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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'.


For all content enquires, please email CFH Interoperability Team

A Basic Introduction to Clinical Coding

As Part of the Clinical Foundation course, all attendees must complete the Theory and Background and Key Definitions modules before attending the classroom based course

Approved Apprentice Commercial Trainer Clinical Coding Training Materials

These materials are ONLY to be downloaded and used by current NHS Classifications Service (NCS) Approved Commercial Apprentice Clinical Coding Trainers. Approved Apprentice Commercial Trainers will have successfully completed the Clinical Coding Trainer Programme (CCTP) to be eligible to obtain and use the Training materials to deliver clinical coding courses. The cost of the materials to Approved Apprentice Commercial Trainers is £1500 plus VAT.

The v10.0 Clinical Coding Foundation Course materials contain Trainer Notes for the 'Basic Introduction to Clinical Coding' eLearning modules.

Approved Apprentice NHS Trainer Clinical Coding Training Materials

Approved Apprentice NHS Trainer Clinical Coding Training Materials. These materials are ONLY to be downloaded and used by current NHS Classifications Service (NCS) Approved NHS Clinical Coding Apprentice Trainers. Approved Apprentice NHS Trainers will have successfully completed the Clinical Coding Trainer Programme (CCTP) to be eligible to obtain and use the training materials to deliver clinical coding courses.

The v10.0 Clinical Coding Foundation Course materials contain Trainer Notes for the ‘Basic Introduction to Clinical Coding’ eLearning modules.

Approved Experienced Commercial Trainer Clinical Coding Training Materials

Approved Experienced Commercial Trainer Clinical Coding Materials. These materials are ONLY to be downloaded and used by current NHS Classifications Service (NCS) Approved Commercial Experienced Clinical Coding Trainers. Approved Experienced Commercial Trainers will have successfully completed the Clinical Coding Trainer Programme (CCTP) to be eligible to obtain and use the training materials to deliver clinical coding courses. The cost of the materials to Approved Experienced Commercial Trainers is £3000 plus VAT.

The v10.0 Clinical Coding Foundation Course materials contain Trainer Notes for the 'Basic Introduction to Clinical Coding' eLearning modules.

Approved Experienced NHS Trainer Clinical Coding Training Materials

Approved Experienced NHS Clinical Coding Trainer Material. These materials are ONLY to be downloaded and used by current NHS Classifications Service (NCS) Approved NHS Experienced Clinical Coding Trainers. Approved Experienced NHS Trainers will have successfully completed the Clinical Coding Trainer Programme (CCTP) to be eligible to obtain and use the v9.0 training materials to deliver clinical coding courses.

The v10.0 Clinical Coding Foundation Course materials contain Trainer Notes for the 'Basic Introduction to Clinical Coding' eLearning modules.

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.

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 Protection Information Sharing – Domain Message Specification

Child Protection Information Sharing Domain Message Specification contains details of message definitions and interactions required to support the rollout of the CPIS system.

Please note that we are updating the Child Protection Domain Message Specification and expect to make available Release Candidate 2 via TRUD in the near future. You are advised to build against Release Candidate 2 when this becomes available.

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 maybe a need to incorporate minor amendments when the specification reached Issued Specification (IS) status.

CliniClue® Data

The next release is scheduled for Tuesday 1st October 2013 – view future releases in detail (1)

Data files For CliniClue® Xplore

Please refer to installation guide for data implementation

CliniClue® eLearning

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

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 softare, please see CliniClue Browser Installation Guide

Document Retrieval Domain Message Specification

Document Retrieval Specification contains details of message definitions and interactions required to support the document retrieval work stream.

Should you wish to comment on the specification or for any content enquiries, please email the QIPP Team

End of Life Domain Message Specification

End of Life Domain Message Specification contains details of message definitions and interactions required to support the End of Life QIPP work stream

Should you wish to comment on the specification or for any content enquiries, please email the QIPP Team

Health And Social Care Integration Domain Specification

The Health and Social Care Integration Domain Message 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.


*please note: This release subpack contains identical contents to the NHS_DMHSCI subpack under MIM

HLI SNOMED

SNOMED CT UK release in Health Language inc proprietary format. Can only be used with the Health Language LE proprietary engine. Licensing arrangements for the LE engine must be done via Health Language inc. Should be selected in conjunction with HLI_LECACHE and HLI_RTSCACHE

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.

