:root{
  color-scheme:light;
  --ink:#1f2933;
  --muted:#667085;
  --line:#d9e2df;
  --bg:#edf3f1;
  --green:#256f4a;
  --green-2:#e6f3ed;
  --gold:#a76f16;
  --red:#b42318;
  --shadow:0 10px 30px rgba(31,41,51,.12);
}
*{box-sizing:border-box}
[hidden]{display:none!important}
html,body{max-width:100%;overflow-x:hidden}
.patient-page{overflow-x:visible}
body{margin:0;font-family:-apple-system,BlinkMacSystemFont,"Hiragino Sans","Yu Gothic",Meiryo,sans-serif;background:var(--bg);color:var(--ink);line-height:1.6}
button,input,select,textarea{font:inherit}
button{cursor:pointer}
.app-header{background:linear-gradient(135deg,#1f5e40,#33845c);color:#fff;padding:20px clamp(16px,4vw,40px)}
.header-inner{max-width:1180px;margin:auto;display:flex;align-items:flex-start;justify-content:space-between;gap:18px}
.header-inner.compact{display:block}
h1{font-size:clamp(1.35rem,3vw,2rem);margin:0 0 4px;letter-spacing:0}
.subtitle{margin:0;opacity:.9;font-size:.94rem}
main{max-width:1180px;margin:0 auto;padding:18px clamp(12px,3vw,24px) 44px}
.card{background:#fff;border:1px solid var(--line);border-radius:8px;box-shadow:0 2px 12px rgba(31,41,51,.06);min-width:0}
.form-card{max-width:920px;margin:auto;width:100%}
.form-card .section{border:0;border-bottom:1px solid var(--line);border-radius:0;scroll-margin-top:145px}
.form-card .check{border-radius:6px}
.form-progress{position:sticky;top:0;z-index:5;background:#fff;border-bottom:1px solid var(--line);padding:8px 12px}
.form-progress ol{display:grid;grid-template-columns:repeat(5,minmax(0,1fr));gap:4px;list-style:none;margin:0;padding:0}
.form-progress a{display:flex;align-items:center;justify-content:center;min-height:44px;padding:5px 3px;color:#475467;text-align:center;font-size:.82rem;text-decoration:none;overflow-wrap:anywhere;border-bottom:3px solid transparent}
.form-progress a[aria-current]{color:var(--green);border-color:var(--green);font-weight:800}
.form-progress a:focus-visible{outline:2px solid var(--green);outline-offset:-2px}
.progress-status{display:flex;align-items:center;gap:12px;padding:5px 0;color:#475467;font-size:.78rem}
.progress-status span{white-space:nowrap}
.progress-status progress{flex:1;min-width:0;width:100%;height:8px;accent-color:var(--green)}
.field-error{color:var(--red);font-size:.85rem;font-weight:700;margin:5px 0 0}
.card-head{padding:16px 18px;border-bottom:1px solid var(--line);display:flex;align-items:center;justify-content:space-between;gap:12px}
.card-head h2,.card h3{margin:0;color:var(--green);font-size:1.05rem}
.card-body{padding:18px}
.section{border:1px solid var(--line);border-radius:8px;margin-bottom:14px;overflow:hidden;background:#fff}
.section legend,.section-title{display:block;width:100%;background:#f7faf9;color:var(--green);font-weight:800;padding:10px 12px;border-bottom:1px solid var(--line)}
fieldset{border:0;margin:0;padding:0}
.fields{display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:13px;padding:14px;min-width:0}
.fields.single{grid-template-columns:1fr;padding:0}
.field{min-width:0}
.field.full{grid-column:1/-1}
label{font-weight:700;font-size:.86rem;color:#344054;display:block;margin-bottom:5px}
.req{display:inline-block;background:var(--red);color:#fff;font-size:.72rem;font-weight:800;line-height:1.5;padding:1px 7px;border-radius:4px;margin-left:6px;vertical-align:middle}
.notice span .req{display:inline-block;margin-left:0;margin-right:2px}
.hint{font-size:.78rem;color:var(--muted);margin-top:3px;overflow-wrap:anywhere}
