definition($module); abort_unless($definition, 404); abort_unless( $modules->memberCanAccess($this->organization($request), $this->member($request), $module), 403, ); // Specialty patient flow lives on Queue; clinical depth opens from Queue Start. return redirect()->route('care.queue.index'); } public function visits( Request $request, string $module, SpecialtyModuleService $modules, SpecialtyShellService $shell, CareQueueBridge $queueBridge, ): RedirectResponse { $definition = $modules->definition($module); abort_unless($definition, 404); abort_unless( $modules->memberCanAccess($this->organization($request), $this->member($request), $module), 403, ); return redirect()->route('care.queue.index'); } public function history( Request $request, string $module, SpecialtyModuleService $modules, SpecialtyShellService $shell, CareQueueBridge $queueBridge, ): View { return $this->renderShell($request, $module, 'history', $modules, $shell, $queueBridge); } public function billing( Request $request, string $module, SpecialtyModuleService $modules, SpecialtyShellService $shell, CareQueueBridge $queueBridge, ): View { return $this->renderShell($request, $module, 'billing', $modules, $shell, $queueBridge); } public function workspace( Request $request, string $module, SpecialtyModuleService $modules, SpecialtyShellService $shell, CareQueueBridge $queueBridge, ?Visit $visit = null, ): View { return $this->renderShell($request, $module, 'workspace', $modules, $shell, $queueBridge, $visit); } public function addService( Request $request, string $module, Visit $visit, SpecialtyModuleService $modules, SpecialtyShellService $shell, ): RedirectResponse { $definition = $modules->definition($module); abort_unless($definition, 404); $organization = $this->organization($request); $member = $this->member($request); abort_unless($modules->memberCanAccess($organization, $member, $module), 403); abort_unless($modules->memberCanManage($organization, $member, $module), 403); abort_unless($visit->organization_id === $organization->id, 404); $validated = $request->validate([ 'service_code' => ['required', 'string', 'max:64'], ]); try { $bill = $shell->addCatalogServiceToVisit( $organization, $visit, $module, $validated['service_code'], $this->ownerRef($request), $this->ownerRef($request), ); } catch (\Throwable $e) { return back()->with('error', $e->getMessage()); } return back()->with('success', 'Added to invoice '.$bill->invoice_number.'.'); } public function startConsultation( Request $request, string $module, Visit $visit, SpecialtyModuleService $modules, AppointmentService $appointments, ConsultationService $consultations, ): RedirectResponse { $this->authorizeAbility($request, 'consultations.manage'); $definition = $modules->definition($module); abort_unless($definition, 404); $organization = $this->organization($request); $member = $this->member($request); abort_unless($modules->memberCanAccess($organization, $member, $module), 403); abort_unless($modules->memberCanManage($organization, $member, $module), 403); abort_unless($visit->organization_id === $organization->id, 404); $this->authorizeBranch($request, (int) $visit->branch_id); $visit->loadMissing(['appointment.consultation', 'appointment.practitioner']); $appointment = $visit->appointment; if (! $appointment || $appointment->organization_id !== $organization->id) { return back()->with('error', 'This visit has no appointment to start a consultation from.'); } $owner = $this->ownerRef($request); $openConsultation = $appointment->consultation; if ($openConsultation && $openConsultation->status !