mkdir -p /home/daytona/workspace/practice-diary && ls /home/daytona/workspace/pr…

~/practice-diary/create_diary.js

const {
  Document, Packer, Paragraph, TextRun, Table, TableRow, TableCell,
  AlignmentType, BorderStyle, WidthType, VerticalAlign, HeadingLevel,
  PageBreak, ShadingType
} = require('docx');
const fs = require('fs');

// ── helpers ──────────────────────────────────────────────────────────────────

function cell(text, opts = {}) {
  const {
    bold = false, center = false, shading = null, vMerge = null,
    colSpan = 1, width = null, fontSize = 20, italic = false
  } = opts;

  const borders = {
    top:    { style: BorderStyle.SINGLE, size: 6, color: '000000' },
    bottom: { style: BorderStyle.SINGLE, size: 6, color: '000000' },
    left:   { style: BorderStyle.SINGLE, size: 6, color: '000000' },
    right:  { style: BorderStyle.SINGLE, size: 6, color: '000000' },
  };

  const cellOpts = {
    children: [
      new Paragraph({
        alignment: center ? AlignmentType.CENTER : AlignmentType.LEFT,
        spacing: { before: 40, after: 40 },
        children: [
          new TextRun({
            text,
            bold,
            italic,
            size: fontSize,
            font: 'Times New Roman',
          }),
        ],
      }),
    ],
    borders,
    verticalAlign: VerticalAlign.CENTER,
    columnSpan: colSpan,
  };

  if (vMerge) cellOpts.rowSpan = vMerge;
  if (width)  cellOpts.width = { size: width, type: WidthType.DXA };
  if (shading) cellOpts.shading = { type: ShadingType.CLEAR, fill: shading };

  return new TableCell(cellOpts);
}

function emptyCell(opts = {}) { return cell('', opts); }

function para(text, opts = {}) {
  const {
    bold = false, center = false, size = 24, italic = false,
    spaceBefore = 0, spaceAfter = 120, underline = false
  } = opts;
  return new Paragraph({
    alignment: center ? AlignmentType.CENTER : AlignmentType.LEFT,
    spacing: { before: spaceBefore, after: spaceAfter },
    children: [
      new TextRun({
        text,
        bold,
        italic,
        size,
        font: 'Times New Roman',
        underline: underline ? {} : undefined,
      }),
    ],
  });
}

function hRule() {
  return new Paragraph({
    border: { bottom: { style: BorderStyle.SINGLE, size: 6, color: '000000', space: 1 } },
    spacing: { before: 80, after: 80 },
    children: [],
  });
}

// ── Schedule table ────────────────────────────────────────────────────────────

const scheduleRows = [
  // header
  new TableRow({
    children: [
      cell('Date', { bold: true, center: true, width: 2400, shading: 'D9D9D9' }),
      cell('Working hours', { bold: true, center: true, shading: 'D9D9D9' }),
    ],
    tableHeader: true,
  }),
  ...([
    ['29/06/2026', '08:00 – 14:00'],
    ['30/06/2026', '08:00 – 14:00'],
    ['01/07/2026', '08:00 – 14:00'],
    ['02/07/2026', '08:00 – 14:00'],
    ['03/07/2026', '08:00 – 14:00'],
    ['04/07/2026', '08:00 – 14:00'],
    ['DAY OFF',    ''],
    ['06/07/2026', '08:00 – 14:00'],
    ['07/07/2026', '08:00 – 14:00'],
    ['08/07/2026', '08:00 – 14:00'],
    ['09/07/2026', '08:00 – 14:00'],
    ['10/07/2026', '08:00 – 14:00'],
    ['11/07/2026', '08:00 – 14:00'],
    ['', ''],
    ['', ''],
  ].map(([d, h]) =>
    new TableRow({
      children: [
        cell(d, { center: true, width: 2400 }),
        cell(h, { center: true }),
      ],
    })
  )),
];

const scheduleTable = new Table({
  width: { size: 100, type: WidthType.PERCENTAGE },
  rows: scheduleRows,
});

// ── Daily log entries ─────────────────────────────────────────────────────────

// Activities used in sample image – we apply them to each working day with
// slight frequency variation to reflect progression over the practice period.

