TRUD, All items across all categories

All items across all categories

A Basic Introduction to Clinical Coding

As part of the Clinical Coding Standards Course, all attendees must complete the Theory and Background and Key Definitions modules before attending the classroom based course.


Ambulance Domain Message Specification

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

HL7 CDA

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

Introduction to dm+d

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

Business Services Authority dm+d browser demonstration

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

dm+d and SNOMED CT UK drug extension on TRUD

https://isd.hscic.gov.uk/trud3/user/authenticated/group/2/pack/9/subpack/141/releases

Status: Supported


Basic Anatomy & Physiology Manual

Basic Anatomy & Physiology Manual. This manual is available free of charge for reference purposes.


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

The national Care Plan Content is designed to support care plan functionality across health and social care. This functionality crosses many professions/sectors which may have differing descriptions for a care plan in the traditional health record (e.g. treatment plans, birthing plans, support plans, intervention plans or care order sets).

The content can support the interoperation of care plans across organisational and system boundaries. Paper-based care plans based on the pack have also been used successfully to gain greater familiarity with structured terminology (SNOMED CT). Enquiries to information.standards@nhs.net

Status: Technology Preview


CDA Template Library

The CDA Template Library contains details of templates used in Domain Message Specifications published on the NHS TRUD website. The included Domain Message Specifications are Ambulance, Out of Hours, Discharge, Emergency Department, Outpatients, Non Coded CDA and Telehealth.
The CDA Template Library offers various views on templates including

- a model view, so that templates can be view in context of the CDA model
- a template list, for ease of access to known templates


Child Health Data Sharing Domain Message Specification

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

HL7 V3

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.

HL7 V3

Child Screening Domain Message Specification Pack

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

HL7 CDA

Children and Young People’s Health Services Set XML Schema

The Children and Young People's Health Services Data Set collects information on the health of children and young people.


CliniClue® Data

Data files For CliniClue® Xplore

Please refer to installation guide for data implementation

Notice: The CliniClue® browser and data pack have been provided on TRUD as an open source tool to enable users to browse SNOMED terminology offline using Release format 1 (RF1) data. Following the final International Release in RF1 the external provider has provided notification that there will be no future build of this product.

The October 2016 CliniClue® browser and data pack published on TRUD was the final release; no new future versions of this product will be available.


CliniClue® eLearning

Short demo of how to use the CliniClue Xplore browser to explore SNOMED CT

Notice: The CliniClue® browser and data pack have been provided on TRUD as an open source tool to enable users to browse SNOMED terminology offline using Release format 1 (RF1) data. Following the final International Release in RF1 the external provider has provided notification that there will be no future build of this product.

The October 2016 CliniClue® browser and data pack published on TRUD was the final release; no new future versions of this product will be available.


CliniClue® Xplore

CliniClue® Xplore is the latest version of the CliniClue freeware browser for SNOMED Clinical Terms®. Developed by The Clinical Information Consultancy Ltd, CliniClue® for further information, please visit the NHS SNOMED CT Browsers website

For further information regarding Installation of this software, please see CliniClue Browser Installation Guide

Notice: The CliniClue® browser and data pack have been provided on TRUD as an open source tool to enable users to browse SNOMED terminology offline using Release format 1 (RF1) data. Following the final International Release in RF1 the external provider has provided notification that there will be no future build of this product.

The October 2016 CliniClue® browser and data pack published on TRUD was the final release; no new future versions of this product will be available.

The NHS Digital SNOMED CT browser is an online browser and is available at termbrowser.nhs.uk. It contains the SNOMED CT International release, the UK Clinical Extensions and the UK Drug Extension. We will update the browser every six months in line with the biannual release of SNOMED CT. The NHS Digital SNOMED CT browser is now our preferred SNOMED CT browser for use by the NHS.


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 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.

HL7 CDA

Diagnostic Imaging Data Set XML Schema

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


Discharge Domain Message Specification

This specification contains details of message definitions and interactions required to support Discharge messaging. For discharges relating to inpatient care please use the Transfer of Care Domain Message Specification

HL7 CDA

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.


Document Retrieval Domain Message Specification

This specification contains details of message definitions and interactions required to support the document retrieval work stream.

HL7 V3

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.

HL7 V3

Emergency Department Domain Message Specification

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

HL7 CDA

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.

HL7 CDA

eViewer (eVersion) Application

This application is used to view ICD-10, OPCS-4 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.

