EMR Certification EChart Manitoba Context-Sensitive Launch Interface Assessment Guide. Version: 1.0 December 1, 2015

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1 EMR Certification EChart Manitoba Context-Sensitive Launch Interface Assessment Guide Version: 1.0 December 1, 2015

2 Table of Contents 1 Overview echart Context-Sensitive Launch Interface Objectives Document Purpose Intended Audience Acronyms References Assessment Requirements Supported Browsers Assessment Assumptions Certification Environment Test EMR ID, Username and Password Test Patients Test Network Parameters Test Script Column Definitions Test Scripts - Connectivity Test Scripts Appendix A: Release Notes December 1, 2015 Manitoba ehealth Page 2 of 13

3 1 Overview This section provides an overview of Manitoba ehealth s objectives for defining and implementing an EMR-to-eChart context-sensitive launch interface, the intended audience and the scope of this document. 1.1 echart Context-Sensitive Launch Interface Objectives Certified EMR products in Manitoba must have a capability to launch echart Manitoba within a patient context, using the interface provided by Manitoba ehealth. The objective of the echart launch interface is to provide clinicians secure and authorized access to a broader set of key health information for their patients; thus improving the quality and timeliness of patient care and providing flexibility in definition of new health care delivery processes and models. 1.2 Document Purpose This document describes the test scripts and certification environment logistics for the assessment of echart context-sensitive launch interface. 1.3 Intended Audience This documentation is intended for the following groups who are responsible for developing, implementing, testing and maintaining the echart Manitoba launch interface within an EMR product: Architects Business analysts Project managers / analysts Technical specialists Software developers Software testers 1.4 Acronyms AD EMR HCN Applicable Document Electronic Medical Record Health Care Number or Personal Health Number issued by other provinces December 1, 2015 Manitoba ehealth Page 3 of 13

4 1.5 References This document references two (2) companion documents: REFERENCE DOCUMENT VERSION PUBLISH DATE AD 1 AD 2 EChart Manitoba Context-Sensitive Launch Interface Requirements Specification EChart Manitoba Context-Sensitive Launch Interface Assessment Information Addendum v1.0 December 1, 2015 v1.0 December 1, 2015 Applicants should after completing the application for EMR certification, in order to request your Assessment Information Addendum. 2 Assessment Requirements The echart Manitoba Context Sensitive Launch Interface Requirements Specification (AD1) defines the requirements. 2.1 Supported Browsers The current version of echart Manitoba supports following browsers: Microsoft Internet Explorer version 7.0, 8.0 and 9.0. Microsoft Internet Explorer version 10.0 and 11.0 with compatibility mode turned on. 3 Assessment This section itemizes a number of test scripts to assess and validate the requirements for which the assessment method is either System Integration Testing or Demonstration in the Requirements Specification (AD1). 3.1 Assumptions 1. All test scripts assume the test user has signed on to the local EMR unless otherwise stated. 2. The IP address from which the launch request is issued, is assumed to be located on a local area network that has been provisioned by Manitoba ehealth with VPN access to its network. 3. The success or failure of the actual patient search is irrelevant in most test scripts, unless otherwise stated, since the testing of the echart patient search is outside the scope of this assessment. December 1, 2015 Manitoba ehealth Page 4 of 13

5 3.2 Certification Environment Test EMR ID, Username and Password Manitoba ehealth provides EMR IDs, echart username and password specific to each applicant in the Assessment Information Addendum (AD 2) for integration testing and assessment Test Patients Few test patients are available for the applicants in the test environment of echart Manitoba to facilitate integration testing and assessment. The identifiers and demographics of these test patients are available in the Assessment Information Addendum (AD 2) Test Network Parameters The HTTP POST target URLs (echart Request URLs and echart Logout URLs) for echart Context-Sensitive Launch interface are available in the Assessment Information Addendum (AD 2). 3.3 Test Script Column Definitions ID A unique identifier for the test script. Description A brief textual description of the test being performed. Req/Opt R=Required: the applicant must successfully complete these test scripts. O=Optional: these test scripts are dependent on functionality in the EMR, thus classified as optional. If the EMR product has capabiity to perform these test scripts, the applicant must successfully complete them. Script The detailed steps needed to execute the test. Expected Results The detailed results to be demonstrated and that prove successful execution of the test. Reqmt Xref A reference to one or more requirements in AD1 being primarily assessed. December 1, 2015 Manitoba ehealth Page 5 of 13