== \App\Models\Consultation::STATUS_COMPLETED) { $clinical = app(SpecialtyClinicalRecordService::class); $shellTabs = app(SpecialtyShellService::class)->workspaceTabs($module); $preferredTab = match ($module) { 'dentistry' => 'odontogram', 'emergency' => 'triage', default => (collect(array_keys($shellTabs)) ->first(fn (string $tab) => $clinical->recordTypeForTab($module, $tab) !== null) ?? 'clinical_notes'), }; return redirect() ->route('care.specialty.workspace', [ 'module' => $module, 'visit' => $visit, 'tab' => $preferredTab, ]) ->with('success', 'Encounter already in progress.'); } try { if (in_array($appointment->status, [ Appointment::STATUS_WAITING, Appointment::STATUS_CHECKED_IN, ], true)) { $appointments->startConsultation( $appointment, $owner, $appointment->practitioner_id, $owner, ); $appointment = $appointment->fresh(['practitioner', 'visit']); } elseif ($appointment->status !== Appointment::STATUS_IN_CONSULTATION) { return back()->with('error', 'This appointment cannot start a consultation from its current status.'); } $consultations->startFromAppointment( $appointment, $owner, $owner, ); } catch (\InvalidArgumentException $e) { return back()->with('error', $e->getMessage()); } $visit = $visit->fresh() ?? $appointment->visit; if ($visit) { $stageService = app(\App\Services\Care\SpecialtyVisitStageService::class); $nextStage = $stageService->stageOnConsultationStart($module); if ($nextStage && ! $visit->specialty_stage) { try { $stageService->setStage( $organization, $visit, $module, $nextStage, $owner, $owner, ); $visit = $visit->fresh(); } catch (\InvalidArgumentException) { // Stage map may be empty for some modules. } } elseif ($nextStage && in_array($visit->specialty_stage, ['waiting', 'arrival'], true)) { try { $stageService->setStage($organization, $visit, $module, $nextStage, $owner, $owner); $visit = $visit->fresh(); } catch (\InvalidArgumentException) { } } } $clinical = app(SpecialtyClinicalRecordService::class); $shellTabs = app(SpecialtyShellService::class)->workspaceTabs($module); $preferredTab = match ($module) { 'dentistry' => 'odontogram', 'emergency' => 'triage', default => (collect(array_keys($shellTabs)) ->first(fn (string $tab) => $clinical->recordTypeForTab($module, $tab) !== null) ?? 'clinical_notes'), }; return redirect() ->route('care.specialty.workspace', [ 'module' => $module, 'visit' => $visit, 'tab' => $preferredTab, ]) ->with('success', 'Encounter started.'); } public function saveClinical( Request $request, string $module, Visit $visit, SpecialtyModuleService $modules, SpecialtyClinicalRecordService $clinical, ): RedirectResponse { $definition = $modules->definition($module); abort_unless($definition, 404); $organization = $this->organization($request); $member = $this->member($request); abort_unless($modules->memberCanAccess($organization, $member, $module), 403); abort_unless($modules->memberCanManage($organization, $member, $module), 403); abort_unless($visit->organization_id === $organization->id, 404); $tab = (string) $request->input('tab', ''); $recordType = $clinical->recordTypeForTab($module, $tab); abort_unless($recordType, 422); // Normalize checkbox booleans before validation. $payload = (array) $request->input('payload', []); foreach ($clinical->fieldsFor($module, $recordType) as $field) { if (($field['type'] ?? '') === 'boolean') { $payload[$field['name']] = $request->boolean('payload.'.