feature: Warning Alert Consumer, Orders API & Input Validation
This commit is contained in:
voltsrage
@@ -0,0 +1,127 @@
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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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[Collection("Integration")]
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public class OrderLifecycleTests : 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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public OrderLifecycleTests(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() => await ResetAndSeedAsync();
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public Task DisposeAsync() => Task.CompletedTask;
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private async Task ResetAndSeedAsync()
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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-ORD-001", FirstName = "Order", LastName = "Test",
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DateOfBirth = new DateOnly(1988, 2, 10), Gender = "F", 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.GeneralMedicine,
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AttendingPhysician = "Dr. Order", 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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_encounterId = encounter.Id;
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}
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[Fact]
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public async Task CreateOrder_Returns201()
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{
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await ResetAndSeedAsync();
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var resp = await _client.PostAsJsonAsync(
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$"/api/v1/encounters/{_encounterId}/orders",
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new CreateOrderRequest(OrderType.Lab, "CBC with differential", "Dr. Test"));
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resp.StatusCode.Should().Be(HttpStatusCode.Created);
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var body = await resp.Content.ReadFromJsonAsync<JsonDocument>();
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body!.RootElement.GetProperty("data").GetProperty("status").GetString()
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.Should().Be("Pending");
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}
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[Fact]
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public async Task ListOrders_ReturnsPaginated()
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{
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await ResetAndSeedAsync();
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await _client.PostAsJsonAsync(
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$"/api/v1/encounters/{_encounterId}/orders",
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new CreateOrderRequest(OrderType.Lab, "BMP", "Dr. A"));
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await _client.PostAsJsonAsync(
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$"/api/v1/encounters/{_encounterId}/orders",
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new CreateOrderRequest(OrderType.Imaging, "Chest X-ray", "Dr. B"));
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var resp = await _client.GetAsync($"/api/v1/encounters/{_encounterId}/orders");
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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("totalCount").GetInt32()
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.Should().Be(2);
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}
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[Fact]
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public async Task RecordResult_TransitionsToResulted()
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{
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await ResetAndSeedAsync();
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var createResp = await _client.PostAsJsonAsync(
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$"/api/v1/encounters/{_encounterId}/orders",
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new CreateOrderRequest(OrderType.Lab, "Potassium", "Dr. Test"));
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var createBody = await createResp.Content.ReadFromJsonAsync<JsonDocument>();
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var orderId = createBody!.RootElement.GetProperty("data").GetProperty("id").GetGuid();
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var resultResp = await _client.PatchAsJsonAsync(
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$"/api/v1/orders/{orderId}/result",
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new RecordOrderResultRequest("Potassium 4.2 mEq/L — within normal limits"));
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resultResp.StatusCode.Should().Be(HttpStatusCode.OK);
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var body = await resultResp.Content.ReadFromJsonAsync<JsonDocument>();
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body!.RootElement.GetProperty("data").GetProperty("status").GetString()
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.Should().Be("Resulted");
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body.RootElement.GetProperty("data").GetProperty("resultSummary").GetString()
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.Should().Contain("4.2");
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}
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[Fact]
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public async Task CancelResultedOrder_Returns409()
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{
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await ResetAndSeedAsync();
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var createResp = await _client.PostAsJsonAsync(
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$"/api/v1/encounters/{_encounterId}/orders",
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new CreateOrderRequest(OrderType.Lab, "Glucose", "Dr. Test"));
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var orderId = (await createResp.Content.ReadFromJsonAsync<JsonDocument>())!
