DevSoftTech Server
a7727c9d9e
Route Find ABHA via Mobile through standalone bridge OTP endpoints and remove exact placeholder values from generated FHIR bundles.
448 lines
23 KiB
PHP
448 lines
23 KiB
PHP
<?php
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use App\Libraries\Abdm\Fhir\FhirGeneratorFactory;
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use App\Libraries\Abdm\Fhir\FhirDocumentBuilder;
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use App\Controllers\AbdmGateway;
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use App\Controllers\Ipd_discharge;
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use App\Libraries\FhirR4Builder;
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use CodeIgniter\Test\CIUnitTestCase;
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final class FhirGeneratorsTest extends CIUnitTestCase
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{
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private FhirGeneratorFactory $factory;
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protected function setUp(): void
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{
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parent::setUp();
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$this->factory = new FhirGeneratorFactory();
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}
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public function testDocumentBuilderRemovesExactPlaceholderValues(): void
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{
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$bundle = (new FhirDocumentBuilder())
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->buildBundleMeta('placeholder-test', '2026-08-24T10:00:00+05:30')
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->buildComposition([
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'resourceType' => 'Composition',
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'id' => 'placeholder-composition',
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'status' => 'final',
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'title' => 'NA',
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'subject' => ['display' => 'N/A'],
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'note' => 'Nasal congestion',
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])
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->toBundle();
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$composition = $bundle['entry'][0]['resource'];
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$this->assertArrayNotHasKey('title', $composition);
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$this->assertArrayNotHasKey('subject', $composition);
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$this->assertSame('Nasal congestion', $composition['note']);
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}
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public function testLegacyBuilderRemovesExactPlaceholderValues(): void
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{
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$bundle = (new FhirR4Builder())->buildClaimBundle(
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['id' => 'patient-1', 'name' => 'NA', 'gender' => 'female', 'birthDate' => '1990-01-01'],
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['id' => 'encounter-1'],
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['id' => 'claim-1', 'provider' => 'N/A']
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);
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$this->assertStringNotContainsString('"NA"', (string) json_encode($bundle));
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$this->assertStringNotContainsString('"N/A"', (string) json_encode($bundle));
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}
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public function testImmunizationCareContextReferenceIsStableAcrossClinicalDateChanges(): void
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{
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$method = new ReflectionMethod(AbdmGateway::class, 'resolveImmunizationCareContextReference');
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$first = $method->invoke(null, [[
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'id' => 47,
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'given_date' => '2026-08-10 09:00:00',
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'abdm_care_context_reference' => null,
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]], 47, 12);
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$retry = $method->invoke(null, [[
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'id' => 47,
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'given_date' => '2026-08-15 11:30:00',
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'abdm_care_context_reference' => null,
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]], 47, 12);
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$this->assertSame('IMM-47', $first);
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$this->assertSame($first, $retry);
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$this->assertSame('LEGACY-IMM-47', $method->invoke(null, [[
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'id' => 47,
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'abdm_care_context_reference' => 'LEGACY-IMM-47',
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]], 47, 12));
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}
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public function testOpdGeneratorHappyPath(): void
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{
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$src = [
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'record_id' => 101,
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'session_id' => 1,
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'visit_date' => '2026-06-27',
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'completed_at' => '2026-06-27T10:00:00+05:30',
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'patient' => ['id' => 12, 'name' => 'Devender Singh', 'gender' => 'male', 'dob' => '1979-03-28', 'abha_id' => '1234-5678-9012'],