// Each entry: { date, activities: [{text, freq}] }

const workingDays = [
  '29/06/2026',
  '30/06/2026',
  '01/07/2026',
  '02/07/2026',
  '03/07/2026',
  '04/07/2026',
  '06/07/2026',
  '07/07/2026',
  '08/07/2026',
  '09/07/2026',
  '10/07/2026',
  '11/07/2026',
];

// Base activity sets per day (cycle through 3 patterns)
function getActivities(dayIndex) {
  const patterns = [
    // Pattern A – orientation/first days
    [
      { text: 'Safety instructions have been reviewed. Familiarization with the structure of the ambulance station (admission unit of the inpatient emergency department).', freq: '1' },
      { text: 'Clinical examination of a newly admitted patient and completion of the medical history, with coordination of the diagnosis, examination plan, and treatment plan with the attending physician.', freq: '2' },
      { text: 'Interpretation of additional examination data (e.g., ECG).', freq: '' },
      { text: 'Participation in providing medical assistance during emergency ambulance calls.', freq: '1' },
      { text: 'Ward rounds with the head of department for supervised patients.', freq: '' },
      { text: 'Participation in clinical case review with the head of department and/or the supervisor of practical training for critically ill patients.', freq: '6' },
    ],
    // Pattern B – mid-practice
    [
      { text: 'Safety instructions have been reviewed. Familiarization with the structure of the ambulance station (admission unit of the inpatient emergency department).', freq: '2' },
      { text: 'Clinical examination of a newly admitted patient and completion of the medical history, with coordination of the diagnosis, examination plan, and treatment plan with the attending physician.', freq: '2' },
      { text: 'Interpretation of additional examination data (e.g., ECG).', freq: '' },
      { text: 'Participation in providing medical assistance during emergency ambulance calls.', freq: '2' },
      { text: 'Ward rounds with the head of department for supervised patients.', freq: '' },
      { text: 'Participation in clinical case review with the head of department and/or the supervisor of practical training for critically ill patients.', freq: '1' },
    ],
    // Pattern C – advanced practice
    [
      { text: 'Clinical examination of a newly admitted patient and completion of the medical history, with coordination of the diagnosis, examination plan, and treatment plan with the attending physician.', freq: '3' },
      { text: 'Interpretation of additional examination data (e.g., ECG).', freq: '2' },
      { text: 'Participation in providing medical assistance during emergency ambulance calls.', freq: '2' },
      { text: 'Ward rounds with the head of department for supervised patients.', freq: '1' },
      { text: 'Participation in clinical case review with the head of department and/or the supervisor of practical training for critically ill patients.', freq: '2' },
      { text: 'Performance of prescribed diagnostic and therapeutic procedures under the supervision of the attending physician.', freq: '3' },
    ],
  ];
  return patterns[dayIndex % patterns.length];
}

// Build daily log tables
function buildDailyTable(date, activities) {
  // Header row
  const headerRow = new TableRow({
    children: [
      cell('Date', { bold: true, center: true, width: 1500, shading: 'D9D9D9', fontSize: 20 }),
      cell('Content of completed work', { bold: true, center: true, shading: 'D9D9D9', fontSize: 20 }),
      cell('Frequency', { bold: true, center: true, width: 1400, shading: 'D9D9D9', fontSize: 20 }),
    ],
    tableHeader: true,
  });

  // Data rows — date cell only in first activity row, others empty
  const dataRows = activities.map((act, i) => {
    const dateText = i === 0 ? date : '';
    return new TableRow({
      children: [
        cell(dateText, { center: true, width: 1500, fontSize: 20 }),
        cell(act.text, { fontSize: 20 }),
        cell(act.freq, { center: true, width: 1400, fontSize: 20 }),
      ],
    });
  });

  // Signature rows
  const sigRow1 = new TableRow({
    children: [
      emptyCell({ width: 1500 }),
      cell('Student\'s signature', { bold: true, fontSize: 20 }),
      emptyCell({ width: 1400 }),
    ],
  });
  const sigRow2 = new TableRow({
    children: [
      emptyCell({ width: 1500 }),
      cell('Signature of the clinical base supervisor', { bold: true, fontSize: 20 }),
      emptyCell({ width: 1400 }),
    ],
  });

  return new Table({
    width: { size: 100, type: WidthType.PERCENTAGE },
    rows: [headerRow, ...dataRows, sigRow1, sigRow2],
  });
}

