formanitor 0.0.39 → 0.0.41

package/dist/index.cjs

@@ -65,6 +65,326 @@ function fieldMetaRequestsMarMedicationOrdersButton(meta) {
   return meta[MAR_MEDICATION_ORDERS_META_KEY] === true;
 }
 
+// src/core/urologyClinicalPathwayMetadata.ts
+function isUrologyTemplate(template) {
+  if (!template || typeof template !== "object") return false;
+  const t = template;
+  return t.meta?.specialization === "urology" || t.specialization === "urology" || t.id === "uro_prescription";
+}
+function shouldFoldUrologyClinicalPathway(template, payload) {
+  if (isUrologyTemplate(template)) return true;
+  return Object.keys(payload).some(
+    (k) => k.startsWith("uro_") || k === "chief_complaints" || k === "chief_complaints_chips"
+  );
+}
+var UROLOGY_EXTRA_METADATA_KEYS = ["symptoms", "notes", "vitals"];
+function isUroPlainObject(v) {
+  return v !== null && typeof v === "object" && !Array.isArray(v);
+}
+function coerceUrologyBool(value) {
+  if (value === true || value === false) return value;
+  if (value === "true") return true;
+  if (value === "false") return false;
+  if (Array.isArray(value)) {
+    if (value.includes("yes") || value.includes(true)) return true;
+    if (value.length === 0) return false;
+  }
+  return value;
+}
+function urologyIpssItem(v) {
+  const n = Number(v);
+  if (!Number.isFinite(n)) return 0;
+  return Math.min(5, Math.max(0, Math.round(n)));
+}
+function urologyIpssSevenTotalFromParts(ipss) {
+  return ipss.incomplete + ipss.frequency + ipss.intermittency + ipss.urgency + ipss.weakStream + ipss.straining + ipss.nocturia;
+}
+function buildUrologySmartHistoryFromLegacyFlat(flat) {
+  return {
+    socrates_pain_flank_suprapubic: {
+      site: flat.uro_sh_socrates_site,
+      onset: flat.uro_sh_socrates_onset,
+      character: flat.uro_sh_socrates_character,
+      radiation: flat.uro_sh_socrates_radiation,
+      associated: flat.uro_sh_socrates_associated,
+      timing: flat.uro_sh_socrates_timing,
+      exacerbating: flat.uro_sh_socrates_exacerbating,
+      severity_0_to_10: flat.uro_sh_socrates_severity
+    },
+    ipss_international_symptom_score: {
+      incomplete_emptying: flat.uro_sh_ipss_incomplete,
+      frequency_lt_2h: flat.uro_sh_ipss_frequency,
+      intermittency: flat.uro_sh_ipss_intermittency,
+      urgency: flat.uro_sh_ipss_urgency,
+      weak_stream: flat.uro_sh_ipss_weak_stream,
+      straining: flat.uro_sh_ipss_straining,
+      nocturia: flat.uro_sh_ipss_nocturia,
+      qol_0_to_6: flat.uro_sh_ipss_qol,
+      seven_item_total_computed_max_35: flat.uro_sh_ipss_total_display
+    },
+    haematuria_profile: {
+      present: flat.uro_sh_haem_present,
+      timing: flat.uro_sh_haem_timing,
+      painful: flat.uro_sh_haem_painful,
+      clots: flat.uro_sh_haem_clots
+    },
+    sexual_and_reproductive: {
+      erectile_function: flat.uro_sh_sex_erectile,
+      libido: flat.uro_sh_sex_libido,
+      ejaculation: flat.uro_sh_sex_ejaculation,
+      infertility_months: flat.uro_sh_sex_infertility_months
+    },
+    context_prior_stones_surgery_comorbidity: flat.uro_smart_notes_free ?? ""
+  };
+}
+function buildUrologySmartHistoryFromComposite(raw, flat) {
+  const soc = isUroPlainObject(raw.socrates) ? raw.socrates : {};
+  const ipssIn = isUroPlainObject(raw.ipss) ? raw.ipss : {};
+  const haem = isUroPlainObject(raw.haematuria) ? raw.haematuria : {};
+  const sex = isUroPlainObject(raw.sexual) ? raw.sexual : {};
+  const str2 = (x) => typeof x === "string" ? x : "";
+  const sev = Number(soc.severity);
+  const severity0to10 = Number.isFinite(sev) ? Math.min(10, Math.max(0, Math.round(sev))) : 0;
+  const ipss = {
+    incomplete: urologyIpssItem(ipssIn.incomplete),
+    frequency: urologyIpssItem(ipssIn.frequency),
+    intermittency: urologyIpssItem(ipssIn.intermittency),
+    urgency: urologyIpssItem(ipssIn.urgency),
+    weakStream: urologyIpssItem(
+      ipssIn.weakStream ?? ipssIn.weak_stream
+    ),
+    straining: urologyIpssItem(ipssIn.straining),
+    nocturia: urologyIpssItem(ipssIn.nocturia)
+  };
+  const sevenTotal = urologyIpssSevenTotalFromParts(ipss);
+  const qolRaw = Number(raw.ipssQoL);
+  const qol = Number.isFinite(qolRaw) ? Math.min(6, Math.max(0, Math.round(qolRaw))) : 0;
+  const timingRaw = str2(haem.timing);
+  const pastNotes = str2(raw.pastNotes);
+  const legacyNotes = flat.uro_smart_notes_free;
+  const contextPrior = pastNotes !== "" ? pastNotes : typeof legacyNotes === "string" ? legacyNotes : legacyNotes ?? "";
+  const infertilityRaw = Number(sex.infertilityMonths);
+  const infertilityMonths = Number.isFinite(infertilityRaw) ? Math.max(0, Math.round(infertilityRaw)) : 0;
+  return {
+    socrates_pain_flank_suprapubic: {
+      site: str2(soc.site),
+      onset: str2(soc.onset),
+      character: str2(soc.character),
+      radiation: str2(soc.radiation),
+      associated: str2(soc.associated),
+      timing: str2(soc.timing),
+      exacerbating: str2(soc.exacerbating),
+      severity_0_to_10: severity0to10
+    },
+    ipss_international_symptom_score: {
+      incomplete_emptying: ipss.incomplete,
+      frequency_lt_2h: ipss.frequency,
+      intermittency: ipss.intermittency,
+      urgency: ipss.urgency,
+      weak_stream: ipss.weakStream,
+      straining: ipss.straining,
+      nocturia: ipss.nocturia,
+      qol_0_to_6: qol,
+      seven_item_total_computed_max_35: sevenTotal
+    },
+    haematuria_profile: {
+      present: haem.present === true,
+      timing: timingRaw,
+      painful: haem.painful === true,
+      clots: haem.clots === true
+    },
+    sexual_and_reproductive: {
+      erectile_function: str2(sex.erectile),
+      libido: str2(sex.libido),
+      ejaculation: str2(sex.ejaculation),
+      infertility_months: infertilityMonths
+    },
+    context_prior_stones_surgery_comorbidity: contextPrior
+  };
+}
+function buildUrologyExaminationFromLegacyFlat(flat) {
+  return {
+    general: {
+      pallor: flat.uro_ex_general_pallor,
+      oedema: flat.uro_ex_general_oedema,
+      icterus: flat.uro_ex_general_icterus,
+      lymphadenopathy: flat.uro_ex_general_lymph
+    },
+    abdomen: {
+      distension: flat.uro_ex_ab_distension,
+      surgical_scars: flat.uro_ex_ab_scars,
+      visible_mass: flat.uro_ex_ab_mass,
+      kidney_palpable: flat.uro_ex_ab_kidney_palpable,
+      bladder_palpable: flat.uro_ex_ab_bladder_palpable,
+      renal_angle_tender: flat.uro_ex_ab_renal_angle_tender,
+      bladder_dullness_retention: flat.uro_ex_ab_bladder_dull
+    },
+    external_genitalia_scrotum: {
+      meatus_abnormal_hypospadias_query: flat.uro_ex_gu_meatus,
+      phimosis_paraphimosis: flat.uro_ex_gu_phimosis,
+      penile_lesions_ulcers: flat.uro_ex_gu_lesions,
+      scrotal_swelling: flat.uro_ex_gu_scrotal_swelling,
+      transilluminant: flat.uro_ex_gu_transilluminant,
+      tender_testis: flat.uro_ex_gu_tender_testis,
+      hydrocele: flat.uro_ex_gu_hydrocele,
+      varicocele: flat.uro_ex_gu_varicocele,
+      suspicious_mass_urgent: flat.uro_ex_gu_suspicious_mass
+    },
+    dre_prostate: {
+      dre_performed: flat.uro_ex_dre_done,
+      estimated_size_grams: flat.uro_ex_dre_size_g,
+      consistency: flat.uro_ex_dre_consistency,
+      median_sulcus: flat.uro_ex_dre_median_sulcus,
+      tenderness_prostatitis_query: flat.uro_ex_dre_tender
+    },
+    examination_notes_free_text: flat.uro_examination_notes ?? ""
+  };
+}
+function buildUrologyExaminationFromComposite(raw) {
+  const regions = Array.isArray(raw.regions) ? raw.regions.filter((x) => typeof x === "string") : [];
+  const g = isUroPlainObject(raw.general) ? raw.general : {};
+  const ab = isUroPlainObject(raw.abdomen) ? raw.abdomen : {};
+  const gu = isUroPlainObject(raw.gu) ? raw.gu : {};
+  const dr = isUroPlainObject(raw.dre) ? raw.dre : {};
+  const dreConsistency = typeof dr.consistency === "string" ? dr.consistency : "";
+  const dreMedian = typeof dr.medianSulcus === "string" ? dr.medianSulcus : typeof dr.median_sulcus === "string" ? dr.median_sulcus : "";
+  const sizeG = Number(dr.sizeGrams);
+  const sizeGrams = Number.isFinite(sizeG) && sizeG >= 0 ? Math.round(sizeG) : 0;
+  const notesRaw = raw.examinationNotes;
+  const notes = typeof notesRaw === "string" ? notesRaw : "";
+  const bool = (x) => x === true;
+  return {
+    regions_reviewed: regions,
+    general: {
+      pallor: bool(g.pallor),
+      oedema: bool(g.oedema),
+      icterus: bool(g.icterus),
+      lymphadenopathy: bool(g.lymphadenopathy)
+    },
+    abdomen: {
+      distension: bool(ab.distension),
+      surgical_scars: bool(ab.scars),
+      visible_mass: bool(ab.mass),
+      kidney_palpable: bool(ab.kidneyPalpable),
+      bladder_palpable: bool(ab.bladderPalpable),
+      renal_angle_tender: bool(ab.renalAngleTender),
+      bladder_dullness_retention: bool(ab.bladderDull)
+    },
+    external_genitalia_scrotum: {
+      meatus_abnormal_hypospadias_query: bool(gu.meatusAbnormal),
+      phimosis_paraphimosis: bool(gu.phimosis),
+      penile_lesions_ulcers: bool(gu.lesions),
+      scrotal_swelling: bool(gu.scrotalSwelling),
+      transilluminant: bool(gu.transilluminant),
+      tender_testis: bool(gu.tenderTestis),
+      hydrocele: bool(gu.hydrocele),
+      varicocele: bool(gu.varicocele),
+      suspicious_mass_urgent: bool(gu.suspiciousMass)
+    },
+    dre_prostate: {
+      dre_performed: bool(dr.done),
+      estimated_size_grams: sizeGrams,
+      consistency: dreConsistency === "none" ? "" : dreConsistency,
+      median_sulcus: dreMedian === "none" ? "" : dreMedian,
+      tenderness_prostatitis_query: bool(dr.tenderness)
+    },
+    examination_notes_free_text: notes
+  };
+}
+function buildUrologyDecisionEngineAndRisk(flat) {
+  const comp = flat.uro_pathway;
+  if (isUroPlainObject(comp)) {
+    const riskIn = isUroPlainObject(comp.risk) ? comp.risk : {};
+    return {
+      decision_engine: {
+        stone_disease: {
+          stone_size_mm: comp.stoneSizeMm ?? 0,
+          hydronephrosis_on_imaging: coerceUrologyBool(comp.hydronephrosis)
+        },
+        prostate_bph_flow_lab: {
+          prostate_volume_cc: comp.prostateVolumeCc ?? 0,
+          psa_ng_ml: comp.psaNgMl ?? 0,
+          uroflow_qmax_ml_s: comp.uroflowQmaxMlSec ?? 0
+        }
+      },
+      risk_stratification: {
+        ckd: coerceUrologyBool(riskIn.ckd),
+        diabetes: coerceUrologyBool(riskIn.diabetes),
+        anticoagulants: coerceUrologyBool(riskIn.anticoagulants),
+        active_infection: coerceUrologyBool(riskIn.activeInfection)
+      }
+    };
+  }
+  return {
+    decision_engine: {
+      stone_disease: {
+        stone_size_mm: flat.uro_stone_size_mm,
+        hydronephrosis_on_imaging: coerceUrologyBool(flat.uro_stone_hydronephrosis)
+      },
+      prostate_bph_flow_lab: {
+        prostate_volume_cc: flat.uro_prostate_vol_cc,
