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adfice.test.js
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// SPDX-License-Identifier: GPL-3.0-or-later
// Copyright (C) 2021-2024 Stichting Open Electronics Lab
// vim: set sts=4 shiftwidth=4 expandtab :
"use strict";
const adfice_factory = require('./adfice');
const autil = require('./adfice-util');
const util = require("util");
const fs = require('fs');
const dotenv = require('dotenv');
var adfice = adfice_factory.adfice_init();
afterAll(async () => {
return await adfice.shutdown();
});
async function clear_advice_for_patient(adfice, patient_id) {
let sqls_and_params = [];
let sql = `/* adfice.clear_advice_for_patient */
UPDATE patient
SET is_final = 0
WHERE patient_id = ?`;
let params = [patient_id];
sqls_and_params.push([sql, params]);
sql = `/* adfice.clear_advice_for_patient */
DELETE FROM patient_advice_selection
WHERE patient_id = ?`;
sqls_and_params.push([sql, params]);
sql = `/* adfice.clear_advice_for_patient */
DELETE FROM patient_advice_freetext
WHERE patient_id = ?`;
sqls_and_params.push([sql, params]);
let db = await adfice.db_init();
let rs = await db.as_sql_transaction(sqls_and_params);
return rs;
}
test('test get/set load state', async () => {
let patient_id = Math.random().toString().substr(2, 10);
let return_value = await adfice.set_load_state(patient_id, 1);
let load_state = await adfice.get_load_state(patient_id);
expect(load_state).toBe(1);
await adfice.set_load_state(patient_id, 0);
load_state = await adfice.get_load_state(patient_id);
expect(load_state).toBe(0);
});
test('test patient_id for valid mrn', async () => {
let mrn = 'DummyMRN-000000163';
let patient_id = await adfice.id_for_mrn(mrn);
expect(patient_id).toBe("00000000-0000-4000-8000-100000000163");
});
test('test patient_id for no mrn', async () => {
let mrn = null;
let patient_id = await adfice.id_for_mrn(mrn);
expect(patient_id).toBe(null);
});
test('test patient_id for missing mrn', async () => {
let mrn = 'DummyMRN-SirNotAppearing-000000163';
let patient_id = await adfice.id_for_mrn(mrn);
expect(patient_id).toBe(null);
});
test('test patient_id for valid fhir', async () => {
let fhir = 'DummyFHIR-000000163';
let patient_id = await adfice.id_for_fhir(fhir);
expect(patient_id).toBe("00000000-0000-4000-8000-100000000163");
});
test('test patient_id for no fhir', async () => {
let fhir = null;
let patient_id = await adfice.id_for_fhir(fhir);
expect(patient_id).toBe(null);
});
test('test patient_id for missing fhir', async () => {
let fhir = 'DummyFHIR-SirNotAppearing-000000163';
let patient_id = await adfice.id_for_fhir(fhir);
expect(patient_id).toBe(null);
});
test('test mrn for valid patient_id', async () => {
let patient_id = "00000000-0000-4000-8000-100000000163";
let mrn = await adfice.mrn_for_id(patient_id);
expect(mrn).toBe("DummyMRN-000000163");
});
test('test mrn for null patient_id', async () => {
let patient_id = null;
let mrn = await adfice.mrn_for_id(patient_id);
expect(mrn).toBe(null);
});
test('test mrn for invalid patient_id', async () => {
let patient_id = "SirNotAppearing";
let mrn = await adfice.mrn_for_id(patient_id);
expect(mrn).toBe(null);
});
test('test refresh_data for valid patient_id', async () => {
let patient_id = "00000000-0000-4000-8000-100000000163";
let refresh_data = await adfice.get_refresh_data(patient_id);
expect(refresh_data.fhir).toBe("DummyFHIR-000000163");
expect(refresh_data.birth_date).toBe("1940-6-16");
});
test('test refresh_data for null patient_id', async () => {
let patient_id = null;
let refresh_data = await adfice.get_refresh_data(patient_id);
expect(refresh_data).toBe(null);
});
test('test refresh_data for invalid patient_id', async () => {
let patient_id = "SirNotAppearing";
let refresh_data = await adfice.get_refresh_data(patient_id);
expect(refresh_data).toBe(null);
});
test('test doctor_id for user_id', async () => {
let user_id = 'dr_bob';
let doctor_id = await adfice.doctor_id_for_user(user_id);
expect(doctor_id).toBe('4573fee8-4845-44ff-a9c2-1e988ba81f8f');
});
