withoutMiddleware(EnsurePlatformSession::class); $this->owner = User::create([ 'public_id' => 'der-owner', 'name' => 'Owner', 'email' => 'der-owner@example.com', ]); $this->organization = Organization::create([ 'owner_ref' => $this->owner->public_id, 'name' => 'Dermatology Clinic', 'slug' => 'dermatology-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, 'dermatology', ); $department = Department::query() ->where('branch_id', $this->branch->id) ->where('type', 'dermatology') ->firstOrFail(); $this->patient = Patient::create([ 'owner_ref' => $this->owner->public_id, 'organization_id' => $this->organization->id, 'branch_id' => $this->branch->id, 'patient_number' => 'P-DER-SUITE', 'first_name' => 'Ama', 'last_name' => 'Mensah', 'gender' => 'female', 'date_of_birth' => '1988-05-12', ]); $this->visit = Visit::create([ 'owner_ref' => $this->owner->public_id, 'organization_id' => $this->organization->id, 'branch_id' => $this->branch->id, 'patient_id' => $this->patient->id, 'status' => Visit::STATUS_IN_PROGRESS, 'checked_in_at' => now(), 'specialty_stage' => 'check_in', ]); Appointment::create([ 'owner_ref' => $this->owner->public_id, 'organization_id' => $this->organization->id, 'branch_id' => $this->branch->id, 'patient_id' => $this->patient->id, 'department_id' => $department->id, 'visit_id' => $this->visit->id, 'type' => Appointment::TYPE_WALK_IN, 'status' => Appointment::STATUS_IN_CONSULTATION, 'scheduled_at' => now(), 'waiting_at' => now(), 'checked_in_at' => now(), 'started_at' => now(), ]); } public function test_overview_and_exam_tabs_render(): void { $this->actingAs($this->owner) ->get(route('care.specialty.workspace', [ 'module' => 'dermatology', 'visit' => $this->visit, 'tab' => 'overview', ])) ->assertOk() ->assertSee('Dermatology overview') ->assertSee('data-care-stage-bar', false) ->assertSee('Skin exam') ->assertSee('Start history') ->assertSee('Dermatology reports'); $this->actingAs($this->owner) ->get(route('care.specialty.workspace', [ 'module' => 'dermatology', 'visit' => $this->visit, 'tab' => 'exam', ])) ->assertOk() ->assertSee('Chief complaint') ->assertSee('Lesion morphology'); } public function test_exam_sets_stage_and_urgency_alert(): void { $this->actingAs($this->owner) ->post(route('care.specialty.clinical.save', [ 'module' => 'dermatology', 'visit' => $this->visit, ]), [ 'tab' => 'exam', 'payload' => [ 'chief_complaint' => 'Changing mole', 'urgency' => 'Suspected malignancy', 'duration' => '3 months', 'distribution' => 'Left forearm', 'morphology' => 'Asymmetric pigmented lesion with irregular border', 'itch_pain' => 'None', 'dermoscopy' => 'Atypical network', 'differential' => 'Melanoma vs atypical naevus', ], ]) ->assertRedirect(); $this->assertSame('exam', $this->visit->fresh()->specialty_stage); $record = SpecialtyClinicalRecord::query() ->where('visit_id', $this->visit->id) ->where('record_type', 'skin_exam') ->firstOrFail(); $codes = collect($record->alerts)->pluck('code')->all(); $this->assertContains('der.urgency_high', $codes); } public function test_stage_advance_and_procedure_completes_visit(): void { $this->actingAs($this->owner) ->post(route('care.specialty.dermatology.stage', $this->visit), [ 'stage' => 'procedure', ]) ->assertRedirect(route('care.specialty.workspace', [ 'module' => 'dermatology', 'visit' => $this->visit, 'tab' => 'procedure', ])); $this->assertSame('procedure', $this->visit->fresh()->specialty_stage); $this->actingAs($this->owner) ->post(route('care.specialty.dermatology.procedure', $this->visit), [ 'tab' => 'procedure', 'payload' => [ 'procedure' => 'Excision biopsy', 'indication' => 'Suspected melanoma', 'outcome' => 'Completed uneventfully', 'post_procedure_plan' => 'Wound care; await histology', ], ]) ->assertRedirect(route('care.specialty.workspace', [ 'module' => 'dermatology', 'visit' => $this->visit, 'tab' => 'procedure', ])); $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' => 'derm_procedure', 'status' => SpecialtyClinicalRecord::STATUS_COMPLETED, ]); } public function test_reports_and_print(): void { $this->actingAs($this->owner) ->get(route('care.specialty.dermatology.reports')) ->assertOk() ->assertSee('Dermatology reports') ->assertSee('Arrivals today'); $this->actingAs($this->owner) ->get(route('care.specialty.dermatology.print', $this->visit)) ->assertOk() ->assertSee('Dermatology summary') ->assertSee($this->patient->fullName()); } public function test_list_index_does_not_auto_open_patient(): void { $this->actingAs($this->owner) ->get(route('care.specialty.show', 'dermatology')) ->assertOk() ->assertDontSee('Dermatology overview'); } }