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The IHE Technical Frameworks, available for download below, are a resource for users, developers and implementers of healthcare imaging and information systems. They define specific implementations of established standards to achieve effective systems integration, facilitate appropriate sharing of medical information and support optimal patient care. They are expanded annually, after a period of public review, and maintained regularly by the IHE Technical Committees through the identification and correction of errata.
Submit and Review Comments
Each draft Technical Framework document and supplement is published initially for a period of public comment. Documents currently in release for public comment are available here.
Comments from implementers and other interested parties are invited on an ongoing basis. Please submit comments through the links provided below.
New Profile Development
A high-level view of the work items each domain has approved for the 2012-13 publication cycle and their publication progress is available at: www.ihe.net/Technical_Framework/Supplement-Tracker.cfm.
Comments and implementer feedback on all documents can be submitted to the online discussion forums at http://forums.rsna.org.
Current Technical Framework - Revision 2.0
July 23, 2010
Copyright © 2010: IHE International, Inc.
Trial Implementation
These volumes provide specification of the following profile:
- Anatomic Pathology Workflow (APW)
Supplements for Trial Implementation
The IHE Anatomic Pathology Technical Committee invites organizations to begin development work based on the following supplements to the Anatomic Pathology Trial Implementation Technical Framework. These trial implementation profiles will be tested at subsequent IHE Connectathons. Supplements extend the IHE Anatomic Pathology Technical Framework, Rev. 2.0 for Trial Implementation.
Comments and implementer feedback on all documents can be submitted at http://www.ihe.net/cardiology/cardiologycomments.cfm.
Current Technical Framework - Revision 4.0
August 5, 2011
Copyright © 2011: IHE International, Inc.
Final Text
Supplements for Trial Implementation
The IHE Cardiology Technical Committee invites organizations to begin development work based on the following supplements to the IHE Cardiology Technical Framework. Trial implementation profiles are eligible for testing at subsequent IHE Connectathons.
2007-2008 Whitepaper
Cardiology Archives
The archive page contains deprecated supplements and superseded versions of the Technical Framework Volumes, white papers and handbooks. As of July 2012, it also contains:
- Superseded versions of trial implementation supplements
- Current published versions of the Technical Framework Volumes and supplements
Please note that the file names of the current published documents above (published July 2012 or later) are generic in nature, for example:
- IHE_CARD_TF_Vol1
- IHE_CARD_Suppl_BIR
This naming convention accommodates direct linking to specific locations within the document via named destinations. Links to current published documents can be maintained as future revisions of the documents are published. For additional information on using named destinations please see the IHE Wiki here.
The file names on the archive page are specific to a document's revision number, status (trial implementation [TI] or final text [FT]) and date of publication, for example:
- IHE_CARD_TF_Rev4.0_Vol1_FT_2011-08-05
- IHE_CARD_Suppl_BIR_Rev1.2_TI_2012-07-25
Comments and implementer feedback on all documents can be submitted at http://www.ihe.net/eyecare/eyecarecomments.cfm.
Current Technical Framework - Revision 3.7
February 15, 2010
Copyright © 2010: IHE International, Inc.
Final Text
These volumes provide specification of the following profiles:
- Eye Care Workflow (EYECARE)
- Charge Posting (CHG)
- Eye Care Evidence Documents (ECED)
- Eye Care Displayable Report (ECDR)
Supplements for Trial Implementation
The IHE Eye Care Technical Committee invites organizations to begin development work based on the following supplements to the IHE Eye Care Technical Framework. These trial implementation profiles will be available for testing at subsequent IHE Eye Care Connectathons.
IT Infrastructure Technical Framework Comments and implementer feedback on all documents can be submitted at http://www.ihe.net/iti/iticomments.cfm.
Current Technical Framework - Revision 9.0
August 31, 2012
Copyright © 2012: IHE International, Inc.
