feat(notes): structured HospitalCourse + ChartReview match vanilla

Both pages were partial ports — HospitalCourse had a single "notes
textarea separated by blank lines" instead of the dynamic note cards
vanilla shipped, and ChartReview lacked per-visit type / specialist
/ specialty fields plus the Additional Labs block. These commits
close the gap.

HospitalCourse (ports public/components/hospital.html +
                 public/js/hospitalCourse.js @be14578):

  client/src/pages/hospital/DictatableCard.tsx — reusable card
    (title + date + meta children + content + per-card Recorder).
    Each note gets its own recorder so dictating into one card
    doesn't interrupt another in progress.
  client/src/pages/hospital/LabsList.tsx — dynamic (date, values)
    rows with add/remove.
  client/src/pages/hospital/ClarifyButton.tsx — "What's Missing?"
    → POST /api/hospital-course-clarify, renders the returned
    questions inline.
  client/src/pages/HospitalCourse.tsx — rewritten: ED Note card
    (date + ED labs + content + dictate), H&P card (date + content
    + dictate), Progress Notes as dynamic cards (date + type
    select matching vanilla's 6 options + content + per-card
    dictate + remove), separate Labs list, instructions,
    EditableResult output, ClarifyButton. Save/Load round-trips the
    entire structured note-set via JSON in the transcript column.

ChartReview (ports public/components/chart.html +
                   public/js/chartReview.js @be14578):

  client/src/pages/ChartReview.tsx — rewritten: each visit now has
    its own date + visit-type select (outpatient/subspecialty/ed),
    and when subspecialty is selected the specialist-name +
    specialty fields appear inline. Per-visit labs textarea.
    New Additional Labs block (reuses hospital/LabsList) for labs
    not tied to a visit. Submit splits visits by type into the
    server's visits / subspecialty / edVisits arrays, matching
    src/routes/chartReview.ts.

client/src/pages/ChartReview.tsx

@@ -1,5 +1,13 @@
 // ============================================================
-// CHART REVIEW — /api/generate-chart-review
+// CHART REVIEW — faithful port of public/components/chart.html +
+// public/js/chartReview.js (@be14578):
+//   • Demographics bar (age, gender, PMH, review type)
+//   • Save/Load encounter toolbar
+//   • Dynamic Visit cards — each with date + type + optional
+//     specialist/specialty (subspecialty) + content + per-visit labs
+//   • Additional Labs block — dynamic (date, values) list
+//   • Instructions textarea
+//   • Refine / Shorter / Read / Nextcloud export / editable body
 // ============================================================
 
 import { useState } from 'react';
@@ -8,30 +16,49 @@ import { api, ApiError } from '@/lib/api';
 import type { ChartReviewOk } from '@/shared/types';
 import EncounterToolbar from '@/components/EncounterToolbar';
 import EditableResult from '@/components/EditableResult';
+import LabsList, { type LabRow, emptyLab } from './hospital/LabsList';
 
 type ReviewType = 'outpatient' | 'subspecialty' | 'ed';
+type VisitType = 'outpatient' | 'subspecialty' | 'ed';
 const TYPE = 'chart' as const;
 
-interface VisitInput { date: string; content: string; labs: string }
+interface Visit {
+  date: string;
+  visitType: VisitType;
+  content: string;
+  labs: string;
+  specialistName?: string;
+  specialty?: string;
+}
+function emptyVisit(): Visit {
+  return { date: '', visitType: 'outpatient', content: '', labs: '' };
+}
 
-function emptyVisit(): VisitInput { return { date: '', content: '', labs: '' }; }
+const input = 'w-full rounded-md border border-input bg-background px-3 py-2 text-sm';
+const inputSm = 'rounded-md border border-input bg-background px-2 py-1 text-sm';
+const btn = 'inline-flex items-center gap-1 rounded-md border border-border bg-background px-3 py-1.5 text-xs font-medium hover:bg-muted disabled:opacity-50';
+
+// Per-visit payload pieces for the server. Matches src/routes/chartReview.ts.
+interface OutVisitPayload { date: string; content: string; labs: string }
+interface SubspecialtyPayload extends OutVisitPayload { specialistName?: string; specialty?: string }
 
 export default function ChartReview() {
   const [label, setLabel] = useState('');
-  const [type, setType] = useState<ReviewType>('outpatient');
+  const [reviewType, setReviewType] = useState<ReviewType>('outpatient');
   const [patientAge, setPatientAge] = useState('');
   const [patientGender, setPatientGender] = useState('');
   const [pmh, setPmh] = useState('');
-  const [visits, setVisits] = useState<VisitInput[]>([emptyVisit()]);
+  const [visits, setVisits] = useState<Visit[]>([emptyVisit()]);
+  const [extraLabs, setExtraLabs] = useState<LabRow[]>([emptyLab()]);
   const [additionalInstructions, setAdditionalInstructions] = useState('');
   const [result, setResult] = useState<string | null>(null);
 
