ladill-care/tests/Feature/CareMarAndNursingTest.php

<?php

namespace Tests\Feature;

use App\Http\Middleware\EnsurePlatformSession;
use App\Models\Bed;
use App\Models\Branch;
use App\Models\CareUnit;
use App\Models\Department;
use App\Models\MarAdministration;
use App\Models\MarOrder;
use App\Models\Member;
use App\Models\Organization;
use App\Models\Patient;
use App\Models\Prescription;
use App\Models\PrescriptionItem;
use App\Models\User;
use App\Models\Visit;
use App\Models\WardHandover;
use App\Services\Care\MarService;
use App\Services\Care\VisitPlacementService;
use Illuminate\Foundation\Testing\RefreshDatabase;
use Tests\TestCase;

class CareMarAndNursingTest extends TestCase
{
    use RefreshDatabase;

    protected User $owner;

    protected Organization $organization;

    protected Branch $branch;

    protected CareUnit $unit;

    protected Visit $visit;

    protected PrescriptionItem $item;

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

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

        $this->organization = Organization::create([
            'owner_ref' => $this->owner->public_id,
            'name' => 'MAR Hospital',
            'slug' => 'mar-hospital',
            'settings' => [
                'onboarded' => true,
                'facility_type' => 'hospital',
                'plan' => 'pro',
                'plan_expires_at' => now()->addMonth()->toIso8601String(),
            ],
        ]);

        Member::create([
            'owner_ref' => $this->owner->public_id,
            'organization_id' => $this->organization->id,
            'user_ref' => $this->owner->public_id,
            'role' => 'hospital_admin',
        ]);

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

        $department = Department::create([
            'owner_ref' => $this->owner->public_id,
            'branch_id' => $this->branch->id,
            'name' => 'Medicine',
            'type' => 'general',
            'is_active' => true,
        ]);

        $this->unit = CareUnit::create([
            'owner_ref' => $this->owner->public_id,
            'organization_id' => $this->organization->id,
            'department_id' => $department->id,
            'name' => 'Medical Ward',
            'kind' => 'inpatient',
            'is_active' => true,
        ]);

        $bed = Bed::create([
            'owner_ref' => $this->owner->public_id,
            'organization_id' => $this->organization->id,
            'care_unit_id' => $this->unit->id,
            'label' => 'MW-01',
            'status' => 'available',
            'is_active' => true,
        ]);

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

        $this->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_IN_PROGRESS,
            'checked_in_at' => now(),
        ]);

        app(VisitPlacementService::class)->place(
            $this->visit,
            $this->unit,
            $bed,
            $this->owner->public_id,
            $this->owner->public_id,
        );

        $rx = Prescription::create([
            'owner_ref' => $this->owner->public_id,
            'organization_id' => $this->organization->id,
            'visit_id' => $this->visit->id,
            'patient_id' => $patient->id,
            'status' => Prescription::STATUS_ACTIVE,
            'prescribed_by' => $this->owner->public_id,
        ]);

        $this->item = PrescriptionItem::create([
            'owner_ref' => $this->owner->public_id,
            'prescription_id' => $rx->id,
            'name' => 'Paracetamol',
            'dosage' => '1g',
            'frequency' => 'TDS',
            'route' => 'oral',
            'sort_order' => 1,
        ]);
    }

    public function test_mar_syncs_orders_and_records_given(): void
    {
        $mar = app(MarService::class);
        $orders = $mar->syncOrdersForVisit($this->visit->fresh(), $this->owner->public_id);
        $this->assertCount(1, $orders);
        $this->assertSame('tds', $orders->first()->frequency_code);

        $order = $orders->first();
        $scheduled = now()->startOfDay()->setTime(8, 0);

        $this->actingAs($this->owner)
            ->post(route('care.mar.administer', $order), [
                'status' => 'given',
                'scheduled_for' => $scheduled->toDateTimeString(),
            ])
            ->assertRedirect();

        $this->assertDatabaseHas('care_mar_administrations', [
            'mar_order_id' => $order->id,
            'status' => MarAdministration::STATUS_GIVEN,
        ]);

