Add full Ambulance and Child Welfare specialty clinical suites.

EMS clinic workflow (dispatch → scene → transport → handover) plus completed CWC suite, with shell stages, clinical records, reports/print, demo seed, and suite tests. Co-authored-by: Cursor <cursoragent@cursor.com>
2026-07-19 22:25:52 +00:00
parent 8c18ecc5c9
commit c0e5d8ef00
32 changed files with 2672 additions and 22 deletions
@@ -0,0 +1,214 @@
+<?php
+
+namespace App\Http\Controllers\Care;
+
+use App\Http\Controllers\Care\Concerns\ScopesToAccount;
+use App\Http\Controllers\Controller;
+use App\Models\SpecialtyClinicalRecord;
+use App\Models\Visit;
+use App\Services\Care\Ambulance\AmbulanceAnalyticsService;
+use App\Services\Care\Ambulance\AmbulanceWorkflowService;
+use App\Services\Care\SpecialtyClinicalRecordService;
+use App\Services\Care\SpecialtyModuleService;
+use App\Services\Care\SpecialtyShellService;
+use App\Services\Care\SpecialtyVisitStageService;
+use Illuminate\Http\RedirectResponse;
+use Illuminate\Http\Request;
+use Illuminate\View\View;
+
+class AmbulanceWorkspaceController extends Controller
+{
+    use ScopesToAccount;
+
+    protected function assertAmbulanceAccess(Request $request, SpecialtyModuleService $modules): void
+    {
+        $organization = $this->organization($request);
+        abort_unless($modules->memberCanAccess($organization, $this->member($request), 'ambulance'), 403);
+    }
+
+    protected function assertAmbulanceManage(Request $request, SpecialtyModuleService $modules): void
+    {
+        $organization = $this->organization($request);
+        abort_unless($modules->memberCanManage($organization, $this->member($request), 'ambulance'), 403);
+    }
+
+    protected function assertVisit(Request $request, Visit $visit): void
+    {
+        abort_unless($visit->organization_id === $this->organization($request)->id, 404);
+        $this->authorizeBranch($request, (int) $visit->branch_id);
+    }
+
+    public function setStage(
+        Request $request,
+        Visit $visit,
+        SpecialtyModuleService $modules,
+        SpecialtyVisitStageService $stages,
+        SpecialtyShellService $shell,
+    ): RedirectResponse {
+        $this->authorizeAbility($request, 'consultations.manage');
+        $this->assertAmbulanceManage($request, $modules);
+        $this->assertVisit($request, $visit);
+
+        $validated = $request->validate([
+            'stage' => ['required', 'string', 'max:32'],
+        ]);
+
+        try {
+            $stages->setStage(
+                $this->organization($request),
+                $visit,
+                'ambulance',
+                $validated['stage'],
+                $this->ownerRef($request),
+                $this->actorRef($request),
+            );
+        } catch (\InvalidArgumentException $e) {
+            return back()->with('error', $e->getMessage());
+        }
+
+        return redirect()
+            ->route('care.specialty.workspace', [
+                'module' => 'ambulance',
+                'visit' => $visit,
+                'tab' => $shell->workspaceTabForStage('ambulance', $validated['stage']),
+            ])
+            ->with('success', 'Visit stage updated.');
+    }
+
+    public function saveHandover(
+        Request $request,
+        Visit $visit,
+        SpecialtyModuleService $modules,
+        SpecialtyClinicalRecordService $clinical,
+        SpecialtyVisitStageService $stages,
+        AmbulanceWorkflowService $workflow,
+    ): RedirectResponse {
+        $this->authorizeAbility($request, 'consultations.manage');
+        $this->assertAmbulanceManage($request, $modules);
+        $this->assertVisit($request, $visit);
+
+        $organization = $this->organization($request);
+        $owner = $this->ownerRef($request);
+
+        $payload = (array) $request->input('payload', []);
+        foreach ($clinical->fieldsFor('ambulance', 'amb_handover') as $field) {
+            if (($field['type'] ?? '') === 'boolean') {
+                $payload[$field['name']] = $request->boolean('payload.'.$field['name']);
+            }
+        }
+        $request->merge(['payload' => $payload, 'tab' => 'handover']);
