@nexalink/coding-contracts 0.2.0 → 0.4.0

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package/dist/index.d.ts CHANGED
@@ -4,13 +4,1061 @@ export declare const RCM_MODEL_POLICY_ID: "carecompass-rcm-review-v1";
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  export declare const RCM_HUMAN_REVIEW_POLICY_ID: "qualified-coder-review-v1";
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  export declare const RCM_OUTPUT_SCHEMA_NAME: "carecompass_rcm_grounded_review";
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  export declare const RCM_HUMAN_REVIEW_INSTRUCTION: "Qualified human coder review is required before billing, coding, or claim submission.";
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+ export declare const PIN_TIME_WORKFLOW_ID: "monthly-pin-time-aggregation";
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+ export declare const CODING_CASE_CONTEXT_SCHEMA_VERSION: "coding-case-context-v1";
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+ export declare const CODING_CASE_PAYER_SCHEMA_VERSION: "coding-case-payer-v1";
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+ export declare const CODING_CASE_CLINICAL_SCHEMA_VERSION: "coding-case-clinical-v1";
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+ export declare const CODING_SERVICE_LINE_SCHEMA_VERSION: "coding-service-line-v1";
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+ export declare const CODING_EXTENSION_SCHEMA_VERSION: "coding-extension-v1";
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+ export declare const CODING_CASE_SCHEMA_VERSION: "coding-case-v1";
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+ export declare const CODING_BATCH_SCHEMA_VERSION: "coding-batch-v1";
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+ export declare const CODING_DECISION_LINE_SCHEMA_VERSION: "coding-decision-line-v1";
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+ export declare const CODING_EVIDENCE_SCHEMA_VERSION: "coding-evidence-v1";
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+ export declare const CODING_RULE_RESULT_SCHEMA_VERSION: "coding-rule-result-v1";
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+ export declare const CODING_REVIEWER_ACTION_SCHEMA_VERSION: "coding-reviewer-action-v1";
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+ export declare const CODING_DECISION_SCHEMA_VERSION: "coding-decision-v1";
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  export declare const RCM_REFERENCE_SCHEMA_VERSION: "rcm-supporting-reference-v1";
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  export declare const RCM_INPUT_SCHEMA_VERSION: "rcm-coding-input-v1";
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  export declare const RCM_OUTPUT_SCHEMA_VERSION: "rcm-grounded-human-review-v2";
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  export declare const RCM_MODEL_PROMPT_SCHEMA_VERSION: "rcm-model-prompt-v1";
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  export declare const RCM_RETRIEVAL_SCHEMA_VERSION: "rcm-retrieval-metadata-v1";
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+ export declare const RCM_REVIEWER_EVENT_SCHEMA_VERSION: "rcm-reviewer-event-v1";
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  export declare const RCM_RUNTIME_EVENT_SCHEMA_VERSION: "rcm-runtime-event-v1";
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  export declare const RCM_WORKFLOW_CATALOG_SCHEMA_VERSION: "rcm-workflow-catalog-v1";
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+ export declare const codingCaseContextSchema: z.ZodObject<{
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+ setting: z.ZodEnum<{
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+ professional: "professional";
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+ facility: "facility";
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+ pharmacy: "pharmacy";
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+ dental: "dental";
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+ risk_adjustment: "risk_adjustment";
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+ other: "other";
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+ }>;
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+ otherSettingDescription: z.ZodOptional<z.ZodString>;
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+ placeOfService: z.ZodOptional<z.ZodString>;
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+ jurisdiction: z.ZodOptional<z.ZodString>;
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+ specialty: z.ZodOptional<z.ZodString>;
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+ provider: z.ZodOptional<z.ZodObject<{
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+ providerId: z.ZodOptional<z.ZodString>;
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+ npi: z.ZodOptional<z.ZodString>;
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+ name: z.ZodOptional<z.ZodString>;
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+ role: z.ZodOptional<z.ZodEnum<{
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+ other: "other";
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+ rendering: "rendering";
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+ billing: "billing";
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+ attending: "attending";
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+ supervising: "supervising";
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+ ordering: "ordering";
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+ referring: "referring";
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+ }>>;
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+ taxonomy: z.ZodOptional<z.ZodString>;
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+ }, z.core.$strict>>;
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+ facility: z.ZodOptional<z.ZodObject<{
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+ facilityId: z.ZodOptional<z.ZodString>;
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+ name: z.ZodOptional<z.ZodString>;
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+ facilityType: z.ZodOptional<z.ZodEnum<{
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+ other: "other";
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+ hospital_inpatient: "hospital_inpatient";
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+ hospital_outpatient: "hospital_outpatient";
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+ clinic: "clinic";
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+ ambulatory_surgery_center: "ambulatory_surgery_center";
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+ nursing_facility: "nursing_facility";
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+ }>>;
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+ }, z.core.$strict>>;
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+ }, z.core.$strict>;
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+ export type CodingCaseContext = z.infer<typeof codingCaseContextSchema>;
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+ export declare function codingCaseContextValidationError(value: unknown): string | null;
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+ export declare const validCodingCaseContext: (value: unknown) => boolean;
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+ export declare const CodingCaseContextSchemaJson: Record<string, unknown>;
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+ export declare const codingCasePayerSchema: z.ZodObject<{
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+ payerName: z.ZodString;
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+ payerId: z.ZodOptional<z.ZodString>;
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+ lineOfBusiness: z.ZodOptional<z.ZodEnum<{
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+ other: "other";
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+ commercial: "commercial";
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+ government: "government";
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+ self_pay: "self_pay";
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+ }>>;
