Deploy Ladill Care / deploy (push) Successful in 1m26s
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.
177 lines
6.4 KiB
PHP
177 lines
6.4 KiB
PHP
<?php
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namespace App\Http\Controllers\Care;
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use App\Http\Controllers\Care\Concerns\ScopesToAccount;
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use App\Http\Controllers\Controller;
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use App\Models\ClinicalPathway;
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use App\Models\Consultation;
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use App\Models\Patient;
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use App\Models\PatientPathway;
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use App\Services\Care\CareFeatures;
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use App\Services\Care\CarePermissions;
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use App\Services\Care\OrganizationResolver;
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use App\Services\Care\PathwayService;
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use Illuminate\Http\JsonResponse;
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use Illuminate\Http\RedirectResponse;
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use Illuminate\Http\Request;
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use Illuminate\View\View;
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class PathwayController extends Controller
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{
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use ScopesToAccount;
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public function __construct(
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protected PathwayService $pathways,
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protected CareFeatures $features,
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protected CarePermissions $permissions,
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) {}
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public function index(Request $request, Patient $patient): View
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{
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$this->assertPathwaysEnabled($request);
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$this->authorizeAbility($request, 'assessments.view');
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$this->authorizePatient($request, $patient);
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$active = $this->pathways->activeFor($patient);
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$history = PatientPathway::query()
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->owned($this->ownerRef($request))
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->where('patient_id', $patient->id)
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->with('pathway')
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->orderByDesc('activated_at')
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->paginate(20);
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$catalog = ClinicalPathway::query()->active()->orderBy('sort_order')->get();
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$canManage = $this->permissions->can($this->member($request), 'pathways.manage');
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return view('care.pathways.index', [
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'patient' => $patient,
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'active' => $active,
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'history' => $history,
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'catalog' => $catalog,
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'canManage' => $canManage,
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'statuses' => config('care.patient_pathway_statuses'),
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]);
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}
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public function store(Request $request, Patient $patient): RedirectResponse
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{
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$this->assertPathwaysEnabled($request);
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$this->authorizeAbility($request, 'pathways.manage');
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$this->authorizePatient($request, $patient);
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$validated = $request->validate([
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'pathway_code' => ['required', 'string', 'max:100'],
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'consultation_uuid' => ['nullable', 'uuid'],
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'activation_diagnosis_text' => ['nullable', 'string', 'max:500'],
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]);
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$pathway = ClinicalPathway::findByCode($validated['pathway_code']);
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abort_unless($pathway, 422, 'Unknown or inactive pathway.');
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$consultation = null;
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if (! empty($validated['consultation_uuid'])) {
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$consultation = Consultation::query()
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->where('uuid', $validated['consultation_uuid'])
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->where('patient_id', $patient->id)
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->firstOrFail();
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$this->authorizeConsultation($request, $consultation);
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$consultation->loadMissing(['visit', 'diagnoses']);
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}
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$patientPathway = $this->pathways->activate(
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$patient,
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$pathway,
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$this->ownerRef($request),
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$this->member($request),
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[
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'consultation' => $consultation,
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'activation_diagnosis_text' => $validated['activation_diagnosis_text'] ?? null,
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'actor' => $this->ownerRef($request),
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],
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);
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return redirect()
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->route('care.pathways.index', $patient)
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->with('success', "Pathway “{$pathway->name}” activated.");
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}
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public function deactivate(Request $request, Patient $patient, PatientPathway $patientPathway): RedirectResponse
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{
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$this->assertPathwaysEnabled($request);
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$this->authorizeAbility($request, 'pathways.manage');
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$this->authorizePatient($request, $patient);
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abort_unless($patientPathway->patient_id === $patient->id, 404);
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$this->authorizeOwner($request, $patientPathway);
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$this->pathways->deactivate(
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$patientPathway,
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$this->ownerRef($request),
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$this->member($request),
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$this->ownerRef($request),
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);
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return back()->with('success', 'Pathway deactivated.');
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}
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public function suggestions(Request $request, Consultation $consultation): JsonResponse|RedirectResponse
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{
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$this->assertPathwaysEnabled($request);
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$this->authorizeAbility($request, 'consultations.view');
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$this->authorizeConsultation($request, $consultation);
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$consultation->loadMissing(['diagnoses', 'patient']);
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$suggestions = $this->pathways->suggest($consultation->patient, $consultation->diagnoses);
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$payload = [
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'data' => $suggestions->map(fn (array $row) => [
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'pathway_code' => $row['pathway_code'],
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'pathway_name' => $row['pathway_name'],
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'rank' => $row['rank'],
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'match_reason' => $row['match_reason'],
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'already_active' => $row['already_active'],
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])->values()->all(),
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];
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if ($request->wantsJson() || $request->ajax()) {
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return response()->json($payload);
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}
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// HTML fallthrough not used — consultation show embeds suggestions server-side.
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return back()->with('pathway_suggestions', $payload['data']);
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}
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protected function assertPathwaysEnabled(Request $request): void
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{
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$org = $this->organization($request);
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// Pathways require assessments engine; suggestions flag is optional UX.
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abort_unless(
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$this->features->enabled($org, CareFeatures::ASSESSMENTS_ENGINE),
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404,
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);
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}
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protected function authorizePatient(Request $request, Patient $patient): void
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{
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$this->authorizeOwner($request, $patient);
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abort_unless($patient->organization_id === $this->organization($request)->id, 404);
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$branchId = app(OrganizationResolver::class)->branchScope($this->member($request));
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if ($branchId !== null && $patient->branch_id !== $branchId) {
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abort(404);
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}
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}
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protected function authorizeConsultation(Request $request, Consultation $consultation): void
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{
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$this->authorizeOwner($request, $consultation);
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$consultation->loadMissing('visit');
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abort_unless($consultation->visit->organization_id === $this->organization($request)->id, 404);
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$branchId = app(OrganizationResolver::class)->branchScope($this->member($request));
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if ($branchId !== null && $consultation->visit->branch_id !== $branchId) {
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abort(404);
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}
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}
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}
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