-  const generate = useMutation<ChartReviewOk, Error, any>({
+  const generate = useMutation<ChartReviewOk, Error, Record<string, unknown>>({
     mutationFn: (body) => api.post<ChartReviewOk>('/api/generate-chart-review', body),
     onSuccess: (data) => setResult(data.review),
   });
 
-  function updateVisit(i: number, patch: Partial<VisitInput>) {
+  function updateVisit(i: number, patch: Partial<Visit>) {
     setVisits((vs) => vs.map((v, idx) => (idx === i ? { ...v, ...patch } : v)));
   }
 
@@ -39,41 +66,52 @@ export default function ChartReview() {
     e.preventDefault();
     setResult(null);
     const filled = visits.filter((v) => v.content.trim());
+    const toOut = (v: Visit): OutVisitPayload => ({ date: v.date, content: v.content, labs: v.labs });
+    const toSub = (v: Visit): SubspecialtyPayload => ({
+      date: v.date, content: v.content, labs: v.labs,
+      specialistName: v.specialistName, specialty: v.specialty,
+    });
     generate.mutate({
-      type,
+      type: reviewType,
       patientAge, patientGender, pmh,
-      visits: type === 'outpatient' ? filled : undefined,
+      visits: filled.filter((v) => v.visitType === 'outpatient').map(toOut),
-      subspecialty: type === 'subspecialty' ? filled : undefined,
+      subspecialty: filled.filter((v) => v.visitType === 'subspecialty').map(toSub),
-      edVisits: type === 'ed' ? filled : undefined,
+      edVisits: filled.filter((v) => v.visitType === 'ed').map(toOut),
+      labs: extraLabs.filter((l) => l.values.trim()),
       additionalInstructions: additionalInstructions || undefined,
     });
   }
 
-  const input = 'w-full rounded-md border border-input bg-background px-3 py-2 text-sm';
-
   return (
     <div className="max-w-4xl mx-auto p-6 space-y-4">
       <header>
         <h1 className="text-2xl font-semibold">Chart Review</h1>
         <p className="text-sm text-muted-foreground">
-          Past visits → summary for pre-charting.
+          Past visits + labs → summary for pre-charting. Mix of outpatient, subspecialty, and ED visits supported.
         </p>
       </header>
 
       <EncounterToolbar
         type={TYPE}
         label={label} setLabel={setLabel}
-        transcript={JSON.stringify(visits)} generatedNote={result || ''}
+        transcript={JSON.stringify({ visits, extraLabs })} generatedNote={result || ''}
-        partialData={{ type, age: patientAge, gender: patientGender, pmh, additionalInstructions }}
+        partialData={{ reviewType, age: patientAge, gender: patientGender, pmh, additionalInstructions }}
         onLoad={(enc) => {
           try {
-            const parsedVisits = enc.transcript ? JSON.parse(enc.transcript) as VisitInput[] : [emptyVisit()];
+            const parsed = enc.transcript ? JSON.parse(enc.transcript) : null;
-            setVisits(parsedVisits.length ? parsedVisits : [emptyVisit()]);
+            if (Array.isArray(parsed?.visits) && parsed.visits.length) setVisits(parsed.visits);
-          } catch { setVisits([emptyVisit()]); }
+            if (Array.isArray(parsed?.extraLabs) && parsed.extraLabs.length) setExtraLabs(parsed.extraLabs);
+          } catch {
+            // Legacy saved encounters used a bare array — fall back to that shape.
+            try {
+              const legacy = enc.transcript ? JSON.parse(enc.transcript) as Visit[] : null;
+              if (Array.isArray(legacy)) setVisits(legacy);
+            } catch { /* ignore */ }
+          }
           setResult(enc.generated_note || null);
           try {
             const pd = enc.partial_data ? JSON.parse(enc.partial_data) : null;
-            if (pd?.type) setType(pd.type);
+            if (pd?.reviewType) setReviewType(pd.reviewType);
             if (pd?.age) setPatientAge(pd.age);
             if (pd?.gender) setPatientGender(pd.gender);
             if (pd?.pmh) setPmh(pd.pmh);
@@ -82,8 +120,8 @@ export default function ChartReview() {
           setLabel(enc.label || '');
         }}
         onClear={() => {
-          setVisits([emptyVisit()]); setResult(null);
+          setVisits([emptyVisit()]); setExtraLabs([emptyLab()]); setResult(null);
-          setType('outpatient'); setPatientAge(''); setPatientGender('');
+          setReviewType('outpatient'); setPatientAge(''); setPatientGender('');
           setPmh(''); setAdditionalInstructions('');
         }}
       />
@@ -92,7 +130,7 @@ export default function ChartReview() {
         <div className="grid grid-cols-4 gap-3">
           <label className="flex flex-col gap-1">
             <span className="text-xs font-semibold uppercase tracking-wider text-muted-foreground">Review type</span>
-            <select className={input} value={type} onChange={(e) => setType(e.target.value as ReviewType)}>
+            <select className={input} value={reviewType} onChange={(e) => setReviewType(e.target.value as ReviewType)}>
               <option value="outpatient">Outpatient</option>
               <option value="subspecialty">Subspecialty</option>
               <option value="ed">ED</option>
@@ -116,37 +154,54 @@ export default function ChartReview() {
 
