formanitor 0.0.41 → 0.0.43

package/dist/index.cjs

@@ -65,326 +65,6 @@ 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) {
@@ -457,12 +137,82 @@ function validateForm(values, fields) {
   return errors;
 }
 
+// src/core/suggestionTokens.ts
+function getSuggestionTokensFromText(text) {
+  return text.split(/[,\n\r]+/).map((p) => p.trim()).filter(Boolean);
+}
+var DEFAULT_TOKEN_SEPARATOR = ", ";
+function commaSplitLine(line) {
+  return line.split(",").map((p) => p.trim()).filter(Boolean);
+}
+function dedupeChipOrder(chips) {
+  const seen = /* @__PURE__ */ new Set();
+  const out = [];
+  for (const c of chips) {
+    if (seen.has(c)) continue;
+    seen.add(c);
+    out.push(c);
+  }
+  return out;
+}
+function parseProseAndChipTokens(text, allowed) {
+  const normalized = text.replace(/\r\n/g, "\n");
+  let lines = normalized.split("\n");
+  while (lines.length > 0 && lines[lines.length - 1] === "") {
+    lines.pop();
+  }
+  if (lines.length === 0) return { prose: "", chips: [] };
+  let chipStart = lines.length;
+  for (let i = lines.length - 1; i >= 0; i--) {
+    const toks = commaSplitLine(lines[i]);
+    if (toks.length === 0) break;
+    if (!toks.every((t) => allowed.has(t))) break;
+    chipStart = i;
+  }
+  if (chipStart < lines.length) {
+    const chipLines = lines.slice(chipStart);
+    const prose = lines.slice(0, chipStart).join("\n");
+    const chips = dedupeChipOrder(chipLines.flatMap(commaSplitLine));
+    return { prose, chips };
+  }
+  const parts = getSuggestionTokensFromText(normalized);
+  const chipsFallback = dedupeChipOrder(parts.filter((t) => allowed.has(t)));
+  const proseParts = parts.filter((t) => !allowed.has(t));
+  return { prose: proseParts.join(DEFAULT_TOKEN_SEPARATOR), chips: chipsFallback };
+}
+function composeProseAndChips(prose, chips, separator = DEFAULT_TOKEN_SEPARATOR) {
+  const chipStr = dedupeChipOrder(chips).join(separator);
+  const p = prose.replace(/\s+$/, "");
+  if (p && chipStr) return `${p}
+${chipStr}`;
+  if (chipStr) return chipStr;
+  return p;
+}
+function toggleSuggestionTokenInText(current, token, separator = DEFAULT_TOKEN_SEPARATOR, allowedChipValues) {
+  const t = String(token).trim();
+  if (!t) return current;
+  if (!allowedChipValues || allowedChipValues.size === 0) {
+    const parts = getSuggestionTokensFromText(current);
+    const i = parts.findIndex((p) => p === t);
+    if (i >= 0) parts.splice(i, 1);
+    else parts.push(t);
+    return parts.join(separator);
+  }
+  if (!allowedChipValues.has(t)) return current;
+  let { prose, chips } = parseProseAndChipTokens(current, allowedChipValues);
+  const idx = chips.indexOf(t);
+  if (idx >= 0) chips.splice(idx, 1);
+  else chips.push(t);
+  chips = dedupeChipOrder(chips);
+  return composeProseAndChips(prose, chips, separator);
+}
+
 // src/core/rules.ts
 function tokenListContainsString(text, needle) {
   if (typeof text !== "string") return false;
   const want = String(needle).trim();
   if (!want) return false;
-  const parts = text.split(",").map((p) => p.trim()).filter(Boolean);
+  const parts = getSuggestionTokensFromText(text);
   return parts.includes(want);
 }
 function evaluateCondition(value, condition) {
@@ -673,7 +423,7 @@ function normalizeGeneralSurgerySmartHistory(raw) {
     ...painIn,
     severity: Number.isFinite(sev) ? Math.min(10, Math.max(0, Math.round(sev))) : d.pain.severity
   };
-  const str2 = (x) => typeof x === "string" ? x : "";
+  const str4 = (x) => typeof x === "string" ? x : "";
   const strArr = (x) => Array.isArray(x) ? x.filter((i) => typeof i === "string") : [];
   const swell = v.swelling && typeof v.swelling === "object" ? v.swelling : {};
   const gi = v.gi && typeof v.gi === "object" ? v.gi : {};
@@ -683,44 +433,44 @@ function normalizeGeneralSurgerySmartHistory(raw) {
   return {
     pain,
     swelling: {
-      duration: str2(swell.duration),
-      sizeProgression: str2(swell.sizeProgression),
-      painfulPainless: str2(swell.painfulPainless),
+      duration: str4(swell.duration),
+      sizeProgression: str4(swell.sizeProgression),
+      painfulPainless: str4(swell.painfulPainless),
       checks: strArr(swell.checks)
     },
     gi: {
-      appetite: str2(gi.appetite),
-      weightLoss: str2(gi.weightLoss),
-      bowelHabits: str2(gi.bowelHabits),
+      appetite: str4(gi.appetite),
+      weightLoss: str4(gi.weightLoss),
+      bowelHabits: str4(gi.bowelHabits),
       checks: strArr(gi.checks)
     },
     breast: {
-      lumpDuration: str2(breast.lumpDuration),
-      nippleDischarge: str2(breast.nippleDischarge),
+      lumpDuration: str4(breast.lumpDuration),
+      nippleDischarge: str4(breast.nippleDischarge),
       checks: strArr(breast.checks)
     },
     ano: { checks: strArr(ano.checks) },
     thyroid: {
-      swellingDuration: str2(thy.swellingDuration),
+      swellingDuration: str4(thy.swellingDuration),
       checks: strArr(thy.checks)
     }
   };
 }
 function normalizeBreastExamSide(partial) {
   const e = defaultBreastExamSide();
-  const str2 = (x) => typeof x === "string" ? x : "";
-  const bool = (x) => x === true;
+  const str4 = (x) => typeof x === "string" ? x : "";
+  const bool2 = (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)
+    size: str4(p.size),
+    quadrant: str4(p.quadrant),
+    tenderness: str4(p.tenderness),
+    fixity: str4(p.fixity),
+    skinInvolvement: str4(p.skinInvolvement),
+    consistency: str4(p.consistency),
+    axillaryNodes: bool2(p.axillaryNodes),
+    nippleAreolarComplex: bool2(p.nippleAreolarComplex)
   };
 }
 function normalizeBreastExaminationBlock(raw) {
@@ -744,7 +494,7 @@ function normalizeGeneralSurgeryExamination(raw) {
   const th = v.thyroid && typeof v.thyroid === "object" ? v.thyroid : {};
