import { HttpStatus, Injectable } from '@nestjs/common'; import { PrismaService } from '../../../prisma/prisma.service'; import { isValidMobile, mobileSearchDigits, normalizeMobile } from '../../common/phone'; import { hasEffectivePermission } from '../../common/membership-permissions'; import { AppException, ErrorCode } from '../../common/errors'; import { CreatePatientDto } from './dto/create-patient.dto'; import { ListPatientsDto } from './dto/list-patients.dto'; import { UpdatePatientDto } from './dto/update-patient.dto'; @Injectable() export class PatientsService { constructor(private readonly prisma: PrismaService) {} async create(createPatientDto: CreatePatientDto, organizationId: string) { const firstName = this.requireNonEmptyName(createPatientDto.firstName, 'firstName'); const lastName = this.requireNonEmptyName(createPatientDto.lastName, 'lastName'); const mobile = this.resolveMobile(createPatientDto.mobile); const existing = await this.prisma.patient.findUnique({ where: { mobile }, }); if (existing) { if ( !existing.isWalkIn && existing.createdByOrganizationId === organizationId ) { return { success: true, data: existing, existing: true as const }; } throw new AppException(ErrorCode.PATIENT_MOBILE_UNAVAILABLE, HttpStatus.CONFLICT); } const patient = await this.prisma.patient.create({ data: { firstName, lastName, mobile, email: createPatientDto.email?.trim() || null, notes: createPatientDto.notes?.trim() || null, dateOfBirth: createPatientDto.dateOfBirth ? new Date(createPatientDto.dateOfBirth) : null, createdByOrganizationId: organizationId, }, }); return { success: true, data: patient, existing: false as const }; } async findAll(query: ListPatientsDto, organizationId: string) { const { page = 1, limit = 10, q } = query; const skip = (page - 1) * limit; const where = { isWalkIn: false, createdByOrganizationId: organizationId, ...(q?.trim() ? this.buildSearchWhere(q.trim()) : {}), }; const [items, total] = await Promise.all([ this.prisma.patient.findMany({ where, skip, take: limit, orderBy: [{ updatedAt: 'desc' }], }), this.prisma.patient.count({ where }), ]); return { success: true, data: { items, pagination: { page, limit, total, totalPages: Math.max(1, Math.ceil(total / limit)), }, }, }; } async findOne(id: string, organizationId: string) { const patient = await this.findNamedPatientInOrg(id, organizationId); return { success: true, data: patient }; } async update(id: string, updatePatientDto: UpdatePatientDto, organizationId: string) { await this.findNamedPatientInOrg(id, organizationId); const data: { firstName?: string; lastName?: string; mobile?: string; email?: string | null; notes?: string | null; dateOfBirth?: Date | null; } = {}; if (updatePatientDto.firstName !== undefined) { data.firstName = this.requireNonEmptyName(updatePatientDto.firstName, 'firstName'); } if (updatePatientDto.lastName !== undefined) { data.lastName = this.requireNonEmptyName(updatePatientDto.lastName, 'lastName'); } if (updatePatientDto.mobile !== undefined) { const mobile = this.resolveMobile(updatePatientDto.mobile); const taken = await this.prisma.patient.findUnique({ where: { mobile }, select: { id: true, createdByOrganizationId: true, isWalkIn: true }, }); if (taken && taken.id !== id) { throw new AppException(ErrorCode.PATIENT_MOBILE_UNAVAILABLE, HttpStatus.CONFLICT); } data.mobile = mobile; } if (updatePatientDto.email !== undefined) { data.email = updatePatientDto.email?.trim() || null; } if (updatePatientDto.notes !== undefined) { data.notes = updatePatientDto.notes?.trim() || null; } if (updatePatientDto.dateOfBirth !== undefined) { data.dateOfBirth = updatePatientDto.dateOfBirth ? new Date(updatePatientDto.dateOfBirth) : null; } const updated = await this.prisma.patient.update({ where: { id }, data, }); return { success: true, data: updated }; } async listAppointments( patientId: string, organizationId: string, actorUserId: string, ) { await this.assertCanViewPatients(actorUserId, organizationId); await this.findNamedPatientInOrg(patientId, organizationId); const items = await this.prisma.appointment.findMany({ where: { organizationId, patientId }, orderBy: [{ startAt: 'desc' }], }); const providerIds = [...new Set(items.map((item) => item.providerUserId))]; const providers = providerIds.length === 0 ? [] : await this.prisma.user.findMany({ where: { id: { in: providerIds } }, select: { id: true, name: true }, }); const providerNameById = new Map(providers.map((p) => [p.id, p.name])); return { success: true, data: items.map((item) => ({ id: item.id, startAt: item.startAt, endAt: item.endAt, purpose: item.purpose, providerUserId: item.providerUserId, providerName: providerNameById.get(item.providerUserId) ?? '', })), }; } getOrganizationIdFromUser(user: { organizationId?: string }) { if (!user?.organizationId) { throw new AppException(ErrorCode.AUTH_ORG_NOT_SELECTED, HttpStatus.BAD_REQUEST); } return user.organizationId; } private buildSearchWhere(q: string) { const orConditions: Array> = [ { firstName: { contains: q, mode: 'insensitive' as const } }, { lastName: { contains: q, mode: 'insensitive' as const } }, { email: { contains: q, mode: 'insensitive' as const } }, ]; const normalized = normalizeMobile(q); if (normalized) { orConditions.push({ mobile: normalized }); } else { const digits = mobileSearchDigits(q); if (digits.length >= 3) { orConditions.push({ mobile: { contains: digits } }); } } return { OR: orConditions }; } private resolveMobile(raw: string): string { if (!raw?.trim()) { throw new AppException(ErrorCode.VALIDATION_FIELD_REQUIRED, HttpStatus.BAD_REQUEST, [ { field: 'mobile', code: ErrorCode.VALIDATION_FIELD_REQUIRED }, ]); } const mobile = normalizeMobile(raw); if (!mobile || !isValidMobile(mobile)) { throw new AppException(ErrorCode.VALIDATION_MOBILE_INVALID, HttpStatus.BAD_REQUEST, [ { field: 'mobile', code: ErrorCode.VALIDATION_MOBILE_INVALID }, ]); } return mobile; } private requireNonEmptyName(value: string, field: 'firstName' | 'lastName'): string { const trimmed = value?.trim() ?? ''; if (!trimmed) { throw new AppException(ErrorCode.VALIDATION_FIELD_REQUIRED, HttpStatus.BAD_REQUEST, [ { field, code: ErrorCode.VALIDATION_FIELD_REQUIRED }, ]); } return trimmed; } private async assertCanViewPatients(userId: string, organizationId: string) { const membership = await this.prisma.membership.findUnique({ where: { userId_organizationId: { userId, organizationId }, }, include: { organization: { include: { type: true, plan: true } }, permissions: { include: { permission: true } }, }, }); if (!membership) { throw new AppException(ErrorCode.PERMISSION_NOT_MEMBER, HttpStatus.FORBIDDEN); } if (!hasEffectivePermission(membership, 'TAB_PATIENTS_READ')) { throw new AppException(ErrorCode.PERMISSION_DENIED, HttpStatus.FORBIDDEN); } } private async findNamedPatientInOrg(id: string, organizationId: string) { const patient = await this.prisma.patient.findFirst({ where: { id, isWalkIn: false, createdByOrganizationId: organizationId, }, }); if (!patient) { throw new AppException(ErrorCode.PATIENT_NOT_FOUND, HttpStatus.NOT_FOUND); } return patient; } }