|
| 1 | +import logging |
| 2 | +import pytest |
| 3 | +from datetime import datetime, timedelta |
| 4 | +from playwright.sync_api import Page |
| 5 | +from classes.repositories.general_repository import GeneralRepository |
| 6 | +from pages.base_page import BasePage |
| 7 | +from pages.datasets.colonoscopy_dataset_page import ( |
| 8 | + ColonoscopyDatasetsPage, |
| 9 | + FitForColonoscopySspOptions, |
| 10 | +) |
| 11 | +from pages.datasets.subject_datasets_page import SubjectDatasetsPage |
| 12 | +from pages.logout.log_out_page import LogoutPage |
| 13 | +from pages.screening_practitioner_appointments.appointment_detail_page import ( |
| 14 | + AppointmentDetailPage, |
| 15 | +) |
| 16 | +from pages.screening_subject_search.advance_lynch_surveillance_episode_page import ( |
| 17 | + AdvanceLynchSurveillanceEpisodePage, |
| 18 | +) |
| 19 | +from pages.screening_subject_search.contact_with_patient_page import ( |
| 20 | + ContactWithPatientPage, |
| 21 | +) |
| 22 | +from pages.screening_subject_search.episode_events_and_notes_page import ( |
| 23 | + EpisodeEventsAndNotesPage, |
| 24 | +) |
| 25 | +from pages.screening_subject_search.subject_screening_summary_page import ( |
| 26 | + SubjectScreeningSummaryPage, |
| 27 | +) |
| 28 | +from utils import screening_subject_page_searcher |
| 29 | +from utils.appointments import book_appointments |
| 30 | +from utils.batch_processing import batch_processing |
| 31 | +from utils.calendar_picker import CalendarPicker |
| 32 | +from utils.lynch_utils import LynchUtils |
| 33 | +from utils.oracle.oracle import OracleDB |
| 34 | +from utils.subject_assertion import subject_assertion |
| 35 | +from utils.user_tools import UserTools |
| 36 | + |
| 37 | + |
| 38 | +@pytest.mark.usefixtures("setup_org_and_appointments") |
| 39 | +@pytest.mark.vpn_required |
| 40 | +@pytest.mark.regression |
| 41 | +@pytest.mark.lynch_regression_tests |
| 42 | +def test_lynch_scenario_7_1(page: Page) -> None: |
| 43 | + """ |
| 44 | + Scenario: 7.1 - Discharge patient choice (no result) - self referral |
| 45 | +
|
| 46 | + G4-G2-G3-A183-A25-J10-A99-A59-A306-A396-A392-A350-C203 Lynch over age [SSCL14b(A350)] |
| 47 | +
|
| 48 | + This scenario tests where the subject is invited for a diagnostic test, but cancels the test (giving an episode result of "No result") and decides not to continue. |
| 49 | +
|
| 50 | + Subject summary: |
| 51 | +
|
| 52 | + > Process Lynch diagnosis for a new over-age subject suitable for immediate self-referral |
| 53 | + > Self refer the subject |
| 54 | + > Run Lynch invitations > G4 (5.1) |
| 55 | + > Process G4 letter batch > G2 (5.1) |
| 56 | + > Run timed events > G3 (5.1) |
| 57 | + > Book appointment > A183 (1.11) |
| 58 | + > Process A183 letter batch > A25 (1.11) |
| 59 | + > Attend appointment > J10 (1.12) |
| 60 | + > Suitable for Endoscopic Test > A99 (2.1) |
| 61 | + > Invite for Diagnostic Test > A59 (2.1) |
| 62 | + > Cancel Diagnostic Test > A306 (2.1) |
| 63 | + > Close Episode - Patient Choice > A396 (2.3) |
| 64 | + > Process A396 letter batch > A392 (2.3) |
| 65 | + > Process A392 letter batch > A350 (2.3) |
| 66 | + > Check recall [SSCL14b(A350)] |
| 67 | + """ |
| 68 | + # Given I log in to BCSS "England" as user role "Hub Manager" |
| 69 | + user_role = UserTools.user_login( |
| 70 | + page, "Hub Manager State Registered at BCS01", return_role_type=True |
| 71 | + ) |
| 72 | + if user_role is None: |
| 73 | + raise ValueError("User cannot be assigned to a UserRoleType") |
| 74 | + |
| 75 | + # When I receive Lynch diagnosis "EPCAM" for a new subject in my hub aged "75" with diagnosis date "3 years ago" and last colonoscopy date "2 years ago" |