HL7 FHIR

GP Summary Code Lists

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


GP Summary Inclusion Code Lists contains general practice terminology sets that contribute to the national Summary Care Record (SCR) in England. Content has been created through the SCR programme to support patient safety, care quality and preference in urgent and unscheduled care situations.

GP Summary Exclusion Code Lists contains general practice terminology sets that identify potentially sensitive data that will be excluded from emergency care summary records. The lists have been developed by Royal College of General Practitioners (RCGP) representatives from England, Northern Ireland, Scotland and Wales. They are approved by the RCGP Ethics Committee and Joint GP IT Committee and include codes relating to sexually transmitted disease, assisted fertilisation (including in vitro fertilisation), gender reassignment and termination of pregnancy.

The code lists are available in the following terminologies:

  • SNOMED CT
  • 5-byte Read Codes Version 2
  • Clinical Terms Version 3

Status: Technology Preview


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.

HL7 CDAHL7 V3

Health Protection Electronic Notification (HPEN) Domain Message Specification

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

HL7 CDA

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.


HSCOrgRefDataXML_Data

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


HSCOrgRefDataXML_Support

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).


ICD-10 4 Step e-Learning Module

This e-learning module is designed to be used as a revision aid before sitting the National Clinical Coding Qualification (UK) examination and for clinical coders who wish to refresh their memory about the four step coding process. At the end of the module you will have the opportunity to test your understanding of the four step coding process.

Note: This TRUD release has now been migrated to the NHS North West & NHS Yorkshire and the Humber eLearning website, where an up to date version can be found.

ICD-10 5th Edition update presentation

ICD-10 5th Edition update presentation for use by trainers, managers and coders alongside the Key Learning Points and reference book to learn about the changes in the 5th Edition Classification and the coding standards.


ICD-10 eVersion Book

The ICD-10 eVersion book is an electronic copy of ICD-10 5th Edition. It is available here for adding to the eViewer application. It provides an alternative to the classification books.

If you have not already got this pack, download it and follow the steps in the installation guide - see eViewer (eVersion) Application above.

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.


IHTSDO SNOMED CT International Version

The UK Terminology Centre makes the international edition of SNOMED CT RF2 as well as the converted edition of SNOMED CT RF1 available in the UK SNOMED CT Clinical Edition RF1 and RF2, this can be found here.

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 our international colleagues at IHTSDO, this can be found here


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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 Specifications Tooling Pack

The Tooling Pack is a periodic publication of various tooling artefacts used with the domain message specifications.

  • Transforms: A set of transforms used to assist in the validation of CDA messages against the published message specifications.
  • Schematron: A set of xml files which contain rules to check CDA messages against errors which cannot be checked using schema files alone.
  • Renderer: This is the XSLT transform used with the on-the-wire CDA XML messages to create human readable HTML versions.
  • CDA Checker: This tool automates the testing of CDA examples using the published transforms and schematron.

*This pack must be used in conjunction with the content of the Message Specifications Pack containing the CDA messages definitions being developed against.


Interoperability Toolkit - TMS Transport

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

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


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 Specifications Reference Pack

The Interoperability Specifications Reference Pack is a periodic publication of referenced content type within interoperability specifications. The Reference Pack consists of the following:


- OID Catalogue: For usage of OIDs please refer to individual Domain Message Specifications.

- HL7 v3 Vocabulary: For usage of HL7 v3 Vocabularies please refer to individual Domain Message Specifications.

- HL7 v2 Vocabulary: For the definitive source for HL7 v2 Vocabularies please refer to the NHS Interoperability Toolkit HL7v2

- SNOMED CT Subsets: For the definitive source for SNOMED CT subsets please refer to the Combined Terminology Bi- Annual Release on the Technology Reference Data Update Distribution Service. For usage of SNOMED CT subsets please refer to individual Domain Message Specifications.


* This publication provides the referenced information to various suppliers and stakeholders and can be used in conjunction with all of the NHS Interoperability packs.


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


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 XML Schema

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


MyCareRecord Domain Message Specification

This specification is a draft for consultation to support a CDA profile using the core clinical headings documented in the "Standards for the clinical structure and content of patient records". These core clinical headings are those that are the priority for inclusion in Electronic Health Records (EHRs), as set out by the Academy of Medical Royal Colleges in 2008.

HL7 CDA

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

ICD-10 and OPCS-4 National Clinical Coding Standards (NCCS) reference books (2017).

The PDF versions are available here for adding to the eViewer application. See eViewer/Help/Help Contents/Book Manager for instructions on adding reference book to eViewer.


