Files
ladill-care/app/Http/Controllers/Care/SpecialtyModuleController.php
T
isaaccladandCursor a00a8249ad
Deploy Ladill Care / deploy (push) Successful in 40s
Improve specialty workspace actions and Call next handoff.
Move timeline into a workspace tab, surface Complete consultation and Call again in Actions, and make Call next end the current encounter then open the next called patient.

Co-authored-by: Cursor <cursoragent@cursor.com>
2026-07-18 16:12:30 +00:00

610 lines
24 KiB
PHP

<?php
namespace App\Http\Controllers\Care;
use App\Http\Controllers\Care\Concerns\ScopesToAccount;
use App\Http\Controllers\Controller;
use App\Models\Appointment;
use App\Models\Department;
use App\Models\PatientAttachment;
use App\Models\Visit;
use App\Services\Care\AppointmentService;
use App\Services\Care\CareQueueBridge;
use App\Services\Care\CareQueueSessionAdvance;
use App\Services\Care\ConsultationService;
use App\Services\Care\OrganizationResolver;
use App\Services\Care\SpecialtyClinicalRecordService;
use App\Services\Care\SpecialtyModuleService;
use App\Services\Care\SpecialtyShellService;
use Illuminate\Http\RedirectResponse;
use Illuminate\Http\Request;
use Illuminate\View\View;
class SpecialtyModuleController extends Controller
{
use ScopesToAccount;
public function show(
Request $request,
string $module,
SpecialtyModuleService $modules,
SpecialtyShellService $shell,
CareQueueBridge $queueBridge,
): RedirectResponse {
$definition = $modules->definition($module);
abort_unless($definition, 404);
abort_unless(
$modules->memberCanAccess($this->organization($request), $this->member($request), $module),
403,
);
// Specialty patient flow lives on Queue; clinical depth opens from Queue Start.
return redirect()->route('care.queue.index');
}
public function visits(
Request $request,
string $module,
SpecialtyModuleService $modules,
SpecialtyShellService $shell,
CareQueueBridge $queueBridge,
): RedirectResponse {
$definition = $modules->definition($module);
abort_unless($definition, 404);
abort_unless(
$modules->memberCanAccess($this->organization($request), $this->member($request), $module),
403,
);
return redirect()->route('care.queue.index');
}
public function history(
Request $request,
string $module,
SpecialtyModuleService $modules,
SpecialtyShellService $shell,
CareQueueBridge $queueBridge,
): View {
return $this->renderShell($request, $module, 'history', $modules, $shell, $queueBridge);
}
public function billing(
Request $request,
string $module,
SpecialtyModuleService $modules,
SpecialtyShellService $shell,
CareQueueBridge $queueBridge,
): View {
return $this->renderShell($request, $module, 'billing', $modules, $shell, $queueBridge);
}
public function workspace(
Request $request,
string $module,
SpecialtyModuleService $modules,
SpecialtyShellService $shell,
CareQueueBridge $queueBridge,
?Visit $visit = null,
): View {
return $this->renderShell($request, $module, 'workspace', $modules, $shell, $queueBridge, $visit);
}
public function addService(
Request $request,
string $module,
Visit $visit,
SpecialtyModuleService $modules,
SpecialtyShellService $shell,
): RedirectResponse {
$definition = $modules->definition($module);
abort_unless($definition, 404);
$organization = $this->organization($request);
$member = $this->member($request);
abort_unless($modules->memberCanAccess($organization, $member, $module), 403);
abort_unless($visit->organization_id === $organization->id, 404);
$validated = $request->validate([
'service_code' => ['required', 'string', 'max:64'],
]);
try {
$bill = $shell->addCatalogServiceToVisit(
$organization,
$visit,
