You are a helpful assistant generating synthetic data that captures *System 1* and *System 2* thinking, *creativity*, and *metacognitive reflection*. Follow these steps in sequence, using tags [sys1] and [end sys1] for *System 1* sections and [sys2] and [end sys2] for *System 2* sections.

1. *Identify System 1 and System 2 Thinking Requirements:*
   - Carefully read the text.
   - Identify parts of the text that require quick, straightforward responses (*System 1*). Mark these sections with [sys1] and [end sys1].
   - Identify parts that require in-depth, reflective thinking (*System 2*), marked with [sys2] and [end sys2].

2. *Apply Step-by-Step Problem Solving with Creativity and Metacognitive Reflection for System 2 Sections:*

   *2.1 Understand the Problem:*
   - Objective: Fully comprehend the issue, constraints, and relevant context.
   - Reflection: "What do I understand about this issue? What might I be overlooking?"
   - Creative Perspective: Seek hidden patterns or possibilities that could reveal deeper insights or innovative connections.

   *2.2 Analyze the Information:*
   - Objective: Break down the problem logically.
   - Reflection: "Am I considering all factors? Are there any assumptions that need challenging?"
   - Creative Perspective: Explore unique patterns or overlooked relationships in the data that could add depth to the analysis.

   *2.3 Generate Hypotheses:*
   - Objective: Propose at least 10 hypotheses, each with a Confidence Score (0.0 to 1.0) and Creative Score (0.0 to 1.0), reflecting originality, surprise, and utility.
   - Reflection: "Have I explored all possible explanations or approaches, both conventional and unconventional?"
   - Creative Perspective: Consider novel angles that might provide unexpected insights.

   *2.4 Anticipate Future Steps and Obstacles:*
   - Objective: Make predictions, accounting for potential outcomes and obstacles.
   - Reflection: "What challenges might I face? Is my plan flexible for different scenarios?"
   - Creative Perspective: Visualize unforeseen outcomes and adapt plans to make use of them effectively.

   *2.5 Evaluate Hypotheses:*
   - Objective: Assess hypotheses based on feasibility, risk, and potential impact.
   - Evaluation: Refine Confidence and Creative Scores as needed.
   - Reflection: "Am I unbiased in my assessment? Which options fit best with the overall objectives?"
   - Creative Perspective: Identify hidden opportunities or overlooked details in each hypothesis.

   *2.6 Select the Best Hypothesis:*
   - Objective: Choose the most promising, strategic hypothesis.
   - Reflection: "Why does this hypothesis stand out? How does it uniquely address the issue?"
   - Creative Perspective: Consider any underutilized potential in the selected approach.

   *2.7 Implement the Hypothesis:*
   - Objective: Outline actionable steps for testing the hypothesis.
   - Reflection: "Is this plan practical? What resources or preparation are required?"
   - Creative Perspective: Refine steps to maximize effectiveness and yield unexpected benefits.

   *2.8 Monitor and Review Progress:*
   - Objective: Review progress, noting areas for improvement.
   - Reflection: "What’s working well? What could be improved?"
   - Creative Perspective: Look for emerging patterns that could refine future approaches.

   *2.9 Reflect and Capture Insights:*
   - Objective: Summarize lessons learned and insights gained for future reference.
   - Reflection: "What new understanding has emerged from this process?"
   - Creative Perspective: Identify innovative insights or patterns that could be applied to similar challenges.

3. *Generate Text Output with Interleaved System 1 and System 2 Responses:*
   - Use the tags [sys1] and [sys2] throughout.
   - Aim for a lengthier, detailed response. Combine both direct, straightforward *System 1* insights and reflective, deeply analytical *System 2* segments to capture a blend of quick observations and thoughtful analysis.

---

### *Example Input Text:*

You are tasked with analyzing a sudden shift in customer preferences in a tech market. There has been a noticeable decline in demand for physical devices, with customers increasingly interested in digital-only options. The challenge is to understand this shift, generate hypotheses for why it might be occurring, and explore potential strategies for adapting to this new trend.

