@aehrc/smart-forms-renderer 1.0.0-alpha.42.dev7 → 1.0.0-alpha.42.dev8

package/lib/utils/enableWhenExpression.js

@@ -0,0 +1,209 @@
+/*
+ * Copyright 2024 Commonwealth Scientific and Industrial Research
+ * Organisation (CSIRO) ABN 41 687 119 230.
+ *
+ * Licensed under the Apache License, Version 2.0 (the "License");
+ * you may not use this file except in compliance with the License.
+ * You may obtain a copy of the License at
+ *
+ *     http://www.apache.org/licenses/LICENSE-2.0
+ *
+ * Unless required by applicable law or agreed to in writing, software
+ * distributed under the License is distributed on an "AS IS" BASIS,
+ * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+ * See the License for the specific language governing permissions and
+ * limitations under the License.
+ */
+var __awaiter = (this && this.__awaiter) || function (thisArg, _arguments, P, generator) {
+    function adopt(value) { return value instanceof P ? value : new P(function (resolve) { resolve(value); }); }
+    return new (P || (P = Promise))(function (resolve, reject) {
+        function fulfilled(value) { try { step(generator.next(value)); } catch (e) { reject(e); } }
+        function rejected(value) { try { step(generator["throw"](value)); } catch (e) { reject(e); } }
+        function step(result) { result.done ? resolve(result.value) : adopt(result.value).then(fulfilled, rejected); }
+        step((generator = generator.apply(thisArg, _arguments || [])).next());
+    });
+};
+import { createFhirPathContext, handleFhirPathResult } from './fhirpath';
+import fhirpath from 'fhirpath';
+import fhirpath_r4_model from 'fhirpath/fhir-context/r4';
+export function evaluateInitialEnableWhenExpressions(params) {
+    return __awaiter(this, void 0, void 0, function* () {
+        const { initialResponse, initialResponseItemMap, enableWhenExpressions, variables, existingFhirPathContext, terminologyServerUrl } = params;
+        let { fhirPathTerminologyCache } = params;
+        const initialEnableWhenExpressions = Object.assign({}, enableWhenExpressions);
+        const fhirPathEvalResult = yield createFhirPathContext(initialResponse, initialResponseItemMap, variables, existingFhirPathContext, fhirPathTerminologyCache, terminologyServerUrl);
+        const updatedFhirPathContext = fhirPathEvalResult.fhirPathContext;
+        fhirPathTerminologyCache = fhirPathEvalResult.fhirPathTerminologyCache;
+        const initialEnableWhenSingleExpressions = yield evaluateEnableWhenSingleExpressions(initialEnableWhenExpressions.singleExpressions, updatedFhirPathContext, fhirPathTerminologyCache, terminologyServerUrl);
+        const initialEnableWhenRepeatExpressions = yield evaluateEnableWhenRepeatExpressions(initialEnableWhenExpressions.repeatExpressions, updatedFhirPathContext, terminologyServerUrl);
+        return {
+            initialEnableWhenExpressions: {
+                singleExpressions: initialEnableWhenSingleExpressions.updatedExpressions,
+                repeatExpressions: initialEnableWhenRepeatExpressions.updatedExpressions
+            },
+            updatedFhirPathContext,
+            fhirPathTerminologyCache
+        };
+    });
+}
+function evaluateEnableWhenSingleExpressions(enableWhenSingleExpressions, updatedFhirPathContext, fhirPathTerminologyCache, terminologyServerUrl) {
+    return __awaiter(this, void 0, void 0, function* () {
+        let isUpdated = false;
+        for (const linkId in enableWhenSingleExpressions) {
+            const initialValue = enableWhenSingleExpressions[linkId].isEnabled;
+            const expression = enableWhenSingleExpressions[linkId].expression;
+            const cacheKey = JSON.stringify(expression); // Use expression as cache key
+            if (fhirPathTerminologyCache[cacheKey]) {
+                continue;
+            }
+            try {
+                const fhirPathResult = fhirpath.evaluate({}, expression, updatedFhirPathContext, fhirpath_r4_model, {
+                    async: true,
+                    terminologyUrl: terminologyServerUrl
+                });
+                const result = yield handleFhirPathResult(fhirPathResult);
+                // If fhirPathResult is an async terminology call, cache the result
+                if (fhirPathResult instanceof Promise) {
+                    fhirPathTerminologyCache[cacheKey] = result;
+                }
+                // Update enableWhenExpressions if length of result array > 0
