Interoperability Testing Software for Sharing Medical Documents and Images

The Electronic Health Record enables access to prior diagnostic information in order to assist in health decisions. It is a virtual system that results from the cooperation of several heterogeneous distributed systems. Interoperability between peers is therefore essential. Achieving interoperability requires various types of testing. Implementations gain a baseline level of testing using software that simulates communication partners, in addition to providing test data and test plans. In this paper, we describe the architecture that is presently being deployed in several countries to share medical documents and images. We also introduce the communication infrastructure and web technologies underlying this architecture. Then, we propose a web infrastructure for interoperability testing, describe its architecture, expose the challenges encountered and discuss the elected solutions.