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The IHE Technical Frameworks, available for download below, are a resource for users, developers and implementers of healthcare imaging and information systems. They define specific implementations of established standards to achieve effective systems integration, facilitate appropriate sharing of medical information and support optimal patient care. They are expanded annually, after a period of public review, and maintained regularly by the IHE Technical Committees through the identification and correction of errata utilizing the IHE Change Proposal Process.

Subscribe to IHE Technical Publications

Review and Submit Comments

Each draft Technical Framework document and supplement is published initially for a period of public comment. Documents currently in release for public comment are available here.

Comments from implementers and other interested parties are invited on an ongoing basis. Please submit comments through the links provided below.

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.

New Profile Development

A high-level view of the work items each domain has approved for the current publication cycle and their publication progress is available here.

Call for Profile Proposals

The first step in getting a new profile developed is the submission of a Brief Profile Proposal. The schedule for submitting these proposals for the next development cycle is available here.

The documents linked below are components shared by all of the IHE domain technical frameworks. Each technical framework volume contains links to these documents where appropriate. They are posted here for ease of reference.

Comments from authors and other interested parties are invited on an ongoing basis. Submit your comments here »

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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.

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

Current Technical Framework – Revision 2.0

July 23, 2010
Copyright © 2010: IHE International, Inc.
Trial Implementation

These volumes provide specification of the following profile:

  • Anatomic Pathology Workflow (APW)

Supplements for Trial Implementation

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

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:

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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.

Cardiology White Papers

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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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.

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

Current Technical Framework – To Be 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 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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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 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.

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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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 15

July 24, 2018
Copyright © 2018: IHE International, Inc.
Final Text

These volumes provide specification of the following profiles:

  • Audit Trail and Node Authentication (ATNA)
  • Lucky Boutique Brand Brand Denim Lucky Shorts Boutique Denim 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)
  • Brand Denim Lucky Boutique Denim Brand Lucky Boutique Shorts 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)

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.

IT Infrastructure User Handbooks

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

IT Infrastructure White Papers

The IHE IT Infrastructure Technical Committee has published the following white papers. These white papers facilitate the use of existing IHE ITI profiles or scope the need for future profiles.

IT Infrastructure Archives

The archive page contains deprecated supplements and superseded versions of the Technical Framework Volumes, white papers and handbooks. As of July 2012, it also contains:

  • Superseded versions of trial implementation supplements
  • Current published versions of the Technical Framework Volumes and supplements

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_Brand Denim Boutique Shorts Lucky Lucky Denim Brand Boutique 2012-08-31
  • IHE_ITI_Suppl_XDW_Rev1.2_TI_2012-08-31
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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.

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

Current Technical Framework

The current Technical Framework in now located in the PaLM domain section (due to merger of AP and LAB domains).

Supplements for Trial Implementation

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

Laboratory Archives

The archive page contains deprecated supplements and superseded versions of the Technical Framework Volumes, white papers and handbooks. As of July 2012, it also contains:

  • Superseded versions of trial implementation supplements
  • Current published versions of the Technical Framework Volumes and supplements

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

Current Technical Framework – Revision 9.0

August 7, 2018
Copyright © 2018: IHE International, Inc.
Final Text

These volumes provide specification of the following profiles:

  • Laboratory Analytical Workflow (LAW)
  • Laboratory Testing Workflow (LTW)
  • Laboratory Device Automation (LDA)
  • Laboratory Point Of Care Testing (LPOCT)
  • Laboratory Code Set Distribution (LCSD)
  • Laboratory Specimen Barcode Labeling (LBL)
  • Sharing Laboratory Reports (XD-LAB)

Brief descriptions of these profiles are available here.

Supplements for Trial Implementation

None currently

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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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 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.

Patient Care Coordination Implementation Guides

Patient Care Coordination White Papers

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:

  • Denim Boutique Boutique Brand Shorts Brand Lucky Lucky Denim 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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Comments and implementer feedback on all documents can be submitted at PCD Public Comments

Current Technical Framework – Revision 7.0

November 09, 2017
Copyright © 2017: IHE International, Inc.

These volumes provide specification of the following profiles:

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

Brief descriptions of these profiles are available here.

Supplements for Trial Implementation

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

White Papers

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

User Handbook

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

Patient Care Device Archives

The archive page contains deprecated supplements and superseded versions of the Technical Framework Volumes, white papers and handbooks. As of July 2012, it also contains:

  • Superseded versions of trial implementation supplements
  • Current published versions of the Technical Framework Volumes and supplements

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_PCD_TF_Rev2.0_Vol1_FT_2012-08-16
  • IHE_PCD_Suppl_POI_Rev1.1_TI_2012-08-16
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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.

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

Current Technical Framework – Revision 0.1

September 2, 2011
Copyright © 2011: IHE International, Inc.
Trial Implementation

Supplements for Trial Implementation

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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.

Quality, Research and Public Health White Papers

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

The Quality, Research and Public Health Domain endorses the white paper developed by the Public Health Data Standards Consortium. The white paper provides two detailed examples of public health programs (immunization and cancer registries). It also identifies other programs for the development of technical specifications for interoperable systems in the future that manage public health, research, and quality. The white paper serves as a framing document for planning public health activities in IHE.

We invite public health professionals to join our collaborative efforts at IHE between the public health and HIT vendor communities to guide the development of the IHE Integration Profiles for interoperability among and between Electronic Health Record and Public Health Systems. These profiles will facilitate the necessary linkages, standardization and integration of health data between clinical care and public health to create robust overarching health information exchanges.

2006-2007 Supplement for Public Comment

The IHE Quality, Research and Public Health Technical Committee has published the initial profile below for public comment:

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:

  • Brand Lucky Boutique Boutique Lucky Brand Denim Shorts Denim 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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Comments and implementer feedback on all documents can be submitted at Radiation Oncology Public Comments

Current Technical Framework – Revision 1.8

June 26, 2014
Copyright © 2014: ASTRO, AAPM, RSNA, HIMSS, IHE International, Inc.
Final Text Version

These volumes provide specification of the following profile:

  • Basic Radiation Therapy Objects (BRTO)

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.

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_Suppl_MMRO-III

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_MMRO-III_Rev1.1_TI_2016-11-16
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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 in preparation for IHE Connectathons. A repository of Radiology’s Final Text Change Proposals and an “index” spreadsheet are located here.

Current Technical Framework – Revision 17.0

July 27, 2018
Copyright © 2018: IHE International, Inc.
Final Text Version

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

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.

IHE Radiology White Papers

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

Radiology Archives

The archive page contains deprecated supplements and superseded versions of the Technical Framework volumes, white papers and handbooks. As of July 2012, it also contains:

  • Superseded versions of trial implementation supplements
  • Current published versions of the Technical Framework volumes and supplements

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
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