+                // Only update when current isEnabled value is different from the result, otherwise it will result in an infinite loop as per issue #733
+                if (result.length > 0 && initialValue !== result[0] && typeof result[0] === 'boolean') {
+                    enableWhenSingleExpressions[linkId].isEnabled = result[0];
+                    isUpdated = true;
+                }
+                // Update isEnabled value to false if no result is returned
+                if (result.length === 0 && initialValue !== false) {
+                    enableWhenSingleExpressions[linkId].isEnabled = false;
+                    isUpdated = true;
+                }
+                // handle intersect edge case - evaluate() returns empty array if result is false
+                if (enableWhenSingleExpressions[linkId].expression.includes('intersect') &&
+                    result.length === 0 &&
+                    initialValue !== false) {
+                    enableWhenSingleExpressions[linkId].isEnabled = false;
+                    isUpdated = true;
+                }
+            }
+            catch (e) {
+                console.warn(e.message, `LinkId: ${linkId}\nExpression: ${enableWhenSingleExpressions[linkId].expression}`);
+            }
+        }
+        return { updatedExpressions: enableWhenSingleExpressions, isUpdated };
+    });
+}
+function getNumOfEnableWhenExpressionItemInstances(enableWhenExpression, fhirPathContext, terminologyServerUrl) {
+    return __awaiter(this, void 0, void 0, function* () {
+        const fhirPathResult = fhirpath.evaluate({}, `%resource.descendants().where(linkId = '${enableWhenExpression.parentLinkId}').count()`, fhirPathContext, fhirpath_r4_model, {
+            async: true,
+            terminologyUrl: terminologyServerUrl
+        });
+        const result = yield handleFhirPathResult(fhirPathResult);
+        return typeof result[0] === 'number' ? result[0] : null;
+    });
+}
+function evaluateEnableWhenRepeatExpressions(enableWhenRepeatExpressions, fhirPathContext, terminologyServerUrl) {
+    return __awaiter(this, void 0, void 0, function* () {
+        let aggregatedUpdated = false;
+        for (const linkId in enableWhenRepeatExpressions) {
+            // Get number of repeat group instances in the QR
+            const enableWhenExpression = enableWhenRepeatExpressions[linkId];
+            const numOfInstances = yield getNumOfEnableWhenExpressionItemInstances(enableWhenExpression, fhirPathContext, terminologyServerUrl);
+            if (!numOfInstances) {
+                continue;
+            }
+            const lastLinkIdIndex = enableWhenExpression.expression.lastIndexOf('.where(linkId');
+            if (lastLinkIdIndex === -1) {
+                continue;
+            }
+            for (let i = 0; i < numOfInstances; i++) {
+                const { isEnabled, isUpdated } = yield evaluateEnableWhenRepeatExpressionInstance(linkId, fhirPathContext, enableWhenExpression, lastLinkIdIndex, i, terminologyServerUrl);
+                if (typeof isEnabled === 'boolean') {
+                    enableWhenRepeatExpressions[linkId].enabledIndexes[i] = isEnabled;
+                }
+                aggregatedUpdated = aggregatedUpdated || isUpdated;
+            }
+        }
+        return { updatedExpressions: enableWhenRepeatExpressions, isUpdated: aggregatedUpdated };
+    });
+}
+export function evaluateEnableWhenRepeatExpressionInstance(linkId, fhirPathContext, enableWhenRepeatExpression, lastLinkIdIndex, instanceIndex, terminologyServerUrl) {
+    return __awaiter(this, void 0, void 0, function* () {
+        const expression = enableWhenRepeatExpression.expression;
+        const parentLinkId = enableWhenRepeatExpression.parentLinkId;
+        const initialValue = enableWhenRepeatExpression.enabledIndexes[instanceIndex];
+        const modifiedExpression = expression.slice(0, lastLinkIdIndex) +
+            `.where(linkId='${parentLinkId}').item[${instanceIndex}]` +
+            expression.slice(lastLinkIdIndex);
+        let isEnabled = null;
+        let isUpdated = false;
+        try {
+            const fhirPathResult = fhirpath.evaluate({}, modifiedExpression, fhirPathContext, fhirpath_r4_model, {
+                async: true,
+                terminologyUrl: terminologyServerUrl
+            });
+            const result = yield handleFhirPathResult(fhirPathResult);
