Files

155 lines
5.7 KiB
C#

using FluentAssertions;
using Microsoft.EntityFrameworkCore;
using Microsoft.Extensions.DependencyInjection;
[Collection("Integration")]
public class MedicationServiceTests : IAsyncLifetime
{
private readonly ApiFixture _fixture;
private Guid _patientId;
private Guid _activeEncounterId;
private Guid _dischargedEncounterId;
public MedicationServiceTests(ApiFixture fixture) => _fixture = fixture;
public async Task InitializeAsync() => await ResetAndSeedAsync();
public Task DisposeAsync() => Task.CompletedTask;
private async Task ResetAndSeedAsync()
{
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-MED-001", FirstName = "Med", LastName = "Test",
DateOfBirth = new DateOnly(1980, 3, 15), Gender = "F", CreatedAt = DateTimeOffset.UtcNow
};
var activeEncounter = new Encounter
{
Id = Guid.NewGuid(), PatientId = patient.Id, EncounterType = EncounterType.Inpatient,
Status = EncounterStatus.Active, Department = Department.Icu,
AttendingPhysician = "Dr. Medication", AdmittedAt = DateTimeOffset.UtcNow,
CreatedAt = DateTimeOffset.UtcNow
};
var dischargedEncounter = new Encounter
{
Id = Guid.NewGuid(), PatientId = patient.Id, EncounterType = EncounterType.Inpatient,
Status = EncounterStatus.Discharged, Department = Department.Icu,
AttendingPhysician = "Dr. Medication", AdmittedAt = DateTimeOffset.UtcNow.AddDays(-3),
DischargedAt = DateTimeOffset.UtcNow.AddHours(-1),
CreatedAt = DateTimeOffset.UtcNow
};
db.Patients.Add(patient);
db.Encounters.Add(activeEncounter);
db.Encounters.Add(dischargedEncounter);
await db.SaveChangesAsync();
_patientId = patient.Id;
_activeEncounterId = activeEncounter.Id;
_dischargedEncounterId = dischargedEncounter.Id;
}
[Fact]
public async Task Create_OnActiveEncounter_Succeeds()
{
await ResetAndSeedAsync();
using var scope = _fixture.Services.CreateScope();
var service = scope.ServiceProvider.GetRequiredService<IMedicationService>();
var med = await service.CreateAsync(_activeEncounterId,
new CreateMedicationAdministrationRequest(
"metoprolol", 25m, "mg", "PO", null, "nurse-1"));
med.Should().NotBeNull();
med.DrugName.Should().Be("metoprolol");
med.Dose.Should().Be(25m);
med.DoseUnit.Should().Be("mg");
med.Route.Should().Be("PO");
med.EncounterId.Should().Be(_activeEncounterId);
var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
var persisted = await db.MedicationAdministrations.FindAsync(med.Id);
persisted.Should().NotBeNull();
}
[Fact]
public async Task Create_OnDischargedEncounter_ThrowsConflict()
{
await ResetAndSeedAsync();
using var scope = _fixture.Services.CreateScope();
var service = scope.ServiceProvider.GetRequiredService<IMedicationService>();
var act = () => service.CreateAsync(_dischargedEncounterId,
new CreateMedicationAdministrationRequest(
"metoprolol", 25m, "mg", "PO", null, "nurse-1"));
await act.Should().ThrowAsync<ConflictException>();
}
[Fact]
public async Task ListByEncounter_ReturnsPaginated()
{
await ResetAndSeedAsync();
using var scope = _fixture.Services.CreateScope();
var service = scope.ServiceProvider.GetRequiredService<IMedicationService>();
await service.CreateAsync(_activeEncounterId,
new CreateMedicationAdministrationRequest(
"metoprolol", 25m, "mg", "PO", null, "nurse-1"));
await service.CreateAsync(_activeEncounterId,
new CreateMedicationAdministrationRequest(
"morphine", 4m, "mg", "IV", null, "nurse-2"));
await service.CreateAsync(_activeEncounterId,
new CreateMedicationAdministrationRequest(
"insulin", 10m, "units", "SubQ", null, "nurse-1"));
var result = await service.ListByEncounterAsync(_activeEncounterId, null, 1, 2);
result.TotalCount.Should().Be(3);
result.Items.Should().HaveCount(2);
result.TotalPages.Should().Be(2);
}
[Fact]
public async Task GetRecentForEncounter_FiltersByWindow()
{
await ResetAndSeedAsync();
using var scope = _fixture.Services.CreateScope();
var service = scope.ServiceProvider.GetRequiredService<IMedicationService>();
var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
// Recent metoprolol — within 90-min window
await service.CreateAsync(_activeEncounterId,
new CreateMedicationAdministrationRequest(
"metoprolol", 25m, "mg", "PO",
DateTimeOffset.UtcNow.AddMinutes(-30), "nurse-1"));
// Old metoprolol — outside 90-min window
db.MedicationAdministrations.Add(new MedicationAdministration
{
Id = Guid.NewGuid(),
EncounterId = _activeEncounterId,
DrugName = "metoprolol",
Dose = 50m,
DoseUnit = "mg",
Route = "PO",
AdministeredAt = DateTimeOffset.UtcNow.AddMinutes(-120),
AdministeredBy = "nurse-2"
});
await db.SaveChangesAsync();
var recent = await service.GetRecentForEncounterAsync(
_activeEncounterId, "SYSTOLIC_BP", 90);
recent.Should().HaveCount(1);
recent[0].Dose.Should().Be(25m);
}
}