Add full Blood Bank specialty suite on shared shell.

Mirror Emergency: stage workflow, issue/transfusion records, analytics, print, and action-menu stage flow without a parallel EHR. Co-authored-by: Cursor <cursoragent@cursor.com>
2026-07-18 21:36:57 +00:00
parent 847d63c1c2
commit f688a48c37
19 changed files with 1590 additions and 30 deletions
@@ -0,0 +1,318 @@
+<?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\BloodBank\BloodBankAnalyticsService;
+use App\Services\Care\BloodBank\BloodBankWorkflowService;
+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 BloodBankWorkspaceController extends Controller
+{
+    use ScopesToAccount;
+
+    protected function assertBloodBankAccess(Request $request, SpecialtyModuleService $modules): void
+    {
+        $organization = $this->organization($request);
+        abort_unless($modules->memberCanAccess($organization, $this->member($request), 'blood_bank'), 403);
+    }
+
+    protected function assertBloodBankManage(Request $request, SpecialtyModuleService $modules): void
+    {
+        $organization = $this->organization($request);
+        abort_unless($modules->memberCanManage($organization, $this->member($request), 'blood_bank'), 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,
+    ): RedirectResponse {
+        $this->authorizeAbility($request, 'consultations.manage');
+        $this->assertBloodBankManage($request, $modules);
+        $this->assertVisit($request, $visit);
+
+        $validated = $request->validate([
+            'stage' => ['required', 'string', 'max:32'],
+        ]);
+
+        try {
+            $stages->setStage(
+                $this->organization($request),
+                $visit,
+                'blood_bank',
+                $validated['stage'],
+                $this->ownerRef($request),
+                $this->actorRef($request),
+            );
+        } catch (\InvalidArgumentException $e) {
+            return back()->with('error', $e->getMessage());
+        }
+
+        return redirect()
+            ->route('care.specialty.workspace', ['module' => 'blood_bank', 'visit' => $visit, 'tab' => 'overview'])
+            ->with('success', 'Visit stage updated.');
+    }
+
+    public function confirmIssue(
+        Request $request,
+        Visit $visit,
+        SpecialtyModuleService $modules,
+        SpecialtyClinicalRecordService $clinical,
+        SpecialtyVisitStageService $stages,
+        SpecialtyShellService $shell,
+        BloodBankWorkflowService $workflow,
+    ): RedirectResponse {
+        $this->authorizeAbility($request, 'consultations.manage');
+        $this->assertBloodBankManage($request, $modules);
+        $this->assertVisit($request, $visit);
+
+        $organization = $this->organization($request);
+        $owner = $this->ownerRef($request);
+
+        $payload = (array) $request->input('payload', []);
+        foreach ($clinical->fieldsFor('blood_bank', 'issue_note') as $field) {
+            if (($field['type'] ?? '') === 'boolean') {
+                $payload[$field['name']] = $request->boolean('payload.'.$field['name']);
+            }
+        }
+        $request->merge(['payload' => $payload, 'tab' => 'issue']);
+
+        $validated = $request->validate(array_merge([
+            'tab' => ['required', 'string'],
+            'bill_product' => ['nullable', 'boolean'],
+            'bill_crossmatch' => ['nullable', 'boolean'],
+        ], $clinical->validationRules('blood_bank', 'issue_note')));
+
+        $issuePayload = $clinical->payloadFromRequest($validated);
+        $units = max(1, (int) ($issuePayload['units_issued'] ?? 1));
+
+        $record = $clinical->upsert(
+            $organization,
+            $visit,
+            'blood_bank',
+            'issue_note',
+            $issuePayload,
+            $owner,
+            $owner,
+            BloodBankWorkflowService::STAGE_ISSUE,
+            SpecialtyClinicalRecord::STATUS_COMPLETED,
+        );
+
+        // Keep the request record in sync with issued units / cross-match status.
+        $requestRecord = $clinical->findForVisit($visit, 'blood_bank', 'blood_request');
+        if ($requestRecord) {
+            $requestPayload = array_merge($requestRecord->payload ?? [], [
+                'issued_units' => $units,
+                'crossmatch_status' => 'Issued',
+                'product' => $issuePayload['product'] ?? ($requestRecord->payload['product'] ?? null),
+            ]);
+            $clinical->upsert(
+                $organization,
+                $visit,
+                'blood_bank',
+                'blood_request',
+                $requestPayload,
+                $owner,
+                $owner,
+                BloodBankWorkflowService::STAGE_ISSUE,
+                SpecialtyClinicalRecord::STATUS_ACTIVE,
+            );
+        }
+
+        try {
+            $stages->setStage(
+                $organization,
+                $visit,
+                'blood_bank',
+                BloodBankWorkflowService::STAGE_ISSUE,
+                $owner,
+                $owner,
+            );
+        } catch (\InvalidArgumentException) {
+            // Stage already issue or map empty.
+        }
+
+        if ($request->boolean('bill_crossmatch')) {
+            try {
+                $shell->addCatalogServiceToVisit($organization, $visit, 'blood_bank', 'bb.crossmatch', $owner, $owner);
+            } catch (\InvalidArgumentException) {
+            }
+        }
+
+        if ($request->boolean('bill_product', true)) {
+            $serviceCode = $workflow->serviceCodeForProduct($issuePayload['product'] ?? null);
+            if ($serviceCode) {
+                try {
+                    $shell->addCatalogServiceToVisit(
+                        $organization,
+                        $visit,
+                        'blood_bank',
+                        $serviceCode,
+                        $owner,
+                        $owner,
+                        $units,
+                    );
+                } catch (\InvalidArgumentException) {
+                }
+            }
+        }
+
+        return redirect()
+            ->route('care.specialty.workspace', ['module' => 'blood_bank', 'visit' => $visit, 'tab' => 'issue'])
+            ->with('success', 'Product issue confirmed.');
+    }
+
+    public function saveTransfusion(
+        Request $request,
+        Visit $visit,
+        SpecialtyModuleService $modules,
+        SpecialtyClinicalRecordService $clinical,
+        SpecialtyVisitStageService $stages,
+        BloodBankWorkflowService $workflow,
+    ): RedirectResponse {
+        $this->authorizeAbility($request, 'consultations.manage');
+        $this->assertBloodBankManage($request, $modules);
+        $this->assertVisit($request, $visit);
+
+        $organization = $this->organization($request);
+        $owner = $this->ownerRef($request);
+
+        $payload = (array) $request->input('payload', []);
+        foreach ($clinical->fieldsFor('blood_bank', 'transfusion_note') as $field) {
+            if (($field['type'] ?? '') === 'boolean') {
+                $payload[$field['name']] = $request->boolean('payload.'.$field['name']);
+            }
+        }
+        $request->merge(['payload' => $payload, 'tab' => 'transfusion']);
+
+        $validated = $request->validate(array_merge([
+            'tab' => ['required', 'string'],
+        ], $clinical->validationRules('blood_bank', 'transfusion_note')));
+
+        $record = $clinical->upsert(
+            $organization,
+            $visit,
+            'blood_bank',
+            'transfusion_note',
+            $clinical->payloadFromRequest($validated),
+            $owner,
+            $owner,
+            BloodBankWorkflowService::STAGE_TRANSFUSION,
+            SpecialtyClinicalRecord::STATUS_COMPLETED,
+        );
+
+        try {
+            $stages->setStage(
+                $organization,
+                $visit,
+                'blood_bank',
+                BloodBankWorkflowService::STAGE_TRANSFUSION,
+                $owner,
+                $owner,
+            );
+        } catch (\InvalidArgumentException) {
+        }
+
+        if ($workflow->shouldCompleteVisit($record->payload ?? [])) {
+            try {
+                $stages->setStage(
+                    $organization,
+                    $visit,
+                    'blood_bank',
+                    BloodBankWorkflowService::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' => 'blood_bank', 'visit' => $visit, 'tab' => 'transfusion'])
+            ->with('success', 'Transfusion record saved.');
+    }
+
+    public function reports(
+        Request $request,
+        SpecialtyModuleService $modules,
+        SpecialtyShellService $shell,
+        BloodBankAnalyticsService $analytics,
+    ): View {
+        $this->authorizeAbility($request, 'consultations.view');
+        $this->assertBloodBankAccess($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.blood-bank.reports', [
+            'moduleKey' => 'blood_bank',
+            'definition' => $modules->definition('blood_bank'),
+            'shellNav' => $shell->navItems('blood_bank'),
+            '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');
+        $this->assertBloodBankAccess($request, $modules);
+        $this->assertVisit($request, $visit);
+
+        $visit->loadMissing(['patient', 'appointment.practitioner', 'branch', 'bill.lineItems']);
+
+        return view('care.specialty.blood-bank.print', [
+            'visit' => $visit,
+            'patient' => $visit->patient,
+            'bloodRequest' => $clinical->findForVisit($visit, 'blood_bank', 'blood_request'),
+            'inventoryNote' => $clinical->findForVisit($visit, 'blood_bank', 'inventory_note'),
+            'issueNote' => $clinical->findForVisit($visit, 'blood_bank', 'issue_note'),
+            'transfusionNote' => $clinical->findForVisit($visit, 'blood_bank', 'transfusion_note'),
+        ]);
+    }
+}
@@ -169,6 +169,7 @@ class SpecialtyModuleController extends Controller
            $preferredTab = match ($module) {
                'dentistry' => 'odontogram',
                'emergency' => 'triage',
+                'blood_bank' => 'requests',
                default => (collect(array_keys($shellTabs))
                    ->first(fn (string $tab) => $clinical->recordTypeForTab($module, $tab) !== null)
                    ?? 'clinical_notes'),
@@ -226,7 +227,7 @@ class SpecialtyModuleController extends Controller
                } catch (\InvalidArgumentException) {
                    // Stage map may be empty for some modules.