+
+        $validated = $request->validate(array_merge([
+            'tab' => ['required', 'string'],
+        ], $clinical->validationRules('ambulance', 'amb_handover')));
+
+        $record = $clinical->upsert(
+            $organization,
+            $visit,
+            'ambulance',
+            'amb_handover',
+            $clinical->payloadFromRequest($validated),
+            $owner,
+            $owner,
+            AmbulanceWorkflowService::STAGE_HANDOVER,
+            SpecialtyClinicalRecord::STATUS_COMPLETED,
+        );
+
+        try {
+            $stages->setStage(
+                $organization,
+                $visit,
+                'ambulance',
+                AmbulanceWorkflowService::STAGE_HANDOVER,
+                $owner,
+                $owner,
+            );
+        } catch (\InvalidArgumentException) {
+        }
+
+        if ($workflow->shouldCompleteVisit($record->payload ?? [])) {
+            try {
+                $stages->setStage(
+                    $organization,
+                    $visit,
+                    'ambulance',
+                    AmbulanceWorkflowService::STAGE_COMPLETED,
+                    $owner,
+                    $owner,
+                );
+            } catch (\InvalidArgumentException) {
+            }
+
+            $visit->refresh();
+            if ($visit->status !== Visit::STATUS_COMPLETED) {
+                $visit->update([
+                    'status' => Visit::STATUS_COMPLETED,
+                    'completed_at' => $visit->completed_at ?? now(),
+                ]);
+            }
+
+            $appointment = $visit->appointment;
+            if ($appointment && $appointment->status !== \App\Models\Appointment::STATUS_COMPLETED) {
+                $appointment->update([
+                    'status' => \App\Models\Appointment::STATUS_COMPLETED,
+                    'completed_at' => $appointment->completed_at ?? now(),
+                ]);
+            }
+        }
+
+        return redirect()
+            ->route('care.specialty.workspace', ['module' => 'ambulance', 'visit' => $visit, 'tab' => 'handover'])
+            ->with('success', 'Handover saved.');
+    }
+
+    public function reports(
+        Request $request,
+        SpecialtyModuleService $modules,
+        SpecialtyShellService $shell,
+        AmbulanceAnalyticsService $analytics,
+    ): View {
+        $this->authorizeAbility($request, 'consultations.view');
+        $this->assertAmbulanceAccess($request, $modules);
+
+        $organization = $this->organization($request);
+        $branchScope = app(\App\Services\Care\OrganizationResolver::class)->branchScope($this->member($request));
+
+        $report = $analytics->report(
+            $organization,
+            $this->ownerRef($request),
+            $branchScope,
+            $request->query('from'),
+            $request->query('to'),
+        );
+
+        return view('care.specialty.ambulance.reports', [
+            'moduleKey' => 'ambulance',
+            'definition' => $modules->definition('ambulance'),
+            'shellNav' => $shell->navItems('ambulance'),
+            'report' => $report,
+            'currency' => strtoupper((string) config('care.billing.currency', config('care.currency', 'GHS'))),
+        ]);
+    }
+
+    public function printSummary(
+        Request $request,
+        Visit $visit,
+        SpecialtyModuleService $modules,
+        SpecialtyClinicalRecordService $clinical,
+    ): View {
+        $this->authorizeAbility($request, 'consultations.view');
+        $this->assertAmbulanceAccess($request, $modules);
+        $this->assertVisit($request, $visit);
+
+        $visit->loadMissing(['patient', 'appointment.practitioner', 'branch']);
+
+        return view('care.specialty.ambulance.print', [
+            'visit' => $visit,
+            'patient' => $visit->patient,
+            'dispatch' => $clinical->findForVisit($visit, 'ambulance', 'amb_dispatch'),
+            'scene' => $clinical->findForVisit($visit, 'ambulance', 'amb_scene'),
+            'enRoute' => $clinical->findForVisit($visit, 'ambulance', 'amb_en_route'),