| 76 | + nhs_no = LynchUtils(page).insert_validated_lynch_patient_from_new_subject_with_age( |
| 77 | + age="75", |
| 78 | + gene="EPCAM", |
| 79 | + when_diagnosis_took_place="3 years ago", |
| 80 | + when_last_colonoscopy_took_place="2 years ago", |
| 81 | + user_role=user_role, |
| 82 | + ) |
| 83 | + |
| 84 | + # Then Comment: NHS number |
| 85 | + assert nhs_no is not None |
| 86 | + logging.info(f"[SUBJECT CREATION] Created Lynch subject with NHS number: {nhs_no}") |
| 87 | + |
| 88 | + # When I self refer the subject |
| 89 | + screening_subject_page_searcher.navigate_to_subject_summary_page(page, nhs_no) |
| 90 | + SubjectScreeningSummaryPage(page).click_self_refer_button() |
| 91 | + |
| 92 | + # Then my subject has been updated as follows: |
| 93 | + subject_assertion( |
| 94 | + nhs_no, |
| 95 | + { |
| 96 | + "Calculated FOBT due date": "Null", |
| 97 | + "Calculated lynch due date": "Today", |
| 98 | + "Calculated surveillance due date": "Null", |
| 99 | + "Lynch due date": "Today", |
| 100 | + "Lynch due date date of change": "Null", |
| 101 | + "Lynch due date reason": "Self-referral", |
| 102 | + "Previous screening status": "Lynch Surveillance", |
| 103 | + "Screening due date": "Null", |
| 104 | + "Screening due date date of change": "Null", |
| 105 | + "Screening due date reason": "Null", |
| 106 | + "Subject has lynch diagnosis": "Yes", |
| 107 | + "Subject lower FOBT age": "Default", |
| 108 | + "Subject lower lynch age": "25", |
| 109 | + "Screening status": "Lynch Self-referral", |
| 110 | + "Screening status date of change": "Today", |
| 111 | + "Screening status reason": "Self-referral", |
| 112 | + "Subject age": "75", |
| 113 | + "Surveillance due date": "Null", |
| 114 | + "Surveillance due date date of change": "Null", |
| 115 | + "Surveillance due date reason": "Null", |
| 116 | + }, |
| 117 | + ) |
| 118 | + |
| 119 | + # When I set the Lynch invitation rate for all screening centres to 50 |
| 120 | + LynchUtils(page).set_lynch_invitation_rate(rate=50) |
| 121 | + |
| 122 | + # And I run the Lynch invitations process |
| 123 | + GeneralRepository().run_lynch_invitations() |
| 124 | + |
| 125 | + # And my subject has been updated as follows: |
| 126 | + subject_assertion( |
| 127 | + nhs_no, |
| 128 | + { |
| 129 | + "latest episode type": "Lynch Surveillance", |
| 130 | + "latest episode sub-type": "Over Age", |
| 131 | + "latest event status": "G4 Selected for Lynch Surveillance (Self-referral)", |
| 132 | + "calculated fobt due date": "Null", |
| 133 | + "calculated lynch due date": "Today", |
| 134 | + "calculated surveillance due date": "Null", |
| 135 | + "lynch due date": "Today", |
| 136 | + "lynch due date date of change": "Null", |
| 137 | + "lynch due date reason": "Self-referral", |
| 138 | + "previous screening status": "Lynch Surveillance", |
| 139 | + "screening due date": "Null", |
| 140 | + "screening due date date of change": "Null", |
| 141 | + "screening due date reason": "Null", |
| 142 | + "subject has lynch diagnosis": "Yes", |
| 143 | + "subject lower fobt age": "Default", |
| 144 | + "subject lower lynch age": "25", |
| 145 | + "screening status": "Lynch Self-referral", |
| 146 | + "screening status date of change": "Today", |
| 147 | + "screening status reason": "Self-referral", |
| 148 | + "subject age": "75", |
| 149 | + "surveillance due date": "Null", |
| 150 | + "surveillance due date date of change": "Null", |
| 151 | + "surveillance due date reason": "Null", |
| 152 | + }, |
| 153 | + ) |
| 154 | + |
| 155 | + # And there is a "G4" letter batch for my subject with the exact title "Lynch Surveillance Invitation (Self-referral)" |
| 156 | + # When I process the open "G4" letter batch for my subject |
| 157 | + batch_processing( |
