Creado apartir del commit b888de6c92056de294456f581a56e25e734d4ab7 de develop
This commit is contained in:
jrojas
@@ -0,0 +1,744 @@
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using adas_core.Application.Customizations.HUVH.UCIA;
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using adas_core.Application.Services.Interfaces;
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using adas_core.Domain.Enums;
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using adas_core.Domain.Models;
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using adas_core.Domain.Models.AppSettings;
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using Microsoft.Extensions.DependencyInjection;
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using Microsoft.Extensions.Logging;
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using Microsoft.Extensions.Options;
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using MongoDB.Bson;
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using MongoDB.Driver;
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using Moq;
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using Options = Microsoft.Extensions.Options.Options;
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namespace adas_core.Test.Customizations.HUVH.UCIA;
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[TestFixture]
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[Order(2)]
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public class CalculatedObservationsTest
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{
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[SetUp]
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public void Setup()
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{
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_observationServiceMock = new Mock<IObservationService>();
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_medicineServiceMock = new Mock<IMedicineService>();
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_treatmentServiceMock = new Mock<ITreatmentService>();
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_logger = new Mock<ILogger<CalculatedObservations>>();
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_optionsApiSettings = Options.Create(_apiSettings);
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var serviceCollection = new ServiceCollection();
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//serviceCollection.AddSingleton(_observationServiceMock.Object);
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serviceCollection.AddSingleton(new Lazy<IObservationService>(() => _observationServiceMock.Object));
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serviceCollection.AddSingleton(new Lazy<IMedicineService>(() => _medicineServiceMock.Object));
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serviceCollection.AddSingleton(new Lazy<ITreatmentService>(() => _treatmentServiceMock.Object));
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serviceCollection.AddSingleton(_optionsApiSettings);
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serviceCollection.AddSingleton(_logger.Object);
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var serviceProvider = serviceCollection.BuildServiceProvider();
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_calculatedObservations = new CalculatedObservations(serviceProvider);
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}
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private CalculatedObservations _calculatedObservations;
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private Mock<IMedicineService> _medicineServiceMock;
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private Mock<IObservationService> _observationServiceMock;
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private Mock<ITreatmentService> _treatmentServiceMock;
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private Mock<ILogger<CalculatedObservations>> _logger;
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private readonly ApiSettings _apiSettings = new()
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{
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ConfigObservation = new ConfigObservationSettings
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{
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IgnoreUnknownObservation = false
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}
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};
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private IOptions<ApiSettings> _optionsApiSettings;
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//Mandar observación 'SOBRESEDACIÓN'
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//cuando:
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//(RASS =-4 o RASS =-5) y
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//PSI < 25 y
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//TS > 5 y
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//(Propofol > 3 ó Midazolam > 0,05 ó Isoflorano > 10)
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[Test]
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public async Task CalculateOverSedation_Should_Insert_Observation_When_Conditions_Met()
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{
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var patientId = ObjectId.GenerateNewId();
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var rassObservation = new PatientObservation { PatientId = patientId, Name = "RASS", Value = -4 };
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var psiObservation = new PatientObservation { PatientId = patientId, Name = "PSI", Value = 20 };
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var tsObservation = new PatientObservation { PatientId = patientId, Name = "TS", Value = 6 };
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_observationServiceMock.Setup(x => x.FindLastObservations(patientId, 1, new List<string> { "PSI", "TS" }))
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.ReturnsAsync([psiObservation, tsObservation]);
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_treatmentServiceMock.Setup(x => x.GetActiveTreatmentsByPatient(patientId))
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.ReturnsAsync(new List<PatientTreatment>
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{ new() { RequestedGiveCodes = [new Code { Text = "Propofol" }], RequestedGiveAmountMinimum = 4 } });
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await _calculatedObservations.Map(rassObservation);
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_observationServiceMock.Verify(x => x.InsertObservation(It.IsAny<PatientObservation>(), true, false),
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Times.Once);
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}
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[Test]
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public async Task CalculateOverSedation_Should_Not_Insert_Observation_When_RASS_Is_Not_Negative4_Or_Negative5()
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{
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var patientId = ObjectId.GenerateNewId();
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var rassObservation = new PatientObservation { PatientId = patientId, Name = "RASS", Value = -3 };
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await _calculatedObservations.Map(rassObservation);
