2026-05-19 22:29:29 +03:30
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import {
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BadRequestException,
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ForbiddenException,
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Injectable,
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NotFoundException,
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} from '@nestjs/common';
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import { LinkStatus, TreatmentStatus } from '@prisma/client';
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import { createReadStream, existsSync, mkdirSync } from 'fs';
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import { join } from 'path';
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import { randomUUID } from 'crypto';
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import { PrismaService } from '../../../prisma/prisma.service';
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import { SaveTreatmentDraftDto, SendTreatmentCaseDto } from './dto/treatment.dto';
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import {
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generateTreatmentTitle,
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isTreatmentType,
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mapTreatmentStatusForApi,
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normalizeTeeth,
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} from './treatment.utils';
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const treatmentInclude = {
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cases: {
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orderBy: [{ sortOrder: 'asc' as const }],
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include: {
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attachments: { orderBy: [{ createdAt: 'asc' as const }] },
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2026-05-19 23:43:43 +03:30
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sends: {
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orderBy: [{ sentAt: 'asc' as const }],
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include: { organization: { select: { id: true, name: true } } },
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},
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2026-05-19 22:29:29 +03:30
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},
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},
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};
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@Injectable()
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export class TreatmentsService {
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private readonly uploadRoot = join(process.cwd(), 'uploads', 'treatments');
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constructor(private readonly prisma: PrismaService) {}
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getOrganizationIdFromUser(user: { organizationId?: string }) {
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if (!user?.organizationId) {
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throw new BadRequestException('Organization is not selected');
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}
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return user.organizationId;
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}
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async listLinkedOrganizations(userId: string, organizationId: string) {
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await this.assertCanReadTreatment(userId, organizationId);
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const [linksA, linksB] = await Promise.all([
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this.prisma.organizationLink.findMany({
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where: { organizationAId: organizationId, status: LinkStatus.ACTIVE },
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include: { organizationB: { select: { id: true, name: true } } },
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}),
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this.prisma.organizationLink.findMany({
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where: { organizationBId: organizationId, status: LinkStatus.ACTIVE },
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include: { organizationA: { select: { id: true, name: true } } },
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}),
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]);
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const data = [
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...linksA.map((l) => ({
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id: l.organizationB.id,
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name: l.organizationB.name,
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active: true,
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})),
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...linksB.map((l) => ({
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id: l.organizationA.id,
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name: l.organizationA.name,
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active: true,
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})),
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].sort((a, b) => a.name.localeCompare(b.name));
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return { success: true, data };
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}
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async listPatientHistory(
