organization($request); abort_unless($modules->memberCanAccess($organization, $this->member($request), 'emergency'), 403); } protected function assertEmergencyManage(Request $request, SpecialtyModuleService $modules): void { $organization = $this->organization($request); abort_unless($modules->memberCanManage($organization, $this->member($request), 'emergency'), 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'); $this->assertEmergencyManage($request, $modules); $this->assertVisit($request, $visit); $validated = $request->validate([ 'stage' => ['required', 'string', 'max:32'], ]); try { $stages->setStage( $this->organization($request), $visit, 'emergency', $validated['stage'], $this->ownerRef($request), $this->actorRef($request), ); } catch (\InvalidArgumentException $e) { return back()->with('error', $e->getMessage()); } return redirect() ->route('care.specialty.workspace', [ 'module' => 'emergency', 'visit' => $visit, 'tab' => $shell->workspaceTabForStage('emergency', $validated['stage']), ]) ->with('success', 'Visit stage updated.'); } public function saveVitals( Request $request, Visit $visit, SpecialtyModuleService $modules, EmergencyVitalsService $vitals, ): RedirectResponse { $permissions = app(\App\Services\Care\CarePermissions::class); $member = $this->member($request); abort_unless( $permissions->can($member, 'vitals.manage') || $permissions->can($member, 'consultations.manage'), 403, ); $this->assertEmergencyManage($request, $modules); $this->assertVisit($request, $visit); $validated = $request->validate([ 'bp_systolic' => ['nullable', 'integer', 'min:0', 'max:300'], 'bp_diastolic' => ['nullable', 'integer', 'min:0', 'max:200'], 'pulse' => ['nullable', 'integer', 'min:0', 'max:300'], 'temperature' => ['nullable', 'numeric', 'min:30', 'max:45'], 'spo2' => ['nullable', 'integer', 'min:0', 'max:100'], 'respiratory_rate' => ['nullable', 'integer', 'min:0', 'max:80'], 'weight_kg' => ['nullable', 'numeric', 'min:0', 'max:500'], 'height_cm' => ['nullable', 'numeric', 'min:0', 'max:300'], ]); try { $vitals->record( $this->organization($request), $visit, $this->ownerRef($request), $validated, $this->actorRef($request), ); } catch (\InvalidArgumentException $e) { return back()->with('error', $e->getMessage()); } return redirect() ->route('care.specialty.workspace', ['module' => 'emergency', 'visit' => $visit, 'tab' => 'vitals']) ->with('success', 'Vitals recorded.'); } public function saveDisposition( Request $request, Visit $visit, SpecialtyModuleService $modules, SpecialtyClinicalRecordService $clinical, SpecialtyVisitStageService $stages, EmergencyWorkflowService $workflow, ): RedirectResponse { $this->authorizeAbility($request, 'consultations.manage'); $this->assertEmergencyManage($request, $modules); $this->assertVisit($request, $visit); $organization = $this->organization($request); $owner = $this->ownerRef($request); $payload = (array) $request->input('payload', []); foreach ($clinical->fieldsFor('emergency', 'disposition') as $field) { if (($field['type'] ?? '') === 'boolean') { $payload[$field['name']] = $request->boolean('payload.'.$field['name']); } } $request->merge(['payload' => $payload, 'tab' => 'disposition']); $validated = $request->validate(array_merge([ 'tab' => ['required', 'string'], ], $clinical->validationRules('emergency', 'disposition'))); $record = $clinical->upsert( $organization, $visit, 'emergency', 'disposition', $clinical->payloadFromRequest($validated), $owner, $owner, EmergencyWorkflowService::STAGE_DISPOSITION, SpecialtyClinicalRecord::STATUS_COMPLETED, ); try { $stages->setStage( $organization, $visit, 'emergency', EmergencyWorkflowService::STAGE_DISPOSITION, $owner, $owner, ); } catch (\InvalidArgumentException) { // Stage already disposition or map empty. } if ($workflow->shouldCompleteVisit($record->payload ?? [])) { $visit->refresh(); if ($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' => 'emergency', 'visit' => $visit, 'tab' => 'disposition']) ->with('success', 'Disposition saved.'); } public function reports( Request $request, SpecialtyModuleService $modules, SpecialtyShellService $shell, EmergencyAnalyticsService $analytics, ): View { $this->authorizeAbility($request, 'consultations.view'); $this->assertEmergencyAccess($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.emergency.reports', [ 'moduleKey' => 'emergency', 'definition' => $modules->definition('emergency'), 'shellNav' => $shell->navItems('emergency'), 'report' => $report, 'currency' => strtoupper((string) config('care.billing.currency', config('care.currency', 'GHS'))), ]); } public function printSummary( Request $request, Visit $visit, SpecialtyModuleService $modules, SpecialtyClinicalRecordService $clinical, EmergencyVitalsService $vitals, ): View { $this->authorizeAbility($request, 'consultations.view'); $this->assertEmergencyAccess($request, $modules); $this->assertVisit($request, $visit); $visit->loadMissing(['patient', 'appointment.practitioner', 'branch']); return view('care.specialty.emergency.print', [ 'visit' => $visit, 'patient' => $visit->patient, 'triage' => $clinical->findForVisit($visit, 'emergency', 'triage'), 'clinicalNote' => $clinical->findForVisit($visit, 'emergency', 'clinical_note'), 'observation' => $clinical->findForVisit($visit, 'emergency', 'observation'), 'disposition' => $clinical->findForVisit($visit, 'emergency', 'disposition'), 'vitals' => $vitals->forVisit($visit), 'latestVitals' => $vitals->latestForVisit($visit), ]); } }