$field['name']); } } $request->merge(['payload' => $payload]); $validated = $request->validate(array_merge([ 'tab' => ['required', 'string'], 'stage_code' => ['nullable', 'string', 'max:64'], 'status' => ['nullable', 'in:draft,active,completed'], ], $clinical->validationRules($module, $recordType))); $record = $clinical->upsert( $organization, $visit, $module, $recordType, $clinical->payloadFromRequest($validated), $this->ownerRef($request), $this->ownerRef($request), $validated['stage_code'] ?? null, $validated['status'] ?? \App\Models\SpecialtyClinicalRecord::STATUS_ACTIVE, ); if ($module === 'emergency' && $recordType === 'triage') { $workflow = app(\App\Services\Care\Emergency\EmergencyWorkflowService::class); $stageService = app(\App\Services\Care\SpecialtyVisitStageService::class); $suggested = $workflow->stageFromTriage($record->payload ?? []); $current = $visit->specialty_stage; if (! $current || in_array($current, ['arrival', 'waiting'], true)) { try { $stageService->setStage( $organization, $visit, 'emergency', $suggested, $this->ownerRef($request), $this->ownerRef($request), ); } catch (\InvalidArgumentException) { } } } if ($module === 'emergency' && $recordType === 'observation') { $stageService = app(\App\Services\Care\SpecialtyVisitStageService::class); try { $stageService->setStage( $organization, $visit, 'emergency', \App\Services\Care\Emergency\EmergencyWorkflowService::STAGE_OBSERVATION, $this->ownerRef($request), $this->ownerRef($request), ); } catch (\InvalidArgumentException) { } } return redirect() ->route('care.specialty.workspace', [ 'module' => $module, 'visit' => $visit, 'tab' => $tab, ]) ->with('success', 'Saved '.$record->record_type.' record.'); } public function uploadDocument( Request $request, string $module, Visit $visit, SpecialtyModuleService $modules, ): RedirectResponse { $definition = $modules->definition($module); abort_unless($definition, 404); $organization = $this->organization($request); $member = $this->member($request); // Viewing docs is workspace GET (memberCanAccess / memberCanView). Upload needs manage. abort_unless($modules->memberCanAccess($organization, $member, $module), 403); abort_unless($modules->memberCanManage($organization, $member, $module), 403); abort_unless($visit->organization_id === $organization->id, 404); abort_unless($visit->patient_id, 422); $validated = $request->validate([ 'attachment' => ['required', 'file', 'max:10240', 'mimes:pdf,jpeg,jpg,png,webp'], ]); $file = $validated['attachment']; $path = $file->store("care/patients/{$visit->patient_id}/attachments", 'public'); PatientAttachment::create([ 'owner_ref' => $this->ownerRef($request), 'patient_id' => $visit->patient_id, 'file_path' => $path, 'original_name' => $file->getClientOriginalName(), 'mime_type' => $file->getMimeType(), 'document_type' => 'specialty_'.$module, 'uploaded_by' => $this->ownerRef($request), ]); return redirect() ->route('care.specialty.workspace', [ 'module' => $module, 'visit' => $visit, 'tab' => 'documents', ]) ->with('success', 'Document uploaded.'); } public function callNext( Request $request, string $module, SpecialtyModuleService $modules, CareQueueBridge $queueBridge, CareQueueSessionAdvance $advance, ): RedirectResponse { $definition = $modules->definition($module); abort_unless($definition, 404); $organization = $this->organization($request); $member = $this->member($request); $owner = $this->ownerRef($request); abort_unless($modules->memberCanAccess($organization, $member, $module), 403); abort_unless($modules->memberCanManage($organization, $member, $module), 403); abort_unless($queueBridge->isEnabled($organization), 404); $resolver = app(OrganizationResolver::class); $branchScope = $resolver->branchScope($member); $practitionerScope = $resolver->practitionerScope($organization, $member); $branchId = (int) ($request->input('branch_id') ?: $branchScope); $practitionerId = null; if ($practitionerScope !== null) { abort_unless($practitionerScope !