| NHS Standard Contract |
NHS England’s NHS Standard Contract |
Contractual requirements for Transfer of Care correspondence |
| NHS Standard Contract |
Guidance on NHS Standard Contract for discharges and clinic letters |
Guidance backs immediate secondary care usage when GP Practice systems are ready to receive FHIR messages |
| Clinical Layer |
Clinical content standards |
Professional Record Standards Body (PRSB) |
| Terminology Layer |
SNOMED CT |
Structured clinical vocabulary |
| Technology / Representation Layer |
Industry bulletin, Issue 5 – July 2017 |
Adoption of FHIR based messaging and deprecation of CDA |
| Technology / Representation Layer |
Transfer of Care Payload APIs |
The live status payload specifications for all 4 use cases |
| Technology / Representation Layer |
Inpatient (acute) discharge |
Graphics for the inpatient discharge bundle build |
| Technology / Representation Layer |
Emergency care discharge |
Graphics for the emergency care discharge bundle build |
| Technology / Representation Layer |
Mental health discharge |
Graphics for the mental health discharge bundle build |
| Technology / Representation Layer |
Outpatient letter |
Graphics for the outpatient letter bundle build |
| Technology / Representation Layer |
INTEROpen CareConnect FHIR profiles |
NHS specific FHIR profiles |
| Transport Layer |
MESH |
Message Exchange for Social Care and Health (MESH) |
| Transport Layer |
MESH API |
MESH Server API |
| ITK3 Layer |
Message distribution and response code specifications |
The live status ITK3 message distribution and response code specifications |
| ITK3 Layer |
Acknowledgement pattern for ITK3 messages |
ITK3 response patterns |
| ITK3 Layer |
Code definitions and what to expect back |
Application-level responses supported by GP Foundation IT systems |
| Maturity of APIs |
Importance of FHIR API publication labels |
All Transfer of Care payloads and ITK3 specifications are “live” and can be used where recipient GP Practice foundation supplier has achieved Full Rollout Approval and enabled this functionality |
| Assurance |
Guidance on minimum data set |
Details the Minimum Viable Product (MVP) for organisations struggling to fully populate the FHIR message |
| Assurance |
The ITK3 Test Harness |
Information on NHS Digital’s online Test Harness |
| Assurance |
Sample ITK3 messages for Transfer of Care |
Test messages that can be used as a template for development and use with the test harness |
| Assurance |
Path to Live Environments |
Options for accessing the Test Harness |
| Assurance |
Alternative validator to the Test Harness |
Pre-Test Harness validator. To use, select Bundle from the drop down in the “Validate” box and select XML, then using the “browse” link select and open a file and click the VALIDATE button. Note this tool does not guarantee conformance but allows easier/faster testing and debugging |
| Assurance |
HL7 STU3 Downloads |
Provides access to XML schema validation and HL7 "official" FHIR validator |
| Conformance Certificate catalogue |
ITK3 FHIR document usage |
Download the spreadsheet, open it, enable editing and filter “Service Type” catalogue on “ITK3 FHIR document using MESH” |