#### NHS 111
Domain Message Specification

### ITK Implementation

Application Roles | Responsible for sending | Responsible for receiving
--- | --- | ---
NHS 111 Call Handler System (POCD_AR000004GB01) | Primary General Practitioner Recipient NHS 111 CDA Document Primary Emergency Department Recipient NHS 111 CDA Document: Primary Out of Hour Recipient NHS 111 CDA Document Primary Repeat Caller Repository Recipient NHS 111 CDA Document Copy Recipient NHS 111 CDA Document Nullify NHS 111 CDA Document Primary NHS 111 Request for Ambulance Primary NHS 111 Repeat Caller Document Set |
NHS 111 General Practitioner Receiving System (POCD_AR000005GB01) |  | Primary General Practitioner Recipient NHS 111 CDA Document Nullify NHS 111 CDA Document
NHS 111 Emergency Department Receiving System (POCD_AR000006GB01) |  | Primary Emergency Department Recipient NHS 111 CDA Document: Nullify NHS 111 CDA Document
NHS 111 Out of Hours Receiving System (POCD_AR000007GB01) |  | Primary Out of Hour Recipient NHS 111 CDA Document Nullify NHS 111 CDA Document Primary NHS 111 Repeat Caller Document Set
NHS 111 Repeat Caller Query Placer System (QUPA_AR000008GB01) | NHS 111 Repeat Caller Sync Query | NHS 111 Repeat Caller Sync Query Response
NHS 111 Repeat Caller Query Fulfiller System (PRPA_AR000008GB01) | NHS 111 Repeat Caller Sync Query Response | NHS 111 Repeat Caller Sync Query
NHS 111 Report Copy Recipient (POCD_AR000009GB01) |  | Copy Recipient NHS 111 CDA Document Nullify NHS 111 CDA Document
NHS 111 Ambulance Request Receiving System (REPC_AR000001GB01) |  | Primary NHS 111 Request for Ambulance
NHS 111 Repeat Caller Repository Receiving System (REPC_AR000008GB01) |  | Primary Repeat Caller Repository Recipient NHS 111 CDA Document Nullify NHS 111 CDA Document

#### Trigger Events

Send NHS 111 Report (POCD_TE000003GB01) The NHS 111 Send trigger event indicates that a NHS 111 CDA document is ready to send from the originating system.
NHS 111 Nullify By Replacement (POCD_TE000004GB01) For the NHS 111 CDA Document to be nullified the trigger event is the realisation that the NHS 111 CDA Document was sent in error, in that it contained an error and should never have been sent and that no correct NHS 111 CDA Document is available to send.
Send NHS 111 Ambulance Request (REPC_TE000001GB01) The NHS 111 Ambulance Request trigger event indicates that an ambulance request or an update to an existing ambulance reuest is sent.
NHS 111 Repeat Caller Query (QUPA_TE000001GB01) The NHS 111 Repeat Caller Query trigger event indicates that a query of the repeat caller system is triggered.
NHS 111 Repeat Caller Response (PRPA_TE000001GB01) The NHS 111 Repeat Caller Response trigger event indicates that a response from the repeat caller system is triggered.
Repeat Caller Identified (PRPA_TE000012GB01) The NHS 111 Repeat Caller Identified trigger event indicates that a caller has been identified as a repeat caller.

