flowrise-hms/appointment

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.

dev-main 2026-07-26 01:16 UTC

Requires

• php: ^8.4
• flowrise-hms/core: dev-main
• flowrise-hms/patient: dev-main
• guava/calendar: ^3.1

MIT

• Flowrise Digital
• Mushe Abdul-Hakim

• scheduling
• healthcare
• fhir
• appointment
• hospital
• hms
• waitlist

Published on Packagist.org on 2026-08-02 12:19 UTC

README

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 Modules\Core\Models\BaseModel, which applies 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):

Schedule::command('appointment:process-sync-outbox')->everyMinute();

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

php artisan appointment:process-sync-outbox --limit=50

Tests

./vendor/bin/pest Modules/Appointment/tests