first
This commit is contained in:
nasir@endelospay.com
498
tests/healthcare-specific/hipaa-compliance.test.js
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498
tests/healthcare-specific/hipaa-compliance.test.js
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/**
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* @fileoverview Tests for HIPAA compliance and healthcare-specific security requirements
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* Tests PHI handling, audit trails, access controls, and healthcare data protection
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*/
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import { describe, test, expect, beforeEach, afterEach } from '@jest/globals';
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import { mockFactory } from '../mocks/mockFactory.js';
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describe('HIPAA Compliance and Healthcare Security Tests', () => {
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let mockEnv;
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let toolGenerator;
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beforeEach(() => {
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mockEnv = mockFactory.createMockEnvironment({
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authTypes: ['provider', 'patient'],
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enableHttpMocks: true,
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enableAuthMocks: true,
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enableHealthcareMocks: true
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});
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toolGenerator = mockEnv.toolGenerator;
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// Setup healthcare authentication
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mockFactory.authMocks.setMockCredentials('provider', {
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username: 'test_provider',
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password: 'test_password'
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});
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mockFactory.authMocks.setMockCredentials('patient', {
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username: 'test_patient',
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password: 'test_password'
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});
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});
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afterEach(() => {
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mockFactory.resetAllMocks();
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});
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describe('PHI (Protected Health Information) Handling', () => {
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test('should properly encrypt PHI data in transit and at rest', async () => {
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// Setup
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const toolName = 'provider_create_emrregisterPatient';
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const parameters = {
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firstName: 'John',
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lastName: 'Doe',
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email: 'john.doe@test.com',
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dateOfBirth: '1990-01-01',
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personalID: 'SSN123456789', // Sensitive PHI
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medicalHistory: 'Diabetes, Hypertension' // Sensitive medical data
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};
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// Mock HIPAA-compliant response
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const mockPatient = mockFactory.healthcareMocks.createHIPAACompliantData('patient', 'provider', {
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firstName: 'John',
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lastName: 'Doe',
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email: 'john.doe@test.com'
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});
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mockFactory.httpMocks.mockRequest('POST', '/api/emr/register-patients', {
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status: 201,
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data: {
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success: true,
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patient: mockPatient,
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encryption: {
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algorithm: 'AES-256-GCM',
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keyRotation: 'enabled',
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transitEncryption: 'TLS 1.3'
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},
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hipaaCompliant: true
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}
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});
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// Execute
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const result = await toolGenerator.executeTool(toolName, parameters);
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// Assert HIPAA compliance
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expect(result.data.hipaaCompliant).toBe(true);
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expect(result.data.patient.hipaaMetadata).toBeDefined();
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expect(result.data.patient.hipaaMetadata.dataClassification).toBe('PHI');
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expect(result.data.patient.hipaaMetadata.encryptionStatus).toBe('encrypted');
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expect(result.data.encryption.algorithm).toBe('AES-256-GCM');
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});
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test('should implement minimum necessary standard for PHI access', async () => {
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const toolName = 'provider_create_getPatientInfo';
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const parameters = {
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patientId: 123,
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requestedFields: ['firstName', 'lastName', 'dateOfBirth'], // Limited fields
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accessPurpose: 'treatment'
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};
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// Mock minimum necessary response
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mockFactory.httpMocks.mockRequest('POST', '/api/get-patient-info/123', {
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status: 200,
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data: {
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success: true,
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patient: {
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firstName: 'John',
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lastName: 'Doe',
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dateOfBirth: '1990-01-01'
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// Other sensitive fields excluded based on minimum necessary
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},
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accessControl: {
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minimumNecessary: true,
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fieldsProvided: ['firstName', 'lastName', 'dateOfBirth'],
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fieldsExcluded: ['personalID', 'medicalHistory'],
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accessPurpose: 'treatment'
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}
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}
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});
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const result = await toolGenerator.executeTool(toolName, parameters);
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expect(result.data.accessControl.minimumNecessary).toBe(true);
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expect(result.data.accessControl.fieldsExcluded).toContain('personalID');
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});
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test('should handle PHI de-identification for research purposes', async () => {
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const toolName = 'provider_get_researchData';
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const parameters = {
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dataset: 'diabetes_study',
