Supplement Tracker

New Supplement Tracker

2018 Cycle (to be tested at 2019 Connectathons) – IHE Technical Framework Supplements New Supplement Tracker
The table below tracks new supplements that have been approved by the domain Planning and Technical Committees for publication in the 2018 cycle. Trial Implementation documents that have been published at least once in a previous publication cycle will not appear here. However, the table may include current Trial Implementation supplements that will undergo changes significant enough to warrant another round of public comment. The purpose of this information is to give implementers a view of work items approved by committees early on to allow them to plan appropriately.

Documents currently in their public comment phase can be found here. Trial implementation and final text documents can be found here.

Key:

  • PC=Public Comment
  • TI=Trial Implementation
  • No highlight= Projected publication date
  • Green highlight=Actual publication date

Disclaimer: Due to unforeseen events, all documents listed may not be available when expected. The table will be updated as new information becomes available.

Domain

Document

Brief Description

Status

PC Pub Date

TI Pub Date

Cardiology Extensions to Cardiac Procedure Note Cardiologists across all subspecialties face an increasing need to exchange reports and discrete clinical procedure data across different care settings and stakeholders with the goals of enabling cardiac procedure notes to be more easily shared and used between care givers and systems, enabling population-based outcomes-based research on procedure effectiveness, and harmonizing data collection for procedural reports with data registries for data exchange. This supplement provides an Implementation Guide consisting of a library of templates to be used for various cardiac subspecialty procedure notes and clinical data exchange. It is based on the HL7 CDA® R2 Implementation Guide: Consolidated CDA Templates for Clinical Notes (US Realm) Draft Standard for Trial Use Release 2.1 (C-CDA R2.1). It consolidates work that has been done in the Cath Report Content (CRC) Profile and the Electrophysiology Report Content Implant/Explant (EPRC IE) supplement, harmonizes templates and value sets defined in those supplements, and updates those templates to the C-CDA R2.1 specification. 2018-05-18 Aug 2018
Dental
Endoscopy No new supplements this cycle. NA NA NA NA
Eye Care
IT Infrastructure Asynchronous AS4 Option for XCA, XCPD, XCDR This supplement introduces a new Asynchronous Web Services (WS) Exchange stack based on the OASIS Applicability Statement 4 (AS4). The current Asynchronous WS Exchange stack is an IHE specialization of the asynchronous capabilities of the WS stack that has not been widely implemented. It is based on WS-Addressing and MTOM/XOP and is left unchanged by this Supplement. It has been renamed WS-Addressing Asynchronous WS Exchange to distinguish from the AS4 Asynchronous WS Exchange.

Providing a more robust Asynchronous WS Exchange Option is attractive for upcoming cross-border ehealth information exchange, such as the European eHealth Digital Service Infrastructure that deploys the XCA, XCPD, and XCDR Profiles and for countries where the adoption of the OASIS AS4 reliable and secure messaging is common when cross-sector (beyond the health sector) applicability is needed.

This new AS4 Asynchronous Web Services Exchange stack: 1) Relies on the OASIS AS4 WS Stack that has been natively designed to support Asynchronous WS Exchange and offers: a) Message packaging governed by ebMS 3.0 and message security governed by WS-Security
Support for both push and pull message exchange choreographies b) Payload compression c) Non-Repudiation of Origin and Receipt (NRO/NRR) d)Reception Awareness – simple and effective reliable messaging with no known interoperability issues 2) Is introduced as a) An option to the XCA, XCPD profiles where the current WS-Addressing based Asynchronous WS Exchange is available b) A new option to the XDR and XCDR Profiles.
The end result will be that XCA, XCPD, XCDR and XDR Synchronous Web-Services will stay the same as they are today. This new AS4 Asynchronous WS option is proposed to be introduced alongside the existing WS-Addressing based Synchronous Web-services, that may be retired in the future if this new AS4 Asynchronous WS is widely adopted in environments where asynchronous exchanges are important.

