Touchstone is an Infrastructure as a Service (IaaS) and Testing as a Service (TaaS) Open Access Solution for health information exchange. Touchstone strives to live up to its dictionary definition - a criterion for determining the quality or genuineness of a thing - by offering thousands of tests in an easy-to-use system for determining a test system's conformance and interoperability against published specifications, standards, and profiles, including templates and implementation guides.

Touchstone ...


  • allows for automated, internet-based interoperability FHIR Testing against the HL7 FHIR specifications and standards.
  • tests interoperability with other FHIR Server and FHIR Client implementations.
  • has been engineered from the ground up to leverage the new FHIR TestScript resource.
  • is a blend between Test-Driven-Development (TDD) methodologies and Natural Language Processing (NLP) test scripts.
  • has been featured at HL7 FHIR Connectathons and is being leveraged in a continuous testing environment by numerous leading HL7 FHIR implementers.
  • plays an active role in the HL7 Conformance Testing community, the HL7 Argonaut Project, and the HSPC Implementation community.
Features include...
  • self-registration of user accounts and organizations.
  • ability for users to execute FHIR test scripts against test systems with Touchstone serving as the initiator of message exchanges.
  • ability for users to initiate message exchanges from their test systems against other peer test systems with Touchstone FHIR testing tool serving as the intermediary.
  • ability to drill down to individual operations and assertions in test execution results during FHIR Testing.
  • ability to save configured sets of test scripts as named "test setups" for re-execution.
  • controlled access to test scripts, test systems, and test results at the user, organization, and organization group levels.
Touchstone Updates
  • Touchstone 4.7.5 and TestScript Editor 1.3.1 Released Feb 22, 2020
  • Touchstone 4.3.0 and TestScript Editor 1.3.0 Released Jan 9, 2019
    • Support for FHIR 4.0.0
      • Touchstone now offers FHIR 4.0.0 testing, supporting the HL7 FHIR Connectathon 20 event. See FHIR directory of versions.
      • FHIR 4.0.0 test scripts can be found in FHIR4-0-0-Connectathon20, FHIR4-0-0-Basic and FHIR4-0-0-Advanced test groups under Test Definitions. Support for more FHIR resources in FHIR4-0-0-Basic test group will be added in the coming days.
    • See Release notes for more details.
  • Touchstone 4.0.0 and TestScript Editor 1.2.1 Released Sep 24, 2018
    • Support for CDS Hooks Specification
      • Touchstone now offers CDS Hooks 1.0 testing, supporting the HL7 FHIR Connectathon 19 event.
      • CDS Hooks test scripts can be found under Test Definitions when you switch the domain to CDS Hooks.
    • Support for FHIR 3.5.0 (R4 Ballot #2)
    • TestScript Editor now supports automatic updates. You can download the latest here.
    • See Release notes for more details.