/** * Descomplicar® Crescimento Digital * https://descomplicar.pt */ markTestIncomplete( 'Automatic billing generation not implemented yet - TDD RED phase' ); // ARRANGE: Setup complete billing scenario $clinic_id = $this->create_test_clinic(); global $wpdb; // Create services with prices $service_ids = array(); $services = array( array( 'name' => 'General Consultation', 'price' => '75.00', 'type' => 'consultation' ), array( 'name' => 'Blood Pressure Check', 'price' => '15.00', 'type' => 'procedure' ), array( 'name' => 'Prescription Review', 'price' => '25.00', 'type' => 'consultation' ), ); foreach ( $services as $service ) { $wpdb->insert( $wpdb->prefix . 'kc_services', array( 'name' => $service['name'], 'price' => $service['price'], 'type' => $service['type'], 'status' => 1, 'created_at' => current_time( 'mysql' ), )); $service_ids[] = $wpdb->insert_id; } // Map doctor and patient to clinic $wpdb->insert( $wpdb->prefix . 'kc_doctor_clinic_mappings', array( 'doctor_id' => $this->doctor_user, 'clinic_id' => $clinic_id ) ); $wpdb->insert( $wpdb->prefix . 'kc_patient_clinic_mappings', array( 'patient_id' => $this->patient_user, 'clinic_id' => $clinic_id ) ); // STEP 1: Create appointment with services $appointment_data = array( 'appointment_start_date' => gmdate( 'Y-m-d', strtotime( '+1 day' ) ), 'appointment_start_time' => '14:30:00', 'appointment_end_date' => gmdate( 'Y-m-d', strtotime( '+1 day' ) ), 'appointment_end_time' => '15:30:00', 'doctor_id' => $this->doctor_user, 'patient_id' => $this->patient_user, 'clinic_id' => $clinic_id, 'visit_type' => 'consultation', 'services' => array( $service_ids[0], $service_ids[1] ), // Consultation + BP Check ); $appointment_response = $this->make_request( '/wp-json/care/v1/appointments', 'POST', $appointment_data, $this->receptionist_user ); $this->assertRestResponse( $appointment_response, 201 ); $appointment_id = $appointment_response->get_data()['id']; // Verify service mappings were created $service_mappings = $wpdb->get_results( $wpdb->prepare( "SELECT * FROM {$wpdb->prefix}kc_appointment_service_mapping WHERE appointment_id = %d", $appointment_id ) ); $this->assertCount( 2, $service_mappings ); // STEP 2: Doctor creates encounter (this should trigger billing) $encounter_data = array( 'appointment_id' => $appointment_id, 'description' => 'Patient consultation completed. Blood pressure checked and found to be within normal range.', 'diagnosis' => 'Routine health check - Normal findings', 'treatment_plan' => 'Continue current lifestyle, return in 6 months', 'status' => 1, ); $encounter_response = $this->make_request( '/wp-json/care/v1/encounters', 'POST', $encounter_data, $this->doctor_user ); $this->assertRestResponse( $encounter_response, 201 ); $encounter_id = $encounter_response->get_data()['id']; // STEP 3: Verify automatic bill generation $bill = $wpdb->get_row( $wpdb->prepare( "SELECT * FROM {$wpdb->prefix}kc_bills WHERE encounter_id = %d AND appointment_id = %d", $encounter_id, $appointment_id ) ); $this->assertNotNull( $bill, 'Bill should be automatically generated when encounter is created' ); $this->assertEquals( $encounter_id, $bill->encounter_id ); $this->assertEquals( $appointment_id, $bill->appointment_id ); $this->assertEquals( $clinic_id, $bill->clinic_id ); $this->assertEquals( 'unpaid', $bill->payment_status ); // STEP 4: Verify bill amount calculation $expected_total = 75.00 + 15.00; // Consultation + BP Check $this->assertEquals( number_format( $expected_total, 2 ), $bill->total_amount ); $this->assertEquals( '0.00', $bill->discount ); $this->assertEquals( number_format( $expected_total, 