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201701 Patient Track Proposal

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Patient

Starting with the Connectathon 14 event in San Antonio this track will include additional levels of testing including a more formalized reporting of test results.

Pre-Requisites

For all levels of testing the required pre-requisite is the fundamental requirement that all FHIR servers SHALL support the capabilities interaction.

Level 1 - Introduction - New Participants/Systems

This has been and will remain the primary purpose of this track and provides a 'friendly introduction' for those new to FHIR. Attendees participate in this track using a simple scenario that can be met with limited domain knowledge and by those who have not had a lot of exposure to FHIR. It is quite feasible to complete the client side of the track within a day with only knowledge of a development environment and little to no previous FHIR knowledge. If creating a server, advanced preparation will be required, but this scenario should somewhat limit the effort involved.

Pre-connectathon testing is encouraged, but not required, where the participants can utilize the existing Publicly_Available_FHIR_Servers_for_testing.

Testing and test reporting at the Connectathon event will be self-attested using the Results tab of the Tracking Spreadsheet (link TBD) and primarily involve peer-to-peer execution between known FHIR clients and/or servers.

Level 2 - Formal Testing - Participants with FHIR experience

(Level 1 +) This level introduces a more formalized testing approach for those participants that have been working the FHIR specification for one or more Connectathon events and have systems that are in active development, or deployed or soon to be deployed into a production environment. Automated testing is significantly leveraged for both automated testing (testing tool to FHIR server) and surveliance of peer-to-peer testing (external FHIR client to external FHIR server).

Pre-connectathon testing is highly encouraged in order to be better prepared for the actual Connectathon event and become familiar with the public testing platforms that will be used for the formal testing.

Testing and test reporting will be done using the public testing platforms which will provide test results via the new FHIR TestReport resource type as well as any specific reporting capabilities of those testing platforms. These reports will provide qualitative and quantitative analysis of the system under test and its conformance to the FHIR specification.

Submitting WG/Project/Implementer Group

FHIR Management Group (FMG)

Justification

This is the Patient Track testing that is included in all FHIR Connectathons.

This track provides new participants with a friendly introduction to FHIR, using a simple scenario that can be met with limited domain knowledge and by those who have not had a lot of exposure to FHIR.

Proposed Track Lead

See Connectathon_Track_Lead_Responsibilities

Coordinator: Ron Shapiro

Test Support: Richard Ettema

Expected participants

Level 1

See Tracking Spreadsheet (link TBD)

Level 2

See Tracking Spreadsheet (link TBD)

Roles

FHIR Client

This actor initiates the processing requests that enable the creation, deletion, manipulation and retrieval of Patient resource instances. The required, supported interactions are the defined basic CRUD operations: create, read, update and delete. Additional required, supported interactions are the operations: vread, history and search.

(Example FHIR Client CapabilityStatement here)

FHIR Server

This actor receives, processes and responds to the requests for creation, deletion, manipulation and retrieval of Patient resource instances. The implementation of this actor would normally provide for a repository storage mechanism along with corresponding maintenance and retrieval capabilities of the Patient resource instances. The required, supported interactions are the defined basic CRUD operations: create, read, update and delete. Additional required, supported interactions are the operations: vread, history and search.

(Example FHIR Server CapabilityStatement here)

Scenarios

Level 1 - Introduction - New Participants/Systems

The following scenarios represent the basic scenarios that participants will work to implement during the Connectathon event. Execution of these scenarios is expected to be performed with the other participants of this track as well as the Publicly_Available_FHIR_Servers_for_testing.

1. Register a new patient

Action: FHIR client creates a new patient and save to FHIR server. The client can assign the Id.
Precondition: Patient does not exist in FHIR server prior to action
Success Criteria: Patient created correctly on FHIR server (use browser to inspect Patient)
Bonus point: The Patient resource has an extension

>>Note: the resource Id can either be created by the client or the server (depending on the capability of the server). However, if the server assigns the Id, then the client will need to be able to retrieve the Id from the server response or by a patient query.