Final Text
- Vol. 1 (ITI TF-1): Integration Profiles
- Vol. 2: Transactions - Volume 2 is divided into three separate sub-volumes:
-
- Vol. 2a (ITI TF-2a): Transactions ITI-I through ITI-28. These transactions are used in the following profiles CT, PSA, EUA, PIX, RID, XDS, ATNA, PDQ, PWP, NAV
- Vol. 2b: (ITI TF-2b): Transactions (cont'd) ITI-29 through ITI-51. These transactions are used in the following profiles PAM, XDM, XUA, XDS, XCA, PIX V3, MPQ
- Vol. 2x (ITI TF-2x): Appendices A through W and Glossary
- Vol. 3 (ITI TF-3): Contains Section 4 Cross-Transaction Specifications and Section 5 IHE Content Specifications
These volumes provide specification of the following profiles:
- Audit Trail and Node Authentication (ATNA)
- Basic Patient Privacy Consents (BPPC)
- Consistent Time (CT)
- Cross-Community Access (XCA)
- Cross-Enterprise Document Media Interchange (XDM)
- Cross-Enterprise Document Reliable Interchange (XDR)
- Cross-Enterprise Document Sharing (XDS.b)
- Cross-Enterprise Sharing of Scanned Documents (XDS-SD)
- Cross-Enterprise User Assertion (XUA)
- Enterprise User Authentication (EUA)
- Multi-Patient Queries (MPQ)
- Patient Administration Management (PAM)
- Patient Demographic Query HL7 V3 (PDQ V3)
- Patient Demographics Query
- Patient Identifier Cross-Referencing (PIX)
- Patient Identifier Cross-Reference HL7 V3 (PIX V3)
- Patient Synchronized Applications (PSA)
- Personnel White Pages (PWP)
- Request Form Data Capture (RFD) - moved to Final Text 2012-08-31
- Retrieve Information for Display (RID)
Brief descriptions of these profiles are available here.
Supplements for Trial Implementation
The IHE IT Infrastructure Technical Committee invites organizations to begin development work based on the following supplements to the IT Infrastructure Technical Framework for Trial Implementation. These trial implementation profiles will be tested at the IHE Connectathons in January 2012. Supplements extend the IHE ITI Technical Framework 8.0 for Trial Implementation.
IT Infrastructure User Handbooks
User handbooks provide advice, examples and considerations for the use of IHE ITI profiles.
IT Infrastructure White Papers
The IHE IT Infrastructure Technical Committee has published the following white papers. These white papers facilitate the use of existing IHE ITI profiles or scope the need for future profiles.
IT Infrastructure Archives
The archive page contains deprecated supplements and superseded versions of the Technical Framework Volumes, white papers and handbooks. As of July 2012, it also contains:
- Superseded versions of trial implementation supplements
- Current published versions of the Technical Framework Volumes and supplements
Please note that the file names of the current published documents above (published July 2012 or later) are generic in nature, for example:
- IHE_ITI_TF_Vol1
- IHE_ITI_Suppl_XDW
This naming convention accommodates direct linking to specific locations within the document via named destinations. Links to current published documents can be maintained as future revisions of the documents are published. For additional information on using named destinations please see the IHE Wiki here.
The file names on the archive page are specific to a document's revision number, status (trial implementation [TI] or final text [FT]) and date of publication, for example:
- IHE_ITI_TF_Rev9.0_Vol1_FT_2012-08-31
- IHE_ITI_Suppl_XDW_Rev1.2_TI_2012-08-31
Comments and implementer feedback on all documents can be submitted at http://www.ihe.net/laboratory/laboratorycomments.cfm
Current Technical Framework - Revision 4.0
October 2, 2012
Copyright © 2012: IHE International, Inc.
Final Text
These volumes provide specification of the following profiles:
- Laboratory Testing Workflow (LTW)
- Laboratory Device Automation (LDA)
- Laboratory Point Of Care Testing (LPOCT)
- Laboratory Code Set Distribution (LCSD)
- Laboratory Specimen Barcode Labeling (LBL)
- Sharing Laboratory Reports (XD-LAB)
Brief descriptions of these profiles are available here.
Supplements for Trial Implementation
The IHE Laboratory Technical Committee invites organizations to begin development work based on the following supplements to the Laboratory Technical Framework. These Trial implementation profiles are eligible for testing at subsequent IHE Connectathons.
Laboratory Archives
The archive page contains deprecated supplements and superseded versions of the Technical Framework Volumes, white papers and handbooks. As of July 2012, it also contains:
- Superseded versions of trial implementation supplements
- Current published versions of the Technical Framework Volumes and supplements
Please note that the file names of the current published documents above (published July 2012 or later) are generic in nature, for example:
- IHE_LAB_TF_Vol1
- IHE_LAB_Suppl_GIR
This naming convention accommodates direct linking to specific locations within the document via named destinations. Links to current published documents can be maintained as future revisions of the documents are published. For additional information on using named destinations please see the IHE Wiki here.
The file names on the archive page are specific to a document's revision number, status (trial implementation [TI] or final text [FT]) and date of publication, for example:
- IHE_LAB_TF_Rev4.0_Vol1_FT_2012-10-02
- IHE_LAB_Suppl_GIR_Rev1.1_TI_2012-10-02
Comments and implementer feedback on all documents can be submitted at http://www.ihe.net/pcc/pcccomments.cfm
Current Technical Framework - Revision 8.0
2012-08-31
Copyright © 2012: IHE International, Inc.
