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,
@@ -0,0 +1,168 @@
+<?php
+
+namespace App\Services\Care\Ambulance;
+
+use App\Models\Appointment;
+use App\Models\Bill;
+use App\Models\BillLineItem;
+use App\Models\Organization;
+use App\Models\SpecialtyClinicalRecord;
+use App\Models\Visit;
+use App\Services\Care\SpecialtyShellService;
+use Carbon\Carbon;
+use Illuminate\Support\Collection;
+
+class AmbulanceAnalyticsService
+{
+    public function __construct(
+        protected SpecialtyShellService $shell,
+    ) {}
+
+    /**
+     * @return array{
+     *     arrivals_today: int,
+     *     completed_today: int,
+     *     urgent_open: int,
+     *     call_nature_breakdown: Collection,
+     *     outcome_breakdown: Collection,
+     *     avg_los_minutes: ?float,
+     *     revenue_by_service: Collection,
+     *     from: string,
+     *     to: string
+     * }
+     */
+    public function report(
+        Organization $organization,
+        string $ownerRef,
+        ?int $branchId = null,
+        ?string $from = null,
+        ?string $to = null,
+    ): array {
+        $todayStart = now()->startOfDay();
+        $rangeFrom = $from ? Carbon::parse($from)->startOfDay() : now()->startOfMonth();
+        $rangeTo = $to ? Carbon::parse($to)->endOfDay() : now()->endOfDay();
+
+        $departmentIds = $this->shell->departmentIds($organization, 'ambulance', $ownerRef, $branchId);
+
+        $appointmentBase = Appointment::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->when($departmentIds !== [], fn ($q) => $q->whereIn('department_id', $departmentIds))
+            ->when($departmentIds === [], fn ($q) => $q->whereRaw('1 = 0'))
+            ->when($branchId, fn ($q) => $q->where('branch_id', $branchId));
+
+        $arrivalsToday = (clone $appointmentBase)
+            ->where('checked_in_at', '>=', $todayStart)
+            ->count();
+
+        $completedToday = (clone $appointmentBase)
+            ->where('status', Appointment::STATUS_COMPLETED)
+            ->where('completed_at', '>=', $todayStart)
+            ->count();
+
+        $visitIds = (clone $appointmentBase)->whereNotNull('visit_id')->pluck('visit_id');
+
+        $openVisitIds = Visit::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->whereIn('id', $visitIds->isEmpty() ? [0] : $visitIds)
+            ->whereIn('status', [Visit::STATUS_OPEN, Visit::STATUS_IN_PROGRESS])
+            ->pluck('id');
+
+        $urgentOpen = SpecialtyClinicalRecord::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->where('module_key', 'ambulance')
+            ->where('record_type', 'amb_scene')
+            ->whereIn('visit_id', $openVisitIds->isEmpty() ? [0] : $openVisitIds)
+            ->get()
+            ->filter(function (SpecialtyClinicalRecord $r) {
+                $acuity = (string) ($r->payload['acuity'] ?? '');
+
+                return in_array($acuity, ['Critical', 'Urgent'], true);
+            })
+            ->count();
+
+        $dispatchRecords = SpecialtyClinicalRecord::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->where('module_key', 'ambulance')
+            ->where('record_type', 'amb_dispatch')
+            ->when($branchId, fn ($q) => $q->where('branch_id', $branchId))
+            ->whereBetween('recorded_at', [$rangeFrom, $rangeTo])
+            ->get();
+
+        $callNatureBreakdown = $dispatchRecords
+            ->groupBy(fn (SpecialtyClinicalRecord $r) => (string) ($r->payload['call_nature'] ?? 'Unknown'))
+            ->map(fn (Collection $rows, string $nature) => [
+                'call_nature' => $nature,
+                'total' => $rows->count(),
+            ])
+            ->values()
+            ->sortByDesc('total')
+            ->values();
+
+        $handoverRecords = SpecialtyClinicalRecord::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->where('module_key', 'ambulance')
+            ->where('record_type', 'amb_handover')
+            ->when($branchId, fn ($q) => $q->where('branch_id', $branchId))
+            ->whereBetween('recorded_at', [$rangeFrom, $rangeTo])
+            ->get();
+
+        $outcomeBreakdown = $handoverRecords
+            ->groupBy(fn (SpecialtyClinicalRecord $r) => (string) ($r->payload['outcome'] ?? 'Unknown'))
+            ->map(fn (Collection $rows, string $outcome) => [
+                'outcome' => $outcome,
+                'total' => $rows->count(),
+            ])
+            ->values()
+            ->sortByDesc('total')
+            ->values();
+
+        $completedVisits = Visit::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->whereIn('id', $visitIds->isEmpty() ? [0] : $visitIds)
+            ->where('status', Visit::STATUS_COMPLETED)
+            ->whereBetween('completed_at', [$rangeFrom, $rangeTo])
+            ->whereNotNull('checked_in_at')
+            ->whereNotNull('completed_at')
+            ->get();
+
+        $avgLos = null;
+        if ($completedVisits->isNotEmpty()) {
+            $avgLos = round($completedVisits->avg(function (Visit $visit) {
+                return $visit->checked_in_at->diffInMinutes($visit->completed_at);
+            }), 1);
+        }
+
+        $serviceLabels = collect($this->shell->provisionedServices($organization, 'ambulance'))
+            ->pluck('label')
+            ->filter()
+            ->values()
+            ->all();
+
+        $revenueByService = BillLineItem::query()
+            ->where('owner_ref', $ownerRef)
+            ->where('source_type', 'specialty_service')
+            ->whereIn('description', $serviceLabels ?: ['__none__'])
+            ->whereBetween('created_at', [$rangeFrom, $rangeTo])
+            ->whereHas('bill', function ($q) use ($organization, $visitIds) {
+                $q->where('organization_id', $organization->id)
+                    ->whereIn('visit_id', $visitIds->isEmpty() ? [0] : $visitIds)
+                    ->whereNotIn('status', [Bill::STATUS_VOID]);
+            })
+            ->selectRaw('description, count(*) as total, sum(total_minor) as amount_minor')
+            ->groupBy('description')
+            ->orderByDesc('amount_minor')
+            ->get();
+
+        return [
+            'arrivals_today' => $arrivalsToday,
+            'completed_today' => $completedToday,
+            'urgent_open' => $urgentOpen,
+            'call_nature_breakdown' => $callNatureBreakdown,
+            'outcome_breakdown' => $outcomeBreakdown,
+            'avg_los_minutes' => $avgLos,
+            'revenue_by_service' => $revenueByService,
+            'from' => $rangeFrom->toDateString(),
+            'to' => $rangeTo->toDateString(),
+        ];
+    }
+}
@@ -0,0 +1,85 @@
+<?php
+
+namespace App\Services\Care\Ambulance;
+
+/**
+ * Map ambulance / EMS clinical progress onto visit stages.
+ */
+class AmbulanceWorkflowService
+{
+    public const STAGE_CHECK_IN = 'check_in';
+
+    public const STAGE_DISPATCH = 'dispatch';
+
+    public const STAGE_ON_SCENE = 'on_scene';
+
+    public const STAGE_TRANSPORT = 'transport';
+
+    public const STAGE_HANDOVER = 'handover';
+
+    public const STAGE_COMPLETED = 'completed';
+
+    /**
+     * @param  array<string, mixed>  $payload
+     */
+    public function stageFromDispatch(array $payload): string
+    {
+        if (! empty($payload['call_nature']) || ! empty($payload['location'])) {
+            return self::STAGE_DISPATCH;
+        }
+
+        return self::STAGE_CHECK_IN;
+    }
+
+    /**
+     * @param  array<string, mixed>  $payload
+     */
+    public function stageFromScene(array $payload): string
+    {
+        if (! empty($payload['scene_findings']) || ! empty($payload['chief_complaint'])) {
+            return self::STAGE_ON_SCENE;
+        }
+
+        return self::STAGE_DISPATCH;
+    }
+
+    /**
+     * @param  array<string, mixed>  $payload
+     */
+    public function stageFromEnRoute(array $payload): string
+    {
+        if (! empty($payload['interventions']) || ! empty($payload['destination'])) {
+            return self::STAGE_TRANSPORT;
+        }
+
+        return self::STAGE_ON_SCENE;
+    }
+
+    /**
+     * @param  array<string, mixed>  $payload
+     */
+    public function shouldCompleteVisit(array $payload): bool
+    {
+        $outcome = strtolower((string) ($payload['outcome'] ?? ''));
+
+        return str_contains($outcome, 'completed')
+            || str_contains($outcome, 'handed over')
+            || str_contains($outcome, 'cancelled')
+            || str_contains($outcome, 'refused');
+    }
+
+    /**
+     * @return array<string, array{next: string, label: string}>
+     */
+    public function stageFlow(): array
+    {
+        return [
+            self::STAGE_CHECK_IN => ['next' => self::STAGE_DISPATCH, 'label' => 'Start dispatch'],
+            self::STAGE_DISPATCH => ['next' => self::STAGE_ON_SCENE, 'label' => 'Move to on scene'],
+            self::STAGE_ON_SCENE => ['next' => self::STAGE_TRANSPORT, 'label' => 'Move to transport'],
+            self::STAGE_TRANSPORT => ['next' => self::STAGE_HANDOVER, 'label' => 'Move to handover'],
+            self::STAGE_HANDOVER => ['next' => self::STAGE_COMPLETED, 'label' => 'Complete visit'],
+            self::STAGE_COMPLETED => ['next' => self::STAGE_COMPLETED, 'label' => 'Completed'],
+        ];
+    }
+}
@@ -0,0 +1,168 @@
+<?php
+
+namespace App\Services\Care\ChildWelfare;
+
+use App\Models\Appointment;
+use App\Models\Bill;
+use App\Models\BillLineItem;
+use App\Models\Organization;
+use App\Models\SpecialtyClinicalRecord;
+use App\Models\Visit;
+use App\Services\Care\SpecialtyShellService;
+use Carbon\Carbon;
+use Illuminate\Support\Collection;
+
+class ChildWelfareAnalyticsService
+{
+    public function __construct(
+        protected SpecialtyShellService $shell,
+    ) {}
+
+    /**
+     * @return array{
+     *     arrivals_today: int,
+     *     completed_today: int,
+     *     safeguarding_open: int,
+     *     growth_breakdown: Collection,
+     *     outcome_breakdown: Collection,
+     *     avg_los_minutes: ?float,
+     *     revenue_by_service: Collection,
+     *     from: string,
+     *     to: string
+     * }
+     */
+    public function report(
+        Organization $organization,
+        string $ownerRef,
+        ?int $branchId = null,
+        ?string $from = null,
+        ?string $to = null,
+    ): array {
+        $todayStart = now()->startOfDay();
+        $rangeFrom = $from ? Carbon::parse($from)->startOfDay() : now()->startOfMonth();
+        $rangeTo = $to ? Carbon::parse($to)->endOfDay() : now()->endOfDay();
+
+        $departmentIds = $this->shell->departmentIds($organization, 'child_welfare', $ownerRef, $branchId);
+
+        $appointmentBase = Appointment::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->when($departmentIds !== [], fn ($q) => $q->whereIn('department_id', $departmentIds))
+            ->when($departmentIds === [], fn ($q) => $q->whereRaw('1 = 0'))
+            ->when($branchId, fn ($q) => $q->where('branch_id', $branchId));
+
+        $arrivalsToday = (clone $appointmentBase)
+            ->where('checked_in_at', '>=', $todayStart)
+            ->count();
+
+        $completedToday = (clone $appointmentBase)
+            ->where('status', Appointment::STATUS_COMPLETED)
+            ->where('completed_at', '>=', $todayStart)
+            ->count();
+
+        $visitIds = (clone $appointmentBase)->whereNotNull('visit_id')->pluck('visit_id');
+
+        $openVisitIds = Visit::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->whereIn('id', $visitIds->isEmpty() ? [0] : $visitIds)
+            ->whereIn('status', [Visit::STATUS_OPEN, Visit::STATUS_IN_PROGRESS])
+            ->pluck('id');
+
+        $safeguardingOpen = SpecialtyClinicalRecord::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->where('module_key', 'child_welfare')
+            ->where('record_type', 'cwc_assessment')
+            ->whereIn('visit_id', $openVisitIds->isEmpty() ? [0] : $openVisitIds)
+            ->get()
+            ->filter(function (SpecialtyClinicalRecord $r) {
+                $flag = strtolower((string) ($r->payload['safeguarding_flag'] ?? ''));
+
+                return in_array($flag, ['concern', 'escalated'], true);
+            })
+            ->count();
+
+        $assessmentRecords = SpecialtyClinicalRecord::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->where('module_key', 'child_welfare')
+            ->where('record_type', 'cwc_assessment')
+            ->when($branchId, fn ($q) => $q->where('branch_id', $branchId))
+            ->whereBetween('recorded_at', [$rangeFrom, $rangeTo])
+            ->get();
+
+        $growthBreakdown = $assessmentRecords
+            ->groupBy(fn (SpecialtyClinicalRecord $r) => (string) ($r->payload['growth_status'] ?? 'Unknown'))
+            ->map(fn (Collection $rows, string $status) => [
+                'status' => $status,
+                'total' => $rows->count(),
+            ])
+            ->values()
+            ->sortByDesc('total')
+            ->values();
+
+        $followupRecords = SpecialtyClinicalRecord::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->where('module_key', 'child_welfare')
+            ->where('record_type', 'cwc_followup')
+            ->when($branchId, fn ($q) => $q->where('branch_id', $branchId))
+            ->whereBetween('recorded_at', [$rangeFrom, $rangeTo])
+            ->get();
+
+        $outcomeBreakdown = $followupRecords
+            ->groupBy(fn (SpecialtyClinicalRecord $r) => (string) ($r->payload['outcome'] ?? 'Unknown'))
+            ->map(fn (Collection $rows, string $outcome) => [
+                'outcome' => $outcome,
+                'total' => $rows->count(),
+            ])
+            ->values()
+            ->sortByDesc('total')
+            ->values();
+
+        $completedVisits = Visit::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->whereIn('id', $visitIds->isEmpty() ? [0] : $visitIds)
+            ->where('status', Visit::STATUS_COMPLETED)
+            ->whereBetween('completed_at', [$rangeFrom, $rangeTo])
+            ->whereNotNull('checked_in_at')
+            ->whereNotNull('completed_at')
+            ->get();
+
+        $avgLos = null;
+        if ($completedVisits->isNotEmpty()) {
+            $avgLos = round($completedVisits->avg(function (Visit $visit) {
+                return $visit->checked_in_at->diffInMinutes($visit->completed_at);
+            }), 1);
+        }
+
+        $serviceLabels = collect($this->shell->provisionedServices($organization, 'child_welfare'))
+            ->pluck('label')
+            ->filter()
+            ->values()
+            ->all();
+
+        $revenueByService = BillLineItem::query()
+            ->where('owner_ref', $ownerRef)
+            ->where('source_type', 'specialty_service')
+            ->whereIn('description', $serviceLabels ?: ['__none__'])
+            ->whereBetween('created_at', [$rangeFrom, $rangeTo])
+            ->whereHas('bill', function ($q) use ($organization, $visitIds) {
+                $q->where('organization_id', $organization->id)
+                    ->whereIn('visit_id', $visitIds->isEmpty() ? [0] : $visitIds)
+                    ->whereNotIn('status', [Bill::STATUS_VOID]);
+            })
+            ->selectRaw('description, count(*) as total, sum(total_minor) as amount_minor')
+            ->groupBy('description')
+            ->orderByDesc('amount_minor')
+            ->get();
+
+        return [
+            'arrivals_today' => $arrivalsToday,
+            'completed_today' => $completedToday,
+            'safeguarding_open' => $safeguardingOpen,
+            'growth_breakdown' => $growthBreakdown,
+            'outcome_breakdown' => $outcomeBreakdown,
+            'avg_los_minutes' => $avgLos,
+            'revenue_by_service' => $revenueByService,
+            'from' => $rangeFrom->toDateString(),
+            'to' => $rangeTo->toDateString(),
+        ];
+    }
+}
@@ -0,0 +1,86 @@
+<?php
+
+namespace App\Services\Care\ChildWelfare;
+
+/**
+ * Map child welfare / CWC clinical progress onto visit stages.