6 3.4 Test Scripts - Connectivity ID DESCRIPTION REQ/ I1 EMR user has not authenticated to their EMR. R 1. Start EMR application but do not sign on to EMR. echart context-sensitive launch control is inaccessible or disabled. EC.I02 I2 No patient in context. R 1. Start EMR application and sign on to EMR. 2. Do not place any patient in context in the EMR. echart context-sensitive launch control is inaccessible or disabled. EC.I02 I3 Patient is in context. R 1. Start EMR application and sign on to EMR. 2. Place a patient in context in the EMR. echart context-sensitive launch control is accessible and enabled. EC.I02 I4 EChart user signs off their EMR. R 1. Start EMR application and sign on to EMR. 2. Place a patient in context. 4. Sign on to echart, if prompted for credentials. 5. Return to EMR application and sign off. echart context-sensitive launch control is inaccessible or disabled. EC.I02 I5 EChart patient search URL is reachable. R 1. EMR instance connects to ehealth 2. Place a patient context in EMR that has PHIN and/or other patient demographics. Patient Search is displayed with patient demographics filled on the basic and advanced forms. EC.I11 I6 EChart search is functioning. R 1. Place patient with PHIN in context Patient Search Results 1 is displayed showing patient with PHIN EC.I11 I7 EChart is accessible. R 1. Place patient with PHIN in context 3. On Patient Search results, select the first file as leading and enter the patient file. Patient Demographics or Summary is displayed, as configured by EMR vendor, for selected patient. EC.I11 1 Patient Search Results refers to the echart Patient Search populated with the results of a completed patient search. December 1, 2015 Manitoba ehealth Page 6 of 13

7 3.5 Test Scripts ID DESCRIPTION REQ/ C1 Save the echart credentials in EMR. R 1. Sign on to EMR as a healthcare provider user. 2. Open the screen to save echart credentials in the EMR. 3. Save the test echart username and password. 4. Verify the test echart username and password are saved. EMR user is able to save the echart credentials. EC.I03 C2 EChart user account has not been provisioned within echart. R 1. Sign on to EMR as a user who has not been provisioned for echart. 2. Immediately after signing on to the EMR, Place any patient in context. EMR user is denied access to echart. EC.S01 C3 Invalid echart password entered. R 1. Sign on to the EMR with account that has a valid echart username but an invalid password. 2. Place any patient in context. EMR user is challenged to reauthenticate to echart. EC.S01 C4 Successful signon. R 1. Sign on to the EMR with account that has a valid echart username and password. 2. Place any patient in context. EChart page is presented (specific page is dependent on other parameters and is not relevant for this test) EC.S01 C5 User signs off echart causing echart launch session token in EMR to be invalidated. R 1. Place any patient in context. 3. Click the Logoff link in echart. 4. Open the echart testing and assessment environment URL (not the single-sign-on URL) directly in the browser. EChart presents the login screen to user. User is not taken into echart patient search page directly. EC.S05 C6 Browser session is closed causing echart launch session token or identifiers to be deleted. Only applicable if an external browser is launched. R 1. Place any patient in context. 3. Close the browser window. 4. Open the echart testing and assessment environment URL (not the single-sign-on URL) directly in the browser. EChart presents the login screen to user. User is not taken into echart patient search page directly. EC.S05 December 1, 2015 Manitoba ehealth Page 7 of 13

