.page_container__Bvmdx{width:100%;display:flex;flex-direction:column;gap:40px}.page_container__Bvmdx .page_header__RpmHI{width:100%;display:flex;gap:50px}.page_container__Bvmdx .page_toggle_button__5ExFD{width:100%;max-width:200px}.page_container__Bvmdx .page_table__qstrh{text-align:center;max-width:800px}.page_container__Bvmdx .page_table__qstrh td,.page_container__Bvmdx .page_table__qstrh th{font-size:20px;padding:10px;height:45px}.page_container__Bvmdx .page_abnormal_container__QOL84{display:flex;flex-direction:column;gap:20px}.page_container__Bvmdx .page_abnormal_container__QOL84 textarea{min-height:200px}.page_container__Bvmdx .page_abnormal_container__QOL84 .page_abnormal_button_area__u27BR{display:flex;gap:30px}.Input_error__GtjTQ{font-size:12px;text-align:left;margin-top:2px;font-weight:500;line-height:20px;min-height:4px;height:fit-content}.Input_input__C3dw0{box-sizing:border-box;margin:0;font-variant:proportional-nums;list-style:none;font-feature-settings:"tnum" 0,"pnum";position:relative;display:inline-block;min-width:0;padding:4px 11px;color:rgba(0,0,0,.85);font-size:18px;line-height:1.5715;background-color:#fff;background:none;border:1px solid #d9d9d9;border-radius:2px;transition:all .3s}.FormLabel_label__gFHfw{display:flex;flex-direction:row;align-items:center;gap:var(--ds-spacing-sm)}.FormLabel_labelText__yz8Ri{margin:0;font-family:var(--ds-family-primary);font-size:var(--ds-size-body-lg);font-weight:var(--ds-weight-regular);line-height:18px;letter-spacing:var(--ds-ls-jp);color:var(--ds-color-text-primary);font-feature-settings:"palt" 1}.FormLabel_labelTextSm__O_8PB{font-size:var(--ds-size-body-sm);line-height:14px}[data-ds-density=compact] .FormLabel_labelText__yz8Ri{align-self:stretch;font-size:var(--ds-size-body-sm);font-weight:var(--ds-weight-semibold);line-height:var(--ds-lh-caption)}.Badge_badge__2DfcC{display:inline-flex;vertical-align:middle;align-items:center;padding:0 var(--ds-spacing-sm);border-radius:30px;background:var(--ds-color-text-emphasis)}.Badge_badgeOptional__saic6{background:rgba(0,0,0,0);border:1px solid var(--ds-color-text-mute)}.Badge_badgeOptional__saic6 .Badge_badgeText__ICY88{color:var(--ds-color-text-mute)}.Badge_badgeText__ICY88{margin:0;font-family:var(--ds-family-primary);font-size:var(--ds-size-caption-md);font-weight:var(--ds-weight-regular);line-height:18px;letter-spacing:var(--ds-ls-jp);color:var(--ds-color-base-white);font-feature-settings:"palt" 1;white-space:nowrap}[data-ds-density=compact] .Badge_badge__2DfcC{border-radius:var(--ds-radius-full)}[data-ds-density=compact] .Badge_badge__2DfcC:not(.Badge_badgeOptional__saic6){background:var(--ds-color-surface-required-strong)}[data-ds-density=compact] .Badge_badgeText__ICY88{font-weight:var(--ds-weight-semibold)}.SelectField_box__PxZtK{position:relative;display:flex;flex-direction:row;align-items:center;align-self:stretch;width:100%;padding:var(--ds-spacing-sm);height:48px;border-radius:var(--ds-radius-sm);background:var(--ds-color-surface-gray);border:1px solid