#### Child Screening
Domain Message Specification

### Change History

#### Version: 2.1; Status: RC3

- NewBornPhysicalExamination template COCD_TP146004GB02
  - Redesigned and up-versioned the NewBornPhysicalExamination template to support capability for easier future extension as more tests become required.
  - This allows for terminologies in addition to UK NSC national primary code set to be used e.g. SNOMED CT (provided they have a mapping to UK NSC national codes).
  - Relaxed the Examination.value extensibility qualifier coding strength to coded with extensions which will allow SNOMED CT concepts to be sent as primary codes once all systems are mature enough to support SNOMED CT.
- Vocabulary
  - NewbornAndInfantPhysicalExaminationProceduresSnCT - a new vocabulary for the NewBornPhysicalExamination template
  - NewbornAndInfantPhysicalExaminationResults - a new vocabulary for the NewBornPhysicalExamination template
- Profile
  - The configuration profile, urn:nhs-en:profile:ChildScreening-v4-0, has been upversioned to reflect the above changes.
- XML Examples
  - Child Screening Report (POCD_MT010000GB01_02) - With StructuredBody example uses the XML element translation to convey mappings between SNOMED CT and other terminologies and code systems (READ 2, READ 3).

#### Version: 2.1; Status: RC2

- NewBornHearingScreening template COCD_TP146003GB02
  - The NewBornHearingScreening.code HL7 attribute constrained to CD CWE data type.
- BloodSpotScreening template COCD_TP146005GB03
  - The Screening.value HL7 attribute constrained to NewbornBloodSpotScreeningResultStatus vocabulary and CD CWE data type.
  - The ScreeningSubStatus.value HL7 attribute constrained to BSScreeningStatusSubCodes vocabulary and CD CWE data type.
  - NPFIT-000167#Section constraint upversioned to 4.0 as COCD_TP146005GB02 has been removed from pack.
- BloodSpotScreening Vocabulary Changes
  - The NewbornBloodSpotScreeningResultStatus v1.0 vocabulary replaces NewbornBloodSpotScreeningResultStatusSnCT v1.0 vocabulary (subset ID, 61081000000135) as primary codesystem. Whilst subset ID, 61081000000135, has been defined in the most recent release of SNOMED CT, it has however been removed from this DMS.
  - The BSScreeningStatusSubCodes vocabulary replaces NewbornBloodSpotScreeningResultSubstatusSnCT v1.0 vocabulary (subset ID, 61091000000138) as primary codesystem. Whilst subset ID, 61091000000138, has been defined in the most recent release of SNOMED CT, it has however been removed from this DMS.
- Profile
  - The configuration profile, urn:nhs-en:profile:ChildScreening-v3-0, has been upversioned to reflect the above changes.
- XML Examples
  - XML Example: Child Screening Report (POCD_MT010000GB01-01) - With StructuredBody removed as templates supported now deprecated.