// ── Cover page content ────────────────────────────────────────────────────────

const coverContent = [
  para('Federal State Budgetary Educational Institution of Higher Education', { bold: true, center: true, size: 22, spaceBefore: 0, spaceAfter: 40 }),
  para('"Kursk State Medical University"', { bold: true, center: true, size: 22, spaceAfter: 40 }),
  para('of the Ministry of Health of the Russian Federation', { bold: true, center: true, size: 22, spaceAfter: 200 }),

  para('DIARY OF INDUSTRIAL PRACTICE', { bold: true, center: true, size: 28, spaceAfter: 60 }),
  para('for acquiring professional skills and experience in professional activity', { center: true, size: 22, spaceAfter: 60 }),
  para('"Provision of emergency and urgent medical care (physician assistant)"', { bold: true, italic: true, center: true, size: 22, spaceAfter: 300 }),

  para('Student of the _____ course, Faculty of _________________________, Group ______,', { size: 22, spaceAfter: 40 }),
  para('Full name of the student: _________________________________________________________', { size: 22, spaceAfter: 200 }),

  para('Practice title: Industrial practice "Provision of emergency and urgent medical care (physician assistant)"', { size: 22, spaceAfter: 200 }),

  para('Practice base (medical institution / healthcare facility, department, department, academic chair, institution):', { size: 22, spaceAfter: 40 }),
  para('______________________________________________________________________________', { size: 22, spaceAfter: 40 }),
  para('______________________________________________________________________________', { size: 22, spaceAfter: 200 }),

  para('Full name and position of the responsible staff member of the practice base:', { size: 22, spaceAfter: 40 }),
  para('______________________________________________________________________________', { size: 22, spaceAfter: 200 }),

  para('Full name and position of the supervisor of practical training:', { size: 22, spaceAfter: 40 }),
  para('______________________________________________________________________________', { size: 22, spaceAfter: 200 }),

  para('Period of practice: from ______________ to ______________ (year _____).', { size: 22, spaceAfter: 300 }),
];

// ── Schedule section ──────────────────────────────────────────────────────────

const scheduleContent = [
  para('Student work schedule', { bold: true, center: true, size: 24, spaceAfter: 120 }),
  scheduleTable,
  para('', { spaceAfter: 80 }),
  para('Signature of the responsible staff member of the practice base: ___________________', { size: 22, spaceAfter: 40 }),
  para('Seal of the practice base', { size: 22, spaceAfter: 300 }),
];

// ── Daily log sections ────────────────────────────────────────────────────────

const dailyContent = [];
dailyContent.push(para('Daily Work Log', { bold: true, center: true, size: 26, spaceAfter: 200 }));

workingDays.forEach((date, idx) => {
  const acts = getActivities(idx);
  dailyContent.push(buildDailyTable(date, acts));
  dailyContent.push(para('', { spaceAfter: 200 }));
});

// ── Assemble document ─────────────────────────────────────────────────────────

const doc = new Document({
  styles: {
    default: {
      document: {
        run: { font: 'Times New Roman', size: 22 },
      },
    },
  },
  sections: [
    {
      properties: {
        page: {
          margin: { top: 1134, bottom: 1134, left: 1701, right: 850 }, // ~2cm/3cm margins
        },
      },
      children: [
        ...coverContent,
        new Paragraph({ children: [new PageBreak()] }),
        ...scheduleContent,
        new Paragraph({ children: [new PageBreak()] }),
        ...dailyContent,
      ],
    },
  ],
});

Packer.toBuffer(doc).then(buf => {
  fs.writeFileSync('/home/daytona/workspace/practice-diary/Practice_Diary_Emergency_Medicine.docx', buf);
  console.log('Done: Practice_Diary_Emergency_Medicine.docx');
});

cd /home/daytona/workspace/practice-diary && node create_diary.js 2>&1

ls -lh /home/daytona/workspace/practice-diary/ && python /home/daytona/workspace…

python /home/daytona/skills/docx/scripts/office/validate.py /home/daytona/worksp…

# Quick structural check - unzip and verify key XML files exist cd /tmp && rm -r…

~/practice-diary/create_diary_v2.js

const {
  Document, Packer, Paragraph, TextRun, Table, TableRow, TableCell,
  AlignmentType, BorderStyle, WidthType, VerticalAlign, ShadingType, PageBreak
} = require('docx');
const fs = require('fs');