| 158 | + page, |
| 159 | + "G4", |
| 160 | + "Lynch Surveillance Invitation (Self-referral)", |
| 161 | + ) |
| 162 | + |
| 163 | + # Then my subject has been updated as follows: |
| 164 | + subject_assertion(nhs_no, {"latest event status": "G2 Lynch Pre-invitation Sent"}) |
| 165 | + |
| 166 | + # When I run Timed Events for my subject |
| 167 | + OracleDB().exec_bcss_timed_events(nhs_number=nhs_no) |
| 168 | + |
| 169 | + # Then my subject has been updated as follows: |
| 170 | + subject_assertion( |
| 171 | + nhs_no, |
| 172 | + { |
| 173 | + "latest event status": "G3 Lynch Surveillance Colonoscopy Assessment Appointment Required" |
| 174 | + }, |
| 175 | + ) |
| 176 | + |
| 177 | + logging.info("Progress the episode through to closure") |
| 178 | + |
| 179 | + # When I view the subject |
| 180 | + screening_subject_page_searcher.navigate_to_subject_summary_page(page, nhs_no) |
| 181 | + |
| 182 | + # And I view the practitioner appointment booking screen |
| 183 | + SubjectScreeningSummaryPage(page).click_book_practitioner_clinic_button() |
| 184 | + |
| 185 | + # And I select "BCS001" as the screening centre where the practitioner appointment will be held |
| 186 | + # And I set the practitioner appointment date to "today" |
| 187 | + # And I book the "earliest" available practitioner appointment on this date |
| 188 | + book_appointments( |
| 189 | + page, |
| 190 | + "BCS001 - Wolverhampton Bowel Cancer Screening Centre", |
| 191 | + "The Royal Hospital (Wolverhampton)", |
| 192 | + ) |
| 193 | + |
| 194 | + # Then my subject has been updated as follows: |
| 195 | + subject_assertion( |
| 196 | + nhs_no, |
| 197 | + { |
| 198 | + "latest event status": "A183 1st Colonoscopy Assessment Appointment Requested", |
| 199 | + }, |
| 200 | + ) |
| 201 | + |
| 202 | + # And there is a "A183" letter batch for my subject with the exact title "Practitioner Clinic 1st Appointment (Lynch)" |
| 203 | + # When I process the open "A183" letter batch for my subject |
| 204 | + batch_processing(page, "A183", "Practitioner Clinic 1st Appointment (Lynch)") |
| 205 | + |
| 206 | + # Then my subject has been updated as follows: |
| 207 | + subject_assertion( |
| 208 | + nhs_no, |
| 209 | + { |
| 210 | + "latest event status": "A25 1st Colonoscopy Assessment Appointment Booked, letter sent", |
| 211 | + }, |
| 212 | + ) |
| 213 | + |
| 214 | + # When I switch users to BCSS "England" as user role "Screening Centre Manager" |
| 215 | + LogoutPage(page).log_out(close_page=False) |
| 216 | + BasePage(page).go_to_log_in_page() |
| 217 | + user_role = UserTools.user_login(page, "Screening Centre Manager at BCS001", True) |
| 218 | + if user_role is None: |
| 219 | + raise ValueError("User cannot be assigned to a UserRoleType") |
| 220 | + |
| 221 | + # And I view the subject |
| 222 | + screening_subject_page_searcher.navigate_to_subject_summary_page(page, nhs_no) |
| 223 | + |
| 224 | + # And I view the event history for the subject's latest episode |
| 225 | + SubjectScreeningSummaryPage(page).expand_episodes_list() |
| 226 | + SubjectScreeningSummaryPage(page).click_first_lynch_surveillance_episode_link() |
| 227 | + |
| 228 | + # And I view the latest practitioner appointment in the subject's episode |
| 229 | + EpisodeEventsAndNotesPage(page).click_most_recent_view_appointment_link() |
| 230 | + |
| 231 | + # And I attend the subject's practitioner appointment "2 days ago" |
| 232 | + AppointmentDetailPage(page).mark_appointment_as_attended( |
| 233 | + datetime.today() - timedelta(days=2) |
| 234 | + ) |
| 235 | + |
| 236 | + # Then my subject has been updated as follows: |
| 237 | + subject_assertion( |
| 238 | + nhs_no, |
| 239 | + { |
