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nasir@endelospay.com
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/**
* @fileoverview Tests for provider appointment and scheduling management MCP tools
* Tests appointment creation, scheduling, cancellation, and availability management
*/
import { describe, test, expect, beforeEach, afterEach } from '@jest/globals';
import { mockFactory } from '../mocks/mockFactory.js';
describe('Provider Appointment and Scheduling Management Tools', () => {
let mockEnv;
let toolGenerator;
let mockToken;
beforeEach(() => {
mockEnv = mockFactory.createMockEnvironment({
authTypes: ['provider'],
enableHttpMocks: true,
enableAuthMocks: true,
enableHealthcareMocks: true
});
toolGenerator = mockEnv.toolGenerator;
// Setup provider authentication
mockToken = 'provider_token_123';
mockFactory.authMocks.setMockCredentials('provider', {
username: 'test_provider',
password: 'test_password'
});
});
afterEach(() => {
mockFactory.resetAllMocks();
});
describe('provider_create_emrcreateAppointment', () => {
test('should successfully create appointment with complete scheduling data', async () => {
// Setup
const toolName = 'provider_create_emrcreateAppointment';
const parameters = {
patient_id: 'patient_123',
practitioner_id: 'provider_456',
appointment_date: '2025-07-15',
appointment_time: '10:00',
duration: 30,
appointment_type: 'consultation',
reason: 'Annual physical examination',
notes: 'Patient reports feeling well',
location_id: 'location_789',
status: 'scheduled'
};
// Mock successful appointment creation
const mockAppointment = mockFactory.healthcareMocks.generateMockAppointment({
patientId: 'patient_123',
providerId: 'provider_456',
date: '2025-07-15',
time: '10:00',
type: 'consultation',
status: 'scheduled'
});
mockFactory.httpMocks.mockRequest('POST', '/api/emr/create-appointment', {
status: 201,
data: {
success: true,
appointment: mockAppointment,
message: 'Appointment created successfully'
}
});
// Execute
const result = await toolGenerator.executeTool(toolName, parameters);
// Assert
expect(result.success).toBe(true);
expect(result.data.appointment.patientId).toBe('patient_123');
expect(result.data.appointment.providerId).toBe('provider_456');
expect(result.data.appointment.date).toBe('2025-07-15');
expect(result.data.appointment.time).toBe('10:00');
expect(result.data.appointment.status).toBe('scheduled');
});
test('should validate required appointment fields', async () => {
const toolName = 'provider_create_emrcreateAppointment';
// Test missing required fields
const requiredFields = ['patient_id', 'practitioner_id', 'appointment_date', 'appointment_time'];
for (const field of requiredFields) {
const incompleteParams = {
patient_id: 'patient_123',
practitioner_id: 'provider_456',
appointment_date: '2025-07-15',
appointment_time: '10:00'
};
delete incompleteParams[field];
await expect(toolGenerator.executeTool(toolName, incompleteParams))
.rejects.toThrow();
}
});
test('should handle scheduling conflicts', async () => {
const toolName = 'provider_create_emrcreateAppointment';
const parameters = {
patient_id: 'patient_123',
practitioner_id: 'provider_456',
appointment_date: '2025-07-15',
appointment_time: '10:00' // Conflicting time slot
};
// Mock scheduling conflict
mockFactory.httpMocks.mockRequest('POST', '/api/emr/create-appointment', null, true, {
response: {
status: 409,
data: {
error: 'Scheduling conflict detected',
conflicting_appointment: {
id: 'appointment_existing',
time: '10:00',
patient: 'Another Patient'
}
}
}
});
await expect(toolGenerator.executeTool(toolName, parameters))
.rejects.toThrow();
});
test('should validate appointment date and time', async () => {
const toolName = 'provider_create_emrcreateAppointment';
// Test past date
const pastDateParams = {
patient_id: 'patient_123',
practitioner_id: 'provider_456',
appointment_date: '2020-01-01', // Past date
appointment_time: '10:00'
};
await expect(toolGenerator.executeTool(toolName, pastDateParams))
.rejects.toThrow();
// Test invalid time format
const invalidTimeParams = {
patient_id: 'patient_123',
practitioner_id: 'provider_456',
appointment_date: '2025-07-15',
appointment_time: '25:00' // Invalid time
};
await expect(toolGenerator.executeTool(toolName, invalidTimeParams))
.rejects.toThrow();
});
});
describe('provider_create_bookAppointment', () => {
test('should successfully book appointment', async () => {
// Setup
const toolName = 'provider_create_bookAppointment';
const parameters = {
telemed_pros_id: 123,
patient_id: 456,
doctor_id: 789,
appointment_id: 101,
appointment_time: '2025-07-15 10:00:00'
};
// Mock successful booking
mockFactory.httpMocks.mockRequest('POST', '/api/book-appointment', {
status: 201,
data: {
success: true,
appointment: {
id: 101,
patientId: 456,
doctorId: 789,
appointmentTime: '2025-07-15 10:00:00',
status: 'booked',
telemedProsId: 123
},
message: 'Appointment booked successfully'
}
});
// Execute
const result = await toolGenerator.executeTool(toolName, parameters);
// Assert
expect(result.success).toBe(true);
expect(result.data.appointment.status).toBe('booked');
expect(result.data.appointment.patientId).toBe(456);
});
});
describe('provider_create_appointmentcancel', () => {