+ */
+class ChildWelfareWorkflowService
+{
+    public const STAGE_CHECK_IN = 'check_in';
+
+    public const STAGE_INTAKE = 'intake';
+
+    public const STAGE_ASSESSMENT = 'assessment';
+
+    public const STAGE_PLAN = 'plan';
+
+    public const STAGE_FOLLOWUP = 'followup';
+
+    public const STAGE_COMPLETED = 'completed';
+
+    /**
+     * @param  array<string, mixed>  $payload
+     */
+    public function stageFromIntake(array $payload): string
+    {
+        $history = trim((string) ($payload['history'] ?? ''));
+        if ($history !== '' || ! empty($payload['visit_reason'])) {
+            return self::STAGE_INTAKE;
+        }
+
+        return self::STAGE_CHECK_IN;
+    }
+
+    /**
+     * @param  array<string, mixed>  $payload
+     */
+    public function stageFromAssessment(array $payload): string
+    {
+        if (! empty($payload['exam_findings']) || ! empty($payload['assessment_summary'])) {
+            return self::STAGE_ASSESSMENT;
+        }
+
+        return self::STAGE_INTAKE;
+    }
+
+    /**
+     * @param  array<string, mixed>  $payload
+     */
+    public function stageFromPlan(array $payload): string
+    {
+        $goals = trim((string) ($payload['goals'] ?? ''));
+        if ($goals !== '') {
+            return self::STAGE_PLAN;
+        }
+
+        return self::STAGE_ASSESSMENT;
+    }
+
+    /**
+     * @param  array<string, mixed>  $payload
+     */
+    public function shouldCompleteVisit(array $payload): bool
+    {
+        $outcome = strtolower((string) ($payload['outcome'] ?? ''));
+
+        return str_contains($outcome, 'completed')
+            || str_contains($outcome, 'referred')
+            || str_contains($outcome, 'lost to follow-up');
+    }
+
+    /**
+     * @return array<string, array{next: string, label: string}>
+     */
+    public function stageFlow(): array
+    {
+        return [
+            self::STAGE_CHECK_IN => ['next' => self::STAGE_INTAKE, 'label' => 'Start intake'],
+            self::STAGE_INTAKE => ['next' => self::STAGE_ASSESSMENT, 'label' => 'Move to assessment'],
+            self::STAGE_ASSESSMENT => ['next' => self::STAGE_PLAN, 'label' => 'Move to care plan'],
+            self::STAGE_PLAN => ['next' => self::STAGE_FOLLOWUP, 'label' => 'Move to intervention / follow-up'],
+            self::STAGE_FOLLOWUP => ['next' => self::STAGE_COMPLETED, 'label' => 'Complete visit'],
+            self::STAGE_COMPLETED => ['next' => self::STAGE_COMPLETED, 'label' => 'Completed'],
+        ];
+    }
+}
@@ -882,7 +882,8 @@ class DemoTenantSeeder
            'dermatology' => ['Skin rash', 'Mole review', 'Dermatology procedure'],
            'podiatry' => ['Diabetic foot care', 'Nail procedure', 'Foot pain'],
            'fertility' => ['Fertility consult', 'Cycle review', 'IVF follow-up'],
-            'child_welfare' => ['Growth monitoring', 'Immunization CWC', 'Well-baby visit'],
+            'child_welfare' => ['Growth monitoring', 'Well-child CWC', 'Nutrition follow-up'],
+            'ambulance' => ['Chest pain response', 'Trauma pickup', 'Facility transfer'],
        ];

        $count = 0;
@@ -1032,6 +1033,8 @@ class DemoTenantSeeder
        $this->seedDermatologyClinicalDemo($organization, $ownerRef);
        $this->seedPodiatryClinicalDemo($organization, $ownerRef);
        $this->seedFertilityClinicalDemo($organization, $ownerRef);
+        $this->seedChildWelfareClinicalDemo($organization, $ownerRef);
+        $this->seedAmbulanceClinicalDemo($organization, $ownerRef);

        return $count;
    }
@@ -3010,6 +3013,251 @@ class DemoTenantSeeder
        }
    }

+    private function seedChildWelfareClinicalDemo(Organization $organization, string $ownerRef): void
+    {
+        $branchIds = Branch::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->pluck('id');
+
+        if ($branchIds->isEmpty()) {
+            return;
+        }
+
+        $departmentIds = Department::owned($ownerRef)
+            ->whereIn('branch_id', $branchIds)
+            ->where('type', 'child_welfare')
+            ->where('is_active', true)
+            ->pluck('id');
+
+        if ($departmentIds->isEmpty()) {
+            return;
+        }
+
+        $appointments = Appointment::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->whereIn('department_id', $departmentIds)
+            ->whereIn('status', [Appointment::STATUS_WAITING, Appointment::STATUS_CHECKED_IN])
+            ->whereNotNull('visit_id')
+            ->with('visit')
+            ->orderBy('branch_id')
+            ->orderBy('id')
+            ->get();
+
+        if ($appointments->isEmpty()) {
+            return;
+        }
+
+        $clinical = app(SpecialtyClinicalRecordService::class);
+        $index = 0;
+
+        foreach ($appointments as $appointment) {
+            $visit = $appointment->visit;
+            if (! $visit) {
+                continue;
+            }
+
+            $concern = $index === 0;
+            $clinical->upsert(
+                $organization,
+                $visit,
+                'child_welfare',
+                'cwc_intake',
+                [
+                    'visit_reason' => $concern ? 'Growth monitoring' : 'Routine well-child',
+                    'caregiver' => $concern ? 'Mother — Ama Mensah' : 'Father — Kojo Boateng',
+                    'history' => $concern
+                        ? 'Weight faltering over 2 months; reduced appetite; breast milk + porridge'
+                        : 'Well since last CWC; no illness; immunizations on track',
+                    'birth_history' => $concern ? 'Term SVD; birth weight 2.8 kg' : 'Term SVD; birth weight 3.2 kg',
+                    'immunization_status' => $concern ? 'Catch-up needed' : 'Up to date',
+                    'feeding' => $concern ? 'Breastfeeding + thin porridge twice daily' : 'Breastfeeding; complementary feeds started',
+                    'social_context' => $concern ? 'Single caregiver; food insecurity reported' : 'Stable household',
+                    'safeguarding_notes' => $concern ? 'Nutrition concern; monitor home situation — clinical record access only' : '',
+                    'allergies' => 'NKDA',
+                ],
+                $ownerRef,
+                $ownerRef,
+                'intake',
+            );
+
+            $clinical->upsert(
+                $organization,
+                $visit,
+                'child_welfare',
+                'cwc_assessment',
+                [
+                    'age_months' => $concern ? 18 : 9,
+                    'weight_kg' => $concern ? 8.1 : 8.6,
+                    'height_cm' => $concern ? 76 : 70,
+                    'head_circumference_cm' => $concern ? 45 : 44,
+                    'muac_cm' => $concern ? 11.2 : 13.5,
+                    'growth_status' => $concern ? 'Underweight' : 'Normal',
+                    'nutrition_risk' => $concern ? 'High' : 'Low',
+                    'development' => $concern ? 'Walks with support; 3–4 words' : 'Sits well; babbling',
+                    'exam_findings' => $concern
+                        ? 'Thin; dry skin; no oedema; alert'
+                        : 'Well nourished; soft fontanelle; clear chest',
+                    'safeguarding_flag' => $concern ? 'Concern' : 'None',
+                    'assessment_summary' => $concern
+                        ? 'Underweight with high nutrition risk — counselling and close follow-up'
+                        : 'Healthy well-child visit; continue routine CWC schedule',
+                ],
+                $ownerRef,
+                $ownerRef,
+                'assessment',
+            );
+
+            if ($concern) {
+                $clinical->upsert(
+                    $organization,
+                    $visit,
+                    'child_welfare',
+                    'cwc_plan',
+                    [
+                        'goals' => 'Restore weight gain; improve dietary diversity; complete catch-up immunizations',
+                        'interventions' => 'Nutrition counselling; RUTF if eligible; growth recheck',
+                        'counseling' => 'Feeding frequency; hygiene; danger signs',
+                        'referrals' => 'Consider nutrition clinic if no weight gain in 2 weeks',
+                        'medications' => 'Vitamin A if due; deworming per schedule',
+                        'follow_up' => '2 weeks CWC',
+                        'advice' => 'Return sooner if fever, diarrhoea, or poor feeding',
+                    ],
+                    $ownerRef,
+                    $ownerRef,
+                    'plan',
+                );
+            }
+
+            if (! $visit->specialty_stage) {
+                $visit->update(['specialty_stage' => $concern ? 'plan' : 'assessment']);
+            }
+
+            $index++;
+        }
+    }
+
+    private function seedAmbulanceClinicalDemo(Organization $organization, string $ownerRef): void
+    {
+        $branchIds = Branch::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->pluck('id');
+
+        if ($branchIds->isEmpty()) {
+            return;
+        }
+
+        $departmentIds = Department::owned($ownerRef)
+            ->whereIn('branch_id', $branchIds)
+            ->where('type', 'ambulance')
+            ->where('is_active', true)
+            ->pluck('id');
+
+        if ($departmentIds->isEmpty()) {
+            return;
+        }
+
+        $appointments = Appointment::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->whereIn('department_id', $departmentIds)
+            ->whereIn('status', [Appointment::STATUS_WAITING, Appointment::STATUS_CHECKED_IN])
+            ->whereNotNull('visit_id')
+            ->with('visit')
+            ->orderBy('branch_id')
+            ->orderBy('id')
+            ->get();
+
+        if ($appointments->isEmpty()) {
+            return;
+        }
+
+        $clinical = app(SpecialtyClinicalRecordService::class);
+        $index = 0;
+
+        foreach ($appointments as $appointment) {
+            $visit = $appointment->visit;
+            if (! $visit) {
+                continue;
+            }
+
+            $critical = $index === 0;
+            $clinical->upsert(
+                $organization,
+                $visit,
+                'ambulance',
+                'amb_dispatch',
+                [
+                    'call_nature' => $critical ? 'Medical emergency' : 'Transfer',
+                    'priority' => $critical ? 'Immediate' : 'Routine',
+                    'location' => $critical ? 'Kaneshie Market Road' : 'Ridge Hospital ward 3',
+                    'caller_info' => $critical ? 'Bystander — 024XXXXXXX' : 'Ward nurse',
+                    'crew' => $critical ? 'Paramedic + EMT' : 'EMT crew',
+                    'vehicle' => $critical ? 'AMB-01' : 'AMB-02',
+                    'dispatch_notes' => $critical
+                        ? 'Chest pain, diaphoretic; request ALS response'
+                        : 'Stable inter-facility transfer for imaging',
+                    'eta_minutes' => $critical ? 8 : 20,
+                ],
+                $ownerRef,
+                $ownerRef,
+                'dispatch',
+            );
+
+            $clinical->upsert(
+                $organization,
+                $visit,
+                'ambulance',
+                'amb_scene',
+                [
+                    'chief_complaint' => $critical ? 'Chest pain' : 'Inter-facility transfer',
+                    'acuity' => $critical ? 'Critical' : 'Stable',
+                    'mechanism' => $critical ? 'Sudden onset at rest' : 'Scheduled transfer',
+                    'airway_ok' => true,
+                    'breathing_ok' => $critical ? false : true,
+                    'circulation_ok' => $critical ? false : true,
+                    'gcs' => 15,
+                    'vitals_summary' => $critical
+                        ? 'BP 88/54, HR 118, SpO2 91% on air, RR 28'
+                        : 'BP 124/78, HR 82, SpO2 98%, RR 16',
+                    'scene_findings' => $critical
+                        ? 'Pale, diaphoretic, ongoing central chest pain radiating to left arm'
+                        : 'Patient comfortable on stretcher; IV in situ',
+                    'hazards' => $critical ? 'Busy roadside' : 'None',
+                ],
+                $ownerRef,
+                $ownerRef,
+                'on_scene',
+            );
+
+            if ($critical) {
+                $clinical->upsert(
+                    $organization,
+                    $visit,
+                    'ambulance',
+                    'amb_en_route',
+                    [
+                        'destination' => 'Korle Bu Teaching Hospital ED',
+                        'interventions' => 'Oxygen via NRB; aspirin; IV access; cardiac monitoring',
+                        'medications' => 'Aspirin 300 mg PO',
+                        'response_to_treatment' => 'Pain partially eased; SpO2 improved to 95%',
+                        'monitoring' => 'Continuous ECG; vitals q5min',
+                        'deterioration' => false,
+                        'eta_facility' => '12 minutes',
+                        'notes' => 'Pre-alerted ED resus',
+                    ],
+                    $ownerRef,
+                    $ownerRef,
+                    'transport',
+                );
+            }
+
+            if (! $visit->specialty_stage) {
+                $visit->update(['specialty_stage' => $critical ? 'transport' : 'on_scene']);
+            }
+
+            $index++;
+        }
+    }
+
    private function seedDentistryClinicalDemo(Organization $organization, string $ownerRef): void
    {
        // Specialty departments are provisioned without organization_id; scope via branches.
