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Prescriptions Module Redesign — Implementation Plan

For agentic workers: REQUIRED SUB-SKILL: Use superpowers:subagent-driven-development (recommended) or superpowers:executing-plans to implement this plan task-by-task. Steps use checkbox (- [ ]) syntax for tracking.
Goal: Overhaul the prescriptions module with a medication catalog (seeded with Pakistan drugs), a 3-step wizard UI, Signature Center integration, and DOCX letterhead → PDF support. Architecture: New medications Drizzle schema + seed script seeded at startup; Hono route at /medications; 3-step React wizard replaces the current flat dialog; letterhead PNG (rendered from DOCX at upload via mammoth.js + Cloudflare Browser Rendering) composited as a background layer in a new @react-pdf/renderer template. Tech Stack: Hono + Drizzle + Postgres + Cloudflare R2 (backend); React + Radix UI + Tailwind + @react-pdf/renderer (frontend); mammoth.js (DOCX→HTML); Vitest (unit tests).

File Map

New files:
  • server/src/schema/medications.ts — Drizzle schema for medications table
  • server/src/scripts/seed-medications.ts — 300-500 Pakistan drug seed entries
  • server/src/routes/medications.ts — GET search, POST add custom, DELETE
  • server/src/routes/prescription-template.ts — DOCX upload, delete, preview
  • server/src/lib/medications.test.ts — unit tests for medication helpers
  • ui/src/components/prescriptions/PrescriptionWizard.tsx — wizard orchestrator
  • ui/src/components/prescriptions/PrescriptionWizardStep1.tsx — patient & details
  • ui/src/components/prescriptions/PrescriptionWizardStep2.tsx — drug search & list
  • ui/src/components/prescriptions/PrescriptionWizardStep3.tsx — sign & export
  • ui/src/lib/pdf/templates/PrescriptionLetterheadPdf.tsx — letterhead PDF template
  • ui/src/components/settings/PrescriptionTemplateSettings.tsx — DOCX upload card
Modified files:
  • server/src/schema/prescriptions.ts — add signatureId, templateType
  • server/src/schema/prescription_items.ts — add medicationId
  • server/src/schema/clinics.ts — add prescriptionDocxKey, prescriptionImageKey
  • server/src/schema/index.ts — export medications
  • server/src/lib/validation.ts — update prescription schemas
  • server/src/lib/r2.ts — add generatePrescriptionTemplateKey
  • server/src/routes/prescriptions.ts — pass signatureId, templateType, medicationId
  • server/src/api.ts — register new routes + add DB migrations
  • ui/src/lib/serverComm.ts — new API client functions
  • ui/src/lib/pdf/PdfExportService.tsx — add prescription_letterhead type
  • ui/src/lib/pdf-generator.ts — update generatePrescriptionPDF for letterhead
  • ui/src/components/doctor/PrescriptionManagement.tsx — wire in new wizard
  • ui/src/pages/Settings.tsx — add PrescriptionTemplateSettings card

Task 1: medications Drizzle schema

Files:
  • Create: server/src/schema/medications.ts
  • Modify: server/src/schema/index.ts
  • Step 1: Create medications schema file
// server/src/schema/medications.ts
import { pgTable, text, timestamp, boolean, varchar, index } from 'drizzle-orm/pg-core';
import { appSchema } from './base';

export const medications = appSchema.table('medications', {
  id: text('id').primaryKey().$defaultFn(() => crypto.randomUUID()),
  clinicId: text('clinic_id'),           // null = system drug
  name: varchar('name', { length: 200 }).notNull(),
  genericName: varchar('generic_name', { length: 200 }),
  category: varchar('category', { length: 100 }),
  dosageForms: text('dosage_forms').array(),
  commonDosages: text('common_dosages').array(),
  commonFrequencies: text('common_frequencies').array(),
  isSystem: boolean('is_system').default(false).notNull(),
  createdBy: text('created_by'),
  createdAt: timestamp('created_at').defaultNow().notNull(),
  updatedAt: timestamp('updated_at').defaultNow().notNull(),
}, (table) => ({
  clinicIdx: index('medications_clinic_id_idx').on(table.clinicId),
  nameIdx: index('medications_name_idx').on(table.name),
  categoryIdx: index('medications_category_idx').on(table.category),
}));

export type Medication = typeof medications.$inferSelect;
export type NewMedication = typeof medications.$inferInsert;
  • Step 2: Export from schema index
In server/src/schema/index.ts, after the export * from './prescription_items'; line add:
export * from './medications';
  • Step 3: Commit
git add server/src/schema/medications.ts server/src/schema/index.ts
git commit -m "feat(schema): add medications table schema"

Task 2: Update existing schemas (prescriptions, prescription_items, clinics)

Files:
  • Modify: server/src/schema/prescriptions.ts
  • Modify: server/src/schema/prescription_items.ts
  • Modify: server/src/schema/clinics.ts
  • Step 1: Add signatureId and templateType to prescriptions
In server/src/schema/prescriptions.ts, import userSignatures and add two columns inside the table definition after status:
// Add this import at the top (alongside existing imports):
import { userSignatures } from './user_signatures';

// Add these two columns inside the prescriptions table, after the status line:
  signatureId: text('signature_id').references(() => userSignatures.id, { onDelete: 'set null' }),
  templateType: text('template_type').default('default').notNull(),
  • Step 2: Add medicationId to prescription_items
In server/src/schema/prescription_items.ts, import medications and add the column:
// Add at top:
import { medications } from './medications';

// Add inside prescriptionItems table, after prescriptionId:
  medicationId: text('medication_id').references(() => medications.id, { onDelete: 'set null' }),
  • Step 3: Add template keys to clinics
In server/src/schema/clinics.ts, add two columns before the createdAt line:
  prescriptionDocxKey: text('prescription_docx_key'),
  prescriptionImageKey: text('prescription_image_key'),
  • Step 4: Commit
git add server/src/schema/prescriptions.ts server/src/schema/prescription_items.ts server/src/schema/clinics.ts
git commit -m "feat(schema): add signatureId, templateType, medicationId, prescription template keys"

Task 3: DB migrations in api.ts

Files:
  • Modify: server/src/api.ts
  • Step 1: Add migration SQL statements
In server/src/api.ts, find the migrations array (around line 450). Add these entries at the end of the array, before the closing ]:
      // Medications catalog
      `CREATE TABLE IF NOT EXISTS "app"."medications" (
        "id" text PRIMARY KEY DEFAULT gen_random_uuid()::text,
        "clinic_id" text,
        "name" varchar(200) NOT NULL,
        "generic_name" varchar(200),
        "category" varchar(100),
        "dosage_forms" text[],
        "common_dosages" text[],
        "common_frequencies" text[],
        "is_system" boolean DEFAULT false NOT NULL,
        "created_by" text,
        "created_at" timestamp DEFAULT now() NOT NULL,
        "updated_at" timestamp DEFAULT now() NOT NULL
      )`,
      `CREATE INDEX IF NOT EXISTS "medications_clinic_id_idx" ON "app"."medications" ("clinic_id")`,
      `CREATE INDEX IF NOT EXISTS "medications_name_idx" ON "app"."medications" ("name")`,
      `CREATE INDEX IF NOT EXISTS "medications_category_idx" ON "app"."medications" ("category")`,

      // Prescriptions: signatureId + templateType
      `ALTER TABLE "app"."prescriptions" ADD COLUMN IF NOT EXISTS "signature_id" text REFERENCES "app"."user_signatures"("id") ON DELETE SET NULL`,
      `ALTER TABLE "app"."prescriptions" ADD COLUMN IF NOT EXISTS "template_type" text NOT NULL DEFAULT 'default'`,

      // Prescription items: medicationId
      `ALTER TABLE "app"."prescription_items" ADD COLUMN IF NOT EXISTS "medication_id" text REFERENCES "app"."medications"("id") ON DELETE SET NULL`,

      // Clinics: prescription template R2 keys
      `ALTER TABLE "app"."clinics" ADD COLUMN IF NOT EXISTS "prescription_docx_key" text`,
      `ALTER TABLE "app"."clinics" ADD COLUMN IF NOT EXISTS "prescription_image_key" text`,
  • Step 2: Run migrations
Trigger migration via the admin endpoint (replace TOKEN with a superadmin JWT):
curl -X POST http://localhost:8787/api/v1/admin/migrate \
  -H "Authorization: Bearer TOKEN" \
  -H "Content-Type: application/json"
Expected response: {"success":true,"results":[...]}
  • Step 3: Commit
git add server/src/api.ts
git commit -m "feat(migrations): add medications table, prescription template columns"

Task 4: Pakistan medication seed data

Files:
  • Create: server/src/scripts/seed-medications.ts
  • Step 1: Create the seed script
// server/src/scripts/seed-medications.ts
import { getDatabase } from '../lib/db';
import { getDatabaseUrl } from '../lib/env';
import { medications } from '../schema/medications';
import { sql } from 'drizzle-orm';

const SEED_MEDICATIONS = [
  // Antibiotics
  { name: 'Amoxicillin', genericName: 'Amoxicillin', category: 'Antibiotics', dosageForms: ['capsule', 'syrup'], commonDosages: ['250mg', '500mg'], commonFrequencies: ['BD', 'TDS'] },
  { name: 'Augmentin', genericName: 'Amoxicillin + Clavulanate', category: 'Antibiotics', dosageForms: ['tablet', 'syrup'], commonDosages: ['375mg', '625mg', '1g'], commonFrequencies: ['BD', 'TDS'] },
  { name: 'Ampiclox', genericName: 'Ampicillin + Cloxacillin', category: 'Antibiotics', dosageForms: ['capsule'], commonDosages: ['250mg', '500mg'], commonFrequencies: ['QID'] },
  { name: 'Metronidazole', genericName: 'Metronidazole', category: 'Antibiotics', dosageForms: ['tablet', 'syrup', 'injection'], commonDosages: ['200mg', '400mg', '500mg'], commonFrequencies: ['BD', 'TDS'] },
  { name: 'Flagyl', genericName: 'Metronidazole', category: 'Antibiotics', dosageForms: ['tablet', 'suspension'], commonDosages: ['200mg', '400mg'], commonFrequencies: ['BD', 'TDS'] },
  { name: 'Clarithromycin', genericName: 'Clarithromycin', category: 'Antibiotics', dosageForms: ['tablet'], commonDosages: ['250mg', '500mg'], commonFrequencies: ['BD'] },
  { name: 'Azithromycin', genericName: 'Azithromycin', category: 'Antibiotics', dosageForms: ['tablet', 'capsule', 'syrup'], commonDosages: ['250mg', '500mg'], commonFrequencies: ['OD'] },
  { name: 'Doxycycline', genericName: 'Doxycycline', category: 'Antibiotics', dosageForms: ['capsule', 'tablet'], commonDosages: ['100mg'], commonFrequencies: ['OD', 'BD'] },
  { name: 'Ciprofloxacin', genericName: 'Ciprofloxacin', category: 'Antibiotics', dosageForms: ['tablet'], commonDosages: ['250mg', '500mg', '750mg'], commonFrequencies: ['BD'] },
  { name: 'Clindamycin', genericName: 'Clindamycin', category: 'Antibiotics', dosageForms: ['capsule', 'injection'], commonDosages: ['150mg', '300mg'], commonFrequencies: ['TDS', 'QID'] },
  { name: 'Erythromycin', genericName: 'Erythromycin', category: 'Antibiotics', dosageForms: ['tablet', 'syrup'], commonDosages: ['250mg', '500mg'], commonFrequencies: ['QID'] },
  { name: 'Trimethoprim + Sulfamethoxazole', genericName: 'Co-trimoxazole', category: 'Antibiotics', dosageForms: ['tablet', 'syrup'], commonDosages: ['480mg', '960mg'], commonFrequencies: ['BD'] },
  { name: 'Septran', genericName: 'Co-trimoxazole', category: 'Antibiotics', dosageForms: ['tablet', 'syrup'], commonDosages: ['480mg'], commonFrequencies: ['BD'] },
  { name: 'Cephalexin', genericName: 'Cephalexin', category: 'Antibiotics', dosageForms: ['capsule', 'syrup'], commonDosages: ['250mg', '500mg'], commonFrequencies: ['QID'] },
  { name: 'Cefixime', genericName: 'Cefixime', category: 'Antibiotics', dosageForms: ['tablet', 'capsule', 'syrup'], commonDosages: ['200mg', '400mg'], commonFrequencies: ['OD', 'BD'] },
  { name: 'Cefuroxime', genericName: 'Cefuroxime', category: 'Antibiotics', dosageForms: ['tablet'], commonDosages: ['250mg', '500mg'], commonFrequencies: ['BD'] },
  { name: 'Moxifloxacin', genericName: 'Moxifloxacin', category: 'Antibiotics', dosageForms: ['tablet'], commonDosages: ['400mg'], commonFrequencies: ['OD'] },
  { name: 'Levofloxacin', genericName: 'Levofloxacin', category: 'Antibiotics', dosageForms: ['tablet'], commonDosages: ['250mg', '500mg', '750mg'], commonFrequencies: ['OD'] },
  { name: 'Linezolid', genericName: 'Linezolid', category: 'Antibiotics', dosageForms: ['tablet'], commonDosages: ['600mg'], commonFrequencies: ['BD'] },

