1. Catherine Diaz Informatics Merseyside

2. 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.

3. 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

4. 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

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

6. 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

7. 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

8. 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)

9. 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.

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

11. Questions