Versions Compared

Key

  • This line was added.
  • This line was removed.
  • Formatting was changed.

...

Test Description

Step No.

Step Description

Expected Results

As an end user, I want to test the functionality of Diagnosis Search and Save from SNOMED CT server, so that I can ensure the Bahmni-SNOMED integration is working as expected

OpenMRS 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 bahmni.lookupExternalTerminologyServer in OpenMRS is set to TRUE in order to search diagnosis terms from the SNOMED CT server

bahmni.lookupExternalTerminologyServer should be set to True to fetch results from SNOMED server.

In the properties form, Verify that the Global Property ts.fhir.baseurl field is set to https://snowstorm.snomed.mybahmni.in/fhir/

ts.fhir.baseurl field should be set to https://snowstorm.snomed.mybahmni.in/fhir/

In the properties form, Verify that ts.fhir.valueset.urltemplate field is set as ValueSet/$expand?url={0}&filter={1}&count={2}&displayLanguage={3}&includeDesignations={4}

ts.fhir.valueset.urltemplate field should be set to ValueSet/$expand?url={0}&filter={1}&count={2}&displayLanguage={3}&includeDesignations={4}

1

Login to 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

3

Click on 'Consultation' button and then click on Diagnoses tab

Diagnoses page should be displayed

4

Enter a search term on Diagnoses search field and validate that the Bahmni system returns search results from SNOMED CT Terminology server

The search results should be fetched from SNOMED CT Terminology server.

The search results can be verified from SNOMED CT browser by providing the same search term
URL - https://browser.ihtsdotools.org/?perspective=full&conceptId1=61462000&edition=MAIN/2023-01-31&release=&languages=en

5

User Enters less than 3 characters in the diagnosis search field, validate that Bahmni system displays message

No search results will be displayed for less than 3 characters

6

  1. 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/.

  2. Enter keywords in Diagnosis search field in Bahmni application
    Validate that Bahmni system displays appropriate error message on the diagnosis screen

"There was an unexpected issue on the server. Please try again"

7

  1. Goto OpenMRS Global Properties, under ts.fhir.baseurl field, change the value from https://snowstorm.snomed.mybahmni.in/fhir/ to https://snowstorm.snomed.mybahmni.in/fhirrr/.

  2. Enter keywords in Diagnosis search field in Bahmni application
    Validate that Bahmni system displays appropriate error message on the diagnosis screen

"There was an unexpected issue on the server. Please try again"

8

  1. Goto OpenMRS Global Properties, remove the value set in ts.fhir.valueset.urltemplate field

  2. Enter keywords in Diagnosis search field in Bahmni application

Validate that Bahmni system displays appropriate error message on the diagnosis screen

"There was an unexpected issue on the server. Please try again"

9

Validate that the search results return the preferred terms of Disorders from SNOMED CT TS

(This can be checked by searching the term in SNOMED CT Browser and checking for the preferred term, filtered by disorder)

System displays only the preferred term of the searched word from the SNOMED CT server
URL from where the result can be validated - https://browser.ihtsdotools.org/?perspective=full&conceptId1=61462000&edition=MAIN/2023-01-31&release=&languages=en

10

Verify that system also returns the descendants of the search term in the search result

The search results should be fetched from SNOMED CT Terminology server and result can be verified from SNOMED CT browser
URL -https://browser.ihtsdotools.org/?perspective=full&conceptId1=61462000&edition=MAIN/2023-01-31&release=&languages=en

11

Select a value from search result, select the 'Order', 'Certainty', and 'Status'

The selected values for 'Order', Certainty and Status are highlighted and selected term should be displayed on diagnoses field

12

Click on 'save' button and validate success message is displayed

Success message should be displayed

13

Verify that the value is saved in OpenMRS application
Goto OpenMRS dictionary module, search for the saved diagnoses, validate the term is added to OpenMRS dictionary with the Fully Specified Name same as the Fully Specified Name in SNOMED CT, and the preferred synonym is added as Short Name in OpenMRS.
OpenMRS Dictionary URL - https://dev.snomed.mybahmni.in/openmrs/dictionary/index.htm

The value is saved in OpenMRS. The dictionary term should be available on OpenMRS and details as 'same as' SNOMED CT browser.
Fully Specified Name in OpenMRS = Fully Specified Name in SNOMED CT
Short Name in OpenMRS = Preferred Synonym in SNOMED CT

14

Verify the saved diagnosis is displayed on patient dashboard

The saved diagnoses should be displayed on patient dashboard.