+            // Update enableWhenExpressions if length of result array > 0
+            // Only update when current isEnabled value is different from the result, otherwise it will result in am infinite loop as per #733
+            if (result.length > 0 && initialValue !== result[0] && typeof result[0] === 'boolean') {
+                isEnabled = result[0];
+                isUpdated = true;
+            }
+            // Update isEnabled value to false if no result is returned
+            if (result.length === 0 && initialValue !== false) {
+                isEnabled = false;
+                isUpdated = true;
+            }
+            // handle intersect edge case - evaluate() returns empty array if result is false
+            if (expression.includes('intersect') && result.length === 0 && initialValue !== result[0]) {
+                isEnabled = false;
+                isUpdated = true;
+            }
+        }
+        catch (e) {
+            console.warn(e.message, `LinkId: ${linkId}\nExpression: ${expression}`);
+        }
+        return { isEnabled, isUpdated };
+    });
+}
+export function evaluateEnableWhenExpressions(fhirPathContext, fhirPathTerminologyCache, enableWhenExpressions, terminologyServerUrl) {
+    return __awaiter(this, void 0, void 0, function* () {
+        const updatedEnableWhenExpressions = Object.assign({}, enableWhenExpressions);
+        const updatedEnableWhenSingleExpressions = yield evaluateEnableWhenSingleExpressions(updatedEnableWhenExpressions.singleExpressions, fhirPathContext, fhirPathTerminologyCache, terminologyServerUrl);
+        const updatedEnableWhenRepeatExpressions = yield evaluateEnableWhenRepeatExpressions(updatedEnableWhenExpressions.repeatExpressions, fhirPathContext, terminologyServerUrl);
+        const isUpdated = updatedEnableWhenSingleExpressions.isUpdated || updatedEnableWhenRepeatExpressions.isUpdated;
+        return {
+            enableWhenExpsIsUpdated: isUpdated,
+            updatedEnableWhenExpressions: {
+                singleExpressions: updatedEnableWhenSingleExpressions.updatedExpressions,
+                repeatExpressions: updatedEnableWhenRepeatExpressions.updatedExpressions
+            }
+        };
+    });
+}
+export function mutateRepeatEnableWhenExpressionInstances(params) {
+    return __awaiter(this, void 0, void 0, function* () {
+        const { questionnaireResponse, questionnaireResponseItemMap, variables, fhirPathTerminologyCache, existingFhirPathContext, enableWhenExpressions, parentRepeatGroupLinkId, parentRepeatGroupIndex, actionType, terminologyServerUrl } = params;
+        const { repeatExpressions } = enableWhenExpressions;
+        const fhirPathEvalResult = yield createFhirPathContext(questionnaireResponse, questionnaireResponseItemMap, variables, existingFhirPathContext, fhirPathTerminologyCache, terminologyServerUrl);
+        const updatedFhirPathContext = fhirPathEvalResult.fhirPathContext;
+        let isUpdated = false;
+        for (const linkId in repeatExpressions) {
+            if (repeatExpressions[linkId].parentLinkId !== parentRepeatGroupLinkId) {
+                continue;
+            }
+            if (actionType === 'add') {
+                const { isEnabled } = yield evaluateEnableWhenRepeatExpressionInstance(linkId, updatedFhirPathContext, repeatExpressions[linkId], repeatExpressions[linkId].expression.lastIndexOf('.where(linkId'), parentRepeatGroupIndex, terminologyServerUrl);
+                if (typeof isEnabled === 'boolean') {
+                    repeatExpressions[linkId].enabledIndexes[parentRepeatGroupIndex] = isEnabled;
+                }
+            }
+            else if (actionType === 'remove') {
+                repeatExpressions[linkId].enabledIndexes.splice(parentRepeatGroupIndex, 1);
+            }
+            isUpdated = true;
+        }
+        return { updatedEnableWhenExpressions: enableWhenExpressions, isUpdated };
+    });
+}
+//# sourceMappingURL=enableWhenExpression.js.map

package/lib/utils/enableWhenExpression.js.map

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package/lib/utils/extractObservation.d.ts

@@ -0,0 +1,15 @@
+import type { CodeableConcept, Observation, Questionnaire, QuestionnaireItem, QuestionnaireResponse, QuestionnaireResponseItemAnswer } from 'fhir/r4';
+/**
+ * Extract an array of Observations from a QuestionnaireResponse and its source Questionnaire.