PC 2018-05-23 Aug 2018
IT Infrasructure Restricted Metadata Update (RMU) Where documents are maintained in a XDS Affinity Domain or a federation (XCA) of communities, there are times when authoritative and authorized changes need to be made to the metadata. These documents may be published within a local Health Information Exchange using Cross-Enterprise Document Sharing, or the documents might be distributed among many communities accessible using Cross-Community Access. For example, a Patient may have received treatment while on vacation or might simply live/work on a boundary between communities. To receive treatment, the patient allows their records to be shared among these communities. When treatment is completed, the patient instructs authorities to change the confidentiality code of their documents to restrict access to their personal medical records.
In order to focus the effort, the Technical Committee agreed to limit the changes to stored DocumentEntry metadata elements that are descriptive in nature and do not affect how the metadata is stored within a Document Registry. The experience with the more comprehensive supplement, Metadata Update, shows that managing lifecycle and interrelationships between Registry entries is much more complex. The difficult changes includes Transforms, Appendments, Signatures, etc. The current effort has put these out-of-scope, but IHE will continue to work on them in the future.
The approach separates out these more ‘lightweight’ metadata elements from the more ‘heavyweight’ metadata elements (structural) and provides additional flexibility for storing the metadata updates. The RMU profile does not require full implementation of the Metadata Update supplement. These limits will be enforced by separate actor being asked to persist the change to the document’s metadata. If that actor can persist the change, the transaction succeeds. This actor is enabled to reject any request that does not meet the requirements within their community. A rich set of error codes is provided for various potential rejection reasons.
PC 2018-05-23 Aug 2018
Pathology and Laboratory Medicine Anatomic Pathology Structured Report (V2.0) Release of the APSR Profile created via Art Decor. PC 2017-09-27 Jan 2018
Pathology and Laboratory Medicine Laboratory-Clinical Communications The communication and resolution of needs for order replacement, result
confirmation and result interpretation are integral parts of quality
laboratory service that are currently managed on an ad hoc basis outside
of information systems. Communications can be delayed or lost and
summary data about ordering and resulting problems is difficult to
compile. Thus recognition and correction of the immediate or systemic
problems indicated by these communications is time consuming and error
prone. This new profile will enable rapid, standardized, automated
capture of and response to problems related to orders and questions
about results, and will allow this information to be logged, tracked,
and included in QA studies and process improvement projects.
PC 2017-11-29 June 2018
Pathology and Laboratory Medicine Transfusion Medicine – Administration The
Transfusion Medicine – Administration (TMA) supplement defines workflows and
messaging transactions which focus on communicating the administration of and
adverse reactions to blood products from an Electronic Medical Record (EMR)
system to a Laboratory Information System (LIS), Incident Reporting System
(IRS), or other interested observer of the transfusion process.
PC 2017-10-13 Sept 2018
Patient Care Coordination CDA Document Summary Section (CDA-DSS) CDA Document Summary Section is a content profile that defines means of providing a concise summary about a document or summary of content in a CDA document based on user expectations. Depending on use case, a Document Summary Section can be added to a CDA document if the document template is open. A Document Summary Section can be constructed by: 1.) Dynamically populating the section with data found in existing section(s) in the document. The data is used to create a composite, single summary section that summarizes pertinent information. The data that goes in the Summary Section can be user defined or can be based on specified use cases in this profile and 2.) Use of a pre-defined section template such as the Notes Section or the Care Team Section, etc.
The Summary Section can be rendered for viewing. It can also be imported when possible (i.e., contains discrete entries) by the user if desired.
PC 2018-05-25 Aug 2018
Patient Care Coordination Paramedicine Care Summary (PCS) Currently, interventions and assessments are written into an ambulance ePCR, and are either manually updated by the Emergency Medical Services (EMS) crew, or collected from electronic devices (e.g., hemodynamic monitor). The ePCR is updated with treatments and interventions that are administered during the transport. The hospital will not typically have access to paper or electronic versions of this patient information until the report is finished and signed in the ePCR and it is requested by the hospital. In this profile, the prehospital and paramedicine interventions and patient assessments are made available to the hospital/emergency room IT system electronically when the patient arrives, or in advance of patient arrival to the hospital. This informs medical decision making during the hospital treatment and provides the opportunity to save patient lives.
This profile provides a mechanism for paramedicine systems to send relevant patient data captured during transport (e.g., patient medical history, medications, allergies, updated vitals, interventions) to the hospital EMR systems ahead of the patient’s arrival to the hospital. This allows for the hospital staff to understand the patient condition prior to arrival providing much greater opportunity for life saving decisions.
PC 2018-05-25 Aug 2018
Patient Care Device July 2018 Sep 2018
Pharmacy
Quality, Research and Public Health Aggregate Date Exchange – HIV The ADX (Aggregate Data Exchange) profile affords data exchange partners a way to define a Data Structure Definition and the associated normative schema of the data message for a particular indicator report. To foster further adoption, the Aggregate Data Exchange-HIV (ADX-HIV) profile leverages the ADX profile to develop a content specification specifically for HIV. PC 2018-05-29 Aug 2018
Quality, Research and Public Health Quality Outcome Reporting for EMS (QORE) The QORE (Quality Outcome Reporting for EMS) profile profile will facilitate electronic data capture of quality measure data to enable automated data capture and streamline quality measure analysis. This will improve the timeliness and accuracy of the information used to compute EMS quality measures. PC 2018-05-29 Aug 2018
Radiation Oncology
Radiology Encounter-Based Imaging Workflow Increasingly medical imaging is done outside the context of an ordered procedure. The primary goal of the EBIW Profile is to ensure that images acquired in the context of a patient encounter are combined with the corresponding metadata about the patient, the encounter, and the performed imaging procedure. This facilitates managing the imaging data, linking it into the patient medical record, and accessing it later in ways analogous to those for order-based imaging as coordinated by the Scheduled Workflow (SWF.b) Profile.
This Encounter-Based Imaging Workflow Profile specifies how to capture appropriate context, populate relevant indexing fields, link to related data, and ensure the images are accessible and well-knit into the medical record.
TI 2018-02-21 2018-06-01
Radiology Import and Display of External Priors TBD TBD
Radiology Web-based Image Access Web-based Image Access (WIA) Profile, formerly known as
Mobile Access to Health Document for Imaging (MHD-I), defines methods for image
sharing and interactive viewing of imaging studies using RESTful services such
as WADO-RS and QIDO-RS.
WIA can be used independently or combined with the IT
Infrastructure Mobile access to Health Document (MHD) Profile. When combined
with MHD, it allows the MHD Document Consumer to locate and access imaging
studies using document metadata.
TI 2017-09-15 2018-03-22
Surgery