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_observationServiceMock.Verify(x => x.InsertObservation(It.IsAny<PatientObservation>(), true, false),
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Times.Never);
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}
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[Test]
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public async Task CalculateOverSedation_Should_Not_Insert_Observation_When_PSI_Is_25_Or_Higher()
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{
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var patientId = ObjectId.GenerateNewId();
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var rassObservation = new PatientObservation { PatientId = patientId, Name = "RASS", Value = -4 };
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var psiObservation = new PatientObservation { PatientId = patientId, Name = "PSI", Value = 25 };
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var tsObservation = new PatientObservation { PatientId = patientId, Name = "TS", Value = 6 };
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_observationServiceMock.Setup(x => x.FindLastObservations(patientId, 1, new List<string> { "PSI", "TS" }))
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.ReturnsAsync([psiObservation, tsObservation]);
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await _calculatedObservations.Map(rassObservation);
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_observationServiceMock.Verify(x => x.InsertObservation(It.IsAny<PatientObservation>(), true, false),
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Times.Never);
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}
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[Test]
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public async Task CalculateOverSedation_Should_Not_Insert_Observation_When_TS_Is_5_Or_Lower()
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{
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var patientId = ObjectId.GenerateNewId();
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var rassObservation = new PatientObservation { PatientId = patientId, Name = "RASS", Value = -4 };
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var psiObservation = new PatientObservation { PatientId = patientId, Name = "PSI", Value = 20 };
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var tsObservation = new PatientObservation { PatientId = patientId, Name = "TS", Value = 5 };
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_observationServiceMock.Setup(x => x.FindLastObservations(patientId, 1, new List<string> { "PSI", "TS" }))
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.ReturnsAsync([psiObservation, tsObservation]);
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await _calculatedObservations.Map(rassObservation);
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_observationServiceMock.Verify(x => x.InsertObservation(It.IsAny<PatientObservation>(), true, false),
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Times.Never);
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}
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[Test]
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public async Task CalculateOverSedation_Should_Not_Insert_Observation_When_No_Treatments_Exceed_Threshold()
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{
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var patientId = ObjectId.GenerateNewId();
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var rassObservation = new PatientObservation { PatientId = patientId, Name = "RASS", Value = -4 };
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var psiObservation = new PatientObservation { PatientId = patientId, Name = "PSI", Value = 20 };
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var tsObservation = new PatientObservation { PatientId = patientId, Name = "TS", Value = 6 };
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_observationServiceMock.Setup(x => x.FindLastObservations(patientId, 1, new List<string> { "PSI", "TS" }))
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.ReturnsAsync([psiObservation, tsObservation]);
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_treatmentServiceMock.Setup(x => x.GetActiveTreatmentsByPatient(patientId))
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.ReturnsAsync(new List<PatientTreatment>()); // No hay tratamientos activos que superen el umbral
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await _calculatedObservations.Map(rassObservation);
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_observationServiceMock.Verify(x => x.InsertObservation(It.IsAny<PatientObservation>(), true, false),
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Times.Never);
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}
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[Test]
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public async Task CalculateOverSedation_Should_Insert_Observation_When_Triggered_By_PSI_Observation()
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{
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var patientId = ObjectId.GenerateNewId();
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var psiObservation = new PatientObservation { PatientId = patientId, Name = "PSI", Value = 20 };
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var rassObservation = new PatientObservation { PatientId = patientId, Name = "RASS", Value = -4 };
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var tsObservation = new PatientObservation { PatientId = patientId, Name = "TS", Value = 6 };
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_observationServiceMock.Setup(x => x.FindLastObservations(patientId, 1, new List<string> { "RASS", "TS" }))
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.ReturnsAsync([rassObservation, tsObservation]);
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_treatmentServiceMock.Setup(x => x.GetActiveTreatmentsByPatient(patientId))
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.ReturnsAsync(new List<PatientTreatment>
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{ new() { RequestedGiveCodes = [new Code { Text = "Propofol" }], RequestedGiveAmountMinimum = 4 } });
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await _calculatedObservations.Map(psiObservation);
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_observationServiceMock.Verify(x => x.InsertObservation(It.IsAny<PatientObservation>(), true, false),
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Times.Once);
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}
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[Test]
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public async Task CalculateOverSedation_Should_Insert_Observation_When_Triggered_By_TS_Observation()
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{
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var patientId = ObjectId.GenerateNewId();
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var tsObservation = new PatientObservation { PatientId = patientId, Name = "TS", Value = 6 };
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var rassObservation = new PatientObservation { PatientId = patientId, Name = "RASS", Value = -4 };
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var psiObservation = new PatientObservation { PatientId = patientId, Name = "PSI", Value = 20 };
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_observationServiceMock.Setup(x => x.FindLastObservations(patientId, 1, new List<string> { "RASS", "PSI" }))