// ── helpers ──────────────────────────────────────────────────────────────────

function cell(text, opts = {}) {
  const { bold = false, center = false, shading = null, width = null, fontSize = 20, italic = false, colSpan = 1 } = opts;
  const borders = {
    top:    { style: BorderStyle.SINGLE, size: 6, color: '000000' },
    bottom: { style: BorderStyle.SINGLE, size: 6, color: '000000' },
    left:   { style: BorderStyle.SINGLE, size: 6, color: '000000' },
    right:  { style: BorderStyle.SINGLE, size: 6, color: '000000' },
  };
  const cellOpts = {
    children: [new Paragraph({
      alignment: center ? AlignmentType.CENTER : AlignmentType.LEFT,
      spacing: { before: 40, after: 40 },
      children: [new TextRun({ text, bold, italic, size: fontSize, font: 'Times New Roman' })],
    })],
    borders,
    verticalAlign: VerticalAlign.CENTER,
    columnSpan: colSpan,
  };
  if (width) cellOpts.width = { size: width, type: WidthType.DXA };
  if (shading) cellOpts.shading = { type: ShadingType.CLEAR, fill: shading };
  return new TableCell(cellOpts);
}

function emptyCell(opts = {}) { return cell('', opts); }

function para(text, opts = {}) {
  const { bold = false, center = false, size = 24, italic = false, spaceBefore = 0, spaceAfter = 120 } = opts;
  return new Paragraph({
    alignment: center ? AlignmentType.CENTER : AlignmentType.LEFT,
    spacing: { before: spaceBefore, after: spaceAfter },
    children: [new TextRun({ text, bold, italic, size, font: 'Times New Roman' })],
  });
}

// ── 24 unique patients (2 per working day) ────────────────────────────────────
// Each: { name, age, sex, complaint, diagnosis, ecg, treatment }