2. Update a patient

Action: FHIR client updates the patient created in scenario #1 and updates to FHIR server. The patient is retrieved by Id.
Precondition: Patient has been created
Success Criteria: Patient updated on FHIR server (use browser to inspect Patient)
Bonus Point #1: Update a patient that has extensions, but leaving the extension untouched.
Bonus Point #2: Update a patient that has extensions, and update the extension also.

3. Retrieve Patient history

Action: FHIR client searches the FHIR server for the history of a Patient
Precondition: There is a patient that has at least one update
Success Criteria: Patient's history displayed in interface. (use browser to query FHIR server)
Bonus point: The UI allows the user to display previous versions of the Patient

4. Search for a patient on name

Action: FHIR client searches the FHIR server for patients with a given name
Precondition: Patients with that name have been created
Success Criteria: patients displayed in interface. (use browser query to confirm)

5. Delete a patient

Action: FHIR client deletes the patient with a given id
Precondition: a Patients with that Id has been created
Success Criteria: Subsequently querying for the patient - either searching by name or by Id - fails.

Level 2 - Formal Testing - Participants with FHIR experience

The following scenarios represent the formal testing scenarios that participants have been working to implement both prior to and during the Connectathon event. Execution of these scenarios will focus on automated testing with the public testing platforms and is expected to be performed with the other participants of this track as well as the Publicly_Available_FHIR_Servers_for_testing. Each of the scenarios are implemented as FHIR TestScript resources that include extensive assertions to provide a more comprehensive validation/verification of the systems under test conformance to the FHIR specification.

All testing scenarios are performed by choosing FHIR TestScript resources that use:
(a) XML or JSON
(b) client or server assigned resource IDs

1. Patient Registration/Creation

FHIR Server
Action: Use testing tool to create a new patient on the FHIR server
Precondition: Patient does not exist in FHIR server prior to action
Success Criteria: Testing tool passes all assertions and validations which include (a) HTTP status returned is 201 (Created), (b) returned format matches sent format, (c) patient can be retrieved and HTTP status 200 (OK) is returned, (d) retrieved patient format matches sent format and (e) conforms to base FHIR Patient profile.
FHIR Client
Action: FHIR client creates a new patient and saves to FHIR server. A testing tool is used as a proxy in order to validate that the transaction is processed correctly.
Precondition: Patient does not exist in FHIR server prior to action
Success Criteria: Testing tool passes all assertions and validations

2. Patient Modification/Update

FHIR Server
Action: Use testing tool to update an existing patient on the FHIR server
Precondition: Patient exists in FHIR server prior to action
Success Criteria: Testing tool passes all assertions and validations
FHIR Client
(Steps go here)

3. Patient Read

FHIR Server
Action: Use testing tool to retrieve a patient from the FHIR server
Precondition: Patient exists in FHIR server prior to action
Success Criteria: Testing tool passes all assertions and validations
FHIR Client
(Steps go here)

4. Patient History

FHIR Server
Action: Use testing tool to retrieve patient history from the FHIR server
Precondition: Patient exists in FHIR server prior to action
Success Criteria: Testing tool passes all assertions and validations
FHIR Client
(Steps go here)

5. Patient Version Read

FHIR Server
Action: Use testing tool to retrieve specific patient version from the FHIR server
Precondition: Patient exists in FHIR server prior to action
Success Criteria: Testing tool passes all assertions and validations
FHIR Client
(Steps go here)

6. Patient Searching via Multiple Criteria

FHIR Server
Action: Use testing tool to search for patient on the FHIR server
Precondition: Patient exists in FHIR server prior to action
Success Criteria: Testing tool passes all assertions and validations
FHIR Client
(Steps go here)

7. Patient Deletion/Removal

FHIR Server
Action: Use testing tool to delete patient on the FHIR server
Precondition: Patient exists in FHIR server prior to action
Success Criteria: Testing tool passes all assertions and validations
FHIR Client
(Steps go here)

99. All Patient Operations Defined Above

FHIR Server
Action: Use testing tool to perform all of the steps listed above on the FHIR server
Precondition: Patient does not exist in FHIR server prior to action
Success Criteria: Testing tool passes all assertions and validations
FHIR Client
(Steps go here)

Help Links

Here are some links to assist implementers:

TestScript(s)

The supporting TestScripts and corresponding fixtures will be committed to the FHIR SVN.

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