Radiology (RAD) Domain

Technical Framework (Revision 22.0)

All Normative Final Text Profiles

Final Text (Approved) Change Proposals: In addition to the Technical Framework Volumes listed below, implementers should also review Final Text CPs. An index spreadsheet providing the location (Rad Process tab) and the status (CPs tab) of Radiology’s Change Proposals (including Final Text) is located here.

• Volume 1 (RAD TF-1): Integration Profiles - Published 2024-06-25
• Volume 1x (RAD TF-1x): Appendices to Integration Profiles - Published 2024-06-25
• Volume 2 (RAD TF-2): Transactions - Published 2024-06-25
• Volume 2x (RAD TF-2x): Appendices to Transactions - Published 2024-06-25
• Volume 3 (RAD TF-3): Cross-Transaction Specifications and Content Specifications - Published 2024-06-25
• Volume 4 (RAD TF-4): National Extensions - Published 2024-06-25

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. 15.0
• Scheduled Workflow.b (SWF.b) - Added 2020-09-18 Rev. 19.0
• Management of Radiology Report Templates (MRRT) - Added 2022-03-10 Rev. 20.0
• Radiation Exposure Monitoring for Nuclear Medicine (REM-NM) - Added 2023-06-15 Rev. 21.0
• Basic Image Review (BIR) - Added 2024-06-25 Rev. 22.0
• Web-based Image Access (WIA) - Added 2024-06-25 Rev. 22.0
• Web-based Image Capture (WIC) - Added 2024-06-25 Rev. 22.0

Brief descriptions of these profiles are available here.

Public Comment

The IHE Radiology Technical Committee has published the following supplement for public comment in the period from May 9 through May 31, 2024:

• Imaging Diagnostic Report (IDR) - Published 2024-05-09

Comments on this document should be submitted by May 31, 2024. Submit your comments here.

Supplements for Trial Implementation

Submit comments and implementer feedback here. Additionally, for documents maintained in the IHE GitHub Repository, a link to submit GitHub issues is included following the document name in the list below.

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 are eligible for testing at subsequent IHE Connectathons.

Final Text (Approved) Change Proposals: In addition to the Technical Framework Supplements listed below, implementers should also review Final Text CPs. An index spreadsheet providing the location (Rad Process tab) and the status (CPs tab) of Radiology’s Change Proposals (including Final Text) is located here.

• AI Results (AIR) - Revised 2022-07-06
• AI Workflow for Imaging (AIW-I) - Published 2020-08-06
• Basic Image Review (BIR) - Incorporated into Rev. 22.0 of the Technical Framework
• Chest X-Ray CAD Display (CXCAD) - Retired 2024-06-25 See the Radiology Archive page.
• Clinical Decision Support Order Appropriateness Tracking (CDS-OAT) - Revised 2019-04-25
• Contrast Administration Management (CAM) - Published 2021-04-30
• Cross-Enterprise Document Reliable Interchange of Images (XDR-I) - Revised 2019-08-09
• Cross-Enterprise Remote Read Workflow Definition (XRR-WD) - Published 2017-01-13
• CT/MR Perfusion Imaging with Contrast (PERF) - Revised 2015-04-21
• Encounter-Based Imaging Workflow (EBIW) - Revised 2019-05-13
• Extensions to the Portable Data for Imaging (PDI) - Published 2009-21-06
• Image Fusion (FUS) - Published 2006-04-13
• Imaging Object Change Management Extension (IOCM Extension) - Revised 2019-08-09
• Import and Display of External Priors (IDEP) - Published 2019-05-30
• Import Reconciliation Workflow (IRWF.b) - Revised 2016-09-09
• Integrated Reporting Applications (IRA) - Published 2023-10-04 (Create a GitHub Issue)
• Interactive Multimedia Report (IMR) - Published 2025-06-25 (Create a GitHub Issue)
• Invoke Image Display (IID) - Revised 2016-09-09
• Mammography Acquisition Workflow (MAWF) - Retired 2024-06-25 See the Radiology Archive page.
• Management of Acquisition Protocols (MAP) Published 2024-06-25
• MR Diffusion Imaging (DIFF) - Published 2009-06-21
• Multiple Image Manager/Archive (MIMA) - Revised 2023-06-15
• Nuclear Medicine Image Integration Profile (NMI) with Cardiac Option - Incorporated into Rev. 22.0 of the Technical Framework
• Post-Acquisition Workflow (PAWF) - Published 2012-06-15
• Prioritization Of Worklists for Reporting (POWR) - Published 2023-08-22
• Radiology Remote Reading Workflow (RRR-WF) - Published 2015-12-14
• Results Distribution (RD) - Revised 2019-08-09
• Standardized Operational Log of Events (SOLE) - Revised 2023-06-15
• Stereotactic Mammography Image (SMI) - Retired 2024-06-24 See the Radiology Archive page.
• Web-based Image Access (WIA) - Incorporated into Rev. 22.0 of the Technical Framework
• Web-based Image Capture (WIC) - Incorporated into Rev. 22.0 of the Technical Framework

White Papers

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

• AI Interoperability in Imaging - Published 2021-10-12
• Code Mapping in IHE Radiology Profiles - Revised 2024-06-25
• Cross-Enterprise Screening Mammography Workflow Definition - Published 2012-12-17
• Departmental Workflow - Published 2004-04-15
• Management of Radiology Report Templates - Published 2012-12-17

Archive

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_AIR

Those links always return the most recent published document and support linking (Technical Framework Volumes only) 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_Rev20-0_Vol1_FT_2022-03-10
• IHE_RAD_Suppl_AIR_Rev1-2_TI_2020-07-16