---

### *Processed Output with System 1 and System 2 Thinking:*

The tech market is experiencing a shift in customer demand, moving away from physical devices toward digital-only options.

[sys1]
Customer demand has shifted from physical devices to digital-only options.
We need to understand why this change is happening and find strategies to address it.
Key factors may include cost, convenience, and technological trends.
[end sys1]

[sys2]
**2.1 Understand the Problem:**
The goal is to understand the underlying reasons for the shift in demand from physical devices to digital-only options, then develop a strategy to adapt.

*Reflection:* 
"I understand that preferences are changing, but what might be driving this? Is it primarily cost, or are there other factors such as convenience or sustainability?"

*Creative Perspective:* 
"Could there be a larger trend in digital minimalism or a preference for eco-friendly solutions that we’re missing? What unseen motivations might explain this shift?"

**2.2 Analyze the Information:**
There are multiple possible factors driving this shift, from economic influences to cultural shifts. It’s essential to isolate each factor and understand its impact.

*Reflection:* 
"Am I fully considering the various economic and social influences? Could there be a technological factor, like better internet speeds, that makes digital-only products more accessible?"

*Creative Perspective:* 
"Are there patterns or trends in other markets that could shed light on this shift? Could this be part of a larger trend toward virtual experiences?"

**2.3 Generate Hypotheses:**
1. Customers prefer digital options due to lower costs. (Confidence: 0.8, Creative: 0.4)
2. There’s a growing trend toward minimalism and reduced physical clutter. (Confidence: 0.7, Creative: 0.7)
3. Digital products offer greater flexibility and ease of use. (Confidence: 0.6, Creative: 0.6)
4. Environmental concerns are pushing consumers away from physical goods. (Confidence: 0.6, Creative: 0.8)
5. Advances in tech make digital-only options more functional. (Confidence: 0.8, Creative: 0.5)
6. Pandemic-era remote work increased demand for digital solutions. (Confidence: 0.7, Creative: 0.6)
7. Media coverage of the environmental impact of physical devices affects preferences. (Confidence: 0.5, Creative: 0.7)
8. There’s an increase in global digital literacy, expanding market access. (Confidence: 0.6, Creative: 0.6)
9. Customers view digital as more convenient and scalable for future needs. (Confidence: 0.7, Creative: 0.5)
10. Younger consumers prefer the aesthetics and convenience of digital products. (Confidence: 0.6, Creative: 0.6)

*Reflection:* 
"Have I considered all possible influences? Are there any surprising factors that could explain this shift?"

*Creative Perspective:* 
"Could specific social trends, like the rise of influencer culture or digital-first lifestyles, be influencing customer choices?"

**2.4 Anticipate Future Steps and Obstacles:**
*Objective:* Anticipate possible challenges, such as resistance from segments still preferring physical products.

*Reflection:* 
"What market obstacles might we face if we shift our focus to digital-only? Are there sub-segments that still prioritize physical products?"

*Creative Perspective:* 
"Could expanding digital options help us reach a more global audience? Are there emerging trends that we could leverage in our strategy?"

[end sys2]

[sys1]
To address this shift, consider a strategy that incorporates both digital-only offerings and educational campaigns about the benefits of digital solutions.
Use insights from customer feedback and current trends to guide product development.
Focus on flexibility and adaptation to cater to different customer segments.
[end sys1]


/*
 *
 *  Copyright (C) 2008-2012, OFFIS e.V. and ICSMED AG, Oldenburg, Germany
 *  Copyright (C) 2013-2017, J. Riesmeier, Oldenburg, Germany
 *  All rights reserved.  See COPYRIGHT file for details.
 *
 *  Header file for class DRTTreatmentSummaryMeasuredDoseReferenceSequence
 *
 *  Generated automatically from DICOM PS 3.3-2017e
 *  File created on 2017-12-05 09:30:54
 *
 */


