IHE Technical Frameworks

• Anatomic Pathology
• Cardiology
• Eye Care
• IT Infrastructure
• Laboratory
• Patient Care Coordination
• Patient Care Devices
• Quality, Research and Public Health
  
• Radiation Oncology
• Radiology

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 online discussion forums found at http://forums.rsna.org.

Revision 1.2
November 24, 2008
Copyright © 2008: IHE International
Draft for Trial Implementation

The IHE Anatomic Pathology Technical Committee has published the Anatomic Pathology Technical Framework, rev. 1.2 for trial implementation. It includes the Pathology Workflow integration profile. Comments on the document may be submitted on the forums at http://forums.rsna.org.

• vol. 1 (PAT-1): Integration Profiles
• vol. 2 (PAT-2): Transactions

Supplements for Trial Implementation

The Anatomic Pathology Technical Committee invites organizations to begin development work based on the following supplement to the Anatomic Pathology Technical Framework. This profile will be tested at IHE Connectathons beginning in January 2010. The supplement extends the Anatomic Pathology Technical Framework, Rev. 1.2 for Trial Implementation.

• Anatomic Pathology Reporting to Public Health (ARPH) - Published 2009-08-27

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Revision 2.1
June 8, 2006
Copyright © 2004-2006: ACC/HIMSS/RSNA
Final Text

• Volume 1: Integration Profiles
• Volume 2: Transactions
• ECG List XML Schema and Examples (zip)

2007-2008 Supplements for Trial Implementation

The IHE Cardiology Technical Committee invites organizations to begin development based on the following supplements to the IHE Cardiology Technical Framework. These trial implementation profiles will be tested at IHE Connectathons beginning in January 2008:

• Displayable Reports (DRPT)
• Evidence Documents Profile Cardiology Domain Options: Stress Testing and CT/MR Angiography
• Stress Testing Workflow
  

2007-2008 Supplement for Public Comment

The IHE Cardiology Technical Committee has published one additional supplement to the IHE Technical Framework for public comment. Comments can be submitted to the online discussion forums at http://forums.rsna.org. To be considered for incorporation in the Trial Implementation version of this supplement, comments must be submitted by July 16, 2007.

• Implantable Device Cardiac Observation - IDCO (major update to 2006-2007 version)

2007-2008 Whitepaper

• Cardiology Data Handling

Comments on these documents can be submitted to the online discussion forums found at http://forums.rsna.org.

 

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Revision 3.7
2010-02-15
Copyright © 2010: IHE International
Final Text

• Volume 1: Integration Profiles
• Volume 2: Transactions

These volumes provide specification of the following profiles:

Public comments can be submitted to the online forum at http://forums.rsna.org.

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Comments and implementer feedback on all documents can be submitted to the online discussion forums at http://forums.rsna.org.

Current Technical Framework - Revision 6.0
August 10, 2009
Copyright © 2009: IHE International
Final Text Version

• 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-50. These transactions are used in the following profiles PAM, XDM, XUA, XDS
  • 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-Enterprise Document Media Interchange (XDM)
• Cross-Enterprise Document Sharing (XDS.b)
• Cross-Enterprise Sharing of Scanned Documents (XDS-SD)
• Cross-Enterprise User Assertion (XUA)
• Enterprise User Authentication (EUA)
• Patient Administration Management (PAM)
• Patient Demographics Query (PDQ)
• Patient Identifier Cross-Referencing (PIX)
• Patient Synchronized Applications (PSA)
• Personnel White Pages (PWP)
• Retrieve Information for Display (RID)

Brief descriptions of these profiles are available here.

Change Proposals Incorporated in Final Text of ITI Technical Frameworks
The links below provide access to full documentation of Change Proposals incorporated into the text of the ITI-TF:

• Approved Change Proposals Incorporated in ITI-TF v. 3.0 (2006-2007)
• Approved Change Proposals Incorporated in ITI-TF v. 4.0 (2007)
• Approved Change Proposals Incorporated in ITI-TF v. 5.0 (2008)
• Approved Change Proposals Incorporated in ITI-TF v. 6.0 (2009)

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 and April 2010. Supplements extend the IHE ITI Technical Framework 6.0 for Trial Implementation. 

• Asynchronous Web Services Exchange - Revised 2009-08-10
• Cross-Community Access (XCA) - Revised 2009-08-10
• Cross-Community Patient Discovery (XCPD) - Published 2009-08-10
  
• Cross-Enterprise Document Reliable Interchange (XDR) - Revised 2009-08-10
• Cross-Enterprise Document Sharing (XDS) Patient Identity Merge - Revised 2009-08-10
  
• Document-based Referral Request (DRR) - Revised 2009-08-10
• Document Digital Signature (DSG) - Revised 2009-08-10
• Document Metadata Subscription (DSUB) - Published 2009-08-10
• Multi-Patient Queries - Published 2009-08-10
• Notification of Document Availability (NAV) - Revised 2009-08-10
• Patient Identifier Cross-Reference (PIX) and Patient Demographic Query (PDQ) HL7 v3 - Revised 2009-08-10
• Pediatric Demographics Option for PIX and PDQ - Revised 2009-08-11
• Retrieve Form for Data Capture (RFD) - Revised 2009-08-10
• Sharing Value Sets (SVS) - Published 2009-08-10

IT Infrastructure User Handbooks
User handbooks provide advice, examples and considerations for the use of IHE ITI profiles.