   const ar = v.anorectal && typeof v.anorectal === "object" ? v.anorectal : {};
   const lm = v.limb && typeof v.limb === "object" ? v.limb : {};
-  const bool = (x) => x === true;
+  const bool2 = (x) => x === true;
   return {
     general: strArr(v.general),
     regions: strArr(v.regions),
@@ -757,27 +507,27 @@ function normalizeGeneralSurgeryExamination(raw) {
     },
     hernia: {
       site: typeof hb.site === "string" ? hb.site : "",
-      reducible: bool(hb.reducible),
-      coughImpulse: bool(hb.coughImpulse),
-      tenderness: bool(hb.tenderness)
+      reducible: bool2(hb.reducible),
+      coughImpulse: bool2(hb.coughImpulse),
+      tenderness: bool2(hb.tenderness)
     },
     breast: normalizeBreastExaminationBlock(br),
     thyroid: {
       size: typeof th.size === "string" ? th.size : "",
-      mobileDeglutition: bool(th.mobileDeglutition),
-      nodules: bool(th.nodules),
-      cervicalNodes: bool(th.cervicalNodes)
+      mobileDeglutition: bool2(th.mobileDeglutition),
+      nodules: bool2(th.nodules),
+      cervicalNodes: bool2(th.cervicalNodes)
     },
     anorectal: {
       inspection: typeof ar.inspection === "string" ? ar.inspection : "",
-      dreDone: bool(ar.dreDone),
-      proctoscopyDone: bool(ar.proctoscopyDone),
+      dreDone: bool2(ar.dreDone),
+      proctoscopyDone: bool2(ar.proctoscopyDone),
       notes: typeof ar.notes === "string" ? ar.notes : ""
     },
     limb: {
-      dilatedVeins: bool(lm.dilatedVeins),
-      ulcer: bool(lm.ulcer),
-      oedema: bool(lm.oedema)
+      dilatedVeins: bool2(lm.dilatedVeins),
+      ulcer: bool2(lm.ulcer),
+      oedema: bool2(lm.oedema)
     }
   };
 }
@@ -1054,70 +804,102 @@ function formatGeneralSurgeryExaminationToNarrative(v) {
 }
 
 // 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)));
+function defaultUrologySmartHistory() {
+  return {
+    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: "none",
+      painful: false,
+      clots: false
+    },
+    sexual: {
+      erectile: "none",
+      libido: "none",
+      ejaculation: "none",
+      infertilityMonths: 0
+    },
+    pastNotes: ""
+  };
+}
+function defaultUrologyExamination() {
+  return {
+    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 defaultUrologyPathway() {
+  return {
+    stoneSizeMm: 0,
+    hydronephrosis: false,
+    prostateVolumeCc: 0,
+    psaNgMl: 0,
+    uroflowQmaxMlSec: 0,
+    risk: {
+      ckd: false,
+      diabetes: false,
+      anticoagulants: false,
+      activeInfection: false
+    }
+  };
+}
+function ipssItem(v) {
+  const n = Number(v);
+  if (!Number.isFinite(n)) return 0;
+  return Math.min(5, Math.max(0, 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;
 }
@@ -1126,159 +908,269 @@ function urologyIpssBand(total) {
   if (total <= 19) return "Moderate";
   return "Severe";
 }
+function hopcMeaningfulStr(x) {
+  if (typeof x !== "string") return "";
+  const t = x.trim();
+  if (!t || t.toLowerCase() === "none") return "";
+  return t;
+}
+function hopcNonEmpty(lines) {
+  return lines.map((s) => (s ?? "").trim()).filter(Boolean);
+}
+function formatUrologySmartHistoryToSymptomsNarrative(safe, flags) {
+  const { showPain, showLUTS, showHaem, showSex } = flags;
+  const parts = [];
+  if (showPain) {
+    const s = safe.socrates;
+    const painLines = hopcNonEmpty([
+      s.site ? `Site: ${s.site}` : "",
+      s.onset ? `Onset: ${s.onset}` : "",
+      s.character ? `Character: ${s.character}` : "",
+      s.radiation ? `Radiation: ${s.radiation}` : "",
+      s.associated ? `Associated: ${s.associated}` : "",
+      s.timing ? `Timing: ${s.timing}` : "",
+      s.exacerbating ? `Exacerbating/relieving: ${s.exacerbating}` : "",
+      `Severity: ${s.severity}/10`
+    ]);
+    const hasNonDefaultPain = painLines.length > 1 || painLines.length === 1 && painLines[0] !== "Severity: 0/10";
+    if (hasNonDefaultPain) parts.push(`SOCRATES:
+${painLines.join("\n")}`);
+  }
+  if (showLUTS) {
+    const ip = safe.ipss;
+    const any = ip.incomplete || ip.frequency || ip.intermittency || ip.urgency || ip.weakStream || ip.straining || ip.nocturia || safe.ipssQoL;
+    if (any) {
+      const ipssTotal = urologyIpssSevenTotal(safe.ipss);
+      const ipssBandLabel = urologyIpssBand(ipssTotal);
+      parts.push(`IPSS: ${ipssTotal}/35 (${ipssBandLabel}) \xB7 QoL ${safe.ipssQoL}/6`);
+    }
+  }
+  if (showHaem) {
+    const h = safe.haematuria;
+    const timing = hopcMeaningfulStr(h.timing);
+    const haemLines = hopcNonEmpty([
+      h.present ? "Haematuria present" : "",
+      timing ? `Timing: ${timing}` : "",
+      h.painful ? "Painful" : "",
+      h.clots ? "Clots" : ""
+    ]);
+    if (haemLines.length) parts.push(`Haematuria:
+${haemLines.join("\n")}`);
+  }
+  if (showSex) {
+    const sx = safe.sexual;
+    const infertility = sx.infertilityMonths;
+    const sexLines = hopcNonEmpty([
+      hopcMeaningfulStr(sx.erectile) ? `Erectile function: ${hopcMeaningfulStr(sx.erectile)}` : "",
+      hopcMeaningfulStr(sx.libido) ? `Libido: ${hopcMeaningfulStr(sx.libido)}` : "",
+      hopcMeaningfulStr(sx.ejaculation) ? `Ejaculation: ${hopcMeaningfulStr(sx.ejaculation)}` : "",
+      Number.isFinite(infertility) && infertility > 0 ? `Infertility: ${infertility} months` : ""
+    ]);
+    if (sexLines.length) parts.push(`Sexual/reproductive:
+${sexLines.join("\n")}`);
+  }
+  return parts.join("\n\n").trim();
+}
+function formatUrologyExaminationToClinicalExamination(v) {
+  const sections = [];
+  const generalLabels = {
+    pallor: "Pallor (chronic dz)",
+    oedema: "Oedema (renal)",
+    icterus: "Icterus",
+    lymphadenopathy: "Lymphadenopathy"
+  };
+  const general = Object.keys(generalLabels).filter((k) => v.general[k]).map((k) => generalLabels[k]);
+  if (general.length) sections.push(`General: ${general.join(", ")}`);