@@ -430,6 +430,34 @@ class SpecialtyClinicalRecordService
            }
        }

+        if ($moduleKey === 'ambulance' && $recordType === 'amb_scene') {
+            $acuity = (string) ($payload['acuity'] ?? '');
+            if (in_array($acuity, ['Critical', 'Urgent'], true)) {
+                $alerts[] = [
+                    'code' => 'amb.acuity_high',
+                    'severity' => $acuity === 'Critical' ? 'critical' : 'warning',
+                    'message' => 'Scene acuity: '.$acuity.'.',
+                ];
+            }
+            if (array_key_exists('circulation_ok', $payload) && in_array($payload['circulation_ok'], [false, 0, '0'], true)) {
+                $alerts[] = [
+                    'code' => 'amb.circulation_unstable',
+                    'severity' => 'critical',
+                    'message' => 'Circulation marked unstable on scene.',
+                ];
+            }
+        }
+
+        if ($moduleKey === 'ambulance' && $recordType === 'amb_en_route') {
+            if (! empty($payload['deterioration'])) {
+                $alerts[] = [
+                    'code' => 'amb.deterioration',
+                    'severity' => 'critical',
+                    'message' => 'Patient deterioration noted en route.',
+                ];
+            }
+        }
+
        if ($moduleKey === 'podiatry' && $recordType === 'foot_exam') {
            $risk = (string) ($payload['diabetes'] ?? '');
            if (in_array($risk, ['High', 'Active ulcer'], true)) {
@@ -633,6 +661,39 @@ class SpecialtyClinicalRecordService
            }
        }

+        if ($moduleKey === 'child_welfare' && $recordType === 'cwc_assessment') {
+            $flag = strtolower((string) ($payload['safeguarding_flag'] ?? ''));
+            if ($flag === 'escalated') {
+                $alerts[] = [
+                    'code' => 'cwc.safeguarding',
+                    'severity' => 'critical',
+                    'message' => 'Safeguarding escalated — follow facility protocol.',
+                ];
+            } elseif ($flag === 'concern') {
+                $alerts[] = [
+                    'code' => 'cwc.safeguarding',
+                    'severity' => 'warning',
+                    'message' => 'Safeguarding concern recorded on CWC assessment.',
+                ];
+            }
+            $nutrition = strtolower((string) ($payload['nutrition_risk'] ?? ''));
+            if ($nutrition === 'high') {
+                $alerts[] = [
+                    'code' => 'cwc.nutrition_risk',
+                    'severity' => 'warning',
+                    'message' => 'High nutrition risk on child welfare assessment.',
+                ];
+            }
+            $growth = strtolower((string) ($payload['growth_status'] ?? ''));
+            if (in_array($growth, ['wasted', 'underweight'], true)) {
+                $alerts[] = [
+                    'code' => 'cwc.growth',
+                    'severity' => 'warning',
+                    'message' => 'Abnormal growth status: '.$payload['growth_status'].'.',
+                ];
+            }
+        }
+
        return $alerts;
    }

@@ -29,6 +29,8 @@ use App\Services\Care\Infusion\InfusionWorkflowService;
 use App\Services\Care\Dermatology\DermatologyWorkflowService;
 use App\Services\Care\Podiatry\PodiatryWorkflowService;
 use App\Services\Care\Fertility\FertilityWorkflowService;
+use App\Services\Care\ChildWelfare\ChildWelfareWorkflowService;
+use App\Services\Care\Ambulance\AmbulanceWorkflowService;
 use Illuminate\Support\Collection;

 /**
@@ -90,6 +92,8 @@ class SpecialtyShellService
            'dermatology' => 'care.specialty.dermatology.stage',
            'podiatry' => 'care.specialty.podiatry.stage',
            'fertility' => 'care.specialty.fertility.stage',
+            'child_welfare' => 'care.specialty.child-welfare.stage',
+            'ambulance' => 'care.specialty.ambulance.stage',
            default => null,
        };
    }
@@ -122,6 +126,8 @@ class SpecialtyShellService
            'dermatology' => app(DermatologyWorkflowService::class)->stageFlow(),
            'podiatry' => app(PodiatryWorkflowService::class)->stageFlow(),
            'fertility' => app(FertilityWorkflowService::class)->stageFlow(),
+            'child_welfare' => app(ChildWelfareWorkflowService::class)->stageFlow(),
+            'ambulance' => app(AmbulanceWorkflowService::class)->stageFlow(),
            'dentistry' => [
                'waiting' => ['next' => 'chair', 'label' => 'Seat at chair'],
                'chair' => ['next' => 'procedure', 'label' => 'Start procedure'],
@@ -421,7 +427,7 @@ class SpecialtyShellService
        ) {
            $code = (string) ($stage['code'] ?? '');

-            if (in_array($moduleKey, ['dentistry', 'emergency', 'blood_bank', 'ophthalmology', 'physiotherapy', 'maternity', 'radiology', 'cardiology', 'psychiatry', 'pediatrics', 'orthopedics', 'ent', 'oncology', 'renal', 'surgery', 'vaccination', 'pathology', 'infusion', 'dermatology', 'podiatry', 'fertility'], true) && $visitIds->isNotEmpty()) {
+            if (in_array($moduleKey, ['dentistry', 'emergency', 'blood_bank', 'ophthalmology', 'physiotherapy', 'maternity', 'radiology', 'cardiology', 'psychiatry', 'pediatrics', 'orthopedics', 'ent', 'oncology', 'renal', 'surgery', 'vaccination', 'pathology', 'infusion', 'dermatology', 'podiatry', 'fertility', 'child_welfare', 'ambulance'], true) && $visitIds->isNotEmpty()) {
                $count = Visit::owned($ownerRef)
                    ->where('organization_id', $organization->id)
                    ->whereIn('id', $visitIds)
@@ -469,6 +475,8 @@ class SpecialtyShellService
            'dermatology' => $clinical->countOpenByType($organization, 'dermatology', 'skin_exam', $branchScope),
            'podiatry' => $clinical->countOpenByType($organization, 'podiatry', 'foot_exam', $branchScope),
            'fertility' => $clinical->countOpenByType($organization, 'fertility', 'fert_exam', $branchScope),
+            'child_welfare' => $clinical->countOpenByType($organization, 'child_welfare', 'cwc_assessment', $branchScope),
+            'ambulance' => $clinical->countOpenByType($organization, 'ambulance', 'amb_scene', $branchScope),
            'dentistry' => \App\Models\DentalPlanItem::query()
                ->whereHas('plan', function ($q) use ($organization, $ownerRef) {
                    $q->owned($ownerRef)
@@ -192,6 +192,22 @@ class SpecialtyVisitStageService
                : ($stages[1] ?? ($stages[0] ?? null));
        }

+        if ($moduleKey === 'child_welfare') {
+            $stages = $this->allowedStages($moduleKey);
+
+            return in_array(\App\Services\Care\ChildWelfare\ChildWelfareWorkflowService::STAGE_INTAKE, $stages, true)
+                ? \App\Services\Care\ChildWelfare\ChildWelfareWorkflowService::STAGE_INTAKE
+                : ($stages[1] ?? ($stages[0] ?? null));
+        }
+
+        if ($moduleKey === 'ambulance') {
+            $stages = $this->allowedStages($moduleKey);
+
+            return in_array(\App\Services\Care\Ambulance\AmbulanceWorkflowService::STAGE_DISPATCH, $stages, true)
+                ? \App\Services\Care\Ambulance\AmbulanceWorkflowService::STAGE_DISPATCH
+                : ($stages[1] ?? ($stages[0] ?? null));
+        }
+
        $stages = $this->allowedStages($moduleKey);
        foreach (['chair', 'in_care', 'exam', 'assessment', 'treatment'] as $preferred) {
            if (in_array($preferred, $stages, true)) {
@@ -214,6 +214,7 @@ final class DemoWorld
        'podiatry' => 'Dr. Kofi Podiatry',
        'fertility' => 'Dr. Abena Fertility',
        'child_welfare' => 'Dr. Efua Child Welfare',
+        'ambulance' => 'Dr. Kojo Ambulance',
    ];

    public const STAFF = [
@@ -43,6 +43,7 @@ return [
        'podiatry' => 'Podiatry',
        'fertility' => 'Fertility',
        'child_welfare' => 'Child Welfare Clinic',
+        'ambulance' => 'Ambulance',
    ],

    /*
@@ -78,6 +79,8 @@ return [
        'Podiatry',
        'Fertility',
        'Child Welfare Clinic',
+        'Ambulance',
+        'EMS / Paramedic',
    ],

    /*
@@ -148,8 +148,16 @@ return [
            'cycle' => 'fert_cycle',
        ],
        'child_welfare' => [
-            'growth' => 'growth',
-            'clinical_notes' => 'clinical_note',
+            'intake' => 'cwc_intake',
+            'assessment' => 'cwc_assessment',
+            'plan' => 'cwc_plan',
+            'followup' => 'cwc_followup',
+        ],
+        'ambulance' => [
+            'dispatch' => 'amb_dispatch',
+            'scene' => 'amb_scene',
+            'en_route' => 'amb_en_route',
+            'handover' => 'amb_handover',
        ],
    ],
    'fields' => [
@@ -1021,22 +1029,89 @@ return [
            ],
        ],
        'child_welfare' => [
-            'growth' => [
+            'cwc_intake' => [
+                ['name' => 'visit_reason', 'label' => 'Visit reason', 'type' => 'select', 'required' => true, 'options' => ['Routine well-child', 'Growth monitoring', 'Immunization review', 'Feeding concern', 'Development concern', 'Follow-up', 'Other']],
+                ['name' => 'caregiver', 'label' => 'Caregiver / accompanying adult', 'type' => 'text'],
+                ['name' => 'history', 'label' => 'Interval history', 'type' => 'textarea', 'required' => true, 'rows' => 3],
+                ['name' => 'birth_history', 'label' => 'Birth / neonatal history', 'type' => 'textarea', 'rows' => 2],
+                ['name' => 'immunization_status', 'label' => 'Immunization status', 'type' => 'select', 'options' => ['Up to date', 'Catch-up needed', 'Unknown', 'Deferred']],
+                ['name' => 'feeding', 'label' => 'Feeding / nutrition history', 'type' => 'textarea', 'rows' => 2],
+                ['name' => 'social_context', 'label' => 'Social / family context', 'type' => 'textarea', 'rows' => 2],
+                ['name' => 'safeguarding_notes', 'label' => 'Sensitive / safeguarding notes', 'type' => 'textarea', 'rows' => 3],
+                ['name' => 'allergies', 'label' => 'Allergies', 'type' => 'text'],
+            ],
+            'cwc_assessment' => [
                ['name' => 'age_months', 'label' => 'Age (months)', 'type' => 'number', 'required' => true],
                ['name' => 'weight_kg', 'label' => 'Weight (kg)', 'type' => 'number', 'required' => true],
                ['name' => 'height_cm', 'label' => 'Height / length (cm)', 'type' => 'number'],
                ['name' => 'head_circumference_cm', 'label' => 'Head circumference (cm)', 'type' => 'number'],
                ['name' => 'muac_cm', 'label' => 'MUAC (cm)', 'type' => 'number'],
                ['name' => 'growth_status', 'label' => 'Growth status', 'type' => 'select', 'options' => ['Normal', 'Underweight', 'Stunted', 'Wasted', 'Overweight']],
-                ['name' => 'feeding', 'label' => 'Feeding / nutrition', 'type' => 'textarea', 'rows' => 2],
-                ['name' => 'milestones', 'label' => 'Developmental milestones', 'type' => 'textarea', 'rows' => 2],
-                ['name' => 'counseling', 'label' => 'Counseling given', 'type' => 'textarea', 'rows' => 2],
