Deploy Ladill Care / deploy (push) Successful in 34s
Add ED visit stages, triage-driven routing, vitals, observation, disposition, reports, and print summary so Emergency matches Dentistry’s operational depth without a parallel EHR. Co-authored-by: Cursor <cursoragent@cursor.com>
235 lines
8.6 KiB
PHP
235 lines
8.6 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\SpecialtyClinicalRecord;
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use App\Models\Visit;
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use App\Services\Care\Emergency\EmergencyAnalyticsService;
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use App\Services\Care\Emergency\EmergencyVitalsService;
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use App\Services\Care\Emergency\EmergencyWorkflowService;
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use App\Services\Care\SpecialtyClinicalRecordService;
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use App\Services\Care\SpecialtyModuleService;
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use App\Services\Care\SpecialtyShellService;
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use App\Services\Care\SpecialtyVisitStageService;
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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 EmergencyWorkspaceController extends Controller
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{
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use ScopesToAccount;
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protected function assertEmergencyAccess(Request $request, SpecialtyModuleService $modules): void
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{
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$organization = $this->organization($request);
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abort_unless($modules->memberCanAccess($organization, $this->member($request), 'emergency'), 403);
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}
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protected function assertVisit(Request $request, Visit $visit): void
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{
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abort_unless($visit->organization_id === $this->organization($request)->id, 404);
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$this->authorizeBranch($request, (int) $visit->branch_id);
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}
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public function setStage(
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Request $request,
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Visit $visit,
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SpecialtyModuleService $modules,
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SpecialtyVisitStageService $stages,
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): RedirectResponse {
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$this->authorizeAbility($request, 'consultations.manage');
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$this->assertEmergencyAccess($request, $modules);
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$this->assertVisit($request, $visit);
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$validated = $request->validate([
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'stage' => ['required', 'string', 'max:32'],
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]);
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try {
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$stages->setStage(
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$this->organization($request),
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$visit,
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'emergency',
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$validated['stage'],
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$this->ownerRef($request),
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$this->actorRef($request),
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);
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} catch (\InvalidArgumentException $e) {
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return back()->with('error', $e->getMessage());
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}
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return redirect()
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->route('care.specialty.workspace', ['module' => 'emergency', 'visit' => $visit, 'tab' => 'overview'])
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->with('success', 'Visit stage updated.');
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}
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public function saveVitals(
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Request $request,
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Visit $visit,
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SpecialtyModuleService $modules,
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EmergencyVitalsService $vitals,
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): RedirectResponse {
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$this->authorizeAbility($request, 'consultations.manage');
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$this->assertEmergencyAccess($request, $modules);
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$this->assertVisit($request, $visit);
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$validated = $request->validate([
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'bp_systolic' => ['nullable', 'integer', 'min:0', 'max:300'],
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'bp_diastolic' => ['nullable', 'integer', 'min:0', 'max:200'],
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'pulse' => ['nullable', 'integer', 'min:0', 'max:300'],
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'temperature' => ['nullable', 'numeric', 'min:30', 'max:45'],
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'spo2' => ['nullable', 'integer', 'min:0', 'max:100'],
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'respiratory_rate' => ['nullable', 'integer', 'min:0', 'max:80'],
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'weight_kg' => ['nullable', 'numeric', 'min:0', 'max:500'],
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'height_cm' => ['nullable', 'numeric', 'min:0', 'max:300'],
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]);
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try {
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$vitals->record(
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$this->organization($request),
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$visit,
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$this->ownerRef($request),
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$validated,
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$this->actorRef($request),
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);
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} catch (\InvalidArgumentException $e) {
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return back()->with('error', $e->getMessage());
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}
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return redirect()
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->route('care.specialty.workspace', ['module' => 'emergency', 'visit' => $visit, 'tab' => 'vitals'])
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->with('success', 'Vitals recorded.');
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}
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public function saveDisposition(
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Request $request,
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Visit $visit,
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SpecialtyModuleService $modules,
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SpecialtyClinicalRecordService $clinical,
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SpecialtyVisitStageService $stages,
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EmergencyWorkflowService $workflow,
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): RedirectResponse {
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$this->authorizeAbility($request, 'consultations.manage');
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$this->assertEmergencyAccess($request, $modules);
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$this->assertVisit($request, $visit);
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$organization = $this->organization($request);
