Merge pull request #57 from CCC-MF/issue_54

Übernahme des ECOG-Status aus anderen Therapieformularen

src/main/java/DNPM/analyzer/DNPMHelper.java

@@ -1,5 +1,6 @@
 package DNPM.analyzer;
 
+import DNPM.dto.EcogStatusWithDate;
 import DNPM.VerweisVon;
 import DNPM.security.DelegatingDataBasedPermissionEvaluator;
 import DNPM.security.IllegalSecuredObjectAccessException;
@@ -237,7 +238,7 @@ public class DNPMHelper extends BackendService {
 
     }
 
-    public List<SystemtherapieService.EcogStatusWithDate> getEcogStatus(final Map<String, Object> input) {
+    public List<EcogStatusWithDate> getEcogStatus(final Map<String, Object> input) {
         var pid = AnalyzerUtils.getRequiredId(input, "PatientId");
         if (pid.isEmpty()) {
             logger.error("Kein Parameter 'PatientId' angegeben, gebe leere Liste zurück");

src/main/java/DNPM/analyzer/TherapieMitEcogAnalyzer.java

@@ -1,5 +1,7 @@
 package DNPM.analyzer;
 
+import DNPM.dto.EcogStatusWithDate;
+import DNPM.services.strahlentherapie.StrahlentherapieService;
 import DNPM.services.systemtherapie.SystemtherapieService;
 import de.itc.onkostar.api.Disease;
 import de.itc.onkostar.api.IOnkostarApi;
@@ -20,28 +22,31 @@ import java.util.stream.Collectors;
 /**
  * Diese Klasse implementiert ein Plugin, welches Aktionen nach Bearbeitung eines Formulars zur Systemtherapie durchführt.
  *
- * @since 0.4.0
+ * @since 0.6.0
  */
 @Component
-public class SystemtherapieAnalyzer extends Analyzer {
+public class TherapieMitEcogAnalyzer extends Analyzer {
 
     private final Logger logger = LoggerFactory.getLogger(this.getClass());
 
     private final IOnkostarApi onkostarApi;
 
+    private final StrahlentherapieService strahlentherapieService;
     private final SystemtherapieService systemtherapieService;
 
-    public SystemtherapieAnalyzer(
+    public TherapieMitEcogAnalyzer(
             final IOnkostarApi onkostarApi,
+            final StrahlentherapieService strahlentherapieService,
             final SystemtherapieService systemtherapieService
     ) {
         this.onkostarApi = onkostarApi;
+        this.strahlentherapieService = strahlentherapieService;
         this.systemtherapieService = systemtherapieService;
     }
 
     @Override
     public String getDescription() {
-        return "Aktualisiert verknüpfte Formulare nach Änderungen im Formularen vom Typ Systemtherapie";
+        return "Aktualisiert verknüpfte Formulare nach Änderungen in Formularen vom Typ Strahlen-/Systemtherapie mit ECOG-Status";
     }
 
     /**
@@ -55,7 +60,9 @@ public class SystemtherapieAnalyzer extends Analyzer {
     @Override
     public boolean isRelevantForAnalyzer(Procedure procedure, Disease disease) {
         return null != procedure && null != disease && (
-                procedure.getFormName().equals("OS.Systemische Therapie")
+                procedure.getFormName().equals("OS.Strahlentherapie")
+                        || procedure.getFormName().equals("OS.Strahlentherapie.VarianteUKW")
+                        || procedure.getFormName().equals("OS.Systemische Therapie")
                         || procedure.getFormName().equals("OS.Systemische Therapie.VarianteUKW")
         );
     }
@@ -89,12 +96,18 @@ public class SystemtherapieAnalyzer extends Analyzer {
             return;
         }
 
-        var ecogFromCompleted = systemtherapieService.ecogStatus(procedure.getPatient())
+        var ecog = strahlentherapieService.ecogStatus(procedure.getPatient())
                 .stream()
                 .filter(ecogStatusWithDate -> ecogStatusWithDate.getDate().after(disease.getDiagnosisDate()))
                 .collect(Collectors.toList());
 