        $this->actingAs($this->owner)
            ->get(route('care.care-units.mar', $this->unit))
            ->assertOk()
            ->assertSee('Paracetamol')
            ->assertSee('Kofi');
    }

    public function test_hold_requires_reason(): void
    {
        $order = app(MarService::class)
            ->syncOrdersForVisit($this->visit->fresh(), $this->owner->public_id)
            ->first();

        $this->actingAs($this->owner)
            ->from(route('care.visits.mar', $this->visit))
            ->post(route('care.mar.administer', $order), [
                'status' => 'held',
                'scheduled_for' => now()->startOfDay()->setTime(8, 0)->toDateTimeString(),
            ])
            ->assertRedirect()
            ->assertSessionHasErrors('reason');
    }

    public function test_nursing_note_and_handover(): void
    {
        $this->travelTo(now()->setTime(16, 30));

        $this->actingAs($this->owner)
            ->get(route('care.care-units.notes', $this->unit))
            ->assertOk()
            ->assertSee('Evening shift')
            ->assertDontSee('name="shift_code"', false);

        $this->actingAs($this->owner)
            ->post(route('care.care-units.notes.store', $this->unit), [
                'visit_id' => $this->visit->id,
                'note_type' => 'progress',
                'shift_code' => 'night', // ignored — duty/clock sets shift
                'body' => 'Vitals stable; pain controlled.',
            ])
            ->assertRedirect(route('care.care-units.notes', [$this->unit, 'visit' => $this->visit->id]));

        $this->assertDatabaseHas('care_nursing_notes', [
            'visit_id' => $this->visit->id,
            'body' => 'Vitals stable; pain controlled.',
            'shift_code' => 'evening',
        ]);

        $this->actingAs($this->owner)
            ->post(route('care.care-units.handovers.store', $this->unit), [
                'from_shift' => 'day',
                'to_shift' => 'night',
                'situation' => 'Quiet ward',
                'background' => '4 patients',
                'assessment' => 'Stable',
                'recommendation' => 'Continue observations',
                'complete' => '1',
            ])
            ->assertRedirect(route('care.care-units.handovers', $this->unit));

        $this->assertDatabaseHas('care_ward_handovers', [
            'care_unit_id' => $this->unit->id,
            'status' => WardHandover::STATUS_COMPLETED,
            'from_shift' => 'day',
            'to_shift' => 'night',
        ]);

        $this->actingAs($this->owner)
            ->get(route('care.care-units.notes', $this->unit))
            ->assertOk()
            ->assertSee('Vitals stable');

        $this->actingAs($this->owner)
            ->get(route('care.care-units.notes', [$this->unit, 'visit' => $this->visit->id]))
            ->assertOk()
            ->assertSee('value="'.$this->visit->id.'" selected', false);

        $this->actingAs($this->owner)
            ->get(route('care.care-units.handovers', $this->unit))
            ->assertOk()
            ->assertSee('Completed');
    }

    public function test_duplicate_scheduled_dose_rejected(): void
    {
        $order = app(MarService::class)
            ->syncOrdersForVisit($this->visit->fresh(), $this->owner->public_id)
            ->first();
        $scheduled = now()->startOfDay()->setTime(8, 0)->toDateTimeString();

        $this->actingAs($this->owner)
            ->post(route('care.mar.administer', $order), [
                'status' => 'given',
                'scheduled_for' => $scheduled,
            ])
            ->assertRedirect();

        $this->actingAs($this->owner)
            ->from(route('care.visits.mar', $this->visit))
            ->post(route('care.mar.administer', $order), [
                'status' => 'given',
                'scheduled_for' => $scheduled,
            ])
            ->assertRedirect()
            ->assertSessionHasErrors('scheduled_for');

        $this->assertSame(1, MarAdministration::query()->where('mar_order_id', $order->id)->count());
        $this->assertSame(1, MarOrder::query()->where('visit_id', $this->visit->id)->count());
    }
}