Ambulance Domain Message Specification

This specification contains details of message definitions and interactions required to support Ambulance messaging.

An Introduction to NHS dm+d and SNOMED CT UK Drug Extension – A series of short webinars

Short webinars (each no longer than 5-10minutes) have been developed providing information about the NHS Dictionary of Medicines and Devices (dm+d) and the SNOMED CT UK Drug Extension

1) Introduction to dm+d. This short 10 minute webinar provides a brief introduction about dm+d, what it is and why we need it.

http://www.nwyhelearning.nhs.uk/elearning/nhsdigital/dmd_Introduction/index.html

2) dm+d browser demonstration

This is a 10 minute demonstration of the BSA dm+d browser. As well as demonstrating how to use the browser to search for medicines and devices, it also gives you a good insight into the 5 box dm+d model and what additional information is associated with each description

http://www.nwyhelearning.nhs.uk/elearning/nhsdigital/dmd_browserdemo/index.html

3) Downloading dm+d and SNOMED CT UK Drug Extension files from the TRUD server

This short 10 minute webinar demonstrates how to locate and download the dm+d and SNOMED CT Extension files from the TRUD server.

http://www.nwyhelearning.nhs.uk/elearning/nhsdigital/dmd_TRUD_download/index.html

4) dm+d 5 box model unravelled.

This short webinar will give you further insight into the 5 box model and how each box within the model and its associated attributes support various uses such as prescribing, dispensing and recoding of medicines information.

http://www.nwyhelearning.nhs.uk/elearning/nhsdigital/dmd_5box_model/index.html

Basic Anatomy and Physiology eLearning module

Promoting an understanding of diseases and operations described in case notes by providing information on body systems, how they work together, and the terminology used to describe them. This module must be completed prior to attendance on an 18-day Clinical Coding Foundation Course.

Cancer Outcomes and Services Data Set XML Schema

The Cancer Outcomes and Services Data Set provides a standard for secondary uses information required to support implementation and monitoring of Improving Outcomes: A Strategy for Cancer.

Care Plan Content

This item is no longer available.

If you have any questions or concerns about this change, especially if you are using this item in live clinical systems or plan to in the future, contact us.

We are happy to assist with the implementation of SNOMED CT in care planning and have clinical staff and terminologists experienced in this area.

For more information, read Using SNOMED CT in health and social care for care planning (external PDF).

Child Health Data Sharing Domain Message Specification

This specification supports the sharing of child health records, for example to support the eRedbook initiative.

Child Protection Information Sharing Domain Message Specification

This specification contains details of message definitions and interactions required to support the rollout of the Child Protection Information Sharing (CP-IS) system.

A Release Candidate (RC) designates the document as being available for production build purposes, and available for First of Type deployment. Accreditation to this specification is available, but it should be noted that there may be a need to incorporate minor amendments when the specification reaches Final status.

Child Screening Domain Message Specification Pack

This specification details the message definitions and interactions required to support the Child Screening work stream.

Commissioning Data Set XML Schema

Commissioning Data Sets form the basis of data on activity carried out by organisations reported centrally for monitoring and payment purposes. They support the current Healthcare Resource Group (HRG) version for calculation of payment to trusts and monitoring of other initiatives.

Community Services Data Set (CSDS) Intermediate Database (IDB)

CSDS submissions must be made using the latest CSDS Intermediate Database (IDB).

The structure of the Intermediate Database tool (IDB) must not be altered in any way and will be validated upon receipt of the submission to the SDCS Cloud. All the tables must be present, even if some of these are not appropriate to the submission (based on the activity that has taken place). All the fields listed in each table must also be present and the field types must be exactly as specified.

The data items required to populate the IDB should be extracted directly from the appropriate local information systems such as a clinical system or Patient Administration System (PAS).

Community Services Data Set (CSDS) XML Conversion Tool

MS Access-based tool for producing an XML file for submission to the CSDS.

The zip file contains a guidance document on the use of the XML Conversion Tool. This can be used for data submissions to the Bureau Services Portal (BSP) for CSDS v1.0. Providers are recommended to use a local, secure stand-alone machine to run the conversion tool, rather than running this from the network, otherwise this could have a detrimental impact on performance. The tool is a worked example and is not currently centrally supported, but we would still appreciate any feedback or comments via enquiries@nhsdigital.nhs.uk.

Community Services Data Set commissioner extract XML schema

File structure for the outgoing Commissioner Extracts.

Extracts are available for commissioners following post-deadline processing, and after they have been made available for providers. Commissioners will only have sight of these once they have been loaded into the data warehouse. Their view will only show pseudonymised data.

Community Services Data Set post-deadline extract XML schema

File structure for the outgoing Provider Post-Deadline Extracts.

Following post-deadline processing (once the submission window has closed), the BSP generates a 'post-deadline' extract for providers, which contains the elements of their data taken into data storage.

Community Services Data Set pre-deadline extract XML schema

File structure for the outgoing Provider Pre-Deadline Extracts.

Once a provider has submitted a successful file and it has been processed, a pre-deadline extract can be downloaded. Further processing is later required to produce the post-deadline extracts (this takes place after the submission deadline).

Community Services Data Set XML Schema

The Community Services Data Set collects information for people who are in contact with NHS-funded Community Health Services.

Crisis Care Extract Domain Message Specification

This specification contains details of message definitions and interactions required for Crisis Care Extract messaging to support the sharing of care plans for urgent and emergency care.

