diff --git a/tests/regression/regression_tests/lynch_regression_tests/test_lynch_scenario_11_1.py b/tests/regression/regression_tests/lynch_regression_tests/test_lynch_scenario_11_1.py new file mode 100644 index 00000000..551bf24c --- /dev/null +++ b/tests/regression/regression_tests/lynch_regression_tests/test_lynch_scenario_11_1.py @@ -0,0 +1,516 @@ +from datetime import datetime, timedelta +import logging +import pytest +from playwright.sync_api import Page +from classes.repositories.episode_repository import EpisodeRepository +from classes.repositories.general_repository import GeneralRepository +from pages.base_page import BasePage +from pages.datasets.colonoscopy_dataset_page import ( + ColonoscopyDatasetsPage, + FitForColonoscopySspOptions, +) +from pages.datasets.investigation_dataset_page import InvestigationDatasetsPage +from pages.datasets.subject_datasets_page import SubjectDatasetsPage +from pages.logout.log_out_page import LogoutPage +from pages.screening_practitioner_appointments.appointment_detail_page import ( + AppointmentDetailPage, +) +from pages.screening_subject_search.advance_lynch_surveillance_episode_page import ( + AdvanceLynchSurveillanceEpisodePage, +) +from pages.screening_subject_search.attend_diagnostic_test_page import ( + AttendDiagnosticTestPage, +) +from pages.screening_subject_search.contact_with_patient_page import ( + ContactWithPatientPage, +) +from pages.screening_subject_search.diagnostic_test_outcome_page import ( + DiagnosticTestOutcomePage, + OutcomeOfDiagnosticTest, +) +from pages.screening_subject_search.episode_events_and_notes_page import ( + EpisodeEventsAndNotesPage, +) +from pages.screening_subject_search.subject_screening_summary_page import ( + SubjectScreeningSummaryPage, +) +from utils import screening_subject_page_searcher +from utils.appointments import book_appointments +from utils.batch_processing import batch_processing +from utils.calendar_picker import CalendarPicker +from utils.datasets.investigation_datasets import get_normal_smokescreen_information +from utils.investigation_dataset import InvestigationDatasetCompletion +from utils.lynch_utils import LynchUtils +from utils.oracle.oracle import OracleDB +from utils.subject_assertion import subject_assertion +from utils.user_tools import UserTools + + +@pytest.mark.usefixtures("setup_org_and_appointments") +@pytest.mark.vpn_required +@pytest.mark.regression +@pytest.mark.lynch_regression_tests +def test_lynch_scenario_11_1(page: Page) -> None: + """ + Scenario: 1.1 - Patient refuses colonoscopy assessment appointment - self referral + + G4-G2-G3-A183-A25-J10-J1-J34-J35-J36-J27-J37-J38-J14-J22-J8-J9-C203 over age range [SSCL5b(J9)] + + This scenario tests where a subject attends a colonoscopy assessment appointment, but is then referred for a subsequent assessment appointment which does not take place because the subject first DNAs the appointment then cancels to consider. As the subject then does not book a new appointment within the time limit so is deemed to have refused the assessment and the episode is closed. + + Subject summary: + + > Process Lynch diagnosis for a new over-age subject suitable for immediate self-referral + > Self refer the subject + > Run Lynch invitations > G4 (5.1) + > Process G4 letter batch > G2 (5.1) + > Run timed events > G3 (5.1) + > Book appointment > A183 (1.11) + > Process A183 letter batch > A25 (1.11) + > Attend appointment > J10 (1.11) + > Advance for "Subsequent Assessment Appointment Required" > J1 (1.11) + > Book appointment > J34 (1.11) + > Process J34 letter batch > J35 (1.11) + > Subject DNA > J36 (1.11) + > Process J36 letter batch > J27 (1.11) + > Book appointment > J37 (1.11) + > Process J37 letter batch > J38 (1.11) + > Patient cancels to consider > J14 (1.11) + > Process J14 letter batch > J22 (1.11) + > Run timed events > J22 (1.11) + > Process J22 letter batch > J8 (1.11) + > Process J8 letter batch > J9 (1.11) > C203 (1.13) + > Check recall [SSCL5b(J9)] + """ + # Given I log in to BCSS "England" as user role "Hub Manager" + user_role = UserTools.user_login( + page, "Hub Manager State Registered at BCS01", return_role_type=True + ) + if user_role is None: + raise ValueError("User cannot be assigned to a UserRoleType") + + # When I receive Lynch diagnosis "MSH6" for a new subject in my hub aged "75" with diagnosis date "3 years ago" and last colonoscopy date "2 years ago" + nhs_no = LynchUtils(page).insert_validated_lynch_patient_from_new_subject_with_age( + age="75", + gene="MSH6", + when_diagnosis_took_place="3 years ago", + when_last_colonoscopy_took_place="2 years ago", + user_role=user_role, + ) + + # Then Comment: NHS number + assert nhs_no is not None + logging.info(f"[SUBJECT CREATION] Created Lynch subject with NHS number: {nhs_no}") + + # When I self refer the subject + screening_subject_page_searcher.navigate_to_subject_summary_page(page, nhs_no) + SubjectScreeningSummaryPage(page).click_self_refer_button() + + # Then my subject has been updated as follows: + subject_assertion( + nhs_no, + { + "Calculated FOBT due date": "Null", + "Calculated lynch due date": "Today", + "Calculated surveillance due date": "Null", + "Lynch due date": "Today", + "Lynch due date date of change": "Null", + "Lynch due date reason": "Self-referral", + "Previous screening status": "Lynch Surveillance", + "Screening due date": "Null", + "Screening due date date of change": "Null", + "Screening due date reason": "Null", + "Subject has lynch diagnosis": "Yes", + "Subject lower FOBT age": "Default", + "Subject lower lynch age": "35", + "Screening status": "Lynch Self-referral", + "Screening status date of change": "Today", + "Screening status reason": "Self-referral", + "Subject age": "75", + "Surveillance due date": "Null", + "Surveillance due date date of change": "Null", + "Surveillance due date reason": "Null", + }, + ) + + # When I set the Lynch invitation rate for all screening centres to 50 + LynchUtils(page).set_lynch_invitation_rate(rate=50) + + # And I run the Lynch invitations process + GeneralRepository().run_lynch_invitations() + + # And my subject has been updated as follows: + subject_assertion( + nhs_no, + { + "latest episode type": "Lynch Surveillance", + "latest episode sub-type": "Over Age", + "latest event status": "G4 Selected for Lynch Surveillance (Self-referral)", + "calculated fobt due date": "Null", + "calculated lynch due date": "Today", + "calculated surveillance due date": "Null", + "lynch due date": "Today", + "lynch due date date of change": "Null", + "lynch due date reason": "Self-referral", + "previous screening status": "Lynch Surveillance", + "screening due date": "Null", + "screening due date date of change": "Null", + "screening due date reason": "Null", + "subject has lynch diagnosis": "Yes", + "subject lower fobt age": "Default", + "subject lower lynch age": "35", + "screening status": "Lynch Self-referral", + "screening status date of change": "Today", + "screening status reason": "Self-referral", + "subject age": "75", + "surveillance due date": "Null", + "surveillance due date date of change": "Null", + "surveillance due date reason": "Null", + }, + ) + + # And there is a "G4" letter batch for my subject with the exact title "Lynch Surveillance Invitation (Self-referral)" + # When I process the open "G4" letter batch for my subject + batch_processing( + page, + "G4", + "Lynch Surveillance Invitation (Self-referral)", + ) + + # Then my subject has been updated as follows: + subject_assertion(nhs_no, {"latest event status": "G2 Lynch Pre-invitation Sent"}) + + # When I run Timed Events for my subject + OracleDB().exec_bcss_timed_events(nhs_number=nhs_no) + + # Then my subject has been updated as follows: + subject_assertion( + nhs_no, + { + "latest event status": "G3 Lynch Surveillance Colonoscopy Assessment Appointment Required" + }, + ) + + logging.info("Progress the episode through to closure") + + # When I view