  // Analgesics / NSAIDs
  { name: 'Panadol', genericName: 'Paracetamol', category: 'Analgesics/NSAIDs', dosageForms: ['tablet', 'syrup'], commonDosages: ['500mg', '1g'], commonFrequencies: ['TDS', 'QID', 'SOS'] },
  { name: 'Paracetamol', genericName: 'Paracetamol', category: 'Analgesics/NSAIDs', dosageForms: ['tablet', 'syrup', 'suppository'], commonDosages: ['500mg', '650mg', '1g'], commonFrequencies: ['TDS', 'QID', 'SOS'] },
  { name: 'Ibuprofen', genericName: 'Ibuprofen', category: 'Analgesics/NSAIDs', dosageForms: ['tablet', 'syrup'], commonDosages: ['200mg', '400mg', '600mg'], commonFrequencies: ['TDS', 'SOS'] },
  { name: 'Brufen', genericName: 'Ibuprofen', category: 'Analgesics/NSAIDs', dosageForms: ['tablet', 'syrup'], commonDosages: ['400mg', '600mg'], commonFrequencies: ['TDS'] },
  { name: 'Diclofenac Sodium', genericName: 'Diclofenac', category: 'Analgesics/NSAIDs', dosageForms: ['tablet', 'injection', 'gel'], commonDosages: ['50mg', '75mg', '100mg'], commonFrequencies: ['BD', 'TDS'] },
  { name: 'Voltaren', genericName: 'Diclofenac', category: 'Analgesics/NSAIDs', dosageForms: ['tablet', 'injection', 'gel'], commonDosages: ['50mg', '75mg'], commonFrequencies: ['BD'] },
  { name: 'Mefenamic Acid', genericName: 'Mefenamic Acid', category: 'Analgesics/NSAIDs', dosageForms: ['capsule', 'tablet'], commonDosages: ['250mg', '500mg'], commonFrequencies: ['TDS'] },
  { name: 'Ponstan', genericName: 'Mefenamic Acid', category: 'Analgesics/NSAIDs', dosageForms: ['capsule'], commonDosages: ['250mg', '500mg'], commonFrequencies: ['TDS'] },
  { name: 'Naproxen', genericName: 'Naproxen', category: 'Analgesics/NSAIDs', dosageForms: ['tablet'], commonDosages: ['250mg', '500mg'], commonFrequencies: ['BD'] },
  { name: 'Tramadol', genericName: 'Tramadol', category: 'Analgesics/NSAIDs', dosageForms: ['capsule', 'injection'], commonDosages: ['50mg', '100mg'], commonFrequencies: ['BD', 'TDS', 'SOS'] },
  { name: 'Ketorolac', genericName: 'Ketorolac', category: 'Analgesics/NSAIDs', dosageForms: ['tablet', 'injection'], commonDosages: ['10mg', '30mg'], commonFrequencies: ['QID', 'SOS'] },
  { name: 'Celecoxib', genericName: 'Celecoxib', category: 'Analgesics/NSAIDs', dosageForms: ['capsule'], commonDosages: ['100mg', '200mg'], commonFrequencies: ['OD', 'BD'] },
  { name: 'Etoricoxib', genericName: 'Etoricoxib', category: 'Analgesics/NSAIDs', dosageForms: ['tablet'], commonDosages: ['60mg', '90mg', '120mg'], commonFrequencies: ['OD'] },

  // Antifungals
  { name: 'Fluconazole', genericName: 'Fluconazole', category: 'Antifungals', dosageForms: ['capsule', 'syrup'], commonDosages: ['50mg', '150mg', '200mg'], commonFrequencies: ['OD', 'Weekly'] },
  { name: 'Diflucan', genericName: 'Fluconazole', category: 'Antifungals', dosageForms: ['capsule'], commonDosages: ['150mg'], commonFrequencies: ['Single dose', 'OD'] },
  { name: 'Clotrimazole', genericName: 'Clotrimazole', category: 'Antifungals', dosageForms: ['cream', 'lozenge', 'pessary'], commonDosages: ['1%', '10mg'], commonFrequencies: ['TDS'] },
  { name: 'Nystatin', genericName: 'Nystatin', category: 'Antifungals', dosageForms: ['oral drops', 'tablet', 'cream'], commonDosages: ['100,000 IU'], commonFrequencies: ['QID'] },
  { name: 'Itraconazole', genericName: 'Itraconazole', category: 'Antifungals', dosageForms: ['capsule'], commonDosages: ['100mg', '200mg'], commonFrequencies: ['OD', 'BD'] },
  { name: 'Terbinafine', genericName: 'Terbinafine', category: 'Antifungals', dosageForms: ['tablet', 'cream'], commonDosages: ['250mg', '1%'], commonFrequencies: ['OD'] },

  // Antihistamines
  { name: 'Cetirizine', genericName: 'Cetirizine', category: 'Antihistamines', dosageForms: ['tablet', 'syrup'], commonDosages: ['5mg', '10mg'], commonFrequencies: ['OD'] },
  { name: 'Zyrtec', genericName: 'Cetirizine', category: 'Antihistamines', dosageForms: ['tablet'], commonDosages: ['10mg'], commonFrequencies: ['OD'] },
  { name: 'Loratadine', genericName: 'Loratadine', category: 'Antihistamines', dosageForms: ['tablet', 'syrup'], commonDosages: ['10mg'], commonFrequencies: ['OD'] },
  { name: 'Fexofenadine', genericName: 'Fexofenadine', category: 'Antihistamines', dosageForms: ['tablet'], commonDosages: ['120mg', '180mg'], commonFrequencies: ['OD'] },
  { name: 'Chlorpheniramine', genericName: 'Chlorpheniramine', category: 'Antihistamines', dosageForms: ['tablet', 'syrup', 'injection'], commonDosages: ['4mg', '8mg'], commonFrequencies: ['TDS', 'QID'] },
  { name: 'Promethazine', genericName: 'Promethazine', category: 'Antihistamines', dosageForms: ['tablet', 'syrup', 'injection'], commonDosages: ['10mg', '25mg'], commonFrequencies: ['BD', 'TDS'] },
  { name: 'Diphenhydramine', genericName: 'Diphenhydramine', category: 'Antihistamines', dosageForms: ['capsule', 'injection'], commonDosages: ['25mg', '50mg'], commonFrequencies: ['TDS', 'QID'] },

  // Vitamins / Supplements
  { name: 'Vitamin C', genericName: 'Ascorbic Acid', category: 'Vitamins/Supplements', dosageForms: ['tablet', 'sachet'], commonDosages: ['250mg', '500mg', '1g'], commonFrequencies: ['OD', 'BD'] },
  { name: 'Vitamin D3', genericName: 'Cholecalciferol', category: 'Vitamins/Supplements', dosageForms: ['tablet', 'drops', 'injection'], commonDosages: ['1000 IU', '5000 IU', '50,000 IU'], commonFrequencies: ['OD', 'Weekly'] },
  { name: 'Calcium + Vitamin D', genericName: 'Calcium Carbonate + Vitamin D3', category: 'Vitamins/Supplements', dosageForms: ['tablet', 'chewable'], commonDosages: ['500mg+200IU', '1000mg+400IU'], commonFrequencies: ['OD', 'BD'] },
  { name: 'Folic Acid', genericName: 'Folic Acid', category: 'Vitamins/Supplements', dosageForms: ['tablet'], commonDosages: ['400mcg', '5mg'], commonFrequencies: ['OD'] },
  { name: 'Multivitamins', genericName: 'Multivitamin Complex', category: 'Vitamins/Supplements', dosageForms: ['tablet', 'syrup'], commonDosages: ['1 tab'], commonFrequencies: ['OD'] },
  { name: 'Iron Supplements', genericName: 'Ferrous Sulfate', category: 'Vitamins/Supplements', dosageForms: ['tablet', 'syrup', 'injection'], commonDosages: ['200mg', '325mg'], commonFrequencies: ['OD', 'BD'] },
  { name: 'Zinc Sulfate', genericName: 'Zinc Sulfate', category: 'Vitamins/Supplements', dosageForms: ['tablet', 'syrup'], commonDosages: ['20mg', '50mg'], commonFrequencies: ['OD'] },
  { name: 'Vitamin B Complex', genericName: 'Vitamin B Complex', category: 'Vitamins/Supplements', dosageForms: ['tablet', 'injection'], commonDosages: ['1 tab'], commonFrequencies: ['OD', 'BD'] },

  // Antacids / GI
  { name: 'Omeprazole', genericName: 'Omeprazole', category: 'Antacids/GI', dosageForms: ['capsule', 'tablet'], commonDosages: ['20mg', '40mg'], commonFrequencies: ['OD', 'BD'] },
  { name: 'Pantoprazole', genericName: 'Pantoprazole', category: 'Antacids/GI', dosageForms: ['tablet', 'injection'], commonDosages: ['20mg', '40mg'], commonFrequencies: ['OD', 'BD'] },
  { name: 'Esomeprazole', genericName: 'Esomeprazole', category: 'Antacids/GI', dosageForms: ['tablet', 'capsule'], commonDosages: ['20mg', '40mg'], commonFrequencies: ['OD'] },
  { name: 'Nexium', genericName: 'Esomeprazole', category: 'Antacids/GI', dosageForms: ['tablet'], commonDosages: ['20mg', '40mg'], commonFrequencies: ['OD'] },
  { name: 'Metoclopramide', genericName: 'Metoclopramide', category: 'Antacids/GI', dosageForms: ['tablet', 'syrup', 'injection'], commonDosages: ['10mg'], commonFrequencies: ['TDS'] },
  { name: 'Domperidone', genericName: 'Domperidone', category: 'Antacids/GI', dosageForms: ['tablet', 'syrup'], commonDosages: ['10mg'], commonFrequencies: ['TDS'] },
  { name: 'Ranitidine', genericName: 'Ranitidine', category: 'Antacids/GI', dosageForms: ['tablet', 'syrup'], commonDosages: ['150mg', '300mg'], commonFrequencies: ['BD', 'OD'] },
  { name: 'Antacid', genericName: 'Aluminium Hydroxide + Magnesium Hydroxide', category: 'Antacids/GI', dosageForms: ['tablet', 'suspension'], commonDosages: ['1-2 tabs', '10ml'], commonFrequencies: ['TDS', 'QID', 'SOS'] },
  { name: 'Loperamide', genericName: 'Loperamide', category: 'Antacids/GI', dosageForms: ['capsule', 'tablet'], commonDosages: ['2mg'], commonFrequencies: ['After each loose stool'] },
  { name: 'ORS', genericName: 'Oral Rehydration Salts', category: 'Antacids/GI', dosageForms: ['sachet'], commonDosages: ['1 sachet in 200ml'], commonFrequencies: ['After each loose stool'] },

  // Corticosteroids
  { name: 'Prednisolone', genericName: 'Prednisolone', category: 'Corticosteroids', dosageForms: ['tablet', 'syrup', 'injection'], commonDosages: ['5mg', '10mg', '20mg', '40mg'], commonFrequencies: ['OD', 'BD'] },
  { name: 'Dexamethasone', genericName: 'Dexamethasone', category: 'Corticosteroids', dosageForms: ['tablet', 'injection'], commonDosages: ['0.5mg', '2mg', '4mg', '8mg'], commonFrequencies: ['OD', 'BD'] },
  { name: 'Hydrocortisone', genericName: 'Hydrocortisone', category: 'Corticosteroids', dosageForms: ['tablet', 'injection', 'cream'], commonDosages: ['5mg', '10mg', '20mg', '1%'], commonFrequencies: ['BD', 'TDS'] },
  { name: 'Methylprednisolone', genericName: 'Methylprednisolone', category: 'Corticosteroids', dosageForms: ['tablet', 'injection'], commonDosages: ['4mg', '8mg', '16mg'], commonFrequencies: ['OD', 'BD'] },
  { name: 'Triamcinolone', genericName: 'Triamcinolone', category: 'Corticosteroids', dosageForms: ['injection', 'cream'], commonDosages: ['10mg/ml', '40mg/ml', '0.1%'], commonFrequencies: ['SOS', 'BD'] },
  { name: 'Betamethasone', genericName: 'Betamethasone', category: 'Corticosteroids', dosageForms: ['tablet', 'injection', 'cream'], commonDosages: ['0.5mg', '4mg', '0.05%'], commonFrequencies: ['BD', 'TDS'] },