         <div className="space-y-3">
           <div className="flex items-center justify-between">
-            <span className="text-sm font-semibold">Visits</span>
+            <span className="text-sm font-semibold">Visits / Notes</span>
-            <button
+            <button type="button" onClick={() => setVisits((v) => [...v, emptyVisit()])} className={btn}>+ Add visit / note</button>
-              type="button"
-              onClick={() => setVisits((v) => [...v, emptyVisit()])}
-              className="text-xs rounded-md border border-border px-2 py-1"
-            >
-              + Add visit
-            </button>
           </div>
           {visits.map((v, i) => (
-            <div key={i} className="rounded-lg border border-border p-3 space-y-2 bg-card">
+            <div key={i} className="rounded-lg border border-border p-3 space-y-2 bg-card" data-testid={'cr-visit-' + i}>
-              <div className="flex items-center gap-2">
+              <div className="flex items-center gap-2 flex-wrap">
+                <strong className="text-sm">Visit / Note #{i + 1}</strong>
                 <input
                   type="date"
-                  className={input + ' max-w-xs'}
+                  className={inputSm + ' w-40'}
                   value={v.date}
                   onChange={(e) => updateVisit(i, { date: e.target.value })}
                 />
+                <select
+                  className={inputSm}
+                  value={v.visitType}
+                  onChange={(e) => updateVisit(i, { visitType: e.target.value as VisitType })}
+                  data-testid={'cr-visit-type-' + i}
+                >
+                  <option value="outpatient">Outpatient Visit</option>
+                  <option value="subspecialty">Subspecialty Note</option>
+                  <option value="ed">ED Visit</option>
+                </select>
+                {v.visitType === 'subspecialty' && (
+                  <>
+                    <input
+                      type="text"
+                      className={inputSm + ' flex-1 min-w-[140px]'}
+                      placeholder="Specialist name"
+                      value={v.specialistName || ''}
+                      onChange={(e) => updateVisit(i, { specialistName: e.target.value })}
+                    />
+                    <input
+                      type="text"
+                      className={inputSm + ' flex-1 min-w-[140px]'}
+                      placeholder="Specialty (e.g. Endocrinology)"
+                      value={v.specialty || ''}
+                      onChange={(e) => updateVisit(i, { specialty: e.target.value })}
+                    />
+                  </>
+                )}
                 {visits.length > 1 && (
-                  <button
+                  <button type="button" onClick={() => setVisits((vs) => vs.filter((_, idx) => idx !== i))} className="ml-auto text-xs text-destructive" title="Remove">🗑</button>
-                    type="button"
-                    onClick={() => setVisits(vs => vs.filter((_, idx) => idx !== i))}
-                    className="text-xs text-destructive"
-                  >
-                    Remove
-                  </button>
                 )}
               </div>
               <textarea
-                className={input + ' min-h-[100px] font-mono text-sm'}
+                className={input + ' min-h-[120px] font-mono text-sm'}
-                placeholder="Visit note content — paste here."
+                placeholder="Paste note here…"
                 value={v.content}
                 onChange={(e) => updateVisit(i, { content: e.target.value })}
               />
@@ -160,8 +215,19 @@ export default function ChartReview() {
           ))}
         </div>
 
+        <div className="rounded-lg border border-border bg-card p-3 space-y-2">
+          <strong className="text-sm">🧪 Additional Labs</strong>
+          <p className="text-xs text-muted-foreground">Labs not tied to a specific visit.</p>
+          <LabsList
+            value={extraLabs}
+            onChange={setExtraLabs}
+            placeholder="e.g. TSH 4.1, Free T4 1.2"
+            testIdPrefix="cr-extra-labs"
+          />
+        </div>
+
         <label className="flex flex-col gap-1">
-          <span className="text-xs font-semibold uppercase tracking-wider text-muted-foreground">Additional instructions</span>
+          <span className="text-xs font-semibold uppercase tracking-wider text-muted-foreground">Instructions (optional)</span>
           <textarea
             className={input + ' min-h-[60px] text-sm'}
             placeholder="e.g. 'Focus on thyroid management', 'Highlight medication changes'"
@@ -177,7 +243,7 @@ export default function ChartReview() {
           disabled={generate.isPending || !visits.some((v) => v.content.trim())}
           className="rounded-md bg-primary text-primary-foreground px-4 py-2 text-sm font-medium disabled:opacity-50"
         >
-          {generate.isPending ? 'Generating…' : 'Generate Chart Review'}
+          {generate.isPending ? 'Generating…' : '✨ Generate Chart Review'}
         </button>
       </form>
 

