:root {
  --page: #eef1f3;
  --paper: #ffffff;
  --ink: #202a33;
  --muted: #65717d;
  --subtle: #7a8792;
  --line: #d6dce2;
  --line-strong: #c5cdd5;
  --blue: #155f99;
  --blue-dark: #123f5b;
  --blue-soft: #eef5f9;
  --danger: #a33e3e;
  --warning-line: #b89a50;
  --warning-bg: #fbfaf3;
}

* {
  box-sizing: border-box;
}

html {
  min-width: 320px;
  scroll-behavior: smooth;
}

body {
  margin: 0;
  background: var(--page);
  color: var(--ink);
  font-family: Inter, -apple-system, BlinkMacSystemFont, "Segoe UI", Arial, sans-serif;
  font-size: 15px;
  line-height: 1.45;
}

button,
input,
textarea {
  font: inherit;
}

button {
  cursor: pointer;
}

button:focus-visible,
input:focus-visible,
textarea:focus-visible {
  outline: 3px solid rgba(21, 90, 145, 0.2);
  outline-offset: 1px;
}

.page-shell {
  width: 100%;
  max-width: 1040px;
  margin: 0 auto;
  padding: 34px 24px 64px;
}

.document-sheet {
  background: var(--paper);
  border: 1px solid var(--line);
  border-radius: 5px;
  box-shadow: 0 5px 16px rgba(37, 61, 78, 0.07);
  overflow: hidden;
}

.institutional-header {
  display: grid;
  grid-template-columns: minmax(280px, 41%) 1fr;
  gap: 33px;
  align-items: center;
  padding: 28px 40px;
}

.brand-lockup {
  min-width: 0;
}

.brand-lockup img {
  display: block;
  width: 100%;
  max-width: 390px;
  max-height: 76px;
  height: auto;
  object-fit: contain;
  object-position: left center;
}

.header-copy {
  min-width: 0;
  border-left: 1px solid #c7d0d7;
  background: var(--blue-dark);
  padding: 21px 25px 22px;
}

.institution-name {
  margin: 0 0 5px;
  color: #c7dce8;
  font-size: 11px;
  font-weight: 700;
  letter-spacing: 0.09em;
  line-height: 1.3;
  text-transform: uppercase;
}

h1,
h2,
p {
  margin-top: 0;
}

h1 {
  max-width: 560px;
  margin-bottom: 7px;
  color: #fff;
  font-size: 29px;
  font-weight: 700;
  letter-spacing: -0.025em;
  line-height: 1.15;
}

.header-description {
  max-width: 620px;
  margin-bottom: 0;
  color: #e0ebf1;
  font-size: 13px;
}

.header-rule {
  border-top: 1px solid var(--line);
  margin: 0 40px;
}

#clinical-form {
  padding: 7px 40px 10px;
}

.form-section {
  margin: 21px 0;
  border: 1px solid #dfe6eb;
  border-radius: 4px;
  background: #fcfdfe;
  padding: 24px 25px 27px;
}

.section-heading {
  display: flex;
  align-items: baseline;
  gap: 10px;
  margin-bottom: 22px;
  border-bottom: 1px solid #edf0f2;
  padding-bottom: 14px;
}

.section-index {
  display: inline-block;
  min-width: 28px;
  border-right: 1px solid #b5c1c9;
  color: #71808c;
  font-size: 12px;
  letter-spacing: 0.04em;
  font-weight: 700;
  line-height: 1;
  padding: 4px 9px 4px 0;
}

h2 {
  margin-bottom: 0;
  color: var(--blue-dark);
  font-size: 19px;
  font-weight: 700;
  letter-spacing: -0.01em;
  line-height: 1.25;
}

.form-grid {
  display: grid;
  gap: 18px 20px;
}

.form-grid-patient {
  grid-template-columns: minmax(0, 1fr) 150px 210px;
}

.form-grid-vitals {
  grid-template-columns: 180px 180px minmax(240px, 1fr);
  align-items: end;
}