8 ID DESCRIPTION REQ/ C7 EChart session expires; user must reauthenticate. R 1. Place any patient in context. 3. Wait for more than 20 minutes; where 20 is the configured session limit. 4. Open the echart testing and assessment environment URL (not the single-sign-on URL) directly in the browser. EChart presents the login screen to user. User is not taken into echart patient search page directly. EC.S05 C8 User logs off from EMR, causing echart launch session token or identifiers to be deleted R 1. Place any patient in context. 3. Return back to EMR, keeping the echart window also open. 4. Log off from EMR 5. Open the echart testing and assessment environment URL (not the single-sign-on URL) directly in the browser, in a new tab. EChart presents the login screen to user. User is not taken into echart patient search page directly. EC.S06 C9 User timed out in EMR, causing echart launch session token or identifiers to be deleted R 1. Place any patient in context. 3. Return back to EMR, keeping the echart window also open. 4. Do not do any activity in EMR and wait for more than xx minutes; where xx is the configured session limit in the EMR 5. Open the echart testing and assessment environment URL (not the single-sign-on URL) directly in the browser, in a new tab EChart presents the login screen to user. User is not taken into echart patient search page directly. EC.S06 C10 Password change is required. R 1. EChart administrator forces password expiry on EMR user s account. 2. Immediately after signing on to the EMR, place any patient in context. EMR user is presented with echart login screen with change password link. EC.S03 December 1, 2015 Manitoba ehealth Page 8 of 13

9 ID DESCRIPTION REQ/ C11 EChart Password Expired -EMR prompts user to update the saved password R 1. EChart administrator forces password expiry on EMR user s account. 2. Immediately after signing on to the EMR, place any patient in context. 4. Changes the echart password using the change password link on echart login page. 5. Close the echart window 6. Update the saved echart password in EMR. 7. Select the echart launch control within same patient context again. EMR user is presented with the patient search results results or demographics page in echart; based on the patient search parameters sent by the EMR. EC.S03 C12 EChart Password Incorrect -EMR prompts user to update the saved password R 1. Sign on to the EMR with account that has a valid echart username but an invalid password. 2. Immediately after signing on to the EMR, place any patient in context. 4. EChart shows user an invalid password screen. 5. User closes the echart browser window. EMR recognizes that user s saved echart password is incorrect; and prompts user to update the saved password in EMR. EC.S03 C13 Search PHIN only. R 1. Place a patient in context that has only a PHIN listed. presented; PHIN is filled in on search options. EC.I07 C14 Search First name only. O 1. Place a patient in context that has only a first name listed. No results window returned - the search is not supported by echart Manitoba. EC.I07 C15 Search Last name only. O 1. Place a patient in context that has only a last name listed. No results window returned - the search is not supported by echart Manitoba. EC.I07 C16 Search Birthdate only. O 1. Place a patient in context that has only a birthdate listed. No results window returned - the search is not supported by echart Manitoba. EC.I07 C17 Search First name, last name and birthdate only. R 1. Place a patient in context that has only a first name, last name and birthdate listed. presented; first name, last name and birthdate are filled in on search options. EC.I07 December 1, 2015 Manitoba ehealth Page 9 of 13

10 ID DESCRIPTION REQ/ C18 Search First name, last name, birthdate and gender only. R 1. Place a patient in context that has only a first name, last name, birthdate and gender listed. presented; first name, last name, birthdate and gender are filled in on search options. EC.I07 C19 Search BC HCN. O 3. Place a patient in context that has a BC HCN listed. 4. Select the echart launch control. C20 Search AB HCN. O 1. Place a patient in context that has an AB HCN listed. 2. Select the echart launch control C21 Search SK HCN. O 1. Place a patient in context that has a SK HCN listed. C22 Search ON HCN. O 1. Place a patient in context that has an ON HCN listed. C23 Search QC HCN. O 1. Place a patient in context that has a QC HCN listed. C24 Search NB HCN. O 1. Place a patient in context that has a NB HCN listed. C25 Search NS HCN. O 1. Place a patient in context that has a NS HCN listed. 2. Select the echart launch control C26 Search PEI HCN O 1. Place a patient in context that has a PEI HCN listed. C27 Search NL HCN. O 1. Place a patient in context that has a NL HCN listed. C28 Search NT HCN. O 1. Place a patient in context that has a NT HCN listed. C29 Search NU HCN. O 1. Place a patient in context that has a NU HCN listed. December 1, 2015 Manitoba ehealth Page 10 of 13

