Files
ladill-care/app/Http/Controllers/Care/PatientController.php
T
isaaccladandCursor e227f8705f
Deploy Ladill Care / deploy (push) Successful in 1m18s
Allow specialty doctors to open patient charts and order labs.
Branch-scoped staff could 404 on charts when the patient's home branch differed from the visit site; Orders also linked doctors to a lab index they could not access.

Co-authored-by: Cursor <cursoragent@cursor.com>
2026-07-18 16:49:59 +00:00

366 lines
16 KiB
PHP

<?php
namespace App\Http\Controllers\Care;
use App\Http\Controllers\Controller;
use App\Http\Controllers\Care\Concerns\ScopesToAccount;
use App\Models\Appointment;
use App\Models\Branch;
use App\Models\Patient;
use App\Models\Visit;
use App\Services\Care\AdminOverviewService;
use App\Services\Care\CareFeatures;
use App\Services\Care\CarePermissions;
use App\Services\Care\OrganizationResolver;
use App\Services\Care\PatientService;
use Illuminate\Http\JsonResponse;
use Illuminate\Http\RedirectResponse;
use Illuminate\Http\Request;
use Illuminate\View\View;
class PatientController extends Controller
{
use ScopesToAccount;
public function __construct(
protected PatientService $patients,
protected AdminOverviewService $adminOverview,
) {}
public function index(Request $request): View
{
$this->authorizeAbility($request, 'patients.view');
$organization = $this->organization($request);
$member = $this->member($request);
$resolver = app(OrganizationResolver::class);
$branchScope = $resolver->branchScope($member);
$practitionerScope = $resolver->practitionerScope($organization, $member);
$permissions = app(CarePermissions::class);
if ($permissions->isAdmin($member) && $request->query('view') !== 'list') {
return view('care.admin.analytics', [
'title' => 'Patients',
'badge' => 'Analytics · Population',
'description' => 'Registration and visit trends across your facility — not a bedside patient list.',
'adminOverview' => $this->adminOverview->patients(
$organization,
$this->ownerRef($request),
$branchScope,
),
]);
}
$patients = $this->patients->search(
$this->ownerRef($request),
$organization->id,
$request->only(['q', 'patient_number', 'phone', 'national_id', 'date_of_birth']),
$practitionerScope === null ? $branchScope : null,
$practitionerScope,
);
$owner = $this->ownerRef($request);
$patientQuery = Patient::owned($owner)
->where('organization_id', $organization->id);
if ($practitionerScope !== null) {
if ($practitionerScope === []) {
$patientQuery->whereRaw('1 = 0');
} else {
$patientQuery->whereHas(
'appointments',
fn ($q) => $q->whereIn('practitioner_id', $practitionerScope),
);
}
} elseif ($branchScope) {
$patientQuery->where('branch_id', $branchScope);
}
$heroStats = [
'total' => (clone $patientQuery)->count(),
'new_this_month' => (clone $patientQuery)->where('created_at', '>=', now()->startOfMonth())->count(),
'with_visits' => (clone $patientQuery)->whereHas('appointments')->count(),
];
return view('care.patients.index', compact('patients', 'organization', 'heroStats'));
}
public function scanLookup(Request $request): JsonResponse|RedirectResponse
{
$this->authorizeAbility($request, 'patients.view');
$organization = $this->organization($request);
$branchScope = app(OrganizationResolver::class)->branchScope($this->member($request));
$code = trim((string) $request->query('code', ''));
abort_unless($code !== '', 422, 'Scan code required.');
$patient = $this->patients->findByScanCode(
$this->ownerRef($request),
$organization->id,
$code,
$branchScope,
);
if ($request->expectsJson() || $request->wantsJson() || $request->ajax()) {
if (! $patient) {
return response()->json(['message' => 'No patient found for that barcode.'], 404);
}
return response()->json([
'patient' => [
'uuid' => $patient->uuid,
'patient_number' => $patient->patient_number,
'name' => $patient->fullName(),
'url' => route('care.patients.show', $patient),
],
]);
}
if (! $patient) {
return redirect()
->route('care.patients.index', ['q' => $code])
->with('error', 'No patient found for that barcode.');
}
return redirect()->route('care.patients.show', $patient);
}
public function label(Request $request, Patient $patient): View
{
$this->authorizeAbility($request, 'patients.view');
$this->authorizePatient($request, $patient);
return view('care.patients.label', [
'patient' => $patient,
'organization' => $this->organization($request),
'genders' => config('care.genders'),
]);
}
public function create(Request $request): View
{