test('test doctor_id for null user_id', async () => {
let user_id = null;
let doctor_id = await adfice.doctor_id_for_user(user_id);
expect(doctor_id).toBe(null);
});
test('test doctor_id for nonexistant user_id', async () => {
let user_id = 'sir_not_appearing';
let doctor_id = await adfice.doctor_id_for_user(user_id);
// clean up
await adfice.sql_select("DELETE FROM etl_user WHERE ehr_user_id=?", [user_id]);
expect(doctor_id.length).toBe(36);
});
test('test remove_med', async () => {
let patient_id = '00000000-0000-4000-8000-100000000162';
let atc = 'M01AB01';
let sql = "INSERT INTO patient_medication " +
"(patient_id, ATC_code) VALUES (?,?);"
let params = [patient_id, atc];
await adfice.sql_select(sql, params);
let pre_meds = await adfice.get_meds(patient_id);
await adfice.remove_med(atc, patient_id);
let post_meds = await adfice.get_meds(patient_id);
expect(pre_meds.length).toBe(2);
expect(post_meds.length).toBe(1);
expect(post_meds[0]['ATC_code']).not.toBe(atc);
});
test('test advice text 6e', async () => {
//console.log('6e');
var rule_numbers = ["6e"];
var texts = await adfice.get_advice_texts_checkboxes(rule_numbers);
expect(texts.length).toBe(12);
expect(texts[0].select_box_category).toBe('stop');
expect(texts[1].select_box_category).toBe('taper-stop');
expect(texts[2].select_box_category).toBe('taper-reduce');
expect(texts[11].select_box_category).toBe('free_text');
expect(texts[6].cdss_split[0].text).toBe('Continueren');
expect(texts[6].ehr_split[0].text).toBe('Continueren');
let str = 'Gebruik dit medicijn zoals u tot nu toe al gewend was.';
expect(texts[6].patient_split[0].text).toBe(str);
texts = await adfice.get_advice_texts_no_checkboxes(rule_numbers);
expect(texts.length).toBe(1);
expect(texts[0].cdss_split[0].text).toContain('angststoornis');
})
test('box_states_to_selection_states', () => {
const patient_id = "00000000-0000-4000-8000-100000000032";
const doctor_id = 1;
const box_states = {
"cb_C03AA03_42_2": false,
"cb_C03AA03_42b_3": true
};
const expected = [
[patient_id, 1, "C03AA03", "42", 2, 0],
[patient_id, 1, "C03AA03", "42b", 3, 1]
];
let out = adfice.box_states_to_selection_states(patient_id, doctor_id,
box_states);
expect(out).toStrictEqual(expected);
});
test('selection_states_to_box_states', () => {
const patient_id = "00000000-0000-4000-8000-100000000032";
const selection_states = [{
patient_id: patient_id,
ATC_code: "C03AA03",
medication_criteria_id: "42",
select_box_num: 2,
selected: 0
}, {
patient_id: patient_id,
ATC_code: "C03AA03",
medication_criteria_id: "42b",
select_box_num: 3,
selected: 1
}];
const expected = {
"cb_C03AA03_42_2": false,
"cb_C03AA03_42b_3": true
};
let out = adfice.selection_states_to_box_states(selection_states);
expect(out).toStrictEqual(expected);
});
test('get_advice_for_patient(68), no labs, no problems', async () => {
//console.log('68');
let patient_id = "00000000-0000-4000-8000-100000000068";
let patientAdvice = await adfice.get_advice_for_patient(patient_id);
let advice = patientAdvice.medication_advice;
expect(advice.length).toBe(2);
let adv0 = advice[0];
expect(adv0['ATC_code']).toBe('C03AA03');
expect(adv0['medication_name']).toBe('hydrochlorothiazide');
let adviceTextsCheckboxes = adv0['adviceTextsCheckboxes'];
expect(adviceTextsCheckboxes.length).toBe(8);
let checkbox0 = adviceTextsCheckboxes[0];
expect(checkbox0['medication_criteria_id']).toBe("42");
expect(checkbox0['select_box_num']).toBe(7);
expect(checkbox0['select_box_category']).toBe('stop');
let checkbox1 = adviceTextsCheckboxes[1];
expect(checkbox1['cdss_split'][0].text)
.toContain('Afbouwen waarna stoppen');
expect(checkbox1['cdss_split'].length).toBe(2);
let adviceTextsNoCheckboxes = adv0['adviceTextsNoCheckboxes'];
expect(adviceTextsNoCheckboxes.length).toBe(3);
let noCheckbox0 = adviceTextsNoCheckboxes[0];
expect(noCheckbox0['medication_criteria_id']).toBe("41");
expect(noCheckbox0['cdss_split'][0].text).toContain("ACE");
expect(noCheckbox0['cdss_split'][0].text).toContain("antagonisten");
});
test('set_advice_for_patient(68)', async () => {
//console.log('68 part 2');
