Profiles

IHE Integration Profiles describe the solution to a specific integration problem, and document the system roles (Actors), standards and design details for implementers to develop systems that cooperate to address that problem.

IHE Profiles are a convenient way for implementers and users to be sure they're talking about the same solution without having to restate the many technical details that ensure actual interoperability.

For convenient reference, each Profile has a short acronym.

Each domain specifies a collection of Profiles for problems directly related to their domain.

Profiles available for implementation (i.e. released as Final Text or for Trial Implementation) are listed below.

Alternatively, see the alphabetized index of Profiles.

IHE Cardiology Profiles

• [CATH] - Cardiac Cath Workflow integrates ordering, scheduling, imaging acquisition, storage and viewing for Cardiac Catheterization procedures

• [ECHO] - Echocardiography Workflow integrates ordering, scheduling, imaging acquisition, storage and viewing for digital echocardiography

• [ECG] - Retrieve ECG for Display provides access throughout the enterprise to electrocardiogram (ECG) documents for review purposes

• [ED] - Evidence Documents adds Cardiology-specific options to the Radiology ED profile

• [IDCO] - Implantable Device Cardiac Observation specifies the creation, transmission, and processing of discrete data elements and report attachments associated with cardiac device interrogations (observations) or messages.

• [STRESS] - Stress Testing Workflow provides ordering and collecting multi-modality data during diagnostic Stress testing procedures

• [DRPT] - Displayable Reports distributes “display ready” (PDF) cardiology clinical reports from the department to the enterprise.

IHE Eyecare Profiles

• [EYECARE] - Eye Care Workflow manages and distributes the workflow across equipment within the eye clinic.

• [CHG] - Charge Posting collects and posts timely billable claims related to Eye Care procedures.

• [ECED] - Eye Care Evidence Documents manages observations, measurements, and peri-procedural results.

• [ECDR] - Eye Care Displayable Report supports the creation, query/retrieve and reading of ubiquitous display–ready eye care reports.

IHE IT Infrastructure Profiles

• [CT] Consistent Time ensures system clocks and time stamps of computers in a network are well synchronized (median error less than 1 second).

• [ATNA] Audit Trail and Node Authentication authenticates systems using certificates and sends PHI-related audit events to a repository to help implement confidentiality policies.

• [RID] Retrieve Information for Display provides simple (browser-based) read-only access to clinical information (e.g. allergies or lab results) located outside the user’s current application.

• [EUA] Enterprise User Authentication enables single sign-on by facilitating one name per user for participating devices and software.

• [PIX] Patient Identifier Cross Referencing cross-references patient identifiers between hospitals, sites, health information exchange networks, etc.

• [PSA] Patient Synchronized Application allows selection of a patient in one application to cause other applications on a workstation to tune to that same patient.

• [PDQ] Patient Demographics Query lets applications query a central patient information server and retrieve a patient’s demographic and visit information.

• [PAM] Patient Administration Management establishes the continuity and integrity of patient data in and across acute care settings, as well as among ambulatory caregivers.

• [XDS] Cross Enterprise Document Sharing registers and shares electronic health record documents between healthcare enterprises, ranging from physician offices to clinics to acute care in-patient facilities and personal health records.

• [PWP] Personnel White Pages provides basic directory information on human workforce members to other workforce members and applications.

• [NAV] Notification of Document Availability (in Trial Implementation since 2005-2006)

• [DSG] Document Digital Signature (in Trial Implementation since 2005-2006)

• [XDM] Cross-Enterprise Document Media Interchange (in Trial Implementation since 2006-2007) transfers XDS documents and metadata using CDs, USB memory, or email attachments.

• [XDR] Cross-Enterprise Document Reliable Interchange (in Trial Implementation since 2006-2007) exchanges health documents between health enterprises using a reliable point-to-point network communication.

• [XDS-SD] Cross-Enterprise Sharing of Scanned Documents (in Trial Implementation since 2007-2008) defines how to couple legacy paper, film, electronic and scanner outputted formats, represented within a structured HL7 CDA R2 header, with a PDF or plaintext formatted document containing clinical information.