$module,
$validated['service_code'],
$this->ownerRef($request),
$this->ownerRef($request),
);
} catch (\Throwable $e) {
return back()->with('error', $e->getMessage());
}
return back()->with('success', 'Added to invoice '.$bill->invoice_number.'.');
}
public function startConsultation(
Request $request,
string $module,
Visit $visit,
SpecialtyModuleService $modules,
AppointmentService $appointments,
ConsultationService $consultations,
): RedirectResponse {
$this->authorizeAbility($request, 'consultations.manage');
$definition = $modules->definition($module);
abort_unless($definition, 404);
$organization = $this->organization($request);
$member = $this->member($request);
abort_unless($modules->memberCanAccess($organization, $member, $module), 403);
abort_unless($visit->organization_id === $organization->id, 404);
$this->authorizeBranch($request, (int) $visit->branch_id);
$visit->loadMissing(['appointment.consultation', 'appointment.practitioner']);
$appointment = $visit->appointment;
if (! $appointment || $appointment->organization_id !== $organization->id) {
return back()->with('error', 'This visit has no appointment to start a consultation from.');
}
$owner = $this->ownerRef($request);
$openConsultation = $appointment->consultation;
if ($openConsultation && $openConsultation->status !== \App\Models\Consultation::STATUS_COMPLETED) {
$clinical = app(SpecialtyClinicalRecordService::class);
$shellTabs = app(SpecialtyShellService::class)->workspaceTabs($module);
$preferredTab = collect(array_keys($shellTabs))
->first(fn (string $tab) => $clinical->recordTypeForTab($module, $tab) !== null)
?? 'clinical_notes';
return redirect()
->route('care.specialty.workspace', [
'module' => $module,
'visit' => $visit,
'tab' => $preferredTab,
])
->with('success', 'Encounter already in progress.');
}
try {
if (in_array($appointment->status, [
Appointment::STATUS_WAITING,
Appointment::STATUS_CHECKED_IN,
], true)) {
$appointments->startConsultation(
$appointment,
$owner,
$appointment->practitioner_id,
$owner,
);
$appointment = $appointment->fresh(['practitioner', 'visit']);
} elseif ($appointment->status !== Appointment::STATUS_IN_CONSULTATION) {
return back()->with('error', 'This appointment cannot start a consultation from its current status.');
}
$consultations->startFromAppointment(
$appointment,
$owner,
$owner,
);
} catch (\InvalidArgumentException $e) {
return back()->with('error', $e->getMessage());
}
$visit = $visit->fresh() ?? $appointment->visit;
$clinical = app(SpecialtyClinicalRecordService::class);
$shellTabs = app(SpecialtyShellService::class)->workspaceTabs($module);
$preferredTab = collect(array_keys($shellTabs))
->first(fn (string $tab) => $clinical->recordTypeForTab($module, $tab) !== null)
?? 'clinical_notes';
return redirect()
->route('care.specialty.workspace', [
'module' => $module,
'visit' => $visit,
'tab' => $preferredTab,
])
->with('success', 'Encounter started.');
}
public function saveClinical(
Request $request,
string $module,
Visit $visit,
SpecialtyModuleService $modules,
SpecialtyClinicalRecordService $clinical,
): RedirectResponse {
$definition = $modules->definition($module);
abort_unless($definition, 404);
$organization = $this->organization($request);
$member = $this->member($request);
abort_unless($modules->memberCanAccess($organization, $member, $module), 403);
abort_unless($visit->organization_id === $organization->id, 404);
$tab = (string) $request->input('tab', '');
$recordType = $clinical->recordTypeForTab($module, $tab);
abort_unless($recordType, 422);
// Normalize checkbox booleans before validation.
