import type { QuestionnaireItem, QuestionnaireResponse, QuestionnaireResponseItem } from 'fhir/r4';
import type { QrRepeatGroup } from '../interfaces/repeatGroup.interface';
/**
 * Remove items with no answers from a given questionnaireResponse
 * Also remove any starting or trailing whitespace from valueStrings
 * Generated questionnaireResponse only has items with answers
 *
 * @author Sean Fong
 */
export declare function removeNoAnswerQrItem(qrItem: QuestionnaireResponseItem): QuestionnaireResponseItem | undefined;
/**
 * Create an empty group qrItem from a given group qItem
 *
 * @author Sean Fong
 */
export declare function createEmptyQrGroup(qItem: QuestionnaireItem): QuestionnaireResponseItem;
/**
 * Create an empty repeat qrItem from a given repeat qItem
 *
 * @author Clinton Gillespie
 */
export declare function createEmptyRepeatNestedItems(qItem: QuestionnaireItem): QuestionnaireResponseItem;
/**
 * Create an empty qrItem from a given qItem, optionally with an answer key
 *
 * @author Sean Fong
 */
export declare function createEmptyQrItem(qItem: QuestionnaireItem, answerKey: string | undefined): QuestionnaireResponseItem;
/**
 * Updates the QuestionnaireResponseItem group by adding/removing a new/modified child QuestionnaireResponseItem into/from a qrGroup
 * Takes either a single newQrItem or an array of newQrItems
 *
 * @author Sean Fong
 */
export declare function updateQrItemsInGroup(newQrItem: QuestionnaireResponseItem | null, newQrRepeatGroup: QrRepeatGroup | null, questionnaireResponseOrQrItem: QuestionnaireResponseItem | QuestionnaireResponse, qItemsIndexMap: Record<string, number>): void;
/**
 * Updates the QuestionnaireResponseItem group by adding/removing a new/modified child QuestionnaireResponseItem into/from a qrGroup
 * Specifically handles nested repeat items where each item has an answer array rather than nested items
 *
 * @author Sean Fong
 */
export declare function updateQrNestedItems(newQrItem: QuestionnaireResponseItem | null, questionnaireResponseOrQrItem: QuestionnaireResponseItem, qItemsIndexMap: Record<string, number>): void;
/**
 * Gets the Id of the QR Item, if it has a Calculated Expression, then it returns a new Id, else it returns the passed Id.
 *
 * @author Janardhan Vignarajan
 */
export declare function getQRItemId(answerKey: string | undefined): string | undefined;