                }
-            } elseif ($nextStage && in_array($visit->specialty_stage, ['waiting', 'arrival'], true)) {
+            } elseif ($nextStage && in_array($visit->specialty_stage, ['waiting', 'arrival', 'request'], true)) {
                try {
                    $stageService->setStage($organization, $visit, $module, $nextStage, $owner, $owner);
                    $visit = $visit->fresh();
@@ -239,6 +240,7 @@ class SpecialtyModuleController extends Controller
        $preferredTab = match ($module) {
            'dentistry' => 'odontogram',
            'emergency' => 'triage',
+            'blood_bank' => 'requests',
            default => (collect(array_keys($shellTabs))
                ->first(fn (string $tab) => $clinical->recordTypeForTab($module, $tab) !== null)
                ?? 'clinical_notes'),
@@ -335,6 +337,42 @@ class SpecialtyModuleController extends Controller
            }
        }

+        if ($module === 'blood_bank' && $recordType === 'blood_request') {
+            $workflow = app(\App\Services\Care\BloodBank\BloodBankWorkflowService::class);
+            $stageService = app(\App\Services\Care\SpecialtyVisitStageService::class);
+            $suggested = $workflow->stageFromRequest($record->payload ?? []);
+            $current = $visit->specialty_stage;
+            if (! $current || in_array($current, ['request', 'waiting'], true)) {
+                try {
+                    $stageService->setStage(
+                        $organization,
+                        $visit,
+                        'blood_bank',
+                        $suggested,
+                        $this->ownerRef($request),
+                        $this->ownerRef($request),
+                    );
+                } catch (\InvalidArgumentException) {
+                }
+            } elseif ($suggested !== $current && in_array($suggested, ['crossmatch', 'issue'], true)) {
+                // Advance when cross-match / issue status progresses on an existing request.
+                $order = ['request' => 0, 'crossmatch' => 1, 'issue' => 2, 'transfusion' => 3, 'completed' => 4];
+                if (($order[$suggested] ?? 0) > ($order[$current] ?? 0)) {
+                    try {
+                        $stageService->setStage(
+                            $organization,
+                            $visit,
+                            'blood_bank',
+                            $suggested,
+                            $this->ownerRef($request),
+                            $this->ownerRef($request),
+                        );
+                    } catch (\InvalidArgumentException) {
+                    }
+                }
+            }
+        }
+
        return redirect()
            ->route('care.specialty.workspace', [
                'module' => $module,
@@ -726,6 +764,12 @@ class SpecialtyModuleController extends Controller
        $emergencyLatestVitals = null;
        $emergencyStageCodes = [];
        $emergencyStageFlow = [];
+        $bloodBankRequest = null;
+        $bloodBankInventory = null;
+        $bloodBankIssue = null;
+        $bloodBankTransfusion = null;
+        $bloodBankStageCodes = [];
+        $bloodBankStageFlow = [];
        $activeTab = (string) $request->query('tab', array_key_first($shell->workspaceTabs($module)) ?: 'overview');
        $clinical = app(SpecialtyClinicalRecordService::class);

@@ -842,6 +886,15 @@ class SpecialtyModuleController extends Controller
                $emergencyStageFlow = app(\App\Services\Care\Emergency\EmergencyWorkflowService::class)->stageFlow();
            }

+            if ($module === 'blood_bank') {
+                $bloodBankRequest = $clinical->findForVisit($workspaceVisit, 'blood_bank', 'blood_request');
+                $bloodBankInventory = $clinical->findForVisit($workspaceVisit, 'blood_bank', 'inventory_note');
+                $bloodBankIssue = $clinical->findForVisit($workspaceVisit, 'blood_bank', 'issue_note');
+                $bloodBankTransfusion = $clinical->findForVisit($workspaceVisit, 'blood_bank', 'transfusion_note');
+                $bloodBankStageCodes = collect($shell->stages('blood_bank'))->pluck('code')->all();
+                $bloodBankStageFlow = app(\App\Services\Care\BloodBank\BloodBankWorkflowService::class)->stageFlow();
+            }
+
            if ($patientHeader !== null) {
                $patientHeader['clinical_alerts'] = $clinicalAlerts;
            }
@@ -921,6 +974,12 @@ class SpecialtyModuleController extends Controller
            'emergencyLatestVitals' => $emergencyLatestVitals,
            'emergencyStageCodes' => $emergencyStageCodes,
            'emergencyStageFlow' => $emergencyStageFlow,
+            'bloodBankRequest' => $bloodBankRequest,
+            'bloodBankInventory' => $bloodBankInventory,
+            'bloodBankIssue' => $bloodBankIssue,
+            'bloodBankTransfusion' => $bloodBankTransfusion,
+            'bloodBankStageCodes' => $bloodBankStageCodes,
+            'bloodBankStageFlow' => $bloodBankStageFlow,
            'queueStubs' => $modules->queueStubsFor($organization, $module),
            'branchId' => $branchId,
            'branchLabel' => $branchLabel,
@@ -0,0 +1,195 @@
+<?php
+
+namespace App\Services\Care\BloodBank;
+
+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 BloodBankAnalyticsService
+{
+    public function __construct(
+        protected SpecialtyShellService $shell,
+    ) {}
+
+    /**
+     * @return array{
+     *     requests_today: int,
+     *     completed_today: int,
+     *     high_urgency_open: int,
+     *     urgency_mix: Collection,
+     *     products_issued: Collection,
+     *     low_stock_flags: int,
+     *     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, 'blood_bank', $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));
+
+        $visitIds = (clone $appointmentBase)->whereNotNull('visit_id')->pluck('visit_id');
+
+        $requestsToday = SpecialtyClinicalRecord::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->where('module_key', 'blood_bank')
+            ->where('record_type', 'blood_request')
+            ->when($branchId, fn ($q) => $q->where('branch_id', $branchId))
+            ->where('recorded_at', '>=', $todayStart)
+            ->count();
+
+        $completedToday = (clone $appointmentBase)
+            ->where('status', Appointment::STATUS_COMPLETED)
+            ->where('completed_at', '>=', $todayStart)
+            ->count();
+
+        $requestRecords = SpecialtyClinicalRecord::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->where('module_key', 'blood_bank')
+            ->where('record_type', 'blood_request')
+            ->when($branchId, fn ($q) => $q->where('branch_id', $branchId))
+            ->whereBetween('recorded_at', [$rangeFrom, $rangeTo])
+            ->get();
+
+        $urgencyMix = $requestRecords
+            ->groupBy(fn (SpecialtyClinicalRecord $r) => (string) ($r->payload['urgency'] ?? 'Unknown'))
+            ->map(fn (Collection $rows, string $urgency) => [
+                'urgency' => $urgency,
+                'total' => $rows->count(),
+            ])
+            ->values()
+            ->sortByDesc('total')
+            ->values();
+
+        $openVisitIds = Visit::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->whereIn('id', $visitIds->isEmpty() ? [0] : $visitIds)
+            ->whereIn('status', [Visit::STATUS_OPEN, Visit::STATUS_IN_PROGRESS])
+            ->pluck('id');
+
+        $highUrgencyOpen = SpecialtyClinicalRecord::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->where('module_key', 'blood_bank')
+            ->where('record_type', 'blood_request')
+            ->whereIn('visit_id', $openVisitIds->isEmpty() ? [0] : $openVisitIds)
+            ->get()
+            ->filter(function (SpecialtyClinicalRecord $r) {
+                $urgency = strtolower((string) ($r->payload['urgency'] ?? ''));
+
+                return str_contains($urgency, 'urgent')
+                    || str_contains($urgency, 'emergency')
+                    || str_contains($urgency, 'massive');
+            })
+            ->count();
+
+        $issueRecords = SpecialtyClinicalRecord::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->where('module_key', 'blood_bank')
+            ->where('record_type', 'issue_note')
+            ->when($branchId, fn ($q) => $q->where('branch_id', $branchId))
+            ->whereBetween('recorded_at', [$rangeFrom, $rangeTo])
+            ->get();
+
+        $productsIssued = $issueRecords
+            ->groupBy(fn (SpecialtyClinicalRecord $r) => (string) ($r->payload['product'] ?? 'Unknown'))
+            ->map(fn (Collection $rows, string $product) => [
+                'product' => $product,
+                'total' => $rows->sum(fn (SpecialtyClinicalRecord $r) => (int) ($r->payload['units_issued'] ?? 0)),
+                'issues' => $rows->count(),
+            ])
+            ->values()
+            ->sortByDesc('total')
+            ->values();
+
+        // Fall back to request issued_units when no dedicated issue notes exist.
