ladill-care/tests/Feature/CareSpecialtyClinicalTest.php

<?php

namespace Tests\Feature;

use App\Http\Middleware\EnsurePlatformSession;
use App\Models\Appointment;
use App\Models\Branch;
use App\Models\Department;
use App\Models\Member;
use App\Models\Organization;
use App\Models\Patient;
use App\Models\SpecialtyClinicalRecord;
use App\Models\User;
use App\Models\Visit;
use App\Services\Care\SpecialtyModuleService;
use Illuminate\Foundation\Testing\RefreshDatabase;
use Tests\TestCase;

class CareSpecialtyClinicalTest extends TestCase
{
    use RefreshDatabase;

    protected User $owner;

    protected Organization $organization;

    protected Branch $branch;

    protected function setUp(): void
    {
        parent::setUp();
        $this->withoutMiddleware(EnsurePlatformSession::class);

        $this->owner = User::create([
            'public_id' => 'clinical-owner',
            'name' => 'Owner',
            'email' => 'clinical@example.com',
        ]);

        $this->organization = Organization::create([
            'owner_ref' => $this->owner->public_id,
            'name' => 'Clinical Clinic',
            'slug' => 'clinical-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' => 'nurse',
        ]);

        $this->branch = Branch::create([
            'owner_ref' => $this->owner->public_id,
            'organization_id' => $this->organization->id,
            'name' => 'Main',
            'is_active' => true,
        ]);
    }

    /**
     * @return array{0: Visit, 1: Department}
     */
    protected function activateWithVisit(string $module, string $departmentType): array
    {
        app(SpecialtyModuleService::class)->activate(
            $this->organization,
            $this->owner->public_id,
            $module,
        );

        $department = Department::query()
            ->where('branch_id', $this->branch->id)
            ->where('type', $departmentType)
            ->firstOrFail();

        $patient = Patient::create([
            'owner_ref' => $this->owner->public_id,
            'organization_id' => $this->organization->id,
            'branch_id' => $this->branch->id,
            'patient_number' => 'P-CL-1',
            'first_name' => 'Kofi',
            'last_name' => 'Asante',
            'gender' => 'male',
            'date_of_birth' => '1985-03-01',
        ]);

        $visit = Visit::create([
            'owner_ref' => $this->owner->public_id,
            'organization_id' => $this->organization->id,
            'branch_id' => $this->branch->id,
            'patient_id' => $patient->id,
            'status' => Visit::STATUS_OPEN,
            'checked_in_at' => now(),
        ]);

        Appointment::create([
            'owner_ref' => $this->owner->public_id,
            'organization_id' => $this->organization->id,
            'branch_id' => $this->branch->id,
            'patient_id' => $patient->id,
            'department_id' => $department->id,
            'visit_id' => $visit->id,
            'type' => Appointment::TYPE_WALK_IN,
            'status' => Appointment::STATUS_WAITING,
            'scheduled_at' => now(),
            'waiting_at' => now(),
        ]);

        return [$visit, $department];
    }

    public function test_emergency_triage_form_saves_structured_record_and_alerts(): void
    {
        [$visit] = $this->activateWithVisit('emergency', 'emergency');

        $this->actingAs($this->owner)
            ->get(route('care.specialty.workspace', ['module' => 'emergency', 'visit' => $visit, 'tab' => 'triage']))
            ->assertOk()
            ->assertSee('Triage acuity')
            ->assertSee('Chief complaint');

        $this->actingAs($this->owner)
            ->post(route('care.specialty.clinical.save', ['module' => 'emergency', 'visit' => $visit]), [
                'tab' => 'triage',
                'stage_code' => 'arrival',
                'status' => 'active',
                'payload' => [
                    'acuity' => '1 - Resuscitation',
                    'chief_complaint' => 'Chest pain',
                    'airway_ok' => '0',
                    'breathing_ok' => '1',
                    'circulation_ok' => '1',
                    'pain_score' => '9',
                    'mode_of_arrival' => 'Ambulance',
                    'disposition_intent' => 'Resus',
                    'notes' => 'Immediate attention',
                ],
            ])
            ->assertRedirect();

        $record = SpecialtyClinicalRecord::query()
            ->where('visit_id', $visit->id)
            ->where('record_type', 'triage')
            ->first();

        $this->assertNotNull($record);
        $this->assertSame('Chest pain', $record->payload['chief_complaint'] ?? null);
        $this->assertFalse((bool) ($record->payload['airway_ok'] ?? true));
        $this->assertNotEmpty($record->alerts);
        $this->assertTrue(collect($record->alerts)->contains(fn ($a) => ($a['code'] ?? '') === 'er.high_acuity'));
        $this->assertTrue(collect($record->alerts)->contains(fn ($a) => ($a['code'] ?? '') === 'er.abc_compromise'));

        $this->actingAs($this->owner)
            ->get(route('care.specialty.workspace', ['module' => 'emergency', 'visit' => $visit, 'tab' => 'triage']))
            ->assertOk()
            ->assertSee('High-acuity triage')
            ->assertSee('ABC compromise');
    }

    public function test_blood_bank_request_save(): void
    {
        [$bbVisit] = $this->activateWithVisit('blood_bank', 'blood_bank');

        $this->actingAs($this->owner)
            ->post(route('care.specialty.clinical.save', ['module' => 'blood_bank', 'visit' => $bbVisit]), [
                'tab' => 'requests',
                'payload' => [
                    'product' => 'Packed RBC',
                    'units' => '2',
                    'urgency' => 'Emergency / massive',
                    'patient_blood_group' => 'O+',
                    'indication' => 'Trauma bleed',
                    'crossmatch_status' => 'Not started',
                ],
            ])
            ->assertRedirect();

        $this->assertDatabaseHas('care_specialty_clinical_records', [
            'visit_id' => $bbVisit->id,
            'module_key' => 'blood_bank',
            'record_type' => 'blood_request',
        ]);
    }

    public function test_ophthalmology_uses_eye_exam_form_not_generic_notes(): void
    {
        app(SpecialtyModuleService::class)->activate(
            $this->organization,
            $this->owner->public_id,
            'ophthalmology',
        );

        $fields = app(\App\Services\Care\SpecialtyClinicalRecordService::class)
            ->fieldsFor('ophthalmology', 'eye_exam');
        $names = collect($fields)->pluck('name')->all();

        $this->assertContains('va_od', $names);
        $this->assertContains('iop_os', $names);
        $this->assertNotContains('notes', $names);

        [$visit] = $this->activateWithVisit('ophthalmology', 'ophthalmology');

        $this->actingAs($this->owner)
            ->get(route('care.specialty.workspace', [
                'module' => 'ophthalmology',
                'visit' => $visit,
                'tab' => 'exam',
            ]))
            ->assertOk()
            ->assertSee('Visual acuity OD')
            ->assertSee('IOP OS');
    }
}