/* Hallmark · macrostructure: Index-First · theme: custom dual · tone: soft clinical precision · anchor hues: pink-purple / blue-indigo · contrast: pass (46–50) · slop: pass (51–60) · mobile: pass (36, 59, 61–69) · v1.1.0 */
/* Hallmark · pre-emit critique: P5 H5 E5 S5 R5 V5 */

*, *::before, *::after { box-sizing: border-box; }
html, body { min-height: 100%; overflow-x: clip; }
html { background: var(--color-paper-2); color: var(--color-ink); font-family: var(--font-body); font-size: var(--text-base); line-height: 1.55; }
body { margin: 0; min-width: 0; background: var(--color-paper-2); color: var(--color-ink); }
button, input, select, textarea { font: inherit; }
button, a { -webkit-tap-highlight-color: transparent; }
button { color: inherit; }
img { display: block; max-width: 100%; }
h1, h2, h3, p { margin-block-start: 0; }
h1, h2, h3 { line-height: 1.15; overflow-wrap: anywhere; min-width: 0; }
h1 { margin-block-end: var(--space-2); font-family: var(--font-display); font-size: clamp(2rem, 4vw + 0.5rem, var(--text-2xl)); font-weight: 600; letter-spacing: -0.025em; }
h2 { margin-block-end: var(--space-4); font-size: var(--text-md); font-weight: 700; letter-spacing: -0.015em; }
h3 { margin-block-end: var(--space-2); font-size: var(--text-base); }
[hidden] { display: none !important; }

.skip-link { position: fixed; inset-block-start: var(--space-2); inset-inline-start: var(--space-2); z-index: calc(var(--z-dialog) + 1); padding: var(--space-2) var(--space-4); transform: translateY(-150%); border-radius: var(--radius-sm); background: var(--color-ink); color: var(--color-paper); }
.skip-link:focus { transform: translateY(0); }
:focus { outline: none; }
:focus-visible { outline: 2px solid var(--color-focus); outline-offset: 2px; }

.brand { display: flex; align-items: center; gap: var(--space-3); font-family: var(--font-display); font-size: var(--text-md); font-weight: 600; white-space: nowrap; }
.brand img { border-radius: var(--radius-md); }
.brand--login { margin-block-end: var(--space-12); }
.eyebrow { margin-block-end: var(--space-2); color: var(--color-muted); font-size: var(--text-xs); font-weight: 700; letter-spacing: 0.1em; text-transform: uppercase; }
.quiet-copy { max-width: 65ch; color: var(--color-muted); }
.quiet-label { color: var(--color-muted); font-size: var(--text-sm); }

.login-shell { display: grid; min-height: 100dvh; place-items: center; padding: max(var(--space-4), env(safe-area-inset-top)) max(var(--space-4), env(safe-area-inset-right)) max(var(--space-4), env(safe-area-inset-bottom)) max(var(--space-4), env(safe-area-inset-left)); }
.login-card { width: min(100%, 28rem); padding: clamp(var(--space-6), 6vw, var(--space-10)); border: 1px solid var(--color-rule); border-radius: var(--radius-lg); background: var(--color-paper); color: var(--color-ink); box-shadow: var(--shadow-soft); }
.login-card form { display: grid; gap: var(--space-4); margin-block-start: var(--space-8); }

