feat(claims): enrich claims with insurance details and item specifics

This commit is contained in:
hamed
2026-06-24 04:48:11 +03:30
parent 27840da78d
commit c189daa860
8 changed files with 188 additions and 11 deletions
+44 -7
View File
@@ -5,6 +5,7 @@ namespace App\Billing\Controller;
use App\Auth\Entity\User;
use App\Billing\Entity\Claim;
use App\Billing\Repository\ClaimRepository;
use App\Billing\Repository\InvoiceItemRepository;
use App\Billing\Repository\InvoiceRepository;
use App\Billing\Service\ClaimService;
use App\Billing\Service\InvoiceService;
@@ -28,6 +29,7 @@ class BillingController extends BaseController
public function __construct(
private readonly InvoiceService $invoiceService,
private readonly InvoiceRepository $invoiceRepo,
private readonly InvoiceItemRepository $invoiceItemRepo,
private readonly ClaimService $claimService,
private readonly ClaimRepository $claimRepo,
private readonly PatientSessionRepository $sessionRepo,
@@ -36,11 +38,46 @@ class BillingController extends BaseController
private readonly InsuranceRepository $insuranceRepo,
) {}
private function claimArray(Claim $claim): array
/**
* مطالبات را با نام بیمه و جزئیات هر آیتم (نوع/نام، تاریخ مراجعه، تعداد) غنی می‌کند.
* @param Claim[] $claims
*/
private function enrichClaims(array $claims): array
{
$data = $claim->toArray();
$data['insurance_name'] = $this->insuranceRepo->find($claim->getInsuranceId())?->getName();
return $data;
// جمع‌آوری همه‌ی invoice_item_idها در یک رفت‌وآمد
$invoiceItemIds = [];
foreach ($claims as $claim) {
foreach ($claim->getItems() as $ci) {
$invoiceItemIds[] = $ci->getInvoiceItemId();
}
}
$itemDetails = $this->invoiceItemRepo->detailsForIds(array_values(array_unique($invoiceItemIds)));
$sessionIds = [];
foreach ($itemDetails as $d) {
if ($d['patient_session_id'] !== null) {
$sessionIds[] = $d['patient_session_id'];
}
}
$sessionDates = $this->sessionRepo->datesForIds(array_values(array_unique($sessionIds)));
return array_map(function (Claim $claim) use ($itemDetails, $sessionDates) {
$data = $claim->toArray();
$data['insurance_name'] = $this->insuranceRepo->find($claim->getInsuranceId())?->getName();
$data['items'] = array_map(function (array $item) use ($itemDetails, $sessionDates) {
$detail = $itemDetails[$item['invoice_item_id']] ?? null;
$sessionId = $detail['patient_session_id'] ?? null;
$item['title'] = $detail['title'] ?? null;
$item['is_visit'] = $detail !== null && $detail['service_item_id'] === null;
$item['quantity'] = $detail['quantity'] ?? 1;
$item['total_rials'] = $detail['total_rials'] ?? null;
$item['visit_date'] = $sessionId !== null ? ($sessionDates[$sessionId] ?? null) : null;
return $item;
}, $data['items']);
return $data;
}, $claims);
}
#[Route('/api/v1/billing/invoices', methods: ['POST'])]
@@ -116,7 +153,7 @@ class BillingController extends BaseController
$claims = $this->claimService->createFromInvoice($invoice);
return $this->success(['data' => array_map(fn(Claim $c) => $this->claimArray($c), $claims)], 201);
return $this->success(['data' => $this->enrichClaims($claims)], 201);
}
#[Route('/api/v1/billing/claims', methods: ['GET'])]
@@ -130,7 +167,7 @@ class BillingController extends BaseController
$status = $request->query->get('status') ?: null;
$claims = $this->claimRepo->findByTenant($entityType, $entityId, $status);
return $this->success(['data' => array_map(fn(Claim $c) => $this->claimArray($c), $claims)]);
return $this->success(['data' => $this->enrichClaims($claims)]);
}
#[Route('/api/v1/billing/claims/{uuid}/{action}', methods: ['POST'], requirements: ['action' => 'submit|approve|reject|pay'])]
@@ -160,7 +197,7 @@ class BillingController extends BaseController
'reason' => trim($data['reason'] ?? ''),
]);
return $this->success(['data' => $this->claimArray($claim)]);
return $this->success(['data' => $this->enrichClaims([$claim])[0]]);
}
#[Route('/api/v1/billing/reports/insurance-debt', methods: ['GET'])]
@@ -20,4 +20,38 @@ class InvoiceItemRepository extends ServiceEntityRepository
$this->getEntityManager()->flush();
}
}
/**
* جزئیات چند آیتم صورتحساب برای نمایش در مطالبات — کلیددار بر اساس id آیتم.