 

2017 Cycle – IHE Technical Framework Supplements New Supplement Tracker
The table below tracks new supplements that have been approved by the domain Planning and Technical Committees for publication in the 2017 cycle. Trial Implementation documents that have been published at least once in a previous publication cycle will not appear here. However, the table may include current Trial Implementation supplements that will undergo changes significant enough to warrant another round of public comment. The purpose of this information is to give implementers a view of work items approved by committees early on to allow them to plan appropriately.

Documents currently in their public comment phase can be found here. Trial implementation and final text documents can be found here.

Key:

  • PC=Public Comment
  • TI=Trial Implementation
  • No highlight= Projected publication date
  • Green highlight=Actual publication date

Disclaimer: Due to unforeseen events, all documents listed may not be available when expected. The table will be updated as new information becomes available.

Domain

Document

Brief Description

Status

PC Pub Date

TI Pub Date

Anatomic Pathology (see PaLM)   NA   NA   NA NA NA
Cardiology Cardiac Procedure Note The CPN Profile is a content profile that provides an implementation guide consisting of a library of templates to be used for various cardiac subspecialty reports and clinical data exchange. It defines the structure and the content for a clinical report for various cardiac procedures. Initially supported will be adult procedures in the Electrophysiology (EP) and the Cath Lab; however, the aim is to provide an extensible framework that allows for the addition of further report templates in future (e.g., general cardiac imaging procedures like Echocardiography, cardiac CT, MR, or Nuclear Medicine Imaging). TI 2017-05-26 2017-08-04
Dental None currently scheduled NA NA NA
Endoscopy Endoscopy Image Archiving The
Endoscopy Image Archiving Profile defines specific implementations of established standards to achieve integration goals for endoscopy. Such integration promotes appropriate sharing of medical information to support optimal patient care. This profile defines a workflow focusing on the image information communication which is acquired during the endoscopy procedure.
PC 2016-12-19 2017-03
Eye Care
IT Infrastructure Remove Metadata and Documents The Remove Metadata and Documents (RMD) Profile allows for the removal of
metadata from the Document Registry and documents from a Document Repository that are no longer required to be discoverable within a patient’s care record. The decision to remove this data
may have been initiated either by an automated mechanism or manual administrative procedure
in order to enforce a pre-determined policy or legal requirement within an XDS Affinity
Domain.
TI 2017-03-01 2017-07-24
IT Infrastructure Non-patient File Sharing This supplement defines how to enable the sharing of not-patient related documents. Those documents can be created and consumed by many different systems involved in a wide variety of data sharing workflows (clinical workflow definition, domain policies sharing, stylesheets management, etc.). This supplement identifies three actors: File Server Actor, File Consumer Actor, File Source Actor. In order to fulfill use-cases requirements, this profile defines three new transactions: Submit File, Search File, Retrieve File. The goal of this supplement is to identify protocol requirements for the sharing of files, primary focusing on three types of files: 1) Workflow Definitions: structured or unstructured documents that define the processing rules for a specific clinical/administrative workflow; 2) Privacy Domain Policies: structured or unstructured documents that describe a specific privacy policy that can be subscribed by the patient; 3) Stylesheets: structured documents that can be used by user-agents (e.g. Web Browsers) to render the content of an XML document. In addition, this profile defines a mechanism that enables the sharing of other types of files. TI 2017-05-17 2017-08-04
IT Infrastructure Mobile Document Data Element Extraction Patient-centric Data-element Location Service The Mobile Document Data Element Extraction (mXDE) Profile introduces health data location discovery and fine grained access to health data to coexist and complement coarse grained (document as a coherent set of fined grained data elements) access. TI 2017-05-26 2017-08-04
IT Infrastructure Mobile Care Services Discovery The mCSD Profile supports queries across the following related care services resources: 1) Organization, 2) Location, 4) Practitioner, 4) Healthcare Service. Because it maintains interlinked directory information, the mCSD Profile is able to respond to queries such as: 1)Which locations are associated with which organizations? 2)What services are provided at specific locations or, conversely, where are the locations that provide a specified service? 3) Who are the practitioners associated with a particular organization; what services do they provide; at which locations do they provide these services, and when? The mCSD Profile’s loosely coupled design and flexible querying capability means it can be deployed within a number of eHealth architectures and support a wide array of care workflows. TI 2017-05-17 2017-08-04
Laboratory (see PaLM) NA NA NA NA NA
Pathology and Laboratory Medicine (PaLM) Laboratory-Clinical Communications The communication and resolution of needs for order replacement, result confirmation and result interpretation are integral parts of quality laboratory service that are currently managed on an ad hoc basis outside of information systems. Communications can be delayed or lost and summary data about ordering and resulting problems is difficult to compile. Thus recognition and correction of the immediate or systemic problems indicated by these communications is time consuming and error prone. This new profile will enable rapid, standardized, automated capture of and response to problems related to orders and questions about results, and will allow this information to be logged, tracked, and included in QA studies and process improvement projects. PC 2017-11-29 TBD
Pathology and Laboratory Medicine (PaLM) Laboratory Specimen Handoff Passing of specimens between Laboratory Automation Systems (LAS) and Specimen Processing Devices (SPD) is an integral part of clinical laboratory operation. But current LAS and SPD vendors have little guidance on how to implement specimen handoff. HL7 and CLSI AUTO3-A provide some direction, but do not provide specific guidance for individual handoff workflows.
In the absence of any industry guidance, specimen handoffs are defined on an ad hoc basis. This approach tends to ensure that each vendor will take a unique path, even though specimen handoff interfaces share a high degree of commonality among most vendors.
There clearly exists a need for fully specified interface protocols to reduce the time and costs associated with managing specimen handoff in clinical laboratories. The Laboratory Specimen Handoff (LSH) profile will provide standardized workflows for the most common laboratory specimen handoff use cases.
TBD TBD
Pathology and Laboratory Medicine (PaLM) Transfusion Medicine – Administration The
Transfusion Medicine – Administration (TMA) supplement defines workflows and
messaging transactions which focus on communicating the administration of and
adverse reactions to blood products from an Electronic Medical Record (EMR)
system to a Laboratory Information System (LIS), Incident Reporting System
(IRS), or other interested observer of the transfusion process.
PC 2017-10-13 TBD
Pathology and Laboratory Medicine (PaLM) Anatomic Pathology Structured Report (V2.0) Release of the APSR Profile created via Art Decor PC 2017-09-27 2018-01-08
Pathology and Laboratory Medicine (PaLM) Specimen Event Tracking TBD TBD