National Clinical Coding Standards for OPCS-4

The National Clinical Coding Standards OPCS-4 Reference Book and the companion document Supplementary Information OPCS-4, support the implementation of OPCS-4.7 from 1st April 2014 The Reference Book focuses on the clinical coding standards that must be applied when assigning OPCS-4 codes. Supplementary Information OPCS-4 describes the more complex or less well known procedures classified within OPCS-4


National Clinical Coding Standards ICD-10

The electronic version of the National Clinical Coding Standards ICD-10 reference book.


NCCQ (UK) Revision Workshop Materials

NCCQ (UK) Revision Workshop Materials. Only available to Approved Experienced NHS / Commercial Clinical Coding Trainers.


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.

HL7 CDAHL7 V3

NHS CDA Implementation Forum Outputs

Guidance documentation to support the implementation of NHS CFH Message Specifications


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.

HL7 V3

NHS Data Migration

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


This release pack contains products intended to support the GP Summary Care Record, Systems of Choice and Data Migration programmes. The contents comprises of 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. The pack also includes 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.

Status: Supported


NHS Health Checks Data Set XML Schema

The NHS Health Checks Data Set collects information on NHS Health Check Assessments for all those eligible between the age of 40 and 74 in England.


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 Informatics Capability Development and Assessment

A range of support and assessment tools to help your organisation benefit from informatics and find ways to best use and build upon the capability you already have.


NHS Interoperability Specifications Reference Pack Guidance Video

NHS Interoperability Specifications Guidance Videos


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

Message specifications for defined aggregated data on patient encounters.

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

HL7 V3

NHS Interoperability Toolkit HL7 v2

Message specifications that utilise HL7 version 2. For example, messages for admission, discharge and transfer (ADT) of a patient.

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

HL7 V2

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.

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO). All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. “SNOMED” and “SNOMED CT” are registered trademarks of the IHTSDO. Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. For more information on the license, including how to register as an Affiliate Licensee, please refer to IHTSDO SNOMED CT Licensing.


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.

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. It should be noted 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 users 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 UKTC is under no obligation to continue releasing this product.

Status: Technology Preview


NHS ODS weekly prescribing-related data

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


The next release is due Thursday, 28 September 2017.

NHS OPCS-4 Chemotherapy Regimens List and High Cost Drugs List

Contains the National Tariff Chemotherapy Regimens and High Cost Drugs Lists and companion documents: Chemotherapy Regimens Clinical Coding Standards and Guidance OPCS-4, High Cost Drugs Clinical Coding Standards and Guidance OPCS-4.


NHS Read Browser

An identified error with release 24.0.0 is currently being corrected. As soon as the data is available we will notify you by resending a new release email.


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


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

Status: Supported


NHS UK Read Codes Clinical Terms Version 3

An identified error with release 24.0.0 is currently being corrected. As soon as the data is available we will notify you by resending a new release email.


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


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.

Status:Deprecated with support


NHS UK Read Codes Clinical Terms Version 3, Cross Maps

An identified error with release 24.0.0 is currently being corrected. As soon as the data is available we will notify you by resending a new release email.


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


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.

Status: Deprecated with support


NHS UK Read Codes Version 2

There are no future releases scheduled

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


Please note the last release of the Read v2 codes was on the 1st April 2016.

Status: Deprecated


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 performed.

Status: Supported


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


The next release is due Monday, 25 September 2017.

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.

Status: Supported


The next release is due Monday, 25 September 2017.

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.

HL7 CDA

Notifications Domain Message Specification

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

HL7 V3

OPCS-4 eVersion Book

The OPCS-4 eVersion Book is an electronic copy of OPCS-4.8 and is available here for adding to the eViewer application. It provides an alternative to the classification books. OPCS-4.8 is effective from 1 April 2017.

Before downloading this pack, it is recommended that you download the latest eViewer (eVersion) Application and follow the steps in the installation guide.


OPCS-4 Systems Data files

OPCS Classification of Interventions and Procedures (OPCS-4) data files release - Codes and Titles, Metadata and Table of Coding Equivalences - specification documents and summary of core changes provided by the Clinical Classifications Service.

The OPCS-4.8 Summary of Changes is available from the Standardisation Committee for Care Information (SCCI) website


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

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

HL7 CDA

Outpatients Domain Message Specification

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

HL7 CDA

Pathology

This collection is a reference point for downloads of pathology information standards.

This includes the Pathology Bounded Code List (PBCL), pathology datasets defined in SNOMED CT, pathology terminology migration support products, the National Medicine Laboratory Catalogue (NLMC) and national pathology messaging specifications.

Development products will also be made available in this collection and conform to the product development lifecycle.