+ * @see https://build.fhir.org/ig/HL7/sdc/extraction.html#observation-based-extraction
+ *
+ * @author Riza Nafis
+ */
+export declare function extractObservationBased(questionnaire: Questionnaire, questionnaireResponse: QuestionnaireResponse): Observation[];
+export type Extractable = {
+    extractable: boolean;
+    extractCategories: CodeableConcept[];
+};
+export declare function mapQItemsExtractable(questionnaire: Questionnaire): Record<string, Extractable>;
+export declare function createObservation(questionnaireItem: QuestionnaireItem, questionnaireResponse: QuestionnaireResponse, answer: QuestionnaireResponseItemAnswer, categories: CodeableConcept[]): Observation;
+export declare function generateUniqueId(prefix: string): string;

package/lib/utils/extractObservation.js

@@ -0,0 +1,182 @@
+import { readQuestionnaireResponse, transverseQuestionnaire } from './genericRecursive';
+import { getQrItemsIndex, mapQItemsIndex } from './mapItem';
+import { getRelevantCodingProperties } from './valueSet';
+/**
+ * Extract an array of Observations from a QuestionnaireResponse and its source Questionnaire.
+ * @see https://build.fhir.org/ig/HL7/sdc/extraction.html#observation-based-extraction
+ *
+ * @author Riza Nafis
+ */
+export function extractObservationBased(questionnaire, questionnaireResponse) {
+    const observations = [];
+    if (!questionnaire.item ||
+        questionnaire.item.length === 0 ||
+        !questionnaireResponse.item ||
+        questionnaireResponse.item.length === 0) {
+        return observations;
+    }
+    if (!questionnaireResponse.id) {
+        questionnaireResponse.id = generateUniqueId((questionnaireResponse.identifier && questionnaireResponse.identifier.value) || 'QR');
+    }
+    const qItemExtractableMap = mapQItemsExtractable(questionnaire);
+    return readQuestionnaireResponse(questionnaire, questionnaireResponse, extractObservationBasedRecursive, { qr: questionnaireResponse, qItemMap: qItemExtractableMap });
+}
+const FHIR_OBSERVATION_EXTRACT_EXTENSION = 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract';
+const FHIR_OBSERVATION_EXTRACT_CATEGORY_EXTENSION = 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observation-extract-category';
+function extractObservationBasedRecursive(qItem, qrItemOrItems, extraData) {
+    var _a;
+    // Process items with child items
+    const observations = [];
+    if (!(extraData === null || extraData === void 0 ? void 0 : extraData.qr) || !(extraData === null || extraData === void 0 ? void 0 : extraData.qItemMap))
+        return observations;
+    // Map qrItemOrItems into an array of qrItems
+    let qrItems = [];
+    if (qrItemOrItems) {
+        if (Array.isArray(qrItemOrItems)) {
+            qrItems = qrItemOrItems;
+        }
+        else {
+            qrItems = [qrItemOrItems];
+        }
+    }
+    for (const responseItem of qrItems) {
+        // Check if the response item has any values or nested items
+        if (responseItem.answer && responseItem.answer.length > 0) {
+            for (const answer of responseItem.answer) {
+                const currentQItemExtractable = extraData.qItemMap[qItem.linkId];
+                if (currentQItemExtractable.extractable) {
+                    const observation = createObservation(qItem, extraData.qr, answer, currentQItemExtractable.extractCategories);
+                    observations.push(observation);
+                }
+            }
+        }
+    }
+    const childQItems = qItem.item;
+    if (!childQItems || childQItems.length === 0)
