Files
2026-06-24 03:01:00 +08:00

174 lines
6.3 KiB
C#

using System.Net;
using System.Net.Http.Json;
using System.Text.Json;
using FluentAssertions;
using Microsoft.EntityFrameworkCore;
using Microsoft.Extensions.DependencyInjection;
[Collection("Integration")]
public class AlertQualityAnalyticsTests : IAsyncLifetime
{
private readonly ApiFixture _fixture;
private readonly HttpClient _client;
private Guid _alertId;
public AlertQualityAnalyticsTests(ApiFixture fixture)
{
_fixture = fixture;
_client = fixture.CreateClient();
_client.AsNurse();
}
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-QA-001", FirstName = "Quality", LastName = "Analytics",
DateOfBirth = new DateOnly(1985, 3, 10), Gender = "F", CreatedAt = DateTimeOffset.UtcNow
};
var encounter = new Encounter
{
Id = Guid.NewGuid(), PatientId = patient.Id, EncounterType = EncounterType.Inpatient,
Status = EncounterStatus.Active, Department = Department.Icu,
AttendingPhysician = "Dr. QA", AdmittedAt = DateTimeOffset.UtcNow,
CreatedAt = DateTimeOffset.UtcNow
};
var alert = new ClinicalAlert
{
Id = Guid.NewGuid(), EncounterId = encounter.Id, PatientId = patient.Id,
AlertType = AlertType.News2Warning, Severity = AlertSeverity.Warning,
Details = "NEWS2 score 6 (MEDIUM).", Status = AlertStatus.Open,
TriggeredAt = DateTimeOffset.UtcNow.AddMinutes(-30)
};
db.Patients.Add(patient);
db.Encounters.Add(encounter);
db.ClinicalAlerts.Add(alert);
await db.SaveChangesAsync();
_alertId = alert.Id;
await _client.PostAsJsonAsync(
$"/api/v1/alerts/{_alertId}/acknowledge",
new AcknowledgeAlertRequest("Reviewed for QA test."));
}
public Task DisposeAsync() => Task.CompletedTask;
[Theory]
[InlineData("Useful")]
[InlineData("TooEarly")]
[InlineData("TooLate")]
[InlineData("FalsePositive")]
[InlineData("MissingContext")]
[InlineData("WouldAct")]
public async Task SubmitFeedback_AllTypes_Returns201(string feedbackType)
{
await ResetAcknowledgedAlertAsync();
var resp = await _client.PostAsJsonAsync(
$"/api/v1/alerts/{_alertId}/feedback",
new { feedbackType, comment = $"QA {feedbackType}" });
resp.StatusCode.Should().Be(HttpStatusCode.Created);
var body = await resp.Content.ReadFromJsonAsync<JsonDocument>();
body!.RootElement.GetProperty("data").GetProperty("id").GetGuid()
.Should().NotBe(Guid.Empty);
}
[Fact]
public async Task SubmitFeedback_DuplicateUser_Returns409()
{
await ResetAcknowledgedAlertAsync();
await _client.PostAsJsonAsync(
$"/api/v1/alerts/{_alertId}/feedback",
new { feedbackType = "Useful" });
var resp = await _client.PostAsJsonAsync(
$"/api/v1/alerts/{_alertId}/feedback",
new { feedbackType = "FalsePositive" });
resp.StatusCode.Should().Be(HttpStatusCode.Conflict);
var body = await resp.Content.ReadFromJsonAsync<JsonDocument>();
body!.RootElement.GetProperty("error").GetProperty("code").GetString()
.Should().Be("FEEDBACK_ALREADY_SUBMITTED");
}
[Fact]
public async Task SubmitFeedback_OpenAlert_Returns400()
{
using var scope = _fixture.Services.CreateScope();
var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
var openAlert = new ClinicalAlert
{
Id = Guid.NewGuid(),
EncounterId = (await db.Encounters.FirstAsync()).Id,
PatientId = (await db.Patients.FirstAsync()).Id,
AlertType = AlertType.GcsWarning,
Severity = AlertSeverity.Warning,
Details = "Open alert.",
Status = AlertStatus.Open,
TriggeredAt = DateTimeOffset.UtcNow
};
db.ClinicalAlerts.Add(openAlert);
await db.SaveChangesAsync();
var resp = await _client.PostAsJsonAsync(
$"/api/v1/alerts/{openAlert.Id}/feedback",
new { feedbackType = "Useful" });
resp.StatusCode.Should().Be(HttpStatusCode.BadRequest);
}
[Fact]
public async Task SubmitFeedback_WritesAuditLog()
{
await ResetAcknowledgedAlertAsync();
await _client.PostAsJsonAsync(
$"/api/v1/alerts/{_alertId}/feedback",
new { feedbackType = "Useful", comment = "audit check" });
using var scope = _fixture.Services.CreateScope();
var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
var logged = await db.ClinicalAuditLogs
.AnyAsync(l => l.EntityId == _alertId
&& l.Action == AuditAction.AlertFeedbackSubmitted);
logged.Should().BeTrue();
}
[Fact]
public async Task QualityMetricsSummary_ReturnsAggregate()
{
var resp = await _client.GetAsync("/api/v1/alerts/quality-metrics/summary");
resp.StatusCode.Should().Be(HttpStatusCode.OK);
var body = await resp.Content.ReadFromJsonAsync<JsonDocument>();
body!.RootElement.GetProperty("data").GetProperty("totalAlerts").GetInt32()
.Should().BeGreaterThanOrEqualTo(0);
}
[Fact]
public async Task QualityMetrics_FilterByType()
{
var resp = await _client.GetAsync(
"/api/v1/alerts/quality-metrics?alertType=NEWS2_WARNING");
resp.StatusCode.Should().Be(HttpStatusCode.OK);
var body = await resp.Content.ReadFromJsonAsync<JsonDocument>();
body!.RootElement.GetProperty("data").GetProperty("items").GetArrayLength()
.Should().BeGreaterThanOrEqualTo(0);
}
private async Task ResetAcknowledgedAlertAsync()
{
using var scope = _fixture.Services.CreateScope();
var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
var existing = await db.AlertFeedbacks
.Where(f => f.AlertId == _alertId)
.ToListAsync();
db.AlertFeedbacks.RemoveRange(existing);
await db.SaveChangesAsync();
}
}