var(--ds-color-border-default);box-sizing:border-box}.SelectField_box__PxZtK:focus-within{border-color:var(--ds-color-border-active)}.SelectField_filled__CadbA{border-color:var(--ds-color-border-active);background:var(--ds-color-base-white)}.SelectField_error__8fusy{border-color:var(--ds-color-text-emphasis);background:var(--ds-color-surface-required)}.SelectField_select__OUhAa{position:absolute;inset:0;margin:0;padding:0 36px 0 var(--ds-spacing-sm);border-radius:calc(var(--ds-radius-sm) - 1px);border:none;outline:none;background:rgba(0,0,0,0);appearance:none;-webkit-appearance:none;font-family:var(--ds-family-primary);font-size:var(--ds-size-body-lg);font-weight:var(--ds-weight-regular);line-height:31.5px;letter-spacing:var(--ds-ls-jp);color:var(--ds-color-text-input-value);font-feature-settings:"palt" 1;cursor:pointer;align-items:center}.SelectField_placeholder__84MPw{color:var(--ds-color-text-disable)}.SelectField_placeholderPrimary__51lDc{color:var(--ds-color-text-primary)}.SelectField_validSlot__qm1Vq{flex:0 0 auto;display:inline-flex;margin-left:auto;position:relative;pointer-events:none}.SelectField_validSlot__qm1Vq+.SelectField_arrow__Hxlug{margin-left:var(--ds-spacing-sm)}.SelectField_box__PxZtK:has(.SelectField_validSlot__qm1Vq) .SelectField_select__OUhAa{padding-right:64px}.SelectField_arrow__Hxlug{flex:0 0 auto;margin-left:auto;width:20px;height:20px;overflow:hidden;display:inline-flex;position:relative;pointer-events:none}.SelectField_arrowVector__cqfyQ{position:absolute;top:6.9px;left:5px;width:10px;height:6.175px;background:var(--ds-color-text-primary);clip-path:polygon(0 22%,13% 0,50% 60%,87% 0,100% 22%,50% 100%)}.SelectField_spinnerVector__cK_HB{position:absolute;top:2.5px;left:6.2px;width:7.65px;height:15px;background:var(--ds-color-text-primary);clip-path:polygon(50% 0,100% 38%,50% 38%,50% 62%,100% 62%,50% 100%,0 62%,50% 62%,50% 38%,0 38%)}.SelectField_boxSpinner__nFfPG{height:48px;padding:4px var(--ds-spacing-sm);gap:var(--ds-spacing-sm);justify-content:flex-end;align-self:auto}.SelectField_selectSpinner__oeMSH{flex:1 1 auto;text-align:right;font-family:var(--ds-family-numeric);line-height:18px}[data-ds-density=compact] .SelectField_box__PxZtK:not(.SelectField_boxSpinner__nFfPG){justify-content:center;height:auto;padding:7px 40px 7px var(--ds-spacing-md);background:var(--ds-color-base-white)}[data-ds-density=compact] .SelectField_box__PxZtK:not(.SelectField_boxSpinner__nFfPG):before{content:"";display:block;height:calc(var(--ds-size-body-md)*1.75)}[data-ds-density=compact] .SelectField_box__PxZtK:not(.SelectField_boxSpinner__nFfPG):not(.SelectField_error__8fusy):not(:focus-within){border-color:var(--ds-color-border-default)}[data-ds-density=compact] .SelectField_error__8fusy{background:var(--ds-color-surface-required)}[data-ds-density=compact] .SelectField_select__OUhAa:not(.SelectField_selectSpinner__oeMSH){align-self:stretch;padding:0 40px 0 