+  const abdLabels = {
+    distension: "Distension",
+    scars: "Surgical scars",
+    mass: "Visible mass",
+    kidneyPalpable: "Kidney palpable",
+    bladderPalpable: "Bladder palpable",
+    renalAngleTender: "Renal angle tender",
+    bladderDull: "Bladder dullness (retention)"
+  };
+  const abd = Object.keys(abdLabels).filter((k) => v.abdomen[k]).map((k) => abdLabels[k]);
+  if (abd.length) sections.push(`Abdomen: ${abd.join(", ")}`);
+  const guLabels = {
+    meatusAbnormal: "Meatus abnormal (hypospadias?)",
+    phimosis: "Phimosis / paraphimosis",
+    lesions: "Penile lesions / ulcers",
+    scrotalSwelling: "Scrotal swelling",
+    transilluminant: "Transilluminant",
+    tenderTestis: "Tender testis",
+    hydrocele: "Hydrocele",
+    varicocele: "Varicocele",
+    suspiciousMass: "Suspicious mass"
+  };
+  const gu = Object.keys(guLabels).filter((k) => v.gu[k]).map((k) => guLabels[k]);
+  if (gu.length) sections.push(`GU: ${gu.join(", ")}`);
+  const dreBits = hopcNonEmpty([
+    v.dre.done ? "Performed" : "",
+    v.dre.sizeGrams > 0 ? `Size ~${v.dre.sizeGrams} g` : "",
+    v.dre.consistency ? `Consistency: ${v.dre.consistency}` : "",
+    v.dre.medianSulcus ? `Median sulcus: ${v.dre.medianSulcus}` : "",
+    v.dre.tenderness ? "Tenderness" : ""
+  ]);
+  if (dreBits.length) sections.push(`DRE: ${dreBits.join(", ")}`);
+  return sections.join("\n");
+}
+function str(x) {
+  return typeof x === "string" ? x : "";
+}
+function bool(x) {
+  return x === true;
+}
+function nonNegInt(x) {
+  const n = Number(x);
+  if (!Number.isFinite(n)) return 0;
+  return Math.max(0, Math.round(n));
+}
 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 base = defaultUrologySmartHistory();
+  if (!raw || typeof raw !== "object" || Array.isArray(raw)) return base;
+  const r = raw;
+  const soc = r.socrates && typeof r.socrates === "object" && !Array.isArray(r.socrates) ? r.socrates : {};
+  const socObj = soc;
+  const sev = Number(socObj.severity);
+  const socrates = {
+    site: str(socObj.site),
+    onset: str(socObj.onset),
+    character: str(socObj.character),
+    radiation: str(socObj.radiation),
+    associated: str(socObj.associated),
+    timing: str(socObj.timing),
+    exacerbating: str(socObj.exacerbating),
+    severity: Number.isFinite(sev) ? Math.min(10, Math.max(0, Math.round(sev))) : 0
+  };
+  const ipRaw = r.ipss && typeof r.ipss === "object" && !Array.isArray(r.ipss) ? r.ipss : {};
+  const ip = ipRaw;
+  const ipss = {
+    incomplete: ipssItem(ip.incomplete),
+    frequency: ipssItem(ip.frequency),
+    intermittency: ipssItem(ip.intermittency),
+    urgency: ipssItem(ip.urgency),
+    weakStream: ipssItem(ip.weakStream ?? ip.weak_stream),
+    straining: ipssItem(ip.straining),
+    nocturia: ipssItem(ip.nocturia)
+  };
+  const qolRaw = Number(r.ipssQoL);
+  const ipssQoL = Number.isFinite(qolRaw) ? Math.min(6, Math.max(0, Math.round(qolRaw))) : 0;
+  const haRaw = r.haematuria && typeof r.haematuria === "object" && !Array.isArray(r.haematuria) ? r.haematuria : {};
+  const ha = haRaw;
   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);
+    present: bool(ha.present),
+    timing: str(ha.timing) || "none",
+    painful: bool(ha.painful),
+    clots: bool(ha.clots)
+  };
+  const sxRaw = r.sexual && typeof r.sexual === "object" && !Array.isArray(r.sexual) ? r.sexual : {};
+  const sx = sxRaw;
+  const infertilityMonths = nonNegInt(sx.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
+    erectile: str(sx.erectile) || "none",
+    libido: str(sx.libido) || "none",
+    ejaculation: str(sx.ejaculation) || "none",
+    infertilityMonths
   };
-  const pastNotes = typeof v.pastNotes === "string" ? v.pastNotes : d.pastNotes;
-  return { socrates, ipss, ipssQoL, haematuria, sexual, pastNotes };
+  const pastNotes = str(r.pastNotes);
+  return {
+    socrates,
+    ipss,
+    ipssQoL,
+    haematuria,
+    sexual,
+    pastNotes
+  };
+}
+function dreSelectStr(x) {
+  const t = str(x).trim();
+  if (!t || t.toLowerCase() === "none") return "";
+  return t;
 }
 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");
+  const base = defaultUrologyExamination();
+  if (!raw || typeof raw !== "object" || Array.isArray(raw)) return base;
+  const r = raw;
+  const regions = Array.isArray(r.regions) ? r.regions.filter((x) => typeof x === "string") : [];
+  const g = r.general && typeof r.general === "object" && !Array.isArray(r.general) ? r.general : {};
+  const gObj = g;
+  const general = {
+    pallor: bool(gObj.pallor),
+    oedema: bool(gObj.oedema),
+    icterus: bool(gObj.icterus),
+    lymphadenopathy: bool(gObj.lymphadenopathy)
+  };
+  const ab = r.abdomen && typeof r.abdomen === "object" && !Array.isArray(r.abdomen) ? r.abdomen : {};
+  const abObj = ab;
+  const abdomen = {
+    distension: bool(abObj.distension),
+    scars: bool(abObj.scars),
+    mass: bool(abObj.mass),
+    kidneyPalpable: bool(abObj.kidneyPalpable),
+    bladderPalpable: bool(abObj.bladderPalpable),
+    renalAngleTender: bool(abObj.renalAngleTender),
+    bladderDull: bool(abObj.bladderDull)
+  };
+  const guRaw = r.gu && typeof r.gu === "object" && !Array.isArray(r.gu) ? r.gu : {};
+  const guObj = guRaw;
+  const gu = {
+    meatusAbnormal: bool(guObj.meatusAbnormal),
+    phimosis: bool(guObj.phimosis),
+    lesions: bool(guObj.lesions),
+    scrotalSwelling: bool(guObj.scrotalSwelling),
+    transilluminant: bool(guObj.transilluminant),
+    tenderTestis: bool(guObj.tenderTestis),
+    hydrocele: bool(guObj.hydrocele),
+    varicocele: bool(guObj.varicocele),
+    suspiciousMass: bool(guObj.suspiciousMass)
+  };
+  const dr = r.dre && typeof r.dre === "object" && !Array.isArray(r.dre) ? r.dre : {};
+  const drObj = dr;
+  const sizeG = Number(drObj.sizeGrams);