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+ memberId: z.ZodOptional<z.ZodString>;
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+ plan: z.ZodOptional<z.ZodObject<{
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+ planName: z.ZodOptional<z.ZodString>;
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+ planId: z.ZodOptional<z.ZodString>;
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+ }, z.core.$strict>>;
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+ program: z.ZodOptional<z.ZodObject<{
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+ programName: z.ZodOptional<z.ZodString>;
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+ programCode: z.ZodOptional<z.ZodString>;
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+ }, z.core.$strict>>;
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+ contract: z.ZodOptional<z.ZodObject<{
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+ contractId: z.ZodOptional<z.ZodString>;
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+ contractVersion: z.ZodOptional<z.ZodString>;
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+ effectiveDate: z.ZodOptional<z.ZodString>;
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+ }, z.core.$strict>>;
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+ mac: z.ZodOptional<z.ZodObject<{
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+ macId: z.ZodOptional<z.ZodString>;
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+ jurisdiction: z.ZodOptional<z.ZodString>;
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+ }, z.core.$strict>>;
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+ }, z.core.$strict>;
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+ export type CodingCasePayer = z.infer<typeof codingCasePayerSchema>;
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+ export declare function codingCasePayerValidationError(value: unknown): string | null;
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+ export declare const validCodingCasePayer: (value: unknown) => boolean;
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+ export declare const CodingCasePayerSchemaJson: Record<string, unknown>;
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+ export declare const codingCaseClinicalSchema: z.ZodObject<{
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+ diagnoses: z.ZodOptional<z.ZodArray<z.ZodObject<{
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+ diagnosisId: z.ZodString;
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+ code: z.ZodOptional<z.ZodString>;
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+ codeSystem: z.ZodOptional<z.ZodEnum<{
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+ "ICD-10-CM": "ICD-10-CM";
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+ "ICD-9-CM": "ICD-9-CM";
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+ OTHER: "OTHER";
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+ }>>;
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+ codeVersion: z.ZodOptional<z.ZodString>;
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+ description: z.ZodOptional<z.ZodString>;
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+ diagnosisType: z.ZodOptional<z.ZodEnum<{
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+ other: "other";
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+ principal: "principal";
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+ secondary: "secondary";
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+ complication: "complication";
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+ }>>;
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+ onsetDate: z.ZodOptional<z.ZodString>;
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+ presentOnAdmission: z.ZodOptional<z.ZodBoolean>;
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+ }, z.core.$strict>>>;
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+ procedures: z.ZodOptional<z.ZodArray<z.ZodObject<{
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+ procedureId: z.ZodString;
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+ code: z.ZodOptional<z.ZodString>;
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+ codeSystem: z.ZodOptional<z.ZodEnum<{
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+ OTHER: "OTHER";
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+ CPT: "CPT";
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+ HCPCS: "HCPCS";
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+ "ICD-10-PCS": "ICD-10-PCS";
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+ }>>;
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+ codeVersion: z.ZodOptional<z.ZodString>;
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+ description: z.ZodOptional<z.ZodString>;
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+ performedDate: z.ZodOptional<z.ZodString>;
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+ }, z.core.$strict>>>;
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+ medications: z.ZodOptional<z.ZodArray<z.ZodObject<{
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+ medicationId: z.ZodString;
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+ code: z.ZodOptional<z.ZodString>;
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+ codeSystem: z.ZodOptional<z.ZodEnum<{
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+ OTHER: "OTHER";
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+ NDC: "NDC";
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+ RxNorm: "RxNorm";
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+ }>>;
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+ name: z.ZodOptional<z.ZodString>;
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+ dosage: z.ZodOptional<z.ZodString>;
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+ route: z.ZodOptional<z.ZodString>;
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+ administrationDate: z.ZodOptional<z.ZodString>;
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+ }, z.core.$strict>>>;
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+ supplies: z.ZodOptional<z.ZodArray<z.ZodObject<{
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+ supplyId: z.ZodString;
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+ code: z.ZodOptional<z.ZodString>;
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+ codeSystem: z.ZodOptional<z.ZodEnum<{
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+ OTHER: "OTHER";
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+ HCPCS: "HCPCS";
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+ NDC: "NDC";
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+ }>>;
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+ name: z.ZodOptional<z.ZodString>;
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+ quantity: z.ZodOptional<z.ZodNumber>;
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+ unitOfMeasure: z.ZodOptional<z.ZodString>;
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+ supplyDate: z.ZodOptional<z.ZodString>;
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+ }, z.core.$strict>>>;
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+ timeUnits: z.ZodOptional<z.ZodArray<z.ZodObject<{
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+ timeId: z.ZodString;
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+ date: z.ZodString;
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+ durationMinutes: z.ZodNumber;
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+ activityCode: z.ZodOptional<z.ZodString>;
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+ activityDescription: z.ZodOptional<z.ZodString>;
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+ clinicianRole: z.ZodOptional<z.ZodEnum<{
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+ other: "other";
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+ attending: "attending";
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+ physician: "physician";
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+ nurse_practitioner: "nurse_practitioner";
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+ physician_assistant: "physician_assistant";