+        if ($productsIssued->isEmpty()) {
+            $productsIssued = $requestRecords
+                ->filter(fn (SpecialtyClinicalRecord $r) => (int) ($r->payload['issued_units'] ?? 0) > 0)
+                ->groupBy(fn (SpecialtyClinicalRecord $r) => (string) ($r->payload['product'] ?? 'Unknown'))
+                ->map(fn (Collection $rows, string $product) => [
+                    'product' => $product,
+                    'total' => $rows->sum(fn (SpecialtyClinicalRecord $r) => (int) ($r->payload['issued_units'] ?? 0)),
+                    'issues' => $rows->count(),
+                ])
+                ->values()
+                ->sortByDesc('total')
+                ->values();
+        }
+
+        $lowStockFlags = SpecialtyClinicalRecord::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->where('module_key', 'blood_bank')
+            ->where('record_type', 'inventory_note')
+            ->when($branchId, fn ($q) => $q->where('branch_id', $branchId))
+            ->whereBetween('recorded_at', [$rangeFrom, $rangeTo])
+            ->get()
+            ->filter(function (SpecialtyClinicalRecord $r) {
+                if (! empty($r->payload['low_stock_alert'])) {
+                    return true;
+                }
+                foreach (['whole_blood_units', 'packed_rbc_units', 'platelet_units', 'ffp_units'] as $key) {
+                    if (isset($r->payload[$key]) && (int) $r->payload[$key] <= 2) {
+                        return true;
+                    }
+                }
+
+                return false;
+            })
+            ->count();
+
+        $serviceLabels = collect($this->shell->provisionedServices($organization, 'blood_bank'))
+            ->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 [
+            'requests_today' => $requestsToday,
+            'completed_today' => $completedToday,
+            'high_urgency_open' => $highUrgencyOpen,
+            'urgency_mix' => $urgencyMix,
+            'products_issued' => $productsIssued,
+            'low_stock_flags' => $lowStockFlags,
+            'revenue_by_service' => $revenueByService,
+            'from' => $rangeFrom->toDateString(),
+            'to' => $rangeTo->toDateString(),
+        ];
+    }
+}
@@ -0,0 +1,94 @@
+<?php
+
+namespace App\Services\Care\BloodBank;
+
+/**
+ * Map blood request / issue payloads onto Blood Bank visit stages.
+ */
+class BloodBankWorkflowService
+{
+    public const STAGE_REQUEST = 'request';
+
+    public const STAGE_CROSSMATCH = 'crossmatch';
+
+    public const STAGE_ISSUE = 'issue';
+
+    public const STAGE_TRANSFUSION = 'transfusion';
+
+    public const STAGE_COMPLETED = 'completed';
+
+    /**
+     * Suggested next visit stage after a blood request payload is saved.
+     *
+     * @param  array<string, mixed>  $payload
+     */
+    public function stageFromRequest(array $payload): string
+    {
+        $crossmatch = strtolower((string) ($payload['crossmatch_status'] ?? ''));
+        $issued = (int) ($payload['issued_units'] ?? 0);
+        $urgency = strtolower((string) ($payload['urgency'] ?? ''));
+
+        if ($issued > 0 || $crossmatch === 'issued') {
+            return self::STAGE_ISSUE;
+        }
+
+        if (in_array($crossmatch, ['compatible', 'incompatible', 'in progress'], true)) {
+            return self::STAGE_CROSSMATCH;
+        }
+
+        if (str_contains($urgency, 'emergency') || str_contains($urgency, 'massive')) {
+            return self::STAGE_CROSSMATCH;
+        }
+
+        return self::STAGE_REQUEST;
+    }
+
+    /**
+     * Whether a transfusion payload should close the visit episode.
+     *
+     * @param  array<string, mixed>  $payload
+     */
+    public function shouldCompleteVisit(array $payload): bool
+    {
+        $outcome = strtolower((string) ($payload['outcome'] ?? ''));
+
+        return $outcome !== '' && (
+            str_contains($outcome, 'completed')
+            || str_contains($outcome, 'stopped')
+            || str_contains($outcome, 'complete')
+        );
+    }
+
+    /**
+     * Map product label to catalog service code for billing.
+     */
+    public function serviceCodeForProduct(?string $product): ?string
+    {
+        $normalized = strtolower(trim((string) $product));
+
+        return match (true) {
+            str_contains($normalized, 'whole') => 'bb.whole_blood',
+            str_contains($normalized, 'packed') || str_contains($normalized, 'rbc') => 'bb.packed_rbc',
+            str_contains($normalized, 'platelet') => 'bb.platelets',
+            str_contains($normalized, 'ffp') || str_contains($normalized, 'plasma') => 'bb.ffp',
+            str_contains($normalized, 'cryo') => 'bb.cryo',
+            default => null,
+        };
+    }
+
+    /**
+     * Default stage progression for action buttons.
+     *
+     * @return array<string, array{next: string, label: string}>
+     */
+    public function stageFlow(): array
+    {
+        return [
+            self::STAGE_REQUEST => ['next' => self::STAGE_CROSSMATCH, 'label' => 'Start cross-match'],
+            self::STAGE_CROSSMATCH => ['next' => self::STAGE_ISSUE, 'label' => 'Ready to issue'],
+            self::STAGE_ISSUE => ['next' => self::STAGE_TRANSFUSION, 'label' => 'Start transfusion'],
+            self::STAGE_TRANSFUSION => ['next' => self::STAGE_COMPLETED, 'label' => 'Complete visit'],
+            self::STAGE_COMPLETED => ['next' => self::STAGE_COMPLETED, 'label' => 'Completed'],
+        ];
+    }
+}
@@ -196,6 +196,12 @@ class SpecialtyClinicalRecordService
                    'severity' => 'critical',
                    'message' => 'Emergency / massive transfusion request.',
                ];
+            } elseif (str_contains(strtolower($urgency), 'urgent')) {
+                $alerts[] = [
+                    'code' => 'bb.urgent_request',
+                    'severity' => 'warning',
+                    'message' => 'Urgent blood product request.',
+                ];
            }
            if (($payload['crossmatch_status'] ?? '') === 'Incompatible') {
                $alerts[] = [
@@ -214,7 +220,7 @@ class SpecialtyClinicalRecordService
                    'message' => 'Blood products flagged as low stock.',
                ];
            }
-            foreach (['whole_blood_units', 'packed_rbc_units', 'platelet_units'] as $key) {
+            foreach (['whole_blood_units', 'packed_rbc_units', 'platelet_units', 'ffp_units', 'cryo_units'] as $key) {
                if (isset($payload[$key]) && (int) $payload[$key] <= 2) {
                    $alerts[] = [
                        'code' => 'bb.unit_critical',
@@ -225,6 +231,24 @@ class SpecialtyClinicalRecordService
            }
        }

+        if ($moduleKey === 'blood_bank' && $recordType === 'transfusion_note') {
+            $reaction = strtolower((string) ($payload['reaction'] ?? ''));
+            if (str_contains($reaction, 'severe') || str_contains($reaction, 'stop')) {
+                $alerts[] = [
+                    'code' => 'bb.transfusion_reaction',
+                    'severity' => 'critical',
+                    'message' => 'Severe transfusion reaction — stop and escalate.',
+                ];
+            }
+            if (($payload['vitals_ok'] ?? true) === false) {
+                $alerts[] = [
+                    'code' => 'bb.vitals_concern',
+                    'severity' => 'warning',
+                    'message' => 'Transfusion vitals not acceptable.',
+                ];
+            }
+        }
+
        return $alerts;
    }

@@ -270,7 +270,7 @@ class SpecialtyShellService
        ) {
            $code = (string) ($stage['code'] ?? '');

-            if (in_array($moduleKey, ['dentistry', 'emergency'], true) && $visitIds->isNotEmpty()) {
+            if (in_array($moduleKey, ['dentistry', 'emergency', 'blood_bank'], true) && $visitIds->isNotEmpty()) {
                $count = Visit::owned($ownerRef)
                    ->where('organization_id', $organization->id)
                    ->whereIn('id', $visitIds)
@@ -502,6 +502,7 @@ class SpecialtyShellService
        string $serviceCode,
        string $ownerRef,
        ?string $actorRef = null,
+        int $quantity = 1,
    ): Bill {
        $service = collect($this->provisionedServices($organization, $moduleKey))
            ->first(fn ($s) => ($s['code'] ?? '') === $serviceCode);
@@ -510,12 +511,21 @@ class SpecialtyShellService
            throw new \InvalidArgumentException("Unknown specialty service [{$serviceCode}].");
        }

-        $bill = $this->bills->generateFromVisit($visit, $ownerRef, $actorRef);
+        // Reuse an open visit bill without syncLineItemsFromVisit — that sync deletes
+        // prior specialty_service lines and would wipe multi-item issue/billing batches.
