// ============================================================
// SHADESS.JS — SSHADESS psychosocial screening form + well visit note
// ============================================================

(function() {

  // ── SSHADESS domain definitions ──────────────────────────────────────────
  // Each domain has key questions (most important shown first) + comment field
  var SHADESS_DOMAINS = [
    {
      key: 'strengths',
      label: 'Strengths',
      icon: 'fa-star',
      color: '#f59e0b',
      intro: 'Starting with what you do well helps us get to know you better.',
      questions: [
        { id: 'str1', text: 'Has something they are proud of or enjoy', type: 'yn' },
        { id: 'str2', text: 'Describes self positively when asked', type: 'yn' },
        { id: 'str3', text: 'Has at least one trusted adult they can talk to', type: 'yn' },
      ]
    },
    {
      key: 'school',
      label: 'School',
      icon: 'fa-graduation-cap',
      color: '#3b82f6',
      intro: 'Ask about school performance, attendance, and future plans.',
      questions: [
        { id: 'sch1', text: 'Grades are satisfactory / doing their best', type: 'yn' },
        { id: 'sch2', text: 'Likes school or finds something enjoyable about it', type: 'yn' },
        { id: 'sch3', text: 'Regular attendance (no truancy concerns)', type: 'yn' },
        { id: 'sch4', text: 'Has plans or goals for the future', type: 'yn' },
      ]
    },
    {
      key: 'home',
      label: 'Home',
      icon: 'fa-house',
      color: '#10b981',
      intro: 'Ask about living situation and family relationships.',
      questions: [
        { id: 'hom1', text: 'Stable living situation', type: 'yn' },
        { id: 'hom2', text: 'Gets along with people at home', type: 'yn' },
        { id: 'hom3', text: 'Would talk to family member if stressed', type: 'yn' },
        { id: 'hom4', text: 'Has experienced household violence or instability (concern if YES)', type: 'yn', concern_if: true },
      ]
    },
    {
      key: 'activities',
      label: 'Activities',
      icon: 'fa-users',
      color: '#8b5cf6',
      intro: 'Ask about friends, hobbies, and peer relationships.',
      questions: [
        { id: 'act1', text: 'Has friends and spends time with them', type: 'yn' },
        { id: 'act2', text: 'Involved in sports, clubs, or hobbies', type: 'yn' },
        { id: 'act3', text: 'Social media/screen use within healthy limits', type: 'yn' },
        { id: 'act4', text: 'Has experienced bullying (concern if YES)', type: 'yn', concern_if: true },
      ]
    },
    {
      key: 'drugs',
      label: 'Drugs / Substances',
      icon: 'fa-pills',
      color: '#ef4444',
      intro: 'This is confidential. Ask in private.',
      questions: [
        { id: 'drg1', text: 'Has tried cigarettes / vaping / tobacco', type: 'yn', concern_if: true },
        { id: 'drg2', text: 'Has tried alcohol', type: 'yn', concern_if: true },
        { id: 'drg3', text: 'Has tried marijuana or other drugs', type: 'yn', concern_if: true },
        { id: 'drg4', text: 'Friends use substances', type: 'yn' },
        { id: 'drg5', text: 'CRAFFT screen result (if done)', type: 'text', placeholder: 'e.g., Score 0 — low risk' },
      ]
    },
    {
      key: 'emotions',
      label: 'Emotions / Eating',
      icon: 'fa-heart',
      color: '#ec4899',
      intro: 'Screen for depression, anxiety, and disordered eating.',
      questions: [
        { id: 'emo1', text: 'Feeling down, sad, or hopeless recently', type: 'yn', concern_if: true },
        { id: 'emo2', text: 'Feeling unusually stressed or anxious', type: 'yn', concern_if: true },
        { id: 'emo3', text: 'Trouble sleeping', type: 'yn' },
        { id: 'emo4', text: 'PHQ-A / depression screen result (if done)', type: 'text', placeholder: 'e.g., PHQ-A score 3 — minimal' },
        { id: 'emo5', text: 'Happy with eating habits and body image', type: 'yn' },
        { id: 'emo6', text: 'Restricting food / purging / using diet pills (concern if YES)', type: 'yn', concern_if: true },
      ]
    },
    {
      key: 'sexuality',
      label: 'Sexuality',
      icon: 'fa-shield-heart',
      color: '#f97316',
      intro: 'Ask in private. Normalize the questions.',
      questions: [
        { id: 'sex1', text: 'Comfortable discussing attraction/identity', type: 'yn' },
        { id: 'sex2', text: 'Sexually active', type: 'yn' },
        { id: 'sex3', text: 'Uses protection consistently if sexually active', type: 'yn' },
        { id: 'sex4', text: 'History of unwanted sexual contact (concern if YES)', type: 'yn', concern_if: true },
        { id: 'sex5', text: 'STI screening indicated/done', type: 'yn' },
      ]
    },
    {
      key: 'safety',
      label: 'Safety',
      icon: 'fa-shield-halved',
      color: '#6366f1',
      intro: 'Ask about violence, weapons, and suicidal ideation.',
      questions: [
        { id: 'saf1', text: 'Feels safe at school and home', type: 'yn' },
        { id: 'saf2', text: 'Carries a weapon (concern if YES)', type: 'yn', concern_if: true },
        { id: 'saf3', text: 'Has been in physical fights recently', type: 'yn', concern_if: true },
        { id: 'saf4', text: 'Wears seatbelt; safe driving practices', type: 'yn' },
        { id: 'saf5', text: 'Thoughts of hurting self or suicide (concern if YES — STAT eval)', type: 'yn', concern_if: true },
        { id: 'saf6', text: 'Columbia/ASQ suicide screen result (if done)', type: 'text', placeholder: 'e.g., ASQ: negative' },
      ]
    }
  ];

  // ── Render SHADESS form ──────────────────────────────────────────────────
  var _shadessAnswers = {};  // key -> { questions: {id: answer}, comment: '', concern: false, skipped: false }

  function initShadess() {
    var container = document.getElementById('shadess-domains');
    if (!container) return;

    // Initialize answers object
    SHADESS_DOMAINS.forEach(function(d) {
      _shadessAnswers[d.key] = { questions: {}, comment: '', concern: false, skipped: false };
    });

    container.innerHTML = SHADESS_DOMAINS.map(function(domain) {
      return renderDomain(domain);
    }).join('');

    // Wire up events
    container.addEventListener('change', function(e) {
      var el = e.target;
      // yn question
      if (el.classList.contains('shadess-yn')) {
        var domainKey = el.dataset.domain;
        var qid = el.dataset.qid;
        if (_shadessAnswers[domainKey]) {
          _shadessAnswers[domainKey].questions[qid] = el.value;
          // Auto-flag concern
          var domain = SHADESS_DOMAINS.find(function(d) { return d.key === domainKey; });
          if (domain) {
            var q = domain.questions.find(function(q) { return q.id === qid; });
            if (q && q.concern_if === (el.value === 'yes')) {
              _shadessAnswers[domainKey].concern = true;
              var flagEl = document.getElementById('shadess-concern-' + domainKey);
              if (flagEl) flagEl.classList.remove('hidden');
            }
          }
        }
      }
      // text question
      if (el.classList.contains('shadess-text')) {
        if (_shadessAnswers[el.dataset.domain]) {
          _shadessAnswers[el.dataset.domain].questions[el.dataset.qid] = el.value;
        }
      }
      // comment
      if (el.classList.contains('shadess-comment')) {
        if (_shadessAnswers[el.dataset.domain]) {
          _shadessAnswers[el.dataset.domain].comment = el.value;
        }
      }
      // skip toggle
      if (el.classList.contains('shadess-skip')) {
        if (_shadessAnswers[el.dataset.domain]) {
          _shadessAnswers[el.dataset.domain].skipped = el.checked;
          var body = document.getElementById('shadess-body-' + el.dataset.domain);
          if (body) body.style.opacity = el.checked ? '0.3' : '1';
        }
      }
    });

    // Concern flag manual toggle
    container.addEventListener('click', function(e) {
      if (e.target.closest('.shadess-flag-btn')) {
        var btn = e.target.closest('.shadess-flag-btn');
        var domainKey = btn.dataset.domain;
        if (_shadessAnswers[domainKey]) {
          _shadessAnswers[domainKey].concern = !_shadessAnswers[domainKey].concern;
          var flagEl = document.getElementById('shadess-concern-' + domainKey);
          if (flagEl) flagEl.classList.toggle('hidden', !_shadessAnswers[domainKey].concern);
        }
      }
    });
  }

  function renderDomain(domain) {
    var qHtml = domain.questions.map(function(q) {
      if (q.type === 'yn') {
        return '<div class="shadess-q-row">' +
          '<span class="shadess-q-text">' + esc(q.text) + (q.concern_if !== undefined ? ' <span style="font-size:10px;color:var(--g400);">(flag if ' + (q.concern_if ? 'Yes' : 'No') + ')</span>' : '') + '</span>' +
          '<div class="shadess-yn-btns">' +
            '<select class="shadess-yn" data-domain="' + domain.key + '" data-qid="' + q.id + '" style="font-size:12px;padding:3px 6px;border:1px solid var(--g300);border-radius:6px;">' +
              '<option value="">—</option><option value="yes">Yes</option><option value="no">No</option>' +
            '</select>' +
          '</div>' +
        '</div>';
      } else {
        return '<div class="shadess-q-row">' +
          '<span class="shadess-q-text">' + esc(q.text) + '</span>' +
          '<input class="shadess-text" data-domain="' + domain.key + '" data-qid="' + q.id + '" type="text" placeholder="' + esc(q.placeholder || '') + '" style="font-size:12px;padding:4px 8px;border:1px solid var(--g300);border-radius:6px;flex:1;min-width:160px;">' +
        '</div>';
      }
    }).join('');

    return '<div class="shadess-domain" style="border-left:3px solid ' + domain.color + ';">' +
      '<div class="shadess-domain-header">' +
        '<i class="fas ' + domain.icon + '" style="color:' + domain.color + ';width:16px;"></i>' +
        '<strong style="font-size:14px;">' + esc(domain.label) + '</strong>' +
        '<span style="font-size:11px;color:var(--g500);flex:1;margin-left:6px;">' + esc(domain.intro) + '</span>' +
        '<span id="shadess-concern-' + domain.key + '" class="shadess-concern-badge hidden"><i class="fas fa-triangle-exclamation"></i> Concern</span>' +
        '<button class="shadess-flag-btn btn-sm btn-ghost" data-domain="' + domain.key + '" style="font-size:11px;" title="Toggle concern flag"><i class="fas fa-flag"></i></button>' +
        '<label style="font-size:11px;color:var(--g500);display:flex;align-items:center;gap:4px;"><input type="checkbox" class="shadess-skip" data-domain="' + domain.key + '"> Skip</label>' +
      '</div>' +
      '<div id="shadess-body-' + domain.key + '" class="shadess-domain-body">' +
        qHtml +
        '<div class="shadess-q-row" style="align-items:flex-start;">' +
          '<span class="shadess-q-text" style="padding-top:4px;">Additional notes:</span>' +
          '<textarea class="shadess-comment" data-domain="' + domain.key + '" rows="2" style="flex:1;font-size:12px;padding:4px 8px;border:1px solid var(--g300);border-radius:6px;resize:vertical;" placeholder="Free text comments for this domain..."></textarea>' +
        '</div>' +
      '</div>' +
    '</div>';
  }

  // ── SHADESS recording (listen in) ────────────────────────────────────────
  var _shadessRecorder = null;
  var _shadessTimer = null;
  var _shadessRecording = false;
  var _shadessIsPaused = false;
  var _shhadessRecognition = null;
  var _shadessTranscript = '';

  function initShadessRecording() {
    var recordBtn = document.getElementById('shadess-record-btn');
    var pauseBtn  = document.getElementById('shadess-pause-btn');
    var indicator = document.getElementById('shadess-rec-indicator');
    var timerEl   = document.getElementById('shadess-timer');
    if (!recordBtn) return;

    _shadessTimer = createTimer(timerEl);
    _shhadessRecognition = createSpeechRecognition();
    if (_shhadessRecognition) {
      _shhadessRecognition.onresult = function(e) {
        for (var i = e.resultIndex; i < e.results.length; i++) {
          if (e.results[i].isFinal) _shadessTranscript += e.results[i][0].transcript + ' ';
        }
      };
      _shhadessRecognition.onend = function() {
        if (_shadessRecording && !_shadessIsPaused) try { _shhadessRecognition.start(); } catch(e) {}
      };
    }

    recordBtn.addEventListener('click', function() {
      if (!_shadessRecording) {
        _shadessTranscript = '';
        _shadessRecorder = new AudioRecorder();
        _shadessRecorder.start().then(function() {
          _shadessRecording = true; _shadessIsPaused = false;
          recordBtn.innerHTML = '<i class="fas fa-stop"></i> Stop';
          recordBtn.classList.add('recording');
          if (pauseBtn) pauseBtn.classList.remove('hidden');
          indicator.classList.remove('hidden');
          _shadessTimer.start();
          if (_shhadessRecognition) try { _shhadessRecognition.start(); } catch(e) {}
          showToast('SSHADESS recording started', 'info');
        }).catch(function() { showToast('Microphone denied', 'error'); });
      } else {
        _shadessRecording = false; _shadessIsPaused = false;
        var dur = _shadessTimer.stop();
        recordBtn.innerHTML = '<i class="fas fa-microphone"></i> Listen In';
        recordBtn.classList.remove('recording');
        if (pauseBtn) { pauseBtn.classList.add('hidden'); }
        indicator.classList.add('hidden');
        if (_shhadessRecognition) try { _shhadessRecognition.stop(); } catch(e) {}

        showBusy('Transcribing SSHADESS...');
        _shadessRecorder.stop().then(function(blob) {
          if (!blob || blob.size === 0) { hideBusy(); return; }
          return transcribeAudio(blob).then(function(data) {
            hideBusy();
            if (data.success) {
              _shadessTranscript = data.text;
              showToast('SSHADESS audio transcribed (' + dur + 's)', 'success');
            }
          });
        }).catch(function() { hideBusy(); });
      }
    });

    if (pauseBtn) {
      pauseBtn.addEventListener('click', function() {
        if (!_shadessRecording || !_shadessRecorder || !_shadessRecorder.mediaRecorder) return;
        if (!_shadessIsPaused) {
          try { if (_shadessRecorder.mediaRecorder.state === 'recording') _shadessRecorder.mediaRecorder.pause(); } catch(e) {}
          _shadessTimer.stop();
          _shadessIsPaused = true;
          pauseBtn.innerHTML = '<i class="fas fa-play"></i> Resume';
          if (_shhadessRecognition) try { _shhadessRecognition.stop(); } catch(e) {}
        } else {
          try {
            if (_shadessRecorder.mediaRecorder.state === 'paused') { _shadessRecorder.mediaRecorder.resume(); }
            else if (_shadessRecorder.mediaRecorder.state === 'inactive' && _shadessRecorder.stream && _shadessRecorder.stream.active) {
              var mime = MediaRecorder.isTypeSupported('audio/webm;codecs=opus') ? 'audio/webm;codecs=opus' : 'audio/webm';
              _shadessRecorder.mediaRecorder = new MediaRecorder(_shadessRecorder.stream, { mimeType: mime, audioBitsPerSecond: 32000 });
              _shadessRecorder.mediaRecorder.ondataavailable = function(e) { if (e.data.size > 0) _shadessRecorder.chunks.push(e.data); };
              _shadessRecorder.mediaRecorder.start(1000);
            }
          } catch(e) {}
          _shadessTimer.resume();
          _shadessIsPaused = false;
          pauseBtn.innerHTML = '<i class="fas fa-pause"></i> Pause';
          if (_shhadessRecognition) try { _shhadessRecognition.start(); } catch(e) {}
        }
      });
    }
  }

  // ── Generate SSHADESS assessment ─────────────────────────────────────────
  function generateShadess() {
    var age    = document.getElementById('shadess-age').value;
    var gender = document.getElementById('shadess-gender').value;

    // Build domains payload from answers
    var domains = {};
    SHADESS_DOMAINS.forEach(function(d) {
      var ans = _shadessAnswers[d.key];
      var questions = d.questions.map(function(q) {
        return { id: q.id, text: q.text, answer: ans.questions[q.id] || null };
      }).filter(function(q) { return q.answer !== null && q.answer !== ''; });

      domains[d.key] = {
        skipped: ans.skipped,
        questions: questions,
        comment: ans.comment,
        concern: ans.concern
      };
    });

    // Check something is filled in
    var hasData = Object.values(domains).some(function(d) {
      return !d.skipped && (d.questions.length > 0 || d.comment);
    });
    if (!hasData && !_shadessTranscript) {
      showToast('Fill in at least one domain before generating', 'error');
      return;
    }

    showBusy('Generating SSHADESS assessment...');

    var modelEl = document.querySelector('#wv-panel-shadess .tab-model-select');

    fetch('/api/well-visit/shadess', {
      method: 'POST',
      headers: getAuthHeaders(),
      body: JSON.stringify({
        patientAge: age,
        patientGender: gender,
        domains: domains,
        dictationText: _shadessTranscript || null,
        model: modelEl ? modelEl.value : getSelectedModel()
      })
    })
    .then(function(r) { return r.json(); })
    .then(function(data) {
      hideBusy();
      if (data.success) {
        var out = document.getElementById('shadess-result-text');
        var outCard = document.getElementById('shadess-output');
        var tag = document.getElementById('shadess-model-tag');
        if (out) setOutputText(out, data.assessment);
        if (tag) tag.textContent = (data.model || '').split('/').pop();
        if (outCard) { outCard.classList.remove('hidden'); outCard.scrollIntoView({ behavior: 'smooth' }); }
        showToast('SSHADESS assessment generated', 'success');
        // Auto-fill well visit note SSHADESS field
        var wvShadess = document.getElementById('wv-shadess-text');
        if (wvShadess) wvShadess.value = data.assessment;
      } else {
        showToast(data.error || 'Generation failed', 'error');
      }
    })
    .catch(function(err) { hideBusy(); showToast(err.message, 'error'); });
  }

  // ── Well Visit Note — ROS data ────────────────────────────────────────────
  var _rosData = {};   // { constitutionalStatus: 'wnl'|'abnormal'|'', constitutionalNote: '...', ... }
  var _peData  = {};

  // 15 ROS systems
  var ROS_SYSTEMS = [
    { key: 'constitutional',   label: 'Constitutional',           detail: 'fever, fatigue, weight loss/gain, appetite' },
    { key: 'eyes',             label: 'Eyes',                     detail: 'vision changes, discharge, redness' },
    { key: 'ent',              label: 'ENT',                      detail: 'ear pain, congestion, sore throat, mouth sores' },
    { key: 'cardiovascular',   label: 'Cardiovascular',           detail: 'chest pain, palpitations, murmur' },
    { key: 'respiratory',      label: 'Respiratory',              detail: 'cough, wheeze, dyspnea' },
    { key: 'gastrointestinal', label: 'Gastrointestinal',         detail: 'nausea, vomiting, diarrhea, constipation, abdominal pain' },
    { key: 'genitourinary',    label: 'Genitourinary',            detail: 'dysuria, frequency, discharge, menstrual' },
    { key: 'musculoskeletal',  label: 'Musculoskeletal',          detail: 'joint pain, swelling, gait issues, back pain' },
    { key: 'skin',             label: 'Skin',                     detail: 'rash, lesions, itch, hair/nail changes' },
    { key: 'neurological',     label: 'Neurological',             detail: 'headache, dizziness, seizures, numbness' },
    { key: 'psychiatric',      label: 'Psychiatric',              detail: 'mood, anxiety, sleep, behavior changes' },
    { key: 'endocrine',        label: 'Endocrine',                detail: 'polyuria/polydipsia, heat/cold intolerance, growth concerns' },
    { key: 'hematologic',      label: 'Hematologic/Lymphatic',    detail: 'bruising, bleeding, lymph nodes' },
    { key: 'allergic',         label: 'Allergic/Immunologic',     detail: 'allergic reactions, frequent infections' },
    { key: 'developmental',    label: 'Developmental/Behavioral', detail: 'milestones, school, social' },
  ];

  // 17 PE systems
  var PE_SYSTEMS = [
    { key: 'general',       label: 'General Appearance',       detail: 'WDWN, alert, NAD, etc.' },
    { key: 'peEyes',        label: 'Eyes',                     detail: 'PERRL, conjunctiva, EOM' },
    { key: 'ears',          label: 'Ears',                     detail: 'TMs, canals, hearing' },
    { key: 'nose',          label: 'Nose',                     detail: 'mucosa, septum, turbinates' },
    { key: 'mouthThroat',   label: 'Mouth/Throat',             detail: 'lips, gums, teeth, tonsils, pharynx' },
    { key: 'neck',          label: 'Neck',                     detail: 'lymph nodes, thyroid, masses' },
    { key: 'chestLungs',    label: 'Chest/Lungs',              detail: 'air entry, wheezing, retractions' },
    { key: 'peCv',          label: 'Cardiovascular',           detail: 'S1/S2, murmur, pulses, cap refill' },
    { key: 'abdomen',       label: 'Abdomen',                  detail: 'soft, tenderness, organomegaly, BS' },
    { key: 'guTanner',      label: 'Genitourinary/Tanner',     detail: 'Tanner stage, genitalia, hernias' },
    { key: 'msk',           label: 'Musculoskeletal',          detail: 'strength, ROM, gait, spine' },
    { key: 'extremities',   label: 'Extremities',              detail: 'tone, reflexes, clubbing, edema' },
    { key: 'peSkin',        label: 'Skin',                     detail: 'rashes, lesions, cafe au lait, bruises' },
    { key: 'peNeuro',       label: 'Neurological',             detail: 'CN intact, DTRs, coordination' },
    { key: 'lymphatic',     label: 'Lymphatic',                detail: 'cervical, axillary, inguinal nodes' },
    { key: 'breast',        label: 'Breast',                   detail: 'if indicated by age/Tanner' },
    { key: 'pePsych',       label: 'Psychiatric',              detail: 'affect, mood, behavior during exam' },
  ];

  // ── Shared ROS row renderer (used by well visit and sick visit) ──────────
  // dataObj = reference to _rosData or _peData
  // systemsList = ROS_SYSTEMS or PE_SYSTEMS
  // prefix = 'ros' | 'pe'
  // btnLabels = { wnl:'WNL', abnormal:'Abnormal', notrev:'Not reviewed' } or { wnl:'Normal', abnormal:'Abnormal', notrev:'Not examined' }
  window.renderRosRows = function(systemsList, dataObj, prefix, btnLabels) {
    var bl = btnLabels || { wnl: 'WNL', abnormal: 'Abnormal', notrev: 'Not reviewed' };
    return systemsList.map(function(sys) {
      var status = dataObj[sys.key + '_status'] || '';
      var note   = dataObj[sys.key + '_note']   || '';
      var wnlAct    = status === 'wnl'      ? ' wnl'      : '';
      var abnAct    = status === 'abnormal' ? ' abnormal' : '';
      var notrevAct = status === 'notrev'   ? ' notrev'   : '';
      var noteVis   = status === 'abnormal' ? ' visible'  : '';
      return '<div class="ros-system-row" data-sys-key="' + esc(sys.key) + '" data-prefix="' + prefix + '">' +
        '<span class="ros-system-name" title="' + esc(sys.detail) + '">' + esc(sys.label) + ' <span style="font-size:10px;color:var(--g400);">(' + esc(sys.detail) + ')</span></span>' +
        '<button class="ros-status-btn' + wnlAct + '" data-status="wnl" data-sys="' + esc(sys.key) + '" data-prefix="' + prefix + '">' + esc(bl.wnl) + '</button>' +
        '<button class="ros-status-btn' + abnAct + '" data-status="abnormal" data-sys="' + esc(sys.key) + '" data-prefix="' + prefix + '">' + esc(bl.abnormal) + '</button>' +
        '<button class="ros-status-btn' + notrevAct + '" data-status="notrev" data-sys="' + esc(sys.key) + '" data-prefix="' + prefix + '">' + esc(bl.notrev) + '</button>' +
        '<input class="ros-note-input' + noteVis + '" data-sys="' + esc(sys.key) + '" data-prefix="' + prefix + '" type="text" placeholder="Describe..." value="' + esc(note) + '">' +
      '</div>';
    }).join('');
  };

  // Wire ROS/PE click events on a container element (idempotent — safe to call multiple times)
  window.wireRosContainer = function(containerEl, dataObj) {
    // Remove previous handler to prevent duplicate listeners on re-render
    if (containerEl._rosClickHandler) containerEl.removeEventListener('click', containerEl._rosClickHandler);
    if (containerEl._rosInputHandler) containerEl.removeEventListener('input', containerEl._rosInputHandler);

    containerEl._rosClickHandler = function(e) {
      var btn = e.target.closest('.ros-status-btn');
      if (!btn) return;
      var sysKey = btn.dataset.sys;
      var status = btn.dataset.status;
      var prefix = btn.dataset.prefix;
      if (!sysKey) return;

      // Toggle
      var cur = dataObj[sysKey + '_status'] || '';
      dataObj[sysKey + '_status'] = (cur === status) ? '' : status;

      // Update buttons in row
      var row = btn.closest('.ros-system-row');
      if (row) {
        row.querySelectorAll('.ros-status-btn').forEach(function(b) {
          b.classList.remove('wnl', 'abnormal', 'notrev');
          if (dataObj[sysKey + '_status'] && b.dataset.status === dataObj[sysKey + '_status']) {
            b.classList.add(dataObj[sysKey + '_status']);
          }
        });
        var noteInput = row.querySelector('.ros-note-input');
        if (noteInput) {
          if (dataObj[sysKey + '_status'] === 'abnormal') {
            noteInput.classList.add('visible');
            noteInput.focus();
          } else {
            noteInput.classList.remove('visible');
          }
        }
      }
    };
    containerEl.addEventListener('click', containerEl._rosClickHandler);

    containerEl._rosInputHandler = function(e) {
      var inp = e.target.closest('.ros-note-input');
      if (!inp) return;
      var sysKey = inp.dataset.sys;
      if (sysKey) dataObj[sysKey + '_note'] = inp.value;
    };
    containerEl.addEventListener('input', containerEl._rosInputHandler);
  };

  // Format ROS data as text for AI
  window.formatRosForAI = function(systemsList, dataObj, heading) {
    var lines = [heading + ':'];
    var hasAny = false;
    systemsList.forEach(function(sys) {
      var status = dataObj[sys.key + '_status'] || '';
      if (!status) return;
      hasAny = true;
      var note = dataObj[sys.key + '_note'] || '';
      if (status === 'wnl') {
        // WNL — tell AI to expand with pertinent negatives, include domain details for context
        lines.push('  ' + sys.label + ': NORMAL [domain: ' + sys.detail + ']');
      } else if (status === 'abnormal') {
        // Abnormal — user's note is the finding; AI should expand/describe it
        lines.push('  ' + sys.label + ': ABNORMAL' + (note ? ' — ' + note : '') + ' [domain: ' + sys.detail + ']');
      } else {
        lines.push('  ' + sys.label + ': Not reviewed');
      }
    });
    return hasAny ? lines.join('\n') : '';
  };

  // ── ICD-10 Diagnoses ──────────────────────────────────────────────────────
  var COMMON_DX = [
    { code: 'Z00.129', name: 'Routine child health exam, no abnormal findings' },
    { code: 'Z00.121', name: 'Routine child health exam, with abnormal findings' },
    { code: 'J06.9',   name: 'Upper Respiratory Infection, NOS' },
    { code: 'J02.9',   name: 'Acute pharyngitis, NOS' },
    { code: 'J03.90',  name: 'Acute tonsillitis, NOS' },
    { code: 'H66.90',  name: 'Otitis media, NOS' },
    { code: 'J20.9',   name: 'Acute bronchitis' },
    { code: 'J45.20',  name: 'Mild intermittent asthma, uncomplicated' },
    { code: 'J45.30',  name: 'Mild persistent asthma' },
    { code: 'A09',     name: 'Gastroenteritis/colitis' },
    { code: 'L20.9',   name: 'Atopic dermatitis, NOS' },
    { code: 'L30.9',   name: 'Dermatitis NOS' },
    { code: 'R50.9',   name: 'Fever NOS' },
    { code: 'R10.9',   name: 'Abdominal pain NOS' },
    { code: 'R05.9',   name: 'Cough' },
    { code: 'B34.9',   name: 'Viral infection NOS' },
    { code: 'Z23',     name: 'Immunization encounter' },
    { code: 'Z41.9',   name: 'Procedure for non-remedial reason' },
    { code: 'K21.0',   name: 'GERD with esophagitis' },
    { code: 'K21.9',   name: 'GERD without esophagitis' },
    { code: 'F90.0',   name: 'ADHD, predominantly inattentive' },
    { code: 'F90.2',   name: 'ADHD, combined type' },
    { code: 'F41.1',   name: 'Generalized anxiety disorder' },
    { code: 'F32.9',   name: 'Major depressive episode NOS' },
    { code: 'E11.9',   name: 'Type 2 diabetes' },
    { code: 'E03.9',   name: 'Hypothyroidism NOS' },
    { code: 'M54.5',   name: 'Low back pain' },
    { code: 'G43.909', name: 'Migraine NOS' },
  ];

  // Expose so sick visit can reuse
  window.COMMON_DX = COMMON_DX;

  // ICD-10 live search via NLM Clinical Tables API (free, no auth, CORS-enabled)
  var _icdSearchTimer = {};
  function searchIcd10(query, onResults) {
    if (!query || query.length < 2) { onResults([]); return; }
    fetch('https://clinicaltables.nlm.nih.gov/api/icd10cm/v3/search?sf=code,name&terms=' + encodeURIComponent(query) + '&maxList=12')
      .then(function(r) { return r.json(); })
      .then(function(data) {
        // data = [count, [codes], null, [[code, name], ...]]
        var items = (data[3] || []).map(function(row) { return { code: row[0], name: row[1] }; });
        onResults(items);
      })
      .catch(function() { onResults([]); });
  }

  // Render the DX component into a container element
  // selectedDxArr = reference to an array of { code, name }
  // idPrefix = unique prefix for element IDs (e.g. 'wv' or 'sv')
  window.renderDxComponent = function(containerEl, selectedDxArr, idPrefix) {
    var searchId   = idPrefix + '-dx-search';
    var tagsId     = idPrefix + '-dx-tags';
    var resultsId  = idPrefix + '-dx-results';
    var chipsId    = idPrefix + '-dx-chips';

    containerEl.innerHTML =
      '<div style="position:relative;margin-bottom:8px;">' +
        '<div style="display:flex;gap:6px;align-items:center;">' +
          '<div style="flex:1;position:relative;">' +
            '<input id="' + searchId + '" type="text" placeholder="Search ICD-10 (e.g. &quot;otitis&quot;, &quot;J06&quot;)..." autocomplete="off" style="width:100%;font-size:13px;padding:7px 10px;border:1px solid var(--g300);border-radius:8px;font-family:inherit;box-sizing:border-box;">' +
            '<div id="' + resultsId + '" class="dx-results hidden"></div>' +
          '</div>' +
        '</div>' +
        '<div id="' + tagsId + '" style="display:flex;flex-wrap:wrap;gap:4px;margin-top:8px;min-height:24px;"></div>' +
        '<div style="font-size:11px;color:var(--g500);margin:8px 0 4px;">Common pediatric diagnoses:</div>' +
        '<div id="' + chipsId + '" style="display:flex;flex-wrap:wrap;gap:4px;"></div>' +
      '</div>';

    // Render quick-access chips
    var chipsEl = containerEl.querySelector('#' + chipsId);
    if (chipsEl) {
      chipsEl.innerHTML = COMMON_DX.map(function(dx) {
        return '<span class="dx-chip" data-code="' + esc(dx.code) + '" data-name="' + esc(dx.name) + '">' + esc(dx.code) + ' ' + esc(dx.name) + '</span>';
      }).join('');
      chipsEl.addEventListener('click', function(e) {
        var chip = e.target.closest('.dx-chip');
        if (!chip) return;
        addDx(selectedDxArr, { code: chip.dataset.code, name: chip.dataset.name }, containerEl, tagsId);
      });
    }

    // Live search
    var searchEl = containerEl.querySelector('#' + searchId);
    var resultsEl = containerEl.querySelector('#' + resultsId);

    function showResults(items) {
      if (!items.length) { resultsEl.classList.add('hidden'); return; }
      resultsEl.innerHTML = items.map(function(dx) {
        return '<div class="dx-result-item" data-code="' + esc(dx.code) + '" data-name="' + esc(dx.name) + '">' +
          '<span class="dx-result-code">' + esc(dx.code) + '</span> ' + esc(dx.name) +
        '</div>';
      }).join('');
      resultsEl.classList.remove('hidden');
      resultsEl.querySelectorAll('.dx-result-item').forEach(function(item) {
        item.addEventListener('mousedown', function(e) {
          e.preventDefault(); // prevent blur from firing before click
          addDx(selectedDxArr, { code: item.dataset.code, name: item.dataset.name }, containerEl, tagsId);
          searchEl.value = '';
          resultsEl.classList.add('hidden');
        });
      });
    }

    if (searchEl) {
      searchEl.addEventListener('input', function() {
        var val = searchEl.value.trim();
        clearTimeout(_icdSearchTimer[idPrefix]);
        if (!val) { resultsEl.classList.add('hidden'); return; }
        _icdSearchTimer[idPrefix] = setTimeout(function() {
          searchIcd10(val, showResults);
        }, 280);
      });
      searchEl.addEventListener('keydown', function(e) {
        if (e.key === 'Escape') { resultsEl.classList.add('hidden'); }
        if (e.key === 'Enter') {
          e.preventDefault();
          var first = resultsEl.querySelector('.dx-result-item');
          if (first) { first.dispatchEvent(new MouseEvent('mousedown')); }
        }
      });
      searchEl.addEventListener('blur', function() {
        setTimeout(function() { resultsEl.classList.add('hidden'); }, 150);
      });
    }

    renderDxTags(selectedDxArr, containerEl, tagsId);
  };

  function addDx(arr, dx, containerEl, tagsId) {
    // Avoid duplicates
    var alreadyExists = arr.some(function(d) {
      return d.code === dx.code && d.name === dx.name;
    });
    if (alreadyExists) return;
    arr.push(dx);
    renderDxTags(arr, containerEl, tagsId);
  }

  function renderDxTags(arr, containerEl, tagsId) {
    var tagsEl = containerEl.querySelector('#' + tagsId);
    if (!tagsEl) return;
    tagsEl.innerHTML = arr.map(function(dx, i) {
      return '<span class="dx-tag">' +
        (dx.code ? '<strong>' + esc(dx.code) + '</strong> ' : '') + esc(dx.name) +
        '<span class="dx-remove" data-idx="' + i + '" title="Remove">&#x2715;</span>' +
      '</span>';
    }).join('');
    tagsEl.querySelectorAll('.dx-remove').forEach(function(btn) {
      btn.addEventListener('click', function() {
        var idx = parseInt(btn.dataset.idx);
        arr.splice(idx, 1);
        renderDxTags(arr, containerEl, tagsId);
      });
    });
  }

  window.formatDxForAI = function(selectedDxArr, freetextId) {
    var lines = [];
    selectedDxArr.forEach(function(dx) {
      lines.push((dx.code ? dx.code + ' ' : '') + dx.name);
    });
    var freetextEl = freetextId ? document.getElementById(freetextId) : null;
    if (freetextEl && freetextEl.value.trim()) {
      lines.push(freetextEl.value.trim());
    }
    return lines.length ? 'Diagnoses:\n' + lines.map(function(l) { return '  - ' + l; }).join('\n') : '';
  };

  // ── Well Visit Note — module state ─────────────────────────────────────────
  var _wvSelectedDx = [];

  // ── Well Visit Note Generation ───────────────────────────────────────────
  var _wvRecorder = null;
  var _wvTimer = null;
  var _wvRecording = false;
  var _wvPaused = false;
  var _wvRecognition = null;
  var _wvTranscript = '';

  function initWvRecording() {
    var recordBtn = document.getElementById('wv-record-btn');
    var pauseBtn  = document.getElementById('wv-pause-btn');
    var indicator = document.getElementById('wv-rec-indicator');
    var timerEl   = document.getElementById('wv-timer');
    var transcriptEl = document.getElementById('wv-transcript');
    if (!recordBtn) return;

    _wvTimer = createTimer(timerEl);
    _wvRecognition = createSpeechRecognition();
    if (_wvRecognition) {
      _wvRecognition.onresult = function(e) {
        var interim = '';
        for (var i = e.resultIndex; i < e.results.length; i++) {
          if (e.results[i].isFinal) _wvTranscript += e.results[i][0].transcript + ' ';
          else interim = e.results[i][0].transcript;
        }
        if (transcriptEl) transcriptEl.innerHTML = _wvTranscript + (interim ? '<span style="color:#9ca3af;">' + interim + '</span>' : '');
      };
      _wvRecognition.onend = function() { if (_wvRecording && !_wvPaused) try { _wvRecognition.start(); } catch(e) {} };
    }

    recordBtn.addEventListener('click', function() {
      if (!_wvRecording) {
        _wvTranscript = '';
        _wvRecorder = new AudioRecorder();
        _wvRecorder.start().then(function() {
          _wvRecording = true; _wvPaused = false;
          recordBtn.innerHTML = '<i class="fas fa-stop"></i> Stop';
          recordBtn.classList.add('recording');
          if (pauseBtn) pauseBtn.classList.remove('hidden');
          indicator.classList.remove('hidden');
          _wvTimer.start();
          if (_wvRecognition) try { _wvRecognition.start(); } catch(e) {}
        }).catch(function() { showToast('Microphone denied', 'error'); });
      } else {
        _wvRecording = false; _wvPaused = false;
        var dur = _wvTimer.stop();
        recordBtn.innerHTML = '<i class="fas fa-microphone"></i> Listen In';
        recordBtn.classList.remove('recording');
        if (pauseBtn) { pauseBtn.classList.add('hidden'); }
        indicator.classList.add('hidden');
        if (_wvRecognition) try { _wvRecognition.stop(); } catch(e) {}

        showBusy('Transcribing...');
        _wvRecorder.stop().then(function(blob) {
          if (!blob || blob.size === 0) { hideBusy(); if (_wvTranscript.trim() && transcriptEl) transcriptEl.textContent = _wvTranscript.trim(); return; }
          return transcribeAudio(blob).then(function(data) {
            hideBusy();
            if (data.success) { if (transcriptEl) transcriptEl.textContent = data.text; _wvTranscript = data.text; showToast('Transcribed ' + dur + 's', 'success'); }
            else { if (_wvTranscript.trim() && transcriptEl) transcriptEl.textContent = _wvTranscript.trim(); }
          });
        }).catch(function() { hideBusy(); });
      }
    });