input,select,textarea{width:100%;min-width:0;border:1px solid #cfd8d4;border-radius:6px;background:#fff;padding:10px 11px;color:var(--ink);min-height:42px}
textarea{min-height:86px;resize:vertical}
input:focus,select:focus,textarea:focus{outline:3px solid rgba(37,111,74,.16);border-color:var(--green)}
.checks{display:flex;flex-wrap:wrap;gap:8px;min-width:0}
.scroll-checks{max-height:238px;overflow-y:auto;overscroll-behavior:contain;-webkit-overflow-scrolling:touch;border:1px solid #d8e4df;border-radius:8px;padding:10px;background:#fbfdfc}
.scroll-checks:focus{outline:3px solid rgba(37,111,74,.14)}
.check{display:inline-flex;align-items:center;gap:7px;border:1px solid #cfd8d4;border-radius:999px;padding:8px 10px;background:#fff;font-weight:700;font-size:.84rem;overflow-wrap:anywhere}
.check input{width:16px;min-height:16px}
.hp-field{position:absolute;left:-9999px;width:1px;height:1px;opacity:0}
.body-map{border:1px solid var(--line);border-radius:8px;background:#fbfdfc;padding:16px}
.body-reference{position:relative;width:100%;max-width:690px;aspect-ratio:1/1;margin:0 auto;background:#fff;border:1px solid #dfe8e4;border-radius:8px;overflow:hidden;touch-action:manipulation}
.body-reference img{position:absolute;inset:0;display:block;width:100%;height:100%;object-fit:contain;pointer-events:none;user-select:none}
.body-side-label{position:absolute;top:10px;z-index:2;padding:5px 9px;border-radius:6px;background:rgba(255,255,255,.92);border:1px solid #cad8d2;color:var(--green);font-weight:800;font-size:.86rem;line-height:1;pointer-events:none}
.body-side-label.front{left:20%}
.body-side-label.back{right:20%}
.body-reference-fallback{display:none;position:absolute;inset:0;align-items:center;justify-content:center;color:var(--muted);font-weight:700;text-align:center;padding:18px}
.body-reference.image-error img{display:none}
.body-reference.image-error .body-reference-fallback{display:flex}
.body-overlay{position:absolute;inset:0;width:100%;height:100%;pointer-events:none}
.body-dot{fill:rgba(255,255,255,.42);stroke:rgba(37,111,74,.44);stroke-width:2.4;filter:drop-shadow(0 1px 2px rgba(31,41,51,.12))}
.body-dot.selected{fill:rgba(32,207,152,.86);stroke:#109468;stroke-width:2.6}
.body-selection-summary{margin-top:10px;font-size:.84rem;color:#344054}
.body-checks{margin-top:10px}
.scale{display:grid;grid-template-columns:1fr auto;gap:10px;align-items:center}
.scale output{font-size:1.4rem;font-weight:800;color:var(--green);min-width:2ch;text-align:center}
.pain-guide{display:grid;grid-template-columns:repeat(3,minmax(0,1fr));gap:8px;margin-bottom:9px;color:var(--muted);font-size:.78rem}
.pain-options{display:grid;grid-template-columns:repeat(11,minmax(0,1fr));gap:6px}
.pain-options label{margin:0}
.pain-options input{position:absolute;opacity:0;pointer-events:none;width:1px;height:1px;min-height:1px;margin:0;padding:0}
.pain-options span{display:flex;align-items:center;justify-content:center;min-height:42px;border:1px solid #cfd8d4;border-radius:6px;background:#fff;font-weight:800;color:#344054}
.pain-options input:focus-visible + span{outline:3px solid rgba(37,111,74,.16);border-color:var(--green)}
.pain-options input:checked + span{background:var(--green);border-color:var(--green);color:#fff}
.treatment-options{display:grid;gap:8px;margin-top:8px}
.treatment-options label{display:flex;align-items:flex-start;gap:10px;min-height:44px;margin:0;padding:10px;border:1px solid #cfd8d4;border-radius:6px;background:#fff;line-height:1.65;cursor:pointer}