#### Interactions

#### NHS111 Report Interactions

Primary General Practitioner Recipient NHS 111 CDA Document (urn:nhs-itk:interaction:primaryGeneralPractitionerRecipientNHS111CDADocument-v2-0) Communicates NHS 111 Report to a General Practitioner recipient where the recipient is recommended to act upon information carried in the document. Note: This interaction has a message format that is constrained using HSCIC templates. This format is validated using a two level process. There are two sets of schema one for each level. The sender of this interaction must build all instances to the "on the wire" format using the generic CDA definition indicated in the wire format below. These instances must also conform to the rules stated in the conformance definition indicated in the conformance format below. The second level of validation requires transformation before schema validation can take place. For full details of this validation process please see the "Technical Guidance for Templated CDA Domains" section under the associated specifications tab. Sender: NHS 111 Call Handler System (POCD_AR000004GB01) Receiver: NHS 111 General Practitioner Receiving System (POCD_AR000005GB01) Message: Wire Format: NHS CDA RMIM (POCD_MT000002UK01) Conformance Format: NHS111 Report (POCD_MT200001GB02) Trigger Event: Send NHS 111 Report (POCD_TE000003GB01) Transmission Wrapper: ITK Distribution Envelope (Version 2.0) (distributionEnvelope-v2-0) Web Service Wrapper: Send NHS 111 Report (Version 2.0) (Input) (SendNHS111Report-v2-0 (NHS111-v3-0.wsdl))
Primary Emergency Department Recipient NHS 111 CDA Document: (urn:nhs-itk:interaction:primaryEmergencyDepartmentRecipientNHS111CDADocument-v2-0) Communicates an NHS 111 Report to a Emergency Department recipient where the recipient is recommended to act upon information carried in the document. Note: This interaction has a message format that is constrained using HSCIC templates. This format is validated using a two level process. There are two sets of schema one for each level. The sender of this interaction must build all instances to the "on the wire" format using the generic CDA definition indicated in the wire format below. These instances must also conform to the rules stated in the conformance definition indicated in the conformance format below. The second level of validation requires transformation before schema validation can take place. For full details of this validation process please see the "Technical Guidance for Templated CDA Domains" section under the associated specifications tab. Sender: NHS 111 Call Handler System (POCD_AR000004GB01) Receiver: NHS 111 Emergency Department Receiving System (POCD_AR000006GB01) Message: Wire Format: NHS CDA RMIM (POCD_MT000002UK01) Conformance Format: NHS111 Report (POCD_MT200001GB02) Trigger Event: Send NHS 111 Report (POCD_TE000003GB01) Transmission Wrapper: ITK Distribution Envelope (Version 2.0) (distributionEnvelope-v2-0) Web Service Wrapper: Send NHS 111 Report (Version 2.0) (Input) (SendNHS111Report-v2-0 (NHS111-v3-0.wsdl))
Primary Out of Hour Recipient NHS 111 CDA Document (urn:nhs-itk:interaction:primaryOutofHourRecipientNHS111CDADocument-v2-0) Communicates NHS 111 Report to a Out of Hour recipient where the recipient is recommended to act upon information carried in the document. Note: This interaction has a message format that is constrained using HSCIC templates. This format is validated using a two level process. There are two sets of schema one for each level. The sender of this interaction must build all instances to the "on the wire" format using the generic CDA definition indicated in the wire format below. These instances must also conform to the rules stated in the conformance definition indicated in the conformance format below. The second level of validation requires transformation before schema validation can take place. For full details of this validation process please see the "Technical Guidance for Templated CDA Domains" section under the associated specifications tab. Sender: NHS 111 Call Handler System (POCD_AR000004GB01) Receiver: NHS 111 Out of Hours Receiving System (POCD_AR000007GB01) Message: Wire Format: NHS CDA RMIM (POCD_MT000002UK01) Conformance Format: NHS111 Report (POCD_MT200001GB02) Trigger Event: Send NHS 111 Report (POCD_TE000003GB01) Transmission Wrapper: ITK Distribution Envelope (Version 2.0) (distributionEnvelope-v2-0) Web Service Wrapper: Send NHS 111 Report (Version 2.0) (Input) (SendNHS111Report-v2-0 (NHS111-v3-0.wsdl))
