IHE Technical Frameworks General Introduction and Shared Appendices
Anatomic Pathology
Cardiology
Dental
Devices
Endoscopy
Eye Care
IT Infrastructure
Laboratory
Pathology and Laboratory Medicine
Patient Care Coordination
Pharmacy
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. Technical Framework documents are maintained regularly by the IHE Technical Committees through the identification and correction of errata.

Subscribe to Technical Publication Announcements

See Past Technical Publication Announcements

Review and Submit Comments

IHE invites implementers and other interested parties to review and provide input on IHE Technical Framework documents:

Public Comment Phase: Each Technical Framework or White Paper undergoes a period of public comment. Documents currently released for public comment are available here.
Ongoing Comments: IHE also welcomes corrections or suggestions for improvement to our Technical Framework documents. To submit your feedback on a domain’s published documents, follow the following links:
- Anatomic Pathology (see Pathology and Laboratory Medicine)
- Cardiology
- Dental
- Devices
- Endoscopy
- Eye Care
- IT Infrastructure
- Laboratory (see Pathology and Laboratory Medicine)
- Pathology and Laboratory Medicine
- Patient Care Coordination
- Pharmacy
- Quality, Research and Public Health
- Radiation Oncology
- Radiology

Final Text (Approved) Change Proposals

Beginning with the 2015 publication cycle, a new (pilot) process for communicating Final Text (approved) Change Proposals has been established. It is important to note that as soon as a Change Proposal becomes Final Text, it carries the same weight as published Technical Frameworks and Trial Implementation Supplements (i.e., it is ‘testable’ at a Connectathon from the time it is approved for Final Text, even if it will not be integrated into the applicable Technical Framework document until several months later). For domains that are piloting this new process, a link will be available in their section below to a repository of Final Text CPs and an “index” spreadsheet.

Call for Profile Proposals

The first step in getting a new profile developed is the submission of a Brief Profile Proposal. Consult with a specific domain’s Planning Committee for the schedule for submitting these proposals for the next development cycle.

IHE Technical Frameworks General Introduction and Shared Appendices

New: The IHE Technical Frameworks General Introduction and Shared Appendices are now published as HTML.

The IHE Technical Frameworks General Introduction and Shared Appendices are shared by all of the IHE domain technical frameworks. Each technical framework volume contains links to this information where applicable. It is posted here for ease of reference.

Note: IHE Glossary terms are maintained via the Standards Knowledge Management Tool. (SKMT). The embedded document contains all terms as of the publication date of the document. Always refer to the SKMT for the most current list of IHE Glossary terms. See the IHE Wiki for further information.

Comments from authors and other interested parties on the IHE General Introduction documents are invited on an ongoing basis. Submit your comments here »

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Anatomic Pathology Technical Framework

As of January 4, 2016 the Anatomic Pathology and Laboratory domains merged forming the Pathology and Laboratory Medicine (PaLM) domain. Going forward, please reference the Pathology and Laboratory Medicine domain section for Technical Framework development work.

Anatomic Pathology 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

Current documents (published July 2012 or later) have generic files names, for example:

IHE_PAT_TF_Vol1
IHE_PAT_Suppl_APSR

Those links always return the newest document and support linking to specific sections (section linking details here).

File names on the archive page include revision numbers, status and date of publication, and can be used to link to specific versions of a document:

IHE_PAT_TF_Rev2.0_Vol1_FT_2010-07-23
IHE_PAT_Suppl_APSR_Rev1.1_TI_2011-03-31

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Cardiology Technical Framework

Comments and implementer feedback on all documents can be submitted at Cardiology Public Comments.

Current Technical Framework – Revision 5.0

August 29, 2013
Copyright © 2013: 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. These trial implementation profiles are eligible for testing at subsequent IHE Connectathons.

Cardiac Imaging Report Content (CIRC) – Published 2011-07-01
Cardiac Procedure Note (CPN) – Revised 2018-08-17
- Cardiac Procedure Note Example LAAO CHT Sample XML Document (XML) – Revised 2018-08-17
- Cardiac Procedure Note Example MVCLIP CHT Sample XML Document (XML) – Revised 2018-08-17
Cath Report Content (CRC) – Revised 2016-07-25
- Cath Report Content XML Sample (XML) – Published 2016-07-25
Displayable Reports (DRPT) – Revised 2013-08-29
Evidence Documents Profile Cardiology Domain Options: Stress Testing and CT/MR Angiography (ED) – Revised 2013-08-29
Electrophysiology Implant/Explant Report Content (EPRC-IE) – Published 2014-04-30
- Sample EPRC-IE CDA Document (XML)
Image-Enabled Office (IEO) – Revised 2013-08-29
Intravascular Imaging Option for Cath Workflow – Published 2013-05-21
Registry Content Submission – CathPCI V4.4 (RCS-C) – Published 2014-07-18
- Sample RCS-C CDA Document (XML)
- Sample RCS-C Data Collection Form (PDF)
Registry Content Submission – Electrophysiology (RCS-EP) – Published 2015-07-14
- Registry Content Submission – Electrophysiology (RCS-EP) Sample Documents (Zip) – Published 2015-07-15
Resting ECG Workflow (REWF) – Revised 2013-08-29
Stress Testing Workflow (STRESS) – Revised 2013-08-29

Cardiology White Papers

3D/4D Echocardiography Workflow – Published 2011-08-05
Cardiology Data Handling – Published 2007-06-08

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

Current documents (published July 2012 or later) have generic file names, for example:

IHE_CARD_TF_Vol1
IHE_CARD_Suppl_BIR

Those links will always return the newest document and support linking to specific sections (section linking details here).