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patientId: string,
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organizationId: string,
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actorUserId: string,
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limit = 20,
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) {
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await this.assertCanReadTreatment(actorUserId, organizationId);
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await this.ensurePatientInOrg(patientId, organizationId);
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const items = await this.prisma.treatment.findMany({
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where: {
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patientId,
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organizationId,
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status: TreatmentStatus.COMPLETED,
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},
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include: treatmentInclude,
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orderBy: [{ treatmentAt: 'desc' }],
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take: Math.min(Math.max(limit, 1), 100),
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});
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return { success: true, data: items.map((t) => this.mapTreatment(t)) };
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}
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async getDraftForAppointment(
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appointmentId: string,
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organizationId: string,
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actorUserId: string,
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) {
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await this.assertCanReadTreatment(actorUserId, organizationId);
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const appointment = await this.ensureAppointmentProvider(
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appointmentId,
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organizationId,
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actorUserId,
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false,
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);
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const treatment = await this.prisma.treatment.findFirst({
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where: {
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appointmentId: appointment.id,
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organizationId,
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status: TreatmentStatus.DRAFT,
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},
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include: treatmentInclude,
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});
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return { success: true, data: treatment ? this.mapTreatment(treatment) : null };
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}
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async saveDraftForAppointment(
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appointmentId: string,
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dto: SaveTreatmentDraftDto,
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organizationId: string,
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actorUserId: string,
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) {
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await this.assertCanEditTreatment(actorUserId, organizationId);
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const appointment = await this.ensureAppointmentProvider(
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appointmentId,
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organizationId,
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actorUserId,
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true,
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);
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for (const c of dto.cases) {
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if (!isTreatmentType(c.treatmentType)) {
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throw new BadRequestException(`Invalid treatment type: ${c.treatmentType}`);
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}
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}
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const normalizedCases = dto.cases.map((c, index) => ({
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...c,
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sortOrder: index,
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teeth: normalizeTeeth(c.teeth),
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comment: c.comment?.trim() || null,
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attachmentIds: c.attachmentIds ?? [],
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}));
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const title = generateTreatmentTitle(
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normalizedCases.map((c) => ({ treatmentType: c.treatmentType, teeth: c.teeth })),
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);
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const treatment = await this.prisma.$transaction(async (tx) => {
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const existing = await tx.treatment.findFirst({
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where: { appointmentId: appointment.id, organizationId },
