88 lines
4.0 KiB
C#
88 lines
4.0 KiB
C#
using QuestionsApi.Models;
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using QuestionsApi.Services;
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using System.Text.Json;
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using Xunit;
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namespace QuestionsApi.Tests;
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public sealed class CcsCaseTests
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{
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[Fact]
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public void DkaImportArtifactMatchesTheCaseSchema()
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{
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var path = Path.GetFullPath(Path.Combine(AppContext.BaseDirectory, "../../../../../content/ccs/dka-emergency-001.json"));
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var request = JsonSerializer.Deserialize<CcsImportRequest>(File.ReadAllText(path), new JsonSerializerOptions { PropertyNameCaseInsensitive = true });
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Assert.NotNull(request);
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Assert.Empty(CcsCaseValidator.ValidateImport(request!, new HashSet<string>()));
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Assert.True(request!.Cases.Single().ScoringCriteria.Count >= 12);
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}
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[Fact]
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public void PublishedCaseRequiresReferencesAndKnownOrders()
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{
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var request = ValidImport();
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request.Cases[0].References = [];
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request.Cases[0].OrderResponses.Add(new CcsCaseOrderDefinition { OrderCode = "unknown" });
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var errors = CcsCaseValidator.ValidateImport(request, new HashSet<string>());
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Assert.Contains(errors, value => value.Contains("reference", StringComparison.OrdinalIgnoreCase));
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Assert.Contains(errors, value => value.Contains("unknown order code unknown"));
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}
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[Fact]
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public void ScoringCreditsTimelySequencedCareAndPenalizesHarm()
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{
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var definition = ValidImport().Cases[0];
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definition.ScoringCriteria =
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[
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new() { Id = "lab", ActionType = "order", TargetCode = "bmp", Points = 5, LatestMinute = 10, Rationale = "Check potassium." },
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new() { Id = "insulin", ActionType = "order", TargetCode = "insulin", AfterTargetCode = "bmp", Points = 10, Rationale = "Start after potassium assessment." },
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new() { Id = "bicarb", ActionType = "order", TargetCode = "bicarb", Points = -4, Rationale = "Avoid routine bicarbonate." }
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];
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var attempt = new CcsAttempt { Actions =
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[
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new() { Type = "order", Code = "bmp", SimulatedMinute = 2 },
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new() { Type = "order", Code = "insulin", SimulatedMinute = 4 },
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new() { Type = "order", Code = "bicarb", SimulatedMinute = 5 }
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]};
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var score = CcsStore.CalculateScore(attempt, definition);
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Assert.Equal(11, score.EarnedPoints);
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Assert.Equal(15, score.PossiblePoints);
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Assert.Equal(73.3, score.Percent);
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Assert.Contains(score.Criteria, value => value.CriterionId == "bicarb" && value.Status == "harmful");
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}
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[Fact]
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public void ValidVersionedCasePassesValidation()
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{
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Assert.Empty(CcsCaseValidator.ValidateImport(ValidImport(), new HashSet<string>()));
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}
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private static CcsImportRequest ValidImport() => new()
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{
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Orders =
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[
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new() { Code = "bmp", CanonicalName = "Basic metabolic panel", Category = "laboratory" },
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new() { Code = "insulin", CanonicalName = "Insulin infusion", Category = "medication" },
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new() { Code = "bicarb", CanonicalName = "Sodium bicarbonate", Category = "medication" }
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],
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Cases =
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[
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new()
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{
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ExternalId = "ccs-test-dka-001", Title = "Diabetic ketoacidosis", System = "Endocrine System",
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PresentingLocation = "emergency_department", AllowedLocations = ["emergency_department", "icu"],
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IsPublished = true, RealTimeMinutes = 20, Difficulty = 2,
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InitialChart = new() { PatientSummary = "Adult with diabetes", ReasonForEncounter = "Vomiting" },
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OrderResponses = [new() { OrderCode = "bmp", Result = "Potassium 4.9 mEq/L" }],
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ScoringCriteria = [new() { Id = "lab", ActionType = "order", TargetCode = "bmp", Points = 5 }],
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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" }]
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}
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]
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};
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}
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