+        psa_ng_ml: flat.uro_psa_ng_ml,
+        uroflow_qmax_ml_s: flat.uro_flow_qmax
+      }
+    },
+    risk_stratification: {
+      ckd: coerceUrologyBool(flat.uro_risk_ckd),
+      diabetes: coerceUrologyBool(flat.uro_risk_diabetes),
+      anticoagulants: coerceUrologyBool(flat.uro_risk_anticoag),
+      active_infection: coerceUrologyBool(flat.uro_risk_active_infection)
+    }
+  };
+}
+function attachUrologyClinicalPathwayMetadata(payload, template) {
+  if (!shouldFoldUrologyClinicalPathway(template, payload)) return;
+  const extra = UROLOGY_EXTRA_METADATA_KEYS;
+  const keys = Object.keys(payload).filter(
+    (k) => k.startsWith("uro_") || k === "chief_complaints" || k === "chief_complaints_chips" || extra.includes(k)
+  );
+  if (keys.length === 0) return;
+  const flat = {};
+  for (const k of keys) {
+    flat[k] = payload[k];
+    delete payload[k];
+  }
+  const triage = flat.uro_triage;
+  const chiefComplaints = {
+    narrative: flat.chief_complaints ?? "",
+    chips: flat.chief_complaints_chips ?? [],
+    duration: flat.uro_chief_duration ?? "",
+    onset: flat.uro_chief_onset ?? "",
+    progression: flat.uro_chief_progression ?? "",
+    active_syndrome: flat.uro_active_syndrome ?? ""
+  };
+  const compositeSh = flat.uro_smart_history;
+  const compositeEx = flat.uro_examination;
+  const smart_history = isUroPlainObject(compositeSh) ? buildUrologySmartHistoryFromComposite(compositeSh, flat) : buildUrologySmartHistoryFromLegacyFlat(flat);
+  const examination = isUroPlainObject(compositeEx) ? buildUrologyExaminationFromComposite(compositeEx) : buildUrologyExaminationFromLegacyFlat(flat);
+  const { decision_engine, risk_stratification } = buildUrologyDecisionEngineAndRisk(flat);
+  const structured = {
+    triage_vas_and_flags: triage ?? null,
+    chief_complaint_engine: chiefComplaints,
+    smart_history,
+    examination,
+    pathway_triggers_objective_scores: decision_engine,
+    risk_stratification,
+    encounter_narrative: {
+      symptoms: flat.symptoms ?? "",
+      notes: flat.notes ?? "",
+      vitals: flat.vitals ?? ""
+    }
+  };
+  const existingMetadata = payload.metadata ?? {};
+  const existingPathways = existingMetadata.clinical_pathways ?? {};
+  payload.metadata = {
+    ...existingMetadata,
+    clinical_pathways: {
+      ...existingPathways,
+      urology: structured
+    }
+  };
+}
+
 // src/core/validate.ts
 var EMAIL_REGEX = /^[^\s@]+@[^\s@]+\.[^\s@]+$/;
 function validateField(value, field) {
@@ -260,8 +580,21 @@ var defaultGeneralSurgerySmartHistory = () => ({
   gi: { appetite: "", weightLoss: "", bowelHabits: "", checks: [] },
   breast: { lumpDuration: "", nippleDischarge: "", checks: [] },
   ano: { checks: [] },
-  thyroid: { swellingDuration: "", checks: [] },
-  systemic: ""
+  thyroid: { swellingDuration: "", checks: [] }
+});
+var defaultBreastExamSide = () => ({
+  size: "",
+  quadrant: "",
+  tenderness: "",
+  fixity: "",
+  skinInvolvement: "",
+  consistency: "",
+  axillaryNodes: false,
+  nippleAreolarComplex: false
+});
+var defaultBreastExaminationBlock = () => ({
+  left: defaultBreastExamSide(),
+  right: defaultBreastExamSide()
 });
 var defaultGeneralSurgeryExamination = () => ({
   general: [],
@@ -274,7 +607,7 @@ var defaultGeneralSurgeryExamination = () => ({
     bowelSounds: "none"
   },
   hernia: { site: "", reducible: false, coughImpulse: false, tenderness: false },
-  breast: { lumpSizeCm: "", mobile: false, skinInvolvement: false, axillaryNodes: false },
+  breast: defaultBreastExaminationBlock(),
   thyroid: { size: "", mobileDeglutition: false, nodules: false, cervicalNodes: false },
   anorectal: { inspection: "", dreDone: false, proctoscopyDone: false, notes: "" },
   limb: { dilatedVeins: false, ulcer: false, oedema: false }
@@ -370,8 +703,32 @@ function normalizeGeneralSurgerySmartHistory(raw) {
     thyroid: {
       swellingDuration: str2(thy.swellingDuration),
       checks: strArr(thy.checks)
-    },
-    systemic: typeof v.systemic === "string" ? v.systemic : d.systemic
+    }
+  };
+}
+function normalizeBreastExamSide(partial) {
+  const e = defaultBreastExamSide();
+  const str2 = (x) => typeof x === "string" ? x : "";
+  const bool = (x) => x === true;
+  if (!partial || typeof partial !== "object") return e;
+  const p = partial;
+  return {
+    size: str2(p.size),
+    quadrant: str2(p.quadrant),
+    tenderness: str2(p.tenderness),
+    fixity: str2(p.fixity),
+    skinInvolvement: str2(p.skinInvolvement),
+    consistency: str2(p.consistency),
+    axillaryNodes: bool(p.axillaryNodes),
+    nippleAreolarComplex: bool(p.nippleAreolarComplex)
+  };
+}
+function normalizeBreastExaminationBlock(raw) {
+  if (!raw || typeof raw !== "object" || Array.isArray(raw)) return defaultBreastExaminationBlock();
+  const br = raw;
+  return {
+    left: normalizeBreastExamSide(br.left),
+    right: normalizeBreastExamSide(br.right)
   };
 }
 function normalizeGeneralSurgeryExamination(raw) {
@@ -404,12 +761,7 @@ function normalizeGeneralSurgeryExamination(raw) {
       coughImpulse: bool(hb.coughImpulse),
       tenderness: bool(hb.tenderness)
     },
-    breast: {
-      lumpSizeCm: typeof br.lumpSizeCm === "string" ? br.lumpSizeCm : "",
-      mobile: bool(br.mobile),
-      skinInvolvement: bool(br.skinInvolvement),
-      axillaryNodes: bool(br.axillaryNodes)
-    },
+    breast: normalizeBreastExaminationBlock(br),
     thyroid: {
       size: typeof th.size === "string" ? th.size : "",
       mobileDeglutition: bool(th.mobileDeglutition),
@@ -447,6 +799,486 @@ function gsGradingRowVisible(cond, chips, regions, grade) {
   if (t.regions.some((r) => regions.includes(r))) return true;
   return false;
 }
+var SWELLING_OPT_LABELS = {
+  reducible_hernia: "Reducible (hernia)",
+  cough_impulse: "Cough impulse",
+  skin_changes: "Skin changes"
+};
+var GI_OPT_LABELS = {
+  bleeding_pr: "Bleeding PR",
+  vomiting: "Vomiting",
+  haematemesis: "Haematemesis"
+};
+var BREAST_OPT_LABELS = {
+  pain: "Pain",
+  fh_ca_breast: "Family history of Ca breast"
+};
+var ANO_OPT_LABELS = {
+  pain_defecation: "Pain during defecation",
+  bleeding: "Bleeding",
+  constipation: "Constipation",
+  discharge: "Discharge"
+};
+var THYROID_OPT_LABELS = {
+  dysphagia: "Dysphagia",
+  voice_change: "Voice change",
+  thyrotoxicosis: "Thyrotoxicosis symptoms"
+};
+var SOCRATES_LABELS = {
+  site: "Site",
+  onset: "Onset",
+  character: "Character",
+  radiation: "Radiation",
+  associated: "Associated",
+  timing: "Timing",
+  exacerbating: "Exacerbating / relieving"
+};
+var GENERAL_EXAM_LABELS = {
+  pallor: "Pallor",
+  icterus: "Icterus",
+  cyanosis: "Cyanosis",
+  clubbing: "Clubbing",
+  lymphadenopathy: "Lymphadenopathy",
+  oedema: "Oedema"
+};
+var REGION_EXAM_LABELS = {
+  abdomen: "Abdomen",
+  hernia: "Hernia",
+  breast: "Breast",
+  thyroid: "Thyroid",
+  anorectal: "Anorectal",
+  limb: "Limb / varicose"
+};
+var ABD_INSP_LABELS = {
+  distension: "Distension",
+  scars: "Scars",
+  visible_peristalsis: "Visible peristalsis"
+};
+var ABD_PALP_LABELS = {
+  tenderness: "Tenderness",
+  guarding: "Guarding",
+  rigidity: "Rigidity",
+  mass: "Palpable mass"
+};
+var ABD_PERC_LABELS = {
+  tympany: "Tympany",
+  shifting_dullness: "Shifting dullness"
+};
+function trimLine(s) {
+  return s.replace(/\s+/g, " ").trim();
+}
+var SK_ORDER = ["site", "onset", "character", "radiation", "associated", "timing", "exacerbating"];
+function formatGeneralSurgerySmartHistoryToNarrative(v, chips) {
+  const blocks = [];
+  const showPain = chips.includes("pain");
+  const showSwelling = chips.includes("swelling_lump");
+  const showGI = chips.includes("bleeding") || chips.includes("obstruction");
+  const showBreast = chips.includes("breast");
+  const showAno = chips.includes("anorectal");
+  const showThyroid = chips.includes("thyroid");
+  if (showPain) {
+    const painLines = [];
+    for (const key of SK_ORDER) {
+      const raw = v.pain[key];
+      if (typeof raw === "string" && raw.trim()) {
+        painLines.push(`${SOCRATES_LABELS[key]}: ${trimLine(raw)}`);
+      }
+    }
+    if (v.pain.severity > 0) {
+      painLines.push(`Severity (0\u201310): ${v.pain.severity}`);
+    }
+    if (painLines.length > 0) {
+      blocks.push(["SOCRATES \u2014 pain", ...painLines.map((l) => `\u2022 ${l}`)].join("\n"));
+    }
+  }
+  if (showSwelling) {
+    const parts = [];
+    if (v.swelling.duration.trim()) parts.push(`Duration: ${trimLine(v.swelling.duration)}`);
+    if (v.swelling.sizeProgression.trim())
+      parts.push(`Size progression: ${trimLine(v.swelling.sizeProgression)}`);
+    if (v.swelling.painfulPainless.trim())
+      parts.push(`Painful / painless: ${trimLine(v.swelling.painfulPainless)}`);
+    for (const c of v.swelling.checks) {
+      const lb = SWELLING_OPT_LABELS[c] ?? c;
+      parts.push(lb);
+    }
+    if (parts.length > 0) {
+      blocks.push(["Swelling history", ...parts.map((p) => `\u2022 ${p}`)].join("\n"));
+    }
+  }
+  if (showGI) {
+    const parts = [];
+    if (v.gi.appetite.trim()) parts.push(`Appetite: ${trimLine(v.gi.appetite)}`);
+    if (v.gi.weightLoss.trim()) parts.push(`Weight loss: ${trimLine(v.gi.weightLoss)}`);
+    if (v.gi.bowelHabits.trim()) parts.push(`Bowel habits: ${trimLine(v.gi.bowelHabits)}`);
+    for (const c of v.gi.checks) {
+      parts.push(GI_OPT_LABELS[c] ?? c);
+    }
+    if (parts.length > 0) {
+      blocks.push(["GI history", ...parts.map((p) => `\u2022 ${p}`)].join("\n"));
+    }
+  }
+  if (showBreast) {
+    const parts = [];
+    if (v.breast.lumpDuration.trim()) parts.push(`Lump duration: ${trimLine(v.breast.lumpDuration)}`);
+    if (v.breast.nippleDischarge.trim())
+      parts.push(`Nipple discharge: ${trimLine(v.breast.nippleDischarge)}`);
+    for (const c of v.breast.checks) {
+      parts.push(BREAST_OPT_LABELS[c] ?? c);
+    }
+    if (parts.length > 0) {
+      blocks.push(["Breast history", ...parts.map((p) => `\u2022 ${p}`)].join("\n"));
+    }
+  }
+  if (showAno) {
+    const parts = [];
+    for (const c of v.ano.checks) {
+      parts.push(ANO_OPT_LABELS[c] ?? c);
+    }
+    if (parts.length > 0) {
+      blocks.push(["Anorectal history", ...parts.map((p) => `\u2022 ${p}`)].join("\n"));
+    }
+  }
+  if (showThyroid) {
+    const parts = [];
+    if (v.thyroid.swellingDuration.trim())
+      parts.push(`Swelling duration: ${trimLine(v.thyroid.swellingDuration)}`);
+    for (const c of v.thyroid.checks) {
+      parts.push(THYROID_OPT_LABELS[c] ?? c);
+    }
+    if (parts.length > 0) {
+      blocks.push(["Thyroid history", ...parts.map((p) => `\u2022 ${p}`)].join("\n"));
+    }
+  }
+  return blocks.join("\n\n");
+}
+var BOWEL_SOUND_LABELS = {
+  none: "\u2014",
+  normal: "Normal",
+  up: "Increased (\u2191)",
+  down: "Decreased (\u2193)",
+  absent: "Absent"
+};
+function formatGeneralSurgeryExaminationToNarrative(v) {