client/src/pages/HospitalCourse.tsx

@@ -1,54 +1,87 @@
 // ============================================================
-// HOSPITAL COURSE — /api/generate-hospital-course
+// HOSPITAL COURSE — faithful port of public/components/hospital.html
+// + public/js/hospitalCourse.js (@be14578):
+//   • Demographics bar (age/gender/PMH/setting/LOS/format)
+//   • Save/Load encounter toolbar
+//   • ED Note card (date + labs + content + dictate)
+//   • H&P card (date + content + dictate)
+//   • Progress Notes — dynamic cards, each with date + type select
+//     + content + per-card dictate + remove
+//   • Labs — dynamic (date, values) list
+//   • Additional instructions textarea
+//   • "What's Missing?" (clarify) button on the output
+//   • Refine / Shorter / Read / Nextcloud export / editable body
 // ============================================================
 
 import { useState } from 'react';
 import { useMutation } from '@tanstack/react-query';
 import { api, ApiError } from '@/lib/api';
 import type { HospitalCourseOk } from '@/shared/types';
-import Recorder from '@/components/Recorder';
 import EncounterToolbar from '@/components/EncounterToolbar';
 import EditableResult from '@/components/EditableResult';
+import DictatableCard from './hospital/DictatableCard';
+import LabsList, { type LabRow, emptyLab } from './hospital/LabsList';
+import ClarifyButton from './hospital/ClarifyButton';
 
 type SettingKind = 'floor' | 'picu' | 'nicu' | 'psych';
 type FormatKind = 'auto' | 'prose' | 'dayByDay' | 'organSystem';
 const TYPE = 'hospital' as const;
 
-interface NoteEntry { date: string; type: string; content: string }
+type ProgressType =
+  | 'progress-attending' | 'progress-resident' | 'progress-np'
+  | 'consult' | 'procedure' | 'discharge-summary';
+
+interface ProgressNote { date: string; type: ProgressType; content: string }
+
+function emptyProgressNote(): ProgressNote {
+  return { date: '', type: 'progress-attending', content: '' };
+}
+
+const input = 'w-full rounded-md border border-input bg-background px-3 py-2 text-sm';
+const inputSm = 'rounded-md border border-input bg-background px-2 py-1 text-sm';
 
 export default function HospitalCourse() {
   const [label, setLabel] = useState('');
-  const [recError, setRecError] = useState<string | null>(null);
   const [patientAge, setPatientAge] = useState('');
   const [patientGender, setPatientGender] = useState('');
   const [pmh, setPmh] = useState('');
   const [setting, setSetting] = useState<SettingKind>('floor');
   const [los, setLos] = useState('');
   const [format, setFormat] = useState<FormatKind>('auto');
-  const [hAndPContent, setHAndPContent] = useState('');
+
-  const [notesText, setNotesText] = useState('');
+  const [edDate, setEdDate] = useState('');
+  const [edLabs, setEdLabs] = useState('');
+  const [edContent, setEdContent] = useState('');
+
+  const [hpDate, setHpDate] = useState('');
+  const [hpContent, setHpContent] = useState('');
+
+  const [progressNotes, setProgressNotes] = useState<ProgressNote[]>([emptyProgressNote()]);
+  const [labs, setLabs] = useState<LabRow[]>([emptyLab()]);
   const [additionalInstructions, setAdditionalInstructions] = useState('');
   const [result, setResult] = useState<{ hospitalCourse: string; format: string } | null>(null);
 
-  const generate = useMutation<HospitalCourseOk, Error, any>({
+  const generate = useMutation<HospitalCourseOk, Error, Record<string, unknown>>({
     mutationFn: (body) => api.post<HospitalCourseOk>('/api/generate-hospital-course', body),
     onSuccess: (data) => setResult({ hospitalCourse: data.hospitalCourse, format: data.format || 'auto' }),
   });
 
+  function setProgressNoteAt(i: number, patch: Partial<ProgressNote>) {
+    setProgressNotes((notes) => notes.map((n, idx) => (idx === i ? { ...n, ...patch } : n)));
+  }
+  function addProgressNote() { setProgressNotes((n) => [...n, emptyProgressNote()]); }
+  function removeProgressNote(i: number) { setProgressNotes((n) => n.filter((_, idx) => idx !== i)); }
+
   function submit(e: React.FormEvent) {
     e.preventDefault();
     setResult(null);
-    // Notes textarea: one blank-line-separated note per block. First
+    const notes = progressNotes.filter((n) => n.content.trim());
-    // line of each block is used as the date if it looks like one,
+    if (notes.length === 0) return; // server requires at least one note
-    // rest becomes content.
-    const notes: NoteEntry[] = notesText
-      .split(/\n\s*\n/)
-      .map((block) => block.trim())
-      .filter(Boolean)
-      .map((block, i) => ({ date: `Day ${i + 1}`, type: 'Progress Note', content: block }));
     generate.mutate({
       notes,
-      hAndP: hAndPContent ? { date: 'Admission', content: hAndPContent } : undefined,
+      edNote: edContent.trim() ? { date: edDate, content: edContent, labs: edLabs } : undefined,
+      hAndP: hpContent.trim() ? { date: hpDate, content: hpContent } : undefined,
+      labs: labs.filter((l) => l.values.trim()),
       patientAge, patientGender, pmh, setting,
       los: los ? parseInt(los) : undefined,
       formatPreference: format,
@@ -56,24 +89,55 @@ export default function HospitalCourse() {
     });
   }
 