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'encounter' => ['id' => 'E101', 'start' => '2026-06-27T09:30:00+05:30', 'end' => '2026-06-27T10:00:00+05:30'],
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'doctor' => ['id' => 'D9', 'name' => 'Dr. R K Sundriyal'],
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'organization' => ['id' => 'H1', 'name' => 'Chamunda Hospital'],
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'diagnoses' => [['text' => 'Acute upper respiratory infection']],
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'medications' => [['name' => 'Eltroxin 50', 'dosage' => '1-0-0 for 5 days']],
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'vitals' => [['display' => 'Heart Rate', 'code' => '8867-4', 'value' => 82, 'unit' => 'beats/min']],
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];
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$out = $this->factory->opd()->generate($src);
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$this->assertSame('OPConsultRecord', $out['hi_type']);
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$this->assertSame('Bundle', $out['fhir_bundle']['resourceType']);
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$this->assertSame('document', $out['fhir_bundle']['type']);
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$this->assertSame('Composition', $out['fhir_bundle']['entry'][0]['resource']['resourceType']);
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$this->assertTrue((bool) ($out['validation']['valid'] ?? false));
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}
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public function testLabGeneratorLargeObservationSet(): void
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{
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$obs = [];
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for ($i = 0; $i < 120; $i++) {
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$obs[] = ['name' => 'Glucose', 'code' => 'GLUCOSE', 'value' => 90 + $i, 'unit' => 'mg/dL', 'interpretation' => 'NORMAL'];
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}
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$src = [
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'record_id' => 4001,
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'session_id' => 9,
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'visit_date' => '2026-06-26',
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'completed_at' => '2026-06-26T18:10:00+05:30',
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'patient' => ['id' => 12, 'name' => 'Devender Singh', 'gender' => 'male', 'dob' => '1979-03-28'],
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'encounter' => ['id' => 'L4001', 'start' => '2026-06-26T16:00:00+05:30'],
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'panel_name' => 'Biochemistry',
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'panel_code' => 'GLUCOSE',
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'observations' => $obs,
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];
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$out = $this->factory->lab()->generate($src);
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$this->assertSame('DiagnosticReportRecord', $out['hi_type']);
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$this->assertTrue((bool) ($out['validation']['valid'] ?? false));
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$this->assertGreaterThan(90, count($out['fhir_bundle']['entry']));
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}
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public function testDeterministicCareContextForSameInput(): void
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{
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$src = [
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'record_id' => 7001,
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'session_id' => 3,
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'visit_date' => '2026-06-25',
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'completed_at' => '2026-06-25T10:00:00+05:30',
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'patient' => ['id' => 1, 'name' => 'Test Patient', 'gender' => 'male', 'dob' => '1990-01-01'],
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];
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$o1 = $this->factory->invoice()->generate($src);
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$o2 = $this->factory->invoice()->generate($src);
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$this->assertSame($o1['care_context_reference'], $o2['care_context_reference']);
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$this->assertSame($o1['hi_type'], $o2['hi_type']);
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}
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public function testDischargeDocumentHasValidStructureAndResolvableReferences(): void
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{
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$src = [
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'record_id' => 4,
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'bundle_identifier' => 'discharge-A26080000004',
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'session_id' => 4,
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'visit_date' => '2026-08-15',
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'completed_at' => '2026-08-15T12:00:00+05:30',
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'patient' => ['id' => 11, 'name' => 'Test Patient', 'gender' => 'male', 'dob' => '1979-03-28'],
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'encounter' => ['id' => 'A26080000004', 'class_code' => 'IMP', 'start' => '2026-08-14T09:00:00+05:30', 'end' => '2026-08-15T12:00:00+05:30'],
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'doctor' => ['id' => 9, 'name' => 'Test Doctor'],
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'organization' => ['id' => 'H1', 'name' => 'Test Hospital'],
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'chief_complaints' => [['text' => 'Fever and body ache']],
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'diagnoses' => [['text' => 'Viral fever']],
