Medplum

// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors // SPDX-License-Identifier: Apache-2.0 import { isResourceType } from '@medplum/core'; import type { Account, CarePlan, Communication, ExplanationOfBenefit, Observation, Patient, Reference, } from '@medplum/fhirtypes'; import { initAppServices, shutdownApp } from '../app'; import { loadTestConfig } from '../config/loader'; import { withTestContext } from '../test.setup'; import { getPatientCompartmentParams, getPatientResourceTypes, getPatients } from './patient'; import { getSystemRepo } from './repo'; describe('FHIR Patient utils', () => { beforeAll(async () => { const config = await loadTestConfig(); await initAppServices(config); }); afterAll(async () => { await shutdownApp(); }); test('getPatientCompartmentParams', () => { expect(getPatientCompartmentParams('Observation')).toStrictEqual(['subject', 'performer']); expect(getPatientCompartmentParams('xxx')).toBeUndefined(); }); test('getPatients', () => { expect( getPatients({ resourceType: 'Account', subject: [] as Reference[], } as Account) ).toStrictEqual([]); expect(getPatients({ resourceType: 'Account', subject: [{}] } as Account)).toStrictEqual([]); expect( getPatients({ resourceType: 'Account', subject: [{ reference: 'Device/123' }], } as Account) ).toStrictEqual([]); expect( getPatients({ resourceType: 'Account', subject: [{ reference: 'Patient/123' }], } as Account) ).toMatchObject([{ reference: 'Patient/123' }]); expect(getPatients({ resourceType: 'Observation' } as Observation)).toStrictEqual([]); expect( getPatients({ resourceType: 'Observation', subject: undefined, } as Observation) ).toStrictEqual([]); expect( getPatients({ resourceType: 'Observation', status: 'final', code: { text: 'abc' }, subject: 'bad', } as Observation) ).toStrictEqual([]); expect( getPatients({ resourceType: 'Observation', subject: null, } as unknown as Observation) ).toStrictEqual([]); expect(getPatients({ resourceType: 'Observation', subject: {} } as Observation)).toStrictEqual([]); expect( getPatients({ resourceType: 'Observation', subject: { reference: 'Device/123' }, } as Observation) ).toStrictEqual([]); expect( getPatients({ resourceType: 'Observation', subject: { reference: 'Patient/123' }, } as Observation) ).toMatchObject([{ reference: 'Patient/123' }]); expect( getPatients({ resourceType: 'ServiceRequest', status: 'active', intent: 'order', code: { text: 'abc' }, subject: { reference: 'Patient/123' }, }) ).toMatchObject([{ reference: 'Patient/123' }]); expect( getPatients({ resourceType: 'DiagnosticReport', status: 'final', code: { text: 'abc' }, subject: { reference: 'Patient/123' }, }) ).toMatchObject([{ reference: 'Patient/123' }]); expect(getPatients({ resourceType: 'Patient' } as Patient)).toStrictEqual([]); expect(getPatients({ resourceType: 'Patient', id: undefined } as Patient)).toStrictEqual([]); expect(getPatients({ resourceType: 'Patient', id: null } as unknown as Patient)).toStrictEqual([]); expect(getPatients({ resourceType: 'Patient', id: '123' } as Patient)).toMatchObject([ { reference: 'Patient/123' }, ]); }); test('Multiple patients', () => { const communication: Communication = { resourceType: 'Communication', status: 'completed', subject: { reference: 'Patient/123' }, sender: { reference: 'Patient/456' }, recipient: [{ reference: 'Patient/789' }], }; expect(sortReferenceArray(getPatients(communication))).toMatchObject([ { reference: 'Patient/123' }, { reference: 'Patient/456' }, { reference: 'Patient/789' }, ]); }); test('Duplicate patients', () => { const communication: Communication = { resourceType: 'Communication', status: 'completed', subject: { reference: 'Patient/123' }, sender: { reference: 'Patient/123' }, recipient: [{ reference: 'Patient/789' }], }; expect(sortReferenceArray(getPatients(communication))).toMatchObject([ { reference: 'Patient/123' }, { reference: 'Patient/789' }, ]); }); test('Follow search params', () => { const carePlan: CarePlan = { resourceType: 'CarePlan', status: 'active', intent: 'order', subject: { reference: 'Patient/123' }, }; expect(getPatients(carePlan)).toMatchObject([{ reference: 'Patient/123' }]); }); test('External patient ID', () => withTestContext(async () => { // If a user creates a resource, // and that resource has a reference to a patient, // but the patient reference is an external patient ID, // we should silently ignore the patient reference const systemRepo = getSystemRepo(); const eob = await systemRepo.createResource<ExplanationOfBenefit>({ resourceType: 'ExplanationOfBenefit', status: 'active', use: 'claim', provider: { identifier: { system: 'http://hl7.org/fhir/sid/us-npi', value: '555555555', }, display: 'Alice Smith', }, patient: { reference: 'Patient/74532b683658335246434e495a53425462476c5741673d3d', }, insurer: { display: 'Humana', }, created: '2020-06-11', outcome: 'complete', insurance: [ { focal: true, coverage: { identifier: { system: 'https://fhir.humana.com/documentation/glossary/memberIdBase', value: 'H40183968', }, }, }, ], type: { coding: [ { system: 'http://terminology.hl7.org/CodeSystem/claim-type', code: 'pharmacy', display: 'Pharmacy', }, ], text: 'Pharmacy', }, }); expect(eob).toBeDefined(); })); test('getPatientResourceTypes', () => { const resourceTypes = getPatientResourceTypes(); expect(resourceTypes.length).toBeGreaterThan(1); resourceTypes.forEach((resourceType) => { expect(isResourceType(resourceType)).toBe(true); }); }); }); function sortReferenceArray<T extends Reference & { reference: string }>(input: T[]): T[] { return input.sort((a, b) => a.reference.localeCompare(b.reference)); }