Medplum

// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors // SPDX-License-Identifier: Apache-2.0 import { createReference } from '@medplum/core'; import type { DiagnosticReport, Observation } from '@medplum/fhirtypes'; import { HomerDiagnosticReport, HomerSimpson, MockClient } from '@medplum/mock'; import { MedplumProvider } from '@medplum/react-hooks'; import { MemoryRouter } from 'react-router'; import { HealthGorillaDiagnosticReport, HealthGorillaObservation1, HealthGorillaObservation2, HealthGorillaObservationGroup1, HealthGorillaObservationGroup2, } from '../stories/healthgorilla'; import { CreatinineObservation, ExampleReport } from '../stories/referenceLab'; import { act, render, screen } from '../test-utils/render'; import type { DiagnosticReportDisplayProps } from './DiagnosticReportDisplay'; import { DiagnosticReportDisplay } from './DiagnosticReportDisplay'; const syntheaReport: DiagnosticReport = { resourceType: 'DiagnosticReport', id: 'e508a0f9-17f1-49a9-8151-0e21cb19098f', status: 'final', specimen: HomerDiagnosticReport.specimen, category: [ { coding: [ { system: 'http://loinc.org', code: '34117-2', display: 'History and physical note', }, { system: 'http://loinc.org', code: '51847-2', display: 'Evaluation+Plan note', }, ], }, ], code: { coding: [ { system: 'http://loinc.org', code: '34117-2', display: 'History and physical note', }, { system: 'http://loinc.org', code: '51847-2', display: 'Evaluation+Plan note', }, ], }, subject: { reference: 'Patient/55a90b63-a6a5-4a4d-86fb-40d156eb55b1', }, encounter: { reference: 'Encounter/cc8f80b9-4ca6-48a2-a916-10992175e8d9', }, effectiveDateTime: '2019-03-14T06:47:41-07:00', issued: '2019-03-14T06:47:41.275-07:00', performer: [ { reference: 'Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999909389', display: 'Dr. Antonietta855 Kilback373', }, ], presentedForm: [ { contentType: 'text/plain; charset=utf-8', data: 'SGVsbG8gd29ybGQ=', }, ], }; const medplum = new MockClient(); describe('DiagnosticReportDisplay', () => { function setup(args: DiagnosticReportDisplayProps): void { render( <MemoryRouter> <MedplumProvider medplum={medplum}> <DiagnosticReportDisplay {...args} /> </MedplumProvider> </MemoryRouter> ); } test('Renders by value', async () => { await act(async () => { setup({ value: HomerDiagnosticReport }); }); // See packages/mock/src/mocks/simpsons.ts expect(screen.getByText('Homer Simpson')).toBeDefined(); expect(screen.getByText('Diagnostic Report')).toBeDefined(); expect(screen.getByText('110 mmHg / 75 mmHg')).toBeDefined(); expect(screen.getByText('> 50 x')).toBeDefined(); expect(screen.getByText('Specimen hemolyzed. Results may be affected.', { exact: false })).toBeDefined(); expect(screen.getByText('Specimen lipemic. Results may be affected.', { exact: false })).toBeDefined(); expect(screen.getByText('Critical high')).toBeInTheDocument(); expect(screen.getByText('Critical high')).toHaveStyle('background:'); expect(screen.getAllByText('final')).toHaveLength(8); expect(screen.getAllByText('corrected')).toHaveLength(1); screen.getAllByText('final').forEach((badge) => expect(badge).toHaveClass('mantine-Badge-label')); }); test('Renders by value with hideSubject', async () => { await act(async () => { setup({ value: HomerDiagnosticReport, hideSubject: true }); }); // See packages/mock/src/mocks/simpsons.ts expect(screen.queryByText('Homer Simpson')).toBeNull(); expect(screen.getByText('Diagnostic Report')).toBeDefined(); expect(screen.getByText('110 mmHg / 75 mmHg')).toBeDefined(); expect(screen.getByText('> 50 x')).toBeDefined(); expect(screen.getByText('Specimen hemolyzed. Results may be affected.', { exact: false })).toBeDefined(); expect(screen.getByText('Specimen lipemic. Results may be affected.', { exact: false })).toBeDefined(); expect(screen.getByText('Critical high')).toBeInTheDocument(); expect(screen.getByText('Critical high')).toHaveStyle('background:'); expect(screen.getAllByText('final')).toHaveLength(8); expect(screen.getAllByText('corrected')).toHaveLength(1); screen.getAllByText('final').forEach((badge) => expect(badge).toHaveClass('mantine-Badge-label')); }); test('Renders by reference', async () => { await act(async () => { setup({ value: { reference: 'DiagnosticReport/123' } }); }); // See packages/mock/src/mocks/simpsons.ts expect(screen.getByText('Diagnostic