• Cookbook: Preparing the IHE Profile Security Section - Revised 2008-11-10
• HIE Security and Privacy through IHE  - Revised 2008-08-22
• Template for XDS Affinity Domain Deployment Planning - Revised 2008-12-02

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.  White papers scope the need for future profiles. 

• Access Control - Published 2009-09-28
• Cross-Community Dynamic Data - Published 2009-09-28
  
• Cross-Community Information Exchange including Federation of XDS Affinity Domains - Revised 2008-10-10
• A Service-Oriented Architecture (SOA) View of IHE Profiles - Published 2009-09-28
  
• Emergency Contact Information (ECON) - Published 2008-08-22
• XDS Metadata Versioning - Published 2008-10-10

IT Infrastructure Archives
These archived documents are available as previous versions or early thinking on the subjects addressed. They are not maintained but are made available to understand the history that led to the existing profile. Please refer to the current corresponding profiles for further details.

• Superseded Versions of the ITI Technical Framework
• • Vol. 1 (ITI TF-1): Integration Profiles - Rev. 5.0 - Published 2009-12-12
  • Vol. 2 (ITI TF-2): Transactions - Rev. 5.0 - Published 2009-12-12
  • Vol. 1 (ITI TF-1): Integration Profiles - Revision 4.0 - Published 2007-08-22
  • Vol. 2 (ITI TF-2): Transactions - Revision 4.0 - Published 2007-08-22
    
• White Papers
• • Cross-Enterprise User Authentication White Paper - Published 2006-08-15
  • Publish/Subscribe Infrastructure for XDS.b - Published 2008-08-22

Comments on these documents can be submitted to the online discussion forums at http://forums.rsna.org.

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Revision 2.1
August 8, 2008
Copyright © 2008: IHE International
Final Text

• vol. 1 (LTF-1): Profiles
• vol. 2 (LTF-2): Transactions
• vol. 3 (LTF-3): Content
  
• vol. 4 (LTF-4): LOINC Terminology
  

The IHE Laboratory Technical Committee has published the IHE Laboratory Technical Framework, rev. 2.1 Final Text as input for the 2009 Connectathon cycle. It includes the following Lab 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) and Sharing Laboratory Reports (XD-LAB). Brief descriptions of these profiles are available here.

2009-2010 Supplement for Trial Implementation
The IHE Laboratory Technical Committee invites organizations to begin development work based on the following supplement to the Laboratory Technical Framework for Trial Implementation. This profile will be tested at IHE Connectathons beginning in January 2010. 

• Inter-Laboratory Workflow (ILW)

Comments on these documents can be submitted to the online discussion forums at http://forums.rsna.org.

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Comments and implementer feedback on all documents can be submitted to the online discussion forums at http://forums.rsna.org.

Revision 5.0
2009-08-10 
Copyright © 2009: IHE International
Final Text

PCC Technical Framework Rev. 5.0 Final Text
Three IHE PCC Integration Profiles are specified as Final Text in Version 5.0 of the PCC Technical Framework (PCC-TF V5.0):  Cross Enterprise Sharing of Medical Summaries Integration Profile (XDS-MS), including Medical Summary Document Content (MS) specification, Emergency Department Referral (EDR), and Exchange of Personal Health Record Content (XPHR). Brief descriptions of these profiles are available here.

• PCC Technical Framework Volume 1, Revision 5.0 - Revised 2009-08-10
• PCC Technical Framework Volume 2, Revision 5.0 - Revised 2009-08-10

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 tested at the IHE Connectathons beginning in January 2010.

• Antepartum Record (APR) Supplement - Revised 2009-08-10
• Care Management (CM) - Published 2008-08-26
  
• Content Modules Supplement - Revised 2009-08-10
• Emergency Department Encounter Summary (EDES) - Revised 2009-08-10
• EMS Transfer of Care (ETC) - Revised 2009-08-10
• Immunization Content (IC) Supplement - Revised 2009-08-10
• Labor and Delivery Record Supplement (LDR) - Revised 2009-08-10
• Patient Plan of Care (PPOC) Supplement - Revised 2009-08-10
• Query for Existing Data (QED) - Published 2008-08-26
  
• Request for Clinical Guidance (RCG) - Revised 2009-08-10

Comments on these documents can be submitted to the online discussion forums at http://forums.rsna.org.

Related Document
The Patient Care Coordination Planning and Technical Committees invite comment on the following white paper from the Public Health Data Standards Consortium:

• Building a Roadmap for Health Information Systems Interoperability for Public Health

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2009-2010 Supplements for Trial Implementation
The IHE Patient Care Devices (PCD) Technical Committee invites organizations to begin development work based on the following supplements to the Patient Care Devices Technical Framework, These trial implementation profiles will be tested at the IHE Connectathons beginning in January 2010.

