I have created an HL7 response message(ADR_19) by using nHAPI in C#.
How can I add an ACK message in the response HL7 message?
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You can do this by using the terser supplied by nHapi. A while ago I've posted an example for using the terser to create an Ack message: http://www.dib0.nl/code/63-creating-a-hl7-acknack-message-in-net-using-nhapi
Good luck!