Medplum

// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors // SPDX-License-Identifier: Apache-2.0 import { indexSearchParameterBundle, indexStructureDefinitionBundle } from '@medplum/core'; import { SEARCH_PARAMETER_BUNDLE_FILES, readJson } from '@medplum/definitions'; import type { Bot, Bundle, Reference, SearchParameter } from '@medplum/fhirtypes'; import { MockClient } from '@medplum/mock'; import { afterEach, beforeAll, beforeEach, describe, expect, test, vi } from 'vitest'; import { HealthieClient } from './healthie/client'; import { handler } from './import-healthie-patients'; vi.mock('./healthie/client', async (importOriginal) => { const original = (await importOriginal()) as any; original.HealthieClient.prototype.query = vi.fn(); return original; }); // Mock data const MOCK_PATIENT_RESPONSE = { users: [ { id: '2494091', active: true, name: 'Example Client', first_name: 'Example', last_name: 'Client', phone_number: null, gender: null, gender_identity: null, sex: null, sexual_orientation: null, locations: [], }, { id: '2498842', active: true, name: 'Test Patient1', first_name: 'Test', last_name: 'Patient1', phone_number: null, gender: null, gender_identity: null, sex: null, sexual_orientation: null, locations: [], }, { id: '2498847', active: true, name: 'Test Patient2', first_name: 'Test', last_name: 'Patient2', phone_number: null, gender: null, gender_identity: null, sex: null, sexual_orientation: null, locations: [], }, { id: '2501776', active: true, name: 'Test Patient3', first_name: 'Test', last_name: 'Patient3', phone_number: null, gender: null, gender_identity: null, sex: null, sexual_orientation: null, locations: [], }, { id: '2501783', active: true, name: 'Test Patient4', first_name: 'Test', last_name: 'Patient4', phone_number: '8231720938', gender: 'Female', gender_identity: '', sex: 'Female', sexual_orientation: 'Bisexual', locations: [ { zip: '12345', line1: '123 Main St.', line2: '', to_oneline: '123 Main St., New York, NM 12345', city: 'New York', country: 'US', cursor: 'eyJrIjpbIjYwOTMxNyJdfQ==', state: 'NM', }, ], }, ], }; const MOCK_MEDICATION_RESPONSE = { medications: [ { id: '42030', name: 'Lexapro Oral Tablet', active: false, directions: null, dosage: '10 MG', code: null, start_date: '2025-04-01 00:00:00 -0700', end_date: '2025-04-02 00:00:00 -0700', comment: null, created_at: '2025-04-08 15:33:09 -0700', frequency: null, mirrored: false, requires_consolidation: false, route: null, updated_at: '2025-04-08 15:33:09 -0700', user_id: '2498842', }, { id: '42029', name: 'Tylenol 8 Hour Arthritis Pain Oral Tablet Extended Release', active: true, directions: null, dosage: '650 MG', code: null, start_date: '2025-04-01 00:00:00 -0700', end_date: null, comment: 'Comment on Tylenol', created_at: '2025-04-08 15:22:38 -0700', frequency: null, mirrored: false, requires_consolidation: false, route: null, updated_at: '2025-04-08 16:08:57 -0700', user_id: '2498842', }, ], }; describe('fetch-patients handler', () => { let medplum: MockClient; beforeEach(() => { medplum = new MockClient(); }); function setupMocks(): void { const mockQuery = vi.mocked(HealthieClient.prototype.query); mockQuery.mockReset(); // Mock patient IDs query (fetchHealthiePatientIds) - return patients needed for tests mockQuery.mockResolvedValueOnce({ users: [ { id: '2494091', updated_at: '2025-01-01T00:00:00Z', cursor: 'cursor1' }, { id: '2498842', updated_at: '2025-01-01T00:00:00Z', cursor: 'cursor2' }, // Patient with medications { id: '2501783', updated_at: '2025-01-01T00:00:00Z', cursor: 'cursor3' }, // Patient with full demographics ], }); // For each patient, we need to mock: // 1. fetchHealthiePatients (patient details) // 2. fetchMedications // 3. fetchAllergySensitivities // 4. fetchHealthieFormAnswerGroups // Patient 2494091 mockQuery.mockResolvedValueOnce({ users: [MOCK_PATIENT_RESPONSE.users[0]] }); // Basic patient mockQuery.mockResolvedValueOnce({ medications: [] }); mockQuery.mockResolvedValueOnce({ user: { allergy_sensitivities: [] } }); mockQuery.mockResolvedValueOnce({ formAnswerGroups: [] }); // Patient 2498842 (the one with medications) mockQuery.mockResolvedValueOnce({ users: [MOCK_PATIENT_RESPONSE.users[1]] }); // Patient with medications mockQuery.mockResolvedValueOnce(MOCK_MEDICATION_RESPONSE); // This patient has the medications mockQuery.mockResolvedValueOnce({ user: { allergy_sensitivities: [] } }); mockQuery.mockResolvedValueOnce({ formAnswerGroups: [] }); // Patient 2501783 (the one with complete demographics) mockQuery.mockResolvedValueOnce({ users: [MOCK_PATIENT_RESPONSE.users[4]] }); // Patient with full demo data mockQuery.mockResolvedValueOnce({ medications: [] }); mockQuery.mockResolvedValueOnce({ user: { allergy_sensitivities: [] } }); mockQuery.mockResolvedValueOnce({ formAnswerGroups: [] }); } 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>); } }); afterEach(() => { vi.clearAllMocks(); }); test('syncs patient demographics correctly', async () => { setupMocks(); const event = { input: {}, contentType: 'application/json', secrets: { HEALTHIE_API_URL: { name: 'HEALTHIE_API_URL', valueString: 'https://api.example.com' }, HEALTHIE_CLIENT_SECRET: { name: 'HEALTHIE_CLIENT_SECRET', valueString: 'test-secret' }, }, bot: { reference: 'Bot/test-bot' } as Reference<Bot>, }; await handler(medplum, event); // Test patient with minimal data const basicPatient = await medplum.searchResources('Patient', { identifier: 'https://www.gethealthie.com/userId|2494091', }); expect(basicPatient.length).toBe(1); expect(basicPatient[0].name?.[0].given).toEqual(['Example']); expect(basicPatient[0].name?.[0].family).toBe('Client'); expect(basicPatient[0].active).toBeUndefined(); expect(basicPatient[0].address).toBeUndefined(); // Test patient with complete demographic data const complexPatient = await medplum.searchResources('Patient', { identifier: 'https://www.gethealthie.com/userId|2501783', }); expect(complexPatient.length).toBe(1); const patient = complexPatient[0]; // Verify complete demographic data expect(patient.name?.[0].given).toEqual(['Test']); expect(patient.name?.[0].family).toBe('Patient4'); expect(patient.telecom?.[0].value).toBe('8231720938'); expect(patient.telecom?.[0].system).toBe('phone'); expect(patient.gender).toBe('female'); expect(patient.address?.[0].line).toEqual(['123 Main St.']); expect(patient.address?.[0].city).toBe('New York'); expect(patient.address?.[0].state).toBe('NM'); expect(patient.address?.[0].postalCode).toBe('12345'); expect(patient.address?.[0].country).toBe('US'); }); test('syncs medications correctly for multiple patients', async () => { setupMocks(); const event = { input: {}, contentType: 'application/json', secrets: { HEALTHIE_API_URL: { name: 'HEALTHIE_API_URL', valueString: 'https://api.example.com' }, HEALTHIE_CLIENT_SECRET: { name: 'HEALTHIE_CLIENT_SECRET', valueString: 'test-secret' }, }, bot: { reference: 'Bot/test-bot' } as Reference<Bot>, }; await handler(medplum, event); // Test active medication const activeMedications = await medplum.searchResources('MedicationRequest', { identifier: 'https://www.gethealthie.com/medicationId|42029', }); expect(activeMedications.length).toBe(1); const activeMed = activeMedications[0]; expect(activeMed.status).toBe('active'); expect(activeMed.medicationCodeableConcept?.text).toBe( 'Tylenol 8 Hour Arthritis Pain Oral Tablet Extended Release' ); expect(activeMed.dosageInstruction?.[0].doseAndRate?.[0].doseQuantity?.value).toBe(650); expect(activeMed.dosageInstruction?.[0].doseAndRate?.[0].doseQuantity?.unit).toBe('MG'); expect(activeMed.note?.[0].text).toBe('Comment on Tylenol'); // Test inactive medication const inactiveMedications = await medplum.searchResources('MedicationRequest', { identifier: 'https://www.gethealthie.com/medicationId|42030', }); expect(inactiveMedications.length).toBe(1); const inactiveMed = inactiveMedications[0]; expect(inactiveMed.status).toBe('unknown'); expect(inactiveMed.medicationCodeableConcept?.text).toBe('Lexapro Oral Tablet'); expect(inactiveMed.dosageInstruction?.[0].doseAndRate?.[0].doseQuantity?.value).toBe(10); expect(inactiveMed.dosageInstruction?.[0].doseAndRate?.[0].doseQuantity?.unit).toBe('MG'); }); test('handles missing secrets', async () => { const event = { input: {}, contentType: 'application/json', secrets: {}, bot: { reference: 'Bot/test-bot' } as Reference<Bot>, }; await expect(handler(medplum, event)).rejects.toThrow('HEALTHIE_API_URL must be set'); }); test('handles empty patient list', async () => { const event = { input: {}, contentType: 'application/json', secrets: { HEALTHIE_API_URL: { name: 'HEALTHIE_API_URL', valueString: 'https://api.example.com' }, HEALTHIE_CLIENT_SECRET: { name: 'HEALTHIE_CLIENT_SECRET', valueString: 'test-secret' }, }, bot: { reference: 'Bot/test-bot' } as Reference<Bot>, }; // Mock empty patient IDs response vi.mocked(HealthieClient.prototype.query).mockReset().mockResolvedValue({ users: [] }); await handler(medplum, event); const searchRequest = await medplum.search('Patient', 'identifier=https://www.gethealthie.com/userId|'); expect(searchRequest.entry?.length ?? 0).toBe(0); }); });