| 240 | + "latest event status": "J10 Attended Colonoscopy Assessment Appointment", |
| 241 | + }, |
| 242 | + ) |
| 243 | + |
| 244 | + # When I view the subject |
| 245 | + screening_subject_page_searcher.navigate_to_subject_summary_page(page, nhs_no) |
| 246 | + |
| 247 | + # And I edit the Colonoscopy Assessment Dataset for this subject |
| 248 | + SubjectScreeningSummaryPage(page).click_datasets_link() |
| 249 | + SubjectDatasetsPage(page).click_colonoscopy_show_datasets() |
| 250 | + |
| 251 | + # And I update the Colonoscopy Assessment Dataset with the following values: |
| 252 | + ColonoscopyDatasetsPage(page).select_fit_for_colonoscopy_option( |
| 253 | + FitForColonoscopySspOptions.YES |
| 254 | + ) |
| 255 | + ColonoscopyDatasetsPage(page).click_dataset_complete_radio_button_yes() |
| 256 | + |
| 257 | + # And I save the Colonoscopy Assessment Dataset |
| 258 | + ColonoscopyDatasetsPage(page).save_dataset() |
| 259 | + |
| 260 | + # And I view the subject |
| 261 | + screening_subject_page_searcher.navigate_to_subject_summary_page(page, nhs_no) |
| 262 | + |
| 263 | + # And I advance the subject's episode for "Suitable for Endoscopic Test" |
| 264 | + SubjectScreeningSummaryPage(page).click_advance_lynch_surveillance_episode_button() |
| 265 | + AdvanceLynchSurveillanceEpisodePage( |
| 266 | + page |
| 267 | + ).click_suitable_for_endoscopic_test_button() |
| 268 | + |
| 269 | + # Then my subject has been updated as follows: |
| 270 | + subject_assertion( |
| 271 | + nhs_no, |
| 272 | + { |
| 273 | + "latest event status": "A99 Suitable for Endoscopic Test", |
| 274 | + }, |
| 275 | + ) |
| 276 | + |
| 277 | + # When I view the advance episode options |
| 278 | + screening_subject_page_searcher.navigate_to_subject_summary_page(page, nhs_no) |
| 279 | + SubjectScreeningSummaryPage(page).click_advance_lynch_surveillance_episode_button() |
| 280 | + |
| 281 | + # And I select Diagnostic Test Type "Colonoscopy" |
| 282 | + AdvanceLynchSurveillanceEpisodePage(page).select_test_type_dropdown_option( |
| 283 | + "Colonoscopy" |
| 284 | + ) |
| 285 | + |
| 286 | + # And I enter a Diagnostic Test First Offered Appointment Date of "today" |
| 287 | + AdvanceLynchSurveillanceEpisodePage(page).click_calendar_button() |
| 288 | + CalendarPicker(page).v1_calender_picker(datetime.today()) |
| 289 | + |
| 290 | + # And I advance the subject's episode for "Invite for Diagnostic Test >>" |
| 291 | + AdvanceLynchSurveillanceEpisodePage(page).click_invite_for_diagnostic_test_button() |
| 292 | + |
| 293 | + # Then my subject has been updated as follows: |
| 294 | + subject_assertion( |
| 295 | + nhs_no, |
| 296 | + { |
| 297 | + "latest event status": "A59 Invited for Diagnostic Test", |
| 298 | + }, |
| 299 | + ) |
| 300 | + |
| 301 | + # When I view the subject |
| 302 | + screening_subject_page_searcher.navigate_to_subject_summary_page(page, nhs_no) |
| 303 | + |
| 304 | + # And I advance the subject's episode for "Cancel Diagnostic Test" |
| 305 | + SubjectScreeningSummaryPage(page).click_advance_lynch_surveillance_episode_button() |
| 306 | + AdvanceLynchSurveillanceEpisodePage(page).click_cancel_diagnostic_test_button() |
| 307 | + |
| 308 | + # Then my subject has been updated as follows: |
| 309 | + subject_assertion( |
| 310 | + nhs_no, |
| 311 | + { |
| 312 | + "latest event status": "A306 Cancel Diagnostic Test", |
| 313 | + }, |
| 314 | + ) |
| 315 | + |
| 316 | + # When I select the advance episode option for "Record Contact with Patient" |
| 317 | + AdvanceLynchSurveillanceEpisodePage(page).click_record_contact_with_patient_button() |
| 318 | + |
| 319 | + # And I record contact with the subject with outcome "Close Episode - Patient Choice" |