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deidentification_level: 'safe_harbor'
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};
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// Mock de-identified data response
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mockFactory.httpMocks.mockRequest('GET', '/api/research-data/diabetes_study', {
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status: 200,
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data: {
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success: true,
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research_data: [
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{
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patient_id: 'DEIDENT_001', // De-identified ID
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age_range: '30-35',
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gender: 'M',
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diagnosis: 'Type 2 Diabetes',
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treatment_response: 'Positive'
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// No direct identifiers
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}
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],
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deidentification: {
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method: 'safe_harbor',
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identifiers_removed: [
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'names', 'addresses', 'dates', 'phone_numbers',
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'email_addresses', 'ssn', 'medical_record_numbers'
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],
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certification: 'HIPAA_compliant',
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expert_determination: false
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}
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}
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});
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const result = await toolGenerator.executeTool(toolName, parameters);
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expect(result.data.deidentification.method).toBe('safe_harbor');
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expect(result.data.deidentification.identifiers_removed).toContain('ssn');
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expect(result.data.research_data[0].patient_id).toMatch(/^DEIDENT_/);
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});
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});
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describe('Access Controls and Authorization', () => {
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test('should implement role-based access control (RBAC)', async () => {
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const toolName = 'provider_create_getPatientInfo';
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const parameters = {
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patientId: 123
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};
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// Mock RBAC response
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mockFactory.httpMocks.mockRequest('POST', '/api/get-patient-info/123', {
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status: 200,
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data: {
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success: true,
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patient: mockFactory.healthcareMocks.createHIPAACompliantData('patient', 'provider'),
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accessControl: {
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userRole: 'provider',
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permissions: ['read:patient_data', 'write:patient_data', 'read:medical_records'],
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restrictions: ['no_billing_access'],
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accessLevel: 'full_clinical_access'
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}
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}
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});
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const result = await toolGenerator.executeTool(toolName, parameters);
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expect(result.data.accessControl.userRole).toBe('provider');
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expect(result.data.accessControl.permissions).toContain('read:patient_data');
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expect(result.data.accessControl.restrictions).toContain('no_billing_access');
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});
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test('should enforce break-glass emergency access procedures', async () => {
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const toolName = 'provider_emergency_patientAccess';
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const parameters = {
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patientId: 123,
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emergencyCode: 'EMERGENCY_001',
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justification: 'Patient in critical condition, immediate access required',
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emergencyType: 'life_threatening'
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};
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// Mock emergency access response
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mockFactory.httpMocks.mockRequest('POST', '/api/emergency-access/patient/123', {
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status: 200,
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data: {
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success: true,
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patient: mockFactory.healthcareMocks.createHIPAACompliantData('patient', 'provider'),
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emergencyAccess: {
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granted: true,
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emergencyCode: 'EMERGENCY_001',
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accessLevel: 'full_emergency_access',
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timeLimit: '4 hours',
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requiresReview: true,
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auditFlag: 'emergency_access'
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},
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complianceNote: 'Emergency access granted under HIPAA emergency provisions'
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}
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});
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const result = await toolGenerator.executeTool(toolName, parameters);
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expect(result.data.emergencyAccess.granted).toBe(true);
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expect(result.data.emergencyAccess.requiresReview).toBe(true);
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expect(result.data.emergencyAccess.auditFlag).toBe('emergency_access');
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});
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test('should implement patient consent verification', async () => {
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const toolName = 'provider_create_sharePatientData';
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const parameters = {
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patientId: 123,
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recipientProvider: 'specialist_456',
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dataTypes: ['medical_records', 'lab_results'],
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purpose: 'specialist_consultation'
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};
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// Mock consent verification
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mockFactory.httpMocks.mockRequest('POST', '/api/share-patient-data', {
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status: 200,
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data: {
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success: true,
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sharing_authorized: true,
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consent_verification: {
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consent_obtained: true,
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consent_date: '2025-01-15',
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consent_type: 'written_authorization',
