Files

535 lines
20 KiB
C#

using System.Text.Json;
using Confluent.Kafka;
using FluentAssertions;
using Microsoft.EntityFrameworkCore;
using Microsoft.Extensions.DependencyInjection;
using Microsoft.Extensions.Logging;
using Microsoft.Extensions.Logging.Abstractions;
using StackExchange.Redis;
[Collection("Integration")]
public class BackgroundServiceTests : IAsyncLifetime
{
private readonly ApiFixture _fixture;
public BackgroundServiceTests(ApiFixture fixture) => _fixture = fixture;
public async Task InitializeAsync()
{
using var scope = _fixture.Services.CreateScope();
var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
await DbResetHelper.ResetAsync(db);
var redis = scope.ServiceProvider.GetRequiredService<IConnectionMultiplexer>();
var server = redis.GetServer(redis.GetEndPoints().First());
await server.FlushDatabaseAsync(1);
}
public Task DisposeAsync() => Task.CompletedTask;
// =======================================================================
// PoisonPillGuard — unit tests (no infrastructure needed)
// =======================================================================
[Fact]
public void PoisonPillGuard_PermanentError_SkipsImmediately()
{
var guard = new PoisonPillGuard("test-group", maxRetries: 5, NullLogger.Instance);
var result = BuildConsumeResult("test-topic", 0, 0, "bad payload");
var shouldSkip = guard.ShouldSkip(result, new JsonException("Invalid JSON"));
shouldSkip.Should().BeTrue("permanent errors (JsonException) must be skipped immediately");
}
[Fact]
public void PoisonPillGuard_FormatException_SkipsImmediately()
{
var guard = new PoisonPillGuard("test-group", maxRetries: 5, NullLogger.Instance);
var result = BuildConsumeResult("test-topic", 0, 0, "not-a-guid");
var shouldSkip = guard.ShouldSkip(result, new FormatException("Input string was not in a correct format"));
shouldSkip.Should().BeTrue("FormatException is a permanent error and must be skipped immediately");
}
[Fact]
public void PoisonPillGuard_WrappedPermanentError_SkipsImmediately()
{
var guard = new PoisonPillGuard("test-group", maxRetries: 5, NullLogger.Instance);
var result = BuildConsumeResult("test-topic", 0, 0, "bad");
var wrappedException = new InvalidOperationException(
"Processing failed", new JsonException("Invalid JSON"));
var shouldSkip = guard.ShouldSkip(result, wrappedException);
shouldSkip.Should().BeTrue(
"permanent errors wrapped in other exceptions must still be detected via root cause");
}
[Fact]
public void PoisonPillGuard_TransientError_RetriesUpToMax()
{
const int maxRetries = 3;
var guard = new PoisonPillGuard("test-group", maxRetries, NullLogger.Instance);
var result = BuildConsumeResult("test-topic", 0, 42, "payload");
var transientError = new TimeoutException("Connection timed out");
for (var i = 1; i < maxRetries; i++)
{
var shouldSkip = guard.ShouldSkip(result, transientError);
shouldSkip.Should().BeFalse($"retry {i}/{maxRetries} should not skip");
}
var finalSkip = guard.ShouldSkip(result, transientError);
finalSkip.Should().BeTrue(
$"after {maxRetries} retries, the message must be skipped");
}
[Fact]
public void PoisonPillGuard_SuccessResetsRetryCount()
{
const int maxRetries = 3;
var guard = new PoisonPillGuard("test-group", maxRetries, NullLogger.Instance);
var result = BuildConsumeResult("test-topic", 0, 42, "payload");
var transientError = new TimeoutException("Connection timed out");
guard.ShouldSkip(result, transientError);
guard.ShouldSkip(result, transientError);
guard.OnSuccess();
guard.ShouldSkip(result, transientError).Should().BeFalse(
"after OnSuccess, retry count resets and first failure should not skip");
}
[Fact]
public void PoisonPillGuard_DifferentOffset_ResetsRetryCount()
{
const int maxRetries = 3;
var guard = new PoisonPillGuard("test-group", maxRetries, NullLogger.Instance);
var transientError = new TimeoutException("Connection timed out");
var result1 = BuildConsumeResult("test-topic", 0, 42, "payload-a");
guard.ShouldSkip(result1, transientError);
guard.ShouldSkip(result1, transientError);
var result2 = BuildConsumeResult("test-topic", 0, 43, "payload-b");
guard.ShouldSkip(result2, transientError).Should().BeFalse(
"a new offset resets the retry counter");
}
// =======================================================================