2 ), $bill->actual_amount ); // STEP 5: Doctor adds additional service during encounter $additional_service_response = $this->make_request( "/wp-json/care/v1/encounters/{$encounter_id}/services", 'POST', array( 'service_id' => $service_ids[2] ), // Prescription Review $this->doctor_user ); $this->assertRestResponse( $additional_service_response, 201 ); // STEP 6: Verify bill was automatically updated $updated_bill = $wpdb->get_row( $wpdb->prepare( "SELECT * FROM {$wpdb->prefix}kc_bills WHERE id = %d", $bill->id ) ); $new_expected_total = $expected_total + 25.00; // Added Prescription Review $this->assertEquals( number_format( $new_expected_total, 2 ), $updated_bill->total_amount ); $this->assertEquals( number_format( $new_expected_total, 2 ), $updated_bill->actual_amount ); // STEP 7: Test bill retrieval via API $bill_response = $this->make_request( "/wp-json/care/v1/bills/{$bill->id}", 'GET', array(), $this->receptionist_user ); $this->assertRestResponse( $bill_response, 200 ); $bill_data = $bill_response->get_data(); $this->assertEquals( $bill->id, $bill_data['id'] ); $this->assertEquals( $encounter_id, $bill_data['encounter_id'] ); $this->assertEquals( number_format( $new_expected_total, 2 ), $bill_data['total_amount'] ); // Verify bill includes service breakdown $this->assertArrayHasKey( 'services', $bill_data ); $this->assertCount( 3, $bill_data['services'] ); // STEP 8: Test payment processing $payment_data = array( 'amount' => $bill_data['actual_amount'], 'payment_method' => 'cash', 'notes' => 'Payment received in full', ); $payment_response = $this->make_request( "/wp-json/care/v1/bills/{$bill->id}/payment", 'POST', $payment_data, $this->receptionist_user ); $this->assertRestResponse( $payment_response, 200 ); // Verify payment status updated $paid_bill = $wpdb->get_row( $wpdb->prepare( "SELECT * FROM {$wpdb->prefix}kc_bills WHERE id = %d", $bill->id ) ); $this->assertEquals( 'paid', $paid_bill->payment_status ); } /** * Test billing with discounts and insurance. * * @test */ public function test_billing_with_discounts_and_insurance() { // This test will fail initially as discount/insurance features aren't implemented $this->markTestIncomplete( 'Billing discounts and insurance not implemented yet - TDD RED phase' ); // ARRANGE: Setup scenario with discounts $clinic_id = $this->create_test_clinic(); $appointment_id = $this->create_test_appointment( $clinic_id, $this->doctor_user, $this->patient_user ); // Create encounter $encounter_response = $this->make_request( '/wp-json/care/v1/encounters', 'POST', array( 'appointment_id' => $appointment_id, 'description' => 'Test encounter for billing with discounts', ), $this->doctor_user ); $encounter_id = $encounter_response->get_data()['id']; // STEP 1: Apply senior citizen discount (20%) $discount_data = array( 'type' => 'percentage', 'value' => 20, 'reason' => 'Senior citizen discount', 'applied_by' => $this->doctor_user, ); $discount_response = $this->make_request( "/wp-json/care/v1/bills/encounter/{$encounter_id}/discount", 'POST', $discount_data, $this->doctor_user ); $this->assertRestResponse( $discount_response, 200 ); // STEP 2: Verify discount was applied to bill global $wpdb; $bill = $wpdb->get_row( $wpdb->prepare( "SELECT * FROM {$wpdb->prefix}kc_bills WHERE encounter_id = %d", $encounter_id ) ); $total_amount = floatval( $bill->total_amount ); $discount_amount = floatval( $bill->discount ); $actual_amount = floatval( $bill->actual_amount ); $this->assertEquals( $total_amount * 0.20, $discount_amount ); $this->assertEquals( $total_amount - $discount_amount, $actual_amount ); // STEP 3: Test insurance claim processing $insurance_data = array( 'insurance_provider' => 'Medicare', 'policy_number' => 'POL123456789', 'coverage_percentage' => 80, 'claim_amount' => $actual_amount, ); $insurance_response = $this->make_request( "/wp-json/care/v1/bills/{$bill->id}/insurance", 'POST', $insurance_data, $this->receptionist_user ); $this->assertRestResponse( $insurance_response, 201 ); // Verify insurance claim was created $claim = $wpdb->get_row( $wpdb->prepare( "SELECT * FROM {$wpdb->prefix}kc_insurance_claims WHERE bill_id = %d", $bill->id ) ); $this->assertNotNull( $claim ); $this->assertEquals( 'pending', $claim->status ); } /** * Test billing error handling and edge cases. * * @test */ public function test_billing_error_handling() { // This test will fail initially as error handling isn't implemented $this->markTestIncomplete( 'Billing error handling not implemented yet - TDD RED phase' ); $clinic_id = $this->create_test_clinic(); // Test error scenarios $error_tests = array( // Encounter without appointment array( 'scenario' => 'Encounter without appointment', 'setup' => function() { return array( 'description' => 'Test encounter without appointment', 'patient_id' => $this->patient_user, 'clinic_id' => $this->create_test_clinic(), ); }, 'expected_error' => 'missing_appointment', ), // Appointment without services array( 'scenario' => 'Appointment without services', 'setup' => function() use ( $clinic_id ) { $appointment_id = $this->create_test_appointment( $clinic_id, $this->doctor_user, $this->patient_user ); // Clear any default services global $wpdb; $wpdb->delete( $wpdb->prefix . 'kc_appointment_service_mapping', array( 'appointment_id' => $appointment_id ) ); return array( 'appointment_id' => $appointment_id, 'description' => 'Test encounter without services', ); }, 'expected_error' => 'no_billable_services', ), ); foreach ( $error_tests as $test ) { $encounter_data = $test['setup'](); $response = $this->make_request( '/wp-json/care/v1/encounters', 'POST', $encounter_data, $this->doctor_user ); // Should either prevent encounter creation or generate appropriate billing warning if ( $response->get_status() === 201 ) { // If encounter was created, check for billing warnings $encounter = $response->get_data(); $this->assertArrayHasKey( 'billing_warnings', $encounter ); } else { // If encounter was prevented, check error code $error_data = $response->get_data(); $this->assertEquals( $test['expected_error'], $error_data['code'] ); } } } /** * Test billing permissions and access control. * * @test */ public function test_billing_permissions() { // This test will fail initially as billing permissions aren't implemented $this->markTestIncomplete( 'Billing permissions not implemented yet - TDD RED phase' ); // ARRANGE: Create bill $clinic_id = $this->create_test_clinic(); $appointment_id = $this->create_test_appointment( $clinic_id, $this->doctor_user, $this->patient_user ); $encounter_response = $this->make_request( '/wp-json/care/v1/encounters', 'POST', array( 'appointment_id' => $appointment_id, 'description' => 'Test encounter for billing permissions', ), $this->doctor_user ); $encounter_id = $encounter_response->get_data()['id']; global $wpdb; $bill = $wpdb->get_row( $wpdb->prepare( "SELECT * FROM {$wpdb->prefix}kc_bills WHERE encounter_id = %d", $encounter_id ) ); // Test role-based permissions $permission_tests = array( // View bill permissions array( 'action' => 'GET', 'endpoint' => "/wp-json/care/v1/bills/{$bill->id}", 'user' => $this->admin_user, 'expected' => 200 ), array( 'action' => 'GET', 