+  const blocks = [];
+  const generalPositive = v.general.map((k) => GENERAL_EXAM_LABELS[k] ?? k).filter(Boolean);
+  if (generalPositive.length > 0) {
+    blocks.push(
+      ["General examination", ...generalPositive.map((g) => `\u2022 ${g}`)].join("\n")
+    );
+  }
+  if (v.regions.length > 0) {
+    const names = v.regions.map((r) => REGION_EXAM_LABELS[r] ?? r);
+    blocks.push(`Regional examination: ${names.join(", ")}`);
+  }
+  if (v.regions.includes("abdomen")) {
+    const sub = [];
+    const ins = v.abdomen.inspection.map((x) => ABD_INSP_LABELS[x] ?? x);
+    const pal = v.abdomen.palpation.map((x) => ABD_PALP_LABELS[x] ?? x);
+    const per = v.abdomen.percussion.map((x) => ABD_PERC_LABELS[x] ?? x);
+    if (ins.length) sub.push(`Inspection: ${ins.join(", ")}`);
+    if (pal.length) sub.push(`Palpation: ${pal.join(", ")}`);
+    if (v.abdomen.massNotes.trim()) sub.push(`Mass / mobility: ${trimLine(v.abdomen.massNotes)}`);
+    if (per.length) sub.push(`Percussion: ${per.join(", ")}`);
+    const bs = BOWEL_SOUND_LABELS[v.abdomen.bowelSounds];
+    if (v.abdomen.bowelSounds !== "none") {
+      sub.push(`Bowel sounds: ${bs}`);
+    }
+    if (sub.length > 0) {
+      blocks.push(["Abdomen", ...sub.map((s) => `\u2022 ${s}`)].join("\n"));
+    }
+  }
+  if (v.regions.includes("hernia")) {
+    const sub = [];
+    if (v.hernia.site.trim()) sub.push(`Site: ${trimLine(v.hernia.site)}`);
+    if (v.hernia.reducible) sub.push("Reducible");
+    if (v.hernia.coughImpulse) sub.push("Cough impulse positive");
+    if (v.hernia.tenderness) sub.push("Tenderness");
+    if (sub.length > 0) {
+      blocks.push(["Hernia", ...sub.map((s) => `\u2022 ${s}`)].join("\n"));
+    }
+  }
+  if (v.regions.includes("breast")) {
+    const sub = [];
+    const appendSide = (label, s) => {
+      const lines = [];
+      if (s.size.trim()) lines.push(`Size: ${trimLine(s.size)}`);
+      if (s.quadrant.trim()) lines.push(`Quadrant: ${trimLine(s.quadrant)}`);
+      if (s.tenderness.trim()) lines.push(`Tenderness: ${trimLine(s.tenderness)}`);
+      if (s.fixity.trim()) lines.push(`Fixity: ${trimLine(s.fixity)}`);
+      if (s.skinInvolvement.trim()) lines.push(`Skin involvement: ${trimLine(s.skinInvolvement)}`);
+      if (s.consistency.trim()) lines.push(`Consistency: ${trimLine(s.consistency)}`);
+      if (s.axillaryNodes) lines.push("Axillary nodes");
+      if (s.nippleAreolarComplex) lines.push("Nipple-areolar complex");
+      if (lines.length > 0) {
+        sub.push(`${label}: ${lines.join("; ")}`);
+      }
+    };
+    appendSide("Left breast", v.breast.left);
+    appendSide("Right breast", v.breast.right);
+    if (sub.length > 0) {
+      blocks.push(["Breast", ...sub.map((s) => `\u2022 ${s}`)].join("\n"));
+    }
+  }
+  if (v.regions.includes("thyroid")) {
+    const sub = [];
+    if (v.thyroid.size.trim()) sub.push(`Size: ${trimLine(v.thyroid.size)}`);
+    if (v.thyroid.mobileDeglutition) sub.push("Mobile with deglutition");
+    if (v.thyroid.nodules) sub.push("Nodules");
+    if (v.thyroid.cervicalNodes) sub.push("Cervical lymph nodes");
+    if (sub.length > 0) {
+      blocks.push(["Thyroid", ...sub.map((s) => `\u2022 ${s}`)].join("\n"));
+    }
+  }
+  if (v.regions.includes("anorectal")) {
+    const sub = [];
+    if (v.anorectal.inspection.trim())
+      sub.push(`Inspection: ${trimLine(v.anorectal.inspection)}`);
+    if (v.anorectal.dreDone) sub.push("DRE done");
+    if (v.anorectal.proctoscopyDone) sub.push("Proctoscopy done");
+    if (v.anorectal.notes.trim()) sub.push(`DRE / proctoscopy notes: ${trimLine(v.anorectal.notes)}`);
+    if (sub.length > 0) {
+      blocks.push(["Anorectal", ...sub.map((s) => `\u2022 ${s}`)].join("\n"));
+    }
+  }
+  if (v.regions.includes("limb")) {
+    const sub = [];
+    if (v.limb.dilatedVeins) sub.push("Dilated veins");
+    if (v.limb.ulcer) sub.push("Ulcer");
+    if (v.limb.oedema) sub.push("Oedema");
+    if (sub.length > 0) {
+      blocks.push(["Limb / varicose", ...sub.map((s) => `\u2022 ${s}`)].join("\n"));
+    }
+  }
+  return blocks.join("\n\n");
+}
+
+// src/core/urologyPathway.ts
+var defaultUrologySmartHistory = () => ({
+  socrates: {
+    site: "",
+    onset: "",
+    character: "",
+    radiation: "",
+    associated: "",
+    timing: "",
+    exacerbating: "",
+    severity: 0
+  },
+  ipss: {
+    incomplete: 0,
+    frequency: 0,
+    intermittency: 0,
+    urgency: 0,
+    weakStream: 0,
+    straining: 0,
+    nocturia: 0
+  },
+  ipssQoL: 0,
+  haematuria: { present: false, timing: "", painful: false, clots: false },
+  sexual: { erectile: "", libido: "", ejaculation: "", infertilityMonths: 0 },
+  pastNotes: ""
+});
+var defaultUrologyExamination = () => ({
+  regions: [],
+  general: { pallor: false, oedema: false, icterus: false, lymphadenopathy: false },
+  abdomen: {
+    distension: false,
+    scars: false,
+    mass: false,
+    kidneyPalpable: false,
+    bladderPalpable: false,
+    renalAngleTender: false,
+    bladderDull: false
+  },
+  gu: {
+    meatusAbnormal: false,
+    phimosis: false,
+    lesions: false,
+    scrotalSwelling: false,
+    transilluminant: false,
+    tenderTestis: false,
+    hydrocele: false,
+    varicocele: false,
+    suspiciousMass: false
+  },
+  dre: { done: false, sizeGrams: 0, consistency: "", medianSulcus: "", tenderness: false },
+  examinationNotes: ""
+});
+function clampInt(n, lo, hi) {
+  if (!Number.isFinite(n)) return lo;
+  return Math.min(hi, Math.max(lo, Math.round(n)));
+}
+var SOCRATES_KEYS = [
+  "site",
+  "onset",
+  "character",
+  "radiation",
+  "associated",
+  "timing",
+  "exacerbating"
+];
+function urologyIpssSevenTotal(ipss) {
+  return ipss.incomplete + ipss.frequency + ipss.intermittency + ipss.urgency + ipss.weakStream + ipss.straining + ipss.nocturia;
+}
+function urologyIpssBand(total) {
+  if (total <= 7) return "Mild";
+  if (total <= 19) return "Moderate";
+  return "Severe";
+}
+function normalizeUrologySmartHistory(raw) {
+  const d = defaultUrologySmartHistory();
+  if (!raw || typeof raw !== "object" || Array.isArray(raw)) return d;
+  const v = raw;
+  const socIn = v.socrates && typeof v.socrates === "object" ? v.socrates : {};
+  const socrates = { ...d.socrates };
+  for (const k of SOCRATES_KEYS) {
+    const x = socIn[k];
+    socrates[k] = typeof x === "string" ? x : "";
+  }
+  const sev = Number(socIn.severity);
+  socrates.severity = clampInt(Number.isFinite(sev) ? sev : d.socrates.severity, 0, 10);
+  const ipIn = v.ipss && typeof v.ipss === "object" ? v.ipss : {};
+  const ipss = { ...d.ipss };
+  for (const k of [
+    "incomplete",
+    "frequency",
+    "intermittency",
+    "urgency",
+    "weakStream",
+    "straining",
+    "nocturia"
+  ]) {
+    const n = Number(ipIn[k]);
+    ipss[k] = clampInt(Number.isFinite(n) ? n : 0, 0, 5);
+  }
+  const qol = Number(v.ipssQoL);
+  const ipssQoL = clampInt(Number.isFinite(qol) ? qol : d.ipssQoL, 0, 6);
+  const haIn = v.haematuria && typeof v.haematuria === "object" ? v.haematuria : {};
+  const timingRaw = haIn.timing;
+  const haematuria = {
+    present: haIn.present === true,
+    timing: typeof timingRaw === "string" && timingRaw !== "none" && timingRaw.length > 0 ? timingRaw : "",
+    painful: haIn.painful === true,
+    clots: haIn.clots === true
+  };
+  const sxIn = v.sexual && typeof v.sexual === "object" ? v.sexual : {};
+  const str2 = (x) => typeof x === "string" && x.length > 0 && x !== "none" ? x : "";
+  const inf = Number(sxIn.infertilityMonths);
+  const sexual = {
+    erectile: str2(sxIn.erectile),
+    libido: str2(sxIn.libido),
+    ejaculation: str2(sxIn.ejaculation),
+    infertilityMonths: Number.isFinite(inf) && inf >= 0 ? Math.round(inf) : 0
+  };
+  const pastNotes = typeof v.pastNotes === "string" ? v.pastNotes : d.pastNotes;
+  return { socrates, ipss, ipssQoL, haematuria, sexual, pastNotes };
+}
+function normalizeUrologyExamination(raw) {
+  const d = defaultUrologyExamination();
+  if (!raw || typeof raw !== "object" || Array.isArray(raw)) return d;
+  const v = raw;
+  const strArr = (x) => Array.isArray(x) ? x.filter((i) => typeof i === "string") : [];
+  const bool = (x) => x === true;
+  const g = v.general && typeof v.general === "object" ? v.general : {};
+  const ab = v.abdomen && typeof v.abdomen === "object" ? v.abdomen : {};
+  const gu = v.gu && typeof v.gu === "object" ? v.gu : {};
+  const dr = v.dre && typeof v.dre === "object" ? v.dre : {};
+  const sg = Number(dr.sizeGrams);
+  const consistencyRaw = dr.consistency;
+  const medianRaw = dr.medianSulcus;
+  const dreEmpty = (x) => !(typeof x === "string" && x.length > 0 && x !== "none");
+  return {
+    regions: strArr(v.regions),
+    general: {
+      pallor: bool(g.pallor),
+      oedema: bool(g.oedema),
+      icterus: bool(g.icterus),
+      lymphadenopathy: bool(g.lymphadenopathy)
+    },
+    abdomen: {
+      distension: bool(ab.distension),
+      scars: bool(ab.scars),
+      mass: bool(ab.mass),
+      kidneyPalpable: bool(ab.kidneyPalpable),
+      bladderPalpable: bool(ab.bladderPalpable),
+      renalAngleTender: bool(ab.renalAngleTender),
+      bladderDull: bool(ab.bladderDull)
+    },
+    gu: {
+      meatusAbnormal: bool(gu.meatusAbnormal),
+      phimosis: bool(gu.phimosis),
+      lesions: bool(gu.lesions),
+      scrotalSwelling: bool(gu.scrotalSwelling),
+      transilluminant: bool(gu.transilluminant),
+      tenderTestis: bool(gu.tenderTestis),
+      hydrocele: bool(gu.hydrocele),
+      varicocele: bool(gu.varicocele),
+      suspiciousMass: bool(gu.suspiciousMass)
+    },
+    dre: {
+      done: bool(dr.done),
+      sizeGrams: Number.isFinite(sg) && sg >= 0 ? Math.round(sg) : 0,
+      consistency: dreEmpty(consistencyRaw) ? "" : String(consistencyRaw),
+      medianSulcus: dreEmpty(medianRaw) ? "" : String(medianRaw),
+      tenderness: bool(dr.tenderness)
+    },
+    examinationNotes: typeof v.examinationNotes === "string" ? v.examinationNotes : d.examinationNotes
+  };
+}
+var defaultUrologyPathway = () => ({
+  stoneSizeMm: 0,
+  hydronephrosis: false,
+  prostateVolumeCc: 0,
+  psaNgMl: 0,
+  uroflowQmaxMlSec: 0,
+  risk: {
+    ckd: false,
+    diabetes: false,
+    anticoagulants: false,
+    activeInfection: false
+  }
+});
+function clampNonNegativeNumber(x, fallback) {
+  const n = Number(x);
+  if (!Number.isFinite(n) || n < 0) return fallback;
+  return n;
+}
+function normalizeUrologyPathway(raw) {
+  const d = defaultUrologyPathway();
+  if (!raw || typeof raw !== "object" || Array.isArray(raw)) return d;
+  const v = raw;
+  const rIn = v.risk && typeof v.risk === "object" && !Array.isArray(v.risk) ? v.risk : {};
+  return {
+    stoneSizeMm: clampNonNegativeNumber(v.stoneSizeMm, d.stoneSizeMm),
+    hydronephrosis: v.hydronephrosis === true,
+    prostateVolumeCc: clampNonNegativeNumber(v.prostateVolumeCc, d.prostateVolumeCc),