.app-shell { min-height: 100dvh; }
.mobile-header { position: sticky; inset-block-start: 0; z-index: var(--z-sticky-nav); display: grid; grid-template-columns: 2.75rem minmax(0, 1fr) 4.5rem; align-items: center; min-height: 4rem; padding: var(--space-2) max(var(--space-4), env(safe-area-inset-right)) var(--space-2) max(var(--space-4), env(safe-area-inset-left)); border-block-end: 1px solid var(--color-rule); background: var(--color-paper); color: var(--color-ink); }
.mobile-header .brand { justify-self: center; font-size: var(--text-base); }
.mobile-header .save-state { width: 100%; overflow: hidden; text-align: end; text-overflow: ellipsis; }
.sidebar { position: fixed; inset: 0 auto 0 0; z-index: var(--z-sticky-nav); display: flex; width: min(18rem, 86%); flex-direction: column; padding: max(var(--space-6), env(safe-area-inset-top)) var(--space-4) max(var(--space-6), env(safe-area-inset-bottom)); transform: translateX(-105%); border-inline-end: 1px solid var(--color-rule); background: var(--color-paper); color: var(--color-ink); box-shadow: var(--shadow-soft); transition: transform var(--dur-medium) var(--ease-out); }
.sidebar.is-open { transform: translateX(0); }
.brand--desktop { display: none; }
.nav-list { display: grid; gap: var(--space-2); margin-block: var(--space-8); }
.nav-item { display: flex; min-height: 2.75rem; align-items: center; gap: var(--space-3); padding: var(--space-2) var(--space-3); border: 1px solid transparent; border-radius: var(--radius-md); background: transparent; color: var(--color-ink-2); cursor: pointer; text-align: start; white-space: nowrap; }
.nav-item.is-active { border-color: var(--color-rule); background: var(--color-paper-2); color: var(--color-ink); font-weight: 700; }
.sidebar-foot { margin-block-start: auto; padding-block-start: var(--space-6); border-block-start: 1px solid var(--color-rule); }
.session-name { margin-block-end: 0; font-weight: 700; }
.session-org { margin-block-end: var(--space-4); color: var(--color-muted); font-size: var(--text-sm); }
.main-content { width: 100%; padding: clamp(var(--space-5), 5vw, var(--space-10)) max(var(--space-4), env(safe-area-inset-right)) max(var(--space-12), env(safe-area-inset-bottom)) max(var(--space-4), env(safe-area-inset-left)); }
.view-panel { width: min(100%, 86rem); margin-inline: auto; }

.page-head, .record-head, .encounter-head { display: flex; flex-direction: column; align-items: flex-start; gap: var(--space-4); margin-block-end: var(--space-8); }
.record-head__actions { display: flex; flex-wrap: wrap; gap: var(--space-2); }
.record-meta { display: flex; flex-wrap: wrap; gap: var(--space-2) var(--space-5); margin: 0; color: var(--color-muted); }
.metric-grid { display: grid; grid-template-columns: repeat(2, minmax(0, 1fr)); gap: var(--space-3); margin-block-end: var(--space-8); }
.metric { min-width: 0; padding: var(--space-4); border-block-start: 2px solid var(--color-accent); background: var(--color-paper); color: var(--color-ink); }
.metric strong { display: block; font-size: var(--text-xl); font-variant-numeric: tabular-nums; line-height: 1.1; }
.metric span { color: var(--color-muted); font-size: var(--text-sm); }
.workbench-grid { display: grid; gap: var(--space-4); }
.surface, .summary-surface { padding: var(--space-5); border: 1px solid var(--color-rule); border-radius: var(--radius-md); background: var(--color-paper); color: var(--color-ink); }
.surface-head, .section-title-row { display: flex; flex-wrap: wrap; align-items: center; justify-content: space-between; gap: var(--space-2); }
.surface-head h2, .section-title-row h2 { margin-block-end: 0; }
.data-list { display: grid; margin: var(--space-4) 0 0; padding: 0; list-style: none; }
.data-row { display: grid; gap: var(--space-1); padding-block: var(--space-3); border-block-start: 1px solid var(--color-rule); }
.data-row:first-child { border-block-start: 0; }
.data-row button { justify-self: start; }
.data-row__title { font-weight: 700; }
.data-row__meta { color: var(--color-muted); font-size: var(--text-sm); }
.empty-state { display: grid; min-height: 10rem; place-items: center; padding: var(--space-8); border: 1px dashed var(--color-rule-2); border-radius: var(--radius-md); color: var(--color-muted); text-align: center; }
.empty-state span { display: block; margin-block-end: var(--space-2); font-size: var(--text-xl); }
.bar-list { display: grid; gap: var(--space-3); margin-block-start: var(--space-4); }
.bar-item { display: grid; grid-template-columns: minmax(0, 1fr) auto; gap: var(--space-2); align-items: center; }
.bar-track { grid-column: 1 / -1; height: var(--space-2); overflow: hidden; border-radius: var(--radius-sm); background: var(--color-paper-3); color: var(--color-ink); }
.bar-fill { display: block; height: 100%; background: var(--color-accent); color: var(--color-accent-ink); }
.bar-fill--1 { width: 10%; } .bar-fill--2 { width: 20%; } .bar-fill--3 { width: 30%; } .bar-fill--4 { width: 40%; } .bar-fill--5 { width: 50%; } .bar-fill--6 { width: 60%; } .bar-fill--7 { width: 70%; } .bar-fill--8 { width: 80%; } .bar-fill--9 { width: 90%; } .bar-fill--10 { width: 100%; }

