import { IElement, IQuestionnaireResponseAnswer, IQuestionnaireResponseItem } from 'fhirtypes/dist/r4';
import { QuestionnaireResponseItem } from '../../models';
import { BackboneBuilder, IBuildable } from '../base';
import { ExtractUnderscoreKeys } from '../../../core/commons/utils';
type PrimitiveExtensionFields = ExtractUnderscoreKeys<QuestionnaireResponseItem>;
/**
 * @description Interface for chaining the building of a QuestionnaireResponseItem
 * @interface IQuestionnaireResponseItemBuilder
 * @extends {IBuildable<QuestionnaireResponseItem>}
 */
interface IQuestionnaireResponseItemBuilder extends IBuildable<QuestionnaireResponseItem> {
    setLinkId(value: string): this;
    setDefinition(value: string): this;
    setText(value: string): this;
    addAnswer(value: IQuestionnaireResponseAnswer): this;
    addItem(value: IQuestionnaireResponseItem): this;
}
/**
 * @version R4 (v4.0.1)
 * @summary FHIR® Specification by HL7®
 * @description Class for building a QuestionnaireResponseItem
 * @class QuestionnaireResponseItemBuilder
 * @extends {BackboneBuilder}
 * @implements {IQuestionnaireResponseItemBuilder}
 * @author Roberto Araneda Espinoza
 */
export declare class QuestionnaireResponseItemBuilder extends BackboneBuilder implements IQuestionnaireResponseItemBuilder {
    private readonly questionnaireResponseItem;
    constructor();
    /**
     * @description Adds a primitive extension to the element
     * @param param - the field to add the extension to
     * @param extension - the extension to add
     * @returns {this}
     * @example addPrimitiveExtension('_value', { value: 'test' })
     */
    addPrimitiveExtension(param: PrimitiveExtensionFields, extension: IElement): this;
    /**
     * @description Builds the model
     * @returns {QuestionnaireResponseItem}
     */
    build(): QuestionnaireResponseItem;
    /**
     * @description Sets the linkId value
     * @description The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.
     * @param value - the value to set
     * @returns {this}
     */
    setLinkId(value: string): this;
    /**
     * @description Sets the definition value
     * @description A reference to an [[[ElementDefinition]]] that provides the details for the item.
     * @param value - the value to set
     * @returns {this}
     */
    setDefinition(value: string): this;
    /**
     * @description Sets the text value
     * @description Text that is displayed above the contents of the group or as the text of the question being answered.
     * @param value - the value to set
     * @returns {this}
     */
    setText(value: string): this;
    /**
     * @description Adds a value to the answer array
     * @description The respondent's answer(s) to the question.
     * @param value - the value to add
     * @returns {this}
     */
    addAnswer(value: IQuestionnaireResponseAnswer): this;
    /**
     * @description Adds a value to the item array
     * @description Questions or sub-groups nested beneath a question or group.
     * @param value - the value to add
     * @returns {this}
     */
    addItem(value: IQuestionnaireResponseItem): this;
}
export {};