.treatment-options input{flex:0 0 18px;width:18px;height:18px;min-height:18px;margin:2px 0 0;accent-color:var(--green)}
.treatment-options span{min-width:0;overflow-wrap:anywhere}
.treatment-options label:has(input:checked){border-color:var(--green);background:var(--green-2)}
.choice-clear{border:0;background:transparent;color:var(--green);min-height:44px;padding:8px 0;text-decoration:underline;font-size:.84rem}
.choice-clear:focus-visible{outline:3px solid rgba(37,111,74,.16);outline-offset:2px}
.actions{display:flex;flex-wrap:wrap;gap:10px;margin-top:14px}
.actions.tight{margin:0}
.btn{border:0;border-radius:6px;padding:10px 14px;font-weight:800;background:#e8eeeb;color:#344054}
.btn.primary{background:var(--green);color:#fff}
.btn.danger{background:#fee4e2;color:var(--red)}
.btn.ghost{background:rgba(255,255,255,.14);color:#fff;border:1px solid rgba(255,255,255,.28)}
.btn:disabled{opacity:.45;cursor:not-allowed}
.notice{border-left:4px solid var(--green);background:var(--green-2);padding:12px;border-radius:8px;font-size:.88rem;margin-bottom:14px;overflow-wrap:anywhere}
.notice span{display:block}
.compact-notice{margin:0 0 10px}
.policy-card h2{font-size:1rem;color:var(--green);margin:0 0 7px}
.policy-section{margin-top:18px}
.policy-list{margin:0;padding-left:1.2em}
.policy-list li{margin-bottom:8px}
.table-scroll{overflow-x:auto;margin:10px 0}
.policy-table{width:100%;border-collapse:collapse;min-width:520px;font-size:.9rem}
.policy-table th{background:var(--green);color:#fff;text-align:left;padding:9px 10px}
.policy-table td{border-bottom:1px solid var(--line);padding:9px 10px}
.policy-note{background:#fff8e8;border-left:4px solid var(--gold);border-radius:6px;padding:10px 12px;margin:10px 0;font-size:.88rem}
.link-btn{display:inline-block;text-decoration:none}
form.check-submitted input:invalid,form.check-submitted select:invalid,form.check-submitted textarea:invalid{border-color:#e67e22;background:#fff9f2;box-shadow:0 0 0 2px rgba(230,126,34,.18)}
form.check-submitted .check:has(input:invalid){outline:2px solid #e67e22;background:#fff9f2}
form.check-submitted .checks:has(input:invalid){outline:2px solid #e67e22;outline-offset:3px;border-radius:8px}
.submit-result{font-weight:800;margin-top:12px;white-space:pre-line}
.submit-result.ok{color:var(--green);background:var(--green-2);border:1px solid #b9d8ca;border-radius:8px;padding:14px}
.submit-result.error{color:var(--red);background:#fff1f0;border:1px solid #fecdca;border-radius:8px;padding:14px}
.admin-shell{display:grid;grid-template-columns:340px minmax(0,1fr);gap:18px;align-items:start}
.admin-sidebar{display:grid;gap:14px;min-width:0}
.copy-row{display:grid;grid-template-columns:minmax(0,1fr) auto;gap:8px;align-items:center}
.compact-fields{gap:10px;padding:12px 0 0}
.line-card textarea{min-height:178px;font-size:.86rem}
.copy-result{font-size:.84rem;font-weight:800;color:var(--muted);align-self:center}
.copy-result.ok{color:var(--green)}
.copy-result.error{color:var(--red)}
.list-search{margin-bottom:8px}
.records-meta{font-size:.8rem;color:var(--muted);font-weight:700;margin-bottom:8px}
.records-list{display:grid;gap:8px}
.record{border:1px solid var(--line);border-radius:8px;padding:10px;background:#fff;display:grid;gap:4px;text-align:left;width:100%}
.record.active{border-color:var(--green);box-shadow:0 0 0 3px rgba(37,111,74,.12)}
.record strong{color:var(--green)}
.record small{color:var(--muted)}
.sheet-wrap{overflow:auto;padding:14px;background:#dfe7e4;border-radius:0 0 8px 8px}