.toolbar { display: grid; gap: var(--space-3); margin-block-end: var(--space-4); padding: var(--space-4); border: 1px solid var(--color-rule); border-radius: var(--radius-md); background: var(--color-paper); color: var(--color-ink); }
.result-count { min-height: 1.5rem; margin-block-end: var(--space-2); color: var(--color-muted); font-size: var(--text-sm); }
.patient-list { display: grid; gap: var(--space-3); }
.patient-card { display: grid; min-width: 0; gap: var(--space-3); padding: var(--space-4); border: 1px solid var(--color-rule); border-radius: var(--radius-md); background: var(--color-paper); color: var(--color-ink); }
.patient-card__head { display: flex; align-items: flex-start; justify-content: space-between; gap: var(--space-3); }
.patient-card__head h2 { margin: 0; font-family: var(--font-body); font-size: var(--text-md); }
.patient-card__meta { display: grid; gap: var(--space-1); color: var(--color-muted); font-size: var(--text-sm); }
.pagination { display: flex; flex-wrap: wrap; justify-content: center; gap: var(--space-2); margin-block-start: var(--space-6); }

.alert-stack { display: grid; gap: var(--space-2); margin-block-end: var(--space-4); }
.clinical-alert { padding: var(--space-3) var(--space-4); border-inline-start: var(--space-1) solid var(--color-warning); background: var(--color-critical-paper); color: var(--color-ink); }
.clinical-alert--critical { border-inline-start-color: var(--color-error); }
.summary-surface { display: grid; gap: var(--space-4); margin-block-end: var(--space-6); border-color: var(--color-accent); }
.summary-surface h2, .summary-surface p { margin-block-end: 0; }
.summary-surface small { color: var(--color-muted); }
.record-tabs { display: flex; gap: var(--space-2); overflow-x: auto; padding-block-end: var(--space-2); border-block-end: 1px solid var(--color-rule); }
.record-tabs button { min-height: 2.75rem; padding-inline: var(--space-3); border: 0; border-block-end: 2px solid transparent; background: transparent; color: var(--color-muted); cursor: pointer; white-space: nowrap; }
.record-tabs button[aria-selected="true"] { border-block-end-color: var(--color-accent); color: var(--color-ink); font-weight: 700; }
.record-section { padding-block: var(--space-5); }
.section-toolbar { display: flex; flex-wrap: wrap; align-items: end; justify-content: space-between; gap: var(--space-4); margin-block-end: var(--space-5); }
.section-toolbar h2, .section-toolbar p { margin: 0; }
.document-grid { display: grid; gap: var(--space-4); }
.document-card { display: grid; grid-template-columns: 5rem minmax(0, 1fr); gap: var(--space-4); align-items: start; padding: var(--space-4); border: 1px solid var(--color-rule); border-radius: var(--radius-md); background: var(--color-paper); }
.document-card h3 { margin: 0 0 var(--space-1); overflow-wrap: anywhere; }
.document-card .inline-actions { grid-column: 1 / -1; }
.document-thumb, .document-placeholder { width: 5rem; height: 5rem; border: 1px solid var(--color-rule-2); border-radius: var(--radius-sm); background: var(--color-paper-3); color: var(--color-accent); object-fit: cover; }
.document-placeholder { display: grid; place-items: center; font-weight: 800; letter-spacing: .08em; }
.document-placeholder--consent { background: var(--color-paper-3); }
.inline-actions { display: flex; flex-wrap: wrap; align-items: center; gap: var(--space-3); }
.hash-line { max-width: 100%; margin-block-start: var(--space-2); overflow-wrap: anywhere; color: var(--color-muted); font-family: var(--font-mono); font-size: var(--text-xs); }
.compact-options { display: flex; flex-wrap: wrap; gap: var(--space-3); margin-block-start: var(--space-3); padding: var(--space-3); border: 1px solid var(--color-rule); border-radius: var(--radius-sm); }
.compact-options legend { padding-inline: var(--space-1); color: var(--color-muted); font-size: var(--text-xs); }
.compact-options label { display: inline-flex; align-items: center; gap: var(--space-1); min-height: 2.75rem; }
.privacy-notice { padding: var(--space-3); border-inline-start: 3px solid var(--color-accent); background: var(--color-paper-3); }
.privacy-notice--warning { border-inline-start-color: var(--color-warning); background: var(--color-critical-paper); }
.text-action--danger { color: var(--color-error); }
.record-grid { display: grid; gap: var(--space-4); }
.detail-list { display: grid; grid-template-columns: minmax(0, 1fr); gap: var(--space-3); margin: 0; }
.detail-list div { min-width: 0; }
.detail-list dt { color: var(--color-muted); font-size: var(--text-sm); }
.detail-list dd { margin: 0; overflow-wrap: anywhere; }
.timeline { position: relative; display: grid; gap: var(--space-4); margin: 0; padding: 0 0 0 var(--space-6); list-style: none; }
.timeline::before { content: ""; position: absolute; inset-block: 0; inset-inline-start: var(--space-2); width: 1px; background: var(--color-rule-2); color: var(--color-ink); }
.timeline-item { position: relative; min-width: 0; padding: var(--space-4); border: 1px solid var(--color-rule); border-radius: var(--radius-md); background: var(--color-paper); color: var(--color-ink); }
.timeline-item::before { content: ""; position: absolute; inset-block-start: var(--space-5); inset-inline-start: calc(var(--space-5) * -1); width: var(--space-3); height: var(--space-3); border: 2px solid var(--color-paper-2); border-radius: 50%; background: var(--color-accent); color: var(--color-accent-ink); }