+            'handover' => $clinical->findForVisit($visit, 'ambulance', 'amb_handover'),
+        ]);
+    }
+}
@@ -0,0 +1,214 @@
+<?php
+
+namespace App\Http\Controllers\Care;
+
+use App\Http\Controllers\Care\Concerns\ScopesToAccount;
+use App\Http\Controllers\Controller;
+use App\Models\SpecialtyClinicalRecord;
+use App\Models\Visit;
+use App\Services\Care\ChildWelfare\ChildWelfareAnalyticsService;
+use App\Services\Care\ChildWelfare\ChildWelfareWorkflowService;
+use App\Services\Care\SpecialtyClinicalRecordService;
+use App\Services\Care\SpecialtyModuleService;
+use App\Services\Care\SpecialtyShellService;
+use App\Services\Care\SpecialtyVisitStageService;
+use Illuminate\Http\RedirectResponse;
+use Illuminate\Http\Request;
+use Illuminate\View\View;
+
+class ChildWelfareWorkspaceController extends Controller
+{
+    use ScopesToAccount;
+
+    protected function assertChildWelfareAccess(Request $request, SpecialtyModuleService $modules): void
+    {
+        $organization = $this->organization($request);
+        abort_unless($modules->memberCanAccess($organization, $this->member($request), 'child_welfare'), 403);
+    }
+
+    protected function assertChildWelfareManage(Request $request, SpecialtyModuleService $modules): void
+    {
+        $organization = $this->organization($request);
+        abort_unless($modules->memberCanManage($organization, $this->member($request), 'child_welfare'), 403);
+    }
+
+    protected function assertVisit(Request $request, Visit $visit): void
+    {
+        abort_unless($visit->organization_id === $this->organization($request)->id, 404);
+        $this->authorizeBranch($request, (int) $visit->branch_id);
+    }
+
+    public function setStage(
+        Request $request,
+        Visit $visit,
+        SpecialtyModuleService $modules,
+        SpecialtyVisitStageService $stages,
+        SpecialtyShellService $shell,
+    ): RedirectResponse {
+        $this->authorizeAbility($request, 'consultations.manage');
+        $this->assertChildWelfareManage($request, $modules);
+        $this->assertVisit($request, $visit);
+
+        $validated = $request->validate([
+            'stage' => ['required', 'string', 'max:32'],
+        ]);
+
+        try {
+            $stages->setStage(
+                $this->organization($request),
+                $visit,
+                'child_welfare',
+                $validated['stage'],
+                $this->ownerRef($request),
+                $this->actorRef($request),
+            );
+        } catch (\InvalidArgumentException $e) {
+            return back()->with('error', $e->getMessage());
+        }
+
+        return redirect()
+            ->route('care.specialty.workspace', [
+                'module' => 'child_welfare',
+                'visit' => $visit,
+                'tab' => $shell->workspaceTabForStage('child_welfare', $validated['stage']),
+            ])
+            ->with('success', 'Visit stage updated.');
+    }
+
+    public function saveFollowUp(
+        Request $request,
+        Visit $visit,
+        SpecialtyModuleService $modules,
+        SpecialtyClinicalRecordService $clinical,
+        SpecialtyVisitStageService $stages,
+        ChildWelfareWorkflowService $workflow,
+    ): RedirectResponse {
+        $this->authorizeAbility($request, 'consultations.manage');
+        $this->assertChildWelfareManage($request, $modules);
+        $this->assertVisit($request, $visit);
+
+        $organization = $this->organization($request);
+        $owner = $this->ownerRef($request);
+
+        $payload = (array) $request->input('payload', []);
+        foreach ($clinical->fieldsFor('child_welfare', 'cwc_followup') as $field) {
+            if (($field['type'] ?? '') === 'boolean') {
+                $payload[$field['name']] = $request->boolean('payload.'.$field['name']);
+            }
+        }
+        $request->merge(['payload' => $payload, 'tab' => 'followup']);
+
+        $validated = $request->validate(array_merge([
+            'tab' => ['required', 'string'],
+        ], $clinical->validationRules('child_welfare', 'cwc_followup')));
+
+        $record = $clinical->upsert(
