Add nursing assessment packs, ward board, and nurse performance KPIs.
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Seeds NEWS2/Braden/Morse/pain packs with visit vitals and a unit dashboard for MAR, assessments, notes, and handover activity. 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\Assessment;
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use App\Models\AssessmentTemplate;
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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\Models\VisitVital;
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use App\Services\Care\AssessmentService;
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use App\Services\Care\VisitPlacementService;
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use Database\Seeders\AssessmentTemplateSeeder;
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use Illuminate\Foundation\Testing\RefreshDatabase;
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use Tests\TestCase;
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class CareNursingAssessmentsAndPerformanceTest 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 CareUnit $unit;
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protected Visit $visit;
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protected Patient $patient;
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protected function setUp(): void
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{
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parent::setUp();
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$this->withoutMiddleware(EnsurePlatformSession::class);
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$this->seed(AssessmentTemplateSeeder::class);
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$this->owner = User::create([
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'public_id' => 'nursing-de-owner',
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'name' => 'Owner',
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'email' => 'nursing-de@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' => 'Nursing DE Hospital',
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'slug' => 'nursing-de-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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'rollout' => ['assessments_engine' => true],
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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' => $this->owner->public_id,
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'role' => 'hospital_admin',
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]);
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$branch = Branch::create([
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'owner_ref' => $this->owner->public_id,
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'organization_id' => $this->organization->id,
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'name' => 'Main',
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'is_active' => true,
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]);
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$department = Department::create([
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'owner_ref' => $this->owner->public_id,
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'branch_id' => $branch->id,
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'name' => 'Medicine',
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'type' => 'general',
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'is_active' => true,
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]);
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$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' => $department->id,
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'name' => 'Medical Ward',
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'kind' => 'inpatient',
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'is_active' => true,
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]);
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$this->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' => $branch->id,
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'patient_number' => 'P-NDE-1',
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'first_name' => 'Ama',
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'last_name' => 'Mensah',
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'gender' => 'female',
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]);
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$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' => $branch->id,
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'patient_id' => $this->patient->id,
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'status' => Visit::STATUS_IN_PROGRESS,
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'checked_in_at' => now(),
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]);
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app(VisitPlacementService::class)->place(
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$this->visit,
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$this->unit,
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null,
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$this->owner->public_id,
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$this->owner->public_id,
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);
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}
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public function test_nursing_packs_are_seeded(): void
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{
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foreach (['news2', 'braden', 'morse', 'pain_nrs'] as $code) {
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$this->assertNotNull(
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AssessmentTemplate::currentSystemByCode($code),
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"Missing nursing pack {$code}",
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);
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}
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}
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public function test_start_nursing_assessment_from_unit_board(): void
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{
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$this->actingAs($this->owner)
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->post(route('care.care-units.assessments.start', [$this->unit, $this->visit]), [
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'template_code' => 'news2',
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])
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->assertRedirect();
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$assessment = Assessment::query()->where('visit_id', $this->visit->id)->first();
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$this->assertNotNull($assessment);
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$this->assertSame(Assessment::STATUS_DRAFT, $assessment->status);
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$this->assertSame('news2', $assessment->template->code);
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$this->actingAs($this->owner)
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->get(route('care.care-units.assessments', $this->unit))
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->assertOk()
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->assertSee('Ama')
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->assertSee('NEWS2');
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}
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public function test_record_visit_vitals_and_performance_dashboard(): void
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{
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$this->actingAs($this->owner)
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->post(route('care.care-units.vitals.store', [$this->unit, $this->visit]), [
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'bp_systolic' => 120,
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'bp_diastolic' => 80,
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'pulse' => 72,
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'spo2' => 98,
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'respiratory_rate' => 16,
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'temperature' => 36.8,
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])
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->assertRedirect(route('care.care-units.assessments', $this->unit));
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$this->assertDatabaseHas('care_visit_vitals', [
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'visit_id' => $this->visit->id,
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'pulse' => 72,
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'care_unit_id' => $this->unit->id,
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]);
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$member = Member::query()->where('user_ref', $this->owner->public_id)->first();
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$assessment = app(AssessmentService::class)->start(
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$this->patient,
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'pain_nrs',
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$this->owner->public_id,
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$member,
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['visit' => $this->visit->fresh(), 'actor' => $this->owner->public_id],
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);
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$this->actingAs($this->owner)
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->put(route('care.assessments.update', $assessment), [
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'answers' => ['pain_score' => 4],
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])
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->assertRedirect();
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$this->actingAs($this->owner)
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->post(route('care.assessments.complete', $assessment))
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->assertRedirect();
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$assessment->refresh()->load('score');
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$this->assertSame(Assessment::STATUS_COMPLETED, $assessment->status);
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$this->assertNotNull($assessment->score);
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$this->assertSame('Moderate', $assessment->score->severity_label);
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$this->actingAs($this->owner)
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->get(route('care.care-units.performance', $this->unit))
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->assertOk()
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->assertSee('Unit nursing KPIs')
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->assertSee('Assessments done');
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}
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public function test_visit_vitals_model_created(): void
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{
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VisitVital::create([
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'owner_ref' => $this->owner->public_id,
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'organization_id' => $this->organization->id,
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'visit_id' => $this->visit->id,
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'patient_id' => $this->patient->id,
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'care_unit_id' => $this->unit->id,
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'pulse' => 80,
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'recorded_at' => now(),
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'recorded_by' => $this->owner->public_id,
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]);
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$this->assertSame(1, VisitVital::query()->where('visit_id', $this->visit->id)->count());
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}
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}
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