Speed up Queue board loads by dropping sync and gate side effects.

Stop issuing missing tickets and refreshing financial gates on every GET;
eager-load advances, cap board rows, and cache specialty department maps.

Co-authored-by: Cursor <cursoragent@cursor.com>

app/Services/Care/CareQueueBridge.php

@@ -19,6 +19,9 @@ use Illuminate\Support\Facades\Log;
  */
 class CareQueueBridge
 {
+    /** @var array<int, array<int, string>> organization_id => [department_id => specialty_key] */
+    protected array $specialtyDepartmentMaps = [];
+
     public function __construct(
         protected CareQueueEngine $engine,
         protected CareQueueProvisioner $provisioner,
@@ -49,14 +52,34 @@ class CareQueueBridge
             return CareQueueContexts::CONSULTATION;
         }
 
+        return $this->specialtyDepartmentMap($organization)[$departmentId]
+            ?? CareQueueContexts::CONSULTATION;
+    }
+
+    /**
+     * Department id → specialty module key for this org (request-scoped cache).
+     *
+     * @return array<int, string>
+     */
+    public function specialtyDepartmentMap(Organization $organization): array
+    {
+        $orgId = (int) $organization->id;
+        if (isset($this->specialtyDepartmentMaps[$orgId])) {
+            return $this->specialtyDepartmentMaps[$orgId];
+        }
+
+        $map = [];
         foreach ($this->specialties->enabledKeys($organization) as $key) {
             $deptIds = data_get($organization->settings, "specialty_module_provisioning.{$key}.department_ids", []);
-            if (is_array($deptIds) && in_array($departmentId, array_map('intval', $deptIds), true)) {
-                return $key;
+            if (! is_array($deptIds)) {
+                continue;
+            }
+            foreach ($deptIds as $deptId) {
+                $map[(int) $deptId] = $key;
             }
         }
 
-        return CareQueueContexts::CONSULTATION;
+        return $this->specialtyDepartmentMaps[$orgId] = $map;
     }
 
     public function contextForPractitioner(Organization $organization, ?Practitioner $practitioner): string
@@ -496,7 +519,7 @@ class CareQueueBridge
             ];
         }
 
-        $resources = $this->provisioner->ensure($organization->fresh(), $context, $branchId);
+        $resources = $this->provisioner->ensure($organization, $context, $branchId);
 
         return [
             'enabled' => true,