As an end user, I want to test the functionality of Conditions Search and Save from SNOMED CT server, so that I can ensure the Bahmni-SNOMED integration is working as expected

1

Login to 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

3

Click on 'Consultation' button and then click on Diagnoses tab

Diagnoses page should be displayed

4

Enter a search term on 'Conditions' search field and validate that the Bahmni system returns search results from SNOMED CT Terminology server

The search results should be fetched from SNOMED CT Terminology server.

The search results can be verified from SNOMED CT browser by providing the same search term
URL - https://browser.ihtsdotools.org/?perspective=full&conceptId1=61462000&edition=MAIN/2023-01-31&release=&languages=en

5

Repeat Steps 5 to 14 above for conditions search

The expected results should match the corresponding results for step 5 to 14

As a user, I want to Validate that no new ID is created for the same saved Diagnosis term in OpenMRS, when more than 1 patient has been recorded with same diagnosis

1

Select a new patient and navigate to Diagnosis Tab

Diagnoses page should be displayed

2

Select and save the same diagnosis term that was saved in step#13

Success message should be displayed

3

Validate that the same diagnosis value is saved for this patient, meaning, no new concept ID is created for the existing diagnosis in OpenMRS

No new concept ID should be created if the existing concept is used to record patient data

Test Scenario for Diagnosis Report By Gender

...

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

Step No.

Step Description

Expected Results

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

  1. 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/.

  2. Run the report for Malaria or Asthma

System should display error message

Test Scenario for CDSS Alerts

As an end user, I want to test the functionality of all the types of CDSS alerts so that I can ensure the feature is working as expected

...

Test Scenario for Ordering Procedures

...

Test Description

...

Step No.

...

Step Description

...

Expected Results

As an end user, I want to test the functionality of SNOMED CT procedures for body-sites

...

Step No.

Step Description

Expected Results

Configuration Setup

 To upload the procedures in Bahmni application, follow the steps mention here

 Procedures should be uploaded in Bahmni

1

Login to 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

3

Click on consultation button and then click on orders tab

Orders page should be displayed

4

In Orders Tab, click on Procedures on the left panel

List of body sites should be displayed

5

Select Head from the body site

System should display the list of SNOMED procedures for 'Head'

6

Select a procedure from the list

System should highlight the selected procedure

7

Click on Save

System should save the procedure in OpenMRS

8

Click on patient dashboard

The selected procedure should be displayed in the procedure card

...

As an end user, I want to test the functionality of bulk FHIR export of patient data from Bahmni, so that I can ensure correct patient information is downloaded for further analytics and research

Step No.

Step Description

Expected Results

Users and Roles setup
(setting up 3 users with different roles for data export)

  1. Non-anonymised Export

  2. Anonymised Export

  3. Non Exporter

Login to OpenMRS with below credentials
Application URL - https://qa.snomed.mybahmni.in/openmrs
username - superman
password - Admin123

User should be logged in

Navigate to Settings under Administration Tab

Non-Anonymised

  1. Under Manage Roles, add a new role named "nonanonymised"

  2. Select Clinical-App, Admin-App, and Bahmni-App from the Inherited role section

  3. Set previleges as "Export Non Anonymised Patient Data" and "Export Patient Data" and save

  4. Under Manage Users, create a user named "Plainexporter"

  5. Assign the role "nonanonymised" that was created

  6. Set username and password as plainexporter and Admin123 respectively and Save

System should save the role with the assigned privileges and create the user and assign the role to the user

Anonymised

  1. Under Manage Roles, add a new role named "anonymised"

  2. Select Clinical-App, Admin-App, and Bahmni-App from the Inherited role section

  3. Set previleges as "Export Patient Data" and save

  4. Under Manage Users, create a user named "Defaultexporter"

  5. Assign the role "anonymised" that was created

  6. Set username and password as default and Admin123 respectively and Save

System should save the role with the assigned privileges and create the user and assign the role to the user

Non Export

  1. Under Manage Roles, add a new role named "noexport"

  2. Select Clinical-App, Admin-App, and Bahmni-App from the Inherited role section and save

  3. Under Manage Users, create a user named "nonexporter"

  4. Assign the role "noexport" that was created

  5. Set username and password as nonexport and Admin123 respectively and Save

System should save the role with the assigned privileges and create the user and assign the role to the user

Configuration Setup

Login to OpenMRS with below credentials
Application URL - https://qa.snomed.mybahmni.in/openmrs
username - superman
password - Admin123

User should be logged in

Navigate to Settings under Administration Tab

Under Settings, navigate to FHIR Link

System should display the global properties on the right hand side

Value of "Export Files Directory" should be set to /openmrs/data/fhirExports

Set value of 'Export Anonymise Config Path' as /openmrs/data/fhir-export-anonymise

