update docs and prep for frontend

2026-06-19 15:44:58 +08:00
parent abc781c9c0
commit 49973271e5
20 changed files with 1071 additions and 26 deletions
@@ -0,0 +1,94 @@
+using System.Net;
+using System.Net.Http.Json;
+using System.Text.Json;
+using FluentAssertions;
+using Microsoft.Extensions.DependencyInjection;
+using StackExchange.Redis;
+
+[Collection("Integration")]
+public class QsofaCurrentTests : IAsyncLifetime
+{
+    private readonly ApiFixture _fixture;
+    private readonly HttpClient _client;
+    private Guid _encounterId;
+    private Guid _patientId;
+
+    public QsofaCurrentTests(ApiFixture fixture)
+    {
+        _fixture = fixture;
+        _client = fixture.CreateClient();
+    }
+
+    public async Task InitializeAsync()
+    {
+        using var scope = _fixture.Services.CreateScope();
+        var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
+        await DbResetHelper.ResetAsync(db);
+
+        var patient = new Patient
+        {
+            Id = Guid.NewGuid(), Mrn = "MRN-QSOFA-API", FirstName = "qSOFA", LastName = "Api",
+            DateOfBirth = new DateOnly(1960, 1, 1), Gender = "M", CreatedAt = DateTimeOffset.UtcNow
+        };
+        var encounter = new Encounter
+        {
+            Id = Guid.NewGuid(), PatientId = patient.Id, EncounterType = EncounterType.Inpatient,
+            Status = EncounterStatus.Active, Department = Department.Icu,
+            AttendingPhysician = "Dr. qSOFA", AdmittedAt = DateTimeOffset.UtcNow,
+            CreatedAt = DateTimeOffset.UtcNow
+        };
+        db.Patients.Add(patient);
+        db.Encounters.Add(encounter);
+        await db.SaveChangesAsync();
+
+        _patientId = patient.Id;
+        _encounterId = encounter.Id;
+
+        var redis = scope.ServiceProvider.GetRequiredService<IConnectionMultiplexer>();
+        var cache = redis.GetDatabase();
+        foreach (var key in QsofaCalculator.AllCriterionKeys(_encounterId))
+            await cache.KeyDeleteAsync(key);
+    }
+
+    public Task DisposeAsync() => Task.CompletedTask;
+
+    [Fact]
+    public async Task Current_AfterBaselineVitals_ReturnsZeroCriteria()
+    {
+        using var scope = _fixture.Services.CreateScope();
+        var detector = scope.ServiceProvider.GetRequiredService<QsofaDetector>();
+        await detector.ProcessObservationAsync(_encounterId, _patientId, "RESP_RATE", 16m);
+
+        var resp = await _client.GetAsync($"/api/v1/encounters/{_encounterId}/qsofa/current");
+        resp.StatusCode.Should().Be(HttpStatusCode.OK);
+
+        var body = await resp.Content.ReadFromJsonAsync<JsonDocument>();
+        body!.RootElement.GetProperty("data").GetProperty("activeCriteria").GetInt32()
+            .Should().Be(0);
+    }
+
+    [Fact]
+    public async Task Current_AfterTwoCriteriaMet_ReturnsTwo()
+    {
+        using var scope = _fixture.Services.CreateScope();
+        var detector = scope.ServiceProvider.GetRequiredService<QsofaDetector>();
+        await detector.ProcessObservationAsync(_encounterId, _patientId, "RESP_RATE", 24m);
+        await detector.ProcessObservationAsync(_encounterId, _patientId, "SYSTOLIC_BP", 95m);
+
+        var resp = await _client.GetAsync($"/api/v1/encounters/{_encounterId}/qsofa/current");
+        resp.StatusCode.Should().Be(HttpStatusCode.OK);
+
+        var data = (await resp.Content.ReadFromJsonAsync<JsonDocument>())!
+            .RootElement.GetProperty("data");
+        data.GetProperty("activeCriteria").GetInt32().Should().Be(2);
+        data.GetProperty("criteria").GetProperty("respRate").GetDecimal().Should().Be(24m);
+        data.GetProperty("criteria").GetProperty("systolicBp").GetDecimal().Should().Be(95m);
+    }
+
+    [Fact]
+    public async Task Current_UnknownEncounter_Returns404()
+    {
+        var resp = await _client.GetAsync($"/api/v1/encounters/{Guid.NewGuid()}/qsofa/current");
+        resp.StatusCode.Should().Be(HttpStatusCode.NotFound);
+    }
+}