Add full Eye Care (ophthalmology) specialty clinical suite.

Mirror Emergency/Blood Bank depth with stages, workspace tabs, workflow/analytics services, reports/print, demo clinical seed, and feature tests. Co-authored-by: Cursor <cursoragent@cursor.com>
2026-07-19 15:19:04 +00:00
parent 5d9d333170
commit 1d3db4f803
20 changed files with 1454 additions and 28 deletions
@@ -0,0 +1,211 @@
+<?php
+
+namespace App\Http\Controllers\Care;
+
+use App\Http\Controllers\Care\Concerns\ScopesToAccount;
+use App\Http\Controllers\Controller;
+use App\Models\SpecialtyClinicalRecord;
+use App\Models\Visit;
+use App\Services\Care\Ophthalmology\OphthalmologyAnalyticsService;
+use App\Services\Care\Ophthalmology\OphthalmologyWorkflowService;
+use App\Services\Care\SpecialtyClinicalRecordService;
+use App\Services\Care\SpecialtyModuleService;
+use App\Services\Care\SpecialtyShellService;
+use App\Services\Care\SpecialtyVisitStageService;
+use Illuminate\Http\RedirectResponse;
+use Illuminate\Http\Request;
+use Illuminate\View\View;
+
+class OphthalmologyWorkspaceController extends Controller
+{
+    use ScopesToAccount;
+
+    protected function assertOphthalmologyAccess(Request $request, SpecialtyModuleService $modules): void
+    {
+        $organization = $this->organization($request);
+        abort_unless($modules->memberCanAccess($organization, $this->member($request), 'ophthalmology'), 403);
+    }
+
+    protected function assertOphthalmologyManage(Request $request, SpecialtyModuleService $modules): void
+    {
+        $organization = $this->organization($request);
+        abort_unless($modules->memberCanManage($organization, $this->member($request), 'ophthalmology'), 403);
+    }
+
+    protected function assertVisit(Request $request, Visit $visit): void
+    {
+        abort_unless($visit->organization_id === $this->organization($request)->id, 404);
+        $this->authorizeBranch($request, (int) $visit->branch_id);
+    }
+
+    public function setStage(
+        Request $request,
+        Visit $visit,
+        SpecialtyModuleService $modules,
+        SpecialtyVisitStageService $stages,
+    ): RedirectResponse {
+        $this->authorizeAbility($request, 'consultations.manage');
+        $this->assertOphthalmologyManage($request, $modules);
+        $this->assertVisit($request, $visit);
+
+        $validated = $request->validate([
+            'stage' => ['required', 'string', 'max:32'],
+        ]);
+
+        try {
+            $stages->setStage(
+                $this->organization($request),
+                $visit,
+                'ophthalmology',
+                $validated['stage'],
+                $this->ownerRef($request),
+                $this->actorRef($request),
+            );
+        } catch (\InvalidArgumentException $e) {
+            return back()->with('error', $e->getMessage());
+        }
+
+        return redirect()
+            ->route('care.specialty.workspace', ['module' => 'ophthalmology', 'visit' => $visit, 'tab' => 'overview'])
+            ->with('success', 'Visit stage updated.');
+    }
+
+    public function saveProcedure(
+        Request $request,
+        Visit $visit,
+        SpecialtyModuleService $modules,
+        SpecialtyClinicalRecordService $clinical,
+        SpecialtyVisitStageService $stages,
+        OphthalmologyWorkflowService $workflow,
+    ): RedirectResponse {
+        $this->authorizeAbility($request, 'consultations.manage');
+        $this->assertOphthalmologyManage($request, $modules);
+        $this->assertVisit($request, $visit);
+
+        $organization = $this->organization($request);
+        $owner = $this->ownerRef($request);
+
+        $payload = (array) $request->input('payload', []);
+        foreach ($clinical->fieldsFor('ophthalmology', 'eye_procedure') as $field) {
+            if (($field['type'] ?? '') === 'boolean') {
+                $payload[$field['name']] = $request->boolean('payload.'.$field['name']);
+            }
+        }
+        $request->merge(['payload' => $payload, 'tab' => 'treat']);
+
+        $validated = $request->validate(array_merge([
+            'tab' => ['required', 'string'],
+        ], $clinical->validationRules('ophthalmology', 'eye_procedure')));
+
+        $record = $clinical->upsert(
+            $organization,
+            $visit,
+            'ophthalmology',
+            'eye_procedure',
+            $clinical->payloadFromRequest($validated),
+            $owner,
+            $owner,
+            OphthalmologyWorkflowService::STAGE_TREATMENT,
+            SpecialtyClinicalRecord::STATUS_COMPLETED,
+        );
+
+        try {
+            $stages->setStage(
+                $organization,
+                $visit,
+                'ophthalmology',
+                OphthalmologyWorkflowService::STAGE_TREATMENT,
+                $owner,
+                $owner,
+            );
+        } catch (\InvalidArgumentException) {
+            // Stage already treatment or map empty.
