Files
ladill-care/app/Http/Controllers/Care/AssessmentController.php
T
isaaccladandCursor 1128ea31cc
Deploy Ladill Care / deploy (push) Successful in 50s
Add GET /consultations/{uuid}/assessments for consultation-scoped forms.
Only POST existed on that path, so navigating to the natural collection URL 404'd. Serve the patient assessments index with consultation return context, and cover it with a doctor feature test.

Co-authored-by: Cursor <cursoragent@cursor.com>
2026-07-18 20:39:02 +00:00

424 lines
15 KiB
PHP

<?php
namespace App\Http\Controllers\Care;
use App\Http\Controllers\Care\Concerns\ScopesToAccount;
use App\Http\Controllers\Controller;
use App\Models\Assessment;
use App\Models\AssessmentTemplate;
use App\Models\Consultation;
use App\Models\Patient;
use App\Models\Visit;
use App\Services\Care\AssessmentService;
use App\Services\Care\CareFeatures;
use App\Services\Care\CarePermissions;
use App\Services\Care\ConsultationReturnContext;
use App\Services\Care\FhirAssessmentExporter;
use App\Services\Care\OrganizationResolver;
use Illuminate\Http\JsonResponse;
use Illuminate\Http\RedirectResponse;
use Illuminate\Http\Request;
use Illuminate\View\View;
use Symfony\Component\HttpFoundation\StreamedResponse;
class AssessmentController extends Controller
{
use ScopesToAccount;
public function __construct(
protected AssessmentService $assessments,
protected CareFeatures $features,
protected CarePermissions $permissions,
protected FhirAssessmentExporter $fhir,
) {}
public function index(Request $request, Patient $patient): View
{
$this->assertEngineEnabled($request);
$this->authorizeAbility($request, 'assessments.view');
$this->authorizePatient($request, $patient);
$branchScope = app(OrganizationResolver::class)->branchScope($this->member($request));
$assessments = $this->assessments->listForPatient(
$patient,
$this->ownerRef($request),
$request->only(['status', 'template_code', 'category', 'from', 'to', 'per_page']),
$branchScope,
);
$canCapture = $this->canCapture($request);
return view('care.assessments.index', [
'patient' => $patient,
'assessments' => $assessments,
'canCapture' => $canCapture,
'statuses' => config('care.assessment_statuses'),
'categories' => config('care.assessment_template_categories'),
'filters' => $request->only(['status', 'template_code', 'category']),
'returnConsultation' => app(ConsultationReturnContext::class)->resolve($request, (int) $patient->id),
]);
}
/**
* Consultation-scoped assessments list (same patient forms UI with return context).
* Supports GET /consultations/{uuid}/assessments — previously only POST existed.
*/
public function indexForConsultation(Request $request, Consultation $consultation): View
{
$this->authorizeConsultation($request, $consultation);
$consultation->loadMissing('patient');
$return = app(ConsultationReturnContext::class);
$return->remember($consultation);
$request->query->set(ConsultationReturnContext::QUERY_KEY, $consultation->uuid);
return $this->index($request, $consultation->patient);
}
public function create(Request $request, Patient $patient): View
{
$this->assertEngineEnabled($request);
$this->authorizeCapture($request);
$this->authorizePatient($request, $patient);
$templates = AssessmentTemplate::query()
->system()
->current()
->orderBy('category')
->orderBy('name')
->get();
$member = $this->member($request);
$capturable = $templates->filter(function (AssessmentTemplate $template) use ($member) {
try {
$this->assessments->assertCaptureAllowed($member, $template);
return true;
} catch (\Throwable) {
return false;
}
})->values();
return view('care.assessments.create', [
'patient' => $patient,
'templates' => $capturable,
'categories' => config('care.assessment_template_categories'),
'consultationUuid' => $request->query('consultation_uuid'),
'visitUuid' => $request->query('visit_uuid'),
]);
}
public function store(Request $request, Patient $patient): RedirectResponse
{
$this->assertEngineEnabled($request);
$this->authorizeCapture($request);
$this->authorizePatient($request, $patient);
$validated = $request->validate([
'template_code' => ['required', 'string', 'max:100'],
'consultation_uuid' => ['nullable', 'uuid'],
'visit_uuid' => ['nullable', 'uuid'],
]);
$context = $this->resolveContext($request, $patient, $validated);
$assessment = $this->assessments->start(
$patient,
$validated['template_code'],
$this->ownerRef($request),
$this->member($request),
$context,
);
$return = app(ConsultationReturnContext::class);
return redirect()
->route('care.assessments.show', array_filter([