var(--ds-spacing-md);font-size:var(--ds-size-body-md);line-height:var(--ds-lh-body);color:var(--ds-color-text-primary)}[data-ds-density=compact] .SelectField_placeholder__84MPw{color:var(--ds-color-text-mute)}[data-ds-density=compact] .SelectField_box__PxZtK:not(.SelectField_boxSpinner__nFfPG) .SelectField_arrow__Hxlug{position:absolute;top:50%;right:var(--ds-spacing-md);width:12px;height:8px;margin:0;transform:translateY(-50%)}[data-ds-density=compact] .SelectField_arrowVector__cqfyQ{top:1px;left:1px;width:10px;height:6px;background:var(--ds-color-text-secondary)}.FormField_field__WbDpt{display:flex;flex-direction:column;gap:var(--ds-spacing-sm);align-self:stretch;width:100%}.FormField_error__EsO6F{color:var(--ds-color-text-emphasis)}.FormField_annotation__0imbn,.FormField_error__EsO6F{margin:0;font-family:var(--ds-family-primary);font-size:var(--ds-size-body-sm);font-weight:var(--ds-weight-regular);line-height:1.5;letter-spacing:var(--ds-ls-jp);font-feature-settings:"palt" 1}.FormField_annotation__0imbn{color:var(--ds-color-text-mute)}[data-ds-density=compact] .FormField_annotation__0imbn,[data-ds-density=compact] .FormField_error__EsO6F{font-size:var(--ds-size-caption-md)}.RadioControl_frame__qlasn{flex:0 0 auto;padding:6px 4px;display:inline-flex;align-items:center;gap:10px;box-sizing:border-box}.RadioControl_dot__4XnH8{position:relative;width:20px;height:20px;border-radius:var(--ds-radius-full);background:var(--ds-color-base-white);border:1.5px solid var(--ds-color-text-mute);box-sizing:border-box;overflow:hidden}.RadioControl_checked__MbbXd{border-color:var(--ds-color-border-active)}.RadioControl_checked__MbbXd:after{content:"";position:absolute;inset:0;margin:auto;width:10px;height:10px;border-radius:var(--ds-radius-full);background:var(--ds-color-border-active)}[data-ds-density=compact] .RadioControl_frame__qlasn{padding:1px 0 0}[data-ds-density=compact] .RadioControl_dot__4XnH8{border-width:1px}[data-ds-density=compact] .RadioControl_checked__MbbXd{border-width:6px;border-color:var(--ds-color-border-accent)}[data-ds-density=compact] .RadioControl_checked__MbbXd:after{content:none}.RadioCard_card__muLDM{position:relative;display:flex;flex-direction:row;align-items:center;flex:1 1;min-height:48px;padding:var(--ds-spacing-sm) var(--ds-spacing-md) var(--ds-spacing-sm) var(--ds-spacing-sm);gap:var(--ds-spacing-sm);border-radius:var(--ds-radius-sm);background:var(--ds-color-base-white);border:1px solid var(--ds-color-border-default);cursor:pointer;box-sizing:border-box}.RadioCard_selected__Wkd14{border-color:var(--ds-color-border-active);background:var(--ds-color-surface-lightblue)}.RadioCard_hiddenInput__RxJDx{position:absolute;inset:0;width:100%;height:100%;opacity:0;margin:0;cursor:pointer}.RadioCard_inner__8TRZn{display:flex;flex-direction:row;align-items:flex-start;gap:var(--ds-spacing-sm)}.RadioCard_labelText__F69C9{margin:0;font-family:var(--ds-family-primary);font-size:var(--ds-size-body-md);font-weight:var(--ds-weight-regular);line-height:28px;letter-spacing:var(--ds-ls-jp);color:var(--ds-color-text-primary);font-feature-settings:"palt" 1;font-size:var(--ds-size-body-lg);line-height:31.5px;flex:0 0 auto}.RadioCard_inner__8TRZn :is(a,button,input,select,textarea,[role=button],[role=link],[tabindex]:not([tabindex="-1"])){position:relative;z-index:1}[data-ds-density=compact] .RadioCard_card__muLDM{align-items:flex-start;min-height:44px;padding:10px var(--ds-spacing-sm-md) 11px;border-radius:var(--ds-radius-md)}[data-ds-density=compact] .RadioCard_selected__Wkd14{border-color:var(--ds-color-border-accent);background:var(--ds-color-surface-selected)}[data-ds-density=compact] .RadioCard_selected__Wkd14 .RadioCard_labelText__F69C9{font-weight:var(--ds-weight-semibold)}[data-ds-density=compact] .RadioCard_labelText__F69C9{flex:1 1 auto;font-size:var(--ds-size-body-sm);line-height:var(--ds-lh-caption)}.CheckboxControl_frame__veCV5{flex:0 0 auto;padding:4px;display:inline-flex;align-items:center;gap:10px;box-sizing:border-box}.CheckboxControl_frameTall__l_RaC{padding:6px 4px}.CheckboxControl_box__7aptH{position:relative;width:20px;height:20px;border-radius:var(--ds-radius-xs);background:var(--ds-color-base-white);border:1.5px solid var(--ds-color-text-mute);box-sizing:border-box;display:inline-block;overflow:hidden}.CheckboxControl_checked__vwSaF{background:var(--ds-color-border-active);border:none}.CheckboxControl_check__psejD{position:absolute;top:5.3px;left:4px;width:12px;height:9.42px;background:var(--ds-color-base-white);clip-path:polygon(0 60%,12% 46%,38% 72%,88% 0,100% 12%,38% 100%)}[data-ds-density=compact] .CheckboxControl_frameTall__l_RaC,[data-ds-density=compact] .CheckboxControl_frame__veCV5{padding:1px 0 0}[data-ds-density=compact] .CheckboxControl_box__7aptH{border-width:1px;border-radius:var(--ds-radius-sm)}[data-ds-density=compact] .CheckboxControl_checked__vwSaF{border:1px solid var(--ds-color-border-accent);background:var(--ds-color-border-accent)}[data-ds-density=compact] .CheckboxControl_check__psejD{top:4.3px;left:3px}.CheckboxField_field__ri6e8{position:relative;display:flex;flex-direction:row;align-items:center;align-self:stretch;padding:0;gap:var(--ds-spacing-sm);cursor:pointer;box-sizing:border-box}.CheckboxField_hiddenInput__V5TN8{position:absolute;inset:0;width:100%;height:100%;opacity:0;margin:0;cursor:pointer}.CheckboxField_inner__8ONDQ{display:flex;flex-direction:row;align-items:flex-start;gap:var(--ds-spacing-sm);flex:1 1}.CheckboxField_labelText__GSOhw{margin:0;font-family:var(--ds-family-primary);font-size:var(--ds-size-body-md);font-weight:var(--ds-weight-regular);line-height:28px;letter-spacing:var(--ds-ls-jp);color:var(--ds-color-text-primary);font-feature-settings:"palt" 1;flex:1 1}.CheckboxField_inner__8ONDQ :is(a,button,input,select,textarea,[role=button],[role=link],[tabindex]:not([tabindex="-1"])){position:relative;z-index:1}[data-ds-density=compact] .CheckboxField_field__ri6e8{align-items:flex-start;padding:var(--ds-spacing-sm) 0}[data-ds-density=compact] .CheckboxField_labelText__GSOhw{font-size:var(--ds-size-body-sm);line-height:var(--ds-lh-caption)}.CheckboxCard_card__Q8TeJ{position:relative;display:flex;flex-direction:row;align-items:center;align-self:stretch;gap:var(--ds-spacing-sm);padding:var(--ds-spacing-sm) var(--ds-spacing-md);background:var(--ds-color-surface-gray);cursor:pointer;box-sizing:border-box}.CheckboxCard_hiddenInput__55daN{position:absolute;inset:0;width:100%;height:100%;opacity:0;margin:0;cursor:pointer}.CheckboxCard_inner__DEP0C{display:flex;flex-direction:row;align-items:flex-start;gap:var(--ds-spacing-sm);flex:1 1 auto;min-width:0}.CheckboxCard_content__MWl_e{flex:1 1 auto;min-width:0;align-self:stretch;margin:0;font-family:var(--ds-family-primary);font-size:var(--ds-size-body-md);font-weight:var(--ds-weight-regular);line-height:28px;letter-spacing:var(--ds-ls-jp);color:var(--ds-color-text-primary);font-feature-settings:"palt" 