  // Antivirals
  { name: 'Acyclovir', genericName: 'Acyclovir', category: 'Antivirals', dosageForms: ['tablet', 'cream', 'injection'], commonDosages: ['200mg', '400mg', '800mg', '5%'], commonFrequencies: ['5 times daily', 'TDS'] },
  { name: 'Valacyclovir', genericName: 'Valacyclovir', category: 'Antivirals', dosageForms: ['tablet'], commonDosages: ['500mg', '1g'], commonFrequencies: ['BD', 'TDS'] },
  { name: 'Oseltamivir', genericName: 'Oseltamivir', category: 'Antivirals', dosageForms: ['capsule', 'syrup'], commonDosages: ['75mg'], commonFrequencies: ['BD'] },
  { name: 'Tamiflu', genericName: 'Oseltamivir', category: 'Antivirals', dosageForms: ['capsule'], commonDosages: ['75mg'], commonFrequencies: ['BD'] },

  // Topicals
  { name: 'Chlorhexidine Mouthwash', genericName: 'Chlorhexidine Gluconate', category: 'Topicals', dosageForms: ['mouthwash'], commonDosages: ['0.12%', '0.2%'], commonFrequencies: ['BD'] },
  { name: 'Benzydamine Mouthwash', genericName: 'Benzydamine Hydrochloride', category: 'Topicals', dosageForms: ['mouthwash'], commonDosages: ['0.15%'], commonFrequencies: ['TDS'] },
  { name: 'Povidone-Iodine', genericName: 'Povidone-Iodine', category: 'Topicals', dosageForms: ['solution', 'mouthwash', 'ointment'], commonDosages: ['7.5%', '10%'], commonFrequencies: ['BD', 'TDS'] },
  { name: 'Hydrogen Peroxide', genericName: 'Hydrogen Peroxide', category: 'Topicals', dosageForms: ['solution', 'mouthwash'], commonDosages: ['1.5%', '3%'], commonFrequencies: ['BD'] },
  { name: 'Dental Gel (Lignocaine)', genericName: 'Lidocaine', category: 'Topicals', dosageForms: ['gel', 'ointment'], commonDosages: ['2%', '5%'], commonFrequencies: ['Apply as needed'] },
  { name: 'Mupirocin', genericName: 'Mupirocin', category: 'Topicals', dosageForms: ['cream', 'ointment'], commonDosages: ['2%'], commonFrequencies: ['BD', 'TDS'] },
  { name: 'Bactroban', genericName: 'Mupirocin', category: 'Topicals', dosageForms: ['cream', 'ointment'], commonDosages: ['2%'], commonFrequencies: ['TDS'] },

  // Miscellaneous
  { name: 'Diazepam', genericName: 'Diazepam', category: 'Miscellaneous', dosageForms: ['tablet', 'injection', 'syrup'], commonDosages: ['2mg', '5mg', '10mg'], commonFrequencies: ['OD', 'BD', 'TDS', 'SOS'] },
  { name: 'Midazolam', genericName: 'Midazolam', category: 'Miscellaneous', dosageForms: ['injection', 'nasal spray'], commonDosages: ['5mg/ml', '1mg/ml'], commonFrequencies: ['SOS'] },
  { name: 'Atropine', genericName: 'Atropine Sulfate', category: 'Miscellaneous', dosageForms: ['injection', 'eye drops'], commonDosages: ['0.5mg', '1mg'], commonFrequencies: ['SOS'] },
  { name: 'Adrenaline', genericName: 'Epinephrine', category: 'Miscellaneous', dosageForms: ['injection'], commonDosages: ['0.1mg/ml', '1mg/ml'], commonFrequencies: ['SOS — emergency use'] },
  { name: 'Lignocaine', genericName: 'Lidocaine', category: 'Miscellaneous', dosageForms: ['injection'], commonDosages: ['2%', '2% with adrenaline'], commonFrequencies: ['Local infiltration'] },
  { name: 'Articaine', genericName: 'Articaine + Epinephrine', category: 'Miscellaneous', dosageForms: ['injection'], commonDosages: ['4% + 1:100,000'], commonFrequencies: ['Local infiltration'] },
  { name: 'Tranexamic Acid', genericName: 'Tranexamic Acid', category: 'Miscellaneous', dosageForms: ['tablet', 'injection', 'mouthwash'], commonDosages: ['250mg', '500mg'], commonFrequencies: ['TDS', 'QID'] },
];

async function seedMedications() {
  const db = await getDatabase(getDatabaseUrl());

  console.log(`Seeding ${SEED_MEDICATIONS.length} medications...`);

  for (const med of SEED_MEDICATIONS) {
    await db.execute(sql`
      INSERT INTO "app"."medications" (id, name, generic_name, category, dosage_forms, common_dosages, common_frequencies, is_system, created_at, updated_at)
      VALUES (
        gen_random_uuid()::text,
        ${med.name},
        ${med.genericName},
        ${med.category},
        ${med.dosageForms},
        ${med.commonDosages},
        ${med.commonFrequencies},
        true,
        now(),
        now()
      )
      ON CONFLICT DO NOTHING
    `);
  }

  console.log('Medications seeded successfully.');
}

seedMedications().catch(console.error);
  • Step 2: Run the seed script
cd server && npx tsx src/scripts/seed-medications.ts
Expected: Seeding 80 medications... Medications seeded successfully.
  • Step 3: Commit
git add server/src/scripts/seed-medications.ts
git commit -m "feat(seed): add Pakistan medication catalog seed data"

Task 5: Medications API route

Files:
  • Create: server/src/routes/medications.ts
  • Modify: server/src/api.ts
  • Create: server/src/lib/medications.test.ts
  • Step 1: Write the failing test
// server/src/lib/medications.test.ts
import { describe, it, expect } from 'vitest';

function buildMedicationSearchQuery(q: string, category?: string) {
  const q_lower = q.trim().toLowerCase();
  const filters: string[] = [];
  if (q_lower) filters.push(`(LOWER(name) LIKE '%${q_lower}%' OR LOWER(generic_name) LIKE '%${q_lower}%')`);
  if (category) filters.push(`category = '${category}'`);
  return filters.length > 0 ? filters.join(' AND ') : '1=1';
}

describe('buildMedicationSearchQuery', () => {
  it('returns base condition when no filters provided', () => {
    expect(buildMedicationSearchQuery('')).toBe('1=1');
  });

  it('builds name/generic filter for search term', () => {
    const result = buildMedicationSearchQuery('amox');
    expect(result).toContain("LIKE '%amox%'");
  });

  it('combines search term and category', () => {
    const result = buildMedicationSearchQuery('ibu', 'Analgesics/NSAIDs');
    expect(result).toContain("LIKE '%ibu%'");
    expect(result).toContain("category = 'Analgesics/NSAIDs'");
  });
});
  • Step 2: Run test to verify it fails
cd server && npx vitest run src/lib/medications.test.ts
Expected: FAIL (module not found or assertion failure)
  • Step 3: Create the medications route
// server/src/routes/medications.ts
import { Hono } from 'hono';
import { getDatabase } from '../lib/db';
import { medications } from '../schema';
import { and, or, ilike, isNull, eq, sql } from 'drizzle-orm';
import { getDatabaseUrl } from '../lib/env';
import { handleError, AppError } from '../lib/errors';
import { requireClinicContext } from '../middleware/clinic-context';
import { requirePermissionByMethod } from '../middleware/permissions';
import { uuidSchema } from '../lib/validation';
import { z } from 'zod';

const medicationsRoute = new Hono();

medicationsRoute.use('*', requireClinicContext);
medicationsRoute.use('*', requirePermissionByMethod('view_clinical_records', 'edit_clinical_records'));

// GET /medications?q=&category=
medicationsRoute.get('/', async (c) => {
  try {
    const clinicContext = c.get('clinicContext');
    const clinicId = clinicContext?.currentClinicId || '';
    const q = c.req.query('q')?.trim() || '';
    const category = c.req.query('category')?.trim() || '';

    const db = await getDatabase(getDatabaseUrl());

    const conditions = and(
      // Clinic scope: system drugs OR this clinic's custom drugs
      or(isNull(medications.clinicId), eq(medications.clinicId, clinicId)),
      // Name/generic search
      q ? or(ilike(medications.name, `%${q}%`), ilike(medications.genericName, `%${q}%`)) : undefined,
      // Category filter
      category ? eq(medications.category, category) : undefined,
    );

    const results = await db
      .select({
        id: medications.id,
        name: medications.name,
        genericName: medications.genericName,
        category: medications.category,
        dosageForms: medications.dosageForms,
        commonDosages: medications.commonDosages,
        commonFrequencies: medications.commonFrequencies,
        isSystem: medications.isSystem,
      })
      .from(medications)
      .where(conditions)
      .orderBy(medications.isSystem, medications.name)
      .limit(50);

    return c.json(results);
  } catch (error) {
    return handleError(error, c);
  }
});

// POST /medications — add custom clinic drug
medicationsRoute.post('/', async (c) => {
  try {
    const user = c.get('user');
    const clinicContext = c.get('clinicContext');
    const clinicId = clinicContext?.currentClinicId || '';

    const body = await c.req.json();
    const schema = z.object({
      name: z.string().min(1).max(200),
      genericName: z.string().max(200).optional(),
      category: z.string().max(100).optional(),
      dosageForms: z.array(z.string()).optional(),
      commonDosages: z.array(z.string()).optional(),
      commonFrequencies: z.array(z.string()).optional(),
    });
    const data = schema.parse(body);

    const db = await getDatabase(getDatabaseUrl());

    const [newMed] = await db.insert(medications).values({
      id: crypto.randomUUID(),
      clinicId,
      name: data.name,
      genericName: data.genericName,
      category: data.category,
      dosageForms: data.dosageForms,
      commonDosages: data.commonDosages,
      commonFrequencies: data.commonFrequencies,
      isSystem: false,
      createdBy: user.id,
    }).returning();

    return c.json(newMed, 201);
  } catch (error) {
    return handleError(error, c);
  }
});

// DELETE /medications/:id — remove clinic custom drug only
medicationsRoute.delete('/:id', async (c) => {
  try {
    const clinicContext = c.get('clinicContext');
    const clinicId = clinicContext?.currentClinicId || '';
    const id = c.req.param('id');
    uuidSchema.parse(id);

    const db = await getDatabase(getDatabaseUrl());

    const [med] = await db.select().from(medications).where(eq(medications.id, id)).limit(1);
    if (!med) throw new AppError('Medication not found', 404);
    if (med.isSystem) throw new AppError('System medications cannot be deleted', 403);
    if (med.clinicId !== clinicId) throw new AppError('Access denied', 403);

    await db.delete(medications).where(and(eq(medications.id, id), eq(medications.clinicId, clinicId)));

    return c.json({ success: true });
  } catch (error) {
    return handleError(error, c);
  }
});

export default medicationsRoute;
  • Step 4: Register the route in api.ts
In server/src/api.ts, after the import prescriptions from './routes/prescriptions'; line, add:
import medicationsRoute from './routes/medications';
Then find protectedRoutes.route('/prescriptions', prescriptions); and add below it:
protectedRoutes.route('/medications', medicationsRoute);
  • Step 5: Run tests
cd server && npx vitest run src/lib/medications.test.ts
Expected: PASS
  • Step 6: Commit
git add server/src/routes/medications.ts server/src/lib/medications.test.ts server/src/api.ts
git commit -m "feat(api): add medications catalog route (search, add custom, delete)"

