IHE.netTechnical Frameworks

IHE Technical Frameworks

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.

Anatomic Pathology Technical Framework

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.

Anatomic Pathology Reporting to Public Health (ARPH) - Published 2010-07-23
Anatomic Pathology Structured Reports (APSR) - Published 2011-03-31
APSR Value Sets Appendix - Published 2011-03-31

Cardiology Technical Framework

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. Comments can be submitted at http://www.ihe.net/cardiology/cardiologycomments.cfm.

Cardiac Imaging Report Content (CIRC) - Published 2011-07-01
Displayable Reports (DRPT) - Published 2010-07-30
Evidence Documents Profile Cardiology Domain Options: Stress Testing and CT/MR Angiography (ED) - Revised 2010-10-15
Image-Enabled Office (IEO) - Published 2010-07-30
Resting ECG Workflow (REWF) - Published 2011-08-05
Stress Testing Workflow - Revised 2010-10-15

2007-2008 Whitepaper

Cardiology Data Handling

Comments on this document can be submitted at http://www.ihe.net/cardiology/cardiologycomments.cfm.

Cardiology Archives
The documents presented here are for historical purposes. Please refer to the current versions for use in implementation.

Eye Care Technical Framework

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 for Trial Implementation. These trial implementation profiles will be available for testing at subsequent IHE Eye Care Connectathons.

Basic Eye Care Workflow (B-EYECARE) - Published 2011-03-31
Eye Care Appointment Scheduling (ECAS) - Published 2010-05-03

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 8.0
August 19, 2011
Copyright © 2011: 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-64. 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)
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.

Cross-Community Fetch (XCF) - Published 2011-08-19
Cross-Community Patient Discovery (XCPD) - Revised 2011-08-19
Cross-Enterprise Document Workflow (XDW) - Published 2011-10-03
Cross-Enterprise User Assertion - Attribute Extension (XUA++) - Revised 2011-08-19
Delayed Document Assembly - Published 2010-08-20
Document-based Referral Request (DRR) - Revised 2009-08-10
Document Digital Signature (DSG) - Revised 2009-08-10
Document Encryption (DEN) - Published 2011-08-19
Document Metadata Subscription (DSUB) - Revised 2010-08-10
Healthcare Provider Directory (HPD) - Revised 2011-08-19
Notification of Document Availability (NAV) - Revised 2010-08-10
On-Demand Documents - Revised 2011-08-19
Retrieve Form for Data Capture (RFD) - Revised 2011-08-19
Sharing Value Sets (SVS) - Revised 2010-08-10
Support for Metadata - Limited Document Sources - Published 2011-08-19
XAD-PID Change Management (XPID) - Published 2011-08-19
XDS Metadata Update - Revised 2011-08-19

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
Health Information Exchange: Enabling Document Sharing Using IHE Profiles - Published 2012-01-24
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.

Access Control - Published 2009-09-28
A Service-Oriented Architecture (SOA) View of IHE Profiles - Published 2009-09-28

IT Infrastructure Archives
The documents here are presented for historical purposes. Please refer to the current versions for use in implementation.

Laboratory Technical Framework

Comments and implementer feedback on all documents can be submitted at http://www.ihe.net/laboratory/laboratorycomments.cfm

Current Technical Framework - Revision 3.0
May 19, 2011
Copyright © 2011: IHE International, Inc.
Final Text

Vol. 1 (Lab TF-1): Profiles
Vol. 2 (Lab TF-2): Transactions
Vol. 3 (Lab TF-3): Content
Vol. 4 (Lab TF-4): LOINC Terminology - Deprecated 2011-05-19

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.

Graphics and Simple Images in Results (GIR) - Published 2010-10-15
Inter-Laboratory Workflow (ILW) - Published 2009-07-16
Laboratory Specimen Barcode Labeling (LBL) - Published 2012-01-03

Laboratory Archives
The documents presented here are for historical purposes. Please refer to the current versions for use in implementation.

Patient Care Coordination Technical Framework

Comments and implementer feedback on all documents can be submitted at http://www.ihe.net/pcc/pcccomments.cfm

Current Technical Framework - Revision 7.0
2011-09-09
Copyright © 2011: 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.

Antepartum Profiles (includes the following profiles) - Revised 2011-09-09
- Antepartum Education (APE)
- Antepartum Laboratory (APL)
- Antepartum History and Physical (APHP)
- Antepartum Summary (APS)
Care Management (CM) - Published 2008-08-26
CDA Content Modules Supplement - Revised 2011-09-02
Emergency Department Encounter Summary (includes the following profiles) - Revised 2011-09-09
- Composite Triage and Nursing Note (CTNN)
- ED Physician Note (EDPN)
- Nursing Note (NN)
- Triage Note (TN)
EMS Transfer of Care (ETC) - Deprecated
eNursing Summary (ENS) - Published 2010-08-30
Immunization Content (IC) - Revised 2011-09-09
Labor and Delivery Profiles (includes the following profiles) - Revised 2011-09-09
- Labor and Delivery History and Physical (LDHP)
- Labor and Delivery Summary (LDS)
- Maternal Discharge Summary (MDS)
Newborn Discharge Summary (NDS) - Revised 2011-09-09
Patient Plan of Care (PPOC) - Revised 2011-09-09
Perinatal Workflow (PW) - Published 2010-08-30
Postpartum Visit Summary (PPVS) - Revised 2011-09-09
Query for Existing Data (QED) - Published 2008-08-26
Reconcilitation of Diagnoses, Allergies and Medications (RECON) - Published 2011-09-09
Request for Clinical Guidance (RCG) - Revised 2009-08-10
Transport Record Summary Profiles (includes the following profiles) - Published 2011-09-09
- Emergency Department Transport Summary (ETS)
- Interfacility Transport Summary (ITS)

