341 lines
14 KiB
PHP
341 lines
14 KiB
PHP
<?php
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namespace Modules\HospitalPortal\Http\Controllers\Api;
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use App\Events\ClaimRequested;
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use App\Helpers\Helper;
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use App\Models\ClaimRequest;
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use App\Models\File;
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use App\Models\Member;
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use App\Services\ClaimRequestService;
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use App\Services\ClaimService;
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use Exception;
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use Illuminate\Contracts\Support\Renderable;
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use Illuminate\Http\Request;
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use Illuminate\Routing\Controller;
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use Modules\HospitalPortal\Transformers\ClaimRequestResource;
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use Modules\HospitalPortal\Transformers\ClaimRequestShowResource;
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use PDF;
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use Illuminate\Support\Facades\DB;
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class ClaimRequestController extends Controller
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{
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/**
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* Display a listing of the resource.
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* @return Renderable
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*/
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private static $code_prefix = 'CRQ-H';
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public function index(request $request)
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{
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$claimRequests = ClaimRequest::query()
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->when($request->search, function ($q, $search) {
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$q->where('code', 'LIKE', "%".$search."%");
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})
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->when($request->orderBy, function ($q, $orderBy) use ($request) {
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if (in_array($orderBy, ['submission_date', 'code'])) {
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$q->orderBy($orderBy, $request->order);
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}
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})
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->when($request->status, function($q, $status) {
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$q->where('status', $status);
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})
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->with(['member'])
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->orderBy('created_at', 'DESC')
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->paginate();
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return Helper::responseJson($claimRequests);
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}
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/**
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* Show the form for creating a new resource.
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* @return Renderable
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*/
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public function create()
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{
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return view('hospitalportal::create');
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}
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/**
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* Store a newly created resource in storage.
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* @param Request $request
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* @return Renderable
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*/
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public function store(Request $request)
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{
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$request->validate([
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'member_id' => 'required',
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'service_code' => 'required|in:OP,IP'
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]);
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$code = $this->getNextCode();
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$member = Member::find($request->member_id);
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$newClaimRequest = ClaimRequestService::storeClaimRequest(
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row: [],
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code: $code,
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member: $member,
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paymentType: 'reimbursement',
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serviceCode: $request->service_code
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);
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ClaimRequested::dispatch($newClaimRequest);
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// Log History
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$newClaimRequest->histories()->create([
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'title' => 'New Claim Requested',
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'description' => "Claim Requested for Member : {$member->member_id} - ({$member->full_name})",
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'type' => 'info',
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'system_origin' => 'hospital-portal'
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]);
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// Claim Log
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DB::table('claim_logs')
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->insert([
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'claim_request_id' => $newClaimRequest->id,
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'status' => 'requested',
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'date' => date('Y-m-d H:i:s'),
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'description' => "Claim Requested for Member : {$member->member_id} - ({$member->full_name})",
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'system_origin' => 'hospital-portal',
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'created_by' => auth()->user()->id
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]);
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if ($request->hasFile('result_files')) {
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foreach ($request->result_files as $file) {
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$pathFile = File::storeFile('claim-result', $newClaimRequest->id, $file);
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$newClaimRequest->files()->updateOrCreate([
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'type' => 'claim-result',
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'name' => File::getFileName('claim-result', $newClaimRequest->id, $file),
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'original_name' => $file->getClientOriginalName(),
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'extension' => $file->getClientOriginalExtension(),
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'path' => $pathFile,
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'created_by' => auth()->user()->id,
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'updated_by' => auth()->user()->id,
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]);
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}
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}
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if ($request->hasFile('diagnosa_files')) {
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foreach ($request->diagnosa_files as $file) {
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$pathFile = File::storeFile('claim-diagnosis', $newClaimRequest->id, $file);
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$newClaimRequest->files()->updateOrCreate([
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'type' => 'claim-diagnosis',
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'name' => File::getFileName('claim-diagnosis', $newClaimRequest->id, $file),
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'original_name' => $file->getClientOriginalName(),
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'extension' => $file->getClientOriginalExtension(),
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'path' => $pathFile,
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'created_by' => auth()->user()->id,
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'updated_by' => auth()->user()->id,
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]);
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}
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}
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if ($request->hasFile('kondisi_files')) {
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foreach ($request->kondisi_files as $file) {
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$pathFile = File::storeFile('claim-kondisi', $newClaimRequest->id, $file);
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$newClaimRequest->files()->updateOrCreate([
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'type' => 'claim-kondisi',
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'name' => File::getFileName('claim-kondisi', $newClaimRequest->id, $file),
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'original_name' => $file->getClientOriginalName(),
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'extension' => $file->getClientOriginalExtension(),
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'path' => $pathFile,
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'created_by' => auth()->user()->id,
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'updated_by' => auth()->user()->id,
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]);
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}
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}
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return Helper::responseJson(data: $request->toArray(), message: 'Claim Request berhasil ajukan!');
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}
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/**
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* Show the specified resource.