• [PIX/PDQ/v3] Patient Identifier Cross-Reference and Patient Demographics Query for HL7v3 (in Trial Implementation since 2007-2008) extends the Patient Identifier Cross-Reference and Patient Demographics Query profiles leveraging HL7 version 3.

• Registry Stored Query Transaction for Cross-Enterprise Document Sharing Profile (in Trial Implementation since 2007-2008) adds a single transaction, Stored Query, to the XDS Profile. Stored Query is a large improvement over the existing Query Registry transaction since it removes the use of SQL.

• [RFD] Retrieve Form for Data Capture (in Trial Implementation since 2007-2008) enables EHR applications to directly request forms from clinical trial sponsors and public health reporting.

• [XCA] Cross-Comunity Access (in Trial Implementation since 2007-2008) allows to query and retrieve patient relevant health data held by other communities. Such communities may be XDS Affinity Domains which define document sharing using the XDS profile or any other communities, no matter what their internal sharing structure.

• [XUA] Cross-Enterprise User Assertion (in Trial Implementation since 2007-2008)

• [XDS.b] Cross-Enterprise Document Sharing - b (in Trial Implementation since 2007-2008)

• [BPPC] Basic Patient Privacy Consents (in Trial Implementation since 2007-2008)

IHE Laboratory Profiles

• [LTW] - Laboratory Testing Workflow integrates ordering and performance of in-vitro diagnostic tests by a clinical laboratory inside a healthcare institution.

• [XD-LAB] - Sharing Laboratory Reports describes the content (human and machine readable) of an electronic clinical laboratory report.

• [LDA] - Laboratory Device Automation integrates an Automation Manager and robotic laboratory equipment (pre-analytical devices, analyzers, post-analytical devices) in a clinical lab.

• [LBL] - Laboratory Barcode Labeling integrates robotic specimen container labeling systems with sources of order-related labelling information.

• [LPOCT] - Laboratory Point Of Care Testing integrates performing and collecting the results of in-vitro testing at the point of care or patient’s bedside.

• [LCSD] - Laboratory Code Sets Distribution distributes managed sets of clinical laboratory codes (battery, test and observation codes).

• [LSWF] - Laboratory Scheduled Workflow is deprecated. It is superseded by Laboratory Testing Workflow.

• [LIR] - Laboratory Information Reconciliation is deprecated. It is superseded by Laboratory Testing Workflow.

IHE Pathology Profiles

• [PWF] - Pathology Workflow.

IHE Patient Care Coordination Profiles

• [MS] Medical Summaries Profile defines the content and format of Discharge Summaries and Referral Notes.

• [XPHR] Exchange of Personal Health Record Content Profile describes the content and format of summary information extracted from a PHR system for import into an EHR system, and visa versa.

• [EDR] Emergency Department Referral Profile allows clinicians to create electronic referrals to the emergency room including the nature of the current problem, past medical history, and medications. Upon arrival of the patient to the Emergency Department, the patient is identified as a referral, and the transfer document is incorporated into the EDIS. This profile builds on medical summaries by adding structures to pass data specific for ED referrals such as the estimated time of arrival and method of transport.

• [APS] Antepartum Care Summary Profile describes the content and format of summary documents used during antepartum care.

• [FSA] Functional Status Assessments Profile describes the content and format of Functional Status Assessments that appear within summary documents.

• [EDES] Emergency Department Encounter Summary Profile describes the content and format of records created during an emergency department visit.

• [QED] Query for Existing Data Profile allows information systems to query data repositories for clinical information on vital signs, problems, medications, immunizations, and diagnostic results.

• [APR] Antepartum Record Profile describes the content and format of the history and physical, laboratory results, and education information as well as a summary of pertinent information including allergies, problems/plans, medications, estimated due dates, and visit summary flowsheet. This is data that is relevant to the course of antenatal care.

