Anthony Breen · Oct 12, 2020

MESH integration to send Documents to GP's.


I've successfully installed and configured the custom MESH API supplied by intersystems. I'm able to send HTML rendered documents directly to GP's using Kettering.xml. 

Ideally, I'd like to be able to send PDF/RTF files rather than HTML. Is this possible and if so can I still use Kettering xml? I know FHIR is the preferred method of transmission but i've tried sending a test FHIR message through MESH to EMIS but it's not displaying so I'm not sure if EMIS is able to display FHIR formatted messages. 


Anthony Breen

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There are some restrictions on what EMIS is able to receive at present, they are still in the process of rolling out further FHIR support. That said, I believe you should be able to send a PDF file via MESH/Kettering XML, you may just need to change the document type for it to be displayed correctly within EMIS. 

If you need further assistance, please feel free to reach out to me directly, I'm sure we can assist you with this.


Jon Payne

Thanks Jon.

I've been searching for an example of how to format the kettering xml so it can include a PDF but i haven't been able to find any. Do you have any examples or information on what  needs to be included so the PDF can be sent? 

Hi Anthony,

I've asked one of my team to send you an example of how to successfully get a PDF into EMIS, wrapped in kettering XML. You should receive it this morning.

Let us know if you have any more questions.


Hi John,

I've received the xml but i can't import it into our version of Healthshare as it was generated in IRIS. Do you have a version that is compatible with the following Heathshare version:

Cache for Windows (x86-64) 2017.2.1 (Build 801U) Wed Dec 6 2017 09:07:51 EST [HealthShare Modules:Core:15.03.9901 + Linkage Engine:15.03.9901]


Anthony Breen

Hi Jon

My organisation is looking to do a similar thing to the original post. We generate PDFs that need to be sent to practices. Most of our clients are EMIS with some on SystmOne and Vision.

We have the MESH API already set up but am looking for some documentation for the Kettering XML. From what I've read it seems that this format is widely used, but not officially supported by NHS Digital. Do you know if EMIS/SystemOne have rolled our FHIR support yet?