Diagnostic Imaging Data Set XML Schema

The Diagnostic Imaging Data Set collects information on diagnostic imaging tests.

Discharge Domain Message Specification

Please contact the Interoperability Standards Service for the latest information about this.

dm+d XML Transformation Tool

This application can be used to read the NHS Dictionary of Medicines and Devices weekly release (NHSBSA dm+d) XML files and convert the content into both Microsoft Excel spreadsheets and CSV (comma separated value) files. The tool has a number of dependencies:

• Runs on Microsoft Windows only (Fully tested on Windows 7)
• Runs from the C drive of the computer which may require local administrator permission
• Requires Microsoft Excel (Fully tested with Excel 2010)
• Uses a Microsoft Excel Macro enabled spreadsheet

The NHSBSA dm+d release is not included with the tool and must be downloaded separately.

Electronic Prescription Service Domain Message Specification

Electronic Prescription Service enables prescribers - such as GPs and practice nurses - to send prescriptions electronically to a dispenser (such as a pharmacy) of the patient's choice. This makes the prescribing and dispensing process more efficient and convenient for patients and staff.

Emergency Department Domain Message Specification

Please contact the Interoperability Standards Service for the latest information about this.

End of Life Domain Message Specification

This specification contains details of message definitions and interactions required to support the End of Life QIPP work stream.

eViewer (eVersion) Application

This pack contains the application used to view the ICD-10 and OPCS-4 eVersion books and the National Clinical Coding Standards (NCCS) reference books.

Before installing this software and before downloading the ICD-10 and/or OPCS-4 eVersion books, please read all documentation. Specifically, read and follow the steps in the NHS Digital eViewer, ICD10 and OPCS-4 eVersion Installation Guide, included in the zip file.

Note: The release pack contains executable files and some users may require administrator rights to install the software. Please contact your IT Department for technical assistance before contacting the NHS Digital Information Standards Service Desk, as administrator rights are managed locally.

FGM RIS - Domain Message Specification

The FGM RIS Domain Message Specification contains details of FHIR message definitions and interactions required to support the rollout of the FGM Risk Indication System NHS Spine 2 National Service interface.

GTIN to OPCS-4 code cross reference file

The Global Trade Item Number (GTIN) to OPCS-4 code cross reference file has a GTIN for every OPCS-4 code. The pack contains the data file and important guidance about the creation and management of GTINs for OPCS-4.

Health and Social Care Integration Domain Message Specification

This specification supports the communication requirements of the Common Assessment Framework for Adults.

This Department of Health policy is intended to improve the experience of individuals and their carers who use health and social care services by introducing a more proportionate and personalised assessment and care and support planning process, supported by information sharing between NHS and social care IT systems. The programme of work has three core components: Assessment with Care and Support Planning, Hospital Discharge Notifications to Social Care and NHS Continuing Healthcare.

This pack must be used in conjunction with the contents of the NHS Interoperability Toolkit Core Pack.

Health Protection Electronic Notification (HPEN) Domain Message Specification

This specification enables the electronic notification of notifiable diseases from primary care to Public Health England.

HIV and AIDS Reporting Data Set XML Schema

The HIV and AIDS Reporting Data Set collects information on patients who are newly diagnosed with Human Immunodeficiency Virus (HIV) or newly transferred to other Health Care Providers.

ICD-10 eVersion Book

This pack contains the ICD-10 5th Edition eVersion book, which is an electronic copy of ICD-10 5th Edition for adding to the eViewer application.

Before downloading this pack, ensure that you have installed the latest eViewer (eVersion) Application (Version 1.4.3).

Instructions on adding the eVersion Book into the eViewer can be found within the Installation guide within the eViewer Application pack.

Please note that following implementation of the ICD-10 5th Edition on 1 April 2016 a number of errors were discovered in the printed ICD-10 5th Edition volumes published by the World Health Organisation (WHO). A number of these errors are replicated in the ICD-10 5th Edition eVersion.

For users of the eVersion we have produced a set of shared errata notes which can be imported into the eVersion.

The notes are produced in XML format and are available, including instructions on how to import them into the eVersion, from Delen.

Improving Access to Psychological Therapies (IAPT) Data Set Intermediate Database (IDB)

IAPT submissions must be made using the latest IAPT Intermediate Database (IDB).

The structure of the Intermediate Database tool (IDB) must not be altered in any way and will be validated upon receipt of the submission to the SDCS Cloud. All the tables must be present, even if some of these are not appropriate to the submission (based on the activity that has taken place). All the fields listed in each table must also be present and the field types must be exactly as specified.

The data items required to populate the IDB should be extracted directly from the appropriate local information systems such as a clinical system or Patient Administration System (PAS).

Information Sharing to Tackle Violence Data Set XML Schema

The Information Sharing to Tackle Violence Minimum Data Set collects anonymised information on patients presenting at Accident and Emergency Departments for treatment as a result of a violent assault. This information is to be shared with Community Safety Partnerships (formerly known as Crime and Disorder Reduction Partnerships in England) to reduce community violence.

Interoperability Toolkit - TMS Transport

This document provides the requirements for ITK Accredited Systems to nationally exchange messages via the National Spine Transaction Messaging System.

Interoperability Toolkit XDS Adapter

ITK Cross Enterprise Document Sharing (XDS) Adapter - provides the requirements for ITK Accredited Systems to interact with an IHE Registry/Repository.