.encounter-head { position: sticky; inset-block-start: 4rem; z-index: var(--z-sticky); padding-block: var(--space-3); border-block-end: 1px solid var(--color-rule); background: var(--color-paper-2); color: var(--color-ink); }
.encounter-state { display: flex; flex-wrap: wrap; align-items: center; gap: var(--space-3); }
.status-badge { padding: var(--space-1) var(--space-2); border: 1px solid var(--color-warning); border-radius: var(--radius-sm); color: var(--color-ink); font-size: var(--text-xs); font-weight: 700; letter-spacing: 0.08em; white-space: nowrap; }
.status-badge--final { border-color: var(--color-success); }
.save-state { color: var(--color-muted); font-size: var(--text-xs); font-variant-numeric: tabular-nums; white-space: nowrap; }
.save-state[data-state="saving"] { color: var(--color-accent); }
.save-state[data-state="error"], .save-state[data-state="conflict"] { color: var(--color-error); font-weight: 700; }
.save-state[data-state="saved"] { color: var(--color-success); }
.encounter-form { display: grid; gap: var(--space-4); }
.editor-section { display: grid; grid-template-columns: minmax(0, 1fr); gap: var(--space-2); padding: var(--space-5) 0; border-block-start: 1px solid var(--color-rule); }
.section-index { padding-block-start: var(--space-1); color: var(--color-muted); font-family: var(--font-mono); font-size: var(--text-xs); }
.vitals-grid, .followup-grid, .form-grid { display: grid; grid-template-columns: minmax(0, 1fr); gap: var(--space-3); }
.vitals-grid output { display: flex; min-height: 2.75rem; align-items: center; padding-inline: var(--space-3); border: 1px solid var(--color-rule); border-radius: var(--radius-sm); background: var(--color-paper-2); color: var(--color-ink); font-variant-numeric: tabular-nums; }
.repeater-list { display: grid; gap: var(--space-3); margin-block: var(--space-4); }
.repeater { position: relative; display: grid; gap: var(--space-3); padding: var(--space-4); border: 1px solid var(--color-rule); border-radius: var(--radius-md); background: var(--color-paper); color: var(--color-ink); }
.repeater-grid { display: grid; grid-template-columns: minmax(0, 1fr); gap: var(--space-3); }
.suggestion-strip { display: flex; gap: var(--space-2); overflow-x: auto; padding-block: var(--space-3); }
.suggestion-chip { display: inline-flex; min-height: 2.75rem; align-items: center; gap: var(--space-2); padding-inline: var(--space-3); border: 1px solid var(--color-rule); border-radius: var(--radius-lg); background: var(--color-paper); color: var(--color-ink); cursor: pointer; white-space: nowrap; }
.autocomplete { position: relative; }