.form-grid-requester {
  grid-template-columns: minmax(0, 1fr) 170px;
}

.field-wide {
  grid-column: span 1;
}

.field {
  min-width: 0;
}

.field label,
.choice-fieldset legend,
.asa-fieldset legend,
.criteria-group legend {
  display: block;
  margin-bottom: 7px;
  color: var(--ink);
  font-size: 13px;
  font-weight: 650;
  line-height: 1.3;
}

.required-mark {
  color: var(--danger);
  font-weight: 700;
}

input[type="text"],
input[type="number"],
input[type="date"],
textarea {
  display: block;
  width: 100%;
  border: 1px solid var(--line-strong);
  border-radius: 5px;
  background: #fff;
  color: var(--ink);
  padding: 10px 11px;
  transition: border-color 120ms ease, background-color 120ms ease;
}

input[type="text"],
input[type="number"],
input[type="date"] {
  height: 42px;
}

textarea {
  min-height: 82px;
  resize: vertical;
  line-height: 1.45;
}

input::placeholder,
textarea::placeholder {
  color: #9aa4ad;
  opacity: 1;
}

input:hover,
textarea:hover {
  border-color: #9da9b4;
}

input:focus,
textarea:focus {
  border-color: var(--blue);
  background: #fff;
  outline: none;
}

[aria-invalid="true"] {
  border-color: var(--danger) !important;
}

.input-with-suffix {
  display: flex;
  align-items: stretch;
}

.input-with-suffix input {
  min-width: 0;
  border-radius: 5px 0 0 5px;
}

.input-with-suffix span {
  display: flex;
  align-items: center;
  border: 1px solid var(--line-strong);
  border-left: 0;
  border-radius: 0 5px 5px 0;
  background: #f8f9fa;
  color: var(--muted);
  font-size: 12px;
  padding: 0 10px;
}

.field-helper {
  margin: -1px 0 8px;
  color: var(--muted);
  font-size: 12px;
}

.bmi-summary {
  min-height: 64px;
  border: 1px solid #d7e0e5;
  border-radius: 4px;
  background: #f5f8f9;
  padding: 10px 13px 9px;
}

.bmi-label {
  display: block;
  margin-bottom: 3px;
  color: var(--muted);
  font-size: 12px;
}

.bmi-summary strong {
  display: block;
  color: var(--ink);
  font-size: 15px;
  font-weight: 650;
}

.bmi-note {
  display: block;
  margin-top: 3px;
  color: #6a5b35;
  font-size: 11px;
  line-height: 1.35;
}

.field-error {
  min-height: 18px;
  margin: 5px 0 0;
  color: var(--danger);
  font-size: 12px;
  line-height: 1.35;
}

.choice-fieldset,
.asa-fieldset,
.criteria-group {
  min-width: 0;
  margin: 22px 0 0;
  border: 0;
  padding: 0;
}

.inline-options {
  display: flex;
  flex-wrap: wrap;
  gap: 22px;
}

.radio-label,
.check-label {
  display: inline-flex;
  align-items: flex-start;
  gap: 9px;
  color: var(--ink);
  cursor: pointer;
  font-size: 14px;
  line-height: 1.4;
}

.radio-label input,
.check-label input,
.asa-option input {
  flex: 0 0 auto;
  accent-color: var(--blue);
  margin: 3px 0 0;
}

.helper-text {
  margin-bottom: 0;
  color: var(--muted);
  font-size: 13px;
}

.is-hidden {
  display: none !important;
}

.indications-fieldset {
  margin-top: 18px;
}

.stacked-options {
  border-top: 1px solid var(--line);
}

.stacked-options .check-label {
  display: grid;
  grid-template-columns: 18px minmax(0, 1fr);
  gap: 9px;
  border-bottom: 1px solid #e7eaed;
  padding: 9px 2px;
}

.stacked-options .check-label input {
  margin-top: 4px;
}

.asa-list {
  overflow: hidden;
  border: 1px solid var(--line);
  border-radius: 6px;
}