Should you wish to comment on this specification or for any content enquiries, please email HSCIC Interoperability Team

ITK Accreditation

Please note that content for this pack is no longer published on this website. ITK Accreditation information can now be found on the NHS Developer Network

The Interoperability Toolkit (ITK) Accreditation pack contains tools and guidance for attaining accreditation to the ITK Standard. It is applicable to all System Suppliers wishing to seek accreditation.

In order to attain ITK Accreditation, a vendor must demonstrate the technical conformance of their product with respect to the ITK requirements specifications by submitting evidences of this conformance to HSCIC for review. This will be achieved through use of the ITK Toolkit Workbench, along with completion of the Supplier Certified Requirements Coverage check list and by providing supporting evidence. All successful Accreditations are listed within the ITK Accreditation Catalogue.

ITK Architecture

These documents are intended for a mixed technical audience, specifically those intending to develop ITK Accredited Systems, as well as those in the Health and Social Care Architecture communities.

There are eight documents in two categories. The first part provides an overview of both the ITK and ITK Accreditation. The second part consists of six documents and covers the architectural requirements for building ITK Clients, Hosts and Middleware the Distribution Envelope, Transports and Addressing and the three different types of ITK transport: Web Service (WS), Data Transfer Service (DTS) and Transaction Messaging Service (TMS).

ITK Core

The Core contains help and guidance on the artefacts and concepts that are shared across ITK implementations. This pack contains service definitions that are used with all ITK transport options. For Web Services, the Core also contains technical artefacts such as WSDL files.

The Distribution Envelop is explained in detail in terms of its elements and attributes, with a schema file and several examples also included. The acknowledgement framework is outlined, with examples and schema for the ITK infrastructure Acknowledgement and ITK Business Acknowledgement.

Finally, the Core explains ITK correspondence metadata, including schema and examples.

ITK Spine Mini Service

The technical implementation to connect to SPINE is relatively intricate. The ITK Spine Mini Services have been created to provide a simpler route to access national services.

The Spine Mini Services specifications define how to connect to NHS National Services, commonly known as the Spine. Essentially these are a set of specifications to enable suppliers of third party software to provide solutions for a greatly simplified interface for accessing a subset of the SPINE services e.g. PDS, SCR. The intent is to lower the “barrier to entry” to the SPINE.

The Spine Mini Service Provider pack contains: Common Client Requirements, Common Provider Requirements along with specific requirements associated with the particular National Service being accessed. Currently this pack contains specific requirements for accessing Patient Demographics Service (PDS) and is being enriched to contain additional specifications for accessing other National Services e.g. Summary Care Record (SCR).

ITK Trust Operating Model

The Trust Operating Model is an integral part of the Interoperability Toolkit. It details the Trusts’ responsibilities for Locally Assured Systems and Spine Mini Service compliant systems.

The primary audience for the Trust Operating Model are project teams working for a deploying organisation who are responsible for the runtime requirements of the implementation. Suppliers are envisaged as a secondary audience for the Trust Operating Model documentation.

The documentation has two categories (i) Guidance and (ii) Governance and these are more relevant to the Project Manager and technical team within a deploying organisation. Senior Management may find the overview document relevant, and may also wish to familiarise themselves with the information on Governance and Stakeholders.

Legally restricted patient confidential reference data

Important Notice - NHS Digital is currently undertaking a review of clinical codes that are defined as sensitive (legally restricted) to ensure that its use of provider data is compliant with the Human Fertilisation and Embryology Act 1990 (as amended by the Human Fertilisation and Embryology Act 2008) and the Gender Recognition Act 2004 (as amended by The Gender Recognition (Disclosure of Information) (England, Wales and Northern Ireland) Order 2005).

As part of this work, NHS Digital are seeking your feedback on a proposed list of legally unshareable clinical codes. The codes that have been identified will continue to be used for secondary purposes, but all related information that could potentially identify an individual would be removed where the codes are used for any other reason apart from direct care.

Your feedback will be used to finalise this list of codes, which will be then available for use across the health care system and within national data sets.

Closing date: 19 January 2018

Find out more and take part

Part of the Legally Restricted patient confidential data change standard ISB 1572 Sensitive Data.

Includes the updated clinical code lists for In Vitro Fertilisation (IVF) and Sexually Transmitted Diseases (STD) across the following terminologies and classifications:

• SNOMED CT
• 5-byte Read Codes Version 2
• Clinical Terms Version 3
• ICD-10
• OPCS 4

Status: Technology Preview

Maternity Services Data Set (MSDS) Intermediate Database Tool

Maternity Services Data Set (MSDS) v2.0 Intermediate Database (IDB)

MS Access database for collating data for submission to MSDS v2.0. The IDB can be populated with the relevant data and submitted, and the landing platform will then convert the data into the required XML format. Use of the IDB is optional as submissions can also be made in an XML format directly.

The structure of the IDB must not be altered in any way. All the tables must be present, even if some of these are not appropriate to the submission (based on the activity that has taken place). All the fields listed in each table must also be present and the field types must be exactly as specified.

The data items required to populate the MSDS IDB should be extracted directly from the appropriate service provider system(s) such as a clinical system or Patient Administration System (PAS).

Maternity Services Data Set commissioner extract XML schema

File structure for the outgoing Commissioner Extracts.