Patient Care Coordination 360x Closed Loop Referral Facilitate communication and tracking of the referral process TI 2017-05-26 2017-09-08
Patient Care Coordination Dynamic Care Team Management Provides a centralized means of aggregating and managing care team members that meet the needs of many stakeholders (providers, patients, payers, etc), provides a method of consolidating the many care team members that can be associated with a patient, provides a framework for centralized care team management TI 2017-05-26 2017-09-08
Patient Care Coordination Routine Interfacility Patient Transport Communicate key patient data to EMS transport organization to support transfer of patients TI 2017-05-26 2017-09-08
Patient Care Coordination Query Existing Data for Mobile Introduce location discovery and fine grained access to health data to coexist and complement coarse grained (document as a coherent set of fine grained data elements) access TI 2017-05-26 2017-09-08
Patient Care Coordination Point of Care Medical Device Tracking The Point-of-Care Medical Device Tracking Profile will close the loop on data acquisition at the point-of-care in support of reporting data about implantable medical devices (e.g., pacemaker, titanium plates) and from medical devices (e.g., vital sign monitors, pulse oximeters, blood glucose monitors) during a procedure (e.g., Continuous Pulse Oximetry – 4A19XCZ, Insertion Pacemaker – 0JH607Z, Open Reduction Internal Fixation Elbow – 0PSJ04Z). TI 2017-05-26 2017-09-08
Patient Care Coordination RPM (Update) Add an additional transaction where the payload is a FHIR bundle instead of a V2 PCD-01 message, add FHIR resources as modules in the Content Creator instead of PHMR. PC 2017-05-26 TBD
Patient Care Device No new profiles this cycle NA NA NA
Pharmacy Mobile Medication Administration The Mobile Medication Administration profile introduces a new generation of interoperability mechanisms to be used in distributed and mobile medication workflows, namely in the requesting and registering of administration of medication, in mobile systems or otherwise distributed systems. TI 2017-10-19 2017-12-04
Pharmacy Community Medication Administration The Community Medication Administration (CMA) is a Content Module Profile describing the
content and format of an administration document generated during the process in which a health
care professional (physician, pharmacist, nurse, etc.) administers a medication to a patient. The
process may also be performed by the patient him- or herself (self-administrations) or others (e.g., relatives, etc.).
TI 2017-07-14 2017-10-11
Pharmacy Uniform Barcode Processing This supplement provides an interoperability mechanism for
systems to request a barcode content to be decoded, for those applications that
do not implement the decoding algorithms.
Concretely, this supplement describes the transactions
between a system that has a barcode but needs it decoded, and another system
that decodes the barcode content.
TI 2017-10-19 2017-12-04
Quality, Research and Public Health Family Planning Version 2 The Family Planning Version 2 (FPv2) Profile provides a means to capture information needed for mandated reporting, monitoring and evaluation, and quality improvement initiatives related to family planning service delivery. It builds on the earlier Family Planning Profile and uses several different mechanisms for capturing and communicating that information, including CDA® documents and the actors and transactions defined in the ITI Retrieve Form for Data Capture (FRD) Profile to capture structured data using digital forms. TI 2017-05-26 2017-08-18
Quality, Research and Public Health Mobile Retrieve Form for Data Capture The Mobile Retrieve Form for Data Capture (mRFD) Profile provides a method for gathering data within a user’s current application to meet the requirements of an external system. mRFD supports the retrieval of forms from a form source, display and completion of a form, and return of instance data from the display application to the source application. TI 2017-05-26 2017-08-18
Radiation Oncology None currently scheduled NA NA NA
Radiology Cross-Enterprise Remote Read Workflow Definition This supplement addresses Cross Domain or Cross Enterprise Remote
Reading Workflow. This workflow is the practice of having medical images
interpreted (read) by a reading specialist who is not present at the
site where the diagnostic imaging study was acquired and is not
reporting using the local PACS and dictation system at the acquiring
site. Specifically, the Radiologist or reading specialist is requested
to read an exam from another organization with a separate Hospital
Information System, Radiology Information System and PACS. The profile
workflow includes the Request’s Creation, Dispatch, Perform
(Interpretation) and Completion (report delivery) of diagnostic imaging
study.
TI 2016-04-22 2017-01-13
Radiology Follow-Up of Non-Critical Actionable Findings The Follow-Up of Non-Critical Actionable Findings Profile supports the communication and monitoring of follow-up of non-critical actionable findings identified on radiology imaging examinations. The profile describes transmission of the necessary follow-up parameters including: patient information, discrete information on the finding, recommended downstream test(s), and recommended time interval to a designated “home” facility that can take responsibility for resolution of the follow-up recommendation. The profile describes requirements for closing the follow-up loop, either by completing the recommended testing or returning a message describing why follow-up is not clinically indicated. It provides for repeated, escalating reminders if the initial recommendation is not acknowledged within a specified time period and considers issues of how to communicate such information both to known local providers as well as those outside the local affinity domain. TBD TBD
Radiology Management of Acquisition Protocols The Management of Acquisition Protocols Profile supports the collection of scan protocols from acquisition modalities, their review on a protocol manager and re-distribution to modalities. Protocol managers are permitted to edit attributes marked safe by the creating modality. Such attributes will likely include protocol names, dose notification thresholds and series names for generated images.
The transactions are based on storage, query and retrieval of DICOM® instances containing scan procedure protocols and protocol approvals. Although the profile is agnostic to the type of modality, as of 2016 DICOM has only published the specification for a CT Protocol Storage object. Other modalities are being investigated but the specifications have not yet been published.
TI 2017-03-17 2017-07-14
Radiology Results Distribution Split off from FUNC TI 2017-06-21 2017-12-15
Radiology Standardized Operational Log of Events Efficient businesses use business intelligence tools to manage their business. The application of these tools to manage medical care has been limited in part because the information often resides in several different systems, and there are not standard ways to obtain the information. The SOLE Profile defines a way to exchange information about events that can then be collected, analyzed and displayed using standard methods. TI 2017-03-17 2017-06-21
Radiology Web-based Image Access Web-based Image Access (WIA) Profile, formerly known as
Mobile Access to Health Document for Imaging (MHD-I), defines methods for image
sharing and interactive viewing of imaging studies using RESTful services such
as WADO-RS and QIDO-RS.
WIA can be used independently or combined with the IT
Infrastructure Mobile access to Health Document (MHD) Profile. When combined
with MHD, it allows the MHD Document Consumer to locate and access imaging
studies using document metadata.
PC 2017-09-15 TBD
Surgery None currently scheduled NA NA NA


