ladill-care/tests/Feature/CareOutpatientCensusTest.php

<?php

namespace Tests\Feature;

use App\Http\Middleware\EnsurePlatformSession;
use App\Models\Appointment;
use App\Models\Branch;
use App\Models\CareUnit;
use App\Models\Department;
use App\Models\Member;
use App\Models\Organization;
use App\Models\Patient;
use App\Models\User;
use App\Models\Visit;
use App\Services\Care\CareFeatures;
use App\Services\Care\CareUnitCensusService;
use App\Services\Care\RosterService;
use Database\Seeders\AssessmentTemplateSeeder;
use Illuminate\Foundation\Testing\RefreshDatabase;
use Illuminate\Support\Str;
use Tests\TestCase;

class CareOutpatientCensusTest extends TestCase
{
    use RefreshDatabase;

    protected User $owner;

    protected Organization $organization;

    protected Branch $branch;

    protected Department $department;

    protected CareUnit $opd;

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

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

        $this->organization = Organization::create([
            'owner_ref' => $this->owner->public_id,
            'name' => 'OPD Clinic',
            'slug' => 'opd-clinic',
            'settings' => [
                'onboarded' => true,
                'facility_type' => 'hospital',
                'plan' => 'pro',
                'plan_expires_at' => now()->addMonth()->toIso8601String(),
                'rollout' => [CareFeatures::ASSESSMENTS_ENGINE => true],
            ],
        ]);

        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' => 'Tema Harbour Clinic',
            'is_active' => true,
        ]);

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

        $this->opd = CareUnit::create([
            'owner_ref' => $this->owner->public_id,
            'organization_id' => $this->organization->id,
            'department_id' => $this->department->id,
            'name' => 'OPD',
            'kind' => 'outpatient',
            'code' => 'OP',
            'is_active' => true,
        ]);
    }

    public function test_outpatient_board_includes_checked_in_department_visits_without_manual_place(): void
    {
        $patient = Patient::create([
            'uuid' => (string) Str::uuid(),
            'owner_ref' => $this->owner->public_id,
            'organization_id' => $this->organization->id,
            'branch_id' => $this->branch->id,
            'patient_number' => 'P-OPD-1',
            'first_name' => 'Yaw',
            'last_name' => 'Adjei',
        ]);

        $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(),
        ]);

        Appointment::create([
            'uuid' => (string) Str::uuid(),
            'owner_ref' => $this->owner->public_id,
            'organization_id' => $this->organization->id,
            'branch_id' => $this->branch->id,
            'department_id' => $this->department->id,
            'patient_id' => $patient->id,
            'visit_id' => $visit->id,
            'type' => Appointment::TYPE_WALK_IN,
            'status' => Appointment::STATUS_WAITING,
            'checked_in_at' => now(),
        ]);

        $otherDept = Department::create([
            'owner_ref' => $this->owner->public_id,
            'branch_id' => $this->branch->id,
            'name' => 'Dental',
            'type' => 'dentistry',
            'is_active' => true,
        ]);
        $otherPatient = Patient::create([
            'uuid' => (string) Str::uuid(),
            'owner_ref' => $this->owner->public_id,
            'organization_id' => $this->organization->id,
            'branch_id' => $this->branch->id,
            'patient_number' => 'P-OPD-2',
            'first_name' => 'Ama',
            'last_name' => 'Other',
        ]);
        $otherVisit = Visit::create([
            'owner_ref' => $this->owner->public_id,
            'organization_id' => $this->organization->id,
            'branch_id' => $this->branch->id,
            'patient_id' => $otherPatient->id,
            'status' => Visit::STATUS_OPEN,
            'checked_in_at' => now(),
        ]);
        Appointment::create([
            'uuid' => (string) Str::uuid(),
            'owner_ref' => $this->owner->public_id,
            'organization_id' => $this->organization->id,
            'branch_id' => $this->branch->id,
            'department_id' => $otherDept->id,
            'patient_id' => $otherPatient->id,
            'visit_id' => $otherVisit->id,
            'type' => Appointment::TYPE_WALK_IN,
            'status' => Appointment::STATUS_WAITING,
            'checked_in_at' => now(),
        ]);