'endpoint' => "/wp-json/care/v1/bills/{$bill->id}", 'user' => $this->doctor_user, 'expected' => 200 ), array( 'action' => 'GET', 'endpoint' => "/wp-json/care/v1/bills/{$bill->id}", 'user' => $this->receptionist_user, 'expected' => 200 ), array( 'action' => 'GET', 'endpoint' => "/wp-json/care/v1/bills/{$bill->id}", 'user' => $this->patient_user, 'expected' => 200 ), // Own bill // Payment processing permissions array( 'action' => 'POST', 'endpoint' => "/wp-json/care/v1/bills/{$bill->id}/payment", 'user' => $this->receptionist_user, 'expected' => 200 ), array( 'action' => 'POST', 'endpoint' => "/wp-json/care/v1/bills/{$bill->id}/payment", 'user' => $this->admin_user, 'expected' => 200 ), array( 'action' => 'POST', 'endpoint' => "/wp-json/care/v1/bills/{$bill->id}/payment", 'user' => $this->doctor_user, 'expected' => 403 ), // Doctor cannot process payments array( 'action' => 'POST', 'endpoint' => "/wp-json/care/v1/bills/{$bill->id}/payment", 'user' => $this->patient_user, 'expected' => 403 ), // Patient cannot process payments ); foreach ( $permission_tests as $test ) { $data = ( $test['action'] === 'POST' ) ? array( 'amount' => $bill->actual_amount, 'payment_method' => 'cash' ) : array(); $response = $this->make_request( $test['endpoint'], $test['action'], $data, $test['user'] ); $this->assertRestResponse( $response, $test['expected'] ); } } /** * Test billing reports and analytics. * * @test */ public function test_billing_reports_and_analytics() { // This test will fail initially as billing reports aren't implemented $this->markTestIncomplete( 'Billing reports not implemented yet - TDD RED phase' ); // ARRANGE: Create multiple bills with different statuses $clinic_id = $this->create_test_clinic(); $bill_scenarios = array( array( 'amount' => 100.00, 'status' => 'paid', 'date' => '2024-01-15' ), array( 'amount' => 150.00, 'status' => 'unpaid', 'date' => '2024-01-16' ), array( 'amount' => 75.00, 'status' => 'paid', 'date' => '2024-01-17' ), array( 'amount' => 200.00, 'status' => 'partially_paid', 'date' => '2024-01-18' ), ); foreach ( $bill_scenarios as $scenario ) { $appointment_id = $this->create_test_appointment( $clinic_id, $this->doctor_user, $this->patient_user ); $encounter_response = $this->make_request( '/wp-json/care/v1/encounters', 'POST', array( 'appointment_id' => $appointment_id, 'description' => 'Test encounter for billing reports', 'encounter_date' => $scenario['date'], ), $this->doctor_user ); // Simulate different payment statuses global $wpdb; $encounter_id = $encounter_response->get_data()['id']; $wpdb->update( $wpdb->prefix . 'kc_bills', array( 'total_amount' => number_format( $scenario['amount'], 2 ), 'actual_amount' => number_format( $scenario['amount'], 2 ), 'payment_status' => $scenario['status'], ), array( 'encounter_id' => $encounter_id ) ); } // ACT: Generate billing reports $reports_response = $this->make_request( '/wp-json/care/v1/reports/billing', 'GET', array( 'start_date' => '2024-01-01', 'end_date' => '2024-01-31', 'clinic_id' => $clinic_id, ), $this->admin_user ); // ASSERT: Report contains expected data $this->assertRestResponse( $reports_response, 200 ); $report = $reports_response->get_data(); $this->assertArrayHasKey( 'total_revenue', $report ); $this->assertArrayHasKey( 'outstanding_amount', $report ); $this->assertArrayHasKey( 'payment_summary', $report ); // Verify calculations $this->assertEquals( 525.00, $report['total_billed'] ); // Sum of all bills $this->assertEquals( 175.00, $report['total_revenue'] ); // Only paid bills $this->assertEquals( 350.00, $report['outstanding_amount'] ); // Unpaid + partially paid } }