Use this integration to support transfer of care from hospital to social services for patients with care and support needs, as described in the Care Act 2014. It enables the exchange of structured information between hospitals and social care organisations.
You can send:
- hospital assessment notices to inform social services that an assessment of a patient's care and support needs is required
- hospital discharge notices to confirm a patient's proposed discharge date
- withdrawal notices to withdraw a previous assessment or discharge notice
You can also send an admissions notice with this integration so a hospital can inform social services that a patient has been admitted.
This is a messaging integration which uses MESH to send and receive messages.
Information Standard SCCI2075 defines the minimum data sets that you must use for Assessment, Discharge and Withdrawal (ADW) notices. For additional message guidance on the implementation and use of ADW FHIR messages and some divergences from this ADW Information Standard, see Assessment Discharge and Withdrawal - FHIR API.
This integration is in production but deprecated. Do not begin any development work using this API.
Environments and testing
This integration uses MESH.
We have developed an Interoperability Toolkit (ITK) ADW-MESH validator to help you check that your messages are valid according to ITK FHIR schemas and requirements before they are set over MESH.
As a developer, you are most likely to want to connect to MESH using either the MESH client or the MESH API.
For more details about using the MESH client, see MESH client.
For the MESH API, there are several independent, externally accessible instances of MESH you can use for testing. For full details, see MESH API - Environments and testing.
Interactions
For a full list of interactions for this integration, see Social Care Assessment, Discharge and Withdrawal.
This FHIR messaging specification is based on and is intended to be used alongside the FHIR DSTU2 specification, published in September 2015.
The following MESH workflow IDs are used to send the admission, assessment, discharge and withdrawal notifications in England:
Scenario |
From |
To |
MESH Workflow ID |
Send admission notice |
Hospital systems |
Social care service systems |
SOCCARE_ADMISSN_NTC |
Send assessment notice |
Hospital systems |
Social care service systems |
SOCCARE_ASSESS_NTC |
Send assessment notice accepted response |
Social care service systems |
Hospital systems |
SOCCARE_ASSESS_NTC__ACPT |
Send assessment notice rejected response |
Social care service systems |
Hospital systems |
SOCCARE_ASSESS_NTC_RJT |
Send discharge notice |
Hospital systems |
Social care service systems |
SOCCARE_DISCH_NTC |
Send discharge notice accepted response |
Social care service systems |
Hospital systems |
SOCCARE_DISCH_NTC_ACPT |
Send assessment notice rejected response |
Social care service systems |
Hospital systems |
SOCCARE_DISCH_NTC_RJT |
Send withdrawal notice |
Hospital systems |
Social care service systems |
SOCCARE_WDRAW_NTC |
Send withdrawal notice accepted response |
Social care service systems |
Hospital systems |
SOCCARE_WDRAW_NTC_ACPT |
Send withdrawal notice rejected response |
Social care service systems |
Hospital systems |
SOCCARE_WDRAW__NTC_RJT |
Last edited: 14 September 2023 5:14 pm