test('should successfully cancel appointment', async () => {
// Setup
const toolName = 'provider_create_appointmentcancel';
const parameters = {
id: 123
};
// Mock successful cancellation
mockFactory.httpMocks.mockRequest('POST', '/api/emr/appointment/123/cancel', {
status: 200,
data: {
success: true,
appointment: {
id: 123,
status: 'cancelled',
cancelledAt: new Date().toISOString(),
cancelledBy: 'provider_456'
},
message: 'Appointment cancelled successfully'
}
});
// Execute
const result = await toolGenerator.executeTool(toolName, parameters);
// Assert
expect(result.success).toBe(true);
expect(result.data.appointment.status).toBe('cancelled');
expect(result.data.appointment.cancelledBy).toBe('provider_456');
});
test('should handle cancellation of non-existent appointment', async () => {
const toolName = 'provider_create_appointmentcancel';
const parameters = {
id: 999 // Non-existent appointment
};
// Mock appointment not found
mockFactory.httpMocks.mockRequest('POST', '/api/emr/appointment/999/cancel', null, true, {
response: {
status: 404,
data: { error: 'Appointment not found' }
}
});
await expect(toolGenerator.executeTool(toolName, parameters))
.rejects.toThrow();
});
test('should handle cancellation of already cancelled appointment', async () => {
const toolName = 'provider_create_appointmentcancel';
const parameters = {
id: 123
};
// Mock already cancelled appointment
mockFactory.httpMocks.mockRequest('POST', '/api/emr/appointment/123/cancel', null, true, {
response: {
status: 400,
data: { error: 'Appointment is already cancelled' }
}
});
await expect(toolGenerator.executeTool(toolName, parameters))
.rejects.toThrow();
});
});
describe('provider_create_appointmentqueue', () => {
test('should successfully add patient to appointment queue', async () => {
// Setup
const toolName = 'provider_create_appointmentqueue';
const parameters = {
patientId: 123
};
// Mock successful queue addition
mockFactory.httpMocks.mockRequest('POST', '/api/emr/appointment/queue/123', {
status: 200,
data: {
success: true,
queue_position: 3,
estimated_wait_time: '15 minutes',
patient: {
id: 123,
name: 'John Doe',
queuedAt: new Date().toISOString()
},
message: 'Patient added to queue successfully'
}
});
// Execute
const result = await toolGenerator.executeTool(toolName, parameters);
// Assert
expect(result.success).toBe(true);
expect(result.data.queue_position).toBe(3);
expect(result.data.estimated_wait_time).toBe('15 minutes');
});
});
describe('provider_create_availableSlot', () => {
test('should successfully get available appointment slots', async () => {
// Setup
const toolName = 'provider_create_availableSlot';
const parameters = {
date: '2025-07-15'
};
// Mock available slots response
mockFactory.httpMocks.mockRequest('POST', '/api/available-slots/2025-07-15', {
status: 200,
data: {
date: '2025-07-15',
available_slots: [
{
time: '09:00',
duration: 30,
provider_id: 'provider_456',
provider_name: 'Dr. Smith',
location: 'Room 101'
},
{
time: '10:30',
duration: 30,
provider_id: 'provider_456',
provider_name: 'Dr. Smith',
location: 'Room 101'
},
{
time: '14:00',
duration: 60,
provider_id: 'provider_789',
provider_name: 'Dr. Johnson',
location: 'Room 102'
}
],
total_slots: 3
}
});
// Execute
const result = await toolGenerator.executeTool(toolName, parameters);
// Assert
expect(result.success).toBe(true);
expect(result.data.available_slots).toHaveLength(3);
expect(result.data.date).toBe('2025-07-15');
expect(result.data.available_slots[0].time).toBe('09:00');
});
test('should handle no available slots', async () => {
const toolName = 'provider_create_availableSlot';
const parameters = {
date: '2025-12-25' // Holiday - no slots
};
// Mock no slots response
mockFactory.httpMocks.mockRequest('POST', '/api/available-slots/2025-12-25', {
status: 200,
data: {
date: '2025-12-25',
available_slots: [],
total_slots: 0,
message: 'No available slots for this date'
}
});
const result = await toolGenerator.executeTool(toolName, parameters);
expect(result.success).toBe(true);
expect(result.data.available_slots).toHaveLength(0);
});
});
describe('provider_create_providerAddAvailability', () => {
test('should successfully store provider availability', async () => {
// Setup
const toolName = 'provider_create_providerAddAvailability';
const parameters = {
title: 'Morning Clinic Hours',
start: '2025-07-15 09:00:00',
end: '2025-07-15 12:00:00',
type: 'available',
comment: 'Regular morning clinic hours',
practitioner_id: 456
};
// Mock successful availability storage
mockFactory.httpMocks.mockRequest('POST', '/api/provider-add-availability', {
status: 201,
data: {
success: true,
availability: {
id: 'availability_123',
title: 'Morning Clinic Hours',
start: '2025-07-15 09:00:00',
end: '2025-07-15 12:00:00',
type: 'available',
practitionerId: 456,
createdAt: new Date().toISOString()
},
message: 'Provider availability stored successfully'
}
});
// Execute
const result = await toolGenerator.executeTool(toolName, parameters);
// Assert
expect(result.success).toBe(true);
expect(result.data.availability.title).toBe('Morning Clinic Hours');
expect(result.data.availability.type).toBe('available');
expect(result.data.availability.practitionerId).toBe(456);
});