+                ['name' => 'nutrition_risk', 'label' => 'Nutrition risk', 'type' => 'select', 'options' => ['Low', 'Moderate', 'High']],
+                ['name' => 'development', 'label' => 'Developmental milestones', 'type' => 'textarea', 'rows' => 2],
+                ['name' => 'exam_findings', 'label' => 'Exam findings', 'type' => 'textarea', 'required' => true, 'rows' => 3],
+                ['name' => 'safeguarding_flag', 'label' => 'Safeguarding flag', 'type' => 'select', 'options' => ['None', 'Concern', 'Escalated']],
+                ['name' => 'assessment_summary', 'label' => 'Assessment summary', 'type' => 'textarea', 'required' => true, 'rows' => 3],
            ],
-            'clinical_note' => [
-                ['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4],
-                ['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3],
-                ['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'],
-                ['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3],
+            'cwc_plan' => [
+                ['name' => 'goals', 'label' => 'Care goals', 'type' => 'textarea', 'required' => true, 'rows' => 3],
+                ['name' => 'interventions', 'label' => 'Planned interventions', 'type' => 'textarea', 'rows' => 2],
+                ['name' => 'counseling', 'label' => 'Counseling / education', 'type' => 'textarea', 'rows' => 2],
+                ['name' => 'referrals', 'label' => 'Referrals', 'type' => 'textarea', 'rows' => 2],
+                ['name' => 'medications', 'label' => 'Medications / supplements', 'type' => 'textarea', 'rows' => 2],
+                ['name' => 'follow_up', 'label' => 'Follow-up', 'type' => 'text'],
+                ['name' => 'advice', 'label' => 'Caregiver advice', 'type' => 'textarea', 'rows' => 2],
+            ],
+            'cwc_followup' => [
+                ['name' => 'review_type', 'label' => 'Review type', 'type' => 'select', 'required' => true, 'options' => ['Clinic follow-up', 'Growth recheck', 'Intervention review', 'Caregiver counselling', 'Discharge from CWC episode']],
+                ['name' => 'interventions_delivered', 'label' => 'Interventions delivered', 'type' => 'textarea', 'required' => true, 'rows' => 3],
+                ['name' => 'progress', 'label' => 'Progress since last visit', 'type' => 'textarea', 'rows' => 2],
+                ['name' => 'outcome', 'label' => 'Outcome', 'type' => 'select', 'required' => true, 'options' => ['In progress', 'Completed — continue CWC', 'Completed uneventfully', 'Referred', 'Lost to follow-up']],
+                ['name' => 'next_visit', 'label' => 'Next visit', 'type' => 'text'],
+                ['name' => 'notes', 'label' => 'Notes', 'type' => 'textarea', 'rows' => 2],
+            ],
+        ],
+        'ambulance' => [
+            'amb_dispatch' => [
+                ['name' => 'call_nature', 'label' => 'Call nature', 'type' => 'select', 'required' => true, 'options' => ['Medical emergency', 'Trauma / accident', 'Transfer', 'Obstetric', 'Psychiatric', 'Standby', 'Other']],
+                ['name' => 'priority', 'label' => 'Priority', 'type' => 'select', 'required' => true, 'options' => ['Immediate', 'Urgent', 'Routine', 'Scheduled transfer']],
+                ['name' => 'location', 'label' => 'Scene / pickup location', 'type' => 'text', 'required' => true],
+                ['name' => 'caller_info', 'label' => 'Caller / contact', 'type' => 'text'],
+                ['name' => 'crew', 'label' => 'Crew assigned', 'type' => 'text'],
+                ['name' => 'vehicle', 'label' => 'Vehicle / unit', 'type' => 'text'],
+                ['name' => 'dispatch_notes', 'label' => 'Dispatch notes', 'type' => 'textarea', 'rows' => 3],
+                ['name' => 'eta_minutes', 'label' => 'ETA (minutes)', 'type' => 'number'],
+            ],
+            'amb_scene' => [
+                ['name' => 'chief_complaint', 'label' => 'Chief complaint', 'type' => 'text', 'required' => true],
+                ['name' => 'acuity', 'label' => 'Scene acuity', 'type' => 'select', 'required' => true, 'options' => ['Critical', 'Urgent', 'Stable', 'Non-urgent']],
+                ['name' => 'mechanism', 'label' => 'Mechanism / history', 'type' => 'textarea', 'rows' => 2],
+                ['name' => 'airway_ok', 'label' => 'Airway patent', 'type' => 'boolean'],
+                ['name' => 'breathing_ok', 'label' => 'Breathing adequate', 'type' => 'boolean'],
+                ['name' => 'circulation_ok', 'label' => 'Circulation stable', 'type' => 'boolean'],
+                ['name' => 'gcs', 'label' => 'GCS', 'type' => 'number'],
+                ['name' => 'vitals_summary', 'label' => 'Vitals summary', 'type' => 'textarea', 'rows' => 2],
+                ['name' => 'scene_findings', 'label' => 'Scene findings / triage', 'type' => 'textarea', 'required' => true, 'rows' => 3],
+                ['name' => 'hazards', 'label' => 'Scene hazards', 'type' => 'textarea', 'rows' => 2],
+            ],
+            'amb_en_route' => [
+                ['name' => 'destination', 'label' => 'Destination facility', 'type' => 'text', 'required' => true],
+                ['name' => 'interventions', 'label' => 'Interventions en route', 'type' => 'textarea', 'required' => true, 'rows' => 3],
+                ['name' => 'medications', 'label' => 'Medications given', 'type' => 'textarea', 'rows' => 2],
+                ['name' => 'response_to_treatment', 'label' => 'Response to treatment', 'type' => 'textarea', 'rows' => 2],
+                ['name' => 'monitoring', 'label' => 'Monitoring notes', 'type' => 'textarea', 'rows' => 2],
+                ['name' => 'deterioration', 'label' => 'Deterioration en route', 'type' => 'boolean'],
+                ['name' => 'eta_facility', 'label' => 'ETA to facility', 'type' => 'text'],
+                ['name' => 'notes', 'label' => 'Transport notes', 'type' => 'textarea', 'rows' => 2],
+            ],
+            'amb_handover' => [
+                ['name' => 'receiving_facility', 'label' => 'Receiving facility / unit', 'type' => 'text', 'required' => true],
+                ['name' => 'receiving_clinician', 'label' => 'Receiving clinician', 'type' => 'text'],
+                ['name' => 'handover_summary', 'label' => 'Handover summary (SBAR)', 'type' => 'textarea', 'required' => true, 'rows' => 4],
+                ['name' => 'outcome', 'label' => 'Outcome', 'type' => 'select', 'required' => true, 'options' => ['Completed — handed over', 'Completed uneventfully', 'Transferred to another unit', 'Patient refused transport', 'Cancelled on scene']],
+                ['name' => 'time_critical', 'label' => 'Time-critical pathway', 'type' => 'select', 'options' => ['None', 'Stroke', 'STEMI', 'Trauma', 'Obstetric', 'Other']],
+                ['name' => 'follow_up', 'label' => 'Follow-up / documentation', 'type' => 'text'],
+                ['name' => 'notes', 'label' => 'Notes', 'type' => 'textarea', 'rows' => 2],
            ],
        ],
    ],
@@ -30,5 +30,6 @@ return [
    'finger-print' => '<path stroke-linecap="round" stroke-linejoin="round" d="M7.864 4.243A7.5 7.5 0 0 1 19.5 10.5c0 2.92-.556 5.709-1.566 8.268M5.742 6.364A7.465 7.465 0 0 0 4.5 10.5a7.464 7.464 0 0 1-1.15 3.993m1.989 3.559A11.209 11.209 0 0 0 8.25 10.5a3.75 3.75 0 1 1 7.5 0c0 .527-.021 1.049-.064 1.565M12 10.5a14.94 14.94 0 0 1-3.635 9.76m6.633-1.13a14.958 14.958 0 0 0 2.252-6.63M12 10.5a14.94 14.94 0 0 0-3.635 9.76m0 0A14.926 14.926 0 0 0 12 21.75c1.258 0 2.48-.17 3.643-.483M8.365 20.26A14.94 14.94 0 0 0 12 10.5" />',
    'sparkles' => '<path stroke-linecap="round" stroke-linejoin="round" d="M9.813 15.904 9 18.75l-.813-2.846a4.5 4.5 0 0 0-3.09-3.09L2.25 12l2.846-.813a4.5 4.5 0 0 0 3.09-3.09L9 5.25l.813 2.846a4.5 4.5 0 0 0 3.09 3.09L15.75 12l-2.846.813a4.5 4.5 0 0 0-3.09 3.09ZM18.259 8.715 18 9.75l-.259-1.035a3.375 3.375 0 0 0-2.455-2.456L14.25 6l1.036-.259a3.375 3.375 0 0 0 2.455-2.456L18 2.25l.259 1.035a3.375 3.375 0 0 0 2.456 2.456L21.75 6l-1.035.259a3.375 3.375 0 0 0-2.456 2.456ZM16.894 20.567 16.5 21.75l-.394-1.183a2.25 2.25 0 0 0-1.423-1.423L13.5 18.75l1.183-.394a2.25 2.25 0 0 0 1.423-1.423l.394-1.183.394 1.183a2.25 2.25 0 0 0 1.423 1.423l1.183.394-1.183.394a2.25 2.25 0 0 0-1.423 1.423Z" />',
    'gift' => '<path stroke-linecap="round" stroke-linejoin="round" d="M21 11.25v8.25a1.5 1.5 0 0 1-1.5 1.5H4.5a1.5 1.5 0 0 1-1.5-1.5v-8.25M12 4.875A2.625 2.625 0 1 0 9.375 7.5H12m0-2.625V7.5m0-2.625A2.625 2.625 0 1 1 14.625 7.5H12m0 0V21m-8.625-9.75h18c.621 0 1.125-.504 1.125-1.125v-1.5c0-.621-.504-1.125-1.125-1.125h-18c-.621 0-1.125.504-1.125 1.125v1.5c0 .621.504 1.125 1.125 1.125Z" />',
+    'truck' => '<path stroke-linecap="round" stroke-linejoin="round" d="M8.25 18.75a1.5 1.5 0 0 1-3 0m3 0a1.5 1.5 0 0 0-3 0m3 0h6m-9 0H3.375a1.125 1.125 0 0 1-1.125-1.125V14.25m17.25 4.5a1.5 1.5 0 0 1-3 0m3 0a1.5 1.5 0 0 0-3 0m3 0h1.125c.621 0 1.129-.504 1.09-1.124a17.902 17.902 0 0 0-3.213-9.193 2.056 2.056 0 0 0-1.58-.86H14.25M16.5 18.75h-2.25m0-11.177v-.958c0-.568-.422-1.048-.987-1.106a48.554 48.554 0 0 0-10.026 0 1.106 1.106 0 0 0-.987 1.106v7.635m12-6.677v6.677m0 4.5v-4.5m0 0h-12" />',
    'squares-2x2' => '<path stroke-linecap="round" stroke-linejoin="round" d="M3.75 6A2.25 2.25 0 0 1 6 3.75h2.25A2.25 2.25 0 0 1 10.5 6v2.25a2.25 2.25 0 0 1-2.25 2.25H6a2.25 2.25 0 0 1-2.25-2.25V6ZM3.75 15.75A2.25 2.25 0 0 1 6 13.5h2.25a2.25 2.25 0 0 1 2.25 2.25V18a2.25 2.25 0 0 1-2.25 2.25H6A2.25 2.25 0 0 1 3.75 18v-2.25ZM13.5 6a2.25 2.25 0 0 1 2.25-2.25H18A2.25 2.25 0 0 1 20.25 6v2.25A2.25 2.25 0 0 1 18 10.5h-2.25a2.25 2.25 0 0 1-2.25-2.25V6ZM13.5 15.75a2.25 2.25 0 0 1 2.25-2.25H18a2.25 2.25 0 0 1 2.25 2.25V18A2.25 2.25 0 0 1 18 20.25h-2.25A2.25 2.25 0 0 1 13.5 18v-2.25Z" />',
 ];
@@ -166,7 +166,8 @@ return [
        'queue_keywords' => ['pedia', 'paedia', 'child', 'infant'],
        'access' => 'general',
        'roles' => ['doctor', 'nurse', 'receptionist'],
-        'specialist_keywords' => ['pedia', 'paedia', 'pediatric', 'paediatric', 'child', 'infant'],
+        // Avoid bare "child" — collides with Child Welfare Clinic specialty labels.
+        'specialist_keywords' => ['pedia', 'paedia', 'pediatric', 'paediatric', 'infant'],
    ],
    'orthopedics' => [
        'label' => 'Orthopedics',
@@ -348,15 +349,17 @@ return [
    ],
    'child_welfare' => [
        'label' => 'Child Welfare Clinic',
-        'description' => 'Well-child visits, growth monitoring, and CWC queues.',
+        'description' => 'Well-child / CWC clinics: intake, growth assessment, care plans, and follow-up.',
        'department_type' => 'child_welfare',
        'department_name' => 'Child Welfare Clinic',
        'queue_name' => 'Child Welfare',
        'queue_prefix' => 'CWC',
        'nav_label' => 'Child Welfare',
        'icon' => 'gift',
-        'queue_keywords' => ['cwc', 'child welfare', 'well baby', 'growth'],
+        'queue_keywords' => ['cwc', 'child welfare', 'well baby', 'well-child', 'welfare clinic'],
        'access' => 'general',
        'roles' => ['doctor', 'nurse', 'receptionist'],
+        // Prefer multi-word / CWC stems — do not use bare "child" (steals pediatrics).
+        'specialist_keywords' => ['child welfare', 'cwc', 'welfare clinic', 'well baby', 'well-child'],
    ],
 ];
@@ -836,21 +836,71 @@ return [
        ],
        'child_welfare' => [
            'stages' => [
-                ['code' => 'waiting', 'label' => 'Waiting', 'queue_point' => 'waiting'],
-                ['code' => 'growth', 'label' => 'Growth / wellness', 'queue_point' => 'chair'],
+                ['code' => 'check_in', 'label' => 'Check-in', 'queue_point' => 'waiting'],
+                ['code' => 'intake', 'label' => 'Intake / history', 'queue_point' => 'waiting'],
+                ['code' => 'assessment', 'label' => 'Assessment', 'queue_point' => 'chair'],
+                ['code' => 'plan', 'label' => 'Care plan', 'queue_point' => 'chair'],
+                ['code' => 'followup', 'label' => 'Intervention / follow-up', 'queue_point' => 'chair'],
                ['code' => 'completed', 'label' => 'Completed', 'queue_point' => null],
            ],
            'services' => [
-                ['code' => 'cwc.visit', 'label' => 'Well-child visit', 'amount_minor' => 3000, 'type' => 'consultation'],
+                ['code' => 'cwc.visit', 'label' => 'Well-child / CWC visit', 'amount_minor' => 3000, 'type' => 'consultation'],
+                ['code' => 'cwc.growth', 'label' => 'Growth & development assessment', 'amount_minor' => 2500, 'type' => 'consultation'],
+                ['code' => 'cwc.counseling', 'label' => 'Caregiver counselling', 'amount_minor' => 2000, 'type' => 'consultation'],
+                ['code' => 'cwc.followup', 'label' => 'CWC follow-up review', 'amount_minor' => 2500, 'type' => 'consultation'],
            ],
            'workspace_tabs' => [
                'overview' => 'Overview',
-                'growth' => 'Growth monitoring',
-                'clinical_notes' => 'Clinical notes',
+                'intake' => 'Intake / history',
+                'assessment' => 'Assessment',
+                'plan' => 'Care plan',
+                'followup' => 'Intervention / follow-up',
                'orders' => 'Orders',
                'billing' => 'Billing',
                'documents' => 'Documents',
            ],
+            'stage_tabs' => [
+                'check_in' => 'overview',
+                'intake' => 'intake',
+                'assessment' => 'assessment',
+                'plan' => 'plan',
+                'followup' => 'followup',
+                'completed' => 'overview',
+            ],
+        ],
+        'ambulance' => [
+            'stages' => [
+                ['code' => 'check_in', 'label' => 'Check-in', 'queue_point' => 'waiting'],
+                ['code' => 'dispatch', 'label' => 'Dispatch', 'queue_point' => 'waiting'],
+                ['code' => 'on_scene', 'label' => 'On scene', 'queue_point' => 'chair'],
+                ['code' => 'transport', 'label' => 'Transport', 'queue_point' => 'chair'],
+                ['code' => 'handover', 'label' => 'Handover', 'queue_point' => 'chair'],
+                ['code' => 'completed', 'label' => 'Completed', 'queue_point' => null],
+            ],
+            'services' => [
+                ['code' => 'amb.dispatch', 'label' => 'Ambulance dispatch / response', 'amount_minor' => 8000, 'type' => 'consultation'],
+                ['code' => 'amb.scene', 'label' => 'Scene assessment', 'amount_minor' => 5000, 'type' => 'consultation'],
+                ['code' => 'amb.transport', 'label' => 'Patient transport', 'amount_minor' => 12000, 'type' => 'procedure'],
+                ['code' => 'amb.handover', 'label' => 'Facility handover', 'amount_minor' => 4000, 'type' => 'consultation'],
+            ],
+            'workspace_tabs' => [
+                'overview' => 'Overview',
+                'dispatch' => 'Dispatch',
+                'scene' => 'Scene / triage',
+                'en_route' => 'En-route care',
+                'handover' => 'Handover',
+                'orders' => 'Orders',
+                'billing' => 'Billing',
+                'documents' => 'Documents',
+            ],
+            'stage_tabs' => [
+                'check_in' => 'overview',
+                'dispatch' => 'dispatch',
+                'on_scene' => 'scene',
+                'transport' => 'en_route',
+                'handover' => 'handover',
+                'completed' => 'overview',
+            ],
        ],

    ],
@@ -0,0 +1,82 @@
+<!DOCTYPE html>
+<html lang="en">
+<head>
+    <meta charset="utf-8">
+    <title>Ambulance summary · {{ $patient->fullName() }}</title>
+    <style>
+        body { font-family: system-ui, sans-serif; color: #0f172a; margin: 2rem; }
+        h1 { font-size: 1.25rem; margin: 0 0 .25rem; }
+        h2 { font-size: .95rem; margin: 1.25rem 0 .5rem; border-bottom: 1px solid #e2e8f0; padding-bottom: .25rem; }
+        .meta { color: #64748b; font-size: .875rem; }
+        dl { display: grid; grid-template-columns: 10rem 1fr; gap: .35rem .75rem; font-size: .875rem; }
+        dt { color: #64748b; }
+        dd { margin: 0; font-weight: 500; }
+        @media print { .no-print { display: none; } }
+    </style>
+</head>
+<body>
+    <p class="no-print"><a href="{{ route('care.specialty.workspace', ['module' => 'ambulance', 'visit' => $visit]) }}">Back</a></p>
+
+    <h1>{{ $patient->fullName() }}</h1>
+    <p class="meta">
+        {{ $patient->patient_number }}
+        · Visit #{{ $visit->id }}
+        · Stage {{ $visit->specialty_stage ?? '—' }}
+        · {{ $visit->checked_in_at?->format('d M Y H:i') ?? '—' }}
+    </p>
+
+    <h2>Dispatch</h2>
+    @if ($dispatch)
+        <dl>
+            <dt>Call nature</dt><dd>{{ $dispatch->payload['call_nature'] ?? '—' }}</dd>
+            <dt>Priority</dt><dd>{{ $dispatch->payload['priority'] ?? '—' }}</dd>
+            <dt>Location</dt><dd>{{ $dispatch->payload['location'] ?? '—' }}</dd>
+            <dt>Crew</dt><dd>{{ $dispatch->payload['crew'] ?? '—' }}</dd>
+            <dt>Vehicle</dt><dd>{{ $dispatch->payload['vehicle'] ?? '—' }}</dd>
+            <dt>Notes</dt><dd>{{ $dispatch->payload['dispatch_notes'] ?? '—' }}</dd>
+        </dl>
+    @else
+        <p class="meta">No dispatch recorded.</p>
+    @endif
+
+    <h2>Scene / triage</h2>
+    @if ($scene)
+        <dl>
+            <dt>Complaint</dt><dd>{{ $scene->payload['chief_complaint'] ?? '—' }}</dd>
+            <dt>Acuity</dt><dd>{{ $scene->payload['acuity'] ?? '—' }}</dd>
+            <dt>Findings</dt><dd>{{ $scene->payload['scene_findings'] ?? '—' }}</dd>
+            <dt>Vitals</dt><dd>{{ $scene->payload['vitals_summary'] ?? '—' }}</dd>
+            <dt>GCS</dt><dd>{{ $scene->payload['gcs'] ?? '—' }}</dd>
+        </dl>
+    @else
+        <p class="meta">No scene assessment recorded.</p>
+    @endif
+
+    <h2>En-route care</h2>
+    @if ($enRoute)
+        <dl>
+            <dt>Destination</dt><dd>{{ $enRoute->payload['destination'] ?? '—' }}</dd>
+            <dt>Interventions</dt><dd>{{ $enRoute->payload['interventions'] ?? '—' }}</dd>
+            <dt>Medications</dt><dd>{{ $enRoute->payload['medications'] ?? '—' }}</dd>
+            <dt>Response</dt><dd>{{ $enRoute->payload['response_to_treatment'] ?? '—' }}</dd>
+        </dl>
+    @else
+        <p class="meta">No en-route care recorded.</p>
+    @endif
+
+    <h2>Handover</h2>
+    @if ($handover)
+        <dl>
+            <dt>Facility</dt><dd>{{ $handover->payload['receiving_facility'] ?? '—' }}</dd>
+            <dt>Clinician</dt><dd>{{ $handover->payload['receiving_clinician'] ?? '—' }}</dd>
+            <dt>Summary</dt><dd>{{ $handover->payload['handover_summary'] ?? '—' }}</dd>
+            <dt>Outcome</dt><dd>{{ $handover->payload['outcome'] ?? '—' }}</dd>
+            <dt>Pathway</dt><dd>{{ $handover->payload['time_critical'] ?? '—' }}</dd>
+        </dl>
+    @else
+        <p class="meta">No handover recorded.</p>
+    @endif
+
+    <script>window.print();</script>
+</body>
+</html>
@@ -0,0 +1,88 @@
+<x-app-layout title="Ambulance reports">
+    <div class="space-y-6">
+        <div class="flex flex-wrap items-center justify-between gap-3">
+            <div>
+                <h1 class="text-xl font-semibold text-slate-900">Ambulance reports</h1>
+                <p class="mt-1 text-sm text-slate-500">Arrivals, urgent open runs, call nature, handover outcomes, length of stay, and ambulance revenue.</p>
+            </div>
+            <a href="{{ route('care.specialty.show', 'ambulance') }}" class="text-sm font-medium text-indigo-600">← Specialty home</a>
+        </div>
+
+        <form method="GET" class="flex flex-wrap items-end gap-3 rounded-2xl border border-slate-200 bg-white p-4">
+            <div>
+                <label class="block text-xs font-medium text-slate-600">From</label>
+                <input type="date" name="from" value="{{ $report['from'] ?? '' }}" class="mt-1 rounded-xl border border-slate-200 px-3 py-2 text-sm">
+            </div>
+            <div>
+                <label class="block text-xs font-medium text-slate-600">To</label>
+                <input type="date" name="to" value="{{ $report['to'] ?? '' }}" class="mt-1 rounded-xl border border-slate-200 px-3 py-2 text-sm">
+            </div>
+            <button type="submit" class="rounded-xl bg-indigo-600 px-4 py-2 text-sm font-semibold text-white">Apply</button>
+        </form>
+
+        <div class="grid gap-4 sm:grid-cols-4">
+            <div class="rounded-2xl border border-slate-200 bg-white p-4">
+                <p class="text-xs font-semibold uppercase tracking-wide text-slate-500">Arrivals today</p>
+                <p class="mt-2 text-2xl font-semibold tabular-nums text-slate-900">{{ number_format($report['arrivals_today']) }}</p>
+            </div>
+            <div class="rounded-2xl border border-slate-200 bg-white p-4">
+                <p class="text-xs font-semibold uppercase tracking-wide text-slate-500">Completed today</p>
+                <p class="mt-2 text-2xl font-semibold tabular-nums text-slate-900">{{ number_format($report['completed_today']) }}</p>
+            </div>
+            <div class="rounded-2xl border border-slate-200 bg-white p-4">
+                <p class="text-xs font-semibold uppercase tracking-wide text-slate-500">Urgent open</p>
+                <p class="mt-2 text-2xl font-semibold tabular-nums text-rose-700">{{ number_format($report['urgent_open']) }}</p>
+            </div>
+            <div class="rounded-2xl border border-slate-200 bg-white p-4">
+                <p class="text-xs font-semibold uppercase tracking-wide text-slate-500">Avg LOS (range)</p>
+                <p class="mt-2 text-2xl font-semibold tabular-nums text-slate-900">
+                    {{ $report['avg_los_minutes'] !== null ? $report['avg_los_minutes'].' min' : '—' }}
+                </p>
+            </div>
+        </div>
+
+        <div class="grid gap-4 lg:grid-cols-2">
+            <section class="rounded-2xl border border-slate-200 bg-white p-5">
+                <h2 class="text-sm font-semibold text-slate-900">Call nature</h2>
+                <ul class="mt-3 space-y-2 text-sm">
+                    @forelse ($report['call_nature_breakdown'] as $row)
+                        <li class="flex justify-between gap-3">
+                            <span>{{ $row['call_nature'] }}</span>
+                            <span class="tabular-nums text-slate-600">{{ $row['total'] }}</span>
+                        </li>
+                    @empty
+                        <li class="text-slate-500">No dispatches in range.</li>
+                    @endforelse
+                </ul>
+            </section>
+
+            <section class="rounded-2xl border border-slate-200 bg-white p-5">
+                <h2 class="text-sm font-semibold text-slate-900">Handover outcomes</h2>
+                <ul class="mt-3 space-y-2 text-sm">
+                    @forelse ($report['outcome_breakdown'] as $row)
+                        <li class="flex justify-between gap-3">
+                            <span>{{ $row['outcome'] }}</span>
+                            <span class="tabular-nums text-slate-600">{{ $row['total'] }}</span>
+                        </li>
+                    @empty
+                        <li class="text-slate-500">No handovers in range.</li>
+                    @endforelse
+                </ul>
+            </section>
+        </div>
+
+        <section class="rounded-2xl border border-slate-200 bg-white p-5">
+            <h2 class="text-sm font-semibold text-slate-900">Ambulance service revenue</h2>
+            <ul class="mt-3 space-y-2 text-sm">
+                @forelse ($report['revenue_by_service'] as $row)
+                    <li class="flex justify-between gap-3">
+                        <span>{{ $row->description }} <span class="text-slate-400">×{{ $row->total }}</span></span>
+                        <span class="tabular-nums">{{ $currency }} {{ number_format($row->amount_minor / 100, 2) }}</span>
+                    </li>
+                @empty
+                    <li class="text-slate-500">No billed ambulance services in range.</li>
+                @endforelse
+            </ul>
+        </section>
+    </div>
+</x-app-layout>
@@ -0,0 +1,70 @@
+@php
+    $record = $ambulanceHandover;
+    $payload = $record?->payload ?? [];
+    $canManage = $canManageClinical ?? $canConsult ?? false;
+@endphp
+
+<section class="rounded-2xl border border-slate-200 bg-white p-5">
+    <div class="flex flex-wrap items-start justify-between gap-3">
+        <div>
+            <h3 class="text-sm font-semibold text-slate-900">Facility handover</h3>
+            <p class="mt-0.5 text-xs text-slate-500">Completed handovers can close the ambulance visit.</p>
+        </div>
+        <a href="{{ route('care.specialty.ambulance.print', $workspaceVisit) }}" target="_blank" class="text-sm font-medium text-indigo-600">Print summary</a>
+    </div>
+
+    @if ($canManage)
+        <form method="POST" action="{{ route('care.specialty.ambulance.handover', $workspaceVisit) }}" class="mt-4 space-y-4">
+            @csrf
+            <input type="hidden" name="tab" value="handover">
+            <div class="grid gap-3 sm:grid-cols-2">
+                @foreach ($clinicalFields ?? [] as $field)
+                    @php
+                        $name = $field['name'];
+                        $value = old('payload.'.$name, $payload[$name] ?? '');
+                        $type = $field['type'] ?? 'text';
+                    @endphp
+                    <div @class(['sm:col-span-2' => in_array($type, ['textarea'], true)])>
+                        <label class="block text-xs font-medium text-slate-600">
+                            {{ $field['label'] }}
+                            @if (! empty($field['required'])) <span class="text-rose-600">*</span> @endif
+                        </label>
+                        @if ($type === 'textarea')
+                            <textarea name="payload[{{ $name }}]" rows="{{ $field['rows'] ?? 3 }}" @required(! empty($field['required']))
+                                class="mt-1 w-full rounded-xl border border-slate-200 px-3 py-2 text-sm">{{ $value }}</textarea>
+                        @elseif ($type === 'select')
+                            <select name="payload[{{ $name }}]" @required(! empty($field['required']))
+                                class="mt-1 w-full rounded-xl border border-slate-200 px-3 py-2 text-sm">
+                                <option value="">Select…</option>
+                                @foreach ($field['options'] ?? [] as $option)
+                                    <option value="{{ $option }}" @selected((string) $value === (string) $option)>{{ $option }}</option>
+                                @endforeach
+                            </select>
+                        @elseif ($type === 'boolean')
+                            <label class="mt-2 inline-flex items-center gap-2 text-sm text-slate-700">
+                                <input type="checkbox" name="payload[{{ $name }}]" value="1" @checked(old('payload.'.$name, ! empty($payload[$name])))>
+                                Yes
+                            </label>
+                        @else
+                            <input type="{{ $type === 'number' ? 'number' : 'text' }}" name="payload[{{ $name }}]" value="{{ $value }}"
+                                @required(! empty($field['required']))
+                                class="mt-1 w-full rounded-xl border border-slate-200 px-3 py-2 text-sm">
+                        @endif
+                    </div>
+                @endforeach
+            </div>
+            <button type="submit" class="btn-primary">Save handover</button>
+        </form>
+    @elseif ($record)
+        <dl class="mt-4 grid gap-3 text-sm sm:grid-cols-2">
+            @foreach ($clinicalFields ?? [] as $field)
+                <div>
+                    <dt class="text-slate-500">{{ $field['label'] }}</dt>
+                    <dd class="font-medium text-slate-900">{{ $payload[$field['name']] ?? '—' }}</dd>
+                </div>
+            @endforeach
+        </dl>
+    @else
+        <p class="mt-4 text-sm text-slate-500">No handover recorded yet.</p>
+    @endif
+</section>
@@ -0,0 +1,72 @@
+@php
+    $dispatch = $ambulanceDispatch?->payload ?? [];
+    $scene = $ambulanceScene?->payload ?? [];
+    $enRoute = $ambulanceEnRoute?->payload ?? [];
+    $handover = $ambulanceHandover?->payload ?? [];
+@endphp
+
+<section class="rounded-2xl border border-slate-200 bg-white p-5">
+    <div class="flex flex-wrap items-start justify-between gap-3">
+        <div>
+            <h3 class="text-sm font-semibold text-slate-900">Ambulance overview</h3>
+            <p class="mt-0.5 text-xs text-slate-500">Dispatch, scene triage, en-route care, and facility handover for this run.</p>
+        </div>
+        <div class="flex flex-wrap gap-3 text-sm">
+            <a href="{{ route('care.specialty.ambulance.print', $workspaceVisit) }}" target="_blank" class="font-medium text-indigo-600">Print summary</a>
+            <a href="{{ route('care.specialty.ambulance.reports') }}" class="font-medium text-indigo-600">Ambulance reports</a>
+        </div>
+    </div>
+
+    <div class="mt-4 grid gap-3 sm:grid-cols-3">
+        <div class="rounded-xl border border-slate-100 bg-slate-50 px-3 py-3">
+            <p class="text-xs font-semibold uppercase tracking-wide text-slate-500">Call</p>
+            <p class="mt-1 text-sm font-semibold text-slate-900">{{ $dispatch['call_nature'] ?? '—' }}</p>
+            <p class="mt-1 text-xs text-slate-500">Priority {{ $dispatch['priority'] ?? '—' }}</p>
+        </div>
+        <div class="rounded-xl border border-slate-100 bg-slate-50 px-3 py-3">
+            <p class="text-xs font-semibold uppercase tracking-wide text-slate-500">Scene</p>
+            <p class="mt-1 text-sm font-semibold text-slate-900">{{ $scene['chief_complaint'] ?? '—' }}</p>
+            <p class="mt-1 text-xs text-slate-500">Acuity {{ $scene['acuity'] ?? '—' }}</p>
+        </div>
+        <div class="rounded-xl border border-slate-100 bg-slate-50 px-3 py-3">
+            <p class="text-xs font-semibold uppercase tracking-wide text-slate-500">Destination / handover</p>
+            <p class="mt-1 text-sm font-semibold text-slate-900">{{ $enRoute['destination'] ?? ($handover['receiving_facility'] ?? 'Not set') }}</p>
+            <p class="mt-1 text-xs text-slate-500">{{ $handover['outcome'] ?? '—' }}</p>
+        </div>
+    </div>
+
+    <dl class="mt-4 grid gap-3 text-sm sm:grid-cols-2">
+        <div>
+            <dt class="text-slate-500">Location</dt>
+            <dd class="font-medium text-slate-900">{{ $dispatch['location'] ?? '—' }}</dd>
+        </div>
+        <div>
+            <dt class="text-slate-500">En-route interventions</dt>
+            <dd class="font-medium text-slate-900">{{ \Illuminate\Support\Str::limit($enRoute['interventions'] ?? '—', 80) }}</dd>
+        </div>
+        <div>
+            <dt class="text-slate-500">Queue</dt>
+            <dd class="font-medium text-slate-900">
+                {{ $workspaceVisit->appointment?->queue_ticket_number ?? '—' }}
+                @if ($workspaceVisit->appointment?->queue_ticket_status)
+                    <span class="text-slate-500">({{ $workspaceVisit->appointment->queue_ticket_status }})</span>
+                @endif
+            </dd>
+        </div>
+        <div>
+            <dt class="text-slate-500">Checked in</dt>
+            <dd class="font-medium text-slate-900">{{ $workspaceVisit->checked_in_at?->format('d M Y H:i') ?? '—' }}</dd>
+        </div>
+    </dl>
+
+    @if (! empty($clinicalAlerts))
+        <div class="mt-4 space-y-1.5 border-t border-slate-100 pt-4">
+            <p class="text-xs font-semibold uppercase tracking-wide text-slate-500">Alerts</p>
+            @foreach ($clinicalAlerts as $alert)
+                <p class="text-sm {{ ($alert['severity'] ?? '') === 'critical' ? 'text-rose-700' : 'text-amber-800' }}">
+                    {{ $alert['message'] ?? '' }}
+                </p>
+            @endforeach
+        </div>
+    @endif
+</section>
@@ -0,0 +1,83 @@
+<!DOCTYPE html>
+<html lang="en">
+<head>
+    <meta charset="utf-8">
+    <title>Child Welfare summary · {{ $patient->fullName() }}</title>
+    <style>
+        body { font-family: system-ui, sans-serif; color: #0f172a; margin: 2rem; }
+        h1 { font-size: 1.25rem; margin: 0 0 .25rem; }
+        h2 { font-size: .95rem; margin: 1.25rem 0 .5rem; border-bottom: 1px solid #e2e8f0; padding-bottom: .25rem; }
+        .meta { color: #64748b; font-size: .875rem; }
+        dl { display: grid; grid-template-columns: 10rem 1fr; gap: .35rem .75rem; font-size: .875rem; }
+        dt { color: #64748b; }
+        dd { margin: 0; font-weight: 500; }
+        @media print { .no-print { display: none; } }
+    </style>
+</head>
+<body>
+    <p class="no-print"><a href="{{ route('care.specialty.workspace', ['module' => 'child_welfare', 'visit' => $visit]) }}">Back</a></p>
+
+    <h1>{{ $patient->fullName() }}</h1>
+    <p class="meta">
+        {{ $patient->patient_number }}
+        · Visit #{{ $visit->id }}
+        · Stage {{ $visit->specialty_stage ?? '—' }}
+        · {{ $visit->checked_in_at?->format('d M Y H:i') ?? '—' }}
+    </p>
+
+    <h2>Intake / history</h2>
+    @if ($intake)
+        <dl>
+            <dt>Visit reason</dt><dd>{{ $intake->payload['visit_reason'] ?? '—' }}</dd>
+            <dt>Caregiver</dt><dd>{{ $intake->payload['caregiver'] ?? '—' }}</dd>
+            <dt>History</dt><dd>{{ $intake->payload['history'] ?? '—' }}</dd>
+            <dt>Immunization</dt><dd>{{ $intake->payload['immunization_status'] ?? '—' }}</dd>
+            <dt>Feeding</dt><dd>{{ $intake->payload['feeding'] ?? '—' }}</dd>
+            <dt>Safeguarding</dt><dd>{{ $intake->payload['safeguarding_notes'] ?? '—' }}</dd>
+        </dl>
+    @else
+        <p class="meta">No intake recorded.</p>
+    @endif
+
+    <h2>Assessment</h2>
+    @if ($assessment)
+        <dl>
+            <dt>Age (months)</dt><dd>{{ $assessment->payload['age_months'] ?? '—' }}</dd>
+            <dt>Weight (kg)</dt><dd>{{ $assessment->payload['weight_kg'] ?? '—' }}</dd>
+            <dt>Growth status</dt><dd>{{ $assessment->payload['growth_status'] ?? '—' }}</dd>
+            <dt>Nutrition risk</dt><dd>{{ $assessment->payload['nutrition_risk'] ?? '—' }}</dd>
+            <dt>Safeguarding</dt><dd>{{ $assessment->payload['safeguarding_flag'] ?? '—' }}</dd>
+            <dt>Exam</dt><dd>{{ $assessment->payload['exam_findings'] ?? '—' }}</dd>
+            <dt>Summary</dt><dd>{{ $assessment->payload['assessment_summary'] ?? '—' }}</dd>
+        </dl>
+    @else
+        <p class="meta">No assessment recorded.</p>
+    @endif
+
+    <h2>Care plan</h2>
+    @if ($plan)
+        <dl>
+            <dt>Goals</dt><dd>{{ $plan->payload['goals'] ?? '—' }}</dd>
+            <dt>Interventions</dt><dd>{{ $plan->payload['interventions'] ?? '—' }}</dd>
+            <dt>Counseling</dt><dd>{{ $plan->payload['counseling'] ?? '—' }}</dd>
+            <dt>Follow-up</dt><dd>{{ $plan->payload['follow_up'] ?? '—' }}</dd>
+        </dl>
+    @else
+        <p class="meta">No care plan recorded.</p>
+    @endif
+
+    <h2>Intervention / follow-up</h2>
+    @if ($followup)
+        <dl>
+            <dt>Review type</dt><dd>{{ $followup->payload['review_type'] ?? '—' }}</dd>
+            <dt>Interventions</dt><dd>{{ $followup->payload['interventions_delivered'] ?? '—' }}</dd>
+            <dt>Outcome</dt><dd>{{ $followup->payload['outcome'] ?? '—' }}</dd>
+            <dt>Next visit</dt><dd>{{ $followup->payload['next_visit'] ?? '—' }}</dd>
+        </dl>
+    @else
+        <p class="meta">No follow-up recorded.</p>
+    @endif
+
+    <script>window.print();</script>
+</body>
+</html>
@@ -0,0 +1,88 @@
+<x-app-layout title="Child Welfare reports">
+    <div class="space-y-6">
+        <div class="flex flex-wrap items-center justify-between gap-3">
+            <div>
+                <h1 class="text-xl font-semibold text-slate-900">Child Welfare reports</h1>
+                <p class="mt-1 text-sm text-slate-500">Arrivals, safeguarding flags, growth status, follow-up outcomes, length of stay, and CWC revenue.</p>
+            </div>
+            <a href="{{ route('care.specialty.show', 'child_welfare') }}" class="text-sm font-medium text-indigo-600">← Specialty home</a>
+        </div>
+
+        <form method="GET" class="flex flex-wrap items-end gap-3 rounded-2xl border border-slate-200 bg-white p-4">
+            <div>
+                <label class="block text-xs font-medium text-slate-600">From</label>
+                <input type="date" name="from" value="{{ $report['from'] ?? '' }}" class="mt-1 rounded-xl border border-slate-200 px-3 py-2 text-sm">
+            </div>
+            <div>
+                <label class="block text-xs font-medium text-slate-600">To</label>
+                <input type="date" name="to" value="{{ $report['to'] ?? '' }}" class="mt-1 rounded-xl border border-slate-200 px-3 py-2 text-sm">
+            </div>
+            <button type="submit" class="rounded-xl bg-indigo-600 px-4 py-2 text-sm font-semibold text-white">Apply</button>
+        </form>
+
+        <div class="grid gap-4 sm:grid-cols-4">
+            <div class="rounded-2xl border border-slate-200 bg-white p-4">
+                <p class="text-xs font-semibold uppercase tracking-wide text-slate-500">Arrivals today</p>
+                <p class="mt-2 text-2xl font-semibold tabular-nums text-slate-900">{{ number_format($report['arrivals_today']) }}</p>
+            </div>
+            <div class="rounded-2xl border border-slate-200 bg-white p-4">
+                <p class="text-xs font-semibold uppercase tracking-wide text-slate-500">Completed today</p>
+                <p class="mt-2 text-2xl font-semibold tabular-nums text-slate-900">{{ number_format($report['completed_today']) }}</p>
+            </div>
+            <div class="rounded-2xl border border-slate-200 bg-white p-4">
+                <p class="text-xs font-semibold uppercase tracking-wide text-slate-500">Safeguarding open</p>
+                <p class="mt-2 text-2xl font-semibold tabular-nums text-rose-700">{{ number_format($report['safeguarding_open']) }}</p>
+            </div>
+            <div class="rounded-2xl border border-slate-200 bg-white p-4">
+                <p class="text-xs font-semibold uppercase tracking-wide text-slate-500">Avg LOS (range)</p>
+                <p class="mt-2 text-2xl font-semibold tabular-nums text-slate-900">
+                    {{ $report['avg_los_minutes'] !== null ? $report['avg_los_minutes'].' min' : '—' }}
+                </p>
+            </div>
+        </div>
+
+        <div class="grid gap-4 lg:grid-cols-2">
+            <section class="rounded-2xl border border-slate-200 bg-white p-5">
+                <h2 class="text-sm font-semibold text-slate-900">Growth status</h2>
+                <ul class="mt-3 space-y-2 text-sm">
+                    @forelse ($report['growth_breakdown'] as $row)
+                        <li class="flex justify-between gap-3">
+                            <span>{{ $row['status'] }}</span>
+                            <span class="tabular-nums text-slate-600">{{ $row['total'] }}</span>
+                        </li>
+                    @empty
+                        <li class="text-slate-500">No assessments in range.</li>
+                    @endforelse
+                </ul>
+            </section>
+
+            <section class="rounded-2xl border border-slate-200 bg-white p-5">
+                <h2 class="text-sm font-semibold text-slate-900">Follow-up outcomes</h2>
+                <ul class="mt-3 space-y-2 text-sm">
+                    @forelse ($report['outcome_breakdown'] as $row)
+                        <li class="flex justify-between gap-3">
+                            <span>{{ $row['outcome'] }}</span>
+                            <span class="tabular-nums text-slate-600">{{ $row['total'] }}</span>
+                        </li>
+                    @empty
+                        <li class="text-slate-500">No follow-ups in range.</li>
+                    @endforelse
+                </ul>
+            </section>
+        </div>
+
+        <section class="rounded-2xl border border-slate-200 bg-white p-5">
+            <h2 class="text-sm font-semibold text-slate-900">Child Welfare service revenue</h2>
+            <ul class="mt-3 space-y-2 text-sm">
+                @forelse ($report['revenue_by_service'] as $row)
+                    <li class="flex justify-between gap-3">
+                        <span>{{ $row->description }} <span class="text-slate-400">×{{ $row->total }}</span></span>
+                        <span class="tabular-nums">{{ $currency }} {{ number_format($row->amount_minor / 100, 2) }}</span>
+                    </li>
+                @empty
+                    <li class="text-slate-500">No billed child welfare services in range.</li>
+                @endforelse
+            </ul>
+        </section>
+    </div>
+</x-app-layout>
@@ -0,0 +1,70 @@
+@php
+    $record = $childWelfareFollowup;
+    $payload = $record?->payload ?? [];
+    $canManage = $canManageClinical ?? $canConsult ?? false;
+@endphp
+
+<section class="rounded-2xl border border-slate-200 bg-white p-5">
+    <div class="flex flex-wrap items-start justify-between gap-3">
+        <div>
+            <h3 class="text-sm font-semibold text-slate-900">Intervention / follow-up</h3>
+            <p class="mt-0.5 text-xs text-slate-500">Completed outcomes can close the child welfare visit.</p>
+        </div>
+        <a href="{{ route('care.specialty.child-welfare.print', $workspaceVisit) }}" target="_blank" class="text-sm font-medium text-indigo-600">Print summary</a>
+    </div>
+
+    @if ($canManage)
+        <form method="POST" action="{{ route('care.specialty.child-welfare.followup', $workspaceVisit) }}" class="mt-4 space-y-4">
+            @csrf
+            <input type="hidden" name="tab" value="followup">
+            <div class="grid gap-3 sm:grid-cols-2">
+                @foreach ($clinicalFields ?? [] as $field)
+                    @php
+                        $name = $field['name'];