File names on the archive include revision numbers, status and date of publication, and can be used to link to specific versions of a document:

IHE_CARD_TF_Rev4.0_Vol1_FT_2011-08-05
IHE_CARD_Suppl_BIR_Rev1.2_TI_2012-07-25

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Dental Technical Framework

Comments and implementer feedback on all documents can be submitted at Dental Public Comments.

Current Technical Framework

To be developed.

Supplements for Trial Implementation

The IHE Dental Technical Committee invites organizations to begin development work based on the following supplement to the forthcoming IHE Dental Technical Framework. This trial implementation profile is eligible for testing at subsequent IHE Connectathons.

Secure Exchange of Dental Information (SEDI) – Published 2013-09-06

Dental 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

Current documents (published July 2012 or later) have generic files names, for example:

IHE_DENT_Suppl_SEDI

Those links always return the newest document and support linking to specific sections (section linking details here).

File names on the archive page include revision numbers, status and date of publication, and can be used to link to specific versions of a document:

IHE_DENT_Suppl_SEDI_Rev1.2_TI_2013-09-06

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Devices Technical Framework

Comments and implementer feedback on all documents can be submitted at Devices Public Comments.

Current Technical Framework – Revision 10.0

November 4, 2024
Copyright © 2024: IHE International, Inc.

These Technical Framework Volumes provide specification of the following profiles:

Alert Communication Management (ACM)
Device Enterprise Communication (DEC)
Implantable Device – Cardiac Observation (IDCO)
Infusion Pump Event Communication (IPEC)
Point-of-Care Infusion Verification (PIV)
Rosetta Terminology Mapping (RTM)

Brief descriptions of these profiles are available here.

Supplements for Trial Implementation

The IHE Devices (DEV) Technical Committee invites organizations to begin development work based on the following supplements to the Devices Technical Framework. These trial implementation profiles will be eligible for testing at subsequent IHE Connectathons.

Infusion Pump Event Communication (IPEC) – Incorporated into the Technical Framework Volumes as of Rev. 9.0
Medical Equipment Management Device Management Communication (MEMDMC) – Revised 2024-09-19
Medical Equipment Management Location Services (MEMLS) – Revised 2024-09-19
Personal Health Device Observation Upload (POU) – Published 2020-04-13
Point-of-Care Identity Management (PCIM) – Revised 2024-12-05
Pulse Oximetry Integration (POI) – Published 2012-08-16
Retrospective Data Query (RDQ) – Published 2012-08-16
Service-oriented Device Point-of-care Interoperability (SDPi) – Revised 2024-10-09
- PDF (unoptimized rendering)
- SDPi Requirements Compilation (for current release)
Subscribe to Patient Data (SPD) – Published 2007-07-29 (Reissued for NA2012 on 2011-11-11)
Waveform Content Module (WCM) – Revised 2018-01-08

Devices White Papers

The IHE Devices Technical Committee has published the following white papers. These white papers facilitate the use of existing IHE Devices profiles and/or scope the need for future profiles.

Point-of-Care Identity Management (PCIM) – Published 2017-06-16
Medical Device Software Patching – Published 2015-10-14
Medical Equipment Management (MEM) White Paper – Published 2009-09-01
Medical Equipment Management (MEM): Cyber Security White Paper – Published 2011-05-27
Medical Equipment Management (MEM): Medical Device Cyber Security – Best Practice Guide – Published 2015-10-14
MEM Remote Device Command (RDC) – Published 2018-10-23
Service-oriented Device Point-of-Care Interoperability (SDPi) – Published 2019-11-01
- Companion to the “Service-oriented Device Point-of-Care Interoperability (SDPi)” White Paper – Published 2019-11-01

Devices User Handbook

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

IHE Patient Care Device User Handbook – 2018 Edition (aka “PCD Cookbook”) – Published 2018-04-12

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

Current documents (published July 2012 or later) have generic files names, for example:

IHE_PCD_TF_Vol1
IHE_PCD_Suppl_POI

Those links will always return the newest document and support linking to specific sections (section linking details here).