-  const input = 'w-full rounded-md border border-input bg-background px-3 py-2 text-sm';
+  function clearAll() {
+    setResult(null);
+    setPatientAge(''); setPatientGender(''); setPmh('');
+    setSetting('floor'); setLos(''); setFormat('auto');
+    setEdDate(''); setEdLabs(''); setEdContent('');
+    setHpDate(''); setHpContent('');
+    setProgressNotes([emptyProgressNote()]);
+    setLabs([emptyLab()]);
+    setAdditionalInstructions('');
+  }
+
+  // Save the whole structured note-set into transcript so the Load flow
+  // restores it (server treats transcript as an opaque string for us).
+  const serializedTranscript = JSON.stringify({
+    edNote: { date: edDate, labs: edLabs, content: edContent },
+    hAndP: { date: hpDate, content: hpContent },
+    notes: progressNotes,
+    labs,
+  });
 
   return (
     <div className="max-w-4xl mx-auto p-6 space-y-4">
       <header>
-        <h1 className="text-2xl font-semibold">Hospital Course</h1>
+        <h1 className="text-2xl font-semibold">Hospital Course Generator</h1>
         <p className="text-sm text-muted-foreground">
-          Progress notes + H&amp;P → hospital course summary (prose, day-by-day, or organ-system format).
+          Upload ED note, H&amp;P, progress notes, labs → AI generates an organized hospital course (prose, day-by-day, or organ-system format).
         </p>
       </header>
 
       <EncounterToolbar
         type={TYPE}
         label={label} setLabel={setLabel}
-        transcript={notesText} generatedNote={result?.hospitalCourse || ''}
+        transcript={serializedTranscript} generatedNote={result?.hospitalCourse || ''}
-        partialData={{ age: patientAge, gender: patientGender, pmh, setting, los, format, hAndPContent, additionalInstructions }}
+        partialData={{ age: patientAge, gender: patientGender, pmh, setting, los, format, additionalInstructions }}
         onLoad={(enc) => {
-          setNotesText(enc.transcript || '');
+          try {
+            const parsed = enc.transcript ? JSON.parse(enc.transcript) : null;
+            if (parsed?.edNote) {
+              setEdDate(parsed.edNote.date || '');
+              setEdLabs(parsed.edNote.labs || '');
+              setEdContent(parsed.edNote.content || '');
+            }
+            if (parsed?.hAndP) {
+              setHpDate(parsed.hAndP.date || '');
+              setHpContent(parsed.hAndP.content || '');
+            }
+            if (Array.isArray(parsed?.notes) && parsed.notes.length) setProgressNotes(parsed.notes);
+            if (Array.isArray(parsed?.labs) && parsed.labs.length) setLabs(parsed.labs);
+          } catch { /* ignore */ }
           setResult(enc.generated_note ? { hospitalCourse: enc.generated_note, format: 'auto' } : null);
           try {
             const pd = enc.partial_data ? JSON.parse(enc.partial_data) : null;
@@ -83,17 +147,11 @@ export default function HospitalCourse() {
             if (pd?.setting) setSetting(pd.setting);
             if (pd?.los) setLos(pd.los);
             if (pd?.format) setFormat(pd.format);
-            if (pd?.hAndPContent) setHAndPContent(pd.hAndPContent);
             if (pd?.additionalInstructions) setAdditionalInstructions(pd.additionalInstructions);
           } catch { /* ignore */ }
           setLabel(enc.label || '');
         }}
-        onClear={() => {
+        onClear={clearAll}
-          setNotesText(''); setResult(null);
-          setPatientAge(''); setPatientGender(''); setPmh('');
-          setSetting('floor'); setLos(''); setFormat('auto');
-          setHAndPContent(''); setAdditionalInstructions('');
-        }}
       />
 
