@kenyaemr/esm-billing-app 5.4.4-pre.96 → 5.4.5-pre.16

package/package.json

@@ -1,6 +1,6 @@
 {
   "name": "@kenyaemr/esm-billing-app",
-  "version": "5.4.4-pre.96",
+  "version": "5.4.5-pre.16",
   "description": "Billing app for KenyaEMR",
   "keywords": [
     "openmrs"
@@ -22,7 +22,7 @@
     "build": "rspack --mode=production",
     "coverage": "echo \"Jest has been removed; no unit test runner is configured\" && exit 0",
     "debug": "npm run serve",
-    "extract-translations": "i18next 'src/**/*.component.tsx' 'src/index.ts' --config ../../tools/i18next-parser.config.js",
+    "extract-translations": "npx i18next 'src/**/*.{ts,tsx}' --config ../../tools/i18next-parser.config.js",
     "lint": "eslint src --ext ts,tsx",
     "serve": "rspack serve --mode=development",
     "start": "openmrs develop",
@@ -46,5 +46,5 @@
   "publishConfig": {
     "access": "public"
   },
-  "stableVersion": "5.4.3"
+  "stableVersion": "5.4.4"
 }

package/src/benefits-package/benefits-package.component.tsx

@@ -4,7 +4,6 @@ import { CardHeader } from '@openmrs/esm-patient-common-lib';
 import { Layer, Tile, Tabs, TabList, Tab, TabPanels, TabPanel } from '@carbon/react';
 import { Task, Upload } from '@carbon/react/icons';
 
-import BenefitsTable from './table/benefits-table.component';
 import Benefits from './benefits/benefits.component';
 
 import styles from './benefits-package.scss';
@@ -30,9 +29,7 @@ const BenefitsPackage: React.FC<BenefitsPackageProps> = ({ patientUuid }) => {
             <TabPanel>
               <Benefits />
             </TabPanel>
-            <TabPanel>
-              <BenefitsTable patientUuid={patientUuid} />
-            </TabPanel>
+            <TabPanel></TabPanel>
           </TabPanels>
         </Tabs>
       </div>

package/src/benefits-package/forms/interventions-form.component.tsx

@@ -1,92 +1,310 @@
-import React, { useEffect, useMemo } from 'react';
-import { InlineLoading, InlineNotification, MultiSelect } from '@carbon/react';
+import { ComboBox, InlineLoading, InlineNotification, Tag } from '@carbon/react';
+import React, { useEffect, useMemo, useState } from 'react';
 import { Controller, useFormContext } from 'react-hook-form';
 import { useTranslation } from 'react-i18next';
-import { z } from 'zod';
-import { InterventionsFilter, useInterventions } from '../../hooks/useInterventions';
-import { eligibilityRequestShema } from '../benefits-package.resources';
-import { usePatient } from '@openmrs/esm-framework';
-
-type EligibilityRequest = z.infer<typeof eligibilityRequestShema>;
+import styles from './packages-and-interventions-form.scss';
+import {
+  useHasSupplementaryPompsCoverage,
+  useNonPomsfUtilization,
+  useSHAInterventions,
+} from '../../billing-form/social-health-authority/sha-virtual-claim.resource';
+import { type SHAIntervention } from '../../billing-form/social-health-authority/type';
+import { formatCurrency } from '../../helpers/currency';
+import { InterventionItem } from '../../claims/claims-management/table/virtual-claim-preauth/type';
 
