Messages sent via MDExchange are first composed using Letter Writer.
1. After you have composed your message, from within Letter Writer, select File > Send via MDExchange. The Send via MDExchange window appears.
2. Select who the correspondence is to be sent from.
3. Type the name of the recipient into the 
box. Typing the name into this box will display an auto-complete list of recipients. Press Control+Space to see the list of all recipients.
4. Click to select recipients from the MDExchange Recipients database. The Select MDExchange Recipients window appears. This lists potential recipients from your Address Book.
You can only send messages to Address Book contacts that have been added via the on-line search (having the 
icon).
Right-click a recipient to;
o Add them to the To-> list
o Add them to the Cc-> list
o Look-up the recipient's details using the MDExchange online address book
o Delete the MDX Address. This is useful if for example you have incorrectly linked a MDX Address with a specific practitioner from your database.
5. Select names from your address book and then click 
or 
accordingly, to generate the list of recipients. You can also filter the list of names using the filter criteria at the top of this window.
o Some users may have elected to be a private entry in the Address Book, as opposed to public. To search for such users you will need to know their full Name, Practice Name and Private ID. You can locate your Private ID via Tools > MD Exchange > Setup User Profiles.
o You can also search by Facility ID; an ID that uniquely identifies the recipient. When sending correspondence to Healthlink users via MDExchange, the Facility ID would be the recipient's Healthlink EDI ID.
6. (Optional) Search for recipients from the MDExchange online database, by clicking 
7. When you have generated your list of recipients, click OK to continue. You will be returned to the Send via MDExchange window, which is now populated with your recipients.
8. (Optional) Click 
to digitally sign this correspondence with a Signing Certificate other than the default for the selected sender. The Signing Certificate window appears.
The options here allow you to select either:
o The certificate configured for the current user
o The signing certificate configured for the practice
o A HESA token (plugged into the computer), that will appear in and can be selected from the available list.
Copies of signed, sent item are saved in the DMS (ManageEzy)
9. (Optional) Select a format for the message via the Send As drop-down list. The default format is Rich Text. However you can select another, if you know the recipient cannot receive messages of this type.
When you select a format other than the default for a particular recipient's facility, MDExchange saves that format as the default for that recipient's facility. If you have selected multiple recipients to send the message to, and then change the format type, that format type is saved against the first recipient in the list.
Note that if you have selected multiple recipients to send the message to, and any of your recipients cannot support the format you have selected, when they open the message, it may not display correctly.
10. (Optional) Tick the Send to My Health Record check box to simultaneously upload this document to the My Health Record system.
11. When you are ready to send your message, click Send. A progress bar will be displayed.