 

2016 Cycle – IHE Technical Framework Supplements New Supplement Tracker
The table below tracks new supplements that have been approved by the domain Planning and Technical Committees for publication in the 2016 cycle. Trial Implementation documents that have been published at least once in a previous publication cycle will not appear here. However, the table may include current Trial Implementation supplements that will undergo changes significant enough to warrant another round of public comment. The purpose of this information is to give implementers a view of work items approved by committees early on to allow them to plan appropriately.

Documents currently in their public comment phase can be found can be found here. Trial implementation and final text documents can be found here.

Disclaimer: Due to unforeseen events, all documents listed may not be available when expected. The table will be updated as new information becomes available.

Domain

Document

Brief Description

Status

PC Pub Date

TI Pub Date

PC=Public Comment

TI=Trial Implementation

No highlight=Projected

Green highlight=Published

No highlight=Projected

Green highlight=Published

Anatomic Pathology (see PaLM)   NA   NA   NA NA NA
Cardiology
Dental
Endoscopy
Eye Care Unified Eye Care Workflow Refractive Measurements (U-EYECARE Refractive) TI 2016-04-07 2016-06-14
IT Infrastructure De-ID for FP PC 2015-12-14 2016-08-05
IT Infrastructure ReDoc of Sharing Profiles PC 2015-12-14 NA
IT Infrastructure Advanced Patient Privacy Consents (APPC) TI 2016-05-27 2016-08-05
IT Infrastructure Re-documentation Register On-Demand Document Transaction PC 2016-05-27 na
Laboratory (see PaLM) NA NA NA NA NA
Pathology and Laboratory Medicine (PaLM)
Patient Care Coordination Bed Management (BED) Facilitates bed management for patients admitted from the ED – describes how communications between the ED and various inpatient systems can improve care, reduce cost and result in higher patient satisfaction, and enable tracking and monitoring of these activities to support quality improvement activities. PC 2016-05-26 2016-09-09
Patient Care Coordination Cross-Enterprise Cardiovascular Heart Team Workflow Definition (XCHT-WD) This profile builds upon XDW profile. It establishes a common set of rules related to process (workflow) focused on the collaboration of the members of a dynamic network of cardiovascular professionals (the Heart Team). PC 2016-05-26 2016-09-09
Patient Care Coordination Dynamic Care Planning (DCP) Provides the structures and transactions for care planning, using a shared Care Plan that meets the needs of many, such as providers, patients and payers. This shared Care Plan can be dynamically updated as the patient interacts with the healthcare system. FHIR resources and transactions are used by this profile. PC 2016-05-26 2016-09-09
Patient Care Device
Pharmacy
Quality, Research and Public Health No new supplements this cycle
Radiation Oncology Multimodality Image Registration for Radiation Oncology 2013 (MMRO-III) PC 2015-10-23 2016-11-16
Radiation Oncology Treatment Delivery – Image Content (TDIC) PC 2015-10-23 TBD
Radiation Oncology Treatment Delivery – Plan Content (TDPC) PC 2015-10-23 2016-11-16
Radiation Oncology Treatment Planning – Image Content (TPIC) PC 2015-10-23 TBD
Radiation Oncology Treatment Planning – Plan Content (TPPC) PC 2015-10-23 2016-11-16
Radiation Oncology Basic RT Objects Interoperability II (BRTO-II) PC 2016-04-22 TBD
Radiation Oncology Consistent Dose Content for External Beam Radiation (CDEB) PC 2016-07-29 TBD
Radiation Oncology Treatment Delivery Workflow-II (TDW-II) PC 2016-07-29 TBD
Radiology Radiation Exposure Monitoring for Nuclear Medicine (REM-NM) This supplement addresses tracking, reporting and management of radiopharmaceutical administered dose information in a manner similar to that already adopted for ionizing radiation via the REM profile. It is intended to support use of the information for technical purposes (decay correction, reconstruction, data tagging), clinical purposes (presentation to clinicians, improved quantitation), quality assurance purposes (practice improvement) and regulatory purposes (reporting).

The profile conveys administered dose information from the laboratory or injection system to the acquisition modality, clinical repository, dose analysis system and registries, replacing manual or other means.

TI 2016-02-24 2016-04-22
Radiology Cross-Enterprise Remote Read Workflow Definition (XRR-WD) This supplement addresses Cross Domain or Cross Enterprise Remote Reading Workflow. This workflow is the practice of having medical images interpreted (read) by a reading specialist who is not present at the site where the diagnostic imaging study was acquired and is not reporting using the local PACS and dictation system at the acquiring site. Specifically, the Radiologist or reading specialist is requested to read an exam from another organization with a separate Hospital Information System, Radiology Information System and PACS. The profile workflow includes the Request’s Creation, Dispatch, Perform (Interpretation) and Completion (report delivery) of diagnostic imaging study. PC 2016-04-22 June-July 2016
Surgery

 

2015 Cycle – IHE Technical Framework Supplements New Supplement Tracker
The table below tracks new supplements that have been approved by the domain Planning and Technical Committees for publication in the 2015 cycle. Trial Implementation documents that have been published at least once in a previous publication cycle will not appear here. However, the table may include current Trial Implementation supplements that will undergo changes significant enough to warrant another round of public comment. The purpose of this information is to give implementers a view of work items approved by committees early on to allow them to plan appropriately.

Documents currently in their public comment phase can be found can be found here. Trial implementation and final text documents can be found here.

Disclaimer: Due to unforeseen events, all documents listed may not be available when expected. The table will be updated as new information becomes available.