.sheet{width:210mm;min-height:297mm;margin:auto;background:#fff;color:#111;padding:14mm 14mm 12mm;box-shadow:var(--shadow);font-family:"Yu Gothic",Meiryo,sans-serif}
.pdf-exporting .sheet-wrap{overflow:visible!important;transform:none!important;width:auto!important;height:auto!important;padding:0!important;background:#fff!important}
.pdf-exporting .sheet{box-shadow:none!important;margin:0!important}
.sheet h2{font-size:18pt;margin:0;text-align:center;color:#111}
.sheet .sheet-meta{display:flex;justify-content:space-between;border-bottom:2px solid #111;margin:6mm 0 4mm;padding-bottom:2mm;font-size:9.5pt}
.print-grid{display:grid;grid-template-columns:1fr 1fr;gap:2.5mm 5mm}
.print-box{border:1px solid #555;min-height:12mm;padding:2mm;font-size:9.2pt;break-inside:avoid}
.print-box.full{grid-column:1/-1}
.print-label{font-weight:800;font-size:8pt;color:#333;margin-bottom:1mm}
.print-value{white-space:pre-wrap;overflow-wrap:anywhere}
.print-body-map{grid-column:1/-1;border:1px solid #555;padding:2mm;break-inside:avoid}
.print-body-title{font-weight:800;font-size:8pt;margin-bottom:1.5mm;color:#333}
.print-body-figure{position:relative;width:130mm;margin:0 auto;border:1px solid #aaa;background:#fff}
.print-body-figure img{display:block;width:100%;height:auto}
.print-side-label{position:absolute;top:2mm;padding:1mm 2mm;border:1px solid #777;background:#fff;font-weight:800;font-size:8pt}
.print-side-label.front{left:20%}
.print-side-label.back{right:20%}
.print-body-overlay{position:absolute;inset:0;width:100%;height:100%;pointer-events:none}
.print-body-mark{fill:#20cf98;opacity:.9}
.consent-line{font-size:8pt;margin-top:4mm;border-top:1px solid #777;padding-top:2mm}
.empty{color:var(--muted);text-align:center;padding:18px;border:1px dashed var(--line);border-radius:8px}
@media(max-width:900px){
  .header-inner,.admin-shell{display:block}
  .admin-sidebar{display:block}
  .line-card{margin-bottom:14px}
  .records-card{margin-bottom:14px}
  .fields{grid-template-columns:1fr}
  .card{margin-bottom:14px}
  .sheet{transform-origin:top left}
}
@media(max-width:680px){
  .app-header{padding:16px 14px}
  main{padding-inline:10px}
  .card-head,.card-body{padding:14px}
  .fields{padding:12px}
  .check{width:100%;border-radius:6px}
  .copy-row{grid-template-columns:1fr}
  .body-map{padding:10px}
  .body-reference{margin-inline:-2px;width:calc(100% + 4px)}
  .body-side-label{top:8px;font-size:.78rem;padding:5px 7px}
  .body-side-label.front{left:15%}
  .body-side-label.back{right:15%}
  .pain-guide{grid-template-columns:1fr}
  .pain-options{grid-template-columns:repeat(4,minmax(0,1fr))}
  .scroll-checks{max-height:220px;display:grid;grid-template-columns:1fr;gap:8px}
  .sheet{width:210mm;box-shadow:none}
  .sheet-wrap{padding:0;transform:scale(.46);transform-origin:top left;width:217mm;height:138mm;overflow:visible}
}
/* ===== 患者画面：高齢の方にも読みやすい文字・押しやすい大きさ・送信状態の常時表示（2026-10-14） ===== */
.patient-page label{font-size:1rem;margin-bottom:6px}
.patient-page .hint{font-size:.9rem;color:#4b5563}
.patient-page input,.patient-page select,.patient-page textarea{min-height:48px;padding:12px;font-size:1.05rem;border-color:#b8c4bf;scroll-margin-top:170px;scroll-margin-bottom:150px}
.patient-page .checks,.patient-page .pain-options{scroll-margin-top:170px;scroll-margin-bottom:150px}
.patient-page textarea{min-height:96px}
.patient-page .check{font-size:.98rem;padding:10px 12px;min-height:46px}
.patient-page .check input{width:20px;min-height:20px;accent-color:var(--green)}
.patient-page .check:has(input:checked){border-color:var(--green);background:var(--green-2)}