Extracts are available for commissioners following post-deadline processing, and after they have been made available for providers. Commissioners will only have sight of these once they have been loaded into the data warehouse. Their view will only show pseudonymised data.

Maternity Services Data Set post-deadline extract XML schema

File structure for the outgoing Provider Post-Deadline Extracts.

Following post-deadline processing (once the submission window has closed), the BSP generates a 'post-deadline' extract for providers, which contains the elements of their data taken into data storage.

Maternity Services Data Set post-deadline extract XML schema v2.0

File structure for the outgoing Provider Post-Deadline Extracts.

Following post-deadline processing (once the submission window has closed), the SDCS Cloud generates a 'post-deadline' extract for providers, which contains the elements of their data taken into data storage.

Maternity Services Data Set pre-deadline extract XML schema

File structure for the outgoing Provider Pre-Deadline Extracts.

Once a provider has submitted a successful file and it has been processed, a pre-deadline extract can be downloaded. Further processing is later required to produce the post-deadline extracts (this takes place after the submission deadline).

Maternity Services Data Set pre-deadline extract XML schema v2.0

File structure for the outgoing Provider Pre-Deadline Extracts.

Once a provider has submitted a successful file and it has been processed, a pre-deadline extract can be downloaded. Further processing is later required to produce the post-deadline extracts (this takes place after the submission deadline).

Maternity Services Data Set XML Schema

The Maternity Services Data Set collects information on mothers and children.

Mental Health Services Data Set (MHSDS) tool

Microsoft Access database tool for collating data for submission to the Mental Health Services Data Set (MHSDS).

The tool can be populated with the relevant data and submitted to the landing platform.

The structure of the Intermediate Database tool (IDB) must not be altered in any way. All tables must be present, even if some are not appropriate to the submission (based on the activity that has taken place). All fields listed in each table must also be present and the field types must be exactly as specified.

The data items required to populate the MHSDS IDB should be extracted directly from the appropriate service provider systems, such as a clinical system or Patient Administration System (PAS).

Mental Health Services Data Set pre- and post-deadline extract XML schemas

File structure for the outgoing provider pre- and post-deadline extracts for the Mental Health Services Data Set (MHSDS).

Once a provider has submitted a successful file and it has been processed, a pre-deadline extract can be downloaded to show what data would be carried forward if this was the final submission.

Further processing is later required to produce the post-deadline extracts (this takes place after the submission deadline).

Following post-deadline processing (once the submission window has closed), the SDCS Cloud generates a post-deadline extract for providers, which contains the elements of their data taken into data storage plus additional derivations from the submitted data.

National Cancer Waiting Times Monitoring Data Set XML Schema

The National Cancer Waiting Times Monitoring Data Set supports the continued management and monitoring of cancer waiting times.

National Clinical Coding Standards (NCCS) Reference books for eViewer

This pack contains pdf versions of the ICD-10 and OPCS-4 National Clinical Coding Standards (NCCS) reference books for adding to the eViewer application.

Before downloading this pack, ensure that you have installed the latest eViewer (eVersion) Application (Version 1.4.3).

Instructions on adding the eVersion Book into the eViewer can be found within the Installation guide within the eViewer Application pack.

NHS 111 Domain Message Specification

NHS 111 Domain Message Specification contains details of message definitions and interactions required to support the national rollout of NHS 111.

NHS CP-IS Spine Mini Service Domain Message Specification

This specification contains details of message definitions and interactions required to support the rollout of the Child Protection Information Sharing (CP-IS) Spine Mini Service.

NHS Data Migration

Releases of this item contain products intended to support the GP Summary Care Record, Systems of Choice and Data Migration programmes. Specifically:

• many:one "forward" crossmaps from the England and Scotland releases of READ2 to CTV3, from READ2 to SNOMED CT, and from CTV3 to SNOMED CT
• many:one "backward" crossmaps from CTV3 to READ 2
• tables assigning NHS Care Record Elements to all READ2, CTV3 and SNOMED CT codes - these mapping tables are distributed in a non-standard file format, together with supporting documentation

Releases also include experimental SNOMED CT Navigational Subsets by which simulacra of the READ2 and CTV3 taxonomies may be recreated as views on the full SNOMED CT content.

Visit the Retirement of Read Version 2 and Clinical Terms Version 3 page for more information.

Following consultation, the final release of the Read v2 to SNOMED CT mapping tables was April 2020. Releases of this item are now unmaintained static data.

Unscheduled releases may occur until April 2023, but only in order to resolve critical clinical safety issues.

Status: Deprecated

NHS ICD-10 4th Edition data files

A set of release files containing the Codes and Titles and Metadata and specification, Tables of Coding Equivalences and specification (comprising forward and backward maps with/ without code descriptions) and a summary of changes report, to support ICD-10 4th Edition implementation on 1 April 2012. The Information Standards Notice describes the mandate for NHS and NHS supplier implementation.

This subpack is designed for NHS information departments and /or NHS system suppliers to upload into PAS systems. These data files are not designed or intended for training purposes.

NHS ICD-10 4th Edition XML data files

A set of release files containing the Codes and Titles and Metadata, Tables of Coding Equivalences (comprising forward and backward maps with/without code descriptions) in XML format to support ICD-10 4th Edition implementation on 1 April 2012. Associated specifications are available at NHS ICD-10 4th Edition data files, see above. The Information Standards Notice describes the mandate for NHS and NHS supplier implementation.