Domain

Document

Brief Description

Status

PC Pub Date

TI Pub Date

PC=Public Comment

TI=Trial Implementation

No highlight=Projected

Green highlight=Published

No highlight=Projected

Green highlight=Published

Anatomic Pathology
Cardiology Registry Content Submission -EP TI 2015-04-21 2015-07-14
Dental
Endoscopy Endoscopy Report and Pathology Order TI 2015-01-29 2015-12-14
Endoscopy Endoscopy Workflow TI 2015-01-29 2015-12-14
Eye Care Eye Care Summary Record (EC-Summary) This supplement describes the structure of data that is collected for a patient’s eye care summary medical record, generally for the purpose of transfer
or referral of care to another provider.
TI 2015-02-23 J2015-07-14
Eye Care Unified Eye Care Workflow (U-EYECARE) TI 2015-03-31 2015-07-14
IT Infrastructure Document Digital Signature (DSG) TI document published for another round of public comment. This profile is a Document Content Profile that provides
general purpose methods of digitally signing of documents for communication and persistence.
This method can be used within a Document Sharing infrastructure (e.g., XDS, XCA, XDM,
XDR, and MHD). This second revision of the DSG supplement addresses the following: 1) Puts the profile into the current supplement template
2)Puts the profile into the current Document Content format
3)Adds Enveloping signature, which is especially useful when Document Sharing are not
used. For example: RFD based output.
4)Adds details on how to use Detached signature for a SubmissionSet signature, which has been used in France. 5)Update the signature standards: XAdES specifically that now includes profiles for LongTerm
signatures
TI 2015-01-05 2015-03-13
IT Infrastructure Cross-Community Document Reliable Interchanges (XCDR) Provides cross-domain capabilities to Provide and Register a set of Documents in a Cross-Community environment. It supports a Document source in one XDS Affinity Domain to route a request to store and persist in a specific designated remote community. Supports the reuse of the Provide and Register Set-b transaction with Web-Services as transport. The routing of the document set relies on an Initiating Gateway in the source affinity Domain (potentially supporting XDS) and a Responding Gateway in the target community identified by its homeCommunityId metadata value. TI 2015-01-05 2015-03-31
IT Infrastructure Cross-Enterprise Document Workflow Extension for Cross-Community Environment This supplement enables the use of XDW in a Cross-community document sharing environment
where the XCA and XCDR Profiles are used. This supplement extends the XDW Supplement
with a number of additions to enable the support of the Cross-Enterprise Workflow Document (XDW) Profile in Cross-community environments where the XCA and XCDR profiles are used.
Note: The XCDR Profile is issued for Public Comment at the same time as this supplement.
TI 2015-01-05 2015-03-31
IT Infrastructure Mobile Alert Communication Management (mACM) Is intended to create a way to send non-life critical alert messages to
one or more recipients. It is a very scaled down proposal that will
likely start a family of similar solutions.
TI 2015-06-08 2015-08-07
IT Infrastructure Mobile Access to Health Documents (MHD) TI document published for another round of public comment.  This profile defines one standardized interface to
health documents (a.k.a. an Application Programming Interface (API) for use by mobile devices
so that deployment of mobile applications is more consistent and reusable.
TI 2015-01-05 2015-03-12
IT Infrastructure RESTful ATNA Proposes to provide a way that a reporting application can query into an ATNA repository for various use-cases. Likely to use the FHIR SecurityEvent resource, but there is a desire to expand beyond those specific types of logged events. TI 2015-06-08 2015-08-07
IT Infrastructure PIXm Proposes to provide a query into a PIX Manager for a cross-reference. This is just the query transaction from the PIX profile, but using FHIR. This will likely be based on FHIR Patient, and be similar to PDQm. TI 2015-06-08 2015-08-07
Laboratory
Patient Care Coordination Guideline Appropriate Ordering The purpose of this
profile is to support communication of decision support guidance on whether or
not an order is appropriate from EHR, hospital or departmental information
systems, and enable receivers to validate that decision support was used to
determine the appropriateness of those orders according to guidelines.
TI 2015-06-01 2015-08-05
Patient Care Coordination Clinical Mapping Goal is to take core PCD content and translate into CDA content. Submitted to PCC for the content aspect. PCD uses IEEE content constructs. Will need IEEE 11073 mapping to SNOMED, RxNorm and/or LOINC for vital signs and other data. Will also need to define transactions involved. TI 2015-06-01 2015-08-05