.autocomplete-list { position: absolute; inset: calc(100% + var(--space-1)) 0 auto; z-index: var(--z-sticky); max-height: 18rem; overflow-y: auto; padding: var(--space-2); border: 1px solid var(--color-rule-2); border-radius: var(--radius-md); background: var(--color-paper); color: var(--color-ink); box-shadow: var(--shadow-soft); }
.autocomplete-list button { display: flex; width: 100%; min-height: 2.75rem; align-items: center; gap: var(--space-2); overflow: hidden; padding: var(--space-2); border: 0; border-radius: var(--radius-sm); background: transparent; color: var(--color-ink); cursor: pointer; text-align: start; white-space: nowrap; }
.autocomplete-list button span { overflow: hidden; color: var(--color-muted); text-overflow: ellipsis; }
.editor-actions { position: sticky; inset-block-end: 0; z-index: var(--z-sticky); display: flex; flex-direction: column; gap: var(--space-3); padding: var(--space-4); border: 1px solid var(--color-rule); border-radius: var(--radius-md); background: var(--color-paper); color: var(--color-ink); box-shadow: var(--shadow-soft); }
.editor-actions p { margin: 0; color: var(--color-muted); font-size: var(--text-sm); }
.editor-actions div { display: flex; flex-wrap: wrap; gap: var(--space-2); }

.field { display: grid; min-width: 0; gap: var(--space-1); }
.field label { color: var(--color-ink-2); font-size: var(--text-sm); font-weight: 700; }
.field label span { color: var(--color-muted); font-weight: 400; }
.field input, .field select, .field textarea { width: 100%; min-width: 0; border: 1px solid var(--color-rule-2); outline: 2px solid transparent; outline-offset: 1px; border-radius: var(--radius-sm); background: var(--color-paper); color: var(--color-ink); }
.field input, .field select { min-height: 2.75rem; padding: 0 var(--space-3); }
.field textarea { min-height: 6rem; padding: var(--space-3); resize: vertical; }
.field input::placeholder, .field textarea::placeholder { color: var(--color-muted); }
.field input:focus-visible, .field select:focus-visible, .field textarea:focus-visible { border-color: var(--color-ink-2); outline-color: var(--color-focus); }
.field input[aria-invalid="true"], .field select[aria-invalid="true"], .field textarea[aria-invalid="true"] { border-color: var(--color-error); }
.field input:disabled, .field select:disabled, .field textarea:disabled { opacity: 0.55; cursor: not-allowed; }
.helper { min-height: 1lh; color: var(--color-muted); font-size: var(--text-xs); }
.form-error { min-height: 1lh; margin: 0; color: var(--color-error); font-size: var(--text-sm); }
.check-row { display: flex; min-height: 2.75rem; align-items: center; gap: var(--space-2); }
.check-row input { width: 1.25rem; height: 1.25rem; accent-color: var(--color-accent); }
fieldset { margin: 0; padding: var(--space-4); border: 1px solid var(--color-rule); border-radius: var(--radius-md); }
legend { padding-inline: var(--space-2); font-weight: 700; }

