Validation and error correction at the IHE Connectathon
Publication date: Apr 25, 2013
During this years connectathon an enhanced version of the Gazelle testin tool was used -
this has an impact on the quality of the test results. The massive testing process also allows for
the detection of inconsistencies in the IHE specifications.
This year the IHE European Connectathon (CAT) was organized
in Istanbul, Turkey. At this event many healthcare IT vendors come to test their products against the IHE specification,
also known as profiles which are part of the technical frameworks that specify how standards (like HL7, DICOM, etc.)
are supposed to be implemented to solve use cases jointly defined by systems vendors and healthcare providers.
From the Netherlands my colleague André Huisman and I, joined the CAT to act as Monitors (“referees”).
The test process at the CAT is supported by a tool called Gazelle which is developed by IHE. This tool is also
used by vendors for pre-Connectathon testing and also integrates other open source test tools e.g. for
validating CDA documents. Many changes and improvements were included in the test toolkIt this year.
Gazelle has been enhanced to make it possible to validate all messages, such as those defined in the
XDW and XPHR profiles, using model based validation (MBV) as well as schematron validation.
The test results are more reliable this way and it also makes life easier for the implementors
and the monitors, because the tool points out those message parts that are not consistent with IHE documentation.
Robert Breas and Andre Huisman at the Istanbul Connectathon
In my opinion the downside of this is that there’s less interaction with implementors to solve interoperability
issues than previous years. The benefits outweigh the disadvantages though because efficiency in the testing
process has been increased. This results in more tests being done and verified during the limited time
available on the CAT. Another advantage of Gazelle is that better logging is kept and is also done automatically.
This logging helps the monitors in fulfilling their duty.
As a monitor my primary focus was on the XDW profile (cross-enterprise document workflow),
XDW related workflow
profiles and PCC content profiles (a set of CDA R2 implementation guides). One of the biggest problems I
encountered monitoring tests of those content profiles was that the technical framework, the content profile
supplements and the IHE Wiki contradicted each other on several places, e.g. on the LOINC codes that should be
used in CDA documents. This resulted in failed tests and lots of discussion. André Huisman encountered the
same problems in the PCC domain.
View of the testing room at the Istanbul Connectathon
We all know that implementers mostly look at the IHE Wiki pages first, and use the technical framework as a
secondary source of information. In my opinion the IHE Wiki should have been updated prior to the CAT.
On the other hand I know how difficult it is to maintain consistency in documentation, because organisations
like IHE are very dependant on the effort invested by volunteers. One of the CAT benefits is that inconsistencies
like these are found, recognised and reported for corrections.
A lot of good work was done to improve health care interoperability during the IHE Connectathon in Istanbul.
The added value of this work is the identification of inconsistencies and anomalies in the IHE documentation –
which can then subsequently be fixed. In the next few years I expect the Gazelle testing tool even more enhanced
so that more interoperability testing can be done not only on site, but also through more easily to set up
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Index of columns:
- Creation and Curation of FHIR Profiles - process and governance (Dec 14, 2017)
- De Algemene Verordening Gegevensbescherming (AVG) in de zorg (Dutch, Sep 19, 2017)
- Impact of the GDPR on the use of interoperability standards (Jun 27, 2017)
- News from the FHIR DevDays in Amsterdam (Dec 15, 2016)
- Next XDS Release (Oct 27, 2016)
- Five years of FHIR (Aug 11, 2016)
- Interoperability projects in Ireland - FHIReland (Mar 14, 2016)
- 2016 FHIR Jedi Calendar (Jan 06, 2016)
- Top 10 HL7 videos watched in 2015 (Dec 24, 2015)
- Update from the trenches on CDA R2.1/R3 and HL7v2. (Oct 15, 2015)
- FHIR DevDays - UK GP System APIs (Sep 16, 2015)
