95 lines
3.6 KiB
C#
95 lines
3.6 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.Extensions.DependencyInjection;
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using StackExchange.Redis;
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[Collection("Integration")]
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public class QsofaCurrentTests : 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 _encounterId;
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private Guid _patientId;
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public QsofaCurrentTests(ApiFixture fixture)
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{
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_fixture = fixture;
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_client = fixture.CreateClient();
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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-QSOFA-API", FirstName = "qSOFA", LastName = "Api",
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DateOfBirth = new DateOnly(1960, 1, 1), Gender = "M", 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. qSOFA", AdmittedAt = DateTimeOffset.UtcNow,
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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(encounter);
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await db.SaveChangesAsync();
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_patientId = patient.Id;
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_encounterId = encounter.Id;
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var redis = scope.ServiceProvider.GetRequiredService<IConnectionMultiplexer>();
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var cache = redis.GetDatabase();
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foreach (var key in QsofaCalculator.AllCriterionKeys(_encounterId))
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await cache.KeyDeleteAsync(key);
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}
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public Task DisposeAsync() => Task.CompletedTask;
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[Fact]
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public async Task Current_AfterBaselineVitals_ReturnsZeroCriteria()
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{
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using var scope = _fixture.Services.CreateScope();
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var detector = scope.ServiceProvider.GetRequiredService<QsofaDetector>();
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await detector.ProcessObservationAsync(_encounterId, _patientId, "RESP_RATE", 16m);
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var resp = await _client.GetAsync($"/api/v1/encounters/{_encounterId}/qsofa/current");
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resp.StatusCode.Should().Be(HttpStatusCode.OK);
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var body = await resp.Content.ReadFromJsonAsync<JsonDocument>();
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body!.RootElement.GetProperty("data").GetProperty("activeCriteria").GetInt32()
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.Should().Be(0);
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}
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[Fact]
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public async Task Current_AfterTwoCriteriaMet_ReturnsTwo()
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{
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using var scope = _fixture.Services.CreateScope();
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var detector = scope.ServiceProvider.GetRequiredService<QsofaDetector>();
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await detector.ProcessObservationAsync(_encounterId, _patientId, "RESP_RATE", 24m);
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await detector.ProcessObservationAsync(_encounterId, _patientId, "SYSTOLIC_BP", 95m);
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var resp = await _client.GetAsync($"/api/v1/encounters/{_encounterId}/qsofa/current");
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resp.StatusCode.Should().Be(HttpStatusCode.OK);
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var data = (await resp.Content.ReadFromJsonAsync<JsonDocument>())!
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.RootElement.GetProperty("data");
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data.GetProperty("activeCriteria").GetInt32().Should().Be(2);
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data.GetProperty("criteria").GetProperty("respRate").GetDecimal().Should().Be(24m);
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data.GetProperty("criteria").GetProperty("systolicBp").GetDecimal().Should().Be(95m);
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}
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[Fact]
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public async Task Current_UnknownEncounter_Returns404()
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{
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var resp = await _client.GetAsync($"/api/v1/encounters/{Guid.NewGuid()}/qsofa/current");
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resp.StatusCode.Should().Be(HttpStatusCode.NotFound);
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}
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}
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