Touchstone Testing Platform September 28, 2018 AEGIS has been in the business of testing interoperability standards for nearly ten years. Our tools have supported deployment of Integrating the Healthcare Enterprise, HL7, the National Health Information Network specs, and even powered Sequoia’s ehealth exchange for the first several years. The HL7 FHIR standard is rising to the top of healthcare technology priorities because it delivers fast and efficient health data. Our team of experts has implemented the most advanced FHIR Testing platform for use anytime, anywhere.  

Interoperability Testing Challenges Disparate testing frameworks with custom languages Open source toolsets are incomplete Peer to peer only Lack of terminology content Lack of Negative Testing One and done testing vs. Continuous Testing Metrics reliant on tests that are subject to human error Concurrent standards development causes test script version issues Disparate testing frameworks with custom languages (Ruby, Python) Open source but incomplete toolset? - Lack of content available in test scripts? Tired of one and done testing? Testing process subject to human error? Version control problems or gaps because of concurrent standards development? Lack of Negative Testing. (Happy Path only)   Terminology content – needs to have call back to terminology server to validate coded content Core value = common standardized tests www.touchstone.com

Key Features Cloud-based development environment for FHIR client and server implementations Multi-version Support for HL7 FHIR Automated and Continuous Results Implementation Guide-Level Test Script Customization Robust Reference Implementation - WildFHIR Cloud-based development environment for FHIR client and server implementations -- cross compare and SHARE results from multiple organizations on a 3rd party common standardized test -- Available 24/7 and not dependant on downloaded Multi-version support for HL7 FHIR ---HL7® FHIR® DSTU2, STU3 and R4 Ballot specifications --- Subscription-based so updates are immediate Robust Reference Implementation - WildFHIR Automated and Continuous Results Can run in the background automatically – not time consuming, fast and reliably delivering results Test-Driven-Development (TDD) Enables immediate correction of development and build issues Dashboard Implementation Guide-Level Test Script Customization – Enables us to fit exact program needs Program support Privacy and availability settings Custom Test Script Editing and Publishing Implement extensions to test script easier than when using ruby or python Validation artifacts are incorporated into the tooling – becomes part of the FHIR validation engine Our integrated test script editor allows you to create and deploy custom test scripts to meet your current needs while keeping you in compliance with the FHIR standard. US Core Argonaut Da Vinci Mobile Health access to Documents (MHD) WildFHIR Publically available FHIR test server Supports every version since DSTU2 Only RI that supports every version on the FHIR page since DSTU2 http://hl7.org/fhir/directory.html Differentiator – ONLY platform that uses Standard, community agreed upon format – FHIR TestScript at Maturity Level 2 XML – universal language - no detail lost in translation All of the test scripts (thousands) that AEGIS releases in TS are open source and readily accessible on the user interface www.touchstone.com

Dashboard – Conformance Analytics Conformance Analytics report on   FHIR Specification + Imp Guide (FHIR Profiles & Use Cases) + System Conformance Statement Perma-Link to send results to customers, technology partners or share them with Program Managers Don’t want to share your results? Publishing is completely AT-WILL www.touchstone.com

Dashboard – Test Execution History Healthcare IT Standards are necessary but complicated and frequently evolve. We update our platforms as new versions come out so you don’t have to comb through documentation to find the change. Touchstone will point the changes out to you in your test results. Test – Driven Development – Test early and often is the only way to ensure reliable interoperability. Waiting until a product is developed or a reference implantation is built is too late. Organizations can share test environment with each other. www.touchstone.com

Global Test Execution Trends www.touchstone.com

Industry Support Supporting the HL7® FHIR® Connectathons since October 2015 Validation for Interoperability Initiatives Transparency for providers through results publishing FHIR Training and Support Supporting the HL7® FHIR® Connectathons since October 2015 Validation for Interoperability Initiatives Both Public and private programs Transparency for providers through results publishing Vendors testing with Touchstone can share their results with customers Providers can review conformance to the conformance statement any time FHIR Training and Support Quarterly Trainings Custom come to you training available www.touchstone.com

Questions? www.touchstone.com