formanitor 0.1.10 → 0.2.0

package/dist/chunk-IKAKE7TR.mjs

@@ -0,0 +1,527 @@
+// src/core/obgPathway.ts
+var UTERUS_SIZES = ["", "Normal", "Bulky", "Enlarged"];
+function bool(x) {
+  return x === true;
+}
+function str(x) {
+  return typeof x === "string" ? x : "";
+}
+function defaultObgExamination() {
+  return {
+    general: {
+      pallor: false,
+      oedema: false,
+      thyroid: false,
+      hirsutism: false,
+      acanthosis: false
+    },
+    abdomen: { surgicalScars: false, massTenderness: false },
+    breast: { lump: false, nippleDischarge: false, skinChanges: false, axillaryNodes: false },
+    pelvic: {
+      speculumDone: false,
+      discharge: false,
+      cervicalErosion: false,
+      cervicalGrowth: false,
+      activeBleeding: false,
+      bimanualDone: false,
+      adnexalMass: false,
+      cmt: false
+    },
+    uterusSize: "",
+    examinationNotes: ""
+  };
+}
+function normalizeObgExamination(raw) {
+  const base = defaultObgExamination();
+  if (!raw || typeof raw !== "object" || Array.isArray(raw)) return base;
+  const o = raw;
+  const g = o.general && typeof o.general === "object" ? o.general : {};
+  const a = o.abdomen && typeof o.abdomen === "object" ? o.abdomen : {};
+  const b = o.breast && typeof o.breast === "object" ? o.breast : {};
+  const p = o.pelvic && typeof o.pelvic === "object" ? o.pelvic : {};
+  const us = str(o.uterusSize);
+  return {
+    general: {
+      pallor: bool(g.pallor),
+      oedema: bool(g.oedema),
+      thyroid: bool(g.thyroid),
+      hirsutism: bool(g.hirsutism),
+      acanthosis: bool(g.acanthosis)
+    },
+    abdomen: {
+      surgicalScars: bool(a.surgicalScars),
+      massTenderness: bool(a.massTenderness)
+    },
+    breast: {
+      lump: bool(b.lump),
+      nippleDischarge: bool(b.nippleDischarge),
+      skinChanges: bool(b.skinChanges),
+      axillaryNodes: bool(b.axillaryNodes)
+    },
+    pelvic: {
+      speculumDone: bool(p.speculumDone),
+      discharge: bool(p.discharge),
+      cervicalErosion: bool(p.cervicalErosion),
+      cervicalGrowth: bool(p.cervicalGrowth),
+      activeBleeding: bool(p.activeBleeding),
+      bimanualDone: bool(p.bimanualDone),
+      adnexalMass: bool(p.adnexalMass),
+      cmt: bool(p.cmt)
+    },
+    uterusSize: UTERUS_SIZES.includes(us) ? us : "",
+    examinationNotes: str(o.examinationNotes)
+  };
+}
+var GENERAL_LABELS = {
+  pallor: "Pallor",
+  oedema: "Oedema",
+  thyroid: "Thyroid",
+  hirsutism: "Hirsutism",
+  acanthosis: "Acanthosis"
+};
+var ABDOMEN_LABELS = {
+  surgicalScars: "Surgical scars",
+  massTenderness: "Mass / tenderness"
+};
+var BREAST_LABELS = {
+  lump: "Lump",
+  nippleDischarge: "Nipple discharge",
+  skinChanges: "Skin changes",
+  axillaryNodes: "Axillary nodes"
+};
+var PELVIC_LABELS = {
+  speculumDone: "Speculum done",
+  discharge: "Discharge",
+  cervicalErosion: "Cervical erosion",
+  cervicalGrowth: "Cervical growth",
+  activeBleeding: "Active bleeding",
+  bimanualDone: "Bimanual done",
+  adnexalMass: "Adnexal mass",
+  cmt: "Cervical motion tenderness"
+};
+var UTERUS_CHIP_LABELS = {
+  Normal: "Uterus normal",
+  Bulky: "Uterus bulky",
+  Enlarged: "Uterus enlarged"
+};
+var OBG_EXAM_LABEL_TO_INFO = (() => {
+  const m = {};
+  Object.keys(GENERAL_LABELS).forEach((k) => {
+    m[GENERAL_LABELS[k]] = { kind: "general", key: k };
+  });
+  Object.keys(ABDOMEN_LABELS).forEach((k) => {
+    m[ABDOMEN_LABELS[k]] = { kind: "abdomen", key: k };
+  });
+  Object.keys(BREAST_LABELS).forEach((k) => {
+    m[BREAST_LABELS[k]] = { kind: "breast", key: k };
+  });
+  Object.keys(PELVIC_LABELS).forEach((k) => {
+    m[PELVIC_LABELS[k]] = { kind: "pelvic", key: k };
+  });
+  Object.keys(UTERUS_CHIP_LABELS).forEach((s) => {
+    m[UTERUS_CHIP_LABELS[s]] = { kind: "uterus", size: s };
+  });
+  return m;
+})();
+var OBG_EXAM_ALLOWED_CHIP_LABELS = new Set(
+  Object.keys(OBG_EXAM_LABEL_TO_INFO)
+);
+function obgExaminationChipLabels(v) {
+  const out = [];
+  Object.keys(GENERAL_LABELS).forEach((k) => {
+    if (v.general[k]) out.push(GENERAL_LABELS[k]);
+  });
+  Object.keys(ABDOMEN_LABELS).forEach((k) => {
+    if (v.abdomen[k]) out.push(ABDOMEN_LABELS[k]);
+  });
+  Object.keys(BREAST_LABELS).forEach((k) => {
+    if (v.breast[k]) out.push(BREAST_LABELS[k]);
+  });
+  Object.keys(PELVIC_LABELS).forEach((k) => {
+    if (v.pelvic[k]) out.push(PELVIC_LABELS[k]);
+  });
+  if (v.pelvic.bimanualDone && v.uterusSize) {
+    out.push(UTERUS_CHIP_LABELS[v.uterusSize]);
+  }
+  return out;
+}
+function obgExaminationFromChipLabels(labels, prevNotes = "") {
+  const out = defaultObgExamination();
+  out.examinationNotes = prevNotes;
+  for (const raw of labels) {
+    const info = OBG_EXAM_LABEL_TO_INFO[raw];
+    if (!info) continue;
+    switch (info.kind) {
+      case "general":
+        out.general[info.key] = true;
+        break;
+      case "abdomen":
+        out.abdomen[info.key] = true;
+        break;
+      case "breast":
+        out.breast[info.key] = true;
+        break;
+      case "pelvic":
+        out.pelvic[info.key] = true;
+        break;
+      case "uterus":
+        out.pelvic.bimanualDone = true;
+        out.uterusSize = info.size;
+        break;
+    }
+  }
+  return out;
+}
+var OBG_ZONE_ORDER = [
+  "menstrual_reproductive",
+  "antenatal",
+  "gynaecological",
+  "infertility",
+  "postoperative"
+];
+var OBG_ZONE_SET = new Set(OBG_ZONE_ORDER);
+function coerceZones(raw) {
+  const list = [];
+  const push = (x) => {
+    if (typeof x === "string" && OBG_ZONE_SET.has(x) && !list.includes(x)) {
+      list.push(x);
+    }
+  };
+  if (Array.isArray(raw)) raw.forEach(push);
+  else push(raw);
+  return list.sort((a, b) => OBG_ZONE_ORDER.indexOf(a) - OBG_ZONE_ORDER.indexOf(b));
+}
+function num(x, fallback = 0) {
+  const n = Number(x);
+  return Number.isFinite(n) ? n : fallback;
+}
+function clampDysmenorrhea(x) {
+  const n = Math.round(num(x, 0));
+  if (n <= 0) return 0;
+  if (n >= 3) return 3;
+  return n;
+}
+function defaultObgPathway() {
+  return {
+    zones: [],
+    menstrual: {
+      menarcheAge: 13,
+      cycleLength: 28,
+      flowDays: 4,
+      cycleRegular: true,
+      dysmenorrhea: 0,
+      amount: "",
+      lmp: "",
+      menopauseStatus: ""
+    },
+    antenatal: {
+      gravida: 0,
+      gaWeeksLmp: 0,
+      gaDaysLmp: 0,
+      gaWeeksUsg: 0,
+      gaDaysUsg: 0,
+      edd: "",
+      riskCategory: "",
+      symptoms: {
+        nauseaVomiting: false,
+        bleedingPV: false,
+        painAbdomen: false,
+        decreasedFetalMovements: false
+      },
+      exam: {
+        weightKg: 0,
+        heightCm: 0,
+        bmi: 0,
+        bp: "",
+        pallor: false,
+        oedema: false,
+        fundalHeightCm: 0,
+        fhrBpm: 0,
+        presentation: "",
+        lie: ""
+      },
+      investigations: {
+        bloodGroup: "",
+        cbc: "",
+        tsh: "",
+        rbsOgtt: "",
+        serology: "",
+        urine: "",
+        usg: ""
+      }
+    },
+    gynae: {
+      symptoms: {
+        aub: false,
+        whiteDischarge: false,
+        pelvicPain: false,
+        dyspareunia: false,
+        urinaryComplaints: false,
+        prolapse: false
+      }
+    },
+    infertility: {
+      type: "",
+      durationMonths: 0,
+      previousTreatments: "",
+      female: { ovulation: "", pcosFeatures: false, endometriosisSuspicion: false },
+      male: { age: 0, semenAnalysis: "" },
+      investigations: { amh: "", fshLh: "", prolactin: "", tsh: "", tvs: "", hsg: "" }
+    },
+    postop: {
+      surgeryDate: "",
+      procedure: "",
+      histopathology: "",
+      woundStatus: "",
+      painScore: 0,
+      complications: ""
+    }
+  };
+}
+function normalizeObgPathway(raw) {
+  const base = defaultObgPathway();
+  if (!raw || typeof raw !== "object" || Array.isArray(raw)) return base;
+  const o = raw;
+  const zones = coerceZones(o.zones ?? o.zone);
+  const m = o.menstrual && typeof o.menstrual === "object" ? o.menstrual : {};
+  const a = o.antenatal && typeof o.antenatal === "object" ? o.antenatal : {};
+  const aSym = a.symptoms && typeof a.symptoms === "object" ? a.symptoms : {};
+  const aExam = a.exam && typeof a.exam === "object" ? a.exam : {};
+  const aInv = a.investigations && typeof a.investigations === "object" ? a.investigations : {};
+  const g = o.gynae && typeof o.gynae === "object" ? o.gynae : {};
+  const gSym = g.symptoms && typeof g.symptoms === "object" ? g.symptoms : {};
+  const inf = o.infertility && typeof o.infertility === "object" ? o.infertility : {};
+  const infF = inf.female && typeof inf.female === "object" ? inf.female : {};
+  const infM = inf.male && typeof inf.male === "object" ? inf.male : {};
+  const infInv = inf.investigations && typeof inf.investigations === "object" ? inf.investigations : {};
+  const po = o.postop && typeof o.postop === "object" ? o.postop : {};
+  return {
+    zones,
+    menstrual: {
+      menarcheAge: num(m.menarcheAge, base.menstrual.menarcheAge),
+      cycleLength: num(m.cycleLength, base.menstrual.cycleLength),
+      flowDays: num(m.flowDays, base.menstrual.flowDays),
+      cycleRegular: m.cycleRegular === void 0 ? base.menstrual.cycleRegular : bool(m.cycleRegular),
+      dysmenorrhea: clampDysmenorrhea(m.dysmenorrhea),
+      amount: ["", "Scanty", "Normal", "Heavy"].includes(str(m.amount)) ? str(m.amount) : "",
+      lmp: str(m.lmp),
+      menopauseStatus: ["", "Pre", "Peri", "Post"].includes(str(m.menopauseStatus)) ? str(m.menopauseStatus) : ""
+    },
+    antenatal: {
+      gravida: num(a.gravida),
+      gaWeeksLmp: num(a.gaWeeksLmp),
+      gaDaysLmp: num(a.gaDaysLmp),
+      gaWeeksUsg: num(a.gaWeeksUsg),
+      gaDaysUsg: num(a.gaDaysUsg),
+      edd: str(a.edd),
+      riskCategory: ["", "Low", "High"].includes(str(a.riskCategory)) ? str(a.riskCategory) : "",
+      symptoms: {
+        nauseaVomiting: bool(aSym.nauseaVomiting),
+        bleedingPV: bool(aSym.bleedingPV),
+        painAbdomen: bool(aSym.painAbdomen),
+        decreasedFetalMovements: bool(aSym.decreasedFetalMovements)
+      },
+      exam: {
+        weightKg: num(aExam.weightKg),
+        heightCm: num(aExam.heightCm),
+        bmi: num(aExam.bmi),
+        bp: str(aExam.bp),
+        pallor: bool(aExam.pallor),
+        oedema: bool(aExam.oedema),
+        fundalHeightCm: num(aExam.fundalHeightCm),
+        fhrBpm: num(aExam.fhrBpm),
+        presentation: ["", "Cephalic", "Breech", "Other"].includes(str(aExam.presentation)) ? str(aExam.presentation) : "",
+        lie: ["", "Longitudinal", "Transverse", "Oblique"].includes(str(aExam.lie)) ? str(aExam.lie) : ""
+      },
+      investigations: {
+        bloodGroup: str(aInv.bloodGroup),
+        cbc: ["", "Done", "Pending", "Abnormal"].includes(str(aInv.cbc)) ? str(aInv.cbc) : "",
+        tsh: ["", "Done", "Pending", "Abnormal"].includes(str(aInv.tsh)) ? str(aInv.tsh) : "",
+        rbsOgtt: ["", "Done", "Pending", "Abnormal"].includes(str(aInv.rbsOgtt)) ? str(aInv.rbsOgtt) : "",
+        serology: ["", "Done", "Pending", "Abnormal"].includes(str(aInv.serology)) ? str(aInv.serology) : "",
+        urine: ["", "Done", "Pending", "Abnormal"].includes(str(aInv.urine)) ? str(aInv.urine) : "",
+        usg: ["", "Dating", "NT", "Anomaly", "Growth", "Pending"].includes(str(aInv.usg)) ? str(aInv.usg) : ""
+      }
+    },
+    gynae: {
+      symptoms: {
+        aub: bool(gSym.aub),
+        whiteDischarge: bool(gSym.whiteDischarge),
+        pelvicPain: bool(gSym.pelvicPain),
+        dyspareunia: bool(gSym.dyspareunia),
+        urinaryComplaints: bool(gSym.urinaryComplaints),
+        prolapse: bool(gSym.prolapse)
+      }
+    },
+    infertility: {
+      type: ["", "Primary", "Secondary"].includes(str(inf.type)) ? str(inf.type) : "",
+      durationMonths: num(inf.durationMonths),
+      previousTreatments: str(inf.previousTreatments),
+      female: {
+        ovulation: ["", "Ovulatory", "Anovulatory", "Unknown"].includes(str(infF.ovulation)) ? str(infF.ovulation) : "",
+        pcosFeatures: bool(infF.pcosFeatures),
+        endometriosisSuspicion: bool(infF.endometriosisSuspicion)
+      },
+      male: {
+        age: num(infM.age),
+        semenAnalysis: ["", "Normal", "Abnormal", "Pending"].includes(str(infM.semenAnalysis)) ? str(infM.semenAnalysis) : ""
+      },
+      investigations: {
+        amh: str(infInv.amh),
+        fshLh: str(infInv.fshLh),
+        prolactin: str(infInv.prolactin),
+        tsh: str(infInv.tsh),
+        tvs: str(infInv.tvs),
+        hsg: str(infInv.hsg)
+      }
+    },
+    postop: {
+      surgeryDate: str(po.surgeryDate),
+      procedure: str(po.procedure),
+      histopathology: str(po.histopathology),
+      woundStatus: ["", "Healthy", "Erythema", "Discharge", "Dehisced"].includes(str(po.woundStatus)) ? str(po.woundStatus) : "",
+      painScore: Math.max(0, Math.min(10, num(po.painScore))),
+      complications: str(po.complications)
+    }
+  };
+}
+var ZONE_LABELS = {
+  menstrual_reproductive: "Menstrual & reproductive",
+  antenatal: "Antenatal",
+  gynaecological: "Gynaecological",
+  infertility: "Infertility",
+  postoperative: "Post-operative"
+};
+function obgZoneLabel(zone) {
+  return ZONE_LABELS[zone];
+}
+function nonEmpty(parts) {
+  return parts.map((s) => (s ?? "").trim()).filter(Boolean);
+}
+function formatMenstrualBlock(m) {
+  const bits = nonEmpty([
+    m.menarcheAge ? `menarche ${m.menarcheAge}y` : "",
+    m.cycleLength ? `cycle ${m.cycleLength}d` : "",
+    m.flowDays ? `flow ${m.flowDays}d` : "",
+    m.cycleRegular ? "regular" : "irregular",
+    m.amount ? `flow ${m.amount.toLowerCase()}` : "",
+    m.dysmenorrhea ? `dysmenorrhea grade ${m.dysmenorrhea}` : "",
+    m.lmp ? `LMP ${m.lmp}` : "",
+    m.menopauseStatus ? `${m.menopauseStatus.toLowerCase()}menopausal` : ""
+  ]);
+  return bits.length ? `Menstrual: ${bits.join(", ")}` : "";
+}
+function formatAntenatalBlock(a) {
+  const lines = [];
+  const head = nonEmpty([
+    a.gravida ? `G${a.gravida}` : "",
+    a.gaWeeksLmp || a.gaDaysLmp ? `GA(LMP) ${a.gaWeeksLmp}w ${a.gaDaysLmp}d` : "",
+    a.gaWeeksUsg || a.gaDaysUsg ? `GA(USG) ${a.gaWeeksUsg}w ${a.gaDaysUsg}d` : "",
+    a.edd ? `EDD ${a.edd}` : "",
+    a.riskCategory ? `${a.riskCategory} risk` : ""
+  ]);
+  if (head.length) lines.push(`Antenatal: ${head.join(", ")}`);
+  const sym = nonEmpty([
+    a.symptoms.nauseaVomiting ? "nausea/vomiting" : "",
+    a.symptoms.bleedingPV ? "bleeding PV" : "",
+    a.symptoms.painAbdomen ? "pain abdomen" : "",
+    a.symptoms.decreasedFetalMovements ? "decreased fetal movements" : ""
+  ]);
+  if (sym.length) lines.push(`Antenatal symptoms: ${sym.join(", ")}`);
+  const exam = nonEmpty([
+    a.exam.weightKg ? `wt ${a.exam.weightKg}kg` : "",
+    a.exam.heightCm ? `ht ${a.exam.heightCm}cm` : "",
+    a.exam.bmi ? `BMI ${a.exam.bmi}` : "",
+    a.exam.bp ? `BP ${a.exam.bp}` : "",
+    a.exam.pallor ? "pallor" : "",
+    a.exam.oedema ? "oedema" : "",
+    a.exam.fundalHeightCm ? `fundal ht ${a.exam.fundalHeightCm}cm` : "",
+    a.exam.fhrBpm ? `FHR ${a.exam.fhrBpm}bpm` : "",
+    a.exam.presentation ? a.exam.presentation.toLowerCase() : "",
+    a.exam.lie ? `${a.exam.lie.toLowerCase()} lie` : ""
+  ]);
+  if (exam.length) lines.push(`Antenatal exam: ${exam.join(", ")}`);
+  const i = a.investigations;
+  const inv = nonEmpty([
+    i.bloodGroup ? `BG ${i.bloodGroup}` : "",
+    i.cbc ? `CBC ${i.cbc.toLowerCase()}` : "",
+    i.tsh ? `TSH ${i.tsh.toLowerCase()}` : "",
+    i.rbsOgtt ? `RBS/OGTT ${i.rbsOgtt.toLowerCase()}` : "",
+    i.serology ? `serology ${i.serology.toLowerCase()}` : "",
+    i.urine ? `urine ${i.urine.toLowerCase()}` : "",
+    i.usg ? `USG ${i.usg.toLowerCase()}` : ""
+  ]);
+  if (inv.length) lines.push(`Antenatal Ix: ${inv.join(", ")}`);
+  return lines.join("\n");
+}
+function formatGynaeBlock(g) {
+  const sym = nonEmpty([
+    g.symptoms.aub ? "AUB" : "",
+    g.symptoms.whiteDischarge ? "white discharge" : "",
+    g.symptoms.pelvicPain ? "pelvic pain" : "",
+    g.symptoms.dyspareunia ? "dyspareunia" : "",
+    g.symptoms.urinaryComplaints ? "urinary complaints" : "",
+    g.symptoms.prolapse ? "prolapse" : ""
+  ]);
+  return sym.length ? `Gynae symptoms: ${sym.join(", ")}` : "";
+}
+function formatInfertilityBlock(i) {
+  const bits = nonEmpty([
+    i.type ? `${i.type} infertility` : "",
+    i.durationMonths ? `${i.durationMonths} months` : "",
+    i.female.pcosFeatures ? "PCOS features" : "",
+    i.female.endometriosisSuspicion ? "endometriosis suspicion" : "",
+    i.female.ovulation ? `ovulation: ${i.female.ovulation}` : "",
+    i.male.semenAnalysis ? `semen: ${i.male.semenAnalysis}` : ""
+  ]);
+  return bits.length ? `Infertility: ${bits.join(", ")}` : "";
+}
+function formatPostOpBlock(p) {
+  const bits = nonEmpty([
+    p.surgeryDate ? `op ${p.surgeryDate}` : "",
+    p.procedure || "",
+    p.woundStatus ? `wound ${p.woundStatus.toLowerCase()}` : "",
+    p.painScore ? `pain ${p.painScore}/10` : "",
+    p.complications ? `complications: ${p.complications}` : ""
+  ]);
+  return bits.length ? `Post-op: ${bits.join(", ")}` : "";
+}
+var ZONE_FORMATTERS = {
+  menstrual_reproductive: (v) => formatMenstrualBlock(v.menstrual),