- IHE XDS - testing and implementation tools (Aug 25, 2015)
- Most often implemented IHE Profiles (Jun 08, 2015)
- Why we sponsor the HL7 WGM (May 10, 2015)
- FHIR in Paris (Apr 21, 2015)
- Mapping HL7v2 messages to FHIR. (Apr 13, 2015)
- Analysis of CDA R2 testing tools - most requirements are neither tested nor respected. (Feb 13, 2015)
- HL7 and IHE in Sweden (Feb 08, 2015)
- 2015 FHIR Chiefs Calendar (Jan 07, 2015)
- The Merry FHIR Choir caroling the 12 Days of Christmas (Dec 09, 2014)
- Chicago FHIR Update (Oct 13, 2014)
- Internationalization of HL7 (Sep 25, 2014)
- New XDS Advanced training course on offer by IHE Services and IHE Academy (Jul 14, 2014)
- Recent and Future developments of the DICOM standard (Mar 06, 2014)
- Top 10 HL7 videos watched in 2013 (Jan 02, 2014)
- Report from the HL7 WGM in Cambridge (Oct 16, 2013)
- Documenting the history of HL7 (Sep 03, 2013)
- Histology Lab Device Automation using HL7 version 2 (Jul 23, 2013)
- HL7 FHIR Elevator Pitch (Jul 15, 2013)
- Interoperability Standards - the no-sales pitch (Jul 09, 2013)
- HL7 UK - new landscape, new opportunities (Jun 26, 2013)
- Validation and error correction at the IHE Connectathon (Apr 25, 2013)
- CDA Implementation Guides - (not) invented here (Apr 17, 2013)
- Usage of IHE Profiles (Feb 25, 2013)
- 10 year anniversary - Dutch Ringholm HL7 v2 training courses. (Feb 19, 2013)
- About IHE Academy and new IHE training courses (Jan 12, 2013)
- CDA implementation experiences in the UK (Dec 04, 2012)
- Musings on free HL7 IP (Oct 01, 2012)
- HL7 Connectathons (Sep 09, 2012)
- Renovate HL7 version 3 (Aug 03, 2012)
- Frequency of use of HL7 message types (Jul 24, 2012)
- Lighting the FHIR, HL7s new major interoperability standard (Jun 15, 2012)
- Reflections on the HL7 membership model - the affiliate life cycle (Dec 28, 2011)
- Thinking like an OWL reasoner (Sep 17, 2011)
- RFH (Resources for Health): HL7 version 3 taken to the next step (Aug 18, 2011)
- What's so great about the HL7 organization? (Aug 04, 2011)
- Kerndossier: een Nederlandse versie van CCD (Dutch, May 03, 2011)
- A HL7 RIMBAA update (Apr 21, 2011)
- Timezone Hotel (Mar 29, 2011)
- HL7 and openEHR are cooperating (finally) (Jan 21, 2011)
- Increasing demand for IHE training courses (Dec 18, 2010)
- Context issues with the IHE QED profile (Dec 15, 2010)
- The changing role of HL7 country organizations (Jul 16, 2010)
- Implementing HL7 version 3 - the book (May 06, 2010)
- Adding openness to a closed world (Feb 09, 2010)
- How to lower the hurdle for HL7 v3 implementers (Jan 21, 2010)
- HL7 v3 deployment statistics (Dec 17, 2009)
- There's Trouble in Paradigm (Sep 25, 2009)
- Internationalization of HL7 (Sep 24, 2009)
- HL7 UK signs deal with Ringholm to deliver HL7 v2/v3 training courses in London (Sep 17, 2009)
- The use of HL7 in South Africa (Aug 20, 2009)
- The Next Web Conference in Amsterdam (Apr 17, 2009)
- The HL7 UK AGM and RIMBAA (Apr 16, 2009)
- The HL7 Wiki reaches 2000 pages (Mar 02, 2009)
- The HL7 roadmap for CDA R3 and the CCD (Jan 17, 2009)
- HL7 Affiliates Meeting in Orlando (Jan 11, 2009)
- Swiss and Dutch HL7 News (Dec 31, 2008)
- Devices and Prizes (Nov 22, 2008)
- HL7 in Norway: a situation report (Sep 02, 2008)
- Russian whitepaper (Jul 09, 2008)
- The HL7 Interoperability Conference - IHIC 2008 (May 30, 2008)
- HL7 creates a RIM Based Application Architecture (RIMBAA) group (May 18, 2008)
- Notes from the HL7 WGM in Phoenix (May 08, 2008)
- Germany embraces CDA eReferral document specification (May 02, 2008)
- HL7 v3 RIM based applications: an unintended side effect (Jan 19, 2008)
- Collaborative Tools (Jun 21, 2007)
- HL7 ist Pflicht in der deutschen Telematikinfrastruktur (German, Mar 16, 2007)
- HL7 based Tree inventory system (Jan 30, 2007)
- The link between HL7 and Open Source Software (Jan 06, 2007)
- Workflow Bribery (Sep 15, 2006)
- Timezones in HL7 (Jan 23, 2004)
- Controlled vocabularies: "@*%!!!" ? (Sep 01, 2003)
- Trusting the other Party (Nov 01, 2002)
About Ringholm bv
Ringholm bv is a group of European experts in the field of messaging standards and systems integration in healthcare IT.
We provide the industry's most advanced training courses and consulting on healthcare information exchange standards.
See http://www.ringholm.com or call +31 33 7 630 636 for additional information.
Robert is a Tutor/Trainer with Ringholm.