       <form onSubmit={submit} className="space-y-4">
@@ -109,12 +167,12 @@ export default function HospitalCourse() {
             </select>
           </label>
           <label className="flex flex-col gap-1">
-            <span className="text-xs font-semibold uppercase tracking-wider text-muted-foreground">Setting</span>
+            <span className="text-xs font-semibold uppercase tracking-wider text-muted-foreground">Unit</span>
             <select className={input} value={setting} onChange={(e) => setSetting(e.target.value as SettingKind)}>
-              <option value="floor">Floor</option>
+              <option value="floor">General Floor</option>
               <option value="picu">PICU</option>
               <option value="nicu">NICU</option>
-              <option value="psych">Psych</option>
+              <option value="psych">Psych/Behavioral</option>
             </select>
           </label>
         </div>
@@ -126,7 +184,7 @@ export default function HospitalCourse() {
           </label>
           <label className="flex flex-col gap-1">
             <span className="text-xs font-semibold uppercase tracking-wider text-muted-foreground">LOS (days)</span>
-            <input className={input} type="number" value={los} onChange={(e) => setLos(e.target.value)} />
+            <input className={input} type="number" min={1} value={los} onChange={(e) => setLos(e.target.value)} />
           </label>
         </div>
 
@@ -140,58 +198,119 @@ export default function HospitalCourse() {
           </select>
         </label>
 
-        <label className="flex flex-col gap-1">
+        <DictatableCard
-          <span className="text-xs font-semibold uppercase tracking-wider text-muted-foreground">H&amp;P</span>
+          title="🚑 ED Note (before admission)"
-          <textarea className={input + ' min-h-[120px] font-mono text-sm'} value={hAndPContent} onChange={(e) => setHAndPContent(e.target.value)} />
+          date={edDate}
-        </label>
+          onDateChange={setEdDate}
+          content={edContent}
+          onContentChange={setEdContent}
+          placeholder="Paste or type ED note here…"
+          moduleName="hospital-ed"
+          testId="hc-ed-card"
+        >
+          <input
+            type="text"
+            value={edLabs}
+            onChange={(e) => setEdLabs(e.target.value)}
+            placeholder="ED Labs (e.g. WBC 15, BMP normal…)"
+            className={inputSm + ' flex-1 min-w-[180px]'}
+          />
+        </DictatableCard>
 
-        <Recorder
+        <DictatableCard
-          module="hospital"
+          title="📋 H&P (Admission Note)"
-          onTranscript={(text, meta) => {
+          date={hpDate}
-            if (meta.appended) {
+          onDateChange={setHpDate}
-              setNotesText((prev) => prev ? prev + '\n\n' + text : text);
+          content={hpContent}
-            } else {
+          onContentChange={setHpContent}
-              setNotesText((prev) => prev ? prev + '\n\n' + text : text);
+          placeholder="Paste or type H&P here…"
-            }
+          moduleName="hospital-hp"
-            setRecError(null);
+          testId="hc-hp-card"
-          }}
-          onError={(msg) => setRecError(msg)}
         />
-        {recError && <div className="text-sm text-destructive">{recError}</div>}
+
+        <div className="space-y-2">
+          <div className="flex items-center justify-between">
+            <strong className="text-sm">📝 Progress Notes</strong>
+            <button type="button" onClick={addProgressNote} className="rounded-md border border-border bg-background px-3 py-1.5 text-xs font-medium hover:bg-muted">
+              + Add progress note
+            </button>
+          </div>
+          {progressNotes.map((n, i) => (
+            <DictatableCard
+              key={i}
+              title={'Progress Note #' + (i + 1)}
+              date={n.date}
+              onDateChange={(d) => setProgressNoteAt(i, { date: d })}
+              content={n.content}
+              onContentChange={(c) => setProgressNoteAt(i, { content: c })}
+              placeholder="Paste or type note…"
+              moduleName={'hospital-progress-' + i}
+              onRemove={progressNotes.length > 1 ? () => removeProgressNote(i) : undefined}
+              testId={'hc-progress-' + i}
+            >
+              <select
+                value={n.type}
+                onChange={(e) => setProgressNoteAt(i, { type: e.target.value as ProgressType })}
+                className={inputSm}
+              >
+                <option value="progress-attending">Progress — Attending</option>
+                <option value="progress-resident">Progress — Resident</option>
+                <option value="progress-np">Progress — NP/PA</option>
+                <option value="consult">Consult Note</option>
+                <option value="procedure">Procedure Note</option>
+                <option value="discharge-summary">Discharge Summary</option>
+              </select>
+            </DictatableCard>
+          ))}
+        </div>
+
+        <div className="rounded-lg border border-border bg-card p-3 space-y-2">
+          <strong className="text-sm">🧪 Labs</strong>
+          <LabsList
+            value={labs}
+            onChange={setLabs}
+            placeholder="e.g. WBC 12.5, H/H 10.2/31, BMP: Na 138, K 3.5"
+            testIdPrefix="hc-labs"
+          />
+        </div>
 
