devsofttech_hms_ci4/app/Controllers/Opd_prescription.php

<?php

namespace App\Controllers;

use App\Controllers\BaseController;
use App\Libraries\AbdmWorkTaskService;
use App\Libraries\BridgeSyncService;
use App\Libraries\CsnotkTerminologyService;
use App\Models\OpdMedicineModel;
use CodeIgniter\I18n\Time;

class Opd_prescription extends BaseController
{
    private string $lastAiProvider = 'none';
    private string $lastAiServerError = '';

    private function canAccessSnomedAdmin(): bool
    {
        $user = auth()->user();
        if (! $user) {
            return false;
        }

        if (method_exists($user, 'can') && (
            $user->can('admin.access')
            || $user->can('admin.settings')
            || $user->can('abdm.access')
        )) {
            return true;
        }

        return false;
    }

    private function canAccessPrescription(): bool
    {
        $user = auth()->user();
        if (! $user) {
            return false;
        }

        if (method_exists($user, 'can') && $user->can('opd.doctor-panel.access')) {
            return true;
        }

        return false;
    }

    public function Prescription(int $opdId)
    {
        if (! $this->canAccessPrescription()) {
            return $this->response->setStatusCode(403)->setBody('Access denied: OPD Prescription is restricted to doctor-authorized users.');
        }

        $sql = "select * from opd_master where opd_id=" . (int) $opdId;
        $query = $this->db->query($sql);
        $opdMaster = $query->getResult();

        if (empty($opdMaster)) {
            return $this->response->setStatusCode(404)->setBody('OPD not found');
        }

        $opdRow = $opdMaster[0];
        $patientId = (int) ($opdRow->p_id ?? 0);

        $sql = "select *,if(gender=1,'Male','Female') as xgender
            from patient_master where id='" . (int) $opdRow->p_id . "'";
        $query = $this->db->query($sql);
        $patient = $query->getResult();

        $patientProfileFilePath = '/assets/images/no_image.svg';
        if (!empty($patient)) {
            $profilePicturePath = '';
            if ($this->db->fieldExists('profile_picture', 'patient_master')) {
                $profilePicturePath = trim((string) ($patient[0]->profile_picture ?? ''));
            }

            $profileFileId = (int) ($patient[0]->profile_file_id ?? 0);
            if ($profileFileId > 0 && $this->db->tableExists('file_upload_data')) {
                $fileRow = $this->db->table('file_upload_data')
                    ->select('full_path')
                    ->where('id', $profileFileId)
                    ->get(1)
                    ->getRow();

                $fullPath = trim((string) ($fileRow->full_path ?? ''));
                if ($fullPath !== '') {
                    $pos = strpos($fullPath, '/uploads/', 1);
                    $patientProfileFilePath = $pos !== false ? substr($fullPath, $pos) : $fullPath;
                }
            } elseif ($profilePicturePath !== '') {
                $pos = strpos($profilePicturePath, '/uploads/', 1);
                $patientProfileFilePath = $pos !== false ? substr($profilePicturePath, $pos) : $profilePicturePath;
            }
        }

        if (!empty($patient)) {
            $patient[0]->str_age = get_age_1($patient[0]->dob ?? null, $patient[0]->age ?? '', $patient[0]->age_in_month ?? '', $patient[0]->estimate_dob ?? '', $opdRow->apointment_date ?? null);
        }

        $prescription = [];
        if ($this->db->tableExists('opd_prescription')) {
            $prescription = $this->db->table('opd_prescription')
                ->where('opd_id', $opdId)
                ->orderBy('id', 'DESC')
                ->get(1)
                ->getResult();

            if (!empty($prescription)) {
                $first = $prescription[0];
                $firstRow = (array) $first;
                $womenText = '';
                if (isset($first->women_related_problems)) {
                    $womenText = trim((string) $first->women_related_problems);
                }
                if ($womenText === '') {
                    $womenText = $this->extractWomenRelatedProblemsFromRemarks((string) ($first->Prescriber_Remarks ?? ''));
                }

                $womenStructured = $this->parseWomenStructuredDetails($womenText);
                $first->women_related_problems = (string) ($womenStructured['women_related_problems'] ?? '');
                $first->women_lmp = trim((string) (
                    $firstRow['women_lmp']
                    ?? $firstRow['lmp']
                    ?? $firstRow['lmp_date']
                    ?? ($womenStructured['women_lmp'] ?? '')
                ));
                $first->women_last_baby = trim((string) (
                    $firstRow['women_last_baby']
                    ?? $firstRow['last_baby']
                    ?? $firstRow['last_baby_details']
                    ?? ($womenStructured['women_last_baby'] ?? '')
                ));
                $first->women_pregnancy_related = trim((string) (
                    $firstRow['women_pregnancy_related']
                    ?? $firstRow['pregnancy_related']
                    ?? $firstRow['pregnancy_related_problem']
                    ?? ($womenStructured['women_pregnancy_related'] ?? '')
                ));

                $nabhInfo = $this->hydrateNabhPrescriptionFields(
                    $firstRow,
                    (string) ($first->Prescriber_Remarks ?? '')
                );
                $first->Prescriber_Remarks = $this->stripNabhFieldsFromRemarks((string) ($first->Prescriber_Remarks ?? ''));
                $first->drug_allergy_status = (string) ($nabhInfo['drug_allergy_status'] ?? '');
                $first->drug_allergy_details = (string) ($nabhInfo['drug_allergy_details'] ?? '');
                $first->adr_history = (string) ($nabhInfo['adr_history'] ?? '');
                $first->current_medications = (string) ($nabhInfo['current_medications'] ?? '');

                $historyInfo = $this->hydratePatientHistoryFields(
                    $firstRow,
                    (string) ($first->Prescriber_Remarks ?? '')
                );
                $first->obstetric_history = (string) ($historyInfo['obstetric_history'] ?? '');
                $first->menstrual_history = (string) ($historyInfo['menstrual_history'] ?? '');
                $first->medical_surgical_history = (string) ($historyInfo['medical_surgical_history'] ?? '');
                $first->family_history = (string) ($historyInfo['family_history'] ?? '');
                $first->allergic_history = (string) ($historyInfo['allergic_history'] ?? '');
                $first->vaccination_history = (string) ($historyInfo['vaccination_history'] ?? '');
                $prescription[0] = $first;
            }
        }

        return view('billing/opd_prescription_basic', [
            'opd_id' => $opdId,
            'opd_master' => $opdMaster,
            'patient_master' => $patient,
            'patient_profile_file_path' => $patientProfileFilePath,
            'opd_prescription' => $prescription,
            'next_visit_options' => $this->getNextVisitOptions(date('Y-m-d')),
            'addiction_flags' => $this->getPatientAddictionFlags($patientId),
            'co_morbidities' => $this->getCoMorbiditiesWithSelection($patientId),
            'co_morbidities_prefilled_from_history' => $this->hasHistoricalCoMorbiditySelection($patientId),
            'history_alerts' => $this->buildPatientHistoryAlerts((int) ($opdRow->p_id ?? 0), $opdId),
            'left_remarks' => $this->fetchPatientRemarks((int) ($opdRow->p_id ?? 0), 8),
        ]);
    }

    /**
     * @return array<int, array{desc:string,days:int,date:string,value:string}>
     */
    private function getNextVisitOptions(string $baseDate): array
    {
        $fallbackDays = [3, 4, 5, 7, 10, 15, 20, 30, 60];
        $fallbackDesc = [
            3 => '3 Days',
            4 => '4 Days',
            5 => '5 Days',
            7 => '1 Week',
            10 => '10 Days',
            15 => '15 Days',
            20 => '20 days',
            30 => '1 Month',
            60 => '2 Months',
        ];

        $baseTs = strtotime($baseDate);
        if ($baseTs === false) {
            $baseTs = strtotime(date('Y-m-d'));
        }

        $rows = [];
        if ($this->db->tableExists('opd_nextvisit')) {
            $fields = $this->db->getFieldNames('opd_nextvisit') ?? [];
            $descField = $this->resolveFirstField($fields, ['next_visit_desc', 'visit_desc', 'description', 'nextvisit_desc', 'name']);
            $daysField = $this->resolveFirstField($fields, ['no_of_days', 'days', 'day_count']);

            if ($descField !== null && $daysField !== null) {
                $builder = $this->db->table('opd_nextvisit')
                    ->select($descField . ' as visit_desc,' . $daysField . ' as no_of_days');

                if (in_array('status', $fields, true)) {
                    $builder->where('status', 1);
                }

                $rows = $builder
                    ->orderBy($daysField, 'ASC')
                    ->get()
                    ->getResultArray();
            }
        }

        $options = [];
        if (! empty($rows)) {
            foreach ($rows as $row) {
                $days = (int) ($row['no_of_days'] ?? 0);
                $desc = trim((string) ($row['visit_desc'] ?? ''));
                if ($days <= 0 || $desc === '') {
                    continue;
                }

                $visitDate = date('d-m-Y', strtotime('+' . $days . ' day', $baseTs));
                $value = $desc . ' (' . $visitDate . ')';

                $options[] = [
                    'desc' => $desc,
                    'days' => $days,
                    'date' => $visitDate,
                    'value' => $value,
                ];
            }
        }

        if (empty($options)) {
            foreach ($fallbackDays as $days) {
                $desc = (string) ($fallbackDesc[$days] ?? ($days . ' Days'));
                $visitDate = date('d-m-Y', strtotime('+' . $days . ' day', $baseTs));
                $value = $desc . ' (' . $visitDate . ')';
                $options[] = [
                    'desc' => $desc,
                    'days' => $days,
                    'date' => $visitDate,
                    'value' => $value,
                ];
            }
        }

        return $options;
    }

    public function vitals_get(int $opdId)
    {
        if (! $this->canAccessPrescription()) {
            return $this->response->setStatusCode(403)->setJSON(['update' => 0, 'error_text' => 'Access denied']);
        }

        if ($opdId <= 0 || ! $this->db->tableExists('opd_prescription')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'OPD prescription table not found']);
        }

        $row = $this->db->table('opd_prescription')
            ->where('opd_id', (int) $opdId)
            ->orderBy('id', 'DESC')
            ->get(1)
            ->getRowArray() ?? [];

        $vitals = [
            'pulse' => (string) ($row['pulse'] ?? ''),
            'spo2' => (string) ($row['spo2'] ?? ''),
            'bp' => (string) ($row['bp'] ?? ''),
            'diastolic' => (string) ($row['diastolic'] ?? ''),
            'temp' => (string) ($row['temp'] ?? ''),
            'rr_min' => (string) ($row['rr_min'] ?? ''),
            'height' => (string) ($row['height'] ?? ''),
            'weight' => (string) ($row['weight'] ?? ''),
            'waist' => (string) ($row['waist'] ?? ''),
        ];

        return $this->response->setJSON([
            'update' => 1,
            'opd_session_id' => (int) ($row['id'] ?? 0),
            'vitals' => $vitals,
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function vitals_save()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        if (! $this->canAccessPrescription()) {
            return $this->response->setStatusCode(403)->setJSON(['update' => 0, 'error_text' => 'Access denied']);
        }

        $opdId = (int) $this->request->getPost('opd_id');
        $sessionId = (int) $this->request->getPost('opd_session_id');
        if ($opdId <= 0 || ! $this->db->tableExists('opd_prescription')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'OPD prescription table not found']);
        }

        $sessionId = $this->ensurePrescriptionSession($opdId, $sessionId);
        if ($sessionId <= 0) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Unable to create prescription session']);
        }

        $fields = $this->db->getFieldNames('opd_prescription');
        $input = [
            'pulse' => trim((string) $this->request->getPost('pulse')),
            'spo2' => trim((string) $this->request->getPost('spo2')),
            'bp' => trim((string) $this->request->getPost('bp')),
            'diastolic' => trim((string) $this->request->getPost('diastolic')),
            'temp' => trim((string) $this->request->getPost('temp')),
            'rr_min' => trim((string) $this->request->getPost('rr_min')),
            'height' => trim((string) $this->request->getPost('height')),
            'weight' => trim((string) $this->request->getPost('weight')),
            'waist' => trim((string) $this->request->getPost('waist')),
        ];

        $update = [];
        foreach ($input as $field => $value) {
            if (in_array($field, $fields, true)) {
                $update[$field] = $value;
            }
        }

        if (empty($update)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'No vital fields available']);
        }

        $this->db->table('opd_prescription')->where('id', $sessionId)->update($update);

        return $this->response->setJSON([
            'update' => 1,
            'opd_session_id' => $sessionId,
            'error_text' => 'Vitals saved successfully',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function opd_prescription_save()
    {
        if (!$this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON([
                'update' => 0,
                'error_text' => 'Invalid request',
            ]);
        }

        if (!$this->db->tableExists('opd_prescription')) {
            return $this->response->setJSON([
                'update' => 0,
                'error_text' => 'Table opd_prescription not found.',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        $opdId = (int) $this->request->getPost('opd_id');
        $sessionId = (int) $this->request->getPost('opd_session_id');

        $sql = "select * from opd_master where opd_id=" . $opdId;
        $query = $this->db->query($sql);
        $opdMaster = $query->getResult();

        if (empty($opdMaster)) {
            return $this->response->setJSON([
                'update' => 0,
                'error_text' => 'OPD not found',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        $opdRow = $opdMaster[0];
        $fields = $this->db->getFieldNames('opd_prescription');
        $patientRow = $this->db->table('patient_master')->where('id', (int) ($opdRow->p_id ?? 0))->get(1)->getRowArray() ?? [];

        $abhaAddress = trim((string) $this->request->getPost('abha_address'));
        if ($abhaAddress !== '' && ! $this->isValidAbhaAddress($abhaAddress)) {
            return $this->response->setJSON([
                'update' => 0,
                'error_text' => 'Invalid ABHA Address format.',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        $abhaField = $this->resolvePatientAbhaField();
        if ($abhaField !== null && $abhaAddress !== '') {
            $currentAbha = trim((string) ($patientRow[$abhaField] ?? ''));
            if ($currentAbha !== $abhaAddress) {
                $this->db->table('patient_master')->where('id', (int) ($opdRow->p_id ?? 0))->update([$abhaField => $abhaAddress]);
                $this->auditClinicalUpdate('patient_master', $abhaField, (int) ($opdRow->p_id ?? 0), $currentAbha, $abhaAddress);
                $patientRow[$abhaField] = $abhaAddress;
            }
        }

        $payload = [
            'complaints' => trim((string) $this->request->getPost('complaints')),
            'complaint_onset' => trim((string) $this->request->getPost('complaint_onset')),
            'complaint_duration_days' => trim((string) $this->request->getPost('complaint_duration_days')),
            'complaint_severity' => trim((string) $this->request->getPost('complaint_severity')),
            'complaint_snomed_json' => trim((string) $this->request->getPost('complaint_snomed_json')),
            'diagnosis'      => trim((string) $this->request->getPost('diagnosis')),
            'diagnosis_json' => trim((string) $this->request->getPost('diagnosis_json')),
            'diagnosis_snomed_id' => trim((string) $this->request->getPost('diagnosis_snomed_id')),
            'diagnosis_snomed_term' => trim((string) $this->request->getPost('diagnosis_snomed_term')),
            'diagnosis_snomed_source' => trim((string) $this->request->getPost('diagnosis_snomed_source')),
            'Provisional_diagnosis' => trim((string) $this->request->getPost('provisional_diagnosis')),
            'provisional_diagnosis_snomed_id' => trim((string) $this->request->getPost('provisional_diagnosis_snomed_id')),
            'provisional_diagnosis_snomed_term' => trim((string) $this->request->getPost('provisional_diagnosis_snomed_term')),
            'provisional_diagnosis_snomed_source' => trim((string) $this->request->getPost('provisional_diagnosis_snomed_source')),
            'Finding_Examinations' => trim((string) $this->request->getPost('finding_examinations')),
            'Prescriber_Remarks' => trim((string) $this->request->getPost('prescriber_remarks')),
            'women_related_problems' => trim((string) $this->request->getPost('women_related_problems')),
            'women_lmp' => trim((string) $this->request->getPost('women_lmp')),
            'women_last_baby' => trim((string) $this->request->getPost('women_last_baby')),
            'women_pregnancy_related' => trim((string) $this->request->getPost('women_pregnancy_related')),
            'obstetric_history' => trim((string) $this->request->getPost('obstetric_history')),
            'menstrual_history' => trim((string) $this->request->getPost('menstrual_history')),
            'medical_surgical_history' => trim((string) $this->request->getPost('medical_surgical_history')),
            'family_history' => trim((string) $this->request->getPost('family_history')),
            'allergic_history' => trim((string) $this->request->getPost('allergic_history')),
            'vaccination_history' => trim((string) $this->request->getPost('vaccination_history')),
            'drug_allergy_status' => trim((string) $this->request->getPost('drug_allergy_status')),
            'drug_allergy_details' => trim((string) $this->request->getPost('drug_allergy_details')),
            'adr_history' => trim((string) $this->request->getPost('adr_history')),
            'current_medications' => trim((string) $this->request->getPost('current_medications')),
            'investigation' => trim((string) $this->request->getPost('investigation')),
            'advice' => trim((string) $this->request->getPost('advice')),
            'next_visit' => trim((string) $this->request->getPost('next_visit')),
            'refer_to' => trim((string) $this->request->getPost('refer_to')),
            'bp' => trim((string) $this->request->getPost('bp')),
            'diastolic' => trim((string) $this->request->getPost('diastolic')),
            'pulse' => trim((string) $this->request->getPost('pulse')),
            'temp' => trim((string) $this->request->getPost('temp')),
            'spo2' => trim((string) $this->request->getPost('spo2')),
            'rr_min' => trim((string) $this->request->getPost('rr_min')),
            'height' => trim((string) $this->request->getPost('height')),
            'weight' => trim((string) $this->request->getPost('weight')),
            'waist' => trim((string) $this->request->getPost('waist')),
            'pallor' => trim((string) $this->request->getPost('pallor')),
            'Icterus' => trim((string) $this->request->getPost('icterus')),
            'cyanosis' => trim((string) $this->request->getPost('cyanosis')),
            'clubbing' => trim((string) $this->request->getPost('clubbing')),
            'edema' => trim((string) $this->request->getPost('edema')),
            'pain_value' => trim((string) $this->request->getPost('pain_value')),
            'pregnancy' => (int) $this->request->getPost('pregnancy'),
            'lactation' => (int) $this->request->getPost('lactation'),
            'liver_insufficiency' => (int) $this->request->getPost('liver_insufficiency'),
            'renal_insufficiency' => (int) $this->request->getPost('renal_insufficiency'),
            'pulmonary_insufficiency' => (int) $this->request->getPost('pulmonary_insufficiency'),
            'corona_suspected' => (int) $this->request->getPost('corona_suspected'),
            'dengue' => (int) $this->request->getPost('dengue'),
        ];

        $allergyStatusRaw = trim((string) ($payload['drug_allergy_status'] ?? ''));
        $allergyStatusNorm = mb_strtolower(preg_replace('/\s+/', ' ', $allergyStatusRaw) ?? $allergyStatusRaw);
        $allergyDetails = trim((string) ($payload['drug_allergy_details'] ?? ''));

        if ($allergyStatusRaw === '') {
            return $this->response->setJSON([
                'update' => 0,
                'error_text' => 'Drug Allergy Status is required as per NABH documentation.',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        if (in_array($allergyStatusNorm, ['known', 'yes', 'present'], true) && $allergyDetails === '') {
            return $this->response->setJSON([
                'update' => 0,
                'error_text' => 'Drug Allergy Details are required when Drug Allergy Status is Known.',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        $womenStructuredInput = [
            'women_lmp' => (string) ($payload['women_lmp'] ?? ''),
            'women_last_baby' => (string) ($payload['women_last_baby'] ?? ''),
            'women_pregnancy_related' => (string) ($payload['women_pregnancy_related'] ?? ''),
        ];

        $payload['women_related_problems'] = $this->buildWomenCombinedText(
            (string) ($payload['women_related_problems'] ?? ''),
            $womenStructuredInput
        );

        $provisionalText = trim((string) ($payload['Provisional_diagnosis'] ?? ''));
        $postedSnomedId = trim((string) ($payload['provisional_diagnosis_snomed_id'] ?? ''));
        $postedSnomedTerm = trim((string) ($payload['provisional_diagnosis_snomed_term'] ?? ''));
        $postedSnomedSource = trim((string) ($payload['provisional_diagnosis_snomed_source'] ?? ''));
        $diagnosisText = trim((string) ($payload['diagnosis'] ?? ''));
        $postedDiagnosisSnomedId = trim((string) ($payload['diagnosis_snomed_id'] ?? ''));
        $postedDiagnosisSnomedTerm = trim((string) ($payload['diagnosis_snomed_term'] ?? ''));
        $postedDiagnosisSnomedSource = trim((string) ($payload['diagnosis_snomed_source'] ?? ''));

        if ($postedDiagnosisSnomedId !== '') {
            $payload['diagnosis_snomed_id'] = $postedDiagnosisSnomedId;
            $payload['diagnosis_snomed_term'] = $postedDiagnosisSnomedTerm !== '' ? $postedDiagnosisSnomedTerm : $diagnosisText;
            $payload['diagnosis_snomed_source'] = $postedDiagnosisSnomedSource !== '' ? $postedDiagnosisSnomedSource : 'snomed';
        } else {
            $payload['diagnosis_snomed_id'] = '';
            $payload['diagnosis_snomed_term'] = '';
            $payload['diagnosis_snomed_source'] = '';

            if ($diagnosisText !== '' && strpos($diagnosisText, ',') === false) {
                $resolvedDiagnosis = $this->resolveProvisionalDiagnosisSnomedMatch($diagnosisText);
                if (! empty($resolvedDiagnosis['concept_id'])) {
                    $payload['diagnosis_snomed_id'] = (string) $resolvedDiagnosis['concept_id'];
                    $payload['diagnosis_snomed_term'] = (string) ($resolvedDiagnosis['term'] ?? $diagnosisText);
                    $payload['diagnosis_snomed_source'] = (string) ($resolvedDiagnosis['source'] ?? 'snomed-exact');
                }
            }
        }

        if ($postedSnomedId !== '') {
            $payload['provisional_diagnosis_snomed_id'] = $postedSnomedId;
            $payload['provisional_diagnosis_snomed_term'] = $postedSnomedTerm !== '' ? $postedSnomedTerm : $provisionalText;
            $payload['provisional_diagnosis_snomed_source'] = $postedSnomedSource !== '' ? $postedSnomedSource : 'snomed';
        } else {
            $payload['provisional_diagnosis_snomed_id'] = '';
            $payload['provisional_diagnosis_snomed_term'] = '';
            $payload['provisional_diagnosis_snomed_source'] = '';

            if ($provisionalText !== '' && strpos($provisionalText, ',') === false) {
                $resolved = $this->resolveProvisionalDiagnosisSnomedMatch($provisionalText);
                if (! empty($resolved['concept_id'])) {
                    $payload['provisional_diagnosis_snomed_id'] = (string) $resolved['concept_id'];
                    $payload['provisional_diagnosis_snomed_term'] = (string) ($resolved['term'] ?? $provisionalText);
                    $payload['provisional_diagnosis_snomed_source'] = (string) ($resolved['source'] ?? 'snomed-exact');
                }
            }
        }

        $this->mapWomenStructuredToExistingColumns($payload, $fields, $womenStructuredInput);

        $complaintStructuredInput = [
            'complaint_onset' => (string) ($payload['complaint_onset'] ?? ''),
            'complaint_duration_days' => (string) ($payload['complaint_duration_days'] ?? ''),
            'complaint_severity' => (string) ($payload['complaint_severity'] ?? ''),
        ];
        $this->mapComplaintStructuredToExistingColumns($payload, $fields, $complaintStructuredInput);
        $payload['complaints'] = $this->upsertComplaintStructuredIntoComplaints(
            (string) ($payload['complaints'] ?? ''),
            $complaintStructuredInput
        );

        $diagnosisCodingInput = [
            'diagnosis_snomed_id' => (string) ($payload['diagnosis_snomed_id'] ?? ''),
            'diagnosis_snomed_term' => (string) ($payload['diagnosis_snomed_term'] ?? ''),
            'diagnosis_snomed_source' => (string) ($payload['diagnosis_snomed_source'] ?? ''),
        ];
        $unmappedDiagnosisCoding = $this->mapDiagnosisCodingToExistingColumns($payload, $fields, $diagnosisCodingInput);

        $nabhInput = [
            'drug_allergy_status' => (string) ($payload['drug_allergy_status'] ?? ''),
            'drug_allergy_details' => (string) ($payload['drug_allergy_details'] ?? ''),
            'adr_history' => (string) ($payload['adr_history'] ?? ''),
            'current_medications' => (string) ($payload['current_medications'] ?? ''),
        ];
        $unmappedNabh = $this->mapNabhFieldsToExistingColumns($payload, $fields, $nabhInput);

        $patientHistoryInput = [
            'obstetric_history' => (string) ($payload['obstetric_history'] ?? ''),
            'menstrual_history' => (string) ($payload['menstrual_history'] ?? ''),
            'medical_surgical_history' => (string) ($payload['medical_surgical_history'] ?? ''),
            'family_history' => (string) ($payload['family_history'] ?? ''),
            'allergic_history' => (string) ($payload['allergic_history'] ?? ''),
            'vaccination_history' => (string) ($payload['vaccination_history'] ?? ''),
        ];
        $unmappedPatientHistory = $this->mapPatientHistoryFieldsToExistingColumns($payload, $fields, $patientHistoryInput);

        // Keep prescription remarks user-controlled; do not auto-inject structured NABH lines.
        $payload['Prescriber_Remarks'] = $this->stripNabhFieldsFromRemarks((string) ($payload['Prescriber_Remarks'] ?? ''));
        $payload['Prescriber_Remarks'] = $this->stripPatientHistoryFieldsFromRemarks((string) ($payload['Prescriber_Remarks'] ?? ''));

        if ($this->hasAnyNabhField($unmappedNabh)) {
            $payload['Prescriber_Remarks'] = $this->upsertNabhFieldsIntoRemarks(
                (string) ($payload['Prescriber_Remarks'] ?? ''),
                $unmappedNabh
            );
        }

        if ($this->hasAnyPatientHistoryField($unmappedPatientHistory)) {
            $payload['Prescriber_Remarks'] = $this->upsertPatientHistoryFieldsIntoRemarks(
                (string) ($payload['Prescriber_Remarks'] ?? ''),
                $unmappedPatientHistory
            );
        }

        // Strip any legacy SNOMED lines previously embedded in remarks (no longer injected)
        $payload['Prescriber_Remarks'] = $this->stripDiagnosisCodingFromRemarks(
            (string) ($payload['Prescriber_Remarks'] ?? '')
        );

        if (!in_array('women_related_problems', $fields, true)) {
            $womenText = trim((string) ($payload['women_related_problems'] ?? ''));
            if ($womenText !== '') {
                $payload['Prescriber_Remarks'] = $this->upsertWomenRelatedProblemsIntoRemarks(
                    (string) ($payload['Prescriber_Remarks'] ?? ''),
                    $womenText
                );
            }
        }

        // ABDM readiness is collected as non-blocking warnings; save proceeds regardless.
        $abdmValidationErrors = $this->validateAbdmReadinessForConsult($payload, $patientRow, (array) $opdRow);

        foreach ($payload as $value) {
            if (mb_strlen($value) > 4000) {
                return $this->response->setJSON([
                    'update' => 0,
                    'error_text' => 'Each section allows up to 4000 characters.',
                    'csrfName' => csrf_token(),
                    'csrfHash' => csrf_hash(),
                ]);
            }
        }

        $insertBase = [
            'opd_id' => $opdId,
            'p_id' => (int) ($opdRow->p_id ?? 0),
            'doc_id' => (int) ($opdRow->doc_id ?? 0),
            'date_opd_visit' => date('Y-m-d'),
            'visit_status' => 0,
            'session_id' => 0,
        ];

        $allowedData = [];
        foreach (array_merge($insertBase, $payload) as $key => $value) {
            if (in_array($key, $fields, true)) {
                $allowedData[$key] = $value;
            }
        }

        if (in_array('queue_no', $fields, true) && !isset($allowedData['queue_no'])) {
            // JOIN through opd_master to guarantee per-doctor isolation
            $maxQueue = $this->db->query(
                'SELECT COALESCE(MAX(pr.queue_no), 0) AS max_queue'
                . ' FROM opd_prescription pr'
                . ' INNER JOIN opd_master om ON om.opd_id = pr.opd_id'
                . ' WHERE pr.date_opd_visit = ? AND om.doc_id = ?',
                [date('Y-m-d'), (int) ($opdRow->doc_id ?? 0)]
            )->getRow();
            $allowedData['queue_no'] = (int) ($maxQueue->max_queue ?? 0) + 1;
        }

        $table = $this->db->table('opd_prescription');
        $beforeRow = [];

        if ($sessionId > 0) {
            $beforeRow = $table->where('id', $sessionId)->where('opd_id', $opdId)->get(1)->getRowArray() ?? [];
            $table->where('id', $sessionId)->where('opd_id', $opdId)->update($allowedData);
            $recordId = $sessionId;
        } else {
            $table->insert($allowedData);
            $recordId = (int) $this->db->insertID();
        }

        $afterRow = $this->db->table('opd_prescription')->where('id', $recordId)->where('opd_id', $opdId)->get(1)->getRowArray() ?? [];
        if (!empty($afterRow)) {
            $this->clinicalAuditTrail->logChangedFields('opd_prescription', $recordId, $beforeRow, $afterRow, $this->getCurrentUserId());
        }

        $fhirStored = $this->storePrescriptionFhirBundle((int) $opdId, (int) $recordId, $patientRow, (array) $opdRow);

        $this->syncPatientAddictionFlags((int) ($opdRow->p_id ?? 0), [
            'is_smoking' => (int) $this->request->getPost('is_smoking'),
            'is_alcohol' => (int) $this->request->getPost('is_alcohol'),
            'is_drug_abuse' => (int) $this->request->getPost('is_drug_abuse'),
        ]);

        $morbidityIds = $this->parseNumericList((string) $this->request->getPost('morbidities_list'));
        $this->syncPatientMorbidities((int) ($opdRow->p_id ?? 0), $morbidityIds);

        if (in_array('Prescriber_Remarks', $fields, true)) {
            $coMorbiditiesText = trim((string) $this->request->getPost('morbidities_text'));
            $remarksNow = (string) ($allowedData['Prescriber_Remarks'] ?? ($afterRow['Prescriber_Remarks'] ?? ''));
            $updatedRemarks = $this->upsertCoMorbiditiesIntoRemarks($remarksNow, $coMorbiditiesText);
            if ($updatedRemarks !== $remarksNow) {
                $this->db->table('opd_prescription')
                    ->where('id', $recordId)
                    ->where('opd_id', $opdId)
                    ->update(['Prescriber_Remarks' => $updatedRemarks]);
            }
        }

        $this->markOpdVisitedOnConsultCompletion((int) $opdId);

        // Queue background SNOMED coding (fail-open — do not block save response)
        try {
            if ($this->db->tableExists('opd_coding_queue') && $recordId > 0) {
                $this->db->query(
                    "INSERT INTO opd_coding_queue (opd_id, opd_session_id, status, queued_at)"
                    . " VALUES (?, ?, 'pending', NOW())"
                    . " ON DUPLICATE KEY UPDATE status = 'pending', queued_at = NOW()",
                    [(int) $opdId, (int) $recordId]
                );
            }
        } catch (\Throwable $queueEx) {
            log_message('error', 'SNOMED coding queue insert failed: ' . $queueEx->getMessage());
        }

        return $this->response->setJSON([
            'update' => 1,
            'opd_session_id' => $recordId,
            'error_text' => 'Prescription saved',
            'fhir_stored' => $fhirStored ? 1 : 0,
            'abdm_warnings' => $abdmValidationErrors,
            'saved_at' => date('d-m-Y H:i:s'),
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function clinical_autotype()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        $text = trim((string) $this->request->getPost('text'));
        $mode = trim((string) $this->request->getPost('mode'));
        if ($mode === '') {
            $mode = 'autotype';
        }

        if ($text === '') {
            return $this->response->setJSON([
                'update' => 0,
                'error_text' => 'Please enter text first.',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        $prompt = $this->buildClinicalPrompt($mode, $text);
        $this->lastAiProvider = 'none';
        $draft = $this->generateClinicalTextWithAi($prompt);

        if ($draft !== null && trim($draft) !== '') {
            $provider = $this->lastAiProvider === 'ai-server' ? 'ai-server' : 'ai';
            $providerLabel = $provider === 'ai-server' ? 'AI Server' : 'AI';
            return $this->response->setJSON([
                'update' => 1,
                'draft_text' => trim($draft),
                'error_text' => 'AI text prepared using ' . $providerLabel,
                'ai_mode' => $provider,
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        $fallback = $text;
        $fallback = $this->buildClinicalAutotypeLocalFallback($mode, $text);

        $fallbackMessage = 'External AI unavailable. Local rewrite applied.';
        if (trim($fallback) === trim($text)) {
            $fallbackMessage = 'External AI unavailable. Original text kept.';
        }

        return $this->response->setJSON([
            'update' => 1,
            'draft_text' => $fallback,
            'error_text' => $fallbackMessage,
            'ai_mode' => 'fallback',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function ai_full_draft()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        $input = [
            'complaints' => trim((string) $this->request->getPost('complaints')),
            'finding_examinations' => trim((string) $this->request->getPost('finding_examinations')),
            'diagnosis' => trim((string) $this->request->getPost('diagnosis')),
            'provisional_diagnosis' => trim((string) $this->request->getPost('provisional_diagnosis')),
            'prescriber_remarks' => trim((string) $this->request->getPost('prescriber_remarks')),
            'investigation' => trim((string) $this->request->getPost('investigation')),
            'advice' => trim((string) $this->request->getPost('advice')),
            'next_visit' => trim((string) $this->request->getPost('next_visit')),
            'refer_to' => trim((string) $this->request->getPost('refer_to')),
            'bp' => trim((string) $this->request->getPost('bp')),
            'diastolic' => trim((string) $this->request->getPost('diastolic')),
            'pulse' => trim((string) $this->request->getPost('pulse')),
            'temp' => trim((string) $this->request->getPost('temp')),
            'spo2' => trim((string) $this->request->getPost('spo2')),
            'rr_min' => trim((string) $this->request->getPost('rr_min')),
            'height' => trim((string) $this->request->getPost('height')),
            'weight' => trim((string) $this->request->getPost('weight')),
            'waist' => trim((string) $this->request->getPost('waist')),
            'pallor' => trim((string) $this->request->getPost('pallor')),
            'icterus' => trim((string) $this->request->getPost('icterus')),
            'cyanosis' => trim((string) $this->request->getPost('cyanosis')),
            'clubbing' => trim((string) $this->request->getPost('clubbing')),
            'edema' => trim((string) $this->request->getPost('edema')),
            'pain_value' => trim((string) $this->request->getPost('pain_value')),
            'pregnancy' => (int) $this->request->getPost('pregnancy'),
            'lactation' => (int) $this->request->getPost('lactation'),
            'liver_insufficiency' => (int) $this->request->getPost('liver_insufficiency'),
            'renal_insufficiency' => (int) $this->request->getPost('renal_insufficiency'),
            'pulmonary_insufficiency' => (int) $this->request->getPost('pulmonary_insufficiency'),
            'corona_suspected' => (int) $this->request->getPost('corona_suspected'),
            'dengue' => (int) $this->request->getPost('dengue'),
            'is_smoking' => (int) $this->request->getPost('is_smoking'),
            'is_alcohol' => (int) $this->request->getPost('is_alcohol'),
            'is_drug_abuse' => (int) $this->request->getPost('is_drug_abuse'),
            'women_related_problems' => trim((string) $this->request->getPost('women_related_problems')),
            'women_lmp' => trim((string) $this->request->getPost('women_lmp')),
            'women_last_baby' => trim((string) $this->request->getPost('women_last_baby')),
            'women_pregnancy_related' => trim((string) $this->request->getPost('women_pregnancy_related')),
        ];

        if ($input['complaints'] === '' && $input['finding_examinations'] === '' && $input['diagnosis'] === '') {
            return $this->response->setJSON([
                'update' => 0,
                'error_text' => 'Add complaints/finding/diagnosis first, then use AI Draft.',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        $prompt = $this->buildFullClinicalDraftPrompt($input);
        $this->lastAiProvider = 'none';
        $draftText = $this->generateClinicalTextWithAi($prompt);
        $drafts = $this->extractFullDraftJson($draftText);

        if ($drafts === null) {
            $drafts = $this->buildFullDraftFallback($input);
            $aiMode = 'fallback';
            $message = 'AI unavailable. Template draft prepared from entered data.';
        } else {
            $aiMode = $this->lastAiProvider === 'ai-server' ? 'ai-server' : 'ai';
            $message = 'Full clinical draft prepared using ' . ($aiMode === 'ai-server' ? 'AI Server' : 'AI') . '.';
        }

        return $this->response->setJSON([
            'update' => 1,
            'drafts' => $drafts,
            'ai_mode' => $aiMode,
            'error_text' => $message,
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function local_clinical_assist()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        $input = [
            'complaints' => trim((string) $this->request->getPost('complaints')),
            'finding_examinations' => trim((string) $this->request->getPost('finding_examinations')),
            'diagnosis' => trim((string) $this->request->getPost('diagnosis')),
            'investigation' => trim((string) $this->request->getPost('investigation')),
            'advice' => trim((string) $this->request->getPost('advice')),
            'bp' => trim((string) $this->request->getPost('bp')),
            'diastolic' => trim((string) $this->request->getPost('diastolic')),
            'pulse' => trim((string) $this->request->getPost('pulse')),
            'temp' => trim((string) $this->request->getPost('temp')),
            'spo2' => trim((string) $this->request->getPost('spo2')),
            'rr_min' => trim((string) $this->request->getPost('rr_min')),
            'pain_value' => trim((string) $this->request->getPost('pain_value')),
            'pregnancy' => (int) $this->request->getPost('pregnancy'),
            'lactation' => (int) $this->request->getPost('lactation'),
            'dengue' => (int) $this->request->getPost('dengue'),
            'corona_suspected' => (int) $this->request->getPost('corona_suspected'),
        ];

        if ($input['complaints'] === '' && $input['finding_examinations'] === '') {
            return $this->response->setJSON([
                'update' => 0,
                'error_text' => 'Enter complaints or findings first for clinical assist.',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        $assist = $this->buildLocalClinicalAssist($input);

        return $this->response->setJSON([
            'update' => 1,
            'assist' => $assist,
            'error_text' => 'Local clinical assist prepared. Final decision remains with doctor.',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function section_template_save()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        $section = trim((string) $this->request->getPost('section'));
        $templateName = trim((string) $this->request->getPost('template_name'));
        $templateText = trim((string) $this->request->getPost('template_text'));
        $templateScope = strtolower(trim((string) $this->request->getPost('template_scope')));
        $templateDocId = (int) $this->request->getPost('template_doc_id');

        if ($templateName === '' || $templateText === '') {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Template name and text are required']);
        }

        if (! $this->isTemplateSectionAllowed($section)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Unsupported section']);
        }

        if (! $this->ensureClinicalTemplateTable()) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Unable to access template storage']);
        }

        $docId = $this->getCurrentUserId();
        if ($templateScope === 'master') {
            $docId = 0;
        } elseif ($templateDocId > 0) {
            $docId = $templateDocId;
        } elseif ($docId < 0) {
            $docId = 0;
        }

        $table = $this->db->table('opd_clinical_templates');
        $existing = $table
            ->where('doc_id', $docId)
            ->where('section_key', $section)
            ->where('template_name', $templateName)
            ->where('is_active', 1)
            ->get(1)
            ->getRowArray();

        $now = date('Y-m-d H:i:s');
        if (! empty($existing)) {
            $table->where('id', (int) ($existing['id'] ?? 0))->update([
                'template_text' => $templateText,
                'updated_at' => $now,
            ]);
        } else {
            $table->insert([
                'doc_id' => $docId,
                'section_key' => $section,
                'template_name' => $templateName,
                'template_text' => $templateText,
                'is_active' => 1,
                'created_at' => $now,
                'updated_at' => $now,
            ]);
        }

        return $this->response->setJSON([
            'update' => 1,
            'error_text' => ($docId === 0 ? 'Master template saved' : 'My template saved'),
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function section_template_list()
    {
        $section = trim((string) $this->request->getGet('section'));
        if (! $this->isTemplateSectionAllowed($section)) {
            return $this->response->setJSON(['rows' => []]);
        }

        if (! $this->ensureClinicalTemplateTable()) {
            return $this->response->setJSON(['rows' => []]);
        }

        $docId = $this->getCurrentUserId();
        $rows = $this->db->table('opd_clinical_templates')
            ->select('id,template_name,template_text,doc_id,section_key')
            ->where('section_key', $section)
            ->where('is_active', 1)
            ->groupStart()
            ->where('doc_id', $docId)
            ->orWhere('doc_id', 0)
            ->groupEnd()
            ->orderBy('doc_id', 'DESC')
            ->orderBy('template_name', 'ASC')
            ->limit(100)
            ->get()
            ->getResultArray();

        $usageByTemplateId = [];
        if (! empty($rows) && $this->ensureClinicalTemplateUsageTable() && $docId !== null) {
            $templateIds = array_map(static fn($row) => (int) ($row['id'] ?? 0), $rows);
            $templateIds = array_values(array_filter($templateIds, static fn($id) => $id > 0));

            if (! empty($templateIds)) {
                $usageRows = $this->db->table('opd_clinical_template_usage')
                    ->select('template_id,use_count,last_used_at')
                    ->where('doc_id', (int) $docId)
                    ->where('section_key', $section)
                    ->whereIn('template_id', $templateIds)
                    ->get()
                    ->getResultArray();

                foreach ($usageRows as $usageRow) {
                    $templateId = (int) ($usageRow['template_id'] ?? 0);
                    if ($templateId <= 0) {
                        continue;
                    }

                    $usageByTemplateId[$templateId] = [
                        'use_count' => (int) ($usageRow['use_count'] ?? 0),
                        'last_used_at' => (string) ($usageRow['last_used_at'] ?? ''),
                    ];
                }
            }
        }

        foreach ($rows as &$row) {
            $templateId = (int) ($row['id'] ?? 0);
            $usage = $usageByTemplateId[$templateId] ?? ['use_count' => 0, 'last_used_at' => ''];
            $row['use_count'] = (int) ($usage['use_count'] ?? 0);
            $row['last_used_at'] = (string) ($usage['last_used_at'] ?? '');
        }
        unset($row);

        usort($rows, static function (array $a, array $b): int {
            $aUse = (int) ($a['use_count'] ?? 0);
            $bUse = (int) ($b['use_count'] ?? 0);
            if ($aUse !== $bUse) {
                return $bUse <=> $aUse;
            }

            $aDoc = (int) ($a['doc_id'] ?? 0);
            $bDoc = (int) ($b['doc_id'] ?? 0);
            if ($aDoc !== $bDoc) {
                return $bDoc <=> $aDoc;
            }

            $aLast = trim((string) ($a['last_used_at'] ?? ''));
            $bLast = trim((string) ($b['last_used_at'] ?? ''));
            if ($aLast !== $bLast) {
                return strcmp($bLast, $aLast);
            }

            return strcasecmp((string) ($a['template_name'] ?? ''), (string) ($b['template_name'] ?? ''));
        });

        return $this->response->setJSON(['rows' => $rows]);
    }

    public function section_template_track_usage()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        $section = trim((string) $this->request->getPost('section'));
        $templateId = (int) $this->request->getPost('template_id');
        if ($templateId <= 0 || ! $this->isTemplateSectionAllowed($section)) {
            return $this->response->setJSON([
                'update' => 0,
                'error_text' => 'Invalid template usage payload',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        if (! $this->ensureClinicalTemplateTable() || ! $this->ensureClinicalTemplateUsageTable()) {
            return $this->response->setJSON([
                'update' => 0,
                'error_text' => 'Usage storage unavailable',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        $docId = $this->getCurrentUserId();
        if ($docId === null) {
            return $this->response->setJSON([
                'update' => 0,
                'error_text' => 'User not found',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        $templateRow = $this->db->table('opd_clinical_templates')
            ->select('id,section_key,is_active')
            ->where('id', $templateId)
            ->where('is_active', 1)
            ->get(1)
            ->getRowArray();
        if (empty($templateRow)) {
            return $this->response->setJSON([
                'update' => 0,
                'error_text' => 'Template not found',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }
        if (trim((string) ($templateRow['section_key'] ?? '')) !== $section) {
            return $this->response->setJSON([
                'update' => 0,
                'error_text' => 'Section mismatch for template',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        $usageTable = $this->db->table('opd_clinical_template_usage');
        $existing = $usageTable
            ->where('doc_id', (int) $docId)
            ->where('template_id', $templateId)
            ->where('section_key', $section)
            ->get(1)
            ->getRowArray();

        $now = date('Y-m-d H:i:s');
        if (! empty($existing)) {
            $usageTable->where('id', (int) ($existing['id'] ?? 0))->update([
                'use_count' => ((int) ($existing['use_count'] ?? 0)) + 1,
                'last_used_at' => $now,
                'updated_at' => $now,
            ]);
        } else {
            $usageTable->insert([
                'doc_id' => (int) $docId,
                'template_id' => $templateId,
                'section_key' => $section,
                'use_count' => 1,
                'last_used_at' => $now,
                'created_at' => $now,
                'updated_at' => $now,
            ]);
        }

        return $this->response->setJSON([
            'update' => 1,
            'error_text' => 'Template usage tracked',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function section_past_data()
    {
        $section = trim((string) $this->request->getGet('section'));
        $opdId = (int) $this->request->getGet('opd_id');

        if ($opdId <= 0 || ! $this->isTemplateSectionAllowed($section) || ! $this->db->tableExists('opd_master') || ! $this->db->tableExists('opd_prescription')) {
            return $this->response->setJSON(['update' => 0, 'past_text' => '', 'error_text' => 'Past data not found']);
        }

        $field = $this->resolveSectionColumn($section);
        if ($field === null) {
            return $this->response->setJSON(['update' => 0, 'past_text' => '', 'error_text' => 'Unsupported section']);
        }

        $fields = $this->db->getFieldNames('opd_prescription');
        if (! in_array($field, $fields, true)) {
            return $this->response->setJSON(['update' => 0, 'past_text' => '', 'error_text' => 'Past data column missing']);
        }

        $opdRow = $this->db->table('opd_master')->select('p_id')->where('opd_id', $opdId)->get(1)->getRowArray();
        $patientId = (int) ($opdRow['p_id'] ?? 0);
        if ($patientId <= 0) {
            return $this->response->setJSON(['update' => 0, 'past_text' => '', 'error_text' => 'Patient not found']);
        }

        $row = $this->db->table('opd_prescription')
            ->select($field . ' as section_text,opd_id,id')
            ->where('p_id', $patientId)
            ->where('opd_id !=', $opdId)
            ->where($field . ' IS NOT NULL', null, false)
            ->where($field . ' !=', '')
            ->orderBy('id', 'DESC')
            ->get(1)
            ->getRowArray();

        if (empty($row)) {
            return $this->response->setJSON(['update' => 0, 'past_text' => '', 'error_text' => 'No past data found']);
        }

        return $this->response->setJSON([
            'update' => 1,
            'past_text' => (string) ($row['section_text'] ?? ''),
            'past_opd_id' => (int) ($row['opd_id'] ?? 0),
            'error_text' => 'Past data loaded',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function section_recent_entries()
    {
        $opdId = (int) $this->request->getGet('opd_id');
        if ($opdId <= 0 || ! $this->db->tableExists('opd_master') || ! $this->db->tableExists('opd_prescription')) {
            return $this->response->setJSON([
                'update' => 0,
                'sections' => [],
                'error_text' => 'Recent entries not available',
            ]);
        }

        $opdRow = $this->db->table('opd_master')->select('p_id')->where('opd_id', $opdId)->get(1)->getRowArray();
        $patientId = (int) ($opdRow['p_id'] ?? 0);
        if ($patientId <= 0) {
            return $this->response->setJSON([
                'update' => 0,
                'sections' => [],
                'error_text' => 'Patient not found',
            ]);
        }

        $sections = [
            'complaints' => $this->collectRecentPrescriptionEntries($patientId, $opdId, ['complaints']),
            'diagnosis' => $this->collectRecentPrescriptionEntries($patientId, $opdId, ['diagnosis']),
            'provisional_diagnosis' => $this->collectRecentPrescriptionEntries($patientId, $opdId, ['Provisional_diagnosis', 'provisional_diagnosis']),
            'investigation' => $this->collectRecentInvestigationEntries($patientId, $opdId),
        ];

        return $this->response->setJSON([
            'update' => 1,
            'sections' => $sections,
            'error_text' => 'Recent entries loaded',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function template_workspace()
    {
        return view('billing/opd_template_workspace');
    }

    public function snomed_dashboard()
    {
        if (! $this->canAccessSnomedAdmin()) {
            return $this->response->setStatusCode(403)->setBody('Access denied');
        }

        return view('billing/snomed_dashboard');
    }

    public function snomed_release_status()
    {
        if (! $this->canAccessSnomedAdmin()) {
            return $this->response->setStatusCode(403)->setJSON(['error_text' => 'Access denied']);
        }

        $latest = [];
        if ($this->db->tableExists('snomed_release_log')) {
            $latest = $this->db->table('snomed_release_log')
                ->select('id,package_name,release_effective_time,rf2_md5,release_notes_md5,status,row_counts_json,error_text,imported_at,updated_at')
                ->orderBy('id', 'DESC')
                ->get(1)
                ->getRowArray() ?? [];
        }

        $tableCounts = [
            'concept' => $this->countTableRows('snomed_concept'),
            'description' => $this->countTableRows('snomed_description'),
            'language_refset' => $this->countTableRows('snomed_language_refset'),
            'simple_map' => $this->countTableRows('snomed_map_simple'),
            'extended_map' => $this->countTableRows('snomed_map_extended'),
        ];

        return $this->response->setJSON([
            'latest_release' => $latest,
            'table_counts' => $tableCounts,
        ]);
    }

    public function snomed_map_lookup()
    {
        if (! $this->canAccessPrescription() && ! $this->canAccessSnomedAdmin()) {
            return $this->response->setStatusCode(403)->setJSON(['rows' => [], 'error_text' => 'Access denied']);
        }

        $conceptId = trim((string) $this->request->getGet('concept_id'));
        $q = trim((string) $this->request->getGet('q'));

        if ($conceptId === '' && $q === '') {
            return $this->response->setJSON(['rows' => []]);
        }

        if ($conceptId === '') {
            $matched = $this->resolveProvisionalDiagnosisSnomedMatch($q);
            if (! empty($matched['concept_id'])) {
                $conceptId = (string) $matched['concept_id'];
            }
        }

        if ($conceptId === '' || ! preg_match('/^[0-9]{6,20}$/', $conceptId)) {
            return $this->response->setJSON(['rows' => []]);
        }

        $conceptTerm = $this->getSnomedPreferredTermByConcept($conceptId);
        $rows = $this->fetchSnomedIcdMapRows($conceptId);

        return $this->response->setJSON([
            'concept_id' => $conceptId,
            'concept_term' => $conceptTerm,
            'rows' => $rows,
        ]);
    }

    public function clinical_template_monitor()
    {
        if (! $this->ensureClinicalTemplateTable()) {
            return $this->response->setJSON(['rows' => []]);
        }

        $section = trim((string) $this->request->getGet('section'));
        $scope = strtolower(trim((string) $this->request->getGet('scope')));
        $doctorId = (int) $this->request->getGet('doctor_id');
        $docId = $this->getCurrentUserId();

        $builder = $this->db->table('opd_clinical_templates')
            ->select('id,doc_id,section_key,template_name,template_text,is_active,created_at,updated_at')
            ->where('is_active', 1);

        if ($this->isTemplateSectionAllowed($section)) {
            $builder->where('section_key', $section);
        }

        if ($scope === 'master') {
            $builder->where('doc_id', 0);
        } elseif ($scope === 'doctor') {
            if ($doctorId > 0) {
                $builder->where('doc_id', $doctorId);
            } else {
                $builder->where('doc_id', $docId);
            }
        } else {
            $builder->groupStart()
                ->where('doc_id', 0)
                ->orWhere('doc_id', $docId)
                ->groupEnd();
        }

        $rows = $builder
            ->orderBy('updated_at', 'DESC')
            ->orderBy('id', 'DESC')
            ->limit(300)
            ->get()
            ->getResultArray();

        $doctorNameById = [];
        if ($this->db->tableExists('doctor_master')) {
            $doctorRows = $this->db->table('doctor_master')->select('id,p_fname')->get()->getResultArray();
            foreach ($doctorRows as $doctorRow) {
                $doctorNameById[(int) ($doctorRow['id'] ?? 0)] = (string) ($doctorRow['p_fname'] ?? '');
            }
        }

        foreach ($rows as &$row) {
            $row['scope_label'] = ((int) ($row['doc_id'] ?? -1) === 0) ? 'Master' : 'Doctor';
            $row['doctor_name'] = ((int) ($row['doc_id'] ?? 0) > 0) ? ($doctorNameById[(int) ($row['doc_id'] ?? 0)] ?? '') : '';
        }
        unset($row);

        return $this->response->setJSON(['rows' => $rows]);
    }

    public function clinical_template_update()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        if (! $this->ensureClinicalTemplateTable()) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Template storage unavailable']);
        }

        $id = (int) $this->request->getPost('id');
        $section = trim((string) $this->request->getPost('section'));
        $templateName = trim((string) $this->request->getPost('template_name'));
        $templateText = trim((string) $this->request->getPost('template_text'));
        $templateScope = strtolower(trim((string) $this->request->getPost('template_scope')));
        $templateDocId = (int) $this->request->getPost('template_doc_id');

        if ($id <= 0 || ! $this->isTemplateSectionAllowed($section) || $templateName === '' || $templateText === '') {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Template id, section, name and text are required']);
        }

        $targetDocId = $templateScope === 'master' ? 0 : ($templateDocId > 0 ? $templateDocId : $this->getCurrentUserId());
        if ($targetDocId < 0) {
            $targetDocId = 0;
        }

        $current = $this->db->table('opd_clinical_templates')->where('id', $id)->where('is_active', 1)->get(1)->getRowArray();
        if (empty($current)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Template not found']);
        }

        $currentDocId = (int) ($current['doc_id'] ?? -1);
        $myDocId = $this->getCurrentUserId();
        if ($currentDocId !== 0 && $currentDocId !== $myDocId) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'You can edit only your own or master templates']);
        }

        $existing = $this->db->table('opd_clinical_templates')
            ->where('id !=', $id)
            ->where('doc_id', $targetDocId)
            ->where('section_key', $section)
            ->where('template_name', $templateName)
            ->where('is_active', 1)
            ->get(1)
            ->getRowArray();

        if (!empty($existing)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Another template with same name already exists in selected scope']);
        }

        $this->db->table('opd_clinical_templates')->where('id', $id)->update([
            'doc_id' => $targetDocId,
            'section_key' => $section,
            'template_name' => $templateName,
            'template_text' => $templateText,
            'updated_at' => date('Y-m-d H:i:s'),
        ]);

        return $this->response->setJSON([
            'update' => 1,
            'error_text' => 'Template updated',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function clinical_template_doctors()
    {
        if (! $this->db->tableExists('doctor_master')) {
            return $this->response->setJSON(['rows' => []]);
        }

        $fields = $this->db->getFieldNames('doctor_master');
        $idField = $this->resolveFirstField($fields, ['id', 'doc_id']);
        $nameField = $this->resolveFirstField($fields, ['p_fname', 'name', 'doc_name']);
        if ($idField === null || $nameField === null) {
            return $this->response->setJSON(['rows' => []]);
        }

        $builder = $this->db->table('doctor_master')
            ->select($idField . ' as id,' . $nameField . ' as name');
        if (in_array('active', $fields, true)) {
            $builder->where('active', 1);
        }

        $rows = $builder->orderBy($nameField, 'ASC')->get()->getResultArray();
        return $this->response->setJSON(['rows' => $rows]);
    }

    public function clinical_template_usage_analytics()
    {
        if (! $this->ensureClinicalTemplateTable() || ! $this->ensureClinicalTemplateUsageTable()) {
            return $this->response->setJSON([
                'top_rows' => [],
                'section_rows' => [],
                'summary' => ['total_uses' => 0, 'used_templates' => 0],
            ]);
        }

        $section = trim((string) $this->request->getGet('section'));
        $scope = strtolower(trim((string) $this->request->getGet('scope')));
        $doctorId = (int) $this->request->getGet('doctor_id');
        $currentDocId = (int) ($this->getCurrentUserId() ?? 0);
        $targetDocId = $scope === 'doctor' && $doctorId > 0 ? $doctorId : $currentDocId;

        $builder = $this->db->table('opd_clinical_template_usage u')
            ->select('u.template_id,u.section_key,u.use_count,u.last_used_at,t.template_name,t.doc_id')
            ->join('opd_clinical_templates t', 't.id = u.template_id', 'inner')
            ->where('u.doc_id', $targetDocId)
            ->where('t.is_active', 1);

        if ($this->isTemplateSectionAllowed($section)) {
            $builder->where('u.section_key', $section);
        }

        if ($scope === 'master') {
            $builder->where('t.doc_id', 0);
        } elseif ($scope === 'doctor') {
            $builder->where('t.doc_id', $targetDocId);
        } else {
            $builder->groupStart()
                ->where('t.doc_id', 0)
                ->orWhere('t.doc_id', $targetDocId)
                ->groupEnd();
        }