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select: { id: true },
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});
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const saved = existing
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? await tx.treatment.update({
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where: { id: existing.id },
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data: {
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title,
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treatmentAt: appointment.startAt,
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patientId: appointment.patientId,
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providerUserId: appointment.providerUserId,
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status: TreatmentStatus.DRAFT,
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},
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})
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: await tx.treatment.create({
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data: {
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organizationId,
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patientId: appointment.patientId,
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appointmentId: appointment.id,
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providerUserId: appointment.providerUserId,
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title,
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status: TreatmentStatus.DRAFT,
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treatmentAt: appointment.startAt,
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},
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});
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const keepCaseIds = normalizedCases.map((c) => c.id).filter(Boolean) as string[];
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const existingCases = existing
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? await tx.treatmentCase.findMany({
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where: { treatmentId: saved.id },
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select: { id: true, sentAt: true },
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})
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: [];
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const sentCaseIds = new Set(
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existingCases.filter((c) => c.sentAt).map((c) => c.id),
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);
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const removableCaseIds = existingCases
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.filter((c) => !keepCaseIds.includes(c.id) && !c.sentAt)
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.map((c) => c.id);
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if (removableCaseIds.length > 0) {
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await tx.treatmentCase.deleteMany({
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where: { id: { in: removableCaseIds }, treatmentId: saved.id },
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});
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}
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for (const c of normalizedCases) {
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if (c.id && sentCaseIds.has(c.id)) {
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continue;
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}
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const row = c.id
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? await tx.treatmentCase.update({
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where: { id: c.id },
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data: {
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clientKey: c.clientId,
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sortOrder: c.sortOrder,
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treatmentType: c.treatmentType,
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teeth: c.teeth,
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comment: c.comment,
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},
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})
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: await tx.treatmentCase.create({
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data: {
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treatmentId: saved.id,
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clientKey: c.clientId,
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sortOrder: c.sortOrder,
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treatmentType: c.treatmentType,
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teeth: c.teeth,
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comment: c.comment,
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},
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});
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const allowedAttachmentIds = new Set(c.attachmentIds);
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const pendingAttachments = await tx.treatmentCaseAttachment.findMany({
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where: {
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appointmentId: appointment.id,
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caseClientKey: c.clientId,
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},
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});
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for (const attachment of pendingAttachments) {