+            $organization,
+            $visit,
+            'child_welfare',
+            'cwc_followup',
+            $clinical->payloadFromRequest($validated),
+            $owner,
+            $owner,
+            ChildWelfareWorkflowService::STAGE_FOLLOWUP,
+            SpecialtyClinicalRecord::STATUS_COMPLETED,
+        );
+
+        try {
+            $stages->setStage(
+                $organization,
+                $visit,
+                'child_welfare',
+                ChildWelfareWorkflowService::STAGE_FOLLOWUP,
+                $owner,
+                $owner,
+            );
+        } catch (\InvalidArgumentException) {
+        }
+
+        if ($workflow->shouldCompleteVisit($record->payload ?? [])) {
+            try {
+                $stages->setStage(
+                    $organization,
+                    $visit,
+                    'child_welfare',
+                    ChildWelfareWorkflowService::STAGE_COMPLETED,
+                    $owner,
+                    $owner,
+                );
+            } catch (\InvalidArgumentException) {
+            }
+
+            $visit->refresh();
+            if ($visit->status !== Visit::STATUS_COMPLETED) {
+                $visit->update([
+                    'status' => Visit::STATUS_COMPLETED,
+                    'completed_at' => $visit->completed_at ?? now(),
+                ]);
+            }
+
+            $appointment = $visit->appointment;
+            if ($appointment && $appointment->status !== \App\Models\Appointment::STATUS_COMPLETED) {
+                $appointment->update([
+                    'status' => \App\Models\Appointment::STATUS_COMPLETED,
+                    'completed_at' => $appointment->completed_at ?? now(),
+                ]);
+            }
+        }
+
+        return redirect()
+            ->route('care.specialty.workspace', ['module' => 'child_welfare', 'visit' => $visit, 'tab' => 'followup'])
+            ->with('success', 'Intervention / follow-up saved.');
+    }
+
+    public function reports(
+        Request $request,
+        SpecialtyModuleService $modules,
+        SpecialtyShellService $shell,
+        ChildWelfareAnalyticsService $analytics,
+    ): View {
+        $this->authorizeAbility($request, 'consultations.view');
+        $this->assertChildWelfareAccess($request, $modules);
+
+        $organization = $this->organization($request);
+        $branchScope = app(\App\Services\Care\OrganizationResolver::class)->branchScope($this->member($request));
+
+        $report = $analytics->report(
+            $organization,
+            $this->ownerRef($request),
+            $branchScope,
+            $request->query('from'),
+            $request->query('to'),
+        );
+
+        return view('care.specialty.child-welfare.reports', [
+            'moduleKey' => 'child_welfare',
+            'definition' => $modules->definition('child_welfare'),
+            'shellNav' => $shell->navItems('child_welfare'),
+            'report' => $report,
+            'currency' => strtoupper((string) config('care.billing.currency', config('care.currency', 'GHS'))),
+        ]);
+    }
+
+    public function printSummary(
+        Request $request,
+        Visit $visit,
+        SpecialtyModuleService $modules,
+        SpecialtyClinicalRecordService $clinical,
+    ): View {
+        $this->authorizeAbility($request, 'consultations.view');
+        $this->assertChildWelfareAccess($request, $modules);
+        $this->assertVisit($request, $visit);
+
+        $visit->loadMissing(['patient', 'appointment.practitioner', 'branch']);
+
+        return view('care.specialty.child-welfare.print', [
+            'visit' => $visit,
+            'patient' => $visit->patient,
+            'intake' => $clinical->findForVisit($visit, 'child_welfare', 'cwc_intake'),
+            'assessment' => $clinical->findForVisit($visit, 'child_welfare', 'cwc_assessment'),
+            'plan' => $clinical->findForVisit($visit, 'child_welfare', 'cwc_plan'),
+            'followup' => $clinical->findForVisit($visit, 'child_welfare', 'cwc_followup'),
+        ]);
+    }
+}