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expiration_date: '2026-01-15',
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scope: ['medical_records', 'lab_results'],
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purpose: 'specialist_consultation'
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},
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sharing_details: {
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recipient: 'specialist_456',
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shared_at: new Date().toISOString(),
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tracking_id: 'SHARE_789'
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}
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}
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});
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const result = await toolGenerator.executeTool(toolName, parameters);
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expect(result.data.consent_verification.consent_obtained).toBe(true);
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expect(result.data.consent_verification.scope).toContain('medical_records');
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expect(result.data.sharing_details.tracking_id).toBe('SHARE_789');
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});
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});
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describe('Audit Trails and Logging', () => {
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test('should maintain comprehensive audit trails for all PHI access', async () => {
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const toolName = 'provider_create_getPatientInfo';
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const parameters = {
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patientId: 123
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};
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// Mock comprehensive audit trail
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mockFactory.httpMocks.mockRequest('POST', '/api/get-patient-info/123', {
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status: 200,
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data: {
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success: true,
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patient: mockFactory.healthcareMocks.createHIPAACompliantData('patient', 'provider'),
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auditTrail: {
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accessId: 'AUDIT_12345',
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userId: 'provider_456',
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userRole: 'provider',
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patientId: 123,
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action: 'patient_data_access',
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timestamp: new Date().toISOString(),
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ipAddress: '192.168.1.100',
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userAgent: 'Healthcare Portal v2.1',
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sessionId: 'SESSION_789',
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accessPurpose: 'patient_care',
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dataAccessed: ['demographics', 'medical_history'],
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accessMethod: 'direct_lookup',
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workstation: 'WS_001',
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location: 'Main Clinic - Room 101'
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}
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}
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});
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const result = await toolGenerator.executeTool(toolName, parameters);
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const audit = result.data.auditTrail;
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expect(audit.accessId).toBeDefined();
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expect(audit.userId).toBe('provider_456');
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expect(audit.action).toBe('patient_data_access');
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expect(audit.dataAccessed).toContain('demographics');
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expect(audit.workstation).toBe('WS_001');
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});
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test('should log failed access attempts for security monitoring', async () => {
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const toolName = 'provider_create_getPatientInfo';
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const parameters = {
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patientId: 999 // Non-existent patient
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};
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// Mock failed access with audit
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mockFactory.httpMocks.mockRequest('POST', '/api/get-patient-info/999', null, true, {
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response: {
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status: 404,
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data: {
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error: 'Patient not found',
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auditTrail: {
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accessId: 'AUDIT_FAIL_001',
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userId: 'provider_456',
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action: 'failed_patient_access',
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timestamp: new Date().toISOString(),
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failureReason: 'patient_not_found',
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attemptedPatientId: 999,
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securityFlag: 'potential_unauthorized_access'
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}
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}
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}
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});
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try {
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await toolGenerator.executeTool(toolName, parameters);
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} catch (error) {
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// Verify audit trail exists even for failed attempts
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expect(error.response?.data?.auditTrail).toBeDefined();
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expect(error.response.data.auditTrail.action).toBe('failed_patient_access');
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expect(error.response.data.auditTrail.securityFlag).toBe('potential_unauthorized_access');
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}
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});
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test('should implement audit log integrity protection', async () => {
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const toolName = 'admin_get_auditLogs';
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const parameters = {
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date_range: {
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start: '2025-07-01',
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end: '2025-07-09'
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}
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};
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// Mock audit log response with integrity protection
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mockFactory.httpMocks.mockRequest('GET', '/api/admin/audit-logs', {
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status: 200,
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data: {
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success: true,
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audit_logs: [
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{
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id: 'AUDIT_001',
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timestamp: '2025-07-09T10:00:00Z',
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action: 'patient_data_access',
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userId: 'provider_456',
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checksum: 'SHA256:abc123def456',
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signature: 'RSA_SIGNATURE_HERE'
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}
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],
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integrity: {
