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

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.

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 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

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

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.

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 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.

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

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.

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.

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

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.

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

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.

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