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+ resident: "resident";
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+ }>>;
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+ placeOfService: z.ZodOptional<z.ZodString>;
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+ }, z.core.$strict>>>;
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+ notes: z.ZodOptional<z.ZodArray<z.ZodObject<{
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+ noteId: z.ZodString;
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+ noteType: z.ZodEnum<{
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+ other: "other";
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+ clinical_narrative: "clinical_narrative";
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+ procedure_narrative: "procedure_narrative";
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+ authorization: "authorization";
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+ correspondence: "correspondence";
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+ }>;
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+ note: z.ZodString;
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+ }, z.core.$strict>>>;
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+ sourceReferences: z.ZodOptional<z.ZodArray<z.ZodObject<{
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+ sourceId: z.ZodString;
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+ sourceLabel: z.ZodString;
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+ documentId: z.ZodOptional<z.ZodString>;
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+ excerpt: z.ZodOptional<z.ZodString>;
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+ sourceVersion: z.ZodOptional<z.ZodString>;
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+ corpusScope: z.ZodOptional<z.ZodEnum<{
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+ base: "base";
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+ tenant: "tenant";
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+ }>>;
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+ publisher: z.ZodOptional<z.ZodString>;
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+ effectiveDate: z.ZodOptional<z.ZodString>;
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+ retrievalDate: z.ZodOptional<z.ZodString>;
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+ coveredPayerProgram: z.ZodOptional<z.ZodString>;
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+ sourceUrl: z.ZodOptional<z.ZodString>;
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+ documentHash: z.ZodOptional<z.ZodString>;
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+ capturedAt: z.ZodOptional<z.ZodString>;
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+ humanReviewRequired: z.ZodOptional<z.ZodLiteral<true>>;
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+ }, z.core.$strict>>>;
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+ }, z.core.$strict>;
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+ export type CodingCaseClinical = z.infer<typeof codingCaseClinicalSchema>;
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+ export declare function codingCaseClinicalValidationError(value: unknown): string | null;
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+ export declare const validCodingCaseClinical: (value: unknown) => boolean;
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+ export declare const CodingCaseClinicalSchemaJson: Record<string, unknown>;
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+ export declare const codingServiceLineSchema: z.ZodObject<{
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+ lineId: z.ZodString;
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+ submittedCode: z.ZodObject<{
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+ code: z.ZodString;
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+ codeSystem: z.ZodEnum<{
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+ "ICD-10-CM": "ICD-10-CM";
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+ OTHER: "OTHER";
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+ CPT: "CPT";
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+ HCPCS: "HCPCS";
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+ "ICD-10-PCS": "ICD-10-PCS";
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+ NDC: "NDC";
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+ CDT: "CDT";
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+ }>;
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+ codeVersion: z.ZodOptional<z.ZodString>;
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+ }, z.core.$strict>;
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+ modifiers: z.ZodOptional<z.ZodArray<z.ZodString>>;
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+ units: z.ZodOptional<z.ZodObject<{
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+ count: z.ZodOptional<z.ZodNumber>;
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+ unitOfMeasure: z.ZodOptional<z.ZodString>;
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+ }, z.core.$strict>>;
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+ linkedDiagnoses: z.ZodOptional<z.ZodArray<z.ZodObject<{
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+ diagnosisRef: z.ZodString;
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+ sequence: z.ZodOptional<z.ZodNumber>;
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+ }, z.core.$strict>>>;
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+ serviceDate: z.ZodOptional<z.ZodString>;
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+ }, z.core.$strict>;
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+ export type CodingServiceLine = z.infer<typeof codingServiceLineSchema>;
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+ export declare function codingServiceLineValidationError(value: unknown): string | null;
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+ export declare const validCodingServiceLine: (value: unknown) => boolean;
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+ export declare const CodingServiceLineSchemaJson: Record<string, unknown>;
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+ export declare const codingExtensionSchema: z.ZodObject<{
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+ namespace: z.ZodString;
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+ schemaVersion: z.ZodString;
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+ payload: z.ZodObject<{}, z.core.$loose>;
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+ }, z.core.$strict>;
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+ export type CodingExtension = z.infer<typeof codingExtensionSchema>;
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+ export declare function codingExtensionValidationError(value: unknown): string | null;
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+ export declare const validCodingExtension: (value: unknown) => boolean;
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+ export declare const CodingExtensionSchemaJson: Record<string, unknown>;
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+ export declare const codingCaseSchema: z.ZodObject<{
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+ caseId: z.ZodString;
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+ analyticsId: z.ZodOptional<z.ZodString>;
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+ tenantReference: z.ZodOptional<z.ZodString>;
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+ codingIntent: z.ZodEnum<{
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+ encounter_review: "encounter_review";
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+ claim_review: "claim_review";
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+ longitudinal_review: "longitudinal_review";
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+ monthly_time_aggregation: "monthly_time_aggregation";
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+ batch_review: "batch_review";
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+ }>;
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+ servicePeriod: z.ZodObject<{