+                        $value = old('payload.'.$name, $payload[$name] ?? '');
+                        $type = $field['type'] ?? 'text';
+                    @endphp
+                    <div @class(['sm:col-span-2' => in_array($type, ['textarea'], true)])>
+                        <label class="block text-xs font-medium text-slate-600">
+                            {{ $field['label'] }}
+                            @if (! empty($field['required'])) <span class="text-rose-600">*</span> @endif
+                        </label>
+                        @if ($type === 'textarea')
+                            <textarea name="payload[{{ $name }}]" rows="{{ $field['rows'] ?? 3 }}" @required(! empty($field['required']))
+                                class="mt-1 w-full rounded-xl border border-slate-200 px-3 py-2 text-sm">{{ $value }}</textarea>
+                        @elseif ($type === 'select')
+                            <select name="payload[{{ $name }}]" @required(! empty($field['required']))
+                                class="mt-1 w-full rounded-xl border border-slate-200 px-3 py-2 text-sm">
+                                <option value="">Select…</option>
+                                @foreach ($field['options'] ?? [] as $option)
+                                    <option value="{{ $option }}" @selected((string) $value === (string) $option)>{{ $option }}</option>
+                                @endforeach
+                            </select>
+                        @elseif ($type === 'boolean')
+                            <label class="mt-2 inline-flex items-center gap-2 text-sm text-slate-700">
+                                <input type="checkbox" name="payload[{{ $name }}]" value="1" @checked(old('payload.'.$name, ! empty($payload[$name])))>
+                                Yes
+                            </label>
+                        @else
+                            <input type="{{ $type === 'number' ? 'number' : 'text' }}" name="payload[{{ $name }}]" value="{{ $value }}"
+                                @required(! empty($field['required']))
+                                class="mt-1 w-full rounded-xl border border-slate-200 px-3 py-2 text-sm">
+                        @endif
+                    </div>
+                @endforeach
+            </div>
+            <button type="submit" class="btn-primary">Save follow-up</button>
+        </form>
+    @elseif ($record)
+        <dl class="mt-4 grid gap-3 text-sm sm:grid-cols-2">
+            @foreach ($clinicalFields ?? [] as $field)
+                <div>
+                    <dt class="text-slate-500">{{ $field['label'] }}</dt>
+                    <dd class="font-medium text-slate-900">{{ $payload[$field['name']] ?? '—' }}</dd>
+                </div>
+            @endforeach
+        </dl>
+    @else
+        <p class="mt-4 text-sm text-slate-500">No intervention / follow-up recorded yet.</p>
+    @endif
+</section>
@@ -0,0 +1,78 @@
+@php
+    $intake = $childWelfareIntake?->payload ?? [];
+    $assessment = $childWelfareAssessment?->payload ?? [];
+    $plan = $childWelfarePlan?->payload ?? [];
+@endphp
+
+<section class="rounded-2xl border border-slate-200 bg-white p-5">
+    <div class="flex flex-wrap items-start justify-between gap-3">
+        <div>
+            <h3 class="text-sm font-semibold text-slate-900">Child Welfare overview</h3>
+            <p class="mt-0.5 text-xs text-slate-500">Intake, assessment, care plan, and follow-up for this CWC episode. Sensitive notes use the same clinical-record access controls as other specialty modules.</p>
+        </div>
+        <div class="flex flex-wrap gap-3 text-sm">
+            <a href="{{ route('care.specialty.child-welfare.print', $workspaceVisit) }}" target="_blank" class="font-medium text-indigo-600">Print summary</a>
+            <a href="{{ route('care.specialty.child-welfare.reports') }}" class="font-medium text-indigo-600">Child Welfare reports</a>
+        </div>
+    </div>
+
+    <div class="mt-4 grid gap-3 sm:grid-cols-3">
+        <div class="rounded-xl border border-slate-100 bg-slate-50 px-3 py-3">
+            <p class="text-xs font-semibold uppercase tracking-wide text-slate-500">Visit reason</p>
+            <p class="mt-1 text-sm font-semibold text-slate-900">{{ $intake['visit_reason'] ?? '—' }}</p>
+            <p class="mt-1 text-xs text-slate-500">{{ $intake['caregiver'] ?? '—' }}</p>
+        </div>
+        <div class="rounded-xl border border-slate-100 bg-slate-50 px-3 py-3">
+            <p class="text-xs font-semibold uppercase tracking-wide text-slate-500">Growth / assessment</p>
+            <p class="mt-1 text-sm font-semibold text-slate-900">{{ $assessment['growth_status'] ?? 'Not assessed' }}</p>
+            <p class="mt-1 text-xs text-slate-500">
+                @if (! empty($assessment['weight_kg']))
+                    {{ $assessment['weight_kg'] }} kg
+                    @if (! empty($assessment['age_months'])) · {{ $assessment['age_months'] }} mo @endif
+                @else
+                    —
+                @endif
+            </p>
+        </div>
+        <div class="rounded-xl border border-slate-100 bg-slate-50 px-3 py-3">
+            <p class="text-xs font-semibold uppercase tracking-wide text-slate-500">Care plan</p>
+            <p class="mt-1 text-sm font-semibold text-slate-900">{{ \Illuminate\Support\Str::limit($plan['goals'] ?? 'Not set', 40) }}</p>
+            <p class="mt-1 text-xs text-slate-500">{{ $plan['follow_up'] ?? '—' }}</p>
+        </div>
+    </div>
+
+    <dl class="mt-4 grid gap-3 text-sm sm:grid-cols-2">
+        <div>
+            <dt class="text-slate-500">Interval history</dt>
+            <dd class="font-medium text-slate-900">{{ $intake['history'] ?? '—' }}</dd>
+        </div>
+        <div>
+            <dt class="text-slate-500">Assessment summary</dt>
+            <dd class="font-medium text-slate-900">{{ $assessment['assessment_summary'] ?? '—' }}</dd>
+        </div>
+        <div>
+            <dt class="text-slate-500">Queue</dt>
+            <dd class="font-medium text-slate-900">
+                {{ $workspaceVisit->appointment?->queue_ticket_number ?? '—' }}
+                @if ($workspaceVisit->appointment?->queue_ticket_status)
+                    <span class="text-slate-500">({{ $workspaceVisit->appointment->queue_ticket_status }})</span>
+                @endif
+            </dd>
+        </div>
+        <div>
+            <dt class="text-slate-500">Checked in</dt>
+            <dd class="font-medium text-slate-900">{{ $workspaceVisit->checked_in_at?->format('d M Y H:i') ?? '—' }}</dd>
+        </div>
+    </dl>
+
+    @if (! empty($clinicalAlerts))
+        <div class="mt-4 space-y-1.5 border-t border-slate-100 pt-4">
+            <p class="text-xs font-semibold uppercase tracking-wide text-slate-500">Alerts</p>
+            @foreach ($clinicalAlerts as $alert)
+                <p class="text-sm {{ ($alert['severity'] ?? '') === 'critical' ? 'text-rose-700' : 'text-amber-800' }}">
+                    {{ $alert['message'] ?? '' }}
+                </p>
+            @endforeach
+        </div>
+    @endif
+</section>
@@ -56,6 +56,8 @@
        'dermatology' => 'check_in',
        'podiatry' => 'check_in',
        'fertility' => 'check_in',
+        'child_welfare' => 'check_in',
+        'ambulance' => 'check_in',
        default => collect($stages ?? [])->pluck('code')->first(),
    };
    $defaultStartLabel = match ($moduleKey) {
@@ -74,6 +76,8 @@
        'dermatology' => 'Start check-in',
        'podiatry' => 'Start check-in',
        'fertility' => 'Start check-in',
+        'child_welfare' => 'Start check-in',
+        'ambulance' => 'Start check-in',
        default => 'Start',
    };
    $currentStage = $workspaceVisit?->specialty_stage;
@@ -97,6 +97,10 @@
            @include('care.specialty.podiatry.workspace-'.$activeTab)
        @elseif ($moduleKey === 'fertility' && in_array($activeTab, ['overview', 'cycle'], true))
            @include('care.specialty.fertility.workspace-'.$activeTab)
+        @elseif ($moduleKey === 'child_welfare' && in_array($activeTab, ['overview', 'followup'], true))
+            @include('care.specialty.child-welfare.workspace-'.$activeTab)
+        @elseif ($moduleKey === 'ambulance' && in_array($activeTab, ['overview', 'handover'], true))
+            @include('care.specialty.ambulance.workspace-'.$activeTab)
        @elseif ($activeTab === 'billing')
            <section class="rounded-2xl border border-slate-200 bg-white p-5">
                <h3 class="text-sm font-semibold text-slate-900">
@@ -88,6 +88,12 @@
                    @if ($moduleKey === 'fertility')
                        <a href="{{ route('care.specialty.fertility.reports') }}" class="text-slate-600 hover:text-slate-900">Reports</a>
                    @endif
+                    @if ($moduleKey === 'child_welfare')
+                        <a href="{{ route('care.specialty.child-welfare.reports') }}" class="text-slate-600 hover:text-slate-900">Reports</a>
+                    @endif
+                    @if ($moduleKey === 'ambulance')
+                        <a href="{{ route('care.specialty.ambulance.reports') }}" class="text-slate-600 hover:text-slate-900">Reports</a>
+                    @endif
                    <a href="{{ route('care.specialty.history', $moduleKey) }}" class="text-slate-600 hover:text-slate-900">History</a>
                    @if ($canManageClinical ?? $canManageSpecialty ?? true)
                        <a href="{{ route('care.specialty.billing', $moduleKey) }}" class="text-slate-600 hover:text-slate-900">Billing</a>
@@ -59,6 +59,8 @@ use App\Http\Controllers\Care\InfusionWorkspaceController;
 use App\Http\Controllers\Care\DermatologyWorkspaceController;
 use App\Http\Controllers\Care\PodiatryWorkspaceController;
 use App\Http\Controllers\Care\FertilityWorkspaceController;
+use App\Http\Controllers\Care\ChildWelfareWorkspaceController;
+use App\Http\Controllers\Care\AmbulanceWorkspaceController;
 use App\Http\Controllers\Care\SpecialtyModuleController;
 use App\Http\Controllers\Care\VisitWorkflowController;
 use App\Http\Controllers\NotificationController;
@@ -159,6 +161,8 @@ Route::middleware(['auth', 'platform.session'])->group(function () {
            Route::get('/specialty/dermatology/reports', [DermatologyWorkspaceController::class, 'reports'])->name('care.specialty.dermatology.reports');
            Route::get('/specialty/podiatry/reports', [PodiatryWorkspaceController::class, 'reports'])->name('care.specialty.podiatry.reports');
            Route::get('/specialty/fertility/reports', [FertilityWorkspaceController::class, 'reports'])->name('care.specialty.fertility.reports');
+            Route::get('/specialty/child-welfare/reports', [ChildWelfareWorkspaceController::class, 'reports'])->name('care.specialty.child-welfare.reports');
+            Route::get('/specialty/ambulance/reports', [AmbulanceWorkspaceController::class, 'reports'])->name('care.specialty.ambulance.reports');
            Route::get('/specialty/{module}/workspace/{visit?}', [SpecialtyModuleController::class, 'workspace'])->name('care.specialty.workspace');
            Route::post('/specialty/{module}/workspace/{visit}/clinical', [SpecialtyModuleController::class, 'saveClinical'])->name('care.specialty.clinical.save');
            Route::post('/specialty/{module}/workspace/{visit}/documents', [SpecialtyModuleController::class, 'uploadDocument'])->name('care.specialty.documents.upload');
@@ -246,6 +250,12 @@ Route::middleware(['auth', 'platform.session'])->group(function () {
            Route::post('/specialty/fertility/workspace/{visit}/stage', [FertilityWorkspaceController::class, 'setStage'])->name('care.specialty.fertility.stage');
            Route::post('/specialty/fertility/workspace/{visit}/cycle', [FertilityWorkspaceController::class, 'saveCycle'])->name('care.specialty.fertility.cycle');
            Route::get('/specialty/fertility/workspace/{visit}/print', [FertilityWorkspaceController::class, 'printSummary'])->name('care.specialty.fertility.print');
+            Route::post('/specialty/child-welfare/workspace/{visit}/stage', [ChildWelfareWorkspaceController::class, 'setStage'])->name('care.specialty.child-welfare.stage');
+            Route::post('/specialty/child-welfare/workspace/{visit}/followup', [ChildWelfareWorkspaceController::class, 'saveFollowUp'])->name('care.specialty.child-welfare.followup');
+            Route::get('/specialty/child-welfare/workspace/{visit}/print', [ChildWelfareWorkspaceController::class, 'printSummary'])->name('care.specialty.child-welfare.print');
+            Route::post('/specialty/ambulance/workspace/{visit}/stage', [AmbulanceWorkspaceController::class, 'setStage'])->name('care.specialty.ambulance.stage');
+            Route::post('/specialty/ambulance/workspace/{visit}/handover', [AmbulanceWorkspaceController::class, 'saveHandover'])->name('care.specialty.ambulance.handover');
+            Route::get('/specialty/ambulance/workspace/{visit}/print', [AmbulanceWorkspaceController::class, 'printSummary'])->name('care.specialty.ambulance.print');
            Route::get('/specialty/{module}', [SpecialtyModuleController::class, 'show'])->name('care.specialty.show');
            Route::post('/specialty/{module}/call-next', [SpecialtyModuleController::class, 'callNext'])->name('care.specialty.call-next');
            Route::post('/specialty/{module}/refer', [SpecialtyModuleController::class, 'refer'])->name('care.specialty.refer');
@@ -0,0 +1,243 @@
+<?php
+
+namespace Tests\Feature;
+
+use App\Http\Middleware\EnsurePlatformSession;
+use App\Models\Appointment;
+use App\Models\Branch;
+use App\Models\Department;
+use App\Models\Member;
+use App\Models\Organization;
+use App\Models\Patient;
+use App\Models\SpecialtyClinicalRecord;
+use App\Models\User;
+use App\Models\Visit;
+use App\Services\Care\SpecialtyModuleService;
+use Illuminate\Foundation\Testing\RefreshDatabase;
+use Tests\TestCase;
+
+class CareAmbulanceSuiteTest extends TestCase
+{
+    use RefreshDatabase;
+
+    protected User $owner;
+
+    protected Organization $organization;
+
+    protected Branch $branch;
+
+    protected Patient $patient;
+
+    protected Visit $visit;
+
+    protected function setUp(): void
+    {
+        parent::setUp();
+        $this->withoutMiddleware(EnsurePlatformSession::class);
+
+        $this->owner = User::create([
+            'public_id' => 'amb-owner',
+            'name' => 'Owner',
+            'email' => 'amb-owner@example.com',
+        ]);
+
+        $this->organization = Organization::create([
+            'owner_ref' => $this->owner->public_id,
+            'name' => 'Ambulance Clinic',
+            'slug' => 'ambulance-clinic',
+            'settings' => [
+                'onboarded' => true,
+                'facility_type' => 'clinic',
+                'plan' => 'pro',
+                'plan_expires_at' => now()->addMonth()->toIso8601String(),
+                'queue_integration_enabled' => true,
+            ],
+        ]);
+
+        Member::create([
+            'owner_ref' => $this->owner->public_id,
+            'organization_id' => $this->organization->id,
+            'user_ref' => $this->owner->public_id,
+            'role' => 'hospital_admin',
+            'branch_id' => null,
+        ]);
+
+        $this->branch = Branch::create([
+            'owner_ref' => $this->owner->public_id,
+            'organization_id' => $this->organization->id,
+            'name' => 'Main',
+            'is_active' => true,
+        ]);
+
+        app(SpecialtyModuleService::class)->activate(
+            $this->organization,
+            $this->owner->public_id,