-        if (ecogFromCompleted.isEmpty()) {
+        ecog.addAll(systemtherapieService.ecogStatus(procedure.getPatient())
+                .stream()
+                .filter(ecogStatusWithDate -> ecogStatusWithDate.getDate().after(disease.getDiagnosisDate()))
+                .collect(Collectors.toList()));
+
+
+        if (ecog.isEmpty()) {
             // Nothing to do
             return;
         }
@@ -104,14 +117,14 @@ public class SystemtherapieAnalyzer extends Analyzer {
                 .forEach(p -> {
                     var ufEcog = p.getValue("ECOGVerlauf");
                     if (null != ufEcog && ufEcog.getValue() instanceof List) {
-                        updateExistingEcogVerlauf(p, ecogFromCompleted, ufEcog);
+                        updateExistingEcogVerlauf(p, ecog, ufEcog);
                     } else {
-                        newEcogverlauf(p, ecogFromCompleted);
+                        newEcogverlauf(p, ecog);
                     }
                 });
     }
 
-    private void updateExistingEcogVerlauf(Procedure p, List<SystemtherapieService.EcogStatusWithDate> ecogFromCompleted, Item ufEcog) {
+    private void updateExistingEcogVerlauf(Procedure p, List<EcogStatusWithDate> ecogFromCompleted, Item ufEcog) {
         var shouldSave = false;
         var existingDates = ufEcog.<List<Map<String, String>>>getValue().stream()
                 .map(v -> v.get("Datum"))
@@ -136,7 +149,7 @@ public class SystemtherapieAnalyzer extends Analyzer {
         }
     }
 
-    private void newEcogverlauf(Procedure p, List<SystemtherapieService.EcogStatusWithDate> ecogFromCompleted) {
+    private void newEcogverlauf(Procedure p, List<EcogStatusWithDate> ecogFromCompleted) {
         p.setValue("ECOGVerlauf", new Item("ECOGVerlauf", List.of()));
         for (var ecog : ecogFromCompleted) {
             var newSubProcedure = new Procedure(onkostarApi);

src/main/java/DNPM/dto/EcogStatusWithDate.java

@@ -0,0 +1,68 @@
+/*
+ * MIT License
+ *
+ * 2023 Comprehensive Cancer Center Mainfranken
+ *
+ * Permission is hereby granted, free of charge, to any person obtaining a copy
+ * of this software and associated documentation files (the "Software"), to deal
+ * in the Software without restriction, including without limitation the rights
+ * to use, copy, modify, merge, publish, distribute, sublicense, and/or sell
+ * copies of the Software, and to permit persons to whom the Software is
+ * furnished to do so, subject to the following conditions:
+ *
+ * The above copyright notice and this permission notice shall be included in all
+ * copies or substantial portions of the Software.
+ *
+ * THE SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR
+ * IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY,
+ * FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT. IN NO EVENT SHALL THE
+ * AUTHORS OR COPYRIGHT HOLDERS BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER
+ * LIABILITY, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM,
+ * OUT OF OR IN CONNECTION WITH THE SOFTWARE OR THE USE OR OTHER DEALINGS IN THE
+ * SOFTWARE.
+ */
+
+package DNPM.dto;
+
+import org.springframework.util.Assert;
+
+import java.util.Date;
+
+/**
+ * Datenklasse zum Abbilden des ECOG-Status und Datum
+ */
+public class EcogStatusWithDate {
+    private Date date;
+    private String status;
+
+    public EcogStatusWithDate(Date date, String status) {
+        Assert.notNull(date, "Date cannot be null");
+        Assert.hasText(status, "Status cannot be empty String");
+        Assert.isTrue(isValidEcogCode(status), "Not a valid ADT.LeistungszustandECOG code");
+        this.date = date;
+        this.status = status;
+    }
+
+    private boolean isValidEcogCode(String status) {
+        switch (status) {
+            case "0":
+            case "1":
+            case "2":
+            case "3":
+            case "4":
+            case "5":
+            case "U":
+                return true;
+            default:
+                return false;
+        }
+    }
+
+    public Date getDate() {
+        return date;
+    }
+
+    public String getStatus() {
+        return status;
+    }
+}