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+ startDate: z.ZodString;
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+ endDate: z.ZodOptional<z.ZodString>;
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+ }, z.core.$strict>;
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+ context: z.ZodObject<{
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+ setting: z.ZodEnum<{
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+ professional: "professional";
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+ facility: "facility";
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+ pharmacy: "pharmacy";
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+ dental: "dental";
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+ risk_adjustment: "risk_adjustment";
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+ other: "other";
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+ }>;
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+ otherSettingDescription: z.ZodOptional<z.ZodString>;
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+ placeOfService: z.ZodOptional<z.ZodString>;
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+ jurisdiction: z.ZodOptional<z.ZodString>;
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+ specialty: z.ZodOptional<z.ZodString>;
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+ provider: z.ZodOptional<z.ZodObject<{
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+ providerId: z.ZodOptional<z.ZodString>;
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+ npi: z.ZodOptional<z.ZodString>;
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+ name: z.ZodOptional<z.ZodString>;
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+ role: z.ZodOptional<z.ZodEnum<{
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+ other: "other";
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+ rendering: "rendering";
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+ billing: "billing";
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+ attending: "attending";
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+ supervising: "supervising";
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+ ordering: "ordering";
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+ referring: "referring";
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+ }>>;
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+ taxonomy: z.ZodOptional<z.ZodString>;
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+ }, z.core.$strict>>;
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+ facility: z.ZodOptional<z.ZodObject<{
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+ facilityId: z.ZodOptional<z.ZodString>;
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+ name: z.ZodOptional<z.ZodString>;
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+ facilityType: z.ZodOptional<z.ZodEnum<{
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+ other: "other";
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+ hospital_inpatient: "hospital_inpatient";
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+ hospital_outpatient: "hospital_outpatient";
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+ clinic: "clinic";
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+ ambulatory_surgery_center: "ambulatory_surgery_center";
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+ nursing_facility: "nursing_facility";
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+ }>>;
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+ }, z.core.$strict>>;
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+ }, z.core.$strict>;
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+ payer: z.ZodOptional<z.ZodObject<{
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+ payerName: z.ZodString;
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+ payerId: z.ZodOptional<z.ZodString>;
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+ lineOfBusiness: z.ZodOptional<z.ZodEnum<{
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+ other: "other";
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+ commercial: "commercial";
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+ government: "government";
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+ self_pay: "self_pay";
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+ }>>;
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+ memberId: z.ZodOptional<z.ZodString>;
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+ plan: z.ZodOptional<z.ZodObject<{
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+ planName: z.ZodOptional<z.ZodString>;
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+ planId: z.ZodOptional<z.ZodString>;
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+ }, z.core.$strict>>;
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+ program: z.ZodOptional<z.ZodObject<{
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+ programName: z.ZodOptional<z.ZodString>;
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+ programCode: z.ZodOptional<z.ZodString>;
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+ }, z.core.$strict>>;
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+ contract: z.ZodOptional<z.ZodObject<{
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+ contractId: z.ZodOptional<z.ZodString>;
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+ contractVersion: z.ZodOptional<z.ZodString>;
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+ effectiveDate: z.ZodOptional<z.ZodString>;
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+ }, z.core.$strict>>;
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+ mac: z.ZodOptional<z.ZodObject<{
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+ macId: z.ZodOptional<z.ZodString>;
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+ jurisdiction: z.ZodOptional<z.ZodString>;
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+ }, z.core.$strict>>;
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+ }, z.core.$strict>>;
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+ clinical: z.ZodObject<{
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+ diagnoses: z.ZodOptional<z.ZodArray<z.ZodObject<{
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+ diagnosisId: z.ZodString;
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+ code: z.ZodOptional<z.ZodString>;
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+ codeSystem: z.ZodOptional<z.ZodEnum<{
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+ "ICD-10-CM": "ICD-10-CM";
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+ "ICD-9-CM": "ICD-9-CM";
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+ OTHER: "OTHER";
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+ }>>;
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+ codeVersion: z.ZodOptional<z.ZodString>;
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+ description: z.ZodOptional<z.ZodString>;
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+ diagnosisType: z.ZodOptional<z.ZodEnum<{
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+ other: "other";
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+ principal: "principal";
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+ secondary: "secondary";
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+ complication: "complication";
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+ }>>;
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+ onsetDate: z.ZodOptional<z.ZodString>;
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+ presentOnAdmission: z.ZodOptional<z.ZodBoolean>;
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+ }, z.core.$strict>>>;
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+ procedures: z.ZodOptional<z.ZodArray<z.ZodObject<{
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+ procedureId: z.ZodString;
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+ code: z.ZodOptional<z.ZodString>;
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+ codeSystem: z.ZodOptional<z.ZodEnum<{
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+ OTHER: "OTHER";
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+ CPT: "CPT";
