Medplum

// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors // SPDX-License-Identifier: Apache-2.0 import { createReference, getReferenceString, indexSearchParameterBundle, indexStructureDefinitionBundle, } from '@medplum/core'; import { readJson, SEARCH_PARAMETER_BUNDLE_FILES } from '@medplum/definitions'; import type { Bot, Bundle, Patient, Reference, SearchParameter } from '@medplum/fhirtypes'; import { MockClient } from '@medplum/mock'; import { createAllergyInputs, createMedHistoryInputs, handler } from './sync-patient'; describe('Sync patient', async () => { beforeAll(() => { indexStructureDefinitionBundle(readJson('fhir/r4/profiles-types.json') as Bundle); indexStructureDefinitionBundle(readJson('fhir/r4/profiles-resources.json') as Bundle); indexStructureDefinitionBundle(readJson('fhir/r4/profiles-medplum.json') as Bundle); for (const filename of SEARCH_PARAMETER_BUNDLE_FILES) { indexSearchParameterBundle(readJson(filename) as Bundle<SearchParameter>); } }); const bot: Reference<Bot> = { reference: 'Bot/123' }; const contentType = 'application/json'; const secrets = { PHOTON_CLIENT_ID: { name: 'Photon Client ID', valueString: 'client-id' }, PHOTON_CLIENT_SECRET: { name: 'Photon Client Secret', valueString: 'client-secret' }, }; test.skip('Successful sync', async () => { const medplum = new MockClient(); const patient: Patient = { resourceType: 'Patient', name: [{ given: ['Homer'], family: 'Simpson' }], telecom: [ { system: 'phone', value: '2125559839' }, { system: 'email', value: 'homersimpson56@aol.com' }, ], birthDate: '1956-05-12', }; const photonId = await handler(medplum, { input: patient, bot, secrets, contentType }); expect(photonId).toBeDefined(); }); test.skip('Create allergy input with identifiers', async () => { const medplum = new MockClient(); await medplum.executeBatch(allergies); const patient = (await medplum.searchOne('Patient', { identifier: 'https://example.org|homer-simpson', })) as Patient; const allergyIntolerances = await medplum.searchResources('AllergyIntolerance', { patient: getReferenceString(patient), }); const inputs = await createAllergyInputs('auth-token', allergyIntolerances); expect(inputs).toBeDefined(); expect(inputs?.length).toBe(2); }); test.skip('Create medication history input with identifiers', async () => { const medplum = new MockClient(); await medplum.executeBatch(medications); const patient = (await medplum.searchOne('Patient', { identifier: 'https://example.org|marge-simpson', })) as Patient; const medicationHistory = await medplum.searchResources('MedicationRequest', { patient: getReferenceString(patient), }); const inputs = await createMedHistoryInputs('auth-token', medicationHistory); expect(inputs).toBeDefined(); expect(inputs?.length).toBe(2); }); test.skip('Create valid mutation body', async () => { const medplum = new MockClient(); await medplum.executeBatch(fullData); const patient = (await medplum.searchOne('Patient', { identifier: 'https://example.org|homer-simpson', })) as Patient; const result = await handler(medplum, { input: patient, bot, secrets, contentType }); expect(result).toBeDefined(); expect(result.id.slice(0, 4)).toBe('pat_'); }); test.skip('Create patient with allergies', async () => { const medplum = new MockClient(); const patient: Patient = await medplum.createResource({ resourceType: 'Patient', name: [{ family: 'Smith', given: ['Alice'] }], telecom: [ { system: 'phone', value: '9085553329' }, { system: 'email', value: 'alices01@alice.com' }, ], address: [{ line: ['3 Green Street'], city: 'Salt Lake City', state: 'UT', postalCode: '84044' }], gender: 'female', birthDate: '1974-03-22', }); await medplum.createResource({ resourceType: 'AllergyIntolerance', patient: createReference(patient), code: { coding: [ { system: 'http://www.nlm.nih.gov/research/umls/rxnorm', code: '1000112', display: 'medroxyprogesterone acetate', }, ], }, type: 'allergy', clinicalStatus: { coding: [ { system: 'http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical', code: 'active', display: 'Active', }, ], }, verificationStatus: { coding: [ { system: 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification', code: 'confirmed', display: 'Confirmed', }, ], }, criticality: 'low', }); const result = await handler(medplum, { bot, contentType, secrets, input: patient }); expect(result.allergies?.length).toBe(1); expect(result.allergies?.[0].allergen.id).toBeDefined(); }, 10000); test.skip('Create patient with medication history', async () => { const medplum = new MockClient(); const patient: Patient = await medplum.createResource({ resourceType: 'Patient', name: [{ family: 'Smith', given: ['Alice'] }], telecom: [ { system: 'phone', value: '9085553329' }, { system: 'email', value: 'alices01@alice.com' }, ], address: [{ line: ['3 Green Street'], city: 'Salt Lake City', state: 'UT', postalCode: '84044' }], gender: 'female', birthDate: '1974-03-22', }); await medplum.createResource({ resourceType: 'MedicationRequest', status: 'active', intent: 'filler-order', subject: createReference(patient), medicationCodeableConcept: { coding: [ { system: 'http://www.nlm.nih.gov/research/umls/rxnorm', code: '313252', display: 'tetracycline hydrochloride 250 MG Oral Tablet', }, ], }, }); const result = await handler(medplum, { bot, contentType, secrets, input: patient }); expect(result.medicationHistory?.length).toBe(1); }, 10000); }); const allergies: Bundle = { resourceType: 'Bundle', type: 'transaction', entry: [ { fullUrl: 'urn:uuid:12fb98db-ebf6-485c-a038-2ba40a389fbf', request: { method: 'POST', url: 'Patient' }, resource: { resourceType: 'Patient', identifier: [{ system: 'https://example.org', value: 'homer-simpson' }], name: [{ given: ['Homer'], family: 'Simpson' }], telecom: [ { system: 'phone', value: '2125559839' }, { system: 'email', value: 'homersimpson@aol.com' }, ], birthDate: '1956-05-12', }, }, { fullUrl: 'urn:uuid:b2136130-a51a-4489-b82c-240b21b89302', request: { method: 'POST', url: 'AllergyIntolerance' }, resource: { resourceType: 'AllergyIntolerance', patient: { reference: 'urn:uuid:12fb98db-ebf6-485c-a038-2ba40a389fbf' }, note: [{ text: 'Allergies' }], onsetDateTime: new Date('1984-08-08').toISOString(), code: { coding: [{ system: 'http://www.nlm.nih.gov/research/umls/rxnorm', code: '2378832', display: '10-undecenal' }], }, }, }, { fullUrl: 'urn:uuid:d1aaf501-368a-4dab-8292-2c9ae221e5d1', request: { method: 'POST', url: 'AllergyIntolerance' }, resource: { resourceType: 'AllergyIntolerance', patient: { reference: 'urn:uuid:12fb98db-ebf6-485c-a038-2ba40a389fbf' }, note: [{ text: 'Allergies' }], onsetDateTime: new Date('1991-11-22').toISOString(), code: { coding: [{ system: 'http://www.nlm.nih.gov/research/umls/rxnorm', code: '1013676', display: '300 PRO LA' }], }, }, }, ], }; const medications: Bundle = { resourceType: 'Bundle', type: 'transaction', entry: [ { fullUrl: 