• Primary General Practitioner Recipient Integrated Urgent Care CDA Document
• Primary Emergency Department Recipient Integrated Urgent Care CDA Document
• Primary Emergency Department Recipient Integrated Urgent Care CDA Document Response
• Primary Out of Hour Recipient Integrated Urgent Care CDA Document
• Primary Out of Hour Recipient Integrated Urgent Care CDA Document Response
• Primary Repeat Caller Repository Recipient Integrated Urgent Care CDA Document
• Copy Recipient Integrated Urgent Care CDA Document
• Copy Recipient Integrated Urgent Care CDA Document Response
• Nullify Integrated Urgent Care CDA Document
• Primary NHS 111 Request for Ambulance
• Primary Integrated Urgent Care Request for Ambulance Response
• Primary Integrated Urgent Care Repeat Caller Document Set

• Primary General Practitioner Recipient Integrated Urgent Care CDA Document Response

• Primary General Practitioner Recipient Integrated Urgent Care CDA Document Response

• Primary General Practitioner Recipient Integrated Urgent Care CDA Document
• Nullify Integrated Urgent Care CDA Document

• Primary Emergency Department Recipient Integrated Urgent Care CDA Document
• Primary Emergency Department Recipient Integrated Urgent Care CDA Document Response
• Nullify Integrated Urgent Care CDA Document

• Primary Out of Hour Recipient Integrated Urgent Care CDA Document
• Primary Out of Hour Recipient Integrated Urgent Care CDA Document Response
• Nullify Integrated Urgent Care CDA Document
• Primary Integrated Urgent Care Repeat Caller Document Set

• Integrated Urgent Care Repeat Caller Sync Query

• Integrated Urgent Care Repeat Caller Sync Query Response

• Integrated Urgent Care Repeat Caller Sync Query Response

• Integrated Urgent Care Repeat Caller Sync Query

• Copy Recipient Integrated Urgent Care CDA Document
• Copy Recipient Integrated Urgent Care CDA Document Response
• Nullify Integrated Urgent Care CDA Document

• Primary NHS 111 Request for Ambulance
• Primary Integrated Urgent Care Request for Ambulance Response

• Primary Repeat Caller Repository Recipient Integrated Urgent Care CDA Document
• Nullify Integrated Urgent Care CDA Document

The Integrated Urgent Care Send trigger event indicates that a NHS Integrated Urgent Care CDA document is ready to send from the originating system.

For the Integrated Urgent Care CDA Document to be nullified the trigger event is the realisation that the Integrated Urgent Care CDA Document was sent in error, in that it contained an error and should never have been sent and that no correct Integrated Urgent Care CDA Document is available to send.

The Integrated Urgent Care Ambulance Request trigger event indicates that an ambulance request or an update to an existing ambulance request is sent.

The Integrated Urgent Care Repeat Caller Query trigger event indicates that a query of the repeat caller system is triggered.

The Integrated Urgent Care Repeat Caller Response trigger event indicates that a response from the repeat caller system is triggered.

The Integrated Urgent Care Repeat Caller Identified trigger event indicates that a caller has been identified as a repeat caller.

Communicates Integrated Urgent Care 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.

• Wire Format: NHS CDA RMIM (POCD_MT000002UK01)
• Conformance Format: Integrated Urgent Care Report (POCD_MT200001GB02)

Communicates an Integrated Urgent Care Report response to the Urgent Care caller system.

Note: The response message is to be constructed using the FHIR healthcare standard. The message structure and the definition can be found at ITK Bundle.

• Wire Format: FHIR (FHIR)
• Conformance Format: Integrated Urgent Care Report (POCD_MT200001GB02)

Communicates an Integrated Urgent Care 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.

• Wire Format: NHS CDA RMIM (POCD_MT000002UK01)
• Conformance Format: Integrated Urgent Care Report (POCD_MT200001GB02)

Communicates an Integrated Urgent Care Report response to the Urgent Care caller system from the Emergency Department.

Note: The response message is to be constructed using the FHIR healthcare standard. The message structure and the definition can be found at ITK Bundle.

• Wire Format: FHIR (FHIR)
• Conformance Format: Integrated Urgent Care Report (POCD_MT200001GB02)

Communicates Integrated Urgent Care 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.

• Wire Format: NHS CDA RMIM (POCD_MT000002UK01)
• Conformance Format: Integrated Urgent Care Report (POCD_MT200001GB02)

Communicates Integrated Urgent Care Report response to the Urgent Care caller system from the Out of Hour system.

Note: The response message is to be constructed using the FHIR healthcare standard. The message structure and the definition can be found at ITK Bundle.

• Wire Format: FHIR (FHIR)
• Conformance Format: Integrated Urgent Care Report (POCD_MT200001GB02)

Communicates Integrated Urgent Care 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.

• Wire Format: NHS CDA RMIM (POCD_MT000002UK01)
• Conformance Format: Integrated Urgent Care Report (POCD_MT200001GB02)

Communicates Integrated Urgent Care 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.

• Wire Format: NHS CDA RMIM (POCD_MT000002UK01)
• Conformance Format: Integrated Urgent Care Report (POCD_MT200001GB02)

Communicates an Integrated Urgent Care Report response from a copy recipient.

Note: The response message is to be constructed using the FHIR healthcare standard. The message structure and the definition can be found at ITK Bundle.

• Wire Format: FHIR (FHIR)
• Conformance Format: Integrated Urgent Care Report (POCD_MT200001GB02)

Communicates the nullification (by replacement) of any Integrated Urgent Care 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.

• Wire Format: NHS CDA RMIM (POCD_MT000002UK01)
• Conformance Format: Nullification Document (POCD_MT130001UK05)

Communicates a Integrated Urgent Care request message to an ambulance system recipient where the recipient is recommended to act upon the request carried in the message.

• Wire Format: Integrated Urgent Care Ambulance Request (REPC_MT200001GB02)
• Conformance Format: Integrated Urgent Care Ambulance Request (REPC_MT200001GB02)

Communicates a Integrated Urgent Care response message from an ambulance system.

• Wire Format: FHIR (FHIR)
• Conformance Format: Integrated Urgent Care Ambulance Request (REPC_MT200001GB02)

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.

• Wire Format: Integrated Urgent Care Repeat Caller Service Query (QUPA_MT000001GB01)
• Conformance Format: Integrated Urgent Care Repeat Caller Service Query (QUPA_MT000001GB01)

The fulfiller sends a query response, which may or may not have attached documents.

• Wire Format: Integrated Urgent Care Repeat Caller Service Response (PRPA_MT000001GB01)
• Conformance Format: Integrated Urgent Care Repeat Caller Service Response (PRPA_MT000001GB01)

Communicates Integrated Urgent Care repeat caller document set which includes the Integrated Urgent Care Reports from repeat caller system along with the current Integrated Urgent Care 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 multipleIntegrated Urgent Care 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.

• Wire Format: Integrated Urgent Care Repeat Caller Service Response (PRPA_MT000001GB01)
• Conformance Format: Integrated Urgent Care Repeat Caller Service Response (PRPA_MT000001GB01)