• [CM] Care Management Profile provides a mechanism for EHR and other HIT systems to communicate information to Care Management systems in support of specialized care programs through the use of evidence based guidelines.

• [IC] Immunization Content Profile defines the content and format of immunization data.

• [CPR] Cancer Registry Pathology Report Profile defines the the content used in the PCC-11 to send a completed pathology report to a Cancer Registry using an HL7 Version 2.3.1 ORU message.

IHE Patient Care Device Profiles

• [DEC] Device Enterprise Communication communicates PCD data to Enterprise applications (CIS, EMRs, etc.) using consistent semantics and message profiles.

IHE Quality, Research, and Public Health Profiles

• [CRD] Clinical Research Data Capture defines the content to be used in the RFD Retrieve Form [IT I-34] transaction with the Pre-population argument. This data can be used by a Form Manager to produce a Standard Case Report Form in a ODM format which is mapped to CDASH.

IHE Radiation Oncology Profiles

• [NTPL-S] Normal Treatment Planning-Simple illustrates flow of treatment planning data from CT to Dose Review for basic treatments

• [MMR-RO] Multimodality Registration for Radiation Oncology integrates PET and MRI data into the contouring and dose review process.

• [TRWF] RT Treatment Workflow integrates daily imaging with radiation therapy treatments using workflow

IHE Radiology Profiles

Profiles for Workflow

• [SWF] Scheduled Workflow integrates ordering, scheduling, imaging acquisition, storage and viewing for Radiology exams.

• [PIR] Patient Information Reconciliation coordinates reconciliation of the patient record when images are acquired for unidentified (e.g. trauma), or misidentified patients.

• [PWF] Post-Processing Workflow provides worklists, status and result tracking for post-acquisition tasks, such as Computer-Aided Detection or Image Processing.

• [RWF] Reporting Workflow provides worklists, status and result tracking for reporting tasks, such as dictation, transcription and verification.

• [IRWF] Import Reconciliation Workflow manages importing images from CDs, hardcopy, XDS-I, etc. and reconciling identifiers to match local values.

Profiles for Content

• [NM] Nuclear Medicine Image (in Trial Implementation) specifies how Nuclear Medicine images and result screens are created, exchanged, used and displayed.

• [MAMMO] Mammography Image specifies how Mammography images and evidence objects are created, exchanged, used and displayed.

• [ED] Evidence Documents specifies how data objects such as digital measurements are created, exchanged, and used.

• [SINR] Simple Image and Numeric Report specifies how Diagnostic Radiology Reports (including images and numeric data) are created, exchanged, and used.

• [REM] Radiation Exposure Management (in Trial Implementation) specifies how radiation details from imaging procedures are created, exchanged and used.

Profiles for Presentation

• [KIN] Key Image Note lets users flag images as significant (e.g. for referring, for surgery, etc.) and add notes.

• [CPI] Consistent Presentation of Images maintains consistent intensity and image transformations between different hardcopy and softcopy devices.

• [PGP] Presentation of Grouped Procedures facilitates viewing and reporting on images for individual requested procedures (e.g. head, chest, abdomen) that an operator has grouped into a single scan.

• [FUS] Image Fusion (in Trial Implementation) integrates different systems creating, registering and displaying fused image sets and storing their results.

Profiles for Infrastructure

• [PDI] Portable Data for Imaging provides reliable interchange of image data and diagnostic reports on CDs for importing, printing, or optionally, displaying in a browser.

• [XDS-I] Cross-enterprise Document Sharing for Imaging extends XDS to share images, diagnostic reports and related information across a group of care sites.

• [TCE] Teaching File and Clinical Trial Export lets users flag images and related information for automatic routing to teaching file authoring or clinical trials management systems.

• [ARI] Access to Radiology Information shares images, diagnostic reports, and related information inside a single network.

• [ATNA] Audit Trail and Node Authentication - Radiology Option defines Radiology-specific audit trail messages and security measures to protect the confidentiality of patient information.

• [CHG] Charge Posting provides timely procedure details from modalities to billing systems.