+    psaNgMl: clampNonNegativeNumber(v.psaNgMl, d.psaNgMl),
+    uroflowQmaxMlSec: clampNonNegativeNumber(v.uroflowQmaxMlSec, d.uroflowQmaxMlSec),
+    risk: {
+      ckd: rIn.ckd === true,
+      diabetes: rIn.diabetes === true,
+      anticoagulants: rIn.anticoagulants === true,
+      activeInfection: rIn.activeInfection === true
+    }
+  };
+}
+function urologyStoneRecommendation(sizeMm, hydronephrosis) {
+  if (sizeMm <= 0) return { plan: "Enter stone size to auto-trigger plan.", surgical: false };
+  if (sizeMm < 5) return { plan: "Conservative + MET (\u03B1-blocker), hydration", surgical: false };
+  if (sizeMm <= 10)
+    return {
+      plan: hydronephrosis ? "URS / SWL \u2014 obstruction present" : "Medical expulsive therapy / URS",
+      surgical: hydronephrosis
+    };
+  return { plan: "URS / PCNL \u2014 surgical clearance indicated", surgical: true };
+}
+function urologyProstateProcedure(volumeCc) {
+  if (volumeCc <= 0) return "Enter prostate volume.";
+  if (volumeCc < 30) return "Medical (\u03B1-blocker \xB1 5-ARI)";
+  if (volumeCc <= 80) return "TURP";
+  return "HoLEP / Open simple prostatectomy";
+}
 
 // src/core/painScaleFlags.ts
 function normalizePainScaleFlags(raw, bounds) {
@@ -566,6 +1398,12 @@ var FormStore = class {
             f.defaultValue ?? { pain: f.min ?? 0, flags: [] },
             { min: f.min, max: f.max }
           );
+        } else if (field.type === "urology_smart_history") {
+          values[field.id] = field.defaultValue ?? defaultUrologySmartHistory();
+        } else if (field.type === "urology_examination") {
+          values[field.id] = field.defaultValue ?? defaultUrologyExamination();
+        } else if (field.type === "urology_pathway") {
+          values[field.id] = field.defaultValue ?? defaultUrologyPathway();
         } else values[field.id] = null;
       }
     });
@@ -775,6 +1613,7 @@ var FormStore = class {
         }
       }
     });
+    attachUrologyClinicalPathwayMetadata(result, this.schema);
     return result;
   }
   // --- Core Logic ---
@@ -5747,7 +6586,7 @@ function safeJsonParse(val) {
     return null;
   }
 }
-function clampInt(val, min, max) {
+function clampInt2(val, min, max) {
   if (!Number.isFinite(val)) return min;
   return Math.max(min, Math.min(max, Math.trunc(val)));
 }
@@ -5757,10 +6596,10 @@ function parseLegacyString(input) {
   if (gpalMatch) {
     const [, g, p, a, l] = gpalMatch;
     result.gpal = {
-      G: clampInt(Number(g), 0, 20),
-      P: clampInt(Number(p), 0, 20),
-      A: clampInt(Number(a), 0, 20),
-      L: clampInt(Number(l), 0, 20)
+      G: clampInt2(Number(g), 0, 20),
+      P: clampInt2(Number(p), 0, 20),
+      A: clampInt2(Number(a), 0, 20),
+      L: clampInt2(Number(l), 0, 20)
     };
   }
   const lmpMatch = input.match(/LMP:\s*([^\n]+)/i);
@@ -5793,10 +6632,10 @@ function normalizeToDraft(value) {
       isNewEntry: false,
       draft: {
         gpal: {
-          G: clampInt(Number(gpal.G ?? 0), 0, 20),
-          P: clampInt(Number(gpal.P ?? 0), 0, 20),
-          A: clampInt(Number(gpal.A ?? 0), 0, 20),
-          L: clampInt(Number(gpal.L ?? 0), 0, 20)
+          G: clampInt2(Number(gpal.G ?? 0), 0, 20),
+          P: clampInt2(Number(gpal.P ?? 0), 0, 20),
+          A: clampInt2(Number(gpal.A ?? 0), 0, 20),
+          L: clampInt2(Number(gpal.L ?? 0), 0, 20)
         },
         lmp: typeof lmp === "string" ? lmp : "",
         is_pregnant,
@@ -5814,10 +6653,10 @@ function normalizeToDraft(value) {
   }
   if (parsed && typeof parsed === "object" && !Array.isArray(parsed)) {
     const gpalFromFlat = {
-      G: clampInt(Number(parsed.G ?? parsed.g ?? 0), 0, 20),
-      P: clampInt(Number(parsed.P ?? parsed.p ?? 0), 0, 20),
-      A: clampInt(Number(parsed.A ?? parsed.a ?? 0), 0, 20),
-      L: clampInt(Number(parsed.L ?? parsed.l ?? 0), 0, 20)
+      G: clampInt2(Number(parsed.G ?? parsed.g ?? 0), 0, 20),
+      P: clampInt2(Number(parsed.P ?? parsed.p ?? 0), 0, 20),
+      A: clampInt2(Number(parsed.A ?? parsed.a ?? 0), 0, 20),
+      L: clampInt2(Number(parsed.L ?? parsed.l ?? 0), 0, 20)
     };
     return {
       isNewEntry: false,
@@ -5969,7 +6808,7 @@ var ObstetricHistoryWidget = ({ fieldId }) => {
   const sanitizeGpalInput = (raw) => {
     const digits = raw.replace(/[^\d]/g, "").slice(0, 2);
     if (!digits) return 0;
-    return clampInt(Number(digits), 0, 20);
+    return clampInt2(Number(digits), 0, 20);
   };
   const handleGpalChange = (key, raw) => {
     const prevWasEmpty = draft.gpal[key] === 0 && activeGpalKey === key;
@@ -6669,7 +7508,11 @@ var OphthalmologyWidget = ({ fieldId }) => {
           ] })
         ] }),
         /* @__PURE__ */ jsxRuntime.jsx("tbody", { children: /* @__PURE__ */ jsxRuntime.jsxs("tr", { children: [
-          /* @__PURE__ */ jsxRuntime.jsx("td", { className: refractionLabelCellClass, children: "Current Glass" }),
+          /* @__PURE__ */ jsxRuntime.jsx("td", { className: `${refractionLabelCellClass} whitespace-normal`, children: /* @__PURE__ */ jsxRuntime.jsxs("span", { className: "block leading-tight", children: [
+            "Current",
+            /* @__PURE__ */ jsxRuntime.jsx("br", {}),
+            "Glass"
+          ] }) }),
           /* @__PURE__ */ jsxRuntime.jsx("td", { className: refractionDataCellClass, children: /* @__PURE__ */ jsxRuntime.jsx(
             Input,
             {
@@ -6924,12 +7767,12 @@ var OphthalmologyWidget = ({ fieldId }) => {
             /* @__PURE__ */ jsxRuntime.jsx("th", { className: refractionHeaderCellClass, children: "Sph" }),
             /* @__PURE__ */ jsxRuntime.jsx("th", { className: refractionHeaderCellClass, children: "Cyl" }),
             /* @__PURE__ */ jsxRuntime.jsx("th", { className: refractionHeaderCellClass, children: "Axis" }),
-            /* @__PURE__ */ jsxRuntime.jsx("th", { className: refractionHeaderCellClass, children: "V/A" }),
+            /* @__PURE__ */ jsxRuntime.jsx("th", { className: refractionHeaderCellClass, children: "BCVA" }),
             /* @__PURE__ */ jsxRuntime.jsx("th", { className: refractionHeaderCellClass, children: "P/D" }),
             /* @__PURE__ */ jsxRuntime.jsx("th", { className: refractionHeaderCellClass, children: "Sph" }),
             /* @__PURE__ */ jsxRuntime.jsx("th", { className: refractionHeaderCellClass, children: "Cyl" }),
             /* @__PURE__ */ jsxRuntime.jsx("th", { className: refractionHeaderCellClass, children: "Axis" }),
-            /* @__PURE__ */ jsxRuntime.jsx("th", { className: refractionHeaderCellClass, children: "V/A" }),
+            /* @__PURE__ */ jsxRuntime.jsx("th", { className: refractionHeaderCellClass, children: "BCVA" }),
             /* @__PURE__ */ jsxRuntime.jsx("th", { className: refractionHeaderCellClass, children: "P/D" })
           ] })
         ] }),
@@ -9267,6 +10110,7 @@ var SliderWidget = ({ fieldId }) => {
   ] });
 };
 var CHIEF_CHIPS_FIELD = "chief_complaints_chips";
+var GS_SYMPTOMS_FIELD = "symptoms";
 var SWELLING_OPTS = [
   { value: "reducible_hernia", label: "Reducible (hernia)" },
   { value: "cough_impulse", label: "Cough impulse" },
@@ -9292,7 +10136,7 @@ var THYROID_OPTS = [
   { value: "voice_change", label: "Voice change" },
   { value: "thyrotoxicosis", label: "Thyrotoxicosis symptoms" }
 ];
-var SOCRATES_KEYS = [
+var SOCRATES_KEYS2 = [
   "site",
   "onset",
   "character",
@@ -9307,16 +10151,26 @@ function Panel({ title, children }) {
     /* @__PURE__ */ jsxRuntime.jsx("div", { className: "p-3", children })
   ] });
 }
-function chipList(state) {
-  const raw = state.values[CHIEF_CHIPS_FIELD];
+function chipListFromRaw(raw) {
   return Array.isArray(raw) ? raw.filter((x) => typeof x === "string") : [];
 }
 var GsSmartHistoryWidget = ({ fieldId }) => {
   const { fieldDef, value, setValue, setTouched, error, touched, disabled } = useField(fieldId);
+  const hopcField = useField(GS_SYMPTOMS_FIELD);
   const { state } = useForm();
   const showError = !!error && (touched || state.submitAttempted);
   const safe = React15.useMemo(() => normalizeGeneralSurgerySmartHistory(value), [value]);
-  const chips = React15.useMemo(() => chipList(state), [state]);
+  const chiefChipsRaw = state.values[CHIEF_CHIPS_FIELD];
+  const chips = React15.useMemo(() => chipListFromRaw(chiefChipsRaw), [chiefChipsRaw]);
+  const [hopcNarrativeLocked, setHopcNarrativeLocked] = React15.useState(false);
+  React15.useEffect(() => {
+    if (hopcNarrativeLocked) return;
+    const next = formatGeneralSurgerySmartHistoryToNarrative(
+      normalizeGeneralSurgerySmartHistory(value),
+      chips
+    );
+    hopcField.setValue(next);
+  }, [value, chips, hopcNarrativeLocked]);
   const showPain = chips.includes("pain");
   const showSwelling = chips.includes("swelling_lump");
   const showGI = chips.includes("bleeding") || chips.includes("obstruction");
@@ -9376,7 +10230,7 @@ var GsSmartHistoryWidget = ({ fieldId }) => {
     labelEl,
     /* @__PURE__ */ jsxRuntime.jsxs("div", { className: bodyClass, children: [
       showPain ? /* @__PURE__ */ jsxRuntime.jsx(Panel, { title: "SOCRATES \u2014 pain", children: /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "grid grid-cols-2 gap-2 md:grid-cols-4", children: [
-        SOCRATES_KEYS.map((k) => /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "space-y-1", children: [
+        SOCRATES_KEYS2.map((k) => /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "space-y-1", children: [
           /* @__PURE__ */ jsxRuntime.jsx("span", { className: "text-[10px] font-medium uppercase tracking-wide text-muted-foreground", children: k }),
           /* @__PURE__ */ jsxRuntime.jsx(
             Input,
@@ -9582,15 +10436,51 @@ var GsSmartHistoryWidget = ({ fieldId }) => {
         ] }, o.value)) })
       ] }) : null,
       /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "space-y-1", children: [
-        /* @__PURE__ */ jsxRuntime.jsx(Label, { className: "text-xs font-medium text-slate-700", children: "Systemic surgical screening" }),
+        /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "flex flex-wrap items-center justify-between gap-2", children: [
+          /* @__PURE__ */ jsxRuntime.jsx(Label, { className: "text-xs font-semibold text-slate-700", children: hopcField.fieldDef?.label ?? "History of presenting complaint" }),
+          /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "flex items-center gap-2", children: [
+            hopcNarrativeLocked ? /* @__PURE__ */ jsxRuntime.jsxs("span", { className: "rounded bg-amber-50 px-1.5 py-0.5 text-[10px] font-medium text-amber-900 ring-1 ring-amber-200/80", children: [
+              "You edited this summary. Use",
+              " ",
+              /* @__PURE__ */ jsxRuntime.jsx("span", { className: "italic", children: "'Regenerate'" }),
+              " ",
+              "to update it from the form."