Final Text
These volumes provide specification of the following profiles:
- Cross Enterprise Sharing of Medical Summaries Integration Profile (XDS-MS), including Medical Summary Document Content (MS) specification
- Emergency Department Referral (EDR)
- Exchange of Personal Health Record Content (XPHR)
Brief descriptions of these profiles are available here.
Supplements for Trial Implementation
The IHE Patient Care Coordination Technical Committee invites organizations to begin development work based on the following supplements to the PCC Technical Framework for Trial Implementation. These trial implementation profiles will be available for testing at subsequent IHE Connectathons.
Related Document
The Patient Care Coordination Planning and Technical Committees invite comment on the following white paper from the Public Health Data Standards Consortium:
Patient Care Coordination Archives
The archive page contains deprecated supplements and superseded versions of the Technical Framework Volumes, white papers and handbooks. As of July 2012, it also contains:
- Superseded versions of trial implementation supplements
- Current published versions of the Technical Framework Volumes and supplements
Please note that the file names of the current published documents above (published July 2012 or later) are generic in nature, for example:
- IHE_PCC_TF_Vol1
- IHE_PCC_Suppl_RCK
This naming convention accommodates direct linking to specific locations within the document via named destinations. Links to current published documents can be maintained as future revisions of the documents are published. For additional information on using named destinations please see the IHE Wiki here.
The file names on the archive page are specific to a document's revision number, status (trial implementation [TI] or final text [FT]) and date of publication, for example:
- IHE_PCC_TF_Rev8.0_Vol1_FT_2012-08-31
- IHE_PCC_Suppl_RCK_Rev1.1_TI_2012-08-16
Comments and implementer feedback on all documents can be submitted at http://www.ihe.net/pcd/pcdcomments.cfm
Current Technical Framework - Revision 2.0
August 16, 2012
Copyright © 2012: IHE International, Inc.
Final Text Version
Supplements for Trial Implementation
The IHE Patient Care Device (PCD) Technical Committee invites organizations to begin development work based on the following supplements to the Patient Care Device Technical Framework. These trial implementation profiles will be eligible for testing at subsequent IHE Connectathons.
White Papers
The IHE PCD Technical Committee has published the following white papers. These white papers facilitate the use of existing IHE PCD profiles and/or scope the need for future profiles.
User Handbook
The IHE PCD Technical Committee has published the following User Handbook.
Patient Care Device Archives
The archive page contains deprecated supplements and superseded versions of the Technical Framework Volumes, white papers and handbooks. As of July 2012, it also contains:
- Superseded versions of trial implementation supplements
- Current published versions of the Technical Framework Volumes and supplements
Please note that the file names of the current published documents above (published July 2012 or later) are generic in nature, for example:
- IHE_PCD_TF_Vol1
- IHE_RAD_Suppl_POI
This naming convention accommodates direct linking to specific locations within the document via named destinations. Links to current published documents can be maintained as future revisions of the documents are published. For additional information on using named destinations please see the IHE Wiki here.
The file names on the archive page are specific to a document's revision number, status (trial implementation [TI] or final text [FT]) and date of publication, for example:
- IHE_PCD_TF_Rev2.0_Vol1_FT_2012-08-16
- IHE_RAD_Suppl_POI_Rev1.1_TI_2012-08-16
Comments and implementer feedback on all documents can be submitted at http://www.ihe.net/pharmacy/pharmacycomments.cfm.
Supplements for Trial Implementation
The IHE Pharmacy Technical Committee invites organizations to begin development work based on the following supplements to the forthcoming Pharmacy Technical Framework. These trial implementation profiles will be available for testing at subsequent IHE Connectathons.
Pharmacy Archives
The archive page contains deprecated supplements and superseded versions of the Technical Framework Volumes, white papers and handbooks. As of July 2012, it also contains:
- Superseded versions of trial implementation supplements
- Current published versions of the Technical Framework Volumes and supplements
Please note that the file names of the current published documents above (published July 2012 or later) are generic in nature, for example:
This naming convention accommodates direct linking to specific locations within the document via named destinations. Links to current published documents can be maintained as future revisions of the documents are published. For additional information on using named destinations please see the IHE Wiki here.
The file names on the archive page are specific to a document's revision number, status (trial implementation [TI] or final text [FT]) and date of publication, for example:
- IHE_Pharmacy_Suppl_HMW_Rev1.3_TI_2012-09-27

Comments and implementer feedback on all documents can be submitted at http://www.ihe.net/qrph/qrphcomments.cfm.
Current Technical Framework - Revision 0.1
September 2, 2011
Copyright © 2011: IHE International, Inc.
Trial Implementation
Supplements for Trial Implementation
The IHE Quality, Research and Public Health Technical Committee invites organizations to begin development work based on the following supplements to the forthcoming QRPH Technical Framework. These trial implementation profiles will be available for testing at subsequent IHE Connectathons.