@@ -171,6 +171,8 @@ class SpecialtyModuleController extends Controller
                'dermatology' => 'history',
                'podiatry' => 'history',
                'fertility' => 'history',
+                'child_welfare' => 'intake',
+                'ambulance' => 'dispatch',
                default => (collect(array_keys($shellTabs))
                    ->first(fn (string $tab) => $clinical->recordTypeForTab($module, $tab) !== null)
                    ?? 'clinical_notes'),
@@ -260,6 +262,8 @@ class SpecialtyModuleController extends Controller
            'dermatology' => 'history',
            'podiatry' => 'history',
            'fertility' => 'history',
+            'child_welfare' => 'intake',
+            'ambulance' => 'dispatch',
            default => (collect(array_keys($shellTabs))
                ->first(fn (string $tab) => $clinical->recordTypeForTab($module, $tab) !== null)
                ?? 'clinical_notes'),
@@ -1127,6 +1131,70 @@ class SpecialtyModuleController extends Controller
            }
        }

+        if ($module === 'child_welfare' && in_array($recordType, ['cwc_intake', 'cwc_assessment', 'cwc_plan'], true)) {
+            $workflow = app(\App\Services\Care\ChildWelfare\ChildWelfareWorkflowService::class);
+            $stageService = app(\App\Services\Care\SpecialtyVisitStageService::class);
+            $suggested = match ($recordType) {
+                'cwc_intake' => $workflow->stageFromIntake($record->payload ?? []),
+                'cwc_assessment' => $workflow->stageFromAssessment($record->payload ?? []),
+                'cwc_plan' => $workflow->stageFromPlan($record->payload ?? []),
+                default => null,
+            };
+            $current = $visit->specialty_stage;
+            $early = ['check_in', 'waiting', null, ''];
+            $order = [
+                'check_in' => 0,
+                'intake' => 1,
+                'assessment' => 2,
+                'plan' => 3,
+                'followup' => 4,
+                'completed' => 5,
+            ];
+            if ($suggested && (! $current || in_array($current, $early, true))) {
+                try {
+                    $stageService->setStage($organization, $visit, 'child_welfare', $suggested, $this->ownerRef($request), $this->ownerRef($request));
+                } catch (\InvalidArgumentException) {
+                }
+            } elseif ($suggested && $suggested !== $current && ($order[$suggested] ?? 0) > ($order[$current] ?? 0)) {
+                try {
+                    $stageService->setStage($organization, $visit, 'child_welfare', $suggested, $this->ownerRef($request), $this->ownerRef($request));
+                } catch (\InvalidArgumentException) {
+                }
+            }
+        }
+
+        if ($module === 'ambulance' && in_array($recordType, ['amb_dispatch', 'amb_scene', 'amb_en_route'], true)) {
+            $workflow = app(\App\Services\Care\Ambulance\AmbulanceWorkflowService::class);
+            $stageService = app(\App\Services\Care\SpecialtyVisitStageService::class);
+            $suggested = match ($recordType) {
+                'amb_dispatch' => $workflow->stageFromDispatch($record->payload ?? []),
+                'amb_scene' => $workflow->stageFromScene($record->payload ?? []),
+                'amb_en_route' => $workflow->stageFromEnRoute($record->payload ?? []),
+                default => null,
+            };
+            $current = $visit->specialty_stage;
+            $early = ['check_in', 'waiting', null, ''];
+            $order = [
+                'check_in' => 0,
+                'dispatch' => 1,
+                'on_scene' => 2,
+                'transport' => 3,
+                'handover' => 4,
+                'completed' => 5,
+            ];
+            if ($suggested && (! $current || in_array($current, $early, true))) {
+                try {
+                    $stageService->setStage($organization, $visit, 'ambulance', $suggested, $this->ownerRef($request), $this->ownerRef($request));
+                } catch (\InvalidArgumentException) {
+                }