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: Technology Preview


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.

HL7 V3

QOF Business Rules

This pack contains a sample of the QOF business rules in SNOMED CT along with the associated documentation. These are provided for technical preview only.


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.

Status: Supported


SNOMED CT human-readable subset - Administrative


SNOMED CT human-readable subset - Adolescent psychiatry


SNOMED CT human-readable subset - Adult mental health


SNOMED CT human-readable subset - Allergy


SNOMED CT human-readable subset - Assessment


SNOMED CT human-readable subset - Care planning


SNOMED CT human-readable subset - Child and adolescent mental health


SNOMED CT human-readable subset - Clinical


SNOMED CT human-readable subset - Community mental health


SNOMED CT human-readable subset - Community podiatry


SNOMED CT human-readable subset - Data extraction


SNOMED CT human-readable subset - Dental hygiene


SNOMED CT human-readable subset - Diagnosis


SNOMED CT human-readable subset - Diagnostic imaging


SNOMED CT human-readable subset - Diagnostic investigation


SNOMED CT human-readable subset - Dietetics


SNOMED CT human-readable subset - dm+d


SNOMED CT human-readable subset - Eating disorders


SNOMED CT human-readable subset - Emergency ambulance


SNOMED CT human-readable subset - Emergency care


SNOMED CT human-readable subset - End of life


SNOMED CT human-readable subset - Endoscopy


SNOMED CT human-readable subset - ePrescribing


SNOMED CT human-readable subset - Finding


SNOMED CT human-readable subset - Forensic mental health


SNOMED CT human-readable subset - Foundation reference sets


SNOMED CT human-readable subset - Gastroenterology


SNOMED CT human-readable subset - General Practice


SNOMED CT human-readable subset - Genitourinary medicine


SNOMED CT human-readable subset - Gynaecology


SNOMED CT human-readable subset - Healthcare reference sets


SNOMED CT human-readable subset - Hospital podiatry


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 - Infectious diseases


SNOMED CT human-readable subset - Information standard


SNOMED CT human-readable subset - Liaison mental health


SNOMED CT human-readable subset - Mental health


SNOMED CT human-readable subset - Mental health counselling


SNOMED CT human-readable subset - Mental health crisis resolution


SNOMED CT human-readable subset - Mental health dual diagnosis


SNOMED CT human-readable subset - Mental health home treatment


SNOMED CT human-readable subset - Mental health intensive care


SNOMED CT human-readable subset - Mental health recovery and rehabilitation 


SNOMED CT human-readable subset - Messaging Interoperability


SNOMED CT human-readable subset - Midwifery


SNOMED CT human-readable subset - NHS 111


SNOMED CT human-readable subset - Nursing


SNOMED CT human-readable subset - Occupational therapy


SNOMED CT human-readable subset - Ophthalmology


SNOMED CT human-readable subset - Orthopaedic


SNOMED CT human-readable subset - Orthoptics


SNOMED CT human-readable subset - Paediatric neurodisability


SNOMED CT human-readable subset - Pain management


SNOMED CT human-readable subset - Pathology


SNOMED CT human-readable subset - Perinatal mental health


SNOMED CT human-readable subset - Physiotherapy


SNOMED CT human-readable subset - Podiatric surgery


SNOMED CT human-readable subset - Podiatry


SNOMED CT human-readable subset - Procedure


SNOMED CT human-readable subset - Psychiatry


SNOMED CT human-readable subset - Psychogeriatric


SNOMED CT human-readable subset - Public health


SNOMED CT human-readable subset - Quality Outcome Framework Prescribable


SNOMED CT human-readable subset - Reference set by clinical information component


SNOMED CT human-readable subset - Rehabilitation mental health


SNOMED CT human-readable subset - Renal


SNOMED CT human-readable subset - Respiratory medicine


SNOMED CT human-readable subset - Rheumatology


SNOMED CT human-readable subset - Safeguarding


SNOMED CT human-readable subset - Screening programme


SNOMED CT human-readable subset - Speech and language therapy


SNOMED CT human-readable subset - Substance misuse


SNOMED CT human-readable subset - Surgical


SNOMED CT human-readable subset - Telehealthcare


SNOMED CT human-readable subset - UK Clinical Extension


SNOMED CT human-readable subset - UK Drug Extension


SNOMED CT human-readable subset - Urology


SNOMED CT human-readable subset - User interface


SNOMED CT human-readable subset - Well baby


SNOMED CT human-readable subset - Well man


SNOMED CT human-readable subset - Well woman


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.