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'procedures' => [['text' => 'Supportive care']],
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'medications' => [['name' => 'Paracetamol', 'dosage' => 'As directed']],
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'investigations' => [['text' => 'Haemoglobin: 11', 'loinc_code' => '718-7']],
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'care_plans' => [['title' => 'Advice', 'description' => 'Review after three days']],
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'documents' => [[
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'title' => 'Discharge Summary PDF',
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'content_type' => 'application/pdf',
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'data' => base64_encode('%PDF-test'),
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'created_at' => '2026-08-15T12:00:00+05:30',
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]],
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];
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$bundle = $this->factory->discharge()->generate($src)['fhir_bundle'];
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$composition = $bundle['entry'][0]['resource'];
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$this->assertSame('discharge-A26080000004', $bundle['identifier']['value'] ?? null);
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$this->assertSame('IPD Discharge Summary', $composition['title'] ?? null);
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$this->assertContains('https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentBundle', $bundle['meta']['profile'] ?? []);
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$this->assertContains('https://nrces.in/ndhm/fhir/r4/StructureDefinition/DischargeSummaryRecord', $composition['meta']['profile'] ?? []);
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$this->assertSame('http://snomed.info/sct', $composition['type']['coding'][0]['system'] ?? null);
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$this->assertSame('373942005', $composition['type']['coding'][0]['code'] ?? null);
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$this->assertNotEmpty($composition['author'] ?? []);
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$this->assertNotEmpty($composition['custodian'] ?? []);
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$this->assertNotEmpty($composition['section'] ?? []);
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$this->assertNotEmpty($composition['section'][0]['text']['div'] ?? '');
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$fullUrls = array_column($bundle['entry'], 'fullUrl');
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foreach ($fullUrls as $fullUrl) {
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$this->assertMatchesRegularExpression('/^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-4[0-9a-f]{3}-a[0-9a-f]{3}-[0-9a-f]{12}$/', $fullUrl);
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}
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$encounters = array_values(array_filter($bundle['entry'], static fn (array $entry): bool => ($entry['resource']['resourceType'] ?? '') === 'Encounter'));
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$patients = array_values(array_filter($bundle['entry'], static fn (array $entry): bool => ($entry['resource']['resourceType'] ?? '') === 'Patient'));
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$this->assertContains('https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient', $patients[0]['resource']['meta']['profile'] ?? []);
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$this->assertSame('IMP', $encounters[0]['resource']['class']['code'] ?? null);
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$this->assertSame('A26080000004', $encounters[0]['resource']['identifier'][0]['value'] ?? null);
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$documents = array_values(array_filter($bundle['entry'], static fn (array $entry): bool => ($entry['resource']['resourceType'] ?? '') === 'DocumentReference'));
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$this->assertCount(1, $documents);
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$this->assertSame('%PDF-test', base64_decode((string) ($documents[0]['resource']['content'][0]['attachment']['data'] ?? ''), true));
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$this->assertSame('final', $documents[0]['resource']['docStatus'] ?? null);
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$this->assertSame('373942005', $documents[0]['resource']['type']['coding'][0]['code'] ?? null);
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$sectionCodes = array_column(array_map(static fn (array $section): array => (array) ($section['code']['coding'][0] ?? []), $composition['section']), 'code');
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$this->assertSame(['422843007', '1003642006', '1003640003', '1003606003', '721981007', '734163000', '373942005'], $sectionCodes);
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$reports = array_values(array_filter($bundle['entry'], static fn (array $entry): bool => ($entry['resource']['resourceType'] ?? '') === 'DiagnosticReport'));
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$this->assertCount(1, $reports);
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$this->assertContains('https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportLab', $reports[0]['resource']['meta']['profile'] ?? []);
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$encoded = json_encode($bundle, JSON_UNESCAPED_SLASHES);
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preg_match_all('/"reference":"(urn:uuid:[^"]+)"/', (string) $encoded, $matches);
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foreach ($matches[1] as $reference) {
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$this->assertContains($reference, $fullUrls, 'Unresolved document reference: ' . $reference);
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}
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$this->assertStringNotContainsString('UNMAPPED', (string) $encoded);
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}