+            } elseif ($suggested && $suggested !== $current && ($order[$suggested] ?? 0) > ($order[$current] ?? 0)) {
+                try {
+                    $stageService->setStage($organization, $visit, 'ambulance', $suggested, $this->ownerRef($request), $this->ownerRef($request));
+                } catch (\InvalidArgumentException) {
+                }
+            }
+        }
+
        return redirect()
            ->route('care.specialty.workspace', [
                'module' => $module,
@@ -1644,6 +1712,18 @@ class SpecialtyModuleController extends Controller
        $fertilityCycle = null;
        $fertilityStageCodes = [];
        $fertilityStageFlow = [];
+        $childWelfareIntake = null;
+        $childWelfareAssessment = null;
+        $childWelfarePlan = null;
+        $childWelfareFollowup = null;
+        $childWelfareStageCodes = [];
+        $childWelfareStageFlow = [];
+        $ambulanceDispatch = null;
+        $ambulanceScene = null;
+        $ambulanceEnRoute = null;
+        $ambulanceHandover = null;
+        $ambulanceStageCodes = [];
+        $ambulanceStageFlow = [];
        $activeTab = (string) $request->query('tab', array_key_first($shell->workspaceTabs($module)) ?: 'overview');
        $clinical = app(SpecialtyClinicalRecordService::class);

@@ -1926,6 +2006,24 @@ class SpecialtyModuleController extends Controller
                $fertilityStageFlow = app(\App\Services\Care\Fertility\FertilityWorkflowService::class)->stageFlow();
            }

+            if ($module === 'child_welfare') {
+                $childWelfareIntake = $clinical->findForVisit($workspaceVisit, 'child_welfare', 'cwc_intake');
+                $childWelfareAssessment = $clinical->findForVisit($workspaceVisit, 'child_welfare', 'cwc_assessment');
+                $childWelfarePlan = $clinical->findForVisit($workspaceVisit, 'child_welfare', 'cwc_plan');
+                $childWelfareFollowup = $clinical->findForVisit($workspaceVisit, 'child_welfare', 'cwc_followup');
+                $childWelfareStageCodes = collect($shell->stages('child_welfare'))->pluck('code')->all();
+                $childWelfareStageFlow = app(\App\Services\Care\ChildWelfare\ChildWelfareWorkflowService::class)->stageFlow();
+            }
+
+            if ($module === 'ambulance') {
+                $ambulanceDispatch = $clinical->findForVisit($workspaceVisit, 'ambulance', 'amb_dispatch');
+                $ambulanceScene = $clinical->findForVisit($workspaceVisit, 'ambulance', 'amb_scene');
+                $ambulanceEnRoute = $clinical->findForVisit($workspaceVisit, 'ambulance', 'amb_en_route');
+                $ambulanceHandover = $clinical->findForVisit($workspaceVisit, 'ambulance', 'amb_handover');
+                $ambulanceStageCodes = collect($shell->stages('ambulance'))->pluck('code')->all();
+                $ambulanceStageFlow = app(\App\Services\Care\Ambulance\AmbulanceWorkflowService::class)->stageFlow();
+            }
+
            if ($patientHeader !== null) {
                $patientHeader['clinical_alerts'] = $clinicalAlerts;
            }
@@ -2135,6 +2233,18 @@ class SpecialtyModuleController extends Controller
            'fertilityCycle' => $fertilityCycle,
            'fertilityStageCodes' => $fertilityStageCodes,
            'fertilityStageFlow' => $fertilityStageFlow,
+            'childWelfareIntake' => $childWelfareIntake,
+            'childWelfareAssessment' => $childWelfareAssessment,
+            'childWelfarePlan' => $childWelfarePlan,
+            'childWelfareFollowup' => $childWelfareFollowup,
+            'childWelfareStageCodes' => $childWelfareStageCodes,
+            'childWelfareStageFlow' => $childWelfareStageFlow,
+            'ambulanceDispatch' => $ambulanceDispatch,
+            'ambulanceScene' => $ambulanceScene,
+            'ambulanceEnRoute' => $ambulanceEnRoute,
+            'ambulanceHandover' => $ambulanceHandover,
+            'ambulanceStageCodes' => $ambulanceStageCodes,
+            'ambulanceStageFlow' => $ambulanceStageFlow,
            'queueStubs' => $modules->queueStubsFor($organization, $module),
            'branchId' => $branchId,
            'branchLabel' => $branchLabel,