+        }
+
+        if ($workflow->shouldCompleteVisit($record->payload ?? [])) {
+            try {
+                $stages->setStage(
+                    $organization,
+                    $visit,
+                    'ophthalmology',
+                    OphthalmologyWorkflowService::STAGE_COMPLETED,
+                    $owner,
+                    $owner,
+                );
+            } catch (\InvalidArgumentException) {
+            }
+
+            $visit->refresh();
+            if ($visit->status !== Visit::STATUS_COMPLETED) {
+                $visit->update([
+                    'status' => Visit::STATUS_COMPLETED,
+                    'completed_at' => $visit->completed_at ?? now(),
+                ]);
+            }
+
+            $appointment = $visit->appointment;
+            if ($appointment && $appointment->status !== \App\Models\Appointment::STATUS_COMPLETED) {
+                $appointment->update([
+                    'status' => \App\Models\Appointment::STATUS_COMPLETED,
+                    'completed_at' => $appointment->completed_at ?? now(),
+                ]);
+            }
+        }
+
+        return redirect()
+            ->route('care.specialty.workspace', ['module' => 'ophthalmology', 'visit' => $visit, 'tab' => 'treat'])
+            ->with('success', 'Procedure / treatment saved.');
+    }
+
+    public function reports(
+        Request $request,
+        SpecialtyModuleService $modules,
+        SpecialtyShellService $shell,
+        OphthalmologyAnalyticsService $analytics,
+    ): View {
+        $this->authorizeAbility($request, 'consultations.view');
+        $this->assertOphthalmologyAccess($request, $modules);
+
+        $organization = $this->organization($request);
+        $branchScope = app(\App\Services\Care\OrganizationResolver::class)->branchScope($this->member($request));
+
+        $report = $analytics->report(
+            $organization,
+            $this->ownerRef($request),
+            $branchScope,
+            $request->query('from'),
+            $request->query('to'),
+        );
+
+        return view('care.specialty.ophthalmology.reports', [
+            'moduleKey' => 'ophthalmology',
+            'definition' => $modules->definition('ophthalmology'),
+            'shellNav' => $shell->navItems('ophthalmology'),
+            'report' => $report,
+            'currency' => strtoupper((string) config('care.billing.currency', config('care.currency', 'GHS'))),
+        ]);
+    }
+
+    public function printSummary(
+        Request $request,
+        Visit $visit,
+        SpecialtyModuleService $modules,
+        SpecialtyClinicalRecordService $clinical,
+    ): View {
+        $this->authorizeAbility($request, 'consultations.view');
+        $this->assertOphthalmologyAccess($request, $modules);
+        $this->assertVisit($request, $visit);
+
+        $visit->loadMissing(['patient', 'appointment.practitioner', 'branch']);
+
+        return view('care.specialty.ophthalmology.print', [
+            'visit' => $visit,
+            'patient' => $visit->patient,
+            'refraction' => $clinical->findForVisit($visit, 'ophthalmology', 'refraction'),
+            'exam' => $clinical->findForVisit($visit, 'ophthalmology', 'eye_exam'),
+            'investigation' => $clinical->findForVisit($visit, 'ophthalmology', 'eye_investigation'),
+            'plan' => $clinical->findForVisit($visit, 'ophthalmology', 'eye_plan'),
+            'procedure' => $clinical->findForVisit($visit, 'ophthalmology', 'eye_procedure'),
+        ]);
+    }
+}
@@ -153,6 +153,7 @@ class SpecialtyModuleController extends Controller
                'dentistry' => 'odontogram',
                'emergency' => 'triage',
                'blood_bank' => 'requests',
+                'ophthalmology' => 'refraction',
                default => (collect(array_keys($shellTabs))
                    ->first(fn (string $tab) => $clinical->recordTypeForTab($module, $tab) !== null)
                    ?? 'clinical_notes'),
@@ -210,7 +211,7 @@ class SpecialtyModuleController extends Controller
                } catch (\InvalidArgumentException) {
                    // Stage map may be empty for some modules.