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.RootElement.GetProperty("data").GetProperty("id").GetGuid();
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await _client.PatchAsJsonAsync(
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$"/api/v1/orders/{orderId}/result",
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new RecordOrderResultRequest("Normal"));
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var resp = await _client.PatchAsJsonAsync(
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$"/api/v1/orders/{orderId}/status",
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new TransitionOrderStatusRequest(OrderStatus.Cancelled));
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resp.StatusCode.Should().Be(HttpStatusCode.Conflict);
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}
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}
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@@ -0,0 +1,50 @@
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using System.Net;
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using System.Net.Http.Json;
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using FluentAssertions;
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[Collection("Integration")]
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public class ValidationTests
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{
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private readonly HttpClient _client;
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public ValidationTests(ApiFixture fixture) => _client = fixture.CreateClient();
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[Fact]
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public async Task EmptyFirstName_Returns400()
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{
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var resp = await _client.PostAsJsonAsync("/api/v1/patients", new
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{
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firstName = "",
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lastName = "Valid",
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dateOfBirth = "1990-01-01",
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gender = "M"
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});
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resp.StatusCode.Should().Be(HttpStatusCode.BadRequest);
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}
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[Fact]
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public async Task ThresholdInvalidOrder_Returns400()
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{
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var resp = await _client.PostAsJsonAsync("/api/v1/alert-thresholds", new
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{
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observationCode = "TEST_CODE",
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displayName = "Test",
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unit = "units",
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criticalLow = 50,
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warningLow = 30
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});
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resp.StatusCode.Should().Be(HttpStatusCode.BadRequest);
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}
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[Fact]
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public async Task OrderEmptyDescription_Returns400()
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{
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var resp = await _client.PostAsJsonAsync(
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$"/api/v1/encounters/{Guid.NewGuid()}/orders",
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new { orderType = "Lab", description = "", orderedBy = "Dr. Test" });
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resp.StatusCode.Should().Be(HttpStatusCode.BadRequest);
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}
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}
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@@ -0,0 +1,127 @@
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using System.Text.Json;
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using FluentAssertions;
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using Microsoft.EntityFrameworkCore;
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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 WarningAlertTests : IAsyncLifetime
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{
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private readonly ApiFixture _fixture;
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private Guid _patientId;
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private Guid _encounterId;
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public WarningAlertTests(ApiFixture fixture) => _fixture = fixture;
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public async Task InitializeAsync() => await ResetAndSeedAsync();
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public Task DisposeAsync() => Task.CompletedTask;
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private async Task ResetAndSeedAsync()
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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-WA-001", FirstName = "Warning", LastName = "Test",
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DateOfBirth = new DateOnly(1975, 5, 20), 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. Warning", 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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db.AlertThresholds.Add(new AlertThreshold
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{
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Id = Guid.NewGuid(), ObservationCode = "HEART_RATE",
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DisplayName = "Heart Rate", Unit = "bpm",
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CriticalLow = 30, WarningLow = 50, WarningHigh = 100, CriticalHigh = 150,
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CreatedAt = DateTimeOffset.UtcNow
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});
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await db.SaveChangesAsync();
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var redis = scope.ServiceProvider.GetRequiredService<IConnectionMultiplexer>();
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var cache = redis.GetDatabase(1);
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await cache.StringSetAsync("threshold:HEART_RATE",
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"""{"ObservationCode":"HEART_RATE","CriticalLow":30,"WarningLow":50,"WarningHigh":100,"CriticalHigh":150}""");
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_patientId = patient.Id;
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_encounterId = encounter.Id;
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}
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[Fact]
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public async Task WarningHeartRate_AlertCreated()
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{
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await ResetAndSeedAsync();
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using var scope = _fixture.Services.CreateScope();
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var evaluator = scope.ServiceProvider.GetRequiredService<WarningEvaluator>();
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var created = await evaluator.EvaluateAsync(
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Guid.NewGuid(), _encounterId, _patientId, "HEART_RATE", 105m);
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created.Should().BeTrue();
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var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
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var alert = await db.ClinicalAlerts.SingleAsync();
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alert.AlertType.Should().Be(AlertType.WarningHeartRate);
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alert.Severity.Should().Be(AlertSeverity.Warning);
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alert.Status.Should().Be(AlertStatus.Open);
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}
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[Fact]
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public async Task NormalHeartRate_NoAlert()
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{
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await ResetAndSeedAsync();
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using var scope = _fixture.Services.CreateScope();
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var evaluator = scope.ServiceProvider.GetRequiredService<WarningEvaluator>();
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var created = await evaluator.EvaluateAsync(
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Guid.NewGuid(), _encounterId, _patientId, "HEART_RATE", 78m);
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created.Should().BeFalse();
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var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
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(await db.ClinicalAlerts.CountAsync()).Should().Be(0);
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}
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[Fact]
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public async Task CriticalHeartRate_NoWarningAlert()
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{
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await ResetAndSeedAsync();
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using var scope = _fixture.Services.CreateScope();
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var evaluator = scope.ServiceProvider.GetRequiredService<WarningEvaluator>();
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var created = await evaluator.EvaluateAsync(
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Guid.NewGuid(), _encounterId, _patientId, "HEART_RATE", 160m);
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created.Should().BeFalse();
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var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
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(await db.ClinicalAlerts.CountAsync()).Should().Be(0);
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}
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[Fact]
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public async Task DuplicateWarning_Idempotent()
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{
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await ResetAndSeedAsync();
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using var scope = _fixture.Services.CreateScope();
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var evaluator = scope.ServiceProvider.GetRequiredService<WarningEvaluator>();
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await evaluator.EvaluateAsync(Guid.NewGuid(), _encounterId, _patientId, "HEART_RATE", 105m);
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await evaluator.EvaluateAsync(Guid.NewGuid(), _encounterId, _patientId, "HEART_RATE", 108m);
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var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
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(await db.ClinicalAlerts.CountAsync()).Should().Be(1,
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"second warning for same type must be idempotent while first is still open");
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}
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}
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