Files
ladill-care/tests/Feature/CareUniversalIntakeTest.php
T
isaacclad 6c9051d2c6
Deploy Ladill Care / deploy (push) Successful in 1m22s
fix(ui): use clinician-friendly assessment copy
Replace internal design jargon (Layer 1, narrative source of truth,
pathway instruments) with plain clinical language on consultations,
patient charts, settings, and nav.
2026-07-16 23:17:08 +00:00

200 lines
7.1 KiB
PHP

<?php
namespace Tests\Feature;
use App\Http\Middleware\EnsurePlatformSession;
use App\Models\Assessment;
use App\Models\AssessmentQuestion;
use App\Models\AssessmentTemplate;
use App\Models\Branch;
use App\Models\Consultation;
use App\Models\Member;
use App\Models\Organization;
use App\Models\Patient;
use App\Models\User;
use App\Models\Visit;
use App\Services\Care\CareFeatures;
use Database\Seeders\AssessmentTemplateSeeder;
use Illuminate\Foundation\Testing\RefreshDatabase;
use Illuminate\Support\Str;
use Tests\TestCase;
class CareUniversalIntakeTest extends TestCase
{
use RefreshDatabase;
protected User $user;
protected Organization $organization;
protected Branch $branch;
protected Patient $patient;
protected Member $member;
protected function setUp(): void
{
parent::setUp();
$this->withoutMiddleware(EnsurePlatformSession::class);
$this->user = User::create([
'public_id' => 'universal-intake-user',
'name' => 'Intake User',
'email' => 'intake@example.com',
]);
$this->organization = Organization::create([
'owner_ref' => $this->user->public_id,
'name' => 'Intake Clinic',
'slug' => 'intake-clinic',
'timezone' => 'UTC',
'settings' => [
'onboarded' => true,
'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',
]);
$this->branch = 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,
'branch_id' => $this->branch->id,
'patient_number' => 'LC-INTAKE-001',
'first_name' => 'Kwame',
'last_name' => 'Boateng',
]);
}
public function test_assessment_template_seeder_loads_universal_intake_pack(): void
{
$this->seed(AssessmentTemplateSeeder::class);
$template = AssessmentTemplate::currentSystemByCode('universal_intake');
$this->assertNotNull($template);
$this->assertSame(1, $template->version);
$this->assertSame(AssessmentTemplate::CATEGORY_UNIVERSAL, $template->category);
$this->assertNull($template->organization_id);
$this->assertSame(['doctor', 'nurse'], $template->meta['capture_roles'] ?? null);
$codes = $template->questions()->pluck('code')->all();
$this->assertContains('chief_complaint', $codes);
$this->assertContains('hpi', $codes);
$this->assertContains('pain_score', $codes);
$this->assertContains('smoking_status', $codes);
$this->assertContains('mobility', $codes);
$this->assertContains('baseline_labs_summary', $codes);
$chief = $template->questions()->where('code', 'chief_complaint')->first();
$this->assertTrue($chief->is_required);
$this->assertSame(AssessmentQuestion::TYPE_TEXTAREA, $chief->answer_type);
}
public function test_seeder_is_idempotent_and_replaces_questions(): void
{
$this->seed(AssessmentTemplateSeeder::class);
$firstId = AssessmentTemplate::currentSystemByCode('universal_intake')->id;
$questionCount = AssessmentQuestion::where('template_id', $firstId)->count();
$this->seed(AssessmentTemplateSeeder::class);
$this->assertSame(1, AssessmentTemplate::where('code', 'universal_intake')->count());
$this->assertSame($firstId, AssessmentTemplate::currentSystemByCode('universal_intake')->id);
$this->assertSame($questionCount, AssessmentQuestion::where('template_id', $firstId)->count());
}
public function test_nurse_can_complete_seeded_universal_intake_on_consultation(): void
{
$this->seed(AssessmentTemplateSeeder::class);
$visit = Visit::create([
'owner_ref' => $this->user->public_id,
'organization_id' => $this->organization->id,
'branch_id' => $this->branch->id,
'patient_id' => $this->patient->id,
'status' => Visit::STATUS_OPEN,
'checked_in_at' => now(),
]);
$consultation = Consultation::create([
'owner_ref' => $this->user->public_id,
'visit_id' => $visit->id,
'patient_id' => $this->patient->id,
'status' => Consultation::STATUS_DRAFT,
'started_at' => now(),
'symptoms' => 'Free-text headache narrative',
]);
// Nurse has vitals + assessments.capture; free-text symptoms fields require consultations.manage.
$this->actingAs($this->user)
->get(route('care.consultations.show', $consultation))
->assertOk()
->assertSee('Patient history form')
->assertSee('do not overwrite each other', false)
->assertSee('Start patient history form');
$this->actingAs($this->user)
->post(route('care.consultations.assessments.store', $consultation), [
'template_code' => 'universal_intake',
])
->assertRedirect();
$assessment = Assessment::first();
$this->assertNotNull($assessment);
$this->assertSame($consultation->id, $assessment->consultation_id);
$this->assertSame('universal_intake', $assessment->template->code);
$this->actingAs($this->user)
->put(route('care.assessments.update', $assessment), [
'answers' => [
'chief_complaint' => 'Severe headache for 2 days',
'pain_score' => 7,
'smoking_status' => 'never',
'mobility' => 'independent',
],
])
->assertRedirect();
$this->actingAs($this->user)
->post(route('care.assessments.complete', $assessment))
->assertRedirect();
$assessment->refresh();
$this->assertTrue($assessment->isCompleted());
// Dual narrative: free-text symptoms unchanged by structured intake.
$this->assertSame('Free-text headache narrative', $consultation->fresh()->symptoms);
$this->actingAs($this->user)
->get(route('care.patients.show', $this->patient))
->assertOk()
->assertSee('Patient history form')
->assertSee('Severe headache for 2 days');
}
public function test_create_form_lists_seeded_universal_for_nurse(): void
{
$this->seed(AssessmentTemplateSeeder::class);
$this->actingAs($this->user)
->get(route('care.assessments.create', $this->patient))
->assertOk()
->assertSee('Universal Intake')
->assertSee('universal_intake');
}
}