+        $bill = Bill::owned($ownerRef)
+            ->where('visit_id', $visit->id)
+            ->whereNotIn('status', [Bill::STATUS_VOID])
+            ->first();
+
+        if (! $bill) {
+            $bill = $this->bills->generateFromVisit($visit, $ownerRef, $actorRef);
+        }

        return $this->bills->addManualLineItem($bill, $ownerRef, [
            'type' => $service['type'] ?? 'misc',
            'description' => $service['label'],
-            'quantity' => 1,
+            'quantity' => max(1, $quantity),
            'unit_price_minor' => (int) ($service['amount_minor'] ?? 0),
            'source_type' => 'specialty_service',
            'source_id' => null,
@@ -88,6 +88,14 @@ class SpecialtyVisitStageService
                : ($stages[1] ?? ($stages[0] ?? null));
        }

+        if ($moduleKey === 'blood_bank') {
+            $stages = $this->allowedStages($moduleKey);
+
+            return in_array(\App\Services\Care\BloodBank\BloodBankWorkflowService::STAGE_CROSSMATCH, $stages, true)
+                ? \App\Services\Care\BloodBank\BloodBankWorkflowService::STAGE_CROSSMATCH
+                : ($stages[1] ?? ($stages[0] ?? null));
+        }
+
        $stages = $this->allowedStages($moduleKey);
        foreach (['chair', 'in_care', 'exam', 'assessment', 'treatment'] as $preferred) {
            if (in_array($preferred, $stages, true)) {
@@ -20,6 +20,8 @@ return [
        'blood_bank' => [
            'requests' => 'blood_request',
            'inventory' => 'inventory_note',
+            'issue' => 'issue_note',
+            'transfusion' => 'transfusion_note',
        ],
        'dentistry' => [
        ],
@@ -158,9 +160,26 @@ return [
                ['name' => 'packed_rbc_units', 'label' => 'Packed RBC on hand', 'type' => 'number'],
                ['name' => 'platelet_units', 'label' => 'Platelets on hand', 'type' => 'number'],
                ['name' => 'ffp_units', 'label' => 'FFP on hand', 'type' => 'number'],
+                ['name' => 'cryo_units', 'label' => 'Cryoprecipitate on hand', 'type' => 'number'],
                ['name' => 'low_stock_alert', 'label' => 'Flag low stock', 'type' => 'boolean'],
                ['name' => 'notes', 'label' => 'Inventory notes', 'type' => 'textarea', 'rows' => 3],
            ],
+            'issue_note' => [
+                ['name' => 'product', 'label' => 'Product', 'type' => 'select', 'required' => true, 'options' => ['Whole blood', 'Packed RBC', 'Platelets', 'FFP', 'Cryoprecipitate']],
+                ['name' => 'units_issued', 'label' => 'Units issued', 'type' => 'number', 'required' => true],
+                ['name' => 'bag_numbers', 'label' => 'Bag / unit numbers', 'type' => 'text'],
+                ['name' => 'issued_to', 'label' => 'Issued to (ward / clinician)', 'type' => 'text'],
+                ['name' => 'issued_at', 'label' => 'Issued at', 'type' => 'text'],
+                ['name' => 'notes', 'label' => 'Notes', 'type' => 'textarea', 'rows' => 2],
+            ],
+            'transfusion_note' => [
+                ['name' => 'started_at', 'label' => 'Started at', 'type' => 'text'],
+                ['name' => 'units_transfused', 'label' => 'Units transfused', 'type' => 'number'],
+                ['name' => 'vitals_ok', 'label' => 'Vitals acceptable', 'type' => 'boolean'],
+                ['name' => 'reaction', 'label' => 'Reaction', 'type' => 'select', 'options' => ['None', 'Mild (fever / itch)', 'Moderate', 'Severe / stop transfusion']],
+                ['name' => 'outcome', 'label' => 'Outcome', 'type' => 'select', 'required' => true, 'options' => ['In progress', 'Completed uneventfully', 'Stopped — reaction', 'Stopped — other']],
+                ['name' => 'notes', 'label' => 'Notes', 'type' => 'textarea', 'rows' => 3],
+            ],
        ],
        'dentistry' => [
        ],
@@ -87,11 +87,15 @@ return [
                ['code' => 'bb.whole_blood', 'label' => 'Whole blood unit', 'amount_minor' => 12000, 'type' => 'misc'],
                ['code' => 'bb.packed_rbc', 'label' => 'Packed RBC unit', 'amount_minor' => 15000, 'type' => 'misc'],
                ['code' => 'bb.platelets', 'label' => 'Platelets unit', 'amount_minor' => 18000, 'type' => 'misc'],
+                ['code' => 'bb.ffp', 'label' => 'FFP unit', 'amount_minor' => 14000, 'type' => 'misc'],
+                ['code' => 'bb.cryo', 'label' => 'Cryoprecipitate unit', 'amount_minor' => 16000, 'type' => 'misc'],
            ],
            'workspace_tabs' => [
                'overview' => 'Overview',
                'requests' => 'Requests',
                'inventory' => 'Inventory',
+                'issue' => 'Issue',
+                'transfusion' => 'Transfusion',
                'billing' => 'Billing',
                'documents' => 'Documents',
            ],
@@ -0,0 +1,83 @@
+<!DOCTYPE html>
+<html lang="en">
+<head>
+    <meta charset="utf-8">
+    <title>Blood Bank 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' => 'blood_bank', 'visit' => $visit]) }}">Back</a></p>
+
+    <h1>{{ $patient->fullName() }}</h1>
+    <p class="meta">
+        {{ $patient->patient_number }}
+        · Visit #{{ $visit->id }}
+        · Stage {{ $visit->specialty_stage ?? '—' }}
+        · {{ $visit->checked_in_at?->format('d M Y H:i') ?? '—' }}
+    </p>
+
+    <h2>Blood request</h2>
+    @if ($bloodRequest)
+        <dl>
+            <dt>Product</dt><dd>{{ $bloodRequest->payload['product'] ?? '—' }}</dd>
+            <dt>Units requested</dt><dd>{{ $bloodRequest->payload['units'] ?? '—' }}</dd>
+            <dt>Urgency</dt><dd>{{ $bloodRequest->payload['urgency'] ?? '—' }}</dd>
+            <dt>Blood group</dt><dd>{{ $bloodRequest->payload['patient_blood_group'] ?? '—' }}</dd>
+            <dt>Indication</dt><dd>{{ $bloodRequest->payload['indication'] ?? '—' }}</dd>
+            <dt>Cross-match</dt><dd>{{ $bloodRequest->payload['crossmatch_status'] ?? '—' }}</dd>
+            <dt>Issued units</dt><dd>{{ $bloodRequest->payload['issued_units'] ?? '—' }}</dd>
+            <dt>Notes</dt><dd>{{ $bloodRequest->payload['notes'] ?? '—' }}</dd>
+        </dl>
+    @else
+        <p class="meta">No blood request recorded.</p>
+    @endif
+
+    <h2>Issue</h2>
+    @if ($issueNote)
+        <dl>
+            <dt>Product</dt><dd>{{ $issueNote->payload['product'] ?? '—' }}</dd>
+            <dt>Units issued</dt><dd>{{ $issueNote->payload['units_issued'] ?? '—' }}</dd>
+            <dt>Bag numbers</dt><dd>{{ $issueNote->payload['bag_numbers'] ?? '—' }}</dd>
+            <dt>Issued to</dt><dd>{{ $issueNote->payload['issued_to'] ?? '—' }}</dd>
+            <dt>Issued at</dt><dd>{{ $issueNote->payload['issued_at'] ?? '—' }}</dd>
+            <dt>Notes</dt><dd>{{ $issueNote->payload['notes'] ?? '—' }}</dd>
+        </dl>
+    @else
+        <p class="meta">No issue recorded.</p>
+    @endif
+
+    <h2>Transfusion</h2>
+    @if ($transfusionNote)
+        <dl>
+            <dt>Started</dt><dd>{{ $transfusionNote->payload['started_at'] ?? '—' }}</dd>
+            <dt>Units transfused</dt><dd>{{ $transfusionNote->payload['units_transfused'] ?? '—' }}</dd>
+            <dt>Reaction</dt><dd>{{ $transfusionNote->payload['reaction'] ?? '—' }}</dd>
+            <dt>Outcome</dt><dd>{{ $transfusionNote->payload['outcome'] ?? '—' }}</dd>
+            <dt>Notes</dt><dd>{{ $transfusionNote->payload['notes'] ?? '—' }}</dd>
+        </dl>
+    @else
+        <p class="meta">No transfusion record.</p>
+    @endif
+
+    @if ($visit->bill)
+        <h2>Billing ({{ $visit->bill->invoice_number }})</h2>
+        <dl>
+            @foreach ($visit->bill->lineItems as $line)
+                <dt>{{ $line->description }}</dt>
+                <dd>{{ number_format($line->total_minor / 100, 2) }}</dd>
+            @endforeach
+        </dl>
+    @endif
+
+    <script>window.print();</script>
+</body>
+</html>
@@ -0,0 +1,86 @@
+<x-app-layout title="Blood Bank 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">Blood Bank reports</h1>
+                <p class="mt-1 text-sm text-slate-500">Requests, urgency mix, products issued, low stock, and bb.* revenue.</p>
+            </div>
+            <a href="{{ route('care.specialty.workspace', 'blood_bank') }}" 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="{{ $report['to'] ?? '' }}" class="mt-1 rounded-xl border border-slate-200 px-3 py-2 text-sm">
+            </div>
+            <button type="submit" class="rounded-xl bg-indigo-600 px-4 py-2 text-sm font-semibold text-white">Apply</button>
+        </form>
+
+        <div class="grid gap-4 sm:grid-cols-4">
+            <div class="rounded-2xl border border-slate-200 bg-white p-4">
+                <p class="text-xs font-semibold uppercase tracking-wide text-slate-500">Requests today</p>
+                <p class="mt-2 text-2xl font-semibold tabular-nums text-slate-900">{{ number_format($report['requests_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($report['completed_today']) }}</p>
+            </div>
+            <div class="rounded-2xl border border-slate-200 bg-white p-4">
+                <p class="text-xs font-semibold uppercase tracking-wide text-slate-500">High-urgency open</p>
+                <p class="mt-2 text-2xl font-semibold tabular-nums text-rose-700">{{ number_format($report['high_urgency_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">Low stock flags</p>
+                <p class="mt-2 text-2xl font-semibold tabular-nums text-amber-800">{{ number_format($report['low_stock_flags']) }}</p>
+            </div>
+        </div>
+
+        <div class="grid gap-4 lg:grid-cols-2">
+            <section class="rounded-2xl border border-slate-200 bg-white p-5">
+                <h2 class="text-sm font-semibold text-slate-900">Urgency mix</h2>
+                <ul class="mt-3 space-y-2 text-sm">
+                    @forelse ($report['urgency_mix'] as $row)
+                        <li class="flex justify-between gap-3">
+                            <span>{{ $row['urgency'] }}</span>
+                            <span class="tabular-nums text-slate-600">{{ $row['total'] }}</span>
+                        </li>
+                    @empty
+                        <li class="text-slate-500">No requests in range.</li>
+                    @endforelse
+                </ul>
+            </section>
+
+            <section class="rounded-2xl border border-slate-200 bg-white p-5">
+                <h2 class="text-sm font-semibold text-slate-900">Products issued</h2>
+                <ul class="mt-3 space-y-2 text-sm">
+                    @forelse ($report['products_issued'] as $row)
+                        <li class="flex justify-between gap-3">
+                            <span>{{ $row['product'] }} <span class="text-slate-400">×{{ $row['issues'] }}</span></span>
+                            <span class="tabular-nums text-slate-600">{{ $row['total'] }} units</span>
+                        </li>
+                    @empty
+                        <li class="text-slate-500">No issues in range.</li>
+                    @endforelse
+                </ul>
+            </section>
+        </div>
+
+        <section class="rounded-2xl border border-slate-200 bg-white p-5">
+            <h2 class="text-sm font-semibold text-slate-900">Blood Bank service revenue</h2>
+            <ul class="mt-3 space-y-2 text-sm">
+                @forelse ($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 Blood Bank bill lines in range.</li>
+                @endforelse
+            </ul>
+        </section>
+    </div>
+</x-app-layout>
@@ -0,0 +1,100 @@
+@php
+    $issue = $bloodBankIssue;
+    $payload = $issue?->payload ?? [];
+    $requestPayload = $bloodBankRequest?->payload ?? [];
+    $canManage = $canManageClinical ?? $canConsult ?? false;
+    $defaults = [
+        'product' => $payload['product'] ?? ($requestPayload['product'] ?? ''),
+        'units_issued' => $payload['units_issued'] ?? ($requestPayload['units'] ?? ''),
+        'bag_numbers' => $payload['bag_numbers'] ?? '',
+        'issued_to' => $payload['issued_to'] ?? '',
+        'issued_at' => $payload['issued_at'] ?? now()->format('Y-m-d H:i'),
+        'notes' => $payload['notes'] ?? '',
+    ];
+@endphp
+
+<section class="rounded-2xl border border-slate-200 bg-white p-5">
+    <div class="flex flex-wrap items-start justify-between gap-3">
+        <div>
+            <h3 class="text-sm font-semibold text-slate-900">Product issue</h3>
+            <p class="mt-0.5 text-xs text-slate-500">Confirm units issued and optionally bill Blood Bank catalog services.</p>
+        </div>
+        @if ($issue)
+            <span class="rounded-lg bg-emerald-50 px-2.5 py-1 text-xs font-semibold text-emerald-800">Issued recorded</span>
+        @endif
+    </div>
+
+    @if ($canManage)
+        <form method="POST" action="{{ route('care.specialty.blood-bank.issue', $workspaceVisit) }}" class="mt-4 space-y-4">
+            @csrf
+            <input type="hidden" name="tab" value="issue">
+
+            <div class="grid gap-3 sm:grid-cols-2">
+                <div>
+                    <label class="block text-xs font-medium text-slate-600">Product</label>
+                    <select name="payload[product]" required class="mt-1 w-full rounded-xl border border-slate-200 px-3 py-2 text-sm">
+                        <option value="">Select…</option>
+                        @foreach (['Whole blood', 'Packed RBC', 'Platelets', 'FFP', 'Cryoprecipitate'] as $option)
+                            <option value="{{ $option }}" @selected(old('payload.product', $defaults['product']) === $option)>{{ $option }}</option>
+                        @endforeach
+                    </select>
+                </div>
+                <div>
+                    <label class="block text-xs font-medium text-slate-600">Units issued</label>
+                    <input type="number" name="payload[units_issued]" min="1" required value="{{ old('payload.units_issued', $defaults['units_issued']) }}" class="mt-1 w-full rounded-xl border border-slate-200 px-3 py-2 text-sm">
+                </div>
+                <div>
+                    <label class="block text-xs font-medium text-slate-600">Bag / unit numbers</label>
+                    <input type="text" name="payload[bag_numbers]" value="{{ old('payload.bag_numbers', $defaults['bag_numbers']) }}" class="mt-1 w-full rounded-xl border border-slate-200 px-3 py-2 text-sm">
+                </div>
+                <div>
+                    <label class="block text-xs font-medium text-slate-600">Issued to (ward / clinician)</label>
+                    <input type="text" name="payload[issued_to]" value="{{ old('payload.issued_to', $defaults['issued_to']) }}" class="mt-1 w-full rounded-xl border border-slate-200 px-3 py-2 text-sm">
+                </div>
+                <div>
+                    <label class="block text-xs font-medium text-slate-600">Issued at</label>
+                    <input type="text" name="payload[issued_at]" value="{{ old('payload.issued_at', $defaults['issued_at']) }}" class="mt-1 w-full rounded-xl border border-slate-200 px-3 py-2 text-sm">
+                </div>
+            </div>
+
+            <div>
+                <label class="block text-xs font-medium text-slate-600">Notes</label>
+                <textarea name="payload[notes]" rows="2" class="mt-1 w-full rounded-xl border border-slate-200 px-3 py-2 text-sm">{{ old('payload.notes', $defaults['notes']) }}</textarea>
+            </div>
+
+            <div class="flex flex-wrap gap-4 text-sm">
+                <label class="inline-flex items-center gap-2">
+                    <input type="checkbox" name="bill_product" value="1" checked class="rounded border-slate-300">
+                    Bill product units (bb.*)
+                </label>
+                <label class="inline-flex items-center gap-2">
+                    <input type="checkbox" name="bill_crossmatch" value="1" class="rounded border-slate-300">
+                    Bill cross-match
+                </label>
+            </div>
+
+            <button type="submit" class="btn-primary">Confirm issue</button>
+        </form>
+    @elseif ($issue)
+        <dl class="mt-4 grid gap-3 text-sm sm:grid-cols-2">
+            <div>
+                <dt class="text-slate-500">Product</dt>
+                <dd class="font-medium text-slate-900">{{ $payload['product'] ?? '—' }}</dd>
+            </div>
+            <div>
+                <dt class="text-slate-500">Units issued</dt>
+                <dd class="font-medium text-slate-900">{{ $payload['units_issued'] ?? '—' }}</dd>
+            </div>
+            <div>
+                <dt class="text-slate-500">Bag numbers</dt>
+                <dd class="font-medium text-slate-900">{{ $payload['bag_numbers'] ?? '—' }}</dd>
+            </div>
+            <div>
+                <dt class="text-slate-500">Issued to</dt>
+                <dd class="font-medium text-slate-900">{{ $payload['issued_to'] ?? '—' }}</dd>
+            </div>
+        </dl>
+    @else
+        <p class="mt-3 text-sm text-slate-500">No issue recorded yet.</p>
+    @endif
+</section>
@@ -0,0 +1,143 @@
+@php
+    $requestRecord = $bloodBankRequest;
+    $payload = $requestRecord?->payload ?? [];
+    $issuePayload = $bloodBankIssue?->payload ?? [];
+    $inventoryPayload = $bloodBankInventory?->payload ?? [];
+    $currentStage = $workspaceVisit->specialty_stage;
+    $stageFlow = $bloodBankStageFlow ?? [];
+    $canManage = $canConsult ?? false;
+    $urgency = (string) ($payload['urgency'] ?? '');
+    $isHighUrgency = str_contains(strtolower($urgency), 'urgent')
+        || str_contains(strtolower($urgency), 'emergency')
+        || str_contains(strtolower($urgency), 'massive');
+@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">Blood Bank overview</h3>
+            <p class="mt-0.5 text-xs text-slate-500">Open request, urgency, cross-match status, and visit stage.</p>
+        </div>