const patients = [
  // Day 1 – 29/06/2026
  {
    name: 'Ivanov Dmitry Alekseyevich', age: 58, sex: 'Male',
    complaint: 'Pressing chest pain radiating to the left arm, onset 40 minutes ago',
    diagnosis: 'Acute myocardial infarction (STEMI), anterior wall',
    ecg: 'ST-segment elevation in V1-V4, reciprocal changes in II, III, aVF',
    treatment: 'Aspirin 325 mg, clopidogrel 300 mg, heparin 5000 IU IV; urgent PCI referral'
  },
  {
    name: 'Petrova Natalya Ivanovna', age: 72, sex: 'Female',
    complaint: 'Sudden onset left-sided weakness and slurred speech for 1 hour',
    diagnosis: 'Acute ischemic stroke (left MCA territory)',
    ecg: 'Atrial fibrillation with controlled ventricular rate',
    treatment: 'IV thrombolysis with alteplase 0.9 mg/kg; neurological monitoring'
  },
  // Day 2 – 30/06/2026
  {
    name: 'Sidorov Gennady Petrovich', age: 45, sex: 'Male',
    complaint: 'Severe dyspnea, productive cough with rust-colored sputum, fever 39.2°C',
    diagnosis: 'Community-acquired pneumonia, right lower lobe, severe',
    ecg: 'Sinus tachycardia, HR 112 bpm',
    treatment: 'Ceftriaxone 2 g IV + azithromycin 500 mg, O₂ therapy, IV fluids'
  },
  {
    name: 'Kuznetsova Olga Mikhailovna', age: 34, sex: 'Female',
    complaint: 'Acute severe headache ("thunderclap"), nausea, neck stiffness',
    diagnosis: 'Subarachnoid hemorrhage (Hunt-Hess grade II)',
    ecg: 'Sinus rhythm, diffuse T-wave inversions',
    treatment: 'Urgent CT, neurosurgical consultation, nimodipine 60 mg q4h, analgesics'
  },
  // Day 3 – 01/07/2026
  {
    name: 'Morozov Andrey Nikolayevich', age: 62, sex: 'Male',
    complaint: 'Sudden tearing chest and back pain, diaphoresis',
    diagnosis: 'Type B aortic dissection',
    ecg: 'Sinus tachycardia; no specific ischemic changes',
    treatment: 'IV labetalol for BP control (target SBP 100–120 mmHg), urgent CT angiography, vascular surgery consult'
  },
  {
    name: 'Sokolova Tatyana Vasilyevna', age: 29, sex: 'Female',
    complaint: 'Severe right lower quadrant pain, nausea, vomiting, low-grade fever 37.8°C',
    diagnosis: 'Acute appendicitis (perforated)',
    ecg: 'Sinus rhythm, HR 98 bpm, normal',
    treatment: 'Emergency surgical consultation, IV cefazolin + metronidazole, NPO, IV fluids'
  },
  // Day 4 – 02/07/2026
  {
    name: 'Volkov Igor Stepanovich', age: 78, sex: 'Male',
    complaint: 'Syncope, pallor, melena for 2 days',
    diagnosis: 'Upper gastrointestinal hemorrhage (peptic ulcer Forrest Ia)',
    ecg: 'Sinus tachycardia HR 118, nonspecific ST depression',
    treatment: 'IV pantoprazole 80 mg bolus then 8 mg/h, blood transfusion, urgent endoscopy'
  },
  {
    name: 'Lebedeva Irina Vladimirovna', age: 41, sex: 'Female',
    complaint: 'Palpitations, dizziness, near-syncope; HR 180 bpm on arrival',
    diagnosis: 'Paroxysmal supraventricular tachycardia (AVNRT)',
    ecg: 'Narrow-complex tachycardia 185 bpm, no P waves visible',
    treatment: 'Valsalva maneuver (modified); IV adenosine 6 mg → 12 mg; converted to sinus rhythm'
  },
  // Day 5 – 03/07/2026
  {
    name: 'Korolev Sergey Dmitrievich', age: 55, sex: 'Male',
    complaint: 'Progressive dyspnea, bilateral leg edema, orthopnea for 3 days',
    diagnosis: 'Acute decompensated heart failure (EF 25%)',
    ecg: 'LBBB, HR 96 bpm, left axis deviation',
    treatment: 'IV furosemide 80 mg, oxygen, CPAP; echocardiography ordered'
  },
  {
    name: 'Novikova Anastasia Sergeyevna', age: 22, sex: 'Female',
    complaint: 'Sudden onset dyspnea, pleuritic chest pain, leg swelling after long flight',
    diagnosis: 'Acute pulmonary embolism (intermediate-high risk)',
    ecg: 'S1Q3T3 pattern, sinus tachycardia 110 bpm',
    treatment: 'IV unfractionated heparin bolus 80 U/kg, CT pulmonary angiography, O₂ therapy'
  },
  // Day 6 – 04/07/2026
  {
    name: 'Tikhonov Pavel Alexandrovich', age: 67, sex: 'Male',
    complaint: 'Confusion, fever 40.1°C, productive cough, hypotension BP 85/50',
    diagnosis: 'Septic shock secondary to aspiration pneumonia',
    ecg: 'Sinus tachycardia 130 bpm, diffuse ST changes',
    treatment: 'Bundle protocol: IV fluids 30 mL/kg, norepinephrine, meropenem + vancomycin; ICU admission'
  },
  {
    name: 'Stepanova Maria Fyodorovna', age: 48, sex: 'Female',
    complaint: 'Sudden onset severe headache, facial drooping, right arm weakness',
    diagnosis: 'Acute ischemic stroke (right MCA territory, NIHSS 14)',
    ecg: 'Sinus rhythm, normal',
    treatment: 'IV alteplase within thrombolytic window; mechanical thrombectomy evaluation'
  },
  // Day 7 – 06/07/2026
  {