IHTSDO SNOMED CT International Version

The SNOMED CT core International release as distributed by the International Health Terminology Standards Development Organisation.

IHTSDO WHO SNOMED CT ICD-10 Cross Maps

The IHTSDO and the WHO SNOMED CT to ICD-10 cross maps. The released maps are the Technology Preview of the work that has been done in Phase 1 , covering in the priority set 19,293 SNOMED CT concepts. The priority list of concepts from three source SNOMED CT domains has been assembled based upon frequency of SNOMED CT concept use in clinical data repositories in IHTSDO member countries

Legally restricted patient confidential data

Part of the Legally Restricted patient confidential data change standard ISB 1572 (www.isb.nhs.uk/documents/isb-1572 ) - 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 version 2, Clinical Terms Version 3, ICD-10 and OPCS 4

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 Care Planning

The next release is scheduled for Tuesday 1st October 2013 – view future releases in detail (1)

Content designed for use in electronic systems supporting care planning functionality across health and social care. Care planning functionality encompasses many professions/sectors which may have differing descriptions in a traditional health record including treatment plans, birthing plans, support plans, care plans, intervention plans or care order sets. This content can facilitate interoperation of care plans across organisational boundaries with appropriately designed message specifications.
Content can be developed to support specific implementations or guidance to implementation can be provided, please contact the team via information.standards@hscic.gov.uk

NHS CDA Implementation Forum Outputs

Guidance documentation to support the implementation of NHS CFH Message Specifications

NHS Choose and Book Subsets

This release pack contains SNOMED subsets that are designed exclusively for use with Choose and Book. The pack contains one subset for each Choose and Book Clinic Type and is maintained by the Choose and Book clinical leads who are members of the National Specialty Reference Group NSRG. These clinical leads represent the interests of the Royal Colleges, professional associations and referrers. Each subset contains Clinical Finding, Procedure and Situation concepts, which align with the standard categories as defined by the NSRG that are used for searching for services on Choose and Book.These subsets are not intended for any other purpose.

NHS CURIO dm+d

These files are provided for use in conjunction with the CURIO project code (forge.tactix4.net/gf/project/curio ) These files contain dm+d sample data only for testing purposes and should not be used in live implementations.

NHS CURIO SNOMEDCT

These files are provided for use in conjunction with the CURIO project code (forge.tactix4.net/gf/project/curio ) These files contain SNOMEDCT sample data only for testing purposes and should not be used in live implementations.

NHS Data Migration

The next release is scheduled for Tuesday 1st October 2013 – view future releases in detail (1)

This release pack contains products intended to support the GP Summary Care Record, Systems of Choice and Data Migration programmes. The contents comprise: 1:1 "forward" crossmaps from the England release of READ2 to CTV3, from READ2 to SNOMED CT, and from CTV3 to SNOMED CT; experimental 1:1 "backward" crossmaps from SNOMED CT to either READ2 or CTV3, and from CTV3 to READ 2; finally, the pack contains tables assigning NHS Care Record Elements to all READ2, CTV3 and SNOMED CT codes. The tables are distributed in a non-standard file format, together with supporting documentation.

NHS Data Model and Dictionary Service Cross-mapping

The next release is scheduled for Tuesday 1st October 2013 – view future releases in detail (1)

NHS Data Model and Dictionary Service Cross Mapping. Providing SNOMED CT to Data Model and Dictionary Service A and E Diagnosis Codes.

NHS eViewer Installer

This item is an installer for the NHS eViewer application that will work on Microsoft Windows only. The application provides the capability to browse and view NHS eVersions. The application comes with notes engine, search tool and email functionality etc.

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 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

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.

NHS Interoperability Specifications Reference Pack Guidance Video

NHS Interoperability Specifications Guidance Videos

NHS 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.

NHS Interoperability Toolkit Accreditation

The Interoperability Toolkit Standards Accreditation pack contains tools and guidance for attaining accreditation to ITK Standard, it is applicable for;


All Suppliers who wish to seek accreditation irrespective of their current contractual relationship with NHS CFH

All products being put forward for accreditation irrespective of their current NHS CFH compliance status

All products being put forward for accreditation irrespective of their position within the end to end ITK solution


For all content enquires, please email ITK team.