        $usageRows = $builder->get()->getResultArray();
        if (empty($usageRows)) {
            return $this->response->setJSON([
                'top_rows' => [],
                'section_rows' => [],
                'summary' => ['total_uses' => 0, 'used_templates' => 0],
            ]);
        }

        usort($usageRows, static function (array $a, array $b): int {
            $aUse = (int) ($a['use_count'] ?? 0);
            $bUse = (int) ($b['use_count'] ?? 0);
            if ($aUse !== $bUse) {
                return $bUse <=> $aUse;
            }

            return strcmp((string) ($b['last_used_at'] ?? ''), (string) ($a['last_used_at'] ?? ''));
        });

        $totalUses = 0;
        $usedTemplates = [];
        $sectionAgg = [];
        foreach ($usageRows as $row) {
            $use = (int) ($row['use_count'] ?? 0);
            $sec = trim((string) ($row['section_key'] ?? ''));

            $totalUses += $use;
            $templateId = (int) ($row['template_id'] ?? 0);
            if ($templateId > 0) {
                $usedTemplates[$templateId] = true;
            }

            if ($sec === '') {
                continue;
            }

            if (! isset($sectionAgg[$sec])) {
                $sectionAgg[$sec] = ['section_key' => $sec, 'total_uses' => 0, 'template_count' => 0, 'template_ids' => []];
            }

            $sectionAgg[$sec]['total_uses'] += $use;
            if ($templateId > 0 && ! isset($sectionAgg[$sec]['template_ids'][$templateId])) {
                $sectionAgg[$sec]['template_ids'][$templateId] = true;
                $sectionAgg[$sec]['template_count']++;
            }
        }

        $sectionRows = array_values(array_map(static function (array $row): array {
            unset($row['template_ids']);
            return $row;
        }, $sectionAgg));

        usort($sectionRows, static function (array $a, array $b): int {
            $aUse = (int) ($a['total_uses'] ?? 0);
            $bUse = (int) ($b['total_uses'] ?? 0);
            if ($aUse !== $bUse) {
                return $bUse <=> $aUse;
            }
            return strcasecmp((string) ($a['section_key'] ?? ''), (string) ($b['section_key'] ?? ''));
        });

        return $this->response->setJSON([
            'top_rows' => array_slice($usageRows, 0, 15),
            'section_rows' => $sectionRows,
            'summary' => [
                'total_uses' => $totalUses,
                'used_templates' => count($usedTemplates),
            ],
        ]);
    }

    public function rx_group_panel()
    {
        return view('billing/opd_rx_group_workspace', ['initial_rx_id' => 0]);
    }

    public function save_rx_group_edit(int $rxId = 0)
    {
        return view('billing/opd_rx_group_workspace', ['initial_rx_id' => max(0, $rxId)]);
    }

    public function rx_group_data()
    {
        if (! $this->db->tableExists('opd_prescription_template')) {
            return $this->response->setJSON(['rows' => []]);
        }

        $fields = $this->db->getFieldNames('opd_prescription_template');
        $idField = $this->resolveFirstField($fields, ['id']);
        $nameField = $this->resolveFirstField($fields, ['rx_group_name']);
        if ($idField === null || $nameField === null) {
            return $this->response->setJSON(['rows' => []]);
        }

        $userId = max(0, $this->getCurrentUserId());
        $hasDocId = in_array('doc_id', $fields, true);

        $builder = $this->db->table('opd_prescription_template')
            ->select('MAX(' . $idField . ') as id,' . $nameField . ' as rx_group_name,COUNT(*) as row_count')
            ->where($nameField . ' <>', '');

        if ($hasDocId) {
            $builder->select('SUM(CASE WHEN doc_id = 0 THEN 1 ELSE 0 END) as global_count', false);
            $builder->select('SUM(CASE WHEN doc_id = ' . (int) $userId . ' THEN 1 ELSE 0 END) as doctor_count', false);
        }

        if ($hasDocId) {
            $builder->groupStart()
                ->where('doc_id', $userId)
                ->orWhere('doc_id', 0)
                ->groupEnd();
        }

        $rows = $builder
            ->groupBy($nameField)
            ->orderBy($nameField, 'ASC')
            ->limit(500)
            ->get()
            ->getResultArray();

        foreach ($rows as &$row) {
            if (! $hasDocId) {
                $row['access_label'] = 'Global';
                continue;
            }

            $globalCount = (int) ($row['global_count'] ?? 0);
            $doctorCount = (int) ($row['doctor_count'] ?? 0);
            if ($globalCount > 0 && $doctorCount > 0) {
                $row['access_label'] = 'Global + Doctor';
            } elseif ($globalCount > 0) {
                $row['access_label'] = 'Global';
            } elseif ($doctorCount > 0) {
                $row['access_label'] = 'Doctor';
            } else {
                $row['access_label'] = 'Specific User';
            }
        }
        unset($row);

        return $this->response->setJSON(['rows' => $rows]);
    }

    public function rx_group_apply_to_session()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        $opdId = (int) $this->request->getPost('opd_id');
        $sessionId = (int) $this->request->getPost('opd_session_id');
        $rxGroupId = (int) $this->request->getPost('rx_group_id');

        if ($opdId <= 0 || $rxGroupId <= 0) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Invalid OPD or Rx-Group']);
        }

        $templateTable = $this->findExistingTable(['opd_prescrption_prescribed_template', 'opd_prescription_prescribed_template']);
        if ($templateTable === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Rx-Group medicine template not found']);
        }

        $sessionTable = $this->findExistingTable(['opd_prescrption_prescribed', 'opd_prescription_prescribed']);
        if ($sessionTable === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Medicine table not found']);
        }

        $templateFields = $this->db->getFieldNames($templateTable);
        if (! in_array('rx_group_id', $templateFields, true)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Invalid Rx-Group template structure']);
        }

        $templateRows = $this->db->table($templateTable)
            ->where('rx_group_id', $rxGroupId)
            ->orderBy('id', 'ASC')
            ->get()
            ->getResultArray();

        if (empty($templateRows)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'No medicines found in selected Rx-Group']);
        }

        $sessionId = $this->ensurePrescriptionSession($opdId, $sessionId);
        if ($sessionId <= 0) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Unable to create prescription session']);
        }

        $sessionFields = $this->db->getFieldNames($sessionTable);
        $user = auth()->user();
        $userLabel = $user ? ($user->username ?? $user->email ?? 'User') : 'User';
        $updateByText = $userLabel . '[' . ($user->id ?? 0) . ']:' . date('d-m-Y H:i:s');

        $inserted = 0;
        $skipped = 0;
        foreach ($templateRows as $row) {
            $insert = [];

            if (in_array('opd_pre_id', $sessionFields, true)) {
                $insert['opd_pre_id'] = $sessionId;
            }
            if (in_array('opd_id', $sessionFields, true)) {
                $insert['opd_id'] = $opdId;
            }

            foreach (['med_id', 'med_name', 'med_type', 'dosage', 'dosage_when', 'dosage_freq', 'dosage_where', 'no_of_days', 'qty', 'remark', 'genericname'] as $field) {
                if (! in_array($field, $sessionFields, true) || ! array_key_exists($field, $row)) {
                    continue;
                }

                $value = $row[$field];
                if (in_array($field, ['med_name', 'remark'], true)) {
                    $value = strtoupper((string) $value);
                }
                $insert[$field] = $value;
            }

            if (in_array('update_by', $sessionFields, true)) {
                $insert['update_by'] = $updateByText;
            }

            if (! empty($insert)) {
                if ($this->isDuplicateMedicineRow($sessionTable, $sessionFields, $sessionId, $insert)) {
                    $skipped++;
                    continue;
                }

                $this->db->table($sessionTable)->insert($insert);
                $inserted++;

                $medId = (int) ($insert['med_id'] ?? 0);
                if ($medId > 0) {
                    $this->trackMedicineUsage($medId);
                }
            }
        }

        return $this->response->setJSON([
            'update' => 1,
            'opd_session_id' => $sessionId,
            'inserted_count' => $inserted,
            'skipped_count' => $skipped,
            'error_text' => $inserted > 0
                ? ($inserted . ' medicine(s) added from Rx-Group.' . ($skipped > 0 ? (' ' . $skipped . ' duplicate(s) skipped.') : ''))
                : ($skipped > 0 ? ($skipped . ' duplicate medicine(s) already present.') : 'No medicine inserted from Rx-Group.'),
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function rx_group_get(int $rxId)
    {
        if (! $this->db->tableExists('opd_prescription_template')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Rx group table not found']);
        }

        $fields = $this->db->getFieldNames('opd_prescription_template');
        $builder = $this->db->table('opd_prescription_template')->where('id', (int) $rxId);
        if (in_array('doc_id', $fields, true)) {
            $userId = max(0, $this->getCurrentUserId());
            $builder->groupStart()
                ->where('doc_id', $userId)
                ->orWhere('doc_id', 0)
                ->groupEnd();
        }

        $row = $builder->get(1)->getRowArray() ?? [];
        if (empty($row)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Rx group not found']);
        }

        return $this->response->setJSON(['update' => 1, 'row' => $row]);
    }

    public function rx_group_save()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }
        if (! $this->db->tableExists('opd_prescription_template')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Rx group table not found']);
        }

        $id = (int) $this->request->getPost('id');
        $name = trim((string) $this->request->getPost('rx_group_name'));
        if ($name === '') {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Rx-Group Name is required']);
        }

        $fields = $this->db->getFieldNames('opd_prescription_template');
        $data = [];
        if (in_array('rx_group_name', $fields, true)) {
            $data['rx_group_name'] = $name;
        }
        if (in_array('complaints', $fields, true)) {
            $data['complaints'] = trim((string) $this->request->getPost('complaints'));
        }
        if (in_array('diagnosis', $fields, true)) {
            $data['diagnosis'] = trim((string) $this->request->getPost('diagnosis'));
        }
        if (in_array('Finding_Examinations', $fields, true)) {
            $data['Finding_Examinations'] = trim((string) $this->request->getPost('finding_examinations'));
        }
        if (in_array('investigation', $fields, true)) {
            $data['investigation'] = trim((string) $this->request->getPost('investigation'));
        }

        $userId = max(0, $this->getCurrentUserId());
        if (in_array('rx_group_name', $fields, true)) {
            $dupBuilder = $this->db->table('opd_prescription_template')
                ->select('id')
                ->where('rx_group_name', $name);

            if (in_array('doc_id', $fields, true)) {
                $dupBuilder->groupStart()
                    ->where('doc_id', $userId)
                    ->orWhere('doc_id', 0)
                    ->groupEnd();
            }

            if ($id > 0) {
                $dupBuilder->where('id <>', $id);
            }

            $exists = $dupBuilder->orderBy('id', 'DESC')->get(1)->getRowArray();
            if (! empty($exists)) {
                return $this->response->setJSON([
                    'update' => 0,
                    'error_text' => 'Rx-Group name already exists. Please use Edit for existing group.',
                    'existing_id' => (int) ($exists['id'] ?? 0),
                    'csrfName' => csrf_token(),
                    'csrfHash' => csrf_hash(),
                ]);
            }
        }

        if (in_array('doc_id', $fields, true) && $id <= 0) {
            $data['doc_id'] = $userId;
        }

        $user = auth()->user();
        if (in_array('update_by', $fields, true)) {
            $userLabel = $user ? ($user->username ?? $user->email ?? 'User') : 'User';
            $data['update_by'] = $userLabel . '[' . ($user->id ?? 0) . ']:' . date('d-m-Y H:i:s');
        }

        if ($id > 0) {
            $this->db->table('opd_prescription_template')->where('id', $id)->update($data);
            $savedId = $id;
            $message = 'Rx-Group updated';
        } else {
            $this->db->table('opd_prescription_template')->insert($data);
            $savedId = (int) $this->db->insertID();
            $message = 'Rx-Group saved';
        }

        return $this->response->setJSON([
            'update' => 1,
            'insertid' => $savedId,
            'error_text' => $message,
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function rx_group_medicine(int $rxId)
    {
        $rxGroupId = max(0, $rxId);
        $rxGroupName = '';
        if ($rxGroupId > 0 && $this->db->tableExists('opd_prescription_template')) {
            $templateFields = $this->db->getFieldNames('opd_prescription_template');
            $nameField = $this->resolveFirstField($templateFields, ['rx_group_name']);
            if ($nameField !== null) {
                $row = $this->db->table('opd_prescription_template')
                    ->select($nameField . ' as rx_group_name')
                    ->where('id', $rxGroupId)
                    ->get(1)
                    ->getRowArray();
                $rxGroupName = trim((string) ($row['rx_group_name'] ?? ''));
            }
        }

        return view('billing/rx_group_medicine_workspace', [
            'rx_group_id' => $rxGroupId,
            'rx_group_name' => $rxGroupName,
        ]);
    }

    public function rx_group_medicine_list(int $rxId)
    {
        $table = $this->findExistingTable(['opd_prescrption_prescribed_template', 'opd_prescription_prescribed_template']);
        if ($table === null) {
            return $this->response->setJSON(['rows' => [], 'rx_group_name' => '']);
        }

        $fields = $this->db->getFieldNames($table);
        if (! in_array('rx_group_id', $fields, true)) {
            return $this->response->setJSON(['rows' => [], 'rx_group_name' => '']);
        }

        $rxGroupName = '';
        if ($this->db->tableExists('opd_prescription_template')) {
            $templateFields = $this->db->getFieldNames('opd_prescription_template');
            $nameField = $this->resolveFirstField($templateFields, ['rx_group_name']);
            if ($nameField !== null) {
                $groupRow = $this->db->table('opd_prescription_template')
                    ->select($nameField . ' as rx_group_name')
                    ->where('id', (int) $rxId)
                    ->get(1)
                    ->getRowArray();
                $rxGroupName = trim((string) ($groupRow['rx_group_name'] ?? ''));
            }
        }

        $builder = $this->db->table($table)->where('rx_group_id', (int) $rxId);
        if (in_array('id', $fields, true)) {
            $builder->orderBy('id', 'DESC');
        }

        $rows = $builder->get()->getResultArray();
        if (empty($rows)) {
            return $this->response->setJSON(['rows' => [], 'rx_group_name' => $rxGroupName]);
        }

        $medGenericMap = [];
        $missingGenericMedIds = [];
        foreach ($rows as $row) {
            $existingGeneric = trim((string) ($row['genericname'] ?? ''));
            $medId = (int) ($row['med_id'] ?? 0);
            if ($existingGeneric === '' && $medId > 0) {
                $missingGenericMedIds[$medId] = true;
            }
        }

        if (! empty($missingGenericMedIds)) {
            $masterTable = $this->findExistingTable(['opd_med_master']);
            if ($masterTable !== null) {
                $masterFields = $this->db->getFieldNames($masterTable);
                $masterIdField = $this->resolveFirstField($masterFields, ['id']);
                $masterGenericField = $this->resolveFirstField($masterFields, ['genericname', 'generic_name']);
                $masterSaltField = $this->resolveFirstField($masterFields, ['salt_name', 'sal_name', 'salt', 'saltname']);
                // Prefer genericname (Generic Name) over salt_name (Substitute)
                $labelField = $masterGenericField ?? $masterSaltField;

                if ($masterIdField !== null && $labelField !== null) {
                    $medRows = $this->db->table($masterTable)
                        ->select($masterIdField . ' as med_id,' . $labelField . ' as generic_fallback')
                        ->whereIn($masterIdField, array_map('intval', array_keys($missingGenericMedIds)))
                        ->get()
                        ->getResultArray();

                    foreach ($medRows as $medRow) {
                        $id = (int) ($medRow['med_id'] ?? 0);
                        $label = trim((string) ($medRow['generic_fallback'] ?? ''));
                        if ($id > 0 && $label !== '') {
                            $medGenericMap[$id] = $label;
                        }
                    }
                }
            }
        }

        $doseMap = $this->getDoseMasterLabelMap('opd_dose_shed', ['dose_shed_id', 'id'], ['dose_show_sign', 'dose_sign', 'dose_sign_desc', 'name']);
        $whenMap = $this->getDoseMasterLabelMap('opd_dose_when', ['dose_when_id', 'id'], ['dose_sign', 'dose_sign_desc', 'name']);
        $freqMap = $this->getDoseMasterLabelMap('opd_dose_frequency', ['dose_freq_id', 'id'], ['dose_sign', 'dose_sign_desc', 'name']);
        $whereMap = $this->getDoseMasterLabelMap('opd_dose_where', ['dose_where_id', 'id'], ['dose_sign', 'dose_sign_desc', 'name']);

        foreach ($rows as &$row) {
            if (trim((string) ($row['genericname'] ?? '')) === '') {
                // Do NOT fall back to salt_name — that field stores Substitute (other brand names),
                // not the generic/salt composition. Use master lookup only.
                $fallback = $medGenericMap[(int) ($row['med_id'] ?? 0)] ?? '';
                if ($fallback !== '') {
                    $row['genericname'] = $fallback;
                }
            }
            $row['dosage_label'] = $this->resolveDoseMasterLabel($row['dosage'] ?? '', $doseMap);
            $row['dosage_when_label'] = $this->resolveDoseMasterLabel($row['dosage_when'] ?? '', $whenMap);
            $row['dosage_freq_label'] = $this->resolveDoseMasterLabel($row['dosage_freq'] ?? '', $freqMap);
            $row['dosage_where_label'] = $this->resolveDoseMasterLabel($row['dosage_where'] ?? '', $whereMap);
        }
        unset($row);

        return $this->response->setJSON(['rows' => $rows, 'rx_group_name' => $rxGroupName]);
    }

    public function rx_group_medicine_get(int $itemId)
    {
        $table = $this->findExistingTable(['opd_prescrption_prescribed_template', 'opd_prescription_prescribed_template']);
        if ($table === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Rx medicine table not found']);
        }

        $row = $this->db->table($table)->where('id', (int) $itemId)->get(1)->getRowArray() ?? [];
        if (empty($row)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Rx medicine not found']);
        }

        return $this->response->setJSON(['update' => 1, 'row' => $row]);
    }

    public function rx_group_medicine_save(int $rxId)
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        if (! $this->db->tableExists('opd_prescription_template')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Rx group table not found']);
        }

        $rxExists = $this->db->table('opd_prescription_template')->where('id', (int) $rxId)->get(1)->getRowArray();
        if (empty($rxExists)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Rx group not found']);
        }

        $table = $this->findExistingTable(['opd_prescrption_prescribed_template', 'opd_prescription_prescribed_template']);
        if ($table === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Rx medicine table not found']);
        }

        $itemId = (int) $this->request->getPost('item_id');
        $medId = (int) $this->request->getPost('med_id');
        $medName = trim((string) $this->request->getPost('med_name'));
        if ($medName === '') {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Medicine name is required']);
        }

        $genericName = trim((string) $this->request->getPost('genericname'));
        $medType = trim((string) $this->request->getPost('med_type'));

        $masterTable = $this->findExistingTable(['opd_med_master']);
        if ($masterTable !== null) {
            $masterFields = $this->db->getFieldNames($masterTable);
            $masterNameField = $this->resolveFirstField($masterFields, ['item_name', 'med_name']);
            $masterTypeField = $this->resolveFirstField($masterFields, ['formulation']);
            $masterGenericField = $this->resolveFirstField($masterFields, ['genericname', 'generic_name']);
            $masterSaltField = $this->resolveFirstField($masterFields, ['salt_name', 'sal_name', 'salt', 'saltname']);

            if ($medId <= 0 && $masterNameField !== null) {
                $existingMaster = $this->db->table($masterTable)->where($masterNameField, $medName)->get(1)->getRowArray();
                if (! empty($existingMaster)) {
                    $medId = (int) ($existingMaster['id'] ?? 0);
                }
            }

            if ($medId > 0) {
                $updateMaster = [];
                if ($masterTypeField !== null && $medType !== '') {
                    $updateMaster[$masterTypeField] = $medType;
                }
                if ($masterGenericField !== null && $genericName !== '') {
                    $updateMaster[$masterGenericField] = $genericName;
                }
                if ($masterSaltField !== null && $genericName !== '') {
                    $updateMaster[$masterSaltField] = $genericName;
                }
                if (! empty($updateMaster)) {
                    $this->db->table($masterTable)->where('id', $medId)->update($updateMaster);
                }
            } elseif ($masterNameField !== null) {
                $insertMaster = [$masterNameField => $medName];
                if ($masterTypeField !== null) {
                    $insertMaster[$masterTypeField] = $medType;
                }
                if ($masterGenericField !== null) {
                    $insertMaster[$masterGenericField] = $genericName;
                }
                if ($masterSaltField !== null) {
                    $insertMaster[$masterSaltField] = $genericName;
                }
                $this->db->table($masterTable)->insert($insertMaster);
                $medId = (int) $this->db->insertID();
            }
        }

        $fields = $this->db->getFieldNames($table);
        $data = [];
        if (in_array('rx_group_id', $fields, true)) {
            $data['rx_group_id'] = (int) $rxId;
        }
        if (in_array('med_id', $fields, true)) {
            $data['med_id'] = $medId;
        }
        if (in_array('med_name', $fields, true)) {
            $data['med_name'] = strtoupper($medName);
        }
        if (in_array('med_type', $fields, true)) {
            $data['med_type'] = $medType;
        }
        if (in_array('dosage', $fields, true)) {
            $data['dosage'] = trim((string) $this->request->getPost('dosage'));
        }
        if (in_array('dosage_when', $fields, true)) {
            $data['dosage_when'] = trim((string) $this->request->getPost('dosage_when'));
        }
        if (in_array('dosage_freq', $fields, true)) {
            $data['dosage_freq'] = trim((string) $this->request->getPost('dosage_freq'));
        }
        if (in_array('dosage_where', $fields, true)) {
            $data['dosage_where'] = trim((string) $this->request->getPost('dosage_where'));
        }
        if (in_array('no_of_days', $fields, true)) {
            $data['no_of_days'] = trim((string) $this->request->getPost('no_of_days'));
        }
        if (in_array('qty', $fields, true)) {
            $data['qty'] = trim((string) $this->request->getPost('qty'));
        }
        if (in_array('remark', $fields, true)) {
            $data['remark'] = strtoupper(trim((string) $this->request->getPost('remark')));
        }
        if (in_array('genericname', $fields, true)) {
            $data['genericname'] = $genericName;
        }

        $user = auth()->user();
        if (in_array('update_by', $fields, true)) {
            $userLabel = $user ? ($user->username ?? $user->email ?? 'User') : 'User';
            $data['update_by'] = $userLabel . '[' . ($user->id ?? 0) . ']:' . date('d-m-Y H:i:s');
        }

        if ($itemId > 0) {
            $this->db->table($table)->where('id', $itemId)->update($data);
            $savedId = $itemId;
            $message = 'Rx group medicine updated';
        } else {
            $this->db->table($table)->insert($data);
            $savedId = (int) $this->db->insertID();
            $message = 'Rx group medicine added';
        }

        return $this->response->setJSON([
            'update' => 1,
            'insertid' => $savedId,
            'error_text' => $message,
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function rx_group_medicine_remove(int $itemId)
    {
        $table = $this->findExistingTable(['opd_prescrption_prescribed_template', 'opd_prescription_prescribed_template']);
        if ($table === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Rx medicine table not found']);
        }

        $this->db->table($table)->where('id', (int) $itemId)->delete();
        return $this->response->setJSON(['update' => 1, 'error_text' => 'Rx group medicine removed']);
    }

    public function rx_group_delete(int $rxId)
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        $rxId = max(0, $rxId);
        if ($rxId <= 0) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Invalid Rx-Group ID']);
        }

        if (! $this->db->tableExists('opd_prescription_template')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Rx group table not found']);
        }

        // Delete linked medicines first
        $medTable = $this->findExistingTable(['opd_prescrption_prescribed_template', 'opd_prescription_prescribed_template']);
        if ($medTable !== null) {
            $medFields = $this->db->getFieldNames($medTable);
            $fkField = $this->resolveFirstField($medFields, ['opd_prescription_template_id', 'rx_group_id', 'template_id']);
            if ($fkField !== null) {
                $this->db->table($medTable)->where($fkField, $rxId)->delete();
            }
        }

        $this->db->table('opd_prescription_template')->where('id', $rxId)->delete();

        return $this->response->setJSON([
            'update'   => 1,
            'error_text' => 'Rx-Group deleted',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function rx_group_medicine_suggest()
    {
        $q = trim((string) $this->request->getGet('q'));
        $table = $this->findExistingTable(['opd_med_master']);
        if ($table === null || $q === '') {
            return $this->response->setJSON(['rows' => []]);
        }

        $fields = $this->db->getFieldNames($table);
        $idField = $this->resolveFirstField($fields, ['id']);
        $nameField = $this->resolveFirstField($fields, ['item_name', 'med_name']);
        $typeField = $this->resolveFirstField($fields, ['formulation']);
        $genericField = $this->resolveFirstField($fields, ['genericname', 'generic_name']);
        $saltField = $this->resolveFirstField($fields, ['salt_name', 'sal_name', 'salt', 'saltname']);
        $companyField = $this->resolveFirstField($fields, ['company_name', 'company']);

        if ($idField === null || $nameField === null) {
            return $this->response->setJSON(['rows' => []]);
        }

        $select = $idField . ' as med_id,' . $nameField . ' as med_name';
        if ($typeField !== null) {
            $select .= ',' . $typeField . ' as med_type';
        }
        if ($genericField !== null) {
            $select .= ',' . $genericField . ' as genericname';
        }
        if ($saltField !== null) {
            $select .= ',' . $saltField . ' as salt_name';
        }
        if ($companyField !== null) {
            $select .= ',' . $companyField . ' as company_name';
        }

        $builder = $this->db->table($table)->select($select)->groupStart()->like($nameField, $q);
        if ($genericField !== null) {
            $builder->orLike($genericField, $q);
        }
        if ($saltField !== null) {
            $builder->orLike($saltField, $q);
        }
        $rows = $builder->groupEnd()->orderBy($nameField, 'ASC')->limit(30)->get()->getResultArray();

        return $this->response->setJSON(['rows' => $rows]);
    }

    public function rx_group_generic_suggest()
    {
        $q = trim((string) $this->request->getGet('q'));
        $table = $this->findExistingTable(['opd_med_master']);
        if ($table === null) {
            return $this->response->setJSON(['rows' => []]);
        }

        $fields = $this->db->getFieldNames($table);
        $genericField = $this->resolveFirstField($fields, ['genericname', 'generic_name']);
        $saltField = $this->resolveFirstField($fields, ['salt_name', 'sal_name', 'salt', 'saltname']);
        if ($genericField === null && $saltField === null) {
            return $this->response->setJSON(['rows' => []]);
        }

        $values = [];
        $builder = $this->db->table($table);
        if ($genericField !== null) {
            $gBuilder = clone $builder;
            $gBuilder->select($genericField . ' as value')->where($genericField . ' !=', '');
            if ($q !== '') {
                $gBuilder->like($genericField, $q);
            }
            foreach ($gBuilder->orderBy($genericField, 'ASC')->limit(40)->get()->getResultArray() as $row) {
                $value = trim((string) ($row['value'] ?? ''));
                if ($value !== '') {
                    $values[$value] = ['value' => $value];
                }
            }
        }

        if ($saltField !== null) {
            $sBuilder = clone $builder;
            $sBuilder->select($saltField . ' as value')->where($saltField . ' !=', '');
            if ($q !== '') {
                $sBuilder->like($saltField, $q);
            }
            foreach ($sBuilder->orderBy($saltField, 'ASC')->limit(40)->get()->getResultArray() as $row) {
                $value = trim((string) ($row['value'] ?? ''));
                if ($value !== '') {
                    $values[$value] = ['value' => $value];
                }
            }
        }

        return $this->response->setJSON(['rows' => array_values($values)]);
    }

    public function rx_group_dose_masters()
    {
        return $this->response->setJSON([
            'dose' => $this->getDoseMasterRows('opd_dose_shed', ['dose_shed_id', 'id'], ['dose_show_sign', 'dose_sign', 'dose_sign_desc', 'name']),
            'when' => $this->getDoseMasterRows('opd_dose_when', ['dose_when_id', 'id'], ['dose_sign', 'dose_sign_desc', 'name']),
            'freq' => $this->getDoseMasterRows('opd_dose_frequency', ['dose_freq_id', 'id'], ['dose_sign', 'dose_sign_desc', 'name']),
            'where' => $this->getDoseMasterRows('opd_dose_where', ['dose_where_id', 'id'], ['dose_sign', 'dose_sign_desc', 'name']),
        ]);
    }

    public function opd_medicince()
    {
        return view('billing/opd_medicince_workspace', ['initial_med_id' => 0]);
    }

    public function opd_medicince_edit(int $medId)
    {
        return view('billing/opd_medicince_workspace', ['initial_med_id' => max(0, $medId)]);
    }

    public function opd_medicince_data()
    {
        $filter = trim((string) $this->request->getGet('filter'));
        $scope = strtolower(trim((string) $this->request->getGet('scope')));
        $showAll = (int) $this->request->getGet('show_all') === 1;
        if (! in_array($scope, ['all', 'favorite', 'active'], true)) {
            $scope = 'all';
        }

        $query = $this->request->getGet();
        $isDataTableRequest = is_array($query) && array_key_exists('draw', $query);
        if ($isDataTableRequest) {
            $draw = max(1, (int) ($query['draw'] ?? 1));
            $start = max(0, (int) ($query['start'] ?? 0));
            $length = (int) ($query['length'] ?? 25);
            if ($length < 1 || $length > 500) {
                $length = 25;
            }

            $searchValue = '';
            if (isset($query['search']) && is_array($query['search'])) {
                $searchValue = trim((string) ($query['search']['value'] ?? ''));
            }

            $orderField = 'use_count';
            $orderDir = 'desc';
            $allowedOrderFields = ['id', 'item_name', 'use_count', 'last_used_at', 'genericname', 'company_name'];
            if (isset($query['order'][0]) && is_array($query['order'][0])) {
                $orderColIndex = (int) ($query['order'][0]['column'] ?? -1);
                $orderDirCandidate = strtolower(trim((string) ($query['order'][0]['dir'] ?? 'desc')));
                if (in_array($orderDirCandidate, ['asc', 'desc'], true)) {
                    $orderDir = $orderDirCandidate;
                }

                if ($orderColIndex >= 0 && isset($query['columns'][$orderColIndex]) && is_array($query['columns'][$orderColIndex])) {
                    $candidate = trim((string) ($query['columns'][$orderColIndex]['data'] ?? ''));
                    if (in_array($candidate, $allowedOrderFields, true)) {
                        $orderField = $candidate;
                    }
                }
            }

            $rows = $this->getOpdMedicineRows($filter, $scope, $showAll);
            $recordsTotal = count($rows);

            if ($searchValue !== '') {
                $needle = mb_strtolower($searchValue);
                $rows = array_values(array_filter($rows, static function (array $row) use ($needle): bool {
                    $haystack = [
                        (string) ($row['id'] ?? ''),
                        (string) ($row['item_name'] ?? ''),
                        (string) ($row['genericname'] ?? ''),
                        (string) ($row['company_name'] ?? ''),
                        (string) ($row['last_used_at'] ?? ''),
                    ];
                    foreach ($haystack as $value) {
                        if (mb_stripos($value, $needle) !== false) {
                            return true;
                        }
                    }
                    return false;
                }));
            }

            $recordsFiltered = count($rows);

            usort($rows, static function (array $a, array $b) use ($orderField, $orderDir): int {
                $numericFields = ['id', 'use_count'];
                if (in_array($orderField, $numericFields, true)) {
                    $cmp = ((int) ($a[$orderField] ?? 0)) <=> ((int) ($b[$orderField] ?? 0));
                } else {
                    $cmp = strcasecmp((string) ($a[$orderField] ?? ''), (string) ($b[$orderField] ?? ''));
                }

                if ($cmp === 0) {
                    $cmp = strcasecmp((string) ($a['item_name'] ?? ''), (string) ($b['item_name'] ?? ''));
                }

                return $orderDir === 'desc' ? -$cmp : $cmp;
            });

            $pageRows = array_slice($rows, $start, $length);

            return $this->response->setJSON([
                'draw' => $draw,
                'recordsTotal' => $recordsTotal,
                'recordsFiltered' => $recordsFiltered,
                'data' => $pageRows,
                'active_filter' => $filter,
            ]);
        }

        return $this->response->setJSON([
            'rows' => $this->getOpdMedicineRows($filter, $scope, $showAll),
            'active_filter' => $filter,
            'active_scope' => $scope,
            'show_all' => $showAll ? 1 : 0,
        ]);
    }

    public function opd_medicince_export()
    {
        $filter = trim((string) $this->request->getGet('filter'));
        $rows = $this->getOpdMedicineRows($filter);

        $output = fopen('php://temp', 'r+');
        if ($output === false) {
            return $this->response->setStatusCode(500)->setBody('Unable to generate export file.');
        }

        fputcsv($output, ['ID', 'Medicine Name', 'Formulation', 'Generic Name', 'Salt Name', 'Company Name']);
        foreach ($rows as $row) {
            fputcsv($output, [
                (int) ($row['id'] ?? 0),
                (string) ($row['item_name'] ?? ''),
                (string) ($row['formulation'] ?? ''),
                (string) ($row['genericname'] ?? ''),
                (string) ($row['salt_name'] ?? ''),
                (string) ($row['company_name'] ?? ''),
            ]);
        }

        rewind($output);
        $csv = stream_get_contents($output);
        fclose($output);

        if ($csv === false) {
            return $this->response->setStatusCode(500)->setBody('Unable to generate export file.');
        }

        $suffix = $filter !== '' ? preg_replace('/[^a-z0-9_\-]/i', '_', strtolower($filter)) : 'all';
        $filename = 'opd_medicine_' . $suffix . '_' . date('Ymd_His') . '.csv';

        return $this->response
            ->setHeader('Content-Type', 'text/csv; charset=UTF-8')
            ->setHeader('Content-Disposition', 'attachment; filename="' . $filename . '"')
            ->setBody($csv);
    }

    public function opd_medicince_coding_summary()
    {
        $rows = $this->getOpdMedicineRows('all', 'all', true);

        $summary = [
            'total' => 0,
            'coding_missing' => 0,
            'snomed_missing' => 0,
            'atc_missing' => 0,
            'both_missing' => 0,
        ];

        foreach ($rows as $row) {
            $summary['total']++;

            $snomed = strtoupper(trim((string) ($row['snomed_code'] ?? '')));
            $atc = strtoupper(trim((string) ($row['atc_code'] ?? '')));

            $isSnomedMissing = ($snomed === '');
            $isAtcMissing = ($atc === '');

            if ($isSnomedMissing) {
                $summary['snomed_missing']++;
            }
            if ($isAtcMissing) {
                $summary['atc_missing']++;
            }
            if ($isSnomedMissing || $isAtcMissing) {
                $summary['coding_missing']++;
            }
            if ($isSnomedMissing && $isAtcMissing) {
                $summary['both_missing']++;
            }
        }

        return $this->response->setJSON([
            'update' => 1,
            'summary' => $summary,
        ]);
    }

    private function getOpdMedicineRows(string $filter = '', string $scope = 'all', bool $showAll = false): array
    {
        $table = $this->findExistingTable(['opd_med_master']);
        if ($table === null) {
            return [];
        }

        $fields = $this->db->getFieldNames($table);
        $idField = $this->resolveFirstField($fields, ['id']);
        $nameField = $this->resolveFirstField($fields, ['item_name', 'med_name']);
        $genericField = $this->resolveFirstField($fields, ['genericname', 'generic_name']);
        $saltField = $this->resolveFirstField($fields, ['salt_name', 'sal_name', 'salt', 'saltname']);
        $companyField = $this->resolveFirstField($fields, ['company_name', 'company']);
        $restrictionField = $this->resolveFirstField($fields, ['dosage_restriction', 'dose_restriction', 'restriction_note', 'restriction']);
        $snomedField = $this->resolveFirstField($fields, ['snomed_code', 'medicine_snomed_code', 'snomed_ct_code', 'sctid']);
        $atcField = $this->resolveFirstField($fields, ['atc_code', 'who_atc_code']);
        if ($idField === null || $nameField === null) {
            return [];
        }

        $select = $idField . ' as id,' . $nameField . ' as item_name';
        if (in_array('formulation', $fields, true)) {
            $select .= ',formulation';
        }
        if ($genericField !== null) {
            $select .= ',' . $genericField . ' as genericname';
        }
        if ($saltField !== null) {
            $select .= ',' . $saltField . ' as salt_name';
        }
        if ($companyField !== null) {
            $select .= ',' . $companyField . ' as company_name';
        }
        if ($restrictionField !== null) {
            $select .= ',' . $restrictionField . ' as dosage_restriction';
        }
        if ($snomedField !== null) {
            $select .= ',' . $snomedField . ' as snomed_code';
        }
        if ($atcField !== null) {
            $select .= ',' . $atcField . ' as atc_code';
        }

        $rows = $this->db->table($table)
            ->select($select)
            ->orderBy($nameField, 'ASC')
            ->limit(5000)
            ->get()
            ->getResultArray();

        $unclearTokens = ['na', 'n/a', 'same', '-', '--', 'unknown', '?'];
        $normalize = static function ($value): string {
            $text = trim((string) $value);
            if ($text === '') {
                return '';
            }
            $text = preg_replace('/\s+/', ' ', $text) ?? $text;
            return mb_strtolower($text);
        };

        if ($filter === 'generic_issue') {
            $rows = array_values(array_filter($rows, static function (array $row) use ($normalize, $unclearTokens): bool {
                $name = $normalize($row['item_name'] ?? '');
                $generic = $normalize($row['genericname'] ?? '');
                $salt = $normalize($row['salt_name'] ?? '');

                $genericUnclear = ($generic === '' || in_array($generic, $unclearTokens, true) || ($name !== '' && $generic === $name));
                $saltUnclear = ($salt === '' || in_array($salt, $unclearTokens, true) || ($name !== '' && $salt === $name));

                return $genericUnclear && $saltUnclear;
            }));
        } elseif ($filter === 'generic_same_name') {
            $rows = array_values(array_filter($rows, static function (array $row) use ($normalize): bool {
                $name = $normalize($row['item_name'] ?? '');
                $generic = $normalize($row['genericname'] ?? '');
                $salt = $normalize($row['salt_name'] ?? '');
                if ($name === '') {
                    return false;
                }
                return ($generic !== '' && $generic === $name) || ($salt !== '' && $salt === $name);
            }));
        } elseif ($filter === 'company_blank') {
            $rows = array_values(array_filter($rows, static function (array $row) use ($normalize, $unclearTokens): bool {
                $company = $normalize($row['company_name'] ?? '');
                return $company === '' || in_array($company, $unclearTokens, true);
            }));
        } elseif ($filter === 'coding_missing') {
            $rows = array_values(array_filter($rows, static function (array $row): bool {
                $snomed = strtoupper(trim((string) ($row['snomed_code'] ?? '')));
                $atc = strtoupper(trim((string) ($row['atc_code'] ?? '')));
                return $snomed === '' || $atc === '';
            }));
        } elseif ($filter === 'snomed_missing') {
            $rows = array_values(array_filter($rows, static function (array $row): bool {
                $snomed = strtoupper(trim((string) ($row['snomed_code'] ?? '')));
                return $snomed === '';
            }));
        } elseif ($filter === 'atc_missing') {
            $rows = array_values(array_filter($rows, static function (array $row): bool {
                $atc = strtoupper(trim((string) ($row['atc_code'] ?? '')));
                return $atc === '';
            }));
        }

        foreach ($rows as &$row) {
            $generic = trim((string) ($row['genericname'] ?? ''));
            if ($generic === '') {
                $salt = trim((string) ($row['salt_name'] ?? ''));
                if ($salt !== '') {
                    $row['genericname'] = $salt;
                }
            }
        }
        unset($row);

        $userId = (int) ($this->getCurrentUserId() ?? 0);
        $candidateIds = [];
        foreach ($rows as $row) {
            $medId = (int) ($row['id'] ?? 0);
            if ($medId > 0) {
                $candidateIds[] = $medId;
            }
        }
        $candidateIds = array_values(array_unique($candidateIds));

        $favoriteMap = $userId > 0 ? $this->getUserFavoriteMedicineIds($userId, $candidateIds) : [];
        $usageMap = $userId > 0 ? $this->getUserMedicineUsageMap($userId, $candidateIds) : [];

        foreach ($rows as &$row) {
            $medId = (int) ($row['id'] ?? 0);
            $row['is_favorite'] = isset($favoriteMap[$medId]) ? 1 : 0;
            $row['use_count'] = (int) ($usageMap[$medId]['use_count'] ?? 0);
            $row['last_used_at'] = (string) ($usageMap[$medId]['last_used_at'] ?? '');
        }
        unset($row);

        if (! $showAll) {
            if ($scope === 'favorite') {
                $rows = array_values(array_filter($rows, static fn(array $row): bool => (int) ($row['is_favorite'] ?? 0) === 1));
            } elseif ($scope === 'active') {
                $rows = array_values(array_filter($rows, static fn(array $row): bool => ((int) ($row['is_favorite'] ?? 0) === 1) || ((int) ($row['use_count'] ?? 0) > 0)));
            }
        }

        return $rows;
    }

    public function opd_medicince_company_suggest()
    {
        if (! $this->db->tableExists('med_company')) {
            return $this->response->setJSON(['rows' => []]);
        }

        $term = trim((string) $this->request->getGet('term'));
        $fields = $this->db->getFieldNames('med_company');
        $nameField = $this->resolveFirstField($fields, ['company_name', 'name', 'short_name']);
        if ($nameField === null) {
            return $this->response->setJSON(['rows' => []]);
        }

        $builder = $this->db->table('med_company')->select($nameField . ' as company_name')->orderBy($nameField, 'ASC');
        if ($term !== '') {
            $builder->like($nameField, $term);
        }

        $rows = $builder->limit(200)->get()->getResultArray();
        $names = [];
        foreach ($rows as $row) {
            $name = trim((string) ($row['company_name'] ?? ''));
            if ($name === '') {
                continue;
            }
            $names[$name] = ['company_name' => $name];
        }

        return $this->response->setJSON(['rows' => array_values($names)]);
    }

    public function opd_medicince_get(int $medId)
    {
        $table = $this->findExistingTable(['opd_med_master']);
        if ($table === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Medicine table not found']);
        }
        $row = $this->db->table($table)->where('id', (int) $medId)->get(1)->getRowArray() ?? [];
        if (empty($row)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Medicine not found']);
        }
        return $this->response->setJSON(['update' => 1, 'row' => $row]);
    }

    /**
     * SNOMED CT substance lookup for the medicine master form.
     * Searches CSNOtk (substance/product semantic tags) for the given drug name term.
     * Returns a ranked list of SNOMED CT concepts to pick from.
     *
     * GET /Opd_prescription/opd_medicince_snomed_lookup?term=amoxicillin&limit=10
     */
    public function opd_medicince_snomed_lookup()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'rows' => []]);
        }

        $term  = trim((string) $this->request->getGet('term'));
        $limit = max(1, min(20, (int) ($this->request->getGet('limit') ?: 10)));

        if ($term === '') {
            return $this->response->setJSON(['update' => 1, 'rows' => [], 'message' => 'No term provided']);
        }

        try {
            $svc  = new \App\Libraries\CsnotkTerminologyService();
            $rows = $svc->searchSubstance($term, $limit);
        } catch (\Throwable $e) {
            return $this->response->setJSON(['update' => 0, 'rows' => [], 'message' => 'SNOMED service error: ' . $e->getMessage()]);
        }

        // Normalise each row: extract clean display name + substance/product hint
        $out = [];
        foreach ($rows as $r) {
            $conceptId = trim((string) ($r['concept_id'] ?? ''));
            $fsn       = trim((string) ($r['fsn'] ?? ''));
            $term_     = trim((string) ($r['term'] ?? $fsn));
            $hierarchy = trim((string) ($r['hierarchy'] ?? ''));
            $source    = trim((string) ($r['source'] ?? 'local'));

            if ($conceptId === '' || $term_ === '') {
                continue;
            }

            // Derive a clean INN-like name (term without parenthetical tag)
            $displayTerm = $fsn !== '' ? preg_replace('/\s*\([^)]+\)\s*$/', '', $fsn) : $term_;
            $displayTerm = trim((string) $displayTerm);

            $out[] = [
                'concept_id'   => $conceptId,
                'term'         => $term_,
                'fsn'          => $fsn,
                'display_term' => $displayTerm ?: $term_,
                'hierarchy'    => $hierarchy,
                'source'       => $source,
            ];
        }

        return $this->response->setJSON([
            'update'  => 1,
            'rows'    => $out,
            'count'   => count($out),
            'message' => count($out) === 0 ? 'No SNOMED CT substance concepts found for "' . $term . '"' : '',
        ]);
    }

    public function opd_medicince_save()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }
        $table = $this->findExistingTable(['opd_med_master']);
        if ($table === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Medicine table not found']);
        }

        $id = (int) $this->request->getPost('id');
        $itemName = trim((string) $this->request->getPost('item_name'));
        $formulation = trim((string) $this->request->getPost('formulation'));
        if ($itemName === '') {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Medicine name is required']);
        }

        $medicineModel = new OpdMedicineModel($this->db);
        $duplicate = $medicineModel->findDuplicateByName($itemName, $formulation, $id);
        if (! empty($duplicate)) {
            return $this->response->setJSON([
                'update' => 0,
                'error_text' => 'Duplicate medicine name with same formulation found (ID: ' . (int) ($duplicate['id'] ?? 0) . '). Please use existing entry or merge duplicates.',
                'duplicate_id' => (int) ($duplicate['id'] ?? 0),
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        $fields = $this->db->getFieldNames($table);
        $genericField = $this->resolveFirstField($fields, ['genericname', 'generic_name']);
        $saltField = $this->resolveFirstField($fields, ['salt_name', 'sal_name', 'salt', 'saltname']);
        $companyField = $this->resolveFirstField($fields, ['company_name', 'company']);
        $restrictionField = $this->resolveFirstField($fields, ['dosage_restriction', 'dose_restriction', 'restriction_note', 'restriction']);
        $snomedField = $this->resolveFirstField($fields, ['snomed_code', 'medicine_snomed_code', 'snomed_ct_code', 'sctid']);
        $atcField = $this->resolveFirstField($fields, ['atc_code', 'who_atc_code']);

        $data = [];
        if (in_array('item_name', $fields, true)) {
            $data['item_name'] = $itemName;
        }
        if (in_array('formulation', $fields, true)) {
            $data['formulation'] = $formulation;
        }
        if ($genericField !== null) {
            $data[$genericField] = trim((string) $this->request->getPost('genericname'));
        }
        if ($saltField !== null) {
            $data[$saltField] = trim((string) $this->request->getPost('salt_name'));
        }
        if ($companyField !== null) {
            $data[$companyField] = trim((string) $this->request->getPost('company_name'));
        }
        if ($restrictionField !== null) {
            $data[$restrictionField] = trim((string) $this->request->getPost('dosage_restriction'));
        }
        if ($snomedField !== null) {
            $data[$snomedField] = trim((string) $this->request->getPost('snomed_code'));
        }
        if ($atcField !== null) {
            $data[$atcField] = strtoupper(trim((string) $this->request->getPost('atc_code')));
        }

        foreach (['dosage', 'dosage_when', 'dosage_freq', 'dosage_where', 'no_of_days', 'qty', 'remark'] as $dosageField) {
            if (in_array($dosageField, $fields, true)) {
                $data[$dosageField] = trim((string) $this->request->getPost($dosageField));
            }
        }

        if ($id > 0) {
            $this->db->table($table)->where('id', $id)->update($data);
            $savedId = $id;
            $message = 'Medicine updated';
        } else {
            $this->db->table($table)->insert($data);
            $savedId = (int) $this->db->insertID();
            $message = 'Medicine added';
        }

        return $this->response->setJSON([
            'update' => 1,
            'insertid' => $savedId,
            'error_text' => $message,
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function opd_medicince_ai_details()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        $name = trim((string) $this->request->getPost('item_name'));
        $formulation = trim((string) $this->request->getPost('formulation'));
        if ($name === '') {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Medicine name is required']);
        }

        $local = $this->lookupMedicineDetailsFromMaster($name, $formulation);
        if (($local['genericname'] ?? '') !== '' || ($local['salt_name'] ?? '') !== '') {
            return $this->response->setJSON([
                'update' => 1,
                'provider' => 'local-master',
                'match_confidence' => (string) ($local['match_confidence'] ?? 'partial'),
                'matched_item_name' => (string) ($local['matched_item_name'] ?? ''),
                'details' => [
                    'genericname' => trim((string) ($local['genericname'] ?? '')),
                    'salt_name' => trim((string) ($local['salt_name'] ?? '')),
                    'dosage_restriction' => trim((string) ($local['dosage_restriction'] ?? '')),
                    'caution_note' => trim((string) ($local['caution_note'] ?? '')),
                ],
                'error_text' => 'Medicine details found from local master data',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        $serverDetails = $this->fetchMedicineDetailsFromAiServer($name, $formulation);
        if (($serverDetails['genericname'] ?? '') !== '' || ($serverDetails['salt_name'] ?? '') !== '') {
            return $this->response->setJSON([
                'update' => 1,
                'provider' => 'ai-server',
                'match_confidence' => 'ai-server',
                'matched_item_name' => '',
                'details' => [
                    'genericname' => trim((string) ($serverDetails['genericname'] ?? '')),
                    'salt_name' => trim((string) ($serverDetails['salt_name'] ?? '')),
                    'dosage_restriction' => trim((string) ($serverDetails['dosage_restriction'] ?? '')),
                    'caution_note' => trim((string) ($serverDetails['caution_note'] ?? '')),
                ],
                'error_text' => 'Medicine details prepared from AI server',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        $prompt = "You are a medicine data enrichment assistant for OPD master data in India.\n"
            . "For this medicine, provide structured details based on public medical references and standard labeling guidance.\n"
            . "Medicine Name: {$name}\n"
            . "Formulation: {$formulation}\n"
            . "Return ONLY valid JSON object with keys: genericname, salt_name, dosage_restriction, caution_note.\n"
            . "Use short plain text values. If unsure for a field, keep empty string.";

        $this->lastAiProvider = 'none';
        $aiText = $this->generateClinicalTextWithAi($prompt, 280);
        if ($aiText === null || trim($aiText) === '') {
            $fallback = $this->inferMedicineDetailsFromBrandName($name, $formulation);
            if (($fallback['genericname'] ?? '') !== '' || ($fallback['salt_name'] ?? '') !== '') {
                return $this->response->setJSON([
                    'update' => 1,
                    'provider' => 'local-brand-fallback',
                    'match_confidence' => 'brand-fallback',
                    'matched_item_name' => '',
                    'details' => [
                        'genericname' => trim((string) ($fallback['genericname'] ?? '')),
                        'salt_name' => trim((string) ($fallback['salt_name'] ?? '')),
                        'dosage_restriction' => trim((string) ($fallback['dosage_restriction'] ?? '')),
                        'caution_note' => trim((string) ($fallback['caution_note'] ?? '')),
                    ],
                    'error_text' => 'AI unavailable. Fallback generic/salt suggestion prepared.',
                    'csrfName' => csrf_token(),
                    'csrfHash' => csrf_hash(),
                ]);
            }

            $aiServerHint = $this->lastAiServerError !== ''
                ? (' AI-server attempts: ' . $this->lastAiServerError)
                : '';

            return $this->response->setJSON([
                'update' => 0,
                'error_text' => 'AI unavailable and no local match found. Check AI settings (DIAGNOSIS_AI_SERVER_URL or DIAGNOSIS_AI_MEDICINE_ENDPOINT).' . $aiServerHint,
            ]);
        }

        $parsed = $this->parseJsonFromAiResponse($aiText);
        if ($parsed === null) {
            $fallback = $this->inferMedicineDetailsFromBrandName($name, $formulation);
            if (($fallback['genericname'] ?? '') !== '' || ($fallback['salt_name'] ?? '') !== '') {
                return $this->response->setJSON([
                    'update' => 1,
                    'provider' => 'local-brand-fallback',
                    'match_confidence' => 'brand-fallback',
                    'matched_item_name' => '',
                    'details' => [
                        'genericname' => trim((string) ($fallback['genericname'] ?? '')),
                        'salt_name' => trim((string) ($fallback['salt_name'] ?? '')),
                        'dosage_restriction' => trim((string) ($fallback['dosage_restriction'] ?? '')),
                        'caution_note' => trim((string) ($fallback['caution_note'] ?? '')),
                    ],
                    'error_text' => 'AI parse failed. Fallback generic/salt suggestion prepared.',
                    'csrfName' => csrf_token(),
                    'csrfHash' => csrf_hash(),
                ]);
            }

            return $this->response->setJSON(['update' => 0, 'error_text' => 'AI response parse failed. Try again.']);
        }

        return $this->response->setJSON([
            'update' => 1,
            'provider' => $this->lastAiProvider,
            'match_confidence' => 'ai',
            'matched_item_name' => '',
            'details' => [
                'genericname' => trim((string) ($parsed['genericname'] ?? '')),
                'salt_name' => trim((string) ($parsed['salt_name'] ?? '')),
                'dosage_restriction' => trim((string) ($parsed['dosage_restriction'] ?? '')),
                'caution_note' => trim((string) ($parsed['caution_note'] ?? '')),
            ],
            'error_text' => 'AI details prepared',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    /**
     * @return array<string, string>
     */
    private function fetchMedicineDetailsFromAiServer(string $itemName, string $formulation): array
    {
        $this->lastAiServerError = '';
        $itemName = trim($itemName);
        if ($itemName === '') {
            return [];
        }

        $configuredEndpointsRaw = trim($this->readAiSettingValue([
            'DIAGNOSIS_AI_MEDICINE_ENDPOINT',
            'DIAGNOSIS_AI_MEDICINE_DETAILS_ENDPOINT',
            'AI_SERVER_MEDICINE_ENDPOINT',
        ]));

        $token = trim($this->readAiSettingValue(['DIAGNOSIS_AI_PARSE_TOKEN', 'AI_SERVER_TOKEN']));
        if ($token === '') {
            $token = trim((string) getenv('DIAGNOSIS_AI_PARSE_TOKEN'));
        }
        if ($token === '') {
            $token = trim((string) getenv('AI_SERVER_TOKEN'));
        }

        $payload = [
            'item_name' => $itemName,
            'medicine_name' => $itemName,
            'name' => $itemName,
            'formulation' => trim($formulation),
            'mode' => 'medicine-details',
        ];

        $headers = [
            'Accept' => 'application/json',
            'Content-Type' => 'application/json',
        ];
        if ($token !== '') {
            $headers['Authorization'] = 'Bearer ' . $token;
        }

        $baseCandidates = $this->resolveAiServerBaseCandidates();
        $defaultPaths = [
            '/medicine-details',
            '/medicine/details',
            '/medicine/enrich',
            '/medicine/lookup',
            '/api/medicine/details',
            '/api/medicine/enrich',
            '/api/medicine/lookup',
            '/api/v1/medicine/details',
            '/api/v1/medicine/enrich',
            '/api/v1/medicine/lookup',
            '/v1/medicine/details',
            '/v1/medicine/enrich',
            '/v1/medicine/lookup',
        ];

        $endpointCandidates = [];
        if ($configuredEndpointsRaw !== '') {
            $parts = preg_split('/[\r\n,]+/', $configuredEndpointsRaw) ?: [];
            foreach ($parts as $part) {
                $candidate = trim((string) $part);
                if ($candidate === '') {
                    continue;
                }

                // Normalize accidental Windows-style slashes from settings values.
                $candidate = str_replace('\\', '/', $candidate);

                if (preg_match('#^https?://#i', $candidate) === 1) {
                    $endpointCandidates[] = rtrim($candidate, '/');
                    continue;
                }

                $path = '/' . ltrim($candidate, '/');
                foreach ($baseCandidates as $base) {
                    $endpointCandidates[] = rtrim($base, '/') . $path;
                }
            }
        }

        foreach ($baseCandidates as $base) {
            foreach ($defaultPaths as $path) {
                $endpointCandidates[] = rtrim($base, '/') . $path;
            }
        }

        $endpointCandidates = array_values(array_unique($endpointCandidates));
        $endpointCandidates = array_values(array_filter($endpointCandidates, static function ($url): bool {
            $text = (string) $url;
            if ($text === '') {
                return false;
            }

            $lower = strtolower($text);
            if (strpos($text, '\\') !== false || strpos($lower, '%5c') !== false) {
                return false;
            }

            return true;
        }));
        $statusTrail = [];

        foreach ($endpointCandidates as $endpointUrl) {
            if (strpos($endpointUrl, '\\') !== false || strpos(strtolower($endpointUrl), '%5c') !== false) {
                $statusTrail[] = 'skipped-malformed @ ' . $endpointUrl;
                continue;
            }

            try {
                $options = [
                    'timeout' => 20,
                    'http_errors' => false,
                ];
                if (defined('ENVIRONMENT') && in_array((string) ENVIRONMENT, ['development', 'testing'], true)) {
                    $options['verify'] = false;
                }

                $client = service('curlrequest', $options);
                $response = $client->post($endpointUrl, [
                    'headers' => $headers,
                    'json' => $payload,
                ]);

                $status = (int) $response->getStatusCode();
                $statusTrail[] = $status . ' @ ' . $endpointUrl;
                if ($status < 200 || $status >= 300) {
                    continue;
                }