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public function testInvoiceRecordHasNrcesProfilesAndResolvableReferences(): void
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{
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$controller = new AbdmGateway();
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$method = new ReflectionMethod($controller, 'buildSimpleInvoiceBundle');
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$bundle = $method->invoke($controller, [
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'resourceType' => 'Patient',
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'id' => 'patient-11',
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'identifier' => [[
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'system' => 'https://healthid.ndhm.gov.in/abha-address',
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'value' => 'testpatient@sbx',
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]],
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'name' => [['text' => 'Test Patient']],
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'gender' => 'male',
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'birthDate' => '1990-01-01',
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], [
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'id' => 19,
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'invoice_code' => 'OPD-19',
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'invoice_type_code' => '03',
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'invoice_type_display' => 'OPD',
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'encounter_class' => 'AMB',
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'practitioner_id' => 7,
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'practitioner_name' => 'Dr Test',
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'encounter_start' => '2026-08-14',
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'inv_date' => '2026-08-15',
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'net_amount' => 300,
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'total_amount' => 350,
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], [[
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'item_name' => 'OPD Consultation Fee',
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'item_qty' => 1,
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'item_rate' => 300,
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'item_amount' => 300,
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]]);
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$this->assertSame('document', $bundle['type'] ?? null);
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$this->assertContains('https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentBundle', $bundle['meta']['profile'] ?? []);
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$this->assertSame('OPD-19', $bundle['identifier']['value'] ?? null);
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$this->assertSame('Composition', $bundle['entry'][0]['resource']['resourceType'] ?? null);
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$resources = [];
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foreach ($bundle['entry'] as $entry) {
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$fullUrl = (string) ($entry['fullUrl'] ?? '');
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$this->assertMatchesRegularExpression('/^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-4[0-9a-f]{3}-a[0-9a-f]{3}-[0-9a-f]{12}$/', $fullUrl);
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$resources[(string) ($entry['resource']['resourceType'] ?? '')] = $entry['resource'];
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}
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$composition = $resources['Composition'];
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$invoice = $resources['Invoice'];
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$patient = $resources['Patient'];
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$organization = $resources['Organization'];
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$encounter = $resources['Encounter'];
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$practitioner = $resources['Practitioner'];
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$documentReference = $resources['DocumentReference'];
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$this->assertContains('https://nrces.in/ndhm/fhir/r4/StructureDefinition/InvoiceRecord', $composition['meta']['profile'] ?? []);
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$this->assertSame('Invoice Record', $composition['type']['text'] ?? null);
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$this->assertSame('69705-9', $composition['type']['coding'][0]['code'] ?? null);
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$this->assertSame(
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'Invoice',
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$composition['section'][0]['entry'][0]['type'] ?? null,
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'NRCeS InvoiceRecord 6.5.0 requires Reference.type to be Invoice'
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);
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$this->assertCount(1, $composition['section'][0]['entry'] ?? []);
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$this->assertNotEmpty($composition['author'][0]['reference'] ?? '');
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$this->assertNotEmpty($composition['custodian']['reference'] ?? '');
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$this->assertContains('https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient', $patient['meta']['profile'] ?? []);
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$this->assertContains('https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization', $organization['meta']['profile'] ?? []);
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$this->assertContains('https://nrces.in/ndhm/fhir/r4/StructureDefinition/Encounter', $encounter['meta']['profile'] ?? []);
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$this->assertSame('2026-08-14', $encounter['period']['start'] ?? null);
