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This page contains the end to end test scenarios of all the proposed user journeys for the Bahmni-SNOMED Engagement in a Tabular Format. Manual testing is the approach that has been taken to ensure thorough check on quality and delivery of the user journeys

The table contains the scenario, the test steps, action to be taken by user, and the expected outcome of those actions

The purpose of these scenarios is to ensure that all the user journeys are working as agreed upon at the start of the project. It also allows any user to test the scenarios by laying out easy to follow steps to perform all the tests.

List of E2E journeys

Test Scenario for Diagnosis Search, Save, and Display

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

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 Drug-Diagnosis Interaction

Test Description

Step No.

Step Description

Expected Results

As an end user, I want to test the functionality of the CDSS for the drug-diagnosis interaction so that I can ensure the feature is working as expected

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/

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

In Diagnosis search box, search for Asthma

System displays list of matched results

5

Select Asthma and save the diagnosis

Asthma is saved as Diagnosis for the patient

6

Navigate to Medications Tab

Medication page should be displayed

7

Under Drug Name, search for Propranolol as drug

System should display list of matched results

8

Select Propranolol 40 mg 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

9

Click on the expand button on any of the alert

System should display the details of that alert

10

Click on the CDS source link in the alert card

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

11

System displays multiple notification cards

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

12

System displays atleast 1 card with 'Critical' as indicator

Add' button should be disabled

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

13

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

The alert card should be removed from the display

14

Click on the "Cross" button on the Critical card

System should display the reason for dismissal with a dropdown list

15

Select a reason from the dropdown list and click Dismiss button

The alert card should be removed from the display

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"

16

User navigates back to search bar and removes the drug selection

All the cards should be removed from display

17

User dismisses all critical alerts

Add button should be enabled

18

User Clicks on Add button

The selected drug should be added to the prescribed list

19

Clicks on Save

The medication should be saved for that patient

Test Scenario for Configuring and Using Form Builder

Test Description

Step No.

Step Description

Expected Results

As an end user, I want to test the functionality of the form builder to ensure it is working as expected

1

Login to Bahmni OpenMRShttps://qa.snomed.mybahmni.in/openmrs

User should be logged in

2

Click on dictionary tab

Dictionary page should be displayed

3

Click on 'Add new Concept'

New concept form is displayed

4

Provide Fully Specified Name

5

Set Class as 'Misc' and Datatype as 'Coded'

Misc is selected as Class
Coded is selected as Datatype

6

Save the concept

Concept Should be saved in OpenMRS

As an end user, I want to test the functionality of the form builder to ensure it 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 implementer interface module and open form builder

The form builder page should be displayed

3

Click on 'Create New Form'

Form Name dialog box should be displayed

4

Enter form name and click on 'Create Form'

Form details page should be displayed

5

Drag and drop Obs from the controls in the left panel into the form details canvas

Obs control should be displayed in the form canvas

Select the "Select Obs Source" from the form canvas

Control Properties for that source should be enabled

6

Under the Control Properties in the left panel, search for the coded name created in OpenMRS in previous steps

System displays list of matched results

7

Select the coded concept from the search list

Selected concept is displayed in the form canvas

Select the coded concept from the form canvas

Control Properties for that source should be enabled

Under control properties, in the URL field provide the SNOMED ECL query
eg., http://snomed.info/sct?fhir_vs=ecl/ <274913009

This provides the list of ‘Motor vehicle on road in collision with another motor vehicle (event)’. This can be checked in https://browser.ihtsdotools.org/?perspective=full&conceptId1=274913009&edition=MAIN/2023-04-30&release=&languages=en by searching for the the code 274913009

System displays the value sets from the SNOMED CT

8

Click on 'Save'

The form should be saved as a draft

9

Click on 'Preview'

The form should be displayed as in a preview mode

10

Click on 'Publish'

The form should be published, and should be available for clinician to use the form (this can be checked under Clinical module in observations Tab. Under 'Add new Obs form, the currently published form should be available for selection)

Using Form Builder in OPD

1

Navigate to clinical module

Clinical landing page should be displayed

2

Select an Active patient from the list

Selected patient's dashboard is displayed

3

Click on Consultation

Consultation page should be displayed

4

Under observations Tab, click on Add New Obs form

List of forms should be displayed

5

Select the form that was configured in previous steps

The selected form should be displayed along with the questions and SNOMED value sets as answers

6

Record patient's response by selecting one of the values from the answer

7

Save the response in Bahmni

The answer should be saved in OpenMRS

Reporting of the form builder records

1

Navigate to reports module

List of reports should be displayed

2

For Form Builder Form Report, provide the start date, end date, and format

System should display the selected values by the user

3

Run the report

System should display the patient details along with the response recorded for the question in the form used in previous steps

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  

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

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