Files
aso/app/Http/Controllers/Api/OLDLMS/MembershipController.php
2023-02-17 14:29:50 +07:00

255 lines
9.7 KiB
PHP

<?php
namespace App\Http\Controllers\Api\OLDLMS;
use App\Helpers\Helper;
use App\Http\Controllers\Controller;
use App\Http\Resources\OLDLMS\MemberResource;
use App\Models\Corporate;
use App\Models\Member;
use App\Rules\NikRule;
use App\Services\ClaimService;
use Illuminate\Http\Request;
class MembershipController extends Controller
{
//
public function check(Request $request)
{
$request->validate([
'member_id' => 'required',
// 'birth_date' => 'required',
]);
$member = Member::where('member_id', $request->member_id)->first();
if (!$member) {
return Helper::responseJson(statusCode: 404, message: 'Member not found.', status: 'error');
}
if (!$member->active) {
return Helper::responseJson(statusCode: 406, message: 'The Member ' . $request->member_id . ' is Inactive.', status: 'error');
}
return Helper::responseJson(data: $member, message: 'Member Found');
}
public function checkLimit(Request $request)
{
$request->validate([
'member_id' => 'required',
'type' => 'required|in:consultation,teleconsultation,medicine',
// 'speciality_code' => 'sometimes'
]);
$member = Member::query()
->where('member_id', $request->member_id)
->with(['currentCorporate', 'currentPolicy', 'currentPlan', 'postponedClaims'])
->first();
$corporateService = $member->currentCorporate->corporateServices()
->active()
->where('service_code', 'OP')
->with([
'configs',
'specialities' => function ($speciality) use ($request) {
$speciality->where('code', $request->speciality_code ?? null)
->wherePivot('active', 1);
}
])
->first();
$currentSpeciality = $corporateService->specialities->first();
if ($currentSpeciality) {
$corporateService->load([
'corporateServiceSpecialities' => function ($corporateServiceSpeciality) use ($currentSpeciality) {
$corporateServiceSpeciality->where('speciality_id', $currentSpeciality->id);
},
'corporateServiceSpecialities.exclusions' => function ($exclusion) {
$exclusion->where('service_code', 'OP');
},
'corporateServiceSpecialities.exclusions.rules'
]);
}
$corporateServiceSpeciality = $corporateService->corporateServiceSpecialities->first() ?? null;
$serviceSpecialityRules = $corporateServiceSpeciality->exclusions->first()->rules ?? collect([]);
$serviceSpecialityRules = $serviceSpecialityRules->mapWithKeys(function ($rule) {
return [$rule->name => $rule];
});
$configs = $corporateService->configs->mapWithKeys(function ($config) {
return [$config->name => $config];
});
$gpSpecialityName = config('aso.general_practitioner_speciality_name', 'Umum');
$isGp = $gpSpecialityName == ($currentSpeciality ? $currentSpeciality->name : false);
if ($request->type == 'medicine') {
$benefitCode = 'OPMEDI1';
} else if ($isGp) {
$benefitCode = 'OPCONS1';
} else {
$benefitCode = 'OPCONS2';
}
$limits = ClaimService::showMemberBenefitLimit($member, $benefitCode);
$limits['postponed_claims'] = $member->postponedClaims;
$limits['postponed_claims_payment_url'] = route('postpone-pay', $member->member_id);
$limits['postponed_claims_unpaid_total'] = $member->postponedClaims->sum('total_claim');
$coverage['medicine_benefit'] = false;
if ($benefitCode = 'OPMEDI1') {
$medicineBenefit = $member->currentPlan->benefits()->where('code', $benefitCode)->wherePivot('active', 1)->first();
$coverage['medicine_benefit'] = !empty($medicineBenefit);
}
$coverage['medicine_delivery_fee'] = (($configs['delivery_fee']['value'] ?? 1) == 1);
if ($currentSpeciality) {
$xCoverage['sp_consultation_benefit'] = (($configs['sp_internal_doctor_offline']['value'] ?? 1) == 1);
$xCoverage['sp_teleconsultation_benefit'] = (($configs['sp_internal_doctor_online']['value'] ?? 1) == 1);
$xCoverage['gp_consultation_benefit'] = (($configs['gp_internal_doctor_offline']['value'] ?? 1) == 1);