let patient_id = "00000000-0000-4000-8000-100000000068";
let viewer = 999;
let doctor_id = 1;
let advice = await adfice.get_advice_for_patient(patient_id);
await clear_advice_for_patient(adfice, patient_id);
let old_advice = {
"cb_C03AA03_42_2": false,
"cb_C03AA03_42_3": true,
"cb_C03AA03_42_4": false,
"cb_C03AA03_42_1": false,
"cb_C03AA03_42_6": false,
"cb_C03AA03_42_5": false,
"cb_C09AA02_63_1": false,
"cb_C09AA02_63_2": true,
"cb_C09AA02_63_3": false,
"cb_C09AA02_63_4": false,
"cb_C09AA02_63b_1": true
};
let freetexts = null;
adfice.set_advice_for_patient(patient_id, doctor_id, old_advice, freetexts);
advice = await adfice.get_advice_for_patient(patient_id);
expect(advice.selected_advice).toStrictEqual(old_advice);
let new_advice = {
"cb_C03AA03_42_2": true,
"cb_C03AA03_42_3": false,
"cb_C03AA03_42_4": false,
"cb_C03AA03_42_1": false,
"cb_C03AA03_42_6": false,
"cb_C03AA03_42_5": false,
"cb_C09AA02_63_1": false,
"cb_C09AA02_63_2": false,
"cb_C09AA02_63_3": true,
"cb_C09AA02_63_4": false,
"cb_C09AA02_63b_1": false
};
adfice.set_advice_for_patient(patient_id, doctor_id, new_advice, freetexts);
advice = await adfice.get_advice_for_patient(patient_id);
expect(advice.selected_advice).toStrictEqual(new_advice);
expect(advice.is_final).toBeFalsy();
await adfice.finalize_advice(patient_id);
advice = await adfice.get_advice_for_patient(patient_id);
expect(advice.is_final).toBeTruthy();
let data = await adfice.get_export_data(patient_id);
expect(data.length).toBe(2);
await clear_advice_for_patient(adfice, patient_id);
advice = await adfice.get_advice_for_patient(patient_id);
expect(advice.is_final).toBeFalsy();
expect(advice.selected_advice).not.toStrictEqual(new_advice);
adfice.set_advice_for_patient(patient_id, doctor_id, new_advice, freetexts);
})
test('update_prediction_with_user_values, update all missing data', async () => {
let patient_id = "00000000-0000-4000-8000-100000000172";
let form_data = {};
form_data['user_GDS_score'] = '1';
form_data['user_grip_kg'] = '15';
form_data['user_walking_speed_m_per_s'] = '0.2';
form_data['user_height_cm'] = '160';
form_data['user_weight_kg'] = '60';
form_data['user_systolic_bp_mmHg'] = '120';
form_data['user_number_of_limitations'] = '2';
form_data['user_nr_falls_12m'] = '2';
form_data['user_smoking'] = '0';
form_data['user_education_hml'] = '2';
form_data['fear_dropdown'] = '2';
let measurements = await adfice.get_patient_measurements(patient_id);
let measurement = measurements[0];
expect(measurement['prediction_result']).toBeFalsy();
expect(measurement['user_grip_kg']).toBeFalsy();
await adfice.update_prediction_with_user_values(patient_id, form_data);
measurements = await adfice.get_patient_measurements(patient_id);
measurement = measurements[0];
expect(measurement['prediction_result']).toBeGreaterThan(10);
expect(measurement['user_grip_kg']).toBe(15);
patient_id = "00000000-0000-4000-8000-100000000170";
form_data = {};
form_data['user_GDS_score'] = '';
form_data['user_grip_kg'] = '';
form_data['user_walking_speed_m_per_s'] = '';
form_data['user_height_cm'] = '';
form_data['user_weight_kg'] = '';
form_data['user_systolic_bp_mmHg'] = '';
form_data['user_number_of_limitations'] = '';
form_data['user_nr_falls_12m'] = '';
form_data['user_smoking'] = '';
form_data['user_education_hml'] = '';
form_data['fear_dropdown'] = '';
measurements = await adfice.get_patient_measurements(patient_id);
measurement = measurements[0];
let prediction_result = measurement['prediction_result'];
expect(prediction_result).toBeGreaterThan(10);
expect(measurement['user_grip_kg']).toBe(25);
await adfice.update_prediction_with_user_values(patient_id, form_data);
measurements = await adfice.get_patient_measurements(patient_id);
measurement = measurements[0];
expect(measurement['prediction_result']).toBe(prediction_result);
expect(measurement['user_grip_kg']).toBe(25);
patient_id = "00000000-0000-4000-8000-100000000172";
form_data = {};
form_data['fear_dropdown'] = '0';
await adfice.update_prediction_with_user_values(patient_id, form_data);
measurements = await adfice.get_patient_measurements(patient_id);
