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Performance Engineering Platform — Healthcare Patient Intake

CI Security Coverage Node.js License: MIT LinkedIn GitHub

A mock healthcare patient intake form (HTML + Node.js/Express) with a complete performance and validation test strategy. Every test layer maps to a real business or compliance risk.


Table of Contents


Architecture

performance-qa-platform/
├── .github/
│   └── workflows/
│       ├── ci.yml           # Unit + Integration + Security tests on every push/PR
│       └── security.yml     # npm audit + dependency vulnerability scan
├── src/
│   ├── server.js            # Express app (Helmet, rate limiting, body limits)
│   ├── routes/
│   │   └── patients.js      # REST API: intake, get, list, soft-delete
│   └── validators/
│       └── patientValidator.js  # Pure validation + XSS sanitization logic
├── public/
│   ├── index.html           # Patient intake form (accessible, WCAG 2.1)
│   ├── styles.css           # Responsive CSS
│   └── form.js              # Client-side validation + fetch submission
├── tests/
│   ├── unit/
│   │   └── patientValidator.test.js  # 50+ unit tests — validation logic
│   ├── integration/
│   │   └── patients.api.test.js      # API contract + PHI masking tests
│   ├── security/
│   │   └── injection.test.js         # XSS, SQLi, NoSQLi, path traversal, DoS
│   ├── performance/
│   │   └── load-test.js              # k6: smoke, load, stress, spike, soak
│   └── e2e/
│       └── intake-form.spec.js       # Playwright: Chrome, Firefox, Safari, Mobile
├── docs/
│   └── risk-mapping.md      # Business risk → test layer matrix
├── playwright.config.js
└── package.json

Quick Start

git clone https://github.com/Djones-qa/performance-qa-platform.git
cd performance-qa-platform
npm install
npm start          # http://localhost:3000

API Endpoints

Method Path Description
POST /api/patients/intake Submit patient intake form
GET /api/patients/:id Get patient record (PHI masked)
GET /api/patients List all active patients (PHI masked)
DELETE /api/patients/:id Soft-delete patient record
GET /health Health check / uptime

Test Strategy

See docs/risk-mapping.md for the full risk → test layer matrix. Every test exists because of a specific business or compliance risk — not just for coverage.

Test Layers

Layer Tool Risk Addressed
Unit Jest Validation logic, XSS sanitization, PHI handling
Integration Jest + Supertest API contracts, PHI masking, security headers
Security Jest + Supertest Injection attacks, DoS, information leakage
Performance k6 Availability SLA, memory leaks, spike resilience
E2E Playwright Full user journey, accessibility, client validation

Performance Thresholds

Metric Threshold Business Reason
p(95) response time < 500ms Patient wait time SLA
p(99) response time < 2000ms Worst-case acceptable UX
error rate < 1% Intake pipeline reliability

k6 Scenarios

k6 run --env SCENARIO=smoke  tests/performance/load-test.js   # 1 VU, 1 min — sanity check
k6 run --env SCENARIO=load   tests/performance/load-test.js   # ramp to 50 VUs — normal peak
k6 run --env SCENARIO=stress tests/performance/load-test.js   # ramp to 200 VUs — breaking point
k6 run --env SCENARIO=spike  tests/performance/load-test.js   # burst to 500 VUs — viral event
k6 run --env SCENARIO=soak   tests/performance/load-test.js   # 20 VUs, 30 min — memory leaks

Test Commands

npm test                  # Unit + Integration + Security (Jest) — 97 tests
npm run test:unit         # Unit tests only
npm run test:integration  # Integration tests only
npm run test:security     # Security/injection tests only
npm run test:coverage     # All Jest tests with coverage report (80%+ threshold)
npm run test:e2e          # Playwright E2E — auto-starts server
npm run test:perf         # k6 load test — requires k6 installed + server running

Security Controls

Control Implementation
Secure headers Helmet (CSP, HSTS, X-Frame-Options, X-Content-Type-Options)
Rate limiting 100 req/15min on intake endpoint, 500 req/15min globally
Body size limit 10kb max — prevents payload-based DoS
XSS sanitization xss library + javascript: URI stripping on all string fields
PHI masking SSN → last 4 only, DOB → year only, email/phone partially masked in responses
Audit trail Soft delete only — HIPAA requires records, not hard deletes
Error handling Global handler never leaks stack traces or internal paths

Compliance Notes

  • HIPAA — PHI fields masked in all responses, consent timestamps recorded, soft-delete audit trail preserved
  • WCAG 2.1 AAaria-required, role="alert" on error messages, aria-describedby field associations, fully keyboard navigable
  • ADA / Section 508 — all form controls have visible labels, error states announced to screen readers

Full WCAG compliance requires manual testing with assistive technologies and expert accessibility review.


Author

Darrius Jones — Performance & QA Engineer

LinkedIn GitHub

Focused on building test strategies that map directly to business risk — not just chasing coverage numbers. This platform demonstrates end-to-end quality engineering across unit, integration, security, performance, and E2E layers in a healthcare compliance context.


License

MIT License

Copyright (c) 2026 Darrius Jones

Permission is hereby granted, free of charge, to any person obtaining a copy of this software and associated documentation files (the "Software"), to deal in the Software without restriction, including without limitation the rights to use, copy, modify, merge, publish, distribute, sublicense, and/or sell copies of the Software, and to permit persons to whom the Software is furnished to do so, subject to the following conditions:

The above copyright notice and this permission notice shall be included in all copies or substantial portions of the Software.

THE SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT. IN NO EVENT SHALL THE AUTHORS OR COPYRIGHT HOLDERS BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER LIABILITY, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM, OUT OF OR IN CONNECTION WITH THE SOFTWARE OR THE USE OR OTHER DEALINGS IN THE SOFTWARE.

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Healthcare patient intake form with complete performance + validation test strategy. Every test layer maps to a real business/compliance risk.

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