#ifndef DRTTSMDS_H
#define DRTTSMDS_H

#include "dcmtk/config/osconfig.h"     // make sure OS specific configuration is included first

#include "dcmtk/ofstd/oflist.h"        // for standard list class
#include "dcmtk/dcmrt/drttypes.h"      // module-specific helper class


/** Interface class for TreatmentSummaryMeasuredDoseReferenceSequence (3008,00e0)
 */
class DCMTK_DCMRT_EXPORT DRTTreatmentSummaryMeasuredDoseReferenceSequence
  : protected DRTTypes
{

  public:

    /** Item class
     */
    class DCMTK_DCMRT_EXPORT Item
      : protected DRTTypes
    {

      public:

      // --- constructors, destructor and operators ---

        /** (default) constructor
         *  @param emptyDefaultItem flag used to mark the empty default item
         */
        Item(const OFBool emptyDefaultItem = OFFalse);

        /** copy constructor
         *  @param copy item object to be copied
         */
        Item(const Item &copy);

        /** destructor
         */
        virtual ~Item();

        /** assigment operator
         *  @param copy item object to be copied
         *  @return reference to this object
         */
        Item &operator=(const Item &copy);

      // --- general methods ---

        /** clear all internal member variables
         */
        void clear();

        /** check if item is empty
         *  @return OFTrue if item is empty, OFFalse otherwise
         */
        OFBool isEmpty();

        /** check if item is valid, i.e.\ not the empty default item
         *  @return OFTrue if item is valid, OFFalse otherwise
         */
        OFBool isValid() const;

      // --- input/output methods ---

        /** read elements from sequence item
         *  @param  item    reference to DICOM sequence item from which the elements should be read
         *  @return status, EC_Normal if successful, an error code otherwise
         */
        OFCondition read(DcmItem &item);

        /** write elements to sequence item
         *  @param  item    reference to DICOM sequence item to which the elements should be written
         *  @return status, EC_Normal if successful, an error code otherwise
         */
        OFCondition write(DcmItem &item);

      // --- get DICOM attribute values ---

        /** get CumulativeDoseToDoseReference (3008,0052)
         *  @param  value  reference to variable in which the value should be stored
         *  @param  pos    index of the value to get (0..vm-1), -1 for all components
         *  @return status, EC_Normal if successful, an error code otherwise
         */
        OFCondition getCumulativeDoseToDoseReference(OFString &value, const signed long pos = 0) const;

        /** get CumulativeDoseToDoseReference (3008,0052)
         *  @param  value  reference to variable in which the value should be stored
         *  @param  pos    index of the value to get (0..vm-1)
         *  @return status, EC_Normal if successful, an error code otherwise
         */
        OFCondition getCumulativeDoseToDoseReference(Float64 &value, const unsigned long pos = 0) const;

        /** get DoseReferenceDescription (300a,0016)
         *  @param  value  reference to variable in which the value should be stored
         *  @param  pos    index of the value to get (0..vm-1), -1 for all components
         *  @return status, EC_Normal if successful, an error code otherwise
         */
        OFCondition getDoseReferenceDescription(OFString &value, const signed long pos = 0) const;

        /** get ReferencedDoseReferenceNumber (300c,0051)
         *  @param  value  reference to variable in which the value should be stored
         *  @param  pos    index of the value to get (0..vm-1), -1 for all components
         *  @return status, EC_Normal if successful, an error code otherwise
         */
        OFCondition getReferencedDoseReferenceNumber(OFString &value, const signed long pos = 0) const;

        /** get ReferencedDoseReferenceNumber (300c,0051)
         *  @param  value  reference to variable in which the value should be stored
         *  @param  pos    index of the value to get (0..vm-1)
         *  @return status, EC_Normal if successful, an error code otherwise
         */
        OFCondition getReferencedDoseReferenceNumber(Sint32 &value, const unsigned long pos = 0) const;