         <label className="flex flex-col gap-1">
-          <span className="text-xs font-semibold uppercase tracking-wider text-muted-foreground">
+          <span className="text-xs font-semibold uppercase tracking-wider text-muted-foreground">Additional instructions (optional)</span>
-            Progress notes <span className="normal-case font-normal text-muted-foreground">(separate each note with a blank line)</span>
+          <textarea
-          </span>
+            className={input + ' min-h-[60px] text-sm'}
-          <textarea className={input + ' min-h-[200px] font-mono text-sm'} value={notesText} onChange={(e) => setNotesText(e.target.value)} />
+            value={additionalInstructions}
-        </label>
+            onChange={(e) => setAdditionalInstructions(e.target.value)}
-
+            placeholder="e.g. 'Focus on respiratory course', 'Patient was transferred from outside hospital'"
-        <label className="flex flex-col gap-1">
+          />
-          <span className="text-xs font-semibold uppercase tracking-wider text-muted-foreground">Additional instructions</span>
-          <textarea className={input + ' min-h-[60px] text-sm'} value={additionalInstructions} onChange={(e) => setAdditionalInstructions(e.target.value)} />
         </label>
 
         {generate.error && <div className="text-sm text-destructive">{(generate.error as ApiError).message}</div>}
 
         <button
           type="submit"
-          disabled={generate.isPending || !notesText.trim()}
+          disabled={generate.isPending || progressNotes.every((n) => !n.content.trim())}
           className="rounded-md bg-primary text-primary-foreground px-4 py-2 text-sm font-medium disabled:opacity-50"
         >
-          {generate.isPending ? 'Generating…' : 'Generate Hospital Course'}
+          {generate.isPending ? 'Generating…' : '✨ Generate Hospital Course'}
         </button>
       </form>
 
       {result && (
-        <EditableResult
+        <>
-          text={result.hospitalCourse}
+          <EditableResult
-          onChange={(t) => setResult({ hospitalCourse: t, format: result.format })}
+            text={result.hospitalCourse}
-          section={null}
+            onChange={(t) => setResult({ hospitalCourse: t, format: result.format })}
-          title={'Hospital Course (' + result.format + ')'}
+            section={null}
-          exportLabel="hospital-course"
+            title={'Hospital Course (' + result.format + ')'}
-          exportType="hospital-course"
+            exportLabel="hospital-course"
-          sourceContext={notesText}
+            exportType="hospital-course"
-        />
+            sourceContext={JSON.stringify(progressNotes.map((n) => n.content))}
+          />
+          <ClarifyButton
+            currentDraft={result.hospitalCourse}
+            notes={progressNotes.filter((n) => n.content.trim())}
+          />
+        </>
       )}
     </div>
   );

client/src/pages/hospital/ClarifyButton.tsx

@@ -0,0 +1,54 @@
+// ============================================================
+// ClarifyButton — "What's Missing?" → POST /api/hospital-course-clarify
+// Only Hospital Course had this in vanilla (public/components/
+// hospital.html #hc-clarify-btn); it returns a short list of
+// questions the AI thinks the user should answer before finalising
+// the course summary.
+// ============================================================
+
+import { useState } from 'react';
+
+interface Props {
+  currentDraft: string;
+  notes: unknown;              // JSON-serialised by the server
+  disabled?: boolean;
+}
+
+const btn = 'inline-flex items-center gap-1 rounded-md border border-amber-400 bg-amber-50 text-amber-900 px-3 py-1.5 text-xs font-medium hover:bg-amber-100 disabled:opacity-50';
+
+export default function ClarifyButton({ currentDraft, notes, disabled }: Props) {
+  const [busy, setBusy] = useState(false);
+  const [questions, setQuestions] = useState<string | null>(null);
+  const [err, setErr] = useState<string | null>(null);
+
+  async function run() {
+    setBusy(true); setErr(null); setQuestions(null);
+    try {
+      const r = await fetch('/api/hospital-course-clarify', {
+        method: 'POST',
+        credentials: 'include',
+        headers: { 'Content-Type': 'application/json' },
+        body: JSON.stringify({ currentDraft, notes }),
+      });
+      const data = await r.json();
+      if (!data.success) throw new Error(data.error || 'Request failed');
+      setQuestions(data.questions);
+    } catch (e) {
+      setErr((e as Error).message);
+    } finally { setBusy(false); }
+  }
+
+  return (
+    <div className="space-y-2" data-testid="clarify-bar">
+      <button type="button" onClick={run} disabled={busy || disabled} className={btn} data-testid="clarify-run">
+        {busy ? '⌛ Asking…' : '❓ What\'s Missing?'}
+      </button>
+      {err && <div className="text-sm text-destructive">{err}</div>}
+      {questions && (
+        <div className="rounded-md border border-amber-200 bg-amber-50 dark:bg-amber-950/30 p-3 whitespace-pre-wrap text-sm">
+          {questions}
+        </div>
+      )}
+    </div>
+  );
+}

