Clinical Direct Messaging Message Flow

the surescripts clinical direct messaging service enables secure communication of clinical information between providers of healthcare services utilizing the surescripts network network based routing and electronic message delivery is included with this service customers may extend their delivery options by contracting for guaranteed delivery of clinical direct messages guaranteed delivery adds fax and postal mail delivery of clinical direct messages to the recipient of the electronic message electronic routing a clinical message can be delivered to specified recipients electronically electronic message routing uses http (hypertext transfer protocol), a request response protocol for each message that is sent, a response message is returned the status of the delivery of the message is defined by the type of the response (e g , 000 = pending, 010 = success, 600 = error, etc ) within the http request response protocol, it is preferred that the response from the request be a status 010 or error response instead of a delivery of the status 000 response with a subsequent freestanding verify/error the maximum allowable size for a message, including attachments, is restricted to 20mb