 type PackageInterventionsProps = {
-  categories: Array<string>;
+  patientCRId: string;
+  subBenefitCode: string;
   patientUuid: string;
+  selectedPackages: string | null;
+  showApplicableDocuments?: boolean;
+  onInterventionsCached?: (cache: Record<string, SHAIntervention>) => void;
+  onUtilizationStatusChange?: (isExhausted: boolean) => void;
 };
-const PackageInterventions: React.FC<PackageInterventionsProps> = ({ categories, patientUuid }) => {
-  const { error: patientError, isLoading: isPatientLoading, patient } = usePatient(patientUuid);
-  const filters: InterventionsFilter = {
-    package_code: categories.join(','),
-    applicable_gender: patient?.gender === 'male' ? 'MALE' : 'FEMALE',
-  };
-  const { error, interventions, isLoading, allInterventions } = useInterventions(filters);
-
-  const form = useFormContext<{ packages: Array<string>; interventions: Array<string> }>();
+
+const PackageInterventions: React.FC<PackageInterventionsProps> = ({
+  patientCRId,
+  subBenefitCode,
+  patientUuid,
+  selectedPackages,
+  showApplicableDocuments,
+  onInterventionsCached,
+  onUtilizationStatusChange,
+}) => {
   const { t } = useTranslation();
-  const selectedInterventionsObservable = form.watch('interventions');
-
-  const interventions_ = useMemo(() => {
-    const additionalInterventions = selectedInterventionsObservable.reduce((prev, curr) => {
-      const interventionContainedInOptions = interventions.some((i) => i.interventionCode === curr);
-      if (!interventionContainedInOptions) {
-        const intervention = allInterventions.find((i) => i.interventionCode === curr);
-        if (intervention) {
-          prev.push(intervention);
-        }
+  const form = useFormContext<{ packages: string | null; interventions: string | null }>();
+  const selectedIntervention = form.watch('interventions') ?? null;
+
+  const { interventions, isLoading, error } = useSHAInterventions(patientCRId, subBenefitCode);
+
+  const [cachedInterventions, setCachedInterventions] = useState<Record<string, SHAIntervention>>({});
+
+  useEffect(() => {
+    if (interventions.length > 0) {
+      setCachedInterventions((prev) => {
+        const updated = { ...prev };
+        interventions.forEach((i) => {
+          updated[i.code] = i;
+        });
+        return updated;
+      });
+    }
+  }, [interventions]);
+
+  useEffect(() => {
+    if (Object.keys(cachedInterventions).length > 0) {
+      onInterventionsCached?.(cachedInterventions);
+    }
+  }, [cachedInterventions, onInterventionsCached]);
+
+  const items: Array<InterventionItem> = useMemo(() => {
+    const base = interventions.length > 0 ? interventions : Object.values(cachedInterventions);
+    const extraFromCache: Array<SHAIntervention> =
+      selectedIntervention &&
+      !base.some((i) => i.code === selectedIntervention) &&
+      cachedInterventions[selectedIntervention]
+        ? [cachedInterventions[selectedIntervention]]
+        : [];
+
+    const combined = [...base, ...extraFromCache];
+
+    const built: Array<InterventionItem> = combined.map((intervention) => {
+      const isElective = Boolean((intervention as any).needs_manual_preauth_approval);
+      const isCapitation = intervention.payment_mechanism?.toUpperCase() === 'CAPITATION';
+
+      let suffix: string;
+      if (isElective) {
+        suffix = ` — ${t('scheduledOnly', 'Scheduled only')}`;
+      } else if (isCapitation) {
+        suffix = ` — ${t('capitation', 'Capitation (PHC)')}`;
+      } else if (intervention.needs_preauth) {
+        suffix = ` — ${t('preauthRequired', 'Preauth required')}`;
+      } else {
+        suffix = ` — ${t('noPreauthNeeded', 'No preauth')}`;
       }
-      return prev;
-    }, [] as typeof allInterventions);
 
-    return [...interventions, ...additionalInterventions];
-  }, [allInterventions, interventions, selectedInterventionsObservable]);
+      return {
+        id: `intervention-${intervention.code}`,
+        code: intervention.code,
+        text: `${intervention.name}${suffix}`,
+        disabled: isElective,
+        isElective,
+      };
+    });
+
+    return built.sort((a, b) => Number(a.isElective) - Number(b.isElective));
+  }, [interventions, cachedInterventions, selectedIntervention, t]);
+
+  const electiveCount = useMemo(() => items.filter((i) => i.isElective).length, [items]);
+
+  const selectedInterventionDetail = useMemo(() => {
+    if (!selectedIntervention) {
+      return null;
+    }
+    const intervention = cachedInterventions[selectedIntervention];
+    return {
+      code: selectedIntervention,
+      name: intervention?.name ?? selectedIntervention,
+      applicableDocumentTypes: intervention?.applicable_document_types ?? [],
+      paymentMechanism: intervention?.payment_mechanism ?? '',
+    };
+  }, [selectedIntervention, cachedInterventions]);
 
