<p>This test primarily tests the DSS/OF ability to handle the complexities of CARD-1 transaction, but also tests the modalities ability to handle the various MPPS cases.</p>  <p>Modality performs different procedures (with different MPPS cases) and communicates those results with the Order Filler. Image Manager also participates.   The MPPS Mgr can be combined with either the DSS/OF or the IM in these test cases, but only one MPPS Mgr should be active at one time and it should be recorded which MPPS Mgr was used.</p>  <p>This test tests ECHO Use Cases E1, E2, E3, and E4.</p> 