/** @see {@link DrugOrderValidator#validate(Object,Errors)} */
@Test
@Verifies(
value = "should pass validation if all fields are correct",
method = "validate(Object,Errors)")
public void validate_shouldPassValidationIfAllFieldsAreCorrect() throws Exception {
DrugOrder order = new DrugOrder();
Encounter encounter = new Encounter();
Patient patient = Context.getPatientService().getPatient(2);
order.setConcept(Context.getConceptService().getConcept(88));
order.setOrderer(Context.getProviderService().getProvider(1));
order.setDosingType(DrugOrder.DosingType.FREE_TEXT);
order.setInstructions("Instructions");
order.setDosingInstructions("Test Instruction");
order.setPatient(patient);
encounter.setPatient(patient);
order.setEncounter(encounter);
Calendar cal = Calendar.getInstance();
cal.set(Calendar.DAY_OF_MONTH, cal.get(Calendar.DAY_OF_MONTH) - 1);
order.setStartDate(cal.getTime());
order.setAutoExpireDate(new Date());
order.setOrderType(Context.getOrderService().getOrderTypeByName("Drug order"));
order.setDrug(Context.getConceptService().getDrug(3));
order.setCareSetting(Context.getOrderService().getCareSetting(1));
order.setQuantity(2.00);
order.setQuantityUnits(Context.getConceptService().getConcept(51));
order.setNumRefills(10);
Errors errors = new BindException(order, "order");
new DrugOrderValidator().validate(order, errors);
Assert.assertFalse(errors.hasErrors());
}
/**
* @verifies not require all fields for a discontinuation order
* @see DrugOrderValidator#validate(Object, org.springframework.validation.Errors)
*/
@Test
public void validate_shouldNotRequireAllFieldsForADiscontinuationOrder() throws Exception {
DrugOrder orderToDiscontinue = (DrugOrder) Context.getOrderService().getOrder(111);
assertTrue(OrderUtilTest.isActiveOrder(orderToDiscontinue, null));
DrugOrder discontinuationOrder = new DrugOrder();
discontinuationOrder.setDosingType(null);
discontinuationOrder.setCareSetting(orderToDiscontinue.getCareSetting());
discontinuationOrder.setConcept(orderToDiscontinue.getConcept());
discontinuationOrder.setAction(Order.Action.DISCONTINUE);
discontinuationOrder.setPreviousOrder(orderToDiscontinue);
discontinuationOrder.setPatient(orderToDiscontinue.getPatient());
discontinuationOrder.setDrug(orderToDiscontinue.getDrug());
discontinuationOrder.setOrderType(orderToDiscontinue.getOrderType());
discontinuationOrder.setOrderer(Context.getProviderService().getProvider(1));
discontinuationOrder.setEncounter(Context.getEncounterService().getEncounter(3));
Errors errors = new BindException(discontinuationOrder, "order");
new DrugOrderValidator().validate(discontinuationOrder, errors);
Assert.assertFalse(errors.hasErrors());
}
/* here's the logic for what happens if there is a future regimen:
*
*
* //1. if no drug order of a specific DrugOrder, (create the new order). (OUTCOME1)
//2. if DrugOrder, for all DrugOrders:
//a. if new start is before old start
//NEW ORDER HAS STOP DATE -- create the older as is, and make adjustments:
//1. if new end is before or equal to old start (create the new order) (OUTCOME2)
//2. if new end is after old start and ( before old end or old end is infinite)
//if order is different, adjust the start date of the old order to the end date of the new (create the new order) (OUTCOME3)
//if order is same void old order(doesn't matter if old order has infinite stop date or not) (create the new order) (OUTCOME4)
//3. if end date is greater than or equal to old end -- void old order (create the new order) (OUTCOME5)
//NEW ORDER DOESN'T HAVE STOP DATE
//4. orders are different
//set end date of new to beginning of old and stop iterating over existing drug orders time sequence (create the new order, modified) (OUTCOME6)
//5. orders are the same
//delete the old order (create the new order) (OUTCOME7)
//b. if start is the same
// void existing (create the new order) (OUTCOME8)
//c. if start is after existing start
//1. if order is after old drug end (create the new order) (OUTCOME9)
//2. if order is before old drug end or equal to old drug end or old drug end date is infinite
//if orders are the same update the old order with the new, taking the new end date value (Do not create new order) (OUTCOME10)
//if orders are different adjust the old to end on new start date (create the new order) (OUTCOME11)
* */
public static void setRegimen(
Patient patient,
Date effectiveDate,
Collection<DrugOrder> drugOrders,
Concept reasonForChange,
Encounter encounterForChange) {
RegimenHistory history = getRegimenHistory(patient);
Regimen regOnDate = history.getRegimen(effectiveDate);
List<Regimen> regAfterDate = history.getRegimensAfter(effectiveDate);
OrderService os = Context.getOrderService();
if (encounterForChange != null) {
Context.getEncounterService().saveEncounter(encounterForChange);
for (DrugOrder drugOrder : drugOrders) {
drugOrder.setEncounter(encounterForChange);
}
