withoutMiddleware(EnsurePlatformSession::class); $this->owner = User::create([ 'public_id' => 'er-owner', 'name' => 'Owner', 'email' => 'er-owner@example.com', ]); $this->organization = Organization::create([ 'owner_ref' => $this->owner->public_id, 'name' => 'Emergency Clinic', 'slug' => 'emergency-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, 'emergency', ); $department = Department::query() ->where('branch_id', $this->branch->id) ->where('type', 'emergency') ->firstOrFail(); $this->patient = Patient::create([ 'owner_ref' => $this->owner->public_id, 'organization_id' => $this->organization->id, 'branch_id' => $this->branch->id, 'patient_number' => 'P-ER-SUITE', 'first_name' => 'Kwame', 'last_name' => 'Boateng', 'gender' => 'male', 'date_of_birth' => '1988-01-01', ]); $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' => 'arrival', ]); 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_vitals_tabs_render(): void { $this->actingAs($this->owner) ->get(route('care.specialty.workspace', [ 'module' => 'emergency', 'visit' => $this->visit, 'tab' => 'overview', ])) ->assertOk() ->assertSee('Emergency overview') ->assertSee('data-care-stage-bar', false) ->assertSee('Arrival / triage') ->assertSee('Move to treatment') ->assertSee('ED reports'); $this->actingAs($this->owner) ->get(route('care.specialty.workspace', [ 'module' => 'emergency', 'visit' => $this->visit, 'tab' => 'vitals', ])) ->assertOk() ->assertSee('Save vitals'); } public function test_triage_sets_stage_and_alerts(): void { $this->actingAs($this->owner) ->post(route('care.specialty.clinical.save', [ 'module' => 'emergency', 'visit' => $this->visit, ]), [ 'tab' => 'triage', 'payload' => [ 'acuity' => '1 - Resuscitation', 'chief_complaint' => 'Chest pain', 'airway_ok' => '1', 'breathing_ok' => '0', 'circulation_ok' => '1', 'pain_score' => 9, 'disposition_intent' => 'Resus', ], ]) ->assertRedirect(); $this->assertSame('resus', $this->visit->fresh()->specialty_stage); $record = SpecialtyClinicalRecord::query() ->where('visit_id', $this->visit->id) ->where('record_type', 'triage') ->firstOrFail(); $codes = collect($record->alerts)->pluck('code')->all(); $this->assertContains('er.high_acuity', $codes); $this->assertContains('er.abc_compromise', $codes); $this->assertContains('er.severe_pain', $codes); } public function test_stage_advance_and_vitals_and_disposition(): void { $this->actingAs($this->owner) ->post(route('care.specialty.emergency.stage', $this->visit), [ 'stage' => 'treatment', ]) ->assertRedirect(route('care.specialty.workspace', [ 'module' => 'emergency', 'visit' => $this->visit, 'tab' => 'clinical_notes', ])); $this->assertSame('treatment', $this->visit->fresh()->specialty_stage); $this->actingAs($this->owner) ->post(route('care.specialty.emergency.vitals', $this->visit), [ 'bp_systolic' => 120, 'bp_diastolic' => 80, 'pulse' => 88, 'spo2' => 98, ]) ->assertRedirect(route('care.specialty.workspace', [ 'module' => 'emergency', 'visit' => $this->visit, 'tab' => 'vitals', ])); $this->assertDatabaseHas('care_vital_signs', [ 'bp_systolic' => 120, 'pulse' => 88, ]); $this->assertTrue(VitalSign::query()->where('bp_systolic', 120)->exists()); $this->actingAs($this->owner) ->post(route('care.specialty.emergency.disposition', $this->visit), [ 'tab' => 'disposition', 'payload' => [ 'disposition' => 'Discharge home', 'condition' => 'Stable', 'diagnosis' => 'Musculoskeletal chest wall pain', 'advice' => 'Return if worsens', ], ]) ->assertRedirect(); $this->assertSame('disposition', $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' => 'disposition', 'status' => SpecialtyClinicalRecord::STATUS_COMPLETED, ]); } public function test_reports_and_print(): void { $this->actingAs($this->owner) ->get(route('care.specialty.emergency.reports')) ->assertOk() ->assertSee('Emergency reports') ->assertSee('Arrivals today'); $this->actingAs($this->owner) ->get(route('care.specialty.emergency.print', $this->visit)) ->assertOk() ->assertSee('ED summary') ->assertSee($this->patient->fullName()); } }