ITI Technical Framework webpage Aug 2009

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NOTE: The actually Technical Framework page has many problems which have been reported. See ITI Technical Framework Page Problems for details.

IT Infrastructure Technical Framework
Comments and implementer feedback on all documents can be submitted to the online discussion forums at

Current Technical Framework - Revision 6.0
XX-XX, 2009
Copyright © 2009: IHE
Final Text Version

  • Vol. 1 (ITI TF-1): Integration Profiles
  • Vol. 2: Transactions - volume 2 is broken up in several documents which together comprise volume 2
  • Vol. 2a (ITI TF-2a): Transactions ITI-1 through ITI-28. These transactions are used in the following profiles CT, PSA, PIX, RID, XDS.a (deprecated), ATNA, PDQ, PWP, NAV
  • Vol. 2b (ITI TF-2b): Transactions (cont'd) ITI-29 through ITI-50. These transactions are used in the following profiles PAM, XDM, XUA, XDS
  • Vol. 2x (ITI TF-2x): Appendices A through W and glossary
  • Vol. 3 (ITI TF-3): Contains Section 4 Cross-Transaction Specifications and Section 5 IHE Content Specifications

These volumes provide specification of the following profiles:

  • Audit trail and Node Authentication (ATNA)
  • Basic Patient Privacy Consents (BPPC)
  • Consistent Time (CT)
  • Cross-Enterprise Document Media Interchange (XDM)
  • Cross-Enterprise Document Sharing (XDS.a) (Deprecated - will be removed in revision 7.0)
  • Cross-Enterprise Document Sharing (XDS.b)
  • Cross-Enterprise Sharing of Scanned Documents (XDS-SD)
  • Cross-Enterprise User Assertion (XUA)
  • Enterprise User Authentication (EUA)
  • Patient Administration Management (PAM)
  • Patient Demographics Query (PDQ)
  • Patient Identifier Cross-Referencing (PIX)
  • Patient Synchronized Applications (PSA)
  • Personnel White Pages (PWP)
  • Retrieve Information for Display (RID)

Brief descriptions of these profiles are available here

Change Proposal Incorporated in ITI-TF 6.0 Text
The links below provide access to full documentation of Change Proposals incorporated into the text of the ITI-TF:

Supplements for Trial Implementation
The IHE IT Infrastructure Technical Committee invites organizations to begin development work based on the following supplements to the IT Infrastructure Technical Framework for Trial Implementation. These trial implementation profiles will be tested at the IHE Connectathons in January and April 2010. Supplements extend the IHE ITI Technical Framework 6.0 for Trial Implementation.

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

Support Material
Support material is provided to help vendors implementing ITI profiles.

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

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

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

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

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

  • Cross-Enterprise User Authentication White Paper
  • Publish/Subscribe Infrastructure for XDS.b
  • Vol. 1 (ITI TF-1): Integration Profiles Revision 5.0
  • Vol. 2 (ITI TF-2): Transactions Revision 5.0
  • Vol. 1 (ITI TF-1): Integration Profiles Revision 4.0
  • Vol. 2 (ITI TF-2): Transactions Revision 4.0

Comments on these documents can be submitted to the online discussion forums at