src/main/java/DNPM/services/TherapieMitEcogService.java

@@ -0,0 +1,30 @@
+package DNPM.services;
+
+import DNPM.dto.EcogStatusWithDate;
+import de.itc.onkostar.api.Patient;
+
+import java.util.List;
+import java.util.Optional;
+
+/**
+ * Schnittstelle zum Ermitteln von ECOG-Statusinformationen
+ *
+ *  @since 0.6.0
+ */
+public interface TherapieMitEcogService {
+
+    /**
+     * Ermittelt den letzten bekannten ECOG-Status aus allen Therapieformularen des Patienten
+     * @param patient Der zu verwendende Patient
+     * @return Der ECOG-Status als String oder leeres Optional
+     */
+    Optional<String> latestEcogStatus(Patient patient);
+
+    /**
+     * Ermittelt jeden bekannten ECOG-Status aus allen Therapieformularen des Patienten
+     * @param patient Der zu verwendende Patient
+     * @return Eine Liste mit Datum und ECOG-Status als String
+     */
+    List<EcogStatusWithDate> ecogStatus(Patient patient);
+
+}

src/main/java/DNPM/services/strahlentherapie/DefaultStrahlentherapieService.java

@@ -0,0 +1,74 @@
+package DNPM.services.strahlentherapie;
+
+import DNPM.dto.EcogStatusWithDate;
+import DNPM.services.SettingsService;
+import de.itc.onkostar.api.IOnkostarApi;
+import de.itc.onkostar.api.Patient;
+import de.itc.onkostar.api.Procedure;
+
+import java.util.Comparator;
+import java.util.List;
+import java.util.Objects;
+import java.util.Optional;
+import java.util.stream.Collectors;
+
+/**
+ * Standardimplementierung des StrahlentherapieServices
+ *
+ * @since 0.6.0
+ */
+public class DefaultStrahlentherapieService implements StrahlentherapieService {
+
+    private static final String ECOG_FIELD = "ECOGvorTherapie";
+
+    private final IOnkostarApi onkostarApi;
+
+    private final SettingsService settingsService;
+
+    public DefaultStrahlentherapieService(final IOnkostarApi onkostarApi, final SettingsService settingsService) {
+        this.onkostarApi = onkostarApi;
+        this.settingsService = settingsService;
+    }
+
+    /**
+     * Ermittelt den letzten bekannten ECOG-Status aus allen Systemtherapieformularen des Patienten
+     *
+     * @param patient Der zu verwendende Patient
+     * @return Der ECOG-Status als String oder leeres Optional
+     */
+    @Override
+    public Optional<String> latestEcogStatus(Patient patient) {
+        return ecogStatus(patient).stream()
+                .max(Comparator.comparing(EcogStatusWithDate::getDate))
+                .map(EcogStatusWithDate::getStatus);
+    }
+
+    /**
+     * Ermittelt jeden bekannten ECOG-Status aus allen Systemtherapieformularen des Patienten
+     *
+     * @param patient Der zu verwendende Patient
+     * @return Eine Liste mit Datum und ECOG-Status als String
+     */
+    @Override
+    public List<EcogStatusWithDate> ecogStatus(Patient patient) {
+        return patient.getDiseases().stream()
+                .flatMap(disease -> onkostarApi.getProceduresForDiseaseByForm(disease.getId(), getFormName()).stream())
+                .filter(procedure -> null != procedure.getStartDate())
+                .sorted(Comparator.comparing(Procedure::getStartDate))
+                .map(procedure -> {
+                    try {
+                        return new EcogStatusWithDate(procedure.getStartDate(), procedure.getValue(ECOG_FIELD).getString());
+                    } catch (IllegalArgumentException e) {
+                        return null;
+                    }
+                })
+                .filter(Objects::nonNull)
+                .collect(Collectors.toList());
+    }
+
+    private String getFormName() {
+        return settingsService
+                .getSetting("strahlentherapieform")
+                .orElse("OS.Strahlentherapie");
+    }
+}

src/main/java/DNPM/services/strahlentherapie/StrahlentherapieService.java

@@ -0,0 +1,10 @@
+package DNPM.services.strahlentherapie;
+
+import DNPM.services.TherapieMitEcogService;
+
+/**
+ * Service für Systemtherapieformulare
+ *
+ *  @since 0.6.0
+ */
+public interface StrahlentherapieService extends TherapieMitEcogService {}

src/main/java/DNPM/services/systemtherapie/DefaultSystemtherapieService.java

@@ -1,5 +1,6 @@
 package DNPM.services.systemtherapie;
 
+import DNPM.dto.EcogStatusWithDate;
 import DNPM.services.SettingsService;
 import de.itc.onkostar.api.IOnkostarApi;
 import de.itc.onkostar.api.Patient;

src/main/java/DNPM/services/systemtherapie/SystemtherapieService.java

@@ -1,20 +1,17 @@
 package DNPM.services.systemtherapie;
 