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+ HCPCS: "HCPCS";
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+ "ICD-10-PCS": "ICD-10-PCS";
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+ }>>;
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+ codeVersion: z.ZodOptional<z.ZodString>;
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+ description: z.ZodOptional<z.ZodString>;
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+ performedDate: z.ZodOptional<z.ZodString>;
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+ }, z.core.$strict>>>;
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+ medications: z.ZodOptional<z.ZodArray<z.ZodObject<{
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+ medicationId: z.ZodString;
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+ code: z.ZodOptional<z.ZodString>;
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+ codeSystem: z.ZodOptional<z.ZodEnum<{
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+ OTHER: "OTHER";
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+ NDC: "NDC";
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+ RxNorm: "RxNorm";
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+ }>>;
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+ name: z.ZodOptional<z.ZodString>;
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+ dosage: z.ZodOptional<z.ZodString>;
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+ route: z.ZodOptional<z.ZodString>;
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+ administrationDate: z.ZodOptional<z.ZodString>;
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+ }, z.core.$strict>>>;
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+ supplies: z.ZodOptional<z.ZodArray<z.ZodObject<{
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+ supplyId: z.ZodString;
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+ code: z.ZodOptional<z.ZodString>;
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+ codeSystem: z.ZodOptional<z.ZodEnum<{
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+ OTHER: "OTHER";
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+ HCPCS: "HCPCS";
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+ NDC: "NDC";
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+ }>>;
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+ name: z.ZodOptional<z.ZodString>;
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+ quantity: z.ZodOptional<z.ZodNumber>;
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+ unitOfMeasure: z.ZodOptional<z.ZodString>;
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+ supplyDate: z.ZodOptional<z.ZodString>;
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+ }, z.core.$strict>>>;
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+ timeUnits: z.ZodOptional<z.ZodArray<z.ZodObject<{
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+ timeId: z.ZodString;
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+ date: z.ZodString;
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+ durationMinutes: z.ZodNumber;
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+ activityCode: z.ZodOptional<z.ZodString>;
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+ activityDescription: z.ZodOptional<z.ZodString>;
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+ clinicianRole: z.ZodOptional<z.ZodEnum<{
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+ other: "other";
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+ attending: "attending";
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+ physician: "physician";
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+ nurse_practitioner: "nurse_practitioner";
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+ physician_assistant: "physician_assistant";
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+ resident: "resident";
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+ }>>;
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+ placeOfService: z.ZodOptional<z.ZodString>;
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+ }, z.core.$strict>>>;
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+ notes: z.ZodOptional<z.ZodArray<z.ZodObject<{
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+ noteId: z.ZodString;
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+ noteType: z.ZodEnum<{
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+ other: "other";
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+ clinical_narrative: "clinical_narrative";
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+ procedure_narrative: "procedure_narrative";
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+ authorization: "authorization";
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+ correspondence: "correspondence";
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+ }>;
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+ note: z.ZodString;
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+ }, z.core.$strict>>>;
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+ sourceReferences: z.ZodOptional<z.ZodArray<z.ZodObject<{
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+ sourceId: z.ZodString;
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+ sourceLabel: z.ZodString;
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+ documentId: z.ZodOptional<z.ZodString>;
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+ excerpt: z.ZodOptional<z.ZodString>;
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+ sourceVersion: z.ZodOptional<z.ZodString>;
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+ corpusScope: z.ZodOptional<z.ZodEnum<{
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+ base: "base";
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+ tenant: "tenant";
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+ }>>;
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+ publisher: z.ZodOptional<z.ZodString>;
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+ effectiveDate: z.ZodOptional<z.ZodString>;
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+ retrievalDate: z.ZodOptional<z.ZodString>;
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+ coveredPayerProgram: z.ZodOptional<z.ZodString>;
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+ sourceUrl: z.ZodOptional<z.ZodString>;
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+ documentHash: z.ZodOptional<z.ZodString>;
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+ capturedAt: z.ZodOptional<z.ZodString>;
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+ humanReviewRequired: z.ZodOptional<z.ZodLiteral<true>>;
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+ }, z.core.$strict>>>;
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+ }, z.core.$strict>;
444
+ submittedClaimLines: z.ZodOptional<z.ZodArray<z.ZodObject<{
445
+ lineId: z.ZodString;
446
+ submittedCode: z.ZodObject<{
447
+ code: z.ZodString;
448
+ codeSystem: z.ZodEnum<{
449
+ "ICD-10-CM": "ICD-10-CM";
450
+ OTHER: "OTHER";
451
+ CPT: "CPT";
452
+ HCPCS: "HCPCS";
453
+ "ICD-10-PCS": "ICD-10-PCS";
454
+ NDC: "NDC";
455
+ CDT: "CDT";
456
+ }>;
457
+ codeVersion: z.ZodOptional<z.ZodString>;
458
+ }, z.core.$strict>;
459
+ modifiers: z.ZodOptional<z.ZodArray<z.ZodString>>;
460
+ units: z.ZodOptional<z.ZodObject<{
461
+ count: z.ZodOptional<z.ZodNumber>;
462
+ unitOfMeasure: z.ZodOptional<z.ZodString>;
463
+ }, z.core.$strict>>;
464
+ linkedDiagnoses: z.ZodOptional<z.ZodArray<z.ZodObject<{
465
+ diagnosisRef: z.ZodString;
466
+ sequence: z.ZodOptional<z.ZodNumber>;
467
+ }, z.core.$strict>>>;
468
+ serviceDate: z.ZodOptional<z.ZodString>;
469
+ }, z.core.$strict>>>;
470
+ extensions: z.ZodOptional<z.ZodArray<z.ZodObject<{
471
+ namespace: z.ZodString;
472
+ schemaVersion: z.ZodString;
473
+ payload: z.ZodObject<{}, z.core.$loose>;
474
+ }, z.core.$strict>>>;
475
+ }, z.core.$strict>;
476
+ export type CodingCase = z.infer<typeof codingCaseSchema>;
477
+ export declare function codingCaseValidationError(value: unknown): string | null;
478
+ export declare const validCodingCase: (value: unknown) => boolean;
479
+ export declare const CodingCaseSchemaJson: Record<string, unknown>;
480