#### Version: 2.1; Status: RC1

- NewBornHearingScreening template COCD_TP146003GB02
  - The NewBornHearingScreening template COCD_TP146003GB02 has been redesigned and upversioned to support audiology screening test date/time, and the Audiology Test Finding class has been removed.
  - The previous version of the template, COCD_TP146003GB01, has been removed.
- BloodSpotScreening template COCD_TP146005GB03
  - The BloodSpotScreening template COCD_TP146005GB03 has been redesigned and upversioned to support capability for future easier extension as more tests become available. This allows for terminologies in addition to SNOMED CT to be used (provided they have a mapping to SNOMED CT).
  - The older version of the template, COCD_TP146005GB01, has been removed.
  - The NHS CDA schema, POCD_MT000002UK01.xsd has been updated to align closer with the CDA balloted schemas, where the added NHS extentions of patient id status, deceased ind, deceasedTime, multipleBirthInd and multipleBirthOrderNumber are included.
  - The XML instance example, POCD_EX010000GB01_02.xml reflects that terminologies in addition to SNOMED CT are available in the BloodSpotScreening template COCD_TP146005GB03, and includes the NewBornHearingScreening COCD_TP146003GB02 amendments.
  - The rendered example, POCD_EX010000GB01_02.htm supports changes to both the BloodSpotScreening template (COCD_TP146005GB03) and the NewBornHearingScreening template (COCD_TP146003GB02).
- Vocabularies
  - The NewbornBloodSpotScreeningResultStatusSnCT v1.0 vocabulary is included.
  - The NewbornBloodSpotScreeningResultSubstatusSnCT v1.0 vocabulary is included.
  - The NewbornBloodSpotScreeningTestProceduresSnCT v1.0 vocabulary is included.
  - The CDAObservationType v8.0 vocabulary has been extended to support additional child screening codes.
  - The AudiologyTestingOutcomeStatus v1.0 vocabulary has been removed.
  - The NewBornHearingScreeningOutcomeSnCT v2.0 vocabulary has values now published in the SNOMED CT subset with Original ID 52731000000135.
- Core Schemas
  - The core schemas have been changed to align closer to CDA ballot 2005. This change was to resolve historical data type issues.
  - The datatypeflavours.xsd has been upversioned to 'BaselineCDA2005_1.0'.
  - The datatypes.xsd has been upversioned to 'BaselineCDA2005_1.0'.
  - The datatypes-2005.xsd has been upversioned to 'BaselineCDA2005_1.0'.
  - The voc.xsd has been upversioned to 'BaselineCDA2005_1.0'.
  - The infVocab.xsd has been upversioned to 'BaselineCDA2005_1.0'.
  - The NHSVocab.xsd has been upversioned to '3.0'.
  - The CDAVocab.xsd has been upversioned to 'BaselineCDA2005_2.0'.
  - The NHSLocalisation.xsd has been upversioned to 'BaselineCDA2005_1.0'.
- Profile
  - The configuration profile, urn:nhs-en:profile:ChildScreening-v2-0, has been upversioned to reflect the above changes.

#### Version: 2.0; Status: RC1

- Specification
  - Updated the specification to include review comments from interoperability team.
  - BloodSpotScreening template COCD_TP146005GB02 is updated to carry laboratory interpretation code.
  - NewBornBirthDetails template COCD_TP000028GB01 is updated to carry gestational age in weeks.
  - Added BSScreeningStatusSubCodes vocabulary to carry codes for screening status sub codes.
  - Added BSLaboratoryInterpretationCode vocabulary for code to identify the screening result as correct by laboratory.

#### Version: 2.0; Status: Draft B

- Specification
  - Updated the specification to include new example with coded entry section.

#### Version: 2.0; Status: Draft A

- Specification
  - Updated the specification to include requirements from UK Newborn Screening Programme Centre.
  - Added BloodSpotScreening template COCD_TP146005GB02 (replacement of COCD_TP146005GB01) to carry data items as per UK Newborn Screening Programme requirements.
  - Added NewBornBirthDetails template COCD_TP000028GB01 to carry data: gestational age, birth order, birth weight and number of foetus in confinement.
  - Added ParticipantOrganizationUniversal template COCD_TP000029GB01 to carry details of the laboratory which receives the blood sample.
  - Added ChildPatientUniversal template COCD_TP145230GB02 (replacement of COCD_TP145230GB01) to allow more than one name for mother.

#### Version: 1.1; Status: RC1

- Specification
  - Rebranded to HSCIC.

#### Version: 1.0; Status: RC1

- Tabular views
  - Minor typographical errors corrected.
- Vocabulary
  - The version of the CDAOrganizationProviderType vocabulary has been changed to 2.0 to reflect that new codes are needed to describe a Primary Care Trust types. New vocabularies, GuardianRoleType and GuardianOrganisationType are used by the ChildPatientUniversal template
- Document author
  - Correct error in author cardinality, now only one document author.
- ChildPatientUniversal template
  - Reworded description of patient and guardian id, added additional optional attributes to allow reuse in other domain message specifications
- NewBornHearingScreening template
  - Remodelled referral and corrected SNOMED CT concepts
- 6To8WeekPhysicalExamination template
  - Renamed to NewBornPhysicalExamination, changed all examinations to optional
- BloodSpotScreening template
  - All results now optional, corrected SNOMED CT concepts

#### Version: 1.0; Status: Draft A

- First Draft
  - First draft version (Version 1.0 Draft A) created.