The document discusses user stories and acceptance criteria for product requirements. It provides examples of user stories written in common formats, including as a user I want to do X so that Y. It also discusses best practices for writing acceptance criteria using a Given, When, Then structure. Breaking down stories and acceptance criteria into testable tasks is covered.

1. USER STORY SLIDES

2. User Stories (including Spikes)

3. Requirements Management
• Acceptance Criteria
• Acceptance criteria (AC) are the requirements of a feature or story.
• AC are specific and are outcomes that must be met. They define the
boundaries of the story and are agreed upon measures under which the
Product Management (PM) will accept a completed story.
• Product Management will complete user acceptance testing; this is not
formal testing, but rather exploratory and can be done during sprint
reviews.
• AC describe what the product or API will do and how it is expected to
perform. AC are generally written in backlog refinement to the point that
the team feels like they have enough detail to meet definition of ready.

4. Building Testable Acceptance Criteria
BDD Format:
Given ___________
When ___________
Then ____________
Alternative to BDD:
We know we are done when
1) ____________________
2) ____________________
How Developers may implement

5. User Story Example with BDD
As a Working Parent,
I want to preorder a medication refill with
an Alexa Medical Mgmt System,
So that I can pick my child up on time
from daycare
Given the day is a workday
When the Parent leaves work
Then I can pick up my medication
And have ample time to pick the
child up from daycare

6. User Story Examples
Title: FHIR Non-med Order Modify
As a FHIR Consumer (Developer),
I want an API that supports modifying a non-med order on the scratchpad
prior to signature,
So that I can modify order details prior to submission
Given a non-med order is on the scratchpad
When a modify order action is sent via FHIR
Then the order details are available to be updated
Given a non-med order detail is updated
When a modify order action is sent via FHIR
Then the order detail is updated on the scratchpad
Title: Non-med Order Modify
As a Lab Tech,
I want to modify a non-med order on the scratchpad prior to signature,
So that I can modify order details prior to submission
Given a non-med order is on the scratchpad
When the Lab Tech selects the modify order action
Then the order details are available to be updated
Given a non-med order detail is updated
When a modify order action has been selected
Then the order detail is updated on the scratchpad
Title: Search Algorithm Spike
As the Natural Language Processing team
We want to identify the search algorithm we will use
So that medical terminology can be best supported
We will know we are done when:
1. At least 3 industry options are reviewed
2. A recommendation is made
3. A prototype of the recommended option is given to the team
Title: Retrospective – Include End Client in Monthly Demo
As the RevCycle Scheduling team
We want to include our end clients in a monthly demo
So that we can get faster feedback on in development work
We will know we are done when:
1. At least 3 clients have accepted invitation to monthly demo
2. At least 1 client attends the first monthly demo
3. At least 1 new user story is created from client in demo

7. • User Story – As a bank customer, I want to
view my balances so that I can verify my cell
phone deposits were made to my account
correctly
• Spike – Research the histogram in the web
portal to obtain feedback on size, style and
charting
• Technical Story – Increase the performance
of the upload process to increase the
throughput bandwidth for all users
Different Types of Stories

8. Write your Feature and User
Stories
• Break into groups
• For the MVP / Proposed Release (25 min)
• Write Feature and User Stories with the appropriate level of detail
• As a ___, I want to ____, so that ___
format is not required but is recommended
• Acceptance criteria using BDD Given __, When ___, Then___
format is also recommended
• Further decomposition will likely occur
• Present back: Who wants to go first?
• Team to critique each story for the criteria that defines a good story
• Why is this so important for effective delivery?

9. Team Rules
• Definition of Done
• Quality required for the team to agree that any work is done
• What is your thin vertical slice?
• ProcessIT
• How to manage subtasks
• Specific versus general tasks
• Hold Code Review
• Update Requirements
• How does new work arrive at the team?
• Product Owner only?

10. User Story Splitting Example
• As a customer, I want to pay for the goods in my shopping
basket, so that I can receive my products at home
o As a customer, I want to log-in with my account, so that I don't
have to re-enter my personal information every time
o As a customer, I want to review and confirm my order, so that I
can correct mistakes before I pay
o As a customer, I want to pay for my order with a wire transfer, so
that I can confirm my order
o As a customer, I want to pay for my order with credit card, so
that I can confirm my order
o As a customer, I want to receive a confirmation email with my
order, so that I have proof of my purchase

11. Happy vs Unhappy
• Feature:
Withdrawal cash from ATM
• Happy User Story:
As an Account Holder
I want to withdraw cash from an ATM
So that I can get money when the bank is
closed

12. Example Acceptance Criteria - Happy
• Scenario 1: Account has sufficient funds
Given the account balance is $100
And the card is valid
And the machine contains enough money
When the Account Holder requests $20
Then the ATM should dispense $20
And the account balance should be $80
And the card should be returned

13. Happy vs Unhappy
• Unhappy User Story:
As an Account Holder
I want to be notified if I have insufficient
funds
So that I can get money into my bank
account

14. Acceptance Criteria Example - Unhappy
COMPANY CONFIDENTIAL | FOR INTERNAL USE ONLY | DO NOT COPY 15
• Scenario 2: Account has insufficient funds
Given the account balance is $10
And the card is valid
And the machine contains enough money
When the Account Holder requests $20
Then the ATM should not dispense any money
And the ATM states there are insufficient funds
And the account balance remains at $10
And the card should be returned

15. Example Acceptance Criteria - Unhappy
• Scenario 3: Card has been deactivated
Given the card is disabled
When the Account Holder requests $20
Then the ATM retains the card
And the ATM states the card has been
retained

17. Story Splitting
• Break into groups
• Using Splitting Techniques to divide stories into smaller stories (15
min)
• Make sure split stories are well formed
• As a ___, I want ____, so that ___
• Acceptance Criteria

18. Definition of Ready
• The work is ready to start.
Definition of Done
The work is done.
The work occurs.
• Set of criteria each user story must
meet before it is ready for a sprint.
• Used for all stories, does not often
change.
• Agreement between scrum team
members on what needs to be
completed for the story to be done.
• Changes based on the needs of the
story.

