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Vendor flowrise-hms
Package appointment
Short Description Appointment scheduling module for FlowRise HMS providing staff-facing booking, rescheduling, cancellation, check-in, and no-show tracking. Includes waitlist queue management with priority scoring, recurring appointment support via iCalendar RRULE, and resilient sync via outbox pattern.
License MIT

Keywords scheduling healthcare fhir appointment hospital hms waitlist

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Example code of flowrise-hms/appointment

Informations about the package appointment

Appointment module

Scheduling, waitlist, outbound sync outbox, and Filament admin surfaces for FlowRise HMS.

Operator documentation (staff-facing)

End-user workflows for reception, clinical staff, and administrators: docs/user-guide/appointments.md.

Branch context (required reading)

All domain models extend BelongsToBranch:

Global scope: queries default to branch_id = current_branch_id from Laravel Context or Auth::user()->branch_id.
Creating: branch_id is auto-filled from that context when absent.

Console commands, queues, and tests must set branch context or call Model::withoutGlobalScopes() when operating across branches.

Entity overview

Model	Table	Purpose
`Appointment`	`appointments`	Core booked encounter shell (patient, location, status, times).
`AppointmentParticipant`	`appointment_participants`	FHIR-style participants (`participant_type`, `actor_reference` string).
`AppointmentResource`	`appointment_resources`	Room/equipment allocations with time windows; feeds conflict checks.
`AppointmentRecurrenceRule`	`appointment_recurrence_rules`	Metadata only — no engine expands occurrences yet.
`AppointmentAudit`	`appointment_audits`	Optional domain audit rows (manual / Filament); not auto-written by scheduling.
`ScheduleBlock`	`appointment_schedule_blocks`	Practitioner/location blocks for conflict detection.
`WaitlistEntry`	`appointment_waitlist_entries`	Prioritized wait queue per branch/patient preferences.
`AppointmentSyncOutbox`	`appointment_sync_outbox`	Reliable outbound events for integrations.

Relationships quick reference

`Appointment`

patient, location, department, branch (explicit branch; matches trait).
primaryPractitioner → Staff via practitioner_primary_id (UUID, no FK in DB).
creator / updater → App\Models\User via created_by / updated_by.
Children: participants, resources, recurrenceRules, appointmentAudits, syncOutboxEntries (filtered to aggregate_type = appointment).

`AppointmentSyncOutbox`

branch() from trait; appointment() → Appointment on aggregate_id when aggregate_type is appointment (AppointmentSyncOutbox::AGGREGATE_TYPE_APPOINTMENT).
Query helpers: scopeForAppointmentAggregate(), scopeDue() (pending + available_at elapsed).

`WaitlistEntry`

patient, preferredPractitioner (Staff, nullable UUID no FK), preferredLocation, preferredDepartment, branch (trait).

`AppointmentAudit`

appointment, branch (trait), actor → User when actor_id points at a web user.

`ScheduleBlock`

branch (trait), practitioner → Staff, location, department.

Child rows (`Participant`, `Resource`, `RecurrenceRule`)

appointment, branch (trait).

Soft UUID references

These columns are strings without FK until interoperability stabilizes:

appointments.practitioner_primary_id
appointment_participants.actor_reference
appointment_schedule_blocks.practitioner_id (nullable)
appointment_waitlist_entries.preferred_practitioner_id

Prefer Staff UUIDs where Staff exists; document external FHIR ids separately if needed.

Services and workflows

`AppointmentSchedulingService`

schedule / reschedule / checkIn / cancel mutate Appointment and enqueue AppointmentSyncOutbox rows.
Practitioner conflicts: AppointmentConflictService checks overlapping Appointment rows and ScheduleBlock.
Resource conflicts: hasResourceConflict when AppointmentResource rows exist.

Outbox producer

Events emitted today:

`event_name`	When
`appointment.booked`	After create
`appointment.rescheduled`	After reschedule (+ version bump)
`appointment.checked_in`	After check-in
`appointment.cancelled`	After cancel

Idempotency: idempotency_key is sha256("{appointment_id}|{event_name}|{version}"). AppointmentSyncOutbox::firstOrCreate skips duplicates for the same triple.

Payload (JSON): appointment_id, status, ISO8601 start_at, end_at.

Outbox consumer (stub)

Artisan command appointment:process-sync-outbox (Modules\Appointment\Console\Commands\ProcessAppointmentSyncOutboxCommand) selects due pending rows (respects withoutGlobalScopes) and marks them completed — replace internals with real HTTP / message-bus dispatch.

Scheduler entry (project routes/console.php from repository root):

Ensure host cron runs php artisan schedule:run every minute in production.

Filament: no manual create route for outbox rows — entries are system-generated; operators may view/edit for troubleshooting.

Waitlist scoring

WaitlistScoringService returns a numeric score only; persist computed_priority_score from Filament or a future job.

Recurrence rules

Rules stored on AppointmentRecurrenceRule are not expanded into additional appointments. Admin CRUD is informational until a recurrence engine is implemented.

Appointment audits vs activity log

Spatie activity log runs on all BaseModel children (configurable per model).
AppointmentAudit is not populated automatically by scheduling today — use Filament for explicit audit rows or add observers later.

Operator notes

Maintain schedule blocks for clinicians/locations that must not receive bookings.
Attach resources when rooms/assets must participate in conflict detection.
Monitor sync outbox for stuck failed / high attempts rows after real integrations ship.

Developer commands

Tests

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Package Version

Version v1.0.0 Release 15. Aug 2026
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Requires php Version ^8.4
flowrise-hms/core Version dev-main
flowrise-hms/patient Version dev-main
guava/calendar Version ^3.1

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