Medplum

// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors // SPDX-License-Identifier: Apache-2.0 import type { WithId } from '@medplum/core'; import { ContentType, LOINC, createReference } from '@medplum/core'; import type { Condition, Observation, Organization, Patient, Practitioner } from '@medplum/fhirtypes'; import express from 'express'; import request from 'supertest'; import { initApp, shutdownApp } from '../../app'; import { loadTestConfig } from '../../config/loader'; import { initTestAuth } from '../../test.setup'; import { OBSERVATION_CATEGORY_SYSTEM } from './patientsummary'; const app = express(); let accessToken: string; describe('C-CDA Export', () => { beforeAll(async () => { const config = await loadTestConfig(); await initApp(app, config); accessToken = await initTestAuth(); }); afterAll(async () => { await shutdownApp(); }); test('Success', async () => { // Create organization const orgRes = await request(app) .post(`/fhir/R4/Organization`) .set('Authorization', 'Bearer ' + accessToken) .set('Content-Type', ContentType.FHIR_JSON) .send({ resourceType: 'Organization' }); expect(orgRes.status).toBe(201); const organization = orgRes.body as Organization; // Create practitioner const practRes = await request(app) .post(`/fhir/R4/Practitioner`) .set('Authorization', 'Bearer ' + accessToken) .set('Content-Type', ContentType.FHIR_JSON) .send({ resourceType: 'Practitioner' }); expect(practRes.status).toBe(201); const practitioner = practRes.body as Practitioner; // Create patient const res1 = await request(app) .post(`/fhir/R4/Patient`) .set('Authorization', 'Bearer ' + accessToken) .set('Content-Type', ContentType.FHIR_JSON) .send({ resourceType: 'Patient', name: [{ given: ['Alice'], family: 'Smith' }], address: [{ use: 'home', line: ['123 Main St'], city: 'Anywhere', state: 'CA', postalCode: '90210' }], telecom: [ { system: 'phone', value: '555-555-5555' }, { system: 'email', value: 'alice@example.com' }, ], managingOrganization: createReference(organization), } satisfies Patient); expect(res1.status).toBe(201); const patient = res1.body as Patient; // Create observation const res2 = await request(app) .post(`/fhir/R4/Observation`) .set('Authorization', 'Bearer ' + accessToken) .set('Content-Type', ContentType.FHIR_JSON) .send({ resourceType: 'Observation', status: 'final', category: [{ coding: [{ system: OBSERVATION_CATEGORY_SYSTEM, code: 'vital-signs' }] }], code: { coding: [{ system: LOINC, code: '12345-6' }] }, subject: createReference(patient), performer: [createReference(practitioner), createReference(organization)], effectiveDateTime: new Date().toISOString(), } satisfies Observation); expect(res2.status).toBe(201); const observation = res2.body as WithId<Observation>; // Create condition // This condition references the patient twice, once as subject and once as asserter // This is to test that the condition is only returned once const res3 = await request(app) .post(`/fhir/R4/Condition`) .set('Authorization', 'Bearer ' + accessToken) .set('Content-Type', ContentType.FHIR_JSON) .send({ resourceType: 'Condition', code: { coding: [{ system: LOINC, code: '12345-6' }] }, asserter: createReference(patient), subject: createReference(patient), recorder: createReference(practitioner), recordedDate: new Date().toISOString(), } satisfies Condition); expect(res3.status).toBe(201); const condition = res3.body as WithId<Condition>; // Execute the operation const res4 = await request(app) .get(`/fhir/R4/Patient/${patient.id}/$ccda-export`) .set('Authorization', 'Bearer ' + accessToken) .set('Accept', ContentType.CDA_XML); expect(res4.status).toBe(200); const result = res4.text; expect(result.includes('<given>Alice</given>')).toBe(true); expect(result.includes(observation.id)).toBe(true); expect(result.includes(condition.id)).toBe(true); }); });