test('should validate availability time ranges', async () => {
const toolName = 'provider_create_providerAddAvailability';
// Test end time before start time
const invalidTimeParams = {
title: 'Invalid Time Range',
start: '2025-07-15 12:00:00',
end: '2025-07-15 09:00:00', // End before start
type: 'available'
};
await expect(toolGenerator.executeTool(toolName, invalidTimeParams))
.rejects.toThrow();
});
});
describe('provider_create_getAppointmentList', () => {
test('should successfully get appointments list', async () => {
// Setup
const toolName = 'provider_create_getAppointmentList';
const parameters = {};
// Mock appointments list response
mockFactory.httpMocks.mockRequest('POST', '/api/get-appointment-list', {
status: 200,
data: {
appointments: [
mockFactory.healthcareMocks.generateMockAppointment({
id: 'appointment_1',
date: '2025-07-15',
time: '09:00'
}),
mockFactory.healthcareMocks.generateMockAppointment({
id: 'appointment_2',
date: '2025-07-15',
time: '10:30'
})
],
total_count: 2,
page: 1,
per_page: 10
}
});
// Execute
const result = await toolGenerator.executeTool(toolName, parameters);
// Assert
expect(result.success).toBe(true);
expect(result.data.appointments).toHaveLength(2);
expect(result.data.total_count).toBe(2);
});
});
describe('provider_create_getAppointmentListDate', () => {
test('should successfully get appointments by date', async () => {
// Setup
const toolName = 'provider_create_getAppointmentListDate';
const parameters = {
date: '2025-07-15',
practitioner_id: 456
};
// Mock date-filtered appointments
mockFactory.httpMocks.mockRequest('POST', '/api/get-appointment-list-date', {
status: 200,
data: {
date: '2025-07-15',
practitioner_id: 456,
appointments: [
mockFactory.healthcareMocks.generateMockAppointment({
date: '2025-07-15',
providerId: 'provider_456'
})
],
total_count: 1
}
});
// Execute
const result = await toolGenerator.executeTool(toolName, parameters);
// Assert
expect(result.success).toBe(true);
expect(result.data.date).toBe('2025-07-15');
expect(result.data.appointments).toHaveLength(1);
});
});
describe('Appointment Security and Compliance Tests', () => {
test('should require provider authentication for appointment operations', async () => {
// Clear authentication
mockFactory.authMocks.reset();
const toolName = 'provider_create_emrcreateAppointment';
const parameters = {
patient_id: 'patient_123',
practitioner_id: 'provider_456',
appointment_date: '2025-07-15',
appointment_time: '10:00'
};
// Mock authentication failure
mockFactory.httpMocks.mockRequest('POST', '/api/emr/create-appointment', null, true, {
response: {
status: 401,
data: { error: 'Provider authentication required' }
}
});
await expect(toolGenerator.executeTool(toolName, parameters))
.rejects.toThrow();
});
test('should validate provider permissions for appointment management', async () => {
const toolName = 'provider_create_appointmentcancel';
const parameters = {
id: 123
};
// Mock insufficient permissions
mockFactory.httpMocks.mockRequest('POST', '/api/emr/appointment/123/cancel', null, true, {
response: {
status: 403,
data: { error: 'Insufficient permissions to cancel this appointment' }
}
});
await expect(toolGenerator.executeTool(toolName, parameters))
.rejects.toThrow();
});
test('should audit appointment activities for compliance', async () => {
const toolName = 'provider_create_emrcreateAppointment';
const parameters = {
patient_id: 'patient_123',
practitioner_id: 'provider_456',
appointment_date: '2025-07-15',
appointment_time: '10:00'
};
// Mock response with audit trail
mockFactory.httpMocks.mockRequest('POST', '/api/emr/create-appointment', {
status: 201,
data: {
success: true,
appointment: mockFactory.healthcareMocks.generateMockAppointment(),
auditTrail: {
createdBy: 'provider_456',
createdAt: new Date().toISOString(),
action: 'appointment_created',
patientId: 'patient_123',
ipAddress: '127.0.0.1'
}
}
});
const result = await toolGenerator.executeTool(toolName, parameters);
expect(result.data.auditTrail).toBeDefined();
expect(result.data.auditTrail.action).toBe('appointment_created');
expect(result.data.auditTrail.createdBy).toBe('provider_456');
});
});
});

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/**
* @fileoverview Tests for provider EMR and patient management MCP tools
* Tests patient registration, updates, medical records, and HIPAA compliance
*/
import { describe, test, expect, beforeEach, afterEach } from '@jest/globals';
import { mockFactory } from '../mocks/mockFactory.js';
describe('Provider EMR and Patient Management Tools', () => {
let mockEnv;
let toolGenerator;
let mockToken;
beforeEach(() => {
mockEnv = mockFactory.createMockEnvironment({
authTypes: ['provider'],
enableHttpMocks: true,
enableAuthMocks: true,
enableHealthcareMocks: true
});
toolGenerator = mockEnv.toolGenerator;
// Setup provider authentication
mockToken = 'provider_token_123';
mockFactory.authMocks.setMockCredentials('provider', {
username: 'test_provider',
password: 'test_password'
});
});
afterEach(() => {
mockFactory.resetAllMocks();
});
describe('provider_create_emrregisterPatient', () => {
test('should successfully register a new patient with complete data', async () => {
// Setup
const toolName = 'provider_create_emrregisterPatient';