Patient Care Coordination Reconciliation on FHIR Provides the ability to support reconciliation workflows using FHIR resources. Will attempt to use the IHE/HL7 collaborative process to get this work done. TI 2015-06-01 2015-08-05
Patient Care Coordination Remote Patient Monitoring This profile describes the process via which patient data obtained from personal health devices is transported to an EHR supporting HL7 Version 2 IHE PCD transactions. TI 2015-06-01 2015-08-05
Patient Care Device
Pharmacy Healthcare Products Catalog TBD TBD
Pharmacy Medication Administration TBD TBD
Pharmacy Medication Statement TBD TBD
Pharmacy Medication Treatment Plan TI 2015-06-22 2015-10-23
Pharmacy Supply of Products for Healthcare TBD TBD
Quality, Research and Public Health Aggregate Data Exchange This will target the articulation of a simple and extendable XML format for representing routine aggregate data reports. TI 2015-05-29 2015-08-27
Quality, Research and Public Health Content  Based Document Types This profile aims to define a new transaction allowing a Metadata Consumer actor to ask a Metadata Source actor for the metadata of the documents (identified using the XDSDocumentEntry Metadata) where a specific clinical data is available. TBD TBD
Radiation Oncology Multimodality Image Registration for Radiation Oncology 2013 (MMRO-III) PC 2015-10-23
Radiation Oncology Treatment Delivery – Image Content (TDIC) PC 2015-10-23
Radiation Oncology Treatment Delivery – Plan Content (TDPC) PC 2015-10-23
Radiation Oncology Treatment Planning – Image Content (TPIC) PC 2015-10-23
Radiation Oncology Treatment Planning – Plan Content (TPPC) PC 2015-10-23
Radiology Clinical Decision Support – Order Appropriateness New U.S. legislation mandates the use of clinical decision support (CDS) when ordering imaging exams. As of January 1, 2017, CMS will withhold payment unless the referring provider documents use of CDS in the claim for the exam. We must have standards for the creation of the required CDS data on the order and the movement of the data through to billing to correctly implement this new rule.
HL7 has a messaging format for orders exchange between order placer and order filler. This is currently profiled in IHE Scheduled Workflow. CDS vendors currently use HL7 segments for their current data.
A CDS Profile could present a standard way to capture the required data and send it through the rendering provider and on to the billing system.
There is high market interest in standardizing, as today over 370 million ambulatory imaging studies are ordered annually in the U.S., plus another share of the over 400 million hospital imaging studies that are considered outpatient. The data-flow and record-keeping necessary to comply would be difficult to do correctly and cost-effectively without automation and integration. Referring and rendering providers, as well as the respective vendors, have shown interest in working on this.
IHE Scheduled Workflow already carries many elements of an imaging order through the radiology workflow. It could be expanded to include new CDS data specific to the mandate. There are additional elements that would be helpful to add as well, such as receiving facility. Other data included in standards could be improved, such as exam priority. The Profiles on PIX and PDQ are very helpful in this as well.
TI 2015-02-19 2015-06-12
Radiology Web-based Image Capture (WIC) The Web-based Image Capture (WIC) Profile provides a simple, lightweight, mobile-friendly mechanism to encode and send captured images, videos and evidence documents from the mobile device to the Image Manager so that these objects can be easily integrated into the rest of the imaging workflow. TI 2015-02-19 2015-04-21
Radiology Radiology Remote Reading Workflow Cross-Enterprise or Community Diagnostic Image Sharing Services are increasingly part of the infrastructure landscape in the clinical community. Leading the way are IHE profiles and standards, such as XDS-I proving the infrastructure framework for image and document exchange. Cross-enterprise image sharing, beyond the initial step, has the capability to attain efficiencies and reduce cost at a macro-scale level: (a) Improve throughput of radiology departments by allowing any qualified radiologist in the community to read and report a study, (b) Align the number of resources (staff, equipment) with the needs of the community as opposed to considering individual hospitals only, (c) Facilitate assignment of studies to physicians that are best qualified to read them (e.g., a SPECT expert may be leveraged across the community), (d) Provide off-hours coverage by sharing radiologists’ services off peak hours. TI 2015-06-12 2015-12-14
Surgery