    name: 'Fedorov Alexei Yuryevich', age: 38, sex: 'Male',
    complaint: 'Acute colicky flank pain radiating to groin, hematuria',
    diagnosis: 'Urolithiasis – right ureteric colic (8 mm stone)',
    ecg: 'Sinus rhythm, HR 88 bpm, normal',
    treatment: 'IV ketorolac 30 mg, IV morphine 4 mg, IV fluids; urology consultation, CT urogram'
  },
  {
    name: 'Makarova Elena Borisovna', age: 53, sex: 'Female',
    complaint: 'Dysarthria, facial numbness, ataxia, nausea; sudden onset',
    diagnosis: 'Posterior circulation TIA / cerebellar stroke (NIHSS 6)',
    ecg: 'AF with rapid ventricular response 115 bpm',
    treatment: 'DAPT (aspirin + clopidogrel), anticoagulation, urgent MRI brain, neurology consult'
  },
  // Day 8 – 07/07/2026
  {
    name: 'Zaytsev Viktor Nikolayevich', age: 70, sex: 'Male',
    complaint: 'Bradycardia HR 32 bpm, presyncope, fatigue, BP 80/50',
    diagnosis: 'Complete heart block (third-degree AV block)',
    ecg: 'Complete AV dissociation, ventricular escape rhythm at 30 bpm',
    treatment: 'IV atropine 0.5 mg (×2), transcutaneous pacing; cardiology & permanent pacemaker consult'
  },
  {
    name: 'Smirnova Galina Alekseyevna', age: 31, sex: 'Female',
    complaint: 'Severe abdominal pain, amenorrhea ×8 weeks, BP 85/50, HR 120',
    diagnosis: 'Ruptured ectopic pregnancy',
    ecg: 'Sinus tachycardia 122 bpm',
    treatment: 'Emergency surgical consultation, type & crossmatch, IV fluids, urgent laparotomy'
  },
  // Day 9 – 08/07/2026
  {
    name: 'Borisov Konstantin Ilyich', age: 60, sex: 'Male',
    complaint: 'Sudden onset flaccid paraplegia, urinary retention after coughing',
    diagnosis: 'Acute cord compression – thoracic disc herniation T10-T11',
    ecg: 'Sinus bradycardia 56 bpm (neurogenic)',
    treatment: 'High-dose dexamethasone, urgent MRI spine, neurosurgical emergency consult'
  },
  {
    name: 'Popova Zhanna Romanovna', age: 19, sex: 'Female',
    complaint: 'Severe vomiting, polyuria, deep rapid breathing (Kussmaul), confusion',
    diagnosis: 'Diabetic ketoacidosis (glucose 28 mmol/L, pH 7.15)',
    ecg: 'Peaked T-waves (hyperkalemia), sinus tachycardia',
    treatment: 'IV normal saline 1 L/h × 2 h; insulin infusion 0.1 U/kg/h; K⁺ replacement; glucose monitoring'
  },
  // Day 10 – 09/07/2026
  {
    name: 'Nikitin Evgeny Pavlovich', age: 74, sex: 'Male',
    complaint: 'Hemoptysis ×500 mL, weight loss 8 kg in 3 months, smoker 40 pack-years',
    diagnosis: 'Massive hemoptysis – suspected central lung carcinoma',
    ecg: 'Sinus rhythm, right axis deviation, P pulmonale',
    treatment: 'Patient positioned affected side down; IV tranexamic acid; bronchoscopy; oncology referral'
  },
  {
    name: 'Fomina Yekaterina Dmitrievna', age: 27, sex: 'Female',
    complaint: 'Diffuse urticaria, stridor, facial angioedema, BP 70/40 minutes after antibiotic injection',
    diagnosis: 'Anaphylactic shock',
    ecg: 'Sinus tachycardia 140 bpm',
    treatment: 'IM epinephrine 0.5 mg, IV methylprednisolone, IV diphenhydramine, IV fluids, O₂'
  },
  // Day 11 – 10/07/2026
  {
    name: 'Grigoryev Mikhail Semyonovich', age: 66, sex: 'Male',
    complaint: 'Acute right leg pain, pallor, pulselessness, paresthesia, cold below knee',
    diagnosis: 'Acute lower limb ischemia – arterial embolism right popliteal artery',
    ecg: 'Atrial fibrillation, HR 88 bpm',
    treatment: 'IV heparin 5000 IU bolus, urgent vascular surgery consult, Doppler US, embolectomy'
  },
  {
    name: 'Yakovleva Svetlana Mikhailovna', age: 44, sex: 'Female',
    complaint: 'High fever 39.8°C, rigors, right flank pain, dysuria, vomiting',
    diagnosis: 'Acute pyelonephritis with urosepsis',
    ecg: 'Sinus tachycardia 116 bpm',
    treatment: 'IV ceftriaxone 2 g, IV fluids, analgesics; renal US; urology consult for obstructive cause'
  },
  // Day 12 – 11/07/2026
  {
    name: 'Sorokin Nikolai Grigoryevich', age: 82, sex: 'Male',
    complaint: 'Sudden painless loss of vision in right eye, RAPD present',
    diagnosis: 'Central retinal artery occlusion (right eye)',
    ecg: 'AF with HR 74 bpm',
    treatment: 'Urgent ophthalmology consult; ocular massage; systemic anticoagulation; workup for embolic source'
  },
  {
    name: 'Belyaeva Oksana Viktorovna', age: 36, sex: 'Female',
    complaint: 'Tonic-clonic seizure lasting 8 minutes, post-ictal confusion, no prior history',
    diagnosis: 'Status epilepticus (first unprovoked seizure)',
    ecg: 'Sinus rhythm, normal; QTc 440 ms',
    treatment: 'IV lorazepam 4 mg; if no response, IV levetiracetam 1000 mg; urgent MRI brain; neurology'
  },
];