Task 6: Update prescription validation + route

Files:
  • Modify: server/src/lib/validation.ts
  • Modify: server/src/routes/prescriptions.ts
  • Step 1: Update validation schemas in validation.ts
Find prescriptionItemSchema and replace it:
export const prescriptionItemSchema = z.object({
  medicationName: z.string().min(1, 'Medication name is required'),
  medicationId: z.string().uuid().optional(),
  dosage: z.string().optional(),
  frequency: z.string().optional(),
  duration: z.string().optional(),
  quantity: z.string().optional(),
  instructions: z.string().optional(),
});
Find prescriptionCreateSchema and replace it:
export const prescriptionCreateSchema = z.object({
  patientId: uuidSchema,
  doctorId: uuidSchema.optional(),
  prescriptionDate: z.string().date('Invalid date format').optional(),
  diagnosis: z.string().optional(),
  notes: z.string().optional(),
  status: z.enum(['active', 'completed', 'cancelled']).optional(),
  signatureId: uuidSchema.optional(),
  templateType: z.enum(['default', 'letterhead']).optional(),
  items: z.array(prescriptionItemSchema).min(1, 'At least one medication is required'),
});
  • Step 2: Update prescriptions route to pass new fields
In server/src/routes/prescriptions.ts, in the POST / handler, update the insertValues object to include signatureId and templateType:
    const insertValues: any = {
      id: crypto.randomUUID(),
      clinicId: currentClinicId,
      prescriptionNumber,
      patientId: prescriptionData.patientId,
      doctorId: prescriptionData.doctorId,
      prescriptionDate: prescriptionData.prescriptionDate,
      diagnosis: prescriptionData.diagnosis,
      notes: prescriptionData.notes,
      status: prescriptionData.status || 'active',
      signatureId: prescriptionData.signatureId || null,
      templateType: prescriptionData.templateType || 'default',
    };
In the same POST / handler, update itemsToInsert to include medicationId:
      const itemsToInsert = items
        .filter(item => item.medicationName)
        .map(item => ({
          id: crypto.randomUUID(),
          prescriptionId: newPrescription.id,
          medicationId: item.medicationId || null,
          medicationName: item.medicationName,
          dosage: item.dosage,
          frequency: item.frequency,
          duration: item.duration,
          quantity: item.quantity,
          instructions: item.instructions,
        }));
In the PUT /:id handler, update itemsToInsert the same way (add medicationId: item.medicationId || null), and add signatureId and templateType to the .set({...}) call:
    const [updated] = await db.update(prescriptions)
      .set({
        ...prescriptionData,
        signatureId: prescriptionData.signatureId,
        templateType: prescriptionData.templateType,
        updatedAt: new Date(),
      })
  • Step 3: Commit
git add server/src/lib/validation.ts server/src/routes/prescriptions.ts
git commit -m "feat(prescriptions): accept signatureId, templateType, medicationId in API"

Task 7: DOCX template route + R2 key generator

Files:
  • Create: server/src/routes/prescription-template.ts
  • Modify: server/src/lib/r2.ts
  • Modify: server/src/api.ts
  • Step 1: Add key generator to R2Service
In server/src/lib/r2.ts, inside the R2Service class, add after generateSignatureKey:
  generatePrescriptionTemplateKey(clinicId: string, ext: 'docx' | 'png'): string {
    return `clinics/${clinicId}/prescription-template.${ext}`;
  }
  • Step 2: Create prescription-template route
// server/src/routes/prescription-template.ts
import { Hono } from 'hono';
import { getDatabase } from '../lib/db';
import { clinics } from '../schema';
import { eq } from 'drizzle-orm';
import { getDatabaseUrl } from '../lib/env';
import { handleError, AppError } from '../lib/errors';
import { getR2Service } from '../lib/r2';
import { requireClinicContext } from '../middleware/clinic-context';
import { requirePermissionByMethod } from '../middleware/permissions';

const prescriptionTemplateRoute = new Hono();

prescriptionTemplateRoute.use('*', requireClinicContext);
prescriptionTemplateRoute.use('*', requirePermissionByMethod('view_clinic_settings', 'edit_clinic_settings'));

// POST /clinics/prescription-template — upload DOCX, convert to PNG, store both
prescriptionTemplateRoute.post('/', async (c) => {
  try {
    const clinicContext = c.get('clinicContext');
    const clinicId = clinicContext?.currentClinicId || '';
    const env = c.env as any;
    const r2 = getR2Service(env);
    if (!r2) throw new AppError('Storage not available', 503);

    const formData = await c.req.formData();
    const file = formData.get('file') as File | null;
    if (!file) throw new AppError('No file provided', 400);

    // Validate MIME type
    const contentType = file.type;
    if (contentType !== 'application/vnd.openxmlformats-officedocument.wordprocessingml.document') {
      throw new AppError('Only .docx files are accepted', 400);
    }

    // Validate magic bytes (DOCX = ZIP PK\x03\x04)
    const buffer = await file.arrayBuffer();
    const bytes = new Uint8Array(buffer, 0, 4);
    const isPK = bytes[0] === 0x50 && bytes[1] === 0x4b && bytes[2] === 0x03 && bytes[3] === 0x04;
    if (!isPK) throw new AppError('Invalid DOCX file', 400);

    // Size limit: 5MB
    if (buffer.byteLength > 5 * 1024 * 1024) throw new AppError('File too large (max 5MB)', 400);

    const db = await getDatabase(getDatabaseUrl());

    // Store DOCX in R2
    const docxKey = r2.generatePrescriptionTemplateKey(clinicId, 'docx');
    await r2.uploadFile(docxKey, buffer, contentType);

    // Convert DOCX → HTML via mammoth, then render PNG via Browser Rendering API
    let imageKey: string | null = null;
    try {
      const mammoth = await import('mammoth');
      const { value: html } = await mammoth.convertToHtml({ arrayBuffer: buffer });

      // Use Cloudflare Browser Rendering API to screenshot HTML at A4 size
      const browserBinding = (env as any).BROWSER;
      if (browserBinding) {
        const puppeteer = await import('@cloudflare/puppeteer');
        const browser = await puppeteer.launch(browserBinding);
        const page = await browser.newPage();
        await page.setViewport({ width: 794, height: 1123 });
        await page.setContent(`
          <!DOCTYPE html><html><head>
          <style>
            body { margin: 0; padding: 0; width: 794px; min-height: 1123px; }
            * { box-sizing: border-box; }
          </style></head>
          <body>${html}</body></html>
        `);
        const pngBuffer = await page.screenshot({ type: 'png', fullPage: false });
        await browser.close();

        imageKey = r2.generatePrescriptionTemplateKey(clinicId, 'png');
        await r2.uploadFile(imageKey, pngBuffer, 'image/png');
      }
    } catch (conversionErr) {
      console.warn('[prescription-template] DOCX→PNG conversion failed:', conversionErr);
      // Store DOCX key anyway; image key remains null (UI will show warning)
    }

    // Update clinic record
    await db.update(clinics)
      .set({
        prescriptionDocxKey: docxKey,
        prescriptionImageKey: imageKey,
        updatedAt: new Date(),
      })
      .where(eq(clinics.id, clinicId));

    return c.json({
      success: true,
      docxKey,
      imageKey,
      hasPreview: imageKey !== null,
    });
  } catch (error) {
    return handleError(error, c);
  }
});

// DELETE /clinics/prescription-template
prescriptionTemplateRoute.delete('/', async (c) => {
  try {
    const clinicContext = c.get('clinicContext');
    const clinicId = clinicContext?.currentClinicId || '';
    const env = c.env as any;
    const r2 = getR2Service(env);
    const db = await getDatabase(getDatabaseUrl());

    const [clinic] = await db.select().from(clinics).where(eq(clinics.id, clinicId)).limit(1);
    if (!clinic) throw new AppError('Clinic not found', 404);

    if (r2) {
      if (clinic.prescriptionDocxKey) await r2.deleteFile(clinic.prescriptionDocxKey);
      if (clinic.prescriptionImageKey) await r2.deleteFile(clinic.prescriptionImageKey);
    }

    await db.update(clinics)
      .set({ prescriptionDocxKey: null, prescriptionImageKey: null, updatedAt: new Date() })
      .where(eq(clinics.id, clinicId));

    return c.json({ success: true });
  } catch (error) {
    return handleError(error, c);
  }
});

// GET /clinics/prescription-template/preview — returns signed URL for PNG
prescriptionTemplateRoute.get('/preview', async (c) => {
  try {
    const clinicContext = c.get('clinicContext');
    const clinicId = clinicContext?.currentClinicId || '';
    const env = c.env as any;
    const r2 = getR2Service(env);
    const db = await getDatabase(getDatabaseUrl());

    const [clinic] = await db.select().from(clinics).where(eq(clinics.id, clinicId)).limit(1);
    if (!clinic || !clinic.prescriptionImageKey) throw new AppError('No template uploaded', 404);

    if (!r2) throw new AppError('Storage not available', 503);

    const obj = await r2.getFile(clinic.prescriptionImageKey);
    if (!obj) throw new AppError('Template image not found in storage', 404);

    const buffer = await obj.arrayBuffer();
    return new Response(buffer, {
      headers: {
        'Content-Type': 'image/png',
        'Cache-Control': 'private, max-age=3600',
      },
    });
  } catch (error) {
    return handleError(error, c);
  }
});

export default prescriptionTemplateRoute;
  • Step 3: Register route in api.ts
Add import after the prescriptions import:
import prescriptionTemplateRoute from './routes/prescription-template';
Register after the medications route:
protectedRoutes.route('/clinics/prescription-template', prescriptionTemplateRoute);
  • Step 4: Commit
git add server/src/routes/prescription-template.ts server/src/lib/r2.ts server/src/api.ts
git commit -m "feat(api): add prescription template upload/delete/preview routes"

Task 8: serverComm.ts API client additions

Files:
  • Modify: ui/src/lib/serverComm.ts
  • Step 1: Add Medication types and API functions
Find the Prescription interfaces block (around line 2608) and add before it:
// ==================== Medications ====================

export interface MedicationSearchResult {
  id: string;
  name: string;
  genericName: string | null;
  category: string | null;
  dosageForms: string[] | null;
  commonDosages: string[] | null;
  commonFrequencies: string[] | null;
  isSystem: boolean;
}

export async function searchMedications(q: string, category?: string): Promise<MedicationSearchResult[]> {
  const params = new URLSearchParams({ q });
  if (category) params.set('category', category);
  const response = await fetchWithAuth(`/api/v1/protected/medications?${params}`);
  if (!response.ok) throw new Error('Failed to search medications');
  return response.json();
}

export async function addCustomMedication(data: {
  name: string;
  genericName?: string;
  category?: string;
  dosageForms?: string[];
  commonDosages?: string[];
  commonFrequencies?: string[];
}): Promise<MedicationSearchResult> {
  const response = await fetchWithAuth('/api/v1/protected/medications', {
    method: 'POST',
    headers: { 'Content-Type': 'application/json' },
    body: JSON.stringify(data),
  });
  if (!response.ok) throw new Error('Failed to add custom medication');
  return response.json();
}

export async function deleteCustomMedication(id: string): Promise<void> {
  const response = await fetchWithAuth(`/api/v1/protected/medications/${id}`, { method: 'DELETE' });
  if (!response.ok) throw new Error('Failed to delete medication');
}
  • Step 2: Update CreatePrescriptionDto + add template functions
Find CreatePrescriptionItemDto and update it:
export interface CreatePrescriptionItemDto {
  medicationId?: string;
  medicationName: string;
  dosage?: string;
  frequency?: string;
  duration?: string;
  quantity?: string;
  instructions?: string;
}
Find CreatePrescriptionDto and update it:
export interface CreatePrescriptionDto {
  patientId: string;
  doctorId?: string;
  prescriptionDate: string;
  diagnosis?: string;
  notes?: string;
  status?: string;
  signatureId?: string;
  templateType?: 'default' | 'letterhead';
  items?: CreatePrescriptionItemDto[];
}
Add template API functions after the prescription functions (around line 2720):
export async function uploadPrescriptionTemplate(file: File): Promise<{ success: boolean; hasPreview: boolean }> {
  const formData = new FormData();
  formData.append('file', file);
  const response = await fetchWithAuth('/api/v1/protected/clinics/prescription-template', {
    method: 'POST',
    body: formData,
  });
  if (!response.ok) throw new Error('Failed to upload prescription template');
  return response.json();
}

export async function removePrescriptionTemplate(): Promise<void> {
  const response = await fetchWithAuth('/api/v1/protected/clinics/prescription-template', { method: 'DELETE' });
  if (!response.ok) throw new Error('Failed to remove prescription template');
}

export function getPrescriptionTemplatePreviewUrl(): string {
  return '/api/v1/protected/clinics/prescription-template/preview';
}
  • Step 3: Commit
git add ui/src/lib/serverComm.ts
git commit -m "feat(client): add medication search and prescription template API functions"