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if (!allowedAttachmentIds.has(attachment.id)) {
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await tx.treatmentCaseAttachment.delete({ where: { id: attachment.id } });
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} else {
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await tx.treatmentCaseAttachment.update({
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where: { id: attachment.id },
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data: { caseId: row.id, appointmentId: null, caseClientKey: null },
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});
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}
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}
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await tx.treatmentCaseAttachment.deleteMany({
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where: {
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caseId: row.id,
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id: { notIn: [...allowedAttachmentIds] },
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},
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});
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}
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return tx.treatment.findUniqueOrThrow({
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where: { id: saved.id },
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include: treatmentInclude,
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});
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});
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return { success: true, data: this.mapTreatment(treatment) };
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}
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async sendCase(
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caseId: string,
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dto: SendTreatmentCaseDto,
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organizationId: string,
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actorUserId: string,
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) {
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await this.assertCanEditTreatment(actorUserId, organizationId);
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const treatmentCase = await this.prisma.treatmentCase.findFirst({
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where: {
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id: caseId,
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treatment: { organizationId },
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},
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include: {
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treatment: { select: { providerUserId: true, appointmentId: true } },
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sends: { select: { organizationId: true } },
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},
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});
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if (!treatmentCase) {
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throw new NotFoundException('Treatment case not found');
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}
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if (treatmentCase.treatment.providerUserId !== actorUserId) {
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const membership = await this.getMembership(actorUserId, organizationId);
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if (!membership?.isOwner) {
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throw new ForbiddenException('Only the appointment provider can send this case');
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}
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}
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const linkedOrgIds = await this.getActiveLinkedOrganizationIds(organizationId);
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const uniqueTargets = [...new Set(dto.organizationIds)];
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for (const orgId of uniqueTargets) {
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if (!linkedOrgIds.has(orgId)) {
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throw new BadRequestException('One or more organizations are not active linked counterparts');
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}
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}
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const alreadySent = new Set(treatmentCase.sends.map((s) => s.organizationId));
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const newTargets = uniqueTargets.filter((id) => !alreadySent.has(id));
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if (newTargets.length === 0) {
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throw new BadRequestException('Case was already sent to all selected organizations');
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}
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const now = new Date();
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await this.prisma.$transaction(async (tx) => {
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await tx.treatmentCaseSend.createMany({
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data: newTargets.map((organizationId) => ({
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caseId,
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organizationId,
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})),
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});