* @param int[] $ids
* @return array<int, array{title: string, service_item_id: int|null, quantity: int, total_rials: int, patient_session_id: int|null}>
*/
public function detailsForIds(array $ids): array
{
if ($ids === []) {
return [];
}
$rows = $this->createQueryBuilder('ii')
->select('ii.id AS id', 'ii.title AS title', 'ii.serviceItemId AS service_item_id',
'ii.quantity AS quantity', 'ii.totalRials AS total_rials',
'inv.patientSessionId AS patient_session_id')
->join('ii.invoice', 'inv')
->where('ii.id IN (:ids)')
->setParameter('ids', $ids)
->getQuery()
->getArrayResult();
$out = [];
foreach ($rows as $r) {
$out[(int) $r['id']] = [
'title' => $r['title'],
'service_item_id' => $r['service_item_id'] !== null ? (int) $r['service_item_id'] : null,
'quantity' => (int) $r['quantity'],
'total_rials' => (int) $r['total_rials'],
'patient_session_id' => $r['patient_session_id'] !== null ? (int) $r['patient_session_id'] : null,
];
}
return $out;
}
}
+3 -2
View File
@@ -52,14 +52,15 @@ class InvoiceService
// خدمات
foreach ($session->getServices() as $sessionService) {
$item = $sessionService->getServiceItem();
$qty = max(1, $sessionService->getQuantity());
$unitPrice = $this->tariffService->resolvePrice($item);
$total = new Money($unitPrice);
$total = new Money($unitPrice * $qty);
$baseRule = $this->tenantInsuranceService->coverageRuleForService($entityType, $entityId, $baseId, $item->getId());
$suppRule = $this->tenantInsuranceService->coverageRuleForService($entityType, $entityId, $suppId, $item->getId());
$breakdown = $this->calculator->calculateItem($total, $baseRule, $suppRule);
$invoice->addItem(new InvoiceItem($invoice, $item->getName(), $unitPrice, 1, $breakdown, $item->getId()));
$invoice->addItem(new InvoiceItem($invoice, $item->getName(), $unitPrice, $qty, $breakdown, $item->getId()));
}
$invoice->recalculateTotals();
+8
View File
@@ -82,6 +82,14 @@ class PatientSession
public function getInsuranceBaseId(): ?int { return $this->insuranceBaseId; }
public function getInsuranceSupplementaryId(): ?int { return $this->insuranceSupplementaryId; }
public function getServices(): Collection { return $this->services; }
public function addService(SessionService $service): self
{
if (!$this->services->contains($service)) {
$this->services->add($service);
}
return $this;
}
public function getVisitPriceRials(): int { return $this->visitPriceRials; }
public function getBaseInsuranceDiscountPercent(): float { return (float) $this->baseInsuranceDiscountPercent; }
public function getSupplementaryDiscountPercent(): float { return (float) $this->supplementaryDiscountPercent; }
@@ -64,4 +64,29 @@ class PatientSessionRepository extends ServiceEntityRepository
$this->getEntityManager()->persist($session);
$this->getEntityManager()->flush();
}
/**
* تاریخ ثبت چند مراجعه — کلیددار بر اساس id جلسه.
* @param int[] $ids
* @return array<int, int> sessionId => createdAt
*/
public function datesForIds(array $ids): array
{
if ($ids === []) {
return [];
}
$rows = $this->createQueryBuilder('s')
->select('s.id AS id', 's.createdAt AS created_at')
->where('s.id IN (:ids)')
->setParameter('ids', $ids)
->getQuery()
->getArrayResult();
$out = [];
foreach ($rows as $r) {
$out[(int) $r['id']] = (int) $r['created_at'];
}
return $out;
}
}
+1
View File
@@ -173,6 +173,7 @@ class PatientService
$qty = max(1, (int) ($svc['quantity'] ?? 1));
$ss = new SessionService($session, $item, $staff, $qty);
$this->sessionServiceRepo->save($ss);
$session->addService($ss);
}
return $session;