File names on the archive page include revision numbers, status and date of publication, and can be used to link to specific versions of a document:

IHE_DEV_TF_Rev10.0_Vol1_FT_2024-11-04
IHE_PCD_Suppl_POI_Rev1.1_TI_2012-08-16

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Endoscopy Technical Framework

Comments and implementer feedback on all documents can be submitted at Endoscopy Public Comments.

Current Technical Framework

Not yet developed.

Supplements for Trial Implementation

The IHE Endoscopy Technical Committee invites organizations to begin development work based on the following supplements to the forthcoming IHE Endoscopy Technical Framework. These trial implementation profiles are eligible for testing at subsequent IHE Connectathons.

Endoscopy Image Archiving (EIA) – Published 2018-11-28
Endoscopy Report and Pathology Order (ERPO) – Published 2018-11-28
Endoscopy Ordering Workflow (EWF) – Published 2018-11-28

Endoscopy 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

Current documents (published July 2012 or later) have generic files names, for example:

IHE_ENDO_TF_Vol1
IHE_ENDO_Suppl_ABC

Those links always return the newest document and support linking to specific sections (section linking details here).

File names on the archive page include revision numbers, status and date of publication, and can be used to link to specific versions of a document:

IHE_ENDO_TF_Rev11.0_Vol1_FT_2012-07-24
IHE_ENDO_Suppl_ABC_Rev1.2_TI_2012-07-24

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Eye Care Technical Framework

Comments and implementer feedback on all documents can be submitted at Eye Care Public Comments.

Final Text (Approved) Change Proposals

In addition to the Technical Framework Volumes and Trial Implementation Supplements listed below, implementers should also review Final Text CPs in preparation for IHE Connectathons. A summary spreadsheet of Eye Care’s Final Text Change Proposals with links to the applicable CPs is located here.

Current Technical Framework – Revision 4.0

June 14, 2016
Copyright © 2016: IHE International, Inc.
Final Text

These Technical Framework Volumes provide specification of the following profiles:

Eye Care Workflow (EYECARE) – Retired 2016-06-14
Charge Posting (CHG)
Eye Care Evidence Documents (ECED)
Eye Care Displayable Report (ECDR)
Unified Eye Care Workflow (U-EYECARE)

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 are eligible for testing at subsequent IHE Eye Care Connectathons.

Basic Eye Care Workflow (B-EYECARE) – Retired 2016-06-14
C-CDA Based General Eye Evaluation (GEE) – Revised 2016-12-29
Core Eye Care Workflow (C-EYECARE) – Retired 2016-06-14
Eye Care Appointment Scheduling (ECAS) – Published 2010-05-03
Eye Care Summary Record (EC-Summary) – Published 2017-09-15
Key Measurements in DICOM Encapsulated PDF – Published 2019-05-30
Unified Eye Care Workflow Refractive Measurements – Revised 2016-06-29

Eye Care 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

Current documents (published July 2012 or later) have generic file names, for example:

IHE_EyeCare_TF_Vol1
IHE_EyeCare_Suppl_GEE

Those links will always return the newest document and support linking to specific sections (section linking details here).

File names on the archive page include revision numbers, status and date of publication, and can be used to link to specific versions of a document:

IHE_EyeCare_TF_Rev3.7_Vol1_FT_2012-08-31
IHE_EyeCare_Suppl_GEE_Rev1.1_TI_2012-06-29

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IT Infrastructure Technical Framework

Comments and implementer feedback on all documents can be submitted at ITI Public Comments.

Final Text (Approved) Change Proposals

IMPORTANT NOTE: In addition to the Technical Framework Volumes and Trial Implementation Supplements listed below, implementers should also review Final Text Change Proposals (CPs) in preparation for IHE Connectathons. An index of approved CPs is found here.

Current Technical Framework – Revision 20.0

August 4, 2023
Copyright © 2023: IHE International, Inc.
Final Text

New: The IT Infrastructure Technical Committee has converted the complete ITI Technical Framework to HTML. It is available here.

Volume 1 (ITI TF-1): Integration Profiles
Volume 2 (ITI TF-2): Transactions
Volume 3 (ITI TF-3): Cross-Transaction Specifications and Content Specifications – Document Sharing Metadata and Content Profiles
Volume 4 (ITI TF-4): National Extensions

These Technical Framework 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-Community Patient Discovery (XCPD)
Cross-Enterprise Document Media Interchange (XDM)
Cross-Enterprise Document Reliable Interchange (XDR)
Cross-Enterprise Document Sharing (XDS.b)
Cross-Enterprise Document Workflow (XDW)
Cross-Enterprise Sharing of Scanned Documents (XDS-SD)
Document Metadata Subscription (DSUB)
Cross-Enterprise User Assertion (XUA)
Document Digital Signature (DSG)
Enterprise User Authentication (EUA)
Multi-Patient Queries (MPQ)
Patient Administration Management (PAM)
Patient Demographic Query HL7 V3 (PDQ V3)
Patient Demographics Query (PDQ)
Patient Identifier Cross-Referencing (PIX)
Patient Identifier Cross-Reference HL7 V3 (PIX V3)
Patient Synchronized Applications (PSA)
Personnel White Pages (PWP)
Retrieve Form for Data Capture (RFD)
Retrieve Information for Display (RID)
Sharing Value Sets (SVS)
XAD-PID Change Management (XPID)

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. These trial implementation profiles are eligible for testing at subsequent IHE Connectathons.