This subpack is designed for NHS information departments and /or NHS system suppliers to upload into PAS systems. These data files are not designed or intended for training purposes.

NHS ICD-10 5th Edition data files

A set of release files containing the Codes and Titles and Metadata and specification, Tables of Coding Equivalences and specification (comprising forward and backward maps with/ without code descriptions) and a summary of changes report, to support ICD-10 5th Edition implementation on 1 April 2016. The Information Standards Notice describes the mandate for NHS and NHS supplier implementation.

This subpack is designed for NHS information departments and /or NHS system suppliers to upload into PAS systems and to assist data analysts with the comparison of data collected according to ICD-10 5th Edition with that collected according to the ICD-10 4th Edition. These data files are not designed or intended for training purposes.

NHS ICD-10 5th Edition XML data files

A set of XML release files containing the Codes and Titles and Metadata, Tables of Coding Equivalences (comprising forward and backward maps with/without code descriptions) in XML format to support ICD-10 5th Edition implementation on 1 April 2016. Associated specifications are available at NHS ICD-10 5th Edition data files. The Information Standards Notice describes the mandate for NHS and NHS supplier implementation.

This subpack is designed for NHS information departments and /or NHS system suppliers to upload into PAS systems and to assist data analysts with the comparison of data collected according to ICD-10 5th Edition with that collected according to the ICD-10 4th Edition. These data files are not designed or intended for training purposes.

NHS ICD-10 Reprinted (with corrections and updates) 2000

This file contains data equivalent to the icd10met.txt and terms10.txt files (pre-April 2012) in the newer Delimiter Separated Values (DSV) format. Implementations of ICD-10 MUST NOT use this release, it is provided for the purposes of aiding migration between releases. Specifically, analysts working with the ToCE files without descriptions will need.

NHS Interoperability Toolkit CDA Functional Requirements

NHS Interoperability Toolkit CDA Functional Requirements This contains the requirements for systems sending or receiving messages containing NHS Connecting for Health published message specifications for CDA Documents (e.g. Discharge, Out Patient, A&E, OOH and Ambulance Reports). It covers the handling of CDA Documents by clinical applications and the processing and transmission of these by Message Handling Systems between parties over a variety of transports.

*This pack must be used in conjunction with the contents of the NHS Interoperability Toolkit Core pack and the NHS Interoperability Toolkit Correspondence pack.

For all content enquires, please email ITK team.

NHS Interoperability Toolkit Dashboards

The release for this specification has been removed from TRUD. Please contact the Interoperability Standards Service for the latest information about this, and ensure the email's subject field contains the following:

1. For the "Interoperability Standards Service".
2. Mentions the type of interoperability standard, e.g. HL7 FHIR, HL7 v2, HL7 v3, CDA etc...
3. The domain, for example, PDS, ETP, ODS, Transfer of Care, etc...

NHS Interoperability Toolkit HL7 v2

The release for this specification has been removed from TRUD. Please contact the Interoperability Standards Service for the latest information about this, and ensure the email's subject field contains the following:

1. For the "Interoperability Standards Service".
2. Mentions the type of interoperability standard, e.g. HL7 FHIR, HL7 v2, HL7 v3, CDA etc...
3. The domain, for example, PDS, ETP, ODS, Transfer of Care, etc...

NHS Interoperability Toolkit HL7V2 Supplementary Pack

HL7 v2 Supplementary Pack contains artefacts supporting ITK HL7 v2 ADT Specifications. This pack contains tighter message schemas with vocabulary binding which can be used for conformance purposes. This pack also contains example HL7 v2 messages along with HTML representation of specifications derived from XML profiles of the HL7 v2 messages.

The artefacts contained in this pack are for information only and are not 'Normative'.

Please Note: The HL7 v2 supplementary pack has been made redundant and it is not available for download. If you are interested in the content of this release pack, you can subscribe and download it from here

For all content enquires, please email CFH Interoperability Team

NHS Interoperability Toolkit Security Requirements Accreditation and Concessions

As part of an extensive review of the ITK Architecture Specifications - during Q3/Q4 2012, a team comprising representatives from the Centre and the suppliers agreed a number of changes to the way ITK messages are authenticated. The changes reflected implementation difficulties presented by the nature of the WS-Security header signing specification given current development platforms, and addressed the inclusion in ITK, of multi-hop and non-SOAP transports. Technical details on the reasons for these changes are given in ITK Security Briefing Paper – Strawman Proposals.

The concessions discussed here will form part of the intended refresh and update to the ITK Architecture Specifications planned for completion by 3Q2013.

If you have any questions or queries on these changes to the documentation please direct them to Toolkit Enquiries

* This pack must be used in conjunction with the ITK Web Services Transport Specification which can be located within the related documents section of the NHS Interoperability Toolkit Core Pack

NHS LRA Discharge Summary

This release includes requirements specifications for the Discharge Summary data content along with technical models and SNOMED CT expression constraints to support clinical and patient communication. The release is not being actively maintained and is for reference purpose only.

NHS LRA Documentation

Logical Record Architecture for Health and Social Care documentation.

NHS LRA Technical Artefacts

Logical Record Architecture for Health and Social Care technical artefacts.

NHS Messaging Implementation Manual

The Messaging Implementation Manual for the HL7v3 messages defined by CFH. Details the messaging interfaces for the HL7v3 messages intended for use on the SPINE.
Please note: These messaging specifications are provided as one part of the implementation information required to implement the CFH defined messages. Suppliers should consult with their relevant CFH implementation team, before embarking on any development utilising these specifications.