'assessment' => $assessment,
...$return->routeQuery($request),
]))
->with('success', 'Assessment started.');
}
public function storeForConsultation(Request $request, Consultation $consultation): RedirectResponse
{
$this->assertEngineEnabled($request);
$this->authorizeCapture($request);
$this->authorizeConsultation($request, $consultation);
$validated = $request->validate([
'template_code' => ['required', 'string', 'max:100'],
]);
$consultation->loadMissing(['patient', 'visit']);
$this->authorizePatient($request, $consultation->patient);
$assessment = $this->assessments->start(
$consultation->patient,
$validated['template_code'],
$this->ownerRef($request),
$this->member($request),
[
'consultation' => $consultation,
'visit' => $consultation->visit,
'actor' => $this->ownerRef($request),
],
);
$return = app(ConsultationReturnContext::class);
$return->remember($consultation);
return redirect()
->route('care.assessments.show', array_filter([
'assessment' => $assessment,
...$return->query($consultation),
]))
->with('success', 'Assessment started.');
}
public function show(Request $request, Assessment $assessment): View
{
$this->assertEngineEnabled($request);
$this->authorizeAbility($request, 'assessments.view');
$this->authorizeAssessment($request, $assessment);
$assessment->load([
'template.questions',
'answers.question',
'patient',
'consultation',
'visit',
'practitioner',
'score',
]);
$answersByCode = $assessment->answers
->mapWithKeys(fn ($answer) => [
$answer->question->code => $answer->authoritativeValue($answer->question->answer_type),
]);
$canEdit = false;
if ($assessment->isDraft() && $this->canCapture($request)) {
try {
$this->assessments->assertCaptureAllowed($this->member($request), $assessment->template);
$canEdit = true;
} catch (\Throwable) {
$canEdit = false;
}
}
$return = app(ConsultationReturnContext::class);
return view('care.assessments.show', [
'assessment' => $assessment,
'answersByCode' => $answersByCode,
'canEdit' => $canEdit,
'statuses' => config('care.assessment_statuses'),
'returnConsultation' => $return->resolve($request, (int) $assessment->patient_id)
?? $return->resolveLinked($request, $assessment->consultation),
]);
}
public function update(Request $request, Assessment $assessment): RedirectResponse
{
$this->assertEngineEnabled($request);
$this->authorizeCapture($request);
$this->authorizeAssessment($request, $assessment);
$validated = $request->validate([
'answers' => ['nullable', 'array'],
'notes' => ['nullable', 'string', 'max:10000'],
]);
$this->assessments->saveAnswers(
$assessment,
$this->ownerRef($request),
$validated['answers'] ?? [],
$this->member($request),
$this->ownerRef($request),
array_key_exists('notes', $validated) ? $validated['notes'] : null,
);
$return = app(ConsultationReturnContext::class);
return redirect()
->route('care.assessments.show', array_filter([
'assessment' => $assessment,
...$return->routeQuery($request),
]))
->with('success', 'Assessment saved.');
}
public function complete(Request $request, Assessment $assessment): RedirectResponse
{
$this->assertEngineEnabled($request);
$this->authorizeCapture($request);
$this->authorizeAssessment($request, $assessment);
// Persist any posted answers first (complete form can include them).
if ($request->has('answers') || $request->has('notes')) {
$validated = $request->validate([
'answers' => ['nullable', 'array'],
'notes' => ['nullable', 'string', 'max:10000'],
]);
$this->assessments->saveAnswers(
$assessment,
$this->ownerRef($request),
$validated['answers'] ?? [],
$this->member($request),
$this->ownerRef($request),
array_key_exists('notes', $validated) ? $validated['notes'] : null,
);
$assessment->refresh();
}
$this->assessments->complete(
$assessment,
$this->ownerRef($request),
$this->member($request),
$this->ownerRef($request),
);
$return = app(ConsultationReturnContext::class);
return redirect()
->route('care.assessments.show', array_filter([
'assessment' => $assessment,
...$return->routeQuery($request),
]))
->with('success', 'Assessment completed.');
}
public function cancel(Request $request, Assessment $assessment): RedirectResponse
{
$this->assertEngineEnabled($request);
$this->authorizeCapture($request);
$this->authorizeAssessment($request, $assessment);
$this->assessments->cancel(
$assessment,
$this->ownerRef($request),
$this->member($request),
$this->ownerRef($request),
);
return redirect()
->route('care.assessments.index', $assessment->patient)
->with('success', 'Assessment cancelled.');
}
/**
* FHIR R4 Bundle (Questionnaire + QuestionnaireResponse) download.