+  antenatal: (v) => formatAntenatalBlock(v.antenatal),
+  gynaecological: (v) => formatGynaeBlock(v.gynae),
+  infertility: (v) => formatInfertilityBlock(v.infertility),
+  postoperative: (v) => formatPostOpBlock(v.postop)
+};
+function formatObgPathwayProse(v) {
+  if (!v.zones.length) return "";
+  const blocks = [];
+  for (const z of v.zones) {
+    const block = ZONE_FORMATTERS[z](v).trim();
+    if (block) blocks.push(block);
+  }
+  return blocks.join("\n\n");
+}
+var OBG_ZONE_LABEL_TO_ZONE = (() => {
+  const m = {};
+  for (const z of OBG_ZONE_ORDER) m[obgZoneLabel(z)] = z;
+  return m;
+})();
+var OBG_ZONE_ALLOWED_CHIP_LABELS = new Set(
+  Object.keys(OBG_ZONE_LABEL_TO_ZONE)
+);
+function obgZonesFromChipLabels(labels) {
+  const out = [];
+  const seen = /* @__PURE__ */ new Set();
+  for (const raw of labels) {
+    const z = OBG_ZONE_LABEL_TO_ZONE[raw];
+    if (!z || seen.has(z)) continue;
+    seen.add(z);
+    out.push(z);
+  }
+  return out.sort((a, b) => OBG_ZONE_ORDER.indexOf(a) - OBG_ZONE_ORDER.indexOf(b));
+}
+
+export { OBG_EXAM_ALLOWED_CHIP_LABELS, OBG_ZONE_ALLOWED_CHIP_LABELS, OBG_ZONE_ORDER, formatObgPathwayProse, normalizeObgExamination, normalizeObgPathway, obgExaminationChipLabels, obgExaminationFromChipLabels, obgZoneLabel, obgZonesFromChipLabels };
+//# sourceMappingURL=chunk-IKAKE7TR.mjs.map
+//# sourceMappingURL=chunk-IKAKE7TR.mjs.map

package/dist/chunk-IKAKE7TR.mjs.map

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OB/GYN OPD pathway: structured examination, menstrual history, antenatal, gynae, infertility, post-op. */\n\n// ─── Examination ──────────────────────────────────────────────────────────────\n\nexport type ObgExaminationGeneral = {\n  pallor: boolean;\n  oedema: boolean;\n  thyroid: boolean;\n  hirsutism: boolean;\n  acanthosis: boolean;\n};\n\nexport type ObgExaminationAbdomen = {\n  surgicalScars: boolean;\n  massTenderness: boolean;\n};\n\nexport type ObgExaminationBreast = {\n  lump: boolean;\n  nippleDischarge: boolean;\n  skinChanges: boolean;\n  axillaryNodes: boolean;\n};\n\nexport type ObgExaminationPelvic = {\n  speculumDone: boolean;\n  discharge: boolean;\n  cervicalErosion: boolean;\n  cervicalGrowth: boolean;\n  activeBleeding: boolean;\n  bimanualDone: boolean;\n  adnexalMass: boolean;\n  cmt: boolean;\n};\n\nexport type ObgUterusSize = '' | 'Normal' | 'Bulky' | 'Enlarged';\n\nexport type ObgExaminationValue = {\n  general: ObgExaminationGeneral;\n  abdomen: ObgExaminationAbdomen;\n  breast: ObgExaminationBreast;\n  pelvic: ObgExaminationPelvic;\n  uterusSize: ObgUterusSize;\n  examinationNotes: string;\n};\n\nconst UTERUS_SIZES: ObgUterusSize[] = ['', 'Normal', 'Bulky', 'Enlarged'];\n\nfunction bool(x: unknown): boolean {\n  return x === true;\n}\n\nfunction str(x: unknown): string {\n  return typeof x === 'string' ? x : '';\n}\n\nexport function defaultObgExamination(): ObgExaminationValue {\n  return {\n    general: {\n      pallor: false,\n      oedema: false,\n      thyroid: false,\n      hirsutism: false,\n      acanthosis: false,\n    },\n    abdomen: { surgicalScars: false, massTenderness: false },\n    breast: { lump: false, nippleDischarge: false, skinChanges: false, axillaryNodes: false },\n    pelvic: {\n      speculumDone: false,\n      discharge: false,\n      cervicalErosion: false,\n      cervicalGrowth: false,\n      activeBleeding: false,\n      bimanualDone: false,\n      adnexalMass: false,\n      cmt: false,\n    },\n    uterusSize: '',\n    examinationNotes: '',\n  };\n}\n\nexport function normalizeObgExamination(raw: unknown): ObgExaminationValue {\n  const base = defaultObgExamination();\n  if (!raw || typeof raw !== 'object' || Array.isArray(raw)) return base;\n  const o = raw as Record<string, unknown>;\n  const g = (o.general && typeof o.general === 'object' ? o.general : {}) as Record<string, unknown>;\n  const a = (o.abdomen && typeof o.abdomen === 'object' ? o.abdomen : {}) as Record<string, unknown>;\n  const b = (o.breast && typeof o.breast === 'object' ? o.breast : {}) as Record<string, unknown>;\n  const p = (o.pelvic && typeof o.pelvic === 'object' ? o.pelvic : {}) as Record<string, unknown>;\n  const us = str(o.uterusSize) as ObgUterusSize;\n  return {\n    general: {\n      pallor: bool(g.pallor),\n      oedema: bool(g.oedema),\n      thyroid: bool(g.thyroid),\n      hirsutism: bool(g.hirsutism),\n      acanthosis: bool(g.acanthosis),\n    },\n    abdomen: {\n      surgicalScars: bool(a.surgicalScars),\n      massTenderness: bool(a.massTenderness),\n    },\n    breast: {\n      lump: bool(b.lump),\n      nippleDischarge: bool(b.nippleDischarge),\n      skinChanges: bool(b.skinChanges),\n      axillaryNodes: bool(b.axillaryNodes),\n    },\n    pelvic: {\n      speculumDone: bool(p.speculumDone),\n      discharge: bool(p.discharge),\n      cervicalErosion: bool(p.cervicalErosion),\n      cervicalGrowth: bool(p.cervicalGrowth),\n      activeBleeding: bool(p.activeBleeding),\n      bimanualDone: bool(p.bimanualDone),\n      adnexalMass: bool(p.adnexalMass),\n      cmt: bool(p.cmt),\n    },\n    uterusSize: UTERUS_SIZES.includes(us) ? us : '',\n    examinationNotes: str(o.examinationNotes),\n  };\n}\n\nconst GENERAL_LABELS: Record<keyof ObgExaminationGeneral, string> = {\n  pallor: 'Pallor',\n  oedema: 'Oedema',\n  thyroid: 'Thyroid',\n  hirsutism: 'Hirsutism',\n  acanthosis: 'Acanthosis',\n};\n\nconst ABDOMEN_LABELS: Record<keyof ObgExaminationAbdomen, string> = {\n  surgicalScars: 'Surgical scars',\n  massTenderness: 'Mass / tenderness',\n};\n\nconst BREAST_LABELS: Record<keyof ObgExaminationBreast, string> = {\n  lump: 'Lump',\n  nippleDischarge: 'Nipple discharge',\n  skinChanges: 'Skin changes',\n  axillaryNodes: 'Axillary nodes',\n};\n\nconst PELVIC_LABELS: Record<keyof ObgExaminationPelvic, string> = {\n  