-  if (isLoading || isPatientLoading) {
+  if (isLoading) {
     return (
       <InlineLoading
+        className={styles.loader}
         status="active"
-        iconDescription="Loading"
-        description={t('loadingInterventions', 'Loading interventions') + '...'}
+        iconDescription={t('loading', 'Loading')}
+        description={t('loadingInterventions', 'Loading interventions…')}
       />
     );
   }
 
-  if (error || patientError) {
+  if (error) {
     return (
       <InlineNotification
-        aria-label="closes notification"
+        aria-label={t('errorLoadingInterventions', 'Error loading interventions')}
         kind="error"
-        lowContrast={true}
-        statusIconDescription="notification"
+        lowContrast
         title={t('failure', 'Error loading interventions')}
-        subtitle={error?.message ?? patientError?.message}
+        subtitle={error?.message}
       />
     );
   }
 
   return (
-    <Controller
-      control={form.control}
-      name="interventions"
-      render={({ field }) => (
-        <MultiSelect
-          ref={field.ref}
-          disabled={!categories || categories.length === 0}
-          invalid={!!form.formState.errors[field.name]?.message}
-          invalidText={form.formState.errors[field.name]?.message}
-          id="interventions"
-          titleText={t('interventions', 'Interventions')}
-          onChange={(e) => {
-            field.onChange(e.selectedItems);
-          }}
-          selectedItems={field.value}
-          label={t('chooseInterventions', 'Choose interventions')}
-          items={interventions_.map((r) => r.interventionCode)}
-          itemToString={(item) => {
-            const _intervention = interventions_.find((r) => r.interventionCode === item);
-            return _intervention?.interventionName ?? '';
-          }}
-        />
+    <div className={styles.interventionsWrapper}>
+      <p className={styles.sectionTitle}>{t('shaInterventions', 'SHA Interventions')}</p>
+
+      <Controller
+        control={form.control}
+        name="interventions"
+        render={({ field }) => {
+          const selectedItem = items.find((item) => item.code === field.value) ?? null;
+
+          return (
+            <ComboBox
+              ref={field.ref}
+              id="sha-interventions"
+              disabled={!subBenefitCode || !selectedPackages}
+              titleText={t('interventions', 'Intervention')}
+              placeholder={t('chooseIntervention', 'Choose an intervention')}
+              items={items}
+              helperText={
+                electiveCount > 0
+                  ? t('electiveInterventionsHint', 'Items disabled require SHA pre-approval via the Preauth Queue.')
+                  : undefined
+              }
+              itemToString={(item: InterventionItem | null) => (item ? item.text : '')}
+              selectedItem={selectedItem}
+              onChange={({ selectedItem }) => {
+                if (selectedItem && !selectedItem.disabled) {
+                  field.onChange(selectedItem.code);
+                } else if (!selectedItem) {
+                  field.onChange(null);
+                }
+              }}
+              shouldFilterItem={({
+                item,
+                inputValue,
+              }: {
+                item: InterventionItem | null;
+                inputValue: string | null;
+              }) => {
+                if (!inputValue || !item) {
+                  return true;
+                }
+                return item.text.toLowerCase().includes(inputValue.toLowerCase());
+              }}
+              invalid={!!form.formState.errors[field.name]?.message}
+              invalidText={form.formState.errors[field.name]?.message}
+            />
+          );
+        }}
+      />
+
+      {selectedIntervention && (
+        <>
+          <div className={styles.tagsContainer}>
+            {(() => {
+              const code = selectedIntervention;
+              const intervention = cachedInterventions[code];
+              const name = intervention?.name ?? code;
+              const needsPreauth = intervention?.needs_preauth ?? false;
+              const isCapitation = intervention?.payment_mechanism?.toUpperCase() === 'CAPITATION';