NHS National Interim Clinical Imaging Procedures

The NHS National Interim Clinical Imaging Procedures (NICIP) are a set of procedure codes and descriptions for use in the representation of clinical imaging procedures, intended for use in all Imaging Department information systems.

Changes have been made to this products release schedule during 2019. Find more information on Delen (external site).

Status: Supported

NHS National Laboratory Medicine Catalogue

The National Laboratory Medicine Catalogue is a catalogue of SNOMED CT coded laboratory medicine test requests intended for use by Pathology services and their users across the NHS and is still under development under the ownership of the Royal College of Pathologists.

Note that the status of the National Laboratory Medicine Catalogue is 'Technology Preview' as defined in the UKTC product development lifecycle. This means that trial implementation is encouraged to evaluate utility and safety, and to identify possible design improvements. Full live deployment is not recommended and will be at the user's own risk, where such risk is permitted by other governance processes.

It is also important to note the catalogue has not been subject to any updates since April 2014. Furthermore, implementations may have to change if and when the product design changes in the light of experience. In the event that the product is found to be only minimally used or useful, or unsafe, then NHS Digital as the UK National Release Centre for SNOMED CT is under no obligation to continue releasing this product.

Status: Technology Preview

NHS ODS weekly prescribing-related data

Full files for General Medical Practitioners, General Medical Practices, Branch Surgeries, Pharmacy HQs and Dispensaries. Plus weekly amended data for the given data - Practitioner amendment file not available.

NHS Read Browser

UK Read Codes release data (all versions) in browsable form. This includes English and Scottish variations of the Tri set browser.

Important Notice - The last scheduled release of Read v2 and CTV3 was April 2018. In line with the Read Withdrawal schedule, we no longer support or maintain this product.

Status: Deprecated

NHS UK Read Codes Clinical Terms Version 3

UK READ Codes Clinical Terms Version 3. If you require the cross mapping files, please download the relevant release from the UK READ Codes Clinical Terms Version 3, Cross Map Files pack.

Important Notice: The last scheduled release of UK READ Codes Clinical Terms Version 3 was April 2018. Basic maintenance support will be provided until April 2020. Information on the withdrawal of Read v2 and CTV3 can be found here

Status: Deprecated

NHS UK Read Codes Clinical Terms Version 3, Cross Maps

UK READ Codes Clinical Terms Version 3, Cross Map Files. For all other CTV3 release files, from October 2015 onwards, please download releases from the main "UK READ Codes Clinical Terms Version 3" pack.

Important Notice: The last scheduled release of UK READ Codes Clinical Terms Version 3 was April 2018. Basic maintenance support will be provided until April 2020. Information on the withdrawal of Read v2 and CTV3 can be found here

Status: Deprecated

NHS UK Read Codes Version 2

There are no future releases scheduled

NHS UK Read Pathology Bounded Code List (PBCL)

Important Notice - Information on the withdrawal of Read v2 and CTV3 can be found here

The Pathology Bounded Code List (PBCL) has been developed to provide a defined or bounded subset of Read codes for use in laboratory to GP messaging. Use of the PBCL ensures that there is common understanding by both sending and receiving clinicians of the laboratory investigations and results.

The PBCL continues to be supported following the final release of Read CTV3 in April 2018 but will only be updated on an ad hoc basis where there is an identified national need. Subscribers will be notified in advance of any changes.

NHSBSA dm+d

NHS Dictionary of Medicines and Devices (dm+d) in a vendor-neutral format.

For further details see the NHS Prescription Services pages.

Status: Supported

NHSBSA dm+d supplementary

dm+d supplementary files. The NHSBSA maintains a list of ATC classification and BNF codes, linked to products prescribed in Primary Care. They are not an officially endorsed dm+d product and are provided for their own business purposes.

NHSBSA dm+d test file

NHS Dictionary of Medicines and Devices (dm+d) test file. Provides early sight to system suppliers and developers of changes to dm+d.

Non-coded CDA Document Domain Message Specification

This specification contains details of message definitions and interactions required to support the national rollout of Non-coded CDA Document.

ODS XML Organisation Data

XML products containing current and archived Health and Social Care Organisation Reference Data.

ODS XML Organisation Data - Supporting Products

A range of products and tools that provide guidance or otherwise facilitate the use of the Health and Social Care Organisation Reference Data XML products.
Includes:- Schema; XML Product Guide; Product Scope Timetable; Technical Specification; Data Item Catalogue; Interactive Object Model; XML Validator Tool; XML to CSV Tool (xslt).

OPCS-4 eVersion Book

Releases of this item contain the OPCS-4 eVersion Books (OPCS-4.7, OPCS-4.8 and OPCS-4.9) which are electronic copies of OPCS-4 for adding to the eViewer application.

Before downloading these releases, ensure that you have installed the latest eViewer (eVersion) Application Release (Version 1.4.3).

Instructions on adding the eVersion Book into the eViewer can be found within the Installation guide within the eViewer Application release.

OPCS-4 Systems Data files

A set of release files, in both txt and XML format, containing the Codes and Titles, Metadata and specification, Tables of Coding Equivalences and specification and a summary of changes report, to support OPCS-4 implementation.The Information Standards Notice describes the mandate for NHS and NHS supplier implementation.

