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 the SNOMED CT UK Drug Extension - a series of webinars

Short webinars providing information about dm+d and the SNOMED CT UK Drug Extension.

Introduction to dm+d
A 10-minute introduction to dm+d - what it is and why we need it.

dm+d browser demonstration
A 10-minute demonstration of the dm+d browser - how to use the browser to search for medicines and devices, insight into the 5-box dm+d model, and the additional information associated with each description.

Downloading dm+d and SNOMED CT UK Drug Extension files from TRUD
A 10-minute webinar demonstrating how to find and download the dm+d and SNOMED CT UK Drug Extension files from TRUD.

Introduction to the dm+d 5-box data model
This webinar explains the 5-box model and how each box and its attributes support uses such as prescribing, dispensing and recoding of medicines information.

Basic Anatomy and Physiology eLearning module

An eLearning module to promote 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 the national cancer strategy.

Care planning

This item is no longer released on TRUD.

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

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

Email questions or feedback to information.standards@nhs.net.

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 system.

A Release Candidate designates the document as being available for production build purposes, and available for First of Type deployment.

Accreditation to this specification is available, but there may be a need to incorporate minor amendments when the specification reaches Final status.

Child Screening Domain Message Specification

This specification describes 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 version for calculation of payment to trusts and monitoring of other initiatives.

Community Services Data Set commissioner extract XML schema

File structure of the commissioner extract for the Community Services Data Set.

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

Community Services Data Set Intermediate Database

Community Services Data Set (CSDS) submissions must be made using the latest CSDS Intermediate Database (IDB).

The structure of the IDB must not be altered in any way, and will be validated upon receipt of the submission to the SDCS Cloud. 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 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.

Community Services Data Set post-deadline extract XML schema

File structure of the provider post-deadline extract for the Community Services Data Set.

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 and additional derivations from the submitted data.

Community Services Data Set pre-deadline extract XML schema

File structure of the provider pre-deadline extract for the Community Services Data Set.

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).

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.

Continuing Healthcare Data Set XML schema

The Continuing Healthcare Data Set collects information for people who receive NHS Continuing Healthcare, or whose eligibility is being assessed.

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

Email information.standards@nhs.net for more information.

dm+d XML transformation tool

Use this tool to read the dm+d weekly-released XML files (under item ‘NHSBSA dm+d’ in this category) and convert the content to both Microsoft Excel and comma-separated value (CSV) files.

The tool:

• runs on Microsoft Windows (fully tested on Windows 7)
• runs from the C: drive - you might need local administrator permissions
• requires Microsoft Excel (fully tested with Excel 2010)
• uses a Microsoft Excel macro-enabled spreadsheet

No dm+d releases are included with the tool and must be downloaded separately.

Electronic Prescription Service Domain Message Specification

The Electronic Prescription Service (EPS) enables prescribers, such as GPs and practice nurses, to send prescriptions electronically to a dispenser, such as a pharmacy, of the patient's choice.

The EPS makes the prescribing and dispensing process more efficient and convenient for patients and staff.

Emergency Department Domain Message Specification

Email information.standards@nhs.net for more information.

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 application

Releases of this item contain the application used to view the ICD-10 and OPCS-4 eVersion books and the National Clinical Coding Standards reference books.

Follow the steps in the installation guide included in the releases to install the application.

You may need administrator rights to install the application. Contact your IT department for help before contacting NHS Digital, 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.

Global Trade Item Number 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.

Releases of this item contain the data file and guidance on 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, care and support planning process, supported by information sharing between NHS and social care IT systems.

The programme of work has 3 core components:

• Assessment with Care and Support Planning
• Hospital Discharge Notifications to Social Care
• NHS Continuing Healthcare

Releases of this item must be used in conjunction with the content of the ‘ITK Core’ item releases.

Health Protection Electronic Notification 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

Releases of this item contain the ICD-10 5th Edition eVersion book, which is an electronic copy of ICD-10 5th Edition for adding to the eViewer.

Install the latest release of the eViewer application item before downloading releases of this item.

Instructions for adding the eVersion Book to the eViewer can be found in the installation guide included in the eViewer releases.

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. Some of these errors are replicated in the ICD-10 5th Edition eVersion.

We've produced a set of shared errata notes which can be imported into the eVersion.

There are now codes within ICD-10 5th Edition categories U06 and U07 that have been designated for emergency use. The descriptions of codes within categories U06 and U07 in the ICD-10 eVersion remain as ‘Emergency use of’.

We've produced a set of shared notes for the codes for emergency use which can be imported into the eVersion.

The shared errata notes and the shared notes for the codes for emergency use are available on Delen, along with instructions on how to import them into the eViewer.