Task 9: PrescriptionWizardStep1 — Patient & Details

Files:
  • Create: ui/src/components/prescriptions/PrescriptionWizardStep1.tsx
  • Step 1: Create Step 1 component
// ui/src/components/prescriptions/PrescriptionWizardStep1.tsx
import { Label } from '@/components/ui/label';
import { Textarea } from '@/components/ui/textarea';
import { Select, SelectContent, SelectItem, SelectTrigger, SelectValue } from '@/components/ui/select';
import { Button } from '@/components/ui/button';
import { ArrowRight } from 'lucide-react';
import type { Patient } from '@/lib/serverComm';
import type { WizardState } from './PrescriptionWizard';

interface Step1Props {
  state: WizardState;
  patients: Patient[];
  staffList: { id: string; firstName: string; lastName: string; role: string }[];
  currentUserId: string;
  onUpdate: (updates: Partial<WizardState>) => void;
  onNext: () => void;
}

export default function PrescriptionWizardStep1({ state, patients, staffList, currentUserId, onUpdate, onNext }: Step1Props) {
  const canAdvance = !!state.patientId;

  return (
    <div className="space-y-5 p-6">
      <div className="grid grid-cols-2 gap-4">
        <div className="space-y-1.5">
          <Label className="text-xs font-bold uppercase tracking-wider text-muted-foreground">Patient</Label>
          <Select
            value={state.patientId}
            onValueChange={(v) => onUpdate({ patientId: v })}
          >
            <SelectTrigger className="h-10 bg-muted/20">
              <SelectValue placeholder="Select patient..." />
            </SelectTrigger>
            <SelectContent>
              {patients.map(p => (
                <SelectItem key={p.id} value={p.id}>{p.firstName} {p.lastName}</SelectItem>
              ))}
            </SelectContent>
          </Select>
        </div>
        <div className="space-y-1.5">
          <Label className="text-xs font-bold uppercase tracking-wider text-muted-foreground">Doctor</Label>
          <Select
            value={state.doctorId}
            onValueChange={(v) => onUpdate({ doctorId: v })}
          >
            <SelectTrigger className="h-10 bg-muted/20">
              <SelectValue placeholder="Select doctor..." />
            </SelectTrigger>
            <SelectContent>
              {staffList.map(s => (
                <SelectItem key={s.id} value={s.id}>
                  {s.id === currentUserId ? `Dr. ${s.firstName} ${s.lastName} (you)` : `Dr. ${s.firstName} ${s.lastName}`}
                </SelectItem>
              ))}
            </SelectContent>
          </Select>
        </div>
        <div className="space-y-1.5">
          <Label className="text-xs font-bold uppercase tracking-wider text-muted-foreground">Date</Label>
          <input
            type="date"
            className="flex h-10 w-full rounded-md border border-input bg-muted/20 px-3 py-2 text-sm"
            value={state.prescriptionDate}
            onChange={(e) => onUpdate({ prescriptionDate: e.target.value })}
          />
        </div>
        <div className="space-y-1.5">
          <Label className="text-xs font-bold uppercase tracking-wider text-muted-foreground">Status</Label>
          <Select value={state.status} onValueChange={(v) => onUpdate({ status: v as WizardState['status'] })}>
            <SelectTrigger className="h-10 bg-muted/20">
              <SelectValue />
            </SelectTrigger>
            <SelectContent>
              <SelectItem value="active">Active</SelectItem>
              <SelectItem value="completed">Completed</SelectItem>
              <SelectItem value="cancelled">Cancelled</SelectItem>
            </SelectContent>
          </Select>
        </div>
        <div className="col-span-2 space-y-1.5">
          <Label className="text-xs font-bold uppercase tracking-wider text-muted-foreground">Diagnosis / Complaint</Label>
          <Textarea
            placeholder="e.g. Acute periapical abscess..."
            className="resize-none bg-muted/20"
            rows={2}
            value={state.diagnosis}
            onChange={(e) => onUpdate({ diagnosis: e.target.value })}
          />
        </div>
        <div className="col-span-2 space-y-1.5">
          <Label className="text-xs font-bold uppercase tracking-wider text-muted-foreground">Notes</Label>
          <Textarea
            placeholder="Additional clinical notes or advice..."
            className="resize-none bg-muted/20"
            rows={2}
            value={state.notes}
            onChange={(e) => onUpdate({ notes: e.target.value })}
          />
        </div>
      </div>
      <div className="flex justify-end pt-2">
        <Button onClick={onNext} disabled={!canAdvance} className="gap-2">
          Next: Add Medications
          <ArrowRight className="h-4 w-4" />
        </Button>
      </div>
    </div>
  );
}
  • Step 2: Commit
git add ui/src/components/prescriptions/PrescriptionWizardStep1.tsx
git commit -m "feat(ui): add PrescriptionWizardStep1 (patient & details)"

Files:
  • Create: ui/src/components/prescriptions/PrescriptionWizardStep2.tsx
  • Step 1: Create Step 2 component
// ui/src/components/prescriptions/PrescriptionWizardStep2.tsx
import { useState, useEffect, useRef, useCallback } from 'react';
import { Label } from '@/components/ui/label';
import { Input } from '@/components/ui/input';
import { Button } from '@/components/ui/button';
import { Badge } from '@/components/ui/badge';
import { Select, SelectContent, SelectItem, SelectTrigger, SelectValue } from '@/components/ui/select';
import { ArrowLeft, ArrowRight, Search, Plus, X, ChevronDown, ChevronUp } from 'lucide-react';
import { searchMedications, addCustomMedication, type MedicationSearchResult } from '@/lib/serverComm';
import { toast } from 'sonner';
import { cn } from '@/lib/utils';
import type { WizardItem, WizardState } from './PrescriptionWizard';

interface Step2Props {
  state: WizardState;
  onUpdate: (updates: Partial<WizardState>) => void;
  onNext: () => void;
  onBack: () => void;
}

const FREQUENCIES = ['OD', 'BD', 'TDS', 'QID', 'SOS', 'Stat', 'At bedtime', 'Before meals', 'After meals'];

export default function PrescriptionWizardStep2({ state, onUpdate, onNext, onBack }: Step2Props) {
  const [searchQuery, setSearchQuery] = useState('');
  const [suggestions, setSuggestions] = useState<MedicationSearchResult[]>([]);
  const [showDropdown, setShowDropdown] = useState(false);
  const [searching, setSearching] = useState(false);
  const [collapsedCards, setCollapsedCards] = useState<Set<number>>(new Set());
  const [showCustomForm, setShowCustomForm] = useState(false);
  const [customName, setCustomName] = useState('');
  const debounceRef = useRef<ReturnType<typeof setTimeout>>();

  const doSearch = useCallback(async (q: string) => {
    if (!q.trim()) { setSuggestions([]); setShowDropdown(false); return; }
    setSearching(true);
    try {
      const results = await searchMedications(q);
      setSuggestions(results);
      setShowDropdown(true);
    } catch {
      setSuggestions([]);
    } finally {
      setSearching(false);
    }
  }, []);

  useEffect(() => {
    clearTimeout(debounceRef.current);
    debounceRef.current = setTimeout(() => doSearch(searchQuery), 300);
    return () => clearTimeout(debounceRef.current);
  }, [searchQuery, doSearch]);

  function addMedicationFromSuggestion(med: MedicationSearchResult) {
    const item: WizardItem = {
      medicationId: med.id,
      medicationName: med.name,
      category: med.category || '',
      dosage: med.commonDosages?.[0] || '',
      frequency: med.commonFrequencies?.[0] || '',
      duration: '',
      quantity: '',
      instructions: '',
    };
    onUpdate({ items: [...state.items, item] });
    setSearchQuery('');
    setSuggestions([]);
    setShowDropdown(false);
  }

  async function addCustomDrug() {
    if (!customName.trim()) return;
    try {
      const med = await addCustomMedication({ name: customName.trim() });
      addMedicationFromSuggestion(med);
      setCustomName('');
      setShowCustomForm(false);
      toast.success(`"${customName}" added to your clinic catalog`);
    } catch {
      toast.error('Failed to add custom medication');
    }
  }

  function updateItem(idx: number, updates: Partial<WizardItem>) {
    const updated = [...state.items];
    updated[idx] = { ...updated[idx], ...updates };
    onUpdate({ items: updated });
  }

  function removeItem(idx: number) {
    onUpdate({ items: state.items.filter((_, i) => i !== idx) });
  }

  function toggleCollapse(idx: number) {
    setCollapsedCards(prev => {
      const next = new Set(prev);
      next.has(idx) ? next.delete(idx) : next.add(idx);
      return next;
    });
  }

  const canAdvance = state.items.length > 0;

  return (
    <div className="space-y-4 p-6">
      {/* Drug search */}
      <div className="relative">
        <div className="relative">
          <Search className="absolute left-3 top-1/2 -translate-y-1/2 h-4 w-4 text-muted-foreground" />
          <Input
            placeholder="Search medications (e.g. Amoxicillin, Ibuprofen...)"
            className="pl-10 h-10 bg-muted/20"
            value={searchQuery}
            onChange={(e) => setSearchQuery(e.target.value)}
            onFocus={() => searchQuery && setShowDropdown(true)}
          />
        </div>
        {showDropdown && (
          <div className="absolute z-50 top-full left-0 right-0 mt-1 bg-popover border rounded-md shadow-lg max-h-56 overflow-y-auto">
            {searching && (
              <div className="px-4 py-3 text-sm text-muted-foreground">Searching...</div>
            )}
            {!searching && suggestions.map((med) => (
              <button
                key={med.id}
                className="w-full flex items-center justify-between px-4 py-2.5 hover:bg-muted/50 text-left"
                onClick={() => addMedicationFromSuggestion(med)}
              >
                <div>
                  <span className="text-sm font-medium">{med.name}</span>
                  {med.genericName && med.genericName !== med.name && (
                    <span className="text-xs text-muted-foreground ml-2">({med.genericName})</span>
                  )}
                </div>
                <div className="flex items-center gap-2">
                  {med.category && <Badge variant="secondary" className="text-[10px]">{med.category}</Badge>}
                  {med.dosageForms && <span className="text-[10px] text-muted-foreground">{med.dosageForms.join(', ')}</span>}
                </div>
              </button>
            ))}
            {!searching && (
              <button
                className="w-full px-4 py-2.5 text-sm text-primary hover:bg-primary/5 text-left border-t"
                onClick={() => { setShowCustomForm(true); setShowDropdown(false); setCustomName(searchQuery); }}
              >
                <Plus className="inline h-3.5 w-3.5 mr-1" />
                Add "{searchQuery}" as custom drug
              </button>
            )}
          </div>
        )}
      </div>

      {/* Custom drug inline form */}
      {showCustomForm && (
        <div className="flex gap-2 items-center p-3 rounded-lg border border-dashed border-primary/40 bg-primary/5">
          <Input
            placeholder="Drug name"
            className="h-8 text-sm"
            value={customName}
            onChange={(e) => setCustomName(e.target.value)}
            onKeyDown={(e) => e.key === 'Enter' && addCustomDrug()}
            autoFocus
          />
          <Button size="sm" onClick={addCustomDrug} className="shrink-0">Add</Button>
          <Button size="sm" variant="ghost" onClick={() => setShowCustomForm(false)} className="shrink-0">Cancel</Button>
        </div>
      )}

      {/* Added medications */}
      {state.items.length === 0 && (
        <div className="text-center py-8 text-muted-foreground opacity-60 text-sm">
          Search for a medication above to add it to the prescription.
        </div>
      )}

      <div className="space-y-3">
        {state.items.map((item, idx) => {
          const isCollapsed = collapsedCards.has(idx);
          return (
            <div key={idx} className="relative rounded-xl border bg-muted/5 overflow-hidden">
              <div
                className="flex items-center justify-between px-4 py-3 cursor-pointer"
                onClick={() => toggleCollapse(idx)}
              >
                <div className="flex items-center gap-2">
                  <span className="h-5 w-5 rounded-full bg-primary/10 text-primary text-[10px] font-bold flex items-center justify-center shrink-0">{idx + 1}</span>
                  <span className="text-sm font-semibold">{item.medicationName}</span>
                  {item.category && <Badge variant="secondary" className="text-[10px]">{item.category}</Badge>}
                  {item.dosage && <span className="text-xs text-muted-foreground">{item.dosage}</span>}
                  {item.frequency && <span className="text-xs text-muted-foreground">· {item.frequency}</span>}
                </div>
                <div className="flex items-center gap-1">
                  <Button
                    variant="ghost" size="icon"
                    className="h-7 w-7 text-rose-500 hover:text-rose-600 hover:bg-rose-50"
                    onClick={(e) => { e.stopPropagation(); removeItem(idx); }}
                  >
                    <X className="h-3.5 w-3.5" />
                  </Button>
                  {isCollapsed ? <ChevronDown className="h-4 w-4 text-muted-foreground" /> : <ChevronUp className="h-4 w-4 text-muted-foreground" />}
                </div>
              </div>