.asa-option {
  display: grid;
  grid-template-columns: 22px minmax(0, 1fr);
  gap: 4px;
  border-bottom: 1px solid #e2e6ea;
  padding: 13px 10px 13px 2px;
  cursor: pointer;
  transition: background-color 120ms ease;
}

.asa-option:has(input:checked) {
  border-left: 2px solid var(--blue);
  background: var(--blue-soft);
  padding-left: 0;
}

.asa-content {
  display: grid;
  gap: 2px;
}

.asa-content strong {
  color: var(--ink);
  font-size: 14px;
}

.asa-content span {
  color: var(--ink);
  font-size: 14px;
}

.asa-content small {
  color: var(--muted);
  font-size: 12px;
  line-height: 1.45;
}

.field-clinical {
  margin-top: 18px;
}

.criteria-intro {
  margin-bottom: 16px;
}

.criteria-intro p {
  margin-bottom: 1px;
  color: var(--ink);
  font-size: 14px;
  font-weight: 650;
}

.criteria-intro span {
  color: var(--muted);
  font-size: 12px;
}

.criteria-grid {
  display: grid;
  grid-template-columns: minmax(0, 1fr) minmax(0, 1fr);
  gap: 34px;
}

.criteria-group {
  margin-top: 0;
  border: 1px solid #dfe8e5;
  border-radius: 7px;
  background: #fbfdfc;
  padding: 16px 17px 11px;
}

.criteria-group legend {
  margin-bottom: 10px;
}

.criteria-group .check-label {
  display: flex;
  margin: 0 0 9px;
}

.age-criterion {
  margin: 15px 0 0;
  border: 1px solid #e3dbba;
  border-radius: 4px;
  background: var(--warning-bg);
  color: #5f522e;
  font-size: 12px;
  padding: 7px 10px;
}

.recommendation {
  display: flex;
  align-items: flex-start;
  justify-content: space-between;
  gap: 18px;
  margin-top: 23px;
  border: 1px solid #c8d8e2;
  border-radius: 4px;
  background: var(--blue-soft);
  padding: 15px 16px 16px;
}

.recommendation-label {
  display: block;
  margin-bottom: 3px;
  color: var(--muted);
  font-size: 12px;
}

.recommendation strong {
  display: block;
  color: var(--blue-dark);
  font-size: 17px;
  font-weight: 700;
}

.recommendation p {
  max-width: 52%;
  margin: 18px 0 0;
  color: var(--muted);
  font-size: 12px;
  text-align: right;
}

.location-fieldset {
  margin-top: 22px;
}

.clinical-note {
  margin: 21px 0 0;
  border: 1px solid #e3dbba;
  border-radius: 4px;
  background: var(--warning-bg);
  color: #5d5333;
  font-size: 12px;
  line-height: 1.5;
  padding: 9px 11px;
}

.label-with-action {
  display: flex;
  align-items: baseline;
  justify-content: space-between;
  gap: 16px;
}

.text-button {
  border: 0;
  background: transparent;
  color: var(--blue);
  font-size: 12px;
  padding: 0;
  text-decoration: underline;
  text-decoration-thickness: 1px;
  text-underline-offset: 3px;
}

.text-button:hover {
  color: var(--blue-dark);
}

.signature-hint {
  margin-top: 19px;
  border-top: 1px solid var(--line);
  color: var(--muted);
  font-size: 12px;
  padding-top: 12px;
}

.form-actions {
  display: flex;
  justify-content: flex-end;
  gap: 10px;
  margin: 24px 0 29px;
  border: 1px solid #d2e1eb;
  border-radius: 8px;
  background: #f2f8fb;
  padding: 16px;
}

.button {
  min-height: 42px;
  border: 1px solid transparent;
  border-radius: 5px;
  padding: 9px 16px;
  font-size: 13px;
  font-weight: 650;
  transition: border-color 120ms ease, background-color 120ms ease, color 120ms ease;
}

.button-secondary {
  border-color: var(--line-strong);
  background: #fff;
  color: #3f4c57;
}

