import request from 'supertest'; import { DeviceStatus, Role, TaskStatus, } from '../../../src/generated/prisma/enums.js'; import { closeE2EContext, createE2EContext, type E2EContext, } from '../helpers/e2e-context.helper.js'; import { assertRoleMatrix } from '../helpers/e2e-matrix.helper.js'; import { expectErrorEnvelope, expectSuccessEnvelope, uniquePhone, uniqueSeedValue, } from '../helpers/e2e-http.helper.js'; function uniqueIdCard() { const suffix = `${Date.now()}${Math.floor(Math.random() * 1000)}` .replace(/\D/g, '') .slice(-4); return `11010119990101${suffix.padStart(4, '0')}`; } describe('Patients Controllers (e2e)', () => { let ctx: E2EContext; beforeAll(async () => { ctx = await createE2EContext(); }); afterAll(async () => { await closeE2EContext(ctx); }); describe('GET /b/patients', () => { it('成功：按角色返回正确可见性范围', async () => { const systemAdminResponse = await request(ctx.app.getHttpServer()) .get('/b/patients') .query({ hospitalId: ctx.fixtures.hospitalAId }) .set('Authorization', `Bearer ${ctx.tokens[Role.SYSTEM_ADMIN]}`); expectSuccessEnvelope(systemAdminResponse, 200); const systemPatientIds = ( systemAdminResponse.body.data as Array<{ id: number }> ).map((item) => item.id); expect(systemPatientIds).toEqual( expect.arrayContaining([ ctx.fixtures.patients.patientA1Id, ctx.fixtures.patients.patientA2Id, ctx.fixtures.patients.patientA3Id, ]), ); const hospitalAdminResponse = await request(ctx.app.getHttpServer()) .get('/b/patients') .set('Authorization', `Bearer ${ctx.tokens[Role.HOSPITAL_ADMIN]}`); expectSuccessEnvelope(hospitalAdminResponse, 200); const hospitalPatientIds = ( hospitalAdminResponse.body.data as Array<{ id: number }> ).map((item) => item.id); expect(hospitalPatientIds).toEqual( expect.arrayContaining([ ctx.fixtures.patients.patientA1Id, ctx.fixtures.patients.patientA2Id, ctx.fixtures.patients.patientA3Id, ]), ); const directorResponse = await request(ctx.app.getHttpServer()) .get('/b/patients') .set('Authorization', `Bearer ${ctx.tokens[Role.DIRECTOR]}`); expectSuccessEnvelope(directorResponse, 200); const directorPatientIds = ( directorResponse.body.data as Array<{ id: number }> ).map((item) => item.id); expect(directorPatientIds).toEqual( expect.arrayContaining([ ctx.fixtures.patients.patientA1Id, ctx.fixtures.patients.patientA2Id, ]), ); expect(directorPatientIds).not.toContain( ctx.fixtures.patients.patientA3Id, ); const leaderResponse = await request(ctx.app.getHttpServer()) .get('/b/patients') .set('Authorization', `Bearer ${ctx.tokens[Role.LEADER]}`); expectSuccessEnvelope(leaderResponse, 200); const leaderPatientIds = ( leaderResponse.body.data as Array<{ id: number }> ).map((item) => item.id); expect(leaderPatientIds).toEqual( expect.arrayContaining([ ctx.fixtures.patients.patientA1Id, ctx.fixtures.patients.patientA2Id, ]), ); expect(leaderPatientIds).not.toContain(ctx.fixtures.patients.patientA3Id); const doctorResponse = await request(ctx.app.getHttpServer()) .get('/b/patients') .set('Authorization', `Bearer ${ctx.tokens[Role.DOCTOR]}`); expectSuccessEnvelope(doctorResponse, 200); const doctorPatientIds = ( doctorResponse.body.data as Array<{ id: number }> ).map((item) => item.id); expect(doctorPatientIds).toContain(ctx.fixtures.patients.patientA1Id); expect(doctorPatientIds).not.toContain(ctx.fixtures.patients.patientA2Id); expect(doctorPatientIds).not.toContain(ctx.fixtures.patients.patientA3Id); const engineerResponse = await request(ctx.app.getHttpServer()) .get('/b/patients') .set('Authorization', `Bearer ${ctx.tokens[Role.ENGINEER]}`); expectErrorEnvelope(engineerResponse, 403, '无权限执行当前操作'); }); it('失败：SYSTEM_ADMIN 不传 hospitalId 返回 