Systemic Anti-Cancer Therapy Data Set XML Schema

The Systemic Anti-Cancer Therapy Data Set collects clinical management information on patients undergoing Chemotherapy in (or funded by) the NHS in England.


Telehealth Domain Message Specification

This specification contains details of message definitions and interactions required to support the national rollout of Telehealth.

Please note that his specification should be read in conjunction with the NHS Interoperability Toolkit Core pack.

HL7 CDA

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’


  • Releases (0)
  • Licences (0)

Transfer of Care Domain Message Specification

This specification supports the Transfer of Care, for example the eDischarge inpatient summary.

HL7 CDA

UK SNOMED CT Clinical Edition, RF1

An identified error with release 24.0.0 is currently being corrected. As soon as the data is available we will notify you by resending a new release email.


SNOMED V SNOMED W SNOMED X SNOMED Y SNOMED ZSNOMED CT UK Clinical Edition in release format 1. This pack contains 6-monthly releases of the UK Clinical Extension and the International Release. Each sub-pack also includes subsets, the developer’s toolkit and other added value files. Please note: SNOMED CT RF1 cross-map files are also contained in the NHS_SNOMEDXMAP sub-pack in NHS SNOMED CT Cross-maps in UKTC SNOMED.


Important Notice - Information on the cessation of SNOMED CT in Release Format 1 and the provision of release files only in Release Format 2 can be found here.


Status: Supported


UK SNOMED CT Clinical Edition, RF1 Cross-maps

An identified error with release 24.0.0 is currently being corrected. As soon as the data is available we will notify you by resending a new release email.


SNOMED CT UK release cross maps in SNOMED CT release format 1. This sub pack includes the cross maps to OPCS4.x and the UK approved version of ICD10.


Important Notice - Information on the cessation of SNOMED CT in Release Format 1 and the provision of release files only in Release Format 2 can be found here.


Status: Supported


UK SNOMED CT Clinical Edition, RF2: Delta

SNOMED V SNOMED W SNOMED X SNOMED Y SNOMED ZSNOMED CT UK Clinical Edition in release format 2, release type Delta only. This pack contains 6-monthly releases of the UK Clinical Extension and the International Release. Each sub-pack 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.

Status: Draft for Trial Use


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

SNOMED V SNOMED W SNOMED X SNOMED Y SNOMED ZSNOMED CT UK Clinical Edition in release format 2; all release types. This pack contains 6-monthly releases of the UK Clinical Extension and the International Release. Each sub-pack also includes refsets, cross-maps and added value files. All the three RF2 release types of Full, Snapshot and Delta are included.

Status: Draft for Trial Use


UK SNOMED CT Drug Extension, RF1

SNOMED V SNOMED W SNOMED X SNOMED Y SNOMED ZSNOMED CT UK Drug Extension in release format 1. Please note this pack does NOT include UK Clinical Extension or International Release. Releases are 4-weekly with an additional twice yearly interim release available synchronous to the 6-monthly UK Clinical Edition.


Important Notice - Information on the cessation of SNOMED CT in Release Format 1 and the provision of release files only in Release Format 2 can be found here.


Status: Supported


UK SNOMED CT Drug Extension, RF2: Delta

SNOMED V SNOMED W SNOMED X SNOMED Y SNOMED ZSNOMED 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 sub-pack. Please note this pack does NOT include UK Clinical Extension or International Release. Releases are 4-weekly with an additional twice yearly interim release available synchronous to the 6-monthly UK Clinical Edition.

Status: Draft for Trial Use


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

SNOMED V SNOMED W SNOMED X SNOMED Y SNOMED ZSNOMED CT UK Drug Extension in release format 2, all release types. All the three RF2 release types of Full, Snapshot and Delta, drug only refsets and added value files are included in each sub-pack. Please note this pack does NOT include UK Clinical Extension or International Release. Releases are 4-weekly with an additional twice yearly interim release available synchronous to the 6-monthly UK Clinical Edition

Status: Draft for Trial Use


UKTC Data Migration Workbench

This sub-pack contains the UKTC 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. Also included are installation and user guides and a ReadMe.txt file. It is important you read the ReadMe.txt file BEFORE you begin to install this application.

For UKTC Data Migration Workbench Training Materials please go here.

Status: In Development


UKTC Data Migration Workbench Training Materials

UKTC Data Migration Workbench Training Materials.


UKTC Historical Static Release Documentation

NHS READ and SNOMED CT static release documents. Please note, for current documents please download the relevant terminology release.


UKTC SNOMED CT 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 by UKTC 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: Technology Preview


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