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  1. Sender to Receiver with application ACK.

    1. REF Examples 1.7 Level 1.zip Level 1 Example 1 in Appendix 6 Example Messages - 6.2 Patient Referral Examples.
      “MSH|^~\&|MERIDIAN^MERIDIAN:3.1.4 [win32-i386]^L|Buderim GE Centre Demo^0AE5C60C-A510-43B3-A509-C57F29B2D368^GUID||JD Medical^F144C1B5-56C7-43C1-80A4-83AD87D4FE5E^GUID|20170608223629+1000||REF^I12^REF_I12|MOE06082236987-957.1.4|P|2.4^AUS&Australia&ISO3166_1^HL7AU-OO-REF-SIMPLIFIED-201706-L1&&L|||AL|AL|AUS<cr>
      RF1…”
    2. MSH|^~\&|SomeSoftware^SomeSoftware V1.2^L|JD Medical^F144C1B5-56C7-43C1-80A4-83AD87D4FE5E^GUID|MERIDIAN^MERIDIAN:3.1.4 [win32-i386]^L|Buderim GE Centre Demo^0AE5C60C-A510-43B3-A509-C57F29B2D368^GUID|20170608223642+1000||ACK|945375|P|2.4^AUS&Australia&ISO3166_1^HL7AU-OO-ACK-201701&&L|||NE|AL|AUS<cr>
      MSA|CA|MOE06082236987-957.1.4
    3. MSH|^~\&|SomeSoftware^SomeSoftware V1.2^L|JD Medical^F144C1B5-56C7-43C1-80A4-83AD87D4FE5E^GUID|MERIDIAN^MERIDIAN:3.1.4 [win32-i386]^L|Buderim GE Centre Demo^0AE5C60C-A510-43B3-A509-C57F29B2D368^GUID|20170608224009+1000||RRI^I12^RRI _I12|AB19274|P|2.4^AUS&Australia&ISO3166_1^HL7AU-OO-REF-SIMPLIFIED-201706/RRI&&L|||NE|AL|AUS<cr>
      MSA|AA|MOE06082236987-957.1.4<cr>
      RF1|…<cr>
      PRD|…<cr>
      PID|…<cr>
  2. Sender to Intermediary with accept ACKs and later application ACK.

    1. REF Examples 1.7 Level 1.zip Level 1 Example 1 in Appendix 6 Example Messages - 6.2 Patient Referral Examples.
      “MSH|^~\&|MERIDIAN^MERIDIAN:3.1.4 [win32-i386]^L|Buderim GE Centre Demo^0AE5C60C-A510-43B3-A509-C57F29B2D368^GUID||JD Medical^F144C1B5-56C7-43C1-80A4-83AD87D4FE5E^GUID|20170608223629+1000||REF^I12^REF_I12|MOE06082236987-957.1.4|P|2.4^AUS&Australia&ISO3166_1^HL7AU-OO-REF-SIMPLIFIED-201706-L1&&L|||AL|AL|AUS<cr>
      RF1…”
    2. MSH|^~\&|MiddleWare^MiddleWare V2^L|JD Medical^F144C1B5-56C7-43C1-80A4-83AD87D4FE5E^GUID|MERIDIAN^MERIDIAN:3.1.4 [win32-i386]^L|Buderim GE Centre Demo^0AE5C60C-A510-43B3-A509-C57F29B2D368^GUID|20170608223849+1000||ACK|945376|P|2.4^AUS&Australia&ISO3166_1^HL7AU-OO-ACK-201701&&L|||NE|AL|AUS<cr>
      MSA|CA|MOE06082236987-957.1.4
    3. MSH|^~\&|SecondHopSoftware^ SecondHopSoftware Build 5.2^L|JD Medical^F144C1B5-56C7-43C1-80A4-83AD87D4FE5E^GUID|MERIDIAN^MERIDIAN:3.1.4 [win32-i386]^L|Buderim GE Centre Demo^0AE5C60C-A510-43B3-A509-C57F29B2D368^GUID|20170608223701+1000||ACK|8ajojeaha2|P|2.4^AUS&Australia&ISO3166_1^HL7AU-OO-ACK-201701&&L|||NE|AL|AUS<cr>
      MSA|CA|MOE06082236987-957.1.4
    4. MSH|^~\&|SomeSoftware^SomeSoftware V1.2^L|JD Medical^F144C1B5-56C7-43C1-80A4-83AD87D4FE5E^GUID|MERIDIAN^MERIDIAN:3.1.4 [win32-i386]^L|Buderim GE Centre Demo^0AE5C60C-A510-43B3-A509-C57F29B2D368^GUID|20170608223629+1000||RRI^I12^RRI _I12|AB19275|P|2.4^AUS&Australia&ISO3166_1^HL7AU-OO-REF-SIMPLIFIED-201706/RRI&&L|||NE|AL|AUS<cr>
      MSA|AA|MOE06082236987-957.1.4<cr>
      RF1|…<cr>
      PRD|…<cr>
      PID|…<cr>
  3. Sender to Intermediary with multiple ACKs. Includes positive and negative user read ACK examples.