+            'ambulance',
+        );
+
+        $department = Department::query()
+            ->where('branch_id', $this->branch->id)
+            ->where('type', 'ambulance')
+            ->firstOrFail();
+
+        $this->patient = Patient::create([
+            'owner_ref' => $this->owner->public_id,
+            'organization_id' => $this->organization->id,
+            'branch_id' => $this->branch->id,
+            'patient_number' => 'P-AMB-SUITE',
+            'first_name' => 'Kojo',
+            'last_name' => 'Mensah',
+            'gender' => 'male',
+            'date_of_birth' => '1985-03-20',
+        ]);
+
+        $this->visit = Visit::create([
+            'owner_ref' => $this->owner->public_id,
+            'organization_id' => $this->organization->id,
+            'branch_id' => $this->branch->id,
+            'patient_id' => $this->patient->id,
+            'status' => Visit::STATUS_IN_PROGRESS,
+            'checked_in_at' => now(),
+            'specialty_stage' => 'check_in',
+        ]);
+
+        Appointment::create([
+            'owner_ref' => $this->owner->public_id,
+            'organization_id' => $this->organization->id,
+            'branch_id' => $this->branch->id,
+            'patient_id' => $this->patient->id,
+            'department_id' => $department->id,
+            'visit_id' => $this->visit->id,
+            'type' => Appointment::TYPE_WALK_IN,
+            'status' => Appointment::STATUS_IN_CONSULTATION,
+            'scheduled_at' => now(),
+            'waiting_at' => now(),
+            'checked_in_at' => now(),
+            'started_at' => now(),
+        ]);
+    }
+
+    public function test_overview_and_scene_tabs_render(): void
+    {
+        $this->actingAs($this->owner)
+            ->get(route('care.specialty.workspace', [
+                'module' => 'ambulance',
+                'visit' => $this->visit,
+                'tab' => 'overview',
+            ]))
+            ->assertOk()
+            ->assertSee('Ambulance overview')
+            ->assertSee('data-care-stage-bar', false)
+            ->assertSee('Scene / triage')
+            ->assertSee('Start dispatch')
+            ->assertSee('Ambulance reports');
+
+        $this->actingAs($this->owner)
+            ->get(route('care.specialty.workspace', [
+                'module' => 'ambulance',
+                'visit' => $this->visit,
+                'tab' => 'scene',
+            ]))
+            ->assertOk()
+            ->assertSee('Chief complaint')
+            ->assertSee('Scene findings');
+    }
+
+    public function test_scene_sets_stage_and_acuity_alert(): void
+    {
+        $this->actingAs($this->owner)
+            ->post(route('care.specialty.clinical.save', [
+                'module' => 'ambulance',
+                'visit' => $this->visit,
+            ]), [
+                'tab' => 'scene',
+                'payload' => [
+                    'chief_complaint' => 'Chest pain',
+                    'acuity' => 'Critical',
+                    'mechanism' => 'Sudden onset at home',
+                    'airway_ok' => '1',
+                    'breathing_ok' => '1',
+                    'circulation_ok' => '0',
+                    'gcs' => '15',
+                    'vitals_summary' => 'BP 90/60, HR 120, SpO2 92%',
+                    'scene_findings' => 'Diaphoretic, pale, ongoing chest pain',
+                    'hazards' => 'None',
+                ],
+            ])
+            ->assertRedirect();
+
+        $this->assertSame('on_scene', $this->visit->fresh()->specialty_stage);
+
+        $record = SpecialtyClinicalRecord::query()
+            ->where('visit_id', $this->visit->id)
+            ->where('record_type', 'amb_scene')
+            ->firstOrFail();
+
+        $codes = collect($record->alerts)->pluck('code')->all();
+        $this->assertContains('amb.acuity_high', $codes);
+    }
+
+    public function test_stage_advance_and_handover_completes_visit(): void
+    {
+        $this->actingAs($this->owner)
+            ->post(route('care.specialty.ambulance.stage', $this->visit), [
+                'stage' => 'handover',
+            ])
+            ->assertRedirect(route('care.specialty.workspace', [
+                'module' => 'ambulance',
+                'visit' => $this->visit,
+                'tab' => 'handover',
+            ]));
+
+        $this->assertSame('handover', $this->visit->fresh()->specialty_stage);
+
+        $this->actingAs($this->owner)
+            ->post(route('care.specialty.ambulance.handover', $this->visit), [
+                'tab' => 'handover',
+                'payload' => [
+                    'receiving_facility' => 'Korle Bu ED',
+                    'receiving_clinician' => 'Dr. Boateng',
+                    'handover_summary' => 'S: Chest pain. B: Sudden onset. A: Critical acuity. R: Handed over to ED resus.',
+                    'outcome' => 'Completed — handed over',
+                    'time_critical' => 'STEMI',
+                    'follow_up' => 'PCR filed',
+                ],
+            ])
+            ->assertRedirect(route('care.specialty.workspace', [
+                'module' => 'ambulance',
+                'visit' => $this->visit,
+                'tab' => 'handover',
+            ]));
+
+        $this->assertSame('completed', $this->visit->fresh()->specialty_stage);
+        $this->assertSame(Visit::STATUS_COMPLETED, $this->visit->fresh()->status);
+        $this->assertDatabaseHas('care_specialty_clinical_records', [
+            'visit_id' => $this->visit->id,
+            'record_type' => 'amb_handover',
+            'status' => SpecialtyClinicalRecord::STATUS_COMPLETED,
+        ]);
+    }
+
+    public function test_reports_and_print(): void
+    {
+        $this->actingAs($this->owner)
+            ->get(route('care.specialty.ambulance.reports'))
+            ->assertOk()
+            ->assertSee('Ambulance reports')
+            ->assertSee('Arrivals today');
+
+        $this->actingAs($this->owner)
+            ->get(route('care.specialty.ambulance.print', $this->visit))
+            ->assertOk()
+            ->assertSee('Ambulance summary')
+            ->assertSee($this->patient->fullName());
+    }
+
+    public function test_list_index_does_not_auto_open_patient(): void
+    {
+        $this->actingAs($this->owner)
+            ->get(route('care.specialty.show', 'ambulance'))
+            ->assertOk()
+            ->assertDontSee('Ambulance overview');
+    }
+}
@@ -0,0 +1,241 @@
+<?php
+
+namespace Tests\Feature;
+
+use App\Http\Middleware\EnsurePlatformSession;
+use App\Models\Appointment;
+use App\Models\Branch;
+use App\Models\Department;
+use App\Models\Member;
+use App\Models\Organization;
+use App\Models\Patient;
+use App\Models\SpecialtyClinicalRecord;
+use App\Models\User;
+use App\Models\Visit;
+use App\Services\Care\SpecialtyModuleService;
+use Illuminate\Foundation\Testing\RefreshDatabase;
+use Tests\TestCase;
+
+class CareChildWelfareSuiteTest extends TestCase
+{
+    use RefreshDatabase;
+
+    protected User $owner;
+
+    protected Organization $organization;
+
+    protected Branch $branch;
+
+    protected Patient $patient;
+
+    protected Visit $visit;
+
+    protected function setUp(): void
+    {
+        parent::setUp();
+        $this->withoutMiddleware(EnsurePlatformSession::class);
+
+        $this->owner = User::create([
+            'public_id' => 'cwc-owner',
+            'name' => 'Owner',
+            'email' => 'cwc-owner@example.com',
+        ]);
+
+        $this->organization = Organization::create([
+            'owner_ref' => $this->owner->public_id,
+            'name' => 'Child Welfare Clinic',
+            'slug' => 'child-welfare-clinic',
+            'settings' => [
+                'onboarded' => true,
+                'facility_type' => 'clinic',
+                'plan' => 'pro',
+                'plan_expires_at' => now()->addMonth()->toIso8601String(),
+                'queue_integration_enabled' => true,
+            ],
+        ]);
+
+        Member::create([
+            'owner_ref' => $this->owner->public_id,
+            'organization_id' => $this->organization->id,
+            'user_ref' => $this->owner->public_id,
+            'role' => 'hospital_admin',
+            'branch_id' => null,
+        ]);
+
+        $this->branch = Branch::create([
+            'owner_ref' => $this->owner->public_id,
+            'organization_id' => $this->organization->id,
+            'name' => 'Main',
+            'is_active' => true,
+        ]);
+
+        app(SpecialtyModuleService::class)->activate(
+            $this->organization,
+            $this->owner->public_id,
+            'child_welfare',
+        );
+
+        $department = Department::query()
+            ->where('branch_id', $this->branch->id)
+            ->where('type', 'child_welfare')
+            ->firstOrFail();
+
+        $this->patient = Patient::create([
+            'owner_ref' => $this->owner->public_id,
+            'organization_id' => $this->organization->id,
+            'branch_id' => $this->branch->id,
+            'patient_number' => 'P-CWC-SUITE',
+            'first_name' => 'Kwame',
+            'last_name' => 'Mensah',
+            'gender' => 'male',
+            'date_of_birth' => '2024-01-15',
+        ]);
+
+        $this->visit = Visit::create([
+            'owner_ref' => $this->owner->public_id,
+            'organization_id' => $this->organization->id,
+            'branch_id' => $this->branch->id,
+            'patient_id' => $this->patient->id,
+            'status' => Visit::STATUS_IN_PROGRESS,
+            'checked_in_at' => now(),
+            'specialty_stage' => 'check_in',
+        ]);
+
+        Appointment::create([
+            'owner_ref' => $this->owner->public_id,
+            'organization_id' => $this->organization->id,
+            'branch_id' => $this->branch->id,
+            'patient_id' => $this->patient->id,
+            'department_id' => $department->id,
+            'visit_id' => $this->visit->id,
+            'type' => Appointment::TYPE_WALK_IN,
+            'status' => Appointment::STATUS_IN_CONSULTATION,
+            'scheduled_at' => now(),
+            'waiting_at' => now(),
+            'checked_in_at' => now(),
+            'started_at' => now(),
+        ]);
+    }
+
+    public function test_overview_and_assessment_tabs_render(): void
+    {
+        $this->actingAs($this->owner)
+            ->get(route('care.specialty.workspace', [
+                'module' => 'child_welfare',
+                'visit' => $this->visit,
+                'tab' => 'overview',
+            ]))
+            ->assertOk()
+            ->assertSee('Child Welfare overview')
+            ->assertSee('data-care-stage-bar', false)
+            ->assertSee('Start intake')
+            ->assertSee('Child Welfare reports');
+
+        $this->actingAs($this->owner)
+            ->get(route('care.specialty.workspace', [
+                'module' => 'child_welfare',
+                'visit' => $this->visit,
+                'tab' => 'assessment',
+            ]))
+            ->assertOk()
+            ->assertSee('Age (months)')
+            ->assertSee('Growth status')
+            ->assertSee('Safeguarding flag');
+    }
+
+    public function test_assessment_sets_stage_and_safeguarding_alert(): void
+    {
+        $this->actingAs($this->owner)
+            ->post(route('care.specialty.clinical.save', [
+                'module' => 'child_welfare',
+                'visit' => $this->visit,
+            ]), [
+                'tab' => 'assessment',
+                'payload' => [
+                    'age_months' => 18,
+                    'weight_kg' => 8.2,
+                    'height_cm' => 76,
+                    'growth_status' => 'Underweight',
+                    'nutrition_risk' => 'High',
+                    'exam_findings' => 'Thin; dry skin; alert',
+                    'safeguarding_flag' => 'Concern',
+                    'assessment_summary' => 'Underweight with nutrition risk — counselling and follow-up',
+                ],
+            ])
+            ->assertRedirect();
+
+        $this->assertSame('assessment', $this->visit->fresh()->specialty_stage);
+
+        $record = SpecialtyClinicalRecord::query()
+            ->where('visit_id', $this->visit->id)
+            ->where('record_type', 'cwc_assessment')
+            ->firstOrFail();
+
+        $codes = collect($record->alerts)->pluck('code')->all();
+        $this->assertContains('cwc.safeguarding', $codes);
+        $this->assertContains('cwc.nutrition_risk', $codes);
+    }
+
+    public function test_stage_advance_and_followup_completes_visit(): void
+    {
+        $this->actingAs($this->owner)
+            ->post(route('care.specialty.child-welfare.stage', $this->visit), [
+                'stage' => 'followup',
+            ])
+            ->assertRedirect(route('care.specialty.workspace', [
+                'module' => 'child_welfare',
+                'visit' => $this->visit,
+                'tab' => 'followup',
+            ]));
+
+        $this->assertSame('followup', $this->visit->fresh()->specialty_stage);
+
+        $this->actingAs($this->owner)
+            ->post(route('care.specialty.child-welfare.followup', $this->visit), [
+                'tab' => 'followup',
+                'payload' => [
+                    'review_type' => 'Growth recheck',
+                    'interventions_delivered' => 'Nutrition counselling; MUAC recheck',
+                    'progress' => 'Weight improving',
+                    'outcome' => 'Completed uneventfully',
+                    'next_visit' => '4 weeks',
+                ],
+            ])
+            ->assertRedirect(route('care.specialty.workspace', [
+                'module' => 'child_welfare',
+                'visit' => $this->visit,
+                'tab' => 'followup',
+            ]));
+
+        $this->assertSame('completed', $this->visit->fresh()->specialty_stage);
+        $this->assertSame(Visit::STATUS_COMPLETED, $this->visit->fresh()->status);
+        $this->assertDatabaseHas('care_specialty_clinical_records', [
+            'visit_id' => $this->visit->id,
+            'record_type' => 'cwc_followup',
+            'status' => SpecialtyClinicalRecord::STATUS_COMPLETED,
+        ]);
+    }
+
+    public function test_reports_and_print(): void
+    {
+        $this->actingAs($this->owner)
+            ->get(route('care.specialty.child-welfare.reports'))
+            ->assertOk()
+            ->assertSee('Child Welfare reports')
+            ->assertSee('Arrivals today');
+
+        $this->actingAs($this->owner)
+            ->get(route('care.specialty.child-welfare.print', $this->visit))
+            ->assertOk()
+            ->assertSee('Child Welfare summary')
+            ->assertSee($this->patient->fullName());
+    }
+
+    public function test_list_index_does_not_auto_open_patient(): void
+    {
+        $this->actingAs($this->owner)
+            ->get(route('care.specialty.show', 'child_welfare'))
+            ->assertOk()
+            ->assertDontSee('Child Welfare overview');
+    }
+}
@@ -387,7 +387,7 @@ class CareSpecialtyModulesTest extends TestCase
        foreach ([
            'emergency', 'blood_bank', 'cardiology', 'psychiatry', 'pediatrics', 'orthopedics',
            'ent', 'oncology', 'renal', 'surgery', 'vaccination', 'pathology', 'infusion',
-            'dermatology', 'podiatry', 'fertility', 'child_welfare',
+            'dermatology', 'podiatry', 'fertility', 'child_welfare', 'ambulance',
        ] as $key) {
            $this->assertArrayHasKey($key, $catalog);
        }