Medplum

// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors // SPDX-License-Identifier: Apache-2.0 import { ContentType, Hl7Message, formatHumanName, getCodeBySystem, getIdentifier, indexSearchParameterBundle, indexStructureDefinitionBundle, } from '@medplum/core'; import type { MedplumClient } from '@medplum/core'; import { SEARCH_PARAMETER_BUNDLE_FILES, readJson } from '@medplum/definitions'; import type { Bundle, CodeableConcept, Encounter, Patient, Practitioner, Reference, SearchParameter, } from '@medplum/fhirtypes'; import { MockClient } from '@medplum/mock'; import { afterEach, beforeAll, beforeEach, describe, expect, test, vi } from 'vitest'; import { FACILITY_ORDER_CODE_SYSTEM, FACILITY_ORDER_ID, FACILITY_PATIENT_ID, handler } from './receive-orm-message'; describe('Send to Partner Lab', () => { beforeAll(() => { indexStructureDefinitionBundle(readJson('fhir/r4/profiles-types.json') as Bundle); indexStructureDefinitionBundle(readJson('fhir/r4/profiles-resources.json') as Bundle); for (const filename of SEARCH_PARAMETER_BUNDLE_FILES) { indexSearchParameterBundle(readJson(filename) as Bundle<SearchParameter>); } }); beforeEach(async (ctx: any) => { const medplum = new MockClient(); Object.assign(ctx, { medplum }); }); beforeEach(() => { vi.useFakeTimers(); vi.setSystemTime(new Date('2023-02-10T09:25:00Z')); }); afterEach(() => { vi.useRealTimers(); vi.clearAllMocks(); }); test(`New Patient`, async (ctx: any) => { const medplum = ctx.medplum as MedplumClient; const message: Hl7Message = Hl7Message.parse(TEST_MESSAGE); await handler(medplum, { bot: { reference: 'Bot/123' }, input: message, contentType: ContentType.HL7_V2, secrets: {}, }); const checkServiceRequests = await medplum.searchResources('ServiceRequest', { requisition: `${FACILITY_ORDER_ID}|FGT6228`, }); expect(checkServiceRequests).toHaveLength(2); const glucoseOrder = checkServiceRequests.find( (order) => getCodeBySystem(order.code as CodeableConcept, FACILITY_ORDER_CODE_SYSTEM) === '1032' ); expect(glucoseOrder).toBeDefined(); expect(glucoseOrder?.code).toMatchObject({ coding: [ { code: '1032', display: 'Glucose, Serum', system: FACILITY_ORDER_CODE_SYSTEM, }, ], }); expect(glucoseOrder?.reasonCode).toHaveLength(2); expect(glucoseOrder?.note).toMatchObject([ { text: `Please, call Dr. Smith with results ASAP. Call her cell phone:` }, { text: `345-678-9012` }, ]); const igmOrder = checkServiceRequests.find( (order) => getCodeBySystem(order.code as CodeableConcept, FACILITY_ORDER_CODE_SYSTEM) === '100123' ); expect(igmOrder).toBeDefined(); expect(igmOrder?.code).toMatchObject({ coding: [ { code: '100123', display: 'Immunoglobulin M, Quant, CSF', system: FACILITY_ORDER_CODE_SYSTEM, }, ], }); expect(igmOrder?.reasonCode).toHaveLength(1); expect(igmOrder?.note).not.toBeDefined(); const checkPatient = await medplum.readReference(glucoseOrder?.subject as Reference<Patient>); expect(formatHumanName(checkPatient?.name?.[0] ?? {})).toBe('Test Patient'); expect(checkPatient.birthDate).toBe('1990-10-17'); expect(checkPatient.gender).toBe('male'); expect(getIdentifier(checkPatient, FACILITY_PATIENT_ID)).toBe('200'); expect(getIdentifier(checkPatient, 'http://hl7.org/fhir/sid/us-ssn')).toBe('23456788'); const checkEncounter = await medplum.readReference(igmOrder?.encounter as Reference<Encounter>); expect(checkEncounter).toBeDefined(); expect(checkEncounter.period?.start).toBe('2003-07-24T05:00:00.000Z'); // Check provider(s) const checkRequestingProvider = await medplum.readReference(glucoseOrder?.requester as Reference<Practitioner>); expect(checkRequestingProvider).toBeDefined(); expect(formatHumanName(checkRequestingProvider?.name?.[0] ?? {})).toBe('Alice Smith MD'); }); }); const TEST_MESSAGE = `MSH|^~\\&|FooGen|NG|LabX|LX|200307250948||ORM^O01|1059140905|T|2.5|||AL PID|1|200|||Patient^Test||19901017|M|||||(610)123-4567||||||23456788 PV1|1|O|4747^^^4747||||UP2666^Smith MD^Alice|||||||||||||||||||||||||||||||||||||200307240000 IN1|1|HM0|BLUE|Blue Cross|AddressLine 1^AddressLine 2^City^Sta^99999|||543879|||||||HM|Family Name^Given Name^M|1||AddressLine 1^AddressLine 2^City^Sta^99999||||||||||||N|||||1234567|||||||||||T GT1|1||Family Name^Given Name^M||AddressLine 1^AddressLine 2^City^Sta^99999|6106577010|||||1 ORC|NW|FGT6228|||||||200307241523|0071^supruser^supruser||UP2666^Smith MD^Alice OBR|1|FGT6228||1032^Glucose, Serum^L|||200307240105||56^ml||N||||BL^none^Blood|UP2666^Smith MD^Alice|||||||||||^^^^^R NTE|1|P|Please, call Dr. Smith with results ASAP. Call her cell phone: NTE|2|P|345-678-9012 DG1|1|I9|251.1^Hypoglycemia NEC^I9|Hypoglycemia NEC DG1|2|I9|251.2^Hypoglycemia NOS^I9|Hypoglycemia NOS OBR|2|FGT6228||100123^Immunoglobulin M, Quant, CSF^L|||200307250948||||N|||||UP2666^Smith MD^Alice|||||||||||^^^^^R DG1|1|I9|255.4^Insufficiency, corticoadrenal^I9|Insufficiency, corticoadrenal `;