A revolution in German healthcare communication.

TI-Messenger is the standard for secure communication in the German healthcare system. It underpins real time communications for more than 150,000 organisations and 74 million patients.

Gematik, the German National Agency for Digital Medicine, specified the standard to ensure digital sovereignty, interoperability and end-to-end encrypted communication between thousands of separate organisation.

TI-Messenger is built on Matrix, the open standard for secure decentralised communication.

A TI-Messenger compliant backend.

Element Server Suite Pro for TI-Messenger (ESS Pro for TI-M) is the only enterprise-grade Matrix server built specifically to suit gematik’s TI-Messenger solution for German healthcare.

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Gematik compliant.

Compliant with the latest versions of TI-Messenger Pro and ePA. Also compliant with ISO 27001 and the Cyber Resilience Act.

Instant availability.

Built by the creators of Matrix, it delivers outstanding performance, continuous security updates and enterprise-grade features.

Choose your frontend.

Can operate with any TI-Messenger compliant frontend, supporting TI-Messenger federation for healthcare providers.

Efficiencies and flexibility.

ESS Pro for TI-M is built on an optimised Matrix homeserver called Synapse Pro to address the limitations of Community Synapse. 



Compared against an equivalent implementation based on Community Synapse, Synapse Pro delivers efficiencies of more than 80% for large-scale deployments.

Designed to support TI-Messenger providers, Synapse Pro delivers:

  • Scale to massive size effortlessly and automatically
  • Save resources and reduce operational cost
  • Ease operations and improve operational stability


ESS Pro for TI-M can be used to support all types of TI-Messenger deployments, which we split into two categories; large hosts, and small hosts.

Synapse.

Community version
  • For open source community
  • Not TI-Messenger compliant
  • Not ISO 27001 and CRA compliant
  • Focus on new, experimental features

Synapse Pro.

Enterprise version
  • For professional use
  • TI-Messenger compliant
  • ISO 27001 and CRA compliant
  • Focus on scaling and efficiency

Large hosts 
(TI-M ePA).

For health insurance companies and other huge deployments.

Dynamic scaling

Performance and efficiency

High availability

Reliability and accessibility

Rust optimisations

Increased security at lower costs

Memory savings graph

Synapse Pro offers significant resource savings

Small hosts 
(TI-M Pro).

For service providers supporting hundreds of healthcare organisations.

Multi-tenancy

Sharing resources across small specialist services

Fleet management

Manage thousands of deployments

Resource reduction

Personnel and hardware savings

Graph showing a ~90% memory reduction

Host with up to 50 tenants per shard allows 
reduction of RAM costs by up to 90%

Committed to Germany

Element powers T-Systems’ 

TI-Messenger solution.

ESS Pro for TI-M gives T-Systems a complete backend for its TI-Messenger solution, allowing T-Systems to focus on building its frontend client.

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An image of Amandine Le Pape (COO) and Matthew Hodgson (CEO) at Element and co-founders of Matrix.org

Creators of Matrix.

We are leaders in the development of the open Matrix standard and operate the largest Matrix servers in the world. Since 2021, we have supported gematik and the TI-Messenger initiative.

Be in your element.

A secure communications platform built around you.