# Phase 5: Test

This phase takes 2-3 weeks to complete with intentional allocation of radiologist resources.

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**Duration:** 2-3 weeks
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## Approach

The test approach needs to be documented in a test plan. RADPAIR provides a detailed test plan that needs to be built upon to include workflows, gaps, and processes as defined in the workflow discovery.

### Testing Phases

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#### Technical Validation

Complete technical validation to ensure the system is configured correctly and integrations are functioning properly.
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#### Clinical Validation (User Acceptance Testing)

Follows successful completion of technical validation. It is recommended that the Radiologist Advisory Group and Radiologist Super Users test clinical workflows, reporting templates, and guidelines to identify gaps and issues.
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## Scope

### Application Testing

Focused on testing clinical workflows within RADPAIR:

* Report creation and editing workflows
* Template functionality and auto-population
* Best Practice Guideline behavior
* User interface and navigation

### HL7 Integration Testing

Focused on HL7 integration:

| Test Area          | Validation Points                                              |
| ------------------ | -------------------------------------------------------------- |
| **Inbound**        | Clinical information populates correctly into report templates |
| **Outbound**       | Final report successfully posts to EMR/HIS/RIS                 |
| **Error Handling** | Failed messages are logged and can be reprocessed              |

### Device Integration Testing

Focused on report workstation readiness:

* Microphone functionality
* Browser support and compatibility
* Workstation performance
* Network connectivity

### DICOM Integration Testing

Focused on populating report templates with measurements:

* Measurement data flows correctly from PACS
* Dose information populates appropriately
* Image references are accurate

## Resources

The project team resources are responsible for the approach, scenarios, and testing execution.

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Parallel testing generally involves more resources. We recommend that you include as many users and radiologists as possible that could be affected by the new system.
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### Recommended Test Team

| Role                           | Responsibilities                                         |
| ------------------------------ | -------------------------------------------------------- |
| **Test Lead**                  | Test plan management, status reporting, issue escalation |
| **Technical Testers**          | Integration testing, system configuration validation     |
| **Radiologist Super Users**    | Clinical workflow testing, template validation           |
| **Radiologist Advisory Group** | User acceptance testing, clinical sign-off               |

## Acceptance

After each sub-phase of testing is completed, there needs to be a process for acceptance by the project leadership.

### Acceptance Criteria

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Acceptance criteria needs to be clearly defined in the test plan. Acceptance of each sub-phase of testing is an important factor in a go-live decision.
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| Sub-Phase               | Acceptance Requirements                                   |
| ----------------------- | --------------------------------------------------------- |
| **Application Testing** | All critical workflows pass, no high-severity defects     |
| **HL7 Integration**     | Messages flow correctly, error handling verified          |
| **Device Integration**  | All workstations validated, hardware functioning          |
| **DICOM Integration**   | Measurements populate correctly, data integrity confirmed |
| **User Acceptance**     | Clinical workflows approved by Radiologist Advisory Group |

## Test Plan Components

Your test plan should include:

* [ ] Test objectives and scope
* [ ] Entry and exit criteria for each phase
* [ ] Test scenarios and expected results
* [ ] Resource assignments and schedule
* [ ] Defect management process
* [ ] Acceptance criteria and sign-off process

## Phase Deliverables

By the end of the Test phase, you should have:

* [ ] Completed technical validation
* [ ] Completed clinical validation (UAT)
* [ ] Documented and resolved all critical issues
* [ ] Obtained acceptance sign-off for each testing sub-phase
* [ ] Updated Gap Analysis with test findings
* [ ] Readiness assessment for training phase