client/src/pages/hospital/DictatableCard.tsx

@@ -0,0 +1,73 @@
+// ============================================================
+// DictatableCard — generic "date + content + dictate" card. Used
+// for Hospital Course's ED Note, H&P, and each Progress Note, plus
+// Chart Review's per-visit cards. Each card gets its own Recorder
+// so the user can dictate into one card without interrupting
+// another in progress.
+// ============================================================
+
+import Recorder from '@/components/Recorder';
+import { useState } from 'react';
+
+interface Props {
+  title: string;
+  date: string;
+  onDateChange: (s: string) => void;
+  content: string;
+  onContentChange: (s: string) => void;
+  placeholder?: string;
+  moduleName: string;                 // unique per-card id for /api/transcribe module param
+  onRemove?: () => void;              // optional — dynamic cards only
+  children?: React.ReactNode;         // extra meta fields (type select, specialist, labs)
+  testId?: string;
+}
+
+const input = 'rounded-md border border-input bg-background px-2 py-1 text-sm';
+
+export default function DictatableCard({
+  title, date, onDateChange, content, onContentChange, placeholder, moduleName, onRemove, children, testId,
+}: Props) {
+  const [interim, setInterim] = useState('');
+  const [recError, setRecError] = useState<string | null>(null);
+  const displayed = interim || content;
+
+  return (
+    <div className="rounded-lg border border-border bg-card p-3 space-y-2" data-testid={testId}>
+      <div className="flex items-center gap-2 flex-wrap">
+        <strong className="text-sm">{title}</strong>
+        <input
+          type="date"
+          value={date}
+          onChange={(e) => onDateChange(e.target.value)}
+          className={input + ' w-40'}
+        />
+        {children}
+        {onRemove && (
+          <button type="button" onClick={onRemove} className="ml-auto text-xs text-destructive hover:text-red-700" title="Remove">
+            🗑
+          </button>
+        )}
+      </div>
+
+      <Recorder
+        module={moduleName}
+        onTranscript={(text, meta) => {
+          // Per-card recorder always appends — never wipes an existing paste.
+          onContentChange(content ? content + (meta.appended ? '\n' : '') + text : text);
+          setInterim('');
+          setRecError(null);
+        }}
+        onInterim={(t) => setInterim(t ? (content ? content + '\n' + t : t) : '')}
+        onError={(msg) => setRecError(msg)}
+      />
+      {recError && <div className="text-sm text-destructive">{recError}</div>}
+
+      <textarea
+        className={input + ' w-full min-h-[120px] font-mono text-sm'}
+        placeholder={placeholder || 'Paste or type the note…'}
+        value={displayed}
+        onChange={(e) => { onContentChange(e.target.value); setInterim(''); }}
+      />
+    </div>
+  );
+}

client/src/pages/hospital/LabsList.tsx

@@ -0,0 +1,55 @@
+// ============================================================
+// LabsList — dynamic (date, values) rows. Port of hc-labs-container
+// / cr-labs-container in the vanilla hospital.html / chart.html
+// components. Pure controlled component — parent owns the array.
+// ============================================================
+
+export interface LabRow { date: string; values: string }
+
+interface Props {
+  value: LabRow[];
+  onChange: (next: LabRow[]) => void;
+  placeholder?: string;
+  testIdPrefix?: string;
+}
+
+const input = 'rounded-md border border-input bg-background px-2 py-1 text-sm';
+const btn = 'inline-flex items-center gap-1 rounded-md border border-border bg-background px-3 py-1.5 text-xs font-medium hover:bg-muted';
+
+export function emptyLab(): LabRow { return { date: '', values: '' }; }
+
+export default function LabsList({ value, onChange, placeholder, testIdPrefix = 'labs' }: Props) {
+  function patch(i: number, next: Partial<LabRow>) {
+    onChange(value.map((r, idx) => (idx === i ? { ...r, ...next } : r)));
+  }
+  function add() { onChange([...value, emptyLab()]); }
+  function remove(i: number) { onChange(value.filter((_, idx) => idx !== i)); }
+
+  return (
+    <div className="space-y-2" data-testid={testIdPrefix}>
+      {value.length === 0 && (
+        <div className="text-xs text-muted-foreground italic">No labs added.</div>
+      )}
+      {value.map((row, i) => (
+        <div key={i} className="flex flex-col sm:flex-row items-start gap-2" data-testid={testIdPrefix + '-row-' + i}>
+          <input
+            type="date"
+            value={row.date}
+            onChange={(e) => patch(i, { date: e.target.value })}
+            className={input + ' w-40 shrink-0'}
+          />
+          <textarea
+            value={row.values}
+            onChange={(e) => patch(i, { values: e.target.value })}
+            placeholder={placeholder || 'e.g. WBC 12.5, H/H 10.2/31, BMP Na 138, K 3.5'}
+            className={input + ' flex-1 min-h-[60px] font-mono text-xs'}
+          />
+          <button type="button" onClick={() => remove(i)} className="text-xs text-destructive hover:text-red-700" title="Remove">
+            🗑
+          </button>
+        </div>
+      ))}
+      <button type="button" onClick={add} className={btn}>+ Add lab</button>
+    </div>
+  );
+}