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$owner = $this->ownerRef($request);
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$payload = (array) $request->input('payload', []);
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foreach ($clinical->fieldsFor('emergency', 'disposition') as $field) {
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if (($field['type'] ?? '') === 'boolean') {
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$payload[$field['name']] = $request->boolean('payload.'.$field['name']);
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}
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}
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$request->merge(['payload' => $payload, 'tab' => 'disposition']);
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$validated = $request->validate(array_merge([
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'tab' => ['required', 'string'],
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], $clinical->validationRules('emergency', 'disposition')));
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$record = $clinical->upsert(
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$organization,
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$visit,
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'emergency',
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'disposition',
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$clinical->payloadFromRequest($validated),
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$owner,
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$owner,
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EmergencyWorkflowService::STAGE_DISPOSITION,
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SpecialtyClinicalRecord::STATUS_COMPLETED,
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);
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try {
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$stages->setStage(
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$organization,
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$visit,
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'emergency',
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EmergencyWorkflowService::STAGE_DISPOSITION,
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$owner,
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$owner,
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);
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} catch (\InvalidArgumentException) {
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// Stage already disposition or map empty.
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}
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if ($workflow->shouldCompleteVisit($record->payload ?? [])) {
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$visit->refresh();
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if ($visit->status !== Visit::STATUS_COMPLETED) {
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$visit->update([
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'status' => Visit::STATUS_COMPLETED,
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'completed_at' => $visit->completed_at ?? now(),
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]);
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}
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$appointment = $visit->appointment;
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if ($appointment && $appointment->status !== \App\Models\Appointment::STATUS_COMPLETED) {
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$appointment->update([
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'status' => \App\Models\Appointment::STATUS_COMPLETED,
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'completed_at' => $appointment->completed_at ?? now(),
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]);
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}
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}
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return redirect()
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->route('care.specialty.workspace', ['module' => 'emergency', 'visit' => $visit, 'tab' => 'disposition'])
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->with('success', 'Disposition saved.');
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}
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public function reports(
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Request $request,
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SpecialtyModuleService $modules,
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SpecialtyShellService $shell,
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EmergencyAnalyticsService $analytics,
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): View {
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$this->authorizeAbility($request, 'consultations.view');
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$this->assertEmergencyAccess($request, $modules);
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$organization = $this->organization($request);
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$branchScope = app(\App\Services\Care\OrganizationResolver::class)->branchScope($this->member($request));
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$report = $analytics->report(
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$organization,
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$this->ownerRef($request),
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$branchScope,
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$request->query('from'),
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$request->query('to'),
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);
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return view('care.specialty.emergency.reports', [
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'moduleKey' => 'emergency',
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'definition' => $modules->definition('emergency'),
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'shellNav' => $shell->navItems('emergency'),
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'report' => $report,
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'currency' => strtoupper((string) config('care.billing.currency', config('care.currency', 'GHS'))),
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]);
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}
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public function printSummary(
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Request $request,
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Visit $visit,
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SpecialtyModuleService $modules,
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SpecialtyClinicalRecordService $clinical,
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EmergencyVitalsService $vitals,
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): View {
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$this->authorizeAbility($request, 'consultations.view');
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$this->assertEmergencyAccess($request, $modules);
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$this->assertVisit($request, $visit);
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$visit->loadMissing(['patient', 'appointment.practitioner', 'branch']);
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return view('care.specialty.emergency.print', [
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'visit' => $visit,
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'patient' => $visit->patient,
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'triage' => $clinical->findForVisit($visit, 'emergency', 'triage'),
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'clinicalNote' => $clinical->findForVisit($visit, 'emergency', 'clinical_note'),
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'observation' => $clinical->findForVisit($visit, 'emergency', 'observation'),
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'disposition' => $clinical->findForVisit($visit, 'emergency', 'disposition'),
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'vitals' => $vitals->forVisit($visit),
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'latestVitals' => $vitals->latestForVisit($visit),
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]);
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}
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}
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