import { FieldType } from '@awell-health/extensions-core';
export declare const fields: {
    id: {
        id: string;
        label: string;
        description: string;
        type: FieldType.STRING;
        required: true;
    };
    name: {
        id: string;
        label: string;
        description: string;
        type: FieldType.STRING;
    };
    country: {
        id: string;
        label: string;
        description: string;
        type: FieldType.STRING;
    };
    state: {
        id: string;
        label: string;
        description: string;
        type: FieldType.STRING;
    };
    city: {
        id: string;
        label: string;
        description: string;
        type: FieldType.STRING;
    };
    zip: {
        id: string;
        label: string;
        description: string;
        type: FieldType.STRING;
    };
    line1: {
        id: string;
        label: string;
        description: string;
        type: FieldType.STRING;
        required: true;
    };
    line2: {
        id: string;
        label: string;
        description: string;
        type: FieldType.STRING;
    };
};
