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

1 Test Scenario for Diagnosis Search, Save, and Display
2 Test Scenario for Diagnosis Report By Gender
3 Test Scenario for CDSS Alerts
4 Test Scenario for Configuring and Using Form Builder
5 Test Scenario for Ordering Procedures
6 Test Scenarios for ICD-10 Code Mapping for a given SNOMED Code
7 Test Scenario for Bulk FHIR Export of Patient Data

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 - SNOMED International Browser
	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	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/. 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	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/. 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	Goto OpenMRS Global Properties, remove the value set in ts.fhir.valueset.urltemplate field 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 - SNOMED International Browser
	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 - SNOMED International Browser
	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 - SNOMED International Browser
	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

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 SNOMED International Browser
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 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

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/

Diagnosis-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 diagnoses tab	Diagnoses page should be displayed
	In Diagnosis search box, search for Asthma	System displays list of matched results
	Select Asthma and save the diagnosis	Asthma is saved as Diagnosis for the patient
	Navigate to Medications Tab	Medication page should be displayed
	Under Drug Name, search for Propranolol as drug	System should display list of matched results
	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 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

E2E Test Scenarios for Bahmni-SNOMED Engagement

Test Scenario for Diagnosis Search, Save, and Display

Test Scenario for Diagnosis Report By Gender

Test Scenario for CDSS Alerts