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1 Introduction
- 1.1 Introduction to IHE
- 1.2 Introduction to IHE IT Infrastructure (ITI) Technical Framework
- 1.3 Intended Audience
- 1.4 Prerequisites and Reference Material
- 1.5 Overview of Technical Framework Volume 1
- 1.6 Comment Process
- 1.7 Copyright Licenses
- 1.8 Trademark
- 1.9 Disclaimer Regarding Patent Rights
- 1.10 History of Document Changes
- 1.11 Security Implications
IT Infrastructure (ITI) Technical Framework Volume 1
Volume 1 of the ITI Technical Framework contains the descriptions of each ITI Profile.
Introduction
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2 IT Infrastructure Integration Profiles
- 2.1 Dependencies among Integration Profiles
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2.2 Integration Profiles Overview
- 2.2.1 Intentionally Left Blank.
- 2.2.2 Intentionally Left Blank.
- 2.2.3 Retrieve Information for Display (RID)
- 2.2.4 Enterprise User Authentication (EUA)
- 2.2.5 Patient Identifier Cross-referencing (PIX)
- 2.2.6 Patient Synchronized Applications (PSA)
- 2.2.7 Consistent Time (CT)
- 2.2.8 Patient Demographics Query (PDQ)
- 2.2.9 Audit Trail and Node Authentication (ATNA)
- 2.2.10 Cross-Enterprise Document Sharing (XDS)
- 2.2.11 Personnel White Pages (PWP)
- 2.2.12 Intentionally Left Blank
- 2.2.13 Cross Enterprise User Assertion (XUA)
- 2.2.14 Patient Administration Management (PAM)
- 2.2.15 Cross-Enterprise Document Reliable Interchange (XDR)
- 2.2.16 Cross-Enterprise Document Media Interchange (XDM)
- 2.2.17 Retrieve Form for Data Capture (RFD)
- 2.2.18 Cross-Community Access (XCA)
- 2.2.19 Basic Patient Privacy Consents (BPPC)
- 2.2.20 Scanned Documents Integration Profile (XDS-SD)
- 2.2.21 Sharing Value Set Integration Profile (SVS)
- 2.2.22 Document-based Referral Request (DRR)
- 2.2.23 Patient Identifier Cross-referencing HL7 V3 (PIXV3)
- 2.2.24 Patient Demographics Query HL7 V3 (PDQV3)
- 2.2.25 Multi-Patient Queries (MPQ)
- 2.2.26 Document Metadata Subscription (DSUB)
- 2.2.27 Cross-Community Patient Discovery (XCPD)
- 2.2.28 Healthcare Provider Directory (HPD)
- 2.2.29 Cross-Community Fetch (XCF)
- 2.2.30 Cross-Enterprise Document Workflow (XDW)
- 2.2.31 XAD-PID Change Management (XPID)
- 2.2.32 Document Encryption (DEN)
- 2.2.33 Mobile access to Health Documents (MHD)
- 2.2.34 Internet User Authorization (IUA)
- 2.2.35 Care Services Discovery (CSD)
- 2.2.36 Patient Location Tracking (PLT)
- 2.2.37 Document Digital Signature (DSG)
- 2.2.38 Patient Demographics Query for Mobile (PDQm)
- 2.2.39 Secure Retrieve (SeR)
- 2.2.40 Cross-Community Document Reliable Interchange (XCDR)
- 2.2.41 Patient Identifier Cross-reference for Mobile (PIXm)
- 2.2.42 Mobile Alert Communication Management (mACM)
- 2.2.43 Advanced Patient Privacy Consents (APPC)
- 2.2.44 Remove Metadata and Documents (RMD)
- 2.2.45 Mobile Cross-Enterprise Document Data Element Extraction (mXDE)
- 2.2.46 Mobile Care Services Discovery (mCSD)
- 2.2.47 Non-Patient File Sharing (NPFS)
- 2.2.48 Restricted Metadata Update (RMU)
- 2.2.49 Patient Master Identity Registry (PMIR)
- 2.2.50 Mobile Health Document Sharing (MHDS)
- 2.2.51 Sharing Valuesets, Codes, and Maps (SVCM)
- 2.2.52 Basic Audit Log Patterns (BALP)
- 2.2.53 Privacy Consent on FHIR (PCF)
- 2.2.54 Document Subscription for Mobile (DSUBm)
- 2.2.55 TBD
- 2.2.56 Sharing of IPS (sIPS)
- 2.3 Product Implementations
Profiles
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5 Patient Identifier Cross-referencing (PIX)
- 5.1 PIX Actors/Transactions
- 5.2 PIX Actor Options
- 5.3 Patient Identifier Cross-referencing Profile Process Flows
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9 Audit Trail and Node Authentication (ATNA) Profile
- 9.1 ATNA Actors/Transactions
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9.2 ATNA Actor Options
- 9.2.1 ATNA Encryption Option (retired)