-import de.itc.onkostar.api.Patient;
+import DNPM.services.TherapieMitEcogService;
 import de.itc.onkostar.api.Procedure;
-import org.springframework.util.Assert;
 
-import java.util.Date;
 import java.util.List;
 import java.util.Map;
-import java.util.Optional;
 
 /**
  * Service für Systemtherapieformulare
  *
  *  @since 0.2.0
  */
-public interface SystemtherapieService {
+public interface SystemtherapieService extends TherapieMitEcogService {
     /**
      * Ermittelt eine Zusammenfassung der systemischen Therapien für eine Erkrankung
      * @param diseaseId Die ID der Erkrankung
@@ -29,57 +26,4 @@ public interface SystemtherapieService {
      */
     ProzedurToProzedurwerteMapper prozedurToProzedurwerteMapper(Procedure procedure);
 
-    /**
-     * Ermittelt den letzten bekannten ECOG-Status aus allen Systemtherapieformularen des Patienten
-     * @param patient Der zu verwendende Patient
-     * @return Der ECOG-Status als String oder leeres Optional
-     */
-    Optional<String> latestEcogStatus(Patient patient);
-
-    /**
-     * Ermittelt jeden bekannten ECOG-Status aus allen Systemtherapieformularen des Patienten
-     * @param patient Der zu verwendende Patient
-     * @return Eine Liste mit Datum und ECOG-Status als String
-     */
-    List<EcogStatusWithDate> ecogStatus(Patient patient);
-
-    /**
-     * Datenklasse zum Abbilden des ECOG-Status und Datum
-     */
-    class EcogStatusWithDate {
-        private Date date;
-        private String status;
-
-        public EcogStatusWithDate(Date date, String status) {
-            Assert.notNull(date, "Date cannot be null");
-            Assert.hasText(status, "Status cannot be empty String");
-            Assert.isTrue(isValidEcogCode(status), "Not a valid ADT.LeistungszustandECOG code");
-            this.date = date;
-            this.status = status;
-        }
-
-        private boolean isValidEcogCode(String status) {
-            switch (status) {
-                case "0":
-                case "1":
-                case "2":
-                case "3":
-                case "4":
-                case "5":
-                case "U":
-                    return true;
-                default:
-                    return false;
-            }
-        }
-
-        public Date getDate() {
-            return date;
-        }
-
-        public String getStatus() {
-            return status;
-        }
-    }
-
 }

src/test/java/DNPM/analyzer/TherapieMitEcogAnalyzerTest.java

@@ -1,5 +1,7 @@
 package DNPM.analyzer;
 
+import DNPM.dto.EcogStatusWithDate;
+import DNPM.services.strahlentherapie.StrahlentherapieService;
 import DNPM.services.systemtherapie.SystemtherapieService;
 import de.itc.onkostar.api.*;
 import org.junit.jupiter.api.BeforeEach;
@@ -19,13 +21,15 @@ import static org.mockito.ArgumentMatchers.anyInt;
 import static org.mockito.Mockito.*;
 
 @ExtendWith(MockitoExtension.class)
-class SystemtherapieAnalyzerTest {
+class TherapieMitEcogAnalyzerTest {
 
     private IOnkostarApi onkostarApi;
 
+    private StrahlentherapieService strahlentherapieService;
+
     private SystemtherapieService systemtherapieService;
 
-    private SystemtherapieAnalyzer systemtherapieAnalyzer;
+    private TherapieMitEcogAnalyzer therapieMitEcogAnalyzer;
 
     private Disease dummyDisease(int id, Date diagnosisDate) {
         var disease = new Disease(onkostarApi);
@@ -41,11 +45,13 @@ class SystemtherapieAnalyzerTest {
     @BeforeEach
     void setUp(
             @Mock IOnkostarApi onkostarApi,
+            @Mock StrahlentherapieService strahlentherapieService,
             @Mock SystemtherapieService systemtherapieService
     ) {
         this.onkostarApi = onkostarApi;
+        this.strahlentherapieService = strahlentherapieService;
         this.systemtherapieService = systemtherapieService;
-        this.systemtherapieAnalyzer = new SystemtherapieAnalyzer(onkostarApi, systemtherapieService);
+        this.therapieMitEcogAnalyzer = new TherapieMitEcogAnalyzer(onkostarApi, strahlentherapieService, systemtherapieService);
     }
 