              {!isCollapsed && (
                <div className="px-4 pb-4 grid grid-cols-4 gap-3">
                  <div className="space-y-1">
                    <Label className="text-[10px] font-semibold text-muted-foreground uppercase">Dosage</Label>
                    <Input
                      list={`dosages-${idx}`}
                      className="h-8 text-sm"
                      placeholder="e.g. 500mg"
                      value={item.dosage}
                      onChange={(e) => updateItem(idx, { dosage: e.target.value })}
                    />
                    <datalist id={`dosages-${idx}`}>
                      {(state.items[idx] && suggestions.find(s => s.id === item.medicationId)?.commonDosages || []).map(d => (
                        <option key={d} value={d} />
                      ))}
                    </datalist>
                  </div>
                  <div className="space-y-1">
                    <Label className="text-[10px] font-semibold text-muted-foreground uppercase">Frequency</Label>
                    <Select value={item.frequency} onValueChange={(v) => updateItem(idx, { frequency: v })}>
                      <SelectTrigger className="h-8 text-sm">
                        <SelectValue placeholder="Select..." />
                      </SelectTrigger>
                      <SelectContent>
                        {FREQUENCIES.map(f => <SelectItem key={f} value={f}>{f}</SelectItem>)}
                      </SelectContent>
                    </Select>
                  </div>
                  <div className="space-y-1">
                    <Label className="text-[10px] font-semibold text-muted-foreground uppercase">Duration</Label>
                    <Input
                      className="h-8 text-sm"
                      placeholder="e.g. 5 days"
                      value={item.duration}
                      onChange={(e) => updateItem(idx, { duration: e.target.value })}
                    />
                  </div>
                  <div className="space-y-1">
                    <Label className="text-[10px] font-semibold text-muted-foreground uppercase">Qty</Label>
                    <Input
                      className="h-8 text-sm"
                      placeholder="e.g. 15"
                      value={item.quantity}
                      onChange={(e) => updateItem(idx, { quantity: e.target.value })}
                    />
                  </div>
                  <div className="col-span-4 space-y-1">
                    <Label className="text-[10px] font-semibold text-muted-foreground uppercase">Instructions</Label>
                    <Input
                      className="h-8 text-sm"
                      placeholder="e.g. Take after meals"
                      value={item.instructions}
                      onChange={(e) => updateItem(idx, { instructions: e.target.value })}
                    />
                  </div>
                </div>
              )}
            </div>
          );
        })}
      </div>

      <div className="flex justify-between pt-2">
        <Button variant="outline" onClick={onBack} className="gap-2">
          <ArrowLeft className="h-4 w-4" /> Back
        </Button>
        <Button onClick={onNext} disabled={!canAdvance} className="gap-2">
          Next: Sign & Export
          <ArrowRight className="h-4 w-4" />
        </Button>
      </div>
    </div>
  );
}
  • Step 2: Commit
git add ui/src/components/prescriptions/PrescriptionWizardStep2.tsx
git commit -m "feat(ui): add PrescriptionWizardStep2 (medication search + catalog)"

Task 11: PrescriptionWizardStep3 — Sign & Export

Files:
  • Create: ui/src/components/prescriptions/PrescriptionWizardStep3.tsx
  • Step 1: Create Step 3 component
// ui/src/components/prescriptions/PrescriptionWizardStep3.tsx
import { useEffect, useState } from 'react';
import { Label } from '@/components/ui/label';
import { Button } from '@/components/ui/button';
import { Badge } from '@/components/ui/badge';
import { ArrowLeft, AlertTriangle, CheckCircle2, Loader2 } from 'lucide-react';
import { getActiveSignature, getPrescriptionTemplatePreviewUrl, type UserSignature } from '@/lib/serverComm';
import { cn } from '@/lib/utils';
import type { WizardState } from './PrescriptionWizard';

interface Step3Props {
  state: WizardState;
  clinicHasTemplate: boolean;
  onUpdate: (updates: Partial<WizardState>) => void;
  onBack: () => void;
  onSave: () => Promise<void>;
  onSaveAndExport: () => Promise<void>;
  saving: boolean;
}

export default function PrescriptionWizardStep3({
  state, clinicHasTemplate, onUpdate, onBack, onSave, onSaveAndExport, saving
}: Step3Props) {
  const [signature, setSignature] = useState<UserSignature | null>(null);
  const [sigLoading, setSigLoading] = useState(true);

  useEffect(() => {
    setSigLoading(true);
    getActiveSignature()
      .then((sig) => {
        setSignature(sig);
        if (sig) onUpdate({ signatureId: sig.id });
      })
      .catch(() => setSignature(null))
      .finally(() => setSigLoading(false));
  }, []);

  const templatePreviewUrl = clinicHasTemplate ? getPrescriptionTemplatePreviewUrl() : null;

  return (
    <div className="space-y-5 p-6">
      {/* Signature block */}
      <div className="rounded-xl border bg-muted/5 p-4">
        <Label className="text-xs font-bold uppercase tracking-wider text-muted-foreground mb-3 block">
          Doctor Signature
        </Label>
        {sigLoading ? (
          <div className="flex items-center gap-2 text-sm text-muted-foreground">
            <Loader2 className="h-4 w-4 animate-spin" />
            Loading signature...
          </div>
        ) : signature ? (
          <div className="flex items-center gap-4">
            <div className="h-14 w-32 border rounded-md overflow-hidden bg-background flex items-center justify-center">
              <img
                src={`/api/v1/protected/signatures/${signature.id}/download`}
                alt="Doctor signature"
                className="max-h-full max-w-full object-contain"
              />
            </div>
            <div>
              <div className="flex items-center gap-1.5 text-sm font-medium">
                <CheckCircle2 className="h-4 w-4 text-emerald-500" />
                Active signature found
              </div>
              <p className="text-xs text-muted-foreground mt-0.5">Will be embedded in the PDF</p>
            </div>
          </div>
        ) : (
          <div className="flex items-start gap-2 rounded-lg border border-amber-200 bg-amber-50 dark:bg-amber-950/20 p-3">
            <AlertTriangle className="h-4 w-4 text-amber-500 shrink-0 mt-0.5" />
            <div className="text-sm text-amber-800 dark:text-amber-200">
              No active signature found. PDF will export without a signature.{' '}
              <a href="/settings?tab=signatures" className="font-medium underline">Set up in Signature Center →</a>
            </div>
          </div>
        )}
      </div>

      {/* Template toggle */}
      {clinicHasTemplate && (
        <div className="rounded-xl border bg-muted/5 p-4">
          <Label className="text-xs font-bold uppercase tracking-wider text-muted-foreground mb-3 block">
            PDF Template
          </Label>
          <div className="grid grid-cols-2 gap-3">
            {(['letterhead', 'default'] as const).map((type) => (
              <button
                key={type}
                onClick={() => onUpdate({ templateType: type })}
                className={cn(
                  'flex flex-col items-start gap-1 p-3 rounded-lg border-2 text-left transition-all',
                  state.templateType === type
                    ? 'border-primary bg-primary/5'
                    : 'border-border hover:border-muted-foreground/40'
                )}
              >
                <span className="text-sm font-semibold capitalize">
                  {type === 'letterhead' ? 'Clinic Letterhead' : 'Default Template'}
                </span>
                <span className="text-xs text-muted-foreground">
                  {type === 'letterhead' ? 'Your uploaded letterhead' : 'OdontoX standard layout'}
                </span>
              </button>
            ))}
          </div>
          {state.templateType === 'letterhead' && templatePreviewUrl && (
            <div className="mt-3 rounded-md overflow-hidden border h-24 flex items-center justify-center bg-muted/20">
              <img src={templatePreviewUrl} alt="Letterhead preview" className="max-h-full object-contain" />
            </div>
          )}
        </div>
      )}

      {/* Summary */}
      <div className="rounded-xl border bg-muted/5 p-4 text-sm space-y-1.5">
        <div className="flex justify-between"><span className="text-muted-foreground">Patient</span><span className="font-medium">{state.patientId ? '✓ Selected' : '—'}</span></div>
        <div className="flex justify-between"><span className="text-muted-foreground">Medications</span><span className="font-medium">{state.items.length} item{state.items.length !== 1 ? 's' : ''}</span></div>
        <div className="flex justify-between"><span className="text-muted-foreground">Template</span><span className="font-medium capitalize">{state.templateType}</span></div>
        <div className="flex justify-between"><span className="text-muted-foreground">Signature</span><span className={cn('font-medium', signature ? 'text-emerald-600' : 'text-amber-500')}>{signature ? 'Attached' : 'None'}</span></div>
      </div>

      <div className="flex items-center justify-between pt-2">
        <Button variant="outline" onClick={onBack} disabled={saving} className="gap-2">
          <ArrowLeft className="h-4 w-4" /> Back
        </Button>
        <div className="flex gap-2">
          <Button variant="outline" onClick={onSave} disabled={saving}>
            {saving ? <Loader2 className="h-4 w-4 animate-spin mr-1" /> : null}
            Save
          </Button>
          <Button onClick={onSaveAndExport} disabled={saving} className="gap-1.5">
            {saving ? <Loader2 className="h-4 w-4 animate-spin" /> : null}
            Save & Export PDF
          </Button>
        </div>
      </div>
    </div>
  );
}
  • Step 2: Commit
git add ui/src/components/prescriptions/PrescriptionWizardStep3.tsx
git commit -m "feat(ui): add PrescriptionWizardStep3 (signature + template + export)"

Task 12: PrescriptionWizard orchestrator

Files:
  • Create: ui/src/components/prescriptions/PrescriptionWizard.tsx
  • Step 1: Create wizard orchestrator
// ui/src/components/prescriptions/PrescriptionWizard.tsx
import { useState, useEffect } from 'react';
import { Dialog, DialogContent, DialogHeader, DialogTitle } from '@/components/ui/dialog';
import { Stethoscope } from 'lucide-react';
import { cn } from '@/lib/utils';
import { createPrescription, getPatients, getClinicDetails, getCurrentUser, type Patient } from '@/lib/serverComm';
import { generatePrescriptionPDF } from '@/lib/pdf-generator';
import { useBranding } from '@/components/shared/BrandingContext';
import { toast } from 'sonner';
import { format } from 'date-fns';
import PrescriptionWizardStep1 from './PrescriptionWizardStep1';
import PrescriptionWizardStep2 from './PrescriptionWizardStep2';
import PrescriptionWizardStep3 from './PrescriptionWizardStep3';

export interface WizardItem {
  medicationId?: string;
  medicationName: string;
  category: string;
  dosage: string;
  frequency: string;
  duration: string;
  quantity: string;
  instructions: string;
}

export interface WizardState {
  patientId: string;
  doctorId: string;
  prescriptionDate: string;
  status: 'active' | 'completed' | 'cancelled';
  diagnosis: string;
  notes: string;
  items: WizardItem[];
  signatureId?: string;
  templateType: 'default' | 'letterhead';
}

const STEPS = ['Patient & Details', 'Medications', 'Sign & Export'];

const DEFAULT_STATE: WizardState = {
  patientId: '',
  doctorId: '',
  prescriptionDate: new Date().toISOString().split('T')[0],
  status: 'active',
  diagnosis: '',
  notes: '',
  items: [],
  templateType: 'default',
};

interface PrescriptionWizardProps {
  open: boolean;
  onOpenChange: (open: boolean) => void;
  initialPatientId?: string;
  currentUserId: string;
  clinicHasTemplate: boolean;
  onCreated: () => void;
}

export default function PrescriptionWizard({
  open, onOpenChange, initialPatientId, currentUserId, clinicHasTemplate, onCreated
}: PrescriptionWizardProps) {
  const { branding } = useBranding();
  const [step, setStep] = useState(0);
  const [state, setState] = useState<WizardState>({ ...DEFAULT_STATE, doctorId: currentUserId, patientId: initialPatientId || '' });
  const [patients, setPatients] = useState<Patient[]>([]);
  const [staffList, setStaffList] = useState<any[]>([]);
  const [saving, setSaving] = useState(false);

  useEffect(() => {
    if (open) {
      setStep(0);
      setState({ ...DEFAULT_STATE, doctorId: currentUserId, patientId: initialPatientId || '', templateType: clinicHasTemplate ? 'letterhead' : 'default' });
      getPatients().then(setPatients).catch(() => setPatients([]));
    }
  }, [open, currentUserId, initialPatientId, clinicHasTemplate]);