const parameters = {
firstName: 'John',
lastName: 'Doe',
email: 'john.doe@test.com',
dateOfBirth: '1990-01-01',
middleName: 'Michael',
preferredName: 'Johnny',
contactMethod: 'email',
personalID: 'SSN123456789',
sexatBirth: 'Male',
genderIdentity: 'Male',
race: 'Caucasian',
pronoun: 'He/Him',
ageGroup: 'Adult',
timezone: 'America/New_York',
preferredPhone: '555-0123',
alternativePhone: '555-0124',
textmsgNumber: '555-0123',
address: '123 Main St',
city: 'Test City',
state: 'TS',
zipcode: '12345',
primaryPractitioner: 'Dr. Smith',
primaryCarePhysician: 'Dr. Johnson',
guardian: 'Jane Doe',
emergencyContactNumber: '555-0125',
emergencyContactNameRelation: 'Spouse - Jane Doe',
patientMaritalStatus: 'Married',
occupation: 'Engineer',
referredBy: 'Dr. Wilson',
patientNote: 'New patient registration',
password: 'SecurePass123!',
status: 'active',
isportalAccess: true
};
// Mock successful patient registration
mockFactory.httpMocks.mockRequest('POST', '/api/emr/register-patients', {
status: 201,
data: {
success: true,
patient: {
id: 'patient_123',
firstName: 'John',
lastName: 'Doe',
email: 'john.doe@test.com',
dateOfBirth: '1990-01-01',
status: 'active',
isportalAccess: true
},
message: 'Patient registered successfully'
}
});
// Execute
const result = await toolGenerator.executeTool(toolName, parameters);
// Assert
expect(result.success).toBe(true);
expect(result.data.patient.firstName).toBe('John');
expect(result.data.patient.email).toBe('john.doe@test.com');
expect(result.data.patient.isportalAccess).toBe(true);
});
test('should validate required patient registration fields', async () => {
const toolName = 'provider_create_emrregisterPatient';
// Test missing required fields
const requiredFields = ['firstName', 'lastName', 'email', 'dateOfBirth'];
for (const field of requiredFields) {
const incompleteParams = {
firstName: 'John',
lastName: 'Doe',
email: 'john@test.com',
dateOfBirth: '1990-01-01'
};
delete incompleteParams[field];
await expect(toolGenerator.executeTool(toolName, incompleteParams))
.rejects.toThrow();
}
});
test('should handle HIPAA compliance for patient data', async () => {
const toolName = 'provider_create_emrregisterPatient';
const parameters = {
firstName: 'John',
lastName: 'Doe',
email: 'john.doe@test.com',
dateOfBirth: '1990-01-01',
personalID: 'SSN123456789' // Sensitive PHI data
};
// Mock HIPAA-compliant response
const mockPatient = mockFactory.healthcareMocks.createHIPAACompliantData('patient', 'provider', {
firstName: 'John',
lastName: 'Doe',
email: 'john.doe@test.com'
});
mockFactory.httpMocks.mockRequest('POST', '/api/emr/register-patients', {
status: 201,
data: {
success: true,
patient: mockPatient,
hipaaCompliant: true
}
});
const result = await toolGenerator.executeTool(toolName, parameters);
// Verify HIPAA compliance
expect(result.data.patient.hipaaMetadata).toBeDefined();
expect(result.data.patient.hipaaMetadata.dataClassification).toBe('PHI');
expect(result.data.patient.hipaaMetadata.encryptionStatus).toBe('encrypted');
});
});
describe('provider_create_emrupdatePatient', () => {
test('should successfully update patient with comprehensive data', async () => {
// Setup
const toolName = 'provider_create_emrupdatePatient';
const parameters = {
patient_id: 'patient_123',
firstName: 'John',
lastName: 'Smith', // Changed last name
fullName: 'John Michael Smith',
email: 'john.smith@test.com',
preferredPhone: '555-0126',
address: '456 New St',
city: 'New City',
state: 'NS',
zipcode: '54321',
status: 'active',
isportalAccess: true
};
// Mock successful patient update
mockFactory.httpMocks.mockRequest('POST', '/api/emr/update-patient/patient_123', {
status: 200,
data: {
success: true,
patient: {
id: 'patient_123',
firstName: 'John',
lastName: 'Smith',
email: 'john.smith@test.com',
preferredPhone: '555-0126',
updatedAt: new Date().toISOString()
},
message: 'Patient updated successfully'
}
});
// Execute
const result = await toolGenerator.executeTool(toolName, parameters);
// Assert
expect(result.success).toBe(true);
expect(result.data.patient.lastName).toBe('Smith');
expect(result.data.patient.email).toBe('john.smith@test.com');
});
test('should handle patient not found', async () => {
const toolName = 'provider_create_emrupdatePatient';
const parameters = {
patient_id: 'nonexistent_patient',
firstName: 'John'
};
// Mock patient not found
mockFactory.httpMocks.mockRequest('POST', '/api/emr/update-patient/nonexistent_patient', null, true, {
response: {
status: 404,
data: { error: 'Patient not found' }
}
});
await expect(toolGenerator.executeTool(toolName, parameters))
.rejects.toThrow();
});
});
describe('provider_create_medicalRecordscreate', () => {
test('should successfully create medical record', async () => {
// Setup
const toolName = 'provider_create_medicalRecordscreate';
const parameters = {
patient_id: 'patient_123',
record_type: 'progress_note',
diagnosis: 'Hypertension',
treatment: 'Lisinopril 10mg daily',
notes: 'Patient reports feeling well',
vital_signs: {
bloodPressure: '130/85',
heartRate: 75,
temperature: 98.6,
weight: 180
},
allergies: ['Penicillin'],
medications: ['Lisinopril 10mg']
};
// Mock successful medical record creation
const mockRecord = mockFactory.healthcareMocks.generateMockMedicalRecord({