                }
-            } elseif ($nextStage && in_array($visit->specialty_stage, ['waiting', 'arrival', 'request'], true)) {
+            } elseif ($nextStage && in_array($visit->specialty_stage, ['waiting', 'arrival', 'request', 'check_in'], true)) {
                try {
                    $stageService->setStage($organization, $visit, $module, $nextStage, $owner, $owner);
                    $visit = $visit->fresh();
@@ -224,6 +225,7 @@ class SpecialtyModuleController extends Controller
            'dentistry' => 'odontogram',
            'emergency' => 'triage',
            'blood_bank' => 'requests',
+            'ophthalmology' => 'refraction',
            default => (collect(array_keys($shellTabs))
                ->first(fn (string $tab) => $clinical->recordTypeForTab($module, $tab) !== null)
                ?? 'clinical_notes'),
@@ -356,6 +358,57 @@ class SpecialtyModuleController extends Controller
            }
        }

+        if ($module === 'ophthalmology' && in_array($recordType, ['refraction', 'eye_exam', 'eye_investigation', 'eye_plan'], true)) {
+            $workflow = app(\App\Services\Care\Ophthalmology\OphthalmologyWorkflowService::class);
+            $stageService = app(\App\Services\Care\SpecialtyVisitStageService::class);
+            $suggested = match ($recordType) {
+                'refraction' => $workflow->stageFromRefraction($record->payload ?? []),
+                'eye_exam' => $workflow->stageFromExam($record->payload ?? []),
+                'eye_investigation' => \App\Services\Care\Ophthalmology\OphthalmologyWorkflowService::STAGE_INVESTIGATION,
+                'eye_plan' => $workflow->stageFromPlan($record->payload ?? []),
+                default => null,
+            };
+            $current = $visit->specialty_stage;
+            $early = ['check_in', 'history', 'waiting', null, ''];
+            if ($suggested && (! $current || in_array($current, $early, true))) {
+                try {
+                    $stageService->setStage(
+                        $organization,
+                        $visit,
+                        'ophthalmology',
+                        $suggested,
+                        $this->ownerRef($request),
+                        $this->ownerRef($request),
+                    );
+                } catch (\InvalidArgumentException) {
+                }
+            } elseif ($suggested && $suggested !== $current) {
+                $order = [
+                    'check_in' => 0,
+                    'history' => 1,
+                    'refraction' => 2,
+                    'exam' => 3,
+                    'investigation' => 4,
+                    'plan' => 5,
+                    'treatment' => 6,
+                    'completed' => 7,
+                ];
+                if (($order[$suggested] ?? 0) > ($order[$current] ?? 0)) {
+                    try {
+                        $stageService->setStage(
+                            $organization,
+                            $visit,
+                            'ophthalmology',
+                            $suggested,
+                            $this->ownerRef($request),
+                            $this->ownerRef($request),
+                        );
+                    } catch (\InvalidArgumentException) {
+                    }
+                }
+            }
+        }
+
        return redirect()
            ->route('care.specialty.workspace', [
                'module' => $module,
@@ -749,6 +802,13 @@ class SpecialtyModuleController extends Controller
        $bloodBankTransfusion = null;
        $bloodBankStageCodes = [];
        $bloodBankStageFlow = [];
+        $ophthalmologyRefraction = null;
+        $ophthalmologyExam = null;
+        $ophthalmologyInvestigation = null;
+        $ophthalmologyPlan = null;
+        $ophthalmologyProcedure = null;
+        $ophthalmologyStageCodes = [];
+        $ophthalmologyStageFlow = [];
        $activeTab = (string) $request->query('tab', array_key_first($shell->workspaceTabs($module)) ?: 'overview');
        $clinical = app(SpecialtyClinicalRecordService::class);

@@ -855,6 +915,16 @@ class SpecialtyModuleController extends Controller
                $bloodBankStageFlow = app(\App\Services\Care\BloodBank\BloodBankWorkflowService::class)->stageFlow();
            }

+            if ($module === 'ophthalmology') {
+                $ophthalmologyRefraction = $clinical->findForVisit($workspaceVisit, 'ophthalmology', 'refraction');
+                $ophthalmologyExam = $clinical->findForVisit($workspaceVisit, 'ophthalmology', 'eye_exam');
+                $ophthalmologyInvestigation = $clinical->findForVisit($workspaceVisit, 'ophthalmology', 'eye_investigation');
+                $ophthalmologyPlan = $clinical->findForVisit($workspaceVisit, 'ophthalmology', 'eye_plan');
+                $ophthalmologyProcedure = $clinical->findForVisit($workspaceVisit, 'ophthalmology', 'eye_procedure');
+                $ophthalmologyStageCodes = collect($shell->stages('ophthalmology'))->pluck('code')->all();
+                $ophthalmologyStageFlow = app(\App\Services\Care\Ophthalmology\OphthalmologyWorkflowService::class)->stageFlow();
+            }
+
            if ($patientHeader !== null) {
                $patientHeader['clinical_alerts'] = $clinicalAlerts;
            }
@@ -940,6 +1010,13 @@ class SpecialtyModuleController extends Controller
            'bloodBankTransfusion' => $bloodBankTransfusion,
            'bloodBankStageCodes' => $bloodBankStageCodes,
            'bloodBankStageFlow' => $bloodBankStageFlow,
+            'ophthalmologyRefraction' => $ophthalmologyRefraction,
+            'ophthalmologyExam' => $ophthalmologyExam,
+            'ophthalmologyInvestigation' => $ophthalmologyInvestigation,
+            'ophthalmologyPlan' => $ophthalmologyPlan,
+            'ophthalmologyProcedure' => $ophthalmologyProcedure,
+            'ophthalmologyStageCodes' => $ophthalmologyStageCodes,
+            'ophthalmologyStageFlow' => $ophthalmologyStageFlow,
            'queueStubs' => $modules->queueStubsFor($organization, $module),
            'branchId' => $branchId,
            'branchLabel' => $branchLabel,