measurement = measurements[0];
expect(measurement['user_fear0']).toBe(1);
expect(measurement['user_fear1']).toBe(0);
form_data = {};
form_data['fear_dropdown'] = '1';
await adfice.update_prediction_with_user_values(patient_id, form_data);
measurements = await adfice.get_patient_measurements(patient_id);
measurement = measurements[0];
expect(measurement['user_fear1']).toBe(1);
expect(measurement['user_fear0']).toBe(0);
// clean up
let params = [patient_id];
let sql = `/* adfice.test.js cleanup patient_measurement */
UPDATE patient_measurement
SET user_GDS_score = null
, user_grip_kg = null
, user_walking_speed_m_per_s = null
, user_height_cm = null
, user_weight_kg = null
, user_systolic_bp_mmHg = null
, user_number_of_limitations = null
, user_nr_falls_12m = null
, user_nr_falls_12m = null
, user_smoking = null
, user_education_hml = null
, user_fear0 = null
, user_fear1 = null
, user_fear2 = null
, prediction_result = null
, user_values_updated = null
WHERE patient_id = ?`;
await adfice.sql_select(sql, params);
})
test('update_prediction_with_user_values, delete some data after prediction', async () => {
let patient_id = "00000000-0000-4000-8000-100000000172";
let form_data = {};
form_data['user_GDS_score'] = '1';
form_data['user_grip_kg'] = '15';
form_data['user_walking_speed_m_per_s'] = '0.2';
form_data['user_height_cm'] = '160';
form_data['user_weight_kg'] = '60';
form_data['user_systolic_bp_mmHg'] = '120';
form_data['user_number_of_limitations'] = '2';
form_data['user_nr_falls_12m'] = '2';
form_data['user_smoking'] = '0';
form_data['user_education_hml'] = '2';
form_data['fear_dropdown'] = '2';
let measurements = await adfice.get_patient_measurements(patient_id);
let measurement = measurements[0];
expect(measurement['prediction_result']).toBeFalsy();
expect(measurement['user_grip_kg']).toBeFalsy();
await adfice.update_prediction_with_user_values(patient_id, form_data);
measurements = await adfice.get_patient_measurements(patient_id);
measurement = measurements[0];
expect(measurement['prediction_result']).toBeGreaterThan(10);
expect(measurement['user_grip_kg']).toBe(15);
//simulate user deleting an item
form_data = {};
form_data['user_GDS_score'] = null;
await adfice.update_prediction_with_user_values(patient_id, form_data);
measurements = await adfice.get_patient_measurements(patient_id);
measurement = measurements[0];
expect(measurement['prediction_result']).toBeFalsy;
// clean up
let params = [patient_id];
let sql = `/* adfice.test.js cleanup patient_measurement */
UPDATE patient_measurement
SET user_GDS_score = null
, user_grip_kg = null
, user_walking_speed_m_per_s = null
, user_height_cm = null
, user_weight_kg = null
, user_systolic_bp_mmHg = null
, user_number_of_limitations = null
, user_nr_falls_12m = null
, user_nr_falls_12m = null
, user_smoking = null
, user_education_hml = null
, user_fear0 = null
, user_fear1 = null
, user_fear2 = null
, prediction_result = null
, user_values_updated = null
WHERE patient_id = ?`;
await adfice.sql_select(sql, params);
})
test('update_birthdate', async () => {
let patient_id = '00000000-0000-4000-8000-100000000172';
let patient = await adfice.get_patient_by_id(patient_id);
expect(patient['birth_date'].toString().includes('1940')).toBe(true);
let form_data = {};
form_data['age_birthdate'] = '1945-01-01';
await adfice.update_birthdate(patient_id, form_data);
patient = await adfice.get_patient_by_id(patient_id);
expect(patient['birth_date'].toString().includes('1945')).toBe(true);
//cleanup
form_data['age_birthdate'] = '1940-06-15';
await adfice.update_birthdate(patient_id, form_data);
})
test('add_single_med', async () => {
let patient_id = '00000000-0000-4000-8000-100000000172';
let meds = await adfice.get_meds(patient_id);
expect(meds.length).toBe(0);
let form_data = {};
form_data['single_med_atc'] = 'B0GU501';
form_data['single_med_name'] = 'bogus name';
form_data['single_med_startdate'] = '2023-01-01';
await adfice.add_single_med(patient_id, form_data);
meds = await adfice.get_meds(patient_id);
