category.
    */
-  amount?: Money;
+  amount: Money;
 }

package/dist/ClientApplication.d.ts

@@ -42,6 +42,14 @@ export interface ClientApplication {
    */
   language?: string;
 
+  /**
+   * The client application status. The status is active by default. The
+   * status can be set to error to indicate that the client application is
+   * not working properly. The status can be set to off to indicate that
+   * the client application is no longer in use.
+   */
+  status?: 'active' | 'off' | 'error';
+
   /**
    * A name associated with the ClientApplication.
    */

package/dist/ClinicalImpression.d.ts

@@ -125,7 +125,7 @@ export interface ClinicalImpression {
   /**
    * Identifies the workflow status of the assessment.
    */
-  status?: 'in-progress' | 'completed' | 'entered-in-error';
+  status: 'in-progress' | 'completed' | 'entered-in-error';
 
   /**
    * Captures the reason for the current state of the ClinicalImpression.
@@ -146,7 +146,7 @@ export interface ClinicalImpression {
   /**
    * The patient or group of individuals assessed as part of this record.
    */
-  subject?: Reference<Patient | Group>;
+  subject: Reference<Patient | Group>;
 
   /**
    * The Encounter during which this ClinicalImpression was created or to
@@ -346,7 +346,7 @@ export interface ClinicalImpressionInvestigation {
    * but the list is not constrained, and others such groups such as
    * (exposure|family|travel|nutritional) history may be used.
    */
-  code?: CodeableConcept;
+  code: CodeableConcept;
 
   /**
    * A record of a specific investigation that was undertaken.

package/dist/CodeSystem.d.ts

@@ -143,7 +143,7 @@ export interface CodeSystem {
    * The date (and optionally time) when the code system resource was
    * created or revised.
    */
-  status?: 'draft' | 'active' | 'retired' | 'unknown';
+  status: 'draft' | 'active' | 'retired' | 'unknown';
 
   /**
    * A Boolean value to indicate that this code system is authored for
@@ -240,7 +240,7 @@ export interface CodeSystem {
    * The extent of the content of the code system (the concepts and codes
    * it defines) are represented in this resource instance.
    */
-  content?: 'not-present' | 'example' | 'fragment' | 'complete' | 'supplement';
+  content: 'not-present' | 'example' | 'fragment' | 'complete' | 'supplement';
 
   /**
    * The canonical URL of the code system that this code system supplement
@@ -321,7 +321,7 @@ export interface CodeSystemConcept {
    * A code - a text symbol - that uniquely identifies the concept within
    * the code system.
    */
-  code?: string;
+  code: string;
 
   /**
    * A human readable string that is the recommended default way to present
@@ -410,7 +410,7 @@ export interface CodeSystemConceptDesignation {
   /**
    * The text value for this designation.
    */
-  value?: string;
+  value: string;
 }
 
 /**
@@ -456,7 +456,7 @@ export interface CodeSystemConceptProperty {
   /**
    * A code that is a reference to CodeSystem.property.code.
    */
-  code?: string;
+  code: string;
 
   /**
    * The value of this property.
@@ -539,7 +539,7 @@ export interface CodeSystemFilter {
    * The code that identifies this filter when it is used as a filter in
    * [ValueSet](valueset.html#).compose.include.filter.
    */
-  code?: string;
+  code: string;
 
   /**
    * A description of how or why the filter is used.
@@ -549,12 +549,12 @@ export interface CodeSystemFilter {
   /**
    * A list of operators that can be used with the filter.
    */
-  operator?: ('=' | 'is-a' | 'descendent-of' | 'is-not-a' | 'regex' | 'in' | 'not-in' | 'generalizes' | 'exists')[];
+  operator: ('=' | 'is-a' | 'descendent-of' | 'is-not-a' | 'regex' | 'in' | 'not-in' | 'generalizes' | 'exists')[];
 
   /**
    * A description of what the value for the filter should be.
    */
-  value?: string;
+  value: string;
 }
 
 /**
@@ -603,7 +603,7 @@ export interface CodeSystemProperty {
    * internally (in CodeSystem.concept.property.code) and also externally,
    * such as in property filters.
    */
-  code?: string;
+  code: string;
 
   /**
    * Reference to the formal meaning of the property. One possible source
@@ -623,5 +623,5 @@ export interface CodeSystemProperty {
    * code defined by the code system (e.g. a reference to another defined
    * concept).
    */
-  type?: 'code' | 'Coding' | 'string' | 'integer' | 'boolean' | 'dateTime' | 'decimal';
+  type: 'code' | 'Coding' | 'string' | 'integer' | 'boolean' | 'dateTime' | 'decimal';
 }

package/dist/Communication.d.ts

@@ -150,7 +150,7 @@ export interface Communication {
   /**
    * The status of the transmission.
    */
-  status?: 'preparation' | 'in-progress' | 'not-done' | 'on-hold' | 'stopped' | 'completed' | 'entered-in-error' | 'unknown';
+  status: 'preparation' | 'in-progress' | 'not-done' | 'on-hold' | 'stopped' | 'completed' | 'entered-in-error' | 'unknown';
 
   /**
    * Captures the reason for the current state of the Communication.

package/dist/CommunicationRequest.d.ts

@@ -140,7 +140,7 @@ export interface CommunicationRequest {
   /**
    * The status of the proposal or order.
    */
-  status?: 'draft' | 'active' | 'on-hold' | 'revoked' | 'completed' | 'entered-in-error' | 'unknown';
+  status: 'draft' | 'active' | 'on-hold' | 'revoked' | 'completed' | 'entered-in-error' | 'unknown';
 
   /**
    * Captures the reason for the current state of the CommunicationRequest.