*/
public function fhirExport(Request $request, Assessment $assessment): StreamedResponse|JsonResponse
{
$this->assertEngineEnabled($request);
$this->authorizeAbility($request, 'assessments.view');
$this->authorizeAssessment($request, $assessment);
$bundle = $this->fhir->exportBundle($assessment);
$filename = 'assessment-'.$assessment->uuid.'-fhir.json';
if ($request->wantsJson() && ! $request->boolean('download')) {
return response()->json($bundle);
}
return response()->streamDownload(
function () use ($bundle) {
echo json_encode($bundle, JSON_PRETTY_PRINT | JSON_UNESCAPED_SLASHES);
},
$filename,
['Content-Type' => 'application/fhir+json'],
);
}
protected function assertEngineEnabled(Request $request): void
{
abort_unless(
$this->features->enabled($this->organization($request), CareFeatures::ASSESSMENTS_ENGINE),
404,
);
$this->features->ensureAssessmentCatalog();
}
protected function authorizeCapture(Request $request): void
{
abort_unless($this->canCapture($request), 403);
}
protected function canCapture(Request $request): bool
{
$member = $this->member($request);
return $this->permissions->can($member, 'assessments.capture')
|| $this->permissions->can($member, 'assessments.manage');
}
protected function authorizePatient(Request $request, Patient $patient): void
{
$this->authorizeOwner($request, $patient);
abort_unless($patient->organization_id === $this->organization($request)->id, 404);
$branchId = app(OrganizationResolver::class)->branchScope($this->member($request));
if ($branchId !== null && $patient->branch_id !== $branchId) {
abort(404);
}
}
protected function authorizeConsultation(Request $request, Consultation $consultation): void
{
$this->authorizeOwner($request, $consultation);
$consultation->loadMissing('visit');
abort_unless($consultation->visit->organization_id === $this->organization($request)->id, 404);
$branchId = app(OrganizationResolver::class)->branchScope($this->member($request));
if ($branchId !== null && $consultation->visit->branch_id !== $branchId) {
abort(404);
}
}
protected function authorizeAssessment(Request $request, Assessment $assessment): void
{
$this->authorizeOwner($request, $assessment);
abort_unless($assessment->organization_id === $this->organization($request)->id, 404);
$branchId = app(OrganizationResolver::class)->branchScope($this->member($request));
if ($branchId !== null && $assessment->branch_id !== $branchId) {
abort(404);
}
}
/**
* @param array{consultation_uuid?: ?string, visit_uuid?: ?string} $validated
* @return array{consultation?: Consultation, visit?: Visit, actor: string}
*/
protected function resolveContext(Request $request, Patient $patient, array $validated): array
{
$context = ['actor' => $this->ownerRef($request)];
if (! empty($validated['consultation_uuid'])) {
$consultation = Consultation::query()
->where('uuid', $validated['consultation_uuid'])
->where('patient_id', $patient->id)
->firstOrFail();
$this->authorizeConsultation($request, $consultation);
$consultation->loadMissing('visit');
$context['consultation'] = $consultation;
$context['visit'] = $consultation->visit;
} elseif (! empty($validated['visit_uuid'])) {
$visit = Visit::query()
->where('uuid', $validated['visit_uuid'])
->where('patient_id', $patient->id)
->firstOrFail();
$this->authorizeOwner($request, $visit);
abort_unless($visit->organization_id === $this->organization($request)->id, 404);
$branchId = app(OrganizationResolver::class)->branchScope($this->member($request));
if ($branchId !== null && $visit->branch_id !== $branchId) {
abort(404);
}
$context['visit'] = $visit;
}
return $context;
}
}