High Level Test Plan

From TAPASWiki

Contents 1 Introduction 2 Search for a Patient 2.1 Outlier Testing: 3 Add a Patient 3.1 Outlier Testing: 4 Editing Patient Demographics 4.1 Outlier Testing: 5 Patient Core Medical Summary 5.1 Medical Summary Test Data 5.2 Outlier Testing: 6 Prescription Management 6.1 Outlier Testing and Additional Elements to Test 7 Patient Notepad 8 Admin: User management 8.1 Outlier Testing: 9 User Settings 9.1 Outlier Testing: 10 Core User functions 10.1 Messaging 10.2 Demographics 10.3 Specialist list 10.4 Group Management 10.5 Outlier Testing: 11 Medication Favourites 12 Patient Referrals 12.1 Outlier Testing: 13 User Active Referral Lists 13.1 Outlier Testing: 14 Patient Alerts 14.1 Outlier Testing: 15 User Alerts Lists 15.1 Outlier Testing: 16 Auxiliary Functions 16.1 TAPAS Printing 16.2 Exporting CDAs 16.3 Outlier Testing: 17 Concurrency Testing 17.1 Outlier Testing: 18 Client Load Testing 18.1 Outlier Testing:

Introduction

This document outlines the basic test plan for the server / desktop client for TAPAS. Up until know an undocumented approach to testing the user experience has occurred by the team as features are added, integrated, etc. This framework will provide an outline to aid testers and other members of the team when using the program as to steps to move through when testing. It will also be a “living document” with sign off to sections by developers as the testing outline described below provides a step wise description of functionality that builds on itself (i.e. if step one does not work, do not expect step 7 to work). In this way, this framework will speed testing.

Currently for bug tracking we are using our basecamp account as it is integrated into our workflow. If you want to be involved in testing, please let us know and we will add you to the project site.

NOTE: There has been a formal, scenario based process for usability testing during the initial design phases.

Although logging into a system seems the natural place to start testing, currently the system provides a default log into the test platform. Therefore adding patients will be the first step of the test plan.

Search for a Patient

1. open the application
2. into the patient search window (top right corner) enter the letters Cl
3. find patient John Cleese on the list
4. single click patient and ensure patient loads

Outlier Testing:

NOTE: Outlier Testing refers to chosen "odd" scenarios (e.g. patient with no name) that the system might encounter. Each outlier described should include the intended response of the system.

Action	Expected Outcome	Additional Comments
Search and leave name blank	Leaving the name blank and pressing search should show a list of all patients in the system, alphabetically by last name.

Add a Patient

1. open the application
2. use the menu and select "New Patient"
3. Change Patient name to something you like and document the name.
4. Save
5. Close Patient
6. Search for patient, confirm patient is there
7. select patient
8. confirm patient information is correct
9. close patient

Outlier Testing:

NOTE: Outlier Testing refers to chosen "odd" scenarios (e.g. patient with no name) that the system might encounter. Each outlier described should include the intended response of the system.

Action	Expected Outcome	Additional Comments
Use name of another patient	Should allow you to use same name.	Should be able to select each patient in the list when searching.
Repeat tests with multiple patient tabs open in Tapear	System should behave as expected (ie keep pts separate, allow for new patients, etc).

Editing Patient Demographics

The patients demographic data is kept on a single screen. Populate that screen as follows:

1. Title: Mr.
2. Name: Bob "Bobby" Smith (Name in quotes is the patient's preferred name)
3. Suffix: Jr
4. Gender: Male
5. DOB: Feb 28, 1988
6. Language: Chinese
7. Confidentiality: Normal
8. Health#: BC, 123456789
9. Address: Primary Home, #1 - 101 1st Ave North, Van, BC, Canada, V1V1V1
10. Contact: Home, Telephone, 555-555-5555
11. Additional Information: Mum needs to be called if patient needs a ride.
12. save
13. close pt
14. search for patient
15. re open and confirm settings are saved.