.button-secondary:hover {
  border-color: #9eabb6;
  background: #f8f9fa;
}

.button-primary {
  border-color: var(--blue);
  background: var(--blue);
  color: #fff;
}

.button-primary:focus-visible,
.button-secondary:focus-visible {
  outline-color: rgba(21, 95, 153, 0.28);
}

.button-primary:hover {
  border-color: var(--blue-dark);
  background: var(--blue-dark);
}

.preview-section {
  width: 100%;
  max-width: 1040px;
  margin: 0 auto;
  padding: 12px 24px 64px;
}

.preview-section:not([hidden]) {
  display: block;
}

.preview-toolbar {
  max-width: 210mm;
  margin: 0 auto 14px;
  color: var(--muted);
}

.preview-toolbar p {
  margin-bottom: 2px;
  color: var(--ink);
  font-size: 15px;
  font-weight: 700;
}

.preview-toolbar span {
  font-size: 12px;
}

.print-document {
  width: 100%;
  max-width: 210mm;
  min-height: 297mm;
  margin: 0 auto;
  border: 1px solid var(--line);
  background: #fff;
  padding: 16mm 15mm;
  color: #1f252a;
  font-size: 12px;
  line-height: 1.4;
}

.print-header {
  display: grid;
  grid-template-columns: 230px 1fr;
  align-items: center;
  gap: 28px;
  border-bottom: 1px solid #9da6ae;
  padding-bottom: 13px;
}

.print-header img {
  display: block;
  width: 100%;
  max-width: 230px;
  max-height: 51px;
  height: auto;
  object-fit: contain;
  object-position: left center;
}

.print-header-meta {
  text-align: right;
}

.print-header-meta p {
  margin: 0;
  color: #4c555d;
  font-size: 10px;
  text-transform: uppercase;
}

.print-header-meta h1 {
  max-width: none;
  margin: 3px 0 0;
  font-size: 17px;
  letter-spacing: 0;
  line-height: 1.2;
  text-transform: uppercase;
}

.print-header-meta span {
  display: block;
  margin-top: 4px;
  color: #4c555d;
  font-size: 10px;
}

.print-section {
  margin-top: 17px;
  break-inside: avoid;
  page-break-inside: avoid;
}

.print-section h2 {
  border-bottom: 1px solid #9da6ae;
  margin-bottom: 9px;
  padding-bottom: 4px;
  font-size: 12px;
  letter-spacing: 0.03em;
  line-height: 1.3;
  text-transform: uppercase;
}

.print-data-grid {
  display: grid;
  grid-template-columns: 1.4fr 0.55fr 0.9fr;
  border-top: 1px solid #cbd1d6;
  border-left: 1px solid #cbd1d6;
}

.print-data-cell {
  min-height: 39px;
  border-right: 1px solid #cbd1d6;
  border-bottom: 1px solid #cbd1d6;
  padding: 6px 8px;
}

.print-data-cell strong {
  display: block;
  color: #4e5961;
  font-size: 9px;
  font-weight: 700;
  letter-spacing: 0.04em;
  text-transform: uppercase;
}

.print-data-cell span {
  display: block;
  margin-top: 2px;
  font-size: 11px;
}

.print-subsection + .print-subsection {
  margin-top: 12px;
}

.print-subsection h3 {
  margin: 0 0 3px;
  color: #4e5961;
  font-size: 10px;
  font-weight: 700;
  letter-spacing: 0.03em;
  text-transform: uppercase;
}

.print-subsection p {
  white-space: pre-wrap;
  margin: 0;
}

.print-list {
  margin: 0;
  padding-left: 18px;
}

.print-list li {
  margin: 2px 0;
}

.print-asa-description {
  margin: 0;
}

.print-asa-description strong {
  font-weight: 700;
}

.print-observation {
  border-left: 2px solid #777;
  margin-top: 14px;
  padding-left: 9px;
  font-size: 11px;
}

.print-signature {
  min-height: 82px;
  margin-top: 32px;
  break-inside: avoid;
  page-break-inside: avoid;
}