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* @param int $id
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* @return Renderable
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*/
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public function show($id)
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{
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$claimRequest = ClaimRequest::findOrFail($id);
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$claimRequest->load([
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'histories' => function ($history) {
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$history->latest();
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},
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'files',
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]);
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return Helper::responseJson(data: ClaimRequestShowResource::make($claimRequest));
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}
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/**
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* Show the form for editing the specified resource.
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* @param int $id
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* @return Renderable
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*/
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public function edit($id)
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{
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return view('hospitalportal::edit');
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}
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/**
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* Update the specified resource in storage.
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* @param Request $request
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* @param int $id
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* @return Renderable
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*/
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public function update(Request $request, $id)
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{
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//
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}
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/**
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* Remove the specified resource from storage.
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* @param int $id
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* @return Renderable
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*/
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public function destroy($id)
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{
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//
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}
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public function generateLog($claim_request_id)
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{
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$claimRequest = ClaimRequest::findOrFail($claim_request_id);
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if ($claimRequest->status != 'approved') {
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throw new Exception("Belum Teverifikasi", 1);
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}
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$member = Member::findOrFail($claimRequest->member_id)
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->load(['currentPlan', 'currentPolicy', 'currentPlan.corporateBenefits', 'currentPlan.corporateBenefits.benefit']);
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$pdf = PDF::loadView('pdf.guaranted_leter', compact('member', 'claimRequest'));
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return $pdf->download('Guaranted Letter - '.$member->full_name.'.pdf');
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return $claimRequest;
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}
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public static function getNextCode()
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{
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$last_number = ClaimRequest::withTrashed()->max('code');
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$next_number = empty($last_number) ? 1 : ((int) explode('-', $last_number)[2] + 1);
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return self::makeCode($next_number);
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}
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public static function makeCode($next_number)
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{
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// Pastikan $next_number adalah integer positif
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$next_number = max(1, (int) $next_number);
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// Menghasilkan kode dengan format yang diinginkan
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return self::$code_prefix . '-' . str_pad($next_number, 5, '0', STR_PAD_LEFT);
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}
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public function get_claim_requests(Request $request)
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{
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$limit = $request->has('per_page') ? $request->input('per_page') : 10;
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$results = DB::table('claim_requests')
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->leftJoin('claims', 'claim_requests.id', '=', 'claims.claim_request_id')
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->leftJoin('members', 'claim_requests.member_id', '=', 'members.id')
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->leftJoin('corporate_employees', 'members.id', '=', 'corporate_employees.member_id')
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->leftJoin('corporate_divisions', 'corporate_employees.division_id', '=', 'corporate_divisions.id')
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->when($request->input('search'), function ($query, $search) {
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$query->where(function ($query) use ($search) {
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$query->orWhere('claim_requests.code', 'like', "%" . $search . "%")
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->orWhere('members.member_id', 'like', "%" . $search . "%")
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->orWhere('members.name', 'like', "%" . $search . "%")
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->orWhere('corporate_divisions.name', 'like', "%" . $search . "%")
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->orWhere('claim_requests.status', 'like', "%" . $search . "%")
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->orWhere('claim_requests.submission_date', 'like', "%" . $search . "%");
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});
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})
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->when($request->has('orderBy'), function ($query) use ($request) {
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$orderBy = $request->orderBy;
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$direction = $request->order ?? 'asc';