+  const dre = {
+    done: bool(drObj.done),
+    sizeGrams: Number.isFinite(sizeG) && sizeG >= 0 ? Math.round(sizeG) : 0,
+    consistency: dreSelectStr(drObj.consistency),
+    medianSulcus: dreSelectStr(drObj.medianSulcus),
+    tenderness: bool(drObj.tenderness)
+  };
+  const examinationNotes = str(r.examinationNotes);
   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
+    regions,
+    general,
+    abdomen,
+    gu,
+    dre,
+    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 : {};
+  const base = defaultUrologyPathway();
+  if (!raw || typeof raw !== "object" || Array.isArray(raw)) return base;
+  const r = raw;
+  const stoneSizeMm = nonNegInt(r.stoneSizeMm);
+  const hydronephrosis = bool(r.hydronephrosis);
+  const prostateVolumeCc = Math.max(0, Number(r.prostateVolumeCc) || 0);
+  const psaNgMl = Math.max(0, Number(r.psaNgMl) || 0);
+  const uroflowQmaxMlSec = Math.max(0, Number(r.uroflowQmaxMlSec) || 0);
+  const riskRaw = r.risk && typeof r.risk === "object" && !Array.isArray(r.risk) ? r.risk : {};
+  const rk = riskRaw;
+  const risk = {
+    ckd: bool(rk.ckd),
+    diabetes: bool(rk.diabetes),
+    anticoagulants: bool(rk.anticoagulants),
+    activeInfection: bool(rk.activeInfection)
+  };
   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
-    }
+    stoneSizeMm,
+    hydronephrosis,
+    prostateVolumeCc,
+    psaNgMl,
+    uroflowQmaxMlSec,
+    risk
   };
 }
-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) {
@@ -1392,18 +1284,18 @@ var FormStore = class {
           values[field.id] = field.defaultValue ?? defaultGeneralSurgeryExamination();
         } else if (field.type === "general_surgery_grading") {
           values[field.id] = field.defaultValue ?? defaultGeneralSurgeryGrading();
-        } else if (field.type === "pain_scale_flags") {
-          const f = field;
-          values[field.id] = normalizePainScaleFlags(
-            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 if (field.type === "pain_scale_flags") {
+          const f = field;
+          values[field.id] = normalizePainScaleFlags(
+            f.defaultValue ?? { pain: f.min ?? 0, flags: [] },
+            { min: f.min, max: f.max }
+          );
         } else values[field.id] = null;
       }
     });
@@ -1613,7 +1505,6 @@ var FormStore = class {
         }
       }
     });
-    attachUrologyClinicalPathwayMetadata(result, this.schema);
     return result;
   }
   // --- Core Logic ---
@@ -6586,7 +6477,7 @@ function safeJsonParse(val) {
     return null;
   }
 }
-function clampInt2(val, min, max) {
+function clampInt(val, min, max) {
   if (!Number.isFinite(val)) return min;
   return Math.max(min, Math.min(max, Math.trunc(val)));
 }
@@ -6596,10 +6487,10 @@ function parseLegacyString(input) {
   if (gpalMatch) {
     const [, g, p, a, l] = gpalMatch;
     result.gpal = {
-      G: clampInt2(Number(g), 0, 20),
-      P: clampInt2(Number(p), 0, 20),
-      A: clampInt2(Number(a), 0, 20),
-      L: clampInt2(Number(l), 0, 20)
+      G: clampInt(Number(g), 0, 20),
+      P: clampInt(Number(p), 0, 20),
+      A: clampInt(Number(a), 0, 20),
+      L: clampInt(Number(l), 0, 20)
     };
   }
   const lmpMatch = input.match(/LMP:\s*([^\n]+)/i);
@@ -6632,10 +6523,10 @@ function normalizeToDraft(value) {
       isNewEntry: false,
       draft: {
         gpal: {
-          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)
+          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)
         },
         lmp: typeof lmp === "string" ? lmp : "",
         is_pregnant,
@@ -6653,10 +6544,10 @@ function normalizeToDraft(value) {
   }
   if (parsed && typeof parsed === "object" && !Array.isArray(parsed)) {
     const gpalFromFlat = {
-      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)
+      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)
     };
     return {
       isNewEntry: false,
@@ -6808,7 +6699,7 @@ var ObstetricHistoryWidget = ({ fieldId }) => {
   const sanitizeGpalInput = (raw) => {
     const digits = raw.replace(/[^\d]/g, "").slice(0, 2);
     if (!digits) return 0;
-    return clampInt2(Number(digits), 0, 20);
+    return clampInt(Number(digits), 0, 20);
   };
   const handleGpalChange = (key, raw) => {
     const prevWasEmpty = draft.gpal[key] === 0 && activeGpalKey === key;
@@ -9112,26 +9003,11 @@ var DischargeMedicationOrdersWidget = ({ fieldId }) => {
     showError && /* @__PURE__ */ jsxRuntime.jsx("p", { className: "text-xs text-red-500", children: error })
   ] });
 };
-var DEFAULT_TOKEN_SEPARATOR = ", ";
+var DEFAULT_TOKEN_SEPARATOR2 = ", ";
 function getAppendSeparator(def) {
-  const raw = def.meta && typeof def.meta.appendSeparator === "string" ? def.meta.appendSeparator : DEFAULT_TOKEN_SEPARATOR;
+  const raw = def.meta && typeof def.meta.appendSeparator === "string" ? def.meta.appendSeparator : DEFAULT_TOKEN_SEPARATOR2;
   return raw;
 }
-function getSuggestionTokensFromText(text) {
-  return text.split(",").map((p) => p.trim()).filter(Boolean);
-}
-function toggleSuggestionTokenInText(current, token, separator = DEFAULT_TOKEN_SEPARATOR) {
-  const t = String(token).trim();
-  if (!t) return current;
-  const parts = getSuggestionTokensFromText(current);
-  const i = parts.findIndex((p) => p === t);
-  if (i >= 0) {
-    parts.splice(i, 1);
-  } else {
-    parts.push(t);
-  }
-  return parts.join(separator);
-}
 function isTokenSelected(text, optionValue) {
   const t = String(optionValue).trim();
   if (!t) return false;
@@ -9205,8 +9081,11 @@ var SuggestionTextareaWidget = ({ fieldId }) => {
       setOptions([]);
     }
   }, [def]);
+  const chipAllowedSet = React15.useMemo(
+    () => new Set(options.map((o) => String(o.value).trim()).filter(Boolean)),
+    [options]
+  );
   React15.useEffect(() => {