expect(meds.length).toBe(1);
expect(meds[0]['start_date'].toString().includes('2023')).toBe(true);
//cleanup
await adfice.sql_select('delete from patient_medication where patient_id = "' + patient_id + '";');
})
test('add_single_med affecting prediction data', async () => {
let patient_id = 'test_single_med';
let meds = await adfice.get_meds(patient_id);
let meas = await adfice.get_patient_measurements(patient_id);
expect(meds.length).toBe(0);
expect(meas).toBe(null);
let form_data = {};
form_data['single_med_atc'] = 'N03B0G5';
form_data['single_med_name'] = 'bogus name';
form_data['single_med_startdate'] = '1970-01-01';
await adfice.add_single_med(patient_id, form_data);
meds = await adfice.get_meds(patient_id);
meas = await adfice.get_patient_measurements(patient_id);
expect(meds.length).toBe(1);
expect(meas[0]['has_antiepileptica']).toBe(1);
form_data['single_med_atc'] = 'C08B0G5';
form_data['single_med_name'] = 'bogus name2';
await adfice.add_single_med(patient_id, form_data);
meds = await adfice.get_meds(patient_id);
meas = await adfice.get_patient_measurements(patient_id);
expect(meds.length).toBe(2);
expect(meas[0]['has_antiepileptica']).toBe(1);
expect(meas[0]['has_ca_blocker']).toBe(1);
form_data['single_med_atc'] = 'G04BDG5';
form_data['single_med_name'] = 'bogus name3';
await adfice.add_single_med(patient_id, form_data);
meds = await adfice.get_meds(patient_id);
meas = await adfice.get_patient_measurements(patient_id);
expect(meds.length).toBe(3);
expect(meas[0]['has_incont_med']).toBe(1);
//cleanup
await adfice.sql_select('delete from patient_medication where patient_id = "' + patient_id + '";');
await adfice.sql_select('delete from patient_measurement where patient_id = "' + patient_id + '";');
})
test('add_multi_med', async () => {
let patient_id = '00000000-0000-4000-8000-100000000172';
let meds = await adfice.get_meds(patient_id);
expect(meds.length).toBe(0);
let form_data = {};
form_data['med_array'] =
[
{
"single_med_name": "Excedrin, filmomhulde tabletten",
"single_med_atc": "N02BA51",
"single_med_startdate": "2023-01-01"
},
{
"single_med_name": "Celebrex 100 mg, harde capsules",
"single_med_atc": "M01AH01",
"single_med_startdate": "2021-01-01"
},
{
"single_med_name": "Nortrilen 10 mg, filmomhulde tabletten",
"single_med_atc": "N06AA10",
"single_med_startdate": "2022-01-01"
},
{
"single_med_name": "Paracetamol Linn 500 mg, tabletten",
"single_med_atc": "N02BE01",
"single_med_startdate": "2020-01-01"
}
];
await adfice.add_multi_med(patient_id, form_data);
meds = await adfice.get_meds(patient_id);
expect(meds.length).toBe(4);
//cleanup
await adfice.sql_select('delete from patient_medication where patient_id = "' + patient_id + '";');
})
test('add_problems', async () => {
let patient_id = '00000000-0000-4000-8000-100000000172';
let problems = await adfice.get_problems(patient_id);
expect(problems.length).toBe(0);
let form_data = {};
form_data['hypertensie_rb_y'] = 'Ja';
form_data['jicht_rb_y'] = 'Ja';
form_data['orthostatische-hypotensie_rb_y'] = 'Ja';
await adfice.add_problems(patient_id, form_data);
problems = await adfice.get_problems(patient_id);
expect(problems.length).toBe(3);
// check removal of problems
form_data = {};
form_data['hypertensie_rb_y'] = 'Ja';
form_data['orthostatische-hypotensie_rb_y'] = 'Ja';
await adfice.add_problems(patient_id, form_data);
problems = await adfice.get_problems(patient_id);
expect(problems.length).toBe(2);
// check submitting empty problems, which convieniently also cleans up
form_data = {};
await adfice.add_problems(patient_id, form_data);
problems = await adfice.get_problems(patient_id);
expect(problems.length).toBe(0);
})
test('add_labs', async () => {
let patient_id = '00000000-0000-4000-8000-100000000172';
//clean up if it crashed last time
let form_data = {};
await adfice.add_labs(patient_id, form_data);
let labs = await adfice.get_labs(patient_id);
expect(labs.length).toBe(0);
form_data['natrium'] = 111;
form_data['kalium'] = 3.1;
form_data['calcium'] = 1.1;
form_data['eGFR'] = 30;
form_data['date_eGFR'] = '2024-09-07';
