ladill-care/tests/Feature/CareUniversalIntakeTest.php

<?php

namespace Tests\Feature;

use App\Http\Middleware\EnsurePlatformSession;
use App\Models\Assessment;
use App\Models\AssessmentQuestion;
use App\Models\AssessmentTemplate;
use App\Models\Branch;
use App\Models\Consultation;
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 Database\Seeders\AssessmentTemplateSeeder;
use Illuminate\Foundation\Testing\RefreshDatabase;
use Illuminate\Support\Str;
use Tests\TestCase;

class CareUniversalIntakeTest extends TestCase
{
    use RefreshDatabase;

    protected User $user;

    protected Organization $organization;

    protected Branch $branch;

    protected Patient $patient;

    protected Member $member;

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

        $this->user = User::create([
            'public_id' => 'universal-intake-user',
            'name' => 'Intake User',
            'email' => 'intake@example.com',
        ]);

        $this->organization = Organization::create([
            'owner_ref' => $this->user->public_id,
            'name' => 'Intake Clinic',
            'slug' => 'intake-clinic',
            'timezone' => 'UTC',
            'settings' => [
                'onboarded' => true,
                'rollout' => [CareFeatures::ASSESSMENTS_ENGINE => true],
            ],
        ]);

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

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

        $this->patient = Patient::create([
            'uuid' => (string) Str::uuid(),
            'owner_ref' => $this->user->public_id,
            'organization_id' => $this->organization->id,
            'branch_id' => $this->branch->id,
            'patient_number' => 'LC-INTAKE-001',
            'first_name' => 'Kwame',
            'last_name' => 'Boateng',
        ]);
    }

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

        $template = AssessmentTemplate::currentSystemByCode('universal_intake');
        $this->assertNotNull($template);
        $this->assertSame(1, $template->version);
        $this->assertSame(AssessmentTemplate::CATEGORY_UNIVERSAL, $template->category);
        $this->assertNull($template->organization_id);
        $this->assertSame(['doctor', 'nurse'], $template->meta['capture_roles'] ?? null);

        $codes = $template->questions()->pluck('code')->all();
        $this->assertContains('chief_complaint', $codes);
        $this->assertContains('hpi', $codes);
        $this->assertContains('pain_score', $codes);
        $this->assertContains('smoking_status', $codes);
        $this->assertContains('mobility', $codes);
        $this->assertContains('baseline_labs_summary', $codes);

        $chief = $template->questions()->where('code', 'chief_complaint')->first();
        $this->assertTrue($chief->is_required);
        $this->assertSame(AssessmentQuestion::TYPE_TEXTAREA, $chief->answer_type);
    }

    public function test_seeder_is_idempotent_and_replaces_questions(): void
    {
        $this->seed(AssessmentTemplateSeeder::class);
        $firstId = AssessmentTemplate::currentSystemByCode('universal_intake')->id;
        $questionCount = AssessmentQuestion::where('template_id', $firstId)->count();

        $this->seed(AssessmentTemplateSeeder::class);

        $this->assertSame(1, AssessmentTemplate::where('code', 'universal_intake')->count());
        $this->assertSame($firstId, AssessmentTemplate::currentSystemByCode('universal_intake')->id);
        $this->assertSame($questionCount, AssessmentQuestion::where('template_id', $firstId)->count());
    }

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

        $visit = Visit::create([
            'owner_ref' => $this->user->public_id,
            'organization_id' => $this->organization->id,
            'branch_id' => $this->branch->id,
            'patient_id' => $this->patient->id,
            'status' => Visit::STATUS_OPEN,
            'checked_in_at' => now(),
        ]);

        $consultation = Consultation::create([
            'owner_ref' => $this->user->public_id,
            'visit_id' => $visit->id,
            'patient_id' => $this->patient->id,
            'status' => Consultation::STATUS_DRAFT,
            'started_at' => now(),
            'symptoms' => 'Free-text headache narrative',
        ]);

        // Nurse has vitals + assessments.capture; free-text symptoms fields require consultations.manage.
        $this->actingAs($this->user)
            ->get(route('care.consultations.show', $consultation))
            ->assertOk()
            ->assertSee('Universal intake')
            ->assertSee('narrative source of truth', false)
            ->assertSee('Start universal intake');

        $this->actingAs($this->user)
            ->post(route('care.consultations.assessments.store', $consultation), [
                'template_code' => 'universal_intake',
            ])
            ->assertRedirect();

        $assessment = Assessment::first();
        $this->assertNotNull($assessment);
        $this->assertSame($consultation->id, $assessment->consultation_id);
        $this->assertSame('universal_intake', $assessment->template->code);

        $this->actingAs($this->user)
            ->put(route('care.assessments.update', $assessment), [
                'answers' => [
                    'chief_complaint' => 'Severe headache for 2 days',
                    'pain_score' => 7,
                    'smoking_status' => 'never',
                    'mobility' => 'independent',
                ],
            ])
            ->assertRedirect();

        $this->actingAs($this->user)
            ->post(route('care.assessments.complete', $assessment))
            ->assertRedirect();

        $assessment->refresh();
        $this->assertTrue($assessment->isCompleted());

        // Dual narrative: free-text symptoms unchanged by structured intake.
        $this->assertSame('Free-text headache narrative', $consultation->fresh()->symptoms);

        $this->actingAs($this->user)
            ->get(route('care.patients.show', $this->patient))
            ->assertOk()
            ->assertSee('Universal intake')
            ->assertSee('Severe headache for 2 days');
    }

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

        $this->actingAs($this->user)
            ->get(route('care.assessments.create', $this->patient))
            ->assertOk()
            ->assertSee('Universal Intake')
            ->assertSee('universal_intake');
    }
}