import type { QuestionnaireResponse, QuestionnaireResponseItem } from 'fhir/r4';
import type { Variables } from '../interfaces';
import type { AnswerOptionsToggleExpression } from '../interfaces/answerOptionsToggleExpression.interface';
import type { ComputedNewAnswers } from '../interfaces/computedUpdates.interface';
interface EvaluateInitialAnswerOptionsToggleExpressionsParams {
    initialResponse: QuestionnaireResponse;
    initialResponseItemMap: Record<string, QuestionnaireResponseItem[]>;
    answerOptionsToggleExpressions: Record<string, AnswerOptionsToggleExpression[]>;
    variables: Variables;
    existingFhirPathContext: Record<string, any>;
    fhirPathTerminologyCache: Record<string, any>;
    terminologyServerUrl: string;
}
export declare function evaluateInitialAnswerOptionsToggleExpressions(params: EvaluateInitialAnswerOptionsToggleExpressionsParams): Promise<{
    initialAnswerOptionsToggleExpressions: Record<string, AnswerOptionsToggleExpression[]>;
    updatedFhirPathContext: Record<string, any>;
    fhirPathTerminologyCache: Record<string, any>;
}>;
export declare function evaluateAnswerOptionsToggleExpressions(fhirPathContext: Record<string, any>, fhirPathTerminologyCache: Record<string, any>, answerOptionsToggleExpressions: Record<string, AnswerOptionsToggleExpression[]>, terminologyServerUrl: string): Promise<{
    isUpdated: boolean;
    updatedAnswerOptionsToggleExpressions: Record<string, AnswerOptionsToggleExpression[]>;
    computedNewAnswers: ComputedNewAnswers;
}>;
export {};