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.ReturnsAsync([rassObservation, psiObservation]);
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_treatmentServiceMock.Setup(x => x.GetActiveTreatmentsByPatient(patientId))
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.ReturnsAsync(new List<PatientTreatment>
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{ new() { RequestedGiveCodes = [new Code { Text = "Propofol" }], RequestedGiveAmountMinimum = 4 } });
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await _calculatedObservations.Map(tsObservation);
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_observationServiceMock.Verify(x => x.InsertObservation(It.IsAny<PatientObservation>(), true, false),
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Times.Once);
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}
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//- Si llega valor de PI pero NO COMPL, el tipo de ventilación es VMNI
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//- Si llega valor de PS pero no llega COMPL, el tipo de ventilación es VMNI
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//- Si llega COMPL, el tipo de ventilación es VMI
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//- Si llega Flujo, leer el tipo de ventilación de CCC(CNAF o CTAF)
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[Test]
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public async Task CalculateVentilationMode_Should_Set_VMNI_When_PI_PS_Arrives_Without_COMPL()
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{
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var patientId = ObjectId.GenerateNewId();
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var piObservation = new PatientObservation { PatientId = patientId, Name = "Inspiratory_Pressure" };
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_observationServiceMock.Setup(x => x.FindLastObservations(patientId, 1, new List<string> { "Compliancia" }))
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.ReturnsAsync([]); // No hay COMPL
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await _calculatedObservations.Map(piObservation);
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_observationServiceMock.Verify(
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x => x.InsertObservation(It.Is<PatientObservation>(o => o.Value.ToString() == "VMNI"), true, false),
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Times.Once);
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}
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[Test]
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public async Task CalculateVentilationMode_Should_Set_VMI_When_COMPL_Arrives()
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{
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var patientId = ObjectId.GenerateNewId();
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var complObservation = new PatientObservation { PatientId = patientId, Name = "Compliancia" };
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await _calculatedObservations.Map(complObservation);
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_observationServiceMock.Verify(
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x => x.InsertObservation(It.Is<PatientObservation>(o => o.Value.ToString() == "VMI"), true, false),
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Times.Once);
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}
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[Test]
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public async Task CalculateVentilationMode_Should_Set_CCC_Mode_When_AirFlow_Arrives_And_CCC_Has_Mode()
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{
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var patientId = ObjectId.GenerateNewId();
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var airFlowObservation = new PatientObservation { PatientId = patientId, Name = "Air_Flow" };
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var mockCursor = new Mock<IAsyncCursor<PatientObservation>>();
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mockCursor.Setup(c => c.Current).Returns(new List<PatientObservation> { new() { Value = "CNAF" } });
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mockCursor.SetupSequence(c => c.MoveNext(It.IsAny<CancellationToken>())).Returns(true).Returns(false);
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mockCursor.SetupSequence(c => c.MoveNextAsync(It.IsAny<CancellationToken>())).ReturnsAsync(true)
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.ReturnsAsync(false);
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_observationServiceMock.Setup(x => x.FindByPatientIdAndCodingSystemAsync(patientId, "CCC", "Ventilation_Mode"))
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.ReturnsAsync(mockCursor.Object);
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await _calculatedObservations.Map(airFlowObservation);
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_observationServiceMock.Verify(
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x => x.InsertObservation(It.Is<PatientObservation>(o => o.Value.ToString() == "CNAF"), true, false),
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Times.Once);
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}
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[Test]
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public async Task CalculateVentilationMode_Should_Insert_When_AirFlow_Arrives_And_CCC_Mode()
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{
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var patientId = ObjectId.GenerateNewId();
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var airFlowObservation = new PatientObservation { PatientId = patientId, Name = "Air_Flow" };
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var mockCursor = new Mock<IAsyncCursor<PatientObservation>>();
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// Configura la lista de observaciones devueltas por el cursor
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var observations = new List<PatientObservation> { new() { Value = "CNAF" } };
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mockCursor.Setup(c => c.Current).Returns(observations);
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// Configura el comportamiento de MoveNext y MoveNextAsync para simular la enumeración
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mockCursor.SetupSequence(c => c.MoveNext(It.IsAny<CancellationToken>()))
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.Returns(true) // Primera llamada: hay datos
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.Returns(false); // Segunda llamada: no hay más datos
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mockCursor.SetupSequence(c => c.MoveNextAsync(It.IsAny<CancellationToken>()))
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.ReturnsAsync(true) // Primera llamada asíncrona: hay datos
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.ReturnsAsync(false); // Segunda llamada: no hay más datos
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// Configura el mock del servicio para devolver el cursor simulado
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_observationServiceMock.Setup(x => x.FindByPatientIdAndCodingSystemAsync(patientId, "CCC", "Ventilation_Mode"))
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.ReturnsAsync(mockCursor.Object);
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await _calculatedObservations.Map(airFlowObservation);
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_observationServiceMock.Verify(x => x.InsertObservation(It.IsAny<PatientObservation>(), true, false),
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Times.Once);
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}
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[Test]
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public async Task CalculateVentilationMode_Should_Not_Insert_When_PI_Arrives_And_COMPL_Already_Exists()
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{
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var patientId = ObjectId.GenerateNewId();
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var piObservation = new PatientObservation { PatientId = patientId, Name = "PI" };
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_observationServiceMock.Setup(x => x.FindLastObservations(patientId, 1, new List<string> { "COMPL" }))
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.ReturnsAsync([new PatientObservation { Name = "COMPL" }]); // Existe COMPL
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await _calculatedObservations.Map(piObservation);
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_observationServiceMock.Verify(x => x.InsertObservation(It.IsAny<PatientObservation>(), true, false),
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Times.Never);
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}
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[Test]
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public async Task CalculateVentilationMode_Should_Not_Insert_When_PS_Arrives_And_COMPL_Already_Exists()
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{
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var patientId = ObjectId.GenerateNewId();
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var psObservation = new PatientObservation { PatientId = patientId, Name = "PS" };
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_observationServiceMock.Setup(x => x.FindLastObservations(patientId, 1, new List<string> { "COMPL" }))
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.ReturnsAsync([new PatientObservation { Name = "COMPL" }]); // Existe COMPL
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await _calculatedObservations.Map(psObservation);
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_observationServiceMock.Verify(x => x.InsertObservation(It.IsAny<PatientObservation>(), true, false),
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Times.Never);
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}
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//Las opciones pueden ser VV, VA o ECMO.
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//Cuando llegue VV se muestra VV.
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//Cuando llegue VA se muestra VA.
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//Cuando llegue los siguientes parámetros, se debe mostrar ECMO: ECCO2r, VVDL, VA+V, VVDL+V, VV+V, VVA
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[Test]
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public async Task CalculateEcmoLocation_Should_Return_VV_When_Value_Is_VV()
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{
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var observation = new PatientObservation { Name = "ECMO_Location", Value = "VV" };
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var result = await _calculatedObservations.Map(observation);
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Assert.That(result, Is.Not.Null);
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Assert.That(result.Value, Is.EqualTo("VV"));
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}
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[Test]
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public async Task CalculateEcmoLocation_Should_Return_VA_When_Value_Is_VA()
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{
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var observation = new PatientObservation { Name = "ECMO_Location", Value = "VA" };
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var result = await _calculatedObservations.Map(observation);
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Assert.That(result, Is.Not.Null);
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Assert.That(result.Value, Is.EqualTo("VA"));
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}
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[Test]
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[TestCase("ECCO2r")]
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[TestCase("VVDL")]
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[TestCase("VA+V")]
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[TestCase("VVDL+V")]
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[TestCase("VV+V")]
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[TestCase("VVA")]
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public async Task CalculateEcmoLocation_Should_Return_ECMO_When_Value_Is_In_Ecmo_List(string inputValue)
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{
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var observation = new PatientObservation { Name = "ECMO_Location", Value = inputValue };
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var result = await _calculatedObservations.Map(observation);
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Assert.That(result, Is.Not.Null);
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Assert.That(result.Value, Is.EqualTo("ECMO"));
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}
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[Test]
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public async Task CalculateEcmoLocation_Should_Not_Change_Value_When_Not_In_Ecmo_List()
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{
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var observation = new PatientObservation { Name = "ECMO_Location", Value = "OTHER" };
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var result = await _calculatedObservations.Map(observation);
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Assert.That(result, Is.Not.Null);
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Assert.That(result.Value, Is.EqualTo("OTHER"));
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}
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[Test]
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public async Task CalculateEcmoLocation_Should_Return_Original_Observation_When_Not_PatientObservation()
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{
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var observation = new PatientObservation();
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var result = await _calculatedObservations.Map(observation);
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Assert.That(result, Is.Not.Null);
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Assert.That(result, Is.EqualTo(observation));
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}
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// Mandar observación 'SOBREANALGESIA'
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// 0 <= EVN <= 3 o ESCID = 3 o ANI > 70
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// y
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// Perfusiones de morfina, remifentanilo 0 fentanilo sostenidas > 24h.
