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This page is Work in Progress

This page contains the performance reports that has been executed for testing Bahmni Standard. The tests are run against Bahmni Standard 1.0.0 Beta. The scenarios tested are same as here.

Configurations of the Bahmni environment under test:

Hardware Configuration:
    AWS EC2 m5.xlarge
    CPU: 4 vCPU
    RAM: 16 GB
    Storage: 100 GB
    OS: Ubuntu 22.04.2 LTS
Bahmni Installation Details:
    Bahmni Installation Method: Docker Compose
    No.of Running Containers: 21 (EMR, OpenELIS, Odoo, PACS, Agents for scraping metrics(node-exporter,cadvisor))
    Database Containers (all on the same node): OpenMRS DB (MySQL 8.0), OpenELIS DB (Postgres 9.6), Odoo DB (Postgres 16.1), PACS DB (Postgres 9.6)
Bahmni Metdata Details:
    Concept Dictionary: CIEL (v2023-12-15)
    Concept Count: 56884
    Concept Reference Terms: 170167
    Concept Reference Maps: 218243

Configurations of the agent which executes the test suite:

AWS EC2 c5.xlarge
    CPU: 4 vCPU
    RAM: 16 GB
    Storage: 10 GB
    OS: Ubuntu 22.04.2 LTS
Execution Tools:
    Java 11 JDK
    Performance Suite: https://github.com/Bahmni/performance-test/tree/bahmni-standard-ciel
    Test Data Generator: https://github.com/Bahmni/bahmni-test-data-generator
    Initial Data Generated using generator: 99995 patients, 70931 visits, 70931 encounters, 425586 observations

๐Ÿ“— Test 1 - 70 Concurrent Users 4 Hours

  • Duration: 4 hours

  • Active Users: 70 users

  • Ramp Up: 5 mins

  • Database pre-state: 99995 patients, 70931 visits, 70931 encounters, 425586 observations

Report Link: https://bahmni.github.io/performance-test/bahmnistandard-70users-5hours-20240726/index.html

Observations:

No.of Patient Created: 1730, No.of Visits created: 4991, No.of Encounters Created: 2040, No.of Observations Created: 12970

Simulations
Scenario
Load share
Patient Count
Min Time (ms)
95th Percentile (ms)
99th Percentile (ms)
Max Time (ms)

Frontdesk

50% Traffic

(35 Users)

New Patient Registration Start OPD Visit

40%

1680

51

107

158

321

Existing Patient Search using ID Start OPD Visit

30%

1200

84

143

256

464

Existing Patient Search using Name Start OPD Visit

20%

1200

176

310

397

716

Upload Patient Document

10%

360

72

127

217

399

Doctor

50% Traffic

(35 Users)

Doctor Consultation

  • 1 Observation

  • 1 Diagnosis

  • 2 Lab Orders (1 Test, 1 Panel)

  • 1 Radiology Order

  • 1 Procedure Order

  • 1 Medication

100%

1680

389

701

876

2015

 CPU, Memory, Network Performance Visualisation

image-20240726-061927.png

๐Ÿ“— Test 2 - 70 Concurrent Users 8 Hours

  • Duration: 8 hours

  • Active Users: 70 users

  • Ramp Up: 5 mins

  • Database pre-state: 101725 patients, 75922 visits, 72971 encounters, 438556 observations

Report Link: https://bahmni.github.io/performance-test/bahmnistandard-70users-8hours-20240726/index.html

Observations:

No.of Patient Created: 3410, No.of Visits created: 9912, No.of Encounters Created: 4060, No.of Observations Created: 25296

There were 20 encounter API call failure with 400 which due to the system trying to add the same drug order which is already active.

Simulations
Scenario
Load share
Patient Count
Min Time (ms)
95th Percentile (ms)
99th Percentile (ms)
Max Time (ms)

Frontdesk

50% Traffic

(35 Users)

New Patient Registration Start OPD Visit

40%

3360

46

122

175

465

Existing Patient Search using ID Start OPD Visit

30%

2400

82

160

243

410

Existing Patient Search using Name Start OPD Visit

20%

2400

174

345

439

609

Upload Patient Document

10%

720

70

102

160

569

Doctor

50% Traffic

(35 Users)

Doctor Consultation

  • 1 Observation

  • 1 Diagnosis

  • 2 Lab Orders (1 Test, 1 Panel)

  • 1 Radiology Order

  • 1 Procedure Order

  • 1 Medication

100%

3360

298

718

952

1684

 CPU, Memory, Network Performance Visualisation

image-20240726-161325.png

๐Ÿ“— Test 3 - 120 Concurrent Users 8 Hours

  • Duration: 8 hours

  • Active Users: 120 users

  • Ramp Up: 5 mins

  • Database pre-state: 105135 patients, 85834 visits, 77031 encounters, 463852 observations

Report Link: https://bahmni.github.io/performance-test/bahmnistandard-120users-8hours-20240727

Observations:

No.of Patient Created: 5810, No.of Visits created: 17449, No.of Encounters Created: 7049, No.of Observations Created: 42969

There were 151 encounter API call failure with 400 which due to the system trying to add the same drug order which is already active.

Note: The 99th percentile of post encounter went above expected to 1257

Simulations
Scenario
Load share
Patient Count
Min Time (ms)
95th Percentile (ms)
99th Percentile (ms)
Max Time (ms)

Frontdesk

50% Traffic

(60 Users)

New Patient Registration Start OPD Visit

40%

5760

48

154

254

701

Existing Patient Search using ID Start OPD Visit

30%

4320

83

217

400

917

Existing Patient Search using Name Start OPD Visit

20%

4320

178

417

614

1128

Upload Patient Document

10%

1440

70

102

160

569

Doctor

50% Traffic

(60 Users)

Doctor Consultation

  • 1 Observation

  • 1 Diagnosis

  • 2 Lab Orders (1 Test, 1 Panel)

  • 1 Radiology Order

  • 1 Procedure Order

  • 1 Medication

100%

5760

286

867

1257

2641

 CPU, Memory, Network Performance Visualisation

Note: The CPU usage load was high above ~60% compared to 70 users run which was at ~35%

image-20240727-024740.png

๐Ÿ“— Test 4 - 120 Concurrent Users 24 Hours

  • Duration: 24 hours

  • Active Users: 120 users

  • Ramp Up: 5 mins

  • Database pre-state: 110945 patients, 103283 visits, 84080 encounters, 506821 observations

Report Link: https://bahmni.github.io/performance-test/bahmnistandard-120users-8hours-20240727

Observations:

No.of Patient Created: 17336, No.of Visits created: 51462, No.of Encounters Created: 20716, No.of Observations Created: 124238

There were 151 encounter API call failure with 400 which due to the system trying to add the same drug order which is already active.

Note: The 99th percentile of post encounter went above expected to 1257

 CPU, Memory, Network Performance Visualisation
image-20240729-011957.png

๐Ÿ“— Test 5 - 200 Concurrent Users 8 Hours

  • Duration: 8 hours

  • Active Users: 200 users

  • Ramp Up: 5 mins

  • Database pre-state: 128281 patients, 154745 visits, 104796 encounters, 631059 observations

Report Link: https://bahmni.github.io/performance-test/bahmnistandard-120users-8hours-20240727

Observations:

No.of Patient Created: 9110, No.of Visits created: 28142, No.of Encounters Created: 10738, No.of Observations Created: 64412

There were 151 encounter API call failure with 400 which due to the system trying to add the same drug order which is already active.

Note: The 99th percentile of post encounter went above expected to 1257

 CPU, Memory, Network Performance Visualisation

image-20240729-012222.png

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