-correlate

-config.json

This configuration determines which attributes of the resources will be exported, redacted, randomized, etc

Click on Save button

System should save the configuration

Non-Anonymised FHIR Export of Patient Data

Login to

bahmni

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

Provide the below credentials
Username: plainexporter
Password: Admin123

User should be logged in

Goto the Admin module and click on FHIR Export

System should display FHIR Export page, table is loaded by default for privileged users

The Start Date and End Date should be provided by default (End Date = Current Date, Start Date = 30 days prior)

The 'Anonymise' check box should be selected by default and is editable

Scenario 1: User does not provide start date and end date and 'Anonymise' check box is unchecked, and then clicks on Export button

System should display success message in the toast "Request submitted. Please click on 'Refresh' to check status of report

Click on the Refresh button to reload the table

An entry is created in a table with the below columns:
Export triggered date, start date, end date, user name, Anonymised, status, and download link

The status column in the table can have 3 values: Accepted, Completed, Rejected

Status column displays accepted

Download column should be blank, as the system is still processing the export

Status column displays rejected

Download column should be blank, as the system could not process the request. User should contact administrator for support

Status column displays completed

Download link should be displayed in the download column

Click on Download link in the 'download' column

A zip file containing clinical and personal data of all the patients in Bahmni should get downloaded in the selected location (since no start date and end date is provided, system exports all the data)

Navigate to the location where the file is downloaded and unzip the file

Zip file should contain all, any, or none of the following NDJSON resources. The data should contain non-anonymised information, including personal identifiable information
Patient - Contains patient details for all the patients
Condition - Contains all the conditions corresponding to the patients
Medication - Contains all the medications corresponding to the patients
ServiceRequest - Contains all the procedure orders corresponding to the patients

Patient attributes NJDSON - resourceType, identifier, active, name, gender, birthDate, deceasedBoolean, deceasedDateTime, address

Condition Attributes NDJSON - resourceType, clinicalStatus, category, code, subject, encounter, onsetDateTime, recordedDate, recorder

Medication Attribute NDJSON - resourceType, status, intent, priority, medication, subject, encounter, authoredOn, requester, dosageInstruction, dispenseRequest.validityPeriod, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.quantity

ServiceRequest Attribute NDJSON - resourceType, status, category, code, subject, encounter

Scenario 2: User provides start date and end date and 'Anonymise' check box is not selected and clicks on Export

System should display success message in the toast "Request submitted. Please click on 'Refresh' to check status of report

Click on the Refresh button to reload the table

An entry is created in a table with the below columns:
Export triggered date, start date, end date, user name, Anonymised, status, and download link

Status column displays accepted

Download column should be blank, as the system is still processing the export

Status column displays rejected

Download column should be blank, as the system could not process the request. User should contact administrator for support

Status column displays completed

Download link should be displayed in the download column

Click on Download link in the 'download' column

A zip file containing clinical and/or personal data of the patients in Bahmni modified during the dates provided should get downloaded in the selected location

Zip file should contain all, any, or none of the following NDJSON resources. The data should contain non-anonymised information, including personal identifiable information
Patient - Contains patient details for all the patients
Condition - Contains all the conditions corresponding to the patients
Medication - Contains all the medications corresponding to the patients
ServiceRequest - Contains all the procedure orders corresponding to the patients

Patient attributes NJDSON - resourceType, identifier, active, name, gender, birthDate, deceasedBoolean, deceasedDateTime, address

Condition Attributes NDJSON - resourceType, clinicalStatus, category, code, subject, encounter, onsetDateTime, recordedDate, recorder

Medication Attribute NDJSON - resourceType, status, intent, priority, medication, subject, encounter, authoredOn, requester, dosageInstruction, dispenseRequest.validityPeriod, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.quantity

ServiceRequest Attribute NDJSON - resourceType, status, category, code, subject, encounter

Provide start date > end date and click on 'Send' button

System should display error message "End date [yyyy-mm-dd] should be on or after start date [yyyy-mm-dd]"

Anonymised Bulk FHIR Export

Login to Bahmni application as user with below credentials
Application URL - https://qa.snomed.mybahmni.in
Username: default
Password: Admin123

User should be logged in

Goto the Admin module and click on FHIR Export

System should display FHIR Export page. Table is loaded by default for privileged users

The Start Date and End Date should be provided by default (End Date = Current Date, Start Date = 30 days prior)

The 'Anonymise' check box should be selected by default and should be non-editable

Click on the 'Export' button

System should display success message in the toast "Request submitted. Please click on 'Refresh' to check status of report

Click on the Refresh button to reload the table

An entry is created in a table with the below columns:
Export triggered date, start date, end date, user name, Anonymised, status, and download link