-    if (!parallelChipFieldId || !def) return;
     const parallelDef = store.getFieldDef(parallelChipFieldId);
     if (!parallelDef || parallelDef.type !== "multiselect") return;
     const next = deriveKnownSuggestionChipValues(textValue, options);
@@ -9232,7 +9111,7 @@ var SuggestionTextareaWidget = ({ fieldId }) => {
   const labelEl = theme ? /* @__PURE__ */ jsxRuntime.jsx(Label, { className: labelClass, children: labelContent }) : /* @__PURE__ */ jsxRuntime.jsx(Label, { children: labelContent });
   const onChipClick = (optValue) => {
     if (disabled) return;
-    setValue(toggleSuggestionTokenInText(textValue, String(optValue), appendSeparator));
+    setValue(toggleSuggestionTokenInText(textValue, String(optValue), appendSeparator, chipAllowedSet));
   };
   const hasSuggestions = options.length > 0;
   const hasEmbedded = embeddedFieldIds.length > 0;
@@ -9671,7 +9550,7 @@ var EMPTY = {
   specularMicroscopyDone: false,
   endothelialCount: ""
 };
-function str(x) {
+function str2(x) {
   return typeof x === "string" ? x : "";
 }
 function parseValue2(raw) {
@@ -9679,24 +9558,24 @@ function parseValue2(raw) {
   const o = raw;
   const m = o.method;
   const method = m === "ascan_immersion" || m === "ascan_contact" || m === "optical_biometry" ? m : "optical_biometry";
-  const formula = str(o.formula);
+  const formula = str2(o.formula);
   return {
     ...EMPTY,
-    axialLengthOD: str(o.axialLengthOD),
-    axialLengthOS: str(o.axialLengthOS),
-    k1k2AxisOD: str(o.k1k2AxisOD),
-    k1k2AxisOS: str(o.k1k2AxisOS),
-    anteriorChamberDepthOD: str(o.anteriorChamberDepthOD),
-    anteriorChamberDepthOS: str(o.anteriorChamberDepthOS),
-    iolPowerOD: str(o.iolPowerOD),
-    iolPowerOS: str(o.iolPowerOS),
-    targetRefractionOD: str(o.targetRefractionOD),
-    targetRefractionOS: str(o.targetRefractionOS),
+    axialLengthOD: str2(o.axialLengthOD),
+    axialLengthOS: str2(o.axialLengthOS),
+    k1k2AxisOD: str2(o.k1k2AxisOD),
+    k1k2AxisOS: str2(o.k1k2AxisOS),
+    anteriorChamberDepthOD: str2(o.anteriorChamberDepthOD),
+    anteriorChamberDepthOS: str2(o.anteriorChamberDepthOS),
+    iolPowerOD: str2(o.iolPowerOD),
+    iolPowerOS: str2(o.iolPowerOS),
+    targetRefractionOD: str2(o.targetRefractionOD),
+    targetRefractionOS: str2(o.targetRefractionOS),
     formula: formula || "SRK/T",
     method,
     cornealTopoUploaded: o.cornealTopoUploaded === true,
     specularMicroscopyDone: o.specularMicroscopyDone === true,
-    endothelialCount: str(o.endothelialCount)
+    endothelialCount: str2(o.endothelialCount)
   };
 }
 var paramCell = "emr-biometry-param text-[11px] font-semibold leading-snug text-foreground sm:text-xs py-2";
@@ -10136,7 +10015,7 @@ var THYROID_OPTS = [
   { value: "voice_change", label: "Voice change" },
   { value: "thyrotoxicosis", label: "Thyrotoxicosis symptoms" }
 ];
-var SOCRATES_KEYS2 = [
+var SOCRATES_KEYS = [
   "site",
   "onset",
   "character",
@@ -10230,7 +10109,7 @@ 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_KEYS2.map((k) => /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "space-y-1", children: [
+        SOCRATES_KEYS.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,
@@ -11169,10 +11048,36 @@ var PainScaleFlagsWidget = ({ fieldId }) => {
 };
 var CHIEF_CHIPS_FIELD3 = "chief_complaints_chips";
 var ACTIVE_SYNDROME_FIELD = "uro_active_syndrome";
+var CHIEF_TEXT_FIELD = "chief_complaints";
+var SYMPTOMS_FIELD = "symptoms";
+var DIAGNOSIS_FIELD = "diagnosis";
+var URO_DURATION_FIELD = "uro_chief_duration";
+var URO_ONSET_FIELD = "uro_chief_onset";
+var URO_PROGRESSION_FIELD = "uro_chief_progression";
+var SYNDROME_LABELS = {
+  luts: "LUTS / BPH",
+  stone: "Urolithiasis (stone)",
+  haematuria: "Haematuria",
+  scrotal: "Scrotal swelling",
+  retention: "Acute retention",
+  ed_infertility: "ED / Infertility",
+  uti: "UTI / infection"
+};
 function chipList2(state) {
   const raw = state.values[CHIEF_CHIPS_FIELD3];
   return Array.isArray(raw) ? raw.filter((x) => typeof x === "string") : [];
 }
+function str3(x) {
+  return typeof x === "string" ? x : "";
+}
+function chiefOptionalFieldDisplay(x) {
+  const s = str3(x).trim();
+  if (!s || s.toLowerCase() === "none") return "";
+  return s;
+}
+function nonEmptyLines(lines) {
+  return lines.map((s) => (s ?? "").trim()).filter(Boolean);
+}
 var IPSS_LABELS = {
   incomplete: "Incomplete emptying",
   frequency: "Frequency (<2h)",
@@ -11182,7 +11087,7 @@ var IPSS_LABELS = {
   straining: "Straining",
   nocturia: "Nocturia (\xD7/night)"
 };
-var SOCRATES_KEYS3 = [
+var SOCRATES_KEYS2 = [
   "site",
   "onset",
   "character",
@@ -11206,17 +11111,19 @@ function Panel2({
 }
 var UrologySmartHistoryWidget = ({ fieldId }) => {
   const { fieldDef, value, setValue, setTouched, error, touched, disabled } = useField(fieldId);
+  const hopcField = useField(SYMPTOMS_FIELD);
   const syndromeField = useField(ACTIVE_SYNDROME_FIELD);
   const { state } = useForm();
+  const store = useFormStore();
   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 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 showSex = syndrome === "ed_infertility" || chips.includes("erectile dysfunction") || chips.includes("infertility concern");
   const update = (next) => {
     setValue(next);
     setTouched();
@@ -11236,6 +11143,55 @@ var UrologySmartHistoryWidget = ({ fieldId }) => {
   const setIpss = (key, v) => {
     update({ ...safe, ipss: { ...safe.ipss, [key]: v } });
   };
+  const [hopcNarrativeLocked, setHopcNarrativeLocked] = React15.useState(false);
+  React15.useEffect(() => {
+    if (hopcNarrativeLocked || disabled) return;
+    const next = formatUrologySmartHistoryToSymptomsNarrative(normalizeUrologySmartHistory(value), {
+      showPain,
+      showLUTS,
+      showHaem,
+      showSex
