IT Infrastructure (ITI) Domain

Topics

This section contains guidance on IHE offerings given a knowledge domain:

• Document Sharing Health Information Exchange White Paper
• Document Sharing: Profiles
• Consuming Data as FHIR Resources: Profiles and Content
• Patient Identity Management: White Paper and Profiles
• Provider Directory Solutions: Profiles and Content
• Security and Privacy Solutions: Handbooks, Profiles, and Content

Technical Framework

All Normative Final Text Profiles:

• Volume 1: Profile definition, use-case analysis, actor definition, and use of transactions and content
• Volume 2: Transaction definitions and constraints
• Volume 3: Document Sharing Metadata, and Content Profiles
• Volume 4: National Extensions
• Comprehensive FormatCode Vocabulary: For use with Document Sharing (XDS, XCA, MHD, etc)

Public Comment

The IHE IT Infrastructure Technical Committee has published the following supplement for public comment in the period from November 21, 2024 through January 2, 2025:

• Extensions to the Document Metadata Subscription (DSUB) Profile - Published 2024-11-21

Comments on this document should be submitted by January 2, 2025. Submit your comments here or create an ITI.DSUB_extensions GitHub Issue.

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) Release 1.1.3 - 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) Release 1.0.0 - Published 2024-02-29
• Extensions to Document Metadata Subscription - Revised 2023-08-04
• Finance and Insurance Service (FAIS) Release 1.0.0 - 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) Release 4.2.2 - Revised 2024-05-23
• Mobile Alert Communication Management (mACM) - Revised 2019-12-05
• Mobile Care Services Discovery (mCSD) Release 3.9.0 - Revised 2024-12-12
• Mobile Cross-Enterprise Document Data Element Extraction (mXDE) - Revised 2023-08-04
• Mobile Health Document Sharing (MHDS) Release 2.3.1 - Revised 2023-08-04
• Non-patient File Sharing (NPFS) Release 2.2.0 - Published 2023-11-17
• Notification of Document Availability (NAV) - Deprecated 2013-09-27
• Patient Demographics Query for Mobile (PDQm) Release 3.1.0 - Revised 2024-12-12
• Patient Identifier Cross-reference for Mobile (PIXm) Release 3.0.4 - Revised 2024-02-23
• Patient Master Identity Registry (PMIR) Release 1.5.0 - Revised 2022-08-09
• Patient Location Tracking (PLT) - Revised 2015-08-31
• Privacy Consent on FHIR (PCF) - Release 1.1.0 - Revised 2024-02-23
• Remove Metadata and Documents (RMD) - Revised 2023-08-04
• Restricted Metadata Update (RMU) - Revised 2021-07-02
• Scheduling Release 1.0.0 - Published 2024-12-12
• Secure Retrieve (SeR) Release 2.1 - Revised 2022-10-24
• Sharing of IPS (sIPS) Release 1.0.0 - Published 2023-11-17
• Sharing Valuesets, Codes, and Maps (SVCM) Release 1.5.1 - Revised 2023-08-04
• XCA Deferred Response Option - Published 2019-08-15
• XDS Metadata Update - Revised 2023-08-04

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 Handbook Revised 2014-06-06
  • Algorithm Mapping Spreadsheet Revised 2014-06-06
• Document Sharing Metadata Handbook Revised 2022-03-01
• Template for XDS Affinity Domain Deployment Planning Revised 2008-12-02

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

Archive

Please note the following regarding ITI Archives:

• As of Revision 17 (March 2021), the ITI Technical Framework has been published as HTML and is identified above with the icon. Archives of the HTML publication since Revision 17 are available as described here. The ITI Technical Framework prior to Revision 17 was published in PDF format and archives are available on the IT Infrastructure Archives page as discussed below.
• Some additional IT Infrastructure documents (e.g., supplements, white papers, and handbooks) are published as HTML and are identified above with the icon. For these documents, archives of the HTML publication are available as described here. Prior PDF format archives are available on the IT Infrastructure Archives page as discussed below.
• Additionally, some IT Infrastructure specifications (e.g., MHD, MHDS, mCSD) are published as HTML Implementation Guides and are identified above with the icons. For these specifications, the superseded version(s) can be found on the "Version History Table" page as described here. Prior PDF format archives are available on the IT Infrastructure Archives page as discussed below.
• Supplements, white papers, and handbooks published in PDF form, or prior versions of all specifications in PDF form, can be found at the IT Infrastructure Archives as described below.

The IT Infrastructure Archives page contains deprecated PDF 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_ITI_TF_Vol1
• IHE_ITI_Suppl_RMU

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_Rev17-0_Vol1_FT_2020-07-20
• IHE_PCC_Suppl_RMU_Rev1-3_TI_2021-07-02