.btn, .icon-btn, .text-action, .back-action { min-height: 2.75rem; border: 1px solid transparent; cursor: pointer; white-space: nowrap; transition: background-color var(--dur-medium) var(--ease-out), color var(--dur-medium) var(--ease-out), transform var(--dur-short) var(--ease-out); }
.btn { display: inline-flex; align-items: center; justify-content: center; padding-inline: var(--space-4); border-radius: var(--radius-md); font-weight: 700; }
.btn--primary { border-color: var(--color-accent); background: var(--color-accent); color: var(--color-accent-ink); }
.btn--primary:focus-visible { outline-color: var(--color-paper); box-shadow: 0 0 0 4px var(--color-focus); }
.btn--secondary { border-color: var(--color-rule-2); background: var(--color-paper); color: var(--color-ink); }
.btn--quiet { border-color: transparent; background: var(--color-paper-2); color: var(--color-ink); }
.btn--wide { width: 100%; }
.icon-btn { display: inline-grid; width: 2.75rem; place-items: center; padding: 0; border-radius: var(--radius-md); background: transparent; color: var(--color-ink); font-size: var(--text-md); }
.text-action, .back-action { padding: 0; border: 0; background: transparent; color: var(--color-accent); font-weight: 700; }
.back-action { margin-block-end: var(--space-4); }
.btn:active, .icon-btn:active, .text-action:active, .back-action:active { transform: translateY(1px); }
.nav-item:active, .record-tabs button:active, .suggestion-chip:active, .autocomplete-list button:active { transform: translateY(1px); }
.btn:disabled, .icon-btn:disabled, .text-action:disabled, .back-action:disabled, .nav-item:disabled, .record-tabs button:disabled, .suggestion-chip:disabled, .autocomplete-list button:disabled, [aria-disabled="true"] { opacity: 0.55; cursor: not-allowed; }
.btn[data-loading="true"] { cursor: progress; }
.btn[data-state="success"]::after { content: " ✓"; }
.btn[data-state="error"] { border-color: var(--color-error); }

.dialog { width: min(calc(100% - var(--space-4)), 54rem); max-height: calc(100dvh - var(--space-4)); padding: 0; overflow: auto; border: 1px solid var(--color-rule-2); border-radius: var(--radius-lg); background: var(--color-paper); color: var(--color-ink); box-shadow: var(--shadow-soft); }
.dialog--compact { width: min(calc(100% - var(--space-4)), 34rem); }
.dialog::backdrop { background: var(--color-backdrop); color: var(--color-paper); }
.dialog header, .dialog footer { position: sticky; z-index: 1; display: flex; align-items: center; justify-content: space-between; gap: var(--space-3); padding: var(--space-4); background: var(--color-paper); color: var(--color-ink); }
.dialog header { inset-block-start: 0; border-block-end: 1px solid var(--color-rule); }
.dialog footer { inset-block-end: 0; justify-content: flex-end; flex-wrap: wrap; border-block-start: 1px solid var(--color-rule); }
.dialog h2 { margin: 0; }
.dialog-body { display: grid; gap: var(--space-4); padding: var(--space-4); }
.toast-region { position: fixed; inset: auto var(--space-4) max(var(--space-4), env(safe-area-inset-bottom)) var(--space-4); z-index: calc(var(--z-dialog) + 1); display: grid; gap: var(--space-2); pointer-events: none; }
.toast { max-width: 30rem; padding: var(--space-3) var(--space-4); border: 1px solid var(--color-error); border-radius: var(--radius-md); background: var(--color-paper); color: var(--color-ink); box-shadow: var(--shadow-soft); pointer-events: auto; }