patientId: 'patient_123',
type: 'progress_note',
diagnosis: { primary: 'Hypertension' }
});
mockFactory.httpMocks.mockRequest('POST', '/api/emr/medical-records/create', {
status: 201,
data: {
success: true,
medical_record: mockRecord,
message: 'Medical record created successfully'
}
});
// Execute
const result = await toolGenerator.executeTool(toolName, parameters);
// Assert
expect(result.success).toBe(true);
expect(result.data.medical_record.patientId).toBe('patient_123');
expect(result.data.medical_record.type).toBe('progress_note');
});
test('should validate medical record data integrity', async () => {
const toolName = 'provider_create_medicalRecordscreate';
const parameters = {
patient_id: 'patient_123',
record_type: 'invalid_type', // Invalid record type
diagnosis: 'Test diagnosis'
};
await expect(toolGenerator.executeTool(toolName, parameters))
.rejects.toThrow();
});
});
describe('provider_create_addVital', () => {
test('should successfully add vital signs', async () => {
// Setup
const toolName = 'provider_create_addVital';
const parameters = {
patientId: 123,
provider_id: 456,
blood_presssure: '120/80',
diastolic: '80',
weight_lbs: 150,
height_ft: 5,
height_in: 8,
temperature: 98.6,
pulse: 72,
respiratory_rate: 16,
saturation: 98,
waist_in: 32,
headCircumference_in: 22,
note: 'Normal vital signs',
provider: 'Dr. Smith',
weight_oz: 0,
bmi: 22.8,
bloodSugar: 95,
fasting: true,
neck_in: 15,
shoulders_in: 18,
chest_in: 38,
hips_in: 36,
lean_body_mass_lbs: 130,
body_fat: 15,
notes: 'Patient in good health',
subjective_notes: 'Patient reports feeling well'
};
// Mock successful vital signs addition
mockFactory.httpMocks.mockRequest('POST', '/api/add-vital/123', {
status: 201,
data: {
success: true,
vital_signs: {
id: 'vital_789',
patientId: 123,
providerId: 456,
bloodPressure: '120/80',
weight: 150,
temperature: 98.6,
pulse: 72,
bmi: 22.8,
recordedAt: new Date().toISOString()
},
message: 'Vital signs recorded successfully'
}
});
// Execute
const result = await toolGenerator.executeTool(toolName, parameters);
// Assert
expect(result.success).toBe(true);
expect(result.data.vital_signs.patientId).toBe(123);
expect(result.data.vital_signs.bloodPressure).toBe('120/80');
expect(result.data.vital_signs.bmi).toBe(22.8);
});
test('should validate vital signs data ranges', async () => {
const toolName = 'provider_create_addVital';
// Test invalid vital signs
const invalidVitals = [
{ patientId: 123, provider_id: 456, temperature: 150 }, // Invalid temperature
{ patientId: 123, provider_id: 456, pulse: 300 }, // Invalid pulse
{ patientId: 123, provider_id: 456, saturation: 150 } // Invalid saturation
];
for (const vitals of invalidVitals) {
await expect(toolGenerator.executeTool(toolName, vitals))
.rejects.toThrow();
}
});
});
describe('provider_create_getPatientInfo', () => {
test('should successfully retrieve patient information', async () => {
// Setup
const toolName = 'provider_create_getPatientInfo';
const parameters = {
patientId: 123
};
// Mock patient information response
const mockPatient = mockFactory.healthcareMocks.createHIPAACompliantData('patient', 'provider', {
id: 'patient_123',
firstName: 'John',
lastName: 'Doe'
});
mockFactory.httpMocks.mockRequest('POST', '/api/get-patient-info/123', {
status: 200,
data: {
success: true,
patient: mockPatient
}
});
// Execute
const result = await toolGenerator.executeTool(toolName, parameters);
// Assert
expect(result.success).toBe(true);
expect(result.data.patient.id).toBe('patient_123');
expect(result.data.patient.hipaaMetadata).toBeDefined();
});
test('should handle unauthorized access to patient data', async () => {
const toolName = 'provider_create_getPatientInfo';
const parameters = {
patientId: 123
};
// Mock unauthorized access
mockFactory.httpMocks.mockRequest('POST', '/api/get-patient-info/123', null, true, {
response: {
status: 403,
data: { error: 'Unauthorized access to patient data' }
}
});
await expect(toolGenerator.executeTool(toolName, parameters))
.rejects.toThrow();
});
});
describe('provider_create_updatePatientInfo', () => {
test('should successfully update patient information', async () => {
// Setup
const toolName = 'provider_create_updatePatientInfo';
const parameters = {
patientId: 123,
city: 'Updated City',
state: 'UC',
address: '789 Updated St',
zip_code: '98765',
dob: '1990-01-01',
country: 'USA'
};
// Mock successful update
mockFactory.httpMocks.mockRequest('POST', '/api/update-patient-info/123', {
status: 200,
data: {
success: true,
patient: {
id: 'patient_123',
city: 'Updated City',
state: 'UC',
address: '789 Updated St',
zipCode: '98765',
updatedAt: new Date().toISOString()
},
message: 'Patient information updated successfully'
}
});
// Execute
const result = await toolGenerator.executeTool(toolName, parameters);
// Assert
expect(result.success).toBe(true);
expect(result.data.patient.city).toBe('Updated City');
expect(result.data.patient.address).toBe('789 Updated St');
});
});
describe('Provider Authentication and Security Tests', () => {
test('should require provider authentication for patient operations', async () => {
// Clear authentication
mockFactory.authMocks.reset();
const toolName = 'provider_create_emrregisterPatient';