$xCoverage['gp_teleconsultation_benefit'] = (($configs['gp_internal_doctor_online']['value'] ?? 1) == 1);
$coverage['consultation_benefit'] = ($isGp)
? $xCoverage['gp_consultation_benefit']
: $xCoverage['sp_consultation_benefit'];
$coverage['teleconsultation_benefit'] = ($isGp)
? $xCoverage['gp_teleconsultation_benefit']
: $xCoverage['sp_teleconsultation_benefit'];
$xCoverage['sp_admin_fee'] = (($configs['specialist_practitioner_fee']['value'] ?? 1) == 1);
$xCoverage['gp_admin_fee'] = (($configs['general_practitioner_fee']['value'] ?? 1) == 1);
$coverage['admin_fee'] = ($isGp)
? $xCoverage['gp_admin_fee']
: $xCoverage['sp_admin_fee'];
} else {
// Not Supported
$coverage['consultation_benefit'] = false;
$coverage['teleconsultation_benefit'] = false;
$coverage['admin_fee'] = false;
}
$limits['coverage'] = $coverage;
// TODO THIS EXCLUSION IS USED AS INCLUSION NOW, MUST BE CHANGE TO USED AS EXCLUSION AND MAYBE MOVE THE TABLE
$excluded = [];
foreach ($serviceSpecialityRules as $ruleName => $rule) {
if ($ruleName == 'msc') {
$values = explode(',', $rule->values);
if (!in_array(strtolower($member->marital_status), $values)) {
$excluded[] = $rule;
}
}
if ($ruleName == 'gender') {
$values = explode(',', $rule->values);
if (!in_array(strtolower($member->gender), $values)) {
$excluded[] = $rule;
}
}
if ($ruleName == 'min_age') {
if (!empty($rule->values) && $member->age < $rule->values) {
$excluded[] = $rule;
}
}
if ($ruleName == 'max_age') {
if (!empty($rule->values) && $member->age > $rule->values) {
$excluded[] = $rule;
}
}
if ($ruleName == 'plan') {
$values = explode(',', $rule->values);
if (!in_array($member->currentPlan->code, $values)) {
$excluded[] = $rule;
}
}
}
return Helper::responseJson(data: $limits);
}
public function linkingRules(Request $request)
{
$corporates = Corporate::query()
->when($request->search, function ($q, $search) {
$q->where('name', 'LIKE', '%'.$search.'%');
})
->get();
return Helper::responseJson(data: $corporates);
}
public function linkingValidate(Request $request)
{
$request->validate([
'corporate_id' => 'required'
]);
$corporate = Corporate::findOrFail($request->corporate_id);
// Make Validation from Linking Rules
$linkingRulesArr = $corporate->linking_rules->toArray();
$validationRules = [];
foreach ($linkingRulesArr as $field) {
$rules = ['required']; // Default is required if in the linking_rules
if ($field == 'email') {
$rules[] = 'email';
}
if ($field == 'nric') {
$rules[] = new NikRule;
}
$validationRules[$field] = $rules;
}
$request->validate($validationRules);
$member = Member::query()
->when(in_array('nric', $linkingRulesArr), function($q) use ($request) {
$q->where('nric', $request->nric);
})
->when(in_array('member_id', $linkingRulesArr), function($q) use ($request) {
$q->where('member_id', $request->member_id);
})
->when(in_array('name', $linkingRulesArr), function($q) use ($request) {
$q->where('name', $request->name);
})
->when(in_array('dob', $linkingRulesArr), function($q) use ($request) {
$q->where('birth_date', $request->dob);
})
->when(in_array('phone', $linkingRulesArr), function($q) use ($request) {
$q->whereHas('person', function ($person) use ($request) {
$person->where('phone', $request->phone);
});
})
->when(in_array('email', $linkingRulesArr), function($q) use ($request) {
$q->where('email', $request->email);
})
->when(in_array('nik', $linkingRulesArr), function($q) use ($request) {
$q->whereHas('employeds', function ($employed) use ($request) {
$employed->where('corporate_id', $request->corporate_id)
->where('nik', $request->nik);
});
})
->with([
'memberPlans' => function ($memberPlan) {
$memberPlan->latest();
},
])
->first();
if ($member) {
return Helper::responseJson(data: MemberResource::make($member), message: 'Data Member ditemukan!');
}
return Helper::responseJson(data: [], message: 'Member Tidak ditemukan', statusCode: 404, status: 'error');
}
}