Primary Repeat Caller Repository Recipient NHS 111 CDA Document (urn:nhs-itk:interaction:primaryRepeatCallerRepositoryRecipientNHS111CDADocument-v2-0) Communicates NHS 111 Report to a Repeat Caller Repository recipient where the recipient is recommended to act upon information carried in the document. Note: This interaction has a message format that is constrained using HSCIC templates. This format is validated using a two level process. There are two sets of schema one for each level. The sender of this interaction must build all instances to the "on the wire" format using the generic CDA definition indicated in the wire format below. These instances must also conform to the rules stated in the conformance definition indicated in the conformance format below. The second level of validation requires transformation before schema validation can take place. For full details of this validation process please see the "Technical Guidance for Templated CDA Domains" section under the associated specifications tab. Sender: NHS 111 Call Handler System (POCD_AR000004GB01) Receiver: NHS 111 Repeat Caller Repository Receiving System (REPC_AR000008GB01) Message: Wire Format: NHS CDA RMIM (POCD_MT000002UK01) Conformance Format: NHS111 Report (POCD_MT200001GB02) Trigger Event: Send NHS 111 Report (POCD_TE000003GB01) Transmission Wrapper: ITK Distribution Envelope (Version 2.0) (distributionEnvelope-v2-0) Web Service Wrapper: Send NHS 111 Report (Version 2.0) (Input) (SendNHS111Report-v2-0 (NHS111-v3-0.wsdl))
Copy Recipient NHS 111 CDA Document (urn:nhs-itk:interaction:copyRecipientNHS111CDADocument-v2-0) Communicates NHS 111 Report to a copy recipient where the document is for information only and NO system action is defined. Note: This interaction has a message format that is constrained using HSCIC templates. This format is validated using a two level process. There are two sets of schema one for each level. The sender of this interaction must build all instances to the "on the wire" format using the generic CDA definition indicated in the wire format below. These instances must also conform to the rules stated in the conformance definition indicated in the conformance format below. The second level of validation requires transformation before schema validation can take place. For full details of this validation process please see the "Technical Guidance for Templated CDA Domains" section under the associated specifications tab. Sender: NHS 111 Call Handler System (POCD_AR000004GB01) Receiver: NHS 111 Report Copy Recipient (POCD_AR000009GB01) Message: Wire Format: NHS CDA RMIM (POCD_MT000002UK01) Conformance Format: NHS111 Report (POCD_MT200001GB02) Trigger Event: Send NHS 111 Report (POCD_TE000003GB01) Transmission Wrapper: ITK Distribution Envelope (Version 2.0) (distributionEnvelope-v2-0) Web Service Wrapper: Send NHS 111 Report (Version 2.0) (Input) (SendNHS111Report-v2-0 (NHS111-v3-0.wsdl))
Nullify NHS 111 CDA Document (urn:nhs-itk:interaction:nullifyNHS111CDADocument-v1-0) Communicates the nullification (by replacement) of any NHS 111 Report sent to any recipient.Must be sent to all information recipients (including copy recipients). Note: This interaction has a message format that is constrained using HSCIC templates. This format is validated using a two level process. There are two sets of schema one for each level. The sender of this interaction must build all instances to the "on the wire" format using the generic CDA definition indicated in the wire format below. These instances must also conform to the rules stated in the conformance definition indicated in the conformance format below. The second level of validation requires transformation before schema validation can take place. For full details of this validation process please see the "Technical Guidance for Templated CDA Domains" section under the associated specifications tab. Sender: NHS 111 Call Handler System (POCD_AR000004GB01) Receiver: NHS 111 General Practitioner Receiving System (POCD_AR000005GB01) Receiver: NHS 111 Emergency Department Receiving System (POCD_AR000006GB01) Receiver: NHS 111 Out of Hours Receiving System (POCD_AR000007GB01) Receiver: NHS 111 Repeat Caller Repository Receiving System (REPC_AR000008GB01) Receiver: NHS 111 Report Copy Recipient (POCD_AR000009GB01) Message: Wire Format: NHS CDA RMIM (POCD_MT000002UK01) Conformance Format: Nullification Document (POCD_MT130001UK05) Trigger Event: NHS 111 Nullify By Replacement (POCD_TE000004GB01) Transmission Wrapper: ITK Distribution Envelope (Version 2.0) (distributionEnvelope-v2-0) Web Service Wrapper: Send NHS 111 Report (Version 2.0) (Input) (SendNHS111Report-v2-0 (NHS111-v3-0.wsdl))