await adfice.add_labs(patient_id, form_data);
labs = await adfice.get_labs(patient_id);
expect(labs.length).toBe(4);
expect(labs[3]['date_measured'].toString()).toContain('2024');
form_data = {}; // check that it can handle an empty form
await adfice.add_labs(patient_id, form_data);
labs = await adfice.get_labs(patient_id);
expect(labs.length).toBe(0);
form_data = {}; // check that it handles the string value for eGFR
form_data['eGFR'] = ">60";
await adfice.add_labs(patient_id, form_data);
labs = await adfice.get_labs(patient_id);
expect(labs.length).toBe(1);
// cleanup
form_data = {};
await adfice.add_labs(patient_id, form_data);
})
test('remove_labs', async () => {
let patient_id = '00000000-0000-4000-8000-100000000172';
let labs = await adfice.get_labs(patient_id);
expect(labs.length).toBe(0);
let form_data = {};
form_data['natrium'] = 111;
form_data['kalium'] = 3.1;
form_data['calcium'] = 1.1;
form_data['eGFR'] = ">60";
await adfice.add_labs(patient_id, form_data);
labs = await adfice.get_labs(patient_id);
expect(labs.length).toBe(4);
await adfice.remove_lab('eGFR', patient_id);
labs = await adfice.get_labs(patient_id);
expect(labs.length).toBe(3);
// cleanup
form_data = {};
await adfice.add_labs(patient_id, form_data);
})
test('add_meas', async () => {
let patient_id = 'test_add_meas';
let meas = await adfice.get_patient_measurements(patient_id);
expect(meas).toBe(null);
let form_data = {};
form_data['user_GDS_score'] = '1';
form_data['user_grip_kg'] = '15';
form_data['user_walking_speed_m_per_s'] = '0.2';
form_data['user_height_cm'] = '160';
form_data['user_weight_kg'] = '60';
form_data['user_systolic_bp_mmHg'] = '120';
form_data['user_number_of_limitations'] = '2';
form_data['user_nr_falls_12m'] = '2';
await adfice.add_meas(patient_id, form_data);
meas = await adfice.get_patient_measurements(patient_id);
expect(meas[0]['has_antiepileptica']).toBe(0);
expect(meas[0]['user_number_of_limitations']).toBe(2);
form_data = {};
form_data['user_smoking'] = '0';
form_data['user_education_hml'] = '2';
form_data['fear_dropdown'] = '2';
await adfice.add_meas(patient_id, form_data);
meas = await adfice.get_patient_measurements(patient_id);
expect(meas[0]['user_fear2']).toBe(1);
// cleanup
await adfice.sql_select('delete from patient_measurement where patient_id = "' + patient_id + '";');
})
test('data assessed', async () => {
let patient_id = '00000000-0000-4000-8000-100000000027';
let patient = await adfice.get_patient_by_id(patient_id);
expect(patient['data_assessed']).toBe(null);
let data_assessed = {};
data_assessed['data_assessed'] = true;
await adfice.data_assessed(patient_id, data_assessed);
patient = await adfice.get_patient_by_id(patient_id);
expect(patient['data_assessed']).toBe(1);
data_assessed['data_assessed'] = false;
await adfice.data_assessed(patient_id, data_assessed);
patient = await adfice.get_patient_by_id(patient_id);
expect(patient['data_assessed']).toBe(0);
data_assessed['data_assessed'] = null;
await adfice.data_assessed(patient_id, data_assessed);
patient = await adfice.get_patient_by_id(patient_id);
expect(patient['data_assessed']).toBe(null);
})
test('get_advice_for_patient(27), with labs and problems', async () => {
//console.log('27');
let patient_id = "00000000-0000-4000-8000-100000000027";
let patientAdvice = await adfice.get_advice_for_patient(patient_id);
let advice = patientAdvice.medication_advice;
expect(advice.length).toBe(1);
let adv0 = advice[0];
expect(adv0['ATC_code']).toBe('N06AA09');
expect(adv0['medication_name']).toBe('amitriptyline');
let adviceTextsCheckboxes = adv0['adviceTextsCheckboxes'];
expect(adviceTextsCheckboxes.length).toBe(16);
let checkbox0 = adviceTextsCheckboxes[0];
expect(checkbox0['medication_criteria_id']).toBe("19f");
expect(checkbox0['select_box_num']).toBe(11);
expect(checkbox0['select_box_category']).toBe('stop');
let adviceTextsNoCheckboxes = adv0['adviceTextsNoCheckboxes'];
expect(adviceTextsNoCheckboxes.length).toBe(4);
let noCheckbox0 = adviceTextsNoCheckboxes[0];
expect(noCheckbox0['medication_criteria_id']).toBe("19a");