.patient-page .pain-options span{min-height:48px;font-size:1.05rem}
.patient-page .notice{font-size:.98rem;line-height:1.7}
.patient-page .section legend{font-size:1.08rem;padding:12px 14px}
.patient-page .form-progress a{font-size:.88rem}
.patient-page .treatment-options label{font-size:1rem}
.patient-page .body-selection-summary{font-size:.95rem}
.birth-inputs{display:flex;flex-wrap:wrap;align-items:center;gap:8px 10px}
.birth-inputs select{width:auto;min-width:7em;flex:0 0 auto}
.birth-part{display:inline-flex;align-items:center;gap:5px;font-weight:700;font-size:1rem}
.birth-part input{width:5em;text-align:center;padding-inline:6px}
.birth-part.short input{width:3.4em}
.birth-echo{margin-top:6px}
.birth-echo.ok{color:var(--green);font-weight:800;font-size:1.05rem}
.birth-echo.error{color:var(--red);font-weight:800}
.quick-fill{display:flex;flex-wrap:wrap;align-items:center;gap:8px;margin-top:8px}
.quick-fill-label{width:100%;font-size:.9rem;color:#4b5563;font-weight:700}
.quick-fill button{border:1px solid #b9d8ca;background:#f3faf6;color:#1f5e40;border-radius:999px;padding:9px 14px;font-weight:700;font-size:.95rem;min-height:44px;line-height:1.3}
.quick-fill button.used{background:var(--green);border-color:var(--green);color:#fff}
.quick-fill button:focus-visible{outline:3px solid rgba(37,111,74,.3)}
.submit-bar{position:sticky;bottom:10px;z-index:6;display:flex;align-items:center;gap:12px;margin-top:18px;padding:12px 14px;background:#fff;border:1px solid var(--line);border-radius:10px;box-shadow:0 6px 22px rgba(31,41,51,.18)}
.submit-status{flex:1;min-width:0;font-weight:800;font-size:.98rem;line-height:1.5;overflow-wrap:anywhere}
.submit-bar.is-missing{border-color:#ecd9a8;background:#fffaf0}
.submit-bar.is-missing .submit-status{color:#8a5a00}
.submit-bar.is-ready{border-color:#9ccbb3;background:#f3faf6}
.submit-bar.is-ready .submit-status{color:#245c36}
.submit-bar.is-error{border-color:#f5a9a3;background:#fff5f4}
.submit-bar.is-error .submit-status{color:var(--red)}
.submit-bar.is-sending .submit-status{color:#475467}
.submit-bar .submit-main{min-height:54px;padding:12px 26px;font-size:1.12rem;flex:0 0 auto;border-radius:8px}
.section-note{margin:0;padding:12px 14px 0;font-size:.95rem;color:#4b5563;line-height:1.6}
.nested-field{margin-top:10px;padding:12px;border:1px dashed #9ccbb3;border-radius:8px;background:#fbfdfc}
.done-card{text-align:center;padding:40px 22px 44px}
.done-mark{width:72px;height:72px;margin:0 auto 10px;border-radius:50%;background:var(--green);color:#fff;font-size:2.4rem;font-weight:900;display:flex;align-items:center;justify-content:center}
.done-card h2{color:#2c7a4b;margin:12px 0 8px;font-size:1.6rem}
.done-stamp{display:inline-block;margin:0 0 14px;padding:6px 14px;border-radius:999px;background:var(--green-2);color:#245c36;font-weight:800;font-size:1rem}
.done-card p{line-height:2;color:#333;margin:0;font-size:1.05rem}
@media(max-width:680px){
  .submit-bar{flex-direction:column;align-items:stretch;gap:8px;bottom:6px;padding:10px 12px}
  .submit-bar .submit-main{width:100%}
  .birth-inputs select{min-width:0;width:100%}
}
@page{size:A4;margin:0}
@media print{
  body{background:#fff}
  .app-header,.records-card,.card-head,.admin-login{display:none!important}
  main{max-width:none;padding:0}
  .admin-shell{display:block}
  .detail-card,.sheet-wrap{border:0;box-shadow:none;padding:0;margin:0;background:#fff}
  .sheet{box-shadow:none;margin:0;width:210mm;min-height:297mm}
}