    1. REF Examples 1.7 Level 1.zip Level 1 Example 1 in Appendix 6 Example Messages - 6.2 Patient Referral Examples.
      “MSH|^~\&|MERIDIAN^MERIDIAN:3.1.4 [win32-i386]^L|Buderim GE Centre Demo^0AE5C60C-A510-43B3-A509-C57F29B2D368^GUID||JD Medical^F144C1B5-56C7-43C1-80A4-83AD87D4FE5E^GUID|20170608223629+1000||REF^I12^REF_I12|MOE06082236987-957.1.4|P|2.4^AUS&Australia&ISO3166_1^HL7AU-OO-REF-SIMPLIFIED-201706-L1&&L|||AL|AL|AUS<cr>
      RF1…”
    2. MSH|^~\&|MiddleWare^MiddleWare V2^L|JD Medical^F144C1B5-56C7-43C1-80A4-83AD87D4FE5E^GUID|MERIDIAN^MERIDIAN:3.1.4 [win32-i386]^L|Buderim GE Centre Demo^0AE5C60C-A510-43B3-A509-C57F29B2D368^GUID|20170608223849+1000||ACK|945376|P|2.4^AUS&Australia&ISO3166_1^HL7AU-OO-ACK-201701&&L|||NE|AL|AUS<cr>
      MSA|CA|MOE06082236987-957.1.4
    3. MSH|^~\&|SomeSoftware^SomeSoftware V1.2^L|JD Medical^F144C1B5-56C7-43C1-80A4-83AD87D4FE5E^GUID|MERIDIAN^MERIDIAN:3.1.4 [win32-i386]^L|Buderim GE Centre Demo^0AE5C60C-A510-43B3-A509-C57F29B2D368^GUID|20170608223852+1000||RRI^I12^ RRI _I12|AB19275|P|2.4^AUS&Australia&ISO3166_1^HL7AU-OO-REF-SIMPLIFIED-201706/RRI&&L|||NE|AL|AUS<cr>
      MSA|AA|MOE06082236987-957.1.4<cr>
      RF1|…<cr>
      PRD|…<cr>
      PID|…<cr>
    4. Positive read ACK:
      MSH|^~\&|DrJohnSmith^889119NF^AUSHICPR|JD Medical^F144C1B5-56C7-43C1-80A4-83AD87D4FE5E^GUID|MERIDIAN^MERIDIAN:3.1.4 [win32-i386]^L|Buderim GE Centre Demo^0AE5C60C-A510-43B3-A509-C57F29B2D368^GUID|20170609123701+1000||ACK|8ajojeaha2|P|2.4^AUS&Australia&ISO3166_1^HL7AU-OO-ACK-READ-2020006&&L|||NE|AL|AUS<cr>
      MSA|AA|MOE06082236987-957.1.4