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[Test]
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public async Task CalculateOverAnalgesia_Should_Create_Observation_When_Conditions_Are_Met()
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{
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// Arrange
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var patientId = ObjectId.GenerateNewId();
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var obs = new PatientObservation { Name = "EVN", Value = "3", PatientId = patientId };
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var morfina = new PatientTreatment
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{ RequestedGiveCodes = [new Code { Text = "Morfina" }], StartTime = DateTime.UtcNow.AddHours(-25) };
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var remifentanilo = new PatientTreatment
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{ RequestedGiveCodes = [new Code { Text = "Remifentanilo" }], StartTime = DateTime.UtcNow.AddHours(-25) };
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//var fentanilo = new PatientTreatment
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// { RequestedGiveCodes = [new Code { Text = "Fentanilo" }], StartTime = DateTime.UtcNow.AddHours(-25) };
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_observationServiceMock
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.Setup(s => s.FindLastObservations(patientId, 1, It.IsAny<List<string>>()))
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||||
.ReturnsAsync([new PatientObservation { Name = "ANI", Value = "80" }]);
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||||
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||||
_treatmentServiceMock
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||||
.Setup(s => s.GetActiveTreatmentsByPatient(patientId))
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||||
.ReturnsAsync(new List<PatientTreatment>
|
||||
{ morfina, remifentanilo /*, fentanilo*/ }); // No hay tratamientos de analgesia activos
|
||||
|
||||
_observationServiceMock
|
||||
.Setup(s => s.InsertObservation(It.IsAny<PatientObservation>(), true, false))
|
||||
.Returns(Task.CompletedTask);
|
||||
|
||||
// Act
|
||||
await _calculatedObservations.Map(obs);
|
||||
|
||||
// Assert
|
||||
_observationServiceMock.Verify(
|
||||
x => x.InsertObservation(
|
||||
It.Is<PatientObservation>(o =>
|
||||
o.PatientId == patientId && o.Name == "Over_Analgesia" && o.Value.ToString() == "True"),
|
||||
true, false),
|
||||
Times.Once
|
||||
);
|
||||
}
|
||||
|
||||
[Test]
|
||||
public async Task CalculateOverAnalgesia_Should_Not_Create_Observation_When_Conditions_Are_Not_Met()
|
||||
{
|
||||
// Arrange
|
||||
var patientId = ObjectId.GenerateNewId();
|
||||
var obs = new PatientObservation { Name = "EVN", Value = "5", PatientId = patientId }; // No cumple la condición
|
||||
|
||||
_observationServiceMock
|
||||
.Setup(s => s.FindLastObservations(patientId, 1, It.IsAny<List<string>>()))
|
||||
.ReturnsAsync([new PatientObservation { Name = "ANI", Value = "60" }]);
|
||||
|
||||
_treatmentServiceMock
|
||||
.Setup(s => s.GetActiveTreatmentsByPatient(patientId))
|
||||
.ReturnsAsync(new List<PatientTreatment>()); // No hay tratamientos activos
|
||||
|
||||
// Act
|
||||
await _calculatedObservations.Map(obs);
|
||||
|
||||
// Assert
|
||||
_observationServiceMock.Verify(
|
||||
x => x.InsertObservation(It.IsAny<PatientObservation>(), true, false),
|
||||
Times.Never
|
||||
);
|
||||
}
|
||||
|
||||
//Diferencia entre la Pmeset y la PEEP
|
||||
//Calculo Valor = Pmeset - PEEP