Add RESTful ATNA (Query and Feed) – Revised 2024-12-12
Advanced Patient Privacy Consents (APPC) – Revised 2021-07-02
Asynchronous AS4 Option – Revised 2023-08-04
Basic Audit Log Patterns (BALP) – Revised 2024-02-16
Care Services Discovery (CSD) – Revised 2016-09-09
Cross-Community Document Reliable Interchange (XCDR) – Revised 2023-08-04
Cross-Community Fetch (XCF) – Revised 2019-07-12
Cross-Community Patient Discovery (XCPD) Health Data Locator and Revoke Option – Revised 2023-05-04
Cross-Enterprise Document Workflow Extension for Cross-Community Environment (XDW for XCA and XCDR) – Revised 2015-08-31
Document Digital Signature (DSG) addition of JSON Signature – Published 2024-11-21
Document Encryption (DEN) – Revised 2019-07-12
Document Subscription for Mobile (DSUBm) – Published 2024-02-29
Extensions to Document Metadata Subscription – Revised 2023-08-04
Finance and Insurance Service (FAIS) – Published 2024-11-21
Healthcare Provider Directory (HPD) – Revised 2020-08-28
Internet User Authorization (IUA) – Revised 2024-05-24
Mobile Access to Health Documents (MHD) – Revised 2024-05-23
Mobile Alert Communication Management (mACM) – Revised 2019-12-05
Mobile Care Services Discovery (mCSD) – Revised 2024-12-12
Mobile Cross-Enterprise Document Data Element Extraction (mXDE) – Revised 2023-08-04
Mobile Health Document Sharing (MHDS) – Revised 2023-08-04
Non-patient File Sharing (NPFS) – Revised 2023-11-17
Notification of Document Availability (NAV) – Deprecated 2013-09-27
Patient Demographics Query for Mobile (PDQm) – Revised 2024-12-12
Patient Identifier Cross-reference for Mobile (PIXm) – Revised 2024-02-23
Patient Master Identity Registry (PMIR) – Revised 2022-08-09
Patient Location Tracking (PLT) – Revised 2015-08-31
Privacy Consent on FHIR (PCF) – Revised 2024-02-23
Remove Metadata and Documents (RMD) – Revised 2023-08-04
Restricted Metadata Update (RMU) – Revised 2021-07-02
Scheduling – Published 2024-12-12
Secure Retrieve (SeR) – Revised 2022-10-24
Sharing of IPS (sIPS) – Published 2023-11-17
Sharing Valuesets, Codes, and Maps (SVCM) – Revised 2023-08-04
XCA Deferred Response Option – Published 2019-08-15
XDS Metadata Update – Revised 2023-08-04

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
De-Identification – Revised 2014-06-06
- Algorithm Mapping Spreadsheet (for use with De-Identification Handbook) – Revised 2014-06-06
Document Sharing Metadata – Published 2022-03-01
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
Analysis of Optimal De-Identification Algorithms for Family Planning Data Elements – Published 2016-12-02
A Service-Oriented Architecture (SOA) View of IHE Profiles – Published 2009-09-28
Document Sharing Across Network Topologies – Published 2023-05-04
Enabling Document Sharing Health Information Exchange Using IHE Profiles – Revised 2024-05-24
Health IT Standards for Health Information Management (HIM) Practices – Published 2015-09-18
Mobile Care Services Discovery (mCSD) Use Cases White Paper – Published 2021-11-08
Survey of Network Interfaces Form – Published 2020-05-29

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

Current documents (published July 2012 or later) have generic file names, for example:

IHE_ITI_TF_Vol1
IHE_ITI_Suppl_XDW

Those links will always return the newest document and support linking to specific sections (section linking details here).

File names on the archive page include revision numbers, status and date of publication, and can be used to link to specific versions of a document:

IHE_ITI_TF_Rev9.0_Vol1_FT_2012-08-31
IHE_ITI_Suppl_XDW_Rev1.2_TI_2012-08-31

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Laboratory Technical Framework

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

Current documents (published July 2012 or later) have generic files names, for example:

IHE_LAB_TF_Vol1
IHE_LAB_Suppl_GIR

Those links will always return the newest document and support linking to specific sections (section linking details here).