+ export declare const codingBatchSchema: z.ZodObject<{
481
+ batchId: z.ZodString;
482
+ tenantReference: z.ZodOptional<z.ZodString>;
483
+ intent: z.ZodLiteral<"batch_review">;
484
+ cases: z.ZodArray<z.ZodObject<{
485
+ caseId: z.ZodString;
486
+ analyticsId: z.ZodOptional<z.ZodString>;
487
+ tenantReference: z.ZodOptional<z.ZodString>;
488
+ codingIntent: z.ZodEnum<{
489
+ encounter_review: "encounter_review";
490
+ claim_review: "claim_review";
491
+ longitudinal_review: "longitudinal_review";
492
+ monthly_time_aggregation: "monthly_time_aggregation";
493
+ batch_review: "batch_review";
494
+ }>;
495
+ servicePeriod: z.ZodObject<{
496
+ startDate: z.ZodString;
497
+ endDate: z.ZodOptional<z.ZodString>;
498
+ }, z.core.$strict>;
499
+ context: z.ZodObject<{
500
+ setting: z.ZodEnum<{
501
+ professional: "professional";
502
+ facility: "facility";
503
+ pharmacy: "pharmacy";
504
+ dental: "dental";
505
+ risk_adjustment: "risk_adjustment";
506
+ other: "other";
507
+ }>;
508
+ otherSettingDescription: z.ZodOptional<z.ZodString>;
509
+ placeOfService: z.ZodOptional<z.ZodString>;
510
+ jurisdiction: z.ZodOptional<z.ZodString>;
511
+ specialty: z.ZodOptional<z.ZodString>;
512
+ provider: z.ZodOptional<z.ZodObject<{
513
+ providerId: z.ZodOptional<z.ZodString>;
514
+ npi: z.ZodOptional<z.ZodString>;
515
+ name: z.ZodOptional<z.ZodString>;
516
+ role: z.ZodOptional<z.ZodEnum<{
517
+ other: "other";
518
+ rendering: "rendering";
519
+ billing: "billing";
520
+ attending: "attending";
521
+ supervising: "supervising";
522
+ ordering: "ordering";
523
+ referring: "referring";
524
+ }>>;
525
+ taxonomy: z.ZodOptional<z.ZodString>;
526
+ }, z.core.$strict>>;
527
+ facility: z.ZodOptional<z.ZodObject<{
528
+ facilityId: z.ZodOptional<z.ZodString>;
529
+ name: z.ZodOptional<z.ZodString>;
530
+ facilityType: z.ZodOptional<z.ZodEnum<{
531
+ other: "other";
532
+ hospital_inpatient: "hospital_inpatient";
533
+ hospital_outpatient: "hospital_outpatient";
534
+ clinic: "clinic";
535
+ ambulatory_surgery_center: "ambulatory_surgery_center";
536
+ nursing_facility: "nursing_facility";
537
+ }>>;
538
+ }, z.core.$strict>>;
539
+ }, z.core.$strict>;
540
+ payer: z.ZodOptional<z.ZodObject<{
541
+ payerName: z.ZodString;
542
+ payerId: z.ZodOptional<z.ZodString>;
543
+ lineOfBusiness: z.ZodOptional<z.ZodEnum<{
544
+ other: "other";
545
+ commercial: "commercial";
546
+ government: "government";
547
+ self_pay: "self_pay";
548
+ }>>;
549
+ memberId: z.ZodOptional<z.ZodString>;
550
+ plan: z.ZodOptional<z.ZodObject<{
551
+ planName: z.ZodOptional<z.ZodString>;
552
+ planId: z.ZodOptional<z.ZodString>;
553
+ }, z.core.$strict>>;
554
+ program: z.ZodOptional<z.ZodObject<{
555
+ programName: z.ZodOptional<z.ZodString>;
556
+ programCode: z.ZodOptional<z.ZodString>;
557
+ }, z.core.$strict>>;
558
+ contract: z.ZodOptional<z.ZodObject<{
559
+ contractId: z.ZodOptional<z.ZodString>;
560
+ contractVersion: z.ZodOptional<z.ZodString>;
561
+ effectiveDate: z.ZodOptional<z.ZodString>;
562
+ }, z.core.$strict>>;
563
+ mac: z.ZodOptional<z.ZodObject<{
564
+ macId: z.ZodOptional<z.ZodString>;
565
+ jurisdiction: z.ZodOptional<z.ZodString>;
566
+ }, z.core.$strict>>;
567
+ }, z.core.$strict>>;
568
+ clinical: z.ZodObject<{
569
+ diagnoses: z.ZodOptional<z.ZodArray<z.ZodObject<{
570
+ diagnosisId: z.ZodString;
571
+ code: z.ZodOptional<z.ZodString>;
572
+ codeSystem: z.ZodOptional<z.ZodEnum<{
573
+ "ICD-10-CM": "ICD-10-CM";
574
+ "ICD-9-CM": "ICD-9-CM";
575
+ OTHER: "OTHER";
576
+ }>>;
577
+ codeVersion: z.ZodOptional<z.ZodString>;
578
+ description: z.ZodOptional<z.ZodString>;
579
+ diagnosisType: z.ZodOptional<z.ZodEnum<{
580
+ other: "other";
581
+ principal: "principal";
582
+ secondary: "secondary";
583
+ complication: "complication";
584
+ }>>;
585
+ onsetDate: z.ZodOptional<z.ZodString>;
586
+ presentOnAdmission: z.ZodOptional<z.ZodBoolean>;
587
+ }, z.core.$strict>>>;
588
+ procedures: z.ZodOptional<z.ZodArray<z.ZodObject<{
589
+ procedureId: z.ZodString;
590
+ code: z.ZodOptional<z.ZodString>;
591
+ codeSystem: z.ZodOptional<z.ZodEnum<{
592
+ OTHER: "OTHER";
593
+ CPT: "CPT";
594
+ HCPCS: "HCPCS";
595
+ "ICD-10-PCS": "ICD-10-PCS";
596
+ }>>;
597
+ codeVersion: z.ZodOptional<z.ZodString>;
598
+ description: z.ZodOptional<z.ZodString>;
599
+ performedDate: z.ZodOptional<z.ZodString>;
600
+ }, z.core.$strict>>>;
601
+ medications: z.ZodOptional<z.ZodArray<z.ZodObject<{
602
+ medicationId: z.ZodString;
603
+ code: z.ZodOptional<z.ZodString>;
604
+ codeSystem: z.ZodOptional<z.ZodEnum<{
605
+ OTHER: "OTHER";
606
+ NDC: "NDC";
607
+ RxNorm: "RxNorm";
608
+ }>>;
609
+ name: z.ZodOptional<z.ZodString>;
610
+ dosage: z.ZodOptional<z.ZodString>;
611
+ route: z.ZodOptional<z.ZodString>;
612
+ administrationDate: z.ZodOptional<z.ZodString>;
613
+ }, z.core.$strict>>>;
614
+ supplies: z.ZodOptional<z.ZodArray<z.ZodObject<{
615
+ supplyId: z.ZodString;
616
+ code: z.ZodOptional<z.ZodString>;
617
+ codeSystem: z.ZodOptional<z.ZodEnum<{
618
+ OTHER: "OTHER";
619
+ HCPCS: "HCPCS";
620
+ NDC: "NDC";
621
+ }>>;
622
+ name: z.ZodOptional<z.ZodString>;
623
+ quantity: z.ZodOptional<z.ZodNumber>;
624
+ unitOfMeasure: z.ZodOptional<z.ZodString>;
625
+ supplyDate: z.ZodOptional<z.ZodString>;
626
+ }, z.core.$strict>>>;
627
+ timeUnits: z.ZodOptional<z.ZodArray<z.ZodObject<{
628
+ timeId: z.ZodString;
629
+ date: z.ZodString;
630
+ durationMinutes: z.ZodNumber;
631
+ activityCode: z.ZodOptional<z.ZodString>;
632
+ activityDescription: z.ZodOptional<z.ZodString>;
633
+ clinicianRole: z.ZodOptional<z.ZodEnum<{
634
+ other: "other";
635
+ attending: "attending";
636
+ physician: "physician";
637
+ nurse_practitioner: "nurse_practitioner";
638
+ physician_assistant: "physician_assistant";
639
+ resident: "resident";
640
+ }>>;
641
+ placeOfService: z.ZodOptional<z.ZodString>;
642
+ }, z.core.$strict>>>;
643
+ notes: z.ZodOptional<z.ZodArray<z.ZodObject<{
644
+ noteId: z.ZodString;
645
+ noteType: z.ZodEnum<{
646
+ other: "other";
647
+ clinical_narrative: "clinical_narrative";
648
+ procedure_narrative: "procedure_narrative";
649
+ authorization: "authorization";
650
+ correspondence: "correspondence";
651
+ }>;
652
+ note: z.ZodString;
653
+ }, z.core.$strict>>>;
654
+ sourceReferences: z.ZodOptional<z.ZodArray<z.ZodObject<{
655
+ sourceId: z.ZodString;
656
+ sourceLabel: z.ZodString;
657
+ documentId: z.ZodOptional<z.ZodString>;
658
+ excerpt: z.ZodOptional<z.ZodString>;
659
+ sourceVersion: z.ZodOptional<z.ZodString>;
660
+ corpusScope: z.ZodOptional<z.ZodEnum<{
661
+ base: "base";
662
+ tenant: "tenant";
663
+ }>>;
664
+ publisher: z.ZodOptional<z.ZodString>;
665
+ effectiveDate: z.ZodOptional<z.ZodString>;
666
+ retrievalDate: z.ZodOptional<z.ZodString>;
667
+ coveredPayerProgram: z.ZodOptional<z.ZodString>;
668
+ sourceUrl: z.ZodOptional<z.ZodString>;
669
+ documentHash: z.ZodOptional<z.ZodString>;
670
+ capturedAt: z.ZodOptional<z.ZodString>;
671
+ humanReviewRequired: z.ZodOptional<z.ZodLiteral<true>>;
672
+ }, z.core.$strict>>>;
673
+ }, z.core.$strict>;
674
+ submittedClaimLines: z.ZodOptional<z.ZodArray<z.ZodObject<{
675
+ lineId: z.ZodString;
676
+ submittedCode: z.ZodObject<{
677
+ code: z.ZodString;
678
+ codeSystem: z.ZodEnum<{
679
+ "ICD-10-CM": "ICD-10-CM";
680
+ OTHER: "OTHER";
681
+ CPT: "CPT";
682
+ HCPCS: "HCPCS";
683
+ "ICD-10-PCS": "ICD-10-PCS";
684
+ NDC: "NDC";
685
+ CDT: "CDT";
686
+ }>;
687
+ codeVersion: z.ZodOptional<z.ZodString>;
688
+ }, z.core.$strict>;
689
+ modifiers: z.ZodOptional<z.ZodArray<z.ZodString>>;
690
+ units: z.ZodOptional<z.ZodObject<{
691
+ count: z.ZodOptional<z.ZodNumber>;
692
+ unitOfMeasure: z.ZodOptional<z.ZodString>;
693
+ }, z.core.$strict>>;
694
+ linkedDiagnoses: z.ZodOptional<z.ZodArray<z.ZodObject<{
695
+ diagnosisRef: z.ZodString;
696
+ sequence: z.ZodOptional<z.ZodNumber>;
697
+ }, z.core.$strict>>>;
698
+ serviceDate: z.ZodOptional<z.ZodString>;
699
+ }, z.core.$strict>>>;
700
+ extensions: z.ZodOptional<z.ZodArray<z.ZodObject<{
701
+ namespace: z.ZodString;
702
+ schemaVersion: z.ZodString;
703
+ payload: z.ZodObject<{}, z.core.$loose>;
704
+ }, z.core.$strict>>>;
705
+ }, z.core.$strict>>;
706
+ createdBy: z.ZodOptional<z.ZodString>;
707
+ createdAt: z.ZodString;
708
+ extensions: z.ZodOptional<z.ZodArray<z.ZodObject<{
