feat(assessments): layered clinical assessment engine end-to-end

Add a template-driven assessment system with universal intake, clinical pathways, disease instruments (stroke MVP + extended, diabetes, and ten specialty packs), scoring, patient outcome trends, REST/API + FHIR export, and Enterprise org-level assessment analytics. Seed packs and design/licensing docs ship for deploy and pre-GA review.
2026-07-16 22:58:09 +00:00
parent 8896088425
commit 2ce4bc8993
94 changed files with 13430 additions and 56 deletions
@@ -0,0 +1,94 @@
+<?php
+
+namespace Tests\Feature;
+
+use App\Models\AssessmentTemplate;
+use App\Models\ClinicalPathway;
+use Database\Seeders\AssessmentTemplateSeeder;
+use Database\Seeders\ClinicalPathwaySeeder;
+use Illuminate\Foundation\Testing\RefreshDatabase;
+use Tests\TestCase;
+
+/** PR 10 — additional specialty content packs seed cleanly. */
+class CareContentPacksTest extends TestCase
+{
+    use RefreshDatabase;
+
+    public function test_all_core_assessment_packs_seed(): void
+    {
+        $this->seed(AssessmentTemplateSeeder::class);
+
+        $expected = [
+            'universal_intake',
+            'nihss',
+            'mrs',
+            'barthel',
+            'gcs',
+            'stroke_swallow',
+            'stroke_clinical',
+            'diabetes_core',
+            'outcome_core',
+            'heart_failure_core',
+            'ckd_core',
+            'hypertension_core',
+            'asthma_core',
+            'copd_core',
+            'dementia_core',
+            'parkinsons_core',
+            'cancer_core',
+            'pregnancy_core',
+            'orthopaedics_core',
+        ];
+
+        foreach ($expected as $code) {
+            $this->assertNotNull(
+                AssessmentTemplate::currentSystemByCode($code),
+                "Missing template {$code}"
+            );
+        }
+    }
+
+    public function test_all_pathways_seed_with_required_bindings(): void
+    {
+        $this->seed(AssessmentTemplateSeeder::class);
+        $this->seed(ClinicalPathwaySeeder::class);
+
+        $expected = [
+            'stroke',
+            'diabetes',
+            'heart_failure',
+            'ckd',
+            'hypertension',
+            'asthma',
+            'copd',
+            'dementia',
+            'parkinsons',
+            'cancer',
+            'pregnancy',
+            'orthopaedics',
+        ];
+
+        foreach ($expected as $code) {
+            $pathway = ClinicalPathway::findByCode($code);
+            $this->assertNotNull($pathway, "Missing pathway {$code}");
+            $this->assertGreaterThanOrEqual(
+                1,
+                $pathway->templates()->where('is_required_on_activation', true)->count(),
+                "Pathway {$code} needs a required template"
+            );
+        }
+    }
+
+    public function test_copd_and_heart_failure_scoring_templates(): void
+    {
+        $this->seed(AssessmentTemplateSeeder::class);
+
+        $copd = AssessmentTemplate::currentSystemByCode('copd_core');
+        $hf = AssessmentTemplate::currentSystemByCode('heart_failure_core');
+
+        $this->assertSame('single_value', $copd->scoring_strategy);
+        $this->assertSame('single_value', $hf->scoring_strategy);
+        $this->assertTrue($copd->questions()->where('code', 'mmrc')->exists());
+        $this->assertTrue($hf->questions()->where('code', 'nyha')->exists());
+    }
+}