Files
ladill-care/tests/Feature/CareOutcomeTrendTest.php
isaacclad 2ce4bc8993
Deploy Ladill Care / deploy (push) Successful in 1m26s
feat(assessments): layered clinical assessment engine end-to-end
Add a template-driven assessment system with universal intake, clinical
pathways, disease instruments (stroke MVP + extended, diabetes, and ten
specialty packs), scoring, patient outcome trends, REST/API + FHIR
export, and Enterprise org-level assessment analytics. Seed packs and
design/licensing docs ship for deploy and pre-GA review.
2026-07-16 22:58:09 +00:00

159 lines
5.3 KiB
PHP

<?php
namespace Tests\Feature;
use App\Http\Middleware\EnsurePlatformSession;
use App\Models\Assessment;
use App\Models\AssessmentTemplate;
use App\Models\Branch;
use App\Models\Member;
use App\Models\Organization;
use App\Models\Patient;
use App\Models\User;
use App\Services\Care\CareFeatures;
use Database\Seeders\AssessmentTemplateSeeder;
use Illuminate\Foundation\Testing\RefreshDatabase;
use Illuminate\Support\Str;
use Tests\TestCase;
/** PR 8 — outcome_core + patient trends. */
class CareOutcomeTrendTest extends TestCase
{
use RefreshDatabase;
protected User $user;
protected Organization $organization;
protected Patient $patient;
protected Member $member;
protected function setUp(): void
{
parent::setUp();
$this->withoutMiddleware(EnsurePlatformSession::class);
$this->user = User::create([
'public_id' => 'outcome-user',
'name' => 'Outcome User',
'email' => 'outcome@example.com',
]);
$this->organization = Organization::create([
'owner_ref' => $this->user->public_id,
'name' => 'Outcome Clinic',
'slug' => 'outcome-clinic',
'timezone' => 'UTC',
'settings' => [
'onboarded' => true,
'plan' => 'free',
'rollout' => [CareFeatures::ASSESSMENTS_ENGINE => true],
],
]);
$this->member = Member::create([
'owner_ref' => $this->user->public_id,
'organization_id' => $this->organization->id,
'user_ref' => $this->user->public_id,
'role' => 'nurse',
]);
Branch::create([
'owner_ref' => $this->user->public_id,
'organization_id' => $this->organization->id,
'name' => 'Main',
'is_active' => true,
]);
$this->patient = Patient::create([
'uuid' => (string) Str::uuid(),
'owner_ref' => $this->user->public_id,
'organization_id' => $this->organization->id,
'patient_number' => 'LC-OUT-001',
'first_name' => 'Kofi',
'last_name' => 'Owusu',
]);
$this->seed(AssessmentTemplateSeeder::class);
}
public function test_outcome_core_seeded(): void
{
$t = AssessmentTemplate::currentSystemByCode('outcome_core');
$this->assertNotNull($t);
$this->assertSame(AssessmentTemplate::CATEGORY_OUTCOME, $t->category);
$this->assertTrue($t->questions()->where('code', 'quality_of_life')->exists());
$this->assertTrue($t->questions()->where('code', 'falls_count')->exists());
}
public function test_nurse_can_record_outcomes_and_see_trends_on_free_plan(): void
{
$this->actingAs($this->user)
->post(route('care.outcomes.store', $this->patient))
->assertRedirect();
$assessment = Assessment::first();
$this->assertSame('outcome_core', $assessment->template->code);
$this->actingAs($this->user)
->put(route('care.assessments.update', $assessment), [
'answers' => [
'quality_of_life' => 7,
'pain_score' => 3,
'falls_count' => 1,
'hospital_admissions_since_last' => 0,
'medication_adherence' => 'good',
],
]);
$this->actingAs($this->user)
->post(route('care.assessments.complete', $assessment))
->assertRedirect();
$this->actingAs($this->user)
->get(route('care.outcomes.index', $this->patient))
->assertOk()
->assertSee('Longitudinal outcomes')
->assertSee('Quality of life trend')
->assertSee('7')
->assertSee('Pain score trend')
->assertSee('3')
->assertSee('Enterprise'); // free plan notice
$this->actingAs($this->user)
->get(route('care.patients.show', $this->patient))
->assertOk()
->assertSee('Outcomes');
}
public function test_second_outcome_builds_series(): void
{
foreach ([[5, 4], [8, 2]] as [$qol, $pain]) {
$this->actingAs($this->user)
->post(route('care.outcomes.store', $this->patient))
->assertRedirect();
$assessment = Assessment::query()->where('status', Assessment::STATUS_DRAFT)->latest('id')->first();
$this->actingAs($this->user)
->put(route('care.assessments.update', $assessment), [
'answers' => [
'quality_of_life' => $qol,
'pain_score' => $pain,
],
]);
$this->actingAs($this->user)
->post(route('care.assessments.complete', $assessment));
}
// Idempotent start when draft exists would reuse — after complete, second store creates new.
$this->assertSame(2, Assessment::where('status', Assessment::STATUS_COMPLETED)->count());
$html = $this->actingAs($this->user)
->get(route('care.outcomes.index', $this->patient))
->assertOk()
->getContent();
$this->assertStringContainsString('8', $html);
$this->assertStringContainsString('5', $html);
}
}