TRUD 3, ITK Release Candidate (RC)

ITK Release Candidate (RC)

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.


For more information, see the ITK web pages or join in the discussion on NHS Networks


For all content enquires, please email ITK team.

Items available for download

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

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 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

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