                $decoded = json_decode((string) $response->getBody(), true);
                if (!is_array($decoded)) {
                    continue;
                }

                $details = is_array($decoded['details'] ?? null) ? $decoded['details'] : $decoded;
                $data = is_array($decoded['data'] ?? null) ? $decoded['data'] : [];

                $generic = trim((string) (
                    $details['genericname']
                    ?? $details['generic_name']
                    ?? $data['genericname']
                    ?? $data['generic_name']
                    ?? $data['medicine_name']
                    ?? ''
                ));

                $salt = trim((string) (
                    $details['salt_name']
                    ?? $details['salt']
                    ?? $data['salt_name']
                    ?? $data['salt']
                    ?? ''
                ));

                if ($salt === '' && is_array($data['brand_names'] ?? null)) {
                    $salt = trim(implode(', ', array_slice(array_map('strval', $data['brand_names']), 0, 3)));
                }

                $dosage = trim((string) (
                    $details['dosage_restriction']
                    ?? $details['restriction']
                    ?? $data['dosage_restriction']
                    ?? $data['restriction']
                    ?? ((is_array($data['dosage'] ?? null) ? ($data['dosage']['adult_dose'] ?? '') : ''))
                    ?? ''
                ));

                $caution = trim((string) (
                    $details['caution_note']
                    ?? $details['caution']
                    ?? $data['caution_note']
                    ?? $data['caution']
                    ?? ''
                ));

                if ($caution === '') {
                    $pieces = [];
                    if (is_array($data['contraindications'] ?? null) && !empty($data['contraindications'])) {
                        $pieces[] = 'Contra: ' . implode(', ', array_slice(array_map('strval', $data['contraindications']), 0, 2));
                    }
                    if (is_array($data['precautions'] ?? null) && !empty($data['precautions'])) {
                        $pieces[] = 'Prec: ' . implode(', ', array_slice(array_map('strval', $data['precautions']), 0, 2));
                    }
                    if (is_array($data['drug_interactions'] ?? null) && !empty($data['drug_interactions'])) {
                        $pieces[] = 'Interacts: ' . implode(', ', array_slice(array_map('strval', $data['drug_interactions']), 0, 2));
                    }
                    $caution = trim(implode(' | ', $pieces));
                }

                $out = [
                    'genericname' => $generic,
                    'salt_name' => $salt,
                    'dosage_restriction' => $this->formatMedicineNote($dosage, 420),
                    'caution_note' => $this->formatMedicineNote($caution, 520),
                ];

                if ($out['genericname'] !== '' || $out['salt_name'] !== '') {
                    $this->lastAiProvider = 'ai-server';
                    $this->lastAiServerError = '';
                    return $out;
                }

                $statusTrail[] = 'empty-payload @ ' . $endpointUrl;
            } catch (\Throwable $e) {
                $statusTrail[] = 'error @ ' . $endpointUrl . ' :: ' . $e->getMessage();
            }
        }

        if (! empty($statusTrail)) {
            $this->lastAiServerError = implode(' | ', array_slice($statusTrail, 0, 5));
        }

        return [];
    }

    private function formatMedicineNote(string $value, int $maxLen = 500): string
    {
        $text = trim($value);
        if ($text === '') {
            return '';
        }

        // Normalize separators for UI readability while preserving meaning.
        $text = str_replace(["\r\n", "\n", "\r"], ' | ', $text);
        $text = preg_replace('/\s*\|\s*/', ' | ', $text) ?? $text;
        $text = preg_replace('/\s+/', ' ', $text) ?? $text;
        $text = trim($text, " \t\n\r\0\x0B|");

        if ($maxLen < 80) {
            $maxLen = 80;
        }

        if (mb_strlen($text) <= $maxLen) {
            return $text;
        }

        $short = mb_substr($text, 0, $maxLen);
        $lastSep = mb_strrpos($short, ' | ');
        if ($lastSep !== false && $lastSep > (int) ($maxLen * 0.6)) {
            $short = mb_substr($short, 0, $lastSep);
        }

        return rtrim($short, " ,;|.") . '...';
    }

    /**
     * @return array<string, string>
     */
    private function lookupMedicineDetailsFromMaster(string $name, string $formulation = ''): array
    {
        $table = $this->findExistingTable(['opd_med_master']);
        if ($table === null) {
            return [];
        }

        $fields = $this->db->getFieldNames($table);
        $nameField = $this->resolveFirstField($fields, ['item_name', 'med_name']);
        $formField = $this->resolveFirstField($fields, ['formulation', 'med_type']);
        $genericField = $this->resolveFirstField($fields, ['genericname', 'generic_name']);
        $saltField = $this->resolveFirstField($fields, ['salt_name', 'sal_name', 'salt', 'saltname']);
        $restrictionField = $this->resolveFirstField($fields, ['dosage_restriction', 'dose_restriction', 'restriction_note', 'restriction']);

        if ($nameField === null || ($genericField === null && $saltField === null)) {
            return [];
        }

        $name = trim($name);
        if ($name === '') {
            return [];
        }

        $exact = $this->db->table($table)
            ->where('UPPER(' . $nameField . ')', strtoupper($name));

        if ($formField !== null && trim($formulation) !== '') {
            $exact->where('UPPER(' . $formField . ')', strtoupper(trim($formulation)));
        }

        $row = $exact->get(1)->getRowArray() ?? [];
        $matchConfidence = 'partial';

        if (empty($row)) {
            $builder = $this->db->table($table);
            $builder->groupStart()
                ->like($nameField, $name)
                ->orLike($nameField, preg_replace('/\s+/', ' ', $name) ?? $name)
                ->groupEnd();

            if ($formField !== null && trim($formulation) !== '') {
                $builder->like($formField, trim($formulation));
            }

            $candidates = $builder->limit(15)->get()->getResultArray();
            if (! empty($candidates)) {
                $target = strtoupper($name);
                usort($candidates, static function (array $a, array $b) use ($nameField, $target): int {
                    $aName = strtoupper(trim((string) ($a[$nameField] ?? '')));
                    $bName = strtoupper(trim((string) ($b[$nameField] ?? '')));
                    $aScore = 0;
                    $bScore = 0;
                    if ($aName === $target) {
                        $aScore += 1000;
                    } elseif (str_starts_with($aName, $target)) {
                        $aScore += 600;
                    } elseif (str_contains($aName, $target)) {
                        $aScore += 400;
                    }
                    if ($bName === $target) {
                        $bScore += 1000;
                    } elseif (str_starts_with($bName, $target)) {
                        $bScore += 600;
                    } elseif (str_contains($bName, $target)) {
                        $bScore += 400;
                    }

                    if ($aScore !== $bScore) {
                        return $bScore <=> $aScore;
                    }

                    return strlen($aName) <=> strlen($bName);
                });
                $row = $candidates[0] ?? [];
                $picked = strtoupper(trim((string) ($row[$nameField] ?? '')));
                $target = strtoupper($name);
                if ($picked === $target) {
                    $matchConfidence = 'exact';
                } elseif (str_starts_with($picked, $target) || str_contains($picked, $target)) {
                    $matchConfidence = 'close';
                }
            }
        } else {
            $matchConfidence = 'exact';
        }

        if (empty($row)) {
            return [];
        }

        return [
            'genericname' => $genericField !== null ? trim((string) ($row[$genericField] ?? '')) : '',
            'salt_name' => $saltField !== null ? trim((string) ($row[$saltField] ?? '')) : '',
            'dosage_restriction' => $restrictionField !== null ? trim((string) ($row[$restrictionField] ?? '')) : '',
            'caution_note' => '',
            'match_confidence' => $matchConfidence,
            'matched_item_name' => trim((string) ($row[$nameField] ?? '')),
        ];
    }

    /**
     * @return array<string, string>
     */
    private function inferMedicineDetailsFromBrandName(string $name, string $formulation = ''): array
    {
        $text = strtoupper(trim($name));
        if ($text === '') {
            return [];
        }

        preg_match('/(\d{2,4})\s*MG/i', $name, $m);
        $strength = isset($m[1]) ? trim((string) $m[1]) : '';

        $map = [
            'DOLO' => 'Paracetamol',
            'CROCIN' => 'Paracetamol',
            'CALPOL' => 'Paracetamol',
            'PARACIP' => 'Paracetamol',
            'PANTOCID' => 'Pantoprazole',
            'PAN' => 'Pantoprazole',
            'AZEE' => 'Azithromycin',
            'AZTOR' => 'Atorvastatin',
            'MONTAIR' => 'Montelukast',
            'LEVOCET' => 'Levocetirizine',
            'AUGMENTIN' => 'Amoxicillin + Clavulanic Acid',
        ];

        $generic = '';
        foreach ($map as $brand => $gen) {
            if (str_contains($text, $brand)) {
                $generic = $gen;
                break;
            }
        }

        if ($generic === '') {
            return [];
        }

        $salt = $generic;
        if ($strength !== '') {
            if ($generic === 'Amoxicillin + Clavulanic Acid' && $strength === '625') {
                $salt = 'Amoxicillin 500 mg + Clavulanic Acid 125 mg';
            } else {
                $salt = $generic . ' ' . $strength . ' mg';
            }
        }

        $doseRestriction = '';
        if ($generic === 'Paracetamol') {
            $doseRestriction = 'Adults: usually max 4 g/day total from all paracetamol-containing products.';
        } elseif ($generic === 'Pantoprazole') {
            $doseRestriction = 'Usually once daily before food unless specifically advised otherwise.';
        } elseif ($generic === 'Azithromycin') {
            $doseRestriction = 'Follow fixed daily schedule and complete full course.';
        }

        return [
            'genericname' => $generic,
            'salt_name' => $salt,
            'dosage_restriction' => $doseRestriction,
            'caution_note' => '',
        ];
    }

    public function opd_medicince_remove(int $medId)
    {
        $table = $this->findExistingTable(['opd_med_master']);
        if ($table === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Medicine table not found']);
        }
        $this->db->table($table)->where('id', (int) $medId)->delete();
        return $this->response->setJSON(['update' => 1, 'error_text' => 'Medicine removed']);
    }

    public function opd_advice()
    {
        return view('billing/opd_advice_workspace', ['initial_advice_id' => 0]);
    }

    public function opd_advice_edit(int $adviceId)
    {
        return view('billing/opd_advice_workspace', ['initial_advice_id' => max(0, $adviceId)]);
    }

    public function opd_advice_data()
    {
        if (! $this->db->tableExists('opd_advice')) {
            return $this->response->setJSON(['rows' => []]);
        }

        $fields = $this->db->getFieldNames('opd_advice');
        $idField = $this->resolveFirstField($fields, ['id', 'Code']);
        $adviceField = $this->resolveFirstField($fields, ['advice', 'Name', 'advice_txt']);
        $hindiField = $this->resolveFirstField($fields, ['advice_hindi', 'advice_local', 'hindi_advice', 'advice_hin']);

        if ($idField === null || $adviceField === null) {
            return $this->response->setJSON(['rows' => []]);
        }

        $select = $idField . ' as id,' . $adviceField . ' as advice';
        if ($hindiField !== null) {
            $select .= ',' . $hindiField . ' as advice_hindi';
        }

        $rows = $this->db->table('opd_advice')
            ->select($select)
            ->orderBy($adviceField, 'ASC')
            ->limit(5000)
            ->get()
            ->getResultArray();

        return $this->response->setJSON(['rows' => $rows]);
    }

    public function opd_advice_get(int $adviceId)
    {
        if (! $this->db->tableExists('opd_advice')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Advice table not found']);
        }

        $fields = $this->db->getFieldNames('opd_advice');
        $idField = $this->resolveFirstField($fields, ['id', 'Code']);
        if ($idField === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Advice ID field not found']);
        }

        $row = $this->db->table('opd_advice')->where($idField, (int) $adviceId)->get(1)->getRowArray() ?? [];
        if (empty($row)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Advice not found']);
        }

        return $this->response->setJSON(['update' => 1, 'row' => $row]);
    }

    public function opd_advice_save()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        if (! $this->db->tableExists('opd_advice')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Advice table not found']);
        }

        $fields = $this->db->getFieldNames('opd_advice');
        $idField = $this->resolveFirstField($fields, ['id', 'Code']);
        $adviceField = $this->resolveFirstField($fields, ['advice', 'Name', 'advice_txt']);
        $hindiField = $this->resolveFirstField($fields, ['advice_hindi', 'advice_local', 'hindi_advice', 'advice_hin']);

        if ($idField === null || $adviceField === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Advice fields not found']);
        }

        $id = (int) $this->request->getPost('id');
        $adviceText = trim((string) $this->request->getPost('advice'));
        $adviceHindi = trim((string) $this->request->getPost('advice_hindi'));

        if ($adviceText === '') {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Advice text is required']);
        }

        $data = [];
        $data[$adviceField] = $adviceText;
        if ($hindiField !== null) {
            $data[$hindiField] = $adviceHindi;
        }

        if ($id > 0) {
            $this->db->table('opd_advice')->where($idField, $id)->update($data);
            $savedId = $id;
            $message = 'Advice updated';
        } else {
            $this->db->table('opd_advice')->insert($data);
            $savedId = (int) $this->db->insertID();
            $message = 'Advice added';
        }

        return $this->response->setJSON([
            'update' => 1,
            'insertid' => $savedId,
            'error_text' => $message,
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function opd_advice_translate_ai()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        $sourceText = trim((string) $this->request->getPost('advice'));
        $targetLang = strtolower(trim((string) $this->request->getPost('target_lang')));

        if ($sourceText === '') {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'English advice text is required']);
        }

        $supportedLanguages = [
            'hi' => 'Hindi',
            'bn' => 'Bengali',
            'mr' => 'Marathi',
            'ta' => 'Tamil',
            'te' => 'Telugu',
            'gu' => 'Gujarati',
            'kn' => 'Kannada',
            'ml' => 'Malayalam',
            'pa' => 'Punjabi',
            'or' => 'Odia',
            'as' => 'Assamese',
            'ur' => 'Urdu',
        ];

        if (! isset($supportedLanguages[$targetLang])) {
            $targetLang = 'hi';
        }

        $targetLanguageName = $supportedLanguages[$targetLang];

        $this->lastAiProvider = 'none';
        $translatedText = $this->translateAdviceWithAiServer($sourceText, $targetLang);
        if ($translatedText === '') {
            return $this->response->setJSON([
                'update' => 0,
                'error_text' => 'AI server unavailable. Check DIAGNOSIS_AI_SERVER_URL and token settings.',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        return $this->response->setJSON([
            'update' => 1,
            'provider' => 'ai-server',
            'target_lang' => $targetLang,
            'target_language_name' => $targetLanguageName,
            'translated_text' => $translatedText,
            'error_text' => 'Advice translated',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function opd_advice_remove(int $adviceId)
    {
        if (! $this->db->tableExists('opd_advice')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Advice table not found']);
        }

        $fields = $this->db->getFieldNames('opd_advice');
        $idField = $this->resolveFirstField($fields, ['id', 'Code']);
        if ($idField === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Advice ID field not found']);
        }

        $this->db->table('opd_advice')->where($idField, (int) $adviceId)->delete();
        return $this->response->setJSON(['update' => 1, 'error_text' => 'Advice removed']);
    }

    // ─── Investigation Master CRUD ─────────────────────────────────────────

    public function opd_invest_master()
    {
        $doctorModel = new \App\Models\DoctorModel($this->db);
        return view('billing/opd_invest_master_workspace', [
            'initial_inv_id' => 0,
            'med_specs'      => $doctorModel->getMedSpecs(),
        ]);
    }

    public function opd_invest_master_specs()
    {
        $specs = [];
        if ($this->db->tableExists('med_spec')) {
            $specs = $this->db->table('med_spec')
                ->select('id, SpecName')
                ->orderBy('SpecName', 'ASC')
                ->get()->getResultArray();
        }
        return $this->response->setJSON(['specs' => $specs]);
    }

    public function opd_invest_master_data()
    {
        if (! $this->db->tableExists('investigation')) {
            return $this->response->setJSON(['draw' => 1, 'recordsTotal' => 0, 'recordsFiltered' => 0, 'data' => []]);
        }

        $fields    = $this->db->getFieldNames('investigation');
        $keyField  = $this->resolveFirstField($fields, ['id', 'Code', 'code']);
        $codeField = $this->resolveFirstField($fields, ['Code', 'code']);
        $nameField = $this->resolveFirstField($fields, ['Name', 'name']);
        if ($keyField === null || $codeField === null || $nameField === null) {
            return $this->response->setJSON(['draw' => 1, 'recordsTotal' => 0, 'recordsFiltered' => 0, 'data' => []]);
        }

        $filter  = trim((string) $this->request->getGet('filter'));
        $specId  = (int) $this->request->getGet('spec_id');
        $favOnly = (int) $this->request->getGet('fav_only');
        $draw    = (int) $this->request->getGet('draw');
        $start   = max(0, (int) $this->request->getGet('start'));
        $length  = (int) $this->request->getGet('length');
        if ($length <= 0) {
            $length = 25;
        }

        $selectCols = $keyField . ' as id, ' . $codeField . ' as code, ' . $nameField . ' as name';
        foreach (['short_name', 'is_favourite', 'spec_ids', 'category_name', 'snomed_concept_id', 'snomed_term', 'loinc_code'] as $f) {
            if (in_array($f, $fields, true)) {
                $selectCols .= ', ' . $f;
            }
        }

        $applyFilters = function ($b) use ($filter, $favOnly, $specId, $fields, $nameField, $codeField) {
            if ($filter !== '') {
                $b->groupStart()
                    ->like($nameField, $filter)
                    ->orLike($codeField, $filter);
                if (in_array('short_name', $fields, true)) {
                    $b->orLike('short_name', $filter);
                }
                $b->groupEnd();
            }
            if ($favOnly && in_array('is_favourite', $fields, true)) {
                $b->where('is_favourite', 1);
            }
            if ($specId > 0 && in_array('spec_ids', $fields, true)) {
                $b->where("FIND_IN_SET({$specId}, spec_ids) > 0", null, false);
            }
        };

        $total = $this->db->table('investigation')->countAllResults();

        $countBuilder = $this->db->table('investigation');
        $applyFilters($countBuilder);
        $filtered = $countBuilder->countAllResults();

        $builder = $this->db->table('investigation')->select($selectCols);
        $applyFilters($builder);
        if (in_array('is_favourite', $fields, true)) {
            $builder->orderBy('is_favourite', 'DESC');
        }
        $builder->orderBy($nameField, 'ASC');
        $builder->limit($length, $start);
        $rows = $builder->get()->getResultArray();

        return $this->response->setJSON([
            'draw'            => $draw,
            'recordsTotal'    => $total,
            'recordsFiltered' => $filtered,
            'data'            => $rows,
        ]);
    }

    public function opd_invest_master_get(int $invId)
    {
        if ($invId <= 0 || ! $this->db->tableExists('investigation')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Not found']);
        }

        $fields    = $this->db->getFieldNames('investigation');
        $keyField  = $this->resolveFirstField($fields, ['id', 'Code', 'code']);
        $codeField = $this->resolveFirstField($fields, ['Code', 'code']);
        $nameField = $this->resolveFirstField($fields, ['Name', 'name']);

        if ($keyField === null || $codeField === null || $nameField === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Invalid table structure']);
        }

        $row = $this->db->table('investigation')->where($keyField, $invId)->limit(1)->get()->getRowArray();
        if (! $row) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Not found']);
        }

        return $this->response->setJSON([
            'update' => 1,
            'row'    => [
                'id'                => (int) ($row[$keyField] ?? 0),
                'code'              => (string) ($row[$codeField ?? 'code'] ?? ''),
                'name'              => (string) ($row[$nameField ?? 'name'] ?? ''),
                'short_name'        => (string) ($row['short_name'] ?? ''),
                'category_name'     => (string) ($row['category_name'] ?? ''),
                'is_favourite'      => (int) ($row['is_favourite'] ?? 0),
                'spec_ids'          => (string) ($row['spec_ids'] ?? ''),
                'snomed_concept_id' => (string) ($row['snomed_concept_id'] ?? ''),
                'snomed_term'       => (string) ($row['snomed_term'] ?? ''),
                'loinc_code'        => (string) ($row['loinc_code'] ?? ''),
            ],
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function opd_invest_master_save()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0]);
        }
        if (! $this->db->tableExists('investigation')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Investigation table not found']);
        }

        $id   = (int) $this->request->getPost('id');
        $name = trim((string) $this->request->getPost('name'));
        if ($name === '') {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Investigation name is required']);
        }

        $fields    = $this->db->getFieldNames('investigation');
        $keyField  = $this->resolveFirstField($fields, ['id', 'Code', 'code']);
        $codeField = $this->resolveFirstField($fields, ['Code', 'code']);
        $nameField = $this->resolveFirstField($fields, ['Name', 'name']);
        if ($keyField === null || $codeField === null || $nameField === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Invalid table structure']);
        }

        $code = trim((string) $this->request->getPost('code'));
        if ($code === '') {
            $code = strtoupper(preg_replace('/[^A-Z0-9]/i', '', substr($name, 0, 8))) . rand(100, 999);
        }

        $data = [
            $nameField => $name,
            $codeField => $code,
        ];
        foreach (['short_name', 'category_name', 'spec_ids', 'snomed_concept_id', 'snomed_term', 'loinc_code'] as $f) {
            if (in_array($f, $fields, true)) {
                $data[$f] = trim((string) $this->request->getPost($f));
            }
        }
        if (in_array('is_favourite', $fields, true)) {
            $data['is_favourite'] = ((int) $this->request->getPost('is_favourite')) ? 1 : 0;
        }

        if ($id > 0) {
            $this->db->table('investigation')->where($keyField, $id)->update($data);
            $savedId = $id;
            $message = 'Investigation updated';
        } else {
            $this->db->table('investigation')->insert($data);
            $savedId = (int) $this->db->insertID();
            $message = 'Investigation added';
        }

        return $this->response->setJSON([
            'update'     => 1,
            'insertid'   => $savedId,
            'error_text' => $message,
            'csrfName'   => csrf_token(),
            'csrfHash'   => csrf_hash(),
        ]);
    }

    public function opd_invest_master_remove(int $invId)
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0]);
        }
        if ($invId <= 0 || ! $this->db->tableExists('investigation')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Not found']);
        }
        $fields = $this->db->getFieldNames('investigation');
        $keyField = $this->resolveFirstField($fields, ['id', 'Code', 'code']);
        if ($keyField === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Invalid key field']);
        }
        $this->db->table('investigation')->where($keyField, $invId)->delete();
        return $this->response->setJSON([
            'update'     => 1,
            'error_text' => 'Investigation deleted',
            'csrfName'   => csrf_token(),
            'csrfHash'   => csrf_hash(),
        ]);
    }

    public function opd_invest_master_toggle_fav(int $invId)
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0]);
        }
        if ($invId <= 0 || ! $this->db->tableExists('investigation')) {
            return $this->response->setJSON(['update' => 0]);
        }
        $fields = $this->db->getFieldNames('investigation');
        $keyField = $this->resolveFirstField($fields, ['id', 'Code', 'code']);
        if ($keyField === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Invalid key field']);
        }
        if (! in_array('is_favourite', $fields, true)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Run database migration first']);
        }
        $row = $this->db->table('investigation')->where($keyField, $invId)->limit(1)->get()->getRowArray();
        if (! $row) {
            return $this->response->setJSON(['update' => 0]);
        }
        $newVal = ((int) ($row['is_favourite'] ?? 0)) === 1 ? 0 : 1;
        $this->db->table('investigation')->where($keyField, $invId)->update(['is_favourite' => $newVal]);
        return $this->response->setJSON([
            'update'       => 1,
            'is_favourite' => $newVal,
            'csrfName'     => csrf_token(),
            'csrfHash'     => csrf_hash(),
        ]);
    }

    public function opd_invest_snomed_search()
    {
        $q = trim((string) $this->request->getGet('q'));
        if ($q === '' || strlen($q) < 2) {
            return $this->response->setJSON(['rows' => []]);
        }
        $svc  = new \App\Libraries\CsnotkTerminologyService();
        $rows = $svc->searchProcedure($q, 20);
        return $this->response->setJSON(['rows' => $rows]);
    }

    public function opd_invest_shortcuts_manager()
    {
        return view('billing/opd_invest_shortcuts_manager');
    }

    public function opd_invest_shortcuts_all()
    {
        if (! $this->db->tableExists('investigation')) {
            return $this->response->setJSON(['rows' => []]);
        }
        $fields    = $this->db->getFieldNames('investigation');
        $keyField  = $this->resolveFirstField($fields, ['id', 'Code', 'code']);
        $codeField = $this->resolveFirstField($fields, ['Code', 'code']);
        $nameField = $this->resolveFirstField($fields, ['Name', 'name']);
        if ($keyField === null || $codeField === null || $nameField === null) {
            return $this->response->setJSON(['rows' => []]);
        }
        $selectCols = $keyField . ' as id, ' . $codeField . ' as code, ' . $nameField . ' as name';
        foreach (['short_name', 'sort_id'] as $f) {
            if (in_array($f, $fields, true)) {
                $selectCols .= ', ' . $f;
            }
        }
        $rows = $this->db->table('investigation')
            ->select($selectCols)
            ->orderBy($nameField, 'ASC')
            ->get()->getResultArray();
        $rows = array_map(static function (array $r): array {
            return [
                'id'         => (int) ($r['id'] ?? 0),
                'code'       => (string) ($r['code'] ?? ''),
                'name'       => (string) ($r['name'] ?? ''),
                'short_name' => (string) ($r['short_name'] ?? ''),
                'sort_id'    => (int) ($r['sort_id'] ?? 0),
            ];
        }, $rows);
        return $this->response->setJSON([
            'rows'    => $rows,
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function opd_invest_shortcuts_save_item()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0]);
        }
        if (! $this->db->tableExists('investigation')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Investigation table not found']);
        }
        $id = (int) $this->request->getPost('id');
        if ($id <= 0) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Invalid id']);
        }
        $fields   = $this->db->getFieldNames('investigation');
        $keyField = $this->resolveFirstField($fields, ['id', 'Code', 'code']);
        if ($keyField === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Invalid table structure']);
        }
        $data = [];
        if (in_array('short_name', $fields, true)) {
            $data['short_name'] = trim((string) $this->request->getPost('short_name'));
        }
        if (in_array('sort_id', $fields, true)) {
            $data['sort_id'] = max(0, (int) $this->request->getPost('sort_id'));
        }
        if (empty($data)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Nothing to update']);
        }
        $this->db->table('investigation')->where($keyField, $id)->update($data);
        return $this->response->setJSON([
            'update'     => 1,
            'error_text' => 'Saved',
            'csrfName'   => csrf_token(),
            'csrfHash'   => csrf_hash(),
        ]);
    }

    public function opd_invest_profile_master()
    {
        return view('billing/opd_invest_profile_master_workspace');
    }

    private function buildInvestigationProfileRows(string $filter = ''): array
    {
        if (! $this->db->tableExists('invprofiles') || ! $this->db->tableExists('invtprofiles') || ! $this->db->tableExists('investigation')) {
            return [];
        }

        $pFields = $this->db->getFieldNames('invprofiles');
        $jFields = $this->db->getFieldNames('invtprofiles');
        $iFields = $this->db->getFieldNames('investigation');

        $pCode = $this->resolveFirstField($pFields, ['Code', 'code', 'id']);
        $pName = $this->resolveFirstField($pFields, ['Name', 'name']);
        $jProfileCode = $this->resolveFirstField($jFields, ['ProfileCode', 'profile_code']);
        $jInvestCode = $this->resolveFirstField($jFields, ['InvestigationCode', 'investigation_code']);
        $jPrintOrder = $this->resolveFirstField($jFields, ['printOrder', 'print_order', 'id']);
        $iCode = $this->resolveFirstField($iFields, ['Code', 'code']);
        $iName = $this->resolveFirstField($iFields, ['Name', 'name']);
        $iSortOrder = $this->resolveFirstField($iFields, ['sort_id', 'sort_order', 'id', 'Code', 'code']);

        if ($pCode === null || $pName === null || $jProfileCode === null || $jInvestCode === null || $iCode === null || $iName === null) {
            return [];
        }

        $sql = 'SELECT '
            . 'p.`' . $pCode . '` AS profile_code, '
            . 'p.`' . $pName . '` AS profile_name, '
            . 'i.`' . $iCode . '` AS investigation_code, '
            . 'i.`' . $iName . '` AS investigation_name '
            . 'FROM `invprofiles` p '
            . 'LEFT JOIN `invtprofiles` j ON p.`' . $pCode . '` = j.`' . $jProfileCode . '` '
            . 'LEFT JOIN `investigation` i ON i.`' . $iCode . '` = j.`' . $jInvestCode . '` ';

        $params = [];
        if ($filter !== '') {
            $sql .= 'WHERE p.`' . $pName . '` LIKE ? OR i.`' . $iName . '` LIKE ? ';
            $params[] = '%' . $filter . '%';
            $params[] = '%' . $filter . '%';
        }
        $sql .= 'ORDER BY p.`' . $pName . '` ASC';
        if ($iSortOrder !== null) {
            $sql .= ', i.`' . $iSortOrder . '` ASC';
        } elseif ($jPrintOrder !== null) {
            $sql .= ', j.`' . $jPrintOrder . '` ASC';
        }

        $rows = $this->db->query($sql, $params)->getResultArray();
        $map = [];
        foreach ($rows as $row) {
            $profileCode = (int) ($row['profile_code'] ?? 0);
            $profileName = trim((string) ($row['profile_name'] ?? ''));
            if ($profileCode <= 0 || $profileName === '') {
                continue;
            }
            if (! isset($map[$profileCode])) {
                $map[$profileCode] = [
                    'profile_code' => $profileCode,
                    'profile_name' => $profileName,
                    'tests' => [],
                ];
            }
            $testCode = trim((string) ($row['investigation_code'] ?? ''));
            $testName = trim((string) ($row['investigation_name'] ?? ''));
            if ($testCode !== '' && $testName !== '') {
                $map[$profileCode]['tests'][] = [
                    'code' => $testCode,
                    'name' => $testName,
                ];
            }
        }

        return array_values($map);
    }

    public function opd_invest_profile_master_list()
    {
        $filter = trim((string) $this->request->getGet('filter'));

        return $this->response->setJSON(['rows' => $this->buildInvestigationProfileRows($filter)]);
    }

    public function opd_invest_profile_master_data()
    {
        $filter = trim((string) $this->request->getGet('filter'));
        $list = $this->buildInvestigationProfileRows($filter);
        $draw = (int) $this->request->getGet('draw');
        $start = max(0, (int) $this->request->getGet('start'));
        $length = (int) $this->request->getGet('length');
        if ($length <= 0) {
            $length = 25;
        }

        $paged = array_slice($list, $start, $length);
        foreach ($paged as &$row) {
            $row['test_count'] = count($row['tests'] ?? []);
            $row['test_names'] = implode(', ', array_map(static function ($item) {
                return (string) ($item['name'] ?? '');
            }, $row['tests'] ?? []));
        }
        unset($row);

        return $this->response->setJSON([
            'draw' => $draw,
            'recordsTotal' => count($list),
            'recordsFiltered' => count($list),
            'data' => $paged,
        ]);
    }

    public function opd_invest_profile_master_get(int $profileCode)
    {
        $rows = $this->buildInvestigationProfileRows();
        foreach ($rows as $row) {
            if ((int) ($row['profile_code'] ?? 0) === $profileCode) {
                return $this->response->setJSON([
                    'update' => 1,
                    'row' => $row,
                    'csrfName' => csrf_token(),
                    'csrfHash' => csrf_hash(),
                ]);
            }
        }

        return $this->response->setJSON(['update' => 0, 'error_text' => 'Profile not found']);
    }

    public function opd_invest_profile_master_save()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0]);
        }
        if (! $this->db->tableExists('invprofiles') || ! $this->db->tableExists('invtprofiles') || ! $this->db->tableExists('investigation')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Profile tables not found']);
        }

        $profileCode = (int) $this->request->getPost('profile_code');
        $profileName = trim((string) $this->request->getPost('profile_name'));
        $investigationCodes = array_values(array_filter(array_map('intval', explode(',', (string) $this->request->getPost('investigation_codes')))));

        if ($profileName === '') {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Profile name is required']);
        }
        if (empty($investigationCodes)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Select at least one investigation']);
        }

        $pFields = $this->db->getFieldNames('invprofiles');
        $jFields = $this->db->getFieldNames('invtprofiles');
        $pCode = $this->resolveFirstField($pFields, ['Code', 'code', 'id']);
        $pName = $this->resolveFirstField($pFields, ['Name', 'name']);
        $jProfileCode = $this->resolveFirstField($jFields, ['ProfileCode', 'profile_code']);
        $jInvestCode = $this->resolveFirstField($jFields, ['InvestigationCode', 'investigation_code']);
        $jPrintOrder = $this->resolveFirstField($jFields, ['printOrder', 'print_order', 'id']);
        if ($pCode === null || $pName === null || $jProfileCode === null || $jInvestCode === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Invalid profile table structure']);
        }

        if ($profileCode > 0) {
            $this->db->table('invprofiles')->where($pCode, $profileCode)->update([$pName => $profileName]);
            $savedCode = $profileCode;
            $this->db->table('invtprofiles')->where($jProfileCode, $savedCode)->delete();
        } else {
            $this->db->table('invprofiles')->insert([$pName => $profileName]);
            $savedCode = (int) $this->db->insertID();
        }

        $order = 1;
        foreach ($investigationCodes as $code) {
            $joinRow = [
                $jProfileCode => $savedCode,
                $jInvestCode => $code,
            ];
            if ($jPrintOrder !== null) {
                $joinRow[$jPrintOrder] = $order;
            }
            $this->db->table('invtprofiles')->insert($joinRow);
            $order++;
        }

        return $this->response->setJSON([
            'update' => 1,
            'insertid' => $savedCode,
            'error_text' => $profileCode > 0 ? 'Profile updated' : 'Profile added',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function opd_invest_profile_master_remove(int $profileCode)
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0]);
        }
        if (! $this->db->tableExists('invprofiles') || ! $this->db->tableExists('invtprofiles')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Profile tables not found']);
        }

        $pFields = $this->db->getFieldNames('invprofiles');
        $jFields = $this->db->getFieldNames('invtprofiles');
        $pCode = $this->resolveFirstField($pFields, ['Code', 'code', 'id']);
        $jProfileCode = $this->resolveFirstField($jFields, ['ProfileCode', 'profile_code']);
        if ($pCode === null || $jProfileCode === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Invalid profile table structure']);
        }

        $this->db->table('invtprofiles')->where($jProfileCode, $profileCode)->delete();
        $this->db->table('invprofiles')->where($pCode, $profileCode)->delete();
        return $this->response->setJSON([
            'update' => 1,
            'error_text' => 'Profile deleted',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    // ─────────────────────────────────────────────────────────────────────────

    // ─── Clinical Master Workspace (Complaints + Diagnosis/Disease) ────────

    public function clinical_master_workspace(): string
    {
        return view('billing/opd_clinical_master_workspace');
    }

    // --- Complaints Master -------------------------------------------------

    public function complaints_master_data(): \CodeIgniter\HTTP\ResponseInterface
    {
        if (! $this->db->tableExists('complaints_master')) {
            return $this->response->setJSON(['data' => [], 'recordsTotal' => 0, 'recordsFiltered' => 0]);
        }

        $start   = (int) ($this->request->getGet('start') ?? 0);
        $length  = (int) ($this->request->getGet('length') ?? 25);
        $filter  = trim((string) ($this->request->getGet('filter') ?? ''));
        $snomed  = (int) ($this->request->getGet('snomed_only') ?? 0);

        $qb = $this->db->table('complaints_master');

        if ($filter !== '') {
            $qb->groupStart()
               ->like('Name', $filter)
               ->orLike('name_hinglish', $filter)
               ->orLike('keywords', $filter)
               ->groupEnd();
        }
        if ($snomed === 1) {
            $qb->where('snomed_concept_id IS NOT NULL')->where("snomed_concept_id != ''");
        }

        $total = (clone $qb)->countAllResults(false);
        $rows  = $qb->select('Code, Name, show_in_short, name_hinglish, ai_hint, is_active, snomed_concept_id, snomed_term')
                    ->orderBy('show_in_short', 'DESC')
                    ->orderBy('Name', 'ASC')
                    ->limit($length, $start)
                    ->get()
                    ->getResultArray();

        return $this->response->setJSON([
            'recordsTotal'    => $total,
            'recordsFiltered' => $total,
            'data'            => $rows,
        ]);
    }

    public function complaints_master_get(int $code): \CodeIgniter\HTTP\ResponseInterface
    {
        if (! $this->db->tableExists('complaints_master')) {
            return $this->response->setStatusCode(404)->setJSON(['error' => 'Table not found']);
        }
        $row = $this->db->table('complaints_master')
            ->where('Code', $code)
            ->get(1)
            ->getRowArray();
        if (! $row) {
            return $this->response->setStatusCode(404)->setJSON(['error' => 'Not found']);
        }
        return $this->response->setJSON(['row' => $row]);
    }

    public function complaints_master_save(): \CodeIgniter\HTTP\ResponseInterface
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0]);
        }
        if (! $this->db->tableExists('complaints_master')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Table not found']);
        }

        $code            = (int) ($this->request->getPost('Code') ?? 0);
        $name            = strtoupper(trim((string) ($this->request->getPost('Name') ?? '')));
        $nameHinglish    = trim((string) ($this->request->getPost('name_hinglish') ?? ''));
        $keywords        = trim((string) ($this->request->getPost('keywords') ?? ''));
        $aiHint          = trim((string) ($this->request->getPost('ai_hint') ?? ''));
        $showInShort     = (int) ($this->request->getPost('show_in_short') ?? 0);
        $isActive        = (int) ($this->request->getPost('is_active') ?? 1);
        $snomedConceptId = trim((string) ($this->request->getPost('snomed_concept_id') ?? ''));
        $snomedTerm      = trim((string) ($this->request->getPost('snomed_term') ?? ''));

        if ($name === '') {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Name is required']);
        }

        $payload = [
            'Name'             => $name,
            'name_hinglish'    => $nameHinglish !== '' ? $nameHinglish : null,
            'keywords'         => $keywords !== '' ? $keywords : null,
            'ai_hint'          => $aiHint !== '' ? $aiHint : null,
            'show_in_short'    => $showInShort ? 1 : 0,
            'is_active'        => $isActive ? 1 : 0,
            'snomed_concept_id'=> $snomedConceptId !== '' ? $snomedConceptId : null,
            'snomed_term'      => $snomedTerm !== '' ? $snomedTerm : null,
            'updated_at'       => date('Y-m-d H:i:s'),
        ];

        if ($code > 0) {
            $this->db->table('complaints_master')->where('Code', $code)->update($payload);
            $newCode = $code;
            $msg = 'Complaint updated';
        } else {
            // auto Code
            $maxCode = (int) ($this->db->table('complaints_master')->selectMax('Code')->get()->getRowArray()['Code'] ?? 0);
            $newCode = $maxCode + 1;
            $payload['Code']       = $newCode;
            $payload['created_at'] = date('Y-m-d H:i:s');
            $this->db->table('complaints_master')->insert($payload);
            $msg = 'Complaint added';
        }

        return $this->response->setJSON([
            'update'     => 1,
            'error_text' => $msg,
            'code'       => $newCode,
            'csrfName'   => csrf_token(),
            'csrfHash'   => csrf_hash(),
        ]);
    }

    public function complaints_master_remove(int $code): \CodeIgniter\HTTP\ResponseInterface
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0]);
        }
        if (! $this->db->tableExists('complaints_master')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Table not found']);
        }

        // Soft-delete: set is_active = 0
        $this->db->table('complaints_master')
            ->where('Code', $code)
            ->update(['is_active' => 0, 'updated_at' => date('Y-m-d H:i:s')]);

        return $this->response->setJSON([
            'update'     => 1,
            'error_text' => 'Complaint deactivated',
            'csrfName'   => csrf_token(),
            'csrfHash'   => csrf_hash(),
        ]);
    }

    // --- Disease/Diagnosis Master ------------------------------------------

    public function disease_master_data(): \CodeIgniter\HTTP\ResponseInterface
    {
        if (! $this->db->tableExists('disease_master')) {
            return $this->response->setJSON(['data' => [], 'recordsTotal' => 0, 'recordsFiltered' => 0]);
        }

        $start  = (int) ($this->request->getGet('start') ?? 0);
        $length = (int) ($this->request->getGet('length') ?? 25);
        $filter = trim((string) ($this->request->getGet('filter') ?? ''));
        $snomed = (int) ($this->request->getGet('snomed_only') ?? 0);

        $fields = $this->db->getFieldNames('disease_master') ?? [];
        $hasIsActive = in_array('is_active', $fields, true);

        $qb = $this->db->table('disease_master');

        if ($filter !== '') {
            $qb->groupStart()->like('Name', $filter)->groupEnd();
        }
        if ($snomed === 1) {
            $qb->where('snomed_concept_id IS NOT NULL')->where("snomed_concept_id != ''");
        }

        $total  = (clone $qb)->countAllResults(false);
        $select = 'Code, Name' . ($hasIsActive ? ', is_active' : '') . ', snomed_concept_id, snomed_term';
        $rows   = $qb->select($select)
                     ->orderBy('Name', 'ASC')
                     ->limit($length, $start)
                     ->get()
                     ->getResultArray();

        return $this->response->setJSON([
            'recordsTotal'    => $total,
            'recordsFiltered' => $total,
            'data'            => $rows,
        ]);
    }

    public function disease_master_get(int $code): \CodeIgniter\HTTP\ResponseInterface
    {
        if (! $this->db->tableExists('disease_master')) {
            return $this->response->setStatusCode(404)->setJSON(['error' => 'Table not found']);
        }
        $row = $this->db->table('disease_master')
            ->where('Code', $code)
            ->get(1)
            ->getRowArray();
        if (! $row) {
            return $this->response->setStatusCode(404)->setJSON(['error' => 'Not found']);
        }
        return $this->response->setJSON(['row' => $row]);
    }

    public function disease_master_save(): \CodeIgniter\HTTP\ResponseInterface
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0]);
        }
        if (! $this->db->tableExists('disease_master')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Table not found']);
        }

        $code            = (int) ($this->request->getPost('Code') ?? 0);
        $name            = strtoupper(trim((string) ($this->request->getPost('Name') ?? '')));
        $snomedConceptId = trim((string) ($this->request->getPost('snomed_concept_id') ?? ''));
        $snomedTerm      = trim((string) ($this->request->getPost('snomed_term') ?? ''));
        $isActive        = (int) ($this->request->getPost('is_active') ?? 1);

        if ($name === '') {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Name is required']);
        }

        $fields = $this->db->getFieldNames('disease_master') ?? [];
        $hasIsActive = in_array('is_active', $fields, true);

        $payload = [
            'Name'              => $name,
            'snomed_concept_id' => $snomedConceptId !== '' ? $snomedConceptId : null,
            'snomed_term'       => $snomedTerm !== '' ? $snomedTerm : null,
        ];
        if ($hasIsActive) {
            $payload['is_active'] = $isActive ? 1 : 0;
        }

        if ($code > 0) {
            $this->db->table('disease_master')->where('Code', $code)->update($payload);
            $newCode = $code;
            $msg = 'Diagnosis updated';
        } else {
            $maxCode = (int) ($this->db->table('disease_master')->selectMax('Code')->get()->getRowArray()['Code'] ?? 0);
            $newCode = $maxCode + 1;
            $payload['Code'] = $newCode;
            $this->db->table('disease_master')->insert($payload);
            $msg = 'Diagnosis added';
        }

        return $this->response->setJSON([
            'update'     => 1,
            'error_text' => $msg,
            'code'       => $newCode,
            'csrfName'   => csrf_token(),
            'csrfHash'   => csrf_hash(),
        ]);
    }

    public function disease_master_remove(int $code): \CodeIgniter\HTTP\ResponseInterface
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0]);
        }
        if (! $this->db->tableExists('disease_master')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Table not found']);
        }

        $fields = $this->db->getFieldNames('disease_master') ?? [];
        if (in_array('is_active', $fields, true)) {
            $this->db->table('disease_master')->where('Code', $code)->update(['is_active' => 0]);
        } else {
            $this->db->table('disease_master')->where('Code', $code)->delete();
        }

        return $this->response->setJSON([
            'update'     => 1,
            'error_text' => 'Diagnosis deactivated',
            'csrfName'   => csrf_token(),
            'csrfHash'   => csrf_hash(),
        ]);
    }

    // ─────────────────────────────────────────────────────────────────────────

    public function opd_medicince_duplicate_report()
    {
        $medicineModel = new OpdMedicineModel($this->db);
        if (! $medicineModel->tableExists()) {
            return $this->response->setJSON(['rows' => []]);
        }

        return $this->response->setJSON([
            'rows' => $medicineModel->getDuplicateGroups(),
            'update' => 1,
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function opd_medicince_merge_duplicates()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        $keepId = (int) $this->request->getPost('keep_id');
        $mergeRaw = trim((string) $this->request->getPost('merge_ids'));
        $mergeIds = [];
        if ($mergeRaw !== '') {
            foreach (explode(',', $mergeRaw) as $token) {
                $value = (int) trim($token);
                if ($value > 0) {
                    $mergeIds[] = $value;
                }
            }
        }

        $medicineModel = new OpdMedicineModel($this->db);
        $merged = $medicineModel->mergeDuplicates($keepId, $mergeIds);
        if (! ($merged['ok'] ?? false)) {
            return $this->response->setJSON([
                'update' => 0,
                'error_text' => (string) ($merged['error'] ?? 'Unable to merge duplicates'),
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        return $this->response->setJSON([
            'update' => 1,
            'error_text' => 'Merged ' . (int) ($merged['merged_count'] ?? 0) . ' duplicate medicine(s).',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function opd_medicince_autofix_duplicates()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        $medicineModel = new OpdMedicineModel($this->db);
        if (! $medicineModel->tableExists()) {
            return $this->response->setJSON([
                'update' => 0,
                'error_text' => 'Medicine table not found',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        $groups = $medicineModel->getDuplicateGroups();
        if (empty($groups)) {
            return $this->response->setJSON([
                'update' => 1,
                'error_text' => 'No duplicate medicine names found.',
                'merged_groups' => 0,
                'merged_rows' => 0,
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        $mergedGroups = 0;
        $mergedRows = 0;
        foreach ($groups as $group) {
            $keepId = (int) ($group['keep_id'] ?? 0);
            $mergeIds = is_array($group['merge_ids'] ?? null) ? $group['merge_ids'] : [];
            if ($keepId <= 0 || empty($mergeIds)) {
                continue;
            }

            $result = $medicineModel->mergeDuplicates($keepId, $mergeIds);
            if (! ($result['ok'] ?? false)) {
                return $this->response->setJSON([
                    'update' => 0,
                    'error_text' => (string) ($result['error'] ?? 'Auto-fix stopped due to merge failure'),
                    'merged_groups' => $mergedGroups,
                    'merged_rows' => $mergedRows,
                    'csrfName' => csrf_token(),
                    'csrfHash' => csrf_hash(),
                ]);
            }

            $mergedGroups++;
            $mergedRows += (int) ($result['merged_count'] ?? 0);
        }

        return $this->response->setJSON([
            'update' => 1,
            'error_text' => 'Auto-fix completed. Merged ' . $mergedRows . ' duplicate medicine row(s) in ' . $mergedGroups . ' group(s).',
            'merged_groups' => $mergedGroups,
            'merged_rows' => $mergedRows,
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function scan_text_extract()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        $filePath = trim((string) $this->request->getPost('file_path'));
        $scanType = trim((string) $this->request->getPost('scan_type'));
        if ($filePath === '') {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Scan file path is required']);
        }

        $localPath = $this->resolveLocalFilePathFromStoredPath($filePath);
        if ($localPath === null || !is_file($localPath)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Scan file not found']);
        }

        $extracted = $this->extractClinicalTextFromScan($localPath, $scanType);
        if ($extracted === null || trim($extracted) === '') {
            return $this->response->setJSON([
                'update' => 0,
                'error_text' => 'Unable to extract report text from this scan currently.',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        return $this->response->setJSON([
            'update' => 1,
            'extracted_text' => trim($extracted),
            'error_text' => 'Scan text extracted',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function patient_scan_history(int $opdId)
    {
        if (! $this->canAccessPrescription()) {
            return $this->response->setStatusCode(403)->setBody('<div class="text-danger small">Access denied.</div>');
        }

        if ($opdId <= 0 || ! $this->db->tableExists('opd_master')) {
            return $this->response->setBody('<div class="text-muted small">No scan history found.</div>');
        }

        $opdRow = $this->db->table('opd_master')->select('p_id')->where('opd_id', $opdId)->get(1)->getRowArray();
        $patientId = (int) ($opdRow['p_id'] ?? 0);
        if ($patientId <= 0) {
            return $this->response->setBody('<div class="text-muted small">No scan history found.</div>');
        }

        return view('billing/opd_scan_history_panel', [
            'scan_history_items' => $this->getPatientScanHistoryForConsult($patientId),
        ]);
    }

    public function fhir_bundle(int $opdId, int $sessionId = 0)
    {
        if (! $this->db->tableExists('opd_fhir_documents')) {
            return $this->response->setStatusCode(404)->setBody('FHIR bundle storage not available.');
        }

        $builder = $this->db->table('opd_fhir_documents')
            ->where('opd_id', (int) $opdId)
            ->whereIn('bundle_type', ['OPConsultRecord', 'MedicationRequestBundle']);

        if ($sessionId > 0) {
            $builder->where('opd_session_id', (int) $sessionId);
        }

        $row = $builder->orderBy('id', 'DESC')->get(1)->getRowArray();
        if (empty($row)) {
            return $this->response->setStatusCode(404)->setBody('FHIR bundle not found.');
        }

        $bundleJson = (string) ($row['bundle_json'] ?? '{}');
        $fileSession = (int) ($row['opd_session_id'] ?? 0);
        $filename = 'opd_' . (int) $opdId . '_session_' . $fileSession . '_fhir.json';

        return $this->response
            ->setHeader('Content-Type', 'application/fhir+json; charset=utf-8')
            ->setHeader('Content-Disposition', 'attachment; filename="' . $filename . '"')
            ->setBody($bundleJson);
    }

    public function fhir_bundle_history(int $opdId, int $sessionId = 0)
    {
        if (! $this->db->tableExists('opd_fhir_documents')) {
            return $this->response->setJSON(['rows' => []]);
        }

        $builder = $this->db->table('opd_fhir_documents')
            ->where('opd_id', (int) $opdId)
            ->whereIn('bundle_type', ['OPConsultRecord', 'MedicationRequestBundle']);

        if ($sessionId > 0) {
            $builder->where('opd_session_id', (int) $sessionId);
        }

        $rows = $builder->orderBy('id', 'DESC')->limit(5)->get()->getResultArray();
        $result = [];

        foreach ($rows as $row) {
            $rowSessionId = (int) ($row['opd_session_id'] ?? 0);
            $result[] = [
                'id' => (int) ($row['id'] ?? 0),
                'opd_session_id' => $rowSessionId,
                'generated_at' => (string) ($row['generated_at'] ?? ''),
                'generated_by' => (string) ($row['generated_by'] ?? ''),
                'download_url' => base_url('Opd_prescription/fhir_bundle/' . (int) $opdId . '/' . $rowSessionId),
                'preview_url' => base_url('Opd_prescription/fhir_bundle_preview/' . (int) $opdId . '/' . $rowSessionId),
                'preview_latest_url' => base_url('Opd_prescription/fhir_bundle_preview/' . (int) $opdId),
            ];
        }

        return $this->response->setJSON(['rows' => $result]);
    }

    /**
     * POST Opd_prescription/fhir_bundle_regenerate
     *
     * Rebuilds the FHIR bundle for an OPD session using the current builder
     * and overwrites the stored bundle in opd_fhir_documents.
     * Accepts: opd_id, opd_session_id (0 = latest)
     * Returns JSON: {ok:1, message, document_id, generated_at} or {ok:0, message}
     */
    public function fhir_bundle_regenerate()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['ok' => 0, 'message' => 'Invalid request']);
        }

        $opdId     = (int) $this->request->getPost('opd_id');
        $sessionId = (int) $this->request->getPost('opd_session_id');

        return $this->response->setJSON($this->regenerateFhirBundleInternal($opdId, $sessionId));
    }

    /**
     * GET Opd_prescription/fhir_bundle_regenerate
     *
     * Manual browser test wrapper. To execute regeneration, pass:
     *   ?opd_id={id}&opd_session_id={id-or-0}&run=1
     */
    public function fhir_bundle_regenerate_manual()
    {
        $opdId     = (int) $this->request->getGet('opd_id');
        $sessionId = (int) $this->request->getGet('opd_session_id');
        $run       = trim((string) $this->request->getGet('run'));

        if ($opdId <= 0 || $run !== '1') {
            return $this->response->setJSON([
                'ok' => 0,
                'message' => 'Manual test mode: call with ?opd_id={id}&opd_session_id=0&run=1 to execute regeneration.',
                'example' => base_url('Opd_prescription/fhir_bundle_regenerate?opd_id=8&opd_session_id=0&run=1'),
            ]);
        }

        return $this->response->setJSON($this->regenerateFhirBundleInternal($opdId, $sessionId));
    }

    /**
     * Shared core logic used by both POST-AJAX and manual GET regenerate endpoints.
     *
     * @return array<string, mixed>
     */
    private function regenerateFhirBundleInternal(int $opdId, int $sessionId): array
    {

        if ($opdId <= 0) {
            return ['ok' => 0, 'message' => 'opd_id is required'];
        }

        if (! $this->db->tableExists('opd_fhir_documents')) {
            return ['ok' => 0, 'message' => 'FHIR bundle storage not available'];
        }

        // Load the OPD row
        if (! $this->db->tableExists('opd_master')) {
            return ['ok' => 0, 'message' => 'opd_master table not found'];
        }
        $opdRow = $this->db->table('opd_master')->where('opd_id', $opdId)->get(1)->getRowArray();
        if (empty($opdRow)) {
            return ['ok' => 0, 'message' => 'OPD record not found'];
        }

        // If no session given, find the latest prescription session
        if ($sessionId <= 0 && $this->db->tableExists('opd_prescription')) {
            $pRow = $this->db->table('opd_prescription')
                ->where('opd_id', $opdId)
                ->orderBy('id', 'DESC')
                ->get(1)->getRowArray();
            $sessionId = (int) ($pRow['id'] ?? 0);
        }

        // Load patient row
        $patientId = (int) ($opdRow['p_id'] ?? 0);
        $patientRow = [];
        if ($patientId > 0 && $this->db->tableExists('patient_master')) {
            $patientRow = $this->db->table('patient_master')->where('id', $patientId)->get(1)->getRowArray() ?? [];
        }
        if (empty($patientRow)) {
            return ['ok' => 0, 'message' => 'Patient record not found'];
        }

        try {
            // Rebuild bundle using current builder
            $abhaField   = $this->resolvePatientAbhaField();
            $abhaAddress = $abhaField !== null ? trim((string) ($patientRow[$abhaField] ?? '')) : '';

            $patFirstName = $this->sanitizePersonNamePart((string) ($patientRow['p_fname'] ?? ''));
            $patLastName  = $this->sanitizePersonNamePart((string) ($patientRow['p_lname'] ?? ''));
            $patFullName  = trim($patFirstName . ($patLastName !== '' ? ' ' . $patLastName : ''));
            if ($patFullName === '') {
                $patFullName = trim((string) ($opdRow['P_name'] ?? ''));
            }

            $patientFields = $this->db->getFieldNames('patient_master') ?? [];
            $phoneField    = $this->resolveFirstField($patientFields, ['p_contact', 'phone', 'mobile', 'contact_no', 'mobile_no', 'p_phone']);
            $patPhone      = $phoneField !== null ? trim((string) ($patientRow[$phoneField] ?? '')) : '';

            $patient = [
                'id'          => (string) $patientId,
                'name'        => $patFullName,
                'given_name'  => $patFirstName,
                'family_name' => $patLastName,
                'gender'      => $this->normalizeGender((string) ($patientRow['gender'] ?? '')),
                'birthDate'   => ! empty($patientRow['dob']) ? date('Y-m-d', strtotime((string) $patientRow['dob'])) : '',
                'abhaAddress' => $abhaAddress,
                'phone'       => $patPhone,
            ];

            $encounter = [
                'id'           => (string) $opdId,
                'status'       => 'finished',
                'period_start' => Time::now('Asia/Kolkata')->toDateTimeString(),
            ];

            $medications     = $this->getPrescriptionMedicines($sessionId);
            $conditions      = $this->getPrescriptionConditions($sessionId);
            $clinicalContext = $sessionId > 0 ? $this->getPrescriptionClinicalContext($sessionId, $opdRow) : [];
            $bundle          = $this->fhirR4Builder->buildPrescriptionBundle($patient, $encounter, $medications, $conditions, $clinicalContext);
            $bundleJson      = (string) json_encode($bundle, JSON_UNESCAPED_UNICODE | JSON_UNESCAPED_SLASHES);

            $user        = auth()->user();
            $generatedBy = (string) ($user->id ?? 'system');
            $generatedAt = Time::now('Asia/Kolkata')->toDateTimeString();

            // Overwrite the latest stored bundle for this opd_id / session
            $existingBuilder = $this->db->table('opd_fhir_documents')
                ->where('opd_id', $opdId)
                ->whereIn('bundle_type', ['OPConsultRecord', 'MedicationRequestBundle']);
            if ($sessionId > 0) {
                $existingBuilder->where('opd_session_id', $sessionId);
            }
            $existing = $existingBuilder->orderBy('id', 'DESC')->get(1)->getRowArray();

            if (! empty($existing)) {
                $this->db->table('opd_fhir_documents')
                    ->where('id', (int) $existing['id'])
                    ->update([
                        'bundle_type' => 'OPConsultRecord',
                        'bundle_json'  => $bundleJson,
                        'generated_by' => $generatedBy,
                        'generated_at' => $generatedAt,
                    ]);
                $documentId = (int) $existing['id'];
            } else {
                $this->db->table('opd_fhir_documents')->insert([
                    'opd_id'         => $opdId,
                    'opd_session_id' => $sessionId,
                    'bundle_type'    => 'OPConsultRecord',
                    'bundle_json'    => $bundleJson,
                    'generated_by'   => $generatedBy,
                    'generated_at'   => $generatedAt,
                ]);
                $documentId = (int) $this->db->insertID();
            }

            return [
                'ok'           => 1,
                'message'      => 'FHIR bundle regenerated successfully',
                'document_id'  => $documentId,
                'generated_at' => $generatedAt,
                'entry_count'  => isset($bundle['entry']) ? count($bundle['entry']) : 0,
            ];
        } catch (\Throwable $e) {
            log_message('error', '[fhir_bundle_regenerate] ' . $e->getMessage());
            return ['ok' => 0, 'message' => 'Regeneration failed: ' . $e->getMessage()];
        }
    }

    public function fhir_bundle_preview(int $opdId, int $sessionId = 0)
    {
        if (! $this->db->tableExists('opd_fhir_documents')) {
            return $this->response->setStatusCode(404)->setJSON([
                'status' => 'error',
                'message' => 'FHIR bundle storage not available.',
            ]);
        }

        $builder = $this->db->table('opd_fhir_documents')
            ->where('opd_id', (int) $opdId)
            ->whereIn('bundle_type', ['OPConsultRecord', 'MedicationRequestBundle']);

        if ($sessionId > 0) {
            $builder->where('opd_session_id', (int) $sessionId);
        }

        $row = $builder->orderBy('id', 'DESC')->get(1)->getRowArray();
        if (empty($row)) {
            return $this->response->setStatusCode(404)->setJSON([
                'status' => 'error',
                'message' => 'FHIR bundle not found.',
                'opd_id' => (int) $opdId,
                'opd_session_id' => (int) $sessionId,
            ]);
        }

        $bundleJson = (string) ($row['bundle_json'] ?? '{}');
        $bundle = json_decode($bundleJson, true);
        if (! is_array($bundle)) {
            return $this->response->setStatusCode(500)->setJSON([
                'status' => 'error',
                'message' => 'Stored FHIR bundle JSON is invalid.',
                'document_id' => (int) ($row['id'] ?? 0),
            ]);
        }

        $prettyJson = (string) json_encode($bundle, JSON_PRETTY_PRINT | JSON_UNESCAPED_UNICODE | JSON_UNESCAPED_SLASHES);

        $bundleType = (string) ($row['bundle_type'] ?? '');
        if ($bundleType === '' || $bundleType === 'MedicationRequestBundle') {
            $compositionProfiles = (array) ($bundle['entry'][0]['resource']['meta']['profile'] ?? []);
            foreach ($compositionProfiles as $profile) {
                if (stripos((string) $profile, 'OPConsultRecord') !== false) {
                    $bundleType = 'OPConsultRecord';
                    break;
                }
            }
        }

        // AJAX callers (modal preview) get JSON directly
        if ($this->request->isAJAX()) {
            // Fetch live complaint and diagnosis terms from current prescription row
            $liveComplaints = [];
            $liveDiagnoses  = [];
            $storedSessionId = (int) ($row['opd_session_id'] ?? 0);
            if ($this->db->tableExists('opd_prescription') && ($storedSessionId > 0 || $opdId > 0)) {
                $prescBuilder = $this->db->table('opd_prescription');
                if ($storedSessionId > 0) {
                    $prescBuilder->where('id', $storedSessionId);
                } else {
                    $prescBuilder->where('opd_id', (int) $opdId)->orderBy('id', 'DESC');
                }
                $pRow = $prescBuilder->get(1)->getRowArray() ?? [];
                if (! empty($pRow)) {
                    $sj = trim((string) ($pRow['complaint_snomed_json'] ?? ''));
                    if ($sj !== '' && $sj !== '[]') {
                        $sit = json_decode($sj, true);
                        if (is_array($sit)) { $liveComplaints = array_values($sit); }
                    }
                    $diagText  = trim((string) ($pRow['diagnosis'] ?? ''));
                    $provText  = trim((string) ($pRow['Provisional_diagnosis'] ?? ''));
                    if ($diagText !== '') {
                        $liveDiagnoses[] = [
                            'term'       => $diagText,
                            'concept_id' => trim((string) ($pRow['diagnosis_snomed_id'] ?? '')),
                            'type'       => 'confirmed',
                        ];
                    }
                    if ($provText !== '') {
                        $liveDiagnoses[] = [
                            'term'       => $provText,
                            'concept_id' => trim((string) ($pRow['provisional_diagnosis_snomed_id'] ?? '')),
                            'type'       => 'provisional',
                        ];
                    }
                }
            }
            return $this->response->setJSON([
                'status'          => 'ok',
                'bundle'          => $bundle,
                'document_id'     => (int) ($row['id'] ?? 0),
                'generated_at'    => (string) ($row['generated_at'] ?? ''),
                'bundle_type'     => $bundleType,
                'opd_id'          => (int) $opdId,
                'opd_session_id'  => (int) $sessionId,
                'live_complaints' => $liveComplaints,
                'live_diagnoses'  => $liveDiagnoses,
            ]);
        }

        // ── Full-page preview: also load patient / ABHA context ───────────────
        $patientId   = 0;
        $patientName = '';
        $abhaId      = '';
        $doctorName  = '';
        $visitDate   = date('Y-m-d');

        if ($this->db->tableExists('opd_master')) {
            $opdRow = $this->db->table('opd_master')->where('opd_id', $opdId)->get(1)->getRowArray();
            if (! empty($opdRow)) {
                $patientId = (int) ($opdRow['p_id'] ?? 0);
                $rawDate   = (string) ($opdRow['opd_date'] ?? '');
                if ($rawDate !== '') {
                    $ts = strtotime($rawDate);
                    if ($ts !== false) {
                        $visitDate = date('Y-m-d', $ts);
                    }
                }
                $docId2 = (int) ($opdRow['doc_id'] ?? 0);
                if ($docId2 > 0 && $this->db->tableExists('doctor_master')) {
                    $dRow = $this->db->table('doctor_master')->where('id', $docId2)->get(1)->getRowArray();
                    if (! empty($dRow)) {
                        $doctorName = trim((string) ($dRow['p_fname'] ?? ''));
                    }
                }
            }
        }

        if ($patientId > 0 && $this->db->tableExists('patient_master')) {
            $pFields = $this->db->getFieldNames('patient_master');
            $pRow = $this->db->table('patient_master')->where('id', $patientId)->get(1)->getRowArray();
            if (! empty($pRow)) {
                $fname = $this->sanitizePersonNamePart((string) ($pRow['p_fname'] ?? ''));
                $lname = $this->sanitizePersonNamePart((string) ($pRow['p_lname'] ?? ''));
                $patientName = trim($fname . ' ' . $lname);
                foreach (['abha_number', 'abha_id', 'abha_address'] as $abhaField) {
                    if (in_array($abhaField, $pFields, true)) {
                        $val = trim((string) ($pRow[$abhaField] ?? ''));
                        if ($val !== '') {
                            $abhaId = $val;
                            break;
                        }
                    }
                }
            }
        }

        $docId        = (int) ($row['id'] ?? 0);
        $generatedAt  = htmlspecialchars((string) ($row['generated_at'] ?? ''), ENT_QUOTES, 'UTF-8');
        $bundleType   = htmlspecialchars($bundleType, ENT_QUOTES, 'UTF-8');
        $entryCount   = isset($bundle['entry']) && is_array($bundle['entry']) ? count($bundle['entry']) : 0;
        $csrfTokName  = csrf_token();
        $csrfTokHash  = csrf_hash();
        $submitUrl    = base_url('Opd_prescription/fhir_bundle_submit');
        $gatewayUrl   = base_url('AbdmGateway/gateway_status');
        $regenerateUrl = base_url('Opd_prescription/fhir_bundle_regenerate');

        // Count resource types inside the bundle
        $resCounts = ['Composition' => 0, 'Patient' => 0, 'Practitioner' => 0,
                      'MedicationRequest' => 0, 'Condition' => 0, 'Observation' => 0,
                      'Encounter' => 0, 'AllergyIntolerance' => 0];
        if (isset($bundle['entry']) && is_array($bundle['entry'])) {
            foreach ($bundle['entry'] as $e) {
                $rt = (string) ($e['resource']['resourceType'] ?? '');
                if (isset($resCounts[$rt])) { $resCounts[$rt]++; }
            }
        }

        // Encode data for JS
        $jsBundle   = json_encode($bundle, JSON_UNESCAPED_UNICODE | JSON_UNESCAPED_SLASHES);
        $jsContext  = json_encode([
            'opdId'       => $opdId,
            'sessionId'   => $sessionId,
            'patientId'   => $patientId,
            'patientName' => $patientName,
            'abhaId'      => $abhaId,
            'visitDate'   => $visitDate,
            'doctorName'  => $doctorName,
            'docId'       => $docId,
        ], JSON_UNESCAPED_UNICODE);
        $jsPretty = json_encode(json_encode($bundle, JSON_PRETTY_PRINT | JSON_UNESCAPED_UNICODE | JSON_UNESCAPED_SLASHES));

        // ── Build page ────────────────────────────────────────────────────────
        $abhaDisplay  = htmlspecialchars($abhaId ?: '(no ABHA)', ENT_QUOTES, 'UTF-8');
        $pNameDisplay = htmlspecialchars($patientName ?: '(unknown)', ENT_QUOTES, 'UTF-8');
        $docDisplay   = htmlspecialchars($doctorName ?: '—', ENT_QUOTES, 'UTF-8');
        $abhaClass    = $abhaId !== '' ? 'bg-success' : 'bg-danger';

        $html  = '<!DOCTYPE html><html lang="en"><head>'
            . '<meta charset="UTF-8"><meta name="viewport" content="width=device-width,initial-scale=1">'
            . '<title>FHIR Preview — OPD #' . $opdId . '</title>'
            . '<link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/bootstrap@5.3.0/dist/css/bootstrap.min.css">'
            . '<link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/bootstrap-icons@1.11.3/font/bootstrap-icons.min.css">'
            . '<style>'
            . 'body{background:#f0f2f5;font-size:.9rem}'
            . '.card{border:none;box-shadow:0 1px 4px rgba(0,0,0,.1)}'
            . 'pre{background:#1e1e2e;color:#cdd6f4;border-radius:8px;padding:1.2rem;font-size:.78rem;max-height:65vh;overflow:auto;tab-size:2}'
            . '.check-item{padding:.4rem .6rem;border-radius:6px;margin-bottom:.35rem;display:flex;align-items:center;gap:.5rem}'
            . '.check-item.pass{background:#d1fae5;color:#065f46}'
            . '.check-item.fail{background:#fee2e2;color:#991b1b}'
            . '.check-item.pending{background:#f1f5f9;color:#64748b}'
            . '.step-badge{width:1.6rem;height:1.6rem;border-radius:50%;display:inline-flex;align-items:center;justify-content:center;font-weight:700;font-size:.75rem;flex-shrink:0}'
            . '#btnVerify:disabled,#btnSubmit:disabled{opacity:.5;cursor:not-allowed}'
            . '</style>'
            . '</head><body>'
            . '<div class="container-xl py-3">'

            // ── Header ──────────────────────────────────────────────────────
            . '<div class="d-flex align-items-center justify-content-between mb-3 flex-wrap gap-2">'
            . '<div>'
            . '<h5 class="mb-0 fw-bold"><i class="bi bi-file-medical text-primary me-1"></i> FHIR Preview — OPD #' . $opdId . '</h5>'
            . '<small class="text-muted">Doc #' . $docId . ' &middot; Generated: ' . $generatedAt . ' &middot; ' . $bundleType . ' &middot; ' . $entryCount . ' entries</small>'
            . '</div>'
            . '<div class="d-flex gap-2 align-items-center">'
            . '<button class="btn btn-sm btn-outline-warning" id="btnRegenerate" title="Rebuild bundle from prescription data (use after updating doctor or medication details)">'
            . '<i class="bi bi-arrow-clockwise"></i> Regenerate'
            . '</button>'
            . '<a href="javascript:history.back()" class="btn btn-sm btn-outline-secondary"><i class="bi bi-arrow-left"></i> Back</a>'
            . '</div>'
            . '</div>'

            // ── Patient card ────────────────────────────────────────────────
            . '<div class="card mb-3"><div class="card-body py-2 px-3 d-flex flex-wrap gap-3 align-items-center">'
            . '<div><div class="fw-bold">' . $pNameDisplay . '</div><div class="text-muted small">Patient ID: ' . $patientId . '</div></div>'
            . '<div class="vr"></div>'
            . '<div><span class="badge ' . $abhaClass . '">' . $abhaDisplay . '</span></div>'
            . '<div class="vr"></div>'
            . '<div><i class="bi bi-person-badge text-muted me-1"></i><small>Dr. ' . $docDisplay . '</small></div>'
            . '<div class="vr"></div>'
            . '<div><i class="bi bi-calendar3 text-muted me-1"></i><small>Visit: ' . htmlspecialchars($visitDate, ENT_QUOTES, 'UTF-8') . '</small></div>'
            . '</div></div>'

            // ── Resource summary row ─────────────────────────────────────────
            . '<div class="row g-2 mb-3">';

        $rIcons = ['Composition' => ['bi-file-text', 'primary'],
                   'Patient'     => ['bi-person', 'success'],
                   'Encounter'   => ['bi-calendar2-check', 'info'],
                   'Practitioner'=> ['bi-person-badge', 'secondary'],
                   'MedicationRequest'  => ['bi-capsule', 'warning'],
                   'Condition'   => ['bi-heart-pulse', 'danger'],
                   'Observation' => ['bi-activity', 'info'],
                   'AllergyIntolerance'=> ['bi-exclamation-triangle', 'danger']];
        foreach ($rIcons as $rt => [$icon, $color]) {
            $cnt   = $resCounts[$rt] ?? 0;
            $alpha = $cnt > 0 ? '' : ' opacity-50';
            $html .= '<div class="col-6 col-sm-3 col-md-auto">'
                . '<div class="card text-center px-3 py-2' . $alpha . '">'
                . '<i class="bi ' . $icon . ' text-' . $color . '"></i>'
                . '<div class="small fw-bold">' . $cnt . '</div>'
                . '<div class="text-muted" style="font-size:.7rem">' . $rt . '</div>'
                . '</div></div>';
        }
        $html .= '</div>';

        // ── Main content: 2-col layout ───────────────────────────────────────
        $html .= '<div class="row g-3">'

            // ── LEFT: JSON view ──────────────────────────────────────────────
            . '<div class="col-lg-7">'
            . '<div class="card h-100"><div class="card-header d-flex justify-content-between align-items-center py-2">'
            . '<strong class="small">FHIR R4 Bundle JSON</strong>'
            . '<button class="btn btn-sm btn-outline-secondary" id="btnCopy"><i class="bi bi-clipboard"></i> Copy</button>'
            . '</div><div class="card-body p-0"><pre id="jsonOut"></pre></div></div>'
            . '</div>'

            // ── RIGHT: Verify + Submit panel ─────────────────────────────────
            . '<div class="col-lg-5">'
            . '<div class="card mb-3"><div class="card-body">'
            . '<div class="d-flex align-items-center gap-2 mb-3">'
            . '<span class="step-badge bg-primary text-white">1</span>'
            . '<strong>Verify Submission Readiness</strong>'
            . '</div>'
            . '<p class="text-muted small mb-3">Run a pre-flight check before submitting to ABDM bridge. All items must pass.</p>'
            . '<div id="checkList">'
            . '<div class="check-item pending"><i class="bi bi-circle text-muted"></i><span>ABHA ID / Address present</span></div>'
            . '<div class="check-item pending"><i class="bi bi-circle text-muted"></i><span>Bundle type is "document"</span></div>'
            . '<div class="check-item pending"><i class="bi bi-circle text-muted"></i><span>First entry is Composition</span></div>'
            . '<div class="check-item pending"><i class="bi bi-circle text-muted"></i><span>Patient resource present</span></div>'
            . '<div class="check-item pending"><i class="bi bi-circle text-muted"></i><span>At least one clinical resource</span></div>'
            . '<div class="check-item pending"><i class="bi bi-circle text-muted"></i><span>Visit date valid</span></div>'
            . '<div class="check-item pending" id="chkBridge"><i class="bi bi-circle text-muted"></i><span>Bridge connection reachable</span></div>'
            . '</div>'
            . '<button class="btn btn-primary w-100 mt-3" id="btnVerify">'
            . '<i class="bi bi-shield-check me-1"></i> Verify Data'
            . '</button>'
            . '</div></div>'

            . '<div class="card" id="submitCard" style="display:none">'
            . '<div class="card-body">'
            . '<div class="d-flex align-items-center gap-2 mb-3">'
            . '<span class="step-badge bg-success text-white">2</span>'
            . '<strong>Submit to ABDM Bridge</strong>'
            . '</div>'
            . '<p class="text-muted small mb-3">All checks passed. This will store the FHIR record in the bridge. ABDM links it when the patient opens their PHR app.</p>'
            . '<button class="btn btn-success w-100" id="btnSubmit">'
            . '<i class="bi bi-cloud-upload me-1"></i> Submit to ABDM'
            . '</button>'
            . '<div id="submitResult" class="mt-2"></div>'
            . '</div></div>'

            . '</div>' // end right col
            . '</div>'; // end row

        $html .= '</div>' // end container
            . '<script>'
            . 'const CTX=' . $jsContext . ';'
            . 'const BUNDLE=' . $jsBundle . ';'
            . 'const CSRF_NAME=' . json_encode($csrfTokName) . ';'
            . 'const CSRF_HASH=' . json_encode($csrfTokHash) . ';'
            . 'const SUBMIT_URL=' . json_encode($submitUrl) . ';'
            . 'const GATEWAY_URL=' . json_encode($gatewayUrl) . ';'
            . 'const REGENERATE_URL=' . json_encode($regenerateUrl) . ';'

            // Render JSON
            . 'document.getElementById("jsonOut").textContent=' . $jsPretty . ';'

            // Copy button
            . 'document.getElementById("btnCopy").addEventListener("click",function(){'
            . '  navigator.clipboard.writeText(document.getElementById("jsonOut").textContent)'
            . '  .then(()=>{this.innerHTML=\'<i class="bi bi-check2"></i> Copied\';setTimeout(()=>{this.innerHTML=\'<i class="bi bi-clipboard"></i> Copy\';},2000);})'
            . '  .catch(()=>{});'
            . '});'

            // Verify button
            . 'document.getElementById("btnVerify").addEventListener("click",async function(){'
            . '  const btn=this;'
            . '  btn.disabled=true;btn.innerHTML=\'<span class="spinner-border spinner-border-sm me-1"></span>Verifying\u2026\';'
            . '  const checks=document.querySelectorAll("#checkList .check-item");'
            . '  function setCheck(i,pass,msg){'
            . '    checks[i].className="check-item "+(pass?"pass":"fail");'
            . '    checks[i].innerHTML=(pass?\'<i class="bi bi-check-circle-fill text-success"></i>\':\'<i class="bi bi-x-circle-fill text-danger"></i>\')+\'<span>\'+msg+\'</span>\';'
            . '  }'

            // Check 1: ABHA
            . '  const hasAbha=CTX.abhaId!=="";'
            . '  setCheck(0,hasAbha,hasAbha?"ABHA: "+CTX.abhaId:"ABHA ID / Address missing — cannot push without ABHA");'

            // Check 2: type=document
            . '  const isDoc=BUNDLE.type==="document";'
            . '  setCheck(1,isDoc,isDoc?"Bundle type: document":"Bundle type is \\""+BUNDLE.type+"\\" — must be \\"document\\"");'

            // Check 3: First entry is Composition
            . '  const firstRt=BUNDLE.entry&&BUNDLE.entry[0]&&BUNDLE.entry[0].resource?BUNDLE.entry[0].resource.resourceType:"";'
            . '  const isComp=firstRt==="Composition";'
            . '  setCheck(2,isComp,isComp?"First entry: Composition ✓":"First entry is "+firstRt+" — must be Composition");'

            // Check 4: Patient resource
            . '  const hasPatient=(BUNDLE.entry||[]).some(e=>e.resource&&e.resource.resourceType==="Patient");'
            . '  setCheck(3,hasPatient,hasPatient?"Patient resource present":"Patient resource missing from bundle");'

            // Check 5: Clinical resource
            . '  const clinTypes=["MedicationRequest","Condition","Observation","AllergyIntolerance","DiagnosticReport"];'
            . '  const clinCount=(BUNDLE.entry||[]).filter(e=>e.resource&&clinTypes.includes(e.resource.resourceType)).length;'
            . '  setCheck(4,clinCount>0,"Clinical resources: "+clinCount+(clinCount>0?" present":" — bundle has no medications/conditions/observations"));'

            // Check 6: visit date
            . '  const dateOk=CTX.visitDate&&/^\d{4}-\d{2}-\d{2}$/.test(CTX.visitDate);'
            . '  setCheck(5,dateOk,dateOk?"Visit date: "+CTX.visitDate:"Visit date missing or invalid");'

            // Check 7: Bridge connectivity (AJAX)
            . '  document.getElementById("chkBridge").className="check-item pending";'
            . '  document.getElementById("chkBridge").innerHTML=\'<span class="spinner-border spinner-border-sm"></span><span>Checking bridge\u2026</span>\';'
            . '  let bridgeOk=false;'
            . '  try{'
            . '    const r=await fetch(GATEWAY_URL,{headers:{"X-Requested-With":"XMLHttpRequest"},signal:AbortSignal.timeout(8000)});'
            . '    const j=await r.json();'
            . '    bridgeOk=r.ok&&(j.ok===1||j.status==="ok");'
            . '    const info=bridgeOk?(j.authenticated_as?(" ("+j.authenticated_as+")"):""):" — "+( j.error_text||j.message||"unreachable");'
            . '    setCheck(6,bridgeOk,bridgeOk?"Bridge connected"+info:"Bridge unreachable"+info);'
            . '  }catch(e){setCheck(6,false,"Bridge check failed: "+e.message);}'

            // Evaluate overall result
            . '  const allPass=hasAbha&&isDoc&&isComp&&hasPatient&&clinCount>0&&dateOk&&bridgeOk;'
            . '  btn.disabled=false;'
            . '  if(allPass){'
            . '    btn.className="btn btn-outline-success w-100 mt-3";'
            . '    btn.innerHTML=\'<i class="bi bi-check-all me-1"></i>All Checks Passed — Re-verify\';'
            . '    document.getElementById("submitCard").style.display="";'
            . '    document.getElementById("btnSubmit").disabled=false;'
            . '  }else{'
            . '    btn.className="btn btn-warning w-100 mt-3";'
            . '    btn.innerHTML=\'<i class="bi bi-exclamation-triangle me-1"></i>Issues Found — Fix &amp; Re-verify\';'
            . '    document.getElementById("submitCard").style.display="none";'
            . '  }'
            . '});'

            // Submit button
            . 'document.getElementById("btnSubmit").addEventListener("click",function(){'
            . '  const btn=this,origHtml=btn.innerHTML;'
            . '  if(!confirm("Submit FHIR bundle for OPD #' . $opdId . ' to ABDM gateway?"))return;'
            . '  btn.disabled=true;btn.innerHTML=\'<span class="spinner-border spinner-border-sm me-1"></span>Submitting\u2026\';'
            . '  const body=new URLSearchParams({opd_id:CTX.opdId,opd_session_id:CTX.sessionId});'
            . '  body.append(CSRF_NAME,CSRF_HASH);'
            . '  fetch(SUBMIT_URL,{method:"POST",headers:{"X-Requested-With":"XMLHttpRequest","Content-Type":"application/x-www-form-urlencoded"},body:body.toString()})'
            . '  .then(r=>r.json()).then(res=>{'
            . '    const el=document.getElementById("submitResult");'
            . '    if(res.ok===1||res.ok==="1"){'
            . '      btn.className="btn btn-outline-success w-100";'
            . '      btn.innerHTML=\'<i class="bi bi-check-circle me-1"></i>Submitted \u2713\';'
            . '      const qPart=res.queue_id?" &middot; Queue: <code>"+res.queue_id+"</code>":"";'
            . '      const idPart=res.bridge_id?" &middot; Bridge ID: <strong>"+res.bridge_id+"</strong>":"";'
            . '      el.innerHTML=\'<div class="alert alert-success mt-2 py-2">\u2705 \'+(res.message||"Submitted successfully.")+qPart+idPart+\'</div>\';'
            . '    }else{'
            . '      btn.disabled=false;btn.innerHTML=origHtml;'
            . '      el.innerHTML=\'<div class="alert alert-danger mt-2 py-2">\u274c \'+(res.message||res.error_text||"Submission failed.")+(res.http_code?" (HTTP "+res.http_code+")":"")+\'</div>\';'
            . '    }'
            . '  }).catch(e=>{btn.disabled=false;btn.innerHTML=origHtml;'
            . '    document.getElementById("submitResult").innerHTML=\'<div class="alert alert-danger mt-2 py-2">\u274c \'+e.message+\'</div>\';});'
            . '});'

            // Regenerate button
            . 'document.getElementById("btnRegenerate").addEventListener("click",function(){'
            . '  const btn=this,origHtml=btn.innerHTML;'
            . '  if(!confirm("Rebuild FHIR bundle from current prescription data?\nThis will overwrite the stored bundle — any edits to the JSON will be lost."))return;'
            . '  btn.disabled=true;btn.innerHTML=\'<span class="spinner-border spinner-border-sm me-1"></span>Rebuilding\u2026\';'
            . '  const body=new URLSearchParams({opd_id:CTX.opdId,opd_session_id:CTX.sessionId});'
            . '  body.append(CSRF_NAME,CSRF_HASH);'
            . '  fetch(REGENERATE_URL,{method:"POST",headers:{"X-Requested-With":"XMLHttpRequest","Content-Type":"application/x-www-form-urlencoded"},body:body.toString()})'
            . '  .then(r=>r.json()).then(res=>{'
            . '    if(res.ok===1||res.ok==="1"){'
            . '      btn.innerHTML=\'<i class="bi bi-check2 me-1"></i>Done — reloading\u2026\';'
            . '      setTimeout(()=>location.reload(),900);'
            . '    }else{'
            . '      btn.disabled=false;btn.innerHTML=origHtml;'
            . '      alert("\u274c Regeneration failed: "+(res.message||"unknown error"));'
            . '    }'
            . '  }).catch(e=>{btn.disabled=false;btn.innerHTML=origHtml;alert("\u274c "+e.message);});'
            . '});'

            . '</script>'
            . '</body></html>';

        return $this->response->setHeader('Content-Type', 'text/html; charset=UTF-8')->setBody($html);
    }

    public function fhir_bundle_submit()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['ok' => 0, 'error_text' => 'AJAX only']);
        }

        $opdId     = (int) $this->request->getPost('opd_id');
        $sessionId = (int) $this->request->getPost('opd_session_id');

        if ($opdId <= 0) {
            return $this->response->setJSON(['ok' => 0, 'error_text' => 'OPD ID required', 'csrfName' => csrf_token(), 'csrfHash' => csrf_hash()]);
        }

        if (! $this->db->tableExists('opd_fhir_documents')) {
            return $this->response->setJSON(['ok' => 0, 'error_text' => 'FHIR bundle storage not available', 'csrfName' => csrf_token(), 'csrfHash' => csrf_hash()]);
        }

        $builder = $this->db->table('opd_fhir_documents')
            ->where('opd_id', $opdId)
            ->whereIn('bundle_type', ['OPConsultRecord', 'MedicationRequestBundle']);
        if ($sessionId > 0) {
            $builder->where('opd_session_id', $sessionId);
        }
        $bundleRow = $builder->orderBy('id', 'DESC')->get(1)->getRowArray();

        if (empty($bundleRow)) {
            return $this->response->setJSON([
                'ok' => 0,
                'error_text' => 'No FHIR bundle found. Save the prescription first.',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        $bundleJson = (string) ($bundleRow['bundle_json'] ?? '{}');
        $bundle = json_decode($bundleJson, true);
        if (! is_array($bundle)) {
            return $this->response->setJSON([
                'ok' => 0,
                'error_text' => 'Stored FHIR bundle JSON is invalid.',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        // Gather patient / OPD context for the push payload
        $patientId   = 0;
        $patientName = '';
        $abhaId      = '';
        $doctorName  = '';
        $visitDate   = date('Y-m-d');

        if ($this->db->tableExists('opd_master')) {
            $opdRow = $this->db->table('opd_master')->where('opd_id', $opdId)->get(1)->getRowArray();
            if (! empty($opdRow)) {
                $patientId = (int) ($opdRow['p_id'] ?? 0);
                $rawDate   = (string) ($opdRow['opd_date'] ?? '');
                if ($rawDate !== '') {
                    $ts = strtotime($rawDate);
                    if ($ts !== false) {
                        $visitDate = date('Y-m-d', $ts);
                    }
                }
                $docId2 = (int) ($opdRow['doc_id'] ?? 0);
                if ($docId2 > 0 && $this->db->tableExists('doctor_master')) {
                    $dRow = $this->db->table('doctor_master')->where('id', $docId2)->get(1)->getRowArray();
                    if (! empty($dRow)) {
                        $doctorName = trim((string) ($dRow['p_fname'] ?? ''));
                    }
                }
            }
        }

        if ($patientId > 0 && $this->db->tableExists('patient_master')) {
            $pFields = $this->db->getFieldNames('patient_master');
            $pRow = $this->db->table('patient_master')->where('id', $patientId)->get(1)->getRowArray();
            if (! empty($pRow)) {
                $fname = $this->sanitizePersonNamePart((string) ($pRow['p_fname'] ?? ''));
                $lname = $this->sanitizePersonNamePart((string) ($pRow['p_lname'] ?? ''));
                $patientName = trim($fname . ' ' . $lname);
                foreach (['abha_number', 'abha_id', 'abha_address'] as $abhaField) {
                    if (in_array($abhaField, $pFields, true)) {
                        $val = trim((string) ($pRow[$abhaField] ?? ''));
                        if ($val !== '') {
                            $abhaId = $val;
                            break;
                        }
                    }
                }
            }
        }

        if ($abhaId === '') {
            return $this->response->setJSON([
                'ok' => 0,
                'error_text' => 'ABHA address is required before pushing to ABDM. Update the patient record first.',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        try {
            $gatewayUrl = base_url('AbdmGateway/share_prescription_bundle');
            $cookieHeader = (string) $this->request->getHeaderLine('Cookie');
            $handoffTimeoutSec = $this->resolveFhirGatewayHandoffTimeoutSec();

            $client = service('curlrequest', [
                'timeout' => $handoffTimeoutSec,
                'connect_timeout' => 10,
                'http_errors' => false,
            ]);

            $response = null;
            $attemptError = null;
            for ($attempt = 1; $attempt <= 2; $attempt++) {
                try {
                    $response = $client->post($gatewayUrl, [
                        'headers' => array_filter([
                            'X-Requested-With' => 'XMLHttpRequest',
                            'Cookie' => $cookieHeader !== '' ? $cookieHeader : null,
                        ]),
                        'form_params' => [
                            'opd_id' => $opdId,
                            'opd_session_id' => $sessionId,
                            'patient_id' => $patientId,
                            'abha_id' => $abhaId,
                            'consent_handle' => (string) ($this->request->getPost('consent_handle') ?? ''),
                            csrf_token() => csrf_hash(),
                        ],
                    ]);
                    $attemptError = null;
                    break;
                } catch (\Throwable $attemptException) {
                    $attemptError = $attemptException;
                    if ($attempt < 2 && $this->isTransientFhirGatewayHandoffError($attemptException)) {
                        log_message('warning', '[fhir_bundle_submit] transient handoff error on attempt ' . $attempt . ' for OPD#' . $opdId . ': ' . $attemptException->getMessage());
                        continue;
                    }
                    throw $attemptException;
                }
            }

            if ($response === null && $attemptError !== null) {
                throw $attemptError;
            }

            $httpCode = (int) $response->getStatusCode();
            $result = json_decode((string) $response->getBody(), true);
            if (! is_array($result)) {
                $result = [];
            }

            $ok = (int) ($result['ok'] ?? 0);
            $queueId = (string) ($result['queue_id'] ?? '');
            $bridgeId = (int) ($result['bridge_id'] ?? $result['id'] ?? 0);
            $msg = (string) ($result['message'] ?? $result['error_text'] ?? ($ok === 1
                ? 'FHIR bundle submitted to ABDM gateway successfully.'
                : 'Submission failed. Check gateway configuration.'));

            return $this->response->setJSON([
                'ok'        => $ok,
                'queue_id'  => $queueId,
                'bridge_id' => $bridgeId,
                'message'   => $msg,
                'http_code' => $httpCode,
                'csrfName'  => csrf_token(),
                'csrfHash'  => csrf_hash(),
            ]);
        } catch (\Throwable $e) {
            log_message('error', '[fhir_bundle_submit] OPD#' . $opdId . ': ' . $e->getMessage());
            $isTimeout = $this->isTransientFhirGatewayHandoffError($e);
            $friendly = $isTimeout
                ? 'Gateway handoff timed out. Bridge is slow/unreachable right now. Please retry submit in a minute.'
                : 'Gateway handoff failed: ' . $e->getMessage();
            return $this->response->setJSON([
                'ok'       => 0,
                'message'  => $friendly,
                'retryable' => $isTimeout ? 1 : 0,
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }
    }

    private function resolveFhirGatewayHandoffTimeoutSec(): int
    {
        $timeout = 120;

        if ($this->db->tableExists('hospital_setting')) {
            $row = $this->db->table('hospital_setting')
                ->select('s_value')
                ->whereIn('s_name', ['ABDM_FHIR_SUBMIT_TIMEOUT_SECONDS', 'ABDM_GATEWAY_TIMEOUT_SECONDS'])
                ->where('s_value !=', '')
                ->orderBy('s_name', 'ASC')
                ->get(1)
                ->getRowArray();

            if (! empty($row['s_value'])) {
                $timeout = (int) $row['s_value'];
            }
        }

        if ($timeout < 30) {
            $timeout = 30;
        }
        if ($timeout > 240) {
            $timeout = 240;
        }

        return $timeout;
    }

    private function isTransientFhirGatewayHandoffError(\Throwable $e): bool
    {
        $msg = strtolower(trim($e->getMessage()));
        if ($msg === '') {
            return false;
        }

        $needles = [
            'timed out',
            'operation timed out',
            'curl error 28',
            'failed to connect',
            'connection reset',
            'empty reply from server',
        ];

        foreach ($needles as $needle) {
            if (str_contains($msg, $needle)) {
                return true;
            }
        }

        return false;
    }

    public function fhir_complaint_recode()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0]);
        }

        $opdId         = (int)    $this->request->getPost('opd_id');
        $sessionId     = (int)    $this->request->getPost('opd_session_id');
        $complaintText = trim((string) $this->request->getPost('complaint_text'));
        $snomedId      = trim((string) $this->request->getPost('snomed_concept_id'));
        $snomedTerm    = trim((string) $this->request->getPost('snomed_term'));

        if ($opdId <= 0 || $complaintText === '') {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Missing required fields']);
        }
        if (! $this->db->tableExists('opd_prescription')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Table not found']);
        }

        // Resolve the prescription row
        $prescRow = null;
        if ($sessionId > 0) {
            $prescRow = $this->db->table('opd_prescription')
                ->where('id', $sessionId)->where('opd_id', $opdId)->get(1)->getRowArray();
        }
        if (empty($prescRow)) {
            $prescRow = $this->db->table('opd_prescription')
                ->where('opd_id', $opdId)->orderBy('id', 'DESC')->get(1)->getRowArray();
        }
        if (empty($prescRow)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Prescription record not found']);
        }

        $prescId   = (int) $prescRow['id'];
        $snomedJson = trim((string) ($prescRow['complaint_snomed_json'] ?? ''));
        $items = [];
        if ($snomedJson !== '' && $snomedJson !== '[]') {
            $decoded = json_decode($snomedJson, true);
            if (is_array($decoded)) {
                $items = $decoded;
            }
        }

        // Bootstrap from free-text if no structured items yet
        if (empty($items)) {
            $parts = preg_split('/[,;\n\r]+/', (string) ($prescRow['complaints'] ?? '')) ?: [];
            foreach ($parts as $part) {
                $part = trim((string) $part);
                if ($part !== '' && preg_match('/^Complaint\s*(Onset|Duration|Severity)\s*:/i', $part) !== 1) {
                    $items[] = ['term' => $part, 'concept_id' => '', 'source' => 'local',
                                'hierarchy' => '', 'severity' => '', 'duration' => '', 'frequency' => '', 'date' => ''];
                }
            }
        }

        // Find and update matching complaint (case-insensitive)
        $found = false;
        foreach ($items as &$item) {
            if (strtolower(trim((string) ($item['term'] ?? ''))) === strtolower($complaintText)) {
                // Preserve original term (what doctor typed)
                if (! isset($item['original_term']) || (string) ($item['original_term'] ?? '') === '') {
                    $item['original_term'] = $item['term'];
                }
                $item['concept_id']    = $snomedId;
                $item['snomed_display'] = $snomedTerm ?: $item['term'];
                // Do NOT overwrite term — keep doctor's original text
                $item['source']        = $snomedId !== '' ? 'snomed' : ($item['source'] ?? 'local');
                $found = true;
                break;
            }
        }
        unset($item);

        if (! $found) {
            $items[] = ['term' => $complaintText, 'original_term' => $complaintText,
                        'concept_id' => $snomedId, 'snomed_display' => $snomedTerm ?: $complaintText,
                        'source' => $snomedId !== '' ? 'snomed' : 'local',
                        'hierarchy' => '', 'severity' => '', 'duration' => '', 'frequency' => '', 'date' => ''];
        }

        // Also update getPrescriptionClinicalContext — use snomed_display for FHIR coding
        // (handled in getPrescriptionClinicalContext via snomed_display field)

        $newJson = (string) json_encode(array_values($items), JSON_UNESCAPED_UNICODE);
        $this->db->table('opd_prescription')->where('id', $prescId)->update(['complaint_snomed_json' => $newJson]);

        return $this->response->setJSON([
            'update'           => 1,
            'error_text'       => 'Saved',
            'presc_id'         => $prescId,
            'snomed_concept_id'=> $snomedId,
            'snomed_term'      => $snomedTerm,
            'original_term'    => $complaintText,
            'csrfName'         => csrf_token(),
            'csrfHash'         => csrf_hash(),
        ]);
    }

    public function fhir_diagnosis_recode()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(403)->setJSON(['error_text' => 'Forbidden']);
        }
        $opdId      = (int) $this->request->getPost('opd_id');
        $sessionId  = (int) $this->request->getPost('opd_session_id');
        $diagType   = trim((string) $this->request->getPost('diagnosis_type')); // confirmed|provisional
        $diagText   = trim((string) $this->request->getPost('diagnosis_text'));
        $snomedId   = trim((string) $this->request->getPost('snomed_concept_id'));
        $snomedTerm = trim((string) $this->request->getPost('snomed_term'));

        if ($opdId <= 0 || $diagText === '') {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Invalid parameters']);
        }
        if (! $this->db->tableExists('opd_prescription')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Table missing']);
        }

        $row = [];
        if ($sessionId > 0) {
            $row = $this->db->table('opd_prescription')
                ->where('opd_session_id', $sessionId)->where('opd_id', $opdId)
                ->get(1)->getRowArray() ?? [];
        }
        if (empty($row)) {
            $row = $this->db->table('opd_prescription')
                ->where('opd_id', $opdId)->orderBy('id', 'DESC')
                ->get(1)->getRowArray() ?? [];
        }
        if (empty($row)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Prescription not found']);
        }

        $prescId = (int) $row['id'];
        $fields  = $this->db->getFieldNames('opd_prescription') ?? [];

        if ($diagType === 'provisional') {
            $idCol   = 'provisional_diagnosis_snomed_id';
            $termCol = 'provisional_diagnosis_snomed_term';
            $srcCol  = 'provisional_diagnosis_snomed_source';
        } else {
            $idCol   = 'diagnosis_snomed_id';
            $termCol = 'diagnosis_snomed_term';
            $srcCol  = 'diagnosis_snomed_source';
        }

        $update = [];
        if (in_array($idCol, $fields, true))   $update[$idCol]   = $snomedId;
        if (in_array($termCol, $fields, true)) $update[$termCol] = $snomedTerm !== '' ? $snomedTerm : $diagText;
        if (in_array($srcCol, $fields, true))  $update[$srcCol]  = $snomedId !== '' ? 'snomed' : 'local';

        if (empty($update)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'No columns to update']);
        }

        $this->db->table('opd_prescription')->where('id', $prescId)->update($update);

        return $this->response->setJSON([
            'update'           => 1,
            'error_text'       => 'Saved',
            'presc_id'         => $prescId,
            'snomed_concept_id'=> $snomedId,
            'snomed_term'      => $snomedTerm,
            'csrfName'         => csrf_token(),
            'csrfHash'         => csrf_hash(),
        ]);
    }

    public function advice_search()
    {
        $q = trim((string) $this->request->getGet('q'));
        if (! $this->db->tableExists('opd_advice')) {
            return $this->response->setJSON(['rows' => []]);
        }

        $fields = $this->db->getFieldNames('opd_advice');
        $idField = in_array('id', $fields, true) ? 'id' : (in_array('Code', $fields, true) ? 'Code' : null);
        $textField = in_array('advice', $fields, true) ? 'advice' : (in_array('Name', $fields, true) ? 'Name' : null);

        if ($idField === null || $textField === null) {
            return $this->response->setJSON(['rows' => []]);
        }

        $builder = $this->db->table('opd_advice')
            ->select($idField . ' as id,' . $textField . ' as label');

        if ($q !== '') {
            $builder->like($textField, $q);
        }

        $rows = $builder
            ->orderBy($idField, 'DESC')
            ->limit(20)
            ->get()
            ->getResultArray();

        return $this->response->setJSON(['rows' => $rows]);
    }

    public function complaints_search()
    {
        $q = trim((string) $this->request->getGet('q'));
        if ($q === '') {
            return $this->response->setJSON(['rows' => []]);
        }

        $out  = [];
        $seen = [];
        $needle = mb_strtolower($this->normalizeAutocompleteSuggestionText($q));

        // 1. SNOMED CT via CSNOtk (finding / disorder semantic tags)
        $csnotkRows = (new CsnotkTerminologyService())->searchFinding($q, 20);
        foreach ($csnotkRows as $row) {
            $name = $this->normalizeAutocompleteSuggestionText((string) ($row['term'] ?? ''));
            if ($name === '') {
                continue;
            }
            $conceptId = trim((string) ($row['concept_id'] ?? ''));
            $hierarchy = trim((string) ($row['hierarchy'] ?? ''));
            $k = mb_strtoupper($name) . '|' . $conceptId;
            if (isset($seen[$k])) {
                continue;
            }
            $seen[$k] = true;
            $out[] = [
                'name'       => $name,
                'concept_id' => $conceptId,
                'hierarchy'  => $hierarchy,
                'source'     => 'snomed',
            ];
            if (count($out) >= 20) {
                return $this->response->setJSON(['rows' => array_slice($out, 0, 20)]);
            }
        }

        // 2. Local complaints_master fallback
        if ($this->db->tableExists('complaints_master')) {
            $localRows = $this->db->table('complaints_master')
                ->select('Code as code, Name as name, name_hinglish, show_in_short, ai_hint')
                ->where('is_active', 1)
                ->groupStart()
                    ->like('Name', $q)
                    ->orLike('name_hinglish', $q)
                    ->orLike('keywords', $q)
                ->groupEnd()
                ->orderBy('show_in_short', 'DESC')
                ->orderBy('Name', 'ASC')
                ->limit(20)
                ->get()
                ->getResultArray();

            foreach ($localRows as $row) {
                $name = $this->normalizeAutocompleteSuggestionText((string) ($row['name'] ?? ''));
                if ($name === '' || ($needle !== '' && mb_stripos($name, $needle) === false)) {
                    continue;
                }
                $k = mb_strtoupper($name) . '|';
                if (isset($seen[$k])) {
                    continue;
                }
                $seen[$k] = true;
                $out[] = [
                    'name'          => $name,
                    'concept_id'    => '',
                    'hierarchy'     => '',
                    'source'        => 'local',
                    'name_hinglish' => (string) ($row['name_hinglish'] ?? ''),
                ];
                if (count($out) >= 20) {
                    return $this->response->setJSON(['rows' => array_slice($out, 0, 20)]);
                }
            }
        }

        // 3. User autotype keywords
        $keywordRows = $this->fetchAutotypeKeywords(
            'complaints',
            $q,
            max(0, (int) ($this->getCurrentUserId() ?? 0)),
            10
        );
        foreach ($keywordRows as $keyword) {
            $name = $this->normalizeAutocompleteSuggestionText((string) $keyword);
            if ($name === '' || ($needle !== '' && mb_stripos($name, $needle) === false)) {
                continue;
            }
            $k = mb_strtoupper($name) . '|';
            if (isset($seen[$k])) {
                continue;
            }
            $seen[$k] = true;
            $out[] = [
                'name'       => $name,
                'concept_id' => '',
                'hierarchy'  => '',
                'source'     => 'keyword',
            ];
            if (count($out) >= 20) {
                break;
            }
        }

        return $this->response->setJSON(['rows' => array_slice($out, 0, 20)]);
    }

    /**
     * Extract SNOMED codes from free-text complaint string.
     * Parses duration/severity from each phrase, searches local SNOMED FULLTEXT.
     *
     * GET Opd_prescription/complaints_extract?q=headache+3+days+moderate,+fever+mild
     */
    public function complaints_extract()
    {
        $q = trim((string) $this->request->getGet('q'));
        if ($q === '') {
            return $this->response->setJSON(['rows' => []]);
        }

        $phrases = $this->parseComplaintFreeText($q);
        $svc     = new CsnotkTerminologyService();
        $out     = [];
        $seen    = [];

        foreach ($phrases as $p) {
            $cleanTerm = trim($p['term']);
            if (mb_strlen($cleanTerm) < 2) {
                continue;
            }

            $results = $svc->searchFinding($cleanTerm, 3);
            foreach ($results as $r) {
                $cid = trim((string) ($r['concept_id'] ?? ''));
                $dedupeKey = mb_strtoupper($r['term'] ?? '') . '|' . $cid;
                if (isset($seen[$dedupeKey])) {
                    continue;
                }
                $seen[$dedupeKey] = true;

                $out[] = [
                    'term'         => (string) ($r['term'] ?? ''),
                    'concept_id'   => $cid,
                    'semantic_tag' => (string) ($r['hierarchy'] ?? ''),
                    'confidence'   => round(0.75, 3), // local FULLTEXT match scores high by default
                    'duration'     => $p['duration'],
                    'severity'     => $p['severity'],
                    'source_phrase'=> $p['original'],
                ];
            }

            if (count($out) >= 8) {
                break;
            }
        }

        return $this->response->setJSON(['rows' => $out]);
    }

    /**
     * Parse a free-text complaint string into structured phrases.
     * Extracts duration (e.g. "3 days", "since yesterday") and severity (mild/moderate/severe)
     * from each comma/semicolon-delimited phrase.
     *
     * @return array<int,array{term:string,duration:string,severity:string,original:string}>
     */
    private function parseComplaintFreeText(string $text): array
    {
        $durationRe = '/(?:since\s+|for\s+the\s+last\s+|for\s+last\s+|for\s+)?(\d+\s*(?:hour|day|week|month|year)s?|since\s+(?:yesterday|morning|evening|last\s+\w+)|past\s+\d+\s*(?:day|week|month|year)s?)/iu';
        $severityRe = '/\b(mild|moderate|severe|slight|intense|chronic|acute|persistent|intermittent|recurrent)\b/iu';

        // Split on common delimiters
        $parts = preg_split('/[,;\/\n]|\s+and\s+|\s+with\s+/iu', $text) ?: [$text];

        $result = [];
        foreach ($parts as $part) {
            $part = trim($part);
            if ($part === '') {
                continue;
            }
            $original = $part;

            $duration = '';
            if (preg_match($durationRe, $part, $m)) {
                $duration = trim($m[0]);
                $part = trim((string) preg_replace($durationRe, ' ', $part, 1));
            }

            $severity = '';
            if (preg_match($severityRe, $part, $m)) {
                $severity = mb_strtolower($m[1]);
                $part = trim((string) preg_replace($severityRe, ' ', $part, 1));
            }

            $cleanTerm = trim((string) preg_replace('/\s+/', ' ', $part));
            if (mb_strlen($cleanTerm) >= 2) {
                $result[] = [
                    'term'     => $cleanTerm,
                    'duration' => $duration,
                    'severity' => $severity,
                    'original' => $original,
                ];
            }
        }

        // If parsing produced nothing usable, fall back to original string
        if (empty($result)) {
            $result[] = ['term' => $text, 'duration' => '', 'severity' => '', 'original' => $text];
        }

        return $result;
    }

    public function provisional_diagnosis_search()
    {
        $q = trim((string) $this->request->getGet('q'));
        if ($q === '') {
            return $this->response->setJSON(['rows' => []]);
        }

        $out = [];
        $seen = [];
        $needle = mb_strtolower($this->normalizeAutocompleteSuggestionText($q));

        $csnotkRows = (new CsnotkTerminologyService())->searchDiagnosis($q, 20);
        foreach ($csnotkRows as $row) {
            $name = $this->normalizeAutocompleteSuggestionText((string) ($row['term'] ?? ''));
            if ($name === '') {
                continue;
            }
            if ($needle !== '' && mb_stripos($name, $needle) === false) {
                continue;
            }

            $conceptId = trim((string) ($row['concept_id'] ?? ''));
            $source = trim((string) ($row['source'] ?? 'csnotk'));
            $k = mb_strtoupper($name) . '|' . $conceptId;
            if (isset($seen[$k])) {
                continue;
            }
            $seen[$k] = true;

            $out[] = [
                'name' => $name,
                'snomed_concept_id' => $conceptId,
                'snomed_term' => $name,
                'source' => $source,
            ];

            if (count($out) >= 20) {
                return $this->response->setJSON(['rows' => array_slice($out, 0, 20)]);
            }
        }

        $snomedRows = $this->fetchSnomedDiagnosisRows($q, 20);
        foreach ($snomedRows as $row) {
            $name = $this->normalizeAutocompleteSuggestionText((string) ($row['term'] ?? ''));
            if ($name === '') {
                continue;
            }
            if ($needle !== '' && mb_stripos($name, $needle) === false) {
                continue;
            }

            $k = mb_strtoupper($name);
            if (isset($seen[$k])) {
                continue;
            }
            $seen[$k] = true;
            $out[] = [
                'name' => $name,
                'snomed_concept_id' => (string) ($row['concept_id'] ?? ''),
                'snomed_term' => $name,
                'source' => 'snomed',
            ];

            if (count($out) >= 20) {
                return $this->response->setJSON(['rows' => array_slice($out, 0, 20)]);
            }
        }

        if (! $this->db->tableExists('disease_master')) {
            return $this->response->setJSON(['rows' => array_slice($out, 0, 20)]);
        }

        $fields = $this->db->getFieldNames('disease_master') ?? [];
        $nameField = in_array('Name', $fields, true) ? 'Name' : (in_array('name', $fields, true) ? 'name' : null);
        if ($nameField === null) {
            return $this->response->setJSON(['rows' => array_slice($out, 0, 20)]);
        }

        $rows = $this->db->table('disease_master')
            ->select($nameField . ' as name')
            ->like($nameField, $q)
            ->orderBy($nameField, 'ASC')
            ->limit(20)
            ->get()
            ->getResultArray();

        $keywordRows = $this->fetchAutotypeKeywords(
            'provisional_diagnosis',
            $q,
            max(0, (int) ($this->getCurrentUserId() ?? 0)),
            20
        );
        foreach ($rows as $row) {
            $name = $this->normalizeAutocompleteSuggestionText((string) ($row['name'] ?? ''));
            if ($name === '') {
                continue;
            }
            if ($needle !== '' && mb_stripos($name, $needle) === false) {
                continue;
            }
            $k = mb_strtoupper($name);
            if (isset($seen[$k])) {
                continue;
            }
            $seen[$k] = true;
            $out[] = [
                'name' => $name,
                'snomed_concept_id' => '',
                'snomed_term' => '',
                'source' => 'disease_master',
            ];
        }
        foreach ($keywordRows as $keyword) {
            $name = $this->normalizeAutocompleteSuggestionText((string) $keyword);
            if ($name === '') {
                continue;
            }
            if ($needle !== '' && mb_stripos($name, $needle) === false) {
                continue;
            }
            $k = mb_strtoupper($name);
            if (isset($seen[$k])) {
                continue;
            }
            $seen[$k] = true;
            $out[] = [
                'name' => $name,
                'snomed_concept_id' => '',
                'snomed_term' => '',
                'source' => 'keyword',
            ];
        }

        return $this->response->setJSON(['rows' => array_slice($out, 0, 20)]);
    }

    private function fetchSnomedDiagnosisRows(string $query, int $limit = 20): array
    {
        $q = trim($query);
        if ($q === '') {
            return [];
        }

        if (! $this->db->tableExists('snomed_concept') || ! $this->db->tableExists('snomed_description')) {
            return [];
        }

        $normalized = mb_strtolower($this->normalizeAutocompleteSuggestionText($q));
        if ($normalized === '') {
            return [];
        }

        $builder = $this->db->table('snomed_description d')
            ->select('d.concept_id, d.term, MAX(CASE WHEN lr.acceptability_id = "900000000000548007" THEN 2 WHEN lr.acceptability_id = "900000000000549004" THEN 1 ELSE 0 END) AS accept_rank', false)
            ->join('snomed_concept c', 'c.concept_id = d.concept_id AND c.active = 1', 'inner')
            ->join('snomed_language_refset lr', 'lr.referenced_component_id = d.description_id AND lr.active = 1 AND lr.refset_id IN ("900000000000508004", "900000000000509007")', 'left')
            ->where('d.active', 1)
            ->where('d.language_code', 'en')
            ->groupStart()
                ->like('d.term_normalized', $normalized, 'after')
                ->orLike('d.term_normalized', ' ' . $normalized, 'both')
            ->groupEnd()
            ->groupBy('d.description_id')
            ->orderBy('accept_rank', 'DESC')
            ->orderBy('CHAR_LENGTH(d.term)', 'ASC', false)
            ->orderBy('d.term', 'ASC')
            ->limit(max(1, min(100, $limit)));

        return $builder->get()->getResultArray();
    }

    private function resolveProvisionalDiagnosisSnomedMatch(string $text): array
    {
        $term = trim($text);
        if ($term === '') {
            return [];
        }

        if (! $this->db->tableExists('snomed_description')) {
            return [];
        }

        $row = $this->db->table('snomed_description d')
            ->select('d.concept_id, d.term')
            ->join('snomed_concept c', 'c.concept_id = d.concept_id AND c.active = 1', 'inner')
            ->where('d.active', 1)
            ->where('d.language_code', 'en')
            ->where('d.term', $term)
            ->orderBy('d.term', 'ASC')
            ->get(1)
            ->getRowArray();

        if (! is_array($row) || empty($row['concept_id'])) {
            return [];
        }

        return [
            'concept_id' => (string) ($row['concept_id'] ?? ''),
            'term' => (string) ($row['term'] ?? $term),
            'source' => 'snomed-exact',
        ];
    }

    private function getSnomedPreferredTermByConcept(string $conceptId): string
    {
        if (! $this->db->tableExists('snomed_description')) {
            return '';
        }

        $preferred = $this->db->table('snomed_description d')
            ->select('d.term')
            ->join('snomed_language_refset lr', 'lr.referenced_component_id = d.description_id AND lr.active = 1 AND lr.acceptability_id = "900000000000548007"', 'inner')
            ->where('d.active', 1)
            ->where('d.concept_id', $conceptId)
            ->where('d.language_code', 'en')
            ->orderBy('d.term', 'ASC')
            ->get(1)
            ->getRowArray();

        if (is_array($preferred) && ! empty($preferred['term'])) {
            return trim((string) $preferred['term']);
        }

        $fallback = $this->db->table('snomed_description')
            ->select('term')
            ->where('active', 1)
            ->where('concept_id', $conceptId)
            ->where('language_code', 'en')
            ->orderBy('term', 'ASC')
            ->get(1)
            ->getRowArray();

        return trim((string) ($fallback['term'] ?? ''));
    }

    private function fetchSnomedIcdMapRows(string $conceptId): array
    {
        $out = [];
        $seen = [];

        if ($this->db->tableExists('snomed_map_extended')) {
            $extended = $this->db->table('snomed_map_extended')
                ->select('map_target,map_group,map_priority,map_rule,map_advice')
                ->where('active', 1)
                ->where('referenced_component_id', $conceptId)
                ->where('map_target IS NOT NULL', null, false)
                ->where('map_target <>', '')
                ->orderBy('map_group', 'ASC')
                ->orderBy('map_priority', 'ASC')
                ->limit(50)
                ->get()
                ->getResultArray();

            foreach ($extended as $row) {
                $code = trim((string) ($row['map_target'] ?? ''));
                if ($code === '' || isset($seen['E:' . $code])) {
                    continue;
                }
                $seen['E:' . $code] = true;
                $out[] = [
                    'icd_code' => $code,
                    'source' => 'extended_map',
                    'map_group' => (int) ($row['map_group'] ?? 0),
                    'map_priority' => (int) ($row['map_priority'] ?? 0),
                    'map_rule' => (string) ($row['map_rule'] ?? ''),
                    'map_advice' => (string) ($row['map_advice'] ?? ''),
                ];
            }
        }

        if ($this->db->tableExists('snomed_map_simple')) {
            $simple = $this->db->table('snomed_map_simple')
                ->select('map_target')
                ->where('active', 1)
                ->where('referenced_component_id', $conceptId)
                ->where('map_target IS NOT NULL', null, false)
                ->where('map_target <>', '')
                ->orderBy('map_target', 'ASC')
                ->limit(50)
                ->get()
                ->getResultArray();

            foreach ($simple as $row) {
                $code = trim((string) ($row['map_target'] ?? ''));
                if ($code === '' || isset($seen['E:' . $code]) || isset($seen['S:' . $code])) {
                    continue;
                }
                $seen['S:' . $code] = true;
                $out[] = [
                    'icd_code' => $code,
                    'source' => 'simple_map',
                    'map_group' => 0,
                    'map_priority' => 0,
                    'map_rule' => '',
                    'map_advice' => '',
                ];
            }
        }

        return $out;
    }

    private function countTableRows(string $table): int
    {
        if (! preg_match('/^[a-zA-Z0-9_]+$/', $table)) {
            return 0;
        }

        if (! $this->db->tableExists($table)) {
            return 0;
        }

        $row = $this->db->query('SELECT COUNT(*) AS row_count FROM ' . $table)->getRowArray();
        return (int) ($row['row_count'] ?? 0);
    }

    public function finding_exam_search()
    {
        if (! $this->canAccessPrescription()) {
            return $this->response->setStatusCode(403)->setJSON(['rows' => []]);
        }

        $q = trim((string) $this->request->getGet('q'));
        if ($q === '' || ! $this->db->tableExists('opd_prescription')) {
            return $this->response->setJSON(['rows' => []]);
        }

        $rows = $this->db->table('opd_prescription')
            ->select('Finding_Examinations as finding_examinations')
            ->where('Finding_Examinations IS NOT NULL', null, false)
            ->where('Finding_Examinations <>', '')
            ->like('Finding_Examinations', $q)
            ->groupBy('Finding_Examinations')
            ->orderBy('id', 'DESC')
            ->limit(20)
            ->get()
            ->getResultArray();

        $keywordRows = $this->fetchAutotypeKeywords(
            'finding_examinations',
            $q,
            max(0, (int) ($this->getCurrentUserId() ?? 0)),
            20
        );

        $out = [];
        $seen = [];
        $needle = mb_strtolower($this->normalizeAutocompleteSuggestionText($q));
        foreach ($rows as $row) {
            $text = $this->normalizeAutocompleteSuggestionText((string) ($row['finding_examinations'] ?? ''));
            if ($text === '') {
                continue;
            }
            if ($needle !== '' && mb_stripos($text, $needle) === false) {
                continue;
            }
            $k = mb_strtoupper($text);
            if (isset($seen[$k])) {
                continue;
            }
            $seen[$k] = true;
            $out[] = ['finding_examinations' => $text];
        }
        foreach ($keywordRows as $keyword) {
            $text = $this->normalizeAutocompleteSuggestionText((string) $keyword);
            if ($text === '') {
                continue;
            }
            if ($needle !== '' && mb_stripos($text, $needle) === false) {
                continue;
            }
            $k = mb_strtoupper($text);
            if (isset($seen[$k])) {
                continue;
            }
            $seen[$k] = true;
            $out[] = ['finding_examinations' => $text];
        }

        return $this->response->setJSON(['rows' => array_slice($out, 0, 20)]);
    }

    private function normalizeAutocompleteSuggestionText(string $text): string
    {
        $text = str_replace(["\r\n", "\r", "\n"], ' ', $text);
        $text = preg_replace('/\s+/', ' ', $text) ?? $text;

        $parts = preg_split('/\s*,\s*/', $text) ?: [];
        $cleanParts = [];
        foreach ($parts as $part) {
            $part = trim((string) $part);
            if ($part === '') {
                continue;
            }

            $part = preg_replace('/\s+/', ' ', $part) ?? $part;
            $part = preg_replace_callback('/\b([A-Za-z])\s*\/\s*([A-Za-z])\b/u', static function (array $m): string {
                return mb_strtoupper($m[1]) . '/' . mb_strtoupper($m[2]);
            }, $part) ?? $part;

            // If commas split out punctuation-only fragments like "+", attach to previous token.
            if (preg_match('/^[+-]{1,3}$/', $part) && $cleanParts !== []) {
                $lastIndex = count($cleanParts) - 1;
                $cleanParts[$lastIndex] = rtrim($cleanParts[$lastIndex]) . ' ' . $part;
                continue;
            }

            if (preg_match('/^(.+?)([+-]{1,3})$/u', $part, $m) === 1) {
                $base = trim((string) $m[1]);
                $sign = trim((string) $m[2]);
                if ($base !== '') {
                    $part = $base . ' ' . $sign;
                }
            }

            $cleanParts[] = $part;
        }

        $normalized = implode(', ', $cleanParts);
        return rtrim(trim($normalized), ', ');
    }

    public function autotype_keyword_save()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        if (! $this->canAccessPrescription()) {
            return $this->response->setStatusCode(403)->setJSON(['update' => 0, 'error_text' => 'Access denied']);
        }

        $section = trim((string) $this->request->getPost('section'));
        $keyword = trim((string) $this->request->getPost('keyword'));
        $scope = strtolower(trim((string) $this->request->getPost('scope')));
        if ($scope === '') {
            $scope = 'doctor';
        }

        if (! $this->isAutotypeKeywordSectionAllowed($section)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Unsupported section']);
        }

        $keyword = $this->normalizeAutocompleteSuggestionText($keyword);
        if (! $this->isUsableAutotypeKeyword($keyword)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Please enter a meaningful keyword (not only commas/symbols).']);
        }

        if (! $this->ensureAutotypeKeywordTable()) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Keyword storage unavailable']);
        }

        $docId = max(0, (int) ($this->getCurrentUserId() ?? 0));
        if ($scope === 'master') {
            $user = auth()->user();
            $canMaster = $user && method_exists($user, 'can') && ($user->can('doctor_work.template_workspace.access') || $user->can('doctor_work.access'));
            if (! $canMaster) {
                return $this->response->setJSON(['update' => 0, 'error_text' => 'No permission to save master keyword']);
            }
            $docId = 0;
        }

        $table = $this->db->table('opd_autotype_keyword_master');
        $existing = $table
            ->where('doc_id', $docId)
            ->where('section_key', $section)
            ->where('keyword', $keyword)
            ->get(1)
            ->getRowArray();

        if (! empty($existing)) {
            $table->where('id', (int) ($existing['id'] ?? 0))->update([
                'keyword' => $keyword,
                'is_active' => 1,
                'updated_at' => date('Y-m-d H:i:s'),
            ]);
        } else {
            $dupId = $this->findNormalizedAutotypeKeywordId($docId, $section, $keyword, 0);
            if ($dupId > 0) {
                return $this->response->setJSON(['update' => 0, 'error_text' => 'Keyword already exists in this scope']);
            }

            $table->insert([
                'doc_id' => $docId,
                'section_key' => $section,
                'keyword' => $keyword,
                'is_active' => 1,
                'created_at' => date('Y-m-d H:i:s'),
                'updated_at' => date('Y-m-d H:i:s'),
            ]);
        }

        return $this->response->setJSON([
            'update' => 1,
            'error_text' => $docId === 0 ? 'Keyword saved in master list' : 'Keyword saved for current doctor',
            'keyword' => $keyword,
            'section' => $section,
            'scope' => $docId === 0 ? 'master' : 'doctor',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function autotype_keyword_list()
    {
        if (! $this->canAccessPrescription()) {
            return $this->response->setStatusCode(403)->setJSON(['rows' => []]);
        }

        $section = trim((string) $this->request->getGet('section'));
        $scope = strtolower(trim((string) $this->request->getGet('scope')));
        $q = trim((string) $this->request->getGet('q'));
        $docId = max(0, (int) ($this->getCurrentUserId() ?? 0));
        $canMaster = $this->canManageMasterKeyword();

        if ($scope === '') {
            $scope = 'all';
        }

        if (! $this->ensureAutotypeKeywordTable()) {
            return $this->response->setJSON(['rows' => []]);
        }

        $builder = $this->db->table('opd_autotype_keyword_master')
            ->select('id,doc_id,section_key,keyword,updated_at')
            ->where('is_active', 1);

        if ($this->isAutotypeKeywordSectionAllowed($section)) {
            $builder->where('section_key', $section);
        }

        if ($scope === 'master') {
            $builder->where('doc_id', 0);
        } elseif ($scope === 'doctor') {
            $builder->where('doc_id', $docId);
        } else {
            $builder->groupStart()
                ->where('doc_id', 0)
                ->orWhere('doc_id', $docId)
                ->groupEnd();
        }

        if ($q !== '') {
            $builder->like('keyword', $q);
        }

        $rows = $builder
            ->orderBy('doc_id', 'DESC')
            ->orderBy('updated_at', 'DESC')
            ->orderBy('keyword', 'ASC')
            ->limit(200)
            ->get()
            ->getResultArray();

        $out = [];
        foreach ($rows as $row) {
            $id = (int) ($row['id'] ?? 0);
            $rowDocId = (int) ($row['doc_id'] ?? 0);
            $isMaster = $rowDocId === 0;
            $canEdit = $isMaster ? $canMaster : ($rowDocId === $docId);

            $out[] = [
                'id' => $id,
                'doc_id' => $rowDocId,
                'section_key' => (string) ($row['section_key'] ?? ''),
                'keyword' => (string) ($row['keyword'] ?? ''),
                'scope' => $isMaster ? 'master' : 'doctor',
                'scope_label' => $isMaster ? 'Master' : 'My',
                'updated_at' => (string) ($row['updated_at'] ?? ''),
                'can_edit' => $canEdit ? 1 : 0,
                'can_delete' => $canEdit ? 1 : 0,
            ];
        }

        return $this->response->setJSON(['rows' => $out]);
    }

    public function autotype_keyword_update()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        if (! $this->canAccessPrescription()) {
            return $this->response->setStatusCode(403)->setJSON(['update' => 0, 'error_text' => 'Access denied']);
        }

        $id = (int) $this->request->getPost('id');
        $keyword = trim((string) $this->request->getPost('keyword'));
        $keyword = $this->normalizeAutocompleteSuggestionText($keyword);
        if ($id <= 0 || ! $this->isUsableAutotypeKeyword($keyword)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Please enter a meaningful keyword (not only commas/symbols).']);
        }

        if (! $this->ensureAutotypeKeywordTable()) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Keyword storage unavailable']);
        }

        $table = $this->db->table('opd_autotype_keyword_master');
        $current = $table->where('id', $id)->where('is_active', 1)->get(1)->getRowArray();
        if (empty($current)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Keyword not found']);
        }

        $docId = max(0, (int) ($this->getCurrentUserId() ?? 0));
        $rowDocId = (int) ($current['doc_id'] ?? 0);
        if ($rowDocId === 0) {
            if (! $this->canManageMasterKeyword()) {
                return $this->response->setJSON(['update' => 0, 'error_text' => 'No permission to edit master keyword']);
            }
        } elseif ($rowDocId !== $docId) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'You can edit only your own keyword']);
        }

        $section = (string) ($current['section_key'] ?? '');
        if (! $this->isAutotypeKeywordSectionAllowed($section)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Unsupported section']);
        }

        $dup = $table
            ->where('doc_id', $rowDocId)
            ->where('section_key', $section)
            ->where('keyword', $keyword)
            ->where('id <>', $id)
            ->where('is_active', 1)
            ->get(1)
            ->getRowArray();
        if (! empty($dup)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Keyword already exists in this scope']);
        }

        $dupNormalizedId = $this->findNormalizedAutotypeKeywordId($rowDocId, $section, $keyword, $id);
        if ($dupNormalizedId > 0) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Keyword already exists in this scope']);
        }

        $table->where('id', $id)->update([
            'keyword' => $keyword,
            'updated_at' => date('Y-m-d H:i:s'),
        ]);

        return $this->response->setJSON([
            'update' => 1,
            'error_text' => 'Keyword updated',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function autotype_keyword_remove()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        if (! $this->canAccessPrescription()) {
            return $this->response->setStatusCode(403)->setJSON(['update' => 0, 'error_text' => 'Access denied']);
        }

        $id = (int) $this->request->getPost('id');
        if ($id <= 0) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Keyword id is required']);
        }

        if (! $this->ensureAutotypeKeywordTable()) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Keyword storage unavailable']);
        }

        $table = $this->db->table('opd_autotype_keyword_master');
        $current = $table->where('id', $id)->where('is_active', 1)->get(1)->getRowArray();
        if (empty($current)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Keyword not found']);
        }

        $docId = max(0, (int) ($this->getCurrentUserId() ?? 0));
        $rowDocId = (int) ($current['doc_id'] ?? 0);
        if ($rowDocId === 0) {
            if (! $this->canManageMasterKeyword()) {
                return $this->response->setJSON(['update' => 0, 'error_text' => 'No permission to remove master keyword']);
            }
        } elseif ($rowDocId !== $docId) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'You can remove only your own keyword']);
        }

        $table->where('id', $id)->update([
            'is_active' => 0,
            'updated_at' => date('Y-m-d H:i:s'),
        ]);

        return $this->response->setJSON([
            'update' => 1,
            'error_text' => 'Keyword removed',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    private function isUsableAutotypeKeyword(string $keyword): bool
    {
        if (mb_strlen($keyword) < 2) {
            return false;
        }

        // Must contain at least one letter/number to avoid symbol/comma-only junk keywords.
        return preg_match('/[\p{L}\p{N}]/u', $keyword) === 1;
    }

    private function findNormalizedAutotypeKeywordId(int $docId, string $section, string $normalizedKeyword, int $ignoreId = 0): int
    {
        if (! $this->db->tableExists('opd_autotype_keyword_master')) {
            return 0;
        }

        $builder = $this->db->table('opd_autotype_keyword_master')
            ->select('id, keyword')
            ->where('doc_id', $docId)
            ->where('section_key', $section)
            ->where('is_active', 1);

        if ($ignoreId > 0) {
            $builder->where('id <>', $ignoreId);
        }

        $rows = $builder->get()->getResultArray();
        if ($rows === []) {
            return 0;
        }

        $needle = mb_strtoupper($this->normalizeAutocompleteSuggestionText($normalizedKeyword));
        foreach ($rows as $row) {
            $candidate = mb_strtoupper($this->normalizeAutocompleteSuggestionText((string) ($row['keyword'] ?? '')));
            if ($candidate === '' || $candidate !== $needle) {
                continue;
            }

            return (int) ($row['id'] ?? 0);
        }

        return 0;
    }

    // Legacy-compatible wrappers used by older autocomplete clients.
    public function get_complaints()
    {
        $q = trim((string) ($this->request->getGet('term') ?? ''));
        if ($q === '' || ! $this->db->tableExists('complaints_master')) {
            return $this->response->setJSON([]);
        }

        $rows = $this->db->table('complaints_master')
            ->select('Name as value')
            ->where('is_active', 1)
            ->like('Name', $q)
            ->orderBy('Name', 'ASC')
            ->limit(20)
            ->get()
            ->getResultArray();

        $out = [];
        foreach ($rows as $row) {
            $value = trim((string) ($row['value'] ?? ''));
            if ($value === '') {
                continue;
            }
            $out[] = ['label' => $value, 'value' => $value];
        }

        return $this->response->setJSON($out);
    }

    public function get_disease()
    {
        $q = trim((string) ($this->request->getGet('term') ?? ''));
        if ($q === '' || ! $this->db->tableExists('disease_master')) {
            return $this->response->setJSON([]);
        }

        $fields = $this->db->getFieldNames('disease_master') ?? [];
        $nameField = in_array('Name', $fields, true) ? 'Name' : (in_array('name', $fields, true) ? 'name' : null);
        if ($nameField === null) {
            return $this->response->setJSON([]);
        }

        $rows = $this->db->table('disease_master')
            ->select($nameField . ' as value')
            ->like($nameField, $q)
            ->orderBy($nameField, 'ASC')
            ->limit(20)
            ->get()
            ->getResultArray();

        $out = [];
        foreach ($rows as $row) {
            $value = trim((string) ($row['value'] ?? ''));
            if ($value === '') {
                continue;
            }
            $out[] = ['label' => $value, 'value' => $value];
        }

        return $this->response->setJSON($out);
    }

    public function get_finding_exam()
    {
        $q = trim((string) ($this->request->getGet('term') ?? ''));
        if ($q === '' || ! $this->db->tableExists('opd_prescription')) {
            return $this->response->setJSON([]);
        }

        $rows = $this->db->table('opd_prescription')
            ->select('Finding_Examinations as value')
            ->where('Finding_Examinations IS NOT NULL', null, false)
            ->where('Finding_Examinations <>', '')
            ->like('Finding_Examinations', $q)
            ->groupBy('Finding_Examinations')
            ->orderBy('id', 'DESC')
            ->limit(20)
            ->get()
            ->getResultArray();

        $out = [];
        foreach ($rows as $row) {
            $value = trim((string) ($row['value'] ?? ''));
            if ($value === '') {
                continue;
            }
            $out[] = ['label' => $value, 'value' => $value];
        }

        return $this->response->setJSON($out);
    }

    public function complaints_parse()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        $text = trim((string) $this->request->getPost('text'));
        if ($text === '') {
            return $this->response->setJSON(['update' => 0, 'rows' => [], 'error_text' => 'Enter complaint text']);
        }

        $matched = $this->getComplaintMatchesFromText($text);

        return $this->response->setJSON([
            'update' => 1,
            'rows' => $matched,
            'error_text' => empty($matched) ? 'No standard complaints matched.' : 'Complaint terms matched',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function complaints_ai_draft()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        $currentText = trim((string) $this->request->getPost('current_text'));
        $complaints = $this->request->getPost('complaints');
        $complaints = is_array($complaints) ? $complaints : [];

        $normalized = [];
        foreach ($complaints as $item) {
            $item = trim((string) $item);
            if ($item === '') {
                continue;
            }
            $normalized[strtoupper($item)] = $item;
        }

        if ($currentText !== '') {
            foreach ($this->getComplaintMatchesFromText($currentText) as $item) {
                $normalized[strtoupper($item)] = $item;
            }
        }

        if (! empty($normalized) && $this->db->tableExists('complaints_master')) {
            $names = array_values($normalized);
            $hintRows = $this->db->table('complaints_master')
                ->select('Name, ai_hint')
                ->whereIn('Name', $names)
                ->get()
                ->getResultArray();

            foreach ($hintRows as $hintRow) {
                $name = trim((string) ($hintRow['Name'] ?? ''));
                $hint = trim((string) ($hintRow['ai_hint'] ?? ''));
                if ($name !== '' && $hint !== '') {
                    $normalized[strtoupper($name)] = $name . ' (' . $hint . ')';
                }
            }
        }

        $finalComplaints = array_values($normalized);

        $this->lastAiProvider = 'none';
        $aiDraft = $this->generateComplaintDraftWithAi($finalComplaints, $currentText);
        if ($aiDraft !== null && trim($aiDraft) !== '') {
            $provider = $this->lastAiProvider === 'ai-server' ? 'ai-server' : 'ai';
            $providerLabel = $provider === 'ai-server' ? 'AI Server' : 'AI';
            return $this->response->setJSON([
                'update' => 1,
                'draft_text' => trim($aiDraft),
                'error_text' => 'AI draft prepared using ' . $providerLabel,
                'ai_mode' => $provider,
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        $line = '';
        if (! empty($finalComplaints)) {
            $line = 'Chief complaints: ' . implode(', ', $finalComplaints) . '.';
        }

        $draft = trim($line . ' ' . $currentText);
        if ($draft === '') {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Please add complaint terms first.']);
        }

        return $this->response->setJSON([
            'update' => 1,
            'draft_text' => $draft,
            'error_text' => 'Complaint draft prepared (template mode)',
            'ai_mode' => 'template',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function advice_list($opdId, $sessionId = 0)
    {
        $table = $this->findExistingTable(['opd_prescription_advice']);
        if ($table === null) {
            return $this->response->setJSON(['rows' => []]);
        }

        $builder = $this->db->table($table);
        $fields = $this->db->getFieldNames($table);

        if (in_array('opd_pre_id', $fields, true)) {
            if ((int) $sessionId <= 0) {
                return $this->response->setJSON(['rows' => []]);
            }
            $builder->where('opd_pre_id', (int) $sessionId);
        } elseif (in_array('opd_id', $fields, true)) {
            $builder->where('opd_id', (int) $opdId);
        } else {
            return $this->response->setJSON(['rows' => []]);
        }

        if (in_array('id', $fields, true)) {
            $builder->orderBy('id', 'DESC');
        }

        $rows = $builder->get()->getResultArray();
        return $this->response->setJSON(['rows' => $rows]);
    }

    public function advice_add()
    {
        if (!$this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        $opdId = (int) $this->request->getPost('opd_id');
        $sessionId = (int) $this->request->getPost('opd_session_id');
        $adviceText = trim((string) $this->request->getPost('advice_text'));
        $adviceId = (int) $this->request->getPost('advice_id');
        $adviceHindi = trim((string) $this->request->getPost('advice_hindi'));

        if ($opdId <= 0 || $adviceText === '') {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Advice text is required']);
        }

        $table = $this->findExistingTable(['opd_prescription_advice']);
        if ($table === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Advice table not found']);
        }

        $sessionId = $this->ensurePrescriptionSession($opdId, $sessionId);
        if ($sessionId <= 0) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Unable to create prescription session']);
        }

        $fields = $this->db->getFieldNames($table);

        if ($adviceHindi === '' && $this->db->tableExists('opd_advice')) {
            $masterFields = $this->db->getFieldNames('opd_advice');
            $masterIdField = $this->resolveFirstField($masterFields, ['id', 'advice_id']);
            $masterAdviceField = $this->resolveFirstField($masterFields, ['advice', 'advice_txt', 'advice_text']);
            $masterHindiField = $this->resolveFirstField($masterFields, ['advice_hindi', 'advice_local', 'hindi_advice', 'advice_hin']);

            if ($masterAdviceField !== null && $masterHindiField !== null) {
                $masterBuilder = $this->db->table('opd_advice')
                    ->select($masterAdviceField . ' as advice_text, ' . $masterHindiField . ' as advice_hindi'
                        . ($masterIdField !== null ? (', ' . $masterIdField . ' as advice_id') : ''));

                if ($masterIdField !== null && $adviceId > 0) {
                    $masterBuilder->where($masterIdField, $adviceId);
                } else {
                    $normalizedAdviceText = preg_replace('/\s+/', ' ', $adviceText) ?? $adviceText;
                    $masterBuilder->groupStart()
                        ->where($masterAdviceField, $adviceText)
                        ->orWhere($masterAdviceField, $normalizedAdviceText)
                        ->groupEnd();
                }

                $masterRow = $masterBuilder->get(1)->getRowArray() ?? [];
                $adviceHindi = trim((string) ($masterRow['advice_hindi'] ?? ''));
            }
        }

        $insert = [];
        if (in_array('opd_id', $fields, true)) {
            $insert['opd_id'] = $opdId;
        }
        if (in_array('opd_pre_id', $fields, true)) {
            $insert['opd_pre_id'] = $sessionId;
        }
        if (in_array('advice_id', $fields, true)) {
            $insert['advice_id'] = $adviceId;
        }
        if (in_array('advice_txt', $fields, true)) {
            $insert['advice_txt'] = $adviceText;
        } elseif (in_array('advice', $fields, true)) {
            $insert['advice'] = $adviceText;
        }
        if ($adviceHindi !== '') {
            if (in_array('advice_txt_hindi', $fields, true)) {
                $insert['advice_txt_hindi'] = $adviceHindi;
            } elseif (in_array('advice_hindi', $fields, true)) {
                $insert['advice_hindi'] = $adviceHindi;
            }
        }

        $this->db->table($table)->insert($insert);
        $insertId = (int) $this->db->insertID();
        $this->auditClinicalUpdate('opd_prescription_advice', 'added', $insertId, null, $insert);

        return $this->response->setJSON([
            'update' => 1,
            'opd_session_id' => $sessionId,
            'error_text' => 'Advice added',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function advice_remove($id)
    {
        $table = $this->findExistingTable(['opd_prescription_advice']);
        if ($table === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Advice table not found']);
        }

        $fields = $this->db->getFieldNames($table);
        if (!in_array('id', $fields, true)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Advice id field missing']);
        }

        $row = $this->db->table($table)->where('id', (int) $id)->get(1)->getRowArray() ?? [];
        $this->db->table($table)->where('id', (int) $id)->delete();
        $this->auditClinicalUpdate('opd_prescription_advice', 'removed', (int) $id, $row, null);
        return $this->response->setJSON(['update' => 1, 'error_text' => 'Advice removed']);
    }

    public function investigation_search()
    {
        $q       = trim((string) $this->request->getGet('q'));
        $favOnly = (int) $this->request->getGet('fav_only');
        $specId  = (int) $this->request->getGet('spec_id');

        if (! $this->db->tableExists('investigation')) {
            return $this->response->setJSON(['rows' => []]);
        }

        $fields     = $this->db->getFieldNames('investigation');
        $codeField  = in_array('Code', $fields, true) ? 'Code' : (in_array('code', $fields, true) ? 'code' : null);
        $nameField  = in_array('Name', $fields, true) ? 'Name' : (in_array('name', $fields, true) ? 'name' : null);
        $shortField = in_array('short_name', $fields, true) ? 'short_name' : null;
        $hasFav     = in_array('is_favourite', $fields, true);
        $hasSpec    = in_array('spec_ids', $fields, true);

        if ($codeField === null || $nameField === null) {
            return $this->response->setJSON(['rows' => []]);
        }

        // When no search term but fav/spec filter applied, still return results
        if ($q === '' && $favOnly === 0 && $specId === 0) {
            return $this->response->setJSON(['rows' => []]);
        }

        $selectCols = $codeField . ' as code, ' . $nameField . ' as name';
        if ($hasFav) {
            $selectCols .= ', is_favourite';
        }

        $builder = $this->db->table('investigation')->select($selectCols);

        if ($q !== '') {
            $builder->groupStart()->like($nameField, $q);
            if ($shortField !== null) {
                $builder->orLike($shortField, $q);
            }
            $builder->groupEnd();
        }

        if ($favOnly && $hasFav) {
            $builder->where('is_favourite', 1);
        }

        if ($specId > 0 && $hasSpec) {
            $builder->where("FIND_IN_SET({$specId}, spec_ids) > 0", null, false);
        }

        if ($hasFav) {
            $builder->orderBy('is_favourite', 'DESC');
        }
        $builder->orderBy('LOWER(' . $this->db->protectIdentifiers($nameField) . ')', 'ASC', false);

        $rows = $builder->limit(40)->get()->getResultArray();
        return $this->response->setJSON(['rows' => $rows]);
    }

    public function investigation_shortcuts()
    {
        $profiles = [];
        $shortTests = [];

        if ($this->db->tableExists('investigation')) {
            $invFields = $this->db->getFieldNames('investigation');

            $pickField = static function (array $fields, array $candidates): ?string {
                $map = [];
                foreach ($fields as $field) {
                    $map[strtolower((string) $field)] = (string) $field;
                }
                foreach ($candidates as $candidate) {
                    $key = strtolower((string) $candidate);
                    if (isset($map[$key])) {
                        return $map[$key];
                    }
                }
                return null;
            };

            $codeField = $pickField($invFields, ['Code', 'code']);
            $nameField = $pickField($invFields, ['Name', 'name']);
            $shortField = $pickField($invFields, ['short_name', 'shortName', 'short']);
            $sortField = $pickField($invFields, ['sort_id', 'sort_order', 'id']);

            if ($codeField !== null && $nameField !== null && $shortField !== null && $sortField !== null) {
                // Keep legacy CI3 behavior: show only mostly-used tests and group/order by short_name, sort_id.
                $shortTests = $this->db->table('investigation')
                    ->select($codeField . ' as code,' . $nameField . ' as name,' . $shortField . ' as short_name,' . $sortField . ' as sort_id')
                    ->where($shortField . ' !=', '')
                    ->where($shortField . ' is not null', null, false)
                    ->orderBy($shortField, 'ASC')
                    ->orderBy($sortField, 'ASC')
                    ->get()
                    ->getResultArray();
            }
        }

        if ($this->db->tableExists('invprofiles') && $this->db->tableExists('invtprofiles') && $this->db->tableExists('investigation')) {
            $pFields = $this->db->getFieldNames('invprofiles');
            $jFields = $this->db->getFieldNames('invtprofiles');
            $iFields = $this->db->getFieldNames('investigation');

            $pCode = $this->resolveFirstField($pFields, ['Code', 'code']);
            $pName = $this->resolveFirstField($pFields, ['Name', 'name']);
            $jProfileCode = $this->resolveFirstField($jFields, ['ProfileCode', 'profile_code']);
            $jInvestCode = $this->resolveFirstField($jFields, ['InvestigationCode', 'investigation_code']);
            $jPrintOrder = $this->resolveFirstField($jFields, ['printOrder', 'print_order', 'id']);
            $iCode = $this->resolveFirstField($iFields, ['Code', 'code']);
            $iName = $this->resolveFirstField($iFields, ['Name', 'name']);
            $iSortOrder = $this->resolveFirstField($iFields, ['sort_id', 'sort_order', 'id', 'Code', 'code']);

            if ($pCode !== null && $pName !== null && $jProfileCode !== null && $jInvestCode !== null && $iCode !== null && $iName !== null) {
                $orderExpr = 'p.`' . $pName . '` ASC';
                if ($iSortOrder !== null) {
                    $orderExpr .= ', i.`' . $iSortOrder . '` ASC';
                } elseif ($jPrintOrder !== null) {
                    $orderExpr .= ', j.`' . $jPrintOrder . '` ASC';
                }

                $sql = 'SELECT '
                    . 'p.`' . $pCode . '` AS profile_code, '
                    . 'p.`' . $pName . '` AS profile_name, '
                    . 'i.`' . $iCode . '` AS investigation_code, '
                    . 'i.`' . $iName . '` AS investigation_name '
                    . 'FROM `invprofiles` p '
                    . 'JOIN `invtprofiles` j ON p.`' . $pCode . '` = j.`' . $jProfileCode . '` '
                    . 'JOIN `investigation` i ON i.`' . $iCode . '` = j.`' . $jInvestCode . '` '
                    . 'ORDER BY ' . $orderExpr;

                $rows = $this->db->query($sql)->getResultArray();
                $profileMap = [];

                foreach ($rows as $row) {
                    $profileCode = trim((string) ($row['profile_code'] ?? ''));
                    $profileName = trim((string) ($row['profile_name'] ?? ''));
                    $testCode = trim((string) ($row['investigation_code'] ?? ''));
                    $testName = trim((string) ($row['investigation_name'] ?? ''));

                    if ($profileCode === '' || $profileName === '' || $testName === '') {
                        continue;
                    }

                    if (!isset($profileMap[$profileCode])) {
                        $profileMap[$profileCode] = [
                            'profile_code' => $profileCode,
                            'profile_name' => $profileName,
                            'tests' => [],
                            '_seen' => [],
                        ];
                    }

                    $key = strtolower($testCode . '|' . $testName);
                    if (isset($profileMap[$profileCode]['_seen'][$key])) {
                        continue;
                    }

                    $profileMap[$profileCode]['_seen'][$key] = true;
                    $profileMap[$profileCode]['tests'][] = [
                        'code' => $testCode,
                        'name' => $testName,
                    ];
                }

                foreach ($profileMap as $item) {
                    unset($item['_seen']);
                    $profiles[] = $item;
                }
            }
        }

        return $this->response->setJSON([
            'update' => 1,
            'profiles' => $profiles,
            'short_tests' => $shortTests,
        ]);
    }

    // DEBUG ENDPOINT - Remove after verifying data
    public function debug_investigation_fields()
    {
        if ($this->db->tableExists('investigation')) {
            $fields = $this->db->getFieldNames('investigation');
            $total = $this->db->table('investigation')->countAll();
            $withShortName = $this->db->table('investigation')
                ->where("short_name != ''", null, false)
                ->where('short_name IS NOT NULL', null, false)
                ->countAll();
            
            $sample = $this->db->table('investigation')
                ->where("short_name != ''", null, false)
                ->where('short_name IS NOT NULL', null, false)
                ->orderBy('short_name', 'ASC')
                ->orderBy('sort_id', 'ASC')
                ->limit(10)
                ->get()
                ->getResultArray();

            return $this->response->setJSON([
                'table_fields' => $fields,
                'total_investigations' => $total,
                'with_short_name' => $withShortName,
                'sample_data' => $sample,
            ]);
        }
        return $this->response->setJSON(['error' => 'investigation table not found']);
    }

    public function investigation_list($opdId, $sessionId = 0)
    {
        $table = $this->findExistingTable(['opd_prescription_investigation']);
        if ($table === null) {
            return $this->response->setJSON(['rows' => []]);
        }

        $builder = $this->db->table($table);
        $fields = $this->db->getFieldNames($table);
        if (in_array('opd_pre_id', $fields, true)) {
            if ((int) $sessionId <= 0) {
                return $this->response->setJSON(['rows' => []]);
            }
            $builder->where('opd_pre_id', (int) $sessionId);
        } elseif (in_array('opd_id', $fields, true)) {
            $builder->where('opd_id', (int) $opdId);
        } else {
            return $this->response->setJSON(['rows' => []]);
        }

        if (in_array('investigation_name', $fields, true)) {
            $builder->orderBy('investigation_name', 'ASC');
        } elseif (in_array('id', $fields, true)) {
            $builder->orderBy('id', 'DESC');
        }

        $rows = $builder->get()->getResultArray();
        return $this->response->setJSON(['rows' => $rows]);
    }

    public function investigation_add()
    {
        if (!$this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        $opdId = (int) $this->request->getPost('opd_id');
        $sessionId = (int) $this->request->getPost('opd_session_id');
        $code = trim((string) $this->request->getPost('investigation_code'));
        $name = trim((string) $this->request->getPost('investigation_name'));

        // Resolve profile shorthand names (CBC/LFT/KFT etc.) to canonical codes.
        if (($code === '' || $code === '0') && $name !== '') {
            $code = $this->resolveInvestigationCodeByText($name, $this->buildInvestigationLookupMaps());
        }

        if ($opdId <= 0 || ($code === '' && $name === '')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Investigation is required']);
        }

        $table = $this->findExistingTable(['opd_prescription_investigation']);
        if ($table === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Investigation table not found']);
        }

        $sessionId = $this->ensurePrescriptionSession($opdId, $sessionId);
        if ($sessionId <= 0) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Unable to create prescription session']);
        }

        $fields = $this->db->getFieldNames($table);
        $insert = [];
        if (in_array('opd_id', $fields, true)) {
            $insert['opd_id'] = $opdId;
        }
        if (in_array('opd_pre_id', $fields, true)) {
            $insert['opd_pre_id'] = $sessionId;
        }
        if (in_array('investigation_code', $fields, true)) {
            $insert['investigation_code'] = $code;
        }
        if (in_array('investigation_name', $fields, true)) {
            $insert['investigation_name'] = $name;
        }

        $builder = $this->db->table($table);
        if (in_array('opd_pre_id', $fields, true)) {
            $builder->where('opd_pre_id', $sessionId);
        } elseif (in_array('opd_id', $fields, true)) {
            $builder->where('opd_id', $opdId);
        }
        if ($code !== '' && in_array('investigation_code', $fields, true)) {
            $builder->where('investigation_code', $code);
        } elseif ($name !== '' && in_array('investigation_name', $fields, true)) {
            $builder->where('investigation_name', $name);
        }
        $already = $builder->get(1)->getRowArray();
        if (! empty($already)) {
            return $this->response->setJSON([
                'update' => 1,
                'opd_session_id' => $sessionId,
                'error_text' => 'Investigation already added',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        try {
            $this->db->table($table)->insert($insert);
        } catch (\Throwable $e) {
            $msg = strtolower($e->getMessage());
            if (strpos($msg, 'duplicate entry') !== false) {
                return $this->response->setJSON([
                    'update' => 1,
                    'opd_session_id' => $sessionId,
                    'error_text' => 'Investigation already added',
                    'csrfName' => csrf_token(),
                    'csrfHash' => csrf_hash(),
                ]);
            }
            throw $e;
        }

        $insertId = (int) $this->db->insertID();
        $this->auditClinicalUpdate('opd_prescription_investigation', 'added', $insertId, null, $insert);
        return $this->response->setJSON([
            'update' => 1,
            'opd_session_id' => $sessionId,
            'error_text' => 'Investigation added',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function investigation_add_bulk()
    {
        $startedAt = microtime(true);
        $respond = function (array $payload, int $statusCode = 200) use ($startedAt) {
            $payload['elapsed_ms'] = (int) round((microtime(true) - $startedAt) * 1000);
            return $this->response->setStatusCode($statusCode)->setJSON($payload);
        };

        if (! $this->request->isAJAX()) {
            return $respond(['update' => 0, 'error_text' => 'Invalid request'], 400);
        }

        $opdId = (int) $this->request->getPost('opd_id');
        $sessionId = (int) $this->request->getPost('opd_session_id');

        $rawTests = $this->request->getPost('tests');
        $tests = [];
        if (is_string($rawTests) && $rawTests !== '') {
            $decoded = json_decode($rawTests, true);
            if (is_array($decoded)) {
                $tests = $decoded;
            }
        } elseif (is_array($rawTests)) {
            $tests = $rawTests;
        }

        if ($opdId <= 0 || empty($tests)) {
            return $respond(['update' => 0, 'error_text' => 'Invalid bulk payload']);
        }

        $table = $this->findExistingTable(['opd_prescription_investigation']);
        if ($table === null) {
            return $respond(['update' => 0, 'error_text' => 'Investigation table not found']);
        }

        $sessionId = $this->ensurePrescriptionSession($opdId, $sessionId);
        if ($sessionId <= 0) {
            return $respond(['update' => 0, 'error_text' => 'Unable to create prescription session']);
        }

        $fields = $this->db->getFieldNames($table);
        $hasOpdPreId = in_array('opd_pre_id', $fields, true);
        $hasOpdId = in_array('opd_id', $fields, true);
        $hasCode = in_array('investigation_code', $fields, true);
        $hasName = in_array('investigation_name', $fields, true);

        $existingRowsBuilder = $this->db->table($table);
        if ($hasOpdPreId) {
            $existingRowsBuilder->where('opd_pre_id', $sessionId);
        } elseif ($hasOpdId) {
            $existingRowsBuilder->where('opd_id', $opdId);
        } else {
            return $respond(['update' => 0, 'error_text' => 'Invalid investigation table structure']);
        }

        $existingRows = $existingRowsBuilder->get()->getResultArray();
        $existingByCode = [];
        $existingByName = [];
        foreach ($existingRows as $row) {
            $exCode = trim((string) ($row['investigation_code'] ?? ''));
            $exName = trim((string) ($row['investigation_name'] ?? ''));
            if ($exCode !== '' && $exCode !== '0') {
                $existingByCode[strtolower($exCode)] = true;
            }
            if ($exName !== '') {
                $existingByName[strtolower($exName)] = true;
            }
        }

        $invLookup = $this->buildInvestigationLookupMaps();

        $seenPayload = [];
        $insertRows = [];
        $added = 0;
        $skipped = 0;

        foreach ($tests as $test) {
            $name = trim((string) (($test['name'] ?? $test['investigation_name'] ?? '')));
            $code = trim((string) (($test['code'] ?? $test['investigation_code'] ?? '')));

            if ($name === '' && $code === '') {
                $skipped++;
                continue;
            }

            if (($code === '' || $code === '0') && $name !== '') {
                $code = $this->resolveInvestigationCodeByText($name, $invLookup);
            }

            $payloadKey = strtolower($code . '|' . $name);
            if (isset($seenPayload[$payloadKey])) {
                $skipped++;
                continue;
            }
            $seenPayload[$payloadKey] = true;

            $duplicateByCode = ($code !== '' && isset($existingByCode[strtolower($code)]));
            $duplicateByName = ($name !== '' && isset($existingByName[strtolower($name)]));
            if ($duplicateByCode || $duplicateByName) {
                $skipped++;
                continue;
            }

            $row = [];
            if ($hasOpdId) {
                $row['opd_id'] = $opdId;
            }
            if ($hasOpdPreId) {
                $row['opd_pre_id'] = $sessionId;
            }
            if ($hasCode) {
                $row['investigation_code'] = ($code === '' || $code === '0') ? '' : $code;
            }
            if ($hasName) {
                $row['investigation_name'] = $name;
            }
            $insertRows[] = $row;

            if ($code !== '' && $code !== '0') {
                $existingByCode[strtolower($code)] = true;
            }
            if ($name !== '') {
                $existingByName[strtolower($name)] = true;
            }
        }

        foreach ($insertRows as $row) {
            try {
                $this->db->table($table)->insert($row);
                $added++;
                $insertId = (int) $this->db->insertID();
                $this->auditClinicalUpdate('opd_prescription_investigation', 'added', $insertId, null, $row);
            } catch (\Throwable $e) {
                $msg = strtolower($e->getMessage());
                if (strpos($msg, 'duplicate entry') !== false) {
                    $skipped++;
                    continue;
                }
                throw $e;
            }
        }

        $result = [
            'update' => 1,
            'opd_session_id' => $sessionId,
            'added_count' => $added,
            'skipped_count' => $skipped,
            'total_count' => count($tests),
            'error_text' => $added > 0 ? 'Investigations added' : 'No new investigations added',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ];

        log_message(
            'info',
            'investigation_add_bulk opd_id={opd_id} session_id={session_id} total={total} added={added} skipped={skipped} elapsed_ms={elapsed_ms}',
            [
                'opd_id' => $opdId,
                'session_id' => $sessionId,
                'total' => count($tests),
                'added' => $added,
                'skipped' => $skipped,
                'elapsed_ms' => (int) round((microtime(true) - $startedAt) * 1000),
            ]
        );

        return $respond($result);
    }

    private function buildInvestigationLookupMaps(): array
    {
        $out = [
            'by_name' => [],
            'by_short' => [],
            'by_alias' => [],
        ];

        if (! $this->db->tableExists('investigation')) {
            return $out;
        }

        $invFields = $this->db->getFieldNames('investigation');
        $invCodeField = $this->resolveFirstField($invFields, ['Code', 'code']);
        $invNameField = $this->resolveFirstField($invFields, ['Name', 'name']);
        $invShortField = $this->resolveFirstField($invFields, ['short_name', 'shortName', 'short']);

        if ($invCodeField === null || $invNameField === null) {
            return $out;
        }

        $select = $invCodeField . ' as code, ' . $invNameField . ' as name';
        if ($invShortField !== null) {
            $select .= ', ' . $invShortField . ' as short_name';
        }

        $rows = $this->db->table('investigation')->select($select)->get()->getResultArray();
        foreach ($rows as $row) {
            $code = trim((string) ($row['code'] ?? ''));
            if ($code === '' || $code === '0') {
                continue;
            }

            $name = trim((string) ($row['name'] ?? ''));
            $short = trim((string) ($row['short_name'] ?? ''));

            $nameKey = $this->normalizeInvestigationLookupKey($name);
            if ($nameKey !== '' && ! isset($out['by_name'][$nameKey])) {
                $out['by_name'][$nameKey] = $code;
            }

            $shortKey = $this->normalizeInvestigationLookupKey($short);
            if ($shortKey !== '' && ! isset($out['by_short'][$shortKey])) {
                $out['by_short'][$shortKey] = $code;
            }

            if (preg_match('/\(([A-Za-z0-9\-\s\.]{2,20})\)/', $name, $m) === 1) {
                $aliasKey = $this->normalizeInvestigationLookupKey((string) ($m[1] ?? ''));
                if ($aliasKey !== '' && ! isset($out['by_alias'][$aliasKey])) {
                    $out['by_alias'][$aliasKey] = $code;
                }
            }

            $acronym = $this->buildInvestigationAcronym($name);
            if ($acronym !== '' && ! isset($out['by_alias'][$acronym])) {
                $out['by_alias'][$acronym] = $code;
            }
        }

        return $out;
    }

    private function resolveInvestigationCodeByText(string $text, array $lookup): string
    {
        $key = $this->normalizeInvestigationLookupKey($text);
        if ($key === '') {
            return '';
        }

        if (isset($lookup['by_name'][$key])) {
            return (string) $lookup['by_name'][$key];
        }
        if (isset($lookup['by_short'][$key])) {
            return (string) $lookup['by_short'][$key];
        }
        if (isset($lookup['by_alias'][$key])) {
            return (string) $lookup['by_alias'][$key];
        }

        // Common profile aliases seen in legacy shortcuts.
        $aliasFallback = [
            'kft' => 'rft',
        ];
        $fallback = $aliasFallback[$key] ?? '';
        if ($fallback !== '' && isset($lookup['by_alias'][$fallback])) {
            return (string) $lookup['by_alias'][$fallback];
        }
        if ($fallback !== '' && isset($lookup['by_short'][$fallback])) {
            return (string) $lookup['by_short'][$fallback];
        }

        return '';
    }

    private function normalizeInvestigationLookupKey(string $value): string
    {
        $value = trim(strtolower($value));
        if ($value === '') {
            return '';
        }
        return (string) (preg_replace('/[^a-z0-9]+/', '', $value) ?? '');
    }

    private function buildInvestigationAcronym(string $name): string
    {
        $plain = preg_replace('/\([^)]*\)/', ' ', $name) ?? $name;
        $plain = trim((string) preg_replace('/\s+/', ' ', $plain));
        if ($plain === '') {
            return '';
        }

        $stopWords = [
            'and', 'of', 'for', 'the', 'test', 'panel', 'routine', 'view', 'complete', 'count',
        ];

        $parts = preg_split('/\s+/', strtolower($plain)) ?: [];
        $acronym = '';
        foreach ($parts as $part) {
            $part = trim((string) preg_replace('/[^a-z0-9]/', '', $part));
            if ($part === '' || in_array($part, $stopWords, true)) {
                continue;
            }
            $acronym .= substr($part, 0, 1);
        }

        return strlen($acronym) >= 2 ? $acronym : '';
    }

    public function investigation_remove($id)
    {
        $table = $this->findExistingTable(['opd_prescription_investigation']);
        if ($table === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Investigation table not found']);
        }

        $fields = $this->db->getFieldNames($table);
        if (!in_array('id', $fields, true)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Investigation id field missing']);
        }

        $row = $this->db->table($table)->where('id', (int) $id)->get(1)->getRowArray() ?? [];
        $this->db->table($table)->where('id', (int) $id)->delete();
        $this->auditClinicalUpdate('opd_prescription_investigation', 'removed', (int) $id, $row, null);
        return $this->response->setJSON(['update' => 1, 'error_text' => 'Investigation removed']);
    }

    public function investigation_remove_bulk()
    {
        $startedAt = microtime(true);
        $respond = function (array $payload, int $statusCode = 200) use ($startedAt) {
            $payload['elapsed_ms'] = (int) round((microtime(true) - $startedAt) * 1000);
            return $this->response->setStatusCode($statusCode)->setJSON($payload);
        };

        if (! $this->request->isAJAX()) {
            return $respond(['update' => 0, 'error_text' => 'Invalid request'], 400);
        }

        $rawIds = $this->request->getPost('ids');
        $ids = [];

        if (is_array($rawIds)) {
            $ids = $rawIds;
        } elseif (is_string($rawIds) && trim($rawIds) !== '') {
            $decoded = json_decode($rawIds, true);
            if (is_array($decoded)) {
                $ids = $decoded;
            } else {
                $ids = explode(',', $rawIds);
            }
        }

        $ids = array_values(array_unique(array_filter(array_map(static function ($id) {
            return (int) $id;
        }, $ids), static function ($id) {
            return $id > 0;
        })));

        if (empty($ids)) {
            return $respond(['update' => 0, 'error_text' => 'No investigations selected']);
        }

        $table = $this->findExistingTable(['opd_prescription_investigation']);
        if ($table === null) {
            return $respond(['update' => 0, 'error_text' => 'Investigation table not found']);
        }

        $fields = $this->db->getFieldNames($table);
        if (! in_array('id', $fields, true)) {
            return $respond(['update' => 0, 'error_text' => 'Investigation id field missing']);
        }

        $rows = $this->db->table($table)->whereIn('id', $ids)->get()->getResultArray();
        $this->db->table($table)->whereIn('id', $ids)->delete();

        foreach ($rows as $row) {
            $this->auditClinicalUpdate('opd_prescription_investigation', 'removed', (int) ($row['id'] ?? 0), $row, null);
        }

        $result = [
            'update' => 1,
            'removed_count' => count($rows),
            'requested_count' => count($ids),
            'error_text' => 'Investigations removed',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ];

        log_message(
            'info',
            'investigation_remove_bulk requested={requested} removed={removed} elapsed_ms={elapsed_ms}',
            [
                'requested' => count($ids),
                'removed' => count($rows),
                'elapsed_ms' => (int) round((microtime(true) - $startedAt) * 1000),
            ]
        );

        return $respond($result);
    }

    public function medicine_search()
    {
        $q = trim((string) $this->request->getGet('q'));
        $scope = strtolower(trim((string) $this->request->getGet('scope')));
        $limit = (int) ($this->request->getGet('limit') ?? 10);
        if ($limit <= 0) {
            $limit = 10;
        }
        $limit = min(10, $limit);
        if (! in_array($scope, ['active', 'favorite', 'all'], true)) {
            $scope = 'active';
        }

        if ($q === '') {
            return $this->response->setJSON(['rows' => []]);
        }

        $qUpper = strtoupper($q);
        $qLoose = trim((string) (preg_replace('/[^A-Z0-9]+/', ' ', $qUpper) ?? $qUpper));
        $qNormalized = trim((string) (preg_replace('/[^A-Z0-9]+/', '', $qUpper) ?? $qUpper));
        $qTokens = array_values(array_filter(preg_split('/\s+/', $qLoose) ?: [], static fn(string $token): bool => $token !== ''));
        $qFirstToken = $qTokens[0] ?? '';
        $qAlpha = trim((string) (preg_replace('/[^A-Z]+/', '', $qUpper) ?? $qUpper));
        $qSoundex = $qAlpha !== '' ? soundex($qAlpha) : '';
        $qMetaphone = $qAlpha !== '' ? metaphone($qAlpha) : '';

        $table = $this->findExistingTable(['opd_med_master']);
        if ($table === null) {
            return $this->response->setJSON(['rows' => []]);
        }

        $fields = $this->db->getFieldNames($table);
        $idField = in_array('id', $fields, true) ? 'id' : null;
        $nameField = in_array('item_name', $fields, true) ? 'item_name' : null;
        $formField = in_array('formulation', $fields, true) ? 'formulation' : null;
        $dosageField = $this->resolveFirstField($fields, ['dosage']);
        $whenField = $this->resolveFirstField($fields, ['dosage_when']);
        $freqField = $this->resolveFirstField($fields, ['dosage_freq']);
        $whereField = $this->resolveFirstField($fields, ['dosage_where']);
        $daysField = $this->resolveFirstField($fields, ['no_of_days']);
        $qtyField = $this->resolveFirstField($fields, ['qty']);
        $remarkField = $this->resolveFirstField($fields, ['remark']);

        if ($idField === null || $nameField === null) {
            return $this->response->setJSON(['rows' => []]);
        }

        $select = $idField . ' as id,' . $nameField . ' as med_name';
        if ($formField !== null) {
            $select .= ',' . $formField . ' as med_type';
        }
        if ($dosageField !== null) {
            $select .= ',' . $dosageField . ' as dosage';
        }
        if ($whenField !== null) {
            $select .= ',' . $whenField . ' as dosage_when';
        }
        if ($freqField !== null) {
            $select .= ',' . $freqField . ' as dosage_freq';
        }
        if ($whereField !== null) {
            $select .= ',' . $whereField . ' as dosage_where';
        }
        if ($daysField !== null) {
            $select .= ',' . $daysField . ' as no_of_days';
        }
        if ($qtyField !== null) {
            $select .= ',' . $qtyField . ' as qty';
        }
        if ($remarkField !== null) {
            $select .= ',' . $remarkField . ' as remark';
        }

        $userId = (int) ($this->getCurrentUserId() ?? 0);
        $cacheKey = 'medicine_search_v2_' . md5(json_encode([
            'q' => strtoupper($q),
            'scope' => $scope,
            'user' => $userId,
            'limit' => $limit,
        ]));
        $cachedRows = cache($cacheKey);
        if (is_array($cachedRows)) {
            return $this->response->setJSON(['rows' => $cachedRows]);
        }

        $builder = $this->db->table($table)->select($select);
        if ($q !== '') {
            $builder->groupStart()
                ->like($nameField, $q, 'both');
            if ($formField !== null) {
                $builder->orLike($formField, $q, 'both');
            }
            if ($qFirstToken !== '' && mb_strlen($qFirstToken) >= 1) {
                $builder->orLike($nameField, $qFirstToken, 'after');
            }

            // Phonetic candidates can differ by one letter (e.g. CETLAY/CETLEY),
            // so include an alpha-prefix fallback to widen SQL fetch before PHP ranking.
            if ($qAlpha !== '') {
                if (mb_strlen($qAlpha) >= 3) {
                    $builder->orLike($nameField, substr($qAlpha, 0, 3), 'after');
                } elseif (mb_strlen($qAlpha) >= 2) {
                    $builder->orLike($nameField, substr($qAlpha, 0, 2), 'after');
                }
            }

            // Normalize separators so variants like "utor", "u-tor", "u tor" match each other.
            if ($qNormalized !== '') {
                $qNormalizedSql = str_replace("'", "''", strtoupper($qNormalized));
                $nameNormalizedSql = "REPLACE(REPLACE(UPPER(" . $nameField . "), '-', ''), ' ', '')";
                $builder->orWhere($nameNormalizedSql . " LIKE '%" . $qNormalizedSql . "%'", null, false);

                if ($formField !== null) {
                    $formNormalizedSql = "REPLACE(REPLACE(UPPER(" . $formField . "), '-', ''), ' ', '')";
                    $builder->orWhere($formNormalizedSql . " LIKE '%" . $qNormalizedSql . "%'", null, false);
                }
            }
            $builder->groupEnd();
        }

        $rows = $builder
            ->orderBy($nameField, 'ASC')
            ->limit(500)
            ->get()
            ->getResultArray();

        if (empty($rows)) {
            return $this->response->setJSON(['rows' => []]);
        }

        $favoriteMap = $userId > 0 ? $this->getUserFavoriteMedicineIds($userId) : [];
        $usageMap = $userId > 0 ? $this->getUserMedicineUsageMap($userId) : [];
        foreach ($rows as &$row) {
            $medId = (int) ($row['id'] ?? 0);
            $name = trim((string) ($row['med_name'] ?? ''));
            $nameUpper = strtoupper($name);
            $nameLoose = trim((string) (preg_replace('/[^A-Z0-9]+/', ' ', $nameUpper) ?? $nameUpper));
            $nameNormalized = trim((string) (preg_replace('/[^A-Z0-9]+/', '', $nameUpper) ?? $nameUpper));
            $nameAlpha = trim((string) (preg_replace('/[^A-Z]+/', '', $nameUpper) ?? $nameUpper));
            $nameSoundex = $nameAlpha !== '' ? soundex($nameAlpha) : '';
            $nameMetaphone = $nameAlpha !== '' ? metaphone($nameAlpha) : '';

            $tokenMatch = false;
            if (! empty($qTokens)) {
                $tokenMatch = true;
                foreach ($qTokens as $token) {
                    if ($token === '' || ! str_contains($nameLoose, $token)) {
                        $tokenMatch = false;
                        break;
                    }
                }
            }

            $phoneticMatch = false;
            if ($qAlpha !== '' && $nameAlpha !== '') {
                $phoneticMatch = ($qSoundex !== '' && $qSoundex === $nameSoundex)
                    || ($qMetaphone !== '' && $qMetaphone === $nameMetaphone);
            }

            $nearMatch = false;
            if ($qNormalized !== '' && $nameNormalized !== '') {
                $dist = levenshtein($qNormalized, $nameNormalized);
                $nearMatch = $dist >= 0 && $dist <= 2;
            }

            $matchesSearch = false;
            if ($qUpper !== '') {
                $matchesSearch = str_contains($nameUpper, $qUpper)
                    || ($qNormalized !== '' && str_contains($nameNormalized, $qNormalized))
                    || $tokenMatch
                    || $phoneticMatch
                    || $nearMatch;
            }

            if (! $matchesSearch) {
                $row['_skip'] = 1;
            }

            $isFavorite = isset($favoriteMap[$medId]);
            $useCount = (int) ($usageMap[$medId]['use_count'] ?? 0);
            $lastUsedAt = (string) ($usageMap[$medId]['last_used_at'] ?? '');

            $score = 0;
            if ($isFavorite) {
                $score += 1000;
            }
            if ($useCount > 0) {
                $score += min(300, $useCount * 10);
            }
            if ($lastUsedAt !== '') {
                $daysAgo = (int) floor((time() - strtotime($lastUsedAt)) / 86400);
                if ($daysAgo <= 7) {
                    $score += 120;
                } elseif ($daysAgo <= 30) {
                    $score += 80;
                } elseif ($daysAgo <= 90) {
                    $score += 40;
                } elseif ($daysAgo <= 180) {
                    $score += 20;
                }
            }

            if ($qUpper !== '') {
                if (str_starts_with($nameUpper, $qUpper)) {
                    $score += 200;
                } elseif (str_contains($nameUpper, $qUpper)) {
                    $score += 100;
                }

                if ($qNormalized !== '' && str_starts_with($nameNormalized, $qNormalized)) {
                    $score += 180;
                } elseif ($qNormalized !== '' && str_contains($nameNormalized, $qNormalized)) {
                    $score += 120;
                }

                if ($tokenMatch) {
                    $score += 140;
                    if ($qFirstToken !== '' && str_starts_with($nameLoose, $qFirstToken)) {
                        $score += 40;
                    }
                }

                if ($phoneticMatch) {
                    $score += 110;
                }

                if ($nearMatch) {
                    $score += 70;
                }
            }

            $row['is_favorite'] = $isFavorite ? 1 : 0;
            $row['use_count'] = $useCount;
            $row['last_used_at'] = $lastUsedAt;
            $row['_score'] = $score;
        }
        unset($row);

        $rows = array_values(array_filter($rows, static fn(array $row): bool => (int) ($row['_skip'] ?? 0) !== 1));

        if ($scope === 'favorite') {
            $rows = array_values(array_filter($rows, static fn(array $row): bool => (int) ($row['is_favorite'] ?? 0) === 1));
        } elseif ($scope === 'active') {
            $rows = array_values(array_filter($rows, static fn(array $row): bool => ((int) ($row['is_favorite'] ?? 0) === 1) || ((int) ($row['use_count'] ?? 0) > 0)));
        }

        usort($rows, static function (array $a, array $b): int {
            $scoreA = (int) ($a['_score'] ?? 0);
            $scoreB = (int) ($b['_score'] ?? 0);
            if ($scoreA !== $scoreB) {
                return $scoreB <=> $scoreA;
            }

            $nameA = strtoupper(trim((string) ($a['med_name'] ?? '')));
            $nameB = strtoupper(trim((string) ($b['med_name'] ?? '')));
            return $nameA <=> $nameB;
        });

        $rows = array_slice($rows, 0, $limit);
        foreach ($rows as &$row) {
            unset($row['_score']);
            unset($row['_skip']);
        }
        unset($row);

        cache()->save($cacheKey, $rows, 120);

        return $this->response->setJSON(['rows' => $rows]);
    }

    public function medicine_substitutes()
    {
        $table = $this->findExistingTable(['opd_med_master']);
        if ($table === null) {
            return $this->response->setJSON(['rows' => []]);
        }

        $fields = $this->db->getFieldNames($table);
        $idField = $this->resolveFirstField($fields, ['id']);
        $nameField = $this->resolveFirstField($fields, ['item_name', 'med_name']);
        $formField = $this->resolveFirstField($fields, ['formulation']);
        $genericField = $this->resolveFirstField($fields, ['genericname', 'generic_name']);
        $saltField = $this->resolveFirstField($fields, ['salt_name', 'sal_name', 'salt', 'saltname']);
        $companyField = $this->resolveFirstField($fields, ['company_name', 'company']);

        if ($idField === null || $nameField === null || ($genericField === null && $saltField === null)) {
            return $this->response->setJSON(['rows' => []]);
        }

        $medId = (int) $this->request->getGet('med_id');
        $medName = trim((string) $this->request->getGet('med_name'));
        $current = [];

        if ($medId > 0) {
            $current = $this->db->table($table)->where($idField, $medId)->get(1)->getRowArray() ?? [];
        }
        if (empty($current) && $medName !== '') {
            $current = $this->db->table($table)->where('UPPER(' . $nameField . ')', strtoupper($medName))->get(1)->getRowArray() ?? [];
            if (! empty($current)) {
                $medId = (int) ($current[$idField] ?? 0);
            }
        }

        if (empty($current)) {
            return $this->response->setJSON(['rows' => []]);
        }

        $generic = $genericField !== null ? trim((string) ($current[$genericField] ?? '')) : '';
        $salt = $saltField !== null ? trim((string) ($current[$saltField] ?? '')) : '';
        if ($generic === '' && $salt === '') {
            return $this->response->setJSON(['rows' => []]);
        }

        $select = $idField . ' as id,' . $nameField . ' as med_name';
        if ($formField !== null) {
            $select .= ',' . $formField . ' as med_type';
        }
        if ($genericField !== null) {
            $select .= ',' . $genericField . ' as genericname';
        }
        if ($saltField !== null) {
            $select .= ',' . $saltField . ' as salt_name';
        }
        if ($companyField !== null) {
            $select .= ',' . $companyField . ' as company_name';
        }

        $builder = $this->db->table($table)->select($select);
        $builder->groupStart();
        if ($genericField !== null && $generic !== '') {
            $builder->where($genericField, $generic);
        }
        if ($saltField !== null && $salt !== '') {
            if ($genericField !== null && $generic !== '') {
                $builder->orWhere($saltField, $salt);
            } else {
                $builder->where($saltField, $salt);
            }
        }
        $builder->groupEnd();

        if ($medId > 0) {
            $builder->where($idField . ' !=', $medId);
        }

        $rows = $builder->orderBy($nameField, 'ASC')->limit(25)->get()->getResultArray();
        return $this->response->setJSON(['rows' => $rows]);
    }

    public function medicine_favorite_toggle()
    {
        if (! $this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        $userId = (int) ($this->getCurrentUserId() ?? 0);
        $medId = (int) $this->request->getPost('med_id');
        if ($userId <= 0 || $medId <= 0) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Invalid user or medicine']);
        }

        if (! $this->db->tableExists('opd_medicine_favorites')) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Medicine favorites table not found. Run migration first.']);
        }

        $exists = $this->db->table('opd_medicine_favorites')
            ->where('user_id', $userId)
            ->where('med_id', $medId)
            ->get(1)
            ->getRowArray();

        if ($exists) {
            $this->db->table('opd_medicine_favorites')
                ->where('user_id', $userId)
                ->where('med_id', $medId)
                ->delete();

            return $this->response->setJSON([
                'update' => 1,
                'is_favorite' => 0,
                'error_text' => 'Removed from favorites',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        $this->db->table('opd_medicine_favorites')->insert([
            'user_id' => $userId,
            'med_id' => $medId,
            'created_at' => date('Y-m-d H:i:s'),
        ]);

        return $this->response->setJSON([
            'update' => 1,
            'is_favorite' => 1,
            'error_text' => 'Added to favorites',
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    public function medicine_list($sessionId)
    {
        $table = $this->findExistingTable(['opd_prescrption_prescribed', 'opd_prescription_prescribed']);
        if ($table === null) {
            return $this->response->setJSON(['rows' => []]);
        }

        $fields = $this->db->getFieldNames($table);
        $builder = $this->db->table($table);
        if (in_array('opd_pre_id', $fields, true)) {
            if ((int) $sessionId <= 0) {
                return $this->response->setJSON(['rows' => []]);
            }
            $builder->where('opd_pre_id', (int) $sessionId);
        } else {
            return $this->response->setJSON(['rows' => []]);
        }
        if (in_array('id', $fields, true)) {
            $builder->orderBy('id', 'DESC');
        }

        $rows = $builder->get()->getResultArray();

        $doseMap = $this->getDoseMasterLabelMap('opd_dose_shed', ['dose_shed_id', 'id'], ['dose_show_sign', 'dose_sign', 'dose_sign_desc', 'name']);
        $whenMap = $this->getDoseMasterLabelMap('opd_dose_when', ['dose_when_id', 'id'], ['dose_sign', 'dose_sign_desc', 'name']);
        $freqMap = $this->getDoseMasterLabelMap('opd_dose_frequency', ['dose_freq_id', 'id'], ['dose_sign', 'dose_sign_desc', 'name']);
        $whereMap = $this->getDoseMasterLabelMap('opd_dose_where', ['dose_where_id', 'id'], ['dose_sign', 'dose_sign_desc', 'name']);

        foreach ($rows as &$row) {
            $row['dosage_label'] = $this->resolveDoseMasterLabel($row['dosage'] ?? '', $doseMap);
            $row['dosage_when_label'] = $this->resolveDoseMasterLabel($row['dosage_when'] ?? '', $whenMap);
            $row['dosage_freq_label'] = $this->resolveDoseMasterLabel($row['dosage_freq'] ?? '', $freqMap);
            $row['dosage_where_label'] = $this->resolveDoseMasterLabel($row['dosage_where'] ?? '', $whereMap);
        }
        unset($row);

        return $this->response->setJSON(['rows' => $rows]);
    }

    public function medicine_add()
    {
        if (!$this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        $opdId = (int) $this->request->getPost('opd_id');
        $sessionId = (int) $this->request->getPost('opd_session_id');
        $medName = trim((string) $this->request->getPost('med_name'));
        $medType = trim((string) $this->request->getPost('med_type'));
        $medId = (int) $this->request->getPost('med_id');

        if ($opdId <= 0 || $medName === '') {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Medicine name is required']);
        }

        $table = $this->findExistingTable(['opd_prescrption_prescribed', 'opd_prescription_prescribed']);
        if ($table === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Medicine table not found']);
        }

        $sessionId = $this->ensurePrescriptionSession($opdId, $sessionId);
        if ($sessionId <= 0) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Unable to create prescription session']);
        }

        $masterInfo = [
            'med_id' => 0,
            'is_new' => false,
            'details_updated' => false,
            'details_source' => '',
        ];
        if ($medId <= 0) {
            $masterInfo = $this->ensureMedicineMasterRecordFromConsult($medName, $medType);
            $medId = (int) ($masterInfo['med_id'] ?? 0);
        }

        $fields = $this->db->getFieldNames($table);
        $insert = [];
        if (in_array('opd_pre_id', $fields, true)) {
            $insert['opd_pre_id'] = $sessionId;
        }
        if (in_array('med_id', $fields, true) && $medId > 0) {
            $insert['med_id'] = $medId;
        }
        if (in_array('med_name', $fields, true)) {
            $insert['med_name'] = strtoupper($medName);
        }
        if (in_array('med_type', $fields, true)) {
            $insert['med_type'] = $medType;
        }
        if (in_array('dosage', $fields, true)) {
            $insert['dosage'] = trim((string) $this->request->getPost('dosage'));
        }
        if (in_array('dosage_when', $fields, true)) {
            $insert['dosage_when'] = trim((string) $this->request->getPost('dosage_when'));
        }
        if (in_array('dosage_freq', $fields, true)) {
            $insert['dosage_freq'] = trim((string) $this->request->getPost('dosage_freq'));
        }
        if (in_array('dosage_where', $fields, true)) {
            $insert['dosage_where'] = trim((string) $this->request->getPost('dosage_where'));
        }
        if (in_array('no_of_days', $fields, true)) {
            $insert['no_of_days'] = trim((string) $this->request->getPost('no_of_days'));
        }
        if (in_array('qty', $fields, true)) {
            $insert['qty'] = trim((string) $this->request->getPost('qty'));
        }
        if (in_array('remark', $fields, true)) {
            $insert['remark'] = strtoupper(trim((string) $this->request->getPost('remark')));
        }

        $this->applyDoseMasterStringFields($insert, $fields);

        $user = auth()->user();
        if (in_array('update_by', $fields, true)) {
            $userLabel = $user ? ($user->username ?? $user->email ?? 'User') : 'User';
            $insert['update_by'] = $userLabel . '[' . ($user->id ?? 0) . ']:' . date('d-m-Y H:i:s');
        }

        if ($this->isDuplicateMedicineRow($table, $fields, $sessionId, $insert)) {
            return $this->response->setJSON([
                'update' => 1,
                'opd_session_id' => $sessionId,
                'error_text' => 'Medicine already exists in this prescription. Duplicate skipped.',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        $this->db->table($table)->insert($insert);
        $insertId = (int) $this->db->insertID();
        $this->auditClinicalUpdate('opd_prescription_medicine', 'added', $insertId, null, $insert);
        if ($medId > 0) {
            $this->trackMedicineUsage($medId);
            $this->syncMedicineMasterDefaults($medId, [
                'dosage' => $insert['dosage'] ?? '',
                'dosage_when' => $insert['dosage_when'] ?? '',
                'dosage_freq' => $insert['dosage_freq'] ?? '',
                'dosage_where' => $insert['dosage_where'] ?? '',
                'no_of_days' => $insert['no_of_days'] ?? '',
                'qty' => $insert['qty'] ?? '',
                'remark' => $insert['remark'] ?? '',
            ]);
        }

        $message = 'Medicine added';
        if (! empty($masterInfo['is_new'])) {
            $message .= ' | New medicine saved in OPD master';
        }
        if (! empty($masterInfo['details_updated'])) {
            $src = trim((string) ($masterInfo['details_source'] ?? 'master'));
            if ($src === '') {
                $src = 'master';
            }
            $message .= ' | Master details updated (' . $src . ')';
        }

        return $this->response->setJSON([
            'update' => 1,
            'opd_session_id' => $sessionId,
            'new_master_medicine' => ! empty($masterInfo['is_new']) ? 1 : 0,
            'master_details_updated' => ! empty($masterInfo['details_updated']) ? 1 : 0,
            'master_details_source' => (string) ($masterInfo['details_source'] ?? ''),
            'error_text' => $message,
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    /**
     * @return array{med_id:int,is_new:bool,details_updated:bool,details_source:string}
     */
    private function ensureMedicineMasterRecordFromConsult(string $medName, string $medType = ''): array
    {
        $medName = trim($medName);
        $medType = trim($medType);
        if ($medName === '') {
            return ['med_id' => 0, 'is_new' => false, 'details_updated' => false, 'details_source' => ''];
        }

        $table = $this->findExistingTable(['opd_med_master']);
        if ($table === null) {
            return ['med_id' => 0, 'is_new' => false, 'details_updated' => false, 'details_source' => ''];
        }

        $fields = $this->db->getFieldNames($table);
        if (! in_array('id', $fields, true)) {
            return ['med_id' => 0, 'is_new' => false, 'details_updated' => false, 'details_source' => ''];
        }

        $medId = $this->resolveMedicineMasterIdByName($medName);
        $isNew = false;

        if ($medId <= 0) {
            $insert = [];
            if (in_array('item_name', $fields, true)) {
                $insert['item_name'] = strtoupper($medName);
            } elseif (in_array('med_name', $fields, true)) {
                $insert['med_name'] = strtoupper($medName);
            }

            if (in_array('formulation', $fields, true) && $medType !== '') {
                $insert['formulation'] = $medType;
            }

            if (! empty($insert)) {
                $this->db->table($table)->insert($insert);
                $medId = (int) $this->db->insertID();
                $isNew = $medId > 0;
            }
        }

        if ($medId <= 0) {
            return ['med_id' => 0, 'is_new' => false, 'details_updated' => false, 'details_source' => ''];
        }

        $detailsUpdated = false;
        $detailsSource = '';

        $genericField = $this->resolveFirstField($fields, ['genericname', 'generic_name']);
        $saltField = $this->resolveFirstField($fields, ['salt_name', 'sal_name', 'salt', 'saltname']);
        $restrictionField = $this->resolveFirstField($fields, ['dosage_restriction', 'dose_restriction', 'restriction_note', 'restriction']);

        $row = $this->db->table($table)->where('id', $medId)->get(1)->getRowArray() ?? [];
        $hasDetails = false;
        if ($genericField !== null && trim((string) ($row[$genericField] ?? '')) !== '') {
            $hasDetails = true;
        }
        if ($saltField !== null && trim((string) ($row[$saltField] ?? '')) !== '') {
            $hasDetails = true;
        }
        if ($restrictionField !== null && trim((string) ($row[$restrictionField] ?? '')) !== '') {
            $hasDetails = true;
        }

        if (! $hasDetails && ($genericField !== null || $saltField !== null || $restrictionField !== null)) {
            $details = $this->lookupMedicineDetailsFromMaster($medName, $medType);
            if (($details['genericname'] ?? '') !== '' || ($details['salt_name'] ?? '') !== '' || ($details['dosage_restriction'] ?? '') !== '') {
                $detailsSource = 'local-master';
            }

            if (($details['genericname'] ?? '') === '' && ($details['salt_name'] ?? '') === '' && ($details['dosage_restriction'] ?? '') === '') {
                $fallback = $this->inferMedicineDetailsFromBrandName($medName, $medType);
                if (($fallback['genericname'] ?? '') !== '' || ($fallback['salt_name'] ?? '') !== '' || ($fallback['dosage_restriction'] ?? '') !== '') {
                    $details = $fallback;
                    $detailsSource = 'brand-fallback';
                }
            }

            $update = [];
            if ($genericField !== null && trim((string) ($details['genericname'] ?? '')) !== '') {
                $update[$genericField] = trim((string) ($details['genericname'] ?? ''));
            }
            if ($saltField !== null && trim((string) ($details['salt_name'] ?? '')) !== '') {
                $update[$saltField] = trim((string) ($details['salt_name'] ?? ''));
            }
            if ($restrictionField !== null && trim((string) ($details['dosage_restriction'] ?? '')) !== '') {
                $update[$restrictionField] = trim((string) ($details['dosage_restriction'] ?? ''));
            }

            if (! empty($update)) {
                $this->db->table($table)->where('id', $medId)->update($update);
                $detailsUpdated = true;
            }
        }

        return [
            'med_id' => $medId,
            'is_new' => $isNew,
            'details_updated' => $detailsUpdated,
            'details_source' => $detailsSource,
        ];
    }

    private function resolveMedicineMasterIdByName(string $medName): int
    {
        $medName = trim($medName);
        if ($medName === '') {
            return 0;
        }

        $table = $this->findExistingTable(['opd_med_master']);
        if ($table === null) {
            return 0;
        }

        $fields = $this->db->getFieldNames($table);
        if (! in_array('id', $fields, true)) {
            return 0;
        }

        $nameField = in_array('item_name', $fields, true) ? 'item_name' : (in_array('med_name', $fields, true) ? 'med_name' : null);
        if ($nameField === null) {
            return 0;
        }

        $row = $this->db->table($table)
            ->select('id')
            ->where('UPPER(' . $nameField . ')', strtoupper($medName))
            ->get(1)
            ->getRowArray();

        return (int) ($row['id'] ?? 0);
    }

    private function trackMedicineUsage(int $medId): void
    {
        $userId = (int) ($this->getCurrentUserId() ?? 0);
        if ($userId <= 0 || $medId <= 0 || ! $this->db->tableExists('opd_medicine_usage')) {
            return;
        }

        $existing = $this->db->table('opd_medicine_usage')
            ->where('user_id', $userId)
            ->where('med_id', $medId)
            ->get(1)
            ->getRowArray();

        if ($existing) {
            $this->db->table('opd_medicine_usage')
                ->where('user_id', $userId)
                ->where('med_id', $medId)
                ->update([
                    'use_count' => (int) ($existing['use_count'] ?? 0) + 1,
                    'last_used_at' => date('Y-m-d H:i:s'),
                ]);
            return;
        }

        $this->db->table('opd_medicine_usage')->insert([
            'user_id' => $userId,
            'med_id' => $medId,
            'use_count' => 1,
            'last_used_at' => date('Y-m-d H:i:s'),
        ]);
    }

    /**
     * Persist last-used dosage defaults back to master for quick reuse in consult form.
     *
     * @param array<string, mixed> $defaults
     */
    private function syncMedicineMasterDefaults(int $medId, array $defaults): void
    {
        if ($medId <= 0) {
            return;
        }

        $table = $this->findExistingTable(['opd_med_master']);
        if ($table === null) {
            return;
        }

        $fields = $this->db->getFieldNames($table);
        if (! in_array('id', $fields, true)) {
            return;
        }

        $fieldMap = [
            'dosage' => $this->resolveFirstField($fields, ['dosage']),
            'dosage_when' => $this->resolveFirstField($fields, ['dosage_when']),
            'dosage_freq' => $this->resolveFirstField($fields, ['dosage_freq']),
            'dosage_where' => $this->resolveFirstField($fields, ['dosage_where']),
            'no_of_days' => $this->resolveFirstField($fields, ['no_of_days']),
            'qty' => $this->resolveFirstField($fields, ['qty']),
            'remark' => $this->resolveFirstField($fields, ['remark']),
        ];

        $update = [];
        foreach ($fieldMap as $payloadKey => $dbField) {
            if ($dbField === null) {
                continue;
            }

            $value = trim((string) ($defaults[$payloadKey] ?? ''));
            if ($value === '') {
                continue;
            }

            $update[$dbField] = $value;
        }

        if (empty($update)) {
            return;
        }

        $this->db->table($table)->where('id', $medId)->update($update);
    }

    /**
     * @return array<int, bool>
     */
    private function getUserFavoriteMedicineIds(int $userId, array $medIds = []): array
    {
        if ($userId <= 0 || ! $this->db->tableExists('opd_medicine_favorites')) {
            return [];
        }

        $builder = $this->db->table('opd_medicine_favorites')
            ->select('med_id')
            ->where('user_id', $userId);

        $medIds = array_values(array_unique(array_filter(array_map('intval', $medIds), static fn (int $id): bool => $id > 0)));
        if (! empty($medIds)) {
            $builder->whereIn('med_id', $medIds);
        }

        $rows = $builder->get()->getResultArray();

        $out = [];
        foreach ($rows as $row) {
            $medId = (int) ($row['med_id'] ?? 0);
            if ($medId > 0) {
                $out[$medId] = true;
            }
        }

        return $out;
    }

    /**
     * @return array<int, array{use_count:int,last_used_at:string}>
     */
    private function getUserMedicineUsageMap(int $userId, array $medIds = []): array
    {
        if ($userId <= 0 || ! $this->db->tableExists('opd_medicine_usage')) {
            return [];
        }

        $builder = $this->db->table('opd_medicine_usage')
            ->select('med_id,use_count,last_used_at')
            ->where('user_id', $userId);

        $medIds = array_values(array_unique(array_filter(array_map('intval', $medIds), static fn (int $id): bool => $id > 0)));
        if (! empty($medIds)) {
            $builder->whereIn('med_id', $medIds);
        }

        $rows = $builder->get()->getResultArray();

        $out = [];
        foreach ($rows as $row) {
            $medId = (int) ($row['med_id'] ?? 0);
            if ($medId <= 0) {
                continue;
            }

            $out[$medId] = [
                'use_count' => (int) ($row['use_count'] ?? 0),
                'last_used_at' => (string) ($row['last_used_at'] ?? ''),
            ];
        }

        return $out;
    }

    public function medicine_update($id)
    {
        if (!$this->request->isAJAX()) {
            return $this->response->setStatusCode(400)->setJSON(['update' => 0, 'error_text' => 'Invalid request']);
        }

        $id = (int) $id;
        if ($id <= 0) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Invalid medicine id']);
        }

        $table = $this->findExistingTable(['opd_prescrption_prescribed', 'opd_prescription_prescribed']);
        if ($table === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Medicine table not found']);
        }

        $fields = $this->db->getFieldNames($table);
        if (!in_array('id', $fields, true)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Medicine id field missing']);
        }

        $current = $this->db->table($table)->where('id', $id)->get(1)->getRowArray();
        if (!$current) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Medicine row not found']);
        }

        $update = [];
        $map = [
            'med_name' => strtoupper(trim((string) $this->request->getPost('med_name'))),
            'med_type' => trim((string) $this->request->getPost('med_type')),
            'dosage' => trim((string) $this->request->getPost('dosage')),
            'dosage_when' => trim((string) $this->request->getPost('dosage_when')),
            'dosage_freq' => trim((string) $this->request->getPost('dosage_freq')),
            'dosage_where' => trim((string) $this->request->getPost('dosage_where')),
            'no_of_days' => trim((string) $this->request->getPost('no_of_days')),
            'qty' => trim((string) $this->request->getPost('qty')),
            'remark' => strtoupper(trim((string) $this->request->getPost('remark'))),
        ];

        foreach ($map as $field => $value) {
            if (in_array($field, $fields, true)) {
                $update[$field] = $value;
            }
        }

        $this->applyDoseMasterStringFields($update, $fields);

        if (empty($update)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'No editable fields found']);
        }

        if (isset($update['med_name']) && $update['med_name'] === '') {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Medicine name is required']);
        }

        $masterInfo = [
            'med_id' => 0,
            'is_new' => false,
            'details_updated' => false,
            'details_source' => '',
        ];
        $resolvedMedName = trim((string) ($update['med_name'] ?? $current['med_name'] ?? ''));
        $resolvedMedType = trim((string) ($update['med_type'] ?? $current['med_type'] ?? ''));
        $resolvedMedId = (int) ($current['med_id'] ?? 0);
        if ($resolvedMedId <= 0) {
            $masterInfo = $this->ensureMedicineMasterRecordFromConsult($resolvedMedName, $resolvedMedType);
            $resolvedMedId = (int) ($masterInfo['med_id'] ?? 0);
        }
        if ($resolvedMedId > 0 && in_array('med_id', $fields, true)) {
            $update['med_id'] = $resolvedMedId;
        }

        $candidate = array_replace($current, $update);
        $sessionId = (int) ($candidate['opd_pre_id'] ?? 0);
        if ($sessionId > 0 && $this->isDuplicateMedicineRow($table, $fields, $sessionId, $candidate, $id)) {
            return $this->response->setJSON([
                'update' => 0,
                'error_text' => 'Same medicine row already exists. Duplicate update blocked.',
                'csrfName' => csrf_token(),
                'csrfHash' => csrf_hash(),
            ]);
        }

        $user = auth()->user();
        if (in_array('update_by', $fields, true)) {
            $userLabel = $user ? ($user->username ?? $user->email ?? 'User') : 'User';
            $update['update_by'] = $userLabel . '[' . ($user->id ?? 0) . ']:' . date('d-m-Y H:i:s');
        }

        $this->db->table($table)->where('id', $id)->update($update);
        $this->clinicalAuditTrail->logChangedFields('opd_prescription_medicine', $id, $current, array_replace($current, $update), $this->getCurrentUserId());

        $masterMedId = (int) ($update['med_id'] ?? $current['med_id'] ?? 0);
        if ($masterMedId <= 0) {
            $masterMedId = $this->resolveMedicineMasterIdByName((string) ($update['med_name'] ?? $current['med_name'] ?? ''));
        }
        if ($masterMedId > 0) {
            $merged = array_replace($current, $update);
            $this->trackMedicineUsage($masterMedId);
            $this->syncMedicineMasterDefaults($masterMedId, [
                'dosage' => $merged['dosage'] ?? '',
                'dosage_when' => $merged['dosage_when'] ?? '',
                'dosage_freq' => $merged['dosage_freq'] ?? '',
                'dosage_where' => $merged['dosage_where'] ?? '',
                'no_of_days' => $merged['no_of_days'] ?? '',
                'qty' => $merged['qty'] ?? '',
                'remark' => $merged['remark'] ?? '',
            ]);
        }

        $message = 'Medicine updated';
        if (! empty($masterInfo['is_new'])) {
            $message .= ' | New medicine saved in OPD master';
        }
        if (! empty($masterInfo['details_updated'])) {
            $src = trim((string) ($masterInfo['details_source'] ?? 'master'));
            if ($src === '') {
                $src = 'master';
            }
            $message .= ' | Master details updated (' . $src . ')';
        }

        return $this->response->setJSON([
            'update' => 1,
            'new_master_medicine' => ! empty($masterInfo['is_new']) ? 1 : 0,
            'master_details_updated' => ! empty($masterInfo['details_updated']) ? 1 : 0,
            'master_details_source' => (string) ($masterInfo['details_source'] ?? ''),
            'error_text' => $message,
            'csrfName' => csrf_token(),
            'csrfHash' => csrf_hash(),
        ]);
    }

    private function isDuplicateMedicineRow(string $table, array $fields, int $sessionId, array $row, int $excludeId = 0): bool
    {
        if ($sessionId <= 0 || ! in_array('opd_pre_id', $fields, true)) {
            return false;
        }

        $builder = $this->db->table($table)->where('opd_pre_id', $sessionId);
        if ($excludeId > 0 && in_array('id', $fields, true)) {
            $builder->where('id !=', $excludeId);
        }

        foreach (['med_id', 'med_type', 'dosage', 'dosage_when', 'dosage_freq', 'no_of_days', 'qty', 'remark'] as $field) {
            if (! in_array($field, $fields, true)) {
                continue;
            }

            $value = isset($row[$field]) ? trim((string) $row[$field]) : '';
            if ($value === '') {
                $builder->groupStart()->where($field, '')->orWhere($field, null)->groupEnd();
            } else {
                $builder->where($field, $value);
            }
        }

        $candidates = $builder->get()->getResultArray();
        if (empty($candidates)) {
            return false;
        }

        if (! in_array('med_name', $fields, true)) {
            return true;
        }

        $needle = $this->normalizeMedicineMatchKey((string) ($row['med_name'] ?? ''));
        if ($needle === '') {
            foreach ($candidates as $candidate) {
                $name = trim((string) ($candidate['med_name'] ?? ''));
                if ($name === '') {
                    return true;
                }
            }
            return false;
        }

        foreach ($candidates as $candidate) {
            $current = $this->normalizeMedicineMatchKey((string) ($candidate['med_name'] ?? ''));
            if ($current !== '' && $current === $needle) {
                return true;
            }
        }

        return false;
    }

    private function normalizeMedicineMatchKey(string $value): string
    {
        $key = strtoupper(trim($value));
        $key = preg_replace('/[^A-Z0-9]+/', '', $key) ?? $key;
        return trim((string) $key);
    }

    public function medicine_remove($id)
    {
        $table = $this->findExistingTable(['opd_prescrption_prescribed', 'opd_prescription_prescribed']);
        if ($table === null) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Medicine table not found']);
        }

        $fields = $this->db->getFieldNames($table);
        if (!in_array('id', $fields, true)) {
            return $this->response->setJSON(['update' => 0, 'error_text' => 'Medicine id field missing']);
        }

        $row = $this->db->table($table)->where('id', (int) $id)->get(1)->getRowArray() ?? [];
        $this->db->table($table)->where('id', (int) $id)->delete();
        $this->auditClinicalUpdate('opd_prescription_medicine', 'removed', (int) $id, $row, null);
        return $this->response->setJSON(['update' => 1, 'error_text' => 'Medicine removed']);
    }

    public function vital_data(int $opdSessionId)
    {
        if (! $this->db->tableExists('opd_prescription')) {
            return $this->response->setBody('');
        }

        $row = $this->db->table('opd_prescription')->where('id', $opdSessionId)->get(1)->getRowArray();
        if (empty($row)) {
            return $this->response->setBody('');
        }

        $lines = [];
        if (!empty($row['bp'])) {
            $lines[] = '<span class="text-success">BP :</span> ' . esc($row['bp']) . ' / ' . esc((string) ($row['diastolic'] ?? ''));
        }
        if (!empty($row['pulse'])) {
            $lines[] = '<span class="text-success">Pulse :</span> ' . esc($row['pulse']);
        }
        if (!empty($row['temp'])) {
            $lines[] = '<span class="text-success">Temp :</span> ' . esc($row['temp']);
        }
        if (!empty($row['spo2'])) {
            $lines[] = '<span class="text-success">SpO2 :</span> ' . esc($row['spo2']) . ' %';
        }

        return $this->response->setBody('<p class="text-primary">' . implode('<br>', $lines) . '</p>');
    }

    public function get_remark(int $pId)
    {
        if (! $this->db->tableExists('patient_remark')) {
            return $this->response->setBody('');
        }

        $rows = $this->db->table('patient_remark')
            ->select('remark,insert_by,insert_datetime')
            ->where('p_id', $pId)
            ->orderBy('id', 'DESC')
            ->limit(10)
            ->get()
            ->getResultArray();

        if (empty($rows)) {
            return $this->response->setBody('<p class="text-muted">No patient remarks found.</p>');
        }

        $out = '';
        foreach ($rows as $row) {
            $stamp = !empty($row['insert_datetime']) ? date('d-m-Y H:i', strtotime((string) $row['insert_datetime'])) : '';
            $out .= '<p>' . nl2br(esc((string) ($row['remark'] ?? ''))) . '<br><small>Update By: ' . esc((string) ($row['insert_by'] ?? '')) . ' ' . esc($stamp) . '</small></p>';
        }

        return $this->response->setBody($out);
    }

    public function patient_remark(int $pId)
    {
        return $this->get_remark($pId);
    }

    public function show_profile_opd(int $pId, int $opdSessionId = 0)
    {
        return redirect()->to(base_url('patient/show_profile_opd/' . $pId . '/' . $opdSessionId));
    }

    public function show_medical_item(int $pId)
    {
        if (! $this->db->tableExists('invoice_med_master')) {
            return $this->response->setBody('<p class="text-muted">Medical purchase table not found.</p>');
        }

        $rows = $this->db->table('invoice_med_master')
            ->where('patient_id', $pId)
            ->orderBy('id', 'DESC')
            ->limit(50)
            ->get()
            ->getResultArray();

        if (empty($rows)) {
            return $this->response->setBody('<p class="text-muted">No medicine purchase found.</p>');
        }

        $html = '<table class="table table-bordered table-sm"><thead><tr><th>Date</th><th>Invoice</th><th>Amount</th></tr></thead><tbody>';
        foreach ($rows as $row) {
            $html .= '<tr>'
                . '<td>' . esc((string) ($row['date'] ?? $row['invoice_date'] ?? '')) . '</td>'
                . '<td>' . esc((string) ($row['invoice_code'] ?? $row['invoice_no'] ?? $row['id'] ?? '')) . '</td>'
                . '<td>' . esc((string) ($row['net_amount'] ?? $row['total_amount'] ?? '')) . '</td>'
                . '</tr>';
        }
        $html .= '</tbody></table>';

        return $this->response->setBody($html);
    }

    public function show_old_Prescribed(int $pId, int $currentOpd)
    {
        if (! $this->db->tableExists('opd_master') || ! $this->db->tableExists('opd_prescription')) {
            return $this->response->setBody('<p class="text-muted">Old prescription data not found.</p>');
        }

        $rows = $this->db->table('opd_master o')
            ->select('o.opd_id,o.opd_code,o.apointment_date,p.id as session_id,p.complaints,p.diagnosis')
            ->join('opd_prescription p', 'p.opd_id=o.opd_id', 'left')
            ->where('o.p_id', $pId)
            ->where('o.opd_id !=', $currentOpd)
            ->orderBy('o.opd_id', 'DESC')
            ->limit(20)
            ->get()
            ->getResultArray();

        if (empty($rows)) {
            return $this->response->setBody('<p class="text-muted mb-0">No old prescriptions found.</p>');
        }

        $medicineTable = $this->findExistingTable(['opd_prescrption_prescribed', 'opd_prescription_prescribed']);
        if ($medicineTable === null) {
            return $this->response->setBody('<p class="text-muted mb-0">Old medicine table not found.</p>');
        }

        $html = '<div class="old-rx-list">';
        foreach ($rows as $row) {
            $sessionId = (int) ($row['session_id'] ?? 0);
            $dateLabel = ! empty($row['apointment_date']) ? date('d/m/Y', strtotime((string) $row['apointment_date'])) : '';

            $medRows = [];
            if ($sessionId > 0) {
                $medRows = $this->db->table($medicineTable)
                    ->select('id,med_id,med_type,med_name,dosage,dosage_when,dosage_freq,no_of_days,qty,remark')
                    ->where('opd_pre_id', $sessionId)
                    ->orderBy('id', 'ASC')
                    ->get()
                    ->getResultArray();
            }

            $html .= '<div class="card mb-2 old-rx-card">';
            $html .= '<div class="card-header py-2 d-flex justify-content-between align-items-center">';
            $html .= '<div>';
            $html .= '<strong>OPD: ' . esc((string) ($row['opd_code'] ?? $row['opd_id'])) . '</strong>';
            if ($dateLabel !== '') {
                $html .= '<span class="text-muted ms-2">' . esc($dateLabel) . '</span>';
            }
            $html .= '</div>';
            $html .= '<button type="button" class="btn btn-sm btn-outline-primary btn-old-rx-add-all">+ All</button>';
            $html .= '</div>';

            $html .= '<div class="card-body py-2">';
            $html .= '<div class="small mb-1"><strong>Complaint:</strong> ' . esc((string) ($row['complaints'] ?? '')) . '</div>';
            $html .= '<div class="small mb-2"><strong>Diagnosis:</strong> ' . esc((string) ($row['diagnosis'] ?? '')) . '</div>';

            if (empty($medRows)) {
                $html .= '<div class="text-muted small">No medicine row found.</div>';
            } else {
                $html .= '<table class="table table-sm table-bordered mb-0">';
                $html .= '<thead><tr><th>Prescribed</th><th style="width:95px;">Dose</th><th style="width:58px;">+</th></tr></thead><tbody>';

                foreach ($medRows as $med) {
                    $medType = trim((string) ($med['med_type'] ?? ''));
                    $medName = trim((string) ($med['med_name'] ?? ''));
                    $medLabel = trim($medType . ' ' . $medName);
                    $doseLabel = trim(
                        trim((string) ($med['dosage'] ?? '')) . ' '
                        . trim((string) ($med['dosage_when'] ?? '')) . ' '
                        . trim((string) ($med['dosage_freq'] ?? ''))
                    );
                    if ($doseLabel === '') {
                        $doseLabel = '-';
                    }

                    $html .= '<tr>';
                    $html .= '<td>' . esc($medLabel !== '' ? $medLabel : '-') . '</td>';
                    $html .= '<td class="small">' . esc($doseLabel) . '</td>';
                    $html .= '<td class="text-center">'
                        . '<button type="button" class="btn btn-sm btn-outline-success btn-old-rx-add-one"'
                        . ' data-med-id="' . esc((string) ($med['med_id'] ?? 0), 'attr') . '"'
                        . ' data-med-name="' . esc($medName, 'attr') . '"'
                        . ' data-med-type="' . esc($medType, 'attr') . '"'
                        . ' data-dosage="' . esc((string) ($med['dosage'] ?? ''), 'attr') . '"'
                        . ' data-dosage-when="' . esc((string) ($med['dosage_when'] ?? ''), 'attr') . '"'
                        . ' data-dosage-freq="' . esc((string) ($med['dosage_freq'] ?? ''), 'attr') . '"'
                        . ' data-no-of-days="' . esc((string) ($med['no_of_days'] ?? ''), 'attr') . '"'
                        . ' data-qty="' . esc((string) ($med['qty'] ?? ''), 'attr') . '"'
                        . ' data-remark="' . esc((string) ($med['remark'] ?? ''), 'attr') . '">Add</button>'
                        . '</td>';
                    $html .= '</tr>';
                }

                $html .= '</tbody></table>';
            }

            $html .= '</div>';
            $html .= '</div>';
        }
        $html .= '</div>';

        return $this->response->setBody($html);
    }

    public function save_rx_group_list(int $docId = 0)
    {
        if (! $this->db->tableExists('opd_prescription_template')) {
            return $this->response->setBody('<p class="text-muted">RX template table not found.</p>');
        }

        $fields = $this->db->getFieldNames('opd_prescription_template');
        $idField = $this->resolveFirstField($fields, ['id']);
        $nameField = $this->resolveFirstField($fields, ['rx_group_name']);
        if ($idField === null || $nameField === null) {
            return $this->response->setJSON(['rows' => []]);
        }

        $userId = $docId > 0 ? (int) $docId : max(0, $this->getCurrentUserId());
        $hasDocId = in_array('doc_id', $fields, true);

        $builder = $this->db->table('opd_prescription_template')
            ->select('MAX(' . $idField . ') as id,' . $nameField . ' as rx_group_name,COUNT(*) as row_count')
            ->where($nameField . ' <>', '');

        if ($hasDocId) {
            $builder->groupStart()
                ->where('doc_id', $userId)
                ->orWhere('doc_id', 0)
                ->groupEnd();
        }

        $rows = $builder
            ->groupBy($nameField)
            ->orderBy($nameField, 'ASC')
            ->limit(500)
            ->get()
            ->getResultArray();

        $medTable = $this->findExistingTable(['opd_prescrption_prescribed_template', 'opd_prescription_prescribed_template']);
        $medCountMap = [];
        if ($medTable !== null) {
            $medFields = $this->db->getFieldNames($medTable);
            if (in_array('rx_group_id', $medFields, true)) {
                $medRows = $this->db->table($medTable)
                    ->select('rx_group_id,COUNT(*) as med_count')
                    ->groupBy('rx_group_id')
                    ->get()
                    ->getResultArray();

                foreach ($medRows as $medRow) {
                    $rxId = (int) ($medRow['rx_group_id'] ?? 0);
                    if ($rxId > 0) {
                        $medCountMap[$rxId] = (int) ($medRow['med_count'] ?? 0);
                    }
                }
            }
        }

        foreach ($rows as &$row) {
            $row['med_count'] = (int) ($medCountMap[(int) ($row['id'] ?? 0)] ?? 0);
        }
        unset($row);

        if ($this->request->isAJAX() || strtolower((string) $this->request->getHeaderLine('Accept')) === 'application/json') {
            return $this->response->setJSON(['rows' => $rows]);
        }

        if (empty($rows)) {
            return $this->response->setBody('<p class="text-muted">No RX groups found.</p>');
        }

        $html = '<ul class="list-group">';
        foreach ($rows as $row) {
            $html .= '<li class="list-group-item d-flex justify-content-between align-items-center">'
                . '<span>' . esc((string) ($row['rx_group_name'] ?? 'RX Group')) . '</span>'
                . '<span class="badge bg-secondary">#' . (int) ($row['id'] ?? 0) . ' (' . (int) ($row['med_count'] ?? 0) . ')</span>'
                . '</li>';
        }
        $html .= '</ul>';

        return $this->response->setBody($html);
    }

    public function prescribed_dose(int $opdId, int $opdSessionId)
    {
        $medicineTable = $this->findExistingTable(['opd_prescrption_prescribed', 'opd_prescription_prescribed']);
        if ($medicineTable === null) {
            return $this->response->setBody('<p class="text-muted">No prescribed medicine table found.</p>');
        }

        $rows = $this->db->table($medicineTable)
            ->select('id,med_type,med_name,dosage,dosage_when,dosage_freq,no_of_days,qty,remark')
            ->where('opd_pre_id', $opdSessionId)
            ->orderBy('id', 'ASC')
            ->get()
            ->getResultArray();

        if (empty($rows)) {
            return $this->response->setBody('<p class="text-muted">No prescribed medicine found for this OPD session.</p>');
        }

        $html = '<table class="table table-bordered table-sm"><thead><tr><th>Type</th><th>Medicine</th><th>Dose</th><th>When</th><th>Freq</th><th>Days</th><th>Qty</th><th>Remark</th></tr></thead><tbody>';
        foreach ($rows as $row) {
            $html .= '<tr>'
                . '<td>' . esc((string) ($row['med_type'] ?? '')) . '</td>'
                . '<td>' . esc((string) ($row['med_name'] ?? '')) . '</td>'
                . '<td>' . esc((string) ($row['dosage'] ?? '')) . '</td>'
                . '<td>' . esc((string) ($row['dosage_when'] ?? '')) . '</td>'
                . '<td>' . esc((string) ($row['dosage_freq'] ?? '')) . '</td>'
                . '<td>' . esc((string) ($row['no_of_days'] ?? '')) . '</td>'
                . '<td>' . esc((string) ($row['qty'] ?? '')) . '</td>'
                . '<td>' . esc((string) ($row['remark'] ?? '')) . '</td>'
                . '</tr>';
        }
        $html .= '</tbody></table>';

        return $this->response->setBody($html);
    }

    private function findExistingTable(array $candidates): ?string
    {
        foreach ($candidates as $table) {
            if ($this->db->tableExists($table)) {
                return $table;
            }
        }
        return null;
    }

    private function getDoseMasterRows(string $table, array $idCandidates, array $labelCandidates): array
    {
        if (! $this->db->tableExists($table)) {
            return [];
        }

        $fields = $this->db->getFieldNames($table);
        $idField = $this->resolveFirstField($fields, $idCandidates);
        if ($idField === null) {
            return [];
        }

        $labelField = null;
        $secondaryLabelField = null;
        $localLabelField = null;

        if ($table === 'opd_dose_shed') {
            $labelField = $this->resolveFirstField($fields, ['dose_show_sign', 'dose_sign', 'dose_sign_desc', 'name']);
            $localLabelField = $this->resolveFirstField($fields, ['dose_show_desc', 'dose_sign_hindi', 'dose_sign_desc']);
        } else {
            $labelField = $this->resolveFirstField($fields, ['dose_sign', 'dose_sign_desc', 'name']);
            $secondaryLabelField = $this->resolveFirstField($fields, ['dose_sign_desc', 'name']);
            $localLabelField = $this->resolveFirstField($fields, ['dose_sign_hindi', 'dose_sign_desc']);
        }

        if ($labelField === null) {
            $labelField = $this->resolveFirstField($fields, $labelCandidates);
        }

        if ($labelField === null) {
            return [];
        }

        $select = [$idField . ' as id', $labelField . ' as label'];
        if ($secondaryLabelField !== null && $secondaryLabelField !== $labelField) {
            $select[] = $secondaryLabelField . ' as secondary_label';
        }
        if ($localLabelField !== null && $localLabelField !== $labelField) {
            $select[] = $localLabelField . ' as local_label';
        }

        return $this->db->table($table)
            ->select(implode(',', $select))
            ->where($labelField . ' !=', '')
            ->orderBy($idField, 'ASC')
            ->get()
            ->getResultArray();
    }

    private function getDoseMasterLabelMap(string $table, array $idCandidates, array $labelCandidates): array
    {
        $rows = $this->getDoseMasterRows($table, $idCandidates, $labelCandidates);
        if (empty($rows)) {
            return [];
        }

        $map = [];
        foreach ($rows as $row) {
            $id = trim((string) ($row['id'] ?? ''));
            $label = trim((string) ($row['label'] ?? ''));
            if ($id === '' || $id === '0' || $label === '') {
                continue;
            }
            $map[$id] = $label;
        }

        return $map;
    }

    private function getDoseMasterLocalLabelMap(string $table, array $idCandidates, array $labelCandidates): array
    {
        $rows = $this->getDoseMasterRows($table, $idCandidates, $labelCandidates);
        if (empty($rows)) {
            return [];
        }

        $map = [];
        foreach ($rows as $row) {
            $id = trim((string) ($row['id'] ?? ''));
            $label = trim((string) ($row['local_label'] ?? ($row['secondary_label'] ?? '')));
            if ($id === '' || $id === '0' || $label === '') {
                continue;
            }
            $map[$id] = $label;
        }

        return $map;
    }

    private function resolveDoseMasterLabel($value, array $map): string
    {
        $raw = trim((string) $value);
        if ($raw === '' || $raw === '0') {
            return '';
        }

        return $map[$raw] ?? $raw;
    }

    private function applyDoseMasterStringFields(array &$payload, array $fields): void
    {
        $doseMap = $this->getDoseMasterLabelMap('opd_dose_shed', ['dose_shed_id', 'id'], ['dose_show_sign', 'dose_sign', 'dose_sign_desc', 'name']);
        $whenMap = $this->getDoseMasterLabelMap('opd_dose_when', ['dose_when_id', 'id'], ['dose_sign', 'dose_sign_desc', 'name']);
        $freqMap = $this->getDoseMasterLabelMap('opd_dose_frequency', ['dose_freq_id', 'id'], ['dose_sign', 'dose_sign_desc', 'name']);
        $whereMap = $this->getDoseMasterLabelMap('opd_dose_where', ['dose_where_id', 'id'], ['dose_sign', 'dose_sign_desc', 'name']);

        $stringFields = [
            'dosage_str' => $this->resolveDoseMasterLabel($payload['dosage'] ?? '', $doseMap),
            'dosage_when_str' => $this->resolveDoseMasterLabel($payload['dosage_when'] ?? '', $whenMap),
            'dosage_freq_str' => $this->resolveDoseMasterLabel($payload['dosage_freq'] ?? '', $freqMap),
            'dosage_where_str' => $this->resolveDoseMasterLabel($payload['dosage_where'] ?? '', $whereMap),
        ];

        foreach ($stringFields as $field => $value) {
            if ($value === '' || ! in_array($field, $fields, true)) {
                continue;
            }
            $payload[$field] = $value;
        }
    }

    private function hydrateNabhPrescriptionFields(array $row, string $remarks): array
    {
        $pick = function (array $candidates) use ($row): string {
            foreach ($candidates as $field) {
                $value = trim((string) ($row[$field] ?? ''));
                if ($value !== '') {
                    return $value;
                }
            }
            return '';
        };

        $data = [
            'drug_allergy_status' => $pick(['drug_allergy_status', 'allergy_status', 'drug_allergy']),
            'drug_allergy_details' => $pick(['drug_allergy_details', 'allergy_details', 'drug_allergy_note', 'allergy_note']),
            'adr_history' => $pick(['adr_history', 'adverse_drug_reaction', 'adr_details', 'adverse_reaction_history']),
            'current_medications' => $pick(['current_medications', 'current_medication', 'current_medication_history', 'ongoing_medications']),
        ];

        $parsed = $this->extractNabhFieldsFromRemarks($remarks);
        foreach ($data as $key => $value) {
            if ($value === '' && !empty($parsed[$key])) {
                $data[$key] = (string) $parsed[$key];
            }
        }

        return $data;
    }

    private function mapNabhFieldsToExistingColumns(array &$payload, array $fields, array $input): array
    {
        $mapping = [
            'drug_allergy_status' => ['drug_allergy_status', 'allergy_status', 'drug_allergy'],
            'drug_allergy_details' => ['drug_allergy_details', 'allergy_details', 'drug_allergy_note', 'allergy_note'],
            'adr_history' => ['adr_history', 'adverse_drug_reaction', 'adr_details', 'adverse_reaction_history'],
            'current_medications' => ['current_medications', 'current_medication', 'current_medication_history', 'ongoing_medications'],
        ];

        $unmapped = [];
        foreach ($mapping as $logical => $candidates) {
            $value = trim((string) ($input[$logical] ?? ''));
            $target = null;
            foreach ($candidates as $candidate) {
                if (in_array($candidate, $fields, true)) {
                    $target = $candidate;
                    break;
                }
            }

            if ($target !== null) {
                $payload[$target] = $value;
            } else {
                $unmapped[$logical] = $value;
            }
        }

        return $unmapped;
    }

    private function extractNabhFieldsFromRemarks(string $remarks): array
    {
        $extract = static function (string $pattern, string $source): string {
            if (preg_match($pattern, $source, $m) !== 1) {
                return '';
            }
            return trim((string) ($m[1] ?? ''));
        };

        return [
            'drug_allergy_status' => $extract('/^\s*Drug\s*Allergy\s*Status\s*:\s*(.+)$/im', $remarks),
            'drug_allergy_details' => $extract('/^\s*Drug\s*Allergy\s*Details\s*:\s*(.+)$/im', $remarks),
            'adr_history' => $extract('/^\s*ADR\s*History\s*:\s*(.+)$/im', $remarks),
            'current_medications' => $extract('/^\s*Current\s*Medications\s*:\s*(.+)$/im', $remarks),
        ];
    }

    private function upsertNabhFieldsIntoRemarks(string $remarks, array $input): string
    {
        $clean = $this->stripNabhFieldsFromRemarks($remarks);

        $lines = [];
        if (trim((string) ($input['drug_allergy_status'] ?? '')) !== '') {
            $lines[] = 'Drug Allergy Status: ' . trim((string) ($input['drug_allergy_status'] ?? ''));
        }
        if (trim((string) ($input['drug_allergy_details'] ?? '')) !== '') {
            $lines[] = 'Drug Allergy Details: ' . trim((string) ($input['drug_allergy_details'] ?? ''));
        }
        if (trim((string) ($input['adr_history'] ?? '')) !== '') {
            $lines[] = 'ADR History: ' . trim((string) ($input['adr_history'] ?? ''));
        }
        if (trim((string) ($input['current_medications'] ?? '')) !== '') {
            $lines[] = 'Current Medications: ' . trim((string) ($input['current_medications'] ?? ''));
        }

        if (empty($lines)) {
            return $clean;
        }

        if ($clean !== '') {
            return $clean . "\n" . implode("\n", $lines);
        }

        return implode("\n", $lines);
    }

    private function stripNabhFieldsFromRemarks(string $remarks): string
    {
        $clean = trim($remarks);
        $clean = preg_replace('/\n?\s*Drug\s*Allergy\s*Status\s*:\s*.+$/im', '', $clean) ?? $clean;
        $clean = preg_replace('/\n?\s*Drug\s*Allergy\s*Details\s*:\s*.+$/im', '', $clean) ?? $clean;
        $clean = preg_replace('/\n?\s*ADR\s*History\s*:\s*.+$/im', '', $clean) ?? $clean;
        $clean = preg_replace('/\n?\s*Current\s*Medications\s*:\s*.+$/im', '', $clean) ?? $clean;
        return trim($clean);
    }

    /**
     * @param array<string, mixed> $row
     * @return array<string, string>
     */
    private function hydratePatientHistoryFields(array $row, string $remarks): array
    {
        $pick = function (array $candidates) use ($row): string {
            foreach ($candidates as $field) {
                $value = trim((string) ($row[$field] ?? ''));
                if ($value !== '') {
                    return $value;
                }
            }

            return '';
        };

        $data = [
            'obstetric_history' => $pick(['obstetric_history', 'obstetric_hist', 'obstetric_details']),
            'menstrual_history' => $pick(['menstrual_history', 'menstrual_hist', 'menstrual_details']),
            'medical_surgical_history' => $pick(['medical_surgical_history', 'medical_surgical_hist', 'past_medical_surgical_history', 'medical_history', 'surgical_history']),
            'family_history' => $pick(['family_history', 'family_hist']),
            'allergic_history' => $pick(['allergic_history', 'allergy_history', 'allergy_hist']),
            'vaccination_history' => $pick(['vaccination_history', 'vaccination_hist', 'immunization_history']),
        ];

        $parsed = $this->extractPatientHistoryFieldsFromRemarks($remarks);
        foreach ($data as $key => $value) {
            if ($value === '' && ! empty($parsed[$key])) {
                $data[$key] = (string) $parsed[$key];
            }
        }

        return $data;
    }

    /**
     * @param array<string, mixed> $payload
     * @param array<int, string> $fields
     * @param array<string, string> $input
     * @return array<string, string>
     */
    private function mapPatientHistoryFieldsToExistingColumns(array &$payload, array $fields, array $input): array
    {
        $mapping = [
            'obstetric_history' => ['obstetric_history', 'obstetric_hist', 'obstetric_details'],
            'menstrual_history' => ['menstrual_history', 'menstrual_hist', 'menstrual_details'],
            'medical_surgical_history' => ['medical_surgical_history', 'medical_surgical_hist', 'past_medical_surgical_history', 'medical_history', 'surgical_history'],
            'family_history' => ['family_history', 'family_hist'],
            'allergic_history' => ['allergic_history', 'allergy_history', 'allergy_hist'],
            'vaccination_history' => ['vaccination_history', 'vaccination_hist', 'immunization_history'],
        ];

        $unmapped = [];
        foreach ($mapping as $logical => $candidates) {
            $value = trim((string) ($input[$logical] ?? ''));
            $target = null;
            foreach ($candidates as $candidate) {
                if (in_array($candidate, $fields, true)) {
                    $target = $candidate;
                    break;
                }
            }

            if ($target !== null) {
                $payload[$target] = $value;
            } else {
                $unmapped[$logical] = $value;
            }
        }

        return $unmapped;
    }

    /**
     * @return array<string, string>
     */
    private function extractPatientHistoryFieldsFromRemarks(string $remarks): array
    {
        $extract = static function (string $pattern, string $source): string {
            if (preg_match($pattern, $source, $m) !== 1) {
                return '';
            }

            return trim((string) ($m[1] ?? ''));
        };

        return [
            'obstetric_history' => $extract('/^\s*OBSTETRIC\s*HISTORY\s*:\s*(.+)$/im', $remarks),
            'menstrual_history' => $extract('/^\s*MENSTRUAL\s*HISTORY\s*:\s*(.+)$/im', $remarks),
            'medical_surgical_history' => $extract('/^\s*MEDICAL\s*\/\s*SURGICAL\s*HISTORY\s*:\s*(.+)$/im', $remarks),
            'family_history' => $extract('/^\s*FAMILY\s*HISTORY\s*:\s*(.+)$/im', $remarks),
            'allergic_history' => $extract('/^\s*ALLERGIC\s*HISTORY\s*:\s*(.+)$/im', $remarks),
            'vaccination_history' => $extract('/^\s*VACCINATION\s*:\s*(.+)$/im', $remarks),
        ];
    }

    private function stripPatientHistoryFieldsFromRemarks(string $remarks): string
    {
        $clean = trim($remarks);
        $clean = preg_replace('/\n?\s*OBSTETRIC\s*HISTORY\s*:\s*.+$/im', '', $clean) ?? $clean;
        $clean = preg_replace('/\n?\s*MENSTRUAL\s*HISTORY\s*:\s*.+$/im', '', $clean) ?? $clean;
        $clean = preg_replace('/\n?\s*MEDICAL\s*\/\s*SURGICAL\s*HISTORY\s*:\s*.+$/im', '', $clean) ?? $clean;
        $clean = preg_replace('/\n?\s*FAMILY\s*HISTORY\s*:\s*.+$/im', '', $clean) ?? $clean;
        $clean = preg_replace('/\n?\s*ALLERGIC\s*HISTORY\s*:\s*.+$/im', '', $clean) ?? $clean;
        $clean = preg_replace('/\n?\s*VACCINATION\s*:\s*.+$/im', '', $clean) ?? $clean;

        return trim($clean);
    }

    /**
     * @param array<string, mixed> $payload
     * @param array<int, string> $fields
     * @param array<string, string> $input
     * @return array<string, string>
     */
    private function mapComplaintStructuredToExistingColumns(array &$payload, array $fields, array $input): array
    {
        $mapping = [
            'complaint_onset' => ['complaint_onset', 'symptom_onset', 'onset'],
            'complaint_duration_days' => ['complaint_duration_days', 'symptom_duration_days', 'duration_days', 'complaint_duration'],
            'complaint_severity' => ['complaint_severity', 'symptom_severity', 'severity'],
        ];

        $unmapped = [];
        foreach ($mapping as $logical => $candidates) {
            $value = trim((string) ($input[$logical] ?? ''));
            $target = null;
            foreach ($candidates as $candidate) {
                if (in_array($candidate, $fields, true)) {
                    $target = $candidate;
                    break;
                }
            }

            if ($target !== null) {
                $payload[$target] = $value;
            } else {
                $unmapped[$logical] = $value;
            }
        }

        return $unmapped;
    }

    /**
     * @param array<string, string> $input
     */
    private function upsertComplaintStructuredIntoComplaints(string $complaints, array $input): string
    {
        $clean = $this->stripComplaintStructuredFromComplaints($complaints);

        $lines = [];
        if (trim((string) ($input['complaint_onset'] ?? '')) !== '') {
            $lines[] = 'Complaint Onset: ' . trim((string) ($input['complaint_onset'] ?? ''));
        }
        if (trim((string) ($input['complaint_duration_days'] ?? '')) !== '') {
            $lines[] = 'Complaint Duration (Days): ' . trim((string) ($input['complaint_duration_days'] ?? ''));
        }
        if (trim((string) ($input['complaint_severity'] ?? '')) !== '') {
            $lines[] = 'Complaint Severity: ' . trim((string) ($input['complaint_severity'] ?? ''));
        }

        if (empty($lines)) {
            return $clean;
        }

        if ($clean !== '') {
            return $clean . "\n" . implode("\n", $lines);
        }

        return implode("\n", $lines);
    }

    private function stripComplaintStructuredFromComplaints(string $complaints): string
    {
        $clean = trim($complaints);
        $clean = preg_replace('/\n?\s*Complaint\s*Onset\s*:\s*.+$/im', '', $clean) ?? $clean;
        $clean = preg_replace('/\n?\s*Complaint\s*Duration\s*\(\s*Days\s*\)\s*:\s*.+$/im', '', $clean) ?? $clean;
        $clean = preg_replace('/\n?\s*Complaint\s*Severity\s*:\s*.+$/im', '', $clean) ?? $clean;

        return trim($clean);
    }

    /**
     * @param array<string, mixed> $payload
     * @param array<int, string> $fields
     * @param array<string, string> $input
     * @return array<string, string>
     */
    private function mapDiagnosisCodingToExistingColumns(array &$payload, array $fields, array $input): array
    {
        $mapping = [
            'diagnosis_snomed_id' => ['diagnosis_snomed_id', 'diagnosis_sctid', 'diagnosis_concept_id'],
            'diagnosis_snomed_term' => ['diagnosis_snomed_term', 'diagnosis_sct_term', 'diagnosis_concept_term'],
            'diagnosis_snomed_source' => ['diagnosis_snomed_source', 'diagnosis_sct_source', 'diagnosis_concept_source'],
        ];

        $unmapped = [];
        foreach ($mapping as $logical => $candidates) {
            $value = trim((string) ($input[$logical] ?? ''));
            $target = null;
            foreach ($candidates as $candidate) {
                if (in_array($candidate, $fields, true)) {
                    $target = $candidate;
                    break;
                }
            }

            if ($target !== null) {
                $payload[$target] = $value;
            } else {
                $unmapped[$logical] = $value;
            }
        }

        return $unmapped;
    }

    /**
     * @param array<string, string> $input
     */
    private function upsertDiagnosisCodingIntoRemarks(string $remarks, array $input): string
    {
        $clean = $this->stripDiagnosisCodingFromRemarks($remarks);

        $lines = [];
        if (trim((string) ($input['diagnosis_snomed_id'] ?? '')) !== '') {
            $lines[] = 'Diagnosis SNOMED ID: ' . trim((string) ($input['diagnosis_snomed_id'] ?? ''));
        }
        if (trim((string) ($input['diagnosis_snomed_term'] ?? '')) !== '') {
            $lines[] = 'Diagnosis SNOMED Term: ' . trim((string) ($input['diagnosis_snomed_term'] ?? ''));
        }
        if (trim((string) ($input['diagnosis_snomed_source'] ?? '')) !== '') {
            $lines[] = 'Diagnosis SNOMED Source: ' . trim((string) ($input['diagnosis_snomed_source'] ?? ''));
        }

        if (empty($lines)) {
            return $clean;
        }

        if ($clean !== '') {
            return $clean . "\n" . implode("\n", $lines);
        }

        return implode("\n", $lines);
    }

    private function stripDiagnosisCodingFromRemarks(string $remarks): string
    {
        $clean = trim($remarks);
        $clean = preg_replace('/\n?\s*Diagnosis\s*SNOMED\s*ID\s*:\s*.+$/im', '', $clean) ?? $clean;
        $clean = preg_replace('/\n?\s*Diagnosis\s*SNOMED\s*Term\s*:\s*.+$/im', '', $clean) ?? $clean;
        $clean = preg_replace('/\n?\s*Diagnosis\s*SNOMED\s*Source\s*:\s*.+$/im', '', $clean) ?? $clean;

        return trim($clean);
    }

    /**
     * @param array<string, string> $input
     */
    private function upsertPatientHistoryFieldsIntoRemarks(string $remarks, array $input): string
    {
        $clean = $this->stripPatientHistoryFieldsFromRemarks($remarks);

        $labels = [
            'obstetric_history' => 'OBSTETRIC HISTORY',
            'menstrual_history' => 'MENSTRUAL HISTORY',
            'medical_surgical_history' => 'MEDICAL / SURGICAL HISTORY',
            'family_history' => 'FAMILY HISTORY',
            'allergic_history' => 'ALLERGIC HISTORY',
            'vaccination_history' => 'VACCINATION',
        ];

        $lines = [];
        foreach ($labels as $key => $label) {
            $value = trim((string) ($input[$key] ?? ''));
            if ($value !== '') {
                $lines[] = $label . ': ' . $value;
            }
        }

        if (empty($lines)) {
            return $clean;
        }

        if ($clean !== '') {
            return $clean . "\n" . implode("\n", $lines);
        }

        return implode("\n", $lines);
    }

    /**
     * @param array<string, string> $input
     */
    private function hasAnyNabhField(array $input): bool
    {
        foreach ($input as $value) {
            if (trim((string) $value) !== '') {
                return true;
            }
        }

        return false;
    }

    /**
     * @param array<string, string> $input
     */
    private function hasAnyPatientHistoryField(array $input): bool
    {
        foreach ($input as $value) {
            if (trim((string) $value) !== '') {
                return true;
            }
        }

        return false;
    }

    private function ensureClinicalTemplateTable(): bool
    {
        if ($this->db->tableExists('opd_clinical_templates')) {
            return true;
        }

        try {
            $sql = "CREATE TABLE IF NOT EXISTS opd_clinical_templates (
                id INT AUTO_INCREMENT PRIMARY KEY,
                doc_id INT NOT NULL DEFAULT 0,
                section_key VARCHAR(80) NOT NULL,
                template_name VARCHAR(255) NOT NULL,
                template_text TEXT NOT NULL,
                is_active TINYINT NOT NULL DEFAULT 1,
                created_at DATETIME NULL,
                updated_at DATETIME NULL,
                INDEX idx_doc_section (doc_id, section_key),
                INDEX idx_section_active (section_key, is_active)
            )";
            $this->db->query($sql);
        } catch (\Throwable $e) {
            return false;
        }

        return $this->db->tableExists('opd_clinical_templates');
    }

    private function ensureClinicalTemplateUsageTable(): bool
    {
        if ($this->db->tableExists('opd_clinical_template_usage')) {
            return true;
        }

        try {
            $sql = "CREATE TABLE IF NOT EXISTS opd_clinical_template_usage (
                id INT AUTO_INCREMENT PRIMARY KEY,
                doc_id INT NOT NULL,
                template_id INT NOT NULL,
                section_key VARCHAR(80) NOT NULL,
                use_count INT NOT NULL DEFAULT 0,
                last_used_at DATETIME NULL,
                created_at DATETIME NULL,
                updated_at DATETIME NULL,
                UNIQUE KEY uniq_doc_template_section (doc_id, template_id, section_key),
                INDEX idx_template (template_id),
                INDEX idx_section_use (section_key, use_count)
            )";
            $this->db->query($sql);
        } catch (\Throwable $e) {
            return false;
        }

        return $this->db->tableExists('opd_clinical_template_usage');
    }

    private function ensureAutotypeKeywordTable(): bool
    {
        if ($this->db->tableExists('opd_autotype_keyword_master')) {
            return true;
        }

        try {
            $sql = "CREATE TABLE IF NOT EXISTS opd_autotype_keyword_master (
                id INT AUTO_INCREMENT PRIMARY KEY,
                doc_id INT NOT NULL DEFAULT 0,
                section_key VARCHAR(80) NOT NULL,
                keyword VARCHAR(255) NOT NULL,
                is_active TINYINT NOT NULL DEFAULT 1,
                created_at DATETIME NULL,
                updated_at DATETIME NULL,
                UNIQUE KEY uniq_doc_section_keyword (doc_id, section_key, keyword(120)),
                INDEX idx_section_keyword (section_key, keyword(120)),
                INDEX idx_doc_active (doc_id, is_active)
            )";
            $this->db->query($sql);
        } catch (\Throwable $e) {
            // Fallback for stricter MySQL/InnoDB index length limits.
            try {
                $fallbackSql = "CREATE TABLE IF NOT EXISTS opd_autotype_keyword_master (
                    id INT AUTO_INCREMENT PRIMARY KEY,
                    doc_id INT NOT NULL DEFAULT 0,
                    section_key VARCHAR(60) NOT NULL,
                    keyword VARCHAR(180) NOT NULL,
                    is_active TINYINT NOT NULL DEFAULT 1,
                    created_at DATETIME NULL,
                    updated_at DATETIME NULL,
                    UNIQUE KEY uniq_doc_section_keyword (doc_id, section_key, keyword),
                    INDEX idx_section_keyword (section_key, keyword),
                    INDEX idx_doc_active (doc_id, is_active)
                )";
                $this->db->query($fallbackSql);
            } catch (\Throwable $e2) {
                return false;
            }
        }

        return $this->db->tableExists('opd_autotype_keyword_master');
    }

    private function isAutotypeKeywordSectionAllowed(string $section): bool
    {
        return in_array($section, ['complaints', 'provisional_diagnosis', 'finding_examinations'], true);
    }

    /**
     * @return array<int, string>
     */
    private function fetchAutotypeKeywords(string $section, string $q, int $docId, int $limit = 20): array
    {
        if ($q === '' || ! $this->isAutotypeKeywordSectionAllowed($section) || ! $this->ensureAutotypeKeywordTable()) {
            return [];
        }

        $builder = $this->db->table('opd_autotype_keyword_master')
            ->select('keyword,doc_id')
            ->where('is_active', 1)
            ->where('section_key', $section)
            ->like('keyword', $q)
            ->orderBy('doc_id', 'DESC')
            ->orderBy('updated_at', 'DESC')
            ->limit(max(1, $limit));

        if ($docId > 0) {
            $builder->groupStart()
                ->where('doc_id', 0)
                ->orWhere('doc_id', $docId)
                ->groupEnd();
        } else {
            $builder->where('doc_id', 0);
        }

        $rows = $builder->get()->getResultArray();
        if (empty($rows)) {
            return [];
        }

        $out = [];
        $seen = [];
        foreach ($rows as $row) {
            $keyword = trim((string) ($row['keyword'] ?? ''));
            if ($keyword === '') {
                continue;
            }
            $k = strtoupper($keyword);
            if (isset($seen[$k])) {
                continue;
            }
            $seen[$k] = true;
            $out[] = $keyword;
        }

        return $out;
    }

    private function canManageMasterKeyword(): bool
    {
        $user = auth()->user();
        if (! $user || ! method_exists($user, 'can')) {
            return false;
        }

        return $user->can('doctor_work.template_workspace.access') || $user->can('doctor_work.access');
    }

    private function isTemplateSectionAllowed(string $section): bool
    {
        return in_array($section, ['finding_examinations', 'diagnosis', 'provisional_diagnosis', 'prescriber_remarks', 'advice'], true);
    }

    /**
     * @param array<int, string> $candidateColumns
     * @return array<int, string>
     */
    private function collectRecentPrescriptionEntries(int $patientId, int $currentOpdId, array $candidateColumns, int $limit = 8): array
    {
        if ($patientId <= 0 || ! $this->db->tableExists('opd_prescription')) {
            return [];
        }

        $fields = $this->db->getFieldNames('opd_prescription') ?? [];
        $column = $this->resolveFirstField($fields, $candidateColumns);
        if ($column === null) {
            return [];
        }

        $rows = $this->db->table('opd_prescription')
            ->select($column . ' as section_text')
            ->where('p_id', $patientId)
            ->where('opd_id !=', $currentOpdId)
            ->where($column . ' IS NOT NULL', null, false)
            ->where($column . ' !=', '')
            ->orderBy('id', 'DESC')
            ->limit(40)
            ->get()
            ->getResultArray();

        $out = [];
        $seen = [];
        foreach ($rows as $row) {
            $sectionText = trim((string) ($row['section_text'] ?? ''));
            if ($sectionText === '') {
                continue;
            }

            $parts = $this->splitRecentEntryText($sectionText);
            foreach ($parts as $part) {
                $normalized = $this->normalizeRecentEntryText($part);
                if ($normalized === '') {
                    continue;
                }

                $key = strtolower($normalized);
                if (isset($seen[$key])) {
                    continue;
                }

                $seen[$key] = true;
                $out[] = $normalized;
                if (count($out) >= $limit) {
                    return $out;
                }
            }
        }

        return $out;
    }

    /**
     * @return array<int, string>
     */
    private function collectRecentInvestigationEntries(int $patientId, int $currentOpdId, int $limit = 8): array
    {
        $out = $this->collectRecentPrescriptionEntries($patientId, $currentOpdId, ['investigation'], $limit);
        $seen = [];
        foreach ($out as $item) {
            $seen[strtolower($item)] = true;
        }

        if (! $this->db->tableExists('opd_prescription_investigation') || ! $this->db->tableExists('opd_master')) {
            return array_slice($out, 0, $limit);
        }

        $fields = $this->db->getFieldNames('opd_prescription_investigation') ?? [];
        $nameField = $this->resolveFirstField($fields, ['investigation_name', 'name', 'test_name']);
        $opdField = $this->resolveFirstField($fields, ['opd_id', 'opdid']);
        if ($nameField === null || $opdField === null) {
            return array_slice($out, 0, $limit);
        }

        $builder = $this->db->table('opd_prescription_investigation i')
            ->select('i.`' . $nameField . '` as investigation_name')
            ->join('opd_master o', 'o.opd_id = i.`' . $opdField . '`', 'inner')
            ->where('o.p_id', $patientId)
            ->where('i.`' . $opdField . '` !=', $currentOpdId)
            ->where('i.`' . $nameField . '` IS NOT NULL', null, false)
            ->where('i.`' . $nameField . '` !=', '')
            ->limit(60);

        $idField = $this->resolveFirstField($fields, ['id', 'investigation_id']);
        if ($idField !== null) {
            $builder->orderBy('i.`' . $idField . '`', 'DESC');
        } else {
            $builder->orderBy('i.`' . $opdField . '`', 'DESC');
        }

        $rows = $builder->get()->getResultArray();
        foreach ($rows as $row) {
            $name = $this->normalizeRecentEntryText((string) ($row['investigation_name'] ?? ''));
            if ($name === '') {
                continue;
            }

            $key = strtolower($name);
            if (isset($seen[$key])) {
                continue;
            }

            $seen[$key] = true;
            $out[] = $name;
            if (count($out) >= $limit) {
                break;
            }
        }

        return array_slice($out, 0, $limit);
    }

    /**
     * @return array<int, string>
     */
    private function splitRecentEntryText(string $text): array
    {
        $normalized = trim(str_replace(["\r\n", "\r"], "\n", $text));
        if ($normalized === '') {
            return [];
        }

        $parts = preg_split('/[\n;]+/', $normalized) ?: [];
        if (count($parts) <= 1 && substr_count($normalized, ',') > 0 && strlen($normalized) <= 220) {
            $parts = preg_split('/,/', $normalized) ?: [];
        }

        if (empty($parts)) {
            return [$normalized];
        }

        return $parts;
    }

    private function normalizeRecentEntryText(string $value, int $maxLen = 110): string
    {
        $text = trim($value);
        if ($text === '') {
            return '';
        }

        $text = preg_replace('/^[\-\*\x{2022}\s]+/u', '', $text) ?? $text;
        $text = preg_replace('/\s+/', ' ', $text) ?? $text;
        $text = trim($text);
        if ($text === '') {
            return '';
        }

        if (strlen($text) > $maxLen) {
            $text = rtrim(substr($text, 0, $maxLen - 3)) . '...';
        }

        return $text;
    }

    private function resolveSectionColumn(string $section): ?string
    {
        $map = [
            'finding_examinations' => 'Finding_Examinations',
            'diagnosis' => 'diagnosis',
            'provisional_diagnosis' => 'Provisional_diagnosis',
            'prescriber_remarks' => 'Prescriber_Remarks',
            'advice' => 'advice',
        ];

        return $map[$section] ?? null;
    }

    private function ensurePrescriptionSession(int $opdId, int $sessionId = 0): int
    {
        if (!$this->db->tableExists('opd_prescription')) {
            return 0;
        }

        $fields = $this->db->getFieldNames('opd_prescription');
        if ($sessionId > 0) {
            $row = $this->db->table('opd_prescription')->where('id', $sessionId)->where('opd_id', $opdId)->get(1)->getRow();
            if ($row) {
                return $sessionId;
            }
        }

        $last = $this->db->table('opd_prescription')->where('opd_id', $opdId)->orderBy('id', 'DESC')->get(1)->getRow();
        if ($last && !empty($last->id)) {
            return (int) $last->id;
        }

        $opdRow = $this->db->table('opd_master')->where('opd_id', $opdId)->get(1)->getRow();
        if (!$opdRow) {
            return 0;
        }

        $insert = [];
        if (in_array('opd_id', $fields, true)) {
            $insert['opd_id'] = $opdId;
        }
        if (in_array('p_id', $fields, true)) {
            $insert['p_id'] = (int) ($opdRow->p_id ?? 0);
        }
        if (in_array('doc_id', $fields, true)) {
            $insert['doc_id'] = (int) ($opdRow->doc_id ?? 0);
        }
        if (in_array('date_opd_visit', $fields, true)) {
            $insert['date_opd_visit'] = date('Y-m-d');
        }
        if (in_array('visit_status', $fields, true)) {
            $insert['visit_status'] = 0;
        }
        if (in_array('session_id', $fields, true)) {
            $insert['session_id'] = 0;
        }
        if (in_array('queue_no', $fields, true)) {
            // JOIN through opd_master to guarantee per-doctor isolation
            $maxQueue = $this->db->query(
                'SELECT COALESCE(MAX(pr.queue_no), 0) AS max_queue'
                . ' FROM opd_prescription pr'
                . ' INNER JOIN opd_master om ON om.opd_id = pr.opd_id'
                . ' WHERE pr.date_opd_visit = ? AND om.doc_id = ?',
                [date('Y-m-d'), (int) ($opdRow->doc_id ?? 0)]
            )->getRow();
            $insert['queue_no'] = (int) ($maxQueue->max_queue ?? 0) + 1;
        }

        $this->db->table('opd_prescription')->insert($insert);
        return (int) $this->db->insertID();
    }

    public function create_opd_queue(int $opdId)
    {
        if (! $this->canAccessPrescription()) {
            return $this->response->setStatusCode(403)->setBody('Access denied');
        }

        if ($opdId <= 0) {
            return $this->response->setBody('Invalid OPD ID');
        }

        $sessionId = $this->ensurePrescriptionSession($opdId, 0);
        if ($sessionId <= 0) {
            return $this->response->setBody('Unable to create queue');
        }

        return $this->response->setBody('Queue Created');
    }

    private function isValidAbhaAddress(string $value): bool
    {
        $validation = service('validation');
        $validation->reset();

        return $validation->setRules([
            'abha_address' => 'valid_abha_address',
        ])->run([
            'abha_address' => $value,
        ]);
    }

    private function resolvePatientAbhaField(): ?string
    {
        if (! $this->db->tableExists('patient_master')) {
            return null;
        }

        $fields = $this->db->getFieldNames('patient_master');
        foreach (['abha_address', 'abha', 'abha_id', 'abha_no'] as $field) {
            if (in_array($field, $fields, true)) {
                return $field;
            }
        }

        return null;
    }

    /**
     * @return array<string, int>
     */
    private function getPatientAddictionFlags(int $patientId): array
    {
        $flags = [
            'is_smoking' => 0,
            'is_alcohol' => 0,
            'is_drug_abuse' => 0,
        ];

        if ($patientId <= 0 || ! $this->db->tableExists('patient_master')) {
            return $flags;
        }

        $patientFields = $this->db->getFieldNames('patient_master');
        $selectFields = [];
        foreach (array_keys($flags) as $field) {
            if (in_array($field, $patientFields, true)) {
                $selectFields[] = $field;
            }
        }

        if (empty($selectFields)) {
            return $flags;
        }

        $row = $this->db->table('patient_master')
            ->select(implode(',', $selectFields))
            ->where('id', $patientId)
            ->get(1)
            ->getRowArray() ?? [];

        foreach ($flags as $field => $_) {
            if (array_key_exists($field, $row)) {
                $flags[$field] = ((int) $row[$field]) > 0 ? 1 : 0;
            }
        }

        return $flags;
    }

    /**
     * @return array<int, array{id:string|int,name:string,selected:int}>
     */
    private function getCoMorbiditiesWithSelection(int $patientId): array
    {
        if (! $this->db->tableExists('morbidities_master')) {
            return $this->getDefaultCoMorbidityRows($patientId);
        }

        $masterFields = $this->db->getFieldNames('morbidities_master');
        $idField = $this->resolveFirstField($masterFields, ['mor_id', 'id']);
        $nameField = $this->resolveFirstField($masterFields, ['morbidities', 'name', 'title']);
        if ($idField === null || $nameField === null) {
            return [];
        }

        $builder = $this->db->table('morbidities_master')
            ->select($idField . ' as mor_id,' . $nameField . ' as morbidities')
            ->orderBy($nameField, 'ASC');

        if (in_array('active', $masterFields, true)) {
            $builder->where('active', 1);
        }

        $rows = $builder->get()->getResultArray();
        if (empty($rows)) {
            return $this->getDefaultCoMorbidityRows($patientId);
        }

        $selectedMap = [];
        if ($patientId > 0 && $this->db->tableExists('patient_morbidities')) {
            $patientMorFields = $this->db->getFieldNames('patient_morbidities');
            $pIdField = $this->resolveFirstField($patientMorFields, ['p_id', 'patient_id']);
            $morIdField = $this->resolveFirstField($patientMorFields, ['morbidities', 'mor_id', 'morbidity_id']);
            if ($pIdField !== null && $morIdField !== null) {
                $selectedRows = $this->db->table('patient_morbidities')
                    ->select($morIdField . ' as mor_id')
                    ->where($pIdField, $patientId)
                    ->get()
                    ->getResultArray();
                foreach ($selectedRows as $selectedRow) {
                    $selectedMap[(int) ($selectedRow['mor_id'] ?? 0)] = true;
                }
            }
        }

        $result = [];
        foreach ($rows as $row) {
            $morId = (int) ($row['mor_id'] ?? 0);
            if ($morId <= 0) {
                continue;
            }
            $result[] = [
                'id' => $morId,
                'name' => (string) ($row['morbidities'] ?? ''),
                'selected' => ! empty($selectedMap[$morId]) ? 1 : 0,
            ];
        }

        return $result;
    }

    /**
     * @return array<int, array{id:string|int,name:string,selected:int}>
     */
    private function getDefaultCoMorbidityRows(int $patientId = 0): array
    {
        $historical = $this->getHistoricalCoMorbiditySelection($patientId);

        return [
            ['id' => 'DM', 'name' => 'Diabetes mellitus (DM)', 'selected' => !empty($historical['DM']) ? 1 : 0],
            ['id' => 'HTN', 'name' => 'high blood pressure (HTn)', 'selected' => !empty($historical['HTN']) ? 1 : 0],
            ['id' => 'CAD', 'name' => 'Coronary artery disease (CAD)', 'selected' => !empty($historical['CAD']) ? 1 : 0],
            ['id' => 'COPD', 'name' => 'Chronic Obstructive Pulmonary Disease', 'selected' => !empty($historical['COPD']) ? 1 : 0],
            ['id' => 'CVA', 'name' => 'cerebral vascular accident (CVA)', 'selected' => !empty($historical['CVA']) ? 1 : 0],
        ];
    }

    /**
     * @return array<string, bool>
     */
    private function getHistoricalCoMorbiditySelection(int $patientId): array
    {
        if ($patientId <= 0 || ! $this->db->tableExists('opd_prescription')) {
            return [];
        }

        $fields = $this->db->getFieldNames('opd_prescription');
        if (! in_array('Prescriber_Remarks', $fields, true)) {
            return [];
        }

        $rows = $this->db->table('opd_prescription')
            ->select('Prescriber_Remarks')
            ->where('p_id', $patientId)
            ->orderBy('id', 'DESC')
            ->limit(20)
            ->get()
            ->getResultArray();

        $selected = [];
        foreach ($rows as $row) {
            $remarks = trim((string) ($row['Prescriber_Remarks'] ?? ''));
            if ($remarks === '') {
                continue;
            }

            if (preg_match('/Co-Morbidities\s*:\s*(.+)$/im', $remarks, $match) !== 1) {
                continue;
            }

            $list = (string) ($match[1] ?? '');
            $tokens = preg_split('/[,;|]+/', $list) ?: [];
            foreach ($tokens as $token) {
                $canonical = $this->mapCoMorbidityTokenToCanonical((string) $token);
                if ($canonical !== null) {
                    $selected[$canonical] = true;
                }
            }
        }

        return $selected;
    }

    private function hasHistoricalCoMorbiditySelection(int $patientId): bool
    {
        return !empty($this->getHistoricalCoMorbiditySelection($patientId));
    }

    private function mapCoMorbidityTokenToCanonical(string $token): ?string
    {
        $normalized = strtolower((string) preg_replace('/[^a-z0-9]+/', '', trim($token)));
        if ($normalized === '') {
            return null;
        }

        $map = [
            'dm' => 'DM',
            'diabetes' => 'DM',
            'diabetesmellitus' => 'DM',

            'htn' => 'HTN',
            'highbloodpressure' => 'HTN',
            'hypertension' => 'HTN',

            'cad' => 'CAD',
            'coronaryarterydisease' => 'CAD',

            'copd' => 'COPD',
            'chronicobstructivepulmonarydisease' => 'COPD',

            'cva' => 'CVA',
            'cerebralvascularaccident' => 'CVA',
            'stroke' => 'CVA',
        ];

        return $map[$normalized] ?? null;
    }

    /**
     * @param array<string, int> $flags
     */
    private function syncPatientAddictionFlags(int $patientId, array $flags): void
    {
        if ($patientId <= 0 || ! $this->db->tableExists('patient_master')) {
            return;
        }

        $patientFields = $this->db->getFieldNames('patient_master');
        $update = [];
        foreach ($flags as $field => $value) {
            if (in_array($field, $patientFields, true)) {
                $update[$field] = ((int) $value) > 0 ? 1 : 0;
            }
        }

        if (! empty($update)) {
            $this->db->table('patient_master')->where('id', $patientId)->update($update);
        }
    }

    /**
     * @param array<int, int> $selectedMorbidityIds
     */
    private function syncPatientMorbidities(int $patientId, array $selectedMorbidityIds): void
    {
        if ($patientId <= 0 || ! $this->db->tableExists('patient_morbidities')) {
            return;
        }

        $patientMorFields = $this->db->getFieldNames('patient_morbidities');
        $pIdField = $this->resolveFirstField($patientMorFields, ['p_id', 'patient_id']);
        $morIdField = $this->resolveFirstField($patientMorFields, ['morbidities', 'mor_id', 'morbidity_id']);
        if ($pIdField === null || $morIdField === null) {
            return;
        }

        $selectedMap = [];
        foreach ($selectedMorbidityIds as $morId) {
            $morId = (int) $morId;
            if ($morId > 0) {
                $selectedMap[$morId] = true;
            }
        }

        $existingRows = $this->db->table('patient_morbidities')
            ->select('id,' . $morIdField . ' as mor_id')
            ->where($pIdField, $patientId)
            ->get()
            ->getResultArray();

        $existingMap = [];
        foreach ($existingRows as $existingRow) {
            $morId = (int) ($existingRow['mor_id'] ?? 0);
            if ($morId > 0) {
                $existingMap[$morId] = (int) ($existingRow['id'] ?? 0);
            }
        }

        if (! empty($existingMap)) {
            foreach ($existingMap as $morId => $rowId) {
                if (empty($selectedMap[$morId])) {
                    $this->db->table('patient_morbidities')->where('id', $rowId)->delete();
                }
            }
        }

        $insertFields = $patientMorFields;
        foreach (array_keys($selectedMap) as $morId) {
            if (! isset($existingMap[$morId])) {
                $insert = [
                    $pIdField => $patientId,
                    $morIdField => $morId,
                ];
                if (in_array('update_date', $insertFields, true)) {
                    $insert['update_date'] = date('Y-m-d H:i:s');
                }
                if (in_array('insert_date', $insertFields, true)) {
                    $insert['insert_date'] = date('Y-m-d H:i:s');
                }
                if (in_array('create_date', $insertFields, true)) {
                    $insert['create_date'] = date('Y-m-d H:i:s');
                }
                $this->db->table('patient_morbidities')->insert($insert);
            }
        }
    }

    /**
     * @return array<int, int>
     */
    private function parseNumericList(string $list): array
    {
        if ($list === '') {
            return [];
        }

        $tokens = preg_split('/[^0-9]+/', $list) ?: [];
        $result = [];
        foreach ($tokens as $token) {
            $id = (int) trim((string) $token);
            if ($id > 0) {
                $result[$id] = $id;
            }
        }

        return array_values($result);
    }

    private function buildLocalClinicalAssist(array $input): array
    {
        $text = mb_strtolower(trim((string) (($input['complaints'] ?? '') . ' ' . ($input['finding_examinations'] ?? ''))));
        $normalizedText = preg_replace('/\s+/', ' ', $text) ?: $text;

        $pulse = $this->parseNumericFromText((string) ($input['pulse'] ?? ''));
        $spo2 = $this->parseNumericFromText((string) ($input['spo2'] ?? ''));
        $temp = $this->parseNumericFromText((string) ($input['temp'] ?? ''));
        $rr = $this->parseNumericFromText((string) ($input['rr_min'] ?? ''));
        $bpSys = $this->parseNumericFromText((string) ($input['bp'] ?? ''));
        $bpDia = $this->parseNumericFromText((string) ($input['diastolic'] ?? ''));

        $vitalChecks = [];
        if ($temp !== null && $temp >= 100.0) {
            $vitalChecks[] = 'Fever range temperature noted (' . rtrim(rtrim(number_format($temp, 1, '.', ''), '0'), '.') . ').';
        }
        if ($pulse !== null && $pulse > 100) {
            $vitalChecks[] = 'Pulse is elevated (>100/min).';
        }
        if ($spo2 !== null && $spo2 < 94) {
            $vitalChecks[] = 'SpO2 is below 94%; respiratory risk check advised.';
        }
        if ($rr !== null && $rr > 22) {
            $vitalChecks[] = 'Respiratory rate is high (>22/min).';
        }
        if ($bpSys !== null && $bpDia !== null && ($bpSys >= 140 || $bpDia >= 90)) {
            $vitalChecks[] = 'Blood pressure is elevated (' . (int) round($bpSys) . '/' . (int) round($bpDia) . ').';
        }

        $diagnosis = [];
        $investigations = [];
        $advice = [];
        $redFlags = [];

        $has = static function (string $haystack, array $needles): bool {
            foreach ($needles as $needle) {
                if ($needle !== '' && str_contains($haystack, $needle)) {
                    return true;
                }
            }
            return false;
        };

        $hasFever = $has($normalizedText, ['fever', 'pyrexia', 'bukhar']);
        $hasCough = $has($normalizedText, ['cough', 'khansi']);
        $hasSoreThroat = $has($normalizedText, ['sore throat', 'throat pain', 'gale', 'pharyngitis']);
        $hasCold = $has($normalizedText, ['cold', 'coryza', 'running nose', 'dripping nose', 'rhinorrhoea']);
        $hasBreathless = $has($normalizedText, ['breathlessness', 'breathing difficulty', 'dyspnea', 'shortness of breath']);
        $hasChestPain = $has($normalizedText, ['chest pain', 'pain chest']);
        $hasAcidity = $has($normalizedText, ['acidity', 'burning epigastrium', 'heartburn', 'epigastric']);
        $hasLooseMotions = $has($normalizedText, ['diarrhoea', 'diarrhea', 'loose motion', 'motions']);
        $hasVomiting = $has($normalizedText, ['vomiting', 'emesis']);
        $hasDysuria = $has($normalizedText, ['burning micturition', 'dysuria', 'urinary frequency', 'urine burning']);
        $hasHeadache = $has($normalizedText, ['headache', 'migraine']);

        if ($hasFever && ($hasCough || $hasSoreThroat || $hasCold)) {
            $diagnosis[] = 'Acute upper respiratory infection (viral etiology likely).';
            $investigations[] = 'CBC';
            if ($hasFever) {
                $investigations[] = 'CRP (if persistent fever)';
            }
            $advice[] = 'Hydration, steam inhalation, and symptomatic care.';
        }

        if ($hasFever && !$hasCough && !$hasSoreThroat && !$hasLooseMotions) {
            $diagnosis[] = 'Acute febrile illness (source to be localized clinically).';
            $investigations[] = 'CBC';
            $investigations[] = 'Urine routine (if clinically indicated)';
            if ((int) ($input['dengue'] ?? 0) === 1 || ($temp !== null && $temp >= 101.0)) {
                $investigations[] = 'Dengue NS1 / IgM (as per day of fever)';
                $investigations[] = 'Platelet count trend';
            }
        }

        if ($hasAcidity) {
            $diagnosis[] = 'Acid peptic disease / gastritis.';
            $advice[] = 'Avoid spicy/oily meals, late-night meals, and prolonged fasting.';
        }

        if ($hasLooseMotions || $hasVomiting) {
            $diagnosis[] = 'Acute gastroenteritis.';
            $investigations[] = 'Serum electrolytes (if dehydration suspected)';
            $advice[] = 'ORS and oral hydration with warning signs explained.';
        }

        if ($hasDysuria) {
            $diagnosis[] = 'Probable urinary tract infection.';
            $investigations[] = 'Urine routine & microscopy';
            $investigations[] = 'Urine culture (if recurrent/complicated)';
        }

        if ($hasHeadache && $bpSys !== null && $bpDia !== null && ($bpSys >= 140 || $bpDia >= 90)) {
            $diagnosis[] = 'Headache with elevated blood pressure; evaluate hypertension status.';
            $investigations[] = 'RFT and urine albumin (hypertension workup baseline)';
        }

        if ($hasChestPain || $hasBreathless) {
            $redFlags[] = 'Chest pain/breathlessness present: rule out acute cardiopulmonary emergency.';
            $investigations[] = 'ECG';
            if ($spo2 !== null && $spo2 < 94) {
                $investigations[] = 'Chest X-ray / ABG as per severity';
            }
        }

        if ($spo2 !== null && $spo2 < 92) {
            $redFlags[] = 'SpO2 <92%: urgent escalation and oxygen assessment advised.';
        }
        if ($temp !== null && $temp >= 103.0) {
            $redFlags[] = 'High-grade fever (>=103): monitor for systemic complications.';
        }
        if ((int) ($input['pregnancy'] ?? 0) === 1) {
            $redFlags[] = 'Pregnancy noted: verify medicine safety before final prescription.';
        }

        if (empty($diagnosis)) {
            $diagnosis[] = 'Syndromic provisional diagnosis to be finalized clinically.';
        }
        if (empty($advice)) {
            $advice[] = 'Review warning signs and follow-up if symptoms persist/worsen.';
        }

        $diagnosis = array_values(array_unique($diagnosis));
        $investigations = array_values(array_unique($investigations));
        $advice = array_values(array_unique($advice));
        $redFlags = array_values(array_unique($redFlags));
        $vitalChecks = array_values(array_unique($vitalChecks));

        return [
            'disclaimer' => 'Local rule-based clinical assist only. Final diagnosis and treatment decision must be by treating doctor.',
            'vital_checks' => $vitalChecks,
            'red_flags' => $redFlags,
            'suggested_diagnosis' => implode("\n", array_map(static fn(string $v): string => '- ' . $v, $diagnosis)),
            'suggested_investigation' => implode("\n", array_map(static fn(string $v): string => '- ' . $v, $investigations)),
            'suggested_advice' => implode("\n", array_map(static fn(string $v): string => '- ' . $v, $advice)),
        ];
    }

    private function parseNumericFromText(string $value): ?float
    {
        $value = trim($value);
        if ($value === '') {
            return null;
        }

        if (preg_match('/-?\d+(?:\.\d+)?/', $value, $m) !== 1) {
            return null;
        }

        return (float) $m[0];
    }

    private function resolveFirstField(array $fields, array $candidates): ?string
    {
        foreach ($candidates as $candidate) {
            if (in_array($candidate, $fields, true)) {
                return $candidate;
            }
        }

        return null;
    }

    private function extractWomenRelatedProblemsFromRemarks(string $remarks): string
    {
        if ($remarks === '') {
            return '';
        }

        $lines = preg_split('/\r\n|\r|\n/', $remarks) ?: [];
        $capture = [];
        $started = false;
        foreach ($lines as $line) {
            $trimmed = trim((string) $line);
            if ($trimmed === '') {
                if ($started) {
                    break;
                }
                continue;
            }

            if (preg_match('/^Women Related Problems\s*:/i', $trimmed) === 1) {
                $started = true;
                $capture[] = $trimmed;
                continue;
            }

            if ($started && preg_match('/^(LMP(?:\s*Days\s*Before)?|Last Baby|Pregnancy Related)\s*:/i', $trimmed) === 1) {
                $capture[] = $trimmed;
                continue;
            }

            if ($started) {
                break;
            }
        }

        if (!empty($capture)) {
            return trim(implode("\n", $capture));
        }

        return '';
    }

    private function upsertWomenRelatedProblemsIntoRemarks(string $remarks, string $womenText): string
    {
        $remarks = preg_replace('/\n?\s*Women Related Problems\s*:\s*.+$/im', '', $remarks) ?? $remarks;
        $remarks = preg_replace('/\n?\s*LMP(?:\s*Days\s*Before)?\s*:\s*.+$/im', '', $remarks) ?? $remarks;
        $remarks = preg_replace('/\n?\s*Last Baby\s*:\s*.+$/im', '', $remarks) ?? $remarks;
        $remarks = preg_replace('/\n?\s*Pregnancy Related\s*:\s*.+$/im', '', $remarks) ?? $remarks;
        $remarks = trim($remarks);
        $labelled = trim($womenText);

        if ($remarks === '') {
            return $labelled;
        }

        return $remarks . "\n" . $labelled;
    }

    private function upsertCoMorbiditiesIntoRemarks(string $remarks, string $coMorbiditiesText): string
    {
        $remarks = preg_replace('/\n?\s*Co-Morbidities\s*:\s*.+$/im', '', $remarks) ?? $remarks;
        $remarks = trim($remarks);
        $coMorbiditiesText = trim($coMorbiditiesText);

        if ($coMorbiditiesText === '') {
            return $remarks;
        }

        $line = 'Co-Morbidities: ' . $coMorbiditiesText;
        if ($remarks === '') {
            return $line;
        }

        return $remarks . "\n" . $line;
    }

    /**
     * @param array<string, string> $womenStructured
     */
    private function buildWomenCombinedText(string $womenProblems, array $womenStructured): string
    {
        $lines = [];
        $womenProblems = trim($womenProblems);
        if ($womenProblems !== '') {
            $lines[] = 'Women Related Problems: ' . $womenProblems;
        }

        $lmp = trim((string) ($womenStructured['women_lmp'] ?? ''));
        if ($lmp !== '') {
            $lines[] = 'LMP Days Before: ' . $lmp;
        }

        $lastBaby = trim((string) ($womenStructured['women_last_baby'] ?? ''));
        if ($lastBaby !== '') {
            $lines[] = 'Last Baby: ' . $lastBaby;
        }

        $pregnancyRelated = trim((string) ($womenStructured['women_pregnancy_related'] ?? ''));
        if ($pregnancyRelated !== '') {
            $lines[] = 'Pregnancy Related: ' . $pregnancyRelated;
        }

        return trim(implode("\n", $lines));
    }

    /**
     * @return array{women_related_problems:string,women_lmp:string,women_last_baby:string,women_pregnancy_related:string}
     */
    private function parseWomenStructuredDetails(string $text): array
    {
        $remaining = trim($text);

        $extract = static function (string $pattern, string &$haystack): string {
            $value = '';
            if (preg_match($pattern, $haystack, $match) === 1) {
                $value = trim((string) ($match[1] ?? ''));
            }
            $haystack = trim((string) (preg_replace($pattern, '', $haystack) ?? $haystack));
            return $value;
        };

        $womenProblems = $extract('/^\s*Women Related Problems\s*:\s*(.+)$/im', $remaining);
        $lmp = $extract('/^\s*LMP(?:\s*Days\s*Before)?\s*:\s*(.+)$/im', $remaining);
        $lastBaby = $extract('/^\s*Last Baby\s*:\s*(.+)$/im', $remaining);
        $pregnancyRelated = $extract('/^\s*Pregnancy Related\s*:\s*(.+)$/im', $remaining);

        if ($womenProblems === '') {
            $womenProblems = trim($remaining);
        }

        return [
            'women_related_problems' => $womenProblems,
            'women_lmp' => $lmp,
            'women_last_baby' => $lastBaby,
            'women_pregnancy_related' => $pregnancyRelated,
        ];
    }

    /**
     * @param array<string, mixed> $payload
     * @param array<int, string> $fields
     * @param array<string, string> $womenStructured
     */
    private function mapWomenStructuredToExistingColumns(array &$payload, array $fields, array $womenStructured): void
    {
        $columnMap = [
            'women_lmp' => ['women_lmp', 'lmp', 'lmp_date'],
            'women_last_baby' => ['women_last_baby', 'last_baby', 'last_baby_details'],
            'women_pregnancy_related' => ['women_pregnancy_related', 'pregnancy_related', 'pregnancy_related_problem'],
        ];

        foreach ($columnMap as $key => $candidates) {
            $resolved = $this->resolveFirstField($fields, $candidates);
            if ($resolved !== null) {
                $payload[$resolved] = trim((string) ($womenStructured[$key] ?? ''));
            }
        }
    }

    /**
     * @param array<string, mixed> $patientRow
     * @param array<string, mixed> $opdRow
     */
    private function storePrescriptionFhirBundle(int $opdId, int $sessionId, array $patientRow, array $opdRow): bool
    {
        if (! $this->db->tableExists('opd_fhir_documents')) {
            return false;
        }

        $abhaField = $this->resolvePatientAbhaField();
        $abhaAddress = $abhaField !== null ? trim((string) ($patientRow[$abhaField] ?? '')) : '';

        $patFirstName = $this->sanitizePersonNamePart((string) ($patientRow['p_fname'] ?? ''));
        $patLastName  = $this->sanitizePersonNamePart((string) ($patientRow['p_lname'] ?? ''));
        $patFullName  = trim($patFirstName . ($patLastName !== '' ? ' ' . $patLastName : ''));
        if ($patFullName === '') {
            $patFullName = trim((string) ($opdRow['P_name'] ?? ''));
        }

        // Resolve phone field (patient_master may use p_contact, phone, mobile, etc.)
        $patientFields = $this->db->tableExists('patient_master') ? ($this->db->getFieldNames('patient_master') ?? []) : [];
        $phoneField = $this->resolveFirstField($patientFields, ['p_contact', 'phone', 'mobile', 'contact_no', 'mobile_no', 'p_phone']);
        $patPhone = $phoneField !== null ? trim((string) ($patientRow[$phoneField] ?? '')) : '';

        $patient = [
            'id'          => (string) ($patientRow['id'] ?? ($opdRow['p_id'] ?? 0)),
            'name'        => $patFullName,
            'given_name'  => $patFirstName,
            'family_name' => $patLastName,
            'gender'      => $this->normalizeGender((string) ($patientRow['gender'] ?? '')),
            'birthDate'   => ! empty($patientRow['dob']) ? date('Y-m-d', strtotime((string) $patientRow['dob'])) : '',
            'abhaAddress' => $abhaAddress,
            'phone'       => $patPhone,
        ];

        $encounter = [
            'id' => (string) ($opdRow['opd_id'] ?? $opdId),
            'status' => 'finished',
            'period_start' => Time::now('Asia/Kolkata')->toDateTimeString(),
            'period_end' => Time::now('Asia/Kolkata')->toDateTimeString(),
        ];

        $medications = $this->getPrescriptionMedicines($sessionId);
        $conditions = $this->getPrescriptionConditions($sessionId);
        $clinicalContext = $this->getPrescriptionClinicalContext($sessionId, $opdRow);
        $bundle = $this->fhirR4Builder->buildPrescriptionBundle($patient, $encounter, $medications, $conditions, $clinicalContext);
        $bundleJson = (string) json_encode($bundle, JSON_UNESCAPED_UNICODE | JSON_UNESCAPED_SLASHES);

        $user = auth()->user();
        $generatedBy = (string) ($user->id ?? 'system');

        $inserted = (bool) $this->db->table('opd_fhir_documents')->insert([
            'opd_id' => $opdId,
            'opd_session_id' => $sessionId,
            'bundle_type' => 'OPConsultRecord',
            'bundle_json' => $bundleJson,
            'generated_by' => $generatedBy,
            'generated_at' => Time::now('Asia/Kolkata')->toDateTimeString(),
        ]);

        if (! $inserted) {
            return false;
        }

        try {
            $documentId = (int) $this->db->insertID();
            $bridgeSync = new BridgeSyncService();
            $bridgeSync->enqueue(
                'opd.fhir.generated',
                [
                    'opd_fhir_document_id' => $documentId,
                    'opd_id' => $opdId,
                    'opd_session_id' => $sessionId,
                    'bundle_type' => 'OPConsultRecord',
                    'generated_by' => $generatedBy,
                    'generated_at' => Time::now('Asia/Kolkata')->toDateTimeString(),
                    'bundle_json' => $bundle,
                ],
                'opd_fhir_document',
                (string) $documentId
            );
        } catch (\Throwable $e) {
        }

        return true;
    }

    /**
     * @return array<int, array<string, mixed>>
     */
    private function getPrescriptionMedicines(int $sessionId): array
    {
        $table = $this->findExistingTable(['opd_prescrption_prescribed', 'opd_prescription_prescribed']);
        if ($table === null) {
            return [];
        }

        $rows = $this->db->table($table)->where('opd_pre_id', $sessionId)->get()->getResultArray();
        $masterTable = $this->findExistingTable(['opd_med_master']);

        $masterById = [];
        if ($masterTable !== null) {
            $masterFields = $this->db->getFieldNames($masterTable) ?? [];
            $masterNameField = $this->resolveFirstField($masterFields, ['item_name', 'med_name']);
            $masterGenericField = $this->resolveFirstField($masterFields, ['genericname', 'generic_name']);
            $masterTypeField = $this->resolveFirstField($masterFields, ['formulation']);
            $masterSnomedField = $this->resolveFirstField($masterFields, ['snomed_code', 'medicine_snomed_code', 'snomed_ct_code', 'sctid']);
            $masterAtcField = $this->resolveFirstField($masterFields, ['atc_code', 'who_atc_code']);

            $medIds = [];
            foreach ($rows as $row) {
                $mid = (int) ($row['med_id'] ?? 0);
                if ($mid > 0) {
                    $medIds[$mid] = $mid;
                }
            }

            if (! empty($medIds)) {
                $select = ['id'];
                if ($masterNameField !== null) {
                    $select[] = $masterNameField . ' as item_name';
                }
                if ($masterGenericField !== null) {
                    $select[] = $masterGenericField . ' as genericname';
                }
                if ($masterTypeField !== null) {
                    $select[] = $masterTypeField . ' as formulation';
                }
                if ($masterSnomedField !== null) {
                    $select[] = $masterSnomedField . ' as snomed_code';
                }
                if ($masterAtcField !== null) {
                    $select[] = $masterAtcField . ' as atc_code';
                }

                $masterRows = $this->db->table($masterTable)
                    ->select(implode(',', $select))
                    ->whereIn('id', array_values($medIds))
                    ->get()
                    ->getResultArray();

                foreach ($masterRows as $mrow) {
                    $mid = (int) ($mrow['id'] ?? 0);
                    if ($mid > 0) {
                        $masterById[$mid] = $mrow;
                    }
                }
            }
        }

        $medications = [];
        foreach ($rows as $row) {
            $dosageParts = array_filter([
                trim((string) ($row['dosage'] ?? '')),
                trim((string) ($row['dosage_when'] ?? '')),
                trim((string) ($row['dosage_freq'] ?? '')),
                trim((string) ($row['no_of_days'] ?? '')) !== '' ? ('for ' . trim((string) $row['no_of_days']) . ' days') : '',
            ]);

            $mid = (int) ($row['med_id'] ?? 0);
            $master = $mid > 0 ? ($masterById[$mid] ?? []) : [];
            $drugName = trim((string) ($row['med_name'] ?? ''));
            if ($drugName === '') {
                $drugName = trim((string) ($master['item_name'] ?? ''));
            }

            $genericName = trim((string) ($master['genericname'] ?? ''));
            $medType = trim((string) ($row['med_type'] ?? ''));
            if ($medType === '') {
                $medType = trim((string) ($master['formulation'] ?? ''));
            }

            $medications[] = [
                'drug_name' => $drugName,
                'status' => 'active',
                'dosage' => implode(' | ', $dosageParts),
                'route_text' => trim((string) ($row['dosage_where'] ?? '')),
                'frequency_text' => trim((string) ($row['dosage_freq'] ?? '')),
                'med_id' => $mid,
                'generic_name' => $genericName,
                'med_type' => $medType,
                'snomed_code' => trim((string) ($master['snomed_code'] ?? '')),
                'atc_code' => strtoupper(trim((string) ($master['atc_code'] ?? ''))),
            ];
        }

        return $medications;
    }

    /**
     * @return array<int, array<string, mixed>>
     */
    private function getPrescriptionConditions(int $sessionId): array
    {
        if (! $this->db->tableExists('opd_prescription') || $sessionId <= 0) {
            return [];
        }

        $fields = $this->db->getFieldNames('opd_prescription') ?? [];
        $selectFields = ['id'];
        foreach (['diagnosis', 'diagnosis_snomed_id', 'diagnosis_snomed_term', 'Provisional_diagnosis', 'provisional_diagnosis_snomed_id', 'provisional_diagnosis_snomed_term'] as $field) {
            if (in_array($field, $fields, true)) {
                $selectFields[] = $field;
            }
        }

        $row = $this->db->table('opd_prescription')
            ->select(implode(',', $selectFields))
            ->where('id', $sessionId)
            ->get(1)
            ->getRowArray();

        if (! is_array($row) || empty($row)) {
            return [];
        }

        $diagnosis = trim((string) ($row['diagnosis'] ?? ''));
        $diagnosisSnomedId = trim((string) ($row['diagnosis_snomed_id'] ?? ''));
        $diagnosisSnomedTerm = trim((string) ($row['diagnosis_snomed_term'] ?? ''));
        $provisional = trim((string) ($row['Provisional_diagnosis'] ?? ''));
        $snomedId = trim((string) ($row['provisional_diagnosis_snomed_id'] ?? ''));
        $snomedTerm = trim((string) ($row['provisional_diagnosis_snomed_term'] ?? ''));

        // Do not perform reverse SNOMED lookups here; use only pre-stored codes to keep save fast.
        $out = [];
        $seen = [];

        if ($diagnosis !== '') {
            $k = strtoupper($diagnosis) . '|' . $diagnosisSnomedId;
            $seen[$k] = true;
            $out[] = [
                'text' => $diagnosis,
                'verification_status' => 'confirmed',
                'snomed_code' => $diagnosisSnomedId,
                'snomed_display' => $diagnosisSnomedTerm !== '' ? $diagnosisSnomedTerm : $diagnosis,
            ];
        }

        if ($provisional !== '') {
            $k = strtoupper($provisional) . '|' . $snomedId;
            if (! isset($seen[$k])) {
                $seen[$k] = true;
                $out[] = [
                    'text' => $provisional,
                    'verification_status' => 'provisional',
                    'snomed_code' => $snomedId,
                    'snomed_display' => $snomedTerm !== '' ? $snomedTerm : $provisional,
                ];
            }
        }

        return $out;
    }

    /**
     * @param array<string, mixed> $opdRow
     * @return array<string, mixed>
     */
    private function getPrescriptionClinicalContext(int $sessionId, array $opdRow): array
    {
        if ($sessionId <= 0 || ! $this->db->tableExists('opd_prescription')) {
            return [];
        }

        $row = $this->db->table('opd_prescription')->where('id', $sessionId)->get(1)->getRowArray() ?? [];
        if (empty($row)) {
            return [];
        }

        $remarks = (string) ($row['Prescriber_Remarks'] ?? '');
        $nabh = $this->hydrateNabhPrescriptionFields($row, $remarks);

        // Primary: use structured complaint_snomed_json (has SNOMED codes, severity, duration)
        $complaints = [];
        $snomedJson = trim((string) ($row['complaint_snomed_json'] ?? ''));
        // Also use snomed_display for FHIR coding display
        if ($snomedJson !== '' && $snomedJson !== '[]') {
            $items = json_decode($snomedJson, true);
            if (is_array($items)) {
                $seen = [];
                foreach ($items as $item) {
                    $text = trim((string) ($item['term'] ?? ''));
                    if ($text === '') {
                        continue;
                    }
                    $k = strtoupper($text);
                    if (isset($seen[$k])) {
                        continue;
                    }
                    $seen[$k] = true;
                    // Use original_term if available (preserves doctor's original text)
                    $displayText = trim((string) ($item['original_term'] ?? $text));
                    $snomedDisplay = trim((string) ($item['snomed_display'] ?? $text));
                    $complaints[] = [
                        'text'           => $displayText,
                        'snomed_code'    => trim((string) ($item['concept_id'] ?? '')),
                        'snomed_display' => $snomedDisplay,
                        'severity'       => trim((string) ($item['severity']   ?? '')),
                        'duration'       => trim((string) ($item['duration']   ?? '')),
                        'frequency'      => trim((string) ($item['frequency']  ?? '')),
                    ];
                }
            }
        }
        // Fallback: plain-text complaints field
        if (empty($complaints)) {
            $complaintsText = trim((string) ($row['complaints'] ?? ''));
            if ($complaintsText !== '') {
                $parts = preg_split('/[,;\n\r]+/', $complaintsText) ?: [];
                $seen = [];
                foreach ($parts as $part) {
                    $part = trim((string) $part);
                    if ($part === '' || preg_match('/^Complaint\s*(Onset|Duration|Severity)\s*:/i', $part) === 1) {
                        continue;
                    }
                    $k = strtoupper($part);
                    if (isset($seen[$k])) {
                        continue;
                    }
                    $seen[$k] = true;
                    $complaints[] = [
                        'text'           => $part,
                        'snomed_code'    => '',
                        'snomed_display' => $part,
                        'severity'       => '',
                        'duration'       => '',
                        'frequency'      => '',
                    ];
                }
            }
        }

        $observations = [];
        $observationMap = [
            'pulse' => ['loinc' => '8867-4', 'display' => 'Heart rate', 'unit' => '/min', 'ucum' => '/min'],
            'spo2' => ['loinc' => '59408-5', 'display' => 'Oxygen saturation in Arterial blood by Pulse oximetry', 'unit' => '%', 'ucum' => '%'],
            'bp' => ['loinc' => '8480-6', 'display' => 'Systolic blood pressure', 'unit' => 'mmHg', 'ucum' => 'mm[Hg]'],
            'diastolic' => ['loinc' => '8462-4', 'display' => 'Diastolic blood pressure', 'unit' => 'mmHg', 'ucum' => 'mm[Hg]'],
            'temp' => ['loinc' => '8310-5', 'display' => 'Body temperature', 'unit' => 'Cel', 'ucum' => 'Cel'],
            'rr_min' => ['loinc' => '9279-1', 'display' => 'Respiratory rate', 'unit' => '/min', 'ucum' => '/min'],
            'height' => ['loinc' => '8302-2', 'display' => 'Body height', 'unit' => 'cm', 'ucum' => 'cm'],
            'weight' => ['loinc' => '29463-7', 'display' => 'Body weight', 'unit' => 'kg', 'ucum' => 'kg'],
        ];

        foreach ($observationMap as $field => $meta) {
            $value = $this->parseNumericFromText((string) ($row[$field] ?? ''));
            if ($value === null) {
                continue;
            }

