isaacclad
86fa37b9fd
Heavy per-participant poll queries were saturating the shared host during live rooms. Cache the shared room payload for 2s, return 304 when unchanged, throttle breakout expiry and captions, and slow client polling (6s / 20s when hidden) so concurrent attendees no longer fan out full Laravel work.
Ladill Care
Healthcare management for clinics and hospitals at care.ladill.com — patients, appointments, queue, consultations, vitals, lab, prescriptions, pharmacy inventory, encounter billing, and operational reports.
Authenticates via Sign in with Ladill (OIDC against auth.ladill.com). Every
clinical record is scoped to a platform account (owner_ref) and organization.
Features
- Patients — registration, medical history, documents, visit timeline
- Appointments & queue — booking, walk-in, check-in, department queue
- Consultations — vitals, diagnoses, investigations, prescriptions
- Laboratory — test catalog, sample collection, results, approval
- Pharmacy — dispensing queue, drug inventory, batch stock tracking
- Billing — visit invoices, line items, payments, print view
- Reports — patients, appointments, lab, finance, clinical (CSV export)
- Admin — branches, departments, practitioners, members, audit log
Platform integration
| Integration | Purpose |
|---|---|
| OIDC SSO | User authentication (LADILL_SSO_*) |
| Billing API | Wallet top-up / purchases (BILLING_API_KEY_CARE) |
| Identity API | Platform user lookups (IDENTITY_API_KEY_CARE) |
| Service events | Inbound webhooks for user.deleted, user.suspended, organization.updated |
Registry entry lives in the monolith config/ladill_apps.php (care slug).
Local development
composer install
cp .env.example .env && php artisan key:generate
touch database/database.sqlite # sqlite is fine for local
php artisan migrate
npm install && npm run build # or `npm run dev`
php artisan serve
php artisan test
For SSO locally, point LADILL_SSO_* at a Passport client on your Ladill platform
dev instance, or bypass EnsurePlatformSession in tests (see CareWebTest).
Deployment
See DEPLOY.md for production cutover (/var/www/ladill-care, Gitea CI,
nginx vhost, platform onboarding).
API
REST API under /api/v1 (Sanctum + organization setup middleware). Health check:
GET /api/health.