File names on the archive page include revision numbers, status and date of publication, and can be used to link to specific versions of a document:

IHE_LAB_TF_Rev4.0_Vol1_FT_2012-10-02
IHE_LAB_Suppl_GIR_Rev1.1_TI_2012-10-02

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Pathology and Laboratory Medicine Technical Framework

Comments and implementer feedback on all documents can be submitted at PaLM Public Comments

Current Technical Framework – Revision 11.0

April 8, 2024
Copyright © 2024: IHE International, Inc.
Final Text

Volume 1 (PaLM TF-1): Profiles
Volume 2: Transactions – Volume 2 is divided into four separate sub-volumes:
Volume 3 (PaLM TF-3): Content Modules

These Technical Framework Volumes provide specification of the following profiles:

(For all profiles, actors and supported transactions are found in Volume 1; segment definitions common to all are in Volume 2x)

Laboratory Analytical Workflow (LAW) – see Volume 2b
Laboratory Testing Workflow (LTW) – see Volume 2a
Laboratory Device Automation (LDA) – see Volume 2a
Laboratory Point Of Care Testing (LPOCT) – see Volume 2c
Laboratory Code Set Distribution (LCSD) – see Volume 2c
Laboratory Specimen Barcode Labeling (LBL) – see Volume 2c
Sharing Laboratory Reports (XD-LAB) – see Volume 3

Brief descriptions of these profiles are available here.

Supplements for Trial Implementation

Anatomic Pathology Reporting to Public Health (ARPH) – Revised 2010-07-23
Anatomic Pathology Structured Report (APSR) – Revised 2018-09-28
Digital Pathology Workflow – Image Acquisition (DPIA) – Revised 2024-12-17
Graphics and Simple Images in Results (GIR) – Published 2010-10-15
Inter-Laboratory Workflow (ILW) – Revised 2013-11-08
Laboratory Clinical Communications (LCC) – Revised 2024-04-08
Radiology Pathology Concordance (RPC) – Published 2021-11-23
Specimen Event Tracking (SET) – Published 2021-11-23
Transfusion Medicine – Administration (TMA) – Revised 2019-10-22

Pathology and Laboratory Medicine White Papers

The IHE Pathology and Laboratory Medicine Technical Committee has published the following white papers. These white papers facilitate the use of existing IHE Pathology and Laboratory Medicine profiles and/or scope the need for future profiles.

Digital Pathology Aid for Telemedicine White Paper – Published 2022-11-18

Pathology and Laboratory Medicine 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

Current documents (published July 2012 or later) have generic files names, for example:

IHE_PaLM_TF_Vol1
IHE_PaLM_Suppl_LAW

Those links will always return the newest document and support linking to specific sections (section linking details here).

File names on the archive page include revision numbers, status and date of publication, and can be used to link to specific versions of a document:

IHE_PaLM_TF_Rev4.0_Vol1_FT_2012-10-02
IHE_PaLM_Suppl_LAW_Rev1.1_TI_2012-10-02

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Patient Care Coordination Technical Framework

Comments and implementer feedback on all documents can be submitted PCC Public Comments

Current Technical Framework – Revision 11.0

November 11, 2016
Copyright © 2016: IHE International, Inc.

These Technical Framework 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
Immunization Content (IC) – incorporated into the TF 2013-10-04

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. These trial implementation profiles are eligible for testing at subsequent IHE Connectathons.

360 Exchange Closed Loop Referral (360X) – Revised 2021-04-14
Antepartum Profiles (includes the following profiles) – Revised 2011-09-09
- Antepartum Education (APE)
- Antepartum Laboratory (APL)
- Antepartum History and Physical (APHP)
- Antepartum Summary (APS)
Assessment Curation and Data Collection (ACDC) – Revised 2020-03-24
Bed Management (BED) – Published 2018-11-02
Care Management (CM) – Published 2008-08-26
CDA Content Modules Supplement – Revised 2022-03-16
CDA Document Summary Sections (CDA-DSS) – Published 2019-09-27
CDA Occupational Data Options – Published 2020-08-26
Clinical Mapping (CMAP) – Deprecated
Cross-enterprise Basic eReferral Workflow Definition (XBeR-WD) – Revised 2013-10-04
Cross-Enterprise Cardiovascular Heart Team Workflow Definition (XCHT-WD) – Published 2016-09-09
Cross-enterprise TeleHome Monitoring Workflow Definition (XTHM-WD) – Revised 2013-10-04
Cross-enterprise Tumor Board Workflow Definition (XTB-WD) – Revised 2014-11-04
Dynamic Care Planning (DCP) – Revised 2019-09-27
Dynamic Care Team Management (DCTM) – Published 2017-09-08 Note: An updated revision (2.0) has been published for public comment as of 2019-12-31
Early Hearing Detection and Intervention Workflow Definition (EHDI-WD) – This supplement has been relocated to the QRPH domain section
Emergency Department Encounter Summary (includes the following profiles) – Revised 2016-11-11
- 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) – Revised 2013-11-08
Guideline Appropriate Ordering (GAO) – Published 2015-08-05
International Patient Summary (IPS) – Published 2023-10-09
Labor and Delivery Profiles (includes the following profiles) – Revised 2013-10-04
- Labor and Delivery History and Physical (LDHP)
- Labor and Delivery Summary (LDS)
- Maternal Discharge Summary (MDS)
Multiple Content Views (MCV) – Published 2018-11-02
Newborn Discharge Summary (NDS) – Revised 2011-09-09
Occupational Data for Health (ODH) – Published 2024-12-05
Paramedicine Care Summary (PCS) – Published 2018-09-13 Note: An updated revision (3.0) has been published for public comment as of 2024-07-26 (name changed to Paramedicine Summary of Care)
Patient Care Plan (PtCP) – Published 2013-10-04
Patient Plan of Care (PPOC) – Revised 2013-10-04
Perinatal Workflow (PW) – Published 2010-08-30
Point-of-Care Medical Device Tracking (PMDT) – Published 2017-09-08
Postpartum Visit Summary (PPVS) – Revised 2011-09-09
Query for Existing Data (QED) – Revised 2016-11-11
Query for Existing Data for Mobile (QEDm) – Revised 2024-12-12
Reconciliation of Clinical Content and Care Providers (RECON) – Revised 2016-11-11
Referral Order Linking (ROL) – Revised 2014-11-04
Remote Patient Monitoring (RPM) – Published 2015-08-05
Request for Clinical Guidance (RCG) – Revised 2009-08-10
Retrieve Clinical Knowledge (RCK) – Revised 2013-10-04
Routine Interfacility Patient Transport (RIPT) – Published 2017-09-08 Note: An updated revision (2.0) has been published for public comment as of 2021-01-12
Transport Record Summary Profiles (includes the following profiles) – Deprecated
- Emergency Department Transport Summary (ETS)
- Interfacility Transport Summary (ITS)