|
||||
|
||||
[Test]
|
||||
public async Task CalculateDrivingPressure_Should_Calculate_Correctly_When_Both_Observations_Are_Present()
|
||||
{
|
||||
// Arrange
|
||||
var patientId = ObjectId.GenerateNewId();
|
||||
var obs = new PatientObservation { Name = "Pmeset", Value = "25", PatientId = patientId };
|
||||
|
||||
_observationServiceMock
|
||||
.Setup(s => s.FindLastObservations(patientId, 1, It.IsAny<List<string>>()))
|
||||
.ReturnsAsync([new PatientObservation { Name = "PEEP", Value = "10" }]);
|
||||
|
||||
_observationServiceMock
|
||||
.Setup(s => s.InsertObservation(It.IsAny<PatientObservation>(), true, false))
|
||||
.Returns(Task.CompletedTask);
|
||||
|
||||
// Act
|
||||
await _calculatedObservations.Map(obs);
|
||||
|
||||
// Assert
|
||||
_observationServiceMock.Verify(
|
||||
x => x.InsertObservation(
|
||||
It.Is<PatientObservation>(o =>
|
||||
o.PatientId == patientId && o.Name == "Driving_Pressure" && o.Value.ToString() == "15"),
|
||||
true, false),
|
||||
Times.Once
|
||||
);
|
||||
}
|
||||
|
||||
[Test]
|
||||
public async Task CalculateDrivingPressure_Should_Not_Calculate_If_Observation_Is_Missing()
|
||||
{
|
||||
// Arrange
|
||||
var patientId = ObjectId.GenerateNewId();
|
||||
var obs = new PatientObservation { Name = "Pmeset", Value = "25", PatientId = patientId };
|
||||
|
||||
_observationServiceMock
|
||||
.Setup(s => s.FindLastObservations(patientId, 1, It.IsAny<List<string>>()))
|
||||
.ReturnsAsync([]); // No hay observación complementaria
|
||||
|
||||
// Act
|
||||
await _calculatedObservations.Map(obs);
|
||||
|
||||
// Assert
|
||||
_observationServiceMock.Verify(
|
||||
x => x.InsertObservation(It.IsAny<PatientObservation>(), true, false),
|
||||
Times.Never
|
||||
);
|
||||
}
|
||||
|
||||
// Cálculo dividiendo el ratio SpO2/FiO2 entre la FR
|
||||
// Valor = (SpO2_FiO2_Ratio) / FR
|
||||
|
||||
[Test]
|
||||
public async Task CalculateRoxIndex_Should_Calculate_Correctly_When_Both_Observations_Are_Present()
|
||||
{
|
||||
// Arrange
|
||||
var patientId = ObjectId.GenerateNewId();
|
||||
var obs = new PatientObservation { Name = "SpO2_FiO2_Ratio", Value = "200", PatientId = patientId };
|
||||
|
||||
_observationServiceMock
|
||||
.Setup(s => s.FindLastObservations(patientId, 1, It.IsAny<List<string>>()))
|
||||
.ReturnsAsync([new PatientObservation { Name = "FR", Value = "25" }]);
|
||||
|
||||
_observationServiceMock
|
||||
.Setup(s => s.InsertObservation(It.IsAny<PatientObservation>(), true, false))
|
||||
.Returns(Task.CompletedTask);
|
||||
|
||||
// Act
|
||||
await _calculatedObservations.Map(obs);
|
||||
|
||||
// Assert
|
||||
_observationServiceMock.Verify(
|
||||
x => x.InsertObservation(
|
||||
It.Is<PatientObservation>(o =>
|
||||
o.PatientId == patientId && o.Name == "Rox_Index" && o.Value.ToString() == (200 / 25).ToString()),
|
||||
true, false),
|
||||
Times.Once
|
||||
);
|
||||
}
|
||||
|
||||
[Test]
|
||||
public async Task CalculateRoxIndex_Should_Not_Calculate_If_Observation_Is_Missing()
|
||||
{
|
||||
// Arrange
|
||||
var patientId = ObjectId.GenerateNewId();
|
||||
var obs = new PatientObservation { Name = "SpO2_FiO2_Ratio", Value = "200", PatientId = patientId };
|
||||
|
||||
_observationServiceMock
|
||||
.Setup(s => s.FindLastObservations(patientId, 1, It.IsAny<List<string>>()))
|
||||
.ReturnsAsync([]); // No hay observación complementaria
|
||||
|
||||
// Act
|
||||
await _calculatedObservations.Map(obs);
|
||||
|
||||
// Assert
|
||||
_observationServiceMock.Verify(
|
||||
x => x.InsertObservation(It.IsAny<PatientObservation>(), true, false),
|
||||
Times.Never
|
||||
);
|
||||
}
|
||||
|
||||
