The eHealth Exchange Testing Program was developed to test compliance for Health Information Exchange (HIE) standards as required by the eHealth Exchange Coordinating Committee for onboarding to the eHealth Exchange network. Its purpose is to enable organizations that wish to participate in the eHealth Exchange to validate the compliance of their Health Information Technology (HIT) with the eHealth Exchange Performance and Service Specifications.

The Sequoia Project now operates these testing programs in conjunction with AEGIS.


The eHealth exchange supports a variety of use cases.    The types and quantity of testing that an organization needs to do prior to onboarding depends upon the use cases that they would like to support:

1. Participant Testing

The Participant Testing Program is specifically designed for applicants that are seeking to onboard to the eHealth Exchange or for existing eHealth Exchange participants seeking to retest their system due to a major system upgrade or change to their technology.  Upon successful completion of participant testing, a test summary report will be provided to the eHealth Exchange Coordinating Committee for their use in making a determination whether the eHealth Exchange applicant has satisfied all of the requirements for participation in the network.

  • Applicants can choose to test the 2011 specs only or a combination of both 2010 and 2011 specs
  • There are 6 smoke tests (2010 and 2011) and 19 required security tests (2011 only)
  • Content testing is not required if using a product that is certified for Meaningful Use or if the eHealth Exchange Validated product has successfully completed the content testing.
  • If using an eHealth Exchange Validated product, participant need only run smoke tests.

2. Product Testing

The Product Testing Program is for product vendors seeking to verify their product against a more rigorous set of tests that will result in their product being considered “eHealth Exchange Validated”.  Any applicant or participant that utilizes an eHealth Exchange Validated Product will not need to conduct any of the security testing.  This will result in a cost reduction for the applicant.

  • Validation is available only on the 2011 specs
  • There are 6 required smoke tests and 35 required security tests
  • Vendors must run all provisional test cases.  But a FAIL on a provisional test case will not impact the results of the testing.
  • If a product is not certified for Meaningful Use, the vendor can run the content tests during Product testing and allow organizations to also bypass content testing