// Outbox relay — retry count and dead-letter behavior
// =======================================================================
[Fact]
public async Task OutboxEvent_UnprocessedEvents_ArePickedUpByRelay()
{
using var scope = _fixture.Services.CreateScope();
var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
var encounterId = Guid.NewGuid();
db.OutboxEvents.Add(new OutboxEvent
{
Id = Guid.NewGuid(),
Topic = "observation.recorded",
Payload = JsonSerializer.Serialize(new { encounterId, code = "HEART_RATE", value = 80 }),
PartitionKey = encounterId.ToString(),
CreatedAt = DateTimeOffset.UtcNow
});
await db.SaveChangesAsync();
var pendingBefore = await db.OutboxEvents
.CountAsync(e => e.ProcessedAt == null && e.FailedAt == null);
pendingBefore.Should().BeGreaterThanOrEqualTo(1);
var deadline = DateTimeOffset.UtcNow.AddSeconds(15);
while (DateTimeOffset.UtcNow < deadline)
{
await Task.Delay(500);
var remaining = await db.OutboxEvents
.AsNoTracking()
.CountAsync(e => e.ProcessedAt == null && e.FailedAt == null);
if (remaining == 0) break;
}
var unprocessed = await db.OutboxEvents
.AsNoTracking()
.CountAsync(e => e.ProcessedAt == null && e.FailedAt == null);
unprocessed.Should().Be(0, "the outbox relay should process all pending events");
}
[Fact]
public async Task OutboxEvent_FailedEvents_HaveRetryCountAndError()
{
using var scope = _fixture.Services.CreateScope();
var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
var failedEvent = new OutboxEvent
{
Id = Guid.NewGuid(),
Topic = "nonexistent.topic.that.will.fail",
Payload = "{}",
PartitionKey = "test",
CreatedAt = DateTimeOffset.UtcNow,
RetryCount = 9,
LastError = "Simulated prior failure"
};
db.OutboxEvents.Add(failedEvent);
await db.SaveChangesAsync();
failedEvent.RetryCount.Should().Be(9);
failedEvent.LastError.Should().NotBeNullOrEmpty();
failedEvent.ProcessedAt.Should().BeNull();
}
[Fact]
public async Task OutboxEvent_FailedAtSet_EventIsNotReprocessed()
{
using var scope = _fixture.Services.CreateScope();
var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
var deadLetteredEvent = new OutboxEvent
{
Id = Guid.NewGuid(),
Topic = "test.topic",
Payload = "{}",
PartitionKey = "test",
CreatedAt = DateTimeOffset.UtcNow,
RetryCount = 10,
LastError = "Exceeded max retries",
FailedAt = DateTimeOffset.UtcNow.AddMinutes(-1)
};
db.OutboxEvents.Add(deadLetteredEvent);
await db.SaveChangesAsync();
await Task.Delay(3_000);
var evt = await db.OutboxEvents
.AsNoTracking()
.SingleAsync(e => e.Id == deadLetteredEvent.Id);
evt.ProcessedAt.Should().BeNull("dead-lettered events must not be reprocessed");
evt.FailedAt.Should().NotBeNull();
}
// =======================================================================
// SepsisBundleMonitor — concurrent scan safety
// =======================================================================
[Fact]
public async Task SepsisBundleMonitor_ConcurrentScans_NoDuplicateUpdates()
{
var (_, encounterId) = await SeedPatientEncounterAndBundleAsync();
using (var scope = _fixture.Services.CreateScope())
{
var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
var bundle = await db.SepsisBundles.SingleAsync(b => b.EncounterId == encounterId);
bundle.DeadlineAt = DateTimeOffset.UtcNow.AddHours(-1);
await db.SaveChangesAsync();
}
var tasks = Enumerable.Range(0, 5).Select(_ =>
{
return Task.Run(async () =>
{
var monitor = new SepsisBundleMonitorService(
_fixture.Services,
_fixture.Services.GetRequiredService<ClinicalMetrics>(),
_fixture.Services.GetRequiredService<ILogger<SepsisBundleMonitorService>>());
await monitor.ScanOverdueBundlesAsync(CancellationToken.None);
});
});
await Task.WhenAll(tasks);
using var verifyScope = _fixture.Services.CreateScope();
var verifyDb = verifyScope.ServiceProvider.GetRequiredService<AppDbContext>();
var bundles = await verifyDb.SepsisBundles
.AsNoTracking()
.Where(b => b.EncounterId == encounterId)
.ToListAsync();
bundles.Should().HaveCount(1);
bundles[0].ComplianceStatus.Should().Be(SepsisBundleComplianceStatus.NonCompliant);
}
[Fact]
public async Task SepsisBundleMonitor_CompletedBundle_NotMarkedOverdue()
{
var (_, encounterId) = await SeedPatientEncounterAndBundleAsync();
using (var scope = _fixture.Services.CreateScope())
{