#### NHS111 Ambulance Request Interactions

#### Also used for CAD to CAD Transfers

Primary NHS 111 Request for Ambulance (urn:nhs-itk:interaction:primaryNHS111RequestforAmbulance-v2-0) Communicates a NHS 111 request message to an ambulance system recipient where the recipient is recommended to act upon the request carried in the message. Sender: NHS 111 Call Handler System (POCD_AR000004GB01) Receiver: NHS 111 Ambulance Request Receiving System (REPC_AR000001GB01) Message: Wire Format: NHS 111 Ambulance Request (REPC_MT200001GB02) Conformance Format: NHS 111 Ambulance Request (REPC_MT200001GB02) Trigger Event: Send NHS 111 Ambulance Request (REPC_TE000001GB01) Transmission Wrapper: ITK Distribution Envelope (Version 2.0) (distributionEnvelope-v2-0) Web Service Wrapper: Request Ambulance Dispatch (Version 2.0) (Input) (RequestAmbulanceDispatch-v2-0 (NHS111-v3-0.wsdl))

#### NHS111 Repeat Caller Interactions

NHS 111 Repeat Caller Sync Query (urn:nhs-itk:interaction:nhs111RepeatCallerSyncQuery-v1-0) Communicates a NHS 111 repeat caller query to an repeat caller system recipient where the recipient is recommended to act upon request carried in the message. Recipient of the query message responds with the response message synchronously back to NHS 111 system. Sender: NHS 111 Repeat Caller Query Placer System (QUPA_AR000008GB01) Receiver: NHS 111 Repeat Caller Query Fulfiller System (PRPA_AR000008GB01) Message: Wire Format: NHS111 Repeat Caller Service Query (QUPA_MT000001GB01) Conformance Format: NHS111 Repeat Caller Service Query (QUPA_MT000001GB01) Trigger Event: NHS 111 Repeat Caller Query (QUPA_TE000001GB01) Transmission Wrapper: ITK Distribution Envelope (Version 2.0) (distributionEnvelope-v2-0) Web Service Wrapper: Synchronous Repeat Caller System Query and Response (Version 1.0) (NHS111RepeatCallerSyncQuery-v1-0 (NHS111-v3-0.wsdl))
NHS 111 Repeat Caller Sync Query Response (urn:nhs-itk:interaction:nhs111RepeatCallerSyncQueryResp-v1-0) The fulfiller sends a query response, which may or may not have attached documents. Sender: NHS 111 Repeat Caller Query Fulfiller System (PRPA_AR000008GB01) Receiver: NHS 111 Repeat Caller Query Placer System (QUPA_AR000008GB01) Message: Wire Format: NHS111 Repeat Caller Service Response (PRPA_MT000001GB01) Conformance Format: NHS111 Repeat Caller Service Response (PRPA_MT000001GB01) Trigger Event: NHS 111 Repeat Caller Response (PRPA_TE000001GB01) Transmission Wrapper: ITK Distribution Envelope (Version 2.0) (distributionEnvelope-v2-0) Web Service Wrapper: Synchronous Repeat Caller System Query and Response (Version 1.0) (NHS111RepeatCallerSyncQueryResp-v1-0 (NHS111-v3-0.wsdl))

#### NHS111 Repeat Caller Document Set Interactions

Primary NHS 111 Repeat Caller Document Set (urn:nhs-itk:interaction:primaryNHS111RepeatCallerDocumentSet-v1-0) Communicates NHS 111 repeat caller document set which includes the NHS 111 Reports from repeat caller system along with the current NHS 111 Report to an Out of Hour recipient where the recipient is recommended to act upon information carried in the document set. Distribution envelope will carry multiple NHS 111 Reports as different payloads within the same envelope.. Note: Although the main message is not a CDA document, the imbedded CDA documents carried in this interaction have a message format that is constrained using HSCIC templates. This format is validated using a two level process. There are two sets of schema one for each level. The sender of this interaction must build all instances to the "on the wire" format using the generic CDA definition indicated in the wire format below. These instances must also conform to the rules stated in the conformance definition indicated in the conformance format below. The second level of validation requires transformation before schema validation can take place. For full details of this validation process please see the "Technical Guidance for Templated CDA Domains" section under the associated specifications tab. Sender: NHS 111 Call Handler System (POCD_AR000004GB01) Receiver: NHS 111 Out of Hours Receiving System (POCD_AR000007GB01) Message: Wire Format: NHS111 Repeat Caller Service Response (PRPA_MT000001GB01) Conformance Format: NHS111 Repeat Caller Service Response (PRPA_MT000001GB01) Trigger Event: Repeat Caller Identified (PRPA_TE000012GB01) Transmission Wrapper: ITK Distribution Envelope (Version 2.0) (distributionEnvelope-v2-0) Web Service Wrapper: Send NHS 111 Report (Version 2.0) (Input) (SendNHS111Report-v2-0 (NHS111-v3-0.wsdl))