+    });
+    hopcField.setValue(next);
+  }, [value, hopcNarrativeLocked, showPain, showLUTS, showHaem, showSex, disabled]);
+  React15.useEffect(() => {
+    if (disabled) return;
+    const label = syndrome && syndrome !== "none" ? SYNDROME_LABELS[syndrome] ?? syndrome : "";
+    const prev = store.getFieldState(DIAGNOSIS_FIELD)?.value;
+    const prevText = typeof prev === "string" ? prev : "";
+    const syndromeLabels = new Set(Object.values(SYNDROME_LABELS));
+    const keptLines = prevText.split("\n").map((l) => l.trim()).filter(Boolean).filter((l) => !syndromeLabels.has(l));
+    const nextLines = label ? [...keptLines, label] : keptLines;
+    const next = nextLines.join("\n");
+    if (prevText.trim() === next.trim()) return;
+    store.setValues({ [DIAGNOSIS_FIELD]: next }, { touch: false });
+  }, [disabled, store, syndrome]);
+  React15.useEffect(() => {
+    if (disabled) return;
+    const duration = chiefOptionalFieldDisplay(state.values[URO_DURATION_FIELD]);
+    const onset = chiefOptionalFieldDisplay(state.values[URO_ONSET_FIELD]);
+    const progression = chiefOptionalFieldDisplay(state.values[URO_PROGRESSION_FIELD]);
+    const prev = store.getFieldState(CHIEF_TEXT_FIELD)?.value;
+    const prevText = typeof prev === "string" ? prev : "";
+    const kept = prevText.split(",").map((t) => t.trim()).filter(Boolean).filter((t) => {
+      const lower = t.toLowerCase();
+      return !lower.startsWith("duration:") && !lower.startsWith("onset:") && !lower.startsWith("progression:");
+    });
+    const extra = nonEmptyLines([
+      duration ? `Duration: ${duration}` : "",
+      onset ? `Onset: ${onset}` : "",
+      progression ? `Progression: ${progression}` : ""
+    ]);
+    const next = [...kept, ...extra].join(", ").trim();
+    if (prevText.trim() === next.trim()) return;
+    store.setValues({ [CHIEF_TEXT_FIELD]: next }, { touch: false });
+  }, [
+    disabled,
+    state.values[URO_DURATION_FIELD],
+    state.values[URO_ONSET_FIELD],
+    state.values[URO_PROGRESSION_FIELD],
+    store
+  ]);
   if (!fieldDef) return null;
   const theme = getThemeConfig("textarea", fieldDef.theme);
   const wrapperClass = theme?.wrapperClassName ?? "rounded-md overflow-hidden flex flex-col border border-[#D0D0D0]";
@@ -11254,7 +11210,7 @@ var UrologySmartHistoryWidget = ({ fieldId }) => {
     /* @__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: [
+        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,
@@ -11490,15 +11446,50 @@ var UrologySmartHistoryWidget = ({ fieldId }) => {
         ] })
       ] }) }) : 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.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(
+                    formatUrologySmartHistoryToSymptomsNarrative(
+                      normalizeUrologySmartHistory(value),
+                      { showPain, showLUTS, showHaem, showSex }
+                    )
+                  );
+                },
+                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: "Prior calculi, urological surgeries, anticoagulants, DM/HTN\u2026",
-            value: safe.pastNotes,
-            onChange: (e) => update({ ...safe, pastNotes: e.target.value }),
-            disabled
+            className: "min-h-[88px] rounded-md border border-input bg-white text-sm",
+            placeholder: "Auto-filled from chief complaints + smart history\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
           }
         )
       ] })
@@ -11506,6 +11497,7 @@ var UrologySmartHistoryWidget = ({ fieldId }) => {
     showError ? /* @__PURE__ */ jsxRuntime.jsx("p", { className: "px-3 pb-2 text-xs text-red-500", children: error }) : null
   ] });
 };
+var URO_CLINICAL_EXAMINATION_FIELD = "clinical_examination";
 var GENERAL_ROWS = [
   { key: "pallor", label: "Pallor (chronic dz)" },
   { key: "oedema", label: "Oedema (renal)" },
@@ -11536,21 +11528,32 @@ var DRE_CONSISTENCY = ["none", "Soft (benign)", "Firm", "Hard / nodular (maligna
 var DRE_SULCUS = ["none", "Preserved", "Obliterated"];
 var UrologyExaminationWidget = ({ fieldId }) => {
   const { fieldDef, value, setValue, setTouched, error, touched, disabled } = useField(fieldId);
+  const clinicalField = useField(URO_CLINICAL_EXAMINATION_FIELD);
   const { state } = useForm();
   const showError = !!error && (touched || state.submitAttempted);
   const safe = React15.useMemo(() => normalizeUrologyExamination(value), [value]);
-  const update = (next) => {
+  const [clinicalNarrativeLocked, setClinicalNarrativeLocked] = React15.useState(false);
+  React15.useEffect(() => {
+    if (clinicalNarrativeLocked || disabled) return;
+    const norm = normalizeUrologyExamination(value);
+    const next = formatUrologyExaminationToClinicalExamination(norm);
+    clinicalField.setValue(next);
+    if (norm.examinationNotes !== next) {
+      setValue({ ...norm, examinationNotes: next });
+    }
+  }, [value, clinicalNarrativeLocked, disabled]);
+  const bump = (next) => {
     setValue(next);
     setTouched();
   };
   const toggleGeneral = (key) => {
-    update({ ...safe, general: { ...safe.general, [key]: !safe.general[key] } });
+    bump({ ...safe, general: { ...safe.general, [key]: !safe.general[key] } });
   };
   const toggleAbdomen = (key) => {
-    update({ ...safe, abdomen: { ...safe.abdomen, [key]: !safe.abdomen[key] } });
+    bump({ ...safe, abdomen: { ...safe.abdomen, [key]: !safe.abdomen[key] } });
   };
   const toggleGu = (key) => {
-    update({ ...safe, gu: { ...safe.gu, [key]: !safe.gu[key] } });
+    bump({ ...safe, gu: { ...safe.gu, [key]: !safe.gu[key] } });
   };
   if (!fieldDef) return null;
   const theme = getThemeConfig("textarea", fieldDef.theme);
@@ -11618,7 +11621,7 @@ var UrologyExaminationWidget = ({ fieldId }) => {
               Checkbox,