}
if (!anyRegimens(regAfterDate)) {
if (regOnDate == null || regOnDate.getComponents().isEmpty()) {
// case: there is no existing regimen on the regimen start date, and there are no new
// regimens after this date
// go ahead and create the regimen:
for (DrugOrder drugOrder : drugOrders) {
Context.getOrderService().saveOrder(drugOrder);
}
} else {
// case: there are still open orders and there are no new regimens after this date
// first see what existing things we need to stop
for (RegimenComponent before : regOnDate.getComponents()) {
// stop the old order only if it isn't exactly identical to a new order (excluding
// discontinued_date)
for (DrugOrder newOrder : drugOrders) {
// but either concept or drug is the same
if (!before.getDrugOrder().getDiscontinued()
&& drugOrderMatchesDrugConcept(before.getDrugOrder(), newOrder)
&& !regimenComponentIsTheSameAsDrugOrderExcludingDates(
before.getDrugOrder(), newOrder)) {
discontinueOrder(before.getDrugOrder(), effectiveDate, reasonForChange);
}
}
}
// now see what new things to start (or extend)
for (DrugOrder newOrder : drugOrders) {
// create a new order if there isn't already an existing match,
// or if there is (excluding discontinued date) you need to extend, or null the stop date
boolean alreadyExists = false;
for (RegimenComponent before : regOnDate.getComponents()) {
if (!before.getDrugOrder().getDiscontinued()
&& regimenComponentIsTheSameAsDrugOrderExcludingDates(
before.getDrugOrder(), newOrder)) {
alreadyExists = true;
before.getDrugOrder().setDiscontinuedDate(newOrder.getDiscontinuedDate());
before.getDrugOrder().setAutoExpireDate(newOrder.getAutoExpireDate());
before.getDrugOrder().setPrn(newOrder.getPrn());
before.getDrugOrder().setInstructions(newOrder.getInstructions());
os.saveOrder(before.getDrugOrder());
newOrder.setOrderId(before.getDrugOrder().getOrderId());
break;
}
}
if (!alreadyExists) {
os.saveOrder(newOrder);
}
}
}
} else { // there is a regimen change after the new drug order start date
for (DrugOrder newOrder : drugOrders) {
boolean saveOrder = false;
boolean merged = false;
history = getRegimenHistory(patient);
List<DrugOrder> existingDrugOrders = getDrugOrdersInOrderByDrugOrConcept(history, newOrder);
if (existingDrugOrders.size() == 0) {
saveOrder = setSaveOrder(merged); // (OUTCOME1)
} else {
for (DrugOrder before : existingDrugOrders) {
if (newOrder.getStartDate().before(before.getStartDate())) {
if (newOrder.getDiscontinuedDate() != null) {
if (newOrder.getDiscontinuedDate().before(before.getStartDate())
|| newOrder.getDiscontinuedDate().equals(before.getStartDate())) {
saveOrder = setSaveOrder(merged); // (OUTCOME2)
} else if (newOrder.getDiscontinuedDate().after(before.getStartDate())
&& (before.getDiscontinuedDate() == null
|| newOrder.getDiscontinuedDate().before(before.getDiscontinuedDate()))) {
if (!regimenComponentIsTheSameAsDrugOrderExcludingDates(before, newOrder)) {
// (OUTCOME3)
before.setStartDate(newOrder.getDiscontinuedDate());
os.saveOrder(before);
saveOrder = setSaveOrder(merged);
} else {
// (OUTCOME4)
os.voidOrder(before, "overwritten");
saveOrder = setSaveOrder(merged);
}
} else if (before.getDiscontinuedDate() != null
&& (newOrder.getDiscontinuedDate().after(before.getDiscontinuedDate())
|| newOrder.getDiscontinuedDate().equals(before.getDiscontinuedDate()))) {
// (OUTCOME5)
os.voidOrder(before, "overwritten");
saveOrder = setSaveOrder(merged);
}
} else { // new order has infinite end date
if (!regimenComponentIsTheSameAsDrugOrderExcludingDates(before, newOrder)) {
// (OUTCOME6)
newOrder.setDiscontinuedDate(before.getStartDate());
saveOrder = setSaveOrder(merged);
break;
} else {
// (OUTCOME7)
os.voidOrder(before, "overwritten");
saveOrder = setSaveOrder(merged);
}
}
} else if (newOrder.getStartDate().equals(before.getStartDate())) { // b
// (OUTCOME8)
os.voidOrder(before, "overwritten");
saveOrder = setSaveOrder(merged);
} else { // c -- start date is after or equal to old end date
if (before.getDiscontinuedDate() != null
&& newOrder.getStartDate().after(before.getDiscontinuedDate())) // 1
// (OUTCOME9)
saveOrder = setSaveOrder(merged);
if (before.getDiscontinuedDate() == null
|| newOrder.getStartDate().before(before.getDiscontinuedDate())
|| newOrder.getStartDate().equals(before.getDiscontinuedDate())) { // 2
if (regimenComponentIsTheSameAsDrugOrderExcludingDates(before, newOrder)) {
// (OUTCOME10)
before.setDiscontinuedDate(newOrder.getDiscontinuedDate());
before.setAutoExpireDate(newOrder.getAutoExpireDate());
before.setPrn(newOrder.getPrn());
before.setInstructions(newOrder.getInstructions());
os.saveOrder(before);
saveOrder = false;
newOrder.setOrderId(before.getOrderId());
merged = true;
} else {
// (OUTCOME11)
before.setDiscontinuedDate(newOrder.getStartDate());
os.saveOrder(before);
saveOrder = setSaveOrder(merged);
}
}
}
}
}
if (saveOrder) os.saveOrder(newOrder);
}
}
}