    if (pauseBtn) {
      pauseBtn.addEventListener('click', function() {
        if (!_wvRecording || !_wvRecorder || !_wvRecorder.mediaRecorder) return;
        if (!_wvPaused) {
          try { if (_wvRecorder.mediaRecorder.state === 'recording') _wvRecorder.mediaRecorder.pause(); } catch(e) {}
          _wvTimer.stop(); _wvPaused = true;
          pauseBtn.innerHTML = '<i class="fas fa-play"></i> Resume';
          if (_wvRecognition) try { _wvRecognition.stop(); } catch(e) {}
        } else {
          try {
            if (_wvRecorder.mediaRecorder.state === 'paused') { _wvRecorder.mediaRecorder.resume(); }
            else if (_wvRecorder.mediaRecorder.state === 'inactive' && _wvRecorder.stream && _wvRecorder.stream.active) {
              var mime = MediaRecorder.isTypeSupported('audio/webm;codecs=opus') ? 'audio/webm;codecs=opus' : 'audio/webm';
              _wvRecorder.mediaRecorder = new MediaRecorder(_wvRecorder.stream, { mimeType: mime, audioBitsPerSecond: 32000 });
              _wvRecorder.mediaRecorder.ondataavailable = function(e) { if (e.data.size > 0) _wvRecorder.chunks.push(e.data); };
              _wvRecorder.mediaRecorder.start(1000);
            }
          } catch(e) {}
          _wvTimer.resume(); _wvPaused = false;
          pauseBtn.innerHTML = '<i class="fas fa-pause"></i> Pause';
          if (_wvRecognition) try { _wvRecognition.start(); } catch(e) {}
        }
      });
    }
  }

  // ── ROS/PE init for well visit ────────────────────────────────────────────
  function initWvRosPe() {
    var rosContainer = document.getElementById('wv-ros-container');
    var peContainer  = document.getElementById('wv-pe-container');
    var dxContainer  = document.getElementById('wv-dx-container');
    var allWnlBtn    = document.getElementById('wv-ros-all-wnl');
    var allNormalBtn = document.getElementById('wv-pe-all-normal');

    if (rosContainer) {
      rosContainer.innerHTML = window.renderRosRows(ROS_SYSTEMS, _rosData, 'ros', { wnl: 'WNL', abnormal: 'Abnormal', notrev: 'Not reviewed' });
      window.wireRosContainer(rosContainer, _rosData);
    }

    if (peContainer) {
      peContainer.innerHTML = window.renderRosRows(PE_SYSTEMS, _peData, 'pe', { wnl: 'Normal', abnormal: 'Abnormal', notrev: 'Not examined' });
      window.wireRosContainer(peContainer, _peData);
    }

    function refreshRos() {
      if (rosContainer) {
        rosContainer.innerHTML = window.renderRosRows(ROS_SYSTEMS, _rosData, 'ros', { wnl: 'WNL', abnormal: 'Abnormal', notrev: 'Not reviewed' });
        window.wireRosContainer(rosContainer, _rosData);
      }
    }
    function refreshPe() {
      if (peContainer) {
        peContainer.innerHTML = window.renderRosRows(PE_SYSTEMS, _peData, 'pe', { wnl: 'Normal', abnormal: 'Abnormal', notrev: 'Not examined' });
        window.wireRosContainer(peContainer, _peData);
      }
    }

    if (allWnlBtn) {
      allWnlBtn.onclick = function() {
        ROS_SYSTEMS.forEach(function(sys) { _rosData[sys.key + '_status'] = 'wnl'; });
        refreshRos();
        showToast('All ROS set to WNL', 'success');
      };
    }

    var rosClearBtn = document.getElementById('wv-ros-clear');
    if (rosClearBtn) {
      rosClearBtn.onclick = function() {
        ROS_SYSTEMS.forEach(function(sys) { _rosData[sys.key + '_status'] = ''; _rosData[sys.key + '_note'] = ''; });
        refreshRos();
        showToast('ROS cleared', 'info');
      };
    }

    if (allNormalBtn) {
      allNormalBtn.onclick = function() {
        PE_SYSTEMS.forEach(function(sys) { _peData[sys.key + '_status'] = 'wnl'; });
        refreshPe();
        showToast('All PE set to Normal', 'success');
      };
    }

    var peClearBtn = document.getElementById('wv-pe-clear');
    if (peClearBtn) {
      peClearBtn.onclick = function() {
        PE_SYSTEMS.forEach(function(sys) { _peData[sys.key + '_status'] = ''; _peData[sys.key + '_note'] = ''; });
        refreshPe();
        showToast('PE cleared', 'info');
      };
    }

    if (dxContainer) {
      window.renderDxComponent(dxContainer, _wvSelectedDx, 'wv');
    }
  }

  function generateWvNote() {
    var age    = document.getElementById('wv-note-age').value;
    var gender = document.getElementById('wv-note-gender').value;
    if (!age) { showToast('Enter patient age/visit age', 'error'); return; }

    var transcriptEl = document.getElementById('wv-transcript');
    var transcript = transcriptEl ? (transcriptEl.innerText || transcriptEl.textContent || '') : '';

    showBusy('Generating well visit note...');

    var modelEl = document.querySelector('#wv-panel-note .tab-model-select');

    // Format ROS, PE, DX
    var rosText = window.formatRosForAI(ROS_SYSTEMS, _rosData, 'Review of Systems');
    var peText  = window.formatRosForAI(PE_SYSTEMS, _peData, 'Physical Examination');
    var dxText  = window.formatDxForAI(_wvSelectedDx, 'wv-dx-freetext');

    // Fetch user memories to include physician templates
    var memoriesPromise = (typeof getUserMemoryContext === 'function') ? getUserMemoryContext() : Promise.resolve('');