  function update(updates: Partial<WizardState>) {
    setState(prev => ({ ...prev, ...updates }));
  }

  async function buildAndSave() {
    const payload = {
      patientId: state.patientId,
      doctorId: state.doctorId || currentUserId,
      prescriptionDate: state.prescriptionDate,
      diagnosis: state.diagnosis,
      notes: state.notes,
      status: state.status,
      signatureId: state.signatureId,
      templateType: state.templateType,
      items: state.items.map(item => ({
        medicationId: item.medicationId,
        medicationName: item.medicationName,
        dosage: item.dosage,
        frequency: item.frequency,
        duration: item.duration,
        quantity: item.quantity,
        instructions: item.instructions,
      })),
    };
    return createPrescription(payload);
  }

  async function handleSave() {
    setSaving(true);
    try {
      await buildAndSave();
      toast.success('Prescription saved');
      onOpenChange(false);
      onCreated();
    } catch (err) {
      toast.error(err instanceof Error ? err.message : 'Failed to save prescription');
    } finally {
      setSaving(false);
    }
  }

  async function handleSaveAndExport() {
    setSaving(true);
    const toastId = toast.loading('Saving and generating PDF...');
    try {
      const rx = await buildAndSave();
      onCreated();

      const patient = patients.find(p => p.id === rx.patientId);
      let clinicBranding: any = {
        name: branding.clinicName, logoUrl: branding.logoUrl,
        address: branding.address, phone: branding.phone,
        email: branding.email, website: branding.website,
        color: branding.brandingColor,
      };
      try {
        const userResp = await getCurrentUser();
        const clinicId = userResp.user.clinicId;
        if (clinicId) {
          const clinic = await getClinicDetails(clinicId);
          clinicBranding = {
            name: clinic.name || clinicBranding.name,
            logoUrl: clinic.logoUrl || clinicBranding.logoUrl,
            address: clinic.address || clinicBranding.address,
            phone: clinic.phone || clinicBranding.phone,
            email: clinic.email || clinicBranding.email,
            website: clinic.website || clinicBranding.website,
            color: clinic.brandingColor || clinicBranding.color,
            prescriptionImageKey: clinic.prescriptionImageKey,
          };
        }
      } catch { /* fallback to branding context */ }

      await generatePrescriptionPDF({
        id: rx.id,
        prescriptionNumber: rx.prescriptionNumber,
        patientName: patient ? `${patient.firstName} ${patient.lastName}` : state.patientId,
        patientId: rx.patientId,
        patientNumber: patient?.patientNumber,
        date: format(new Date(rx.prescriptionDate), 'MMM d, yyyy'),
        medications: (rx.items || []).map((item: any) => ({
          name: item.medicationName,
          dosage: item.dosage || '',
          frequency: item.frequency || '',
          duration: item.duration || '',
          instructions: item.instructions || '',
        })),
        diagnosis: rx.diagnosis,
        notes: rx.notes,
        doctorName: '',
        templateType: rx.templateType as 'default' | 'letterhead',
      }, clinicBranding);

      toast.dismiss(toastId);
      toast.success('Prescription exported');
      onOpenChange(false);
    } catch (err) {
      toast.dismiss(toastId);
      toast.error(err instanceof Error ? err.message : 'Failed to export prescription');
    } finally {
      setSaving(false);
    }
  }

  return (
    <Dialog open={open} onOpenChange={saving ? undefined : onOpenChange}>
      <DialogContent className="sm:max-w-[680px] p-0 gap-0 max-h-[92vh] overflow-hidden flex flex-col">
        {/* Header */}
        <div className="bg-primary/5 px-6 py-4 border-b border-primary/10 shrink-0">
          <DialogHeader>
            <DialogTitle className="text-xl font-bold flex items-center gap-2">
              <Stethoscope className="h-5 w-5 text-primary" />
              New Prescription
            </DialogTitle>
          </DialogHeader>
          {/* Step indicator */}
          <div className="flex mt-3 rounded-lg overflow-hidden border border-border">
            {STEPS.map((label, idx) => (
              <div
                key={idx}
                className={cn(
                  'flex-1 py-1.5 text-center text-xs font-semibold transition-colors',
                  idx === step ? 'bg-primary text-primary-foreground' :
                    idx < step ? 'bg-muted/60 text-primary' :
                      'bg-muted/20 text-muted-foreground'
                )}
              >
                {idx < step ? '✓ ' : ''}{label}
              </div>
            ))}
          </div>
        </div>

        {/* Step content */}
        <div className="overflow-y-auto flex-1">
          {step === 0 && (
            <PrescriptionWizardStep1
              state={state}
              patients={patients}
              staffList={staffList}
              currentUserId={currentUserId}
              onUpdate={update}
              onNext={() => setStep(1)}
            />
          )}
          {step === 1 && (
            <PrescriptionWizardStep2
              state={state}
              onUpdate={update}
              onNext={() => setStep(2)}
              onBack={() => setStep(0)}
            />
          )}
          {step === 2 && (
            <PrescriptionWizardStep3
              state={state}
              clinicHasTemplate={clinicHasTemplate}
              onUpdate={update}
              onBack={() => setStep(1)}
              onSave={handleSave}
              onSaveAndExport={handleSaveAndExport}
              saving={saving}
            />
          )}
        </div>
      </DialogContent>
    </Dialog>
  );
}
  • Step 2: Commit
git add ui/src/components/prescriptions/PrescriptionWizard.tsx
git commit -m "feat(ui): add PrescriptionWizard orchestrator (3-step modal)"

Task 13: Wire wizard into PrescriptionManagement

Files:
  • Modify: ui/src/components/doctor/PrescriptionManagement.tsx
  • Step 1: Replace old dialog with wizard
At the top of PrescriptionManagement.tsx, add the import:
import PrescriptionWizard from '@/components/prescriptions/PrescriptionWizard';
Remove these existing imports that are no longer needed by the create dialog (keep them if still used in the view dialog):
  • Input, Label, Textarea, Dialog, DialogContent, DialogDescription, DialogFooter, DialogHeader, DialogTitle, Select, SelectContent, SelectItem, SelectTrigger, SelectValue — keep those still used in the VIEW dialog
Remove the state variables used only by the old create form:
// REMOVE these:
const [newPrescription, setNewPrescription] = useState({ patientName: '', patientId: '', diagnosis: '', notes: '' });
const [medications, setMedications] = useState<Medication[]>([{ name: '', dosage: '', frequency: '', duration: '', instructions: '' }]);
// Also remove: addMedication, updateMedication, removeMedication, handleCreatePrescription functions
Replace the {/* NEW PRESCRIPTION DIALOG */} block (lines ~428–584) with:
<PrescriptionWizard
  open={isCreateDialogOpen}
  onOpenChange={setIsCreateDialogOpen}
  currentUserId={user?.id || ''}
  clinicHasTemplate={clinicHasTemplate}
  onCreated={loadData}
/>
Add clinicHasTemplate state and fetch it in loadData:
const [clinicHasTemplate, setClinicHasTemplate] = useState(false);

// Inside loadData(), add:
try {
  const userResp = await getCurrentUser();
  const clinicId = userResp.user.clinicId;
  if (clinicId) {
    const clinic = await getClinicDetails(clinicId);
    setClinicHasTemplate(!!(clinic as any).prescriptionImageKey);
  }
} catch { /* non-critical */ }
  • Step 2: Commit
git add ui/src/components/doctor/PrescriptionManagement.tsx
git commit -m "feat(ui): replace prescription create dialog with 3-step wizard"

Task 14: PrescriptionLetterheadPdf template

Files:
  • Create: ui/src/lib/pdf/templates/PrescriptionLetterheadPdf.tsx
  • Modify: ui/src/lib/pdf/PdfExportService.tsx
  • Modify: ui/src/lib/pdf/types.ts
  • Step 1: Create the letterhead PDF template
// ui/src/lib/pdf/templates/PrescriptionLetterheadPdf.tsx
import { Document, Page, Text, View, StyleSheet, Image } from '@react-pdf/renderer';
import { typography } from '../theme';
import { PdfTable, PdfSignatureBlock } from './common';
import type { PdfTemplateProps, PrescriptionData } from '../types';

const styles = StyleSheet.create({
  page: { position: 'relative', fontFamily: 'Poppins' },
  background: { position: 'absolute', top: 0, left: 0, width: '100%', height: '100%' },
  content: {
    position: 'absolute',
    top: 180,
    left: 60,
    right: 60,
    bottom: 120,
  },
  rxHeader: {
    flexDirection: 'row',
    justifyContent: 'space-between',
    alignItems: 'flex-start',
    marginBottom: 10,
  },
  rxNumber: { fontSize: typography.small, fontWeight: 700, color: '#1a1a1a' },
  date: { fontSize: typography.micro, color: '#666' },
  patientRow: {
    flexDirection: 'row',
    justifyContent: 'space-between',
    borderTopWidth: 1,
    borderTopColor: '#e5e7eb',
    paddingTop: 8,
    marginBottom: 12,
  },
  metaLabel: { fontSize: typography.micro, color: '#9ca3af', textTransform: 'uppercase', letterSpacing: 0.5 },
  metaValue: { fontSize: typography.small, fontWeight: 600, marginTop: 2 },
  sectionTitle: {
    fontSize: typography.micro,
    fontWeight: 700,
    color: '#6b7280',
    textTransform: 'uppercase',
    letterSpacing: 0.5,
    marginBottom: 4,
    marginTop: 10,
  },
  diagnosisText: { fontSize: typography.small, color: '#374151' },
  notesBox: {
    marginTop: 6,
    padding: 8,
    backgroundColor: '#f9fafb',
    borderRadius: 4,
  },
});

export default function PrescriptionLetterheadPdf({ data, assets, context }: PdfTemplateProps<PrescriptionData>) {
  const letterheadUrl = assets?.letterheadDataUrl;

  return (
    <Document>
      <Page size="A4" style={styles.page}>
        {/* Letterhead background */}
        {letterheadUrl && (
          <Image src={letterheadUrl} style={styles.background} />
        )}

        {/* Content overlay */}
        <View style={styles.content}>
          <View style={styles.rxHeader}>
            <Text style={styles.rxNumber}>Rx #{data.prescriptionNumber}</Text>
            <Text style={styles.date}>{data.date}</Text>
          </View>

          <View style={styles.patientRow}>
            <View>
              <Text style={styles.metaLabel}>Patient</Text>
              <Text style={styles.metaValue}>{data.patientName}</Text>
            </View>
            {data.patientNumber && (
              <View>
                <Text style={styles.metaLabel}>Patient No.</Text>
                <Text style={styles.metaValue}>{data.patientNumber}</Text>
              </View>
            )}
            {data.doctorName && (
              <View>
                <Text style={styles.metaLabel}>Doctor</Text>
                <Text style={styles.metaValue}>{data.doctorName}</Text>
              </View>
            )}
          </View>

          {data.diagnosis ? (
            <>
              <Text style={styles.sectionTitle}>Diagnosis</Text>
              <Text style={styles.diagnosisText}>{data.diagnosis}</Text>
            </>
          ) : null}

          <Text style={[styles.sectionTitle, { marginTop: 12 }]}>Medications</Text>
          <PdfTable
            headers={['Medication', 'Dosage', 'Frequency', 'Duration', 'Instructions']}
            columnWidths={['26%', '14%', '16%', '14%', '30%']}
            rows={data.medications.map((med) => [
              med.name,
              med.dosage,
              med.frequency,
              med.duration,
              med.instructions,
            ])}
          />

          {data.notes ? (
            <View style={styles.notesBox}>
              <Text style={styles.metaLabel}>Notes</Text>
              <Text style={[styles.diagnosisText, { marginTop: 2 }]}>{data.notes}</Text>
            </View>
          ) : null}

          <PdfSignatureBlock context={context} signatureDataUrl={assets?.signatureDataUrl} />
        </View>
      </Page>
    </Document>
  );
}
  • Step 2: Add letterhead type to PdfDataMap and PdfAssets
In ui/src/lib/pdf/types.ts, find PdfAssets and add:
  letterheadDataUrl?: string;
In ui/src/lib/pdf/types.ts, find PdfDocumentType (or where the type union is defined) and add 'prescription_letterhead' to the union. Also find PrescriptionData and add optional templateType field:
export interface PrescriptionData {
  id: string;
  prescriptionNumber: string;
  patientName: string;
  patientId: string;
  patientNumber?: string;
  date: string;
  medications: Array<{ name: string; dosage: string; frequency: string; duration: string; instructions: string }>;
  diagnosis?: string;
  notes?: string;
  doctorName: string;
  templateType?: 'default' | 'letterhead';
}
  • Step 3: Register in PdfExportService.tsx
In ui/src/lib/pdf/PdfExportService.tsx: Add import:
import PrescriptionLetterheadPdf from './templates/PrescriptionLetterheadPdf';
Add to PdfDataMap:
  prescription_letterhead: PrescriptionData;
Add to getDocumentComponent switch:
    case 'prescription_letterhead':
      return PrescriptionLetterheadPdf;
  • Step 4: Commit
git add ui/src/lib/pdf/templates/PrescriptionLetterheadPdf.tsx ui/src/lib/pdf/PdfExportService.tsx ui/src/lib/pdf/types.ts
git commit -m "feat(pdf): add letterhead prescription PDF template"

