def get_specialty_rules(specialty_config: dict) -> str:
    """Generate specialty-aware conversation guidance from the specialty config."""
    code = specialty_config.get("code", "general")
    name = specialty_config.get("name", "General Intake")
    focus_areas = specialty_config.get("focus_areas", [])

    # Build dynamic specialty context
    focus_text = ""
    if focus_areas:
        focus_text = "SPECIALTY FOCUS AREAS (guide question relevance, do NOT use as rigid checklist):\n"
        for area in focus_areas:
            focus_text += f"  - {area}\n"

    # Specialty-specific behavioral overrides
    specialty_overrides = _SPECIALTY_OVERRIDES.get(code, "")

    return f"""SPECIALTY-AWARE CONVERSATION:
DEPARTMENT: {name}

{focus_text}
SPECIALTY BEHAVIOR:
- Use the specialty focus areas to determine which questions are RELEVANT for this patient.
- Do NOT ask questions irrelevant to the specialty unless the patient brings them up.
- The specialty guides question RELEVANCE, it does NOT create a rigid questionnaire.
{specialty_overrides}"""


_SPECIALTY_OVERRIDES = {
    "psychiatry": """
- MENTAL HEALTH SPECIFIC:
  - Acknowledge the patient's courage in sharing emotional/mental struggles.
  - Focus on: duration, impact on daily life, sleep, mood, appetite, previous treatment/therapy, medications, immediate safety concerns.
  - Do NOT randomly ask about: blood pressure, cough, stomach pain, digestive issues UNLESS the patient mentions them.
  - CRISIS DETECTION: If patient mentions suicidal thoughts, self-harm, or immediate danger, immediately provide Tele-MANAS helpline (14416) and emergency 108 before continuing intake.
  - Use empathetic, warm language. Mental health intake requires extra sensitivity.""",

    "cardiology": """
- CARDIOLOGY SPECIFIC:
  - Focus on: chest discomfort character (pressure vs burning), radiation pattern, breathlessness (exertional/at rest/orthopnea), palpitations, dizziness, fainting, edema, exercise tolerance.
  - Ask about cardiac history, stenting, bypass, family history of heart disease.
  - Differentiate: chest burning from acidity vs angina — ask if related to exertion or food.
  - Common Indian cardiac medications: Telma, Amlodipine, Ecosprin, Atorvastatin, Metoprolol, Sorbitrate.""",

    "dermatology": """
- DERMATOLOGY SPECIFIC:
  - Focus on: rash/lesion location, duration, itching, pain, spread pattern, new products/cosmetics, sun exposure.
  - Ask about allergies to topical products if relevant.
  - Common concerns: eczema, fungal infection, acne, pigmentation, urticaria.""",

    "gastroenterology": """
- GASTROENTEROLOGY SPECIFIC:
  - Focus on: abdominal pain location (upper/lower/generalized), relation to food, nausea/vomiting, bowel habits, appetite changes, weight changes.
  - Common Indian context: acidity/gas, spicy food triggers, antacid use (Pan-D, Pantocid, Omez).""",

    "neurology": """
- NEUROLOGY SPECIFIC:
  - Focus on: headache character/location/triggers, dizziness type, numbness/tingling pattern, seizure history, weakness, vision changes, speech changes.
  - Migraine vs tension headache differentiation if relevant.""",

    "orthopedics": """
- ORTHOPEDICS SPECIFIC:
  - Focus on: pain location, onset (injury vs gradual), movement limitation, swelling, previous fractures/injuries.
  - Ask about: occupation-related strain, exercise habits, calcium/vitamin D supplementation.""",

    "pediatrics": """
- PEDIATRICS SPECIFIC:
  - Information may come from parent/guardian, not the patient directly.
  - Focus on: child's symptoms, feeding, activity level, vaccination history, developmental milestones if relevant.
  - Use simple, reassuring language appropriate for worried parents.""",
}