@media (hover: hover) and (pointer: fine) {
  .nav-item:hover, .record-tabs button:hover, .btn--quiet:hover, .btn--secondary:hover, .icon-btn:hover, .suggestion-chip:hover, .autocomplete-list button:hover { background: var(--color-paper-2); color: var(--color-ink); }
  .btn--primary:hover { background: var(--color-ink); color: var(--color-paper); }
  .text-action:hover, .back-action:hover { color: var(--color-ink); }
  .field input:hover, .field select:hover, .field textarea:hover { background: var(--color-paper-2); }
}

@media (min-width: 40rem) {
  .page-head, .record-head, .encounter-head { flex-direction: row; align-items: flex-start; justify-content: space-between; }
  .metric-grid { grid-template-columns: repeat(3, minmax(0, 1fr)); }
  .toolbar { grid-template-columns: minmax(14rem, 2fr) minmax(9rem, 1fr) minmax(9rem, 1fr); align-items: end; }
  .patient-card { grid-template-columns: minmax(0, 2fr) minmax(9rem, 1fr) auto; align-items: center; }
  .patient-card__head { display: block; }
  .record-grid { grid-template-columns: repeat(2, minmax(0, 1fr)); }
  .detail-list { grid-template-columns: repeat(2, minmax(0, 1fr)); }
  .vitals-grid { grid-template-columns: repeat(3, minmax(0, 1fr)); }
  .followup-grid, .repeater-grid { grid-template-columns: repeat(3, minmax(0, 1fr)); }
  .form-grid { grid-template-columns: repeat(2, minmax(0, 1fr)); }
  .field--span { grid-column: 1 / -1; }
  .editor-actions { flex-direction: row; align-items: center; justify-content: space-between; }
  .document-card { grid-template-columns: 7rem minmax(0, 1fr) auto; align-items: center; }
  .document-card .inline-actions { grid-column: auto; justify-content: flex-end; }
  .document-thumb, .document-placeholder { width: 7rem; height: 5.5rem; }
  .toast-region { inset-inline: auto var(--space-6); }
}

@media (min-width: 23.4375rem) and (max-width: 59.999rem) {
  .mobile-header { grid-template-columns: 2.75rem minmax(0, 1fr) 6.5rem; }
}

@media (min-width: 60rem) {
  .app-shell { display: grid; grid-template-columns: 15rem minmax(0, 1fr); }
  .mobile-header { display: none; }
  .sidebar { position: sticky; inset-block-start: 0; z-index: var(--z-sticky-nav); width: 15rem; height: 100dvh; transform: none; box-shadow: none; }
  .brand--desktop { display: flex; }
  .main-content { min-width: 0; padding: var(--space-10); }
  .workbench-grid { grid-template-columns: repeat(2, minmax(0, 1fr)); }
  .surface--wide { grid-column: 1 / -1; }
  .encounter-head { inset-block-start: 0; }
  .editor-section { padding: var(--space-8) 0; }
  .vitals-grid { grid-template-columns: repeat(5, minmax(0, 1fr)); }
}

@media (pointer: coarse) {
  .btn, .icon-btn, .nav-item, .record-tabs button, .text-action, .back-action, .suggestion-chip { min-height: 3rem; }
}

@media (prefers-reduced-motion: reduce) {
  *, *::before, *::after { scroll-behavior: auto !important; animation-duration: 0.01ms !important; animation-iteration-count: 1 !important; transition-duration: 0.01ms !important; }
}

