import { z } from "zod";
import { FormEntry } from "../../../../components/core/form/drawer-form-with-fields";
import { PatientModel } from "../../../../fhir/models";
export declare const getRequestData: (patient: PatientModel | undefined, includePatientDemographicsForm: boolean) => FormEntry[];
export declare const requestHistorySchema: z.ZodObject<{
    name: z.ZodString;
    npi: z.ZodString;
    role: z.ZodOptional<z.ZodEnum<["Medical practitioner (SNOMED 158965000)"]>>;
    id: z.ZodOptional<z.ZodString>;
}, "strip", z.ZodTypeAny, {
    name: string;
    npi: string;
    role?: "Medical practitioner (SNOMED 158965000)" | undefined;
    id?: string | undefined;
}, {
    name: string;
    npi: string;
    role?: "Medical practitioner (SNOMED 158965000)" | undefined;
    id?: string | undefined;
}>;
export declare const savePatientAndRequestHistorySchema: z.ZodObject<{
    id: z.ZodOptional<z.ZodString>;
    name: z.ZodString;
    role: z.ZodOptional<z.ZodEnum<["Medical practitioner (SNOMED 158965000)"]>>;
    npi: z.ZodString;
    firstName: z.ZodString;
    lastName: z.ZodString;
    dateOfBirth: z.ZodDate;
    gender: z.ZodEnum<["-", "male", "female", "other", "unknown"]>;
    address: z.ZodString;
    city: z.ZodString;
    state: z.ZodEnum<["AL", "AK", "AZ", "AR", "CA", "CO", "CT", "DE", "DC", "FL", "GA", "HI", "ID", "IL", "IN", "IA", "KS", "KY", "LA", "ME", "MD", "MA", "MI", "MN", "MS", "MO", "MT", "NE", "NV", "NH", "NJ", "NM", "NY", "NC", "ND", "OH", "OK", "OR", "PA", "RI", "SC", "SD", "TN", "TX", "UT", "VT", "VA", "WA", "WV", "WI", "WY"]>;
    zipCode: z.ZodString;
    phone: z.ZodOptional<z.ZodString>;
    email: z.ZodOptional<z.ZodString>;
}, "strip", z.ZodTypeAny, {
    state: "AL" | "AK" | "AZ" | "AR" | "CA" | "CO" | "CT" | "DE" | "DC" | "FL" | "GA" | "HI" | "ID" | "IL" | "IN" | "IA" | "KS" | "KY" | "LA" | "ME" | "MD" | "MA" | "MI" | "MN" | "MS" | "MO" | "MT" | "NE" | "NV" | "NH" | "NJ" | "NM" | "NY" | "NC" | "ND" | "OH" | "OK" | "OR" | "PA" | "RI" | "SC" | "SD" | "TN" | "TX" | "UT" | "VT" | "VA" | "WA" | "WV" | "WI" | "WY";
    address: string;
    name: string;
    gender: "unknown" | "other" | "male" | "female" | "-";
    city: string;
    firstName: string;
    lastName: string;
    npi: string;
    dateOfBirth: Date;
    zipCode: string;
    id?: string | undefined;
    role?: "Medical practitioner (SNOMED 158965000)" | undefined;
    phone?: string | undefined;
    email?: string | undefined;
}, {
    state: "AL" | "AK" | "AZ" | "AR" | "CA" | "CO" | "CT" | "DE" | "DC" | "FL" | "GA" | "HI" | "ID" | "IL" | "IN" | "IA" | "KS" | "KY" | "LA" | "ME" | "MD" | "MA" | "MI" | "MN" | "MS" | "MO" | "MT" | "NE" | "NV" | "NH" | "NJ" | "NM" | "NY" | "NC" | "ND" | "OH" | "OK" | "OR" | "PA" | "RI" | "SC" | "SD" | "TN" | "TX" | "UT" | "VT" | "VA" | "WA" | "WV" | "WI" | "WY";
    address: string;
    name: string;
    gender: "unknown" | "other" | "male" | "female" | "-";
    city: string;
    firstName: string;
    lastName: string;
    npi: string;
    dateOfBirth: Date;
    zipCode: string;
    id?: string | undefined;
    role?: "Medical practitioner (SNOMED 158965000)" | undefined;
    phone?: string | undefined;
    email?: string | undefined;
}>;
//# sourceMappingURL=request-history-schema.d.ts.map