            $observations[] = [
                'loinc' => (string) ($meta['loinc'] ?? ''),
                'display' => (string) ($meta['display'] ?? ''),
                'value' => $value,
                'unit' => (string) ($meta['unit'] ?? ''),
                'ucum' => (string) ($meta['ucum'] ?? ''),
            ];
        }

        $allergies = [];
        $allergyStatus = strtolower(trim((string) ($nabh['drug_allergy_status'] ?? '')));
        $allergyDetails = trim((string) ($nabh['drug_allergy_details'] ?? ''));
        $adrHistory = trim((string) ($nabh['adr_history'] ?? ''));

        if ($allergyStatus === 'known' && $allergyDetails !== '') {
            $allergies[] = [
                'code_text' => $allergyDetails,
                'reaction_text' => $adrHistory,
                'clinical_status' => 'active',
                'verification_status' => 'confirmed',
            ];
        }

        $serviceRequests = [];
        $investigationText = trim((string) ($row['investigation'] ?? ''));
        if ($investigationText !== '') {
            $tests = preg_split('/[,;\n\r]+/', $investigationText) ?: [];
            $seenTests = [];
            foreach ($tests as $test) {
                $test = trim((string) $test);
                if ($test === '') {
                    continue;
                }
                $k = strtoupper($test);
                if (isset($seenTests[$k])) {
                    continue;
                }
                $seenTests[$k] = true;
                $serviceRequests[] = [
                    'code_text' => $test,
                    'status' => 'active',
                    'intent' => 'order',
                ];
            }
        }

        $appointments = [];
        $nextVisit = trim((string) ($row['next_visit'] ?? ''));
        $referTo = trim((string) ($row['refer_to'] ?? ''));
        if ($nextVisit !== '' || $referTo !== '') {
            $descParts = [];
            if ($nextVisit !== '') {
                $descParts[] = 'Follow-up: ' . $nextVisit;
            }
            if ($referTo !== '') {
                $descParts[] = 'Refer to: ' . $referTo;
            }
            $appointments[] = [
                'status' => 'proposed',
                'description' => implode(' | ', $descParts),
            ];
        }

        $hospitalProfile = $this->getHospitalProfileForFhir();
        $practitionerName = trim((string) ($opdRow['doc_name'] ?? ''));
        $practitionerId = trim((string) ($opdRow['doc_id'] ?? ''));
        $doctorIdentity = $this->getDoctorAbdmIdentity((int) ($opdRow['doc_id'] ?? 0));

        return [
            'complaints' => $complaints,
            'observations' => $observations,
            'allergies' => $allergies,
            'service_requests' => $serviceRequests,
            'appointments' => $appointments,
            'practitioner' => [
                'id' => $practitionerId !== '' ? $practitionerId : 'doctor-unknown',
                'name' => $practitionerName,
                'registration_number' => trim((string) ($doctorIdentity['registration_number'] ?? ($hospitalProfile['doctor_registration'] ?? ''))),
            ],
            'organization' => [
                'id' => trim((string) ($hospitalProfile['hfr_id'] ?? '')) !== '' ? preg_replace('/[^A-Za-z0-9\-]/', '-', (string) ($hospitalProfile['hfr_id'] ?? '')) : 'facility-unknown',
                'name' => (string) ($hospitalProfile['name'] ?? ''),
                'hfr_id' => (string) ($hospitalProfile['hfr_id'] ?? ''),
            ],
        ];
    }

    /**
     * @return array{name:string,hfr_id:string,doctor_registration:string}
     */
    private function getHospitalProfileForFhir(): array
    {
        $defaults = [
            'name' => '',
            'hfr_id' => '',
            'doctor_registration' => '',
        ];

        if (! $this->db->tableExists('hospital_setting')) {
            return $defaults;
        }

        $rows = $this->db->table('hospital_setting')
            ->select('s_name,s_value')
            ->whereIn('s_name', ['ABDM_HMS_NAME', 'ABDM_HFR_ID', 'H_Name', 'H_HFR_ID', 'HPR_ID', 'DOCTOR_REG_NO'])
            ->get()
            ->getResultArray();

        $map = [];
        foreach ($rows as $row) {
            $key = trim((string) ($row['s_name'] ?? ''));
            if ($key === '') {
                continue;
            }
            $map[$key] = trim((string) ($row['s_value'] ?? ''));
        }

        return [
            'name'                => (string) ($map['ABDM_HMS_NAME'] ?? $map['H_Name'] ?? $map['H_name'] ?? ''),
            'hfr_id'              => (string) ($map['ABDM_HFR_ID']  ?? $map['H_HFR_ID'] ?? ''),
            'doctor_registration' => (string) (($map['HPR_ID'] ?? $map['DOCTOR_REG_NO'] ?? '')),
        ];
    }

    /**
     * @return array{hpr_id:string,registration_number:string}
     */
    private function getDoctorAbdmIdentity(int $docId): array
    {
        $out = [
            'hpr_id' => '',
            'registration_number' => '',
        ];

        if ($docId <= 0 || ! $this->db->tableExists('doctor_master')) {
            return $out;
        }

        $fields = $this->db->getFieldNames('doctor_master') ?? [];
        $select = ['id'];
        foreach (['hpr_id', 'hpr_no', 'hpr_number', 'doctor_reg_no', 'registration_no', 'reg_no', 'doc_reg_no'] as $field) {
            if (in_array($field, $fields, true)) {
                $select[] = $field;
            }
        }

        $row = $this->db->table('doctor_master')
            ->select(implode(',', $select))
            ->where('id', $docId)
            ->get(1)
            ->getRowArray() ?? [];

        if (empty($row)) {
            return $out;
        }

        foreach (['hpr_id', 'hpr_no', 'hpr_number'] as $field) {
            if (! empty($row[$field])) {
                $out['hpr_id'] = strtoupper(trim((string) $row[$field]));
                break;
            }
        }

        foreach (['doctor_reg_no', 'registration_no', 'reg_no', 'doc_reg_no'] as $field) {
            if (! empty($row[$field])) {
                $out['registration_number'] = trim((string) $row[$field]);
                break;
            }
        }

        if ($out['registration_number'] === '' && $out['hpr_id'] !== '') {
            $out['registration_number'] = $out['hpr_id'];
        }

        return $out;
    }

    /**
     * @param array<string, mixed> $payload
     * @param array<string, mixed> $patientRow
     * @param array<string, mixed> $opdRow
     * @return array<int, string>
     */
    private function validateAbdmReadinessForConsult(array $payload, array $patientRow, array $opdRow): array
    {
        $errors = [];

        $abhaField = $this->resolvePatientAbhaField();
        $abha = $abhaField !== null ? trim((string) ($patientRow[$abhaField] ?? '')) : '';
        if ($abha === '') {
            $errors[] = 'ABDM requires ABHA Address before saving consult.';
        }

        $diagnosisCode = trim((string) ($payload['diagnosis_snomed_id'] ?? ''));
        $provisionalCode = trim((string) ($payload['provisional_diagnosis_snomed_id'] ?? ''));
        if ($diagnosisCode === '' && $provisionalCode === '') {
            $errors[] = 'ABDM requires at least one SNOMED-coded diagnosis (Diagnosis or Provisional Diagnosis).';
        }

        $complaints = trim((string) ($payload['complaints'] ?? ''));
        if ($complaints === '') {
            $errors[] = 'ABDM OP consult requires chief complaints.';
        }

        $hasAnyVital = false;
        foreach (['bp', 'diastolic', 'pulse', 'temp', 'spo2', 'rr_min', 'height', 'weight'] as $vitalField) {
            if ($this->parseNumericFromText((string) ($payload[$vitalField] ?? '')) !== null) {
                $hasAnyVital = true;
                break;
            }
        }
        if (! $hasAnyVital) {
            $errors[] = 'ABDM OP consult requires at least one numeric vital observation.';
        }

        $hospitalProfile = $this->getHospitalProfileForFhir();
        if (trim((string) ($hospitalProfile['hfr_id'] ?? '')) === '') {
            $errors[] = 'Hospital HFR ID is required for ABDM document structure.';
        }

        $doctorIdentity = $this->getDoctorAbdmIdentity((int) ($opdRow['doc_id'] ?? 0));
        $doctorReg = trim((string) ($doctorIdentity['registration_number'] ?? ''));
        $fallbackDoctorReg = trim((string) ($hospitalProfile['doctor_registration'] ?? ''));
        if ($doctorReg === '' && $fallbackDoctorReg === '') {
            $errors[] = 'Doctor HPR/registration ID is required for ABDM practitioner mapping.';
        }

        return $errors;
    }

    private function normalizeGender(string $value): string
    {
        $value = trim($value);
        if ($value === '1' || strtolower($value) === 'male') {
            return 'male';
        }

        if ($value === '2' || strtolower($value) === 'female') {
            return 'female';
        }

        return 'unknown';
    }

    private function sanitizePersonNamePart(string $value): string
    {
        $value = trim($value);
        if ($value === '') {
            return '';
        }

        $normalized = strtolower($value);
        if (in_array($normalized, ['0', '0.0', 'null', 'nil', 'none', '-'], true)) {
            return '';
        }

        return $value;
    }

    /**
     * @return string|int|null
     */
    private function getCurrentUserId()
    {
        $user = auth()->user();
        if ($user === null) {
            return null;
        }

        return $user->id ?? null;
    }

    /**
     * @return array<int, string>
     */
    private function getComplaintMatchesFromText(string $text): array
    {
        $pieces = preg_split('/[,;\n\r]+/', strtolower($text)) ?: [];
        $out = [];

        $directMap = [
            'kamar' => 'PAIN BACK',
            'back pain' => 'PAIN BACK',
            'pet dard' => 'PAIN IN ABDOMEN',
            'body pain' => 'BODYACHE',
            'kamzori' => 'WEAKNESS',
            'weakness' => 'WEAKNESS',
            'bukhar' => 'FEVER',
            'khansi' => 'COUGH DRY',
            'chakkar' => 'GIDDINESS',
            'ulti' => 'VOMITING',
            'thakan' => 'TIREDNESS',
        ];

        foreach ($pieces as $piece) {
            $token = trim((string) $piece);
            if ($token === '') {
                continue;
            }

            $matchedName = null;
            foreach ($directMap as $key => $value) {
                if (str_contains($token, $key)) {
                    $matchedName = $value;
                    break;
                }
            }

            if ($matchedName !== null) {
                $out[strtoupper($matchedName)] = $matchedName;
                continue;
            }

            if (! $this->db->tableExists('complaints_master')) {
                $out[strtoupper($token)] = strtoupper($token);
                continue;
            }

            $row = $this->db->table('complaints_master')
                ->select('Name')
                ->where('is_active', 1)
                ->groupStart()
                ->like('Name', $token)
                ->orLike('name_hinglish', $token)
                ->orLike('keywords', $token)
                ->groupEnd()
                ->orderBy('show_in_short', 'DESC')
                ->orderBy('Code', 'ASC')
                ->get(1)
                ->getRowArray();

            if (! empty($row['Name'])) {
                $name = trim((string) $row['Name']);
                $out[strtoupper($name)] = $name;
            }
        }

        return array_values($out);
    }

    /**
     * @param array<int, string> $settingCandidates
     */
    private function readAiSettingValue(array $settingCandidates): string
    {
        if ($this->db->tableExists('hospital_setting') && ! empty($settingCandidates)) {
            $row = $this->db->table('hospital_setting')
                ->select('s_value')
                ->whereIn('s_name', $settingCandidates)
                ->where('s_value !=', '')
                ->orderBy('s_name', 'ASC')
                ->get(1)
                ->getRowArray();

            if (! empty($row['s_value'])) {
                return trim((string) $row['s_value']);
            }
        }

        return '';
    }

    /**
     * @param array<int, string> $complaints
     */
    private function generateComplaintDraftWithAi(array $complaints, string $currentText): ?string
    {
        if (empty($complaints)) {
            return null;
        }

        $prompt = "You are a clinical documentation assistant for Indian OPD.
Rewrite chief complaints in concise professional style.
Input complaints: " . implode(', ', $complaints) . "
Additional raw doctor notes: " . $currentText . "
Output only one plain text sentence starting with 'Chief complaints:' and no markdown.";

        return $this->generateClinicalTextWithAi($prompt, 180);
    }

    private function buildClinicalPrompt(string $mode, string $text): string
    {
        if ($mode === 'hinglish_to_english') {
            return "You are a clinical OPD assistant. Convert Hinglish medical text to clear professional English.
Keep all clinical meaning unchanged. Do not add new diagnosis.
Return plain text only, no markdown.
Input: " . $text;
        }

        if ($mode === 'local_to_medical') {
            return "You are a medical documentation specialist for Indian OPD. Convert the following patient complaints written in Hindi, Hinglish, or a mix of local language and English into precise clinical English with correct standard medical terminology.
Rules:
- Replace colloquial terms with proper medical terms (e.g., bukhar → pyrexia/fever, khansi → cough, saans phoolna → dyspnoea, sir dard → cephalalgia/headache, body dard → myalgia, thakaan → fatigue, chakkar → vertigo/giddiness, ulti → vomiting/emesis, jalan → burning sensation, thandi lagana → chills/rigors, kamzori → weakness/asthenia).
- Preserve all durations, severity, and context exactly as mentioned.
- Output concise, professional clinical English suitable for OPD documentation.
- Return plain text only, no bullet points, no markdown.
Input: " . $text;
        }

        if ($mode === 'local_to_patient_voice') {
            return "You are a translator for Indian hospital OPD. The following text is a patient describing their symptoms in Hindi, Hinglish, or mixed language.
Translate it into natural, first-person English exactly as the patient would say it — conversational, not clinical.
Rules:
- Use first-person (\"I feel\", \"I have\", \"I am\", \"I've had\").
- Preserve the exact meaning, durations, and sequence.
- Do NOT use medical jargon or clinical terms — keep it as natural spoken English.
- Example: \"Teen din se bukhar hai\" → \"I've had a fever for three days.\"
- Example: \"Thand lag rahi hai aur jukham hai\" → \"I'm feeling cold and I have a cold.\"
- Return plain text only, no bullet points, no markdown.
Input: " . $text;
        }

        if ($mode === 'diagnosis') {
            return "You are a clinical OPD assistant. Rewrite diagnosis text into concise professional medical English.
Preserve meaning, do not invent findings. Return plain text only.
Input: " . $text;
        }

        if ($mode === 'finding') {
            return "You are a clinical OPD assistant. Rewrite findings/examination notes into concise clinical English.
Preserve original meaning and sequence. Return plain text only.
Input: " . $text;
        }

        return "You are a clinical OPD assistant. Rewrite this OPD note into concise, professional English suitable for prescription documentation.
Preserve meaning, do not add new facts. Return plain text only.
Input: " . $text;
    }

    private function buildClinicalAutotypeLocalFallback(string $mode, string $text): string
    {
        $source = trim((string) $text);
        if ($source === '') {
            return '';
        }

        if ($mode === 'hinglish_to_english') {
            $dictionary = [
                'bukhar' => 'fever',
                'khansi' => 'cough',
                'pet dard' => 'abdominal pain',
                'sir dard' => 'headache',
                'ulti' => 'vomiting',
                'kamzori' => 'weakness',
                'saans' => 'breath',
                'saans phoolna' => 'breathlessness',
                'jukaam' => 'cold',
                'chakkar' => 'giddiness',
                'dast' => 'loose motions',
                'jalan' => 'burning sensation',
            ];

            $converted = mb_strtolower($source);
            foreach ($dictionary as $from => $to) {
                $converted = preg_replace('/\b' . preg_quote($from, '/') . '\b/u', $to, $converted) ?? $converted;
            }

            return $this->normalizeClinicalSentenceFlow($converted);
        }

        if ($mode === 'local_to_medical') {
            $dictionary = [
                'bukhar'         => 'fever',
                'khansi'         => 'cough',
                'pet dard'       => 'abdominal pain',
                'sir dard'       => 'headache',
                'sar dard'       => 'headache',
                'ulti'           => 'vomiting',
                'kamzori'        => 'weakness',
                'saans phoolna'  => 'dyspnoea',
                'saans'          => 'breathing',
                'jukaam'         => 'rhinitis',
                'chakkar'        => 'vertigo',
                'dast'           => 'loose motions',
                'jalan'          => 'burning sensation',
                'thakaan'        => 'fatigue',
                'body dard'      => 'myalgia',
                'badan dard'     => 'myalgia',
                'thandi lagna'   => 'chills',
                'thandi lagana'  => 'chills',
                'kaanp'          => 'rigors',
                'neend'          => 'sleep',
                'bhookh'         => 'appetite',
                'paani'          => 'water intake',
                'peshab'         => 'urination',
                'seena dard'     => 'chest pain',
                'ghabrahat'      => 'palpitations',
            ];

            $converted = mb_strtolower($source);
            foreach ($dictionary as $from => $to) {
                $converted = preg_replace('/\b' . preg_quote($from, '/') . '\b/u', $to, $converted) ?? $converted;
            }

            return $this->normalizeClinicalSentenceFlow($converted);
        }

        if ($mode === 'local_to_patient_voice') {
            // Basic word-swap into first-person English; AI path is strongly preferred for this mode
            $dictionary = [
                'teen din se'     => 'for three days I have had',
                'do din se'       => 'for two days I have had',
                'ek din se'       => 'since yesterday I have had',
                'subah se'        => 'since morning I have had',
                'raat se'         => 'since last night I have had',
                'bukhar hai'      => 'a fever',
                'bukhar'          => 'fever',
                'khansi hai'      => 'a cough',
                'khansi'          => 'a cough',
                'jukham hai'      => 'a cold',
                'jukham'          => 'a cold',
                'thand lag rahi hai' => 'I am feeling cold',
                'thandi lag rahi hai' => 'I am feeling cold',
                'thand lag raha hai' => 'I am feeling cold',
                'chakkar aa raha hai' => 'I am feeling dizzy',
                'chakkar'         => 'dizziness',
                'ulti ho rahi hai' => 'I am vomiting',
                'ulti'            => 'vomiting',
                'pet dard hai'    => 'I have abdominal pain',
                'pet dard'        => 'abdominal pain',
                'sir dard hai'    => 'I have a headache',
                'sir dard'        => 'a headache',
                'saans phool rahi hai' => 'I am having difficulty breathing',
                'saans'           => 'breathing',
                'kamzori'         => 'weakness',
                'thakaan'         => 'tiredness',
                'dast'            => 'loose motions',
                'jalan'           => 'a burning sensation',
                'aur'             => 'and',
                'hai'             => '',
                'hain'            => '',
            ];

            $converted = mb_strtolower($source);
            foreach ($dictionary as $from => $to) {
                $converted = str_replace($from, $to, $converted);
            }
            $converted = preg_replace('/\s+/', ' ', trim($converted)) ?? $converted;
            $converted = ucfirst($converted);

            return $converted;
        }

        return $this->normalizeClinicalSentenceFlow($source);
    }

    /**
     * @return array<string, mixed>|null
     */
    private function parseJsonFromAiResponse(string $raw): ?array
    {
        $text = trim($raw);
        if ($text === '') {
            return null;
        }

        $decoded = json_decode($text, true);
        if (is_array($decoded)) {
            return $decoded;
        }

        if (preg_match('/\{(?:[^{}]|(?R))*\}/s', $text, $match) === 1) {
            $decoded = json_decode((string) ($match[0] ?? ''), true);
            if (is_array($decoded)) {
                return $decoded;
            }
        }

        return null;
    }

    private function normalizeClinicalSentenceFlow(string $text): string
    {
        $normalized = trim($text);
        if ($normalized === '') {
            return '';
        }

        $normalized = preg_replace('/\s+/', ' ', $normalized) ?? $normalized;
        $normalized = str_replace([' ,', ' .', ' ;', ' :'], [',', '.', ';', ':'], $normalized);
        $normalized = str_replace(["\r\n", "\r"], "\n", $normalized);

        $chunks = preg_split('/(?<=[\.!?;])\s+|\n+/', $normalized) ?: [];
        $sentences = [];

        foreach ($chunks as $chunk) {
            $chunk = trim((string) $chunk);
            if ($chunk === '') {
                continue;
            }

            $chunk = ucfirst($chunk);
            if (! preg_match('/[\.!?]$/', $chunk)) {
                $chunk .= '.';
            }

            $sentences[] = $chunk;
        }

        if (empty($sentences)) {
            return ucfirst($normalized);
        }

        return implode(' ', $sentences);
    }

    private function generateClinicalTextWithAi(string $prompt, int $maxOutputTokens = 300): ?string
    {
        $prompt = trim($prompt);
        if ($prompt === '') {
            return null;
        }

        $apiKey = trim($this->readAiSettingValue([
            'GEMINI_API_KEY',
            'DIAGNOSIS_AI_GEMINI_API_KEY',
            'DIAGNOSIS_GEMINI_API_KEY',
        ]));
        if ($apiKey === '') {
            $apiKey = trim((string) getenv('GEMINI_API_KEY'));
        }
        if ($apiKey === '') {
            return null;
        }

        $modelCandidatesRaw = trim($this->readAiSettingValue([
            'DIAGNOSIS_AI_GEMINI_MODELS',
            'DIAGNOSIS_AI_GEMINI_MODEL',
            'GEMINI_MODEL_CANDIDATES',
            'GEMINI_MODEL',
        ]));

        $models = [];
        if ($modelCandidatesRaw !== '') {
            $parts = preg_split('/[,\s]+/', $modelCandidatesRaw) ?: [];
            foreach ($parts as $part) {
                $model = trim((string) $part);
                if ($model !== '') {
                    $models[] = $model;
                }
            }
        }
        if (empty($models)) {
            $models = ['gemini-2.0-flash', 'gemini-1.5-flash'];
        }

        $maxOutputTokens = max(64, min(2048, (int) $maxOutputTokens));

        foreach ($models as $model) {
            try {
                $url = 'https://generativelanguage.googleapis.com/v1beta/models/'
                    . rawurlencode($model)
                    . ':generateContent?key='
                    . rawurlencode($apiKey);

                $payload = [
                    'contents' => [[
                        'parts' => [[
                            'text' => $prompt,
                        ]],
                    ]],
                    'generationConfig' => [
                        'temperature' => 0.2,
                        'maxOutputTokens' => $maxOutputTokens,
                    ],
                ];

                $options = [
                    'timeout' => 30,
                    'http_errors' => false,
                ];
                if (defined('ENVIRONMENT') && in_array((string) ENVIRONMENT, ['development', 'testing'], true)) {
                    $options['verify'] = false;
                }

                $client = service('curlrequest', $options);
                $response = $client->post($url, [
                    'headers' => [
                        'Accept' => 'application/json',
                        'Content-Type' => 'application/json',
                    ],
                    'body' => json_encode($payload, JSON_UNESCAPED_UNICODE | JSON_UNESCAPED_SLASHES),
                ]);

                $code = (int) $response->getStatusCode();
                if ($code < 200 || $code >= 300) {
                    continue;
                }

                $decoded = json_decode((string) $response->getBody(), true);
                if (!is_array($decoded)) {
                    continue;
                }

                $out = '';
                $candidates = $decoded['candidates'] ?? [];
                if (is_array($candidates)) {
                    foreach ($candidates as $candidate) {
                        $parts = $candidate['content']['parts'] ?? [];
                        if (!is_array($parts)) {
                            continue;
                        }
                        foreach ($parts as $part) {
                            $piece = trim((string) ($part['text'] ?? ''));
                            if ($piece !== '') {
                                $out .= ($out === '' ? '' : "\n") . $piece;
                            }
                        }
                    }
                }

                $out = trim($out);
                if ($out !== '') {
                    $this->lastAiProvider = 'gemini';
                    return $out;
                }
            } catch (\Throwable $e) {
                continue;
            }
        }

        return null;
    }

    private function resolveAiServerBaseUrl(): string
    {
        $base = rtrim($this->readAiSettingValue(['DIAGNOSIS_AI_SERVER_URL']), '/');
        if ($base !== '') {
            return $base;
        }

        $candidates = [
            trim($this->readAiSettingValue(['DIAGNOSIS_AI_PARSE_ENDPOINT'])),
            trim($this->readAiSettingValue(['DIAGNOSIS_AI_OCR_ENDPOINT'])),
        ];

        foreach ($candidates as $url) {
            if ($url === '') {
                continue;
            }

            $parts = @parse_url($url);
            if (! is_array($parts) || empty($parts['scheme']) || empty($parts['host'])) {
                continue;
            }

            $base = (string) $parts['scheme'] . '://' . (string) $parts['host'];
            if (! empty($parts['port'])) {
                $base .= ':' . (int) $parts['port'];
            }

            return rtrim($base, '/');
        }

        return '';
    }

    /**
     * @return array<int, string>
     */
    private function resolveAiServerBaseCandidates(): array
    {
        $bases = [];

        $direct = trim($this->resolveAiServerBaseUrl());
        if ($direct !== '') {
            $bases[] = rtrim($direct, '/');
        }

        $derivedFromEndpoint = [
            trim($this->readAiSettingValue(['DIAGNOSIS_AI_PARSE_ENDPOINT'])),
            trim($this->readAiSettingValue(['DIAGNOSIS_AI_OCR_ENDPOINT'])),
        ];

        foreach ($derivedFromEndpoint as $endpointUrl) {
            if ($endpointUrl === '') {
                continue;
            }

            $parts = @parse_url($endpointUrl);
            if (! is_array($parts) || empty($parts['scheme']) || empty($parts['host'])) {
                continue;
            }

            $origin = (string) $parts['scheme'] . '://' . (string) $parts['host'];
            if (! empty($parts['port'])) {
                $origin .= ':' . (int) $parts['port'];
            }
            $origin = rtrim($origin, '/');
            $bases[] = $origin;

            $path = trim((string) ($parts['path'] ?? ''));
            if ($path !== '' && $path !== '/') {
                $dirPath = trim((string) dirname($path));
                if ($dirPath !== '' && $dirPath !== '.') {
                    $dirPath = '/' . trim($dirPath, '/');
                    $bases[] = $origin . $dirPath;

                    $segments = array_values(array_filter(explode('/', trim($dirPath, '/')), static fn($x) => $x !== ''));
                    if (count($segments) > 1) {
                        $running = '';
                        foreach ($segments as $index => $segment) {
                            if ($index >= count($segments) - 1) {
                                break;
                            }
                            $running .= '/' . $segment;
                            $bases[] = $origin . $running;
                        }
                    }
                }
            }
        }

        $bases[] = 'http://139.59.13.39:8000';

        return array_values(array_unique(array_filter(array_map(static fn($v) => rtrim((string) $v, '/'), $bases))));
    }

    private function translateAdviceWithAiServer(string $sourceText, string $targetLang): string
    {
        $base = $this->resolveAiServerBaseUrl();
        if ($base === '') {
            return '';
        }

        $token = trim($this->readAiSettingValue(['DIAGNOSIS_AI_PARSE_TOKEN']));

        try {
            $options = [
                'timeout' => 20,
                'http_errors' => false,
            ];
            if (defined('ENVIRONMENT') && in_array((string) ENVIRONMENT, ['development', 'testing'], true)) {
                $options['verify'] = false;
            }

            $headers = ['Accept' => 'application/json'];
            if ($token !== '') {
                $headers['Authorization'] = 'Bearer ' . $token;
            }

            $client = service('curlrequest', $options);
            $url = $base . '/translate?text=' . rawurlencode($sourceText) . '&target_lang=' . rawurlencode($targetLang);
            $response = $client->get($url, ['headers' => $headers]);
            if ($response->getStatusCode() < 200 || $response->getStatusCode() >= 300) {
                return '';
            }

            $decoded = json_decode((string) $response->getBody(), true);
            $translated = trim((string) ($decoded['translated_text'] ?? ''));
            if ($translated === '') {
                return '';
            }

            $this->lastAiProvider = 'ai-server';
            return $translated;
        } catch (\Throwable $e) {
            return '';
        }
    }

    /**
     * @param array<string, mixed> $input
     */
    private function buildFullClinicalDraftPrompt(array $input): string
    {
        $payload = json_encode($input, JSON_UNESCAPED_UNICODE | JSON_UNESCAPED_SLASHES);
        if ($payload === false) {
            $payload = '{}';
        }

        return "You are a senior OPD clinical documentation assistant.
Using the complete OPD snapshot JSON, produce concise professional drafts.
Do not invent facts. Use only the data provided.
Return ONLY valid minified JSON object with exactly these keys:
finding_examinations, diagnosis, provisional_diagnosis, prescriber_remarks, investigation, advice.
Each value must be plain text string (no markdown).
OPD SNAPSHOT JSON: " . $payload;
    }

    /**
     * @return array<string, string>|null
     */
    private function extractFullDraftJson(?string $aiText): ?array
    {
        if ($aiText === null || trim($aiText) === '') {
            return null;
        }

        $candidate = trim($aiText);
        if (!str_starts_with($candidate, '{') || !str_ends_with($candidate, '}')) {
            if (preg_match('/\{.*\}/s', $candidate, $match) === 1) {
                $candidate = (string) ($match[0] ?? '');
            }
        }

        $decoded = json_decode($candidate, true);
        if (!is_array($decoded)) {
            return null;
        }

        $keys = ['finding_examinations', 'diagnosis', 'provisional_diagnosis', 'prescriber_remarks', 'investigation', 'advice'];
        $result = [];
        foreach ($keys as $key) {
            $result[$key] = trim((string) ($decoded[$key] ?? ''));
        }

        return $result;
    }

    /**
     * @param array<string, mixed> $input
     * @return array<string, string>
     */
    private function buildFullDraftFallback(array $input): array
    {
        $vitals = $this->joinParts([
            ($input['bp'] ?? '') !== '' || ($input['diastolic'] ?? '') !== '' ? 'BP ' . trim((string) ($input['bp'] ?? '')) . '/' . trim((string) ($input['diastolic'] ?? '')) : '',
            ($input['pulse'] ?? '') !== '' ? 'Pulse ' . trim((string) $input['pulse']) . '/min' : '',
            ($input['temp'] ?? '') !== '' ? 'Temp ' . trim((string) $input['temp']) : '',
            ($input['spo2'] ?? '') !== '' ? 'SpO2 ' . trim((string) $input['spo2']) . '%' : '',
            ($input['rr_min'] ?? '') !== '' ? 'RR ' . trim((string) $input['rr_min']) . '/min' : '',
        ], '; ');

        $exam = $this->joinParts([
            ($input['pallor'] ?? '') !== '' ? 'Pallor: ' . trim((string) $input['pallor']) : '',
            ($input['icterus'] ?? '') !== '' ? 'Icterus: ' . trim((string) $input['icterus']) : '',
            ($input['cyanosis'] ?? '') !== '' ? 'Cyanosis: ' . trim((string) $input['cyanosis']) : '',
            ($input['clubbing'] ?? '') !== '' ? 'Clubbing: ' . trim((string) $input['clubbing']) : '',
            ($input['edema'] ?? '') !== '' ? 'Edema: ' . trim((string) $input['edema']) : '',
            ($input['pain_value'] ?? '') !== '' ? 'Pain scale: ' . trim((string) $input['pain_value']) . '/4' : '',
        ], '; ');

        $complications = $this->joinParts([
            !empty($input['pregnancy']) ? 'Pregnancy' : '',
            !empty($input['lactation']) ? 'Lactation' : '',
            !empty($input['liver_insufficiency']) ? 'Liver insufficiency' : '',
            !empty($input['renal_insufficiency']) ? 'Renal insufficiency' : '',
            !empty($input['pulmonary_insufficiency']) ? 'Pulmonary insufficiency' : '',
            !empty($input['corona_suspected']) ? 'Corona suspected' : '',
            !empty($input['dengue']) ? 'Dengue' : '',
        ], ', ');

        $addiction = $this->joinParts([
            !empty($input['is_smoking']) ? 'Smoking' : '',
            !empty($input['is_alcohol']) ? 'Alcohol' : '',
            !empty($input['is_drug_abuse']) ? 'Drug abuse' : '',
        ], ', ');

        $women = $this->joinParts([
            ($input['women_related_problems'] ?? '') !== '' ? 'Women related: ' . trim((string) $input['women_related_problems']) : '',
            ($input['women_lmp'] ?? '') !== '' ? 'LMP days before: ' . trim((string) $input['women_lmp']) : '',
            ($input['women_last_baby'] ?? '') !== '' ? 'Last baby: ' . trim((string) $input['women_last_baby']) : '',
            ($input['women_pregnancy_related'] ?? '') !== '' ? 'Pregnancy related: ' . trim((string) $input['women_pregnancy_related']) : '',
        ], '; ');

        $finding = $this->joinParts([
            trim((string) ($input['finding_examinations'] ?? '')),
            $vitals !== '' ? 'Vitals: ' . $vitals : '',
            $exam !== '' ? 'General examination: ' . $exam : '',
        ], "\n");

        $remarks = $this->joinParts([
            trim((string) ($input['prescriber_remarks'] ?? '')),
            $complications !== '' ? 'Complication: ' . $complications : '',
            $addiction !== '' ? 'Addiction: ' . $addiction : '',
            $women,
        ], "\n");

        $diagnosis = trim((string) ($input['diagnosis'] ?? ''));
        if ($diagnosis === '' && trim((string) ($input['complaints'] ?? '')) !== '') {
            $diagnosis = 'Provisional diagnosis to correlate with complaints: ' . trim((string) ($input['complaints'] ?? ''));
        }

        $provisional = trim((string) ($input['provisional_diagnosis'] ?? ''));
        if ($provisional === '') {
            $provisional = $diagnosis;
        }

        $investigation = trim((string) ($input['investigation'] ?? ''));
        $advice = $this->joinParts([
            trim((string) ($input['advice'] ?? '')),
            trim((string) ($input['next_visit'] ?? '')) !== '' ? 'Next visit: ' . trim((string) ($input['next_visit'] ?? '')) : '',
            trim((string) ($input['refer_to'] ?? '')) !== '' ? 'Refer to: ' . trim((string) ($input['refer_to'] ?? '')) : '',
        ], "\n");

        return [
            'finding_examinations' => $finding,
            'diagnosis' => $diagnosis,
            'provisional_diagnosis' => $provisional,
            'prescriber_remarks' => $remarks,
            'investigation' => $investigation,
            'advice' => $advice,
        ];
    }

    /**
     * @param array<int, string> $parts
     */
    private function joinParts(array $parts, string $separator = ', '): string
    {
        $filtered = [];
        foreach ($parts as $part) {
            $part = trim((string) $part);
            if ($part !== '') {
                $filtered[] = $part;
            }
        }

        return implode($separator, $filtered);
    }

    /**
     * @return array<int, array<string, string>>
     */
    private function buildPatientHistoryAlerts(int $patientId, int $currentOpdId): array
    {
        if ($patientId <= 0 || ! $this->db->tableExists('opd_prescription') || ! $this->db->tableExists('opd_master')) {
            return [];
        }

        $alerts = [];

        $rows = $this->db->table('opd_prescription p')
            ->select('p.*,o.apointment_date')
            ->join('opd_master o', 'o.opd_id=p.opd_id', 'left')
            ->where('p.p_id', $patientId)
            ->where('p.opd_id !=', $currentOpdId)
            ->orderBy('p.id', 'DESC')
            ->limit(5)
            ->get()
            ->getResultArray();

        foreach ($rows as $row) {
            $dateLabel = ! empty($row['apointment_date']) ? date('d-m-Y', strtotime((string) $row['apointment_date'])) : 'Previous OPD';

            if (trim((string) ($row['diagnosis'] ?? '')) !== '') {
                $alerts[] = [
                    'type' => 'Diagnosis History',
                    'message' => $dateLabel . ': ' . trim((string) $row['diagnosis']),
                ];
            }

            if (trim((string) ($row['complaints'] ?? '')) !== '') {
                $alerts[] = [
                    'type' => 'Complaint History',
                    'message' => $dateLabel . ': ' . trim((string) $row['complaints']),
                ];
            }

            $vitalLine = [];
            foreach ([
                'BP' => trim((string) ($row['bp'] ?? '')),
                'DIA' => trim((string) ($row['diastolic'] ?? '')),
                'Pulse' => trim((string) ($row['pulse'] ?? '')),
                'Temp' => trim((string) ($row['temp'] ?? '')),
                'SpO2' => trim((string) ($row['spo2'] ?? '')),
            ] as $k => $v) {
                if ($v !== '') {
                    $vitalLine[] = $k . ':' . $v;
                }
            }

            if (! empty($vitalLine)) {
                $alerts[] = [
                    'type' => 'Vitals Trend',
                    'message' => $dateLabel . ': ' . implode(' | ', $vitalLine),
                ];
            }

            $historyFields = $this->hydratePatientHistoryFields($row, (string) ($row['Prescriber_Remarks'] ?? ''));
            $historyLabels = [
                'obstetric_history' => 'Obstetric History',
                'menstrual_history' => 'Menstrual History',
                'medical_surgical_history' => 'Medical / Surgical History',
                'family_history' => 'Family History',
                'allergic_history' => 'Allergic History',
                'vaccination_history' => 'Vaccination',
            ];
            foreach ($historyLabels as $key => $label) {
                $value = trim((string) ($historyFields[$key] ?? ''));
                if ($value === '') {
                    continue;
                }

                $alerts[] = [
                    'type' => $label,
                    'message' => $dateLabel . ': ' . $value,
                ];
            }
        }

        if ($this->db->tableExists('patient_remark')) {
            $remarks = $this->db->table('patient_remark')
                ->select('remark,insert_datetime')
                ->where('p_id', $patientId)
                ->orderBy('id', 'DESC')
                ->limit(3)
                ->get()
                ->getResultArray();

            foreach ($remarks as $remarkRow) {
                $msg = trim((string) ($remarkRow['remark'] ?? ''));
                if ($msg === '') {
                    continue;
                }
                $time = ! empty($remarkRow['insert_datetime']) ? date('d-m-Y H:i', strtotime((string) $remarkRow['insert_datetime'])) : 'Recent';
                $alerts[] = [
                    'type' => 'Patient Remark',
                    'message' => $time . ': ' . $msg,
                ];
            }
        }

        return array_slice($alerts, 0, 8);
    }

    /**
     * @return array<int, array<string, string>>
     */
    private function fetchPatientRemarks(int $patientId, int $limit = 8): array
    {
        if ($patientId <= 0 || ! $this->db->tableExists('patient_remark')) {
            return [];
        }

        $rows = $this->db->table('patient_remark')
            ->select('remark,insert_by,insert_datetime')
            ->where('p_id', $patientId)
            ->orderBy('id', 'DESC')
            ->limit(max(1, $limit))
            ->get()
            ->getResultArray();

        $out = [];
        foreach ($rows as $row) {
            $msg = trim((string) ($row['remark'] ?? ''));
            if ($msg === '') {
                continue;
            }

            $time = ! empty($row['insert_datetime']) ? date('d-m-Y H:i', strtotime((string) $row['insert_datetime'])) : '';
            $out[] = [
                'remark' => $msg,
                'insert_by' => trim((string) ($row['insert_by'] ?? '')),
                'insert_time' => $time,
            ];
        }

        return $out;
    }

    /**
     * @return array<int, array<string, mixed>>
     */
    private function buildOldPrescriptionFastView(int $patientId, int $currentOpdId): array
    {
        if ($patientId <= 0 || ! $this->db->tableExists('opd_master')) {
            return [];
        }

        $opdRows = $this->db->table('opd_master o')
            ->select('o.opd_id,o.opd_code,o.apointment_date,p.complaints,p.diagnosis,p.id as session_id')
            ->join('opd_prescription p', 'p.opd_id=o.opd_id', 'left')
            ->where('o.p_id', $patientId)
            ->where('o.opd_id !=', $currentOpdId)
            ->orderBy('o.opd_id', 'DESC')
            ->limit(6)
            ->get()
            ->getResultArray();

        if (empty($opdRows)) {
            return [];
        }

        $medicineMap = [];
        $medicineTable = $this->findExistingTable(['opd_prescrption_prescribed', 'opd_prescription_prescribed']);
        if ($medicineTable !== null) {
            $sessionIds = [];
            foreach ($opdRows as $opdRow) {
                $sessionId = (int) ($opdRow['session_id'] ?? 0);
                if ($sessionId > 0) {
                    $sessionIds[$sessionId] = true;
                }
            }

            if (! empty($sessionIds)) {
                $medicineFields = $this->db->getFieldNames($medicineTable);
                if (in_array('opd_pre_id', $medicineFields, true)) {
                    $doseMap = $this->getDoseMasterLabelMap('opd_dose_shed', ['dose_shed_id', 'id'], ['dose_show_sign', 'dose_sign', 'dose_sign_desc', 'name']);
                    $whenMap = $this->getDoseMasterLabelMap('opd_dose_when', ['dose_when_id', 'id'], ['dose_sign', 'dose_sign_desc', 'name']);
                    $freqMap = $this->getDoseMasterLabelMap('opd_dose_frequency', ['dose_freq_id', 'id'], ['dose_sign', 'dose_sign_desc', 'name']);

                    $query = $this->db->table($medicineTable)
                        ->whereIn('opd_pre_id', array_map('intval', array_keys($sessionIds)));

                    if (in_array('id', $medicineFields, true)) {
                        $query->orderBy('id', 'ASC');
                    }

                    $medicineRows = $query->get()->getResultArray();
                    foreach ($medicineRows as $medicineRow) {
                        $sessionId = (int) ($medicineRow['opd_pre_id'] ?? 0);
                        if ($sessionId <= 0) {
                            continue;
                        }

                        if (! isset($medicineMap[$sessionId])) {
                            $medicineMap[$sessionId] = [];
                        }

                        $medicineMap[$sessionId][] = [
                            'id' => (int) ($medicineRow['id'] ?? 0),
                            'med_id' => (int) ($medicineRow['med_id'] ?? 0),
                            'med_name' => trim((string) ($medicineRow['med_name'] ?? '')),
                            'med_type' => trim((string) ($medicineRow['med_type'] ?? '')),
                            'dosage' => trim((string) ($medicineRow['dosage'] ?? '')),
                            'dosage_label' => $this->resolveDoseMasterLabel($medicineRow['dosage'] ?? '', $doseMap),
                            'dosage_when' => trim((string) ($medicineRow['dosage_when'] ?? '')),
                            'dosage_when_label' => $this->resolveDoseMasterLabel($medicineRow['dosage_when'] ?? '', $whenMap),
                            'dosage_freq' => trim((string) ($medicineRow['dosage_freq'] ?? '')),
                            'dosage_freq_label' => $this->resolveDoseMasterLabel($medicineRow['dosage_freq'] ?? '', $freqMap),
                            'no_of_days' => trim((string) ($medicineRow['no_of_days'] ?? '')),
                            'qty' => trim((string) ($medicineRow['qty'] ?? '')),
                            'remark' => trim((string) ($medicineRow['remark'] ?? '')),
                        ];
                    }
                }
            }
        }

        $scanMap = [];
        if ($this->db->tableExists('file_upload_data')) {
            $opdIds = array_map(static fn(array $r): int => (int) ($r['opd_id'] ?? 0), $opdRows);
            $opdIds = array_values(array_filter($opdIds));

            if (!empty($opdIds)) {
                $fields = $this->db->getFieldNames('file_upload_data');
                $builder = $this->db->table('file_upload_data')
                    ->select('opd_id,full_path,file_ext,id,show_type')
                    ->whereIn('opd_id', $opdIds)
                    ->orderBy('id', 'DESC');

                if (in_array('show_type', $fields, true)) {
                    $builder->where('show_type', 0);
                }

                $files = $builder->get()->getResultArray();
                foreach ($files as $file) {
                    $opdId = (int) ($file['opd_id'] ?? 0);
                    if ($opdId <= 0) {
                        continue;
                    }

                    if (!isset($scanMap[$opdId])) {
                        $scanMap[$opdId] = [];
                    }
                    if (count($scanMap[$opdId]) >= 2) {
                        continue;
                    }

                    $raw = (string) ($file['full_path'] ?? '');
                    $publicPath = $raw;
                    $pos = strpos($raw, '/uploads/', 1);
                    if ($pos !== false) {
                        $publicPath = substr($raw, $pos);
                    }

                    $ext = strtolower((string) ($file['file_ext'] ?? pathinfo($publicPath, PATHINFO_EXTENSION)));
                    $ext = $ext !== '' && $ext[0] !== '.' ? '.' . $ext : $ext;
                    $scanMap[$opdId][] = [
                        'path' => $publicPath,
                        'is_pdf' => $ext === '.pdf',
                        'scan_type' => $this->detectScanTypeFromPath($publicPath),
                    ];
                }
            }
        }

        $out = [];
        foreach ($opdRows as $row) {
            $opdId = (int) ($row['opd_id'] ?? 0);
            $sessionId = (int) ($row['session_id'] ?? 0);
            $out[] = [
                'opd_id' => $opdId,
                'opd_code' => (string) ($row['opd_code'] ?? $opdId),
                'opd_date' => !empty($row['apointment_date']) ? date('d-m-Y', strtotime((string) $row['apointment_date'])) : '',
                'complaints' => (string) ($row['complaints'] ?? ''),
                'diagnosis' => (string) ($row['diagnosis'] ?? ''),
                'session_id' => $sessionId,
                'medicines' => $medicineMap[$sessionId] ?? [],
                'scans' => $scanMap[$opdId] ?? [],
            ];
        }

        return $out;
    }

    /**
     * @return array<int, array<string, mixed>>
     */
    private function getCurrentOpdScansForConsult(int $opdId): array
    {
        if ($opdId <= 0 || ! $this->db->tableExists('file_upload_data')) {
            return [];
        }

        $fields = $this->db->getFieldNames('file_upload_data');
        $safeSelect = ['id', 'full_path', 'file_ext', 'insert_date'];
        foreach (['show_type', 'scan_type', 'document_type', 'content_description', 'ai_status', 'ai_alert_flag', 'ai_alert_text', 'extract_text', 'extracted_text'] as $optional) {
            if (in_array($optional, $fields, true)) {
                $safeSelect[] = $optional;
            }
        }

        $builder = $this->db->table('file_upload_data')
            ->select(implode(',', $safeSelect))
            ->where('opd_id', $opdId)
            ->orderBy('id', 'DESC')
            ->limit(6);

        if (in_array('show_type', $fields, true)) {
            $builder->where('show_type', 0);
        }

        $rows = $builder->get()->getResultArray();
        if (empty($rows)) {
            return [];
        }

        $out = [];
        foreach ($rows as $row) {
            $raw = str_replace('\\', '/', (string) ($row['full_path'] ?? ''));
            $publicPath = $raw;
            $pos = strpos($raw, '/uploads/');
            if ($pos !== false) {
                $publicPath = substr($raw, $pos);
            }

            $ext = strtolower((string) ($row['file_ext'] ?? pathinfo($publicPath, PATHINFO_EXTENSION)));
            if ($ext !== '' && $ext[0] !== '.') {
                $ext = '.' . $ext;
            }

            $reportText = trim((string) ($row['content_description'] ?? ''));
            if ($reportText === '') {
                $reportText = trim((string) ($row['extracted_text'] ?? $row['extract_text'] ?? ''));
            }

            $out[] = [
                'id' => (int) ($row['id'] ?? 0),
                'path' => $publicPath,
                'is_pdf' => $ext === '.pdf',
                'scan_type' => (string) ($row['scan_type'] ?? ''),
                'document_type' => (string) ($row['document_type'] ?? ''),
                'ai_status' => (string) ($row['ai_status'] ?? ''),
                'ai_alert_flag' => (int) ($row['ai_alert_flag'] ?? 0),
                'ai_alert_text' => (string) ($row['ai_alert_text'] ?? ''),
                'report_text' => $reportText,
                'insert_date' => !empty($row['insert_date']) ? date('d/m/Y H:i', strtotime((string) $row['insert_date'])) : '',
            ];
        }

        return $out;
    }

    /**
     * @return array<int, array<string, mixed>>
     */
    private function getPatientScanHistoryForConsult(int $patientId): array
    {
        if ($patientId <= 0 || ! $this->db->tableExists('file_upload_data') || ! $this->db->tableExists('opd_master')) {
            return [];
        }

        $fields = $this->db->getFieldNames('file_upload_data');
        $safeSelect = ['f.id', 'f.opd_id', 'f.full_path', 'f.file_ext', 'f.insert_date', 'o.opd_code', 'o.apointment_date'];
        foreach (['show_type', 'scan_type', 'document_type', 'content_description', 'ai_status', 'ai_alert_flag', 'ai_alert_text', 'extract_text', 'extracted_text'] as $optional) {
            if (in_array($optional, $fields, true)) {
                $safeSelect[] = 'f.' . $optional;
            }
        }

        $builder = $this->db->table('file_upload_data f')
            ->select(implode(',', $safeSelect))
            ->join('opd_master o', 'o.opd_id = f.opd_id', 'left')
            ->where('o.p_id', $patientId)
            ->orderBy('f.id', 'DESC')
            ->limit(120);

        if (in_array('show_type', $fields, true)) {
            $builder->groupStart()
                ->where('f.show_type', 0)
                ->orWhere('f.show_type IS NULL', null, false)
                ->groupEnd();
        }

        $rows = $builder->get()->getResultArray();
        if (empty($rows)) {
            return [];
        }

        $out = [];
        foreach ($rows as $row) {
            $raw = str_replace('\\', '/', (string) ($row['full_path'] ?? ''));
            $publicPath = $raw;
            $pos = strpos($raw, '/uploads/');
            if ($pos !== false) {
                $publicPath = substr($raw, $pos);
            }

            $ext = strtolower((string) ($row['file_ext'] ?? pathinfo($publicPath, PATHINFO_EXTENSION)));
            if ($ext !== '' && $ext[0] !== '.') {
                $ext = '.' . $ext;
            }

            $reportText = trim((string) ($row['content_description'] ?? ''));
            if ($reportText === '') {
                $reportText = trim((string) ($row['extracted_text'] ?? $row['extract_text'] ?? ''));
            }

            $out[] = [
                'id' => (int) ($row['id'] ?? 0),
                'opd_id' => (int) ($row['opd_id'] ?? 0),
                'opd_code' => (string) ($row['opd_code'] ?? ''),
                'opd_date' => !empty($row['apointment_date']) ? date('d-m-Y', strtotime((string) $row['apointment_date'])) : '',
                'path' => $publicPath,
                'is_pdf' => $ext === '.pdf',
                'scan_type' => (string) ($row['scan_type'] ?? ''),
                'document_type' => (string) ($row['document_type'] ?? ''),
                'ai_status' => (string) ($row['ai_status'] ?? ''),
                'ai_alert_flag' => (int) ($row['ai_alert_flag'] ?? 0),
                'ai_alert_text' => (string) ($row['ai_alert_text'] ?? ''),
                'report_text' => $reportText,
                'insert_date' => !empty($row['insert_date']) ? date('d/m/Y H:i', strtotime((string) $row['insert_date'])) : '',
            ];
        }

        return $out;
    }

    private function detectScanTypeFromPath(string $path): string
    {
        $low = strtolower($path);
        if (str_contains($low, 'ecg')) {
            return 'ecg';
        }
        if (str_contains($low, 'lab') || str_contains($low, 'report')) {
            return 'lab';
        }
        return 'general';
    }

    private function resolveLocalFilePathFromStoredPath(string $storedPath): ?string
    {
        $normalized = str_replace('\\', '/', trim($storedPath));
        $uploadsPos = strpos($normalized, '/uploads/');
        if ($uploadsPos === false) {
            return null;
        }

        $relative = substr($normalized, $uploadsPos + 1);
        $relative = str_replace(['../', '..\\'], '', $relative);

        $candidates = [
            rtrim(FCPATH, '/\\') . '/' . $relative,
            rtrim(ROOTPATH, '/\\') . '/public/' . $relative,
            rtrim(ROOTPATH, '/\\') . '/' . $relative,
        ];

        foreach ($candidates as $candidate) {
            $real = realpath($candidate);
            if ($real !== false && is_file($real)) {
                return $real;
            }
        }

        return null;
    }

    private function extractClinicalTextFromScan(string $filePath, string $scanType = ''): ?string
    {
        // Legacy external scan extraction has been removed from this module.
        // Keep returning null so existing fallback paths continue to work.
        unset($filePath, $scanType);
        return null;
    }

    public function opd_prescription_print(int $opdId, int $opdSessionId, int $printType = 0)
    {
        $this->createOpdPrescriptionWorkTask($opdId, $opdSessionId);
        $this->markOpdVisitedOnConsultCompletion((int) $opdId);

        $printConfig = $this->resolvePrescriptionLayoutByDoctorField($opdId, $printType);
        $layoutMode = (string) ($printConfig['layout'] ?? 'content_only');
        $templateKey = (string) ($printConfig['template'] ?? '');

        $url = base_url('Opd/opd_lettre_pdf/' . (int) $opdId)
            . '?session_id=' . (int) $opdSessionId
            . '&layout=' . urlencode($layoutMode);

        if ($templateKey !== '') {
            $url .= '&template=' . urlencode($templateKey);
        }

        return redirect()->to($url);
    }

    private function markOpdVisitedOnConsultCompletion(int $opdId): void
    {
        if ($opdId <= 0 || ! $this->db->tableExists('opd_master')) {
            return;
        }

        // Only promote waiting/booked OPD to visited; leave cancelled/visited untouched.
        $this->db->table('opd_master')
            ->where('opd_id', $opdId)
            ->where('opd_status', 1)
            ->update(['opd_status' => 2]);
    }

    /**
     * @return array{layout:string,template:string}
     */
    private function resolvePrescriptionLayoutByDoctorField(int $opdId, int $printType): array
    {
        $allowed = ['full', 'meta_content', 'content_only', 'header_meta', 'meta_only'];
        $defaultByType = [
            0 => 'content_only',
            1 => 'meta_content',
            2 => 'full',
        ];
        $fallback = $defaultByType[$printType] ?? 'content_only';

        $fieldByType = [
            0 => 'rx_plain_paper',
            1 => 'rx_blank_letter_head',
            2 => 'rx_pre_print_letter_head_format',
        ];
        $fieldName = $fieldByType[$printType] ?? '';
        if ($fieldName === '') {
            return ['layout' => $fallback, 'template' => ''];
        }

        $query = $this->db->query(
            'SELECT d.' . $fieldName . ' AS layout_field
             FROM opd_master o
             LEFT JOIN doctor_master d ON d.id = o.doc_id
             WHERE o.opd_id = ?
             LIMIT 1',
            [(int) $opdId]
        );
        $row = $query->getRowArray();
        $raw = strtolower(trim((string) ($row['layout_field'] ?? '')));

        if ($raw === '') {
            return ['layout' => $fallback, 'template' => ''];
        }

        if (in_array($raw, $allowed, true)) {
            return ['layout' => $raw, 'template' => ''];
        }

        if ($raw === '0') {
            return ['layout' => 'content_only', 'template' => ''];
        }
        if ($raw === '1') {
            return ['layout' => 'meta_content', 'template' => ''];
        }
        if ($raw === '2') {
            return ['layout' => 'full', 'template' => ''];
        }

        $templateKey = preg_replace('/[^a-z0-9_\-]/', '', $raw) ?? '';
        if ($templateKey !== '') {
            return ['layout' => $fallback, 'template' => $templateKey];
        }

        return ['layout' => $fallback, 'template' => ''];
    }

    private function createOpdPrescriptionWorkTask(int $opdId, int $opdSessionId): void
    {
        if ($opdId <= 0 || ! $this->db->tableExists('opd_master') || ! $this->db->tableExists('patient_master')) {
            return;
        }

        $opdRow = $this->db->table('opd_master')->select('opd_id,p_id')->where('opd_id', $opdId)->get(1)->getRowArray();
        if (empty($opdRow)) {
            return;
        }

        $patientId = (int) ($opdRow['p_id'] ?? 0);
        if ($patientId <= 0) {
            return;
        }

        $pmFields    = $this->db->getFieldNames('patient_master') ?? [];
        $abhaCols    = array_filter(['abha_id', 'abha_no', 'abha_address', 'abha'], fn ($c) => in_array($c, $pmFields, true));
        $abhaSelect  = $abhaCols ? (', ' . implode(', ', $abhaCols)) : '';
        $patient = $this->db->table('patient_master')
            ->select('p_fname' . $abhaSelect)
            ->where('id', $patientId)
            ->get(1)
            ->getRowArray();

        $abhaId = trim((string) ($patient['abha_id'] ?? $patient['abha_no'] ?? $patient['abha_address'] ?? $patient['abha'] ?? ''));
        if (! $this->isValidAbhaNumber($abhaId)) {
            return;
        }

        $taskService = new AbdmWorkTaskService();
        $taskService->createOrRefreshTask(
            'opd_prescription_publish',
            'opd_prescription',
            'opd',
            (string) $opdId,
            $patientId,
            trim((string) ($patient['p_fname'] ?? '')),
            $abhaId,
            'submit',
            [
                'opd_id' => $opdId,
                'opd_session_id' => $opdSessionId,
                'trigger' => 'opd.prescription.printed',
            ]
        );
    }

    private function isValidAbhaNumber(string $abhaId): bool
    {
        return preg_match('/^\d{14}$/', trim($abhaId)) === 1;
    }
}