     @Test
@@ -54,7 +60,7 @@ class SystemtherapieAnalyzerTest {
         final var ecogDate = daysPassed(1);
         final var procedureDate = daysPassed(1);
 
-        doAnswer(invocationOnMock -> List.of(new SystemtherapieService.EcogStatusWithDate(ecogDate, "0")))
+        doAnswer(invocationOnMock -> List.of(new EcogStatusWithDate(ecogDate, "0")))
                 .when(systemtherapieService).ecogStatus(any(Patient.class));
 
         var patient = new Patient(onkostarApi);
@@ -72,7 +78,7 @@ class SystemtherapieAnalyzerTest {
 
         doAnswer(invocationOnMock -> List.of(procedure)).when(onkostarApi).getProceduresForDiseaseByForm(anyInt(), anyString());
 
-        systemtherapieAnalyzer.analyze(procedure, dummyDisease(10, diagnosisDate));
+        therapieMitEcogAnalyzer.analyze(procedure, dummyDisease(10, diagnosisDate));
 
         var idCaptor = ArgumentCaptor.forClass(Integer.class);
         var formNameCaptor = ArgumentCaptor.forClass(String.class);
@@ -102,7 +108,7 @@ class SystemtherapieAnalyzerTest {
         procedure.setPatient(patient);
         procedure.setValue("ECOGvorTherapie", new Item("ECOGvorTherapie", 1));
 
-        systemtherapieAnalyzer.analyze(procedure, dummyDisease(10, diagnosisDate));
+        therapieMitEcogAnalyzer.analyze(procedure, dummyDisease(10, diagnosisDate));
 
         verify(onkostarApi, times(0)).getProceduresForDiseaseByForm(anyInt(), anyString());
         verify(onkostarApi, times(0)).saveProcedure(any(Procedure.class), anyBoolean());
@@ -114,7 +120,7 @@ class SystemtherapieAnalyzerTest {
         final var ecogDate = daysPassed(28);
         final var procedureDate = daysPassed(1);
 
-        doAnswer(invocationOnMock -> List.of(new SystemtherapieService.EcogStatusWithDate(ecogDate, "0")))
+        doAnswer(invocationOnMock -> List.of(new EcogStatusWithDate(ecogDate, "0")))
                 .when(systemtherapieService).ecogStatus(any(Patient.class));
 
         var patient = new Patient(onkostarApi);
@@ -128,10 +134,32 @@ class SystemtherapieAnalyzerTest {
         procedure.setPatient(patient);
         procedure.setValue("ECOGvorTherapie", new Item("ECOGvorTherapie", 1));
 
-        systemtherapieAnalyzer.analyze(procedure, dummyDisease(10, diagnosisDate));
+        therapieMitEcogAnalyzer.analyze(procedure, dummyDisease(10, diagnosisDate));
 
         verify(onkostarApi, times(0)).getProceduresForDiseaseByForm(anyInt(), anyString());
         verify(onkostarApi, times(0)).saveProcedure(any(Procedure.class), anyBoolean());
     }
 
+    @Test
+    void shouldRequestEcogFromStrahlentherapieAndSystemtherapie() {
+        final var diagnosisDate = daysPassed(7);
+        final var procedureDate = daysPassed(1);
+
+        var patient = new Patient(onkostarApi);
+        patient.setId(1);
+
+        var procedure = new Procedure(onkostarApi);
+        procedure.setId(1000);
+        procedure.setStartDate(procedureDate);
+        procedure.setEditState(ProcedureEditStateType.COMPLETED);
+        procedure.setPatientId(1);
+        procedure.setPatient(patient);
+        procedure.setValue("ECOGvorTherapie", new Item("ECOGvorTherapie", 1));
+
+        therapieMitEcogAnalyzer.analyze(procedure, dummyDisease(10, diagnosisDate));
+
+        verify(strahlentherapieService, times(1)).ecogStatus(any());
+        verify(systemtherapieService, times(1)).ecogStatus(any());
+    }
+
 }

src/test/java/DNPM/services/strahlentherapie/DefaultStrahlentherapieServiceTest.java

@@ -0,0 +1,106 @@
+package DNPM.services.strahlentherapie;
+
+import DNPM.services.SettingsService;
+import de.itc.onkostar.api.*;
+import org.assertj.core.util.Lists;
+import org.junit.jupiter.api.BeforeEach;
+import org.junit.jupiter.api.Test;
+import org.junit.jupiter.api.extension.ExtendWith;
+import org.mockito.ArgumentCaptor;
+import org.mockito.Mock;
+import org.mockito.junit.jupiter.MockitoExtension;
+
+import java.time.Instant;
+import java.util.ArrayList;
+import java.util.Date;
+import java.util.List;
+import java.util.Optional;
+
+import static org.assertj.core.api.Assertions.assertThat;
+import static org.mockito.ArgumentMatchers.anyInt;
+import static org.mockito.ArgumentMatchers.anyString;
+import static org.mockito.Mockito.*;
+
+@ExtendWith(MockitoExtension.class)
+class DefaultStrahlentherapieServiceTest {
+
+    private IOnkostarApi onkostarApi;
+
+    private SettingsService settingsService;
+
+    private DefaultStrahlentherapieService service;
+
+    @BeforeEach
+    void setup(@Mock IOnkostarApi onkostarApi, @Mock SettingsService settingsService) {
+        this.onkostarApi = onkostarApi;
+        this.settingsService = settingsService;
+        this.service = new DefaultStrahlentherapieService(onkostarApi, settingsService);
+    }
+
+    @Test
+    void testShouldRequestProceduresWithDefaultFormName() {
+        when(this.settingsService.getSetting(anyString())).thenReturn(Optional.empty());
+
+        doAnswer(invocationOnMock -> {
+            var procedure = new Procedure(onkostarApi);
+            procedure.setId(1);
+            procedure.setFormName("OS.Strahlentherapie");
+            procedure.setStartDate(Date.from(Instant.parse("2023-07-01T06:00:00Z")));
+            procedure.setEditState(ProcedureEditStateType.COMPLETED);
+            procedure.setValue("ECOGvorTherapie", new Item("ECOGvorTherapie", 1));
+            return Lists.list(procedure);
+        }).when(this.onkostarApi).getProceduresForDiseaseByForm(anyInt(), anyString());
+
+        doAnswer(invocationOnMock -> {
+            var disease = new Disease(onkostarApi);
+            disease.setId(1);
+            disease.setPatientId(123);
+            return Lists.list(disease);
+        }).when(this.onkostarApi).getDiseasesByPatientId(anyInt());
+
+        var patient = new Patient(onkostarApi);
+        patient.setId(123);
+
+        service.ecogStatus(patient);
+
+        var argumentCaptor = ArgumentCaptor.forClass(String.class);
+        verify(onkostarApi, times(1)).getProceduresForDiseaseByForm(anyInt(), argumentCaptor.capture());
+        assertThat(argumentCaptor.getValue()).isEqualTo("OS.Strahlentherapie");
+    }
+
+    @Test
+    void testShouldReturnListOfEcogStatusWithDate() {
+        doAnswer(invocationOnMock -> {
+            var disease = new Disease(onkostarApi);
+            disease.setId(1);
+            return List.of(disease);
+        }).when(this.onkostarApi).getDiseasesByPatientId(anyInt());
+
+        doAnswer(invocationOnMock -> {
+            var procedure1 = new Procedure(onkostarApi);
+            procedure1.setId(1);
+            procedure1.setFormName("OS.Strahlentherapie");
+            procedure1.setStartDate(Date.from(Instant.parse("2023-07-01T06:00:00Z")));
+            procedure1.setEditState(ProcedureEditStateType.COMPLETED);
+            procedure1.setValue("ECOGvorTherapie", new Item("ECOGvorTherapie", 1));
+
+            var procedure2 = new Procedure(onkostarApi);
+            procedure2.setId(2);
+            procedure2.setFormName("OS.Strahlentherapie");
+            procedure2.setStartDate(Date.from(Instant.parse("2023-07-12T06:00:00Z")));
+            procedure2.setEditState(ProcedureEditStateType.COMPLETED);
+            procedure2.setValue("ECOGvorTherapie", new Item("ECOGvorTherapie", 2));
+            return List.of(procedure1, procedure2);
+        }).when(this.onkostarApi).getProceduresForDiseaseByForm(anyInt(), anyString());
+
+        var patient = new Patient(onkostarApi);
+        patient.setId(1);
+
+        var actual = service.ecogStatus(patient);
+
+        assertThat(actual)
+                .isNotNull()
+                .isExactlyInstanceOf(ArrayList.class)
+                .hasSize(2);
+    }
+}