1;font-size:var(--ds-size-body-lg);line-height:31.5px}.CheckboxCard_inner__DEP0C :is(a,button,input,select,textarea,[role=button],[role=link],[tabindex]:not([tabindex="-1"])){position:relative;z-index:1}[data-ds-density=compact] .CheckboxCard_card__Q8TeJ{align-items:flex-start;min-height:44px;padding:10px var(--ds-spacing-sm-md);border:1px solid var(--ds-color-border-default);border-radius:var(--ds-radius-md);background:var(--ds-color-base-white)}[data-ds-density=compact] .CheckboxCard_selected__2Mrcw{border-color:var(--ds-color-border-accent);background:var(--ds-color-surface-selected)}[data-ds-density=compact] .CheckboxCard_selected__2Mrcw .CheckboxCard_content__MWl_e{font-weight:var(--ds-weight-semibold)}[data-ds-density=compact] .CheckboxCard_content__MWl_e{font-size:var(--ds-size-body-sm);line-height:var(--ds-lh-caption)}[data-ds-density=compact] .CheckboxCard_description__R_aWb{font-weight:var(--ds-weight-regular)}.CheckboxCard_description__R_aWb{display:block;margin:0;font-size:var(--ds-size-caption-md);line-height:var(--ds-lh-caption);color:var(--ds-color-text-secondary)}.Button_button__t7erR{display:inline-flex;align-items:center;justify-content:center;gap:var(--ds-spacing-sm);box-sizing:border-box;margin:0;border:0;border-radius:var(--ds-radius-sm);padding-top:var(--ds-spacing-sm-md);padding-bottom:var(--ds-spacing-sm-md);background-color:rgba(0,0,0,0);color:var(--ds-color-text-on-dark-primary);font-family:var(--ds-family-primary);font-weight:var(--ds-weight-regular);letter-spacing:var(--ds-ls-jp);text-align:center;text-decoration:none;cursor:pointer;appearance:none;font-feature-settings:"palt" 1}.Button_mobile__4vZ_R{padding-left:var(--ds-spacing-lg);padding-right:var(--ds-spacing-lg)}.Button_desktop__oNww0{padding-left:var(--ds-spacing-2xl);padding-right:var(--ds-spacing-2xl)}.Button_mobile__4vZ_R.Button_md__P5GsA{font-size:var(--ds-size-body-md);line-height:var(--ds-lh-body)}.Button_mobile__4vZ_R.Button_sm__RRARF{font-size:var(--ds-size-body-sm);line-height:var(--ds-lh-caption)}.Button_desktop__oNww0.Button_md__P5GsA{font-size:var(--ds-size-body-lg);line-height:var(--ds-lh-body)}.Button_desktop__oNww0.Button_sm__RRARF{font-size:var(--ds-size-body-md);line-height:var(--ds-lh-body)}.Button_cta__gU8V8{background-image:var(--ds-color-button-cta);font-weight:var(--ds-weight-semibold)}.Button_primary__gCfBQ{background-image:var(--ds-color-button-primary)}.Button_secondary__TVxC_{background-color:var(--ds-color-base-white);border:1px solid var(--ds-color-text-link);color:var(--ds-color-text-link)}@media(hover:hover){.Button_cta__gU8V8:hover:not(:disabled):not(.Button_disabled__9p480){background-image:var(--ds-color-button-cta-hover)}.Button_primary__gCfBQ:hover:not(:disabled):not(.Button_disabled__9p480){background-image:var(--ds-color-button-primary-hover)}.Button_secondary__TVxC_:hover:not(:disabled):not(.Button_disabled__9p480){border-color:var(--ds-color-button-secondary-hover);color:var(--ds-color-button-secondary-hover)}}.Button_button__t7erR.Button_disabled__9p480,.Button_button__t7erR