1. 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.

2. 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

3. 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
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

4. 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

5. 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.

6. Global Test Execution Trends

7. 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

8. Questions?