Patient Care Coordination Implementation Guides

The Data Access Framework (DAF) Document Metadata Based Access Implementation Guide

Patient Care Coordination White Papers

A Data Access Framework Using IHE Profiles – Published 2014-10-24
Building a Roadmap for Health Information Systems Interoperability for Public Health – (from the Public Health Data Standards Consortium) – Published 2007-10-11
Patient Registration Demographics Data Capture and Exchange – Published 2017-09-27

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

Current documents (published July 2012 or later) have generic files names, for example:

IHE_PCC_TF_Vol1
IHE_PCC_Suppl_RCK

Those links will always return the newest document and support linking to specific sections (section linking details here).

File names on the archive page include revision numbers, status and date of publication, and can be used to link to specific versions of a document:

IHE_PCC_TF_Rev8.0_Vol1_FT_2012-08-31
IHE_PCC_Suppl_RCK_Rev1.1_TI_2012-08-16

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Pharmacy

Comments and implementer feedback on all documents can be submitted at Pharmacy Public Comments.

Current Technical Framework – To Be Developed

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 – Revised 2014-09-29
Community Dispense (DIS) – Revised 2022-02-17
Community Medication Administration (CMA) – Revised 2022-02-17
Community Medication List (PML) – Revised 2022-02-17
Community Medication Prescription and Dispense (CMPD) – Revised 2022-02-17
Community Medication Treatment Plan (MTP) – Revised 2022-02-17
Community Pharmaceutical Advice (PADV) – Revised 2022-02-17
Community Prescription (PRE) – Revised 2022-02-17
Hospital Medication Workflow (HMW) – Revised 2013-10-11
Mobile Medication Administration (MMA) – Published 2017-12-04
Uniform Barcode Processing (UBP) – Published 2017-12-04

Pharmacy White Papers

The IHE Pharmacy Technical Committee has published the following white papers.

Supply of Products for Healthcare – Published 2020-03-11

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

Current documents (published July 2012 or later) have generic files names, for example:

IHE_Pharmacy_Suppl_HMW

Those links will always return the newest document and support linking to specific sections (section linking details here).

File names on the archive page include revision numbers, status and date of publication, and can be used to link to specific versions of a document:

IHE_Pharmacy_Suppl_HMW_Rev1.3_TI_2012-09-27

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Quality, Research and Public Health Technical Framework

Comments and implementer feedback on all documents can be submitted at QRPH Public Comments.

Current Technical Framework – Revision 2.0

These Technical Framework Volumes provide specification of the following profiles:

Clinical Research Document (CRD) (added in Rev 1.0)
Drug Safety Content (DSC) (added in Rev 1.0)
Newborn Admission Notification Information (NANI) (added in Rev. 2.0)

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 Trial Implementation QRPH Technical Framework. These trial implementation profiles may be available for testing at subsequent IHE Connectathons.

Aggregate Data Exchange (ADX) – Revised 2019-03-19
Aggregate Data Exchange-HIV (ADX-HIV) – Published 2019-03-19
Birth and Fetal Death Reporting (BFDR) – Deprecated 2014-09-05 (replaced with BFDR-E)
Birth and Fetal Death Reporting-Enhanced (BFDR-E) – Revised 2021-12-29
Birth and Fetal Death Reporting-Labor and Delivery Summary for Vital Records (BFDR-LDS-VR) – Published 2021-10-26
Birth and Fetal Death Reporting-v2.6 Messaging (BFDR-v2) – Published 2021-10-26
Clinical Research Process Content (CRPC) – Revised 2018-09-07
Data Element Exchange (DEX) – Revised 2018-09-07
Early Hearing Care Plan (EHCP) – Deprecated 2014-06-06 (Refer to the HPoC content specifications in the EHDI profile)
Early Hearing Detection and Intervention (EHDI) – Revised 2016-08-10
Early Hearing Detection and Intervention Workflow Definition (EHDI-WD) – Revised 2019-08-30
Family Planning (FP) – Revised 2016-09-09
Family Planning Version 2 (FPv2) – Revised 2021-12-29
Healthy Weight (HW) – Revised 2022-03-16
Mobile Aggregate Data Exchange (mADX) – Revised 2021-10-26
Mobile Retrieve Form for Data Capture (mRFD) – Revised 2019-08-30
Newborn Admission Notification Information (NANI) – Incorporated into the TF as of Rev. 2.0
Physician Reporting to a Public Health Repository-Cancer Registry (PRPH-Ca) – Revised 2011-09-02
Prescription Repository Query (PRQ) – Published 2019-09-11
Quality Measure Execution – Early Hearing (QME-EH) – Revised 2016-08-10
Quality Outcome Reporting for EMS (QORE) – Revised 2021-10-01
Redaction Services (RSP) – Deprecated 2018-01-31
Research Matching (RM) – Deprecated 2018-01-31
Retrieve Process for Execution (RPE) – Revised 2018-09-07
Structured Data Capture (SDC) – Revised 2021-05-14
Vital Records Death Reporting (VRDR) – Revised 2021-02-24

Quality, Research and Public Health White Papers

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

Electronic Clinical Quality Measure (eCQM) Standards Landscape – Published 2018-02-06
IHE SDC on FHIR® – Published 2021-10-01
Extracting Indicators from Person Level Data – Published 2021-12-29
Knowledge Representation in Chronic Care Management: Example of Diabetes Care Management – Published 2010-06-04
Newborn Screening (NBS) – Published 2009-09-01
Operationalizing Integrated Care Pathways (ICP) Using IHE Profiles – Published 2017-02-23
Opioid Epidemic: Integrating Electronic Medical Records and Prescription Drug Monitoring Programs to Limit Abuse of Controlled Substances – Published 2021-06-29
Performance Measure Data Element Structured for EHR Extraction – Published 2008-06-10
Using IHE Profiles for Healthcare – Secondary Data Access – Published 2016-11-09

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

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

Current documents (published July 2012 or later) have generic files names, for example:

IHE_QRPH_Suppl_CRD

Those links will always return the newest document and support linking to specific sections (section linking details here).

File names on the archive page include revision numbers, status and date of publication, and can be used to link to specific versions of a document:

IHE_QRPH_Suppl_CRD_Rev3.1_TI_2012-09-24

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Radiation Oncology Technical Framework

Comments and implementer feedback on all documents can be submitted at Radiation Oncology Public Comments

Current Technical Framework – Revision 2.0

These Technical Framework Volumes provide specification of the following profiles:

Basic Radiation Therapy Objects Integration Profile II (BRTO-II) – Added 2020-04-07 Rev. 2.0
Multimodality Image Registration for Radiation Oncology-III (MMRO-III) – Added 2020-04-07 Rev. 2.0
Treatment Planning – Plan Content (TPPC) – Added 2020-04-07 Rev. 2.0

Supplements for Trial Implementation

The IHE Radiation Oncology Technical Committee invites organizations to begin development work based on the following supplements to the Radiation Oncology Technical Framework. These trial implementation profiles may be eligible for testing at subsequent IHE Connectathons.

Deformable Registration in Radiation Oncology (DRRO) – Published 2022-04-13
Treatment Delivery Offline Recording (TDOR) – Published 2022-12-19
Exchange of Radiotherapy Summaries (XRTS) – Published 2023-11-03
Treatment Delivery Plan Content (TDPC) – Published 2016-11-16
Treatment Delivery Record Content (TDRC) – Published 2019-07-01
Treatment Delivery – Record Content Brachy (TDRC-Brachy) – Published 2024-09-05
Treatment Delivery Workflow-II (TDW-II) – Published 2021-02-05
Treatment Planning – Plan Content Brachy (TPPC-Brachy) – Published 2024-09-05

Radiation Oncology 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

Current documents (published July 2012 or later) have generic files names, for example:

IHE_RO_TF_Vol1
IHE_RO_Suppl_TDPC

Those links always return the newest document and support linking to specific sections (section linking details here).