const workingDays = [
  '29/06/2026','30/06/2026','01/07/2026','02/07/2026',
  '03/07/2026','04/07/2026','06/07/2026','07/07/2026',
  '08/07/2026','09/07/2026','10/07/2026','11/07/2026',
];

// ── Build patient sub-rows ────────────────────────────────────────────────────
// For each day we generate rows for Patient 1, then activities, then Patient 2, then activities

function patientRows(p, showDate, dateStr) {
  const rows = [];

  // Patient header row
  rows.push(new TableRow({
    children: [
      cell(showDate ? dateStr : '', { center: true, width: 1500, fontSize: 20, shading: 'EAF4FF' }),
      cell(`PATIENT: ${p.name}, ${p.age} y.o., ${p.sex} | Chief complaint: ${p.complaint}`,
        { bold: true, fontSize: 20, shading: 'EAF4FF' }),
      cell('', { width: 1400, fontSize: 20, shading: 'EAF4FF' }),
    ],
  }));

  // Activity rows for this patient
  const activities = [
    { text: 'Safety instructions reviewed. Familiarization with the structure of the ambulance station (admission unit of the inpatient emergency department).', freq: '1' },
    { text: `Clinical examination of newly admitted patient: ${p.name}. Diagnosis established: ${p.diagnosis}. Coordination of diagnosis, examination plan, and treatment plan with the attending physician.`, freq: '1' },
    { text: `Interpretation of additional examination data – ECG findings: ${p.ecg}.`, freq: '1' },
    { text: 'Participation in providing medical assistance during emergency ambulance calls.', freq: '1' },
    { text: 'Ward rounds with the head of department for supervised patients.', freq: '1' },
    { text: `Clinical case review with head of department for patient ${p.name}: ${p.diagnosis}. Treatment applied: ${p.treatment}.`, freq: '1' },
  ];

  activities.forEach(a => {
    rows.push(new TableRow({
      children: [
        emptyCell({ width: 1500 }),
        cell(a.text, { fontSize: 20 }),
        cell(a.freq, { center: true, width: 1400, fontSize: 20 }),
      ],
    }));
  });

  return rows;
}

function buildDailyTable(date, p1, p2) {
  // Header
  const headerRow = new TableRow({
    children: [
      cell('Date', { bold: true, center: true, width: 1500, shading: 'D9D9D9', fontSize: 20 }),
      cell('Content of completed work', { bold: true, center: true, shading: 'D9D9D9', fontSize: 20 }),
      cell('Frequency', { bold: true, center: true, width: 1400, shading: 'D9D9D9', fontSize: 20 }),
    ],
    tableHeader: true,
  });

  const p1Rows = patientRows(p1, true, date);
  const p2Rows = patientRows(p2, false, '');

  // Signature rows
  const sigRow1 = new TableRow({
    children: [
      emptyCell({ width: 1500 }),
      cell("Student's signature", { bold: true, fontSize: 20 }),
      emptyCell({ width: 1400 }),
    ],
  });
  const sigRow2 = new TableRow({
    children: [
      emptyCell({ width: 1500 }),
      cell('Signature of the clinical base supervisor', { bold: true, fontSize: 20 }),
      emptyCell({ width: 1400 }),
    ],
  });

  return new Table({
    width: { size: 100, type: WidthType.PERCENTAGE },
    rows: [headerRow, ...p1Rows, ...p2Rows, sigRow1, sigRow2],
  });
}

