import type { Extension, QuestionnaireItem, QuestionnaireResponse, QuestionnaireResponseItem } from 'fhir/r4';
import type { BindingParameter, ProcessedValueSet } from '../interfaces/valueSet.interface';
import type { Variables } from '../interfaces';
import type { ComputedNewAnswers } from '../interfaces/computedUpdates.interface';
export declare function getBindingParameter(bindingParamExtension: Extension): BindingParameter | null;
export declare function getBindingParameters(qItem: QuestionnaireItem, initialValueSetUrl: string): BindingParameter[];
export declare function addBindingParametersToValueSetUrl(valueSetUrl: string, bindingParameters: BindingParameter[]): string;
interface EvaluateInitialDynamicValueSetsParams {
    initialResponse: QuestionnaireResponse;
    initialResponseItemMap: Record<string, QuestionnaireResponseItem[]>;
    processedValueSets: Record<string, ProcessedValueSet>;
    variables: Variables;
    existingFhirPathContext: Record<string, any>;
    fhirPathTerminologyCache: Record<string, any>;
    terminologyServerUrl: string;
}
export declare function evaluateInitialDynamicValueSets(params: EvaluateInitialDynamicValueSetsParams): Promise<{
    initialProcessedValueSets: Record<string, ProcessedValueSet>;
    updatedFhirPathContext: Record<string, any>;
    fhirPathTerminologyCache: Record<string, any>;
}>;
export declare function evaluateDynamicValueSets(fhirPathContext: Record<string, any>, fhirPathTerminologyCache: Record<string, any>, processedValueSets: Record<string, ProcessedValueSet>, terminologyServerUrl: string): Promise<{
    isUpdated: boolean;
    updatedProcessedValueSets: Record<string, ProcessedValueSet>;
    computedNewAnswers: ComputedNewAnswers;
}>;
export {};