155 lines
5.7 KiB
C#
155 lines
5.7 KiB
C#
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 MedicationServiceTests : 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 _activeEncounterId;
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private Guid _dischargedEncounterId;
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public MedicationServiceTests(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-MED-001", FirstName = "Med", LastName = "Test",
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DateOfBirth = new DateOnly(1980, 3, 15), Gender = "F", CreatedAt = DateTimeOffset.UtcNow
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};
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var activeEncounter = 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. Medication", AdmittedAt = DateTimeOffset.UtcNow,
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CreatedAt = DateTimeOffset.UtcNow
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};
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var dischargedEncounter = 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.Discharged, Department = Department.Icu,
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AttendingPhysician = "Dr. Medication", AdmittedAt = DateTimeOffset.UtcNow.AddDays(-3),
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DischargedAt = DateTimeOffset.UtcNow.AddHours(-1),
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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(activeEncounter);
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db.Encounters.Add(dischargedEncounter);
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await db.SaveChangesAsync();
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_patientId = patient.Id;
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_activeEncounterId = activeEncounter.Id;
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_dischargedEncounterId = dischargedEncounter.Id;
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}
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[Fact]
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public async Task Create_OnActiveEncounter_Succeeds()
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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 service = scope.ServiceProvider.GetRequiredService<IMedicationService>();
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var med = await service.CreateAsync(_activeEncounterId,
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new CreateMedicationAdministrationRequest(
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"metoprolol", 25m, "mg", "PO", null, "nurse-1"));
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med.Should().NotBeNull();
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med.DrugName.Should().Be("metoprolol");
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med.Dose.Should().Be(25m);
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med.DoseUnit.Should().Be("mg");
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med.Route.Should().Be("PO");
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med.EncounterId.Should().Be(_activeEncounterId);
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var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
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var persisted = await db.MedicationAdministrations.FindAsync(med.Id);
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persisted.Should().NotBeNull();
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}
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[Fact]
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public async Task Create_OnDischargedEncounter_ThrowsConflict()
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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 service = scope.ServiceProvider.GetRequiredService<IMedicationService>();
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var act = () => service.CreateAsync(_dischargedEncounterId,
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new CreateMedicationAdministrationRequest(
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"metoprolol", 25m, "mg", "PO", null, "nurse-1"));
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await act.Should().ThrowAsync<ConflictException>();
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}
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[Fact]
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public async Task ListByEncounter_ReturnsPaginated()
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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 service = scope.ServiceProvider.GetRequiredService<IMedicationService>();
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await service.CreateAsync(_activeEncounterId,
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new CreateMedicationAdministrationRequest(
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"metoprolol", 25m, "mg", "PO", null, "nurse-1"));
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await service.CreateAsync(_activeEncounterId,
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new CreateMedicationAdministrationRequest(
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"morphine", 4m, "mg", "IV", null, "nurse-2"));
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await service.CreateAsync(_activeEncounterId,
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new CreateMedicationAdministrationRequest(
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"insulin", 10m, "units", "SubQ", null, "nurse-1"));
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var result = await service.ListByEncounterAsync(_activeEncounterId, null, 1, 2);
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result.TotalCount.Should().Be(3);
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result.Items.Should().HaveCount(2);
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result.TotalPages.Should().Be(2);
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}
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[Fact]
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public async Task GetRecentForEncounter_FiltersByWindow()
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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 service = scope.ServiceProvider.GetRequiredService<IMedicationService>();
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var db = scope.ServiceProvider.GetRequiredService<AppDbContext>();
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// Recent metoprolol — within 90-min window
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await service.CreateAsync(_activeEncounterId,
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new CreateMedicationAdministrationRequest(
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"metoprolol", 25m, "mg", "PO",
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DateTimeOffset.UtcNow.AddMinutes(-30), "nurse-1"));
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// Old metoprolol — outside 90-min window
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db.MedicationAdministrations.Add(new MedicationAdministration
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{
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Id = Guid.NewGuid(),
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EncounterId = _activeEncounterId,
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DrugName = "metoprolol",
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Dose = 50m,
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DoseUnit = "mg",
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Route = "PO",
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AdministeredAt = DateTimeOffset.UtcNow.AddMinutes(-120),
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AdministeredBy = "nurse-2"
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});
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await db.SaveChangesAsync();
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var recent = await service.GetRecentForEncounterAsync(
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_activeEncounterId, "SYSTOLIC_BP", 90);
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recent.Should().HaveCount(1);
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recent[0].Dose.Should().Be(25m);
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}
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}
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