.print-signature-line {
  width: 62%;
  border-top: 1px solid #3b4146;
  margin-bottom: 5px;
}

.print-signature p {
  margin: 0;
  color: #4e5961;
  font-size: 10px;
}

@media (max-width: 800px) {
  .page-shell {
    padding: 20px 14px 38px;
  }

  .institutional-header {
    grid-template-columns: 1fr;
    gap: 21px;
    padding: 25px 24px 23px;
  }

  .header-copy {
    border-left: 0;
    padding: 20px 22px 21px;
  }

  .brand-lockup img {
    max-width: 370px;
    max-height: 81px;
  }

  .header-rule {
    margin: 0 24px;
  }

  #clinical-form {
    padding: 0 24px;
  }

  .form-grid-patient,
  .form-grid-vitals,
  .form-grid-requester {
    grid-template-columns: 1fr 1fr;
  }

  .form-grid-patient .field-wide,
  .form-grid-requester .field-wide {
    grid-column: 1 / -1;
  }

  .form-grid-vitals .bmi-summary {
    grid-column: 1 / -1;
  }

  .criteria-grid {
    gap: 24px;
  }

  .preview-section {
    padding: 8px 14px 38px;
  }
}

@media (max-width: 560px) {
  body {
    font-size: 14px;
  }

  .document-sheet {
    border-radius: 4px;
  }

  .institutional-header {
    padding: 22px 18px 21px;
  }

  .header-copy {
    padding: 18px 17px 19px;
  }

  .brand-lockup img {
    width: min(100%, 340px);
    max-height: 74px;
  }

  .header-rule {
    margin: 0 18px;
  }

  h1 {
    font-size: 24px;
  }

  #clinical-form {
    padding: 0 18px;
  }

  .form-section {
    padding: 26px 0 28px;
  }

  .section-heading {
    margin-bottom: 19px;
  }

  h2 {
    font-size: 17px;
  }

  .form-grid-patient,
  .form-grid-vitals,
  .form-grid-requester,
  .criteria-grid {
    grid-template-columns: 1fr;
  }

  .form-grid-patient .field-wide,
  .form-grid-requester .field-wide,
  .form-grid-vitals .bmi-summary {
    grid-column: auto;
  }

  .criteria-grid {
    gap: 18px;
  }

  .recommendation {
    display: block;
  }

  .recommendation p {
    max-width: none;
    margin: 7px 0 0;
    text-align: left;
  }

  .label-with-action {
    align-items: flex-start;
    flex-direction: column;
    gap: 5px;
  }

  .form-actions {
    align-items: stretch;
    flex-direction: column-reverse;
    padding-bottom: 25px;
  }

  .button {
    width: 100%;
  }

  .print-document {
    padding: 10mm 9mm;
  }

  .print-header {
    grid-template-columns: 1fr;
    gap: 11px;
  }

  .print-header-meta {
    text-align: left;
  }

  .print-data-grid {
    grid-template-columns: 1fr 1fr;
  }

  .print-data-cell:first-child {
    grid-column: 1 / -1;
  }
}

@media print {
  @page {
    size: A4;
    margin: 14mm;
  }

  html,
  body {
    min-width: 0;
    background: #fff !important;
  }

  .screen-app {
    display: none !important;
  }

  .preview-section,
  .preview-section:not([hidden]) {
    display: block !important;
    max-width: none;
    margin: 0;
    padding: 0;
  }

  .preview-toolbar {
    display: none !important;
  }

  .print-document {
    width: auto;
    max-width: none;
    min-height: 0;
    border: 0;
    padding: 0;
    font-size: 11px;
    -webkit-print-color-adjust: exact;
    print-color-adjust: exact;
  }

  .print-header {
    break-inside: avoid;
    page-break-inside: avoid;
  }

  .print-section {
    break-inside: avoid;
    page-break-inside: avoid;
  }

  .print-signature {
    break-inside: avoid;
    page-break-inside: avoid;
  }
}