+            ] }) : null,
+            hopcNarrativeLocked ? /* @__PURE__ */ jsxRuntime.jsx(
+              Button,
+              {
+                type: "button",
+                variant: "outline",
+                size: "sm",
+                className: "h-7 shrink-0 px-2 text-xs",
+                disabled: disabled || hopcField.disabled,
+                onClick: () => {
+                  setHopcNarrativeLocked(false);
+                  hopcField.setValue(
+                    formatGeneralSurgerySmartHistoryToNarrative(
+                      normalizeGeneralSurgerySmartHistory(value),
+                      chips
+                    )
+                  );
+                },
+                children: "Regenerate"
+              }
+            ) : null
+          ] })
+        ] }),
+        hopcNarrativeLocked ? /* @__PURE__ */ jsxRuntime.jsx("p", { className: "text-[10px] text-muted-foreground", children: "Edit this box anytime. Use Regenerate to replace with fresh text from the structured fields." }) : null,
         /* @__PURE__ */ jsxRuntime.jsx(
           Textarea,
           {
-            className: "min-h-[72px] rounded-md border border-input bg-white text-sm",
-            placeholder: "Fever, weight loss, appetite loss, fatigue, malignancy red flags\u2026",
-            value: safe.systemic,
-            onChange: (e) => update({ ...safe, systemic: e.target.value }),
-            disabled
+            className: "min-h-[88px] rounded-md border border-input bg-white text-sm",
+            placeholder: "Onset, progression, associated symptoms, relevant negatives\u2026",
+            value: typeof hopcField.value === "string" ? hopcField.value : hopcField.value == null ? "" : String(hopcField.value),
+            onChange: (e) => {
+              setHopcNarrativeLocked(true);
+              hopcField.setValue(e.target.value);
+              hopcField.setTouched();
+            },
+            disabled: disabled || hopcField.disabled
           }
         )
       ] })
@@ -9642,12 +10532,72 @@ function RegionCard({ title, children }) {
     /* @__PURE__ */ jsxRuntime.jsx("div", { className: "p-3", children })
   ] });
 }
+var BREAST_TEXT_KEYS = [
+  { key: "size", label: "Size" },
+  { key: "quadrant", label: "Quadrant" },
+  { key: "tenderness", label: "Tenderness" },
+  { key: "fixity", label: "Fixity" },
+  { key: "skinInvolvement", label: "Skin involvement" },
+  { key: "consistency", label: "Consistency" }
+];
+function BreastLumpColumn({
+  title,
+  data,
+  onChange,
+  disabled
+}) {
+  return /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "space-y-2 rounded-md border border-[#D0D0D0] bg-slate-50/50 p-3", children: [
+    /* @__PURE__ */ jsxRuntime.jsx("p", { className: "text-[11px] font-semibold uppercase tracking-wide text-muted-foreground", children: title }),
+    /* @__PURE__ */ jsxRuntime.jsx("div", { className: "grid grid-cols-1 gap-2 sm:grid-cols-2", children: BREAST_TEXT_KEYS.map(({ key, label }) => /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "block", children: [
+      /* @__PURE__ */ jsxRuntime.jsx("span", { className: "mb-1 block font-medium", children: label }),
+      /* @__PURE__ */ jsxRuntime.jsx(
+        Input,
+        {
+          className: "h-8 text-xs",
+          value: data[key],
+          onChange: (e) => onChange({ [key]: e.target.value }),
+          disabled
+        }
+      )
+    ] }, key)) }),
+    /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "flex flex-wrap gap-x-4 gap-y-2 pt-1", children: [
+      /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "flex items-center gap-2", children: [
+        /* @__PURE__ */ jsxRuntime.jsx(
+          Checkbox,
+          {
+            checked: data.axillaryNodes,
+            onCheckedChange: (c) => onChange({ axillaryNodes: c === true }),
+            disabled
+          }
+        ),
+        "Axillary nodes"
+      ] }),
+      /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "flex items-center gap-2", children: [
+        /* @__PURE__ */ jsxRuntime.jsx(
+          Checkbox,
+          {
+            checked: data.nippleAreolarComplex,
+            onCheckedChange: (c) => onChange({ nippleAreolarComplex: c === true }),
+            disabled
+          }
+        ),
+        "Nipple-areolar complex"
+      ] })
+    ] })
+  ] });
+}
 var GsExaminationWidget = ({ fieldId }) => {
   const { fieldDef, value, setValue, setTouched, error, touched, disabled } = useField(fieldId);
   const clinicalField = useField(GS_CLINICAL_EXAMINATION_FIELD);
   const { state } = useForm();
   const showError = !!error && (touched || state.submitAttempted);
   const safe = React15.useMemo(() => normalizeGeneralSurgeryExamination(value), [value]);
+  const [clinicalNarrativeLocked, setClinicalNarrativeLocked] = React15.useState(false);
+  React15.useEffect(() => {
+    if (clinicalNarrativeLocked) return;
+    const next = formatGeneralSurgeryExaminationToNarrative(normalizeGeneralSurgeryExamination(value));
+    clinicalField.setValue(next);
+  }, [value, clinicalNarrativeLocked]);
   const update = (next) => {
     setValue(next);
     setTouched();
@@ -9839,56 +10789,35 @@ var GsExaminationWidget = ({ fieldId }) => {
             "Tenderness"
           ] })
         ] }) }) : null,
-        has("breast") ? /* @__PURE__ */ jsxRuntime.jsx(RegionCard, { title: "Breast exam", children: /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "grid grid-cols-1 gap-3 text-xs md:grid-cols-4", children: [
+        has("breast") ? /* @__PURE__ */ jsxRuntime.jsx(RegionCard, { title: "Breast exam", children: /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "grid grid-cols-1 gap-4 text-xs md:grid-cols-2", children: [
+          /* @__PURE__ */ jsxRuntime.jsx(
+            BreastLumpColumn,
+            {
+              title: "Left breast",
+              data: safe.breast.left,
+              onChange: (p) => update({
+                ...safe,
+                breast: { ...safe.breast, left: { ...safe.breast.left, ...p } }
+              }),
+              disabled
+            }
+          ),
+          /* @__PURE__ */ jsxRuntime.jsx(
+            BreastLumpColumn,
+            {
+              title: "Right breast",
+              data: safe.breast.right,
+              onChange: (p) => update({
+                ...safe,
+                breast: { ...safe.breast, right: { ...safe.breast.right, ...p } }
+              }),
+              disabled
+            }
+          )
+        ] }) }) : null,
+        has("thyroid") ? /* @__PURE__ */ jsxRuntime.jsx(RegionCard, { title: "Thyroid exam", children: /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "grid grid-cols-1 gap-3 text-xs md:grid-cols-4", children: [
           /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "block", children: [
-            /* @__PURE__ */ jsxRuntime.jsx("span", { className: "mb-1 block font-medium", children: "Lump size (cm)" }),
-            /* @__PURE__ */ jsxRuntime.jsx(
-              Input,
-              {
-                className: "h-8 text-xs",
-                value: safe.breast.lumpSizeCm,
-                onChange: (e) => update({ ...safe, breast: { ...safe.breast, lumpSizeCm: e.target.value } }),
-                disabled
-              }
-            )
-          ] }),
-          /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "flex items-center gap-2", children: [
-            /* @__PURE__ */ jsxRuntime.jsx(
-              Checkbox,
-              {
-                checked: safe.breast.mobile,
-                onCheckedChange: (c) => update({ ...safe, breast: { ...safe.breast, mobile: c === true } }),
-                disabled
-              }
-            ),
-            "Mobile"
-          ] }),
-          /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "flex items-center gap-2", children: [
-            /* @__PURE__ */ jsxRuntime.jsx(
-              Checkbox,
-              {
-                checked: safe.breast.skinInvolvement,
-                onCheckedChange: (c) => update({ ...safe, breast: { ...safe.breast, skinInvolvement: c === true } }),
-                disabled
-              }
-            ),
-            "Skin involvement"
-          ] }),
-          /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "flex items-center gap-2", children: [
-            /* @__PURE__ */ jsxRuntime.jsx(
-              Checkbox,
-              {
-                checked: safe.breast.axillaryNodes,
-                onCheckedChange: (c) => update({ ...safe, breast: { ...safe.breast, axillaryNodes: c === true } }),
-                disabled
-              }
-            ),
-            "Axillary nodes"
-          ] })
-        ] }) }) : null,
-        has("thyroid") ? /* @__PURE__ */ jsxRuntime.jsx(RegionCard, { title: "Thyroid exam", children: /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "grid grid-cols-1 gap-3 text-xs md:grid-cols-4", children: [
-          /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "block", children: [
-            /* @__PURE__ */ jsxRuntime.jsx("span", { className: "mb-1 block font-medium", children: "Size" }),
+            /* @__PURE__ */ jsxRuntime.jsx("span", { className: "mb-1 block font-medium", children: "Size" }),
             /* @__PURE__ */ jsxRuntime.jsx(
               Input,
               {
@@ -10019,13 +10948,43 @@ var GsExaminationWidget = ({ fieldId }) => {
         ] }) }) : null
       ] }),
       /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "space-y-1", children: [
-        /* @__PURE__ */ jsxRuntime.jsx(Label, { className: "text-xs font-semibold text-slate-700", children: clinicalField.fieldDef?.label ?? "Clinical examination" }),
+        /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "flex flex-wrap items-center justify-between gap-2", children: [
+          /* @__PURE__ */ jsxRuntime.jsx(Label, { className: "text-xs font-semibold text-slate-700", children: clinicalField.fieldDef?.label ?? "Clinical examination" }),
+          /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "flex items-center gap-2", children: [
+            clinicalNarrativeLocked ? /* @__PURE__ */ jsxRuntime.jsxs("span", { className: "rounded bg-amber-50 px-1.5 py-0.5 text-[10px] font-medium text-amber-900 ring-1 ring-amber-200/80", children: [
+              "You edited this summary. Use",
+              " ",
+              /* @__PURE__ */ jsxRuntime.jsx("span", { className: "italic", children: "'Regenerate'" }),
+              " ",
+              "to update it from the form."
+            ] }) : null,
+            clinicalNarrativeLocked ? /* @__PURE__ */ jsxRuntime.jsx(
+              Button,
+              {
+                type: "button",
+                variant: "outline",
+                size: "sm",
+                className: "h-7 shrink-0 px-2 text-xs",
+                disabled: disabled || clinicalField.disabled,
+                onClick: () => {
+                  setClinicalNarrativeLocked(false);
+                  clinicalField.setValue(
+                    formatGeneralSurgeryExaminationToNarrative(normalizeGeneralSurgeryExamination(value))
+                  );
+                },
+                children: "Regenerate"
+              }
+            ) : null
+          ] })
+        ] }),
+        clinicalNarrativeLocked ? /* @__PURE__ */ jsxRuntime.jsx("p", { className: "text-[10px] text-muted-foreground", children: "Edit this box anytime. Use Regenerate to replace with fresh text from the structured examination." }) : null,
         /* @__PURE__ */ jsxRuntime.jsx(
           Textarea,
           {
             className: "min-h-[88px] rounded-md border border-input bg-white text-sm",
             value: typeof clinicalField.value === "string" ? clinicalField.value : clinicalField.value == null ? "" : String(clinicalField.value),
             onChange: (e) => {
+              setClinicalNarrativeLocked(true);
               clinicalField.setValue(e.target.value);
               clinicalField.setTouched();
             },
@@ -10039,7 +10998,7 @@ var GsExaminationWidget = ({ fieldId }) => {
 };
 var CHIEF_CHIPS_FIELD2 = "chief_complaints_chips";
 var GS_EXAMINATION_FIELD = "gs_examination";
-function chipList2(state) {
+function chipList(state) {
   const raw = state.values[CHIEF_CHIPS_FIELD2];
   return Array.isArray(raw) ? raw.filter((x) => typeof x === "string") : [];
 }
@@ -10053,7 +11012,7 @@ var GsGradingWidget = ({ fieldId }) => {
   const { state } = useForm();
   const showError = !!error && (touched || state.submitAttempted);
   const safe = React15.useMemo(() => normalizeGeneralSurgeryGrading(value), [value]);
-  const chips = React15.useMemo(() => chipList2(state), [state]);
+  const chips = React15.useMemo(() => chipList(state), [state]);
   const regions = React15.useMemo(() => regionList(state), [state]);
   const visibleRows = React15.useMemo(() => {
     return ALL_GS_CONDITIONS.filter(
@@ -10208,6 +11167,813 @@ var PainScaleFlagsWidget = ({ fieldId }) => {
     showError && /* @__PURE__ */ jsxRuntime.jsx("p", { className: "text-xs text-red-500", children: error })
   ] });
 };
+var CHIEF_CHIPS_FIELD3 = "chief_complaints_chips";
+var ACTIVE_SYNDROME_FIELD = "uro_active_syndrome";
+function chipList2(state) {
+  const raw = state.values[CHIEF_CHIPS_FIELD3];
+  return Array.isArray(raw) ? raw.filter((x) => typeof x === "string") : [];
+}
+var IPSS_LABELS = {
+  incomplete: "Incomplete emptying",
+  frequency: "Frequency (<2h)",
+  intermittency: "Intermittency",
+  urgency: "Urgency",
+  weakStream: "Weak stream",
+  straining: "Straining",
+  nocturia: "Nocturia (\xD7/night)"
+};
+var SOCRATES_KEYS3 = [
+  "site",
+  "onset",
+  "character",
+  "radiation",
+  "associated",
+  "timing",
+  "exacerbating"
+];
+function Panel2({
+  title,
+  right,
+  children
+}) {
+  return /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "overflow-hidden rounded-md border border-[#D0D0D0] bg-white", children: [
+    /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "flex items-center justify-between border-b border-[#D0D0D0] bg-[#FEE8EC]/50 px-3 py-1.5", children: [
+      /* @__PURE__ */ jsxRuntime.jsx("span", { className: "text-xs font-semibold text-slate-700", children: title }),
+      right
+    ] }),
+    /* @__PURE__ */ jsxRuntime.jsx("div", { className: "p-3", children })
+  ] });
+}
+var UrologySmartHistoryWidget = ({ fieldId }) => {
+  const { fieldDef, value, setValue, setTouched, error, touched, disabled } = useField(fieldId);
+  const syndromeField = useField(ACTIVE_SYNDROME_FIELD);
+  const { state } = useForm();
+  const showError = !!error && (touched || state.submitAttempted);
+  const safe = React15.useMemo(() => normalizeUrologySmartHistory(value), [value]);
+  const chips = React15.useMemo(() => chipList2(state), [state]);