== [], 422); $practitionerId = $practitionerScope[0]; $pracBranch = (int) \App\Models\Practitioner::owned($owner) ->whereKey($practitionerId) ->value('branch_id'); if ($pracBranch > 0) { $branchId = $pracBranch; } } abort_unless($branchId > 0, 422); if ($request->filled('appointment_id')) { $current = Appointment::owned($owner) ->where('organization_id', $organization->id) ->findOrFail((int) $request->input('appointment_id')); $advance->endCurrentEncounter($current, $owner, $owner); } $result = $queueBridge->callNext($organization, $module, $branchId, $member, $practitionerId); $ticket = $result['ticket'] ?? null; if (! $ticket) { $departmentIds = Department::owned($owner) ->where('type', $definition['department_type'] ?? 'general') ->where('is_active', true) ->when($branchScope, fn ($q) => $q->where('branch_id', $branchScope)) ->pluck('id'); $waitingAtBranch = Appointment::owned($owner) ->where('organization_id', $organization->id) ->where('branch_id', $branchId) ->whereIn('status', [Appointment::STATUS_WAITING, Appointment::STATUS_CHECKED_IN]) ->when($departmentIds->isNotEmpty(), fn ($q) => $q->whereIn('department_id', $departmentIds)) ->when($departmentIds->isEmpty(), fn ($q) => $q->whereRaw('1 = 0')) ->count(); $waitingOrg = Appointment::owned($owner) ->where('organization_id', $organization->id) ->whereIn('status', [Appointment::STATUS_WAITING, Appointment::STATUS_CHECKED_IN]) ->when($departmentIds->isNotEmpty(), fn ($q) => $q->whereIn('department_id', $departmentIds)) ->when($departmentIds->isEmpty(), fn ($q) => $q->whereRaw('1 = 0')) ->count(); $branchName = \App\Models\Branch::owned($owner)->whereKey($branchId)->value('name') ?: 'this branch'; if ($waitingAtBranch > 0) { return back()->with( 'info', "{$waitingAtBranch} patient(s) are waiting at {$branchName}, but none have a callable ticket at a service desk yet. Use Start on the queue, or check in again so a ticket is issued." ); } if ($waitingOrg > $waitingAtBranch) { return back()->with( 'info', "No patients waiting at {$branchName}. {$waitingOrg} are waiting at other branches — switch branch or open History." ); } return back()->with('info', 'No patients waiting in this queue.'); } $entity = $result['entity'] ?? null; if ($entity instanceof Appointment) { return $advance->redirectToOpenedPatient( $entity, $ticket, 'care.queue.index', ); } $name = $ticket['customer_name'] ?? 'patient'; return back()->with('success', 'Called '.$ticket['ticket_number'].' — '.$name.'.'); } /** * Refer a patient into this specialty queue (walk-in) without full clinical edit access. */ public function refer( Request $request, string $module, SpecialtyModuleService $modules, AppointmentService $appointments, ): RedirectResponse { $definition = $modules->definition($module); abort_unless($definition, 404); $organization = $this->organization($request); $member = $this->member($request); abort_unless($modules->memberCanRefer($organization, $member, $module), 403); $owner = $this->ownerRef($request); $branchScope = app(OrganizationResolver::class)->branchScope($member); $validated = $request->validate([ 'patient_id' => ['required', 'integer', 'exists:care_patients,id'], 'branch_id' => ['nullable', 'integer', 'exists:care_branches,id'], 'reason' => ['nullable', 'string', 'max:500'], 'notes' => ['nullable', 'string', 'max:2000'], ]); $branchId = (int) ($validated['branch_id'] ?? $branchScope ?? 0); abort_unless($branchId > 0, 422); $this->authorizeBranch($request, $branchId); $department = Department::owned($owner) ->where('type', $definition['department_type'] ?? 'general') ->where('branch_id', $branchId) ->where('is_active', true) ->orderBy('id') ->first(); if (! $department) { return back()->with('error', 'No active '.($definition['label'] ?? $module).' department at this branch.'); } $patient = \App\Models\Patient::owned($owner) ->where('organization_id', $organization->id) ->findOrFail((int) $validated['patient_id']); $appointment = $appointments->walkIn($organization, $owner, [ 'patient_id' => $patient->id, 'branch_id' => $branchId, 'department_id' => $department->id, 'reason' => $validated['reason'] ?? ('Referral to '.