 

2014 Cycle – IHE Technical Framework Supplements New Supplement Tracker
The table below tracks new supplements that have been approved by the domain Planning and Technical Committees for publication in the 2014 cycle (beginning around March 2014 with publication for public comment). Documents that have already been published at least once in a previous publication cycle will not appear here. The purpose of this information is to give implementers a view of work items approved by committees early on to allow them to plan appropriately.

Documents currently in their public comment phase can be found here. Trial implementation and final text documents can be found here.

Disclaimer: Due to unforeseen events, all documents listed may not be available when expected. The table will be updated as new information becomes available.

Domain

Document

Approval Date

Status

Public Comment Publication

Trial Implementation Publication

PC=Public Comment

TI=Trial Implementation

Anatomic Pathology
Cardiology Electrophysiology Implant/Explant Report Content (EPRC-IE) TI 2014-02-20 2014-04-30
Cardiology Registry Content Submission – CathPCI V4.4 (RCS-C) PC 2014-04-30 2014-7-18
Dental
Endoscopy
Eye Care Core Eye Care Workflow (C-EYECARE)  {Previously titled: Small Clinic Workflow (SMC-EYECARE)} TI 2014-06-26 2014-10-03
IT Infrastructure Patient Demographics Query for Mobile (PDQm) TI 2014-06-06 2014-08-28
IT Infrastructure Patient Location Tracking (PLT)-formerly PLQ TI 2013-04-17 2014-08-28
IT Infrastructure Secure Retrieve (SeR) TI 2014-06-06 2014-08-28
Laboratory
PCC Multiple Content Views (MCV) TI 2014-06-06 2014-08-28
PCC Reconciliation of Clinical Content and Care Providers (RECON) TI 2014-06-06 2014-08-28
PCD Medical Equipment Management Device Management Communication (MEMDMC) TI 2014-06-26 2014-11-04
PCD Medical Equipment Management Location Services (MEMLS) TI 2014-06-26 2014-11-04
Pharmacy Pharmacy Medication List (PML) TI 2014-05-08 2014-09-29
QRPH Birth and Fetal Death Reporting – Enhanced (BFDR-E) TI 2014-06-06 2014-09-05
QRPH Early Hearing Detection and Intervention Content Profile (EHDI) TI 2014-06-06 2014-09-05
QRPH Family Planning (FP) TI 2014-06-06 2014-09-05
QRPH Structured Data Capture (SDC) TI 2014-06-06 2014-09-05
Radiation Oncology
Radiology Digital Breast Tomosynthesis (DBT) TI 2014-03-07 2014-05-30
Radiology Mobile Access to Health Documents for Imaging (MHD-I) TI 2014-03-07 2014-05-30