+  const rawSyndrome = syndromeField.value ?? state.values[ACTIVE_SYNDROME_FIELD];
+  const syndrome = typeof rawSyndrome === "string" && rawSyndrome !== "" && rawSyndrome !== "none" ? rawSyndrome : "none";
+  const showPain = chips.includes("pain_abdomen_flank") || chips.includes("scrotal_swelling_pain") || syndrome === "stone" || syndrome === "scrotal";
+  const showLUTS = syndrome === "luts" || syndrome === "retention" || chips.includes("frequency_urgency") || chips.includes("poor_stream") || chips.includes("acute_retention");
+  const showHaem = syndrome === "haematuria" || chips.includes("haematuria");
+  const showSex = syndrome === "ed_infertility" || chips.includes("erectile_dysfunction") || chips.includes("infertility_concern");
+  const update = (next) => {
+    setValue(next);
+    setTouched();
+  };
+  const ipssTotal = urologyIpssSevenTotal(safe.ipss);
+  const ipssBandLabel = urologyIpssBand(ipssTotal);
+  const bandClass = ipssBandLabel === "Severe" ? "bg-red-500/15 text-red-700" : ipssBandLabel === "Moderate" ? "bg-amber-500/15 text-amber-800" : "bg-emerald-500/15 text-emerald-800";
+  const setSocrates = (key, v) => {
+    if (key === "severity") {
+      const n = typeof v === "number" ? v : Number(v);
+      const sev = Number.isFinite(n) ? Math.min(10, Math.max(0, Math.round(n))) : 0;
+      update({ ...safe, socrates: { ...safe.socrates, severity: sev } });
+      return;
+    }
+    update({ ...safe, socrates: { ...safe.socrates, [key]: String(v) } });
+  };
+  const setIpss = (key, v) => {
+    update({ ...safe, ipss: { ...safe.ipss, [key]: v } });
+  };
+  if (!fieldDef) return null;
+  const theme = getThemeConfig("textarea", fieldDef.theme);
+  const wrapperClass = theme?.wrapperClassName ?? "rounded-md overflow-hidden flex flex-col border border-[#D0D0D0]";
+  const labelClass = theme?.labelClassName;
+  const labelContent = /* @__PURE__ */ jsxRuntime.jsxs(jsxRuntime.Fragment, { children: [
+    fieldDef.label,
+    fieldDef.required ? /* @__PURE__ */ jsxRuntime.jsx("span", { className: "ml-1 text-red-500", children: "*" }) : null
+  ] });
+  const labelEl = theme ? /* @__PURE__ */ jsxRuntime.jsx(Label, { className: labelClass, children: labelContent }) : /* @__PURE__ */ jsxRuntime.jsx(Label, { className: "text-sm font-medium", children: labelContent });
+  const bodyClass = cn(
+    "-mt-1 flex min-w-0 flex-col gap-3 border-t border-[#D0D0D0] bg-white px-3 py-3",
+    disabled && "pointer-events-none opacity-60"
+  );
+  return /* @__PURE__ */ jsxRuntime.jsxs("div", { className: cn("w-full min-w-0", wrapperClass), children: [
+    labelEl,
+    /* @__PURE__ */ jsxRuntime.jsxs("div", { className: bodyClass, children: [
+      /* @__PURE__ */ jsxRuntime.jsx("p", { className: "text-[11px] text-muted-foreground", children: "Panels follow chief complaint chips and active syndrome (Clearsight SmartHistoryUro)." }),
+      showPain ? /* @__PURE__ */ jsxRuntime.jsx(Panel2, { title: "SOCRATES \u2014 Pain (flank / suprapubic / testicular)", children: /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "grid grid-cols-2 gap-2 md:grid-cols-4", children: [
+        SOCRATES_KEYS3.map((k) => /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "space-y-1", children: [
+          /* @__PURE__ */ jsxRuntime.jsx("span", { className: "text-[10px] font-medium uppercase tracking-wide text-muted-foreground", children: k }),
+          /* @__PURE__ */ jsxRuntime.jsx(
+            Input,
+            {
+              className: "h-8 text-xs",
+              value: safe.socrates[k],
+              onChange: (e) => setSocrates(k, e.target.value),
+              placeholder: k === "radiation" ? "e.g. groin \u2192 ureteric" : k === "character" ? "colicky / dull" : "",
+              disabled
+            }
+          )
+        ] }, k)),
+        /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "space-y-1", children: [
+          /* @__PURE__ */ jsxRuntime.jsx("span", { className: "text-[10px] font-medium uppercase tracking-wide text-muted-foreground", children: "Severity 0\u201310" }),
+          /* @__PURE__ */ jsxRuntime.jsx(
+            Input,
+            {
+              type: "number",
+              min: 0,
+              max: 10,
+              className: "h-8 text-xs",
+              value: safe.socrates.severity,
+              onChange: (e) => setSocrates("severity", e.target.value),
+              disabled
+            }
+          )
+        ] })
+      ] }) }) : null,
+      showLUTS ? /* @__PURE__ */ jsxRuntime.jsxs(
+        Panel2,
+        {
+          title: "IPSS \u2014 International Prostate Symptom Score",
+          right: /* @__PURE__ */ jsxRuntime.jsxs("span", { className: `rounded-full px-2 py-0.5 text-[10px] font-medium ${bandClass}`, children: [
+            ipssTotal,
+            "/35 \u2014 ",
+            ipssBandLabel
+          ] }),
+          children: [
+            /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "grid grid-cols-2 gap-2 md:grid-cols-4", children: [
+              Object.keys(IPSS_LABELS).map((k) => /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "space-y-1", children: [
+                /* @__PURE__ */ jsxRuntime.jsx("span", { className: "text-[10px] uppercase tracking-wide text-muted-foreground", children: IPSS_LABELS[k] }),
+                /* @__PURE__ */ jsxRuntime.jsxs(
+                  Select,
+                  {
+                    value: String(safe.ipss[k]),
+                    onValueChange: (val) => setIpss(k, Number(val)),
+                    disabled,
+                    children: [
+                      /* @__PURE__ */ jsxRuntime.jsx(SelectTrigger, { className: "h-8 text-xs", children: /* @__PURE__ */ jsxRuntime.jsx(SelectValue, {}) }),
+                      /* @__PURE__ */ jsxRuntime.jsx(SelectContent, { children: [0, 1, 2, 3, 4, 5].map((n) => /* @__PURE__ */ jsxRuntime.jsx(SelectItem, { value: String(n), children: n }, n)) })
+                    ]
+                  }
+                )
+              ] }, k)),
+              /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "space-y-1", children: [
+                /* @__PURE__ */ jsxRuntime.jsx("span", { className: "text-[10px] uppercase tracking-wide text-muted-foreground", children: "QoL (0\u20136)" }),
+                /* @__PURE__ */ jsxRuntime.jsxs(
+                  Select,
+                  {
+                    value: String(safe.ipssQoL),
+                    onValueChange: (val) => update({ ...safe, ipssQoL: Math.min(6, Math.max(0, Number(val))) }),
+                    disabled,
+                    children: [
+                      /* @__PURE__ */ jsxRuntime.jsx(SelectTrigger, { className: "h-8 text-xs", children: /* @__PURE__ */ jsxRuntime.jsx(SelectValue, {}) }),
+                      /* @__PURE__ */ jsxRuntime.jsx(SelectContent, { children: [0, 1, 2, 3, 4, 5, 6].map((n) => /* @__PURE__ */ jsxRuntime.jsx(SelectItem, { value: String(n), children: n }, n)) })
+                    ]
+                  }
+                )
+              ] })
+            ] }),
+            /* @__PURE__ */ jsxRuntime.jsxs("p", { className: "mt-2 text-[10px] text-muted-foreground", children: [
+              "Bands: 0\u20137 mild \xB7 8\u201319 moderate \xB7 20\u201335 severe.",
+              " ",
+              /* @__PURE__ */ jsxRuntime.jsx("span", { className: "font-semibold text-foreground", children: "IPSS \u2265 20 \u2192 consider surgical intervention." })
+            ] })
+          ]
+        }
+      ) : null,
+      showHaem ? /* @__PURE__ */ jsxRuntime.jsxs(Panel2, { title: "Haematuria profile", children: [
+        /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "grid grid-cols-2 gap-3 text-xs md:grid-cols-4", children: [
+          /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "flex items-center gap-2", children: [
+            /* @__PURE__ */ jsxRuntime.jsx(
+              Checkbox,
+              {
+                checked: safe.haematuria.present,
+                onCheckedChange: (c) => update({
+                  ...safe,
+                  haematuria: { ...safe.haematuria, present: c === true }
+                }),
+                disabled
+              }
+            ),
+            "Present"
+          ] }),
+          /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "flex flex-col gap-1", children: [
+            /* @__PURE__ */ jsxRuntime.jsx("span", { className: "font-medium", children: "Timing" }),
+            /* @__PURE__ */ jsxRuntime.jsxs(
+              Select,
+              {
+                value: safe.haematuria.timing || "none",
+                onValueChange: (val) => update({
+                  ...safe,
+                  haematuria: { ...safe.haematuria, timing: val === "none" ? "" : val }
+                }),
+                disabled,
+                children: [
+                  /* @__PURE__ */ jsxRuntime.jsx(SelectTrigger, { className: "h-8 text-xs", children: /* @__PURE__ */ jsxRuntime.jsx(SelectValue, { placeholder: "\u2014" }) }),
+                  /* @__PURE__ */ jsxRuntime.jsxs(SelectContent, { children: [
+                    /* @__PURE__ */ jsxRuntime.jsx(SelectItem, { value: "none", children: "\u2014" }),
+                    /* @__PURE__ */ jsxRuntime.jsx(SelectItem, { value: "Initial", children: "Initial" }),
+                    /* @__PURE__ */ jsxRuntime.jsx(SelectItem, { value: "Terminal", children: "Terminal" }),
+                    /* @__PURE__ */ jsxRuntime.jsx(SelectItem, { value: "Total", children: "Total" })
+                  ] })
+                ]
+              }
+            )
+          ] }),
+          /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "flex items-center gap-2", children: [
+            /* @__PURE__ */ jsxRuntime.jsx(
+              Checkbox,
+              {
+                checked: safe.haematuria.painful,
+                onCheckedChange: (c) => update({ ...safe, haematuria: { ...safe.haematuria, painful: c === true } }),
+                disabled
+              }
+            ),
+            "Painful"
+          ] }),
+          /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "flex items-center gap-2", children: [
+            /* @__PURE__ */ jsxRuntime.jsx(
+              Checkbox,
+              {
+                checked: safe.haematuria.clots,
+                onCheckedChange: (c) => update({ ...safe, haematuria: { ...safe.haematuria, clots: c === true } }),
+                disabled
+              }
+            ),
+            "Clots"
+          ] })
+        ] }),
+        /* @__PURE__ */ jsxRuntime.jsx("p", { className: "mt-2 text-[10px] text-red-600", children: "Painless haematuria = malignancy until proven otherwise." })
+      ] }) : null,
+      showSex ? /* @__PURE__ */ jsxRuntime.jsx(Panel2, { title: "Sexual & reproductive history", children: /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "grid grid-cols-2 gap-3 text-xs md:grid-cols-4", children: [
+        /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "flex flex-col gap-1", children: [
+          /* @__PURE__ */ jsxRuntime.jsx("span", { className: "font-medium", children: "Erectile function" }),
+          /* @__PURE__ */ jsxRuntime.jsxs(
+            Select,
+            {
+              value: safe.sexual.erectile || "none",
+              onValueChange: (val) => update({
+                ...safe,
+                sexual: { ...safe.sexual, erectile: val === "none" ? "" : val }
+              }),
+              disabled,
+              children: [
+                /* @__PURE__ */ jsxRuntime.jsx(SelectTrigger, { className: "h-8 text-xs", children: /* @__PURE__ */ jsxRuntime.jsx(SelectValue, { placeholder: "\u2014" }) }),
+                /* @__PURE__ */ jsxRuntime.jsxs(SelectContent, { children: [
+                  /* @__PURE__ */ jsxRuntime.jsx(SelectItem, { value: "none", children: "\u2014" }),
+                  /* @__PURE__ */ jsxRuntime.jsx(SelectItem, { value: "Normal", children: "Normal" }),
+                  /* @__PURE__ */ jsxRuntime.jsx(SelectItem, { value: "Mild", children: "Mild" }),
+                  /* @__PURE__ */ jsxRuntime.jsx(SelectItem, { value: "Moderate", children: "Moderate" }),
+                  /* @__PURE__ */ jsxRuntime.jsx(SelectItem, { value: "Severe", children: "Severe" })
+                ] })
+              ]
+            }
+          )
+        ] }),
+        /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "flex flex-col gap-1", children: [
+          /* @__PURE__ */ jsxRuntime.jsx("span", { className: "font-medium", children: "Libido" }),
+          /* @__PURE__ */ jsxRuntime.jsxs(
+            Select,
+            {
+              value: safe.sexual.libido || "none",
+              onValueChange: (val) => update({
+                ...safe,
+                sexual: { ...safe.sexual, libido: val === "none" ? "" : val }
+              }),
+              disabled,
+              children: [
+                /* @__PURE__ */ jsxRuntime.jsx(SelectTrigger, { className: "h-8 text-xs", children: /* @__PURE__ */ jsxRuntime.jsx(SelectValue, { placeholder: "\u2014" }) }),
+                /* @__PURE__ */ jsxRuntime.jsxs(SelectContent, { children: [
+                  /* @__PURE__ */ jsxRuntime.jsx(SelectItem, { value: "none", children: "\u2014" }),
+                  /* @__PURE__ */ jsxRuntime.jsx(SelectItem, { value: "Normal", children: "Normal" }),
+                  /* @__PURE__ */ jsxRuntime.jsx(SelectItem, { value: "Reduced", children: "Reduced" })
+                ] })
+              ]
+            }
+          )
+        ] }),
+        /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "flex flex-col gap-1", children: [
+          /* @__PURE__ */ jsxRuntime.jsx("span", { className: "font-medium", children: "Ejaculation" }),
+          /* @__PURE__ */ jsxRuntime.jsxs(
+            Select,
+            {
+              value: safe.sexual.ejaculation || "none",
+              onValueChange: (val) => update({
+                ...safe,
+                sexual: { ...safe.sexual, ejaculation: val === "none" ? "" : val }
+              }),
+              disabled,
+              children: [
+                /* @__PURE__ */ jsxRuntime.jsx(SelectTrigger, { className: "h-8 text-xs", children: /* @__PURE__ */ jsxRuntime.jsx(SelectValue, { placeholder: "\u2014" }) }),
+                /* @__PURE__ */ jsxRuntime.jsxs(SelectContent, { children: [
+                  /* @__PURE__ */ jsxRuntime.jsx(SelectItem, { value: "none", children: "\u2014" }),
+                  /* @__PURE__ */ jsxRuntime.jsx(SelectItem, { value: "Normal", children: "Normal" }),
+                  /* @__PURE__ */ jsxRuntime.jsx(SelectItem, { value: "Premature", children: "Premature" }),
+                  /* @__PURE__ */ jsxRuntime.jsx(SelectItem, { value: "Retrograde", children: "Retrograde" }),
