Patients can be admitted, transferred, and discharged from unit/bed stays with occupancy sync, so MAR and ward boards have inpatient context. Co-authored-by: Cursor <cursoragent@cursor.com>
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isaacclad
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<?php
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namespace Tests\Feature;
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use App\Http\Middleware\EnsurePlatformSession;
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use App\Models\Bed;
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use App\Models\BedStay;
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use App\Models\Branch;
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use App\Models\CareUnit;
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use App\Models\Department;
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use App\Models\Member;
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use App\Models\Organization;
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use App\Models\Patient;
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use App\Models\User;
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use App\Models\Visit;
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use App\Services\Care\VisitService;
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use Illuminate\Foundation\Testing\RefreshDatabase;
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use Tests\TestCase;
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class CareVisitPlacementTest extends TestCase
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{
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use RefreshDatabase;
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protected User $owner;
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protected Organization $organization;
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protected Branch $branch;
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protected Department $department;
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protected CareUnit $unit;
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protected Bed $bed;
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protected Visit $visit;
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protected function setUp(): void
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{
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parent::setUp();
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$this->withoutMiddleware(EnsurePlatformSession::class);
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$this->owner = User::create([
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'public_id' => 'placement-owner',
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'name' => 'Owner',
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'email' => 'placement-owner@example.com',
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]);
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$this->organization = Organization::create([
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'owner_ref' => $this->owner->public_id,
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'name' => 'Placement Hospital',
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'slug' => 'placement-hospital',
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'settings' => [
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'onboarded' => true,
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'facility_type' => 'hospital',
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'plan' => 'pro',
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'plan_expires_at' => now()->addMonth()->toIso8601String(),
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],
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]);
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Member::create([
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'owner_ref' => $this->owner->public_id,
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'organization_id' => $this->organization->id,
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'user_ref' => $this->owner->public_id,
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'role' => 'hospital_admin',
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]);
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$this->branch = Branch::create([
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'owner_ref' => $this->owner->public_id,
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'organization_id' => $this->organization->id,
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'name' => 'Main',
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'is_active' => true,
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]);
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$this->department = Department::create([
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'owner_ref' => $this->owner->public_id,
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'branch_id' => $this->branch->id,
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'name' => "Women's Health",
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'type' => 'womens_health',
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'is_active' => true,
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]);
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$this->unit = CareUnit::create([
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'owner_ref' => $this->owner->public_id,
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'organization_id' => $this->organization->id,
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'department_id' => $this->department->id,
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'name' => 'Postnatal Ward',
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'kind' => 'inpatient',
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'is_active' => true,
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]);
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$this->bed = Bed::create([
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'owner_ref' => $this->owner->public_id,
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'organization_id' => $this->organization->id,
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'care_unit_id' => $this->unit->id,
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'label' => 'PN-01',
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'status' => 'available',
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'is_active' => true,
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]);
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$patient = Patient::create([
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'owner_ref' => $this->owner->public_id,
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'organization_id' => $this->organization->id,
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'branch_id' => $this->branch->id,
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'patient_number' => 'P-PLACE-1',
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'first_name' => 'Ama',
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'last_name' => 'Mensah',
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'gender' => 'female',
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]);
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$this->visit = Visit::create([
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'owner_ref' => $this->owner->public_id,
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'organization_id' => $this->organization->id,
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'branch_id' => $this->branch->id,
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'patient_id' => $patient->id,
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'status' => Visit::STATUS_OPEN,
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'checked_in_at' => now(),
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]);
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}
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public function test_place_visit_occupies_bed(): void
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{
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$this->actingAs($this->owner)
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->post(route('care.care-units.placements.store', $this->unit), [
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'visit_id' => $this->visit->id,
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'bed_id' => $this->bed->id,
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])
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->assertRedirect(route('care.care-units.show', $this->unit));
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$this->visit->refresh();
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$this->bed->refresh();
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$this->assertSame($this->unit->id, $this->visit->care_unit_id);
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$this->assertSame($this->bed->id, $this->visit->bed_id);
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$this->assertSame('occupied', $this->bed->status);
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$this->assertDatabaseHas('care_bed_stays', [
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'visit_id' => $this->visit->id,
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'bed_id' => $this->bed->id,
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'status' => BedStay::STATUS_ACTIVE,
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'reason' => 'admit',
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]);
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}
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public function test_transfer_frees_old_bed_and_occupies_new(): void
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{