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total_logs: 1,
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verified_checksums: 1,
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tamper_detected: false,
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last_integrity_check: new Date().toISOString(),
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protection_method: 'cryptographic_hash_chain'
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}
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}
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});
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const result = await toolGenerator.executeTool(toolName, parameters);
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expect(result.data.integrity.tamper_detected).toBe(false);
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expect(result.data.integrity.verified_checksums).toBe(1);
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expect(result.data.audit_logs[0].checksum).toMatch(/^SHA256:/);
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});
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});
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describe('Data Breach Prevention and Response', () => {
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test('should detect and prevent potential data breaches', async () => {
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const toolName = 'provider_bulk_patientExport';
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const parameters = {
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patient_ids: Array.from({length: 1000}, (_, i) => i + 1), // Large bulk export
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export_format: 'csv'
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};
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// Mock breach prevention response
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mockFactory.httpMocks.mockRequest('POST', '/api/bulk-export-patients', null, true, {
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response: {
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status: 403,
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data: {
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error: 'Potential data breach detected',
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breach_prevention: {
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trigger: 'bulk_export_threshold_exceeded',
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threshold: 100,
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requested_count: 1000,
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risk_level: 'high',
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action_taken: 'request_blocked',
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incident_id: 'INCIDENT_001'
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},
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required_approvals: ['security_officer', 'privacy_officer'],
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compliance_note: 'Large data exports require additional authorization'
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}
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}
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});
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try {
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await toolGenerator.executeTool(toolName, parameters);
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} catch (error) {
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expect(error.response.data.breach_prevention.trigger).toBe('bulk_export_threshold_exceeded');
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expect(error.response.data.breach_prevention.risk_level).toBe('high');
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expect(error.response.data.required_approvals).toContain('security_officer');
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}
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||||
});
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test('should implement automatic breach notification procedures', async () => {
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const toolName = 'system_security_incident';
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const parameters = {
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incident_type: 'unauthorized_access_detected',
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affected_records: 50,
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incident_details: 'Suspicious login patterns detected'
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};
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||||
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// Mock breach notification response
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mockFactory.httpMocks.mockRequest('POST', '/api/security-incident', {
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status: 200,
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data: {
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success: true,
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incident: {
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id: 'BREACH_001',
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type: 'unauthorized_access_detected',
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severity: 'medium',
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affected_records: 50,
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notification_required: true
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},
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breach_response: {
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immediate_actions: [
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'affected_accounts_locked',
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'security_team_notified',
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'audit_log_preserved'
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],
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notification_timeline: {
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internal_notification: 'immediate',
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patient_notification: 'within_60_days',
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regulatory_notification: 'within_60_days'
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},
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compliance_requirements: [
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'HIPAA_breach_notification_rule',
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'state_breach_notification_laws'
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||||
]
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||||
}
|
||||
}
|
||||
});
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||||
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||||
const result = await toolGenerator.executeTool(toolName, parameters);
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||||
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expect(result.data.incident.notification_required).toBe(true);
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expect(result.data.breach_response.immediate_actions).toContain('security_team_notified');
|
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expect(result.data.breach_response.compliance_requirements).toContain('HIPAA_breach_notification_rule');
|
||||
});
|
||||
});
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||||
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||||
describe('Business Associate Agreements (BAA)', () => {
|
||||
test('should verify BAA compliance for third-party integrations', async () => {
|
||||
const toolName = 'provider_integrate_thirdPartyService';
|
||||
const parameters = {
|
||||
service_name: 'Lab Results API',
|
||||
service_provider: 'LabCorp',
|
||||
integration_type: 'api_connection'
|
||||
};
|
||||
|
||||
// Mock BAA verification
|
||||
mockFactory.httpMocks.mockRequest('POST', '/api/integrate-third-party', {
|
||||
status: 200,
|
||||
data: {
|
||||
success: true,
|
||||
integration_approved: true,
|
||||
baa_compliance: {
|
||||
baa_signed: true,
|
||||
baa_date: '2025-01-01',
|
||||
baa_expiration: '2026-01-01',
|
||||
service_provider: 'LabCorp',
|
||||
compliance_verified: true,
|
||||
permitted_uses: ['lab_result_transmission', 'patient_data_processing'],
|
||||
safeguards_required: ['encryption', 'access_controls', 'audit_logging']
|
||||
}
|
||||
}
|
||||
});
|
||||
|
||||
const result = await toolGenerator.executeTool(toolName, parameters);
|
||||
|
||||
expect(result.data.baa_compliance.baa_signed).toBe(true);
|
||||
expect(result.data.baa_compliance.compliance_verified).toBe(true);
|
||||
expect(result.data.baa_compliance.safeguards_required).toContain('encryption');
|
||||
});
|
||||
});
|
||||
});
|
||||
Reference in New Issue
Block a user