    memoriesPromise.then(function(memCtx) {
      return fetch('/api/well-visit/note', {
        method: 'POST',
        headers: getAuthHeaders(),
        body: JSON.stringify({
          patientAge: age,
          visitAge: age,
          patientGender: gender,
          vitals: document.getElementById('wv-vitals').value,
          transcript: transcript || null,
          screenings: document.getElementById('wv-screenings').value,
          vaccines: document.getElementById('wv-vaccines').value,
          shadessAssessment: document.getElementById('wv-shadess-text').value || null,
          ros: rosText || null,
          physicalExam: peText || null,
          diagnoses: dxText || null,
          physicianMemories: memCtx || null,
          noteStyle: document.getElementById('wv-note-style').value,
          model: modelEl ? modelEl.value : getSelectedModel()
        })
      });
    })
    .then(function(r) { return r.json(); })
    .then(function(data) {
      hideBusy();
      if (data.success) {
        var noteEl = document.getElementById('wv-note-text');
        var outCard = document.getElementById('wv-note-output');
        var tag = document.getElementById('wv-note-model-tag');
        if (noteEl) setOutputText(noteEl, data.note);
        if (typeof trackAIOutput === 'function') trackAIOutput('wv-note-text', data.note);
        // Store source for refine — collect all well visit inputs
        var wvSource = [];
        var wvTranscript = document.getElementById('wv-note-transcript');
        if (wvTranscript && wvTranscript.innerText.trim()) wvSource.push('TRANSCRIPT: ' + wvTranscript.innerText.trim());
        var wvAge = document.getElementById('wv-note-age');
        if (wvAge && wvAge.value) wvSource.push('Age: ' + wvAge.value);
        storeSourceContext('wv-note-text', wvSource.join('\n'));
        if (tag) tag.textContent = (data.model || '').split('/').pop();
        if (outCard) { outCard.classList.remove('hidden'); outCard.scrollIntoView({ behavior: 'smooth' }); }
        showToast('Well visit note generated!', 'success');
        if (typeof suggestBillingCodes === 'function') suggestBillingCodes('wv-note-text', data.note, 'wellvisit', document.getElementById('wv-note-age').value);
      } else {
        showToast(data.error || 'Generation failed', 'error');
      }
    })
    .catch(function(err) { hideBusy(); showToast(err.message, 'error'); });
  }

  // ── Wire subtab events ───────────────────────────────────────────────────
  function initSubtabWiring() {
    var subtabBar = document.querySelector('.wv-subtab-bar');
    if (!subtabBar) return;

    subtabBar.addEventListener('click', function(e) {
      var btn = e.target.closest('.wv-subtab-btn');
      if (!btn) return;
      var subtab = btn.dataset.subtab;
      if (subtab === 'shadess' || subtab === 'note') {
        // These are handled here; wellVisit.js handles the others
        showWvSubpanel(subtab);
      }
    });
  }

  function showWvSubpanel(name) {
    document.querySelectorAll('.wv-subpanel').forEach(function(p) { p.classList.add('hidden'); });
    document.querySelectorAll('.wv-subtab-btn').forEach(function(b) { b.classList.remove('active'); });
    var panel = document.getElementById('wv-panel-' + name);
    var btn = document.querySelector('.wv-subtab-btn[data-subtab="' + name + '"]');
    if (panel) panel.classList.remove('hidden');
    if (btn) btn.classList.add('active');
  }

  // ── Save bar for well visit ──────────────────────────────────────────────
  document.addEventListener('click', function(e) {
    if (e.target.closest('#btn-shadess-generate')) generateShadess();
    if (e.target.closest('#btn-wv-generate')) generateWvNote();
    if (e.target.closest('#wv-refine-btn')) refineDocument('wv-note-text', 'wv-refine-input');
    if (e.target.closest('#wv-shorten-btn')) shortenDocument('wv-note-text');
    if (e.target.closest('#btn-wv-save')) {
      var labelEl = document.getElementById('wv-label');
      var transcriptEl = document.getElementById('wv-transcript');
      var noteEl = document.getElementById('wv-note-text');
      if (typeof saveEncounter === 'function') {
        window.saveEncounter({
          id: window._savedEncId_wellvisit || null,
          label: labelEl ? labelEl.value.trim() : '',
          enc_type: 'wellvisit',
          transcript: transcriptEl ? (transcriptEl.innerText || '') : '',
          generated_note: noteEl ? (noteEl.innerText || '') : '',
          onSaved: function(id) { window._savedEncId_wellvisit = id; }
        });
      }
    }
    if (e.target.closest('#btn-shadess-new-patient')) resetShadessForm();
    if (e.target.closest('#btn-wv-new-patient')) resetWvNote();
  });

  // Register well visit load handler
  if (typeof registerEncounterLoadHandler === 'function') {
    registerEncounterLoadHandler('wellvisit', function(enc) {
      var transcriptEl = document.getElementById('wv-transcript');
      if (transcriptEl && enc.transcript) transcriptEl.textContent = enc.transcript;
      if (enc.generated_note) {
        var noteEl = document.getElementById('wv-note-text');
        var outCard = document.getElementById('wv-note-output');
        if (noteEl) noteEl.textContent = enc.generated_note;
        if (outCard) outCard.classList.remove('hidden');
      }
    });
  }

  // ── Reset functions ──────────────────────────────────────────────────────
  function resetShadessForm() {
    // Reset answers
    SHADESS_DOMAINS.forEach(function(d) {
      _shadessAnswers[d.key] = { questions: {}, comment: '', concern: false, skipped: false };
    });
    // Clear the DOM form
    initShadess();
    // Clear age/gender inputs
    var ageEl = document.getElementById('shadess-age');
    var genderEl = document.getElementById('shadess-gender');
    if (ageEl) ageEl.value = '';
    if (genderEl) genderEl.value = '';
    // Clear transcript and hide output
    _shadessTranscript = '';
    var outCard = document.getElementById('shadess-output');
    var resultEl = document.getElementById('shadess-result-text');
    if (outCard) outCard.classList.add('hidden');
    if (resultEl) resultEl.textContent = '';
    showToast('SSHADESS form cleared for new patient', 'info');
  }

  function resetWvNote() {
    // Clear all well visit fields
    ['wv-note-age', 'wv-note-gender', 'wv-vitals', 'wv-screenings', 'wv-vaccines', 'wv-shadess-text', 'wv-label'].forEach(function(id) {
      var el = document.getElementById(id);
      if (el) el.value = '';
    });
    var transcriptEl = document.getElementById('wv-transcript');
    if (transcriptEl) transcriptEl.textContent = '';
    _wvTranscript = '';

    // Reset ROS/PE/DX
    _rosData = {};
    _peData  = {};
    _wvSelectedDx.length = 0;
    initWvRosPe();

    var outCard = document.getElementById('wv-note-output');
    var noteEl = document.getElementById('wv-note-text');
    if (outCard) outCard.classList.add('hidden');
    if (noteEl) noteEl.textContent = '';
    window._savedEncId_wellvisit = null;
    showToast('Well visit note cleared for new patient', 'info');
  }

  function esc(str) {
    if (!str) return '';
    return String(str).replace(/&/g, '&amp;').replace(/</g, '&lt;').replace(/>/g, '&gt;').replace(/"/g, '&quot;');
  }

  // ── Init on DOM ready ────────────────────────────────────────────────────
  var _inited = false;
  document.addEventListener('tabChanged', function(e) {
    if (e.detail.tab !== 'wellvisit' || _inited) return;
    _inited = true;
    initShadess();
    initShadessRecording();
    initWvRecording();
    initSubtabWiring();
    initWvRosPe();
  });

  console.log('SHADESS module loaded');

})();