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$query->orderBy($orderBy, $direction);
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})
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->select('members.id', 'claim_requests.code','members.member_id', 'members.name as full_name', 'corporate_divisions.name AS division_name',
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DB::raw('
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CASE
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WHEN claim_requests.status = "requested" THEN "requested"
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WHEN claim_requests.status = "approved" AND claims.status = "approved" THEN "approved"
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WHEN claim_requests.status = "approved" AND claims.status = "declined" THEN "declined"
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WHEN claim_requests.status = "approved" AND claims.status = "disbrusmented" THEN "disbrusmented"
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/*WHEN claim_requests.status = "approved" AND claims.status = "received" THEN "pending"*/
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WHEN claim_requests.status = "approved" AND claims.status = "received" THEN "reviewed"
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ELSE ""
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END AS status
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'),
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'claim_requests.id AS claim_request_id', 'claim_requests.submission_date')
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->paginate($limit);
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return response()->json(Helper::paginateResources($results));
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}
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public function detail_claim_requests($claimRequestId)
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{
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$status = DB::table('claim_requests')
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->leftJoin('claims', 'claim_requests.id', '=', 'claims.claim_request_id')
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->leftJoin('members', 'claim_requests.member_id', '=', 'members.id')
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->leftJoin('corporate_employees', 'members.id', '=', 'corporate_employees.member_id')
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->leftJoin('corporate_divisions', 'corporate_employees.division_id', '=', 'corporate_divisions.id')
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->where('claim_requests.id', '=', $claimRequestId)
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->select(
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'claim_requests.submission_date',
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DB::raw('
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CASE
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WHEN claim_requests.status = "requested" THEN "requested"
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WHEN claim_requests.status = "approved" AND claims.status = "approved" THEN "approved"
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WHEN claim_requests.status = "approved" AND claims.status = "declined" THEN "declined"
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WHEN claim_requests.status = "approved" AND claims.status = "disbrusmented" THEN "disbrusmented"
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/*WHEN claim_requests.status = "approved" AND claims.status = "received" THEN "pending"*/
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WHEN claim_requests.status = "approved" AND claims.status = "received" THEN "reviewed"
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ELSE ""
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END AS status
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')
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)
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->first();
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$results['status'] = $status;
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$timeline = DB::table('claim_logs')
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->where('claim_logs.claim_request_id', '=', $claimRequestId)
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->select(
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DB::raw('
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CASE
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WHEN claim_logs.status = "requested" THEN "Request"
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WHEN claim_logs.status = "reviewed" THEN "Review"
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WHEN claim_logs.status = "approved" THEN "Approval"
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ELSE "-"
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END AS txt_status
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'),
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DB::raw('
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CASE
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WHEN claim_logs.status = "requested" THEN "#159C9C"
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WHEN claim_logs.status = "reviewed" THEN "#0C53B7"
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WHEN claim_logs.status = "approved" THEN "#229A16"
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ELSE "-"
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END AS txt_status_color
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'),
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DB::raw('
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CASE
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WHEN claim_logs.status = "requested" THEN "#00AB5529"
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WHEN claim_logs.status = "reviewed" THEN "#1890FF29"
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WHEN claim_logs.status = "approved" THEN "#54D62C29"
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ELSE "-"
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END AS txt_status_backgroundColor
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'),
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'claim_logs.date',
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'claim_logs.description',
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'claim_logs.status'
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)
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->orderBy('claim_logs.id', 'desc')
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->get();
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$results['timeline'] = $timeline;
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$request_files = DB::table('claim_request_files')
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->where('claim_request_files.claim_request_id', '=', $claimRequestId)
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->get();
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$results['request_files'] = $request_files;
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return Helper::responseJson($results);
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}
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}
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