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Sample Messages: Transactions from the monitor HL7 interface
 MSA — Message segment acknowledgment 
HL7 acknowledgment messages may contain one of statuses from the receiving 
system:
 Application Accept (AA)
 Commit Accept (CA)
 Application Error (AE)
 Application Reject (AR)
If a positive accept acknowledgment (AA or CA) is returned from the HIS, it is 
assumed the HIS has committed the data it received to safe storage. The 
monitor HL7 application is then released from the necessity of re-sending the 
message on time outs. If the acknowledgment configuration is enable, the 
monitor HL7 application expects an accept acknowledgment message which 
indicates successful reception and secure storage of the HL7 message data in 
the HIS.
If the acknowledgment configuration is enabled, according to the HL7 
specification, AE messages are those that contain an error. The outbound 
interface attempts to send the ORU message again, with there being no more 
than three total attempts; AR messages are also not retransmitted, the system 
will disconnect the connection with the HL7 receiving system. 
If the acknowledgment configuration is enabled, and no HL7 Acknowledgement 
message is received after three total attempts. The outbound interface 
disconnects the connection with the HL7 receiving system.
Regardless if the acknowledgement configuration is enable or disable, if monitor 
receives an HL7 acknowledgement message with an Acknowledgment Code 
(MSA field 1) that is not "AA" or "CA". The outbound interface creates a log entry 
with at least the description from the message (MSA field 3) and error condition 
(MSA field 6) if present. 
Acknowledgment Message Examples
HL7 messages may be acknowledged as accepted, rejected, or returned with an 
acknowledgment error. The following are examples of possible acknowledgment 
messages that may be received as a result of sending messages to an HIS 
server.
Acknowledgment Accept
MSH|^~\&|NUR^^|.^^|MMS
HL7|.^^|199812021001||ACK^R01|17f1be29-aa2a-11d2-
a655-00105a1e9b67|P^|2.3
MSA|AA|17f1be29-aa2a-11d2-a655-00105a1e9b67
Acknowledgment Reject
MSH|^~\&|NUR^^|.^^|MMS
HL7|.^^|199812021003||ACK^R01|17f1be29-aa2a-11d2-
a655-00105a1e9b67|P^|2.3