• Alarm Communication Management (ACM) - Published 2008-08-26
• Implantable Device Cardiac Observation (IDCO) - Published 2009-08-10
• Point-of-Care Infusion Verification (PIV) - Published 2009-08-10
  
• Rosetta Terminology Mapping (RTM) - Will be available Sept-Oct 2009

Comments on these profiles may be submitted to the online discussion forums at http://forums.rsna.org.

2007-2008 Supplements for Trial Implementation
The IHE PCD Technical Committee published the following profiles for Trial Implementation in the 2007-2008 cycle and were tested IHE Connectathons that started in February 2009.

• Subscribe to Patient Data (SPD)
• Patient Identity Binding (PIB)
  

Rev. 1.1 for Trial Implementation
The IHE PCD Technical Committee has published the IHE Patient Care Devices Technical Framework for trial implementation. Comments and change proposals may be submitted to the IHE Forum at http://forums.rsna.org.

• Vol 1: Integration Profiles
• Vol 2: Transactions 

Device Enterprise Communication (DEC) - Profile is contained in Rev 1.1 of the Technical Framework.

Comments on these profiles are invited on an ongoing basis and should be submitted to the online discussion forums at http://forums.rsna.org.

2009-2010 White Papers
The IHE PCD Technical Committee has published the following white paper. This white paper facilitates the use of existing IHE PCD profiles and/or scopes the need for future profiles.

• Medical Equipment Management (MEM) White Paper - Published 2009-09-01

Comments on this white paper should be submitted to the online discussion forums at http://forums.rsna.org.

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Comments and implementer feedback on all documents can be submitted to the online discussion forums at http://forums.rsna.org.

2009-2010 Supplement 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 QRPH Technical Framework. These trial implementation profiles will be tested at IHE Connectathons beginning in January 2010.

• Clinical Research Document (CRD) - Revised 2009-08-11
• Drug Safety Content (DSC) - Published 2009-08-11
• Mother and Child Health (MCH) - Published 2009-08-11
• Retrieve Protocol for Execution (RPE) - Published 2009-08-12

Comments may be submitted to the online discussion forums at http://forums.rsna.org.

2009-2010 White Paper

The IHE Quality, Research and Public Health Technical Committee has published the following white paper. Comments may be submitted at http://forums.rsna.org.

• Newborn Screening (NBS) - Published 2009-09-01

2008-2009 White Papers
The IHE Quality, Research and Public Health Technical Committee has published the following white paper. Comments may be submitted at http://forums.rsna.org.

• White Paper: Performance Measure Data Element Structured for EHR Extraction

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.

• Public Health Data Standards Consortium White Paper

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:

• Patient-level Export of Quality Data

Comments on this profile can be submitted to the online forum at http://forums.rsna.org.

 

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Revision 1.6
August 18, 2007
Copyright © 2007: ASTRO, AAPM, RSNA, HIMSS
Draft for Trial Implementation

The IHE Radiation Oncology Technical Committee has published this draft Technical Framework for Trial Implementation. The document defines the RT Objects Integration Profile.  Comments may be submitted to the discussion forums at http://forums.rsna.org.

• Vol. 1: Overview and Vol. 2: Transactions
  

Supplements for Public Comment
The IHE Radiation Oncology Technical Committee has published the following supplements of the IHE-RO Technical Framework v. 2.0 for Trial Implementation. Comments and implementer feedback on these supplements can be submitted to the online discussion forums at http://forums.rsna.org.

• Image Registration
• Managed Delivery Workflow
  

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Comments and implementer feedback on all documents can be submitted to the online discussion forums at http://forums.rsna.org.

Current Technical Framework - Revision 9.0
June 27, 2008
Copyright © 1998–2008: IHE International
Final Text Version

• Vol. I: Integration Profiles
• Vol. II: Transactions
  
• Vol. III: Transactions, continued
• Vol. IV: National Extensions
  

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)
• Mammography Image
• Import Reconciliation Workflow (IRWF)
• Teaching File and Clinical Trial Export (TCE)

Brief descriptions of these profiles are available here.

Supplements for Trial Implementation
The IHE Radiology Technical Committee has published the following supplements to the IHE Radiology Technical Framework for Trial Implementation. The profiles defined in these supplements will be tested during the 2008-2009 Connectathon testing process. Comments on these supplements can be submitted to the online discussion forums at http://forums.rsna.org.

• Cross-enterprise Document Sharing for Imaging (XDS-I.b)
• Basic Image Review (BIR)
• Extensions to the Portable Data for Imaging (PDI) Integration Profile
• MR Diffusion Imaging (MDI)
• CT/MR Perfusion Imaging with Contrast (PIC)
  
• Mammography Acquisition Workflow (MAWF)
• Radiation Exposure Monitoring (REM)
  -- DICOM CP-874 applied to REM
• Nuclear Medicine Image Integration Profile (NMI) with Cardiac Option
  
• Image Fusion (FUS) Integration Profile

White Paper for Public Comment
The IHE Radiology Technical Committee has published the following white paper for public comment. Comments may be submitted at http://forums.rsna.org.

• White Paper: Departmental Workflow

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