Initial Ladill Care release.

Healthcare management app: patients, appointments, consultations, lab, pharmacy inventory, billing, and reports at care.ladill.com. Co-authored-by: Cursor <cursoragent@cursor.com>
2026-06-29 11:36:22 +00:00
commit 6c9c742ed8
300 changed files with 30741 additions and 0 deletions
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+<?php
+
+namespace App\Http\Controllers\Care;
+
+use App\Http\Controllers\Controller;
+use App\Http\Controllers\Care\Concerns\ScopesToAccount;
+use App\Models\Consultation;
+use App\Models\InvestigationType;
+use App\Models\Practitioner;
+use App\Services\Care\ConsultationService;
+use App\Services\Care\OrganizationResolver;
+use Illuminate\Http\RedirectResponse;
+use Illuminate\Http\Request;
+use Illuminate\View\View;
+
+class ConsultationController extends Controller
+{
+    use ScopesToAccount;
+
+    public function __construct(
+        protected ConsultationService $consultations,
+    ) {}
+
+    public function show(Request $request, Consultation $consultation): View
+    {
+        $this->authorizeAbility($request, 'consultations.view');
+        $this->authorizeConsultation($request, $consultation);
+
+        $consultation->load([
+            'patient', 'practitioner', 'visit', 'appointment',
+            'vitalSigns', 'diagnoses', 'documents',
+            'investigationRequests.investigationType', 'prescriptions.items',
+        ]);
+
+        $canManage = app(\App\Services\Care\CarePermissions::class)
+            ->can($this->member($request), 'consultations.manage');
+        $canVitals = app(\App\Services\Care\CarePermissions::class)
+            ->can($this->member($request), 'vitals.manage');
+        $canRequestInvestigations = app(\App\Services\Care\CarePermissions::class)
+            ->can($this->member($request), 'investigations.request');
+        $canPrescribe = app(\App\Services\Care\CarePermissions::class)
+            ->can($this->member($request), 'prescriptions.manage');
+        $canGenerateBill = app(\App\Services\Care\CarePermissions::class)
+            ->can($this->member($request), 'bills.manage');
+
+        $practitioners = Practitioner::owned($this->ownerRef($request))
+            ->where('organization_id', $this->organization($request)->id)
+            ->where('is_active', true)
+            ->orderBy('name')
+            ->get();
+
+        $investigationTypes = InvestigationType::owned($this->ownerRef($request))
+            ->where('organization_id', $this->organization($request)->id)
+            ->where('is_active', true)
+            ->orderBy('name')
+            ->get();
+
+        return view('care.consultations.show', [
+            'consultation' => $consultation,
+            'practitioners' => $practitioners,
+            'investigationTypes' => $investigationTypes,
+            'canManage' => $canManage,
+            'canVitals' => $canVitals,
+            'canRequestInvestigations' => $canRequestInvestigations,
+            'canPrescribe' => $canPrescribe,
+            'canGenerateBill' => $canGenerateBill,
+            'isCompleted' => $consultation->status === Consultation::STATUS_COMPLETED,
+        ]);
+    }
+
+    public function update(Request $request, Consultation $consultation): RedirectResponse
+    {
+        $canManage = app(\App\Services\Care\CarePermissions::class)
+            ->can($this->member($request), 'consultations.manage');
+        $canVitals = app(\App\Services\Care\CarePermissions::class)
+            ->can($this->member($request), 'vitals.manage');
+
+        abort_unless($canManage || $canVitals, 403);
+        $this->authorizeConsultation($request, $consultation);
+        abort_if($consultation->status === Consultation::STATUS_COMPLETED, 422);
+
+        $validated = $this->validatedConsultationData($request, $canManage, $canVitals);
+
+        $this->consultations->save(
+            $consultation,
+            $this->ownerRef($request),
+            $validated,
+            $this->ownerRef($request),
+        );
+
+        return back()->with('success', 'Consultation saved.');
+    }
+
+    public function complete(Request $request, Consultation $consultation): RedirectResponse
+    {
+        $this->authorizeAbility($request, 'consultations.manage');
+        $this->authorizeConsultation($request, $consultation);
+
+        $this->consultations->complete(
+            $consultation,
+            $this->ownerRef($request),
+            $this->ownerRef($request),
+        );
+
+        return redirect()->route('care.patients.show', $consultation->patient)
+            ->with('success', 'Consultation completed.');
+    }
+
+    protected function authorizeConsultation(Request $request, Consultation $consultation): void
+    {
+        $this->authorizeOwner($request, $consultation);
+        $consultation->loadMissing('visit');
+        abort_unless($consultation->visit->organization_id === $this->organization($request)->id, 404);
+
+        $branchId = app(OrganizationResolver::class)->branchScope($this->member($request));
+        if ($branchId !== null && $consultation->visit->branch_id !== $branchId) {
+            abort(404);
+        }
+    }
+
+    /**
+     * @return array<string, mixed>
+     */
+    protected function validatedConsultationData(Request $request, bool $canManage, bool $canVitals): array
+    {
+        $rules = [];
+
+        if ($canManage) {
+            $rules = array_merge($rules, [
+                'symptoms' => ['nullable', 'string', 'max:10000'],
+                'clinical_notes' => ['nullable', 'string', 'max:20000'],
+                'practitioner_id' => ['nullable', 'integer', 'exists:care_practitioners,id'],
+                'diagnoses' => ['nullable', 'array'],
+                'diagnoses.*.code' => ['nullable', 'string', 'max:50'],
+                'diagnoses.*.description' => ['nullable', 'string', 'max:500'],
+                'diagnoses.*.is_primary' => ['nullable', 'boolean'],
+                'diagnoses.*.notes' => ['nullable', 'string', 'max:2000'],
+                'documents' => ['nullable', 'array'],
+                'documents.*' => ['file', 'max:10240', 'mimes:pdf,jpeg,png,jpg,webp'],
+            ]);
+            $canVitals = true;
+        }
+
+        if ($canVitals) {
+            $rules['vitals'] = ['nullable', 'array'];
+            $rules['vitals.bp_systolic'] = ['nullable', 'integer', 'min:50', 'max:300'];
+            $rules['vitals.bp_diastolic'] = ['nullable', 'integer', 'min:30', 'max:200'];
+            $rules['vitals.pulse'] = ['nullable', 'integer', 'min:20', 'max:250'];
+            $rules['vitals.temperature'] = ['nullable', 'numeric', 'min:30', 'max:45'];
+            $rules['vitals.weight_kg'] = ['nullable', 'numeric', 'min:0', 'max:500'];
+            $rules['vitals.height_cm'] = ['nullable', 'numeric', 'min:0', 'max:300'];
+            $rules['vitals.spo2'] = ['nullable', 'integer', 'min:50', 'max:100'];
+            $rules['vitals.respiratory_rate'] = ['nullable', 'integer', 'min:5', 'max:80'];
+        }
+
+        return $request->validate($rules);
+    }
+}