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ladill-care/app/Http/Controllers/Care/EmergencyWorkspaceController.php
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isaaccladandCursor 2cff8fdd6c
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Gate specialty modules by staff role with view and refer levels.
Give nurses, lab techs, pharmacists, and GPs broad access to day-to-day modules, keep restricted specialties for specialists (with support nurses), and let GPs view results or refer without full clinical edit.

Co-authored-by: Cursor <cursoragent@cursor.com>
2026-07-18 18:03:47 +00:00

241 lines
8.9 KiB
PHP

<?php
namespace App\Http\Controllers\Care;
use App\Http\Controllers\Care\Concerns\ScopesToAccount;
use App\Http\Controllers\Controller;
use App\Models\SpecialtyClinicalRecord;
use App\Models\Visit;
use App\Services\Care\Emergency\EmergencyAnalyticsService;
use App\Services\Care\Emergency\EmergencyVitalsService;
use App\Services\Care\Emergency\EmergencyWorkflowService;
use App\Services\Care\SpecialtyClinicalRecordService;
use App\Services\Care\SpecialtyModuleService;
use App\Services\Care\SpecialtyShellService;
use App\Services\Care\SpecialtyVisitStageService;
use Illuminate\Http\RedirectResponse;
use Illuminate\Http\Request;
use Illuminate\View\View;
class EmergencyWorkspaceController extends Controller
{
use ScopesToAccount;
protected function assertEmergencyAccess(Request $request, SpecialtyModuleService $modules): void
{
$organization = $this->organization($request);
abort_unless($modules->memberCanAccess($organization, $this->member($request), 'emergency'), 403);
}
protected function assertEmergencyManage(Request $request, SpecialtyModuleService $modules): void
{
$organization = $this->organization($request);
abort_unless($modules->memberCanManage($organization, $this->member($request), 'emergency'), 403);
}
protected function assertVisit(Request $request, Visit $visit): void
{
abort_unless($visit->organization_id === $this->organization($request)->id, 404);
$this->authorizeBranch($request, (int) $visit->branch_id);
}
public function setStage(
Request $request,
Visit $visit,
SpecialtyModuleService $modules,
SpecialtyVisitStageService $stages,
): RedirectResponse {
$this->authorizeAbility($request, 'consultations.manage');
$this->assertEmergencyManage($request, $modules);
$this->assertVisit($request, $visit);
$validated = $request->validate([
'stage' => ['required', 'string', 'max:32'],
]);
try {
$stages->setStage(
$this->organization($request),
$visit,
'emergency',
$validated['stage'],
$this->ownerRef($request),
$this->actorRef($request),
);
} catch (\InvalidArgumentException $e) {
return back()->with('error', $e->getMessage());
}
return redirect()
->route('care.specialty.workspace', ['module' => 'emergency', 'visit' => $visit, 'tab' => 'overview'])
->with('success', 'Visit stage updated.');
}
public function saveVitals(
Request $request,
Visit $visit,
SpecialtyModuleService $modules,
EmergencyVitalsService $vitals,
): RedirectResponse {
$this->authorizeAbility($request, 'consultations.manage');
$this->assertEmergencyManage($request, $modules);
$this->assertVisit($request, $visit);
$validated = $request->validate([
'bp_systolic' => ['nullable', 'integer', 'min:0', 'max:300'],
'bp_diastolic' => ['nullable', 'integer', 'min:0', 'max:200'],
'pulse' => ['nullable', 'integer', 'min:0', 'max:300'],
'temperature' => ['nullable', 'numeric', 'min:30', 'max:45'],
'spo2' => ['nullable', 'integer', 'min:0', 'max:100'],
'respiratory_rate' => ['nullable', 'integer', 'min:0', 'max:80'],
'weight_kg' => ['nullable', 'numeric', 'min:0', 'max:500'],
'height_cm' => ['nullable', 'numeric', 'min:0', 'max:300'],
]);
try {
$vitals->record(
$this->organization($request),
$visit,
$this->ownerRef($request),
$validated,
$this->actorRef($request),
);
} catch (\InvalidArgumentException $e) {
return back()->with('error', $e->getMessage());
}
return redirect()