+                  /* @__PURE__ */ jsxRuntime.jsx(SelectItem, { value: "Anejaculation", children: "Anejaculation" })
+                ] })
+              ]
+            }
+          )
+        ] }),
+        /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "flex flex-col gap-1", children: [
+          /* @__PURE__ */ jsxRuntime.jsx("span", { className: "font-medium", children: "Infertility (months)" }),
+          /* @__PURE__ */ jsxRuntime.jsx(
+            Input,
+            {
+              type: "number",
+              min: 0,
+              className: "h-8 text-xs",
+              value: safe.sexual.infertilityMonths,
+              onChange: (e) => update({
+                ...safe,
+                sexual: {
+                  ...safe.sexual,
+                  infertilityMonths: Math.max(0, Math.round(Number(e.target.value)) || 0)
+                }
+              }),
+              disabled
+            }
+          )
+        ] })
+      ] }) }) : null,
+      /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "space-y-1", children: [
+        /* @__PURE__ */ jsxRuntime.jsx(Label, { className: "text-xs font-medium text-slate-700", children: "Past history (stones / surgeries / drugs)" }),
+        /* @__PURE__ */ jsxRuntime.jsx(
+          Textarea,
+          {
+            className: "min-h-[72px] rounded-md border border-input bg-white text-sm",
+            placeholder: "Prior calculi, urological surgeries, anticoagulants, DM/HTN\u2026",
+            value: safe.pastNotes,
+            onChange: (e) => update({ ...safe, pastNotes: e.target.value }),
+            disabled
+          }
+        )
+      ] })
+    ] }),
+    showError ? /* @__PURE__ */ jsxRuntime.jsx("p", { className: "px-3 pb-2 text-xs text-red-500", children: error }) : null
+  ] });
+};
+var GENERAL_ROWS = [
+  { key: "pallor", label: "Pallor (chronic dz)" },
+  { key: "oedema", label: "Oedema (renal)" },
+  { key: "icterus", label: "Icterus" },
+  { key: "lymphadenopathy", label: "Lymphadenopathy" }
+];
+var ABD_ROWS = [
+  { key: "distension", label: "Distension" },
+  { key: "scars", label: "Surgical scars" },
+  { key: "mass", label: "Visible mass" },
+  { key: "kidneyPalpable", label: "Kidney palpable" },
+  { key: "bladderPalpable", label: "Bladder palpable" },
+  { key: "renalAngleTender", label: "Renal angle tender" },
+  { key: "bladderDull", label: "Bladder dullness (retention)" }
+];
+var GU_ROWS = [
+  { key: "meatusAbnormal", label: "Meatus abnormal (hypospadias?)" },
+  { key: "phimosis", label: "Phimosis / paraphimosis" },
+  { key: "lesions", label: "Penile lesions / ulcers" },
+  { key: "scrotalSwelling", label: "Scrotal swelling" },
+  { key: "transilluminant", label: "Transilluminant" },
+  { key: "tenderTestis", label: "Tender testis" },
+  { key: "hydrocele", label: "Hydrocele" },
+  { key: "varicocele", label: "Varicocele" },
+  { key: "suspiciousMass", label: "Suspicious mass" }
+];
+var DRE_CONSISTENCY = ["none", "Soft (benign)", "Firm", "Hard / nodular (malignancy?)"];
+var DRE_SULCUS = ["none", "Preserved", "Obliterated"];
+var UrologyExaminationWidget = ({ fieldId }) => {
+  const { fieldDef, value, setValue, setTouched, error, touched, disabled } = useField(fieldId);
+  const { state } = useForm();
+  const showError = !!error && (touched || state.submitAttempted);
+  const safe = React15.useMemo(() => normalizeUrologyExamination(value), [value]);
+  const update = (next) => {
+    setValue(next);
+    setTouched();
+  };
+  const toggleGeneral = (key) => {
+    update({ ...safe, general: { ...safe.general, [key]: !safe.general[key] } });
+  };
+  const toggleAbdomen = (key) => {
+    update({ ...safe, abdomen: { ...safe.abdomen, [key]: !safe.abdomen[key] } });
+  };
+  const toggleGu = (key) => {
+    update({ ...safe, gu: { ...safe.gu, [key]: !safe.gu[key] } });
+  };
+  if (!fieldDef) return null;
+  const theme = getThemeConfig("textarea", fieldDef.theme);
+  const wrapperClass = theme?.wrapperClassName ?? "rounded-md overflow-hidden flex flex-col border border-[#D0D0D0]";
+  const labelClass = theme?.labelClassName;
+  const labelContent = /* @__PURE__ */ jsxRuntime.jsxs(jsxRuntime.Fragment, { children: [
+    fieldDef.label,
+    fieldDef.required ? /* @__PURE__ */ jsxRuntime.jsx("span", { className: "ml-1 text-red-500", children: "*" }) : null
+  ] });
+  const labelEl = theme ? /* @__PURE__ */ jsxRuntime.jsx(Label, { className: labelClass, children: labelContent }) : /* @__PURE__ */ jsxRuntime.jsx(Label, { className: "text-sm font-medium", children: labelContent });
+  const bodyClass = cn(
+    "-mt-1 flex min-w-0 flex-col gap-3 border-t border-[#D0D0D0] bg-white px-3 py-3",
+    disabled && "pointer-events-none opacity-60"
+  );
+  return /* @__PURE__ */ jsxRuntime.jsxs("div", { className: cn("w-full min-w-0", wrapperClass), children: [
+    labelEl,
+    /* @__PURE__ */ jsxRuntime.jsxs("div", { className: bodyClass, children: [
+      /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "grid grid-cols-1 gap-3 text-xs md:grid-cols-2 xl:grid-cols-4", children: [
+        /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "space-y-2", children: [
+          /* @__PURE__ */ jsxRuntime.jsx("p", { className: "font-semibold text-slate-800", children: "General" }),
+          GENERAL_ROWS.map((r) => /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "flex items-center gap-2", children: [
+            /* @__PURE__ */ jsxRuntime.jsx(
+              Checkbox,
+              {
+                checked: safe.general[r.key],
+                onCheckedChange: () => toggleGeneral(r.key),
+                disabled
+              }
+            ),
+            r.label
+          ] }, r.key))
+        ] }),
+        /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "space-y-2", children: [
+          /* @__PURE__ */ jsxRuntime.jsx("p", { className: "font-semibold text-slate-800", children: "Abdomen" }),
+          ABD_ROWS.map((r) => /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "flex items-center gap-2", children: [
+            /* @__PURE__ */ jsxRuntime.jsx(
+              Checkbox,
+              {
+                checked: safe.abdomen[r.key],
+                onCheckedChange: () => toggleAbdomen(r.key),
+                disabled
+              }
+            ),
+            r.label
+          ] }, r.key))
+        ] }),
+        /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "space-y-2", children: [
+          /* @__PURE__ */ jsxRuntime.jsx("p", { className: "font-semibold text-slate-800", children: "External genitalia / scrotum" }),
+          GU_ROWS.map((r) => /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "flex items-center gap-2", children: [
+            /* @__PURE__ */ jsxRuntime.jsx(
+              Checkbox,
+              {
+                checked: safe.gu[r.key],
+                onCheckedChange: () => toggleGu(r.key),
+                disabled
+              }
+            ),
+            r.key === "suspiciousMass" ? /* @__PURE__ */ jsxRuntime.jsx("span", { className: "font-medium text-red-600", children: r.label }) : r.label
+          ] }, r.key))
+        ] }),
+        /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "space-y-2", children: [
+          /* @__PURE__ */ jsxRuntime.jsx("p", { className: "font-semibold text-slate-800", children: "DRE \u2014 Prostate" }),
+          /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "flex items-center gap-2", children: [
+            /* @__PURE__ */ jsxRuntime.jsx(
+              Checkbox,
+              {
+                checked: safe.dre.done,
+                onCheckedChange: (c) => update({ ...safe, dre: { ...safe.dre, done: c === true } }),
+                disabled
+              }
+            ),
+            "DRE performed"
+          ] }),
+          /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "block", children: [
+            /* @__PURE__ */ jsxRuntime.jsx("span", { className: "mb-1 block font-medium", children: "Estimated size (g)" }),
+            /* @__PURE__ */ jsxRuntime.jsx(
+              Input,
+              {
+                type: "number",
+                min: 0,
+                className: "h-8 text-xs",
+                value: safe.dre.sizeGrams,
+                onChange: (e) => {
+                  const n = Number(e.target.value);
+                  update({
+                    ...safe,
+                    dre: {
+                      ...safe.dre,
+                      sizeGrams: Number.isFinite(n) && n >= 0 ? Math.round(n) : 0
+                    }
+                  });
+                },
+                disabled
+              }
+            )
+          ] }),
+          /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "block", children: [
+            /* @__PURE__ */ jsxRuntime.jsx("span", { className: "mb-1 block font-medium", children: "Consistency" }),
+            /* @__PURE__ */ jsxRuntime.jsxs(
+              Select,
+              {
+                value: safe.dre.consistency || "none",
+                onValueChange: (val) => update({
+                  ...safe,
+                  dre: { ...safe.dre, consistency: val === "none" ? "" : val }
+                }),
+                disabled,
+                children: [
+                  /* @__PURE__ */ jsxRuntime.jsx(SelectTrigger, { className: "h-8 text-xs", children: /* @__PURE__ */ jsxRuntime.jsx(SelectValue, { placeholder: "\u2014" }) }),
+                  /* @__PURE__ */ jsxRuntime.jsx(SelectContent, { children: DRE_CONSISTENCY.map((opt) => /* @__PURE__ */ jsxRuntime.jsx(SelectItem, { value: opt, children: opt === "none" ? "\u2014" : opt }, opt)) })
+                ]
+              }
+            )
+          ] }),
+          /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "block", children: [
+            /* @__PURE__ */ jsxRuntime.jsx("span", { className: "mb-1 block font-medium", children: "Median sulcus" }),
+            /* @__PURE__ */ jsxRuntime.jsxs(
+              Select,
+              {
+                value: safe.dre.medianSulcus || "none",
+                onValueChange: (val) => update({
+                  ...safe,
+                  dre: { ...safe.dre, medianSulcus: val === "none" ? "" : val }
+                }),
+                disabled,
+                children: [
+                  /* @__PURE__ */ jsxRuntime.jsx(SelectTrigger, { className: "h-8 text-xs", children: /* @__PURE__ */ jsxRuntime.jsx(SelectValue, { placeholder: "\u2014" }) }),
+                  /* @__PURE__ */ jsxRuntime.jsx(SelectContent, { children: DRE_SULCUS.map((opt) => /* @__PURE__ */ jsxRuntime.jsx(SelectItem, { value: opt, children: opt === "none" ? "\u2014" : opt }, opt)) })
+                ]
+              }
+            )
+          ] }),
+          /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "flex items-center gap-2", children: [
+            /* @__PURE__ */ jsxRuntime.jsx(
+              Checkbox,
+              {
+                checked: safe.dre.tenderness,
+                onCheckedChange: (c) => update({ ...safe, dre: { ...safe.dre, tenderness: c === true } }),
+                disabled
+              }
+            ),
+            "Tender (prostatitis?)"
+          ] })
+        ] })
+      ] }),
+      /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "space-y-1", children: [
+        /* @__PURE__ */ jsxRuntime.jsx(Label, { className: "text-xs font-semibold text-slate-700", children: "Examination notes" }),
+        /* @__PURE__ */ jsxRuntime.jsx(
+          Textarea,
+          {
+            className: "min-h-[88px] rounded-md border border-input bg-white text-sm",
+            placeholder: "Free-text exam findings\u2026",
+            value: safe.examinationNotes,
+            onChange: (e) => update({ ...safe, examinationNotes: e.target.value }),
+            disabled
+          }
+        )
+      ] })
+    ] }),
+    showError ? /* @__PURE__ */ jsxRuntime.jsx("p", { className: "px-3 pb-2 text-xs text-red-500", children: error }) : null
+  ] });
+};
+var SMART_HISTORY_FIELD = "uro_smart_history";
+var EXAMINATION_FIELD = "uro_examination";
+var DRE_HARD = "Hard / nodular (malignancy?)";
+function Panel3({
+  title,
+  className,
+  children
+}) {
+  return /* @__PURE__ */ jsxRuntime.jsxs("div", { className: cn("overflow-hidden rounded-md border border-[#D0D0D0] bg-white", className), children: [
+    /* @__PURE__ */ jsxRuntime.jsx("div", { className: "border-b border-[#D0D0D0] bg-[#FEE8EC]/50 px-3 py-1.5", children: /* @__PURE__ */ jsxRuntime.jsx("span", { className: "text-xs font-semibold text-slate-700", children: title }) }),
+    /* @__PURE__ */ jsxRuntime.jsx("div", { className: "p-3", children })
+  ] });
+}
+var UrologyPathwayWidget = ({ fieldId }) => {
+  const { fieldDef, value, setValue, setTouched, error, touched, disabled } = useField(fieldId);
+  const { state } = useForm();
+  const showError = !!error && (touched || state.submitAttempted);
+  const safe = React15.useMemo(() => normalizeUrologyPathway(value), [value]);
+  const smart = React15.useMemo(
+    () => normalizeUrologySmartHistory(state.values[SMART_HISTORY_FIELD]),
+    [state.values]
+  );
+  const exam = React15.useMemo(
+    () => normalizeUrologyExamination(state.values[EXAMINATION_FIELD]),
+    [state.values]
+  );
+  const ipssTotal = urologyIpssSevenTotal(smart.ipss);
+  const ipssBandCls = ipssTotal >= 20 ? "bg-red-500/15 text-red-700" : ipssTotal >= 8 ? "bg-amber-500/15 text-amber-900" : "bg-emerald-500/15 text-emerald-800";
+  const stone = React15.useMemo(
+    () => urologyStoneRecommendation(safe.stoneSizeMm, safe.hydronephrosis),
+    [safe.stoneSizeMm, safe.hydronephrosis]
+  );
+  const prostateLine = React15.useMemo(
+    () => urologyProstateProcedure(safe.prostateVolumeCc),
+    [safe.prostateVolumeCc]
+  );
+  const psaHigh = safe.psaNgMl > 4;
+  const qmaxLow = safe.uroflowQmaxMlSec > 0 && Number.isFinite(safe.uroflowQmaxMlSec) && safe.uroflowQmaxMlSec < 10;
+  const update = (next) => {
+    setValue(next);
+    setTouched();
+  };
+  const setRisk = (key, next) => {
+    update({ ...safe, risk: { ...safe.risk, [key]: next } });
+  };
+  if (!fieldDef) return null;
+  const theme = getThemeConfig("textarea", fieldDef.theme);
+  const wrapperClass = theme?.wrapperClassName ?? "rounded-md overflow-hidden flex flex-col border border-[#D0D0D0]";
+  const labelClass = theme?.labelClassName;
+  const labelContent = /* @__PURE__ */ jsxRuntime.jsxs(jsxRuntime.Fragment, { children: [
+    fieldDef.label,
+    fieldDef.required ? /* @__PURE__ */ jsxRuntime.jsx("span", { className: "ml-1 text-red-500", children: "*" }) : null
+  ] });