$this->authorizeAbility($request, 'patients.manage');
$organization = $this->organization($request);
$branches = Branch::owned($this->ownerRef($request))
->where('organization_id', $organization->id)
->where('is_active', true)
->orderBy('name')
->get();
return view('care.patients.create', [
'organization' => $organization,
'branches' => $branches,
'genders' => config('care.genders'),
'allergySeverities' => config('care.allergy_severities'),
'documentTypes' => config('care.document_types'),
]);
}
public function store(Request $request): RedirectResponse
{
$this->authorizeAbility($request, 'patients.manage');
$organization = $this->organization($request);
$validated = $this->validatedPatientData($request);
$patient = $this->patients->create(
$organization,
$this->ownerRef($request),
$validated,
$this->ownerRef($request),
);
return redirect()->route('care.patients.show', $patient)
->with('success', 'Patient registered successfully.');
}
public function show(Request $request, Patient $patient): View
{
$this->authorizeAbility($request, 'patients.view');
$this->authorizePatient($request, $patient);
$dashboard = $this->patients->dashboard($patient);
$permissions = app(CarePermissions::class);
$member = $this->member($request);
$organization = $this->organization($request);
$canManage = $permissions->can($member, 'patients.manage');
$credential = app(\App\Services\Messaging\MessagingCredentialsService::class)
->forOrganization($organization);
$suiteEmailReady = app(\App\Services\Billing\PlatformEmailClient::class)->isConfigured();
$suiteSmsReady = app(\App\Services\Billing\PlatformSmsClient::class)->isConfigured();
$careFeatures = app(CareFeatures::class);
$assessmentsEnabled = $careFeatures->enabled($organization, CareFeatures::ASSESSMENTS_ENGINE);
if ($assessmentsEnabled) {
$careFeatures->ensureAssessmentCatalog();
}
$canViewAssessments = $assessmentsEnabled && $permissions->can($member, 'assessments.view');
$canCaptureAssessment = $assessmentsEnabled && (
$permissions->can($member, 'assessments.capture')
|| $permissions->can($member, 'assessments.manage')
);
$recentAssessments = collect();
$latestUniversalIntake = null;
if ($canViewAssessments) {
$branchScope = app(OrganizationResolver::class)->branchScope($member);
$recentAssessments = $patient->assessments()
->with('template')
->when($branchScope, fn ($q) => $q->where('branch_id', $branchScope))
->orderByDesc('created_at')
->limit(10)
->get();
$latestUniversalIntake = $patient->assessments()
->with(['template', 'answers.question'])
->when($branchScope, fn ($q) => $q->where('branch_id', $branchScope))
->whereHas('template', fn ($q) => $q->where('code', 'universal_intake'))
->whereIn('status', [\App\Models\Assessment::STATUS_DRAFT, \App\Models\Assessment::STATUS_COMPLETED])
->orderByDesc('created_at')
->first();
}
return view('care.patients.show', array_merge($dashboard, [
'canManage' => $canManage,
'messagingSmsReady' => $suiteSmsReady || $credential->hasValidSms(),
'messagingEmailReady' => $suiteEmailReady || $credential->hasValidBird(),
'suiteMessagingReady' => $suiteEmailReady || $suiteSmsReady,
'messagingSettingsUrl' => function_exists('ladill_account_url')
? ladill_account_url('/account/settings/messaging')
: (string) config('smtp.messaging_settings_url', 'https://account.ladill.com/account/settings/messaging'),
'genders' => config('care.genders'),
'allergySeverities' => config('care.allergy_severities'),
'documentTypes' => config('care.document_types'),
'assessmentsEnabled' => $assessmentsEnabled,
'canViewAssessments' => $canViewAssessments,
'canCaptureAssessment' => $canCaptureAssessment,
'recentAssessments' => $recentAssessments,
'latestUniversalIntake' => $latestUniversalIntake,
'assessmentStatuses' => config('care.assessment_statuses'),
'patientHeaderMeta' => app(\App\Services\Care\SpecialtyShellService::class)->patientHeaderMeta($patient),
'patientTimeline' => app(\App\Services\Care\SpecialtyShellService::class)->patientTimeline($patient),
'currency' => strtoupper((string) config('care.billing.currency', 'GHS')),
]));
}
public function edit(Request $request, Patient $patient): View
{
$this->authorizeAbility($request, 'patients.manage');
$this->authorizePatient($request, $patient);
$organization = $this->organization($request);
$patient->load(['allergies', 'conditions', 'familyHistory', 'emergencyContacts', 'insurancePolicies', 'attachments']);
$branches = Branch::owned($this->ownerRef($request))