($definition['label'] ?? $module)), 'notes' => $validated['notes'] ?? null, ], $owner); \App\Services\Care\AuditLogger::record( $owner, 'specialty.referral', $organization->id, $owner, Appointment::class, $appointment->id, ['module' => $module, 'department_id' => $department->id], ); return redirect() ->route('care.queue.index') ->with('success', 'Referred '.$patient->fullName().' to '.($definition['label'] ?? $module).'.'); } protected function renderShell( Request $request, string $module, string $section, SpecialtyModuleService $modules, SpecialtyShellService $shell, CareQueueBridge $queueBridge, ?Visit $visit = null, ): View { $definition = $modules->definition($module); abort_unless($definition, 404); $organization = $this->organization($request); $member = $this->member($request); abort_unless($modules->memberCanAccess($organization, $member, $module), 403); $canManageSpecialty = $modules->memberCanManage($organization, $member, $module); $canViewSpecialty = $modules->memberCanView($organization, $member, $module); $canReferSpecialty = $modules->memberCanRefer($organization, $member, $module); $specialtyAccessLevel = $modules->memberAccessLevel($organization, $member, $module); $owner = $this->ownerRef($request); $resolver = app(OrganizationResolver::class); $branchScope = $resolver->branchScope($member); $practitionerScope = $resolver->practitionerScope($organization, $member); $departments = Department::owned($owner) ->where('type', $definition['department_type'] ?? 'general') ->where('is_active', true) ->when($branchScope, fn ($q) => $q->where('branch_id', $branchScope)) ->with('branch') ->orderBy('name') ->get(); $departmentIds = $departments->pluck('id')->all(); $branchId = (int) ($branchScope ?: $departments->first()?->branch_id); if ($practitionerScope !== null && $practitionerScope !== []) { $pracBranch = (int) \App\Models\Practitioner::owned($owner) ->whereKey($practitionerScope[0]) ->value('branch_id'); if ($pracBranch > 0) { $branchId = $pracBranch; } } // Match Call next: when the member has no branch scope (e.g. hospital admin), // KPIs / waiting lists use the same branch as queue ops so WAITING isn't org-wide // while Call next is local. $kpiBranch = $branchScope ?? ($branchId > 0 ? $branchId : null); $waiting = Appointment::owned($owner) ->where('organization_id', $organization->id) ->whereIn('status', [Appointment::STATUS_WAITING, Appointment::STATUS_CHECKED_IN]) ->when($departmentIds !== [], fn ($q) => $q->whereIn('department_id', $departmentIds)) ->when($departmentIds === [], fn ($q) => $q->whereRaw('1 = 0')) ->when($kpiBranch, fn ($q) => $q->where('branch_id', $kpiBranch)) ->when( $practitionerScope !== null, fn ($q) => $q->whereIn('practitioner_id', $practitionerScope ?: [0]), ) ->with(['patient', 'practitioner', 'department', 'visit']) ->orderBy('queue_position') ->orderBy('checked_in_at') ->limit(50) ->get(); $inConsultation = Appointment::owned($owner) ->where('organization_id', $organization->id) ->where('status', Appointment::STATUS_IN_CONSULTATION) ->when($departmentIds !== [], fn ($q) => $q->whereIn('department_id', $departmentIds)) ->when($departmentIds === [], fn ($q) => $q->whereRaw('1 = 0')) ->when($kpiBranch, fn ($q) => $q->where('branch_id', $kpiBranch)) ->when( $practitionerScope !