               {
                 checked: safe.dre.done,
-                onCheckedChange: (c) => update({ ...safe, dre: { ...safe.dre, done: c === true } }),
+                onCheckedChange: (c) => bump({ ...safe, dre: { ...safe.dre, done: c === true } }),
                 disabled
               }
             ),
@@ -11635,7 +11638,7 @@ var UrologyExaminationWidget = ({ fieldId }) => {
                 value: safe.dre.sizeGrams,
                 onChange: (e) => {
                   const n = Number(e.target.value);
-                  update({
+                  bump({
                     ...safe,
                     dre: {
                       ...safe.dre,
@@ -11653,7 +11656,7 @@ var UrologyExaminationWidget = ({ fieldId }) => {
               Select,
               {
                 value: safe.dre.consistency || "none",
-                onValueChange: (val) => update({
+                onValueChange: (val) => bump({
                   ...safe,
                   dre: { ...safe.dre, consistency: val === "none" ? "" : val }
                 }),
@@ -11671,7 +11674,7 @@ var UrologyExaminationWidget = ({ fieldId }) => {
               Select,
               {
                 value: safe.dre.medianSulcus || "none",
-                onValueChange: (val) => update({
+                onValueChange: (val) => bump({
                   ...safe,
                   dre: { ...safe.dre, medianSulcus: val === "none" ? "" : val }
                 }),
@@ -11688,7 +11691,7 @@ var UrologyExaminationWidget = ({ fieldId }) => {
               Checkbox,
               {
                 checked: safe.dre.tenderness,
-                onCheckedChange: (c) => update({ ...safe, dre: { ...safe.dre, tenderness: c === true } }),
+                onCheckedChange: (c) => bump({ ...safe, dre: { ...safe.dre, tenderness: c === true } }),
                 disabled
               }
             ),
@@ -11697,15 +11700,49 @@ var UrologyExaminationWidget = ({ fieldId }) => {
         ] })
       ] }),
       /* @__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.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);
+                  const norm = normalizeUrologyExamination(value);
+                  clinicalField.setValue(formatUrologyExaminationToClinicalExamination(norm));
+                },
+                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",
-            placeholder: "Free-text exam findings\u2026",
-            value: safe.examinationNotes,
-            onChange: (e) => update({ ...safe, examinationNotes: e.target.value }),
-            disabled
+            placeholder: "Auto-filled from selections above\u2026",
+            value: typeof clinicalField.value === "string" ? clinicalField.value : clinicalField.value == null ? "" : String(clinicalField.value),
+            onChange: (e) => {
+              setClinicalNarrativeLocked(true);
+              const t = e.target.value;
+              clinicalField.setValue(t);
+              clinicalField.setTouched();
+              setValue({ ...safe, examinationNotes: t });
+              setTouched();
+            },
+            disabled: disabled || clinicalField.disabled
           }
         )
       ] })
@@ -11713,265 +11750,142 @@ var UrologyExaminationWidget = ({ fieldId }) => {
     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 RISK_ROWS = [
+  { key: "ckd", label: "Chronic kidney disease" },
+  { key: "diabetes", label: "Diabetes" },
+  { key: "anticoagulants", label: "Anticoagulants" },
+  { key: "activeInfection", label: "Active infection" }
+];
 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 } });
+  const setNum = (key, raw) => {
+    const n = Number(raw);
+    const v = Number.isFinite(n) && n >= 0 ? n : 0;
+    if (key === "stoneSizeMm") {
+      update({ ...safe, stoneSizeMm: Math.round(v) });
+      return;
+    }
+    update({ ...safe, [key]: v });
+  };
+  const toggleRisk = (key) => {
+    update({
+      ...safe,
+      risk: { ...safe.risk, [key]: !safe.risk[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 subtitle = fieldDef.meta && typeof fieldDef.meta === "object" && fieldDef.meta !== null ? String(fieldDef.meta.subtitle ?? "") : "";
   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",
+    "-mt-1 flex min-w-0 flex-col gap-4 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,
+    subtitle ? /* @__PURE__ */ jsxRuntime.jsx("p", { className: "px-3 pt-2 text-[11px] text-muted-foreground", children: subtitle }) : null,
     /* @__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" })
-          ] }),
+      showError ? /* @__PURE__ */ jsxRuntime.jsx("p", { className: "text-xs text-red-600", children: error }) : null,
+      /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "grid grid-cols-1 gap-3 md:grid-cols-2", children: [
+        /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "block space-y-1 text-xs", children: [
+          /* @__PURE__ */ jsxRuntime.jsx("span", { className: "font-medium", children: "Stone size (mm)" }),
           /* @__PURE__ */ jsxRuntime.jsx(
-            "div",
+            Input,
             {
-              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
+              type: "number",
+              min: 0,
+              className: "h-8 text-xs",
+              value: safe.stoneSizeMm,
+              onChange: (e) => setNum("stoneSizeMm", e.target.value),
+              disabled
             }
-          ),
-          /* @__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.jsxs("label", { className: "flex items-center gap-2 pt-6 text-xs", children: [
           /* @__PURE__ */ jsxRuntime.jsx(
-            "div",
+            Checkbox,
             {
-              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
