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