withoutMiddleware(EnsurePlatformSession::class); $this->owner = User::create([ 'public_id' => 'ent-owner', 'name' => 'Owner', 'email' => 'ent-owner@example.com', ]); $this->organization = Organization::create([ 'owner_ref' => $this->owner->public_id, 'name' => 'ENT Clinic', 'slug' => 'ent-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, 'ent', ); $department = Department::query() ->where('branch_id', $this->branch->id) ->where('type', 'ent') ->firstOrFail(); $this->patient = Patient::create([ 'owner_ref' => $this->owner->public_id, 'organization_id' => $this->organization->id, 'branch_id' => $this->branch->id, 'patient_number' => 'P-ENT-SUITE', 'first_name' => 'Esi', 'last_name' => 'Throat', 'gender' => 'female', 'date_of_birth' => '1988-09-02', ]); $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' => 'ent', 'visit' => $this->visit, 'tab' => 'overview', ])) ->assertOk() ->assertSee('ENT overview') ->assertSee('data-care-stage-bar', false) ->assertSee('Start history') ->assertSee('ENT reports'); $this->actingAs($this->owner) ->get(route('care.specialty.workspace', [ 'module' => 'ent', 'visit' => $this->visit, 'tab' => 'exam', ])) ->assertOk() ->assertSee('Chief complaint') ->assertSee('Airway concern'); } public function test_exam_sets_stage_and_airway_alert(): void { $this->actingAs($this->owner) ->post(route('care.specialty.clinical.save', [ 'module' => 'ent', 'visit' => $this->visit, ]), [ 'tab' => 'exam', 'payload' => [ 'chief_complaint' => 'Sore throat with muffled voice', 'throat_findings' => 'Unilateral tonsillar bulge', 'airway_concern' => '1', 'exam_summary' => 'Possible peritonsillar abscess', ], ]) ->assertRedirect(); $this->assertSame('exam', $this->visit->fresh()->specialty_stage); $record = SpecialtyClinicalRecord::query() ->where('visit_id', $this->visit->id) ->where('record_type', 'ent_exam') ->firstOrFail(); $codes = collect($record->alerts)->pluck('code')->all(); $this->assertContains('ent.airway_concern', $codes); } public function test_stage_advance_and_procedure_completes_visit(): void { $this->actingAs($this->owner) ->post(route('care.specialty.ent.stage', $this->visit), [ 'stage' => 'procedure', ]) ->assertRedirect(route('care.specialty.workspace', [ 'module' => 'ent', 'visit' => $this->visit, 'tab' => 'procedure', ])); $this->assertSame('procedure', $this->visit->fresh()->specialty_stage); $this->actingAs($this->owner) ->post(route('care.specialty.ent.procedure', $this->visit), [ 'tab' => 'procedure', 'payload' => [ 'procedure' => 'Needle aspiration of PTA', 'indication' => 'Peritonsillar abscess', 'outcome' => 'Completed uneventfully', 'post_procedure_plan' => 'IV antibiotics; airway observation', ], ]) ->assertRedirect(route('care.specialty.workspace', [ 'module' => 'ent', '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' => 'ent_procedure', 'status' => SpecialtyClinicalRecord::STATUS_COMPLETED, ]); } public function test_reports_and_print(): void { $this->actingAs($this->owner) ->get(route('care.specialty.ent.reports')) ->assertOk() ->assertSee('ENT reports') ->assertSee('Arrivals today'); $this->actingAs($this->owner) ->get(route('care.specialty.ent.print', $this->visit)) ->assertOk() ->assertSee('ENT summary') ->assertSee($this->patient->fullName()); } public function test_list_index_does_not_auto_open_patient(): void { $this->actingAs($this->owner) ->get(route('care.specialty.show', 'ent')) ->assertOk() ->assertDontSee('ENT overview'); } }