Medplum

// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors // SPDX-License-Identifier: Apache-2.0 import { afterEach, beforeEach, describe, expect, test, vi } from 'vitest'; import { HealthieClient } from './client'; import { HEALTHIE_ALLERGY_CODE_SYSTEM, HEALTHIE_ALLERGY_ID_SYSTEM, HEALTHIE_REACTION_CODE_SYSTEM } from './constants'; import { convertHealthieAllergyToFhir, fetchAllergySensitivities, mapHealthieStatusToClinicalStatus, mapHealthieCategoryToType, mapHealthieCategoryTypeToCategory, mapHealthieSeverityToCriticality, mapHealthieSeverityToReactionSeverity, } from './allergy'; import type { HealthieAllergySensitivity } from './allergy'; type MockResponse = { json: () => Promise<any>; ok: boolean; status: number; }; describe('fetchAllergySensitivities', () => { let healthieClient: HealthieClient; const mockBaseUrl = 'https://api.example.com/graphql'; const mockClientSecret = 'test-secret'; let mockFetch: ReturnType<typeof vi.fn>; beforeEach(() => { healthieClient = new HealthieClient(mockBaseUrl, mockClientSecret); mockFetch = vi.fn().mockImplementation((): Promise<MockResponse> => { return Promise.resolve({ json: () => Promise.resolve({}), ok: true, status: 200, }); }); global.fetch = mockFetch as unknown as typeof fetch; }); afterEach(() => { vi.resetAllMocks(); }); test('returns allergy data for a patient', async () => { const mockAllergies = [ { id: 'allergy123', category: 'allergy', category_type: 'drug', created_at: '2024-01-01T00:00:00Z', mirrored: false, name: 'Penicillin', reaction: 'Rash', severity: 'moderate', status: 'active', }, ]; mockFetch.mockImplementationOnce( (): Promise<MockResponse> => Promise.resolve({ json: () => Promise.resolve({ data: { user: { allergy_sensitivities: mockAllergies } } }), ok: true, status: 200, }) ); const result = await fetchAllergySensitivities(healthieClient, 'patient123'); expect(result).toEqual(mockAllergies); }); test('returns empty array when no allergies found', async () => { mockFetch.mockImplementationOnce( (): Promise<MockResponse> => Promise.resolve({ json: () => Promise.resolve({ data: { user: { allergy_sensitivities: [] } } }), ok: true, status: 200, }) ); const result = await fetchAllergySensitivities(healthieClient, 'patient123'); expect(result).toEqual([]); }); }); describe('convertHealthieAllergyToFhir', () => { const mockAllergy: HealthieAllergySensitivity = { id: 'allergy123', category: 'allergy', category_type: 'drug', created_at: '2024-01-01T00:00:00Z', mirrored: false, name: 'Penicillin', onset_date: '2024-01-01', reaction: 'Rash', reaction_type: 'allergy', severity: 'moderate', status: 'active', }; test('converts basic allergy to FHIR', () => { const result = convertHealthieAllergyToFhir(mockAllergy, { display: 'Test Patient', reference: 'Patient/123', }); expect(result).toEqual({ resourceType: 'AllergyIntolerance', identifier: [{ system: HEALTHIE_ALLERGY_ID_SYSTEM, value: 'allergy123' }], clinicalStatus: { coding: [ { system: 'http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical', code: 'active', }, ], }, verificationStatus: { coding: [ { system: 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification', code: 'confirmed', }, ], }, type: 'allergy', category: ['medication'], criticality: 'low', patient: { display: 'Test Patient', reference: 'Patient/123', }, onsetDateTime: '2024-01-01', code: { text: 'Penicillin', coding: [ { system: HEALTHIE_ALLERGY_CODE_SYSTEM, code: 'Penicillin', display: 'Penicillin', }, ], }, reaction: [ { substance: { text: 'Penicillin', coding: [ { system: HEALTHIE_ALLERGY_CODE_SYSTEM, code: 'Penicillin', display: 'Penicillin', }, ], }, manifestation: [ { text: 'Rash', coding: [ { system: HEALTHIE_REACTION_CODE_SYSTEM, code: 'Rash', display: 'Rash', }, ], }, ], severity: 'moderate', }, ], note: [{ text: 'Rash' }], }); }); test('handles allergy without reaction', () => { const allergyWithoutReaction: HealthieAllergySensitivity = { ...mockAllergy, reaction: undefined, }; const result = convertHealthieAllergyToFhir(allergyWithoutReaction, { display: 'Test Patient', reference: 'Patient/123', }); expect(result.reaction).toBeUndefined(); expect(result.note).toBeUndefined(); }); }); describe('mapHealthieStatusToClinicalStatus', () => { test('maps valid status values', () => { expect(mapHealthieStatusToClinicalStatus('active')).toBe('active'); expect(mapHealthieStatusToClinicalStatus('inactive')).toBe('inactive'); expect(mapHealthieStatusToClinicalStatus('resolved')).toBe('resolved'); }); test('handles invalid or missing status', () => { expect(mapHealthieStatusToClinicalStatus(undefined)).toBe('active'); expect(mapHealthieStatusToClinicalStatus('unknown')).toBe('active'); }); }); describe('mapHealthieCategoryToType', () => { test('maps valid category values', () => { expect(mapHealthieCategoryToType('allergy')).toBe('allergy'); expect(mapHealthieCategoryToType('intolerance')).toBe('intolerance'); expect(mapHealthieCategoryToType('sensitivity')).toBe('allergy'); expect(mapHealthieCategoryToType('preference')).toBe('allergy'); expect(mapHealthieCategoryToType('ccda')).toBe('allergy'); }); }); describe('mapHealthieCategoryTypeToCategory', () => { test('maps valid category_type values', () => { expect(mapHealthieCategoryTypeToCategory('food')).toBe('food'); expect(mapHealthieCategoryTypeToCategory('drug')).toBe('medication'); expect(mapHealthieCategoryTypeToCategory('environmental')).toBe('environment'); expect(mapHealthieCategoryTypeToCategory('pet')).toBe('environment'); expect(mapHealthieCategoryTypeToCategory('latex')).toBe('environment'); }); test('handles invalid or missing category_type', () => { expect(mapHealthieCategoryTypeToCategory(undefined)).toBe('environment'); expect(mapHealthieCategoryTypeToCategory('unknown')).toBe('environment'); }); }); describe('mapHealthieSeverityToCriticality', () => { test('maps valid severity values', () => { expect(mapHealthieSeverityToCriticality('mild')).toBe('low'); expect(mapHealthieSeverityToCriticality('moderate')).toBe('low'); expect(mapHealthieSeverityToCriticality('severe')).toBe('high'); expect(mapHealthieSeverityToCriticality('unknown')).toBe('low'); }); test('handles missing severity', () => { expect(mapHealthieSeverityToCriticality(undefined)).toBe('low'); }); }); describe('mapHealthieSeverityToReactionSeverity', () => { test('maps valid severity values', () => { expect(mapHealthieSeverityToReactionSeverity('mild')).toBe('mild'); expect(mapHealthieSeverityToReactionSeverity('moderate')).toBe('moderate'); expect(mapHealthieSeverityToReactionSeverity('severe')).toBe('severe'); expect(mapHealthieSeverityToReactionSeverity('unknown')).toBeUndefined(); }); test('handles missing severity', () => { expect(mapHealthieSeverityToReactionSeverity(undefined)).toBeUndefined(); }); });