var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
var bundle = await db.SepsisBundles.SingleAsync(b => b.EncounterId == encounterId);
bundle.ComplianceStatus = SepsisBundleComplianceStatus.Compliant;
bundle.CompletedAt = DateTimeOffset.UtcNow;
bundle.DeadlineAt = DateTimeOffset.UtcNow.AddHours(-1);
await db.SaveChangesAsync();
}
var monitor = new SepsisBundleMonitorService(
_fixture.Services,
_fixture.Services.GetRequiredService<ClinicalMetrics>(),
_fixture.Services.GetRequiredService<ILogger<SepsisBundleMonitorService>>());
await monitor.ScanOverdueBundlesAsync(CancellationToken.None);
using var verifyScope = _fixture.Services.CreateScope();
var verifyDb = verifyScope.ServiceProvider.GetRequiredService<AppDbContext>();
var bundle2 = await verifyDb.SepsisBundles
.AsNoTracking()
.SingleAsync(b => b.EncounterId == encounterId);
bundle2.ComplianceStatus.Should().Be(SepsisBundleComplianceStatus.Compliant,
"already-completed bundles must not be marked non-compliant by the monitor");
}
// =======================================================================
// EscalationWorker — only escalates open alerts
// =======================================================================
[Fact]
public async Task EscalationWorker_AcknowledgedAlert_NotEscalated()
{
using var scope = _fixture.Services.CreateScope();
var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
var (patientId, encounterId) = await SeedPatientAndEncounterAsync();
var alertId = Guid.NewGuid();
db.ClinicalAlerts.Add(new ClinicalAlert
{
Id = alertId,
EncounterId = encounterId,
PatientId = patientId,
AlertType = AlertType.SofaSepsis,
Severity = AlertSeverity.Critical,
Details = "SOFA delta +2",
Status = AlertStatus.Acknowledged,
TriggeredAt = DateTimeOffset.UtcNow
});
await db.SaveChangesAsync();
var escalationService = new EscalationWorkerService(
_fixture.Services.GetRequiredService<Microsoft.Extensions.Options.IOptions<RabbitMqOptions>>(),
_fixture.Services.GetRequiredService<IServiceScopeFactory>(),
_fixture.Services.GetRequiredService<ClinicalMetrics>(),
_fixture.Services.GetRequiredService<ILogger<EscalationWorkerService>>());
var escalated = await InvokeUpdateAlertStatusEscalatedAsync(escalationService, alertId);
escalated.Should().BeFalse("acknowledged alerts must not be escalated");
var alert = await db.ClinicalAlerts.AsNoTracking().SingleAsync(a => a.Id == alertId);
alert.Status.Should().Be(AlertStatus.Acknowledged);
}
[Fact]
public async Task EscalationWorker_ResolvedAlert_NotEscalated()
{
using var scope = _fixture.Services.CreateScope();
var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
var (patientId, encounterId) = await SeedPatientAndEncounterAsync();
var alertId = Guid.NewGuid();
db.ClinicalAlerts.Add(new ClinicalAlert
{
Id = alertId,
EncounterId = encounterId,
PatientId = patientId,
AlertType = AlertType.SofaSepsis,
Severity = AlertSeverity.Critical,
Details = "SOFA delta +2",
Status = AlertStatus.Resolved,
TriggeredAt = DateTimeOffset.UtcNow
});
await db.SaveChangesAsync();
var escalationService = new EscalationWorkerService(
_fixture.Services.GetRequiredService<Microsoft.Extensions.Options.IOptions<RabbitMqOptions>>(),
_fixture.Services.GetRequiredService<IServiceScopeFactory>(),
_fixture.Services.GetRequiredService<ClinicalMetrics>(),
_fixture.Services.GetRequiredService<ILogger<EscalationWorkerService>>());
var escalated = await InvokeUpdateAlertStatusEscalatedAsync(escalationService, alertId);
escalated.Should().BeFalse("resolved alerts must not be escalated");
var alert = await db.ClinicalAlerts.AsNoTracking().SingleAsync(a => a.Id == alertId);
alert.Status.Should().Be(AlertStatus.Resolved);
}
[Fact]
public async Task EscalationWorker_OpenAlert_IsEscalated()
{
using var scope = _fixture.Services.CreateScope();
var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
var (patientId, encounterId) = await SeedPatientAndEncounterAsync();
var alertId = Guid.NewGuid();
db.ClinicalAlerts.Add(new ClinicalAlert
{
Id = alertId,
EncounterId = encounterId,
PatientId = patientId,
AlertType = AlertType.SofaSepsis,
Severity = AlertSeverity.Critical,
Details = "SOFA delta +2",
Status = AlertStatus.Open,
TriggeredAt = DateTimeOffset.UtcNow
});
await db.SaveChangesAsync();