->route('care.specialty.workspace', ['module' => 'emergency', 'visit' => $visit, 'tab' => 'vitals'])
->with('success', 'Vitals recorded.');
}
public function saveDisposition(
Request $request,
Visit $visit,
SpecialtyModuleService $modules,
SpecialtyClinicalRecordService $clinical,
SpecialtyVisitStageService $stages,
EmergencyWorkflowService $workflow,
): RedirectResponse {
$this->authorizeAbility($request, 'consultations.manage');
$this->assertEmergencyManage($request, $modules);
$this->assertVisit($request, $visit);
$organization = $this->organization($request);
$owner = $this->ownerRef($request);
$payload = (array) $request->input('payload', []);
foreach ($clinical->fieldsFor('emergency', 'disposition') as $field) {
if (($field['type'] ?? '') === 'boolean') {
$payload[$field['name']] = $request->boolean('payload.'.$field['name']);
}
}
$request->merge(['payload' => $payload, 'tab' => 'disposition']);
$validated = $request->validate(array_merge([
'tab' => ['required', 'string'],
], $clinical->validationRules('emergency', 'disposition')));
$record = $clinical->upsert(
$organization,
$visit,
'emergency',
'disposition',
$clinical->payloadFromRequest($validated),
$owner,
$owner,
EmergencyWorkflowService::STAGE_DISPOSITION,
SpecialtyClinicalRecord::STATUS_COMPLETED,
);
try {
$stages->setStage(
$organization,
$visit,
'emergency',
EmergencyWorkflowService::STAGE_DISPOSITION,
$owner,
$owner,
);
} catch (\InvalidArgumentException) {
// Stage already disposition or map empty.
}
if ($workflow->shouldCompleteVisit($record->payload ?? [])) {
$visit->refresh();
if ($visit->status !== Visit::STATUS_COMPLETED) {
$visit->update([
'status' => Visit::STATUS_COMPLETED,
'completed_at' => $visit->completed_at ?? now(),
]);
}
$appointment = $visit->appointment;
if ($appointment && $appointment->status !== \App\Models\Appointment::STATUS_COMPLETED) {
$appointment->update([
'status' => \App\Models\Appointment::STATUS_COMPLETED,
'completed_at' => $appointment->completed_at ?? now(),
]);
}
}
return redirect()
->route('care.specialty.workspace', ['module' => 'emergency', 'visit' => $visit, 'tab' => 'disposition'])
->with('success', 'Disposition saved.');
}
public function reports(
Request $request,
SpecialtyModuleService $modules,
SpecialtyShellService $shell,
EmergencyAnalyticsService $analytics,
): View {
$this->authorizeAbility($request, 'consultations.view');
$this->assertEmergencyAccess($request, $modules);
$organization = $this->organization($request);
$branchScope = app(\App\Services\Care\OrganizationResolver::class)->branchScope($this->member($request));
$report = $analytics->report(
$organization,
$this->ownerRef($request),
$branchScope,
$request->query('from'),
$request->query('to'),
);
return view('care.specialty.emergency.reports', [
'moduleKey' => 'emergency',
'definition' => $modules->definition('emergency'),
'shellNav' => $shell->navItems('emergency'),
'report' => $report,
'currency' => strtoupper((string) config('care.billing.currency', config('care.currency', 'GHS'))),
]);
}
public function printSummary(
Request $request,
Visit $visit,
SpecialtyModuleService $modules,
SpecialtyClinicalRecordService $clinical,
EmergencyVitalsService $vitals,
): View {
$this->authorizeAbility($request, 'consultations.view');
$this->assertEmergencyAccess($request, $modules);
$this->assertVisit($request, $visit);
$visit->loadMissing(['patient', 'appointment.practitioner', 'branch']);
return view('care.specialty.emergency.print', [
'visit' => $visit,
'patient' => $visit->patient,
'triage' => $clinical->findForVisit($visit, 'emergency', 'triage'),
'clinicalNote' => $clinical->findForVisit($visit, 'emergency', 'clinical_note'),
'observation' => $clinical->findForVisit($visit, 'emergency', 'observation'),
'disposition' => $clinical->findForVisit($visit, 'emergency', 'disposition'),
'vitals' => $vitals->forVisit($visit),
'latestVitals' => $vitals->latestForVisit($visit),
]);
}
}