update docs and prep for frontend
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voltsrage
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using System.Net;
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using System.Net.Http.Json;
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using System.Text.Json;
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using FluentAssertions;
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using Microsoft.Extensions.DependencyInjection;
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using StackExchange.Redis;
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[Collection("Integration")]
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public class EncountersListTests : IAsyncLifetime
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{
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private readonly ApiFixture _fixture;
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private readonly HttpClient _client;
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private Guid _activeIcuEncounterId;
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private Guid _activeSurgeryEncounterId;
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private Guid _dischargedEncounterId;
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public EncountersListTests(ApiFixture fixture)
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{
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_fixture = fixture;
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_client = fixture.CreateClient();
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}
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public async Task InitializeAsync()
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{
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using var scope = _fixture.Services.CreateScope();
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var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
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await DbResetHelper.ResetAsync(db);
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var patientIcu = new Patient
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{
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Id = Guid.NewGuid(), Mrn = "MRN-WARD-001", FirstName = "Alice", LastName = "Icu",
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DateOfBirth = new DateOnly(1970, 3, 1), Gender = "F", CreatedAt = DateTimeOffset.UtcNow
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};
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var patientSurgery = new Patient
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{
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Id = Guid.NewGuid(), Mrn = "MRN-WARD-002", FirstName = "Bob", LastName = "Surgery",
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DateOfBirth = new DateOnly(1965, 7, 12), Gender = "M", CreatedAt = DateTimeOffset.UtcNow
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};
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_activeIcuEncounterId = Guid.NewGuid();
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_activeSurgeryEncounterId = Guid.NewGuid();
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_dischargedEncounterId = Guid.NewGuid();
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db.Patients.AddRange(patientIcu, patientSurgery);
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db.Encounters.AddRange(
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new Encounter
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{
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Id = _activeIcuEncounterId, PatientId = patientIcu.Id,
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EncounterType = EncounterType.Inpatient, Status = EncounterStatus.Active,
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Department = Department.Icu, AttendingPhysician = "Dr. Ward",
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RoomBed = "ICU-3", AdmittedAt = DateTimeOffset.UtcNow.AddHours(-2),
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CreatedAt = DateTimeOffset.UtcNow
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},
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new Encounter
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{
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Id = _activeSurgeryEncounterId, PatientId = patientSurgery.Id,
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EncounterType = EncounterType.Inpatient, Status = EncounterStatus.Active,
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Department = Department.Surgery, AttendingPhysician = "Dr. Ward",
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RoomBed = "S-12", AdmittedAt = DateTimeOffset.UtcNow.AddHours(-1),
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CreatedAt = DateTimeOffset.UtcNow
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},
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new Encounter
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{
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Id = _dischargedEncounterId, PatientId = patientSurgery.Id,
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EncounterType = EncounterType.Outpatient, Status = EncounterStatus.Discharged,
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Department = Department.Surgery, AttendingPhysician = "Dr. Ward",
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AdmittedAt = DateTimeOffset.UtcNow.AddDays(-3),
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DischargedAt = DateTimeOffset.UtcNow.AddDays(-2),
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CreatedAt = DateTimeOffset.UtcNow.AddDays(-3)
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});
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db.News2Scores.Add(new News2Score
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{
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Id = Guid.NewGuid(), EncounterId = _activeIcuEncounterId, PatientId = patientIcu.Id,
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TotalScore = 7, RiskLevel = "HIGH", CalculatedAt = DateTimeOffset.UtcNow,
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RespRateScore = 1, Spo2Score = 0, SystolicBpScore = 1, HeartRateScore = 1,
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ConsciousnessScore = 0, TemperatureScore = 0, SupplementalO2Score = 0
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});
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db.ClinicalAlerts.Add(new ClinicalAlert
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{
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Id = Guid.NewGuid(), EncounterId = _activeIcuEncounterId, PatientId = patientIcu.Id,
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AlertType = AlertType.News2Emergency, Severity = AlertSeverity.Critical,
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Details = "NEWS2 score 7", Status = AlertStatus.Open,
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TriggeredAt = DateTimeOffset.UtcNow
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});
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await db.SaveChangesAsync();
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}
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public Task DisposeAsync() => Task.CompletedTask;
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[Fact]
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public async Task ListActiveEncounters_ReturnsSummariesWithPatientNames()
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{
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var resp = await _client.GetAsync("/api/v1/encounters?status=ACTIVE&page=1&pageSize=20");
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resp.StatusCode.Should().Be(HttpStatusCode.OK);
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var body = await resp.Content.ReadFromJsonAsync<JsonDocument>();
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var items = body!.RootElement.GetProperty("data").GetProperty("items");
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items.GetArrayLength().Should().Be(2);
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var icu = items.EnumerateArray()
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.First(i => i.GetProperty("encounterId").GetGuid() == _activeIcuEncounterId);
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icu.GetProperty("firstName").GetString().Should().Be("Alice");
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icu.GetProperty("lastName").GetString().Should().Be("Icu");
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icu.GetProperty("mrn").GetString().Should().Be("MRN-WARD-001");
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icu.GetProperty("roomBed").GetString().Should().Be("ICU-3");
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icu.GetProperty("news2Score").GetInt32().Should().Be(7);
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icu.GetProperty("openAlertCount").GetInt32().Should().Be(1);
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icu.GetProperty("qsofaScore").GetInt32().Should().Be(0);