Report')).toBeDefined(); expect(screen.getByText('110 mmHg / 75 mmHg')).toBeDefined(); expect(screen.getByText('10 - 50 x')).toBeDefined(); expect(screen.getByText('> 50 x')).toBeDefined(); }); test('Renders presented form', async () => { await act(async () => { setup({ value: syntheaReport }); }); expect(screen.getByText('Diagnostic Report')).toBeDefined(); expect(screen.getByText('Hello world')).toBeDefined(); }); test('Renders performer', async () => { const obs = await medplum.createResource(CreatinineObservation); ExampleReport.result = [createReference(obs)]; await medplum.updateResource(ExampleReport); await act(async () => { setup({ value: ExampleReport }); }); expect(screen.getByText('Test Organization')).not.toBeNull(); expect(screen.getByText('Alice Smith')).not.toBeNull(); }); test('Renders observation category', async () => { const obs = await medplum.createResource(CreatinineObservation); ExampleReport.result = [createReference(obs)]; await medplum.updateResource(ExampleReport); await act(async () => { setup({ value: ExampleReport }); }); expect(screen.getByText('Diagnostic Report')).toBeDefined(); expect(screen.getByText('Day 2')).toBeDefined(); }); test('Renders observation note', async () => { const obs = await medplum.createResource(CreatinineObservation); ExampleReport.result = [createReference(obs)]; await medplum.updateResource(ExampleReport); await act(async () => { setup({ value: ExampleReport }); }); expect(screen.getByText('Previously reported as 167 mg/dL on 2/3/2023, 8:40:14 PM')).not.toBeNull(); }); test('Hide observation note', async () => { const obs = await medplum.createResource(CreatinineObservation); ExampleReport.result = [createReference(obs)]; await medplum.updateResource(ExampleReport); await act(async () => { setup({ value: ExampleReport, hideObservationNotes: true }); }); expect(screen.queryByText('Previously reported as 167 mg/dL on 2/3/2023, 8:40:14 PM')).toBeNull(); }); test('Renders specimen note', async () => { await act(async () => { setup({ value: syntheaReport }); }); expect(screen.queryByText('Specimen hemolyzed. Results may be affected.')).not.toBeNull(); expect(screen.queryByText('Specimen lipemic. Results may be affected.')).not.toBeNull(); }); test('Renders specimen collected time', async () => { await act(async () => { setup({ value: syntheaReport }); }); expect(screen.queryByText('Collected:')).not.toBeNull(); }); test('Renders hide specimen info', async () => { await act(async () => { setup({ value: syntheaReport, hideSpecimenInfo: true }); }); expect(screen.queryByText('Collected:')).toBeNull(); }); test('Renders observation group', async () => { await medplum.createResource(HealthGorillaObservation1); await medplum.createResource(HealthGorillaObservation2); await medplum.createResource(HealthGorillaObservationGroup1); await medplum.createResource(HealthGorillaObservationGroup2); await medplum.createResource(HealthGorillaDiagnosticReport); await act(async () => { setup({ value: HealthGorillaDiagnosticReport }); }); expect(screen.getByText('Example Panel Day 1')).toBeInTheDocument(); expect(screen.getByText('Above high normal')).toBeInTheDocument(); expect(screen.getByText('Example Panel Day 2')).toBeInTheDocument(); expect(screen.getByText('Normal')).toBeInTheDocument(); }); test('No specimen header if no specimen', async () => { await act(async () => { setup({ value: { resourceType: 'DiagnosticReport' } as DiagnosticReport }); }); expect(screen.getByText('Diagnostic Report')).toBeInTheDocument(); expect(screen.queryByText('Specimen')).toBeNull(); }); test('Handles observation cycles', async () => { // This is a technically valid Observation resource, // although it doesn't really make sense. // It uses "Observation Grouping" to create a cycle. let obs = await medplum.createResource({ resourceType: 'Observation', valueString: 'XYZ' } as Observation); obs = await medplum.updateResource({ ...obs, hasMember: [createReference(obs)] } as Observation); const report: DiagnosticReport = { resourceType: 'DiagnosticReport', status: 'final', code: { text: 'test' }, subject: createReference(HomerSimpson), result: [createReference(obs)], }; await act(async () => { setup({ value: report }); }); expect(screen.getByText('Diagnostic Report')).toBeDefined(); expect(screen.getByText('XYZ')).toBeDefined(); }); });