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if (!treatmentCase.sentAt) {
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await tx.treatmentCase.update({
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where: { id: caseId },
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data: { sentAt: now },
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});
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}
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});
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const refreshed = await this.prisma.treatmentCase.findUniqueOrThrow({
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where: { id: caseId },
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include: {
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attachments: { orderBy: [{ createdAt: 'asc' }] },
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2026-05-19 23:43:43 +03:30
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sends: {
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orderBy: [{ sentAt: 'asc' }],
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include: { organization: { select: { id: true, name: true } } },
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},
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2026-05-19 22:29:29 +03:30
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},
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});
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return { success: true, data: this.mapCase(refreshed) };
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|
|
|
|
}
|
|
|
|
|
|
|
|
|
|
async uploadCaseAttachments(
|
|
|
|
|
appointmentId: string,
|
|
|
|
|
caseClientKey: string,
|
|
|
|
|
files: Express.Multer.File[],
|
|
|
|
|
organizationId: string,
|
|
|
|
|
actorUserId: string,
|
|
|
|
|
) {
|
|
|
|
|
await this.assertCanEditTreatment(actorUserId, organizationId);
|
|
|
|
|
await this.ensureAppointmentProvider(appointmentId, organizationId, actorUserId, true);
|
|
|
|
|
|
|
|
|
|
if (!caseClientKey?.trim()) {
|
|
|
|
|
throw new BadRequestException('caseClientKey is required');
|
|
|
|
|
}
|
|
|
|
|
|
|
|
|
|
if (!files?.length) {
|
|
|
|
|
throw new BadRequestException('At least one file is required');
|
|
|
|
|
}
|
|
|
|
|
|
|
|
|
|
const orgDir = join(this.uploadRoot, organizationId);
|
|
|
|
|
mkdirSync(orgDir, { recursive: true });
|
|
|
|
|
|
|
|
|
|
const created: {
|
|
|
|
|
id: string;
|
|
|
|
|
fileName: string;
|
|
|
|
|
mimeType: string;
|
|
|
|
|
sizeBytes: number;
|
|
|
|
|
}[] = [];
|
|
|
|
|
|
|
|
|
|
for (const file of files) {
|
|
|
|
|
const storageName = `${randomUUID()}-${file.originalname.replace(/[^\w.\-()+]/g, '_')}`;
|
|
|
|
|
const storagePath = join(orgDir, storageName);
|
|
|
|
|
const { writeFileSync } = await import('fs');
|
|
|
|
|
writeFileSync(storagePath, file.buffer);
|
|
|
|
|
|
|
|
|
|
const attachment = await this.prisma.treatmentCaseAttachment.create({
|
|
|
|
|
data: {
|
|
|
|
|
appointmentId,
|
|
|
|
|
caseClientKey,
|
|
|
|
|
fileName: file.originalname,
|
|
|
|
|
mimeType: file.mimetype || 'application/octet-stream',
|
|
|
|
|
sizeBytes: file.size,
|
|
|
|
|
storagePath,
|
|
|
|
|
},
|
|
|
|
|
});
|
|
|
|
|
|
|
|
|
|
created.push(this.mapAttachment(attachment));
|
|
|
|
|
}
|
|
|
|
|
|
|
|
|
|
return { success: true, data: created };
|
|
|
|
|
}
|
|
|
|
|
|
|
|
|
|
async streamAttachmentFile(
|
|
|
|
|
attachmentId: string,
|
|
|
|
|
organizationId: string,
|
|
|
|
|
actorUserId: string,
|
|
|
|
|
) {
|
|
|
|
|
await this.assertCanReadTreatment(actorUserId, organizationId);
|
|
|
|
|
|
|
|
|
|
const attachment = await this.prisma.treatmentCaseAttachment.findFirst({
|
|
|
|
|
where: {
|
|
|
|
|
id: attachmentId,
|
|
|
|
|
OR: [
|
|
|
|
|
{ case: { treatment: { organizationId } } },
|
|
|
|
|
{ appointmentId: { not: null } },
|
|
|
|
|
],
|
|
|
|
|
},
|
|
|
|
|
include: {
|
|
|
|
|
case: { select: { treatment: { select: { organizationId: true } } } },
|
|
|
|
|
},
|
|
|
|
|
});
|
|
|
|
|
|
|
|
|
|
if (!attachment) {
|
|
|
|
|
throw new NotFoundException('Attachment not found');
|
|
|
|
|
}
|
|
|
|
|
|
|
|
|
|
if (attachment.case && attachment.case.treatment.organizationId !== organizationId) {
|
|
|
|
|
throw new NotFoundException('Attachment not found');
|
|
|
|
|
}
|
|
|
|
|
|
|
|
|
|
if (!attachment.case && attachment.appointmentId) {
|
|
|
|
|
const appointment = await this.prisma.appointment.findFirst({
|
|
|
|
|
where: { id: attachment.appointmentId, organizationId },
|
|
|
|
|
select: { id: true },
|
|
|
|
|
});
|
|
|
|
|
if (!appointment) {
|
|
|
|
|
throw new NotFoundException('Attachment not found');
|
|
|
|
|
}
|
|
|
|
|
}
|
|
|
|
|
|
|
|
|
|
if (!existsSync(attachment.storagePath)) {
|
|
|
|
|
throw new NotFoundException('File is no longer available');
|
|
|
|
|
}
|
|
|
|
|
|
|
|
|
|
return {
|
|
|
|
|
stream: createReadStream(attachment.storagePath),
|
|
|
|
|
fileName: attachment.fileName,
|
|
|
|
|
mimeType: attachment.mimeType,
|
|
|
|
|
};
|
|
|
|
|
}
|
|
|
|
|
|
|
|
|
|
private mapTreatment(treatment: {
|
|
|
|
|
id: string;
|
|
|
|
|
patientId: string;
|
|
|
|
|
appointmentId: string | null;
|
|
|
|
|
title: string;
|
|
|
|
|
status: TreatmentStatus;
|
|
|
|
|
treatmentAt: Date;
|
|
|
|
|
cases: Array<{
|
|
|
|
|
id: string;
|
|
|
|
|
clientKey: string | null;
|
|
|
|
|
treatmentType: string;
|
|
|
|
|
teeth: unknown;
|
|
|
|
|
comment: string | null;
|
|
|
|
|
sentAt: Date | null;
|
|
|
|
|
attachments: Array<{
|
|
|
|
|
id: string;
|
|
|
|
|
fileName: string;
|
|
|
|
|
mimeType: string;
|
|
|
|
|
sizeBytes: number;
|
|
|
|
|
}>;
|
2026-05-19 23:43:43 +03:30
|
|
|
sends: Array<{ organizationId: string; sentAt: Date; organization: { id: string; name: string } }>;
|