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$this->assertNotEmpty($encounter['serviceProvider']['reference'] ?? '');
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$this->assertContains('https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner', $practitioner['meta']['profile'] ?? []);
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$this->assertSame('MD', $practitioner['identifier'][0]['type']['coding'][0]['code'] ?? null);
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$this->assertSame('7', $practitioner['identifier'][0]['value'] ?? null);
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$this->assertSame('Dr Test', $practitioner['name'][0]['text'] ?? null);
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$this->assertContains('https://nrces.in/ndhm/fhir/r4/StructureDefinition/Invoice', $invoice['meta']['profile'] ?? []);
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$this->assertSame('Dr Test', $invoice['participant'][0]['actor']['display'] ?? null);
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$this->assertSame('03', $invoice['type']['coding'][0]['code'] ?? null);
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$this->assertSame('01', $invoice['lineItem'][0]['priceComponent'][0]['code']['coding'][0]['code'] ?? null);
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$this->assertArrayHasKey('chargeItemReference', $invoice['lineItem'][0]);
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$chargeItems = array_values(array_filter(
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$bundle['entry'],
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static fn (array $entry): bool => ($entry['resource']['resourceType'] ?? '') === 'ChargeItem'
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));
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$this->assertCount(1, $chargeItems);
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$this->assertContains('https://nrces.in/ndhm/fhir/r4/StructureDefinition/ChargeItem', $chargeItems[0]['resource']['meta']['profile'] ?? []);
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$this->assertSame('OPD Consultation Fee', $chargeItems[0]['resource']['code']['text'] ?? null);
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$this->assertSame('OPD Consultation Fee', $chargeItems[0]['resource']['productCodeableConcept']['text'] ?? null);
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$this->assertSame(1.0, $chargeItems[0]['resource']['quantity']['value'] ?? null);
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$this->assertSame('unit', $chargeItems[0]['resource']['quantity']['unit'] ?? null);
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$this->assertSame(300.0, $invoice['totalNet']['value'] ?? null, 'NRCeS Invoice requires totalNet');
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$this->assertSame(350.0, $invoice['totalGross']['value'] ?? null, 'NRCeS Invoice requires totalGross');
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$this->assertSame(300.0, $invoice['totalPriceComponent'][0]['amount']['value'] ?? null);
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$this->assertContains(
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'https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference',
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$documentReference['meta']['profile'] ?? []
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);
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$attachment = $documentReference['content'][0]['attachment'] ?? [];
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$pdfBytes = base64_decode((string) ($attachment['data'] ?? ''), true);
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$this->assertIsString($pdfBytes);
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$this->assertSame('application/pdf', $attachment['contentType'] ?? null);
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$this->assertStringStartsWith('%PDF-', $pdfBytes);
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$this->assertStringNotContainsString('table.items{', $pdfBytes);
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$this->assertSame(strlen($pdfBytes), $attachment['size'] ?? null);
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$this->assertSame(base64_encode(sha1($pdfBytes, true)), $attachment['hash'] ?? null);
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$this->assertSame(
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$composition['section'][0]['entry'][0]['reference'] ?? null,
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$documentReference['context']['related'][0]['reference'] ?? null
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);
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$fullUrls = array_column($bundle['entry'], 'fullUrl');
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$encoded = json_encode($bundle, JSON_UNESCAPED_SLASHES);
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preg_match_all('/"reference":"(urn:uuid:[^"]+)"/', (string) $encoded, $matches);
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foreach ($matches[1] as $reference) {
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$this->assertContains($reference, $fullUrls, 'Unresolved invoice reference: ' . $reference);
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}
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}
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public function testImmunizationRecordHasM2DocumentStructureAndResolvableReferences(): void
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{
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$bundle = (new FhirR4Builder())->buildImmunizationRecordBundle([
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'id' => '91',
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'name' => 'Test Patient',
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'gender' => 'female',
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'birthDate' => '2020-01-10',
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'abhaAddress' => 'testpatient@sbx',
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], [[
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'id' => '17',
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'vaccine_name' => 'BCG Vaccine',