+        <div class="flex flex-wrap gap-3 text-sm">
+            <a href="{{ route('care.specialty.blood-bank.print', $workspaceVisit) }}" target="_blank" class="font-medium text-indigo-600">Print summary</a>
+            <a href="{{ route('care.specialty.blood-bank.reports') }}" class="font-medium text-indigo-600">BB 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">Request</p>
+            <p class="mt-1 text-sm font-semibold text-slate-900">{{ $payload['product'] ?? 'No request' }}</p>
+            <p class="mt-1 text-xs text-slate-500">
+                {{ isset($payload['units']) ? $payload['units'].' unit(s)' : '—' }}
+                · {{ $payload['patient_blood_group'] ?? 'Group —' }}
+            </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">Urgency / cross-match</p>
+            <p @class([
+                'mt-1 text-sm font-semibold',
+                'text-rose-700' => $isHighUrgency,
+                'text-slate-900' => ! $isHighUrgency,
+            ])>
+                {{ $urgency !== '' ? $urgency : 'Not set' }}
+            </p>
+            <p class="mt-1 text-xs text-slate-500">{{ $payload['crossmatch_status'] ?? 'Cross-match not started' }}</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">Issued</p>
+            <p class="mt-1 text-sm font-semibold text-slate-900">
+                {{ $issuePayload['units_issued'] ?? $payload['issued_units'] ?? '0' }} unit(s)
+            </p>
+            <p class="mt-1 text-xs text-slate-500">
+                {{ $issuePayload['product'] ?? ($payload['product'] ?? '—') }}
+            </p>
+        </div>
+    </div>
+
+    <div class="mt-4 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 stage</p>
+        <p class="mt-1 text-sm font-medium text-slate-900">
+            {{ $currentStage ? ucfirst(str_replace('_', ' ', $currentStage)) : 'Not set' }}
+        </p>
+        <div class="mt-3 flex flex-wrap gap-2">
+            @foreach (($bloodBankStageCodes ?: ['request', 'crossmatch', 'issue', 'transfusion', 'completed']) as $stageCode)
+                @if ($canManage)
+                    <form method="POST" action="{{ route('care.specialty.blood-bank.stage', $workspaceVisit) }}">
+                        @csrf
+                        <input type="hidden" name="stage" value="{{ $stageCode }}">
+                        <button type="submit"
+                            @class([
+                                'rounded-lg px-2.5 py-1 text-xs font-semibold',
+                                'bg-indigo-600 text-white' => $currentStage === $stageCode,
+                                'border border-slate-200 bg-white text-slate-700 hover:bg-slate-50' => $currentStage !== $stageCode,
+                            ])>
+                            {{ ucfirst(str_replace('_', ' ', $stageCode)) }}
+                        </button>
+                    </form>
+                @else
+                    <span
+                        @class([
+                            'rounded-lg px-2.5 py-1 text-xs font-semibold',
+                            'bg-indigo-600 text-white' => $currentStage === $stageCode,
+                            'border border-slate-200 bg-white text-slate-400' => $currentStage !== $stageCode,
+                        ])
+                        @if ($currentStage !== $stageCode) aria-disabled="true" title="View-only access" @endif
+                    >
+                        {{ ucfirst(str_replace('_', ' ', $stageCode)) }}
+                    </span>
+                @endif
+            @endforeach
+            @if ($canManage && $currentStage && isset($stageFlow[$currentStage]) && $stageFlow[$currentStage]['next'] !== $currentStage)
+                <form method="POST" action="{{ route('care.specialty.blood-bank.stage', $workspaceVisit) }}">
+                    @csrf
+                    <input type="hidden" name="stage" value="{{ $stageFlow[$currentStage]['next'] }}">
+                    <button type="submit" class="rounded-lg bg-emerald-600 px-2.5 py-1 text-xs font-semibold text-white hover:bg-emerald-700">
+                        {{ $stageFlow[$currentStage]['label'] }} →
+                    </button>
+                </form>
+            @endif
+        </div>
+    </div>
+
+    <dl class="mt-4 grid gap-3 text-sm sm:grid-cols-2">
+        <div>
+            <dt class="text-slate-500">Indication</dt>
+            <dd class="font-medium text-slate-900">{{ $payload['indication'] ?? '—' }}</dd>
+        </div>
+        <div>
+            <dt class="text-slate-500">Inventory flag</dt>
+            <dd class="font-medium text-slate-900">
+                @if (! empty($inventoryPayload['low_stock_alert']))
+                    <span class="text-amber-800">Low stock flagged</span>
+                @else
+                    {{ isset($inventoryPayload['packed_rbc_units']) ? 'Stock noted' : '—' }}
+                @endif
+            </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 +1,90 @@
+@php
+    $transfusion = $bloodBankTransfusion;
+    $payload = $transfusion?->payload ?? [];
+    $canManage = $canManageClinical ?? $canConsult ?? false;
+    $defaults = [
+        'started_at' => $payload['started_at'] ?? now()->format('Y-m-d H:i'),
+        'units_transfused' => $payload['units_transfused'] ?? '',
+        'vitals_ok' => old('payload.vitals_ok', $payload['vitals_ok'] ?? true),
+        'reaction' => $payload['reaction'] ?? 'None',
+        'outcome' => $payload['outcome'] ?? '',
+        'notes' => $payload['notes'] ?? '',
+    ];
+@endphp
+
+<section class="rounded-2xl border border-slate-200 bg-white p-5">
+    <div class="flex flex-wrap items-start justify-between gap-3">
+        <div>
+            <h3 class="text-sm font-semibold text-slate-900">Transfusion</h3>
+            <p class="mt-0.5 text-xs text-slate-500">Document transfusion progress, reactions, and outcome.</p>
+        </div>
+    </div>
+
+    @if ($canManage)
+        <form method="POST" action="{{ route('care.specialty.blood-bank.transfusion', $workspaceVisit) }}" class="mt-4 space-y-4">
+            @csrf
+            <input type="hidden" name="tab" value="transfusion">
+
+            <div class="grid gap-3 sm:grid-cols-2">
+                <div>
+                    <label class="block text-xs font-medium text-slate-600">Started at</label>
+                    <input type="text" name="payload[started_at]" value="{{ old('payload.started_at', $defaults['started_at']) }}" class="mt-1 w-full rounded-xl border border-slate-200 px-3 py-2 text-sm">
+                </div>
+                <div>
+                    <label class="block text-xs font-medium text-slate-600">Units transfused</label>
+                    <input type="number" name="payload[units_transfused]" min="0" value="{{ old('payload.units_transfused', $defaults['units_transfused']) }}" class="mt-1 w-full rounded-xl border border-slate-200 px-3 py-2 text-sm">
+                </div>
+                <div>
+                    <label class="block text-xs font-medium text-slate-600">Reaction</label>
+                    <select name="payload[reaction]" class="mt-1 w-full rounded-xl border border-slate-200 px-3 py-2 text-sm">
+                        @foreach (['None', 'Mild (fever / itch)', 'Moderate', 'Severe / stop transfusion'] as $option)
+                            <option value="{{ $option }}" @selected(old('payload.reaction', $defaults['reaction']) === $option)>{{ $option }}</option>
+                        @endforeach
+                    </select>
+                </div>
+                <div>
+                    <label class="block text-xs font-medium text-slate-600">Outcome</label>
+                    <select name="payload[outcome]" required class="mt-1 w-full rounded-xl border border-slate-200 px-3 py-2 text-sm">
+                        <option value="">Select…</option>
+                        @foreach (['In progress', 'Completed uneventfully', 'Stopped — reaction', 'Stopped — other'] as $option)
+                            <option value="{{ $option }}" @selected(old('payload.outcome', $defaults['outcome']) === $option)>{{ $option }}</option>
+                        @endforeach
+                    </select>
+                </div>
+            </div>
+
+            <label class="inline-flex items-center gap-2 text-sm">
+                <input type="checkbox" name="payload[vitals_ok]" value="1" @checked(old('payload.vitals_ok', $defaults['vitals_ok'])) class="rounded border-slate-300">
+                Pre-/intra-transfusion vitals acceptable
+            </label>
+
+            <div>
+                <label class="block text-xs font-medium text-slate-600">Notes</label>
+                <textarea name="payload[notes]" rows="3" class="mt-1 w-full rounded-xl border border-slate-200 px-3 py-2 text-sm">{{ old('payload.notes', $defaults['notes']) }}</textarea>
+            </div>
+
+            <button type="submit" class="btn-primary">Save transfusion</button>
+        </form>