+              checked: safe.hydronephrosis,
+              onCheckedChange: (c) => update({ ...safe, hydronephrosis: c === true }),
+              disabled
             }
           ),
-          /* @__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" })
+          "Hydronephrosis on imaging"
         ] }),
-        /* @__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 ${ipssBandCls}`, children: [
-              ipssTotal,
-              "/35 \xB7 ",
-              urologyIpssBand(ipssTotal)
-            ] })
-          ] }),
-          /* @__PURE__ */ jsxRuntime.jsx("div", { className: "mb-3 h-1.5 overflow-hidden rounded-full bg-slate-200", children: /* @__PURE__ */ jsxRuntime.jsx(
-            "div",
+        /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "block space-y-1 text-xs", children: [
+          /* @__PURE__ */ jsxRuntime.jsx("span", { className: "font-medium", children: "Prostate volume (cc)" }),
+          /* @__PURE__ */ jsxRuntime.jsx(
+            Input,
             {
-              className: cn(
-                "h-full transition-[width]",
-                ipssTotal >= 20 ? "bg-red-500" : ipssTotal >= 8 ? "bg-amber-500" : "bg-emerald-500"
-              ),
-              style: { width: `${Math.min(100, ipssTotal / 35 * 100)}%` }
+              type: "number",
+              min: 0,
+              step: 0.1,
+              className: "h-8 text-xs",
+              value: safe.prostateVolumeCc,
+              onChange: (e) => setNum("prostateVolumeCc", e.target.value),
+              disabled
             }
-          ) }),
-          /* @__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.jsxs("label", { className: "block space-y-1 text-xs", children: [
+          /* @__PURE__ */ jsxRuntime.jsx("span", { className: "font-medium", children: "PSA (ng/mL)" }),
+          /* @__PURE__ */ jsxRuntime.jsx(
+            Input,
+            {
+              type: "number",
+              min: 0,
+              step: 0.01,
+              className: "h-8 text-xs",
+              value: safe.psaNgMl,
+              onChange: (e) => setNum("psaNgMl", e.target.value),
+              disabled
+            }
+          )
         ] }),
-        /* @__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.jsxs("label", { className: "block space-y-1 text-xs md:col-span-2", children: [
+          /* @__PURE__ */ jsxRuntime.jsx("span", { className: "font-medium", children: "Uroflow Qmax (mL/s)" }),
+          /* @__PURE__ */ jsxRuntime.jsx(
+            Input,
+            {
+              type: "number",
+              min: 0,
+              step: 0.1,
+              className: "h-8 text-xs",
+              value: safe.uroflowQmaxMlSec,
+              onChange: (e) => setNum("uroflowQmaxMlSec", e.target.value),
+              disabled
+            }
+          )
+        ] })
+      ] }),
+      /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "space-y-2 border-t border-muted-foreground/20 pt-3", children: [
+        /* @__PURE__ */ jsxRuntime.jsx("p", { className: "text-xs font-semibold text-slate-800", children: "Risk stratification" }),
+        /* @__PURE__ */ jsxRuntime.jsx("div", { className: "grid grid-cols-1 gap-2 sm:grid-cols-2", children: RISK_ROWS.map((r) => /* @__PURE__ */ jsxRuntime.jsxs("label", { className: "flex items-center gap-2 text-xs", children: [
           /* @__PURE__ */ jsxRuntime.jsx(
             Checkbox,
             {
-              checked: safe.risk[key],
-              disabled,
-              onCheckedChange: (c) => setRisk(key, c === true)
+              checked: safe.risk[r.key],
+              onCheckedChange: () => toggleRisk(r.key),
+              disabled
             }
           ),
-          /* @__PURE__ */ jsxRuntime.jsx("span", { className: "text-slate-700", children: lab })
-        ] }, key)) }) })
+          r.label
+        ] }, r.key)) })
       ] })
-    ] }),
-    showError ? /* @__PURE__ */ jsxRuntime.jsx("p", { className: "px-3 pb-2 text-xs text-red-500", children: error }) : null
+    ] })
   ] });
 };
 var FieldRenderer = ({ fieldId }) => {
@@ -12924,22 +12838,32 @@ var ReadOnlyFieldRenderer = ({
       ].join("\n");
       return /* @__PURE__ */ jsxRuntime.jsx(ReadOnlyText, { fieldDef, value: lines });
     }
-    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_smart_history": {
+      const structuredDisplay = value && typeof value === "object" ? JSON.stringify(normalizeUrologySmartHistory(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 "urology_examination": {
+      const structuredDisplay = value && typeof value === "object" ? JSON.stringify(value, null, 2) : value == null || value === "" ? "\u2014" : String(value);
+      const clinicalDef = resolveFieldDef?.("clinical_examination");
+      const clinicalRaw = allValues?.["clinical_examination"];
+      const clinicalStr = typeof clinicalRaw === "string" ? clinicalRaw : clinicalRaw != null && clinicalRaw !== "" ? String(clinicalRaw) : "";
+      return /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "space-y-4", children: [
+        /* @__PURE__ */ jsxRuntime.jsx(ReadOnlyText, { fieldDef, value: structuredDisplay }),
+        clinicalDef ? /* @__PURE__ */ jsxRuntime.jsx(ReadOnlyText, { fieldDef: clinicalDef, value: clinicalStr }) : clinicalStr ? /* @__PURE__ */ jsxRuntime.jsxs("div", { className: "space-y-2", children: [
+          /* @__PURE__ */ jsxRuntime.jsx("p", { className: "text-sm font-medium text-gray-700", children: "Clinical examination" }),
+          /* @__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: clinicalStr })
+        ] }) : null
+      ] });
+    }
     case "urology_pathway":
       return /* @__PURE__ */ jsxRuntime.jsx(
         ReadOnlyText,
@@ -13210,12 +13134,9 @@ 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;