speculumDone: 'Speculum done',\n  discharge: 'Discharge',\n  cervicalErosion: 'Cervical erosion',\n  cervicalGrowth: 'Cervical growth',\n  activeBleeding: 'Active bleeding',\n  bimanualDone: 'Bimanual done',\n  adnexalMass: 'Adnexal mass',\n  cmt: 'Cervical motion tenderness',\n};\n\nfunction pickLabels<T extends Record<string, boolean>>(\n  group: T,\n  labels: Record<keyof T, string>,\n): string[] {\n  return (Object.keys(labels) as Array<keyof T>).filter((k) => group[k]).map((k) => labels[k]);\n}\n\nexport function formatObgExaminationToClinicalExamination(v: ObgExaminationValue): string {\n  const lines: string[] = [];\n  const general = pickLabels(v.general, GENERAL_LABELS);\n  if (general.length) lines.push(`General: ${general.join(', ')}`);\n\n  const abd = pickLabels(v.abdomen, ABDOMEN_LABELS);\n  if (abd.length) lines.push(`Abdomen: ${abd.join(', ')}`);\n\n  const breast = pickLabels(v.breast, BREAST_LABELS);\n  if (breast.length) lines.push(`Breast: ${breast.join(', ')}`);\n\n  const pelvic = pickLabels(v.pelvic, PELVIC_LABELS);\n  let pelvicLine = pelvic.length ? `Pelvic: ${pelvic.join(', ')}` : '';\n  if (v.pelvic.bimanualDone && v.uterusSize) {\n    pelvicLine = pelvicLine\n      ? `${pelvicLine} — uterus ${v.uterusSize.toLowerCase()}`\n      : `Pelvic: uterus ${v.uterusSize.toLowerCase()}`;\n  }\n  if (pelvicLine) lines.push(pelvicLine);\n\n  return lines.join('\\n');\n}\n\nconst UTERUS_CHIP_LABELS: Record<Exclude<ObgUterusSize, ''>, string> = {\n  Normal: 'Uterus normal',\n  Bulky: 'Uterus bulky',\n  Enlarged: 'Uterus enlarged',\n};\n\ntype ExamChipInfo =\n  | { kind: 'general'; key: keyof ObgExaminationGeneral }\n  | { kind: 'abdomen'; key: keyof ObgExaminationAbdomen }\n  | { kind: 'breast'; key: keyof ObgExaminationBreast }\n  | { kind: 'pelvic'; key: keyof ObgExaminationPelvic }\n  | { kind: 'uterus'; size: Exclude<ObgUterusSize, ''> };\n\nconst OBG_EXAM_LABEL_TO_INFO: Record<string, ExamChipInfo> = (() => {\n  const m: Record<string, ExamChipInfo> = {};\n  (Object.keys(GENERAL_LABELS) as Array<keyof ObgExaminationGeneral>).forEach((k) => {\n    m[GENERAL_LABELS[k]] = { kind: 'general', key: k };\n  });\n  (Object.keys(ABDOMEN_LABELS) as Array<keyof ObgExaminationAbdomen>).forEach((k) => {\n    m[ABDOMEN_LABELS[k]] = { kind: 'abdomen', key: k };\n  });\n  (Object.keys(BREAST_LABELS) as Array<keyof ObgExaminationBreast>).forEach((k) => {\n    m[BREAST_LABELS[k]] = { kind: 'breast', key: k };\n  });\n  (Object.keys(PELVIC_LABELS) as Array<keyof ObgExaminationPelvic>).forEach((k) => {\n    m[PELVIC_LABELS[k]] = { kind: 'pelvic', key: k };\n  });\n  (Object.keys(UTERUS_CHIP_LABELS) as Array<Exclude<ObgUterusSize, ''>>).forEach((s) => {\n    m[UTERUS_CHIP_LABELS[s]] = { kind: 'uterus', size: s };\n  });\n  return m;\n})();\n\nexport const OBG_EXAM_ALLOWED_CHIP_LABELS: ReadonlySet<string> = new Set(\n  Object.keys(OBG_EXAM_LABEL_TO_INFO),\n);\n\nexport function obgExaminationChipLabels(v: ObgExaminationValue): string[] {\n  const out: string[] = [];\n  (Object.keys(GENERAL_LABELS) as Array<keyof ObgExaminationGeneral>).forEach((k) => {\n    if (v.general[k]) out.push(GENERAL_LABELS[k]);\n  });\n  (Object.keys(ABDOMEN_LABELS) as Array<keyof ObgExaminationAbdomen>).forEach((k) => {\n    if (v.abdomen[k]) out.push(ABDOMEN_LABELS[k]);\n  });\n  (Object.keys(BREAST_LABELS) as Array<keyof ObgExaminationBreast>).forEach((k) => {\n    if (v.breast[k]) out.push(BREAST_LABELS[k]);\n  });\n  (Object.keys(PELVIC_LABELS) as Array<keyof ObgExaminationPelvic>).forEach((k) => {\n    if (v.pelvic[k]) out.push(PELVIC_LABELS[k]);\n  });\n  if (v.pelvic.bimanualDone && v.uterusSize) {\n    out.push(UTERUS_CHIP_LABELS[v.uterusSize]);\n  }\n  return out;\n}\n\n/** Rebuild a structured exam value from a list of chip labels (others reset). `examinationNotes` is preserved by the caller. */\nexport function obgExaminationFromChipLabels(\n  labels: ReadonlyArray<string>,\n  prevNotes = '',\n): ObgExaminationValue {\n  const out = defaultObgExamination();\n  out.examinationNotes = prevNotes;\n  for (const raw of labels) {\n    const info = OBG_EXAM_LABEL_TO_INFO[raw];\n    if (!info) continue;\n    switch (info.kind) {\n      case 'general':\n        out.general[info.key] = true;\n        break;\n      case 'abdomen':\n        out.abdomen[info.key] = true;\n        break;\n      case 'breast':\n        out.breast[info.key] = true;\n        break;\n      case 'pelvic':\n        out.pelvic[info.key] = true;\n        break;\n      case 'uterus':\n        out.pelvic.bimanualDone = true;\n        out.uterusSize = info.size;\n        break;\n    }\n  }\n  return out;\n}\n\n// ─── Pathway / Consultant zone ────────────────────────────────────────────────\n\nexport type ObgZone =\n  | 'menstrual_reproductive'\n  | 'antenatal'\n  | 'gynaecological'\n  | 'infertility'\n  | 'postoperative';\n\nexport const OBG_ZONE_ORDER: readonly ObgZone[] = [\n  'menstrual_reproductive',\n  'antenatal',\n  'gynaecological',\n  'infertility',\n  'postoperative',\n];\n\nconst OBG_ZONE_SET = new Set<string>(OBG_ZONE_ORDER);\n\nexport type ObgMenstrual = {\n  menarcheAge: number;\n  cycleLength: number;\n  flowDays: number;\n  cycleRegular: boolean;\n  /** 0 = none, 1 = mild, 2 = moderate, 3 = severe. */\n  dysmenorrhea: 0 | 1 | 2 | 3;\n  amount: '' | 'Scanty' | 'Normal' | 'Heavy';\n  lmp: string;\n  menopauseStatus: '' | 'Pre' | 'Peri' | 'Post';\n};\n\nexport type ObgAntenatal = {\n  gravida: number;\n  gaWeeksLmp: number;\n  gaDaysLmp: number;\n  gaWeeksUsg: number;\n  gaDaysUsg: number;\n  edd: string;\n  riskCategory: '' | 'Low' | 'High';\n  symptoms: {\n    nauseaVomiting: boolean;\n    bleedingPV: boolean;\n    painAbdomen: boolean;\n    decreasedFetalMovements: boolean;\n  };\n  exam: {\n    weightKg: number;\n    heightCm: number;\n    bmi: number;\n    bp: string;\n    pallor: boolean;\n    oedema: boolean;\n    fundalHeightCm: number;\n    fhrBpm: number;\n    presentation: '' | 'Cephalic' | 'Breech' | 'Other';\n    lie: '' | 'Longitudinal' | 'Transverse' | 'Oblique';\n  };\n  investigations: {\n    bloodGroup: string;\n    cbc: '' | 'Done' | 'Pending' | 'Abnormal';\n    tsh: '' | 'Done' | 'Pending' | 'Abnormal';\n    rbsOgtt: '' | 'Done' | 'Pending' | 'Abnormal';\n    serology: '' | 'Done' | 'Pending' | 'Abnormal'; // HIV/HBsAg/VDRL\n    urine: '' | 'Done' | 'Pending' | 'Abnormal';\n    usg: '' | 'Dating' | 'NT' | 'Anomaly' | 'Growth' | 'Pending';\n  };\n};\n\nexport type ObgGynae = {\n  symptoms: {\n    aub: boolean;\n    whiteDischarge: boolean;\n    pelvicPain: boolean;\n    dyspareunia: boolean;\n    urinaryComplaints: boolean;\n    prolapse: boolean;\n  };\n};\n\nexport type ObgInfertility = {\n  type: '' | 'Primary' | 'Secondary';\n  durationMonths: number;\n  previousTreatments: string;\n  female: {\n    ovulation: '' | 'Ovulatory' | 'Anovulatory' | 'Unknown';\n    pcosFeatures: boolean;\n    endometriosisSuspicion: boolean;\n  };\n  male: {\n    age: number;\n    semenAnalysis: '' | 'Normal' | 'Abnormal' | 'Pending';\n  };\n  investigations: {\n    amh: string;\n    fshLh: string;\n    prolactin: string;\n    tsh: string;\n    tvs: string;\n    hsg: string;\n  };\n};\n\nexport type ObgPostOp = {\n  surgeryDate: string;\n  procedure: string;\n  histopathology: string;\n  woundStatus: '' | 'Healthy' | 'Erythema' | 'Discharge' | 'Dehisced';\n  painScore: number;\n  complications: string;\n};\n\nexport type ObgPathwayValue = {\n  /** Selected primary concerns (chips); empty array = none chosen yet. */\n  zones: ObgZone[];\n  menstrual: ObgMenstrual;\n  antenatal: ObgAntenatal;\n  gynae: ObgGynae;\n  infertility: ObgInfertility;\n  postop: ObgPostOp;\n};\n\nfunction coerceZones(raw: unknown): ObgZone[] {\n  const list: ObgZone[] = [];\n  const push = (x: unknown) => {\n    if (typeof x === 'string' && OBG_ZONE_SET.has(x) && !list.includes(x as ObgZone)) {\n      list.push(x as ObgZone);\n    }\n  };\n  if (Array.isArray(raw)) raw.forEach(push);\n  else push(raw);\n  return list.sort((a, b) => OBG_ZONE_ORDER.indexOf(a) - OBG_ZONE_ORDER.indexOf(b));\n}\n\nfunction num(x: unknown, fallback = 0): number {\n  const n = Number(x);\n  return Number.isFinite(n) ? n : fallback;\n}\n\nfunction clampDysmenorrhea(x: unknown): 0 | 1 | 2 | 3 {\n  const n = Math.round(num(x, 0));\n  if (n <= 0) return 0;\n  if (n >= 3) return 3;\n  return n as 1 | 2;\n}\n\nexport function defaultObgPathway(): ObgPathwayValue {\n  return {\n    zones: [],\n    menstrual: {\n      menarcheAge: 13,\n      cycleLength: 28,\n      flowDays: 4,\n      cycleRegular: true,\n      dysmenorrhea: 0,\n      amount: '',\n      lmp: '',\n      menopauseStatus: '',\n    },\n    antenatal: {\n      gravida: 0,\n      gaWeeksLmp: 0,\n      gaDaysLmp: 0,\n      gaWeeksUsg: 0,\n      gaDaysUsg: 0,\n      edd: '',\n      riskCategory: '',\n      symptoms: {\n        nauseaVomiting: false,\n        bleedingPV: false,\n        painAbdomen: false,\n        decreasedFetalMovements: false,\n      },\n      exam: {\n        weightKg: 0,\n        heightCm: 0,\n        bmi: 0,\n        bp: '',\n        pallor: false,\n        oedema: false,\n        fundalHeightCm: 0,\n        fhrBpm: 0,\n        presentation: '',\n        lie: '',\n      },\n      investigations: {\n        bloodGroup: '',\n        cbc: '',\n        tsh: '',\n        rbsOgtt: '',\n        serology: '',\n        urine: '',\n        usg: '',\n      },\n    },\n    gynae: {\n      symptoms: {\n        aub: false,\n        whiteDischarge: false,\n        pelvicPain: false,\n        dyspareunia: false,\n        urinaryComplaints: false,\n        prolapse: false,\n      },\n    },\n    infertility: {\n      type: '',\n      durationMonths: 0,\n      previousTreatments: '',\n      female: { ovulation: '', pcosFeatures: false, endometriosisSuspicion: false },\n      male: { age: 0, semenAnalysis: '' },\n      investigations: { amh: '', fshLh: '', prolactin: '', tsh: '', tvs: '', hsg: '' },\n    },\n    postop: {\n      surgeryDate: '',\n      procedure: '',\n      histopathology: '',\n      woundStatus: '',\n      painScore: 0,\n      complications: '',\n    },\n  };\n}\n\nexport function normalizeObgPathway(raw: unknown): ObgPathwayValue {\n  const base = defaultObgPathway();\n  if (!raw || typeof raw !== 'object' || Array.isArray(raw)) return base;\n  const o = raw as Record<string, unknown>;\n\n  // Accept new array shape, legacy single-string `zone`, or hidden chip mirror.\n  const zones = coerceZones(o.zones ?? o.zone);\n\n  const m = (o.menstrual && typeof o.menstrual === 'object' ? o.menstrual : {}) as Record<string, unknown>;\n  const a = (o.antenatal && typeof o.antenatal === 'object' ? o.antenatal : {}) as Record<string, unknown>;\n  const aSym = (a.symptoms && typeof a.symptoms === 'object' ? a.symptoms : {}) as Record<string, unknown>;\n  const aExam = (a.exam && typeof a.exam === 'object' ? a.exam : {}) as Record<string, unknown>;\n  const aInv = (a.investigations && typeof a.investigations === 'object' ? a.investigations : {}) as Record<string, unknown>;\n  const g = (o.gynae && typeof o.gynae === 'object' ? o.gynae : {}) as Record<string, unknown>;\n  const gSym = (g.symptoms && typeof g.symptoms === 'object' ? g.symptoms : {}) as Record<string, unknown>;\n  const inf = (o.infertility && typeof o.infertility === 'object' ? o.infertility : {}) as Record<string, unknown>;\n  const infF = (inf.female && typeof inf.female === 'object' ? inf.female : {}) as Record<string, unknown>;\n  const infM = (inf.male && typeof inf.male === 'object' ? inf.male : {}) as Record<string, unknown>;\n  const infInv = (inf.investigations && typeof inf.investigations === 'object' ? inf.investigations : {}) as Record<string, unknown>;\n  const po = (o.postop && typeof o.postop === 'object' ? o.postop : {}) as Record<string, unknown>;\n\n  return {\n    zones,\n    menstrual: {\n      menarcheAge: num(m.menarcheAge, base.menstrual.menarcheAge),\n      cycleLength: num(m.cycleLength, base.menstrual.cycleLength),\n      flowDays: num(m.flowDays, base.menstrual.flowDays),\n      cycleRegular: m.cycleRegular === undefined ? base.menstrual.cycleRegular : bool(m.cycleRegular),\n      dysmenorrhea: clampDysmenorrhea(m.dysmenorrhea),\n      amount: ['', 'Scanty', 'Normal', 'Heavy'].includes(str(m.amount))\n        ? (str(m.amount) as ObgMenstrual['amount'])\n        : '',\n      lmp: str(m.lmp),\n      menopauseStatus: ['', 'Pre', 'Peri', 'Post'].includes(str(m.menopauseStatus))\n        ? (str(m.menopauseStatus) as ObgMenstrual['menopauseStatus'])\n        : '',\n    },\n    antenatal: {\n      gravida: num(a.gravida),\n      gaWeeksLmp: num(a.gaWeeksLmp),\n      gaDaysLmp: num(a.gaDaysLmp),\n      gaWeeksUsg: num(a.gaWeeksUsg),\n      gaDaysUsg: num(a.gaDaysUsg),\n      edd: str(a.edd),\n      riskCategory: ['', 'Low', 'High'].includes(str(a.riskCategory))\n        ? (str(a.riskCategory) as ObgAntenatal['riskCategory'])\n        : '',\n      symptoms: {\n        nauseaVomiting: bool(aSym.nauseaVomiting),\n        bleedingPV: bool(aSym.bleedingPV),\n        painAbdomen: bool(aSym.painAbdomen),\n        decreasedFetalMovements: bool(aSym.decreasedFetalMovements),\n      },\n      exam: {\n        weightKg: num(aExam.weightKg),\n        heightCm: num(aExam.heightCm),\n        bmi: num(aExam.bmi),\n        bp: str(aExam.bp),\n        pallor: bool(aExam.pallor),\n        oedema: bool(aExam.oedema),\n        fundalHeightCm: num(aExam.fundalHeightCm),\n        fhrBpm: num(aExam.fhrBpm),\n        presentation: ['', 'Cephalic', 'Breech', 'Other'].includes(str(aExam.presentation))\n          ? (str(aExam.presentation) as ObgAntenatal['exam']['presentation'])\n          : '',\n        lie: ['', 'Longitudinal', 'Transverse', 'Oblique'].includes(str(aExam.lie))\n          ? (str(aExam.lie) as ObgAntenatal['exam']['lie'])\n          : '',\n      },\n      investigations: {\n        bloodGroup: str(aInv.bloodGroup),\n        cbc: ['', 'Done', 'Pending', 'Abnormal'].includes(str(aInv.cbc))\n          ? (str(aInv.cbc) as ObgAntenatal['investigations']['cbc'])\n          : '',\n        tsh: ['', 'Done', 'Pending', 'Abnormal'].includes(str(aInv.tsh))\n          ? (str(aInv.tsh) as ObgAntenatal['investigations']['tsh'])\n          : '',\n        rbsOgtt: ['', 'Done', 'Pending', 'Abnormal'].includes(str(aInv.rbsOgtt))\n          ? (str(aInv.rbsOgtt) as ObgAntenatal['investigations']['rbsOgtt'])\n          : '',\n        serology: ['', 'Done', 'Pending', 'Abnormal'].includes(str(aInv.serology))\n          ? (str(aInv.serology) as ObgAntenatal['investigations']['serology'])\n          : '',\n        urine: ['', 'Done', 'Pending', 'Abnormal'].includes(str(aInv.urine))\n          ? (str(aInv.urine) as ObgAntenatal['investigations']['urine'])\n          : '',\n        usg: ['', 'Dating', 'NT', 'Anomaly', 'Growth', 'Pending'].includes(str(aInv.usg))\n          ? (str(aInv.usg) as ObgAntenatal['investigations']['usg'])\n          : '',\n      },\n    },\n    gynae: {\n      symptoms: {\n        aub: bool(gSym.aub),\n        whiteDischarge: bool(gSym.whiteDischarge),\n        pelvicPain: bool(gSym.pelvicPain),\n        dyspareunia: bool(gSym.dyspareunia),\n        urinaryComplaints: bool(gSym.urinaryComplaints),\n        prolapse: bool(gSym.prolapse),\n      },\n    },\n    infertility: {\n      type: ['', 'Primary', 'Secondary'].includes(str(inf.type))\n        ? (str(inf.type) as ObgInfertility['type'])\n        : '',\n      durationMonths: num(inf.durationMonths),\n      previousTreatments: str(inf.previousTreatments),\n      female: {\n        ovulation: ['', 'Ovulatory', 'Anovulatory', 'Unknown'].includes(str(infF.ovulation))\n          ? (str(infF.ovulation) as ObgInfertility['female']['ovulation'])\n          : '',\n        pcosFeatures: bool(infF.pcosFeatures),\n        endometriosisSuspicion: bool(infF.endometriosisSuspicion),\n      },\n      male: {\n        age: num(infM.age),\n        semenAnalysis: ['', 'Normal', 'Abnormal', 'Pending'].includes(str(infM.semenAnalysis))\n          ? (str(infM.semenAnalysis) as ObgInfertility['male']['semenAnalysis'])\n          : '',\n      },\n      investigations: {\n        amh: str(infInv.amh),\n        fshLh: str(infInv.fshLh),\n        prolactin: str(infInv.prolactin),\n        tsh: str(infInv.tsh),\n        tvs: str(infInv.tvs),\n        hsg: str(infInv.hsg),\n      },\n    },\n    postop: {\n      surgeryDate: str(po.surgeryDate),\n      procedure: str(po.procedure),\n      histopathology: str(po.histopathology),\n      woundStatus: ['', 'Healthy', 'Erythema', 'Discharge', 'Dehisced'].includes(str(po.woundStatus))\n        ? (str(po.woundStatus) as ObgPostOp['woundStatus'])\n        : '',\n      painScore: Math.max(0, Math.min(10, num(po.painScore))),\n      complications: str(po.complications),\n    },\n  };\n}\n\nconst ZONE_LABELS: Record<ObgZone, string> = {\n  menstrual_reproductive: 'Menstrual & reproductive',\n  antenatal: 'Antenatal',\n  gynaecological: 'Gynaecological',\n  infertility: 'Infertility',\n  postoperative: 'Post-operative',\n};\n\nexport function obgZoneLabel(zone: ObgZone): string {\n  return ZONE_LABELS[zone];\n}\n\nfunction nonEmpty(parts: Array<string | undefined | null>): string[] {\n  return parts.map((s) => (s ?? '').trim()).filter(Boolean);\n}\n\nfunction formatMenstrualBlock(m: ObgMenstrual): string {\n  const bits = nonEmpty([\n    m.menarcheAge ? `menarche ${m.menarcheAge}y` : '',\n    m.cycleLength ? `cycle ${m.cycleLength}d` : '',\n    m.flowDays ? `flow ${m.flowDays}d` : '',\n    m.cycleRegular ? 