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 Child Screening Domain Message Specification Pack

The Child Screening Domain Message Specification details the message definitions and interactions required to support the child Screening work stream

NHS Interoperability Toolkit Core

The ITK Core is a common framework on which all ITK functional sub packs rely. It includes details of interaction patterns, acknowledgements, error handling, audit trail and security.
It includes


-Core service definitions - definitions of services which are applicable across the ITK

-Transport Specifications – messages and contents have been designed to be independent of transport. Web services are the default transport, but others such as Data Transfer Services (DTS) are also supported.

-Architecture Specifications – specifications describing the expected technical behaviours of ITK applications and middleware

-Distribution Envelope - ITK payloads are wrapped in a "thin" wrapper called the Distribution Envelope. The Envelope contains information for routing the transmission and some details about its payloads.

-Acknowledgement framework - an overview of the acknowledgements appropriate for ITK implementations

-A Trust Operating Model - describing the responsibilities of an organisation deploying an ITK solution (for example Information Governance, Clinical Safety, Governance)


For all content enquires, please email ITK team.

NHS Interoperability Toolkit Correspondence

Clinical Document Architecture (CDA) definitions for specified correspondence types.


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


For all content enquires, please email ITK team

NHS Interoperability Toolkit HL7v2

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.


For all content enquires, please email ITK 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 Interoperability Toolkit Spine Mini Services

Spine Mini Services specifications define interaction with NHS National Services (Spine). This includes, for example, services that allow interaction with the Personal Demographic Services (PDS).

It should be noted that those vendors needing to become Spine compliant as part of their overall SMSP offering will need to follow the NHS CFH Common Assurance Process (CAP) to receive their Spine compliance certification. Only those vendor products that have successfully completed CAP will be able to retrieve Patient Demographics Service (PDS) data directly from the National Spine


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


For all content enquires, please email ITK team.

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 (NICIP)

The next release is scheduled for Tuesday 1st October 2013 – view future releases in detail (1)

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 intended to be the first comprehensive catalogue of Snomed CT coded Laboratory medicine test requests for use by Pathology services and their users across the NHS. It should be noted that the National Laboratory Medicine Catalogue is Technology Preview as defined by the UKTC. This means that trial implementation is encouraged to evaluate utility and safety, and to identify possible design improvements, live deployment is at the users own risk, where such risk is permitted by other governance processes. 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 its support or maintenance.

NHS ODS Weekly Prescribing Related Data

The next release is scheduled for Thursday 23rd May 2013 – view future releases in detail (29)

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

NHS OPCS-4

OPCS Classification of Interventions and Procedures (OPCS-4) releases - Codes and Titles, Metadata and Table of Coding Equivalences files. Includes the DH High Cost Drugs and DH Chemotherapy Regimens and associated guidance provided by NHS Classifications Service.

NHS OPCS-4 eVersion

OPCS-4 eVersion is composed of OPCS-4 content and eViewer. This electronic product provides an alternative to the OPCS-4 manuals. The eVersion also includes annotation, powerful search tool and email functionality as well as an easy to follow integrated user guide.

NHS Query table and SnoGraph tool

This package contains SnoGraph software and Query table to facilitate implementation of inactive concepts in SNOMED CT. The SnoGraph software is an open source application that was built on top of NetBeans platform and Neo4j graph database. SnoGraph provides flexibility for users to generate query table the entire SNOMED CT or any given concept. The transitive closure table without inactive concepts can also be generated by SnoGraph. The Query table is a transitive closure table with extension of historical relationships. The query table enable exclusive data retrieval regardless of inactive and active concept status in data or query definitions.

NHS Read Browser

The next release is scheduled for Tuesday 17th September 2013 – view future releases in detail (1)

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

NHS SDS

The next release is scheduled for Friday 28th June 2013 – view future releases in detail (7)

This information can only be supplied to NHS organisations and contains NHS national reference code data on organisations, individuals and postcodes for use in NHS administrative functions, especially in processing central returns, patient administration, commissioning and message handling. The information relates mainly to England and Wales.
Please note: This replaces the National Administrative Codes Service (NACS) CD ROM FULL VERSION.
Please subscribe to only one SDS pack, this content is restricted to NHS Organisations only.