+  const labelEl = theme ? /* @__PURE__ */ jsxRuntime.jsx(Label, { className: labelClass, children: labelContent }) : /* @__PURE__ */ jsxRuntime.jsx(Label, { className: "text-sm font-medium", children: labelContent });
+  const bodyClass = cn(
+    "-mt-1 flex min-w-0 flex-col gap-3 border-t border-[#D0D0D0] bg-white px-3 py-3",
+    disabled && "pointer-events-none opacity-60"
+  );
+  const subtitle = typeof fieldDef.meta?.subtitle === "string" && fieldDef.meta.subtitle.trim().length > 0 ? fieldDef.meta.subtitle.trim() : "";
+  return /* @__PURE__ */ jsxRuntime.jsxs("div", { className: cn("w-full min-w-0", wrapperClass), children: [
+    labelEl,
+    /* @__PURE__ */ jsxRuntime.jsxs("div", { className: bodyClass, children: [
+      subtitle ? /* @__PURE__ */ jsxRuntime.jsx("p", { className: "-mt-0.5 mb-0 text-xs font-semibold tracking-wide text-slate-700", children: subtitle }) : null,
+      /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "grid grid-cols-1 gap-3 text-xs md:grid-cols-2 xl:grid-cols-4", children: [
+        /* @__PURE__ */ jsxRuntime.jsxs(Panel3, { title: "Stone disease", children: [
+          /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "block", children: [
+            /* @__PURE__ */ jsxRuntime.jsx("span", { className: "mb-1 block font-medium text-slate-700", children: "Stone size (mm)" }),
+            /* @__PURE__ */ jsxRuntime.jsx(
+              Input,
+              {
+                type: "number",
+                min: 0,
+                step: "any",
+                className: cn(
+                  "h-8 text-xs",
+                  disabled && "pointer-events-none"
+                ),
+                value: safe.stoneSizeMm,
+                onChange: (e) => {
+                  const raw = e.target.value;
+                  const n = Number(raw);
+                  update({
+                    ...safe,
+                    stoneSizeMm: raw === "" || raw === "-" ? 0 : !Number.isFinite(n) ? 0 : Math.max(0, n)
+                  });
+                },
+                disabled
+              }
+            )
+          ] }),
+          /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "mt-2 flex items-center gap-2", children: [
+            /* @__PURE__ */ jsxRuntime.jsx(
+              Checkbox,
+              {
+                checked: safe.hydronephrosis,
+                disabled,
+                onCheckedChange: (checked) => update({ ...safe, hydronephrosis: checked === true })
+              }
+            ),
+            /* @__PURE__ */ jsxRuntime.jsx("span", { className: "text-slate-700", children: "Hydronephrosis on imaging" })
+          ] }),
+          /* @__PURE__ */ jsxRuntime.jsx(
+            "div",
+            {
+              className: cn(
+                "mt-2 rounded p-2 text-[11px]",
+                stone.surgical && safe.stoneSizeMm > 0 ? "bg-red-500/10 text-red-800" : safe.stoneSizeMm > 0 ? "bg-emerald-500/10 text-emerald-900" : "bg-muted/40 text-muted-foreground"
+              ),
+              children: stone.plan
+            }
+          ),
+          /* @__PURE__ */ jsxRuntime.jsx("p", { className: "mt-1 text-[10px] text-muted-foreground", children: "Trigger: >10 mm OR obstruction \u2192 surgical." })
+        ] }),
+        /* @__PURE__ */ jsxRuntime.jsxs(Panel3, { title: "Prostate / BPH", children: [
+          /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "grid grid-cols-2 gap-2", children: [
+            /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "block", children: [
+              /* @__PURE__ */ jsxRuntime.jsx("span", { className: "mb-1 block font-medium text-slate-700", children: "Volume (cc)" }),
+              /* @__PURE__ */ jsxRuntime.jsx(
+                Input,
+                {
+                  type: "number",
+                  min: 0,
+                  step: "any",
+                  className: cn(
+                    "h-8 text-xs",
+                    disabled && "pointer-events-none"
+                  ),
+                  value: safe.prostateVolumeCc,
+                  onChange: (e) => {
+                    const raw = e.target.value;
+                    const n = Number(raw);
+                    update({
+                      ...safe,
+                      prostateVolumeCc: raw === "" || raw === "-" ? 0 : !Number.isFinite(n) ? 0 : Math.max(0, n)
+                    });
+                  },
+                  disabled
+                }
+              )
+            ] }),
+            /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "block", children: [
+              /* @__PURE__ */ jsxRuntime.jsx("span", { className: "mb-1 block font-medium text-slate-700", children: "PSA (ng/ml)" }),
+              /* @__PURE__ */ jsxRuntime.jsx(
+                Input,
+                {
+                  type: "number",
+                  min: 0,
+                  step: 0.1,
+                  className: cn(
+                    "h-8 text-xs",
+                    psaHigh && "border-red-400 text-red-800",
+                    disabled && "pointer-events-none"
+                  ),
+                  value: safe.psaNgMl,
+                  onChange: (e) => {
+                    const raw = e.target.value;
+                    const n = Number(raw);
+                    update({
+                      ...safe,
+                      psaNgMl: raw === "" || raw === "-" ? 0 : !Number.isFinite(n) ? 0 : Math.max(0, n)
+                    });
+                  },
+                  disabled
+                }
+              )
+            ] }),
+            /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "col-span-2 block", children: [
+              /* @__PURE__ */ jsxRuntime.jsx("span", { className: "mb-1 block font-medium text-slate-700", children: "Uroflow Qmax (ml/s)" }),
+              /* @__PURE__ */ jsxRuntime.jsx(
+                Input,
+                {
+                  type: "number",
+                  min: 0,
+                  step: 0.1,
+                  className: cn(
+                    "h-8 text-xs",
+                    qmaxLow && "border-amber-500 text-amber-900",
+                    disabled && "pointer-events-none"
+                  ),
+                  value: safe.uroflowQmaxMlSec,
+                  onChange: (e) => {
+                    const raw = e.target.value;
+                    const n = Number(raw);
+                    update({
+                      ...safe,
+                      uroflowQmaxMlSec: raw === "" || raw === "-" ? 0 : !Number.isFinite(n) ? 0 : Math.max(0, n)
+                    });
+                  },
+                  disabled
+                }
+              )
+            ] })
+          ] }),
+          /* @__PURE__ */ jsxRuntime.jsx(
+            "div",
+            {
+              className: cn(
+                "mt-2 rounded p-2 text-[11px]",
+                safe.prostateVolumeCc > 30 ? "bg-amber-500/10 text-amber-900" : safe.prostateVolumeCc > 0 ? "bg-emerald-500/10 text-emerald-900" : "bg-muted/40 text-muted-foreground"
+              ),
+              children: prostateLine
+            }
+          ),
+          /* @__PURE__ */ jsxRuntime.jsx("p", { className: "mt-1 text-[10px] text-muted-foreground", children: "<30 cc medical \xB7 30\u201380 cc TURP \xB7 >80 cc HoLEP/Open" })
+        ] }),
+        /* @__PURE__ */ jsxRuntime.jsxs(Panel3, { title: "IPSS & cues", children: [
+          /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "mb-2 flex items-center justify-between", children: [
+            /* @__PURE__ */ jsxRuntime.jsx("span", { className: "text-slate-700", children: "IPSS total" }),
+            /* @__PURE__ */ jsxRuntime.jsxs("span", { className: `rounded-full px-2 py-0.5 text-[11px] font-semibold ${ipssBandCls}`, children: [
+              ipssTotal,
+              "/35 \xB7 ",
+              urologyIpssBand(ipssTotal)
+            ] })
+          ] }),
+          /* @__PURE__ */ jsxRuntime.jsx("div", { className: "mb-3 h-1.5 overflow-hidden rounded-full bg-slate-200", children: /* @__PURE__ */ jsxRuntime.jsx(
+            "div",
+            {
+              className: cn(
+                "h-full transition-[width]",
+                ipssTotal >= 20 ? "bg-red-500" : ipssTotal >= 8 ? "bg-amber-500" : "bg-emerald-500"
+              ),
+              style: { width: `${Math.min(100, ipssTotal / 35 * 100)}%` }
+            }
+          ) }),
+          /* @__PURE__ */ jsxRuntime.jsxs("p", { className: "mb-3 text-[10px] text-muted-foreground", children: [
+            "From smart history (",
+            /* @__PURE__ */ jsxRuntime.jsx("span", { className: "font-mono text-foreground", children: SMART_HISTORY_FIELD }),
+            "). \u226520 \u2192 consider surgical intervention."
+          ] }),
+          /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "space-y-1.5 text-[11px]", children: [
+            smart.haematuria.present && !smart.haematuria.painful ? /* @__PURE__ */ jsxRuntime.jsx("div", { className: "rounded bg-red-500/10 p-1.5 text-red-800", children: "Painless haematuria \u2014 mandatory cystoscopy" }) : null,
+            psaHigh ? /* @__PURE__ */ jsxRuntime.jsx("div", { className: "rounded bg-amber-500/10 p-1.5 text-amber-900", children: "PSA >4 \u2014 workup for Ca prostate" }) : null,
+            exam.dre.consistency === DRE_HARD ? /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "rounded bg-red-500/10 p-1.5 text-red-800", children: [
+              "Hard / nodular prostate (",
+              /* @__PURE__ */ jsxRuntime.jsx("span", { className: "font-mono", children: EXAMINATION_FIELD }),
+              ") \u2014 biopsy pathway"
+            ] }) : null,
+            exam.gu.suspiciousMass ? /* @__PURE__ */ jsxRuntime.jsx("div", { className: "rounded bg-red-500/10 p-1.5 text-red-800", children: "Suspicious scrotal mass \u2014 urgent surgical eval" }) : null
+          ] })
+        ] }),
+        /* @__PURE__ */ jsxRuntime.jsx(Panel3, { title: "Risk stratification", children: /* @__PURE__ */ jsxRuntime.jsx("div", { className: "space-y-2", children: [
+          ["ckd", "CKD"],
+          ["diabetes", "Diabetes"],
+          ["anticoagulants", "Anticoagulants"],
+          ["activeInfection", "Active infection"]
+        ].map(([key, lab]) => /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "flex items-center gap-2", children: [
+          /* @__PURE__ */ jsxRuntime.jsx(
+            Checkbox,
+            {
+              checked: safe.risk[key],
+              disabled,
+              onCheckedChange: (c) => setRisk(key, c === true)
+            }
+          ),
+          /* @__PURE__ */ jsxRuntime.jsx("span", { className: "text-slate-700", children: lab })
+        ] }, key)) }) })
+      ] })
+    ] }),
+    showError ? /* @__PURE__ */ jsxRuntime.jsx("p", { className: "px-3 pb-2 text-xs text-red-500", children: error }) : null
+  ] });
+};
 var FieldRenderer = ({ fieldId }) => {
   const { fieldDef, visible } = useField(fieldId);
   if (!visible || !fieldDef) {
@@ -10289,6 +12055,12 @@ function renderWidget(fieldId, fieldDef) {
       return /* @__PURE__ */ jsxRuntime.jsx(GsGradingWidget, { fieldId });
     case "pain_scale_flags":
       return /* @__PURE__ */ jsxRuntime.jsx(PainScaleFlagsWidget, { fieldId });
+    case "urology_smart_history":
+      return /* @__PURE__ */ jsxRuntime.jsx(UrologySmartHistoryWidget, { fieldId });
+    case "urology_examination":
+      return /* @__PURE__ */ jsxRuntime.jsx(UrologyExaminationWidget, { fieldId });
+    case "urology_pathway":
+      return /* @__PURE__ */ jsxRuntime.jsx(UrologyPathwayWidget, { fieldId });
     case "toggle": {
       const { value, setValue, setTouched, disabled } = useField(fieldId);
       const store = useFormStore();
@@ -11152,7 +12924,43 @@ var ReadOnlyFieldRenderer = ({
       ].join("\n");
       return /* @__PURE__ */ jsxRuntime.jsx(ReadOnlyText, { fieldDef, value: lines });
     }
-    case "general_surgery_smart_history":
+    case "urology_smart_history":
+      return /* @__PURE__ */ jsxRuntime.jsx(
+        ReadOnlyText,
+        {
+          fieldDef,
+          value: value && typeof value === "object" ? JSON.stringify(value, null, 2) : value == null || value === "" ? "\u2014" : String(value)
+        }
+      );
+    case "urology_examination":
+      return /* @__PURE__ */ jsxRuntime.jsx(
+        ReadOnlyText,
+        {
+          fieldDef,
+          value: value && typeof value === "object" ? JSON.stringify(value, null, 2) : value == null || value === "" ? "\u2014" : String(value)
+        }
+      );
+    case "urology_pathway":
+      return /* @__PURE__ */ jsxRuntime.jsx(
+        ReadOnlyText,
+        {
+          fieldDef,
+          value: value && typeof value === "object" ? JSON.stringify(value, null, 2) : value == null || value === "" ? "\u2014" : String(value)
+        }
+      );
+    case "general_surgery_smart_history": {
+      const structuredDisplay = value && typeof value === "object" ? JSON.stringify(normalizeGeneralSurgerySmartHistory(value), null, 2) : value == null || value === "" ? "\u2014" : String(value);
+      const hopcDef = resolveFieldDef?.("symptoms");
+      const hopcRaw = allValues?.["symptoms"];
+      const hopcStr = typeof hopcRaw === "string" ? hopcRaw : hopcRaw != null && hopcRaw !== "" ? String(hopcRaw) : "";
+      return /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "space-y-4", children: [
+        /* @__PURE__ */ jsxRuntime.jsx(ReadOnlyText, { fieldDef, value: structuredDisplay }),
+        hopcDef ? /* @__PURE__ */ jsxRuntime.jsx(ReadOnlyText, { fieldDef: hopcDef, value: hopcStr }) : hopcStr ? /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "space-y-2", children: [
+          /* @__PURE__ */ jsxRuntime.jsx("p", { className: "text-sm font-medium text-gray-700", children: "History of presenting complaint" }),
+          /* @__PURE__ */ jsxRuntime.jsx("div", { className: "text-gray-900 border border-gray-200 rounded-md p-3 bg-gray-50 min-h-[2.5rem] whitespace-pre-wrap", children: hopcStr })
+        ] }) : null
+      ] });
+    }
     case "general_surgery_grading":
       return /* @__PURE__ */ jsxRuntime.jsx(
         ReadOnlyText,
@@ -11402,9 +13210,12 @@ exports.RichTextWidget = RichTextWidget;
 exports.SignatureUploadWidget = SignatureUploadWidget;
 exports.SmartForm = SmartForm;
 exports.SmartTextareaWidget = SmartTextareaWidget;
+exports.attachUrologyClinicalPathwayMetadata = attachUrologyClinicalPathwayMetadata;
 exports.createUploadHandler = createUploadHandler;
 exports.evaluateRules = evaluateRules;
 exports.fieldMetaRequestsMarMedicationOrdersButton = fieldMetaRequestsMarMedicationOrdersButton;
+exports.isUrologyTemplate = isUrologyTemplate;
+exports.shouldFoldUrologyClinicalPathway = shouldFoldUrologyClinicalPathway;
 exports.useField = useField;
 exports.useFieldHandlers = useFieldHandlers;
 exports.useForm = useForm;