Bowel Cancer Screening - EDIFACT

Use this messaging integration to receive bowel cancer screening test results in primary care GP systems from the screening system, specifically faecal occult blood test (FOBT) results.

This integration uses UN/EDIFACT based messages sent over MESH.

Also known as NHS004 messages, these are a simpler version of the NHS003 messages specified in the Pathology EDIFACT v1.003 Standard but with the changes specified in 'Electronic GP Communication Requirements for GPSoC Software Suppliers Draft', under 'Additional guidance' below.

Bowel cancer screening NHS004 messages are almost the same as pathology NHS003 messages except they are much simpler in structure, with a single SNOMED code and 5 result values.

If you are building a system to receive bowel cancer screening test results, you can use our Lab Results adaptor to receive these EDIFACT results via an easy-to-use FHIR-compliant format. 

Before you begin any development work using this integration, contact us to discuss your best options.

This integration  can only be used where there is a legal basis to do so. Make sure you have a valid use case before you go too far with your development.

You must do this before you can go live (see ‘Onboarding’ below).

The following API is related to this integration:

• Message Exchange for Social Care and Health (MESH) API - use this API to transfer messages and large files securely across health and social care organisations

The following screening integration is related to this one:

• Pathology Messaging - EDIFACT - use this to receive pathology test results in GP practices from laboratories using EDIFACT messages sent over MESH

This integration is in production.

This integration uses MESH which is a silver service, meaning it is operational 24 x 7 x 365 but only supported during business hours (8am to 6pm), Monday to Friday excluding bank holidays.

For more details, see service levels.

This is an asynchronous messaging integration. Messages are:

• formatted as EDIFACT
• sent and received via MESH

For more details, see EDIFACT and MESH.

Lab Results adaptor

If you are building a system to receive bowel cancer screening test results, you can use our Lab Results adaptor to receive these EDIFACT results via an easy-to-use FHIR-compliant format. 

You can access this integration via:

• the Health and Social Care Network (HSCN)
• the internet

For more details see Network access for APIs.

This integration uses MESH which is an application-restricted API.

The integration does not perform any end user authentication or authorisation checks. Rather, the calling system is expected to perform them. The authorisation rules are specified in our national Role Based Access Control (RBAC) database.

For more details see our national Role Based Access Control (RBAC) database on the registration authorities and smartcards page.

This integration uses 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.

You must get your software onboarded before it can go live. The onboarding process can sometimes be quite long, so it's worth planning well ahead.

This integration has a specific onboarding process for new market entrant GP IT developers. This applies whether you are integrating with it directly or using our Lab results adaptor. Contact your GP IT delivery lead for more details.

For other use cases, contact us.

For a full list of interactions for this integration, see ISB 1557 EDIFACT Pathology Messaging but with the changes specified in 'Electronic GP Communication Requirements for GPSoC Software Suppliers Draft', under 'Additional guidance' below.

You can also use our Lab Results adaptor to receive these EDIFACT results via an easy-to-use FHIR-compliant format.