709
+ namespace: z.ZodString;
710
+ schemaVersion: z.ZodString;
711
+ payload: z.ZodObject<{}, z.core.$loose>;
712
+ }, z.core.$strict>>>;
713
+ }, z.core.$strict>;
714
+ export type CodingBatch = z.infer<typeof codingBatchSchema>;
715
+ export declare function codingBatchValidationError(value: unknown): string | null;
716
+ export declare const validCodingBatch: (value: unknown) => boolean;
717
+ export declare const CodingBatchSchemaJson: Record<string, unknown>;
718
+ export declare const codingDecisionLineSchema: z.ZodObject<{
719
+ lineId: z.ZodString;
720
+ action: z.ZodEnum<{
721
+ add: "add";
722
+ retain: "retain";
723
+ replace: "replace";
724
+ remove: "remove";
725
+ review: "review";
726
+ }>;
727
+ code: z.ZodObject<{
728
+ code: z.ZodString;
729
+ codeSystem: z.ZodEnum<{
730
+ "ICD-10-CM": "ICD-10-CM";
731
+ OTHER: "OTHER";
732
+ CPT: "CPT";
733
+ HCPCS: "HCPCS";
734
+ "ICD-10-PCS": "ICD-10-PCS";
735
+ NDC: "NDC";
736
+ CDT: "CDT";
737
+ REVENUE_CODE: "REVENUE_CODE";
738
+ DRG: "DRG";
739
+ }>;
740
+ codeVersion: z.ZodOptional<z.ZodString>;
741
+ }, z.core.$strict>;
742
+ modifiers: z.ZodOptional<z.ZodArray<z.ZodString>>;
743
+ units: z.ZodOptional<z.ZodObject<{
744
+ count: z.ZodOptional<z.ZodNumber>;
745
+ unitOfMeasure: z.ZodOptional<z.ZodString>;
746
+ }, z.core.$strict>>;
747
+ linkedDiagnoses: z.ZodOptional<z.ZodArray<z.ZodObject<{
748
+ diagnosisRef: z.ZodString;
749
+ sequence: z.ZodOptional<z.ZodNumber>;
750
+ }, z.core.$strict>>>;
751
+ sequence: z.ZodOptional<z.ZodNumber>;
752
+ confidence: z.ZodEnum<{
753
+ low: "low";
754
+ medium: "medium";
755
+ high: "high";
756
+ }>;
757
+ rationale: z.ZodString;
758
+ evidenceRefs: z.ZodOptional<z.ZodArray<z.ZodString>>;
759
+ gapRefs: z.ZodOptional<z.ZodArray<z.ZodString>>;
760
+ conflictRefs: z.ZodOptional<z.ZodArray<z.ZodString>>;
761
+ }, z.core.$strict>;
762
+ export type CodingDecisionLine = z.infer<typeof codingDecisionLineSchema>;
763
+ export declare function codingDecisionLineValidationError(value: unknown): string | null;
764
+ export declare const validCodingDecisionLine: (value: unknown) => boolean;
765
+ export declare const CodingDecisionLineSchemaJson: Record<string, unknown>;
766
+ export declare const codingEvidenceSchema: z.ZodObject<{
767
+ evidenceId: z.ZodString;
768
+ type: z.ZodEnum<{
769
+ clinical: "clinical";
770
+ coding_guideline: "coding_guideline";
771
+ payer_policy: "payer_policy";
772
+ plan_policy: "plan_policy";
773
+ contract_configuration: "contract_configuration";
774
+ terminology_validity: "terminology_validity";
775
+ rule_execution: "rule_execution";
776
+ }>;
777
+ source: z.ZodString;
778
+ sourceVersion: z.ZodString;
779
+ publisher: z.ZodOptional<z.ZodString>;
780
+ scope: z.ZodEnum<{
781
+ plan: "plan";
782
+ contract: "contract";
783
+ payer: "payer";
784
+ tenant: "tenant";
785
+ national: "national";
786
+ }>;
787
+ effectiveFrom: z.ZodString;
788
+ effectiveTo: z.ZodOptional<z.ZodString>;
789
+ stableId: z.ZodString;
790
+ excerpt: z.ZodString;
791
+ retrievedAt: z.ZodString;
792
+ }, z.core.$strict>;
793
+ export type CodingEvidence = z.infer<typeof codingEvidenceSchema>;
794
+ export declare function codingEvidenceValidationError(value: unknown): string | null;
795
+ export declare const validCodingEvidence: (value: unknown) => boolean;
796
+ export declare const CodingEvidenceSchemaJson: Record<string, unknown>;
797
+ export declare const codingRuleResultSchema: z.ZodObject<{
798
+ ruleId: z.ZodString;
799
+ ruleVersion: z.ZodString;
800
+ outcome: z.ZodEnum<{
801
+ satisfied: "satisfied";
802
+ failed: "failed";
803
+ rejected: "rejected";
804
+ escalated: "escalated";
805
+ conflicted: "conflicted";
806
+ warning: "warning";
807
+ }>;
808
+ severity: z.ZodOptional<z.ZodEnum<{
809
+ warning: "warning";
810
+ info: "info";
811
+ blocking: "blocking";
812
+ }>>;
813
+ inputs: z.ZodOptional<z.ZodArray<z.ZodObject<{
814
+ name: z.ZodString;
815
+ value: z.ZodString;
816
+ }, z.core.$strict>>>;
817
+ reason: z.ZodOptional<z.ZodString>;
818
+ explanation: z.ZodOptional<z.ZodString>;
819
+ evidence: z.ZodOptional<z.ZodString>;
820
+ }, z.core.$strict>;
821
+ export type CodingRuleResult = z.infer<typeof codingRuleResultSchema>;
822
+ export declare function codingRuleResultValidationError(value: unknown): string | null;
823
+ export declare const validCodingRuleResult: (value: unknown) => boolean;
824
+ export declare const CodingRuleResultSchemaJson: Record<string, unknown>;
825
+ export declare const codingReviewerActionSchema: z.ZodObject<{
826
+ reviewerId: z.ZodString;
827
+ reviewerRole: z.ZodOptional<z.ZodString>;
828
+ action: z.ZodEnum<{
829
+ rejected: "rejected";
830
+ escalated: "escalated";
831
+ approved: "approved";
832
+ approved_with_changes: "approved_with_changes";
833
+ }>;
834
+ resolutionCode: z.ZodOptional<z.ZodString>;
835
+ reviewOutcomeCategory: z.ZodOptional<z.ZodEnum<{
836
+ unsupported_or_excessive: "unsupported_or_excessive";
837
+ missed_supported: "missed_supported";
838
+ unchanged_supported: "unchanged_supported";
839
+ missing_evidence: "missing_evidence";
840
+ escalation: "escalation";
841
+ }>>;
842
+ notes: z.ZodOptional<z.ZodString>;
843
+ occurredAt: z.ZodString;
844
+ }, z.core.$strict>;
845
+ export type CodingReviewerAction = z.infer<typeof codingReviewerActionSchema>;
846
+ export declare function codingReviewerActionValidationError(value: unknown): string | null;
847
+ export declare const validCodingReviewerAction: (value: unknown) => boolean;
848
+ export declare const CodingReviewerActionSchemaJson: Record<string, unknown>;
849
+ export declare const codingDecisionSchema: z.ZodObject<{
850
+ decisionId: z.ZodString;
851
+ caseRef: z.ZodString;
852
+ disposition: z.ZodEnum<{
853
+ review_required: "review_required";
854
+ abstain: "abstain";
855
+ escalate: "escalate";
856
+ }>;
857
+ humanReviewRequired: z.ZodLiteral<true>;
858
+ rationale: z.ZodString;
859
+ overallConfidence: z.ZodOptional<z.ZodEnum<{
860
+ low: "low";
861
+ medium: "medium";
862
+ high: "high";
863
+ }>>;
864
+ lineDecisions: z.ZodArray<z.ZodObject<{
865
+ lineId: z.ZodString;
866
+ action: z.ZodEnum<{
867
+ add: "add";
868
+ retain: "retain";
869
+ replace: "replace";
870
+ remove: "remove";
871
+ review: "review";
872
+ }>;
873
+ code: z.ZodObject<{
874
+ code: z.ZodString;
875
+ codeSystem: z.ZodEnum<{
876
+ "ICD-10-CM": "ICD-10-CM";
877
+ OTHER: "OTHER";
878
+ CPT: "CPT";
879
+ HCPCS: "HCPCS";
880
+ "ICD-10-PCS": "ICD-10-PCS";
881
+ NDC: "NDC";
882
+ CDT: "CDT";
883
+ REVENUE_CODE: "REVENUE_CODE";
884
+ DRG: "DRG";
885
+ }>;
886
+ codeVersion: z.ZodOptional<z.ZodString>;
887
+ }, z.core.$strict>;
888
+ modifiers: z.ZodOptional<z.ZodArray<z.ZodString>>;
889
+ units: z.ZodOptional<z.ZodObject<{
890
+ count: z.ZodOptional<z.ZodNumber>;
891
+ unitOfMeasure: z.ZodOptional<z.ZodString>;
892
+ }, z.core.$strict>>;
893
+ linkedDiagnoses: z.ZodOptional<z.ZodArray<z.ZodObject<{
894
+ diagnosisRef: z.ZodString;
895
+ sequence: z.ZodOptional<z.ZodNumber>;
896
+ }, z.core.$strict>>>;
897
+ sequence: z.ZodOptional<z.ZodNumber>;
898
+ confidence: z.ZodEnum<{
899
+ low: "low";
900
+ medium: "medium";
901
+ high: "high";
902
+ }>;
903
+ rationale: z.ZodString;
904
+ evidenceRefs: z.ZodOptional<z.ZodArray<z.ZodString>>;
905
+ gapRefs: z.ZodOptional<z.ZodArray<z.ZodString>>;
906
+ conflictRefs: z.ZodOptional<z.ZodArray<z.ZodString>>;
907
+ }, z.core.$strict>>;
908
+ facts: z.ZodOptional<z.ZodArray<z.ZodObject<{
909
+ factId: z.ZodString;
910
+ statement: z.ZodString;
911
+ evidenceRefs: z.ZodOptional<z.ZodArray<z.ZodString>>;
912
+ }, z.core.$strict>>>;
913
+ gaps: z.ZodOptional<z.ZodArray<z.ZodObject<{
914
+ gapId: z.ZodString;
915
+ type: z.ZodEnum<{
916
+ other: "other";
917
+ missing_documentation: "missing_documentation";
918
+ unsupported_scope: "unsupported_scope";
919
+ insufficient_evidence: "insufficient_evidence";
920
+ policy_conflict: "policy_conflict";
921
+ terminology_unavailable: "terminology_unavailable";
922
+ }>;
923
+ description: z.ZodString;
924
+ severity: z.ZodEnum<{
925
+ low: "low";
926
+ medium: "medium";
927
+ high: "high";
928
+ blocking: "blocking";
929
+ }>;
930
+ }, z.core.$strict>>>;
931
+ conflicts: z.ZodOptional<z.ZodArray<z.ZodObject<{
932
+ conflictId: z.ZodString;