These files are designed for NHS information departments and /or NHS system suppliers to upload into PAS systems and to assist data analysts with the comparison of data collected using the current and previous versions of OPCS-4. These data files are not designed or intended for training purposes.

For any queries, please contact Information Standards Service Desk

Organisation Reference Data

Reference Data for Organisations and Healthcare Professionals of interest to Health and Social Care, licensed under the UK Open Government Licence (OGL).

Out of Hours Domain Message Specification

Please contact the Interoperability Standards Service for the latest information about this.

Outpatients Domain Message Specification

This specification contains details of message definitions and interactions required to support Outpatients messaging.

PBCL Read Code to SNOMED Code Translation Table

A set of map tables translating the Read codes in the PBCL EDIFACT laboratory report message to SNOMED codes to support transmission, reception, storage and retrieval of primary care pathology results.

Status: Supported

PDS Mini Services Domain Message Specification

The PDS Mini Services domain message specifications contain details of message definitions and interactions to connect to NHS National Services, commonly known as the PDS (Person Demographic Services) on Spine. Essentially these are a set of specifications to enable suppliers of third party software to provide solutions for a greatly simplified interface for accessing a subset of the SPINE services i.e. PDS.

SNOMED Antecedent Versions Data Migration

Mapping tables and guidance to enable historical data previously captured using an antecedent legacy version of SNOMED II,3.x International or SNOMED RT to be migrated to SNOMED CT. Expected use cases include but are not limited to histopathology laboratories and their Laboratory Information Management Systems and suppliers, and secondary users of histopathology data including Cancer Registries.

Status: Technology Preview

SNOMED CT Beginners eLearning

SNOMED CT e-learning materials. This course is aimed at anyone who will be using applications incorporating SNOMED CT and is designed to provide them with a good basic understanding.

SNOMED CT human-readable subset - In Development

This pack contains subsets related to the domain specified in each file, these are NOT yet available in the main release, but may be made available once utility and appropriateness for purpose is demonstrable. Some subsets will be listed in more than one category, this is deliberate and the subset content will be the same. It is suggested that you register for domains of interest, rather than necessarily selecting all, or be aware that some duplication will occur. Registration for this pack is recommended if you wish to receive updates of the latest content before formally released.

We welcome feedback on any of the products but especially early in the lifecycle of the product it is useful to have feedback on how products are intended to be used or any definition or quality concerns users (or potential users have). Where subsets relate directly to your domain of practice, there may be opportunities to be more actively involved in development or ownership of the subset. This particularly applies to domain experts within professional bodies, please contact the subset service via information.standards@nhs.net

SNOMED CT human-readable subset - UK Clinical Extension

SNOMED CT human-readable subset - UK Drug Extension

SNOMED CT International Version

The current UK SNOMED CT Clinical Edition RF2 release, which can be found here, always contains a copy of the particular version of the international edition of SNOMED CT RF2 on which it depends. Normally, this dependency will be upon the most recent version of the international edition, and therefore this is the only place where that most recent international edition is provided. During any extended period in which the current UK Clinical Edition release still depends upon an older version of the international edition, all newer version(s) of the international edition will be made available here instead.SNOMED CT RF2 International release - January 2019 If you are deploying SNOMED CT outside of the UK please contact your National Release Centre or register and request a copy of this release from SNOMED International.

SNOMED CT Recorded Webinar - An Introduction to the release files in Release Format 2 (Technical)

This presentation is aimed at developers and technical implementers. It assumes a basic understanding of SNOMED CT. This webinar gives an overview of the different SNOMED CT UK extensions, walks you through the release files and the different release packs, looks at the content of the Release Format 2 files and highlight aspects of the file specifications, finally it illustrates how you might process these with some SQL scripts.

SNOMED CT speciality reference sets

Speciality reference sets derived from SNOMED CT.

SNOMED CT UK Data Migration Workbench

Releases of this item contain the SNOMED CT UK Data Migration Workbench application, which includes its database files pre-loaded with the latest versions of SNOMED CT, CTV3, READ, OPCS-4, ICD-10 and the crossmaps between them.

Releases also include an installation guide, a user guide and a “Read Me.txt” file. Please read the “Read Me.txt” file before you install the application.

Find releases of the SNOMED CT UK Data Migration Workbench Training Materials here on TRUD.

Status: In Development

SNOMED CT UK Data Migration Workbench Training Materials

Screen and voice recordings demonstrating functions of the SNOMED CT UK Data Migration Workbench.

SNOMED CT UK Query Table and History Substitution Table

This pack contains two related derivatives of the UK Edition of SNOMED CT to aid the processing of inactive content within systems and data repositories.

The History Substitution Table provides a single table identifying valid substitutions for concepts that are now inactive, along with some metadata about that substitution; it is computed using the historical relationships within the main SNOMED CT release but presented as a simpler look-up table.

The Query Table is an extension to a normal SNOMED CT transitive closure table, taking into account the History Substitutions Table and other data. It provides a mechanism to achieve optimal data retrieval, regardless of inactive and active concept status in data or query definitions. The Query Table is recommended as a mechanism for ensuring inactive content is still returned in searches, and is specifically recommended by the Joint GP IT Committee for use in primary care systems.

Status: Supported

Telehealth Domain Message Specification

The release for this specification has been removed from TRUD. Please contact the Interoperability Standards Service for the latest information about this, and ensure the email's subject field contains the following:

1. For the "Interoperability Standards Service".
2. Mentions the type of interoperability standard, e.g. HL7 FHIR, HL7 v2, HL7 v3, CDA etc...
3. The domain, for example, PDS, ETP, ODS, Transfer of Care, etc...

