Catherine Diaz Informatics Merseyside

Informatics Merseyside Mersey Care NHS Foundation Trust Liverpool Heart and Chest Hospital NHS healthcare technology organisation based in Merseyside. We provide shared IT services for acute and specialist trusts, community services, mental health services, clinical commissioning groups and general practitioners.

MESH • Message Exchange for Social Care and Health • Secure messaging service developed and managed by NHS Digital • Functional replacement for DTS • Option to use MESH client or MESH server API • Http based API enables direct integration with Rhapsody

Pathology Results Transform Lab Results Out Lab Results In Multiple labs MESH Mailbox polled for new messages Lab Results In EDIFACT XML PDF HL7 Transform MESH mailbox Database eXchange system Lab Results Out

School Health Questionnaires XML via https connection In PDF Kettering XML Transform MESH Database Out

Transfer of Care Workflow for dispensing TTO medication Discharge Summary sent to GP within 24 Hours via MESH Acknowledgment received Copy sent back to clinical system Patient copy sent to secure directory for printing by ward clerk

Endpoint Addressing Lookup mailbox based on patient demographics Helps to ensure delivery to patient’s correct current GP Negates need for local lookup table Acknowledgement returns recipient mailbox ID

Message Tracking API Provides additional details of recipient Gives assurance that message has been acknowledged Enables issues to be flagged up quickly Results can be monitored without needing to access the Mesh On-Line Enquiry Service (MOLES)

Lessons Learned When contacting NHS Digital, make it clear you are using the MESH API not the MESH client. Sending documents into EMIS Web – any blank fields in patient matching criteria within the Kettering XML message will stop the document being matched to the patient in EMIS, even if the populated fields all match. Tracking – it could take up to 5 minutes for the status to be updated to acknowledged, even if there are no problems. Adding a delay to the route will ensure you get an accurate response.

What’s next? Deploy endpoint addressing into our live environment Send Transfer of Care documents in HL7 FHIR standard

Questions catherine.diaz@imerseyside.nhs.uk