+        return observations;
+    // Map qrItemOrItems into an array of qrItems
+    let childQrItems = [];
+    if (qrItemOrItems) {
+        if (Array.isArray(qrItemOrItems)) {
+            childQrItems = qrItemOrItems;
+        }
+        else {
+            childQrItems = (_a = qrItemOrItems.item) !== null && _a !== void 0 ? _a : [];
+        }
+    }
+    const indexMap = mapQItemsIndex(qItem);
+    const qrItemsByIndex = getQrItemsIndex(childQItems, childQrItems, indexMap);
+    for (const [index, childQItem] of childQItems.entries()) {
+        const childQRItemOrItems = qrItemsByIndex[index];
+        const childObservations = extractObservationBasedRecursive(childQItem, childQRItemOrItems !== null && childQRItemOrItems !== void 0 ? childQRItemOrItems : null, extraData);
+        if (childObservations) {
+            observations.push(...childObservations);
+        }
+    }
+    return observations;
+}
+export function mapQItemsExtractable(questionnaire) {
+    var _a, _b, _c, _d, _e;
+    if (!questionnaire.item || questionnaire.item.length === 0) {
+        return {};
+    }
+    const initialExtension = (_a = questionnaire.extension) === null || _a === void 0 ? void 0 : _a.find((e) => e.url === FHIR_OBSERVATION_EXTRACT_EXTENSION);
+    const extractCategoryExts = (_c = (_b = questionnaire.extension) === null || _b === void 0 ? void 0 : _b.filter((e) => e.url === FHIR_OBSERVATION_EXTRACT_CATEGORY_EXTENSION && e.valueCodeableConcept)) === null || _c === void 0 ? void 0 : _c.map((e) => e.valueCodeableConcept);
+    const initialExtractMap = {
+        [(_d = questionnaire.id) !== null && _d !== void 0 ? _d : 'root']: {
+            extractable: (_e = initialExtension === null || initialExtension === void 0 ? void 0 : initialExtension.valueBoolean) !== null && _e !== void 0 ? _e : false,
+            extractCategories: extractCategoryExts !== null && extractCategoryExts !== void 0 ? extractCategoryExts : []
+        }
+    };
+    transverseQuestionnaire(questionnaire, mapQItemsExtractableRecursive, initialExtractMap);
+    return initialExtractMap;
+}
+function mapQItemsExtractableRecursive(qItem, root, parent, qItemExtrableMap) {
+    var _a, _b, _c, _d, _e, _f, _g, _h;
+    if (!qItemExtrableMap)
+        return;
+    if (!qItemExtrableMap[qItem.linkId]) {
+        qItemExtrableMap[qItem.linkId] = { extractable: false, extractCategories: [] };
+    }
+    // Check if questionnaire extractable
+    const extension = (_a = qItem.extension) === null || _a === void 0 ? void 0 : _a.find((e) => e.url === FHIR_OBSERVATION_EXTRACT_EXTENSION);
+    if ((extension === null || extension === void 0 ? void 0 : extension.valueBoolean) || (extension === null || extension === void 0 ? void 0 : extension.valueBoolean) === false) {
+        qItemExtrableMap[qItem.linkId].extractable = (_b = extension === null || extension === void 0 ? void 0 : extension.valueBoolean) !== null && _b !== void 0 ? _b : false;
+    }
+    else if (parent && qItemExtrableMap[parent.linkId]) {
+        qItemExtrableMap[qItem.linkId].extractable = qItemExtrableMap[parent.linkId].extractable;
+    }
+    else if (root && qItemExtrableMap[(_c = root.id) !== null && _c !== void 0 ? _c : 'root']) {
+        qItemExtrableMap[qItem.linkId].extractable = qItemExtrableMap[(_d = root === null || root === void 0 ? void 0 : root.id) !== null && _d !== void 0 ? _d : 'root'].extractable;
+    }
+    else {
+        qItemExtrableMap[qItem.linkId].extractable = false;
+    }
+    // if questionnaire extractable, check for extract category