The Read Codes Drug and Appliance Dictionary

UK READ Drugs Codes

Please note the last release of the Read Codes Drug and Appliance Dictionary was on the 1st April 2016. There are no further releases after this date and releases can no longer be downloaded from TRUD. If you need to download Read Codes Drug and Appliance Dictionary releases please can you contact the Information Standards Service Desk at information.standards@nhs.net with the subject ‘Access to Read Codes Drug and Appliance Dictionary - 3rd Line Request’

Transfer of Care Domain Message Specification

Please contact the Interoperability Standards Service for the latest information about this.

UK Drug bonus files

SNOMED CT UK Drug extension ePrescribing support files in Microsoft Excel and XML format, and the NHS dictionary of medicines and devices (dm+d) Parsed files.

UK SNOMED CT Clinical Edition Cross-map Historical Files, RF2: Full

Retired cross-map RF2 files, Full release type only.

There is a release per retired cross-map containing the extended map reference set release file and associated documentation.

The data contained within the releases are for reporting or data warehousing - the maps should not be used for live data processing. Active cross-maps can be found in the main Clinical Edition RF2 releases.

Status: Supported Product

UK SNOMED CT Clinical Edition, RF2: Delta

SNOMED CT UK Clinical Edition in release format 2, release type Delta only.

Six-monthly releases of the UK Clinical Extension and the International Release. Each release also includes refsets, cross-maps and added-value files. Release type Delta provides just the changes between this and the last release, including any new components.

Find SNOMED CT UK Clinical Extension release documentation and SNOMED CT UK Edition product information on Delen.

Status: Supported Product

UK SNOMED CT Clinical Edition, RF2: Full, Snapshot & Delta

SNOMED CT UK Clinical Edition in release format 2; all release types.

Six-monthly releases of the UK Clinical Extension and the International Release. Each release also includes refsets, cross-maps and added-value files. All three RF2 release types of Full, Snapshot and Delta are included.

Find SNOMED CT UK Clinical Extension release documentation and SNOMED CT UK Edition product information on Delen.

Status: Supported Product

UK SNOMED CT Drug Extension, RF2: Delta

SNOMED CT UK Drug Extension in release format 2, release type Delta only.

RF2 release type Delta, drug-only refsets and added-value files are included in each release. These releases do NOT include the UK Clinical Extension or International Release.

Releases are four-weekly with an additional twice-yearly interim release available synchronous to the six-monthly UK Clinical Edition.

Find SNOMED CT UK Drug Extension release documentation and SNOMED CT UK Edition product information on Delen.

Status: Supported Product

UK SNOMED CT Drug Extension, RF2: Full, Snapshot & Delta

SNOMED CT UK Drug Extension in release format 2, all release types.

All three RF2 release types of Full, Snapshot and Delta, drug-only refsets and added-value files are included in each release. These releases do NOT include the UK Clinical Extension or International Release.

Releases are four-weekly with an additional twice-yearly interim release available synchronous to the six-monthly UK Clinical Edition.

Find SNOMED CT UK Drug Extension release documentation and SNOMED CT UK Edition product information on Delen.

Status: Supported Product

UK SNOMED CT test releases

Releases of new or changed terminology or classification products, or their derivatives, in draft, beta, preview and proof-of-concept form.

Materials made available here are only for evaluation and may never transition to production versions.

This area is used to give implementors and suppliers early sight of changes and developments.

Status: Technology Preview

Unified Test List

The Unified Test List is a catalogue of SNOMED CT coded laboratory medicine test requests intended for use by Pathology services and their users across the NHS. The Unified Test List is still under development by NHS Digital and is part of the National Pathology Information Standards, supporting the NHS CCIO7 work streams.

Note that the status of the Unified Test List is 'In Development' as defined in the IReS Terminology Product Development Lifecycle (external PDF). 'In Development' means:

• neither the release format specification nor the method of content preparation of the product are public or fixed
• there is no obligation for public release of any 'In Development' product though early iterations may be released to external collaborators including (but not limited to) the original external requestor/sponsor
• quality and safety assurance of the product may be ill-defined and/or absent
• in the event that the product is found to be less useful than thought, or unsafe, or too costly to produce, the Terminology & Classifications Management Group may determine that its development be abandoned

Initially we intend to update the Unified Test List every 4-6 weeks as we continue to develop this product based on feedback.

You can find additional information on the National Pathology Information Standards work at the Pathology & Diagnostics Information Standards Collaboration Space.

Webinar Series - An Introduction to SNOMED CT

This recorded presentation is an introduction to SNOMED CT and covers SNOMED CT features, examples of use and benefits. It looks at why a single terminology, what a terminology is, some of the features of SNOMED CT and gives some examples of where SNOMED CT is currently used and its benefits.

Webinar Series - Finding Content in SNOMED CT

This webinar takes you through the techniques for successfully searching SNOMED CT for the clinical terms you require. It goes through searching for individual terms, groups of related terms and terms related to a specific speciality as well as simple tips for making your searches successful.

Webinar Series - Using and Implementing SNOMED CT

The Second in this webinar series is primarily aimed at informatics staff and suppliers, and takes individuals through the details of the files and products associated with SNOMED CT