File names on the archive page include revision numbers, status and date of publication, and can be used to link to specific versions of a document:

IHE_RO_TF_Rev1.8_Vol1_FT_2014-06-26
IHE_RO_Suppl_TDPC_Rev1.1_TI_2016-11-16

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Radiology Technical Framework

Comments and implementer feedback on all documents can be submitted at Radiology Public Comments.

Final Text (Approved) Change Proposals

In addition to the Technical Framework Volumes and Trial Implementation Supplements listed below, implementers should also review Final Text CPs. An index spreadsheet providing the location (Rad Process tab) and the status (CPs tab) of Radiology’s Change Proposals (including Final Text) is located here.

Current Technical Framework – Revision 22.0

These Technical Framework Volumes 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
Cross-Community Access for Imaging (XCA-I) – Added 2013-09-16
Imaging Object Change Management (IOCM) – Added 2014-07-30
Digital Breast Tomosynthesis (DBT) – Added 2016-09-09 Rev. 15.0
Scheduled Workflow.b (SWF.b) – Added 2020-09-18 Rev. 19.0
Management of Radiology Report Templates (MRRT) – Added 2022-03-10 Rev. 20.0
Radiation Exposure Monitoring for Nuclear Medicine (REM-NM) – Added 2023-06-15 Rev. 21.0
Basic Image Review (BIR) – Added 2024-06-25 Rev. 22.0
Web-based Image Access (WIA) – Added 2024-06-25 Rev. 22.0
Web-based Image Capture (WIC) – Added 2024-06-25 Rev. 22.0

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 may be eligible for testing at subsequent IHE Connectathons.

AI Results (AIR) – Revised 2022-07-06
AI Workflow for Imaging (AIW-I) – Published 2020-08-06
Basic Image Review (BIR) – Incorporated into Rev. 22.0 of the Technical Framework
Chest X-Ray CAD Display (CXCAD) – Retired 2024-06-25 See the Radiology Archives page
Clinical Decision Support Order Appropriateness Tracking (CDS-OAT) – Revised 2019-04-25
Contrast Administration Management (CAM) – Published 2021-04-30
Cross-Enterprise Document Reliable Interchange of Images (XDR-I) – Revised 2019-08-09
Cross-Enterprise Remote Read Workflow Definition (XRR-WD) – Published 2017-01-13
CT/MR Perfusion Imaging with Contrast (PERF) – Revised 2015-04-21
Encounter-Based Imaging Workflow (EBIW) – Revised 2019-05-13
Extensions to the Portable Data for Imaging (PDI) – Published 2009-21-06
Image Fusion (FUS) – Published 2006-04-13
Imaging Object Change Management Extension (IOCM Extension) – Revised 2019-08-09
Import and Display of External Priors (IDEP) – Published 2019-05-30
Import Reconciliation Workflow (IRWF.b) – Revised 2016-09-09
Integrated Reporting Applications (IRA) – Published 2023-10-04
Interactive Multimedia Report (IMR) – Published 2024-06-25
Invoke Image Display (IID) – Revised 2016-09-09
Mammography Acquisition Workflow (MAWF) – Retired 204-06-25 See the Radiology Archives page
Management of Acquisition Protocols (MAP) Published 2024-06-25
MR Diffusion Imaging (DIFF) – Published 2009-06-21
Multiple Image Manager/Archive (MIMA) – Revised 2023-06-15
Nuclear Medicine Image Integration Profile (NMI) with Cardiac Option – Incorporated into Rev. 22.0 of the Technical Framework
Post-Acquisition Workflow (PAWF) – Published 2012-06-15
Prioritization Of Worklists for Reporting (POWR) – Published 2023-08-22
Radiology Remote Reading Workflow (RRR-WF) – Published 2015-12-14
Results Distribution (RD) – Revised 2019-08-09
Standardized Operational Log of Events (SOLE) – Revised 2023-06-15
Stereotactic Mammography Image (SMI) – Retired 204-06-25 See the Radiology Archives page
Web-based Image Access (WIA) – Incorporated into Rev. 22.0 of the Technical Framework
Web-based Image Capture (WIC) – Incorporated into Rev. 22.0 of the Technical Framework

Radiology White Papers

The IHE Radiology Technical Committee has published the following white papers. Comments are invited and can be made at any time.

AI Interoperability in Imaging – Published 2021-10-12
Code Mapping in IHE Radiology Profiles – Revised 2024-06-25
Cross-Enterprise Screening Mammography Workflow Definition – Published 2012-12-17
Departmental Workflow – Published 2004-04-15
Management of Radiology Report Templates – Published 2012-12-17

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

Current documents (published July 2012 or later) have generic files names, for example:

IHE_RAD_TF_Vol1
IHE_RAD_Suppl_BIR

Those links always return the newest document and support linking to specific sections (section linking details here).

File names on the archive page include revision numbers, status and date of publication, and can be used to link to specific versions of a document:

IHE_RAD_TF_Rev11.0_Vol1_FT_2012-07-24
IHE_RAD_Suppl_BIR_Rev1.2_TI_2012-07-24