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$otherUnit = CareUnit::create([
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'owner_ref' => $this->owner->public_id,
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'organization_id' => $this->organization->id,
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'department_id' => $this->department->id,
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'name' => 'Labour Ward',
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'kind' => 'inpatient',
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'is_active' => true,
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]);
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$otherBed = Bed::create([
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'owner_ref' => $this->owner->public_id,
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'organization_id' => $this->organization->id,
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'care_unit_id' => $otherUnit->id,
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'label' => 'LW-02',
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'status' => 'available',
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'is_active' => true,
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]);
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$this->actingAs($this->owner)
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->post(route('care.care-units.placements.store', $this->unit), [
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'visit_id' => $this->visit->id,
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'bed_id' => $this->bed->id,
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])
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->assertRedirect();
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$this->actingAs($this->owner)
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->post(route('care.visits.placement.transfer', $this->visit), [
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'care_unit_id' => $otherUnit->id,
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'bed_id' => $otherBed->id,
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])
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->assertRedirect(route('care.care-units.show', $otherUnit));
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$this->visit->refresh();
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$this->bed->refresh();
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$otherBed->refresh();
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$this->assertSame($otherUnit->id, $this->visit->care_unit_id);
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$this->assertSame($otherBed->id, $this->visit->bed_id);
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$this->assertSame('available', $this->bed->status);
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$this->assertSame('occupied', $otherBed->status);
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$this->assertSame(1, BedStay::query()->where('visit_id', $this->visit->id)->active()->count());
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}
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public function test_discharge_placement_frees_bed(): void
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{
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$this->actingAs($this->owner)
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->post(route('care.care-units.placements.store', $this->unit), [
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'visit_id' => $this->visit->id,
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'bed_id' => $this->bed->id,
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]);
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$this->actingAs($this->owner)
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->delete(route('care.visits.placement.destroy', $this->visit))
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->assertRedirect();
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$this->visit->refresh();
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$this->bed->refresh();
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$this->assertNull($this->visit->care_unit_id);
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$this->assertNull($this->visit->bed_id);
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$this->assertSame('available', $this->bed->status);
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}
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public function test_completing_visit_discharges_placement(): void
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{
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$this->actingAs($this->owner)
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->post(route('care.care-units.placements.store', $this->unit), [
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'visit_id' => $this->visit->id,
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'bed_id' => $this->bed->id,
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]);
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app(VisitService::class)->complete($this->visit, $this->owner->public_id, $this->owner->public_id);
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$this->visit->refresh();
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$this->bed->refresh();
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$this->assertSame(Visit::STATUS_COMPLETED, $this->visit->status);
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$this->assertNull($this->visit->care_unit_id);
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$this->assertSame('available', $this->bed->status);
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}
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public function test_cannot_place_on_float_pool(): void
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{
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$float = CareUnit::create([
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'owner_ref' => $this->owner->public_id,
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'organization_id' => $this->organization->id,
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'department_id' => $this->department->id,
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'name' => 'Float Pool',
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'kind' => 'float_pool',
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'is_active' => true,
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]);
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$this->actingAs($this->owner)
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->from(route('care.care-units.show', $float))
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->post(route('care.care-units.placements.store', $float), [
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'visit_id' => $this->visit->id,
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])
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->assertRedirect()
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->assertSessionHasErrors('care_unit_id');
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}
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public function test_second_patient_cannot_take_occupied_bed(): void
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{
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$this->actingAs($this->owner)
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->post(route('care.care-units.placements.store', $this->unit), [
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'visit_id' => $this->visit->id,
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'bed_id' => $this->bed->id,
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]);
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$otherPatient = Patient::create([
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'owner_ref' => $this->owner->public_id,
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'organization_id' => $this->organization->id,
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'branch_id' => $this->branch->id,
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'patient_number' => 'P-PLACE-2',
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'first_name' => 'Kwame',
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'last_name' => 'Boateng',
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'gender' => 'male',
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]);
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$otherVisit = Visit::create([
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'owner_ref' => $this->owner->public_id,
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'organization_id' => $this->organization->id,
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'branch_id' => $this->branch->id,
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'patient_id' => $otherPatient->id,
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'status' => Visit::STATUS_OPEN,
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'checked_in_at' => now(),
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]);
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$this->actingAs($this->owner)
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->from(route('care.care-units.show', $this->unit))
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->post(route('care.care-units.placements.store', $this->unit), [
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'visit_id' => $otherVisit->id,
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'bed_id' => $this->bed->id,
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])
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->assertRedirect()
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->assertSessionHasErrors('bed_id');
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}
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}
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