933
+ type: z.ZodEnum<{
934
+ other: "other";
935
+ payer_vs_national: "payer_vs_national";
936
+ plan_vs_contract: "plan_vs_contract";
937
+ terminology_period: "terminology_period";
938
+ rule_vs_rule: "rule_vs_rule";
939
+ model_vs_rule: "model_vs_rule";
940
+ }>;
941
+ summary: z.ZodString;
942
+ references: z.ZodOptional<z.ZodArray<z.ZodString>>;
943
+ }, z.core.$strict>>>;
944
+ evidenceItems: z.ZodOptional<z.ZodArray<z.ZodObject<{
945
+ evidenceId: z.ZodString;
946
+ type: z.ZodEnum<{
947
+ clinical: "clinical";
948
+ coding_guideline: "coding_guideline";
949
+ payer_policy: "payer_policy";
950
+ plan_policy: "plan_policy";
951
+ contract_configuration: "contract_configuration";
952
+ terminology_validity: "terminology_validity";
953
+ rule_execution: "rule_execution";
954
+ }>;
955
+ source: z.ZodString;
956
+ sourceVersion: z.ZodString;
957
+ publisher: z.ZodOptional<z.ZodString>;
958
+ scope: z.ZodEnum<{
959
+ plan: "plan";
960
+ contract: "contract";
961
+ payer: "payer";
962
+ tenant: "tenant";
963
+ national: "national";
964
+ }>;
965
+ effectiveFrom: z.ZodString;
966
+ effectiveTo: z.ZodOptional<z.ZodString>;
967
+ stableId: z.ZodString;
968
+ excerpt: z.ZodString;
969
+ retrievedAt: z.ZodString;
970
+ }, z.core.$strict>>>;
971
+ ruleTraces: z.ZodOptional<z.ZodArray<z.ZodObject<{
972
+ ruleId: z.ZodString;
973
+ ruleVersion: z.ZodString;
974
+ outcome: z.ZodEnum<{
975
+ satisfied: "satisfied";
976
+ failed: "failed";
977
+ rejected: "rejected";
978
+ escalated: "escalated";
979
+ conflicted: "conflicted";
980
+ warning: "warning";
981
+ }>;
982
+ severity: z.ZodOptional<z.ZodEnum<{
983
+ warning: "warning";
984
+ info: "info";
985
+ blocking: "blocking";
986
+ }>>;
987
+ inputs: z.ZodOptional<z.ZodArray<z.ZodObject<{
988
+ name: z.ZodString;
989
+ value: z.ZodString;
990
+ }, z.core.$strict>>>;
991
+ reason: z.ZodOptional<z.ZodString>;
992
+ explanation: z.ZodOptional<z.ZodString>;
993
+ evidence: z.ZodOptional<z.ZodString>;
994
+ }, z.core.$strict>>>;
995
+ provenance: z.ZodObject<{
996
+ decisionSchemaVersion: z.ZodString;
997
+ caseSchemaVersion: z.ZodString;
998
+ pack: z.ZodObject<{
999
+ packId: z.ZodString;
1000
+ packVersion: z.ZodString;
1001
+ }, z.core.$strict>;
1002
+ model: z.ZodObject<{
1003
+ modelId: z.ZodString;
1004
+ modelVersion: z.ZodString;
1005
+ }, z.core.$strict>;
1006
+ terminology: z.ZodArray<z.ZodObject<{
1007
+ system: z.ZodEnum<{
1008
+ "ICD-10-CM": "ICD-10-CM";
1009
+ OTHER: "OTHER";
1010
+ CPT: "CPT";
1011
+ HCPCS: "HCPCS";
1012
+ "ICD-10-PCS": "ICD-10-PCS";
1013
+ NDC: "NDC";
1014
+ CDT: "CDT";
1015
+ REVENUE_CODE: "REVENUE_CODE";
1016
+ DRG: "DRG";
1017
+ MODIFIERS: "MODIFIERS";
1018
+ }>;
1019
+ editionVersion: z.ZodString;
1020
+ licenseApproved: z.ZodBoolean;
1021
+ }, z.core.$strict>>;
1022
+ rules: z.ZodArray<z.ZodObject<{
1023
+ ruleId: z.ZodString;
1024
+ ruleVersion: z.ZodString;
1025
+ }, z.core.$strict>>;
1026
+ retrievalCorpus: z.ZodOptional<z.ZodObject<{
1027
+ corpusId: z.ZodOptional<z.ZodString>;
1028
+ corpusVersion: z.ZodOptional<z.ZodString>;
1029
+ }, z.core.$strict>>;
1030
+ generatedAt: z.ZodString;
1031
+ }, z.core.$strict>;
1032
+ reviewerAction: z.ZodOptional<z.ZodObject<{
1033
+ reviewerId: z.ZodString;
1034
+ reviewerRole: z.ZodOptional<z.ZodString>;
1035
+ action: z.ZodEnum<{
1036
+ rejected: "rejected";
1037
+ escalated: "escalated";
1038
+ approved: "approved";
1039
+ approved_with_changes: "approved_with_changes";
1040
+ }>;
1041
+ resolutionCode: z.ZodOptional<z.ZodString>;
1042
+ reviewOutcomeCategory: z.ZodOptional<z.ZodEnum<{
1043
+ unsupported_or_excessive: "unsupported_or_excessive";
1044
+ missed_supported: "missed_supported";
1045
+ unchanged_supported: "unchanged_supported";
1046
+ missing_evidence: "missing_evidence";
1047
+ escalation: "escalation";
1048
+ }>>;
1049
+ notes: z.ZodOptional<z.ZodString>;
1050
+ occurredAt: z.ZodString;
1051
+ }, z.core.$strict>>;
1052
+ extensions: z.ZodOptional<z.ZodArray<z.ZodObject<{
1053
+ namespace: z.ZodString;
1054
+ schemaVersion: z.ZodString;
1055
+ payload: z.ZodObject<{}, z.core.$loose>;
1056
+ }, z.core.$strict>>>;
1057
+ }, z.core.$strict>;
1058
+ export type CodingDecision = z.infer<typeof codingDecisionSchema>;
1059
+ export declare function codingDecisionValidationError(value: unknown): string | null;
1060
+ export declare const validCodingDecision: (value: unknown) => boolean;
1061
+ export declare const CodingDecisionSchemaJson: Record<string, unknown>;
14
1062
  export declare const rcmSupportingReferenceSchema: z.ZodObject<{
15
1063
  referenceId: z.ZodString;
16
1064
  documentId: z.ZodOptional<z.ZodString>;
@@ -144,9 +1192,9 @@ export declare const rcmRetrievalMetadataSchema: z.ZodObject<{
144
1192
  corpusId: z.ZodString;
145
1193
  corpusVersion: z.ZodString;
146
1194
  outcome: z.ZodEnum<{
1195
+ failed: "failed";
147
1196
  completed: "completed";
148
1197
  empty: "empty";
149
- failed: "failed";
150
1198
  }>;
151
1199
  latencyMs: z.ZodNumber;
152
1200
  knowledgeBaseId: z.ZodOptional<z.ZodString>;
@@ -173,15 +1221,50 @@ export type RcmRetrievalMetadata = z.infer<typeof rcmRetrievalMetadataSchema>;
173
1221
  export declare function rcmRetrievalMetadataValidationError(value: unknown): string | null;
174
1222
  export declare const validRcmRetrievalMetadata: (value: unknown) => boolean;
175
1223
  export declare const RcmRetrievalMetadataSchemaJson: Record<string, unknown>;
1224
+ export declare const rcmReviewerEventSchema: z.ZodObject<{
1225
+ eventName: z.ZodEnum<{
1226
+ review_opened: "review_opened";
1227
+ decision_shown: "decision_shown";
1228
+ evidence_opened: "evidence_opened";
1229
+ evidence_copied: "evidence_copied";
1230
+ review_active_time: "review_active_time";
1231
+ }>;
1232
+ occurredAt: z.ZodString;
1233
+ tenantRef: z.ZodString;
1234
+ caseRef: z.ZodString;
1235
+ reviewId: z.ZodOptional<z.ZodString>;
1236
+ workflowId: z.ZodEnum<{
1237
+ "rcm-coding-assistance": "rcm-coding-assistance";
1238
+ "monthly-pin-time-aggregation": "monthly-pin-time-aggregation";
1239
+ }>;
1240
+ packId: z.ZodOptional<z.ZodString>;
1241
+ packVersion: z.ZodOptional<z.ZodString>;
1242
+ environment: z.ZodOptional<z.ZodEnum<{
1243
+ development: "development";
1244
+ staging: "staging";
1245
+ production: "production";
1246
+ }>>;
1247
+ source: z.ZodEnum<{
1248
+ portal: "portal";
1249
+ embed: "embed";
1250
+ }>;
1251
+ evidenceId: z.ZodOptional<z.ZodString>;
1252
+ activeSeconds: z.ZodOptional<z.ZodNumber>;
1253
+ idlePaused: z.ZodOptional<z.ZodBoolean>;
1254
+ }, z.core.$strict>;
1255
+ export type RcmReviewerEvent = z.infer<typeof rcmReviewerEventSchema>;
1256
+ export declare function rcmReviewerEventValidationError(value: unknown): string | null;
1257
+ export declare const validRcmReviewerEvent: (value: unknown) => boolean;
1258
+ export declare const RcmReviewerEventSchemaJson: Record<string, unknown>;
176
1259
  export declare const rcmRuntimeEventSchema: z.ZodObject<{
177
1260
  type: z.ZodEnum<{
178
1261
  audit: "audit";
179
1262
  safety: "safety";
180
1263
  }>;
181
1264
  outcome: z.ZodEnum<{
1265
+ escalated: "escalated";
182
1266
  authorized: "authorized";
183
1267
  validated: "validated";
184
- escalated: "escalated";
185
1268
  }>;
186
1269
  reason: z.ZodEnum<{
187
1270
  workflow_authorized: "workflow_authorized";
@@ -225,6 +1308,7 @@ export declare const RcmRuntimeEventSchemaJson: Record<string, unknown>;
225
1308
  export declare const rcmWorkflowCatalogSchema: z.ZodObject<{
226
1309
  id: z.ZodEnum<{
227
1310
  "rcm-coding-assistance": "rcm-coding-assistance";
1311
+ "monthly-pin-time-aggregation": "monthly-pin-time-aggregation";
228
1312
  }>;
229
1313
  name: z.ZodString;
230
1314
  description: z.ZodString;
@@ -233,7 +1317,10 @@ export declare const rcmWorkflowCatalogSchema: z.ZodObject<{
233
1317
  production: "production";
234
1318
  }>>;
235
1319
  modelPolicy: z.ZodObject<{
236
- policyId: z.ZodLiteral<"carecompass-rcm-review-v1">;
1320
+ policyId: z.ZodEnum<{
1321
+ "carecompass-rcm-review-v1": "carecompass-rcm-review-v1";
1322
+ "carecompass-pin-time-policy-v1": "carecompass-pin-time-policy-v1";
1323
+ }>;
237
1324
  inferencePath: z.ZodString;
238
1325
  maxNewTokens: z.ZodNumber;
239
1326
  temperature: z.ZodNumber;