      // --- set DICOM attribute values ---

        /** set CumulativeDoseToDoseReference (3008,0052)
         *  @param  value  value to be set (single value only) or "" for no value
         *  @param  check  check 'value' for conformance with VR (DS) and VM (1) if enabled
         *  @return status, EC_Normal if successful, an error code otherwise
         */
        OFCondition setCumulativeDoseToDoseReference(const OFString &value, const OFBool check = OFTrue);

        /** set DoseReferenceDescription (300a,0016)
         *  @param  value  value to be set (single value only) or "" for no value
         *  @param  check  check 'value' for conformance with VR (LO) and VM (1) if enabled
         *  @return status, EC_Normal if successful, an error code otherwise
         */
        OFCondition setDoseReferenceDescription(const OFString &value, const OFBool check = OFTrue);

        /** set ReferencedDoseReferenceNumber (300c,0051)
         *  @param  value  value to be set (single value only) or "" for no value
         *  @param  check  check 'value' for conformance with VR (IS) and VM (1) if enabled
         *  @return status, EC_Normal if successful, an error code otherwise
         */
        OFCondition setReferencedDoseReferenceNumber(const OFString &value, const OFBool check = OFTrue);

      private:

        /// internal flag used to mark the empty default item
        /*const*/ OFBool EmptyDefaultItem;

        /// CumulativeDoseToDoseReference (3008,0052) vr=DS, vm=1, type=1
        DcmDecimalString CumulativeDoseToDoseReference;
        /// DoseReferenceDescription (300a,0016) vr=LO, vm=1, type=3
        DcmLongString DoseReferenceDescription;
        /// ReferencedDoseReferenceNumber (300c,0051) vr=IS, vm=1, type=3
        DcmIntegerString ReferencedDoseReferenceNumber;

    };

  // --- constructors, destructor and operators ---

    /** (default) constructor
     *  @param emptyDefaultSequence internal flag used to mark the empty default sequence
     */
    DRTTreatmentSummaryMeasuredDoseReferenceSequence(const OFBool emptyDefaultSequence = OFFalse);

    /** copy constructor
     *  @param copy sequence object to be copied
     */
    DRTTreatmentSummaryMeasuredDoseReferenceSequence(const DRTTreatmentSummaryMeasuredDoseReferenceSequence &copy);

    /** destructor
     */
    virtual ~DRTTreatmentSummaryMeasuredDoseReferenceSequence();

    /** assigment operator
     *  @param copy sequence object to be copied
     *  @return reference to this object
     */
    DRTTreatmentSummaryMeasuredDoseReferenceSequence &operator=(const DRTTreatmentSummaryMeasuredDoseReferenceSequence &copy);

  // --- general methods ---

    /** clear all internal member variables
     */
    void clear();

    /** check if sequence is empty
     *  @return OFTrue if sequence is empty, OFFalse otherwise
     */
    OFBool isEmpty();

    /** check if sequence is valid, i.e.\ not the empty default sequence
     *  @return OFTrue if sequence is valid, OFFalse otherwise
     */
    OFBool isValid() const;

    /** get number of items in the sequence
     *  @return number of items
     */
    size_t getNumberOfItems() const;

    /** goto first item in the sequence
     *  @return status, EC_Normal if successful, an error code otherwise
     */
    OFCondition gotoFirstItem();

    /** goto next item in the sequence
     *  @return status, EC_Normal if successful, an error code otherwise
     */
    OFCondition gotoNextItem();

    /** goto particular item in the sequence
     *  @param  num  number of the item to be selected (0..num-1)
     *  @return status, EC_Normal if successful, an error code otherwise
     */
    OFCondition gotoItem(const size_t num);

    /** get current item in the sequence
     *  @param  item  reference to item pointer (result variable)
     *  @return status, EC_Normal if successful, an error code otherwise
     */
    OFCondition getCurrentItem(Item *&item) const;

    /** get current item in the sequence
     *  @return reference to specified item if successful, empty default item otherwise
     */
    Item &getCurrentItem();

    /** get current item in the sequence
     *  @return const reference to specified item if successful, empty default item otherwise
     */
    const Item &getCurrentItem() const;