Improving Access to Psychological Therapies Data Set Intermediate Database

Improving Access to Psychological Therapies (IAPT) Data Set submissions must be made using the latest IAPT Intermediate Database (IDB).

The structure of the IDB must not be altered in any way, and will be validated upon receipt of the submission to the SDCS Cloud. 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 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.

Improving Access to Psychological Therapies Data Set pre- and post-deadline extract XML schemas

File structure for the outgoing provider pre- and post-deadline extracts for the Improving Access to Psychological Therapies (IAPT) Data Set.

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.

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.

ITK Accreditation

This item is no longer released on TRUD.

Find ITK accreditation information on the NHS Developer Network.

The ITK accreditation releases contain tools and guidance for attaining accreditation to the ITK Standard, applicable to all system suppliers seeking accreditation.

To attain ITK accreditation a vendor must demonstrate the technical conformance of their product to the ITK requirements specifications by submitting evidence to HSCIC for review. This is achieved using the ITK Toolkit Workbench, completing the Supplier Certified Requirements Coverage checklist, and by providing supporting evidence.

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 8 documents in 2 categories. The first part provides an overview of both the ITK and ITK Accreditation. The second part consists of 6 documents and covers the architectural requirements for building ITK Clients, Hosts and Middleware, the Distribution Envelope, Transports and Addressing, and the 3 different types of ITK transport: Web Service, Data Transfer Service and Transaction Messaging Service.

ITK CDA Functional Requirements

Releases of this item contain the requirements for systems sending or receiving messages containing NHS Connecting for Health published message specifications for CDA Documents, such as Discharge, Out Patient, A&E, OOH and Ambulance Reports.

The requirements cover 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.

Releases of this item must be used in conjunction with the contents of the ITK Core releases and the ITK Correspondence releases.

Email questions or feedback to toolkit.enquiries@nhs.net.

ITK Core

The Core contains help and guidance on the artefacts and concepts that are shared across ITK implementations. Releases of this item contain 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 Cross Enterprise Document Sharing Adapter

Releases of this item contain the requirements for ITK Accredited Systems to interact with an IHE Registry/Repository.

ITK Dashboards

Email information.standards@nhs.net for more information.

ITK HL7 v2

Email information.standards@nhs.net for more information.

ITK HL7 v2 supplementary

This item is no longer released on TRUD.

Releases of this item contain:

• artefacts supporting ITK HL7 v2 ADT Specifications
• tighter message schemas with vocabulary binding for conformance purposes
• example HL7 v2 messages
• HTML representation of specifications derived from XML profiles of the HL7 v2 messages

Artefacts contained in releases of this item are for information only.

Email questions or feedback to cfh.interoperabilityteam@nhs.net.

ITK Security Requirements Accreditation and Concessions

As part of an extensive review of the ITK Architecture Specifications during the latter half of 2012, a team of 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 autumn 2013.

Releases of this item must be used in conjunction with the ITK Web Services Transport Specification found within the related documents section of the ITK Core releases.

Email questions or feedback to toolkit.enquiries@nhs.net.

ITK Spine Mini Service

The technical implementation to connect to Spine is complex. The ITK Spine Mini Services provide a simpler route to Spine.

The Spine Mini Services specifications define how to connect to Spine. These specifications let suppliers of third-party software provide solutions for a simplified interface for accessing a subset of Spine services, such as the Personal Demographics Service and the Summary Care Record. The intention is to lower the barrier to entry to Spine.

Releases contain Common Client Requirements, Common Provider Requirements, and specific requirements associated with the particular service being accessed.

ITK TMS Transport

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

Email questions or feedback on this item to toolkit.enquiries@hscic.gov.uk.

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 main 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 2 categories, Guidance and 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 want to read the information on Governance and Stakeholders.

Legally restricted patient confidential reference data

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 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.

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.

The closing date is 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 Intermediate Database

A Microsoft Access Intermediate Database (IDB) for collating data for submission to the Maternity Services Data Set (MSDS) version 2.0.

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 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 field types must be exactly as specified.

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

Maternity Services Data Set pre- and post-deadline extract XML schemas

File structure for the outgoing provider pre- and post-deadline extracts for the Maternity Services Data Set (MSDS).

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.

Maternity Services Data Set XML schema

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

Mental Health Services Data Set Intermediate Database

A Microsoft Access Intermediate Database (IDB) for collating data for submission to the Mental Health Services Data Set (MHSDS).

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

The structure of the 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 field types must be exactly as specified.

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

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 reference books for eViewer

Releases of this item contain PDF versions of the ICD-10 and OPCS-4 National Clinical Coding Standards reference books for adding to the eViewer application.

