feat(insurance): resolve coverage percent per service category
Base insurance is a percentage-only rule: patient share is now total minus the base share, and the contract franchise no longer inflates it (franchise stays meaningful for supplementary contracts only). Coverage percentages are managed centrally by admin per service category (outpatient/inpatient, extensible via the ServiceCategory enum). A tenant contract may override a category, otherwise it follows the admin default live — changing the central value immediately applies to every contract that did not override it. - add ServiceCategory enum + GET /api/v1/service-categories as the single source of the category list for every client - add insurance_coverage_defaults (+ GET/PUT admin coverage-defaults endpoints) and expose coverage_defaults on the insurance list and insurance-pricing - add tenant_insurance_category_coverage; tenant-insurances accepts optional category_coverages (needs insurances.update) and returns the effective percentages with their source - add service_items.service_category; visits always resolve as outpatient - drop the reverse-engineered percent from patient_share_rials in MyPatientsPage and align the client-side BillingCalculator mirror in CreateStep Co-Authored-By: Claude Opus 5 (1M context) <noreply@anthropic.com>
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@@ -11,6 +11,7 @@ import type { ServiceItem, ClinicStaff } from '../types';
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import type { InventoryPackage, InventoryItem } from '../hooks/useInventory';
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import { rialToToman, tomanToRial } from '../lib/utils';
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import { numericField } from '../lib/forms';
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import { useServiceCategories } from '../hooks/useServiceCategories';
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import Modal from './ui/Modal';
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import PriceInput from './ui/PriceInput';
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import SearchableSelect from './ui/SearchableSelect';
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@@ -21,6 +22,8 @@ const itemSchema = z.object({
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staff_uuids: z.array(z.string()).optional(),
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duration_minutes: z.coerce.number().min(0).optional(),
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bookable: z.boolean().optional(),
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/** نوع خدمت (سرپایی/بستری) — مبنای انتخاب درصد پوشش بیمه. */
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service_category: z.string().min(1, 'نوع خدمت الزامی است'),
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/** پکیج کالای مصرفی؛ رشتهی خالی یعنی بدون پکیج. */
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inventory_package_uuid: z.string().optional(),
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/** اقلام کالای تکی — مستقل از پکیج. */
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@@ -28,9 +31,12 @@ const itemSchema = z.object({
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});
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type ItemForm = z.infer<typeof itemSchema>;
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const DEFAULT_SERVICE_CATEGORY = 'outpatient';
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const EMPTY_FORM: ItemForm = {
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name: '', price_rials: 0, staff_uuids: [], duration_minutes: undefined,
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bookable: false, inventory_package_uuid: '', consumables: [],
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bookable: false, service_category: DEFAULT_SERVICE_CATEGORY,
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inventory_package_uuid: '', consumables: [],
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};
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interface Props {
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@@ -75,6 +81,8 @@ export default function ServiceItemFormModal({ item, sectionUuid, onClose, onMan
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});
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const inventoryItems = inventoryData?.data?.items ?? [];
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const { categories } = useServiceCategories(item !== null);
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const form = useForm<ItemForm>({ resolver: zodResolver(itemSchema), defaultValues: EMPTY_FORM });
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useEffect(() => {
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@@ -86,6 +94,7 @@ export default function ServiceItemFormModal({ item, sectionUuid, onClose, onMan
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staff_uuids: (editing.staff_members ?? (editing.staff ? [editing.staff] : [])).map((s) => s.uuid),
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duration_minutes: editing.duration_minutes ?? undefined,
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bookable: editing.bookable ?? false,
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service_category: editing.service_category ?? DEFAULT_SERVICE_CATEGORY,
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inventory_package_uuid: editing.inventory_package_uuid ?? '',
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consumables: (editing.consumables ?? []).map((c) => ({ item_uuid: c.item_uuid, amount: c.amount })),
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}
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@@ -242,6 +251,21 @@ export default function ServiceItemFormModal({ item, sectionUuid, onClose, onMan
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</label>
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</div>
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<div>
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<label className="field-label">نوع خدمت *</label>
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<SearchableSelect
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options={categories.map((c) => ({ value: c.key, label: c.label }))}
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value={form.watch('service_category') || null}
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onChange={(v) => { if (v != null) form.setValue('service_category', String(v)); }}
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placeholder="انتخاب نوع خدمت"
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noOptionsMessage="نوعی تعریف نشده است"
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height={42}
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/>
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<span style={{ display: 'block', marginTop: 6, fontSize: 11.5, color: 'var(--text-3)' }}>
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درصد پوشش بیمه بر اساس همین نوع محاسبه میشود.
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</span>
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</div>
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<div>
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<label className="field-label">پکیج کالای مصرفی</label>
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<SearchableSelect
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