'regular' : 'irregular',\n    m.amount ? `flow ${m.amount.toLowerCase()}` : '',\n    m.dysmenorrhea ? `dysmenorrhea grade ${m.dysmenorrhea}` : '',\n    m.lmp ? `LMP ${m.lmp}` : '',\n    m.menopauseStatus ? `${m.menopauseStatus.toLowerCase()}menopausal` : '',\n  ]);\n  return bits.length ? `Menstrual: ${bits.join(', ')}` : '';\n}\n\nfunction formatAntenatalBlock(a: ObgAntenatal): string {\n  const lines: string[] = [];\n\n  const head = nonEmpty([\n    a.gravida ? `G${a.gravida}` : '',\n    a.gaWeeksLmp || a.gaDaysLmp ? `GA(LMP) ${a.gaWeeksLmp}w ${a.gaDaysLmp}d` : '',\n    a.gaWeeksUsg || a.gaDaysUsg ? `GA(USG) ${a.gaWeeksUsg}w ${a.gaDaysUsg}d` : '',\n    a.edd ? `EDD ${a.edd}` : '',\n    a.riskCategory ? `${a.riskCategory} risk` : '',\n  ]);\n  if (head.length) lines.push(`Antenatal: ${head.join(', ')}`);\n\n  const sym = nonEmpty([\n    a.symptoms.nauseaVomiting ? 'nausea/vomiting' : '',\n    a.symptoms.bleedingPV ? 'bleeding PV' : '',\n    a.symptoms.painAbdomen ? 'pain abdomen' : '',\n    a.symptoms.decreasedFetalMovements ? 'decreased fetal movements' : '',\n  ]);\n  if (sym.length) lines.push(`Antenatal symptoms: ${sym.join(', ')}`);\n\n  const exam = nonEmpty([\n    a.exam.weightKg ? `wt ${a.exam.weightKg}kg` : '',\n    a.exam.heightCm ? `ht ${a.exam.heightCm}cm` : '',\n    a.exam.bmi ? `BMI ${a.exam.bmi}` : '',\n    a.exam.bp ? `BP ${a.exam.bp}` : '',\n    a.exam.pallor ? 'pallor' : '',\n    a.exam.oedema ? 'oedema' : '',\n    a.exam.fundalHeightCm ? `fundal ht ${a.exam.fundalHeightCm}cm` : '',\n    a.exam.fhrBpm ? `FHR ${a.exam.fhrBpm}bpm` : '',\n    a.exam.presentation ? a.exam.presentation.toLowerCase() : '',\n    a.exam.lie ? `${a.exam.lie.toLowerCase()} lie` : '',\n  ]);\n  if (exam.length) lines.push(`Antenatal exam: ${exam.join(', ')}`);\n\n  const i = a.investigations;\n  const inv = nonEmpty([\n    i.bloodGroup ? `BG ${i.bloodGroup}` : '',\n    i.cbc ? `CBC ${i.cbc.toLowerCase()}` : '',\n    i.tsh ? `TSH ${i.tsh.toLowerCase()}` : '',\n    i.rbsOgtt ? `RBS/OGTT ${i.rbsOgtt.toLowerCase()}` : '',\n    i.serology ? `serology ${i.serology.toLowerCase()}` : '',\n    i.urine ? `urine ${i.urine.toLowerCase()}` : '',\n    i.usg ? `USG ${i.usg.toLowerCase()}` : '',\n  ]);\n  if (inv.length) lines.push(`Antenatal Ix: ${inv.join(', ')}`);\n\n  return lines.join('\\n');\n}\n\nfunction formatGynaeBlock(g: ObgGynae): string {\n  const sym = nonEmpty([\n    g.symptoms.aub ? 'AUB' : '',\n    g.symptoms.whiteDischarge ? 'white discharge' : '',\n    g.symptoms.pelvicPain ? 'pelvic pain' : '',\n    g.symptoms.dyspareunia ? 'dyspareunia' : '',\n    g.symptoms.urinaryComplaints ? 'urinary complaints' : '',\n    g.symptoms.prolapse ? 'prolapse' : '',\n  ]);\n  return sym.length ? `Gynae symptoms: ${sym.join(', ')}` : '';\n}\n\nfunction formatInfertilityBlock(i: ObgInfertility): string {\n  const bits = nonEmpty([\n    i.type ? `${i.type} infertility` : '',\n    i.durationMonths ? `${i.durationMonths} months` : '',\n    i.female.pcosFeatures ? 'PCOS features' : '',\n    i.female.endometriosisSuspicion ? 'endometriosis suspicion' : '',\n    i.female.ovulation ? `ovulation: ${i.female.ovulation}` : '',\n    i.male.semenAnalysis ? `semen: ${i.male.semenAnalysis}` : '',\n  ]);\n  return bits.length ? `Infertility: ${bits.join(', ')}` : '';\n}\n\nfunction formatPostOpBlock(p: ObgPostOp): string {\n  const bits = nonEmpty([\n    p.surgeryDate ? `op ${p.surgeryDate}` : '',\n    p.procedure || '',\n    p.woundStatus ? `wound ${p.woundStatus.toLowerCase()}` : '',\n    p.painScore ? `pain ${p.painScore}/10` : '',\n    p.complications ? `complications: ${p.complications}` : '',\n  ]);\n  return bits.length ? `Post-op: ${bits.join(', ')}` : '';\n}\n\nconst ZONE_FORMATTERS: Record<ObgZone, (v: ObgPathwayValue) => string> = {\n  menstrual_reproductive: (v) => formatMenstrualBlock(v.menstrual),\n  antenatal: (v) => formatAntenatalBlock(v.antenatal),\n  gynaecological: (v) => formatGynaeBlock(v.gynae),\n  infertility: (v) => formatInfertilityBlock(v.infertility),\n  postoperative: (v) => formatPostOpBlock(v.postop),\n};\n\nexport function formatObgPathwayToSymptomsNarrative(v: ObgPathwayValue): string {\n  if (!v.zones.length) return '';\n  const sections: string[] = [`Pathway: ${v.zones.map(obgZoneLabel).join(', ')}`];\n  for (const z of v.zones) {\n    const block = ZONE_FORMATTERS[z](v).trim();\n    if (block) sections.push(block);\n  }\n  return sections.join('\\n\\n');\n}\n\n/** Pathway prose without the `Pathway: …` header (which is mirrored as chip tokens). */\nexport function formatObgPathwayProse(v: ObgPathwayValue): string {\n  if (!v.zones.length) return '';\n  const blocks: string[] = [];\n  for (const z of v.zones) {\n    const block = ZONE_FORMATTERS[z](v).trim();\n    if (block) blocks.push(block);\n  }\n  return blocks.join('\\n\\n');\n}\n\nconst OBG_ZONE_LABEL_TO_ZONE: Record<string, ObgZone> = (() => {\n  const m: Record<string, ObgZone> = {};\n  for (const z of OBG_ZONE_ORDER) m[obgZoneLabel(z)] = z;\n  return m;\n})();\n\nexport const OBG_ZONE_ALLOWED_CHIP_LABELS: ReadonlySet<string> = new Set(\n  Object.keys(OBG_ZONE_LABEL_TO_ZONE),\n);\n\nexport function obgZonesFromChipLabels(labels: ReadonlyArray<string>): ObgZone[] {\n  const out: ObgZone[] = [];\n  const seen = new Set<ObgZone>();\n  for (const raw of labels) {\n    const z = OBG_ZONE_LABEL_TO_ZONE[raw];\n    if (!z || seen.has(z)) continue;\n    seen.add(z);\n    out.push(z);\n  }\n  return out.sort((a, b) => OBG_ZONE_ORDER.indexOf(a) - OBG_ZONE_ORDER.indexOf(b));\n}\n"]}