400', async () => { const response = await request(ctx.app.getHttpServer()) .get('/b/patients') .set('Authorization', `Bearer ${ctx.tokens[Role.SYSTEM_ADMIN]}`); expectErrorEnvelope( response, 400, '系统管理员查询必须显式传入 hospitalId', ); }); it('角色矩阵：SYSTEM_ADMIN/HOSPITAL_ADMIN/DIRECTOR/LEADER/DOCTOR 可访问，ENGINEER 403，未登录 401', async () => { await assertRoleMatrix({ name: 'GET /b/patients role matrix', tokens: ctx.tokens, expectedStatusByRole: { [Role.SYSTEM_ADMIN]: 200, [Role.HOSPITAL_ADMIN]: 200, [Role.DIRECTOR]: 200, [Role.LEADER]: 200, [Role.DOCTOR]: 200, [Role.ENGINEER]: 403, }, sendAsRole: async (role, token) => { const req = request(ctx.app.getHttpServer()) .get('/b/patients') .set('Authorization', `Bearer ${token}`); if (role === Role.SYSTEM_ADMIN) { req.query({ hospitalId: ctx.fixtures.hospitalAId }); } return req; }, sendWithoutToken: async () => request(ctx.app.getHttpServer()).get('/b/patients'), }); }); }); describe('GET /c/patients/lifecycle', () => { it('成功：已登录用户可按 phone + idCard 查询跨院生命周期', async () => { const response = await request(ctx.app.getHttpServer()) .get('/c/patients/lifecycle') .query({ phone: '13800002001', idCard: '110101199001010011', }) .set('Authorization', `Bearer ${ctx.tokens[Role.DOCTOR]}`); expectSuccessEnvelope(response, 200); expect(response.body.data.phone).toBe('13800002001'); expect(response.body.data.idCard).toBe('110101199001010011'); expect(response.body.data.patientCount).toBeGreaterThanOrEqual(2); expect(Array.isArray(response.body.data.lifecycle)).toBe(true); }); it('失败：参数缺失返回 400', async () => { const response = await request(ctx.app.getHttpServer()) .get('/c/patients/lifecycle') .query({ phone: '13800002001', }) .set('Authorization', `Bearer ${ctx.tokens[Role.DOCTOR]}`); expectErrorEnvelope(response, 400, 'idCard 必须是字符串'); }); it('失败：不存在患者返回 404', async () => { const response = await request(ctx.app.getHttpServer()) .get('/c/patients/lifecycle') .query({ phone: '13800009999', idCard: '110101199009090099', }) .set('Authorization', `Bearer ${ctx.tokens[Role.DOCTOR]}`); expectErrorEnvelope(response, 404, '未找到匹配的患者档案'); }); }); describe('患者手术录入', () => { it('成功：DOCTOR 可创建患者并附带首台手术和植入设备', async () => { const adjustableCatalog = await ctx.prisma.implantCatalog.findFirst({ where: { modelCode: 'SEED-ADJUSTABLE-VALVE' }, select: { id: true }, }); expect(adjustableCatalog).toBeTruthy(); const response = await request(ctx.app.getHttpServer()) .post('/b/patients') .set('Authorization', `Bearer ${ctx.tokens[Role.DOCTOR]}`) .send({ name: '首术患者', inpatientNo: uniqueSeedValue('zyh'), projectName: '脑积水手术项目', phone: uniquePhone(), idCard: uniqueIdCard(), doctorId: ctx.fixtures.users.doctorAId, initialSurgery: { surgeryDate: '2026-03-19T08:00:00.000Z', surgeryName: '脑室腹腔分流术', surgeonName: 'Seed Doctor A', preOpPressure: 20, primaryDisease: '梗阻性脑积水', hydrocephalusTypes: ['交通性'], devices: [ { implantCatalogId: adjustableCatalog!.id, shuntMode: 'VPS', proximalPunctureAreas: ['额角'], valvePlacementSites: ['耳后'], distalShuntDirection: '腹腔', initialPressure: 120, implantNotes: '首术植入', labelImageUrl: 'https://seed.example.com/tests/first-surgery.jpg', }, ], }, }); expectSuccessEnvelope(response, 201); expect(response.body.data.shuntSurgeryCount).toBe(1); expect(response.body.data.surgeries).toHaveLength(1); expect(response.body.data.surgeries[0].devices).toHaveLength(1); expect(response.body.data.surgeries[0].devices[0].implantModel).toBe( 'SEED-ADJUSTABLE-VALVE', ); }); it('成功：新增二次手术时可弃用旧设备且保留旧设备调压历史', async () => { const adjustableCatalog = await ctx.prisma.implantCatalog.findFirst({ where: { modelCode: 'SEED-ADJUSTABLE-VALVE' }, select: { id: true }, }); expect(adjustableCatalog).toBeTruthy(); const createPatientResponse = await request(ctx.app.getHttpServer()) .post('/b/patients') .set('Authorization', `Bearer ${ctx.tokens[Role.DOCTOR]}`) .send({ name: '二次手术患者', inpatientNo: uniqueSeedValue('zyh'), projectName: '二次手术项目', phone: uniquePhone(), idCard: uniqueIdCard(), doctorId: ctx.fixtures.users.doctorAId, initialSurgery: { surgeryDate: '2026-03-01T08:00:00.000Z', surgeryName: '首次分流术', surgeonName: 'Seed Doctor A', preOpPressure: 18, primaryDisease: '出血后脑积水', hydrocephalusTypes: ['高压性'], devices: [ { implantCatalogId: adjustableCatalog!.id, shuntMode: 'VPS', proximalPunctureAreas: ['额角'], valvePlacementSites: ['耳后'], distalShuntDirection: '腹腔', initialPressure: 100, implantNotes: '首术设备', labelImageUrl: 'https://seed.example.com/tests/initial-device.jpg', }, ], }, }); expectSuccessEnvelope(createPatientResponse, 201); const patient = createPatientResponse.body.data as { id: number; devices: Array<{ id: number }>; }; const oldDeviceId = patient.devices[0].id; await ctx.prisma.task.create({ data: { status: TaskStatus.COMPLETED, creatorId: ctx.fixtures.users.doctorAId, engineerId: ctx.fixtures.users.engineerAId, hospitalId: ctx.fixtures.hospitalAId, items: { create: [ { deviceId: oldDeviceId, oldPressure: 100, targetPressure: 120, }, ], }, }, }); const surgeryResponse = await request(ctx.app.getHttpServer()) .post(`/b/patients/${patient.id}/surgeries`) .set('Authorization', `Bearer ${ctx.tokens[Role.DOCTOR]}`) .send({ surgeryDate: '2026-03-18T08:00:00.000Z', surgeryName: '二次翻修术', surgeonName: 'Seed Doctor A', preOpPressure: 16, primaryDisease: '分流功能障碍', hydrocephalusTypes: ['交通性', '高压性'], abandonedDeviceIds: [oldDeviceId], devices: [ { implantCatalogId: adjustableCatalog!.id, shuntMode: 'VPS', proximalPunctureAreas: ['枕角'], valvePlacementSites: ['耳后'], distalShuntDirection: '腹腔', initialPressure: 120, implantNotes: '二次手术新设备-1', labelImageUrl: 'https://seed.example.com/tests/revision-1.jpg', }, { implantCatalogId: adjustableCatalog!.id, shuntMode: 'VPS', proximalPunctureAreas: ['额角'], valvePlacementSites: ['胸前'], distalShuntDirection: '胸腔', initialPressure: 140, implantNotes: '二次手术新设备-2', labelImageUrl: 'https://seed.example.com/tests/revision-2.jpg', }, ], }); expectSuccessEnvelope(surgeryResponse, 201); expect(surgeryResponse.body.data.devices).toHaveLength(2); expect(surgeryResponse.body.data.shuntSurgeryCount).toBe(2); const oldDevice = await ctx.prisma.device.findUnique({ where: { id: oldDeviceId }, include: { taskItems: true }, }); expect(oldDevice?.isAbandoned).toBe(true); expect(oldDevice?.status).toBe(DeviceStatus.INACTIVE); expect(oldDevice?.taskItems).toHaveLength(1); }); it('失败：手术录入设备不允许手工传 currentPressure', async () => { const adjustableCatalog = await ctx.prisma.implantCatalog.findFirst({ where: { modelCode: 'SEED-ADJUSTABLE-VALVE' }, select: { id: true }, }); expect(adjustableCatalog).toBeTruthy(); const response = await request(ctx.app.getHttpServer()) .post('/b/patients') .set('Authorization', `Bearer ${ctx.tokens[Role.DOCTOR]}`) .send({ name: '非法当前压力患者', inpatientNo: uniqueSeedValue('zyh'), projectName: '非法字段校验', phone: uniquePhone(), idCard: uniqueIdCard(), doctorId: ctx.fixtures.users.doctorAId, initialSurgery: { surgeryDate: '2026-03-19T08:00:00.000Z', surgeryName: '脑室腹腔分流术', surgeonName: 'Seed Doctor A', primaryDisease: '梗阻性脑积水', hydrocephalusTypes: ['交通性'], devices: [ { implantCatalogId: adjustableCatalog!.id, shuntMode: 'VPS', proximalPunctureAreas: ['额角'], valvePlacementSites: ['耳后'], distalShuntDirection: '腹腔', initialPressure: 120, currentPressure: 120, }, ], }, }); expectErrorEnvelope(response, 400, '请求参数不合法'); }); }); });