2026-05-19 22:29:29 +03:30
|
|
|
}>;
|
|
|
|
|
}) {
|
|
|
|
|
const documents = treatment.cases.flatMap((c) =>
|
|
|
|
|
c.attachments.map((a) => this.mapAttachment(a)),
|
|
|
|
|
);
|
|
|
|
|
|
|
|
|
|
return {
|
|
|
|
|
id: treatment.id,
|
|
|
|
|
patientId: treatment.patientId,
|
|
|
|
|
appointmentId: treatment.appointmentId,
|
|
|
|
|
title: treatment.title,
|
|
|
|
|
treatmentAt: treatment.treatmentAt.toISOString(),
|
|
|
|
|
status: mapTreatmentStatusForApi(treatment.status),
|
|
|
|
|
cases: treatment.cases.map((c) => this.mapCase(c)),
|
|
|
|
|
documents,
|
|
|
|
|
};
|
|
|
|
|
}
|
|
|
|
|
|
|
|
|
|
private mapCase(c: {
|
|
|
|
|
id: string;
|
|
|
|
|
clientKey?: string | null;
|
|
|
|
|
treatmentType: string;
|
|
|
|
|
teeth: unknown;
|
|
|
|
|
comment?: string | null;
|
|
|
|
|
sentAt?: Date | null;
|
|
|
|
|
attachments?: Array<{
|
|
|
|
|
id: string;
|
|
|
|
|
fileName: string;
|
|
|
|
|
mimeType: string;
|
|
|
|
|
sizeBytes: number;
|
|
|
|
|
}>;
|
2026-05-19 23:43:43 +03:30
|
|
|
sends?: Array<{ organizationId: string; sentAt: Date; organization?: { id: string; name: string } }>;
|
2026-05-19 22:29:29 +03:30
|
|
|
}) {
|
|
|
|
|
return {
|
|
|
|
|
id: c.id,
|
|
|
|
|
clientId: c.clientKey ?? c.id,
|
|
|
|
|
treatmentType: c.treatmentType,
|
|
|
|
|
teeth: normalizeTeeth(c.teeth),
|
|
|
|
|
notes: c.comment ?? null,
|
|
|
|
|
sentAt: c.sentAt?.toISOString() ?? null,
|
|
|
|
|
sendToOrganizationIds: c.sends?.map((s) => s.organizationId) ?? [],
|
2026-05-19 23:43:43 +03:30
|
|
|
sends:
|
|
|
|
|
c.sends?.map((s) => ({
|
|
|
|
|
organizationId: s.organizationId,
|
|
|
|
|
organizationName: s.organization?.name ?? 'Unknown organization',
|
|
|
|
|
sentAt: s.sentAt.toISOString(),
|
|
|
|
|
})) ?? [],
|
2026-05-19 22:29:29 +03:30
|
|
|
attachmentMetas: (c.attachments ?? []).map((a) => this.mapAttachment(a)),
|
|
|
|
|
};
|
|
|
|
|
}
|
|
|
|
|
|
|
|
|
|
private mapAttachment(a: {
|
|
|
|
|
id: string;
|
|
|
|
|
fileName: string;
|
|
|
|
|
mimeType: string;
|
|
|
|
|
sizeBytes: number;
|
|
|
|
|
}) {
|
|
|
|
|
return {
|
|
|
|
|
id: a.id,
|
|
|
|
|
fileName: a.fileName,
|
|
|
|
|
mimeType: a.mimeType,
|
|
|
|
|
sizeBytes: a.sizeBytes,
|
|
|
|
|
};
|
|
|
|
|
}
|
|
|
|
|
|
|
|
|
|
private async getActiveLinkedOrganizationIds(organizationId: string) {
|
|
|
|
|
const [linksA, linksB] = await Promise.all([
|
|
|
|
|
this.prisma.organizationLink.findMany({
|
|
|
|
|
where: { organizationAId: organizationId, status: LinkStatus.ACTIVE },
|
|
|
|
|
select: { organizationBId: true },
|
|
|
|
|
}),
|
|
|
|
|
this.prisma.organizationLink.findMany({
|
|
|
|
|
where: { organizationBId: organizationId, status: LinkStatus.ACTIVE },
|
|
|
|
|
select: { organizationAId: true },
|
|
|
|
|
}),
|
|
|
|
|
]);
|
|
|
|
|
|
|
|
|
|
return new Set([
|
|
|
|
|
...linksA.map((l) => l.organizationBId),
|
|
|
|
|
...linksB.map((l) => l.organizationAId),
|
|
|
|
|
]);
|
|
|
|
|
}
|
|
|
|
|
|
|
|
|
|
private async ensurePatientInOrg(patientId: string, organizationId: string) {
|
|
|
|
|
const patient = await this.prisma.patient.findFirst({
|
|
|
|
|
where: { id: patientId, organizationId },
|
|
|
|
|
select: { id: true },
|
|
|
|
|
});
|
|
|
|
|
if (!patient) {
|
|
|
|
|
throw new NotFoundException('Patient not found');
|
|
|
|
|
}
|
|
|
|
|
}
|
|
|
|
|
|
|
|
|
|
private async ensureAppointmentProvider(
|
|
|
|
|
appointmentId: string,
|
|
|
|
|
organizationId: string,
|
|
|
|
|
actorUserId: string,
|
|
|
|
|
requireProviderMatch: boolean,
|
|
|
|
|
) {
|
|
|
|
|
const appointment = await this.prisma.appointment.findFirst({
|
|
|
|
|
where: { id: appointmentId, organizationId },
|
|
|
|
|
select: {
|
|
|
|
|
id: true,
|
|
|
|
|
patientId: true,
|
|
|
|
|
providerUserId: true,
|
|
|
|
|
startAt: true,
|
|
|
|
|
},
|
|
|
|
|
});
|
|
|
|
|
|
|
|
|
|
if (!appointment) {
|
|
|
|
|
throw new NotFoundException('Appointment not found');
|
|
|
|
|
}
|
|
|
|
|
|
|
|
|
|
if (requireProviderMatch) {
|
|
|
|
|
const membership = await this.getMembership(actorUserId, organizationId);
|
|
|
|
|
const isOwner = membership?.isOwner ?? false;
|
|
|
|
|
if (!isOwner && appointment.providerUserId !== actorUserId) {
|
|
|
|
|
throw new ForbiddenException('You are not the provider for this appointment');
|
|
|
|
|
}
|
|
|
|
|
}
|
|
|
|
|
|
|
|
|
|
return appointment;
|
|
|
|
|
}
|
|
|
|
|
|
|
|
|
|
private async assertCanReadTreatment(userId: string, organizationId: string) {
|
|
|
|
|
const m = await this.getMembership(userId, organizationId);
|
|
|
|
|
if (!m) {
|
|
|
|
|
throw new ForbiddenException('You are not a member of this organization');
|
|
|
|
|
}
|
|
|
|
|
if (m.isOwner) return;
|
|
|
|
|
const names = m.permissions.map((p) => p.permission.name);
|
|
|
|
|
if (names.includes('TAB_TREATMENT_READ') || names.includes('TAB_TREATMENT_EDIT')) {
|
|
|
|
|
return;
|
|
|
|
|
}
|
|
|
|
|
throw new ForbiddenException('You do not have access to treatments');
|
|
|
|
|
}
|
|
|
|
|
|
|
|
|
|
private async assertCanEditTreatment(userId: string, organizationId: string) {
|
|
|
|
|
const m = await this.getMembership(userId, organizationId);
|
|
|
|
|
if (!m) {
|
|
|
|
|
throw new ForbiddenException('You are not a member of this organization');
|
|
|
|
|
}
|
|
|
|
|
if (m.isOwner) return;
|
|
|
|
|
const names = m.permissions.map((p) => p.permission.name);
|
|
|
|
|
if (names.includes('TAB_TREATMENT_EDIT')) {
|
|
|
|
|
return;
|
|
|
|
|
}
|
|
|
|
|
throw new ForbiddenException('You cannot edit treatments');
|
|
|
|
|
}
|
|
|
|
|
|
|
|
|
|
private async getMembership(userId: string, organizationId: string) {
|
|
|
|
|
return this.prisma.membership.findFirst({
|
|
|
|
|
where: { userId, organizationId, isActive: true },
|
|
|
|
|
include: { permissions: { include: { permission: true } } },
|
|
|
|
|
});
|
|
|
|
|
}
|
|
|
|
|
}
|