Medplum

// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors // SPDX-License-Identifier: Apache-2.0 import { createReference, SNOMED } from '@medplum/core'; import type { Bundle, Composition, Patient, ServiceRequest } from '@medplum/fhirtypes'; import { OID_PLAN_OF_CARE_ACTIVITY_OBSERVATION, OID_PLAN_OF_CARE_ACTIVITY_PROCEDURE } from '../../oids'; import { FhirToCcdaConverter } from '../convert'; import { createPlanOfTreatmentServiceRequestEntry, mapPlanOfTreatmentStatus } from './servicerequest'; describe('createPlanOfTreatmentServiceRequestEntry', () => { let converter: FhirToCcdaConverter; let bundle: Bundle; let patient: Patient; beforeEach(() => { patient = { id: 'patient-1', resourceType: 'Patient', name: [{ given: ['John'], family: 'Doe' }], }; bundle = { resourceType: 'Bundle', type: 'document', entry: [ { resource: patient }, { resource: { id: 'composition-1', resourceType: 'Composition', status: 'final', type: { text: 'test' }, date: new Date().toISOString(), author: [{ display: 'test' }], title: 'test', subject: createReference(patient), section: [], } as Composition, }, ], }; converter = new FhirToCcdaConverter(bundle); }); test('should return procedure entry for SNOMED coded service request', () => { const serviceRequest: ServiceRequest = { id: 'servicerequest-1', resourceType: 'ServiceRequest', status: 'active', intent: 'order', subject: createReference(patient), code: { coding: [ { system: SNOMED, code: '387713003', display: 'Surgical procedure', }, ], }, identifier: [{ system: 'http://example.org', value: 'sr-123' }], authoredOn: '2024-01-01T10:00:00Z', }; const result = createPlanOfTreatmentServiceRequestEntry(converter, serviceRequest); expect(result).toBeDefined(); expect(result.procedure).toBeDefined(); expect(result.procedure?.length).toBe(1); const procedure = result.procedure?.[0]; expect(procedure?.['@_classCode']).toBe('PROC'); expect(procedure?.['@_moodCode']).toBe('RQO'); expect(procedure?.templateId).toEqual([ { '@_root': OID_PLAN_OF_CARE_ACTIVITY_PROCEDURE }, { '@_root': OID_PLAN_OF_CARE_ACTIVITY_PROCEDURE, '@_extension': '2014-06-09' }, { '@_root': OID_PLAN_OF_CARE_ACTIVITY_PROCEDURE, '@_extension': '2022-06-01' }, ]); expect(procedure?.statusCode?.['@_code']).toBe('active'); expect(procedure?.code?.['@_code']).toBe('387713003'); expect(procedure?.code?.['@_displayName']).toBe('Surgical procedure'); expect(procedure?.effectiveTime?.[0]?.['@_value']).toBe('20240101100000+0000'); expect(procedure?.id).toBeDefined(); }); test('should return observation entry for non-SNOMED coded service request', () => { const serviceRequest: ServiceRequest = { id: 'servicerequest-1', resourceType: 'ServiceRequest', status: 'active', intent: 'order', subject: createReference(patient), code: { coding: [ { system: 'http://loinc.org', code: '33747-0', display: 'General appearance', }, ], }, identifier: [{ system: 'http://example.org', value: 'sr-123' }], occurrenceDateTime: '2024-01-01T10:00:00Z', }; const result = createPlanOfTreatmentServiceRequestEntry(converter, serviceRequest); expect(result).toBeDefined(); expect(result.observation).toBeDefined(); expect(result.observation?.length).toBe(1); const observation = result.observation?.[0]; expect(observation?.['@_classCode']).toBe('OBS'); expect(observation?.['@_moodCode']).toBe('RQO'); expect(observation?.templateId).toEqual([{ '@_root': OID_PLAN_OF_CARE_ACTIVITY_OBSERVATION }]); expect(observation?.statusCode?.['@_code']).toBe('active'); expect(observation?.code?.['@_code']).toBe('33747-0'); expect(observation?.code?.['@_displayName']).toBe('General appearance'); expect(observation?.effectiveTime?.[0]?.['@_value']).toBe('20240101100000+0000'); expect(observation?.id).toBeDefined(); }); test('should return observation entry for service request without code', () => { const serviceRequest: ServiceRequest = { id: 'servicerequest-1', resourceType: 'ServiceRequest', status: 'completed', intent: 'order', subject: createReference(patient), extension: [ { url: 'https://medplum.com/fhir/StructureDefinition/ccda-narrative-reference', valueString: '#service-request-text', }, ], }; const result = createPlanOfTreatmentServiceRequestEntry(converter, serviceRequest); expect(result).toBeDefined(); expect(result.observation).toBeDefined(); const observation = result.observation?.[0]; expect(observation?.code).toBeUndefined(); expect(observation?.statusCode?.['@_code']).toBe('completed'); expect(observation?.text?.reference?.['@_value']).toBe('#service-request-text'); }); test('should handle cancelled service request status', () => { const serviceRequest: ServiceRequest = { id: 'servicerequest-1', resourceType: 'ServiceRequest', status: 'entered-in-error', intent: 'order', subject: createReference(patient), }; const result = createPlanOfTreatmentServiceRequestEntry(converter, serviceRequest); expect(result).toBeDefined(); const observation = result.observation?.[0]; expect(observation?.statusCode?.['@_code']).toBe('cancelled'); }); test('should handle service request without id or identifiers', () => { const serviceRequest: ServiceRequest = { resourceType: 'ServiceRequest', status: 'active', intent: 'order', subject: createReference(patient), }; const result = createPlanOfTreatmentServiceRequestEntry(converter, serviceRequest); expect(result).toBeDefined(); const observation = result.observation?.[0]; expect(observation?.id).toBeDefined(); }); describe('mapPlanOfTreatmentStatus', () => { test('should map achieved to completed', () => { expect(mapPlanOfTreatmentStatus('completed')).toBe('completed'); }); test('should map cancelled to cancelled', () => { expect(mapPlanOfTreatmentStatus('entered-in-error')).toBe('cancelled'); }); test('should map unknown status to active', () => { expect(mapPlanOfTreatmentStatus('draft')).toBe('active'); expect(mapPlanOfTreatmentStatus('unknown')).toBe('active'); expect(mapPlanOfTreatmentStatus(undefined)).toBe('active'); }); }); });