Install the latest release of the ‘eViewer application’ item before downloading releases of this item.

Instructions for adding the eVersion Book to the eViewer can be found in the installation guide included in the eViewer releases.

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 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 Read Version 2 to Clinical Terms Version 3, from Read Version 2 to SNOMED CT, and from Clinical Terms Version 3 to SNOMED CT
• many:one ‘backward’ crossmaps from Clinical Terms Version 3 to Read Version 2
• tables assigning NHS Care Record Elements to all Read Version 2, Clinical Terms Version 3 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 Read Version 2 and Clinical Terms Version 3 taxonomies may be recreated as views on the full SNOMED CT content.

Read important information on the retirement of Read Version 2 and Clinical Terms Version 3.

Following consultation, the final release of the Read Version 2 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 item is designed for NHS information departments and/or NHS system suppliers to upload into PAS systems. These data files are neither designed nor 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 in releases of the ‘NHS ICD-10 4th Edition data files’ item in this category.

The Information Standards Notice describes the mandate for NHS and NHS supplier implementation.

This item is designed for NHS information departments and/or NHS system suppliers to upload into PAS systems. These data files are neither designed nor 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 item 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 neither designed nor 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 in releases of the ‘NHS ICD-10 5th Edition data files’ item in this category.

The Information Standards Notice describes the mandate for NHS and NHS supplier implementation.

This item 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 neither designed nor intended for training purposes.

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

Files in releases of this item contain data equivalent to the icd10met.txt and terms10.txt files (pre-April 2012) in the newer Delimiter Separated Values format.

Implementations of ICD-10 must not use this release - it is provided for the purposes of aiding migration between releases.

NHS LRA Discharge Summary

This item is not actively maintained and is for reference only.

Releases of this item include requirements specifications for the Discharge Summary data content, technical models and SNOMED CT expression constraints to support clinical and patient communication.

This material includes SNOMED CT, which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO). Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement.

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.

Releases of this item describe the messaging interfaces for the HL7v3 messages intended for use on the Spine.

These messaging specifications are one part of the implementation information required to implement the CFH-defined messages. Suppliers should consult with their relevant CFH implementation team before starting any development using these specifications.

NHS National Interim Clinical Imaging Procedures

The NHS National Interim Clinical Imaging Procedures 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.

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.

The status of the National Laboratory Medicine Catalogue is ‘Technology Preview’, as defined in the IReS Terminology Product Development Lifecycle (external PDF). 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.

The catalogue has not been updated since April 2014. Implementations may have to change if the product design changes in light of experience. If 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.

Releases of this item include weekly data amendments, but do not include the Practitioner amendment file.

NHS Read Browser

NHS UK Read Codes release data (all versions) in browsable form. This includes English and Scottish variations of the Tri set browser. One directional cross maps from all versions of Read to ICD-10 and OPCS-4 can be viewed on an individual basis in the browser.

The last scheduled release of Read Version 2 and Clinical Terms Version 3 was April 2018. In line with the retirement of Read Version 2 and Clinical Terms Version 3, we no longer support or maintain this product.

Status: Deprecated

NHS UK Read Codes Clinical Terms Version 3

The final release of this item was on 19 March 2018. Basic maintenance support will be provided until April 2020.

Read important information on the retirement of Read Version 2 and Clinical Terms Version 3.

Status: Deprecated

NHS UK Read Codes Clinical Terms Version 3, Cross Maps

The final release of this item was on 19 March 2018. Basic maintenance support will be provided until April 2020.

Read important information on the retirement of Read Version 2 and Clinical Terms Version 3.

Status: Deprecated

NHS UK Read Codes Version 2

The final release of this item was on 1 April 2016.

Read important information on the retirement of Read Version 2 and Clinical Terms Version 3.

Status: Deprecated

NHS UK Read Pathology Bounded Code List

The Pathology Bounded Code List (PBCL) was 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.

Read important information on the retirement of Read Version 2 and Clinical Terms Version 3.

NHSBSA dm+d

dm+d in a vendor-neutral format.

Read more on the NHS Prescription Services pages.

Status: Supported

NHSBSA dm+d supplementary

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.

Status: Supported

NHSBSA dm+d test file

NHS Dictionary of Medicines and Devices test file to preview dm+d changes to system suppliers and developers.

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

Products and tools to support using the Health and Social Care Organisation Reference Data XML products, including:

• 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 data files

Releases of this item contain these TXT- and XML-format files:

• Codes and Titles
• Metadata and specification
• Tables of Coding Equivalences and specification
• Summary of Changes report

to support OPCS-4 implementation.

