Medplum

// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors // SPDX-License-Identifier: Apache-2.0 import { stringify } from '@medplum/core'; import type { Bundle, Resource } from '@medplum/fhirtypes'; import { existsSync, readFileSync, writeFileSync } from 'node:fs'; import { join, resolve } from 'node:path'; import { convertCcdaToFhir } from './ccda-to-fhir'; import { convertFhirToCcda } from './fhir-to-ccda/convert'; import type { Ccda } from './types'; import { convertCcdaToXml, convertXmlToCcda } from './xml'; const testDataFolder = resolve(__dirname, '../testdata'); const testData = [ 'MinimalPassingValidator', 'Patient', 'Participants', 'AllergyToEgg', 'MedicationAtBedtime', 'ProblemPneumonia', 'ImmunizationInfluenza', 'VitalSignsGrowthCharts', 'VitalSignsMetricUnits', 'SmokingStatus', 'PlanOfTreatmentCarePlan', 'PlanOfTreatmentCarePlanGoals', // 'HealthConcerns', 'ProcedureSectionActEntry', 'ProcedureSectionObservationEntry', 'ProcedureSectionProcedureEntry', // 'EncounterHospitalDischarge', ]; describe('convertCcdaToFhir', () => { test.skip('generateCleanCcda', () => { const name = 'MinimalPassingValidator'; const ccda = convertXmlToCcda(readFileSync(join(testDataFolder, `${name}.xml`), 'utf8')); writeFileSync(join(testDataFolder, `${name}.clean.xml`), convertCcdaToXml(ccda)); }); test.each(testData)('should convert %s CCDA to FHIR', (name) => { const ccda = convertXmlToCcda(readFileSync(join(testDataFolder, `${name}.xml`), 'utf8')); const bundle = normalizeFhir(convertCcdaToFhir(ccda)); if (!existsSync(join(testDataFolder, `${name}.json`))) { writeFileSync(join(testDataFolder, `${name}.json`), stringify(bundle, true)); } const expected = JSON.parse(readFileSync(join(testDataFolder, `${name}.json`), 'utf8')); expect(bundle).toEqual(expected); }); test('unrecognized act element', () => { // Start with a valid CCDA XML file const ccda = convertXmlToCcda(readFileSync(join(testDataFolder, 'ProcedureSectionActEntry.xml'), 'utf8')); // Change the section template ID to an unrecognized value (ccda as any).component.structuredBody.component[0].section[0].templateId[0]['@_root'] = '9.9.9999'; // By default, this should throw an error expect(() => convertCcdaToFhir(ccda)).toThrow('Unhandled act templateId: 9.9.9999'); // Or we can ignore it const bundle = convertCcdaToFhir(ccda, { ignoreUnsupportedSections: true }); expect(bundle).toBeDefined(); }); test('unrecognized substanceAdministration element', () => { // Start with a valid CCDA XML file const ccda = convertXmlToCcda(readFileSync(join(testDataFolder, 'MedicationAtBedtime.xml'), 'utf8')); // Change the section template ID to an unrecognized value (ccda as any).component.structuredBody.component[0].section[0].templateId[0]['@_root'] = '9.9.9999'; // By default, this should throw an error expect(() => convertCcdaToFhir(ccda)).toThrow('Unhandled substance administration templateId: 9.9.9999'); // Or we can ignore it const bundle = convertCcdaToFhir(ccda, { ignoreUnsupportedSections: true }); expect(bundle).toBeDefined(); }); }); describe('convertFhirToCcda', () => { test.each(testData)('should convert %s FHIR to CCDA', (name) => { const bundle = JSON.parse(readFileSync(join(testDataFolder, `${name}.json`), 'utf8')) as Bundle; const result = normalizeCcda(convertFhirToCcda(bundle)); const expected = convertXmlToCcda(readFileSync(join(testDataFolder, `${name}.xml`), 'utf8')); expect(result).toEqual(expected); }); }); function normalizeFhir<T extends Resource>(resource: T): T { // We need to remove all "empty" elements, such as empty strings and empty objects // This is because FHIR is very strict about what is allowed in the JSON return JSON.parse(stringify(resource)) as T; } function normalizeCcda(ccda: Ccda): Ccda { try { return convertXmlToCcda(convertCcdaToXml(ccda)); } catch (err) { console.log(JSON.stringify(ccda, null, 2)); throw err; } }