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'vaccine_code_system' => 'https://hms.local/immunization/uip',
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'vaccine_code' => 'UIP-BCG',
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'given_date' => '2026-08-15',
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'status' => 'completed',
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'lot_number' => 'LOT-42',
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'dose_number' => '1',
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'series_name' => 'Infant Immunization Schedule',
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'target_disease_code' => '56717001',
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'target_disease_name' => 'Tuberculosis',
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]], [
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'care_context_reference' => 'IMM-17-91-20260815',
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'practitioner' => [
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'id' => '7',
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'name' => 'Dr Test',
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'registration_number' => 'MED-7',
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],
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'organization' => ['name' => 'Test Hospital', 'hfr_id' => 'IN0000000001'],
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'encounter' => [
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'id' => 'IMM-17',
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'status' => 'finished',
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'class_code' => 'AMB',
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'period_start' => '2026-08-15',
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],
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]);
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$this->assertSame('document', $bundle['type'] ?? null);
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$this->assertSame('IMM-17-91-20260815', $bundle['identifier']['value'] ?? null);
|
|
$this->assertContains('https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentBundle', $bundle['meta']['profile'] ?? []);
|
|
|
|
$resources = [];
|
|
$fullUrls = array_column($bundle['entry'], 'fullUrl');
|
|
foreach ($bundle['entry'] as $entry) {
|
|
$resource = $entry['resource'] ?? [];
|
|
$resources[(string) ($resource['resourceType'] ?? '')] = $resource;
|
|
}
|
|
|
|
$composition = $resources['Composition'];
|
|
$immunization = $resources['Immunization'];
|
|
$this->assertContains('https://nrces.in/ndhm/fhir/r4/StructureDefinition/ImmunizationRecord', $composition['meta']['profile'] ?? []);
|
|
$this->assertSame('41000179103', $composition['type']['coding'][0]['code'] ?? null);
|
|
$this->assertSame('Dr Test', $composition['author'][0]['display'] ?? null);
|
|
$this->assertSame('Test Hospital', $composition['custodian']['display'] ?? null);
|
|
$this->assertSame('Immunization', $composition['section'][0]['entry'][0]['type'] ?? null);
|
|
$this->assertSame('BCG Vaccine', $immunization['vaccineCode']['text'] ?? null);
|
|
$this->assertSame('http://hl7.org/fhir/sid/cvx', $immunization['vaccineCode']['coding'][0]['system'] ?? null);
|
|
$this->assertSame('19', $immunization['vaccineCode']['coding'][0]['code'] ?? null);
|
|
$this->assertSame('2026-08-15T00:00:00+05:30', $immunization['occurrenceDateTime'] ?? null);
|
|
$this->assertNotEmpty($immunization['performer'][0]['actor']['reference'] ?? '');
|
|
$this->assertNotEmpty($immunization['encounter']['reference'] ?? '');
|
|
$this->assertSame('Test Hospital', $immunization['location']['display'] ?? null);
|
|
$this->assertSame('Infant Immunization Schedule', $immunization['protocolApplied'][0]['series'] ?? null);
|
|
$this->assertSame(1, $immunization['protocolApplied'][0]['doseNumberPositiveInt'] ?? null);
|
|
$this->assertSame('56717001', $immunization['protocolApplied'][0]['targetDisease'][0]['coding'][0]['code'] ?? null);
|
|
|
|
$encoded = json_encode($bundle, JSON_UNESCAPED_SLASHES);
|
|
preg_match_all('/"reference":"(urn:uuid:[^"]+)"/', (string) $encoded, $matches);
|
|
foreach ($matches[1] as $reference) {
|
|
$this->assertContains($reference, $fullUrls, 'Unresolved ImmunizationRecord reference: ' . $reference);
|
|
}
|
|
}
|
|
|
|
public function testImmunizationBuilderFallbackReferenceIsStableOnRetry(): void
|
|
{
|
|
$builder = new FhirR4Builder();
|
|
$patient = ['id' => '91', 'name' => 'Test Patient'];
|
|
$first = $builder->buildImmunizationRecordBundle($patient, [[
|
|
'id' => '17',
|
|
'vaccine_name' => 'BCG Vaccine',
|
|
'given_date' => '2026-08-10',
|
|
'status' => 'completed',
|
|
]]);
|
|
$retry = $builder->buildImmunizationRecordBundle($patient, [[
|
|
'id' => '17',
|
|
'vaccine_name' => 'BCG Vaccine',
|
|
'given_date' => '2026-08-15',
|
|
'status' => 'completed',
|
|
]]);
|
|
|
|
$this->assertSame('IMM-17', $first['identifier']['value'] ?? null);
|
|
$this->assertSame($first['identifier']['value'] ?? null, $retry['identifier']['value'] ?? null);
|
|
}
|
|
|
|
public function testLegacyNumericGenderMapsToFhirGender(): void
|
|
{
|
|
$controller = new AbdmGateway();
|
|
$method = new ReflectionMethod($controller, 'normalizeFhirGender');
|
|
|
|
$this->assertSame('male', $method->invoke($controller, '1'));
|
|
$this->assertSame('female', $method->invoke($controller, '2'));
|
|
$this->assertSame('other', $method->invoke($controller, '3'));
|
|
}
|
|
|
|
public function testBlankDischargeTemplateUsesDefaultHospitalHeader(): void
|
|
{
|
|
$controller = new Ipd_discharge();
|
|
$blankMethod = new ReflectionMethod($controller, 'isDischargeHeaderBlank');
|
|
$headerMethod = new ReflectionMethod($controller, 'buildDefaultDischargeHeader');
|
|
|
|
$this->assertTrue($blankMethod->invoke($controller, '<div> </div>'));
|
|
$this->assertFalse($blankMethod->invoke($controller, '<div>Custom Letterhead</div>'));
|
|
|
|
$header = $headerMethod->invoke($controller, [
|
|
'H_Name' => 'Test Hospital',
|
|
'hospital_address' => 'Hospital Road',
|
|
'H_phone_No' => '1234567890',
|
|
'H_Email' => 'care@example.test',
|
|
'H_logo_abs' => '',
|
|
]);
|
|
$this->assertStringContainsString('Test Hospital', $header);
|
|
$this->assertStringContainsString('Hospital Road', $header);
|
|
}
|
|
}
|