'urn:uuid:8a06c6fb-4880-47c0-a048-60b70cd56f0a', request: { method: 'POST', url: 'Patient' }, resource: { resourceType: 'Patient', identifier: [{ system: 'https://example.org', value: 'marge-simpson' }], name: [{ given: ['Marge'], family: 'Simpson' }], telecom: [ { system: 'phone', value: '2125559839' }, { system: 'email', value: 'margesimpson@yahoo.com' }, ], birthDate: '1959-01-22', }, }, { fullUrl: 'urn:uuid:c663b3ec-af82-4724-a63d-256a1b79e57b', request: { method: 'POST', url: 'MedicationRequest' }, resource: { resourceType: 'MedicationRequest', status: 'active', subject: { reference: 'urn:uuid:8a06c6fb-4880-47c0-a048-60b70cd56f0a' }, intent: 'order', medicationCodeableConcept: { coding: [ { system: 'http://www.nlm.nih.gov/research/umls/rxnorm', code: '351993', display: 'GONAL -f 600 UNT/ML Injectable Solution', }, ], }, note: [{ text: 'New meds' }], }, }, { fullUrl: 'urn:uuid: 862689b3-6580-4aaf-85a0-2dd18a58b0b3', request: { method: 'POST', url: 'MedicationRequest' }, resource: { resourceType: 'MedicationRequest', status: 'active', subject: { reference: 'urn:uuid:8a06c6fb-4880-47c0-a048-60b70cd56f0a' }, intent: 'filler-order', note: [{ text: 'Refill' }], medicationCodeableConcept: { coding: [ { system: 'http://www.nlm.nih.gov/research/umls/rxnorm', code: '313252', display: 'tetracycline hydrochloride 250 MG Oral Tablet', }, ], }, }, }, ], }; const fullData: Bundle = { resourceType: 'Bundle', type: 'transaction', entry: [ { fullUrl: 'urn:uuid:12fb98db-ebf6-485c-a038-2ba40a389fbf', request: { method: 'POST', url: 'Patient' }, resource: { resourceType: 'Patient', identifier: [{ system: 'https://example.org', value: 'homer-simpson' }], name: [{ given: ['Homer'], family: 'Simpson' }], telecom: [ { system: 'phone', value: '2125559839' }, { system: 'email', value: 'homersimpson@aol.com' }, ], birthDate: '1956-05-12', }, }, { fullUrl: 'urn:uuid:b2136130-a51a-4489-b82c-240b21b89302', request: { method: 'POST', url: 'AllergyIntolerance' }, resource: { resourceType: 'AllergyIntolerance', identifier: [{ system: 'https://neutron.health', value: 'intolerance1' }], patient: { reference: 'urn:uuid:12fb98db-ebf6-485c-a038-2ba40a389fbf' }, note: [{ text: 'These allergies freaking stinks!' }], onsetDateTime: new Date('1984-08-08').toISOString(), }, }, { fullUrl: 'urn:uuid:d1aaf501-368a-4dab-8292-2c9ae221e5d1', request: { method: 'POST', url: 'AllergyIntolerance' }, resource: { resourceType: 'AllergyIntolerance', identifier: [{ system: 'https://neutron.health', value: 'intolerance2' }], patient: { reference: 'urn:uuid:12fb98db-ebf6-485c-a038-2ba40a389fbf' }, note: [{ text: 'Allergic :(' }], onsetDateTime: new Date('1991-11-22').toISOString(), }, }, { fullUrl: 'urn:uuid:c663b3ec-af82-4724-a63d-256a1b79e57b', request: { method: 'POST', url: 'MedicationRequest' }, resource: { resourceType: 'MedicationRequest', identifier: [{ system: 'https://neutron.health', value: 'med-request1' }], status: 'active', subject: { reference: 'urn:uuid:12fb98db-ebf6-485c-a038-2ba40a389fbf' }, intent: 'order', note: [{ text: 'New meds' }], }, }, { fullUrl: 'urn:uuid: 862689b3-6580-4aaf-85a0-2dd18a58b0b3', request: { method: 'POST', url: 'MedicationRequest' }, resource: { resourceType: 'MedicationRequest', identifier: [{ system: 'https://neutron.health', value: 'med-request2' }], status: 'active', subject: { reference: 'urn:uuid:12fb98db-ebf6-485c-a038-2ba40a389fbf' }, intent: 'filler-order', note: [{ text: 'Refill' }], }, }, ], };