      Negative read ACK:
      MSH|^~\&|DrJohnSmith^889119NF^AUSHICPR|JD Medical^F144C1B5-56C7-43C1-80A4-83AD87D4FE5E^GUID|MERIDIAN^MERIDIAN:3.1.4 [win32-i386]^L|Buderim GE Centre Demo^0AE5C60C-A510-43B3-A509-C57F29B2D368^GUID|20170609123701+1000||ACK|8ajojeaha2|P|2.4^AUS&Australia&ISO3166_1^HL7AU-OO-ACK-READ-2020006&&L|||NE|AL|AUS<cr>
      MSA|AR|MOE06082236987-957.1.4|Report is unreadable.
      ERR|^^^EUserError&Report is unreadable&L

  4. Sender to Intermediary with Error/Reject ack from application/intermediary.

    1. REF Examples 1.7 Level 1.zip Level 1 Example 1 in Appendix 6 Example Messages - 6.2 Patient Referral Examples.
      “MSH|^~\&|MERIDIAN^MERIDIAN:3.1.4 [win32-i386]^L|Buderim GE Centre Demo^0AE5C60C-A510-43B3-A509-C57F29B2D368^GUID||JD Medical^F144C1B5-56C7-43C1-80A4-83AD87D4FE5E^GUID|20170608223629+1000||REF^I12^REF_I12|MOE06082236987-957.1.4|P|2.4^AUS&Australia&ISO3166_1^HL7AU-OO-REF-SIMPLIFIED-201706-L1&&L|||AL|AL|AUS<cr>
      RF1…”
    2. MSH|^~\&|MiddleWare^MiddleWare V2^L|JD Medical^F144C1B5-56C7-43C1-80A4-83AD87D4FE5E^GUID|MERIDIAN^MERIDIAN:3.1.4 [win32-i386]^L|Buderim GE Centre Demo^0AE5C60C-A510-43B3-A509-C57F29B2D368^GUID|20170608223650+1000||ACK|945379|P|2.4^AUS&Australia&ISO3166_1^HL7AU-OO-ACK-201701&&L|||NE|AL|AUS<cr>
      MSA|CA|MOE06082236987-957.1.4
    3. See point 1.
    4. MSH|^~\&|SomeSoftware^SomeSoftware V1.2^L|JD Medical^F144C1B5-56C7-43C1-80A4-83AD87D4FE5E^GUID|MERIDIAN^MERIDIAN:3.1.4 [win32-i386]^L|Buderim GE Centre Demo^0AE5C60C-A510-43B3-A509-C57F29B2D368^GUID|20170608224201+1000||ACK|8ajojeaha2|P|2.4^AUS&Australia&ISO3166_1^HL7AU-OO-ACK-201701&&L|||NE|AL|AUS<cr>
      MSA|AE|MOE06082236987-957.1.4||||EHL7RelayAccessException^"Your user is not authorised to relay messages on this server. Access Denied"^L^EHL7RelayAccessException^^L
      ERR|^^^EHL7RelayAccessException&"Your user is not authorised is not authorised to relay messages on this server. Access Denied"
    5. MSH|^~\&|SomeSoftware^SomeSoftware V1.2^L|JD Medical^F144C1B5-56C7-43C1-80A4-83AD87D4FE5E^GUID|MERIDIAN^MERIDIAN:3.1.4 [win32-i386]^L|Buderim GE Centre Demo^0AE5C60C-A510-43B3-A509-C57F29B2D368^GUID|20170608224201+1000||ACK|8ajojeaha2|P|2.4^AUS&Australia&ISO3166_1^HL7AU-OO-ACK-201701&&L|||NE|AL|AUS<cr>
      MSA|AE|MOE06082236987-957.1.4||||EHL7RelayAccessException^"Your user is not authorised to relay messages on this server. Access Denied"^L^EHL7RelayAccessException^^L
      ERR|^^^EHL7RelayAccessException&Your user is not authorised is not authorised to relay messages on this server. Access Denied&L

8.4 User Read Acknowledgements
Anchor
8.4
8.4

User read acknowledgements serve the purpose of notifying the sender that a specific recipient has viewed the message and confirmed they have read the content. The user performing the read confirmation is therefore provided in the return acknowledgement. The Internal version ID component of MSH-12 is used to confirm an acknowledgement specifically is a user read. MSH-3 is the field is used for the purpose of reporting the read confirmation user details.

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