[Test]
|
||||
public async Task CalculateRoxIndex_Should_Not_Calculate_When_FR_Is_Zero_To_Avoid_Division_By_Zero()
|
||||
{
|
||||
// Arrange
|
||||
var patientId = ObjectId.GenerateNewId();
|
||||
var obs = new PatientObservation { Name = "SpO2_FiO2_Ratio", Value = "200", PatientId = patientId };
|
||||
|
||||
_observationServiceMock
|
||||
.Setup(s => s.FindLastObservations(patientId, 1, It.IsAny<List<string>>()))
|
||||
.ReturnsAsync([new PatientObservation { Name = "FR", Value = "0" }]);
|
||||
|
||||
// Act
|
||||
await _calculatedObservations.Map(obs);
|
||||
|
||||
// Assert
|
||||
_observationServiceMock.Verify(
|
||||
x => x.InsertObservation(It.IsAny<PatientObservation>(), true, false),
|
||||
Times.Never
|
||||
);
|
||||
}
|
||||
|
||||
// Calculado como el sumatorio de la Diuresis de las últimas 6h
|
||||
// entre el último peso medido del paciente y entre 6. Medido en ml/kg/h
|
||||
// Valor = sum(Diuresis últimas 6 horas) / Weight / 6
|
||||
|
||||
[Test]
|
||||
public async Task CalculateDiuresis_Should_Calculate_Correctly_When_Observations_Are_Available()
|
||||
{
|
||||
// Arrange
|
||||
var patientId = ObjectId.GenerateNewId();
|
||||
var obs = new PatientObservation { Name = "Diuresis", Value = "100", PatientId = patientId };
|
||||
|
||||
_observationServiceMock
|
||||
.Setup(s => s.FindLastObservations(patientId, 2, It.IsAny<List<string>>()))
|
||||
.ReturnsAsync([
|
||||
new PatientObservation { Name = "Diuresis", Value = "120" },
|
||||
new PatientObservation { Name = "Diuresis", Value = "110" }
|
||||
]);
|
||||
|
||||
_observationServiceMock
|
||||
.Setup(s => s.FindLastObservations(patientId, 1, It.IsAny<List<string>>()))
|
||||
.ReturnsAsync([new PatientObservation { Name = "Weight", Value = "70" }]);
|
||||
|
||||
_observationServiceMock
|
||||
.Setup(s => s.InsertObservation(It.IsAny<PatientObservation>(), true, false))
|
||||
.Returns(Task.CompletedTask);
|
||||
|
||||
// Act
|
||||
await _calculatedObservations.Map(obs);
|
||||
|
||||
// Assert
|
||||
const double expectedValue = (100 + 120 + 110) / 70.0 / 6;
|
||||
_observationServiceMock.Verify(
|
||||
x => x.InsertObservation(
|
||||
It.Is<PatientObservation>(o =>
|
||||
o.PatientId == patientId && o.Name == "Calculated_Diuresis" &&
|
||||
Math.Abs((double)o.Value - expectedValue) < 0.1),
|
||||
true, false),
|
||||
Times.Once
|
||||
);
|
||||
}
|
||||
|
||||
[Test]
|
||||
public async Task CalculateDiuresis_Should_Not_Calculate_If_Diuresis_Observations_Are_Missing()
|
||||
{
|
||||
// Arrange
|
||||
var patientId = ObjectId.GenerateNewId();
|
||||
var obs = new PatientObservation { Name = "Diuresis", Value = "100", PatientId = patientId };
|
||||
|
||||
_observationServiceMock
|
||||
.Setup(s => s.FindLastObservations(patientId, 2, It.IsAny<List<string>>()))
|
||||
.ReturnsAsync([]); // No hay diuresis
|
||||
|
||||
// Act
|
||||
await _calculatedObservations.Map(obs);
|
||||
|
||||
// Assert
|
||||
_observationServiceMock.Verify(
|
||||
x => x.InsertObservation(It.IsAny<PatientObservation>(), true, false),
|
||||
Times.Never
|
||||
);
|
||||
}
|
||||
|
||||
[Test]
|
||||
public async Task CalculateDiuresis_Should_Not_Calculate_If_Weight_Is_Invalid()
|
||||
{
|
||||
// Arrange
|
||||
var patientId = ObjectId.GenerateNewId();
|
||||
var obs = new PatientObservation { Name = "Diuresis", Value = "100", PatientId = patientId };
|
||||
|
||||
_observationServiceMock
|
||||
.Setup(s => s.FindLastObservations(patientId, 2, It.IsAny<List<string>>()))
|
||||
.ReturnsAsync([
|
||||
new PatientObservation { Name = "Diuresis", Value = "120" },
|
||||
new PatientObservation { Name = "Diuresis", Value = "110" }