Repeat the above steps with the following patients

Title	Name	Suffix	Gender	DOB	Language	Confidentiality	Health#	Address	Contact
Mr	Gram Chapman		Male	October 13, 1933	English	normal	BC PHN: 5234567890	Office: 115-555 Average Ave, Anycity, BC, Canada	Home: 604-555-2468 Cell: 604-555-7788
Mr	Jack Cleese "John"		Male	January 5, 1940	English	Normal	BC PHN 1234567890	111-555 Average Ave, Anycity, BC, Canada, VOV OVO	Home: 604-555-1468 Work: 604-555-8788
Mrs	Terri Jones		Female	June 15, 1935	English	Normal	BC PHN: 2234567890	112-555 Average Ave, Anycity, BC, Canada	Home: 604-555-1468
Mr	Terry Gallium	Esq.	Male	October 1, 1943	American	Confidential	BC PHN: 4234567890	Home: 114-555 Average Ave, Anycity, BC, Canada	Home:604-555-1468 Office: 604-555-3321

Insert Pythonian names here

Outlier Testing:

Action	Expected Outcome	Additional Comments
Delete all rows from address table	System should allow for 0 records in the table.	This may well effect other areas of the program (e.g. Printing labels) - need to also test printing.
Delete all rows from contacts table	System should allow for 0 records in the table.	This may well effect other areas of the program (e.g. Printing labels)
Delete all rows from health number table	System should allow for 0 records in the table.	This may well effect other areas of the program (e.g. Printing labels)
Change start / end dates in any section element.	Start / End date should adjust so that Start < End. Eg if user makes Start > End, then End automatically changes to >Start.

Patient Core Medical Summary

Editing core patient summary information is key to the system. Two aspects, alerts and referrals, should not be tested here as they rely on user lists in the system and those will be tested next in the process. Instead focus on the following sections. Sample data has been described. Prescriptions are more complex, they have been described in their own subsection.

For all of these elements, please confirm saving by closing patient and reopening.

Medical Summary Test Data

Patient Initials	Problems	Med Hx	Procedures	Allergies	Fam Hx	Risks	Immunizations
GC	1980/10 Hypertension 1990/11 Insomnia	1990-1992/06/30 Splenomegaly	1992/06/30 Splenectomy	1970 Penicillin, Drug allergy, Moderate	Diabetes, 60, Father	1954, Tobacco Use, 2 packs per day.	2005/11/12 pneumococcal-polysaccharide, Lot# 123q, 0.5 ml, Sub dermal, R deltoid
JC	2000/05/05 Hypothyroidism 2004/10/31 Diabetes Mellitus Type II 2005 Angina pectoris, comment: Stable, occurs at 4 flights of stairs	1999-2000/05/05 Acute Thyroiditis	2000/05/05 Complete Thyroidectomy 2005/08/16 Treadmill Stress Test, comment: some ischemia, able to complete test.		Hypothyroidism, nos. Sister, age 25. Hypothyroidism, Mother, age 40
TJ	2006/01/05 Cough 2000 Diabetes Mellitus		1955 Tonsillectomy 1965 Appendectomy 1975 Cholecystectomy
TG	1989/05/01 Essential Hypertension 1992 Depression 2004/11 Congestive Heart Failure 1999/05 Osteoarthritis, L Knee. Needs to follow up with ortho in 2007.	1970-1980 Depression 1970/05 medial meniscus injury 1998/04/24 Myocardial Infarction 2004/10/22 Myocardial Infarction	1980/03/15 Knee Arthroscopy, Repaired long standing meniscus injury and cleared pain.		Diabetes, 55, Mother Depression, 40, Mother Depression, 60, Father	1999 Alcohol Dependence. Comment: 5-6 glasses of wine / day.	2003/01/15 Hepatitis A and B, 0.5ml, R Deltoid 2003/02/20 Hepatitis A and B, 0.5ml, L Deltoid 2003/07/31 Hepatitis B, 0.5ml, R Deltoid

Outlier Testing:

Action	Expected Outcome	Additional Comments
Change start / end dates in any section element.	Start / End date should adjust so that Start < End. Eg if user makes Start > End, then End automatically changes to >Start.
Remove start / end dates	System should allow for dates to be removed for all sections except prescriptions.
Delete comments	Comments should be able to be edited and removed if so desired by the user.
Rename element title	System should allow for renaming of a title to a different code and should not be a new element. For example, for patient "TJ" above, change Active Problem "cough" to "tuberculosis"
Cancel Changes	In all sections, after an element is created, cancel it. It should cease to be.
Move active problem to past medical history.	System should ask for end date and then move element from Active Problem to Med Hx.	Example: Select an active problem (e.g. tuberculosis) and "Move to past medical history", setting an end date of 2006/02/22 or similar.
Cancel a pending prescription	The system should allow you to select a pending prescription and cancel it, without storing the prescription in the system.	You can try multiple medication prescriptions, update the pending and then cancel several in a row to see how it behaves.