const parameters = {
firstName: 'John',
lastName: 'Doe',
email: 'john@test.com',
dateOfBirth: '1990-01-01'
};
// Mock authentication failure
mockFactory.httpMocks.mockRequest('POST', '/api/emr/register-patients', null, true, {
response: {
status: 401,
data: { error: 'Authentication required' }
}
});
await expect(toolGenerator.executeTool(toolName, parameters))
.rejects.toThrow();
});
test('should validate provider permissions for patient access', async () => {
const toolName = 'provider_create_getPatientInfo';
const parameters = {
patientId: 123
};
// Mock insufficient permissions
mockFactory.httpMocks.mockRequest('POST', '/api/get-patient-info/123', null, true, {
response: {
status: 403,
data: { error: 'Insufficient permissions' }
}
});
await expect(toolGenerator.executeTool(toolName, parameters))
.rejects.toThrow();
});
test('should audit patient data access for HIPAA compliance', async () => {
const toolName = 'provider_create_getPatientInfo';
const parameters = {
patientId: 123
};
// Mock response with audit trail
const mockPatient = mockFactory.healthcareMocks.createHIPAACompliantData('patient', 'provider');
mockFactory.httpMocks.mockRequest('POST', '/api/get-patient-info/123', {
status: 200,
data: {
success: true,
patient: mockPatient,
auditTrail: {
accessedBy: 'provider_456',
accessTime: new Date().toISOString(),
purpose: 'patient_care'
}
}
});
const result = await toolGenerator.executeTool(toolName, parameters);
// Verify audit trail exists
expect(result.data.auditTrail).toBeDefined();
expect(result.data.auditTrail.accessedBy).toBeDefined();
expect(result.data.auditTrail.purpose).toBe('patient_care');
});
});
});

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/**
* @fileoverview Tests for provider prescription and medication management MCP tools
* Tests prescription creation, medication templates, and drug interaction checking
*/
import { describe, test, expect, beforeEach, afterEach } from "@jest/globals";
import { mockFactory } from "../mocks/mockFactory.js";
describe("Provider Prescription and Medication Management Tools", () => {
let mockEnv;
let toolGenerator;
let mockToken;
beforeEach(() => {
mockEnv = mockFactory.createMockEnvironment({
authTypes: ["provider"],
enableHttpMocks: true,
enableAuthMocks: true,
enableHealthcareMocks: true,
});
toolGenerator = mockEnv.toolGenerator;
// Setup provider authentication
mockToken = "provider_token_123";
mockFactory.authMocks.setMockCredentials("provider", {
username: "test_provider",
password: "test_password",
});
});
afterEach(() => {
mockFactory.resetAllMocks();
});
describe("provider_create_prescriptionstore", () => {
test("should successfully store prescription with complete medication data", async () => {
// Setup
const toolName = "provider_create_prescriptionstore";
const parameters = {
patient_id: "patient_123",
medication_data: {
medication_name: "Lisinopril",
generic_name: "Lisinopril",
strength: "10mg",
form: "Tablet",
dosage: "10mg",
frequency: "Once daily",
duration: "30 days",
quantity: 30,
refills: 2,
instructions: "Take with food in the morning",
prescriber_id: "provider_456",
pharmacy_id: "pharmacy_789",
ndc_number: "12345-678-90",
dea_schedule: "Non-controlled",
indication: "Hypertension",
route: "Oral",
start_date: "2025-07-09",
end_date: "2025-08-08",
},
};
// Mock successful prescription storage
const mockPrescription =
mockFactory.healthcareMocks.generateMockPrescription({
patientId: "patient_123",
medication: {
name: "Lisinopril",
strength: "10mg",
form: "Tablet",
},
dosage: "10mg",
frequency: "Once daily",
duration: "30 days",
});
mockFactory.httpMocks.mockRequest(
"POST",
"/api/emr/prescription/store/patient_123",
{
status: 201,
data: {
success: true,
prescription: mockPrescription,
message: "Prescription stored successfully",
},
}
);
// Execute
const result = await toolGenerator.executeTool(toolName, parameters);
// Assert
expect(result.success).toBe(true);
expect(result.data.prescription.patientId).toBe("patient_123");
expect(result.data.prescription.medication.name).toBe("Lisinopril");
expect(result.data.prescription.dosage).toBe("10mg");
expect(result.data.prescription.frequency).toBe("Once daily");
});
test("should validate prescription data for drug safety", async () => {
const toolName = "provider_create_prescriptionstore";
// Test invalid dosage
const invalidDosageParams = {
patient_id: "patient_123",
medication_data: {
medication_name: "Lisinopril",
strength: "10mg",
dosage: "invalid_dosage", // Invalid dosage format
frequency: "Once daily",
},
};
await expect(
toolGenerator.executeTool(toolName, invalidDosageParams)
).rejects.toThrow();
// Test missing required fields
const incompleteParams = {
patient_id: "patient_123",
medication_data: {
medication_name: "Lisinopril",
// Missing required fields
},
};
await expect(
toolGenerator.executeTool(toolName, incompleteParams)
).rejects.toThrow();
});
test("should check for drug interactions", async () => {
const toolName = "provider_create_prescriptionstore";
const parameters = {
patient_id: "patient_123",
medication_data: {
medication_name: "Warfarin",
strength: "5mg",
dosage: "5mg",
frequency: "Once daily",
current_medications: ["Aspirin", "Ibuprofen"], // Potential interactions
},
};
// Mock drug interaction warning
mockFactory.httpMocks.mockRequest(
"POST",
"/api/emr/prescription/store/patient_123",
{
status: 200,
data: {
success: true,
prescription:
mockFactory.healthcareMocks.generateMockPrescription(),
warnings: [
{
type: "drug_interaction",
severity: "moderate",
message: "Potential interaction between Warfarin and Aspirin",
recommendation: "Monitor INR levels closely",
},
],
},
}
);
const result = await toolGenerator.executeTool(toolName, parameters);
expect(result.success).toBe(true);
expect(result.data.warnings).toBeDefined();
expect(result.data.warnings[0].type).toBe("drug_interaction");
});
test("should handle controlled substance prescriptions", async () => {
const toolName = "provider_create_prescriptionstore";
const parameters = {
patient_id: "patient_123",
medication_data: {
medication_name: "Oxycodone",
strength: "5mg",
dosage: "5mg",
frequency: "Every 6 hours as needed",
dea_schedule: "Schedule II",
quantity: 20,
refills: 0, // No refills for Schedule II
prescriber_dea: "AB1234567",
},
};
// Mock controlled substance handling
mockFactory.httpMocks.mockRequest(
"POST",
"/api/emr/prescription/store/patient_123",
{
status: 201,
data: {
success: true,
prescription: {
...mockFactory.healthcareMocks.generateMockPrescription(),
controlledSubstance: true,
deaSchedule: "Schedule II",
refills: 0,
specialHandling: {
requiresDeaNumber: true,
electronicPrescribingRequired: true,
auditTrail: true,
},
},
},
}
);
const result = await toolGenerator.executeTool(toolName, parameters);
expect(result.success).toBe(true);
expect(result.data.prescription.controlledSubstance).toBe(true);
expect(result.data.prescription.refills).toBe(0);
});
});
describe("provider_create_add_medicine_template", () => {
test("should successfully store medicine template", async () => {
// Setup
const toolName = "provider_create_add_medicine_template";
const parameters = {
template_data: {
template_name: "Hypertension Standard Protocol",
medication_name: "Lisinopril",
default_strength: "10mg",
default_dosage: "10mg",
default_frequency: "Once daily",
default_duration: "30 days",
default_quantity: 30,
default_refills: 2,
default_instructions: "Take with food in the morning",
indication: "Hypertension",
contraindications: ["Pregnancy", "Angioedema history"],
monitoring_requirements: ["Blood pressure", "Kidney function"],
provider_id: "provider_456",
specialty: "Internal Medicine",
},
};
// Mock successful template storage
mockFactory.httpMocks.mockRequest("POST", "/api/add_medicine_template", {
status: 201,
data: {
success: true,
template: {
id: "template_123",
templateName: "Hypertension Standard Protocol",
medicationName: "Lisinopril",
defaultStrength: "10mg",
providerId: "provider_456",
createdAt: new Date().toISOString(),
},
message: "Medicine template stored successfully",
},
});
// Execute
const result = await toolGenerator.executeTool(toolName, parameters);
// Assert
expect(result.success).toBe(true);
expect(result.data.template.templateName).toBe(
"Hypertension Standard Protocol"
);
expect(result.data.template.medicationName).toBe("Lisinopril");
});
test("should validate template data completeness", async () => {
const toolName = "provider_create_add_medicine_template";
// Test missing required template data
const incompleteParams = {
template_data: {
template_name: "Incomplete Template",
// Missing medication details
},
};
await expect(
toolGenerator.executeTool(toolName, incompleteParams)
).rejects.toThrow();
});
});
describe("provider_create_emrimportMedicine", () => {
test("should successfully import medicines from Excel file", async () => {
// Setup
const toolName = "provider_create_emrimportMedicine";
const parameters = {
excel_file: new File(["mock excel content"], "medicines.xlsx", {
type: "application/vnd.openxmlformats-officedocument.spreadsheetml.sheet",
}),
};
// Mock successful import
mockFactory.httpMocks.mockRequest("POST", "/api/emr/import-medicines", {
status: 200,
data: {
success: true,
imported_count: 150,
skipped_count: 5,
errors: [],
summary: {
total_rows: 155,
successful_imports: 150,
duplicates_skipped: 3,
validation_errors: 2,
},
message: "Medicines imported successfully",
},
});
// Execute
const result = await toolGenerator.executeTool(toolName, parameters);
// Assert
expect(result.success).toBe(true);
expect(result.data.imported_count).toBe(150);
expect(result.data.summary.total_rows).toBe(155);
});
test("should handle import validation errors", async () => {
const toolName = "provider_create_emrimportMedicine";
const parameters = {
excel_file: new File(["invalid content"], "invalid.xlsx", {
type: "application/vnd.openxmlformats-officedocument.spreadsheetml.sheet",
}),
};
// Mock import with validation errors
mockFactory.httpMocks.mockRequest("POST", "/api/emr/import/medicine", {
status: 200,
data: {
success: false,
imported_count: 0,
errors: [
{
row: 2,
field: "medication_name",
error: "Medication name is required",
},
{
row: 3,
field: "strength",
error: "Invalid strength format",
},
],
message: "Import completed with errors",
},
});
const result = await toolGenerator.executeTool(toolName, parameters);
expect(result.success).toBe(false);
expect(result.data.errors.length).toBe(2);
});
test("should validate file format", async () => {
const toolName = "provider_create_emrimportMedicine";
const parameters = {
excel_file: new File(["not excel"], "medicines.txt", {
type: "text/plain",
}),
};
await expect(
toolGenerator.executeTool(toolName, parameters)
).rejects.toThrow();
});
});
describe("Prescription Security and Compliance Tests", () => {
test("should require provider authentication for prescription operations", async () => {
// Clear authentication
mockFactory.authMocks.reset();
const toolName = "provider_create_prescriptionstore";
const parameters = {
patient_id: "patient_123",
medication_data: {
medication_name: "Lisinopril",
strength: "10mg",
},
};
// Mock authentication failure
mockFactory.httpMocks.mockRequest(
"POST",
"/api/emr/prescription/store/patient_123",
null,
true,
{
response: {
status: 401,
data: { error: "Provider authentication required" },
},
}
);
await expect(
toolGenerator.executeTool(toolName, parameters)
).rejects.toThrow();
});
test("should validate prescriber credentials for controlled substances", async () => {
const toolName = "provider_create_prescriptionstore";
const parameters = {
patient_id: "patient_123",
medication_data: {
medication_name: "Morphine",
dea_schedule: "Schedule II",
prescriber_dea: "invalid_dea",
},
};
// Mock DEA validation failure
mockFactory.httpMocks.mockRequest(
"POST",
"/api/emr/prescription/store/patient_123",
null,
true,
{
response: {
status: 403,
data: { error: "Invalid DEA number for controlled substance" },
},
}
);
await expect(
toolGenerator.executeTool(toolName, parameters)
).rejects.toThrow();
});
test("should audit prescription activities for compliance", async () => {
const toolName = "provider_create_prescriptionstore";
const parameters = {
patient_id: "patient_123",
medication_data: {
medication_name: "Lisinopril",
strength: "10mg",
dosage: "10mg",
frequency: "Once daily",
},
};
// Mock response with audit trail
mockFactory.httpMocks.mockRequest(
"POST",
"/api/emr/prescription/store/patient_123",
{
status: 201,
data: {
success: true,
prescription:
mockFactory.healthcareMocks.generateMockPrescription(),
auditTrail: {
prescriberId: "provider_456",
prescribedAt: new Date().toISOString(),
patientId: "patient_123",
medicationName: "Lisinopril",
action: "prescription_created",
ipAddress: "127.0.0.1",
userAgent: "Jest Test Suite",
},
},
}
);
const result = await toolGenerator.executeTool(toolName, parameters);
expect(result.data.auditTrail).toBeDefined();
expect(result.data.auditTrail.action).toBe("prescription_created");
expect(result.data.auditTrail.prescriberId).toBe("provider_456");
});
test("should handle prescription rate limiting", async () => {
const toolName = "provider_create_prescriptionstore";
const parameters = {
patient_id: "patient_123",
medication_data: {
medication_name: "Oxycodone",
dea_schedule: "Schedule II",
},
};
// Mock rate limiting for controlled substances
mockFactory.httpMocks.mockRequest(
"POST",
"/api/emr/prescription/store/patient_123",
null,
true,
{
response: {
status: 429,
data: { error: "Too many controlled substance prescriptions" },
},
}
);
await expect(
toolGenerator.executeTool(toolName, parameters)
).rejects.toThrow();
});
test("should validate patient eligibility for prescription", async () => {
const toolName = "provider_create_prescriptionstore";
const parameters = {
patient_id: "inactive_patient",
medication_data: {
medication_name: "Lisinopril",
strength: "10mg",
},
};
// Mock patient eligibility check failure
mockFactory.httpMocks.mockRequest(
"POST",
"/api/emr/prescription/store/inactive_patient",
null,
true,
{
response: {
status: 400,
data: { error: "Patient is not eligible for prescriptions" },
},
}
);
await expect(
toolGenerator.executeTool(toolName, parameters)
).rejects.toThrow();
});
});
describe("Medication Safety Tests", () => {
test("should check for allergy contraindications", async () => {
const toolName = "provider_create_prescriptionstore";
const parameters = {
patient_id: "patient_123",
medication_data: {
medication_name: "Penicillin",
strength: "500mg",
patient_allergies: ["Penicillin"], // Patient allergic to prescribed medication
},
};
// Mock allergy contraindication
mockFactory.httpMocks.mockRequest(
"POST",
"/api/emr/prescription/store/patient_123",
null,
true,
{
response: {
status: 400,
data: {
error: "Allergy contraindication detected",
details: "Patient is allergic to Penicillin",
},
},
}
);
await expect(
toolGenerator.executeTool(toolName, parameters)
).rejects.toThrow();
});
test("should validate dosage ranges for patient demographics", async () => {
const toolName = "provider_create_prescriptionstore";
const parameters = {
patient_id: "pediatric_patient",
medication_data: {
medication_name: "Aspirin",
strength: "325mg",
dosage: "325mg",
patient_age: 8, // Pediatric patient - aspirin contraindicated
},
};
// Mock pediatric contraindication
mockFactory.httpMocks.mockRequest(
"POST",
"/api/emr/prescription/store/pediatric_patient",
null,
true,
{
response: {
status: 400,
data: {
error: "Age-related contraindication",
details: "Aspirin not recommended for pediatric patients",
},
},
}
);
await expect(
toolGenerator.executeTool(toolName, parameters)
).rejects.toThrow();
});
});
});