the subject + screening_subject_page_searcher.navigate_to_subject_summary_page(page, nhs_no) + + # And I view the practitioner appointment booking screen + SubjectScreeningSummaryPage(page).click_book_practitioner_clinic_button() + + # And I select "BCS001" as the screening centre where the practitioner appointment will be held + # And I set the practitioner appointment date to "today" + # And I book the "earliest" available practitioner appointment on this date + book_appointments( + page, + "BCS001 - Wolverhampton Bowel Cancer Screening Centre", + "The Royal Hospital (Wolverhampton)", + ) + + # Then my subject has been updated as follows: + subject_assertion( + nhs_no, + { + "latest event status": "A183 1st Colonoscopy Assessment Appointment Requested", + }, + ) + + # And there is a "A183" letter batch for my subject with the exact title "Practitioner Clinic 1st Appointment (Lynch)" + # When I process the open "A183" letter batch for my subject + batch_processing(page, "A183", "Practitioner Clinic 1st Appointment (Lynch)") + + # Then my subject has been updated as follows: + subject_assertion( + nhs_no, + { + "latest event status": "A25 1st Colonoscopy Assessment Appointment Booked, letter sent", + }, + ) + + # When I switch users to BCSS "England" as user role "Screening Centre Manager" + LogoutPage(page).log_out(close_page=False) + BasePage(page).go_to_log_in_page() + user_role = UserTools.user_login(page, "Screening Centre Manager at BCS001", True) + if user_role is None: + raise ValueError("User cannot be assigned to a UserRoleType") + + # And I view the subject + screening_subject_page_searcher.navigate_to_subject_summary_page(page, nhs_no) + + # And I view the event history for the subject's latest episode + SubjectScreeningSummaryPage(page).expand_episodes_list() + SubjectScreeningSummaryPage(page).click_first_lynch_surveillance_episode_link() + + # And I view the latest practitioner appointment in the subject's episode + EpisodeEventsAndNotesPage(page).click_most_recent_view_appointment_link() + + # And I attend the subject's practitioner appointment "today" + AppointmentDetailPage(page).mark_appointment_as_attended(datetime.today()) + + # Then my subject has been updated as follows: + subject_assertion( + nhs_no, + { + "latest event status": "J10 Attended Colonoscopy Assessment Appointment", + }, + ) + + # When I view the subject + screening_subject_page_searcher.navigate_to_subject_summary_page(page, nhs_no) + + # And I edit the Colonoscopy Assessment Dataset for this subject + SubjectScreeningSummaryPage(page).click_datasets_link() + SubjectDatasetsPage(page).click_colonoscopy_show_datasets() + + # And I update the Colonoscopy Assessment Dataset with the following values: + ColonoscopyDatasetsPage(page).select_fit_for_colonoscopy_option( + FitForColonoscopySspOptions.YES + ) + ColonoscopyDatasetsPage(page).click_dataset_complete_radio_button_yes() + + # And I save the Colonoscopy Assessment Dataset + ColonoscopyDatasetsPage(page).save_dataset() + # And I view the subject + screening_subject_page_searcher.navigate_to_subject_summary_page(page, nhs_no) + + # And I advance the subject's episode for "Suitable for Endoscopic Test" + SubjectScreeningSummaryPage(page).click_advance_lynch_surveillance_episode_button() + AdvanceLynchSurveillanceEpisodePage( + page + ).click_suitable_for_endoscopic_test_button() + + # Then my subject has been updated as follows: + subject_assertion( + nhs_no, + { + "latest event status": "A99 Suitable for Endoscopic Test", + }, + ) + + # When I view the advance episode options + screening_subject_page_searcher.navigate_to_subject_summary_page(page, nhs_no) + SubjectScreeningSummaryPage(page).click_advance_lynch_surveillance_episode_button() + + # And I select Diagnostic Test Type "Colonoscopy" + AdvanceLynchSurveillanceEpisodePage(page).select_test_type_dropdown_option( + "Colonoscopy" + ) + + # And I enter a Diagnostic Test First Offered Appointment Date of "tomorrow" + AdvanceLynchSurveillanceEpisodePage(page).click_calendar_button() + CalendarPicker(page).v1_calender_picker(datetime.today() + timedelta(days=1)) + + # And I advance the subject's episode for "Invite for Diagnostic Test >>" + AdvanceLynchSurveillanceEpisodePage(page).click_invite_for_diagnostic_test_button() + + # Then my subject has been updated as follows: + subject_assertion( + nhs_no, + { + "latest event status": "A59 Invited for Diagnostic Test", + }, + ) + + # When I select the advance episode option for "Attend Diagnostic Test" + AdvanceLynchSurveillanceEpisodePage(page).click_attend_diagnostic_test_button() + + # When I attend the subject's diagnostic test + AttendDiagnosticTestPage(page).click_calendar_button() + CalendarPicker(page).v1_calender_picker(datetime.today()) + AttendDiagnosticTestPage(page).click_save_button() + + # Then my subject has been updated as follows: + subject_assertion( + nhs_no, + { + "latest event status": "A259 Attended Diagnostic Test", + }, + ) + + # When I view the subject + screening_subject_page_searcher.navigate_to_subject_summary_page(page, nhs_no) + + # And I edit the Investigation Dataset for this subject + SubjectScreeningSummaryPage(page).click_datasets_link() + SubjectDatasetsPage(page).click_investigation_show_datasets() + + # Confirm on the investigation Datasets Page + InvestigationDatasetsPage(page).bowel_cancer_screening_page_title_contains_text( + "Investigation Datasets" + ) + + # Then message "WARNING - Resect & Discard is not appropriate for a Lynch patient." is displayed at the top of the investigation dataset + InvestigationDatasetsPage(page).message_is_displayed( + "WARNING - Resect & Discard is not appropriate for a Lynch patient." + ) + + # And I open all minimized sections on the dataset + InvestigationDatasetsPage(page).open_all_minimized_sections() + + # When I apply the "Normal_Smokescreen" Investigation Dataset Scenario + ( + general_information, + drug_information, + endoscopy_information, + failure_information, + completion_information, + ) = get_normal_smokescreen_information() + InvestigationDatasetCompletion(page).fill_out_drug_information(drug_information) + InvestigationDatasetCompletion(page).fill_out_general_information( + general_information + ) + InvestigationDatasetCompletion(page).fill_endoscopy_information( + endoscopy_information + ) + InvestigationDatasetCompletion(page).fill_out_failure_information( + failure_information + ) + InvestigationDatasetCompletion(page).fill_out_completion_information( + completion_information + ) + + # And I mark the Investigation Dataset as completed + InvestigationDatasetsPage(page).check_dataset_complete_checkbox() + + # Then the Investigation Dataset result message, which I will cancel, is "Normal (No Abnormalities Found)" + InvestigationDatasetsPage(page).click_save_dataset_button_assert_dialog( + "Normal (No Abnormalities Found)" + ) + + # When I press the save Investigation Dataset button + InvestigationDatasetsPage(page).click_save_dataset_button() + + # When I view the subject + screening_subject_page_searcher.navigate_to_subject_summary_page(page, nhs_no) + + # And I select the advance episode option for "Enter Diagnostic Test Outcome" + SubjectScreeningSummaryPage(page).click_advance_lynch_surveillance_episode_button() + AdvanceLynchSurveillanceEpisodePage( + page + ).click_enter_diagnostic_test_outcome_button() + + # And I select Outcome of Investigation Complete + DiagnosticTestOutcomePage(page).select_test_outcome_option( + OutcomeOfDiagnosticTest.INVESTIGATION_COMPLETE + ) + + # And I save the Diagnostic Test Outcome + DiagnosticTestOutcomePage(page).click_save_button() + + # Then my subject has been updated as follows: + subject_assertion( + nhs_no, + { + "latest event status": "A315 Diagnostic Test Outcome Entered", + }, + ) + + # And I confirm the Episode Result is "Normal (No Abnormalities Found)" + EpisodeRepository().confirm_episode_result( + nhs_no, "Normal (No Abnormalities Found)" + ) + + # When I advance the subject's episode for "Other Post-investigation Contact Required" + screening_subject_page_searcher.navigate_to_subject_summary_page(page, nhs_no) + SubjectScreeningSummaryPage(page).click_advance_lynch_surveillance_episode_button() + AdvanceLynchSurveillanceEpisodePage( + page + ).click_other_post_investigation_contact_required_button() + + # Then my subject has been updated as follows: + subject_assertion( + nhs_no, + { + "latest event status": "A361 Other Post-investigation Contact Required", + }, + ) + + # When I view the subject + screening_subject_page_searcher.navigate_to_subject_summary_page(page, nhs_no) + + # And I select the advance episode option for "Record other post-investigation contact" + SubjectScreeningSummaryPage(page).click_advance_lynch_surveillance_episode_button() + AdvanceLynchSurveillanceEpisodePage( + page + ).click_record_other_post_investigation_contact_button() + + # Then I confirm the patient outcome dropdown has the following options: + ContactWithPatientPage(page).patient_outcome_dropdown_contains_options( + [ + "Post-investigation Appointment Not Required", + "Post-investigation Appointment Required", + "No outcome", + ] + ) + + # When I record contact with the subject with outcome "Post-investigation Appointment Not Required" + ContactWithPatientPage(page).record_post_investigation_appointment_not_required() + + # Then my subject has been updated as follows: + subject_assertion( + nhs_no, + { + "latest episode includes event status": "A323 Post-investigation Appointment NOT Required", + }, + ) + + # And my subject has been updated as follows: + subject_assertion( + nhs_no, + { + "latest episode includes event status": "A317 Post-investigation Contact Made", + "latest event status": "A318 Post-investigation Appointment NOT Required - Result Letter Created", + }, + ) + + # And there is a "A318" letter batch for my subject with the exact title "Result Letters - No Post-investigation Appointment (Lynch)" + # When I process the open "A318" letter batch for my subject + batch_processing( + page, "A318", "Result Letters - No Post-investigation Appointment (Lynch)" + ) + + # Then my subject has been updated as follows: + subject_assertion( + nhs_no, + { + "Which diagnostic test": "Latest not-void test in latest episode", + "Calculated FOBT Due Date": "Null", + "Calculated Lynch due date": "2 years from Diagnostic Test", + "Calculated Surveillance Due Date": "Null", + "Ceased confirmation date": "Today", + "Ceased confirmation details": "Outside screening population at recall.", + "Ceased confirmation user ID": "User's ID", + "Clinical reason for cease": "Null", + "Latest episode accumulated result": "Normal (No Abnormalities Found)", + "Latest episode recall calculation method": "Diagnostic Test Date", + "Latest episode recall episode type": "Lynch Surveillance", + "Latest episode recall surveillance type": "Null", + "Latest episode status reason": "Episode Complete", + "Latest event status": "S61 Normal (No Abnormalities Found)", + "Lynch due date": "Null", + "Lynch due date date of change": "Today", + "Lynch due date reason": "Ceased", + "Lynch incident episode": "Latest episode", + "Screening due date": "Null", + "Screening due date date of change": "Unchanged", + "Screening due date reason": "Unchanged", + "Screening status": "Ceased", + "Screening status date of change": "Today", + "Screening status reason": "Outside Screening Population", + "Surveillance due date": "Null", + "Surveillance due date date of change": "Unchanged", + "Surveillance due date reason": "Unchanged", + }, + user_role, + ) + + # When I view the subject + screening_subject_page_searcher.navigate_to_subject_summary_page(page, nhs_no) + + # Then I "can" see a button with value of "Self-refer Lynch Surveillance" + SubjectScreeningSummaryPage(page).button_with_value_present( + "Self-refer Lynch Surveillance", True + ) + + LogoutPage(page).log_out()