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  • All items (32)
  • Interoperability Toolkit (9)
  • Message Specifications (22)
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Message Specifications

If you would like to comment on these specifications or enquire about the content please email the NHS Digital Interoperability Standards Service, and ensure the email's subject field contains the following information:
1. Interoperability Standards Service.
2. Mentions the type of interoperability standard, e.g. HL7 FHIR, HL7 v2, HL7 v3, CDA etc...
3. Describes the domain, for example, PDS, ETP, ODS, Transfer of Care, etc...

Items in this category

Ambulance Domain Message Specification

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

HL7 CDA

  • Releases (1)
  • Licences (1)

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

  • Releases (1)
  • Licences (1)

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

  • Releases (2)
  • Licences (1)

Child Screening Domain Message Specification Pack

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

HL7 CDA

  • Releases (1)
  • Licences (1)

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

  • Releases (1)
  • Licences (1)

Discharge Domain Message Specification

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


  • Releases (0)
  • Licences (1)

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

  • Releases (1)
  • Licences (1)

Emergency Department Domain Message Specification

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


  • Releases (0)
  • Licences (2)

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

  • Releases (1)
  • Licences (1)

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

  • Releases (2)
  • Licences (1)

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

  • Releases (1)
  • Licences (1)

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

  • Releases (1)
  • Licences (1)

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

  • Releases (1)
  • Licences (1)

NHS Interoperability Toolkit Dashboards

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

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


  • Releases (0)
  • Licences (1)

NHS Interoperability Toolkit HL7 v2

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

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


  • Releases (0)
  • Licences (1)

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.


  • Releases (12)
  • Licences (1)

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

  • Releases (1)
  • Licences (1)

Out of Hours Domain Message Specification

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


  • Releases (0)
  • Licences (1)

Outpatients Domain Message Specification

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

HL7 CDA

  • Releases (1)
  • Licences (1)

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

  • Releases (1)
  • Licences (1)

Telehealth Domain Message Specification

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

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


  • Releases (0)
  • Licences (1)

Transfer of Care Domain Message Specification

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


  • Releases (0)
  • Licences (1)

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