+
+              if (isCapitation) {
+                return (
+                  <Tag key={code} type="teal" size="lg" className={styles.tag}>
+                    {name}: {t('capitation', 'Capitation (PHC)')}
+                  </Tag>
+                );
+              }
+              return needsPreauth ? (
+                <Tag key={code} type="red" size="lg" className={styles.tag}>
+                  {name} :{t('preauthRequired', 'Preauth required')}
+                </Tag>
+              ) : (
+                <Tag key={code} type="green" size="lg" className={styles.tag}>
+                  {name} :{t('noPreauthNeeded', 'No preauth needed')}
+                </Tag>
+              );
+            })()}
+          </div>
+
+          <UtilizationGate
+            patientCRId={patientCRId}
+            patientUuid={patientUuid}
+            interventionCode={selectedIntervention}
+            interventionName={selectedInterventionDetail?.name ?? selectedIntervention}
+            onStatusChange={onUtilizationStatusChange}
+          />
+
+          {showApplicableDocuments && selectedInterventionDetail && (
+            <div className={styles.applicableDocsSection}>
+              <p className={styles.sectionTitle}>{t('applicableDocuments', 'Applicable documents')}</p>
+              <div key={selectedInterventionDetail.code} className={styles.interventionDocsBlock}>
+                <p className={styles.interventionDocsTitle}>{selectedInterventionDetail.name}</p>
+                {selectedInterventionDetail.applicableDocumentTypes.length > 0 ? (
+                  <div className={styles.docTagsContainer}>
+                    {selectedInterventionDetail.applicableDocumentTypes.map((docType) => (
+                      <Tag
+                        key={`${selectedInterventionDetail.code}-${docType}`}
+                        type="cool-gray"
+                        size="sm"
+                        className={styles.tag}>
+                        {docType.replace(/_/g, ' ')}
+                      </Tag>
+                    ))}
+                  </div>
+                ) : (
+                  <p className={styles.noDocsText}>{t('noApplicableDocuments', 'No applicable documents listed')}</p>
+                )}
+              </div>
+            </div>
+          )}
+        </>
       )}
+    </div>
+  );
+};
+type UtilizationGateProps = {
+  patientCRId: string;
+  patientUuid: string;
+  interventionCode: string;
+  interventionName: string;
+  onStatusChange?: (isExhausted: boolean) => void;
+};
+
+const UtilizationGate: React.FC<UtilizationGateProps> = ({
+  patientCRId,
+  patientUuid,
+  interventionCode,
+  interventionName,
+  onStatusChange,
+}) => {
+  const { t } = useTranslation();
+  const { hasSupplementaryCoverage, isLoading: isLoadingSupplementary } = useHasSupplementaryPompsCoverage(patientUuid);
+
+  const shouldSkipUtilizationCheck = hasSupplementaryCoverage || isLoadingSupplementary;
+  const effectivePatientId = shouldSkipUtilizationCheck ? '' : patientCRId;
+  const { utilization, isLoading, error } = useNonPomsfUtilization(effectivePatientId, interventionCode);
+
+  const isExhausted = !shouldSkipUtilizationCheck && utilization ? utilization.eligibility === false : false;
+
+  useEffect(() => {
+    if (shouldSkipUtilizationCheck) {
+      onStatusChange?.(false);
+      return;
+    }
+    if (!isLoading && !error && utilization) {
+      onStatusChange?.(isExhausted);
+    }
+    return () => {
+      onStatusChange?.(false);
+    };
+  }, [shouldSkipUtilizationCheck, isExhausted, isLoading, error, utilization?.intervention_code]);
+
+  if (!isExhausted) {
+    return null;
+  }
+
+  return (
+    <InlineNotification
+      kind="error"
+      lowContrast
+      hideCloseButton
+      aria-label={t('coverageExhausted', 'Coverage exhausted')}
+      title={t('cannotProceed', 'Cannot start visit')}
+      subtitle={
+        utilization?.message ??
+        t(
+          'coverageExhaustedSubtitle',
+          'The coverage limit for {{name}} ({{code}}) has been exhausted. Remove this intervention or choose another to proceed.',
+          { name: interventionName, code: interventionCode },
+        )
+      }
     />
   );
 };