$payload = (array) $request->input('payload', []);
foreach ($clinical->fieldsFor($module, $recordType) as $field) {
if (($field['type'] ?? '') === 'boolean') {
$payload[$field['name']] = $request->boolean('payload.'.$field['name']);
}
}
$request->merge(['payload' => $payload]);
$validated = $request->validate(array_merge([
'tab' => ['required', 'string'],
'stage_code' => ['nullable', 'string', 'max:64'],
'status' => ['nullable', 'in:draft,active,completed'],
], $clinical->validationRules($module, $recordType)));
$record = $clinical->upsert(
$organization,
$visit,
$module,
$recordType,
$clinical->payloadFromRequest($validated),
$this->ownerRef($request),
$this->ownerRef($request),
$validated['stage_code'] ?? null,
$validated['status'] ?? \App\Models\SpecialtyClinicalRecord::STATUS_ACTIVE,
);
return redirect()
->route('care.specialty.workspace', [
'module' => $module,
'visit' => $visit,
'tab' => $tab,
])
->with('success', 'Saved '.$record->record_type.' record.');
}
public function uploadDocument(
Request $request,
string $module,
Visit $visit,
SpecialtyModuleService $modules,
): RedirectResponse {
$definition = $modules->definition($module);
abort_unless($definition, 404);
$organization = $this->organization($request);
$member = $this->member($request);
abort_unless($modules->memberCanAccess($organization, $member, $module), 403);
abort_unless($visit->organization_id === $organization->id, 404);
abort_unless($visit->patient_id, 422);
$validated = $request->validate([
'attachment' => ['required', 'file', 'max:10240', 'mimes:pdf,jpeg,jpg,png,webp'],
]);
$file = $validated['attachment'];
$path = $file->store("care/patients/{$visit->patient_id}/attachments", 'public');
PatientAttachment::create([
'owner_ref' => $this->ownerRef($request),
'patient_id' => $visit->patient_id,
'file_path' => $path,
'original_name' => $file->getClientOriginalName(),
'mime_type' => $file->getMimeType(),
'document_type' => 'specialty_'.$module,
'uploaded_by' => $this->ownerRef($request),
]);
return redirect()
->route('care.specialty.workspace', [
'module' => $module,
'visit' => $visit,
'tab' => 'documents',
])
->with('success', 'Document uploaded.');
}
public function callNext(
Request $request,
string $module,
SpecialtyModuleService $modules,
CareQueueBridge $queueBridge,
CareQueueSessionAdvance $advance,
): RedirectResponse {
$definition = $modules->definition($module);
abort_unless($definition, 404);
$organization = $this->organization($request);
$member = $this->member($request);
$owner = $this->ownerRef($request);
abort_unless($modules->memberCanAccess($organization, $member, $module), 403);
abort_unless($queueBridge->isEnabled($organization), 404);
$resolver = app(OrganizationResolver::class);
$branchScope = $resolver->branchScope($member);
$practitionerScope = $resolver->practitionerScope($organization, $member);
$branchId = (int) ($request->input('branch_id') ?: $branchScope);
$practitionerId = null;
if ($practitionerScope !== null) {
abort_unless($practitionerScope !== [], 422);
$practitionerId = $practitionerScope[0];
$pracBranch = (int) \App\Models\Practitioner::owned($owner)
->whereKey($practitionerId)
->value('branch_id');
if ($pracBranch > 0) {
$branchId = $pracBranch;
}
}
abort_unless($branchId > 0, 422);
if ($request->filled('appointment_id')) {
$current = Appointment::owned($owner)
->where('organization_id', $organization->id)
->findOrFail((int) $request->input('appointment_id'));
$advance->endCurrentEncounter($current, $owner, $owner);
}
$result = $queueBridge->callNext($organization, $module, $branchId, $member, $practitionerId);
$ticket = $result['ticket'] ?? null;
if (! $ticket) {
$departmentIds = Department::owned($owner)
->where('type', $definition['department_type'] ?? 'general')
->where('is_active', true)
->when($branchScope, fn ($q) => $q->where('branch_id', $branchScope))
->pluck('id');
$waitingAtBranch = Appointment::owned($owner)
->where('organization_id', $organization->id)
->where('branch_id', $branchId)
->whereIn('status', [Appointment::STATUS_WAITING, Appointment::STATUS_CHECKED_IN])
->when($departmentIds->isNotEmpty(), fn ($q) => $q->whereIn('department_id', $departmentIds))
->when($departmentIds->isEmpty(), fn ($q) => $q->whereRaw('1 = 0'))
->count();
$waitingOrg = Appointment::owned($owner)
->where('organization_id', $organization->id)
->whereIn('status', [Appointment::STATUS_WAITING, Appointment::STATUS_CHECKED_IN])
->when($departmentIds->isNotEmpty(), fn ($q) => $q->whereIn('department_id', $departmentIds))
->when($departmentIds->isEmpty(), fn ($q) => $q->whereRaw('1 = 0'))
->count();
$branchName = \App\Models\Branch::owned($owner)->whereKey($branchId)->value('name') ?: 'this branch';
if ($waitingAtBranch > 0) {
return back()->with(
'info',
"{$waitingAtBranch} patient(s) are waiting at {$branchName}, but none have a callable ticket at a service desk yet. Use Start on the queue, or check in again so a ticket is issued."