- 9.2.2 Radiology Audit Trail Option
- 9.2.3 This section intentionally (temporarily) left blank
- 9.2.4 This section intentionally (temporarily) left blank
- 9.2.5 FQDN Validation of Server Certificate Option
- 9.2.6 Secure Transport (STX) Options
- 9.2.7 Audit Transport (ATX) Options
- 9.3 ATNA Required Actor Groupings
- 9.4 ATNA Overview
- 9.5 ATNA Security Considerations
- 9.6 ATNA Cross Profile Considerations
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10 Cross-Enterprise Document Sharing (XDS.b)
- 10.1 XDS.b Actors/Transactions
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10.2 XDS.b Actor Options
- 10.2.1 Document Replacement Option
- 10.2.2 Document Addendum Option
- 10.2.3 Document Transformation Option
- 10.2.4 Folder Management Option
- 10.2.5 Asynchronous Web Services Exchange Option (WS-Addressing based)
- 10.2.6 Reference ID Option
- 10.2.7 On-Demand Documents Option
- 10.2.8 Persistence of Retrieved Documents Option
- 10.2.9 Basic Patient Privacy Enforcement Option
- 10.2.10 Delayed Document Assembly Option
- 10.3 Integration Profile Process Flow
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10.4 General Principles
- 10.4.1 EDR-CR Concept
- 10.4.2 XDS Document Concept
- 10.4.3 Submission Request
- 10.4.4 Submission Set Concept
- 10.4.5 Concept of Folder
- 10.4.6 Example of use of Submission Request, Submission Set and Folder
- 10.4.7 XDS Registry Data Model and Attributes
- 10.4.8 Concept of an XDS Affinity Domain
- 10.4.9 Patient Identification Management
- 10.4.10 Document Lifecycle
- 10.4.11 Document Query
- 10.5 Implementation Strategies
- 10.6 Patient Identifier Communication Requirements
- 10.7 Security Considerations
- 10.8 Intentionally Left Blank
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14 Patient Administration Management (PAM)
- 14.1 Patient Administration Management Use Cases
- 14.2 Patient Identity Management Use Case
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14.3 PAM Actor Options
- 14.3.1 Merge Option
- 14.3.2 Link / Unlink Option
- 14.3.3 Inpatient / Outpatient Encounter Management Option
- 14.3.4 Pending Event Management Option
- 14.3.5 Advanced Encounter Management Option
- 14.3.6 Temporary Patient Transfer Tracking Option
- 14.3.7 Historic Movement Option
- 14.3.8 Acknowledgement Support Option
- 14.3.9 Maintain Demographics Option
- 14.3.10 Ambulatory Patient Data Option
- 14.4 Patient Administration Management Profile Actor Grouping
- 14.5 Patient Administration Management Process Flow
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17 Retrieve Form for Data Capture (RFD)
- 17.1 Use Cases
- 17.2 RFD Actors/Transactions
- 17.3 RFD Options
- 17.4 Retrieve Forms for Data Capture Process Flow
- 17.5 Security Considerations
- 18 Cross-Community Access (XCA)
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21 Sharing Value Sets (SVS)
- 21.1 SVS Actors/Transactions
- 21.2 SVS Actor Options
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21.3 SVS Process Flow
- 21.3.1 Overview of the entire process flow
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21.3.2 Use Cases
- 21.3.2.1 Distributing a consistent nomenclature in an XDS Affinity Domain
- 21.3.2.2 Updating terminology codes for a medical and billing across systems
- 21.3.2.3 Consistent Encoding Terms for anatomical regions in imaging
- 21.3.2.4 Modification of a protocol code for a mammogram exam
- 21.3.2.5 Distributing Value Sets from SDOs and other master sources
- 21.3.2.6 Obtaining value sets based upon metadata
- 21.4 SVS Security Considerations
- 23 Patient Identifier Cross-referencing HL7 V3 (PIXV3)
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26 Document Metadata Subscription (DSUB)
- 26.1 DSUB Actors/Transactions
- 26.2 DSUB Actor Options
- 26.3 DSUB Required Actor Groupings
- 26.4 DSUB Overview
- 26.5 DSUB Security Considerations
- 26.6 DSUB Cross Profile Considerations