Quality, Research and Public Health White Papers
The IHE Quality, Research and Public Health Technical Committee has published the following white papers.
The Quality, Research and Public Health Domain endorses the white paper developed by the Public Health Data Standards Consortium. The white paper provides two detailed examples of public health programs (immunization and cancer registries). It also identifies other programs for the development of technical specifications for interoperable systems in the future that manage public health, research, and quality. The white paper serves as a framing document for planning public health activities in IHE.
We invite public health professionals to join our collaborative efforts at IHE between the public health and HIT vendor communities to guide the development of the IHE Integration Profiles for interoperability among and between Electronic Health Record and Public Health Systems. These profiles will facilitate the necessary linkages, standardization and integration of health data between clinical care and public health to create robust overarching health information exchanges.
2006-2007 Supplement for Public Comment
The IHE Quality, Research and Public Health Technical Committee has published the initial profile below for public comment:
Comments on this profile can be submitted to the online forum at http://forums.rsna.org.
Quality, Research and Public Health Archives
The archive page contains deprecated supplements and superseded versions of the Technical Framework Volumes, white papers and handbooks. As of July 2012, it also contains:
- Superseded versions of trial implementation supplements
- Current published versions of the Technical Framework Volumes and supplements
Please note that the file names of the current published documents above (published July 2012 or later) are generic in nature, for example:
This naming convention accommodates direct linking to specific locations within the document via named destinations. Links to current published documents can be maintained as future revisions of the documents are published. For additional information on using named destinations please see the IHE Wiki here.
The file names on the archive page are specific to a document's revision number, status (trial implementation [TI] or final text [FT]) and date of publication, for example:
- IHE_QRPH_Suppl_CRD_Rev3.1_TI_2012-09-24

Comments and implementer feedback on all documents can be submitted at http://www.ihe.net/radiation_oncology/radiationoncologycomments.cfm
Current Technical Framework - Revision 1.7
May 9, 2011
Copyright © 2011: ASTRO, AAPM, RSNA, HIMSS, IHE International, Inc.
Final Text Version
These volumes provide specification of the following profile:
- Basic Radiation Therapy Objects (BRTO)

Comments and implementer feedback on all documents can be submitted at http://www.ihe.net/radiology/radiologycomments.cfm.
Current Technical Framework - Revision 11.0
July 24, 2012
Copyright © 2012: IHE International, Inc.
Final Text Version
These documents provide specification of the following profiles:
- Radiology Scheduled Workflow (SWF)
- Patient Information Reconciliation (PIR)
- Consistent Presentation of Images (CPI)
- Presentation of Grouped Procedures (PGP)
- Access to Radiology Information (ARI)
- Key Image Note (KIN)
- Simple Image and Numeric Report (SINR)
- Charge Posting (CHG)
- Post-processing Workflow (PWF)
- Reporting Workflow (RWF)
- Evidence Documents (ED)
- Portable Data for Imaging (PDI)
- Nuclear Medicine Image
- Cross-enterprise Document Sharing for Imaging (XDS-I) - Deprecated 2012-07-24 and replaced with XDS-I.b
- Mammography Image
- Import Reconciliation Workflow (IRWF)
- Teaching File and Clinical Trial Export (TCE)
- Radiation Exposure Monitoring (REM) - Added 2012-07-24
- Cross-Enterprise Document Sharing for Imaging (XDS-I.b) - Added 2012-07-24
Brief descriptions of these profiles are available here.
Supplements for Trial Implementation
The IHE Radiology Technical Committee invites organizations to begin development work based on the following supplements to the Radiology Technical Framework. These trial implementation profiles will be eligible for testing at subsequent IHE Connectathons.
White Papers
The IHE Radiology Technical Committee has published the following white papers. Comments are invited and can be made at any time.
Radiology Archives
The archive page contains deprecated supplements and superseded versions of the Technical Framework Volumes, white papers and handbooks. As of July 2012, it also contains:
- Superseded versions of trial implementation supplements
- Current published versions of the Technical Framework Volumes and supplements
Please note that the file names of the current published documents above (published July 2012 or later) are generic in nature, for example:
- IHE_RAD_TF_Vol1
- IHE_RAD_Suppl_BIR
This naming convention accommodates direct linking to specific locations within the document via named destinations. Links to current published documents can be maintained as future revisions of the documents are published. For additional information on using named destinations please see the IHE Wiki here.
The file names on the archive page are specific to a document's revision number, status (trial implementation [TI] or final text [FT]) and date of publication, for example:
- IHE_RAD_TF_Rev11.0_Vol1_FT_2012-07-24
- IHE_RAD_Suppl_BIR_Rev1.2_TI_2012-07-24
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