);
}
if ($waitingOrg > $waitingAtBranch) {
return back()->with(
'info',
"No patients waiting at {$branchName}. {$waitingOrg} are waiting at other branches — switch branch or open History."
);
}
return back()->with('info', 'No patients waiting in this queue.');
}
$entity = $result['entity'] ?? null;
if ($entity instanceof Appointment) {
return $advance->redirectToOpenedPatient(
$entity,
$ticket,
'care.queue.index',
);
}
$name = $ticket['customer_name'] ?? 'patient';
return back()->with('success', 'Called '.$ticket['ticket_number'].' — '.$name.'.');
}
protected function renderShell(
Request $request,
string $module,
string $section,
SpecialtyModuleService $modules,
SpecialtyShellService $shell,
CareQueueBridge $queueBridge,
?Visit $visit = null,
): View {
$definition = $modules->definition($module);
abort_unless($definition, 404);
$organization = $this->organization($request);
$member = $this->member($request);
abort_unless($modules->memberCanAccess($organization, $member, $module), 403);
$owner = $this->ownerRef($request);
$resolver = app(OrganizationResolver::class);
$branchScope = $resolver->branchScope($member);
$practitionerScope = $resolver->practitionerScope($organization, $member);
$departments = Department::owned($owner)
->where('type', $definition['department_type'] ?? 'general')
->where('is_active', true)
->when($branchScope, fn ($q) => $q->where('branch_id', $branchScope))
->with('branch')
->orderBy('name')
->get();
$departmentIds = $departments->pluck('id')->all();
$branchId = (int) ($branchScope ?: $departments->first()?->branch_id);
if ($practitionerScope !== null && $practitionerScope !== []) {
$pracBranch = (int) \App\Models\Practitioner::owned($owner)
->whereKey($practitionerScope[0])
->value('branch_id');
if ($pracBranch > 0) {
$branchId = $pracBranch;
}
}
// Match Call next: when the member has no branch scope (e.g. hospital admin),
// KPIs / waiting lists use the same branch as queue ops so WAITING isn't org-wide
// while Call next is local.
$kpiBranch = $branchScope ?? ($branchId > 0 ? $branchId : null);
$waiting = Appointment::owned($owner)
->where('organization_id', $organization->id)
->whereIn('status', [Appointment::STATUS_WAITING, Appointment::STATUS_CHECKED_IN])
->when($departmentIds !== [], fn ($q) => $q->whereIn('department_id', $departmentIds))
->when($departmentIds === [], fn ($q) => $q->whereRaw('1 = 0'))
->when($kpiBranch, fn ($q) => $q->where('branch_id', $kpiBranch))
->when(
$practitionerScope !== null,
fn ($q) => $q->whereIn('practitioner_id', $practitionerScope ?: [0]),
)
->with(['patient', 'practitioner', 'department', 'visit'])
->orderBy('queue_position')
->orderBy('checked_in_at')
->limit(50)
->get();
$inConsultation = Appointment::owned($owner)
->where('organization_id', $organization->id)
->where('status', Appointment::STATUS_IN_CONSULTATION)
->when($departmentIds !== [], fn ($q) => $q->whereIn('department_id', $departmentIds))
->when($departmentIds === [], fn ($q) => $q->whereRaw('1 = 0'))
->when($kpiBranch, fn ($q) => $q->where('branch_id', $kpiBranch))
->when(
$practitionerScope !== null,
fn ($q) => $q->whereIn('practitioner_id', $practitionerScope ?: [0]),
)
->with(['patient', 'practitioner', 'consultation', 'visit'])
->orderBy('started_at')
->limit(50)
->get();
$shellDefinition = $shell->definition($module);
$kpis = $shell->kpis($organization, $module, $owner, $kpiBranch, $practitionerScope);
$openVisits = $shell->openVisits($organization, $module, $owner, $kpiBranch, $practitionerScope);
$visitHistory = $section === 'history'
? $shell->visitHistory($organization, $module, $owner, $kpiBranch, $practitionerScope)
: collect();
$services = $shell->provisionedServices($organization, $module);