The files are designed for NHS information departments and NHS system suppliers to upload into patient administration systems, and to help data analysts with the comparison of data collected using the current and previous versions of OPCS-4.

The Information Standards Notice describes the mandate for NHS and NHS supplier implementation.

The files are neither designed nor intended for training purposes.

Email questions or feedback to information.standards@nhs.net.

OPCS-4 eVersion book

Releases of this item contain the OPCS-4 eVersion book, an electronic copy of OPCS-4 for use with the eViewer application.

Install the latest release of the eViewer application before downloading releases of this item.

Find instructions for adding the eVersion book to the eViewer in the installation guide included in the eViewer releases.

Organisation Reference Data

Reference Data for Organisations and Healthcare Professionals of interest to Health and Social Care.

Out of Hours Domain Message Specification

Email information.standards@nhs.net for more information.

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 CT codes to support transmission, reception, storage and retrieval of primary care pathology results.

Status: Supported

Personal Demographics Service Mini Services Domain Message Specification

This specification contains details of message definitions and interactions to connect to the Personal Demographics Service on Spine.

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

This course is aimed at anyone who will be using applications incorporating SNOMED CT. It is designed to provide a good basic understanding.

Status: Supported

SNOMED CT human-readable subset - In Development

Releases of this item contain 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 intentional, and the subset content will be the same. We suggest you register for domains of interest, rather than selecting all, or be aware that some duplication will occur.

We recommend subscribing to this item to receive updates of the latest content before formal release.

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 - 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 releases

The current release of item UK SNOMED CT Clinical Edition, RF2: Full, Snapshot & Delta in category SNOMED CT UK Edition always contains a copy of the particular International release of SNOMED CT on which it depends. Usually this dependency will be on the most recent International release - this item provides that release.

During periods when the current UK SNOMED CT Clinical Edition release depends on an older International release, newer International releases are made available here.

If you are deploying SNOMED CT outside the UK, please contact your National Release Centre, or register and request a copy of this release from SNOMED International.

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

Releases of this item contain 2 related derivatives of the SNOMED CT UK Edition 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 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

SNOMED CT webinar - an introduction to the release files in Release Format 2

This webinar is aimed at developers and technical implementers, and assumes a basic understanding of SNOMED CT.

The webinar:

• gives an overview of the different SNOMED CT UK extensions
• walks through the release files and the different releases
• looks at the content of the Release Format 2 files
• highlights aspects of the file specifications
• illustrates how you might process these with some SQL scripts

Telehealth Domain Message Specification

Email information.standards@nhs.net for more information.

The Read Codes Drug and Appliance Dictionary

The final release of this item was on 1 April 2016.

To download releases of this item, email a request to information.standards@nhs.net.

Transfer of Care Domain Message Specification

Email information.standards@nhs.net for more information.

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 (RF2), release type Delta only.

6-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 only 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 (RF2) - all release types.

6-monthly releases of the UK Clinical Extension and the International release. Each release also includes refsets, cross-maps and added-value files.

All RF2 release types – 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 (RF2), release type Delta only.

RF2 release type Delta, drug-only refsets and added-value files are included in each release.

Releases are 4-weekly with an additional twice-yearly interim release available synchronous to the 6-monthly UK Clinical Edition.

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

These releases do not include the UK Clinical Extension or International release.

Status: Supported Product

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

SNOMED CT UK Drug Extension in Release Format 2 (RF2), all release types.

All RF2 release types (Full, Snapshot and Delta), drug-only refsets and added-value files are included in each release.

Releases are 4-weekly with an additional twice-yearly interim release available synchronous to the 6-monthly UK Clinical Edition.

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

These releases do not include the UK Clinical Extension or International release.

Status: Supported Product

UK SNOMED CT test releases

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

These releases give implementors and suppliers previews of updates and developments.

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

Email questions or feedback to information.standards@nhs.net.

Status: Technology Preview

Unified Test List

The Unified Test List (UTL) is a catalogue of SNOMED CT coded laboratory medicine test requests intended for use by Pathology services and their users across the NHS.

The UTL is still under development by NHS Digital and is part of the National Pathology Information Standards, supporting the NHS CCIO7 work streams.

The status of the UTL is ‘In Development’ as defined in the IReS Terminology Product Development Lifecycle (external PDF).

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 webinar is an introduction to SNOMED CT and covers SNOMED CT features, examples of use and benefits.

The webinar 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 describes techniques for searching SNOMED CT for clinical terms.

The webinar covers searching for individual terms, groups of related terms and terms related to a specific speciality, and includes tips for making successful searches.

Webinar series - using and implementing SNOMED CT

This webinar is aimed at informatics staff and suppliers, and explains the files and products associated with SNOMED CT.