11 ID DESCRIPTION REQ/ C30 Search YT HCN. O 1. Place a patient in context that has a YT HCN on listed. C31 Search CCM number. O 1. Place a patient in context that has a CCM number listed. presented; CCM number and authority are filled in on advanced search options. C32 Search Canadian Forces No. O 1. Place a patient in context that has a Canadian Forces number listed. presented; Canadian Forces number and authority are filled in on advanced search options. C33 Search RCMP No. O 1. Place a patient in context that has an RCMP number listed. presented; RCMP number and authority are filled in on advanced search options. C34 Search Include archived records=no. R 1. Set product configuration to archived=n. 2. Place a patient in context that has only a PHIN listed. 4. Select the echart launch control presented; Include archived files? option is set to no on advanced search options EC.I09 C35 Search Include archived records=yes. R 1. Set product configuration to archived=y. 2. Place a patient in context that has only a PHIN listed. 3. Select the echart launch control 4. Select the echart launch control presented; Include archived files? option is set to yes on advanced search options EC.I09 C36 Search All demographic search parameters are passed and PageTarget= Demographics (or omitted). R 1. Place a patient in context that includes first name, last name, gender, birthdate, PHIN. EChart Demographic clinical view is presented to the EMR user. EC.I06 C37 Search with externalmode=false (or omitted) R 1. Place a patient in context that has a PHIN listed. 1. Select the echart launch control presented. Patient Search button is enabled. Logout link is enabled. EC.I06 C38 Search with clinicalviewmode=all R 1. Place a patient in context and select the option in the EMR, if available, to show the navigation and menu panes. presented. All panes, navigation icons, and menus are displayed. EC.I06 December 1, 2015 Manitoba ehealth Page 11 of 13

12 ID DESCRIPTION REQ/ C39 Demonstrate that the EMR launch works with one or all supported Web Browsers. R 1. Place a patient in context. 2. Select the echart launch control Microsoft Internet Explorer Version 6.0 or 7.0 or 8.0 or 9.0 browser is launched. Depending on vendor s design, browser may be a graphical control embedded in the EMR application rather than a separate window. EC.B01 C40 Demonstrate that the EMR launch works with IE 10 in Compatibility Mode. O 3. Place a patient in context. 4. Select the echart launch control. Microsoft Internet Explorer Version 10 browser is launched in compatibility mode. Depending on vendor s design, browser may be a graphical control embedded in the EMR application rather than a separate window. EC.B02 C41 Demonstrate that the EMR launch works with IE 11 in Compatibility Mode. R 1. Place a patient in context. Microsoft Internet Explorer Version 11 browser is launched in compatibility mode. Depending on vendor s design, browser may be a graphical control embedded in the EMR application rather than a separate window. EC.B02 C42 EChart printing uses Adobe Reader interface for PDF files. R 1. Place a patient in context. 3. Select an echart page with print capability (Lab report, Immunizations, Medications, Patient Log Summary). 4. Select the echart Print icon. EChart print icon invokes print dialog. EC.B03 C43 C44 Demonstrate that saved echart credentials are encrypted. Demonstrate that saved echart credentials are specific to an EMR user at a clinic; and not shared with other EMR users at same clinic. R To be determined by applicant. EC.S02 R To be determined by applicant. EC.S04 December 1, 2015 Manitoba ehealth Page 12 of 13

13 4 Appendix A: Release Notes Added reference to the requirements specification document under section 2 (Assessment Requirements) and removed all requirements from this document as they were duplicated. Moved the supported browsers section to this document from the requirements specification document. Removed the test scripts for MRN parameters from section 3.5 (Test Scripts) as EMR are not expected to store MRN in Manitoba. Moved the use cases to the requirements specification document. Moved the certification environment section (earlier section 4.0) to section 3.2. December 1, 2015 Manitoba ehealth Page 13 of 13

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