import { describe, expect, it } from "vitest"; import { CASES } from "../server/cases"; import { assess, extractLocal } from "../server/context"; import { checkBlocker, findingEvidence, formatDate, initials, medicinePlan, patientProfile, plural, recordsFromText, resultSummary, } from "../src/flow"; import type { Assessment, Review } from "../src/types"; const includeAll = (draft: ReturnType): Review => Object.fromEntries( draft.facts.filter((f) => !f.problem).map((f) => [f.id, "include" as const]) ); const run = (sources = CASES[0].sources) => { const draft = extractLocal(sources); const review = includeAll(draft); return { draft, review, assessment: assess(sources, review, draft.fingerprint, true) as Assessment, }; }; describe("display helpers", () => { it("formats ISO dates and leaves other text alone", () => { expect(formatDate("2026-10-12")).toBe("12 Oct 2026"); expect(formatDate("2026-13-01")).toBe("2026-13-01"); expect(formatDate("Yesterday")).toBe("Yesterday"); }); it("pluralises counts", () => { expect(plural(1, "finding")).toBe("1 finding"); expect(plural(0, "finding")).toBe("0 findings"); }); it("builds initials from the first two names", () => { expect(initials(" Mariam Adeyemi Ola ")).toBe("MA"); expect(initials("")).toBe("?"); }); }); describe("checkBlocker", () => { const draft = extractLocal(CASES[0].sources); it("explains each gate in order", () => { expect( checkBlocker({ draft: null, review: {}, acknowledged: false, editing: false }) ).toMatch(/Read the records/); expect( checkBlocker({ draft, review: {}, acknowledged: false, editing: true }) ).toMatch(/record edit/); expect( checkBlocker({ draft, review: {}, acknowledged: true, editing: false }) ).toBe(`Include or exclude ${draft.facts.length} more facts.`); }); it("requires a medication and acknowledgement of unmapped notes", () => { const noMedicine = Object.fromEntries( draft.facts.map((f) => [f.id, f.kind === "medicine" ? "exclude" : "include"]) ) as Review; expect( checkBlocker({ draft, review: noMedicine, acknowledged: true, editing: false }) ).toMatch(/at least one medication/); const withNotes = { ...draft, sourceReviewRequired: true }; expect( checkBlocker({ draft: withNotes, review: includeAll(draft), acknowledged: false, editing: false, }) ).toMatch(/original notes/); expect( checkBlocker({ draft: withNotes, review: includeAll(draft), acknowledged: true, editing: false, }) ).toBeNull(); }); it("names conflicting records and clears once one entry is excluded", () => { const conflicted = extractLocal(CASES[2].sources); const review = includeAll(conflicted); expect( checkBlocker({ draft: conflicted, review, acknowledged: true, editing: false }) ).toMatch(/Records disagree about Metformin/); const older = conflicted.facts.find( (f) => f.kind === "medicine" && f.detail.startsWith("500") )!; expect( checkBlocker({ draft: conflicted, review: { ...review, [older.id]: "exclude" }, acknowledged: true, editing: false, }) ).toBeNull(); }); it("blocks an included fact that still needs clarification", () => { const fact = { ...draft.facts[0], problem: "Ambiguous strength" }; expect( checkBlocker({ draft: { ...draft, facts: [fact, ...draft.facts.slice(1)] }, review: Object.fromEntries(draft.facts.map((f) => [f.id, "include"])), acknowledged: true, editing: false, }) ).toMatch(/needs clarification/); }); }); describe("result presentation", () => { it("leads with the findings context added and links their evidence", () => { const { assessment } = run(); const summary = resultSummary(assessment); expect(summary).toMatchObject({ before: 0, after: 1, added: 1 }); expect(summary.headline).toBe( "Personalized to Ada: 1 finding the medication list alone did not show." ); const finding = assessment.contextual.findings[0]; expect(findingEvidence(assessment, finding).map((f) => f.label)).toEqual([ "Metformin", "eGFR 38", ]); }); it("never presents zero findings as safe", () => { const { assessment } = run(); const empty = { ...assessment, addedRuleIds: [], baseline: { ...assessment.baseline, findings: [] }, contextual: { ...assessment.contextual, findings: [] }, }; const summary = resultSummary(empty); expect(summary.headline).toBe("No findings from the supported rules."); expect(summary.subline).toMatch(/does not mean the prescription is safe/); }); }); describe("recordsFromText", () => { let n = 0; const id = () => `id-${++n}`; it("keeps each upload as a separate titled record and skips empty text", () => { const { records, error } = recordsFromText( [ { name: "01-mariam_clinic-note.txt", text: " Patient: Mariam \n" }, { name: "Pasted note", text: " " }, ], 0, id ); expect(error).toBeNull(); expect(records).toHaveLength(1); expect(records[0]).toMatchObject({ title: "Mariam clinic note", text: "Patient: Mariam", kind: "Synthetic note", }); expect(records[0].id).toMatch(/^source-[a-z0-9-]+$/); }); it("rejects empty, oversized, binary and over-limit input", () => { expect(recordsFromText([], 0, id).error).toMatch(/at least one record/); expect( recordsFromText([{ name: "big.txt", text: "x".repeat(12001) }], 0, id).error ).toMatch(/longer than 12,000/); expect( recordsFromText([{ name: "bin.txt", text: "a\u0000b" }], 0, id).error ).toMatch(/not plain text/); expect( recordsFromText([{ name: "a.txt", text: "a" }, { name: "b.txt", text: "b" }], 7, id) .error ).toMatch(/up to 8 records. Remove 1/); }); }); describe("personalized check", () => { const grace = CASES.find((c) => c.id === "personal-factors")!; const graceRun = () => run(grace.sources); it("finds what only her age, weight and potassium reveal", () => { const { assessment } = graceRun(); expect(assessment.baseline.findings).toEqual([]); expect(assessment.contextual.findings.map((f) => f.ruleId).sort()).toEqual([ "lab-potassium-raised", "older-long-acting-sulfonylurea", "paracetamol-lower-maximum", ]); expect(resultSummary(assessment).headline).toBe( "Personalized to Grace: 3 findings the medication list alone did not show." ); }); it("lists used, recorded and missing personal factors honestly", () => { const profile = patientProfile(graceRun().assessment); const byId = Object.fromEntries(profile.map((p) => [p.id, p])); expect(byId.age).toMatchObject({ value: "78 years", status: "used" }); expect(byId.weight).toMatchObject({ value: "46 kg", status: "used" }); expect(byId.sex).toMatchObject({ value: "female", status: "not_assessed" }); expect(byId.potassium).toMatchObject({ value: "5.8 mmol/L", note: "20 Oct 2026 ยท Potassium rules", status: "used", }); expect(byId.egfr.value).toBe("52 mL/min"); expect(byId.conditions.status).toBe("not_assessed"); const ada = Object.fromEntries( patientProfile(run().assessment).map((p) => [p.id, p]) ); expect(ada.weight).toMatchObject({ value: null, status: "missing" }); expect(ada.allergies).toMatchObject({ value: "Unknown", status: "missing" }); }); it("gives each medicine its own dose status and findings", () => { const plan = medicinePlan(graceRun().assessment); expect(plan.map((m) => m.fact.label)).toEqual([ "Lisinopril", "Glibenclamide", "Paracetamol", ]); expect(plan[0].status).toBe("check_with_pharmacist"); expect(plan[0].findings.map((f) => f.ruleId)).toEqual([ "lab-potassium-raised", ]); expect(plan[2].findings.map((f) => f.ruleId)).toEqual([ "paracetamol-lower-maximum", ]); }); });