expect(noCheckbox0.cdss_split[0].text).toContain("depressie");
//check that data_assessed gets added
expect(patientAdvice.data_assessed).toBe(false);
let data_assessed = {};
data_assessed['data_assessed'] = true;
await adfice.data_assessed(patient_id, data_assessed);
patientAdvice = await adfice.get_advice_for_patient(patient_id);
expect(patientAdvice.data_assessed).toBe(true);
data_assessed['data_assessed'] = null;
await adfice.data_assessed(patient_id, data_assessed);
})
test('get_advice_for_patient(1), no med rule advice', async () => {
let patient_id = "00000000-0000-4000-8000-100000000001";
let patientAdvice = await adfice.get_advice_for_patient(patient_id);
let advice = patientAdvice.medication_advice;
expect(advice.length).toBe(0);
let non_med_advice = patientAdvice.advice_text_non_med;
expect(non_med_advice.length).toBe(56);
expect(patientAdvice.selected_advice['cb_NONMED_A_1']).toBe(true);
expect(patientAdvice.selected_advice['cb_NONMED_C_1']).toBeUndefined();
let preselected_checkbox_count = 4
expect(Object.keys(patientAdvice.selected_advice).length).toBe(4);
})
test('get_advice_for_patient(60), sparse patient', async () => {
//console.log('60');
let patient_id = "00000000-0000-4000-8000-100000000060";
let patientAdvice = await adfice.get_advice_for_patient(patient_id);
let advice = patientAdvice.medication_advice;
expect(advice.length).toBe(1);
})
test('get_advice_for_patient(9), patient with non-rule med', async () => {
//console.log('9');
let patient_id = "00000000-0000-4000-8000-100000000009";
let patientAdvice = await adfice.get_advice_for_patient(patient_id);
let medication_advice_atc = [];
for (let i = 0; i < patientAdvice.medication_advice.length; ++i) {
let row = patientAdvice.medication_advice[i];
medication_advice_atc.push(row.ATC_code);
}
expect(patientAdvice.meds_without_rules.length).toBe(1);
expect(patientAdvice.meds_with_rules.length).toBe(1);
let atc_no_advice = patientAdvice.meds_without_rules[0].ATC_code;
expect(medication_advice_atc.includes(atc_no_advice)).toBe(false);
let atc = patientAdvice.meds_with_rules[0].ATC_code;
expect(medication_advice_atc.includes(atc)).toBe(true);
})
test('get_advice_for_patient(null)', async () => {
//console.log('null');
let patient_id = null;
let patientAdvice = await adfice.get_advice_for_patient(patient_id);
let advice = patientAdvice.medication_advice;
expect(advice.length).toBe(0);
})
test('get_advice_for_patient(-1)', async () => {
//console.log('-1');
let patient_id = -1;
let patientAdvice = await adfice.get_advice_for_patient(patient_id);
let advice = patientAdvice.medication_advice;
expect(advice).toBe(undefined);
})
test('get_advice_for_patient(bogus)', async () => {
let patient_id = 'bogus';
let patientAdvice = await adfice.get_advice_for_patient(patient_id);
let advice = patientAdvice.medication_advice;
expect(advice).toBe(undefined);
})
test('freetext round trip', async () => {
let viewer = "2";
let doctor_id = "1";
let patient = "00000000-0000-4000-8000-100000000026";
let freetexts = {
ft_C03AA03_42_1_1: "",
ft_C03AA03_42_2_1: "serie van",
ft_C03AA03_42_3_1: "foo",
ft_C03AA03_42_5_1: "",
ft_C03AA03_42_6_1: "bar",
ft_C09AA02_63_1_1: "",
ft_C09AA02_63_2_1: "",
ft_C09AA02_63_4_1: "",
ft_C09AA02_63b_1_1: "baz"
};
let cb_states = null;
await adfice.set_advice_for_patient(patient, doctor_id, cb_states, freetexts);
let actual = await adfice.get_freetexts(patient);
expect(actual).toStrictEqual(freetexts);
})
test('no rules fired', async () => {
expect(await adfice.get_advice_texts_checkboxes(null)).toStrictEqual([]);
expect(await adfice.get_advice_texts_no_checkboxes(null)).toStrictEqual([]);
expect(await adfice.get_reference_numbers(null)).toStrictEqual([]);
expect(await adfice.get_advice_texts_checkboxes([])).toStrictEqual([]);
expect(await adfice.get_advice_texts_no_checkboxes([])).toStrictEqual([]);
expect(await adfice.get_reference_numbers([])).toStrictEqual([]);
});
test('get_advice_for_patient(85), normal eGFR', async () => {
let patient_id = "00000000-0000-4000-8000-100000000085";
let patientAdvice = await adfice.get_advice_for_patient(patient_id);
let advice = patientAdvice.medication_advice;
// TODO check for malformed patient data. In this case labTests was not
// being constructed correctly. Or just replace the criteria with SQL and
// test that insstead.
});
test('getSQLcondition rule 38', async () => {
let rule_number = 38;
let sqlCondition = await adfice.get_sql_condition(rule_number);
expect(sqlCondition).toContain("patient_problem");
});
test('is_sql_condition_true', async () => {
let patient_id = "00000000-0000-4000-8000-100000000044";
let rule_number = 38;
let isConditionTrue = await adfice.is_sql_condition_true(patient_id,
rule_number);
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
});
test('SQL error check', async () => {
let isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000005", "6");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000006", "6a");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000004", "6b");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000008", "9");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000005", "9");
expect(isConditionTrue).toBe(false);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000009", "10");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000012", "12");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000015", "14");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000015", "14a");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000016", "14b");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000017", "14c");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000018", "14d");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000018", "15");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000026", "19");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000027", "19a");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000028", "19b");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000029", "19c");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000025", "21");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000026", "22");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000026", "23");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000030", "24");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000031", "25");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000034", "26");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000036", "26a");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000033", "26b");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000041", "35");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000042", "36");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000043", "37");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000044", "38");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000045", "40");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000046", "40a");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000047", "40b");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000048", "40c");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000048", "41");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000051", "48");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000055", "52");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000056", "53");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000060", "57a");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000060", "58");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000062", "59");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000078", "68");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000079", "69");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000081", "70");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000080", "70");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000085", "79");
expect(isConditionTrue).toBe(true);
isConditionTrue = false;
isConditionTrue = await adfice.is_sql_condition_true("00000000-0000-4000-8000-100000000086", "80");
expect(isConditionTrue).toBe(true);