// ── Cover page ────────────────────────────────────────────────────────────────
const coverContent = [
  para('Federal State Budgetary Educational Institution of Higher Education', { bold: true, center: true, size: 22, spaceAfter: 40 }),
  para('"Kursk State Medical University"', { bold: true, center: true, size: 22, spaceAfter: 40 }),
  para('of the Ministry of Health of the Russian Federation', { bold: true, center: true, size: 22, spaceAfter: 200 }),
  para('DIARY OF INDUSTRIAL PRACTICE', { bold: true, center: true, size: 28, spaceAfter: 60 }),
  para('for acquiring professional skills and experience in professional activity', { center: true, size: 22, spaceAfter: 60 }),
  para('"Provision of emergency and urgent medical care (physician assistant)"', { bold: true, italic: true, center: true, size: 22, spaceAfter: 300 }),
  para('Student of the _____ course, Faculty of _________________________, Group ______,', { size: 22, spaceAfter: 40 }),
  para('Full name of the student: _________________________________________________________', { size: 22, spaceAfter: 200 }),
  para('Practice title: Industrial practice "Provision of emergency and urgent medical care (physician assistant)"', { size: 22, spaceAfter: 200 }),
  para('Practice base (medical institution / healthcare facility, department, academic chair, institution):', { size: 22, spaceAfter: 40 }),
  para('______________________________________________________________________________', { size: 22, spaceAfter: 40 }),
  para('______________________________________________________________________________', { size: 22, spaceAfter: 200 }),
  para('Full name and position of the responsible staff member of the practice base:', { size: 22, spaceAfter: 40 }),
  para('______________________________________________________________________________', { size: 22, spaceAfter: 200 }),
  para('Full name and position of the supervisor of practical training:', { size: 22, spaceAfter: 40 }),
  para('______________________________________________________________________________', { size: 22, spaceAfter: 200 }),
  para('Period of practice: from ______________ to ______________ (year _____).',{ size: 22, spaceAfter: 300 }),
];

// ── Schedule table ────────────────────────────────────────────────────────────
const scheduleRows = [
  new TableRow({
    children: [
      cell('Date', { bold: true, center: true, width: 2400, shading: 'D9D9D9' }),
      cell('Working hours', { bold: true, center: true, shading: 'D9D9D9' }),
    ],
    tableHeader: true,
  }),
  ...([
    ['29/06/2026','08:00 – 14:00'],['30/06/2026','08:00 – 14:00'],['01/07/2026','08:00 – 14:00'],
    ['02/07/2026','08:00 – 14:00'],['03/07/2026','08:00 – 14:00'],['04/07/2026','08:00 – 14:00'],
    ['DAY OFF',''],['06/07/2026','08:00 – 14:00'],['07/07/2026','08:00 – 14:00'],
    ['08/07/2026','08:00 – 14:00'],['09/07/2026','08:00 – 14:00'],['10/07/2026','08:00 – 14:00'],
    ['11/07/2026','08:00 – 14:00'],['',''],['',''],
  ].map(([d, h]) => new TableRow({
    children: [
      cell(d, { center: true, width: 2400 }),
      cell(h, { center: true }),
    ],
  }))),
];

const scheduleTable = new Table({ width: { size: 100, type: WidthType.PERCENTAGE }, rows: scheduleRows });

const scheduleContent = [
  para('Student work schedule', { bold: true, center: true, size: 24, spaceAfter: 120 }),
  scheduleTable,
  para('', { spaceAfter: 80 }),
  para('Signature of the responsible staff member of the practice base: ___________________', { size: 22, spaceAfter: 40 }),
  para('Seal of the practice base', { size: 22, spaceAfter: 300 }),
];

// ── Assemble daily content ────────────────────────────────────────────────────
const dailyContent = [
  para('Daily Work Log', { bold: true, center: true, size: 26, spaceAfter: 200 }),
];

workingDays.forEach((date, idx) => {
  const p1 = patients[idx * 2];
  const p2 = patients[idx * 2 + 1];
  dailyContent.push(buildDailyTable(date, p1, p2));
  dailyContent.push(para('', { spaceAfter: 200 }));
});

// ── Document ──────────────────────────────────────────────────────────────────
const doc = new Document({
  styles: {
    default: {
      document: { run: { font: 'Times New Roman', size: 22 } },
    },
  },
  sections: [{
    properties: {
      page: { margin: { top: 1134, bottom: 1134, left: 1701, right: 850 } },
    },
    children: [
      ...coverContent,
      new Paragraph({ children: [new PageBreak()] }),
      ...scheduleContent,
      new Paragraph({ children: [new PageBreak()] }),
      ...dailyContent,
    ],
  }],
});

Packer.toBuffer(doc).then(buf => {
  fs.writeFileSync('/home/daytona/workspace/practice-diary/Practice_Diary_24Patients.docx', buf);
  console.log('Done: Practice_Diary_24Patients.docx');
});

cd /home/daytona/workspace/practice-diary && node create_diary_v2.js 2>&1

ls -lh /home/daytona/workspace/practice-diary/Practice_Diary_24Patients.docx && …

grep -o 'PATIENT: [^|]*' /tmp/v2check/word/document.xml | head -30