Status column displays accepted

Download column should be blank, as the system is still processing the export

Status column displays rejected

Download column should be blank, as the system could not process the request. User should contact administrator for support

Status column displays completed

Download link should be displayed in the download column

Click on Download link in the 'download' column

A zip file containing clinical and/or personal data of the patients in Bahmni modified during the dates provided should get downloaded in the selected location

Navigate to the location where the file is downloaded and unzip the file

Zip file should contain all, any, or none of the following NDJSON resources. The data should be anonymised, meaning, no personal identifiable information should be exported
Patient - Contains patient details
Condition - Contains all the conditions corresponding to the patients
Medication - Contains all the medications corresponding to the patients
ServiceRequest - Contains all the procedure orders corresponding to the patients

Patient attributes NJDSON - resourceType, active, gender, birthDate (set to 1st January of the birth year), deceasedBoolean, deceasedDateTime (set to 1st January of the death year)

Condition Attributes NDJSON - resourceType, clinicalStatus, category, code, subject (an obfuscated handle to correlate to patient), onsetDateTime

Medication Attribute NDJSON - resourceType, status, intent, medication, subject (an obfuscated handle to correlate to patient), dispenseRequest.validityPeriod, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.quantity

ServiceRequest Attribute NDJSON - resourceType, status, category, code, subject (an obfuscated handle to correlate to patient)

Authorization error when exporting Non-Anonymised Data

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

User should be logged in

Under Authorization, provide the below credentials
Username: nonexport
Password: Admin123

Goto the Admin module and click on FHIR Export

System should display FHIR Export page

On the FHIR export page system should display a note "You do not have sufficient privilege to export data"

User should not be able to take any action on the page. i.e., all the buttons are disabled, also table is not loaded for non-privileged users

Audit Log

After the export of patient data, user navigates to Audit Log page

System displays the audit log page with the entries

System should display an entry for the bulk fhir export with the following message:
User <username> performed a bulk patient data export for: Start Date <date> at <hh:mm:ss> and End Date <date> at <hh:mm:ss> in <Anonymized/Non Anonymised> mode

The other columns in the audit log should be:
Created At, Event tyepe, username, patient ID, message, module

Viewing previously downloaded resources

Goto the Admin module and click on FHIR Export

System should display FHIR Export page

System should display the list of previously triggered exports in the same table which is mentioned in above scenarios

System should display the date and time of the export trigger along with the start date (if provided), end date (if provided), anonymised?, user, status, and the download column

System should allow the users to download the previously exported files upon clicking the download link

The previous download links will download the same file as it was used to download, when the link was most recent

Anonymised Bulk FHIR Export - Random Value

Login to OpenMRS
Application URL - https://qa.snomed.mybahmni.in/openmrs

User should be logged in

Navigate to Settings under Administration Tab

Under Settings, navigate to FHIR Link

System should display the global properties on the right hand side

Value of "Export Anonymise Config Path" should be set to

The configuration file inside OpenMRS container needs to be updated for the fields which needs a random value. The file is available at /openmrs/data/fhir-export-anonymise

-random

-config.json. Refer here for more details.

System should save the configuration

Export patient data using FHIR Export module

The Patient JNDSON should display the Address and Contact attributes as random characters

All other attributes remain the same in Patient resource and in other resources

Anonymised Bulk FHIR Export - Fixed Value

Login to OpenMRS
Application URL - https://qa.snomed.mybahmni.in/openmrs

User should be logged in

Navigate to Settings under Administration Tab

Under Settings, navigate to FHIR Link

System should display the global properties on the right hand side

Value of "Export Anonymise Config Path" should be set to

The configuration file inside OpenMRS container needs to be updated for the fields which needs a fixed value. The file is available at /openmrs/data/fhir-export-anonymise-

fixed-

config.json. Refer here for more details.

System should save the configuration

Export patient data using FHIR Export module

The Patient JNDSON should display the Address and Contact attributes as "fixedvalue"

All other attributes remain the same in Patient resource and other resources

Anonymised Bulk FHIR Export - Redact

Login to OpenMRS
Application URL - https://qa.snomed.mybahmni.in/openmrs

User should be logged in

Navigate to Settings under Administration Tab

Under Settings, navigate to FHIR Link

System should display the global properties on the right hand side

Value of "Export Anonymise Config Path" should be set to /openmrs/data/fhir-export-anonymise-config.json

System should save the configuration

Export patient data using FHIR Export module

The export happens with personal identifiable information of the patient removed from all the resources (Patient, condition, medication request, and service request)

All other attributes remain the same in all the resources