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}
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[Fact]
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public async Task ListByDepartment_FiltersCorrectly()
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{
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var resp = await _client.GetAsync("/api/v1/encounters?status=ACTIVE&department=SURGERY");
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resp.StatusCode.Should().Be(HttpStatusCode.OK);
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var body = await resp.Content.ReadFromJsonAsync<JsonDocument>();
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var items = body!.RootElement.GetProperty("data").GetProperty("items");
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items.GetArrayLength().Should().Be(1);
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items[0].GetProperty("encounterId").GetGuid().Should().Be(_activeSurgeryEncounterId);
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items[0].GetProperty("firstName").GetString().Should().Be("Bob");
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}
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[Fact]
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public async Task ListInvalidStatus_Returns400()
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{
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var resp = await _client.GetAsync("/api/v1/encounters?status=Active");
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resp.StatusCode.Should().Be(HttpStatusCode.BadRequest);
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}
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}
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@@ -0,0 +1,94 @@
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using System.Net;
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using System.Net.Http.Json;
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using System.Text.Json;
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using FluentAssertions;
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using Microsoft.Extensions.DependencyInjection;
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using StackExchange.Redis;
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[Collection("Integration")]
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public class QsofaCurrentTests : IAsyncLifetime
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{
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private readonly ApiFixture _fixture;
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private readonly HttpClient _client;
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private Guid _encounterId;
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private Guid _patientId;
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public QsofaCurrentTests(ApiFixture fixture)
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{
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_fixture = fixture;
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_client = fixture.CreateClient();
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}
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public async Task InitializeAsync()
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{
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using var scope = _fixture.Services.CreateScope();
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var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
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await DbResetHelper.ResetAsync(db);
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var patient = new Patient
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{
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Id = Guid.NewGuid(), Mrn = "MRN-QSOFA-API", FirstName = "qSOFA", LastName = "Api",
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DateOfBirth = new DateOnly(1960, 1, 1), Gender = "M", CreatedAt = DateTimeOffset.UtcNow
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};
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var encounter = new Encounter
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{
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Id = Guid.NewGuid(), PatientId = patient.Id, EncounterType = EncounterType.Inpatient,
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Status = EncounterStatus.Active, Department = Department.Icu,
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AttendingPhysician = "Dr. qSOFA", AdmittedAt = DateTimeOffset.UtcNow,
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CreatedAt = DateTimeOffset.UtcNow
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};
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db.Patients.Add(patient);
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db.Encounters.Add(encounter);
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await db.SaveChangesAsync();
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_patientId = patient.Id;
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_encounterId = encounter.Id;
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var redis = scope.ServiceProvider.GetRequiredService<IConnectionMultiplexer>();
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var cache = redis.GetDatabase();
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foreach (var key in QsofaCalculator.AllCriterionKeys(_encounterId))
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await cache.KeyDeleteAsync(key);
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}
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public Task DisposeAsync() => Task.CompletedTask;
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[Fact]
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public async Task Current_AfterBaselineVitals_ReturnsZeroCriteria()
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{
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using var scope = _fixture.Services.CreateScope();
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var detector = scope.ServiceProvider.GetRequiredService<QsofaDetector>();
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await detector.ProcessObservationAsync(_encounterId, _patientId, "RESP_RATE", 16m);
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var resp = await _client.GetAsync($"/api/v1/encounters/{_encounterId}/qsofa/current");
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resp.StatusCode.Should().Be(HttpStatusCode.OK);
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var body = await resp.Content.ReadFromJsonAsync<JsonDocument>();
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body!.RootElement.GetProperty("data").GetProperty("activeCriteria").GetInt32()
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.Should().Be(0);
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}
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[Fact]
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public async Task Current_AfterTwoCriteriaMet_ReturnsTwo()
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{
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using var scope = _fixture.Services.CreateScope();
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var detector = scope.ServiceProvider.GetRequiredService<QsofaDetector>();
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await detector.ProcessObservationAsync(_encounterId, _patientId, "RESP_RATE", 24m);
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await detector.ProcessObservationAsync(_encounterId, _patientId, "SYSTOLIC_BP", 95m);
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var resp = await _client.GetAsync($"/api/v1/encounters/{_encounterId}/qsofa/current");
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resp.StatusCode.Should().Be(HttpStatusCode.OK);
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var data = (await resp.Content.ReadFromJsonAsync<JsonDocument>())!
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.RootElement.GetProperty("data");
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data.GetProperty("activeCriteria").GetInt32().Should().Be(2);
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data.GetProperty("criteria").GetProperty("respRate").GetDecimal().Should().Be(24m);
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data.GetProperty("criteria").GetProperty("systolicBp").GetDecimal().Should().Be(95m);
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}
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[Fact]
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public async Task Current_UnknownEncounter_Returns404()
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{
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var resp = await _client.GetAsync($"/api/v1/encounters/{Guid.NewGuid()}/qsofa/current");
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resp.StatusCode.Should().Be(HttpStatusCode.NotFound);
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}
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}
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