19. USER Story slides #2

20. Part 1: User Story Creation
As a(n) _________
(user)
I want _________
(objective)
So that_________
(reason)

21. 4 Tips for Writing Good User Stories
The story’s reason should not be a
reiteration of the story’s objective.
The story has an objective
that is clearly defined.
The story has enough detail that
anyone on the team could “pick it up,”
but not too much.
The story clearly states who the user
is and answers the “why” behind the
need.
For this activity, let’s
assume we are helping
our product manager
do backlog grooming.

22. User Story Creation: User Story Refresher
Different people will use your
application, and may use it in
different ways.
I want _________
(objective)
So that_________
(reason)
As a(n) _________
(user)
Each user has an idea of what they
need. This should be the
“minimum bar” of expectations.
There is a reason or a “why”
behind each request.
Developing the reason requires
you to understand how your user
thinks.

23. Chart View
Quick Links
Solemani, Ladan (#303455, Female, DOB 01/13/1978, Age 42)
Medications +
Zoloft 50mg 0049-4900
Ibuprofen 50mg 0012-5500
Captopril 50mg 0078-4100
Allergy Alert
Lab Orders
Complete Blood Count (CBC)
User Story Creation: Scenario
One of our EHR’s needs an allergy
alert function.
The alert needs to reference data from
the patient’s known allergies.
If the user prescribes a medication
on the known allergy list, the system
should generate an allergy alert.

24. Good User Story Bad User Story
As a nurse, I want to see an allergy alert
on my screen if the medication I’m
prescribing is on the patient’s known
allergy list, so that I know my patient may
have an allergic reaction if I prescribe that
medication.
The reason is not the same as the
objective.
The user is clearly defined (i.e. a nurse)
Has enough detail, but not too much
that it stifles creativity.
The story clearly answers the “why”
behind the need..
The reason is the same as the objective.
The user is not specific.
The story does not answer the “why”
behind the need..
As a user, I want a notification window
when I prescribe a medication on a
patient’s known allergy list, so I know
they are allergic to the medication.
X
X
X

25. ? What problems do you see with the following user stories?
Example C:
As a doctor, I want the application to be
available 99.99% of the time when I try
to access it, so that I can access the
application
Example A:
As a user, I can look up a patient’s
medication
Example B:
As a purchasing specialist, I can manage
hospital payments

26. User Story Creation
We need a scheduling system for an
inpatient facility
An Admissions Coordinator needs to see
how many beds are available in real-time,
and only one person can be in each bed.
A coordinator should be able to select a
bed and fill it with an occupant as patients
are admitted.

27. We need a scheduling system for an
inpatient facility
An Admissions Coordinator needs to see
how many beds are available in real-time,
and only one person can be in each bed.
A coordinator should be able to select a
bed and fill it with an occupant as patients
are admitted.
?
User Story 1:
As a(n) <user>
I want <objective>
So that <reason>
User Story 2:
As a(n) <user>
I want <objective>
So that <reason>
What user story or stories can you create with this information?
(take 20 minutes for this exercise)

28. Part 2: Story pointing & task creation

29. Story Pointing
Using the site above, assign story points to each story you created in Part 1, and explain your
approach. (take 20 minutes for this exercise)
Go to cadencycommander.com
Type in your name and team name

30. 6 Tips for Writing Good Tasks
To avoid scope creep, all acceptance
criteria should be clearly defined.
The task can be completed in a defined,
short period of time
The task does not break
existing functionality.
The task is specific and is a vertical slice of
work that contributes to shippable function
by the end of the sprint.
The definition of done should include
all design, coding, testing, and
documentation. Coding tasks must
include white box and functional
testing.
Tasks are prioritized, and tasks are
planned with teammates to avoid
conflicting task prioritization.

31. Chart View
Quick Links
Solemani, Ladan (#303455, Female, DOB 01/13/1978, Age 42)
Medications +
Zoloft 50mg 0049-4900
Ibuprofen 50mg 0012-5500
Captopril 50mg 0078-4100
Allergy Alert
Lab Orders
Complete Blood Count (CBC)
Task Creation: Example Scenario
User Story
As a nurse, I want to see an allergy alert on my
screen if the medication I’m prescribing is on
the patient’s known allergy list, so that I know
my patient may have an allergic reaction if I
prescribe that medication.

32. Good Task Bad Task
Create a RESTful service that
determines if a prescription exists in
the patient’s allergy list.
• Create a workflow to add items to
the allergy list and generate an
alert if the medication is already on
the allergy list.
• Perform testing.
Can be completed in about a day
(approximate).
Contributes to something that is
shippable at the end of the sprint.
Is specific—to the stack and tools you
are using.
Can not be completed in a day
Does not contribute to something
shippable at the end of the sprint.
Is not specific.
X
X
X
Acceptance Criteria Example:
Submitting a valid prescription code and existing
patient ID to the service will generate a response of
True or False. Invalid data will generate an error
response.

33. Task Creation
Take one of your user stories from the first activity and break it down into tasks.
Task 1:
Task 2:
Task 3:
Task 4: