Test Description	Step No.	Step Description	Expected Results
As an end user, I want to test the E2E journey of Diagnosis Count Report for Asthma and Malaria, so that I can ensure the report is providing accurate count of diagnosis	1	Login to Bahmni application as user Application URL- https://qa.snomed.mybahmni.in	User should be logged in
	2	Navigate to report module and open report dashboard	The report dashboard should be displayed with list of different reports
	3	Validate "Diagnosis Count Report for Malaria" and "Diagnosis Count Report for Asthma" are available in the list of reports	System should display the below 2 reports in the list "Diagnosis Count Report for Malaria" "Diagnosis Count Report for Asthma"
	4	Select Start and End date from the calendar for "Diagnosis Count Report for Malaria"	The selected date should be displayed in given format ‘dd/mm/yyyy’
	5	For the format, click on HTML from the format drop down list	HTML should be selected as format for report
	6	Clicks on "RUN NOW" button for the report	The report for diagnosis count of patients for Malaria should be displayed based total count of patients for each diagnosis
	7	Verify that the generated report is displayed in a Tabular format, with Malaria as diagnosis and the total count	Report should be shown in tabular format with generated date and time and selected duration (start date to end date) with Malaria diagnosis and the count of patients
	8	Verify that the generated report also has count based on Gender	The report for diagnosis count should include columns Male, Female, Other, Not disclosed, and Total
	9	Verify that all the descendants of Malaria that are saved in OpenMRS are shown in the report in separate line item Below is the configuration which is found in https://github.com/Bahmni/default-config/blob/<BRANCH>/openmrs/apps/reports/reports.json "diagnosisCountMalaria": { "name": "Diagnosis Count Report for Malaria", "type": "snomedDiagnosis", "requiredPrivilege": "app:reports", "config": { "snomedParentCode": "61462000" } },	The verification of descendant output can be done with the help of given link, where we can cross verify the diagnosis https://browser.ihtsdotools.org/?perspective=full&conceptId1=8186001&edition=MAIN/2023-01-31&release=&languages=en
	10	Check initial count of the Malaria diagnosis, then add the same malaria diagnosis for a new patient and re-run the report.	The total count of the Malaria diagnosis should be incremented by 1
	11	Select a patient, save diagnosis as 'heart block', goto the reports and run the diagnosis count report for Malaria	The total count of the Malaria diagnosis should remain the same
	12	For validation for Diagnosis count report for Asthma, repeat steps 2 to 10 with below configuration Below is the configuration which is found in https://github.com/Bahmni/default-config/blob/<BRANCH>/openmrs/apps/reports/reports.json "diagnosisCountAsthma": { "name": "Diagnosis Count Report for Asthma", "type": "snomedDiagnosis", "requiredPrivilege": "app:reports", "config": { "snomedParentCode": "195967001" } }
	13	Goto OpenMRS Global Properties, under ts.fhir.baseurl field, change the value from https://snowstorm.snomed.mybahmni.in/fhir/ to https://ssnowstorm.snomed.mybahmni.in/fhir/. Run the report for Malaria or Asthma	System should display error message

Test Scenario for CDSS

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Test Description

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Step No.

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Step Description

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Expected Results

Alerts

As an end user, I want to test the functionality of all the

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types of CDSS alerts so that I can ensure the feature is working as expected

Step No.	Step Description	Expected Results
Configuration Setup	Login to the OpenMRS Global Properties form https://qa.snomed.mybahmni.in/openmrs/admin/maintenance/globalProps.form	Global Properties page should be displayed.
	In the properties form, verify that the Global Property "cdss.enable" in OpenMRS is set to TRUE in order to invoke CDSS rule	cdss.enable should be set to TRUE for leveraging CDSS engine rules
	In the properties form, check the value of cdss.fhir.baseurl	cdss.fhir.baseurl should be set to https://cdss-dev.snomed.mybahmni.in/cds-services/

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Diagnosis-Drug Contraindication	Login to

bahmni

Bahmni application as user
Application URL - https://qa.snomed.mybahmni.in

User should be logged in

2


Navigate to clinical module and open an active patient	The patient dashboard should be displayed

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Click on consultation button and then click on diagnoses tab	Diagnoses page should be displayed

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In Diagnosis search box, search for Asthma

System displays list of matched results

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Select Asthma and save the diagnosis

Asthma is saved as Diagnosis for the patient

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Navigate to Medications Tab	Medication page should be displayed

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Under Drug Name, search for Propranolol as drug	System should display list of matched results

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Select 'Propranolol hydrochloride 40 mg oral tablet (Tablet)' from the search list

System should display alert notification, saying Propranolol 40 mg as a product contraindicates Asthma

System should display all the alert messages in the left panel, above the "Add" button

Each alert card should consist of summary, details, CDS Indicator, and CDS source link

Each card should have an indicator of either Critical, Warning, or Information

The name of section is determined by alert card of highest priority (Critical highest, Info Lowest) eg., if there are two cards, one with Critical and one with Warning, then Critical will be name of section

Provide all the information such as dose, unit, frequency, duration, route, etc and click on Add button	System should display a drug-diagnosis 'Critical' alert message against the drug on the right hand panel. Summary should display the drug and the diagnosis causing the contraindication
Alternate Scenario: User selects 'Hypokalemia' as diagnosis and Acetazolamide 250 mg oral tablet (Tablet) as medication	System should display a drug-diagnosis 'Warning' alert message against the drug on the right hand panel. Summary should display the drug and the diagnosis causing the contraindication
Alternate Scenario: User selects 'Hyponatremia' as diagnosis and Acetazolamide 250 mg oral tablet (Tablet) as medication	System should display a drug-diagnosis 'Info' alert message against the drug on the right hand panel. Summary should display the drug and the diagnosis causing the contraindication

Diagnosis-Drug Contraindication in Diagnoses Tab	Login to Bahmni application as user Application URL - https://qa.snomed.mybahmni.in	User should be logged in
	Navigate to clinical module and open an active patient	The patient dashboard should be displayed
	Click on consultation button and then click on Medications tab	Medications page should be displayed
	Search and select 'Propranolol hydrochloride 40 mg oral tablet (Tablet)' from the search list
	Provide all the information such as dose, unit, frequency, duration, route, etc and click on Add button	System should add the prescribed drug on the right side
	Navigate to diagnoses tab	System should display the diagnoses page
	In Diagnoses search box, search and select Asthma	System should display a drug-diagnosis 'Critical' alert message below the selected drug (in this case 'Asthma')
		The alert message should also indicate the user to go to the medications tab by displaying a message
		Save button is disabled with an error message
	User navigates to medications tab, and dismisses the critical alert, and navigates back to diagnoses tab	Grey 'info' icon is displayed against the diagnoses (in this case, Asthma)
	User clicks on the 'info' icon	Dismissed alert is displayed along with the category (in this case 'Critical')
	Alternate Scenario: User selects Acetazolamide 250 mg oral tablet (Tablet) in medications tab and selects Hypokalemia in diagnosis tab	System should display a drug-diagnosis 'Warning' alert message below the selected drug (in this case 'Hypokalemia')
		The alert message should also indicate the user to go to the medications tab by displaying a message
		Save button remains enabled
	User clicks on Save button	The system should save the record
		Grey 'info' icon is displayed against the diagnoses (in this case, Hypokalemia)

	Alternate Scenario:User selects Acetazolamide 250 mg oral tablet (Tablet) in medications tab and selects Hyponatremia in diagnosis tab	System should display a drug-diagnosis 'Info' alert message below the selected drug (in this case 'Hyponatremia')
		The alert message should also indicate the user to go to the medications tab by displaying a message
		Save button remains enabled
	User clicks on Save button	The system should save the record
		Grey 'info' icon is displayed against the diagnoses (in this case, Hyponatremia)
Drug-Drug Contraindication	Login to Bahmni application as user Application URL - https://qa.snomed.mybahmni.in	User should be logged in
	Navigate to clinical module and open an active patient	The patient dashboard should be displayed
	Click on consultation button and then click on medication tab	Medication page should be displayed
	Search and select Acetazolamide 250 mg oral tablet (Tablet) from the drug search field
	Provide all the information such as dose, unit, frequency, duration, route, etc and click on Add button	System should display the drug on the right hand panel
	Search and select Allopurinol 100 mg oral tablet (Tablet) from the drug search field
	Provide all the information such as dose, unit, frequency, duration, route, etc and click on Add button	System should display drug-drug 'warning' alert message against the drugs Acetazolamide and Allopurinol on the right hand panel. Summary should display the drug-drug interaction causing the contraindication
	Alternate Scenario: User selects 'Amiodarone hydrochloride 100 mg oral tablet (Tablet)' and 'Albendazole 400 mg chewable tablet (Tablet)' as drugs	System should display drug-drug 'info' alert message against the drugs Amiodarone and Albendazole on the right hand panel. Summary should display the drug-drug interaction causing the contraindication
	Alternate Scenario: User selects 'Amitriptyline hydrochloride 10 mg oral tablet (Tablet)' and 'Amoxicillin 250 mg chewable tablet (Tablet)' as drugs	System should display drug-drug 'critical' alert message against the drugs Amitriptyline and Amoxicillin on the right hand panel. Summary should display the drug-drug interaction causing the contraindication

High Dosage Alert for a single substance in a single drug	Login to Bahmni application as user Application URL - https://qa.snomed.mybahmni.in	User should be logged in
	Navigate to clinical module and open an active patient	The patient dashboard should be displayed
	Click on consultation button and then click on medication tab	Medication page should be displayed
	Search and select Ranitidine 150 mg oral tablet (Tablet) from the drug search field
	Provide all the information such as below Dose = 5; unit = Tablets; frequency = thrice a day; duration = 2; route = oral; and click on Add button	System should display high dosage 'warning' alert message against the drug Ranitidine on the right hand panel. Summary should display the number of times the prescribed dose is compared to average daily dose
	If below information is provided Dose = 5; unit = Tablets; frequency = once a day; duration = 2; route = oral; and click on Add button	System should display high dosage 'info' alert message against the drug Ranitidine on the right hand panel. Summary should display the number of times the prescribed dose is compared to average daily dose
		The details of the alert will have below information Substance - This is the substance which is in the drug that triggered the alert Present in this patient's medication - Thedrug prescribed to the patient in which the substance is present (in this case Ranitidine 150 mg oral tablet (Tablet)) Route of Administration - Route through which the medication is to be consumed by patient (in this case, oral) Prescribed Daily Dose - Dose prescribed to the patient by clinicians Recommended average Daily Dose - Average dose which is recommended Conclusion - Number of times the prescribed dose is compared to recommended avg. daily dose

High Dosage Alert for a single substance across multiple drugs	Login to Bahmni application as user Application URL - https://qa.snomed.mybahmni.in	User should be logged in
	Navigate to clinical module and open an active patient	The patient dashboard should be displayed
	Click on consultation button and then click on medication tab	Medication page should be displayed
	Search and select Ranitidine 150 mg oral tablet (Tablet) from the drug search field
	Provide all the information such as below Dose = 2; unit = Tablets; frequency = once a day; duration = 1; route = oral; and click on Add button	System should add the prescribed drug on the right hand panel
	Search and select Ranitidine 25 mg/mL solution for injection (Injection) from the drug search field
	Provide all the information such as below Dose = 100; unit = ml; frequency = ; duration = 1; route = intravenous; and click on Add button	System should display high dosage 'info' alert message against the 2 drugs having Ranitidine on the right hand panel. Summary should display the number of times the prescribed dose is compared to average daily dose
		The details of the alert will have below information Substance - This is the substance which is in the drug that triggered the alert Present in this patient's medication - List of drugs prescribed to the patient in which the substance is present (in this case - Ranitidine 150 mg oral tablet (Tablet) and Ranitidine 25 mg/mL solution for injection (Injection) ) Route of Administration - Route through which the medication is to be consumed by patient ( in this case, oral and parenteral) Prescribed Daily Dose - Dose prescribed to the patient by clinicians Recommended average Daily Dose - Average dose which is recommended Conclusion - Number of times the prescribed dose is compared to recommended avg. daily dose

High Dosage Alert for multiple substances within a single drug	Login to Bahmni application as user Application URL - https://qa.snomed.mybahmni.in	User should be logged in
	Navigate to clinical module and open an active patient	The patient dashboard should be displayed
	Click on consultation button and then click on medication tab	Medication page should be displayed
	Search and select Colchicine 500 microgram and probenecid 500 mg oral tablet (Tablet) from the drug search field
	Provide all the information such as below Dose = 100; unit = Tablets; frequency = every hour; duration = 2; route = oral; and click on Add button	System should display 2 high dosage 'warning' alert message against the drug on the right hand panel. Summary should display the number of times the prescribed dose is compared to average daily dose
		First 'warning' alert message should be for substance Probenecid Second 'warning' alert message should be for substance Cholchicine
		The details of the alert will have below information Substance - This is the substance which is in the drug that triggered the alert Present in this patient's medication - Thedrug prescribed to the patient in which the substance is present (in this case Colchicine 500 microgram and probenecid 500 mg oral tablet (Tablet)) Route of Administration - Route through which the medication is to be consumed by patient (in this case, oral) Prescribed Daily Dose - Dose prescribed to the patient by clinicians Recommended average Daily Dose - Average dose which is recommended Conclusion - Number of times the prescribed dose is compared to recommended avg. daily dose

4	Display of alerts	Each alert should consist of summary, details, CDS Indicator, and CDS source link
5	System displays multiple alerts	Multiple alerts are shown in the form of separate rows, below the prescribed drug
6	Click on the expand button on any of the alert	System should display the details of that alert along with the source link
		For 'Critical' alerts, 'Reason for Dismissal' is also displayed along with the details of the alert

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7	Click on the CDS source link

in the alert card

in the alert (in the form of 'question mark')

User should be taken to the page of the source in a new tab

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8	System displays

multiple notification cards

System should display all the alert messages in the left panel, above the "Add" button

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System displays atleast 1 card with

at least 1 'Critical'

as indicator

Add' button should be disabled

The close button ("Cross") is disabled for all the "Critical" cards

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Click on the "Cross" button on the Warning or Info card

The alert card should be removed from the display

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Click on the "Expand" button on the Critical card

alert	Save button is disabled with an error message
9	Click on the 'reason for dismissal' dropdown for 'Critical' alert	System should display the reason for dismissal with a dropdown list

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10	Select a reason from the dropdown list and click Dismiss button	The critical alert is greyed out and stricken off, indicating the alert is dismissed
11	Click on the "Cross" button on the Warning or Info alert	The

alert card should be removed from the display

'warning' and 'info' alert is greyed out and stricken off, indicating the alert is dismissed

The dismiss action should be logged using audit module

Post API call from the frontend using the endpoint https://dev.snomed.mybahmni.in/openmrs/ws/rest/v1/auditlog
eventType: "rule name/event type"
message: "dismissed - what did you dismiss?"
module: "cdss"

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12

User

navigates back to search bar and

removes the drug selection by clicking on the remove button

All the

cards should be

alerts are now removed from display

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13	User dismisses all critical alerts

Add

Save button should be enabled

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User Clicks on Add button

The selected drug should be added to the prescribed list

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14	User dismisses all alerts	All The alert rows should be removed
		A grey ‘info’ icon should be displayed against the drug on the left side
15	Click on the 'info' icon on the left side of the drug	System should display all the dismissed alert along with the category
16	Clicks on Save	The medication should be saved for that patient

Test Scenario for Configuring and Using Form Builder

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Version	Old Version 17	New Version 18
Changes made by	Ketan Goenka	Ketan Goenka
Saved on	Sept 28, 2023	Oct 06, 2023

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