== null, fn ($q) => $q->whereIn('practitioner_id', $practitionerScope ?: [0]), ) ->with(['patient', 'practitioner', 'consultation', 'visit']) ->orderBy('started_at') ->limit(50) ->get(); $shellDefinition = $shell->definition($module); $kpis = $shell->kpis($organization, $module, $owner, $kpiBranch, $practitionerScope); $openVisits = $shell->openVisits($organization, $module, $owner, $kpiBranch, $practitionerScope); $visitHistory = $section === 'history' ? $shell->visitHistory($organization, $module, $owner, $kpiBranch, $practitionerScope) : collect(); $services = $shell->provisionedServices($organization, $module); $permissions = app(\App\Services\Care\CarePermissions::class); // Ability-based for every role (doctor, nurse, receptionist, lab, pharmacist, …). // Module canManage alone is not enough — flags must match what mutate routes authorize. $canConsult = $permissions->can($member, 'consultations.manage') && $canManageSpecialty; $canAdvanceStage = $canConsult; $canStartConsultation = $canConsult; $canCallNext = $canManageSpecialty; $canManageClinical = $canManageSpecialty; $canManageVitals = $canManageSpecialty && ( $permissions->can($member, 'vitals.manage') || $permissions->can($member, 'consultations.manage') ); $canManageQueue = $permissions->can($member, 'appointments.manage') && $canManageSpecialty; $canBookAppointments = $permissions->can($member, 'appointments.manage'); $canViewPatients = $permissions->can($member, 'patients.view'); $canViewAppointments = $permissions->can($member, 'appointments.view'); $branchLabel = $branchId ? (string) (\App\Models\Branch::owned($owner)->whereKey($branchId)->value('name') ?? '') : ''; $workspaceVisit = null; $patientHeader = null; $timeline = []; $clinicalRecord = null; $clinicalFields = []; $clinicalAlerts = []; $visitDocuments = collect(); $investigationTypes = collect(); $dentalChart = null; $dentalTeethMap = []; $dentalPlan = null; $dentalPlanHistory = collect(); $dentalProcedures = collect(); $dentalImages = collect(); $dentalVisitNote = null; $dentalCatalog = []; $dentalRows = []; $dentalConditions = []; $dentalStatuses = []; $dentalSurfaces = []; $dentalModalities = []; $dentalDentitions = []; $dentalPerioExam = null; $dentalPerioSurfaces = []; $dentalLabCases = collect(); $dentalLabCaseTypes = []; $dentalLabCaseStatuses = []; $dentalRecalls = collect(); $dentalStageCodes = []; $emergencyTriage = null; $emergencyClinicalNote = null; $emergencyObservation = null; $emergencyDisposition = null; $emergencyVitals = collect(); $emergencyLatestVitals = null; $emergencyStageCodes = []; $emergencyStageFlow = []; $activeTab = (string) $request->query('tab', array_key_first($shell->workspaceTabs($module)) ?: 'overview'); $clinical = app(SpecialtyClinicalRecordService::class); if ($visit) { abort_unless($visit->organization_id === $organization->id, 404); $visit->load([ 'patient.allergies', 'patient.emergencyContacts', 'patient.attachments', 'appointment.practitioner', 'appointment.consultation.investigationRequests.investigationType', 'bill.lineItems', 'consultations.investigationRequests.investigationType', ]); $workspaceVisit = $visit; if ($visit->patient) { $patientHeader = array_merge( ['patient' => $visit->patient, 'visit' => $visit, 'appointment' => $visit->appointment], $shell->patientHeaderMeta($visit->patient), ); $timeline = $shell->patientTimeline($visit->patient); } } elseif ($section === 'workspace') { $first = $openVisits->first(); if ($first?->patient) { $first->load([ 'patient.allergies', 'patient.emergencyContacts', 'patient.attachments', 'appointment.practitioner', 'appointment.consultation.investigationRequests.investigationType', 'bill.lineItems', 'consultations.investigationRequests.investigationType', ]); $workspaceVisit = $first; $patientHeader = array_merge( ['patient' => $first->patient, 'visit' => $first, 'appointment' => $first->appointment], $shell->patientHeaderMeta($first->patient), ); $timeline = $shell->patientTimeline($first->patient); } } if ($workspaceVisit && $section === 'workspace') { $recordType = $clinical->recordTypeForTab($module, $activeTab); if ($recordType) { $clinicalRecord = $clinical->findForVisit($workspaceVisit, $module, $recordType); $clinicalFields = $clinical->fieldsFor($module, $recordType); } $clinicalAlerts = $clinical->alertsForVisit($workspaceVisit, $module); if ($module === 'dentistry' && $workspaceVisit->patient) { $chartService = app(\App\Services\Care\Dentistry\DentalChartService::class); $planService = app(\App\Services\Care\Dentistry\DentalTreatmentPlanService::class); $analytics = app(\App\Services\Care\Dentistry\DentalAnalyticsService::class); $perioService = app(\App\Services\Care\Dentistry\DentalPerioService::class); $labService = app(\App\Services\Care\Dentistry\DentalLabCaseService::class); $recallService = app(\App\Services\Care\Dentistry\DentalRecallService::class); $dentalChart = $chartService->chartForPatient($organization, $workspaceVisit->patient, $owner); $dentalTeethMap = $chartService->teethMap($dentalChart); $dentalPlan = $planService->activePlanForPatient($organization, $workspaceVisit->patient, $owner); $dentalPlanHistory = $planService->plansForPatient($organization, $workspaceVisit->patient, $owner); $dentalProcedures = \App\Models\DentalProcedure::owned($owner) ->where('visit_id', $workspaceVisit->id) ->orderByDesc('id') ->get(); $dentalImages = \App\Models\DentalImage::owned($owner) ->where(function ($q) use ($workspaceVisit) { $q->where('visit_id', $workspaceVisit->id) ->orWhere(function ($q2) use ($workspaceVisit) { $q2->where('patient_id', $workspaceVisit->patient_id) ->whereNull('visit_id'); }); }) ->with('attachment') ->orderByDesc('id') ->limit(40) ->get(); $dentalVisitNote = \App\Models\DentalVisitNote::owned($owner) ->where('visit_id', $workspaceVisit->id) ->first(); $dentalCatalog = $shell->provisionedServices($organization, 'dentistry'); $dentition = $dentalChart->dentition ?: \App\Services\Care\Dentistry\DentalCatalog::DENTITION_ADULT; $dentalRows = \App\Services\Care\Dentistry\DentalCatalog::odontogramRows($dentition); $dentalConditions = \App\Services\Care\Dentistry\DentalCatalog::conditions(); $dentalStatuses = \App\Services\Care\Dentistry\DentalCatalog::toothStatuses(); $dentalSurfaces = \App\Services\Care\Dentistry\DentalCatalog::surfaces(); $dentalModalities = \App\Services\Care\Dentistry\DentalCatalog::modalities(); $dentalDentitions = \App\Services\Care\Dentistry\DentalCatalog::dentitions(); $dentalPerioExam = $perioService->latestForPatient($organization, $workspaceVisit->patient, $owner); $dentalPerioSurfaces = \App\Services\Care\Dentistry\DentalCatalog::perioSurfaces(); $dentalLabCases = $labService->casesForPatient($organization, $workspaceVisit->patient, $owner); $dentalLabCaseTypes = \App\Services\Care\Dentistry\DentalCatalog::labCaseTypes(); $dentalLabCaseStatuses = \App\Services\Care\Dentistry\DentalCatalog::labCaseStatuses(); $dentalRecalls = $recallService->recallsForPatient($organization, $workspaceVisit->patient, $owner); $dentalStageCodes = collect($shell->stages('dentistry'))->pluck('code')->all(); $clinicalAlerts = array_merge( $clinicalAlerts, $analytics->alertsForPatient($organization, $workspaceVisit->patient, $owner), ); } if ($module === 'emergency') { $emergencyTriage = $clinical->findForVisit($workspaceVisit, 'emergency', 'triage'); $emergencyClinicalNote = $clinical->findForVisit($workspaceVisit, 'emergency', 'clinical_note'); $emergencyObservation = $clinical->findForVisit($workspaceVisit, 'emergency', 'observation'); $emergencyDisposition = $clinical->findForVisit($workspaceVisit, 'emergency', 'disposition'); $vitalsService = app(\App\Services\Care\Emergency\EmergencyVitalsService::class); $emergencyVitals = $vitalsService->forVisit($workspaceVisit); $emergencyLatestVitals = $vitalsService->latestForVisit($workspaceVisit); $emergencyStageCodes = collect($shell->stages('emergency'))->pluck('code')->all(); $emergencyStageFlow = app(\App\Services\Care\Emergency\EmergencyWorkflowService::class)->stageFlow(); } if ($patientHeader !