var escalationService = new EscalationWorkerService(
_fixture.Services.GetRequiredService<Microsoft.Extensions.Options.IOptions<RabbitMqOptions>>(),
_fixture.Services.GetRequiredService<IServiceScopeFactory>(),
_fixture.Services.GetRequiredService<ClinicalMetrics>(),
_fixture.Services.GetRequiredService<ILogger<EscalationWorkerService>>());
var escalated = await InvokeUpdateAlertStatusEscalatedAsync(escalationService, alertId);
escalated.Should().BeTrue("open alerts must be escalated");
var alert = await db.ClinicalAlerts.AsNoTracking().SingleAsync(a => a.Id == alertId);
alert.Status.Should().Be(AlertStatus.Escalated);
}
[Fact]
public async Task EscalationWorker_NonexistentAlert_ReturnsFalse()
{
var escalationService = new EscalationWorkerService(
_fixture.Services.GetRequiredService<Microsoft.Extensions.Options.IOptions<RabbitMqOptions>>(),
_fixture.Services.GetRequiredService<IServiceScopeFactory>(),
_fixture.Services.GetRequiredService<ClinicalMetrics>(),
_fixture.Services.GetRequiredService<ILogger<EscalationWorkerService>>());
var escalated = await InvokeUpdateAlertStatusEscalatedAsync(escalationService, Guid.NewGuid());
escalated.Should().BeFalse("nonexistent alerts must not cause errors");
}
// =======================================================================
// Cancellation — background services respect CancellationToken
// =======================================================================
[Fact]
public async Task SepsisBundleMonitor_CancellationRequested_StopsGracefully()
{
var monitor = new SepsisBundleMonitorService(
_fixture.Services,
_fixture.Services.GetRequiredService<ClinicalMetrics>(),
_fixture.Services.GetRequiredService<ILogger<SepsisBundleMonitorService>>());
using var cts = new CancellationTokenSource();
cts.Cancel();
var act = () => monitor.ScanOverdueBundlesAsync(cts.Token);
await act.Should().ThrowAsync<OperationCanceledException>();
}
// =======================================================================
// Helpers
// =======================================================================
private static ConsumeResult<string, string> BuildConsumeResult(
string topic, int partition, long offset, string value)
{
return new ConsumeResult<string, string>
{
Topic = topic,
Partition = new Partition(partition),
Offset = new Offset(offset),
Message = new Message<string, string>
{
Key = "test-key",
Value = value
}
};
}
private async Task<(Guid PatientId, Guid EncounterId)> SeedPatientAndEncounterAsync()
{
using var scope = _fixture.Services.CreateScope();
var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
var patient = new Patient
{
Id = Guid.NewGuid(),
Mrn = $"MRN-BG-{Guid.NewGuid():N}"[..20],
FirstName = "Background",
LastName = "Test",
DateOfBirth = new DateOnly(1970, 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. Background",
AdmittedAt = DateTimeOffset.UtcNow,
CreatedAt = DateTimeOffset.UtcNow
};
db.Patients.Add(patient);
db.Encounters.Add(encounter);
await db.SaveChangesAsync();
return (patient.Id, encounter.Id);
}
private async Task<(Guid PatientId, Guid EncounterId)> SeedPatientEncounterAndBundleAsync()
{
var (patientId, encounterId) = await SeedPatientAndEncounterAsync();
using var scope = _fixture.Services.CreateScope();
var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
var handler = scope.ServiceProvider.GetRequiredService<SepsisAlertHandler>();
var alertId = Guid.NewGuid();
db.ClinicalAlerts.Add(new ClinicalAlert
{
Id = alertId,
EncounterId = encounterId,
PatientId = patientId,
AlertType = AlertType.SofaSepsis,
Severity = AlertSeverity.Critical,
Details = "SOFA delta +2",
Status = AlertStatus.Open,
TriggeredAt = DateTimeOffset.UtcNow
});
await db.SaveChangesAsync();
await handler.OnSepsisAlertCreatedAsync(
encounterId, alertId, AlertType.SofaSepsis, CancellationToken.None);
return (patientId, encounterId);
}
private static async Task<bool> InvokeUpdateAlertStatusEscalatedAsync(
EscalationWorkerService service, Guid alertId)
{
var method = typeof(EscalationWorkerService).GetMethod(
"UpdateAlertStatusEscalatedAsync",
System.Reflection.BindingFlags.NonPublic | System.Reflection.BindingFlags.Instance);
var task = (Task<bool>)method!.Invoke(service, new object[] { alertId, CancellationToken.None })!;
return await task;
}
}