->where('organization_id', $organization->id)
->where('is_active', true)
->orderBy('name')
->get();
return view('care.patients.edit', [
'patient' => $patient,
'organization' => $organization,
'branches' => $branches,
'genders' => config('care.genders'),
'allergySeverities' => config('care.allergy_severities'),
'documentTypes' => config('care.document_types'),
]);
}
public function update(Request $request, Patient $patient): RedirectResponse
{
$this->authorizeAbility($request, 'patients.manage');
$this->authorizePatient($request, $patient);
$validated = $this->validatedPatientData($request);
$this->patients->update($patient, $this->ownerRef($request), $validated, $this->ownerRef($request));
return redirect()->route('care.patients.show', $patient)
->with('success', 'Patient record updated.');
}
public function destroy(Request $request, Patient $patient): RedirectResponse
{
$this->authorizeAbility($request, 'patients.manage');
$this->authorizePatient($request, $patient);
$this->patients->delete($patient, $this->ownerRef($request), $this->ownerRef($request));
return redirect()->route('care.patients.index')
->with('success', 'Patient record archived.');
}
protected function authorizePatient(Request $request, Patient $patient): void
{
$this->authorizeOwner($request, $patient);
abort_unless($patient->organization_id === $this->organization($request)->id, 404);
$branchId = app(OrganizationResolver::class)->branchScope($this->member($request));
if ($branchId === null || $patient->branch_id === $branchId) {
return;
}
// Home branch may differ from the site where care is delivered — allow chart
// access when the patient has a visit or appointment at the member's branch.
$hasLocalActivity = Visit::query()
->where('patient_id', $patient->id)
->where('organization_id', $patient->organization_id)
->where('branch_id', $branchId)
->exists()
|| Appointment::query()
->where('patient_id', $patient->id)
->where('organization_id', $patient->organization_id)
->where('branch_id', $branchId)
->exists();
abort_unless($hasLocalActivity, 404);
}
/**
* @return array<string, mixed>
*/
protected function validatedPatientData(Request $request): array
{
return $request->validate([
'branch_id' => ['nullable', 'integer', 'exists:care_branches,id'],
'first_name' => ['required', 'string', 'max:100'],
'last_name' => ['required', 'string', 'max:100'],
'other_names' => ['nullable', 'string', 'max:100'],
'gender' => ['nullable', 'string', 'in:'.implode(',', array_keys(config('care.genders')))],
'date_of_birth' => ['nullable', 'date', 'before:today'],
'phone' => ['nullable', 'string', 'max:30'],
'email' => ['nullable', 'email', 'max:255'],
'national_id' => ['nullable', 'string', 'max:50'],
'address' => ['nullable', 'string', 'max:500'],
'city' => ['nullable', 'string', 'max:100'],
'region' => ['nullable', 'string', 'max:100'],
'notes' => ['nullable', 'string', 'max:5000'],
'allergies' => ['nullable', 'array'],
'allergies.*.allergen' => ['nullable', 'string', 'max:255'],
'allergies.*.severity' => ['nullable', 'string', 'in:'.implode(',', array_keys(config('care.allergy_severities')))],
'allergies.*.notes' => ['nullable', 'string', 'max:1000'],
'conditions' => ['nullable', 'array'],
'conditions.*.condition' => ['nullable', 'string', 'max:255'],
'conditions.*.onset_date' => ['nullable', 'date'],
'conditions.*.is_chronic' => ['nullable', 'boolean'],
'conditions.*.notes' => ['nullable', 'string', 'max:1000'],
'family_history' => ['nullable', 'array'],
'family_history.*.relation' => ['nullable', 'string', 'max:100'],
'family_history.*.condition' => ['nullable', 'string', 'max:255'],
'family_history.*.notes' => ['nullable', 'string', 'max:1000'],
'emergency_contacts' => ['nullable', 'array'],
'emergency_contacts.*.name' => ['nullable', 'string', 'max:255'],
'emergency_contacts.*.phone' => ['nullable', 'string', 'max:30'],
'emergency_contacts.*.relationship' => ['nullable', 'string', 'max:100'],
'emergency_contacts.*.is_primary' => ['nullable', 'boolean'],
'insurance' => ['nullable', 'array'],
'insurance.*.provider_name' => ['nullable', 'string', 'max:255'],
'insurance.*.policy_number' => ['nullable', 'string', 'max:100'],
'insurance.*.coverage_type' => ['nullable', 'string', 'max:100'],
'insurance.*.expiry_date' => ['nullable', 'date'],
'insurance.*.notes' => ['nullable', 'string', 'max:1000'],
'attachments' => ['nullable', 'array'],
'attachments.*' => ['file', 'max:10240', 'mimes:pdf,jpeg,png,jpg,webp'],
]);
}
}