+    if (qItemExtrableMap[qItem.linkId].extractable) {
+        const extractCategoryExts = (_f = (_e = qItem.extension) === null || _e === void 0 ? void 0 : _e.filter((e) => e.url === FHIR_OBSERVATION_EXTRACT_CATEGORY_EXTENSION && e.valueCodeableConcept)) === null || _f === void 0 ? void 0 : _f.map((e) => e.valueCodeableConcept);
+        if (extractCategoryExts) {
+            qItemExtrableMap[qItem.linkId].extractCategories = extractCategoryExts;
+        }
+        else if (parent && qItemExtrableMap[parent.linkId].extractCategories.length) {
+            qItemExtrableMap[qItem.linkId].extractCategories =
+                qItemExtrableMap[parent.linkId].extractCategories;
+        }
+        else if (root && qItemExtrableMap[(_g = root.id) !== null && _g !== void 0 ? _g : 'root'].extractCategories.length) {
+            qItemExtrableMap[qItem.linkId].extractCategories =
+                qItemExtrableMap[(_h = root === null || root === void 0 ? void 0 : root.id) !== null && _h !== void 0 ? _h : 'root'].extractCategories;
+        }
+        else {
+            qItemExtrableMap[qItem.linkId].extractCategories = [];
+        }
+    }
+    if (qItem.item && qItem.item.length !== 0) {
+        for (const qChildItem of qItem.item) {
+            mapQItemsExtractableRecursive(qChildItem, root, qItem, qItemExtrableMap);
+        }
+    }
+}
+export function createObservation(questionnaireItem, questionnaireResponse, answer, categories) {
+    var _a, _b;
+    const qrRef = `QuestionnaireResponse/${questionnaireResponse.id}`;
+    const observation = Object.assign(Object.assign(Object.assign(Object.assign(Object.assign(Object.assign(Object.assign(Object.assign(Object.assign(Object.assign({ resourceType: 'Observation', status: 'final' }, removeIfNull('id', questionnaireItem.linkId, `obs-${questionnaireItem.linkId}`)), { code: {
+            coding: (_b = (_a = questionnaireItem.code) === null || _a === void 0 ? void 0 : _a.map((c) => (Object.assign(Object.assign(Object.assign({}, removeIfNull('system', c.system)), removeIfNull('code', c.code)), removeIfNull('display', c.display))))) !== null && _b !== void 0 ? _b : []
+        } }), removeIfNull('basedOn', questionnaireResponse.basedOn)), removeIfNull('partOf', questionnaireResponse.partOf)), removeIfNull('subject', questionnaireResponse.subject)), removeIfNull('encounter', questionnaireResponse.encounter)), { derivedFrom: [{ reference: qrRef }] }), removeIfNull('effectiveDateTime', questionnaireResponse.authored)), removeIfNull('issued', questionnaireResponse.authored)), removeIfNull('author', questionnaireResponse.author));
+    // Set the value of the Observation based on the answer type
+    if (answer.valueQuantity) {
+        observation.valueQuantity = answer.valueQuantity;
+    }
+    else if (answer.valueString) {
+        observation.valueString = answer.valueString;
+    }
+    else if (answer.valueBoolean) {
+        observation.valueBoolean = answer.valueBoolean;
+    }
+    else if (answer.valueInteger) {
+        observation.valueInteger = answer.valueInteger;
+    }
+    else if (answer.valueCoding) {
+        observation.valueCodeableConcept = {
+            coding: [getRelevantCodingProperties(answer.valueCoding)]
+        };
+    }
+    if (categories.length) {
+        observation.category = categories;
+    }
+    return observation;
+}
+let ID_COUNTER = 0;
+export function generateUniqueId(prefix) {
+    if (ID_COUNTER) {
+        ID_COUNTER = 0;
+    }