/* Phase 7 visual system: dual user-selected palettes, no role or gender inference. */
html, body { background: var(--gradient-shell); }
body { background-attachment: fixed; }
.login-shell { position: relative; isolation: isolate; background: var(--gradient-shell); }
.login-card { position: relative; overflow: hidden; border-color: var(--color-rule-2); border-radius: var(--radius-xl); box-shadow: var(--shadow-soft); }
.login-card::before { content: ""; position: absolute; inset: 0 0 auto; height: var(--space-1); background: var(--gradient-brand); }
.brand img { width: auto; object-fit: contain; mix-blend-mode: multiply; }
.brand--login { justify-content: center; margin-block-end: var(--space-4); }
.brand--login img { width: min(100%, 13rem); height: 8.5rem; }
.mobile-header .brand { width: 6rem; height: 2.75rem; overflow: hidden; }
.mobile-header .brand img { width: 5.75rem; height: 5.75rem; transform: translateY(-0.85rem); }
.brand--desktop { justify-content: center; }
.brand--desktop img { width: 100%; height: 7.5rem; }
.mobile-header, .sidebar { background: var(--gradient-shell); }
.sidebar { border-inline-end-color: var(--color-rule-2); }
.nav-item { position: relative; overflow: hidden; font-weight: 600; }
.nav-item::before { content: ""; width: var(--space-2); height: var(--space-2); flex: 0 0 auto; border-radius: 50%; background: var(--color-rule-2); transition: transform var(--dur-short) var(--ease-out), background-color var(--dur-medium) var(--ease-out); }
.nav-item > span[aria-hidden="true"] { display: none; }
.nav-item.is-active { border-color: var(--color-rule-2); background: var(--gradient-active); box-shadow: var(--shadow-raised); }
.nav-item.is-active::before { background: var(--color-accent); transform: scale(1.25); }
.main-content { background: var(--gradient-shell); }
.surface, .summary-surface, .toolbar, .patient-card, .timeline-item, .repeater, .editor-actions, .dialog { box-shadow: var(--shadow-raised); }
.metric { border: 1px solid var(--color-rule); border-block-start: var(--space-1) solid transparent; border-radius: var(--radius-lg); background: linear-gradient(var(--color-paper), var(--color-paper)) padding-box, var(--gradient-brand) border-box; box-shadow: var(--shadow-raised); }
.btn--primary { border-color: transparent; background: var(--gradient-brand); color: var(--color-accent-ink); box-shadow: var(--shadow-raised); }
.record-tabs button[aria-selected="true"] { border-block-end-color: transparent; background: var(--gradient-active); color: var(--color-ink); }
.theme-switcher { display: grid; grid-template-columns: minmax(0, 1fr) minmax(0, 1fr); gap: var(--space-2); margin-block-end: var(--space-4); }
.theme-switcher--login { margin-block: 0 var(--space-6); }
.theme-label { grid-column: 1 / -1; color: var(--color-muted); font-size: var(--text-xs); font-weight: 700; letter-spacing: 0.08em; text-transform: uppercase; }
.theme-switcher button { display: inline-flex; min-width: 0; min-height: 2.75rem; align-items: center; justify-content: center; gap: var(--space-2); padding-inline: var(--space-3); border: 1px solid var(--color-rule); border-radius: var(--radius-md); background: var(--color-paper); color: var(--color-ink); cursor: pointer; font-size: var(--text-sm); font-weight: 700; white-space: nowrap; transition: border-color var(--dur-medium) var(--ease-out), transform var(--dur-short) var(--ease-out), box-shadow var(--dur-medium) var(--ease-out); }
.theme-switcher button[aria-pressed="true"] { border-color: var(--color-accent); box-shadow: 0 0 0 1px var(--color-accent); }
.theme-switcher button:active { transform: translateY(1px); }
.theme-switcher button:disabled { opacity: 0.55; cursor: not-allowed; }
.theme-swatch { width: var(--space-4); height: var(--space-4); flex: 0 0 auto; border: 1px solid var(--color-rule-2); border-radius: 50%; }
.theme-swatch--rose { background: var(--gradient-rose-swatch); }
.theme-swatch--blue { background: var(--gradient-blue-swatch); }

@media (hover: hover) and (pointer: fine) {
  .theme-switcher button:hover { border-color: var(--color-accent); box-shadow: var(--shadow-raised); }
}

@media (min-width: 60rem) {
  .app-shell { grid-template-columns: 16.5rem minmax(0, 1fr); }
  .sidebar { width: 16.5rem; padding-inline: var(--space-5); }
}

@media (pointer: coarse) {
  .theme-switcher button { min-height: 3rem; }
}