+    @elseif ($transfusion)
+        <dl class="mt-4 grid gap-3 text-sm sm:grid-cols-2">
+            <div>
+                <dt class="text-slate-500">Outcome</dt>
+                <dd class="font-medium text-slate-900">{{ $payload['outcome'] ?? '—' }}</dd>
+            </div>
+            <div>
+                <dt class="text-slate-500">Reaction</dt>
+                <dd class="font-medium text-slate-900">{{ $payload['reaction'] ?? '—' }}</dd>
+            </div>
+            <div>
+                <dt class="text-slate-500">Units transfused</dt>
+                <dd class="font-medium text-slate-900">{{ $payload['units_transfused'] ?? '—' }}</dd>
+            </div>
+            <div>
+                <dt class="text-slate-500">Notes</dt>
+                <dd class="font-medium text-slate-900">{{ $payload['notes'] ?? '—' }}</dd>
+            </div>
+        </dl>
+    @else
+        <p class="mt-3 text-sm text-slate-500">No transfusion record yet.</p>
+    @endif
+</section>
@@ -30,21 +30,51 @@
        && $openConsultation->status !== \App\Models\Consultation::STATUS_COMPLETED;
        $chartTab = collect($workspaceTabs ?? [])
            ->keys()
-            ->first(fn ($key) => ! in_array($key, ['overview', 'timeline', 'plan', 'treat', 'notes', 'imaging', 'orders', 'billing', 'documents', 'perio', 'lab', 'recalls', 'vitals', 'disposition', 'observation'], true))
-            ?: ($moduleKey === 'emergency' ? 'triage' : 'odontogram');
-    $stageFlow = $moduleKey === 'emergency'
-        ? ($emergencyStageFlow ?? [
+            ->first(fn ($key) => ! in_array($key, ['overview', 'timeline', 'plan', 'treat', 'notes', 'imaging', 'orders', 'billing', 'documents', 'perio', 'lab', 'recalls', 'vitals', 'disposition', 'observation', 'issue', 'transfusion', 'inventory'], true))
+            ?: match ($moduleKey) {
+                'emergency' => 'triage',
+                'blood_bank' => 'requests',
+                default => 'odontogram',
+            };
+    $stageRoute = match ($moduleKey) {
+        'dentistry' => 'care.specialty.dentistry.stage',
+        'emergency' => 'care.specialty.emergency.stage',
+        'blood_bank' => 'care.specialty.blood-bank.stage',
+        default => null,
+    };
+    $stageFlow = match ($moduleKey) {
+        'emergency' => ($emergencyStageFlow ?? [
            'arrival' => ['next' => 'treatment', 'label' => 'Move to treatment'],
            'resus' => ['next' => 'treatment', 'label' => 'Move to treatment bay'],
            'treatment' => ['next' => 'observation', 'label' => 'Move to observation'],
            'observation' => ['next' => 'disposition', 'label' => 'Ready for disposition'],
-        ])
-        : [
+        ]),
+        'blood_bank' => ($bloodBankStageFlow ?? [
+            'request' => ['next' => 'crossmatch', 'label' => 'Start cross-match'],
+            'crossmatch' => ['next' => 'issue', 'label' => 'Ready to issue'],
+            'issue' => ['next' => 'transfusion', 'label' => 'Start transfusion'],
+            'transfusion' => ['next' => 'completed', 'label' => 'Complete visit'],
+        ]),
+        'dentistry' => [
            'waiting' => ['next' => 'chair', 'label' => 'Seat at chair'],
            'chair' => ['next' => 'procedure', 'label' => 'Start procedure'],
            'procedure' => ['next' => 'recovery', 'label' => 'Move to recovery'],
            'recovery' => ['next' => 'completed', 'label' => 'Complete visit'],
-        ];
+        ],
+        default => [],
+    };
+    $defaultStartStage = match ($moduleKey) {
+        'emergency' => 'arrival',
+        'blood_bank' => 'request',
+        'dentistry' => 'chair',
+        default => null,
+    };
+    $defaultStartLabel = match ($moduleKey) {
+        'emergency' => 'Start triage',
+        'blood_bank' => 'Start request',
+        'dentistry' => 'Seat at chair',
+        default => 'Start',
+    };
    $currentStage = $workspaceVisit?->specialty_stage;
@endphp

@@ -67,29 +97,17 @@
@endif

@if ($workspaceVisit)
-    @if ($canAdvanceStage && $moduleKey === 'dentistry' && $currentStage && isset($stageFlow[$currentStage]))
-        <form method="POST" action="{{ route('care.specialty.dentistry.stage', $workspaceVisit) }}" class="w-full" @click.stop>
+    @if ($canAdvanceStage && $stageRoute && $currentStage && isset($stageFlow[$currentStage]) && ($stageFlow[$currentStage]['next'] ?? null) !== $currentStage)
+        <form method="POST" action="{{ route($stageRoute, $workspaceVisit) }}" class="w-full" @click.stop>
            @csrf
            <input type="hidden" name="stage" value="{{ $stageFlow[$currentStage]['next'] }}">
            <button type="submit" class="{{ $btnAccent }}">{{ $stageFlow[$currentStage]['label'] }}</button>
        </form>
-    @elseif ($canAdvanceStage && $moduleKey === 'dentistry' && ! $currentStage)
-        <form method="POST" action="{{ route('care.specialty.dentistry.stage', $workspaceVisit) }}" class="w-full" @click.stop>
+    @elseif ($canAdvanceStage && $stageRoute && ! $currentStage && $defaultStartStage)
+        <form method="POST" action="{{ route($stageRoute, $workspaceVisit) }}" class="w-full" @click.stop>
            @csrf
-            <input type="hidden" name="stage" value="chair">
-            <button type="submit" class="{{ $btnAccent }}">Seat at chair</button>
-        </form>
-    @elseif ($canAdvanceStage && $moduleKey === 'emergency' && $currentStage && isset($stageFlow[$currentStage]) && ($stageFlow[$currentStage]['next'] ?? null) !== $currentStage)
-        <form method="POST" action="{{ route('care.specialty.emergency.stage', $workspaceVisit) }}" class="w-full" @click.stop>
-            @csrf
-            <input type="hidden" name="stage" value="{{ $stageFlow[$currentStage]['next'] }}">
-            <button type="submit" class="{{ $btnAccent }}">{{ $stageFlow[$currentStage]['label'] }}</button>
-        </form>
-    @elseif ($canAdvanceStage && $moduleKey === 'emergency' && ! $currentStage)
-        <form method="POST" action="{{ route('care.specialty.emergency.stage', $workspaceVisit) }}" class="w-full" @click.stop>
-            @csrf
-            <input type="hidden" name="stage" value="arrival">
-            <button type="submit" class="{{ $btnAccent }}">Start triage</button>
+            <input type="hidden" name="stage" value="{{ $defaultStartStage }}">
+            <button type="submit" class="{{ $btnAccent }}">{{ $defaultStartLabel }}</button>
        </form>
    @endif

@@ -48,6 +48,8 @@
            @include('care.specialty.dentistry.workspace-'.$activeTab)
        @elseif ($moduleKey === 'emergency' && in_array($activeTab, ['overview', 'vitals', 'disposition'], true))
            @include('care.specialty.emergency.workspace-'.$activeTab)
+        @elseif ($moduleKey === 'blood_bank' && in_array($activeTab, ['overview', 'issue', 'transfusion'], true))
+            @include('care.specialty.blood-bank.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">
@@ -23,6 +23,9 @@
                    @if ($moduleKey === 'emergency')
                        <a href="{{ route('care.specialty.emergency.reports') }}" class="text-slate-600 hover:text-slate-900">Reports</a>
                    @endif
+                    @if ($moduleKey === 'blood_bank')
+                        <a href="{{ route('care.specialty.blood-bank.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>
@@ -37,6 +37,7 @@ use App\Http\Controllers\Care\SettingsController;
 use App\Http\Controllers\Care\SettingsGpPricingController;
 use App\Http\Controllers\Care\SettingsModulesController;
 use App\Http\Controllers\Care\DentistryWorkspaceController;
+use App\Http\Controllers\Care\BloodBankWorkspaceController;
 use App\Http\Controllers\Care\EmergencyWorkspaceController;
 use App\Http\Controllers\Care\SpecialtyModuleController;
 use App\Http\Controllers\Care\VisitWorkflowController;
@@ -119,6 +120,7 @@ Route::middleware(['auth', 'platform.session'])->group(function () {
            Route::get('/specialty/{module}/billing', [SpecialtyModuleController::class, 'billing'])->name('care.specialty.billing');
            Route::get('/specialty/dentistry/reports', [DentistryWorkspaceController::class, 'reports'])->name('care.specialty.dentistry.reports');
            Route::get('/specialty/emergency/reports', [EmergencyWorkspaceController::class, 'reports'])->name('care.specialty.emergency.reports');
+            Route::get('/specialty/blood-bank/reports', [BloodBankWorkspaceController::class, 'reports'])->name('care.specialty.blood-bank.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');
@@ -148,6 +150,10 @@ Route::middleware(['auth', 'platform.session'])->group(function () {
            Route::post('/specialty/emergency/workspace/{visit}/vitals', [EmergencyWorkspaceController::class, 'saveVitals'])->name('care.specialty.emergency.vitals');
            Route::post('/specialty/emergency/workspace/{visit}/disposition', [EmergencyWorkspaceController::class, 'saveDisposition'])->name('care.specialty.emergency.disposition');
            Route::get('/specialty/emergency/workspace/{visit}/print', [EmergencyWorkspaceController::class, 'printSummary'])->name('care.specialty.emergency.print');
+            Route::post('/specialty/blood-bank/workspace/{visit}/stage', [BloodBankWorkspaceController::class, 'setStage'])->name('care.specialty.blood-bank.stage');
+            Route::post('/specialty/blood-bank/workspace/{visit}/issue', [BloodBankWorkspaceController::class, 'confirmIssue'])->name('care.specialty.blood-bank.issue');
+            Route::post('/specialty/blood-bank/workspace/{visit}/transfusion', [BloodBankWorkspaceController::class, 'saveTransfusion'])->name('care.specialty.blood-bank.transfusion');
+            Route::get('/specialty/blood-bank/workspace/{visit}/print', [BloodBankWorkspaceController::class, 'printSummary'])->name('care.specialty.blood-bank.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 +1,298 @@
+<?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 CareBloodBankSuiteTest 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' => 'bb-owner',
+            'name' => 'Owner',
+            'email' => 'bb-owner@example.com',
+        ]);
+
+        $this->organization = Organization::create([
+            'owner_ref' => $this->owner->public_id,
+            'name' => 'Blood Bank Clinic',
+            'slug' => 'blood-bank-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,
+            'blood_bank',
+        );
+
+        $department = Department::query()
+            ->where('branch_id', $this->branch->id)
+            ->where('type', 'blood_bank')
+            ->firstOrFail();
+
+        $this->patient = Patient::create([
+            'owner_ref' => $this->owner->public_id,
+            'organization_id' => $this->organization->id,
+            'branch_id' => $this->branch->id,
+            'patient_number' => 'P-BB-SUITE',
+            'first_name' => 'Ama',
+            'last_name' => 'Mensah',
+            'gender' => 'female',
+            'date_of_birth' => '1992-03-15',
+        ]);
+
+        $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' => 'request',
+        ]);
+
+        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_requests_tabs_render(): void
+    {
+        $this->actingAs($this->owner)
+            ->get(route('care.specialty.workspace', [
+                'module' => 'blood_bank',
+                'visit' => $this->visit,
+                'tab' => 'overview',
+            ]))
+            ->assertOk()
+            ->assertSee('Blood Bank overview')
+            ->assertSee('Visit stage')
+            ->assertSee('BB reports');
+
+        $this->actingAs($this->owner)
+            ->get(route('care.specialty.workspace', [
+                'module' => 'blood_bank',
+                'visit' => $this->visit,
+                'tab' => 'requests',
+            ]))
+            ->assertOk()
+            ->assertSee('Product')
+            ->assertSee('Units requested');
+    }
+
+    public function test_request_sets_stage_and_alerts(): void
+    {
+        $this->actingAs($this->owner)
+            ->post(route('care.specialty.clinical.save', [
+                'module' => 'blood_bank',
+                'visit' => $this->visit,
+            ]), [
+                'tab' => 'requests',
+                'payload' => [
+                    'product' => 'Packed RBC',
+                    'units' => '2',
+                    'urgency' => 'Emergency / massive',
+                    'patient_blood_group' => 'O+',
+                    'indication' => 'Trauma bleed',
+                    'crossmatch_status' => 'In progress',
+                ],
+            ])
+            ->assertRedirect();
+
+        $this->assertSame('crossmatch', $this->visit->fresh()->specialty_stage);
+
+        $record = SpecialtyClinicalRecord::query()
+            ->where('visit_id', $this->visit->id)
+            ->where('record_type', 'blood_request')
+            ->firstOrFail();
+
+        $codes = collect($record->alerts)->pluck('code')->all();
+        $this->assertContains('bb.massive_transfusion', $codes);
+    }
+
+    public function test_stage_advance_issue_and_transfusion(): void
+    {
+        $this->actingAs($this->owner)
+            ->post(route('care.specialty.clinical.save', [
+                'module' => 'blood_bank',
+                'visit' => $this->visit,
+            ]), [
+                'tab' => 'requests',
+                'payload' => [
+                    'product' => 'Packed RBC',
+                    'units' => '2',
+                    'urgency' => 'Urgent',
+                    'patient_blood_group' => 'A+',
+                    'indication' => 'Anaemia',
+                    'crossmatch_status' => 'Compatible',
+                ],
+            ])
+            ->assertRedirect();
+
+        $this->actingAs($this->owner)
+            ->post(route('care.specialty.blood-bank.stage', $this->visit), [
+                'stage' => 'crossmatch',
+            ])
+            ->assertRedirect();
+
+        $this->assertSame('crossmatch', $this->visit->fresh()->specialty_stage);
+
+        $this->actingAs($this->owner)
+            ->post(route('care.specialty.blood-bank.issue', $this->visit), [
+                'tab' => 'issue',
+                'bill_product' => '1',
+                'bill_crossmatch' => '1',
+                'payload' => [
+                    'product' => 'Packed RBC',
+                    'units_issued' => '2',
+                    'bag_numbers' => 'BB-1001, BB-1002',
+                    'issued_to' => 'Ward A',
+                    'issued_at' => now()->format('Y-m-d H:i'),
+                ],
+            ])
+            ->assertRedirect(route('care.specialty.workspace', [
+                'module' => 'blood_bank',
+                'visit' => $this->visit,
+                'tab' => 'issue',
+            ]));
+
+        $this->assertSame('issue', $this->visit->fresh()->specialty_stage);
+        $this->assertDatabaseHas('care_specialty_clinical_records', [
+            'visit_id' => $this->visit->id,
+            'record_type' => 'issue_note',
+            'status' => SpecialtyClinicalRecord::STATUS_COMPLETED,
+        ]);
+
+        $this->visit->load('bill.lineItems');
+        $this->assertNotNull($this->visit->bill);
+        $this->visit->load('bill.lineItems');
+        $this->assertNotNull($this->visit->bill);
+        $descriptions = $this->visit->bill->lineItems->pluck('description')->all();
+        $this->assertContains('Packed RBC unit', $descriptions);
+        $this->assertContains('Cross-match', $descriptions);
+        $packed = $this->visit->bill->lineItems->firstWhere('description', 'Packed RBC unit');
+        $this->assertSame(2, (int) $packed->quantity);
+
+        $this->actingAs($this->owner)
+            ->post(route('care.specialty.blood-bank.transfusion', $this->visit), [
+                'tab' => 'transfusion',
+                'payload' => [
+                    'started_at' => now()->format('Y-m-d H:i'),
+                    'units_transfused' => '2',
+                    'vitals_ok' => '1',
+                    'reaction' => 'None',
+                    'outcome' => 'Completed uneventfully',
+                    'notes' => 'Tolerated well',
+                ],
+            ])
+            ->assertRedirect();
+
+        $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' => 'transfusion_note',
+            'status' => SpecialtyClinicalRecord::STATUS_COMPLETED,
+        ]);
+    }
+
+    public function test_inventory_low_stock_and_reports_print(): void
+    {
+        $this->actingAs($this->owner)
+            ->post(route('care.specialty.clinical.save', [
+                'module' => 'blood_bank',
+                'visit' => $this->visit,
+            ]), [
+                'tab' => 'inventory',
+                'payload' => [
+                    'whole_blood_units' => '1',
+                    'packed_rbc_units' => '8',
+                    'platelet_units' => '4',
+                    'ffp_units' => '3',
+                    'low_stock_alert' => '1',
+                ],
+            ])
+            ->assertRedirect();
+
+        $record = SpecialtyClinicalRecord::query()
+            ->where('visit_id', $this->visit->id)
+            ->where('record_type', 'inventory_note')
+            ->firstOrFail();
+        $codes = collect($record->alerts)->pluck('code')->all();
+        $this->assertContains('bb.low_stock', $codes);
+        $this->assertContains('bb.unit_critical', $codes);
+
+        $this->actingAs($this->owner)
+            ->get(route('care.specialty.blood-bank.reports'))
+            ->assertOk()
+            ->assertSee('Blood Bank reports')
+            ->assertSee('Requests today');
+
+        $this->actingAs($this->owner)
+            ->get(route('care.specialty.blood-bank.print', $this->visit))
+            ->assertOk()
+            ->assertSee('Blood Bank summary')
+            ->assertSee($this->patient->fullName());
+    }
+}