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Complete CCS results and rating flow

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hz
2026-07-15 11:08:13 -05:00
parent 9f379cda5c
commit 52d435fa2e
14 changed files with 402 additions and 47 deletions
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api/QuestionsApi.Tests/CcsCaseTests.cs
+29 -4
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@@ -45,9 +45,9 @@ public sealed class CcsCaseTests
var definition = ValidImport().Cases[0];
definition.ScoringCriteria =
[
new() { Id = "lab", ActionType = "order", TargetCode = "bmp", Points = 5, LatestMinute = 10, Rationale = "Check potassium." },
new() { Id = "insulin", ActionType = "order", TargetCode = "insulin", AfterTargetCode = "bmp", Points = 10, Rationale = "Start after potassium assessment." },
new() { Id = "bicarb", ActionType = "order", TargetCode = "bicarb", Points = -4, Rationale = "Avoid routine bicarbonate." }
new() { Id = "lab", Title = "Check electrolytes", ActionType = "order", TargetCode = "bmp", Points = 5, LatestMinute = 10, Rationale = "Check potassium." },
new() { Id = "insulin", Title = "Start insulin safely", ActionType = "order", TargetCode = "insulin", AfterTargetCode = "bmp", Points = 10, Rationale = "Start after potassium assessment." },
new() { Id = "bicarb", Title = "Avoid bicarbonate", ActionType = "order", TargetCode = "bicarb", Points = -4, Rationale = "Avoid routine bicarbonate." }
];
var attempt = new CcsAttempt { Actions =
[
@@ -70,6 +70,31 @@ public sealed class CcsCaseTests
Assert.Empty(CcsCaseValidator.ValidateImport(ValidImport(), new HashSet<string>()));
}
[Fact]
public void CcsExpectedScoreUsesSeparateUserAndCaseElo()
{
Assert.Equal(0.5, CcsRatingStore.ExpectedScore(1000, 1000), 6);
Assert.True(CcsRatingStore.ExpectedScore(1200, 1000) > 0.75);
Assert.True(CcsRatingStore.ExpectedScore(800, 1000) < 0.25);
}
[Fact]
public void ScoringReviewIncludesExpectedAndObservedEvidence()
{
var definition = ValidImport().Cases[0];
var attempt = new CcsAttempt
{
Actions = [new() { Type = "order", Code = "bmp", SimulatedMinute = 4 }]
};
var criterion = CcsStore.CalculateScore(attempt, definition).Criteria.Single();
Assert.Equal("Check electrolytes", criterion.Title);
Assert.Contains("Bmp", criterion.ExpectedAction, StringComparison.OrdinalIgnoreCase);
Assert.Equal("bmp", criterion.ObservedAction);
Assert.Equal(4, criterion.ObservedMinute);
}
private static CcsImportRequest ValidImport() => new()
{
Orders =
@@ -87,7 +112,7 @@ public sealed class CcsCaseTests
IsPublished = true, RealTimeMinutes = 20, Difficulty = 2,
InitialChart = new() { PatientSummary = "Adult with diabetes", ReasonForEncounter = "Vomiting" },
OrderResponses = [new() { OrderCode = "bmp", Result = "Potassium 4.9 mEq/L" }],
ScoringCriteria = [new() { Id = "lab", ActionType = "order", TargetCode = "bmp", Points = 5 }],
ScoringCriteria = [new() { Id = "lab", Title = "Check electrolytes", ActionType = "order", TargetCode = "bmp", Points = 5 }],
References = [new() { Title = "Consensus report", Publisher = "Example Society", Url = "https://example.org/consensus", Supports = "Case management and scoring", AccessedOn = "2026-07-15", Reviewer = "Question bank editorial review" }]
}
]