    /** get particular item in the sequence
     *  @param  num   number of the item to be retrieved (0..num-1)
     *  @param  item  reference to item pointer (result variable)
     *  @return status, EC_Normal if successful, an error code otherwise
     */
    OFCondition getItem(const size_t num, Item *&item);

    /** get particular item in the sequence
     *  @param  num  number of the item to be retrieved (0..num-1)
     *  @return reference to specified item if successful, empty default item otherwise
     */
    Item &getItem(const size_t num);

    /** get particular item in the sequence
     *  @param  num  number of the item to be retrieved (0..num-1)
     *  @return const reference to specified item if successful, empty default item otherwise
     */
    const Item &getItem(const size_t num) const;

    /** get particular item in the sequence
     *  @param  num  number of the item to be retrieved (0..num-1)
     *  @return reference to specified item if successful, empty default item otherwise
     */
    Item &operator[](const size_t num);

    /** get particular item in the sequence
     *  @param  num  number of the item to be retrieved (0..num-1)
     *  @return const reference to specified item if successful, empty default item otherwise
     */
    const Item &operator[](const size_t num) const;

    /** add new item to the end of this sequence
     *  @param  item  reference to new item pointer (result variable)
     *  @return status, EC_Normal if successful, an error code otherwise
     */
    OFCondition addItem(Item *&item);

    /** insert new item into the sequence
     *  @param  pos   position where the new item is to be inserted (0..num)
     *  @param  item  reference to new item pointer (result variable)
     *  @return status, EC_Normal if successful, an error code otherwise
     */
    OFCondition insertItem(const size_t pos, Item *&item);

    /** remove particular item from the sequence
     *  @param  pos  position of the item to be removed (0..num-1)
     *  @return status, EC_Normal if successful, an error code otherwise
     */
    OFCondition removeItem(const size_t pos);

  // --- input/output methods ---

    /** read sequence of items from dataset
     *  @param  dataset     reference to DICOM dataset from which the sequence should be read
     *  @param  card        cardinality (valid range for number of items)
     *  @param  type        value type (valid value: "1", "1C", "2" or something else which is not checked)
     *  @param  moduleName  optional module/sequence name to be printed (default: "RT object" if NULL)
     *  @return status, EC_Normal if successful, an error code otherwise
     */
    OFCondition read(DcmItem &dataset,
                     const OFString &card,
                     const OFString &type,
                     const char *moduleName = NULL);

    /** write sequence of items to dataset
     *  @param  dataset     reference to DICOM dataset to which the sequence should be written
     *  @param  card        cardinality (valid range for number of items)
     *  @param  type        value type (valid value: "1", "2" or something else which is not checked)
     *  @param  moduleName  optional module/sequence name to be printed (default: "RT object" if NULL)
     *  @return status, EC_Normal if successful, an error code otherwise
     */
    OFCondition write(DcmItem &dataset,
                      const OFString &card,
                      const OFString &type,
                      const char *moduleName = NULL);

  protected:

    /** goto particular item in the sequence
     *  @param  num       number of the item to be selected (0..num-1)
     *  @param  iterator  list iterator storing the position of the item
     *  @return status, EC_Normal if successful, an error code otherwise
     */
    OFCondition gotoItem(const size_t num,
                         OFListIterator(Item *) &iterator);

    /** goto particular item in the sequence
     *  @param  num       number of the item to be selected (0..num-1)
     *  @param  iterator  list iterator storing the position of the item
     *  @return status, EC_Normal if successful, an error code otherwise
     */
    OFCondition gotoItem(const size_t num,
                         OFListConstIterator(Item *) &iterator) const;

  private:

    /// internal flag used to mark the empty default sequence
    /*const*/ OFBool EmptyDefaultSequence;

    /// list of items in this sequence
    OFList<Item *>         SequenceOfItems;
    /// currently selected item
    OFListIterator(Item *) CurrentItem;
    /// empty default item
    Item                   EmptyItem;

};


#endif