NHS SDS for non-NHS organisations

The next release is scheduled for Friday 28th June 2013 – view future releases in detail (7)

NHS national reference code data on organisations, individuals and postcodes. The information relates mainly to England and Wales and is for use within non NHS organisations in support of NHS business.
Please note: This replaces the National Administrative Codes Service (NACS) CD ROM LICENSEE VERSION.
Please subscribe to only one SDS pack, this content is available to non NHS organisations in support of NHS business.

NHS Snofyre data

This item contains pre-prepared data for use by Snofyre. These data are:

  • A MySQL database backup file containing SNOMED CT release content (October 2008)
  • A machine-readable concept model text file
  • Snofyre data - a MySQL database backup file of simulated clinical records containing SNOMED CT data.

NHS Snofyre installer for any Other Operating system

This item is an installer for the Snofyre application that will work on any operating system. Some releases of this item (see individual release descriptions for more information) contain these data:

  • A MySQL database backup file containing SNOMED CT release content (October 2008)
  • A machine-readable concept model text file
  • Snofyre data - a MySQL database backup file of simulated clinical records containing SNOMED CT data.

NHS Snofyre installer for Microsoft Windows

This item is an installer for the Snofyre application that will work on Microsoft Windows only. Some releases of this item (see individual release descriptions for more information) contain these data:

  • A MySQL database backup file containing SNOMED CT release content (October 2008)
  • A machine-readable concept model text file
  • Snofyre data - a MySQL database backup file of simulated clinical records containing SNOMED CT data.

NHS SNOMED CT

The next release is scheduled for Wednesday 29th May 2013 – view future releases in detail (6)

SNOMED CT UK release in SNOMED CT standard format. The combined bi annual release includes subsets, developers toolkit and added value files (also includes the latest version of core data held within IHTSDO_SNOMED pack.) Please note SNOMED CT Cross map files are also contained in the NHS_SNOMEDXMAP subpack. There is also a 4-weekly release of this subpack containing SNOMED CT UK Drug extension data only.

NHS SNOMED CT Cross-maps

The next release is scheduled for Tuesday 17th September 2013 – view future releases in detail (1)

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

NHS SNOMED CT RF2

SNOMED CT UK Edition in RF2 format including cross-maps to OPCS-4.6 and the UK approved version of ICD-10. This data is provided as a Technology Preview as part of the consultation on the introduction of the RF2 format for the UK Extension. Further detail can be found in the supporting documentation.

NHS SNOMED CT Subsets eVersion

The next release is scheduled for Tuesday 1st October 2013 – view future releases in detail (1)

This electronic product provides the capability to browse and view NHS Snomed Subsets with the NHS eViewer. The Subset eVersion also includes annotation, powerful search tool and email functionality as well as an easy to follow integrated user guide.

NHS UK Read Codes Clinical Terms Version 2 without Cross Mapping to ICD-10 or OPCS-4

The next release is scheduled for Tuesday 17th September 2013 – view future releases in detail (1)

NHS UK Read Codes Clinical Terms Version 2 without Cross Mapping to ICD-10 or OPCS-4
The files released from this pack should not be implemented into live systems. For live implementations please download the latest full pack from www.uktcregistration.nss.cfh.nhs.uk/trud3/user/guest/group/0/pack/9/subpack/21/releases

NHS UK Read Codes Clinical Terms Version 3

The next release is scheduled for Tuesday 17th September 2013 – view future releases in detail (1)

UK READ Codes Clinical Terms Version 3.

NHS UK Read Codes Clinical Terms Version 3 without Cross Mapping to ICD-10 or OPCS-4

The next release is scheduled for Tuesday 17th September 2013 – view future releases in detail (1)

The Clinical Terms Version 3 content, and the documentation provided with this pack are licensed through the Open Government License. The documentation refers to ICD-10 and OPCS cross-maps, which are subject to different license conditions. We have provided the complete documentation for information. If you are eligible to access the cross-maps themselves, they are available through the Technology Reference data Update Distribution website. You will need to demonstrate your eligibility and agree to the conditions and terms of the licenses to access the ICD-10 and OPCS cross-maps. There is no cost associated with these licenses and deployment of the ICD-10 and OPCS cross-maps in the UK.

NHS UK Read Codes Version 2

The next release is scheduled for Tuesday 17th September 2013 – view future releases in detail (1)

UK READ Codes Version 2.

NHS UK Read Pathology Bounded Code List

The next release is scheduled for Tuesday 1st October 2013 – view future releases in detail (1)

The Pathology Bounded Code List, formerly known as the Laboratory Messaging Subset, has been developed to provide a defined or bounded subset of Read codes for use in lab to GP messaging. Use of the Pathology Bounded Code List will ensure that there is common understanding by both sending and receiving clinicians of the laboratory investigations performed.

NHS_ICD10CTM

These are only available to Approved Apprentice and Experienced Clinical Coding Trainers. These files are free of charge to all registered clinical coding trainers. These will be superseded by the Clinical Coding Training Materials v10 when they are released in April 2012.

NHSBSA dm+d

The next release is scheduled for Monday 27th May 2013 – view future releases in detail (6)

NHS Dictionary of Medicines and Devices (dm+d) in a vendor neutral format. Further details available at www.nhsbsa.nhs.uk/prescriptions

NHSBSA dm+d Supplementary

The next release is scheduled for Monday 27th May 2013 – view future releases in detail (6)

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

Notifications Domain Message Specification

Notifications Message Specification contains details of message definitions and interactions required to support the notifications work stream.

Should you wish to comment on the specification or for any content enquiries, please email the QIPP Team

Presentations pack on Analytics and SNOMED CT

The event covered a wide range of topics relevant to the exploitation of SNOMED CT for data analysis and reporting. These are offered here without any overarching commentary however follow-up activity based on the implied direction from the meeting has been anticipated.


The pack of presentations is offered here for public download and onward distribution.

SNOMED CT Beginners eLearning

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

SNOMED CT International Medical Devices Technology Preview

The SNOMED CT International Medical Devices Technology Preview is aligned to the July 2012 International Release of SNOMED CT, and is based on content from the Global Medical Devices Nomenclature (GMDN) of October 2011. The GMDN has been made available for use by the IHTSDO further to the harmonization agreement between the IHTSDO and the GMDN Agency in 2012.

This Technology Preview is the culmination of the first project phase of the overall IHTSDO Medical Devices Project. Planning is now being initiated for subsequent project phases, with the goal of eventually delivering medical devices content supported by a concept model in SNOMED CT. Consultation on the design and population of this concept model will begin in Q4 2012 and the project team will welcome your feedback and comments at this time (feedback contact details to be confirmed as part of this process).

It should be noted that the SNOMED CT International Medical Devices Technology Preview is intended for content validation and implementation testing purposes, and is not recommended for use in clinical systems.

Telehealth - Domain Message Specification

Telehealth Domain Message Specification contains details of message definitions and interactions required to support the national rollout of Telehealth.
*Please note:This specification should be read in conjunction with the NHS Interoperability Toolkit Core pack

The ICD-10 4th Edition Self Teach Course

These are available to all clinical coding professionals. The files are as follows and we recommend you work through them in the order given.

- P1 ICD-10 4th Edition Self teach Introduction v1.0

- P2 Introduction to ICD-10 4th Edition v1.0

- P3 Overview of ICD-10 4th Edition v1.0, ICD-10 4th Edition self-teach exercises v1.0.

- ICD-10 4th ed self-teach exercises (Excel)


The PowerPoint presentations must be viewed in Slide Show mode and instructions on how and when to refer to the Excel spreadsheet exercises are clearly indicated within the presentations.


The PowerPoint presentation slides are not intended to be printed out, just gone through on the screen. Although the content of the slide on first glance is hidden by the speech bubbles, when viewed in slide show mode, the slide content can be seen and the speech bubbles animate in on clicks of the mouse.

The Read Codes Drug and Appliance Dictionary

The next release is scheduled for Monday 3rd June 2013 – view future releases in detail (5)

UK READ Drugs Codes.

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

UKTC Historical Static Release Documentation

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

Webinar Series - An introduction to NHS dm+d and SNOMED CT UK Drug Extension

An introduction to NHS dm+d and SNOMED CT UK Drug Extension

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

Webinar Series - Why SNOMED CT Features, examples of use and benefits

The first in this series of webinars is an introduction to SNOMED CT. This 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.