Files
aso/Modules/Internal/Transformers/RequestLogShowResource.php

189 lines
7.5 KiB
PHP
Executable File

<?php
namespace Modules\Internal\Transformers;
use App\Models\Plan;
use App\Models\CorporateBenefit;
use App\Models\MemberPlan;
use App\Models\CorporateService;
use App\Models\RequestLogBenefit;
use App\Models\RequestLogMedicine;
use App\Models\Organization;
use App\Models\Benefit;
use App\Models\Exclusion;
use App\Models\ClaimRequest;
use App\Models\Icd;
use App\Models\Speciality;
use App\Helpers\Helper;
use App\Models\CorporatePolicy;
use Illuminate\Http\Resources\Json\JsonResource;
class RequestLogShowResource extends JsonResource
{
/**
* Transform the resource into an array.
*
* @param \Illuminate\Http\Request
* @return array
*/
public function toArray($request)
{
$requestLog = parent::toArray($request);
$corporateId = $requestLog['member']['current_plan']['corporate_id'] ?? 0;
$member_id = $requestLog['member_id'];
$planMember = MemberPlan::where('member_id', $member_id)->get('plan_id');
$planId = Plan::whereIn('id', $planMember)->where('service_code', $requestLog['service_code'])->first();
$benefit = CorporateBenefit::with(['benefit', 'plan'])->where('plan_id', $planId->id)->get()->toArray();
$benefitDetailLog = RequestLogBenefit::with('benefit')->where('request_log_id', $requestLog['id'])->get()->toArray();
$medicineDetailLog = RequestLogMedicine::where('request_log_id', $requestLog['id'])->get()->toArray();
$provider = Organization::where('id', $requestLog['organization_id'])->first();
$claimRequest = ClaimRequest::where('request_log_id', $requestLog['id'])->first();
if ($claimRequest) {
$claimCode = $claimRequest->code;
$isReversal = false;
$isRole = auth()->user()->role_id;
if ($requestLog['status'] == 'approved' &&
$requestLog['status_final_log'] == 'approved' &&
$claimRequest->status == 'approved' &&
$claimRequest->status_claim_management == 'approved' &&
$isRole != 1
){
$isReversal = true;
}
} else {
$claimCode = '-';
$isReversal = false;
}
if ($provider){
$providerName = $provider->name;
} else {
$providerName = '-';
}
// Benefit Data
$benefitData = [];
if (count($benefit)){
foreach($benefit as $data){
$data['benefit']['plan_id'] = $data['plan_id'];
$data['benefit']['limit_amount'] = $data['limit_amount'];
$data['benefit']['family_plan'] = $planId->family_plan;
$data['benefit']['max_frequency_period'] = $data['max_frequency_period'];
$data['benefit']['limit_amount_plan'] = $data['plan']['limit_rules'];
$data['benefit']['family_plan_plans'] = $data['plan']['family_plan'];
array_push($benefitData, $data['benefit']);
}
}
// Medicine
$medicineData = [];
if (count($medicineDetailLog)){
foreach($medicineDetailLog as $data){
array_push($medicineData, $data);
}
}
// Service Rule
$corporateService = CorporateService::query()
->where('corporate_id', $corporateId)
->where('service_code', $requestLog['service_code'])
->with(['configs'])
->first();
$config = [];
if ($corporateService) {
$config = $corporateService->configs->pluck('value', 'name')->toArray();
}
// Exclusion Service or diagnosis
$exclusions = Exclusion::query()
->where('corporate_id', $corporateId)
->where('type', 'diagnosis')
->with(['exclusionable', 'rules'])
->get()->toArray();
// Policy Number
$policyNumber = CorporatePolicy::query()
->where('corporate_id', $corporateId)
->first();
// Diagnosis
$icd = [];
if($requestLog['diagnosis']){
$diagnosis = explode(',', $requestLog['diagnosis']);
$icd = Icd::query()
->whereIn('code', $diagnosis)
->select('code as value', 'name as label')
->get();
}
$memberUsage = Helper::getUsageMember($corporateId, $requestLog['member']['id'], $benefitData);
if($requestLog['specialities_id'])
{
$spesialis = Speciality::query()
->where('id', $requestLog['specialities_id'])
->select('name')
->first();
$name = $spesialis['name'];
} else {
$name = '-';
}
if ($requestLog['dppj']){
$dppj = $requestLog['dppj'];
} else {
$dppj = '-';
}
$data = [
'id' => $requestLog['id'],
'code' => $requestLog['code'],
'invoice_no' => $requestLog['invoice_no'],
'billing_no' => $requestLog['billing_no'],
'specialities_id' => $name,
'dppj' => $dppj,
'code' => $requestLog['code'],
'code_claim' => $claimCode,
'member_id' => $requestLog['member']['member_id'],
'type_of_member' => $requestLog['type_of_member'],
'corporate_id' => $corporateId,
'policy_number' =>$policyNumber->code ? $policyNumber->code : '-',
'name' => $requestLog['member']['name'],
'date_of_birth' => $requestLog['member']['birth_date'],
'gender' => $requestLog['member']['gender'],
'marital_status' => $requestLog['member']['status_marital'],
'member_type' => Helper::memberType($requestLog['member']['record_type']),
'member_usage_benefit' => json_decode($memberUsage),
'principal_id' => $requestLog['member']['principal_id'] ? $requestLog['member']['principal_id'] : '-',
'principal_name' => $requestLog['member']['principal_id'] ? Helper::principalName($requestLog['member']['principal_id']) : '-',
'relation_with_principal' => Helper::relationWithPrincipal($requestLog['member']['relation_with_principal']),
'submission_date' => $requestLog['created_at'],
'admission_date' => $requestLog['submission_date'],
'approved_final_log_at' => $requestLog['approved_final_log_at'], // submission final log
'discharge_date' => $requestLog['discharge_date'],
'service_type' => Helper::serviceName($requestLog['service_code']),
'claim_method' => $requestLog['payment_type'],
'status' => $requestLog['status'],
'status_final_log' => $requestLog['status_final_log'],
'benefit' => $benefitData,
'benefit_data' => $benefitDetailLog,
'config_service' => $config,
'exclusion' => $exclusions,
'medicine' => $medicineData,
'files' => $requestLog['files'],
'provider' => $providerName,
'no_identitas' => $requestLog['member']['nric'],
'keterangan' => $requestLog['keterangan'],
'hak_kamar_pasien' => $requestLog['hak_kamar_pasien'],
'penempatan_kamar' => $requestLog['penempatan_kamar'],
'nominal' => $requestLog['nominal'],
'catatan' => $requestLog['catatan'],
'reason' => $requestLog['reason'],
'diagnosis' => $icd,
'is_reversal' => $isReversal, // untuk penjagaan, jika true tidak bisa di edit/hapus lagi
];
return $data;
}
}