+    return (prefix + '-' + Date.now() + '-' + ++ID_COUNTER + '-' + Math.random().toString(16).substring(2));
+}
+function removeIfNull(key, value, expectedValue) {
+    if (!value)
+        return {};
+    if (expectedValue)
+        return { [key]: expectedValue };
+    return { [key]: value };
+}
+//# sourceMappingURL=extractObservation.js.map

package/lib/utils/extractObservation.js.map

@@ -0,0 +1 @@
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package/lib/utils/fhirpath.d.ts

@@ -0,0 +1,43 @@
+import type { Expression, QuestionnaireResponse, QuestionnaireResponseItem } from 'fhir/r4';
+import type { CalculatedExpression } from '../interfaces/calculatedExpression.interface';
+import type { EnableWhenExpressions } from '../interfaces/enableWhen.interface';
+import type { TargetConstraint } from '../interfaces/targetConstraint.interface';
+import type { Variables, VariableXFhirQuery } from '../interfaces';
+import type { ComputedQRItemUpdates } from '../interfaces/computedUpdates.interface';
+interface EvaluateUpdatedExpressionsParams {
+    updatedResponse: QuestionnaireResponse;
+    updatedResponseItemMap: Record<string, QuestionnaireResponseItem[]>;
+    targetConstraints: Record<string, TargetConstraint>;
+    calculatedExpressions: Record<string, CalculatedExpression[]>;
+    enableWhenExpressions: EnableWhenExpressions;
+    variables: Variables;
+    processedValueSets: Record<string, any>;
+    existingFhirPathContext: Record<string, any>;
+    fhirPathTerminologyCache: Record<string, any>;
+    terminologyServerUrl: string;
+}
+export declare function evaluateUpdatedExpressions(params: EvaluateUpdatedExpressionsParams): Promise<{
+    isUpdated: boolean;
+    updatedTargetConstraints: Record<string, TargetConstraint>;
+    updatedEnableWhenExpressions: EnableWhenExpressions;
+    updatedCalculatedExpressions: Record<string, CalculatedExpression[]>;
+    updatedProcessedValueSets: Record<string, any>;
+    updatedFhirPathContext: Record<string, any>;
+    fhirPathTerminologyCache: Record<string, any>;
+    computedQRItemUpdates: ComputedQRItemUpdates;
+}>;
+export declare function createFhirPathContext(questionnaireResponse: QuestionnaireResponse, questionnaireResponseItemMap: Record<string, QuestionnaireResponseItem[]>, variables: Variables, existingFhirPathContext: Record<string, any>, fhirPathTerminologyCache: Record<string, any>, terminologyServerUrl: string): Promise<{
+    fhirPathContext: Record<string, any>;
+    fhirPathTerminologyCache: Record<string, any>;
+}>;
+export declare function addEmptyXFhirQueryVariablesToFhirPathContext(fhirPathContext: Record<string, any>, variablesXFhirQuery: Record<string, VariableXFhirQuery>): Record<string, any>;
+export declare function evaluateLinkIdVariables(linkId: string, variablesFhirPath: Record<string, Expression[]>, fhirPathContext: Record<string, any>, fhirPathTerminologyCache: Record<string, any>, terminologyServerUrl: string, qrItem?: QuestionnaireResponseItem): Promise<{
+    fhirPathContext: Record<string, any>;
+    fhirPathTerminologyCache: Record<string, any>;
+}>;
+export declare function evaluateQuestionnaireLevelVariables(resource: QuestionnaireResponse, variablesFhirPath: Record<string, Expression[]>, fhirPathContext: Record<string, any>, fhirPathTerminologyCache: Record<string, any>, terminologyServerUrl: string): Promise<{
+    fhirPathContext: Record<string, any>;
+    fhirPathTerminologyCache: Record<string, any>;
+}>;
+export declare function handleFhirPathResult(result: any[] | Promise<any[]>): Promise<any[]>;
+export {};