|
||||
]);
|
||||
|
||||
_observationServiceMock
|
||||
.Setup(s => s.FindLastObservations(patientId, 1, It.IsAny<List<string>>()))
|
||||
.ReturnsAsync([]); // No hay peso
|
||||
|
||||
// Act
|
||||
await _calculatedObservations.Map(obs);
|
||||
|
||||
// Assert
|
||||
_observationServiceMock.Verify(
|
||||
x => x.InsertObservation(It.IsAny<PatientObservation>(), true, false),
|
||||
Times.Never
|
||||
);
|
||||
}
|
||||
|
||||
[Test]
|
||||
public async Task CalculateRehabilitationAlarm_Should_Set_Alert_When_Condition_Is_Met()
|
||||
{
|
||||
// Arrange
|
||||
var patientId = ObjectId.GenerateNewId();
|
||||
var obs = new PatientObservation { Name = "Rehabilitation", Value = "2", PatientId = patientId };
|
||||
|
||||
_observationServiceMock
|
||||
.Setup(s => s.FindLastObservations(patientId, 6, It.IsAny<List<string>>()))
|
||||
.ReturnsAsync([
|
||||
new PatientObservation { Name = "Rehabilitation", Value = "0" },
|
||||
new PatientObservation { Name = "Rehabilitation", Value = "1" },
|
||||
new PatientObservation { Name = "Rehabilitation", Value = "2" },
|
||||
new PatientObservation { Name = "Rehabilitation", Value = "0" },
|
||||
new PatientObservation { Name = "Rehabilitation", Value = "1" },
|
||||
new PatientObservation { Name = "Rehabilitation", Value = "2" }
|
||||
]);
|
||||
|
||||
// Act
|
||||
var result = await _calculatedObservations.Map(obs);
|
||||
|
||||
// Assert
|
||||
Assert.That(result, Is.Not.Null);
|
||||
Assert.That(result.Status, Is.EqualTo(StatusEnum.Type.Alert));
|
||||
}
|
||||
|
||||
[Test]
|
||||
public async Task CalculateRehabilitationAlarm_Should_Not_Set_Alert_When_Condition_Is_Not_Met()
|
||||
{
|
||||
// Arrange
|
||||
var patientId = ObjectId.GenerateNewId();
|
||||
var obs = new PatientObservation { Name = "Rehabilitation", Value = "2", PatientId = patientId };
|
||||
|
||||
_observationServiceMock
|
||||
.Setup(s => s.FindLastObservations(patientId, 6, It.IsAny<List<string>>()))
|
||||
.ReturnsAsync([
|
||||
new PatientObservation { Name = "Rehabilitation", Value = "0" },
|
||||
new PatientObservation { Name = "Rehabilitation", Value = "1" },
|
||||
new PatientObservation { Name = "Rehabilitation", Value = "2" },
|
||||
new PatientObservation { Name = "Rehabilitation", Value = "1" },
|
||||
new PatientObservation { Name = "Rehabilitation", Value = "3" }, //<--fuera de rango
|
||||
new PatientObservation { Name = "Rehabilitation", Value = "0" }
|
||||
]);
|
||||
|
||||
// Act
|
||||
var result = await _calculatedObservations.Map(obs);
|
||||
|
||||
// Assert
|
||||
Assert.That(result, Is.Not.Null);
|
||||
Assert.That(result.Status, Is.Not.EqualTo(StatusEnum.Type.Alert));
|
||||
}
|
||||
|
||||
[Test]
|
||||
public async Task CalculateRehabilitationAlarm_Should_Not_Set_Alert_When_Value_Is_Greater_Than_2()
|
||||
{
|
||||
// Arrange
|
||||
var patientId = ObjectId.GenerateNewId();
|
||||
var obs = new PatientObservation { Name = "Rehabilitation", Value = "3", PatientId = patientId };
|
||||
|
||||
// Act
|
||||
var result = await _calculatedObservations.Map(obs);
|
||||
|
||||
// Assert
|
||||
Assert.That(result, Is.SameAs(obs));
|
||||
}
|
||||
|
||||
[Test]
|
||||
public async Task CalculateRehabilitationAlarm_Should_Return_Same_Observation_If_Not_PatientObservation()
|
||||
{
|
||||
// Arrange
|
||||
var obs = new BasePatientObservation(); // No es un PatientObservation
|
||||
|
||||
// Act
|
||||
var result = await _calculatedObservations.Map(obs);
|
||||
|
||||
// Assert
|
||||
Assert.That(result, Is.SameAs(obs));
|
||||
}
|
||||
}
|
||||
File diff suppressed because it is too large
Load Diff
Reference in New Issue
Block a user