        $census = app(CareUnitCensusService::class);
        $visits = $census->visitsForUnit($this->opd, $this->owner->public_id);

        $this->assertTrue($census->isClinicUnit($this->opd));
        $this->assertCount(1, $visits);
        $this->assertTrue($visits->contains('id', $visit->id));
        $this->assertFalse($visits->contains('id', $otherVisit->id));

        $user = User::create([
            'public_id' => 'opd-nurse',
            'name' => 'OPD Nurse',
            'email' => 'opd-nurse@example.com',
        ]);
        $member = Member::create([
            'owner_ref' => $this->owner->public_id,
            'organization_id' => $this->organization->id,
            'user_ref' => $user->public_id,
            'role' => 'nurse',
            'branch_id' => $this->branch->id,
        ]);

        $roster = app(RosterService::class);
        $day = $roster->ensureDefaultShifts($this->organization, $this->owner->public_id)->firstWhere('code', 'day');
        $roster->assign(
            $this->opd,
            $day,
            $member,
            now()->toDateString(),
            $this->owner->public_id,
            $this->owner->public_id,
        );

        $this->actingAs($user)
            ->get(route('care.nursing.station', ['unit' => $this->opd->id]))
            ->assertOk()
            ->assertSee('Yaw Adjei')
            ->assertSee('In clinic')
            ->assertDontSee('Ama Other');

        $this->actingAs($user)
            ->get(route('care.care-units.show', $this->opd))
            ->assertOk()
            ->assertSee('Yaw Adjei')
            ->assertSee('in clinic')
            ->assertSee('Clinic');
    }

    public function test_nursing_action_auto_places_clinic_visit_onto_opd(): void
    {
        $this->seed(AssessmentTemplateSeeder::class);

        $patient = Patient::create([
            'uuid' => (string) Str::uuid(),
            'owner_ref' => $this->owner->public_id,
            'organization_id' => $this->organization->id,
            'branch_id' => $this->branch->id,
            'patient_number' => 'P-OPD-3',
            'first_name' => 'Kofi',
            'last_name' => 'Mensah',
        ]);

        $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_OPEN,
            'checked_in_at' => now(),
        ]);

        Appointment::create([
            'uuid' => (string) Str::uuid(),
            'owner_ref' => $this->owner->public_id,
            'organization_id' => $this->organization->id,
            'branch_id' => $this->branch->id,
            'department_id' => $this->department->id,
            'patient_id' => $patient->id,
            'visit_id' => $visit->id,
            'type' => Appointment::TYPE_WALK_IN,
            'status' => Appointment::STATUS_CHECKED_IN,
            'checked_in_at' => now(),
        ]);

        $this->actingAs($this->owner)
            ->post(route('care.care-units.vitals.store', [$this->opd, $visit]), [
                'pulse' => 78,
                'spo2' => 98,
            ])
            ->assertRedirect(route('care.care-units.assessments', $this->opd));

        $visit->refresh();
        $this->assertSame($this->opd->id, (int) $visit->care_unit_id);
        $this->assertNotNull($visit->placed_at);
    }

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

        $patient = Patient::create([
            'uuid' => (string) Str::uuid(),
            'owner_ref' => $this->owner->public_id,
            'organization_id' => $this->organization->id,
            'branch_id' => $this->branch->id,
            'patient_number' => 'P-WARD-X',
            'first_name' => 'Efua',
            'last_name' => 'Boateng',
        ]);

        $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_OPEN,
            'checked_in_at' => now(),
        ]);

        Appointment::create([
            'uuid' => (string) Str::uuid(),
            'owner_ref' => $this->owner->public_id,
            'organization_id' => $this->organization->id,
            'branch_id' => $this->branch->id,
            'department_id' => $this->department->id,
            'patient_id' => $patient->id,
            'visit_id' => $visit->id,
            'type' => Appointment::TYPE_WALK_IN,
            'status' => Appointment::STATUS_WAITING,
            'checked_in_at' => now(),
        ]);

        $visits = app(CareUnitCensusService::class)->visitsForUnit($ward, $this->owner->public_id);
        $this->assertCount(0, $visits);
    }
}