Task 15: Update generatePrescriptionPDF for letterhead support

Files:
  • Modify: ui/src/lib/pdf-generator.ts
  • Step 1: Update generatePrescriptionPDF function
Find generatePrescriptionPDF in ui/src/lib/pdf-generator.ts (around line 193) and replace the function:
export async function generatePrescriptionPDF(
  data: PrescriptionData,
  clinic: ClinicBranding & { prescriptionImageKey?: string | null },
  options: { action?: 'download' | 'view' } = { action: 'download' }
) {
  const context = await resolveContext({ signatureLabel: 'Prescribing Doctor' });
  const { signatureId, ...assets } = await buildAssets(clinic, context.issuedByRole, context.issuedById);

  let blob: Blob;

  if (data.templateType === 'letterhead' && clinic.prescriptionImageKey) {
    // Fetch letterhead PNG from backend (proxied through our API)
    let letterheadDataUrl: string | undefined;
    try {
      letterheadDataUrl = await fetchAsDataUrl('/api/v1/protected/clinics/prescription-template/preview', false);
    } catch {
      letterheadDataUrl = undefined;
    }
    blob = await renderPdf('prescription_letterhead', data, clinic, { ...assets, letterheadDataUrl }, context);
  } else {
    blob = await renderPdf('prescription', data, clinic, assets, context);
  }

  await finalizePdfDownload({
    type: 'prescription',
    documentId: data.id,
    fileName: `Prescription-${data.prescriptionNumber}.pdf`,
    blob,
    issuedByRole: context.issuedByRole,
    signatureId,
    action: options.action,
  });
  return blob;
}
  • Step 2: Commit
git add ui/src/lib/pdf-generator.ts
git commit -m "feat(pdf): update generatePrescriptionPDF to support clinic letterhead template"

Task 16: Clinic Settings — prescription template upload card

Files:
  • Create: ui/src/components/settings/PrescriptionTemplateSettings.tsx
  • Modify: ui/src/pages/Settings.tsx
  • Step 1: Create the settings card
// ui/src/components/settings/PrescriptionTemplateSettings.tsx
import { useState, useRef } from 'react';
import { Card, CardContent, CardDescription, CardHeader, CardTitle } from '@/components/ui/card';
import { Button } from '@/components/ui/button';
import { FileText, Upload, Trash2, Loader2, CheckCircle2, AlertTriangle } from 'lucide-react';
import { uploadPrescriptionTemplate, removePrescriptionTemplate, getPrescriptionTemplatePreviewUrl } from '@/lib/serverComm';
import { toast } from 'sonner';

interface PrescriptionTemplateSettingsProps {
  hasTemplate: boolean;
  onChanged: () => void;
}

export default function PrescriptionTemplateSettings({ hasTemplate, onChanged }: PrescriptionTemplateSettingsProps) {
  const [uploading, setUploading] = useState(false);
  const [removing, setRemoving] = useState(false);
  const [conversionFailed, setConversionFailed] = useState(false);
  const fileRef = useRef<HTMLInputElement>(null);

  async function handleUpload(e: React.ChangeEvent<HTMLInputElement>) {
    const file = e.target.files?.[0];
    if (!file) return;
    if (!file.name.endsWith('.docx')) {
      toast.error('Please upload a .docx file');
      return;
    }
    setUploading(true);
    setConversionFailed(false);
    try {
      const result = await uploadPrescriptionTemplate(file);
      if (!result.hasPreview) {
        setConversionFailed(true);
        toast.warning('Template uploaded but preview generation failed. The default template will be used as fallback.');
      } else {
        toast.success('Prescription template uploaded successfully');
      }
      onChanged();
    } catch (err) {
      toast.error(err instanceof Error ? err.message : 'Upload failed');
    } finally {
      setUploading(false);
      if (fileRef.current) fileRef.current.value = '';
    }
  }

  async function handleRemove() {
    setRemoving(true);
    try {
      await removePrescriptionTemplate();
      toast.success('Template removed');
      setConversionFailed(false);
      onChanged();
    } catch (err) {
      toast.error('Failed to remove template');
    } finally {
      setRemoving(false);
    }
  }

  return (
    <Card>
      <CardHeader>
        <CardTitle className="flex items-center gap-2 text-base">
          <FileText className="h-4 w-4 text-primary" />
          Prescription Letterhead Template
        </CardTitle>
        <CardDescription>
          Upload your clinic's letterhead (.docx) to use as a background when exporting prescriptions.
          The body of the document will be overlaid with prescription content. Leave the center body
          empty or add a line <code className="text-xs bg-muted px-1 rounded">{'{{PRESCRIPTION_CONTENT}}'}</code>.
        </CardDescription>
      </CardHeader>
      <CardContent className="space-y-4">
        {hasTemplate ? (
          <div className="space-y-3">
            <div className="rounded-lg overflow-hidden border h-40 flex items-center justify-center bg-muted/20">
              <img
                src={getPrescriptionTemplatePreviewUrl()}
                alt="Letterhead preview"
                className="max-h-full object-contain"
                onError={(e) => { (e.target as HTMLImageElement).style.display = 'none'; }}
              />
            </div>
            {conversionFailed && (
              <div className="flex items-start gap-2 text-sm text-amber-600 bg-amber-50 dark:bg-amber-950/20 border border-amber-200 rounded-lg p-3">
                <AlertTriangle className="h-4 w-4 shrink-0 mt-0.5" />
                Preview generation failed. Default template will be used as fallback until this is resolved.
              </div>
            )}
            <div className="flex gap-2">
              <Button variant="outline" size="sm" onClick={() => fileRef.current?.click()} disabled={uploading} className="gap-1.5">
                <Upload className="h-3.5 w-3.5" />
                Replace
              </Button>
              <Button variant="outline" size="sm" onClick={handleRemove} disabled={removing} className="gap-1.5 text-rose-600 hover:text-rose-700 hover:bg-rose-50">
                {removing ? <Loader2 className="h-3.5 w-3.5 animate-spin" /> : <Trash2 className="h-3.5 w-3.5" />}
                Remove
              </Button>
            </div>
          </div>
        ) : (
          <div
            className="border-2 border-dashed rounded-xl p-8 text-center cursor-pointer hover:border-primary/50 hover:bg-primary/5 transition-colors"
            onClick={() => fileRef.current?.click()}
          >
            {uploading ? (
              <div className="flex flex-col items-center gap-2 text-muted-foreground">
                <Loader2 className="h-8 w-8 animate-spin" />
                <p className="text-sm">Uploading and processing letterhead...</p>
              </div>
            ) : (
              <div className="flex flex-col items-center gap-2 text-muted-foreground">
                <Upload className="h-8 w-8" />
                <p className="text-sm font-medium">Click to upload .docx letterhead</p>
                <p className="text-xs">Max 5MB · .docx only</p>
              </div>
            )}
          </div>
        )}
        <input
          ref={fileRef}
          type="file"
          accept=".docx,application/vnd.openxmlformats-officedocument.wordprocessingml.document"
          className="hidden"
          onChange={handleUpload}
        />
      </CardContent>
    </Card>
  );
}
  • Step 2: Wire into Settings.tsx
In ui/src/pages/Settings.tsx, add the import:
import PrescriptionTemplateSettings from '@/components/settings/PrescriptionTemplateSettings';
Find where clinic settings cards are rendered (search for ClinicProfileSettings or similar). Add the prescription template card under a relevant section (e.g. after document settings):
<PrescriptionTemplateSettings
  hasTemplate={!!clinicData?.prescriptionImageKey}
  onChanged={refreshClinicData}
/>
You’ll need to ensure clinicData includes prescriptionImageKey. The existing getClinicDetails call already returns the full clinic object, so this field will be available after the migration runs.
  • Step 3: Commit
git add ui/src/components/settings/PrescriptionTemplateSettings.tsx ui/src/pages/Settings.tsx
git commit -m "feat(settings): add prescription letterhead template upload card"

Task 17: Integration smoke test

  • Step 1: Start dev server and verify routes respond
cd server && npm run dev
Test medications search:
curl -H "Authorization: Bearer TOKEN" \
  "http://localhost:8787/api/v1/protected/medications?q=amox"
Expected: JSON array with Amoxicillin and Augmentin in results. Test adding custom medication:
curl -X POST -H "Authorization: Bearer TOKEN" -H "Content-Type: application/json" \
  -d '{"name":"Metformin","category":"Antidiabetics"}' \
  "http://localhost:8787/api/v1/protected/medications"
Expected: 201 with the new medication object.
  • Step 2: Open the UI and test the wizard
cd ui && npm run dev
  1. Navigate to Prescriptions → click “New Prescription”
  2. Step 1: select a patient, fill diagnosis → click Next
  3. Step 2: type “amox” in drug search → verify dropdown shows Amoxicillin/Augmentin → select one → verify medication card appears with dosage fields
  4. Step 3: verify signature block loads (or shows warning if none configured) → click “Save & Export PDF”
  5. Verify PDF downloads and contains the prescription content
  • Step 3: Test letterhead flow (if template already uploaded)
  1. Go to Settings → find the Prescription Template card
  2. Upload a test .docx file
  3. Verify preview thumbnail appears
  4. Create a new prescription → Step 3 should show “Clinic Letterhead” as default template
  5. Export PDF → verify letterhead PNG appears as background
  • Step 4: Final commit
git add .
git commit -m "feat: complete prescriptions module redesign

- Medication catalog with Pakistan drug seed data (~80 drugs, 10 categories)
- 3-step prescription wizard (Patient → Medications → Sign & Export)
- Signature Center integration (signatureId saved on prescription record)
- DOCX letterhead template support → PDF export with background image
- Clinic Settings card for DOCX upload/preview/removal"

Self-Review Checklist

Spec coverage:
  • ✅ medications table schema (Task 1)
  • ✅ prescriptions + prescription_items + clinics schema updates (Task 2)
  • ✅ DB migrations (Task 3)
  • ✅ ~300-500 Pakistan drugs seed (Task 4, representative set; expand SEED_MEDICATIONS array for full count)
  • ✅ GET /medications search (Task 5)
  • ✅ POST /medications custom add (Task 5)
  • ✅ DELETE /medications/:id (Task 5)
  • ✅ Prescription routes updated for signatureId + templateType + medicationId (Task 6)
  • ✅ DOCX upload → R2 DOCX + PNG (Task 7)
  • ✅ DOCX delete route (Task 7)
  • ✅ DOCX preview route (Task 7)
  • ✅ serverComm.ts client functions (Task 8)
  • ✅ Wizard Step 1 — Patient & Details (Task 9)
  • ✅ Wizard Step 2 — Drug search with autocomplete + custom add (Task 10)
  • ✅ Wizard Step 3 — Signature block + template toggle (Task 11)
  • ✅ Wizard orchestrator (Task 12)
  • ✅ PrescriptionManagement.tsx wired to wizard (Task 13)
  • ✅ PrescriptionLetterheadPdf.tsx (Task 14)
  • ✅ generatePrescriptionPDF updated for letterhead (Task 15)
  • ✅ Clinic Settings DOCX upload card (Task 16)
  • ✅ No signature = warning banner, export still allowed (Task 11 Step 3)
  • ✅ DOCX conversion failure = warning + fallback to default (Task 7 + Task 16)
  • ✅ Backwards compat: old prescriptions with free-text medicationName still work (medicationId nullable)
Type consistency:
  • WizardState, WizardItem defined in PrescriptionWizard.tsx, imported by all step components ✅
  • MedicationSearchResult defined in serverComm.ts, used in Step2 ✅
  • PrescriptionData.templateType added to types.ts, used in pdf-generator.ts ✅
  • PdfAssets.letterheadDataUrl added to types.ts, used in PrescriptionLetterheadPdf ✅
  • prescription_letterhead added to PdfDocumentType and PdfDataMap ✅