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

Patient Care Coordination Archives
The documents presented here are for historical purposes. Please refer to the current versions for use in implementation.

Patient Care Device Technical Framework

Comments and implementer feedback on all documents can be submitted at http://www.ihe.net/pcd/pcdcomments.cfm

Current Technical Framework - Revision 1.0
August 12, 2011
Copyright © 2011: IHE International, Inc.
Final Text Version

Vol. 1 (PCD TF-1): Integration Profiles (includes DEC, IDCO, PIV, and RTM profiles)
Vol. 2 (PCD TF-2) Transactions

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.

Alarm Communication Management (ACM) - Published 2011-07-01
Infusion Pump Event Communication (IPEC) - Published 2011-08-12
- CP-PCD-062-00 (IPEC Trigger Event) - Published 2011-11-01
Subscribe to Patient Data (SPD) - Published 2007-07-29 (Reissued for NA2012 on 2011-11-11)
Waveform Content Message (WCM) - Published 2011-07-01

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.

Medical Equipment Management (MEM) White Paper - Published 2009-09-01
Medical Equipment Management (MEM): Cyber Security - Published 2011-05-27

User Handbook
The IHE PCD Technical Committee has published the following User Handbook.

IHE PCD User Handbook - 2011 Edition - Published 2011-08-12

Patient Care Device Archives
The documents presented here are for historical purposes. Please refer to the current versions for use in implementation.

Pharmacy

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.

Common Parts Document - Published 2010-12-30
Community Medication Prescription and Dispense (CMPD) - Published 2011-12-31
Hospital Medication Workflow (HMW) - Published 2011-12-31
Pharmacy Dispense (DIS) - Published 2011-12-31
Pharmacy Pharmaceutical Advice (PADV) - Published 2011-12-31
Pharmacy Prescription (PRE) - Published 2011-12-31

Quality, Research and Public Health Technical Framework

Comments and implementer feedback on all documents can be submitted at http://www.ihe.net/qrph/qrphcomments.cfm.

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.

Clinical Research Document (CRD) - Revised 2010-08-30
Drug Safety Content (DSC) - Published 2009-08-11
Early Hearing Care Plan (EHCP) - Published 2011-09-02
Maternal Child Health-Birth and Fetal Death Reporting (MCH-BFDrpt) - Revised 2011-09-02
Physician Reporting to a Public Health Repository-Cancer Registry (PRPH-Ca) - Revised 2011-09-02
Retrieve Process for Execution (RPE) - Revised 2011-09-02
- RPE Supporting Documents (zip file) - Published 2011-09-02
Redaction Services (RSP) - Published 2010-08-30

Quality, Research and Public Health White Papers

The IHE Quality, Research and Public Health Technical Committee has published the following white papers.

White Paper: Knowledge Representation in Chronic Care Management: Example of Diabetes Care Management - Published 2010-06-04
Newborn Screening (NBS) - Published 2009-09-01
White Paper: Performance Measure Data Element Structured for EHR Extraction - Published 2008-06-10

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.

Radiation Oncology Technical Framework

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.

Radiology Technical Framework

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

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

Basic Image Review (BIR) - Revised 2010-11-16
Chest X-Ray CAD Display (CXCAD) - Published 2010-06-17
Cross-Community Access for Imaging (XCA-I) - Published 2011-05-17
Cross-enterprise Document Sharing for Imaging (XDS-I.b) - Revised 2011-02-18
CT/MR Perfusion Imaging with Contrast (PIC) - Published 2009-06-21
Extensions to the Portable Data for Imaging (PDI) Integration Profile - Published 2009-21-06
Image Fusion (FUS) Integration Profile - Published 2006-04-13
Imaging Object Change Management (IOCM) - Published 2011-05-17
Mammography Acquisition Workflow (MAWF) - Revised 2010-11-16
MR Diffusion Imaging (MDI) - Published 2009-06-21
Multiple Image Manager/Archive (MIMA) - Published 2010-09-30
Nuclear Medicine Image Integration Profile (NMI) with Cardiac Option - Published 2007-05-17
Radiation Exposure Monitoring (REM) - Revised 2010-11-16

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

Radiology Archives
The documents presented here are for historical purposes. Please refer to the current versions for use in implementation.

What's New in IHE?

IHE North America Connectathon grows dramatically > >

IHE Europe Connectathon registration open until January 15 > >

IHE International gains ISO Liaison A status > >

IHE North America Connectathon Conference, Jan. 11, 2012--register now > >

More news...