== null) { $patientHeader['clinical_alerts'] = $clinicalAlerts; } $visitDocuments = $workspaceVisit->patient ? $workspaceVisit->patient->attachments() ->where(function ($q) use ($module) { $q->where('document_type', 'specialty_'.$module) ->orWhere('document_type', 'other') ->orWhereNull('document_type'); }) ->orderByDesc('id') ->limit(20) ->get() : collect(); if ($activeTab === 'orders' && $canConsult) { $investigationTypes = InvestigationType::query() ->where('organization_id', $organization->id) ->where('is_active', true) ->orderBy('name') ->get(); } } return view('care.specialty.shell', [ 'organization' => $organization, 'moduleKey' => $module, 'definition' => $shellDefinition, 'section' => $section, 'navItems' => $shell->navItems($module), 'waiting' => $waiting, 'queue' => $waiting, 'inConsultation' => $inConsultation, 'openVisits' => $openVisits, 'visitHistory' => $visitHistory, 'kpis' => $kpis, 'stages' => $shell->stages($module), 'services' => $services, 'workspaceTabs' => $shell->workspaceTabs($module), 'actions' => $shell->actions($module), 'activeTab' => $activeTab, 'workspaceVisit' => $workspaceVisit, 'patientHeader' => $patientHeader, 'timeline' => $timeline, 'clinicalRecord' => $clinicalRecord, 'clinicalFields' => $clinicalFields, 'clinicalAlerts' => $clinicalAlerts, 'visitDocuments' => $visitDocuments, 'investigationTypes' => $investigationTypes, 'dentalChart' => $dentalChart, 'dentalTeethMap' => $dentalTeethMap, 'dentalPlan' => $dentalPlan, 'dentalPlanHistory' => $dentalPlanHistory, 'dentalProcedures' => $dentalProcedures, 'dentalImages' => $dentalImages, 'dentalVisitNote' => $dentalVisitNote, 'dentalCatalog' => $dentalCatalog, 'dentalRows' => $dentalRows, 'dentalConditions' => $dentalConditions, 'dentalStatuses' => $dentalStatuses, 'dentalSurfaces' => $dentalSurfaces, 'dentalModalities' => $dentalModalities, 'dentalDentitions' => $dentalDentitions, 'dentalPerioExam' => $dentalPerioExam, 'dentalPerioSurfaces' => $dentalPerioSurfaces, 'dentalLabCases' => $dentalLabCases, 'dentalLabCaseTypes' => $dentalLabCaseTypes, 'dentalLabCaseStatuses' => $dentalLabCaseStatuses, 'dentalRecalls' => $dentalRecalls, 'dentalStageCodes' => $dentalStageCodes, 'emergencyTriage' => $emergencyTriage, 'emergencyClinicalNote' => $emergencyClinicalNote, 'emergencyObservation' => $emergencyObservation, 'emergencyDisposition' => $emergencyDisposition, 'emergencyVitals' => $emergencyVitals, 'emergencyLatestVitals' => $emergencyLatestVitals, 'emergencyStageCodes' => $emergencyStageCodes, 'emergencyStageFlow' => $emergencyStageFlow, 'queueStubs' => $modules->queueStubsFor($organization, $module), 'branchId' => $branchId, 'branchLabel' => $branchLabel, 'practitionerScope' => $practitionerScope, 'lockToPractitioner' => $practitionerScope !== null, 'canConsult' => $canConsult, 'canAdvanceStage' => $canAdvanceStage, 'canStartConsultation' => $canStartConsultation, 'canCallNext' => $canCallNext, 'canManageClinical' => $canManageClinical, 'canManageVitals' => $canManageVitals, 'canManageQueue' => $canManageQueue, 'canBookAppointments' => $canBookAppointments, 'canViewPatients' => $canViewPatients, 'canViewAppointments' => $canViewAppointments, 'canManageSpecialty' => $canManageSpecialty, 'canViewSpecialty' => $canViewSpecialty, 'canReferSpecialty' => $canReferSpecialty, 'specialtyAccessLevel' => $specialtyAccessLevel, 'queueIntegration' => $branchId ? $queueBridge->listMeta($organization, $module, $branchId) : ['enabled' => false], 'currency' => strtoupper((string) config('care.billing.currency', config('care.currency', 'GHS'))), ]); } }