| 320 | + ContactWithPatientPage(page).record_contact("Close Episode - Patient Choice") |
| 321 | + |
| 322 | + # Then my subject has been updated as follows: |
| 323 | + subject_assertion( |
| 324 | + nhs_no, |
| 325 | + { |
| 326 | + "latest event status": "A396 Discharged from Screening Round - Patient Choice", |
| 327 | + }, |
| 328 | + ) |
| 329 | + |
| 330 | + # And there is a "A396" letter batch for my subject with the exact title "Discharge from screening round - patient decision (letter to patient) (Lynch)" |
| 331 | + # When I process the open "A396" letter batch for my subject |
| 332 | + batch_processing( |
| 333 | + page, |
| 334 | + "A396", |
| 335 | + "Discharge from screening round - patient decision (letter to patient) (Lynch)", |
| 336 | + ) |
| 337 | + |
| 338 | + # Then my subject has been updated as follows: |
| 339 | + subject_assertion( |
| 340 | + nhs_no, |
| 341 | + { |
| 342 | + "latest event status": "A392 Patient Discharge Letter Printed - Patient Choice", |
| 343 | + }, |
| 344 | + ) |
| 345 | + |
| 346 | + # And there is a "A392" letter batch for my subject with the exact title "Discharge from screening round - patient decision (letter to GP) (Lynch)" |
| 347 | + # When I process the open "A392" letter batch for my subject |
| 348 | + batch_processing( |
| 349 | + page, |
| 350 | + "A392", |
| 351 | + "Discharge from screening round - patient decision (letter to GP) (Lynch)", |
| 352 | + ) |
| 353 | + |
| 354 | + logging.info("Check subject details against closure scenario SSCL14b (A350)") |
| 355 | + |
| 356 | + # Then my subject has been updated as follows: |
| 357 | + subject_assertion( |
| 358 | + nhs_no, |
| 359 | + { |
| 360 | + "Calculated FOBT Due Date": "Null", |
| 361 | + "Calculated Lynch due date": "2 years from episode end", |
| 362 | + "Calculated Surveillance Due Date": "Null", |
| 363 | + "Ceased confirmation date": "Today", |
| 364 | + "Ceased confirmation details": "Outside screening population at recall.", |
| 365 | + "Ceased confirmation user ID": "User's ID", |
| 366 | + "Clinical reason for cease": "Null", |
| 367 | + "Latest episode accumulated result": "No result", |
| 368 | + "Latest episode recall calculation method": "Episode end date", |
| 369 | + "Latest episode recall episode type": "Lynch Surveillance", |
| 370 | + "Latest episode recall surveillance type": "Null", |
| 371 | + "Latest episode status reason": "Informed dissent", |
| 372 | + "Latest event status": "A350 Letter of Non-agreement to Continue with Investigation sent to GP", |
| 373 | + "Lynch due date": "Null", |
| 374 | + "Lynch due date date of change": "Today", |
| 375 | + "Lynch due date reason": "Ceased", |
| 376 | + "Lynch incident episode": "Null", |
| 377 | + "Screening due date": "Null", |
| 378 | + "Screening due date date of change": "Unchanged", |
| 379 | + "Screening due date reason": "Unchanged", |
| 380 | + "Screening status": "Ceased", |
| 381 | + "Screening status date of change": "Today", |
| 382 | + "Screening status reason": "Outside Screening Population", |
| 383 | + "Surveillance due date": "Null", |
| 384 | + "Surveillance due date date of change": "Unchanged", |
| 385 | + "Surveillance due date reason": "Unchanged", |
| 386 | + }, |
| 387 | + user_role, |
| 388 | + ) |
| 389 | + |
| 390 | + # When I view the subject |
| 391 | + screening_subject_page_searcher.navigate_to_subject_summary_page(page, nhs_no) |
| 392 | + |
| 393 | + # Then I "can" see a button with value of "Self-refer Lynch Surveillance" |
| 394 | + SubjectScreeningSummaryPage(page).button_with_value_present( |
| 395 | + "Self-refer Lynch Surveillance", True |
| 396 | + ) |
| 397 | + |
| 398 | + LogoutPage(page).log_out() |
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