Prescription Management

Please take the following medications and add them to their respective patients (above).

1. Open Patient
2. Move to Rx tab
3. New Rx
4. Type first few letters of the generic medication and select the medication and dose from the list
5. Adjust the remaining settings on the screen
6. Update Pending
7. Print Pending
8. Confirm that the correct medications are on the medication list
9. Confirm that these medications are on the summary page
10. Close and open the patient and confirm that the medications have been saved

When there is more than one medication, please fill them all as "pending" then print in a batch.

Patient Initials	Medication	Amount	Route	Frequency	Duration	Refills	Comments
GC	Trazodone 50mg	1-2 tablets	Per Os	QHS	8 weeks	0	Take 30 minutes before bed.
	Hydrocholorthiazide 25mg	0.5 tablets	Per Os	Qam	8 weeks	2
TJ	No Medications
TG	Furosemide 40mg	1-1.5 tablets	PO	Qam	30 days	1 repeat
	Ramipril 5mg	1	PO	Qnoon	30 days	1 repeat
	Paxil 20mg	2 tablets	PO	Qam	30 days	1 repeat
	Naproxen 500mg	1 tablets	PO	BID PRN	30 days	1 repeat	Take with food.

Other Use Cases:

• Refill a prescription: Choose a medication above and refill the medication.
• Discontinue a medication: Select a medication and d/c it

Confirm that changes occur on the summary screen.

Outlier Testing and Additional Elements to Test

Action	Expected Outcome	Additional Comments
Refill a prescription from the existing list.	Prescription should refill, allowing the user to change settings, etc.
Discontinue a medication	System should allow you to discontinue a medication	To D/C a medication: select the medication and press the D/C selected button.
View Expired Medications
View D/Ced Medications
Refill D/Ced medications	The system should not let you refill a d/ced medication
Move active problem to past medical history.	System should ask for end date and then move element from Active Problem to Med Hx.	Example: Select an active problem (e.g. tuberculosis) and "Move to past medical history", setting an end date of 2006/02/22 or similar.
Cancel a pending prescription	The system should allow you to select a pending prescription and cancel it, without storing the prescription in the system.	You can try multiple medication prescriptions, update the pending and then cancel several in a row to see how it behaves.

Patient Notepad

When working on a patient, please update the free text in the notepad.

Action	Expected Outcome	Additional Comments
open patient edit notepad text close patient reload patient	confirm edit is saved
re-edit change other patient elements move to another patient make changes to other patient return to this patient	ensure changes persist	Please add enough text to scroll off the window pane to confirm that a scroll bar appears.
close patient reopen patient	changes made should persist

Admin: User management

Add new user Change settings Update password Change roles Change Groups

Outlier Testing:

User Settings

Test new users logging into the system

Outlier Testing:

• Wrong User
• Wrong Password
• Right password from wrong user

Core User functions

Core User functions include those elements that users will be able to control in their own tab.

NOTE: Referrals and Alerts cannot be tested here until they are tested in the patient tabs.

Messaging

Demographics

Specialist list

The Specialist function tab allows for the management of all specialists that are recorded in the system. Here specialist information can be added, updated and specialists can be "deactivated". To test please follow the list below.

Add New Specialist

1. Log in, go to workspace, open specialist tab
2. click "new specialist"
3. Add a new specialist:
   1. Dr. Bob "Endo" Smith
   2. Speciality: Endocrinology
   3. Status: Active
   4. Office Address: 101 - 5 5th St, Vancouver, BC, Canada, H0H 0H0
   5. Contact info: work: 604-555-9999
   6. Extra information: Assistant's name is Betty. Open Tues-Thursday only.
4. Save
5. Close Application
6. Re-open and confirm the specialist has been saved.

1. Repeat with a new specialist:
   1. Dr. Tom "Hearty" Jones
   2. Speciality: Cardiology
   3. Status: Active
   4. Office Address: 102 - 5 5th St, Vancouver, BC, Canada, H0H 0H0
   5. Contact info:
   6. Extra information: contact through the hospital switchboard.