$permissions = app(\App\Services\Care\CarePermissions::class);
$canConsult = $permissions->can($member, 'consultations.manage');
$canManageQueue = $permissions->can($member, 'appointments.manage');
$branchLabel = $branchId
? (string) (\App\Models\Branch::owned($owner)->whereKey($branchId)->value('name') ?? '')
: '';
$workspaceVisit = null;
$patientHeader = null;
$timeline = [];
$clinicalRecord = null;
$clinicalFields = [];
$clinicalAlerts = [];
$visitDocuments = collect();
$activeTab = (string) $request->query('tab', array_key_first($shell->workspaceTabs($module)) ?: 'overview');
$clinical = app(SpecialtyClinicalRecordService::class);
if ($visit) {
abort_unless($visit->organization_id === $organization->id, 404);
$visit->load([
'patient.allergies',
'patient.emergencyContacts',
'patient.attachments',
'appointment.practitioner',
'appointment.consultation',
'bill.lineItems',
'consultations',
]);
$workspaceVisit = $visit;
if ($visit->patient) {
$patientHeader = array_merge(
['patient' => $visit->patient, 'visit' => $visit, 'appointment' => $visit->appointment],
$shell->patientHeaderMeta($visit->patient),
);
$timeline = $shell->patientTimeline($visit->patient);
}
} elseif ($section === 'workspace') {
$first = $openVisits->first();
if ($first?->patient) {
$first->load([
'patient.allergies',
'patient.emergencyContacts',
'patient.attachments',
'appointment.practitioner',
'appointment.consultation',
'bill.lineItems',
'consultations',
]);
$workspaceVisit = $first;
$patientHeader = array_merge(
['patient' => $first->patient, 'visit' => $first, 'appointment' => $first->appointment],
$shell->patientHeaderMeta($first->patient),
);
$timeline = $shell->patientTimeline($first->patient);
}
}
if ($workspaceVisit && $section === 'workspace') {
$recordType = $clinical->recordTypeForTab($module, $activeTab);
if ($recordType) {
$clinicalRecord = $clinical->findForVisit($workspaceVisit, $module, $recordType);
$clinicalFields = $clinical->fieldsFor($module, $recordType);
}
$clinicalAlerts = $clinical->alertsForVisit($workspaceVisit, $module);
if ($patientHeader !== null) {
$patientHeader['clinical_alerts'] = $clinicalAlerts;
}
$visitDocuments = $workspaceVisit->patient
? $workspaceVisit->patient->attachments()
->where(function ($q) use ($module) {
$q->where('document_type', 'specialty_'.$module)
->orWhere('document_type', 'other')
->orWhereNull('document_type');
})
->orderByDesc('id')
->limit(20)
->get()
: collect();
}
return view('care.specialty.shell', [
'organization' => $organization,
'moduleKey' => $module,
'definition' => $shellDefinition,
'section' => $section,
'navItems' => $shell->navItems($module),
'waiting' => $waiting,
'queue' => $waiting,
'inConsultation' => $inConsultation,
'openVisits' => $openVisits,
'visitHistory' => $visitHistory,
'kpis' => $kpis,
'stages' => $shell->stages($module),
'services' => $services,
'workspaceTabs' => $shell->workspaceTabs($module),
'actions' => $shell->actions($module),
'activeTab' => $activeTab,
'workspaceVisit' => $workspaceVisit,
'patientHeader' => $patientHeader,
'timeline' => $timeline,
'clinicalRecord' => $clinicalRecord,
'clinicalFields' => $clinicalFields,
'clinicalAlerts' => $clinicalAlerts,
'visitDocuments' => $visitDocuments,
'queueStubs' => $modules->queueStubsFor($organization, $module),
'branchId' => $branchId,
'branchLabel' => $branchLabel,
'practitionerScope' => $practitionerScope,
'lockToPractitioner' => $practitionerScope !== null,
'canConsult' => $canConsult,
'canManageQueue' => $canManageQueue,
'queueIntegration' => $branchId
? $queueBridge->listMeta($organization, $module, $branchId)
: ['enabled' => false],
'currency' => strtoupper((string) config('care.billing.currency', config('care.currency', 'GHS'))),
]);
}
}