:disabled{background-image:none;background-color:var(--ds-color-button-disabled);border-color:var(--ds-color-button-disabled);color:var(--ds-color-text-on-dark-primary);cursor:not-allowed;pointer-events:none}.Button_secondary__TVxC_.Button_disabled__9p480,.Button_secondary__TVxC_:disabled{background-color:var(--ds-color-base-white);color:var(--ds-color-button-disabled)}.Button_block__iWjkI{display:flex;width:100%}.Button_pill__MTraE{border-radius:var(--ds-radius-full);font-weight:var(--ds-weight-semibold);white-space:nowrap}.Button_pill__MTraE.Button_primary__gCfBQ{background-image:var(--ds-color-button-primary-pill);box-shadow:var(--ds-shadow-button)}.Button_pill__MTraE.Button_secondary__TVxC_{border-color:var(--ds-color-border-accent);color:var(--ds-color-text-accent)}@media(hover:hover){.Button_pill__MTraE.Button_primary__gCfBQ:hover:not(:disabled):not(.Button_disabled__9p480){background-image:var(--ds-color-button-primary-hover)}}.Button_pill__MTraE.Button_disabled__9p480,.Button_pill__MTraE:disabled{background-image:none;box-shadow:none}.ChipSelect_group__wU3_z{display:flex;flex-wrap:wrap;gap:var(--ds-spacing-sm)}.ChipSelect_chip__Rq9gc{display:inline-flex;align-items:center;justify-content:center;gap:var(--ds-spacing-xs);padding:var(--ds-spacing-sm) var(--ds-spacing-md);border:1px solid var(--ds-color-border-default);border-radius:var(--ds-radius-full);background:var(--ds-color-base-white);cursor:pointer;box-sizing:border-box;margin:0;font-family:var(--ds-family-primary);font-size:var(--ds-size-body-md);font-weight:var(--ds-weight-regular);line-height:28px;letter-spacing:var(--ds-ls-jp);color:var(--ds-color-text-primary);font-feature-settings:"palt" 1;line-height:var(--ds-lh-body)}.ChipSelect_chip__Rq9gc:focus-visible{outline:2px solid var(--ds-color-border-active);outline-offset:2px}.ChipSelect_chip__Rq9gc:disabled{background:var(--ds-color-surface-gray);color:var(--ds-color-text-disable);cursor:not-allowed}.ChipSelect_selected__oj0e7{background:var(--ds-color-surface-lightblue);border-color:var(--ds-color-border-active)}.ChipSelect_error__87udY:not(.ChipSelect_selected__oj0e7){border-color:var(--ds-color-text-emphasis);background:var(--ds-color-surface-required)}.ChipSelect_wide__Rkd5h{flex:1 1 100%}.ChipSelect_check__yB0jX{flex:none;width:1em;height:1em;color:var(--ds-color-border-active)}[data-ds-density=compact] .ChipSelect_chip__Rq9gc{min-height:44px;padding:10px 14px 11px;font-size:var(--ds-size-body-sm);line-height:var(--ds-lh-caption);color:var(--ds-color-text-primary)}[data-ds-density=compact] .ChipSelect_selected__oj0e7{border-color:var(--ds-color-border-accent);background:var(--ds-color-surface-selected);color:var(--ds-color-text-accent);font-weight:var(--ds-weight-semibold)}[data-ds-density=compact] .ChipSelect_wide__Rkd5h{flex:0 0 auto;width:100%}[data-ds-density=compact] .ChipSelect_check__yB0jX{width:12px;height:12px;color:var(--ds-color-border-accent)}.LeadTextarea_box__2aJL8{display:flex;align-self:stretch;width:100%;min-height:200px;padding:var(--ds-spacing-sm);border-radius:var(--ds-radius-sm);background:var(--ds-color-base-white);border:1px solid 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