1. Repeat with a new specialist:
   1. Dr. Kate "Loud" Borborygmi
   2. Speciality: GI
   3. Status: Active
   4. Office Address:
   5. Contact info: Pager 604-555-9900
   6. Extra information:

Group Management

Create a group call MOA Group: add all MOA users to that group

Create a group called MD Group: add all MD users to that group

Create a group call Everybody: add all users to that group

Outlier Testing:

Medication Favourites

Medication Favourites allow a user to keep a quick list of medications that they normally prescribe within a few mouse clicks. It requires an active user management system, so it is tested now.

Action	Expected Outcome	Additional Comments
Add Medication Favorite	Prescription name should appear on the "Favourites" medication list	While prescribing a medication press "Save as Favourite". Favourites are tied to the user not the patient. Confirm that the favourite is saved by logging out and logging back in.
Use Favourite	Favourite with all previous settings should populate the prescription writer when you double click it. It should act as a normal prescription (see above).
Remove Favourite	Single clicking on a favourite should un-ghost the "Remove Favourite". Clicking this button should remove the favourite. Confirm by logging out and back in.

Patient Referrals

Patient referrals require a solid core summary, active patients, groups and a populated specialist list, therefore they can be tested now.

Workflow:

1. Open an existing patient
2. open the referral tab
3. Create a new referral for that patient
   1. Select the Specialist by choosing the specialty and then the specialist, or conversely just choosing the specialist from the list. Use keyboard shortcuts to navigate the list.
   2. Select Urgency
   3. Add cover letter
4. Save Referral
5. Close patient and do something else in the system
6. Return to referral and edit as below
7. Save and Print Referral

Please use the patients and data listed below for testing.

Initials	Specialist	Urgency	Status	Manager	Date	Time	Cover Letter	cc	Office Notes
JC	Smith	Routine	Collect Info	None	None yet	None yet	Thank you for seeing this patient. His diabetes continues to be poorly controlled and I hope that a review by you will help establish what his medication needs are and help to promote more healthy lifestyle patterns		Collect HbA1c and fasting Blood Glucose before sending.

Update the existing referral on JC with:

Initials	Specialist	Urgency	Status	Manager	Date	Time	Cover Letter	cc	Office Notes
			CHANGE:Call Specialist	ASSIGN TO: MOA Group			Append: " A1c=9%, Fasting Glucose=10.2"		DELETE

Update the existing referral on JC with:

Initials	Specialist	Urgency	Status	Manager	Date	Time	Cover Letter	cc	Office Notes
			CHANGE:Call Patient		March 29,2007	10:00am			DELETE

Outlier Testing:

User Active Referral Lists

• Confirm that the above referral is seen by members of the MOA group
• Confirm that the above referral is NOT seen by members of the MD group (in their screen)
• Confirm that the referral can be edited on this screen.

Outlier Testing:

Patient Alerts

The patient alerts, like referrals, requires an active and tested user management system, thus they are tested now instead of with the "core" summary. In testing alerts, please add the following to the patients.

Patient Initials	Title	Start	End	Assigned To	Comment
JC	Full Code	No Start	No End	No Assignment	Discussed with patient and family - patient would like to be full code. Patient clear and competent.
JC	Physical Due	2006/02/05		Yourself	Patient will be due for physical - don't forget to check feet.
JC	Arrange Follow Up with Dr. Smith	2007/12/15	No End	No Assignment	Send referral to Dr. Smith for follow up of diabetes if HbA1C >8.5%

Outlier Testing:

• Update "Follow up with Dr. Smith" and assign to yourself.
• Confirm they are updated.
• Remove date for start and date for end
• Change Assignment
• Remove Assignment
• leave title blank

User Alerts Lists

• Confirm data is accurate on list and summary (i.e. right patient, right PHN, GP, DOB etc)
• Ensure only assigned, active alerts show up in alerts list
• Edit an alert
  • Change title
  • Change Comment
  • Change who it is assigned to
  • Change dates

Outlier Testing:

Auxiliary Functions

TAPAS Printing

Exporting CDAs

• Tested during development.

Outlier Testing:

Concurrency Testing

Outlier Testing:

Client Load Testing

Outlier Testing: