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HL7 v2Segment6 min read

HL7 MFA Segment: Master File Acknowledgment

The MFA (Master File Acknowledgment) segment reports, on a per-record basis, whether each master file change requested by a corresponding MFE segment was applied. It appears in MFK acknowledgment messages that respond to MFN master file notification messages. Each MFA echoes the record-level event code and the originating MFN control ID, and optionally returns an error code when the change could not be processed.

Purpose

The MFA segment lets a receiving application tell the originator the outcome of each individual master file record it was asked to add, update, deactivate, or reactivate. Because a single MFN message can carry many MFE records, the MFK response carries a matching MFA for each one. The segment ties the acknowledgment back to the original request through MFA-2 (MFN Control ID) and the primary key values in MFA-5 and MFA-6, while MFA-4 conveys the specific error when a record was rejected.

Used in

The MFA segment is used in MFK master-file acknowledgment messages, which are generated in response to MFN master file notification messages. See the MFN message reference for how MFE request records and MFA acknowledgment records correspond.

Field-by-field reference

Source: HAPI HL7v2 v2.5.1 javadocs (MFA segment). Length is not asserted by the javadoc and is shown as . Required and Table # are taken from the HL7 v2.5.1 standard where well-established.

SeqNameData TypeLengthReqRepeatTable #Description
MFA-1Record-Level Event CodeidRHL70180Action acknowledged for this master file record
MFA-2MFN Control IDstOEchoes control ID from the originating MFE
MFA-3Event Completion Date/TimetsOWhen the acknowledged change took effect
MFA-4MFN Record-Level Error ReturnceOHL70181Error code when the record was rejected
MFA-5Primary Key Value - MFAvariesRYPrimary key identifying the master file record
MFA-6Primary Key Value Type - MFAidRYData type of each MFA-5 primary key value

Most-used fields

  • MFA-1 Record-Level Event Code: states which action (such as add, update, or deactivate) is being acknowledged for the record.
  • MFA-2 MFN Control ID: links the acknowledgment to the original MFE record so the sender can reconcile each request.
  • MFA-4 MFN Record-Level Error Return: present only when a record failed; carries the coded reason for rejection.
  • MFA-5 Primary Key Value - MFA: identifies which master file entry the acknowledgment refers to, and repeats when the key is composite.
  • MFA-6 Primary Key Value Type - MFA: declares the data type for each repeating primary key value in MFA-5.

Version differences (2.3 to 2.8.2)

  • 2.3: MFA carried the record-level event code, MFN control ID, event completion date/time, error return, and a single primary key value with its type.
  • 2.3.1 to 2.4: Structure remained stable; the primary key value and its type were clarified to support composite keys through repetition.
  • 2.5 and 2.5.1: MFA-5 (Primary Key Value - MFA) and MFA-6 (Primary Key Value Type - MFA) are defined as repeating, paired fields, allowing multi-part keys to be acknowledged precisely.
  • 2.6 to 2.8.2: No material change to the field set; the MFN/MFK record-level acknowledgment model is retained as application-level master file control.

Common mistakes

  • Omitting MFA-1 or sending an event code that does not match the originating MFE event, breaking reconciliation.
  • Failing to keep MFA-5 and MFA-6 aligned so each repeating key value lacks its matching type declaration.
  • Populating MFA-4 with a free-text reason instead of a coded value from the record-level error return table.
  • Treating MFA as a message-level acknowledgment; it is per-record and must appear once for each acknowledged MFE.
  • Sending an MFA with an error in MFA-4 while still reporting a success-style event code, producing an ambiguous result.

Examples

Minimal MFA acknowledging a single record:

MFA|MAD|MFN10241|20260610093000||^9920^STAFF

Fully populated MFA with an error return and composite key:

MFA|MUP|MFN10242|20260610093215|205^Record update failed: lock contention^HL70181|^7741^STAFF~^DEPT04^DEPT|ST~ST

Annotated breakdown of the fully populated example:

MFA-1  MUP                         Record-Level Event Code (update acknowledged)
MFA-2  MFN10242                    MFN Control ID from the originating MFE
MFA-3  20260610093215             Event Completion Date/Time
MFA-4  205^Record update          MFN Record-Level Error Return (coded reason)
       failed: lock
       contention^HL70181
MFA-5  ^7741^STAFF~^DEPT04^DEPT    Primary Key Value - MFA (two repeating values)
MFA-6  ST~ST                       Primary Key Value Type - MFA (type per key)

In-context excerpt 1: an MFK acknowledging a successful staff record add.

MSH|^~&|HRMASTER|CENTRAL|FEEDSYS|WEST|20260610093000||MFK^M01^MFK_M01|ACK77120|P|2.5.1
MSA|AA|MFN10241
MFI|STF^Staff Master^HL70175|HRMASTER|UPD|20260610092900|20260610093000|AL
MFA|MAD|MFN10241|20260610093000||^9920^STAFF|ST

In-context excerpt 2: an MFK reporting one accepted and one rejected record.

MSH|^~&|HRMASTER|CENTRAL|FEEDSYS|WEST|20260610093215||MFK^M01^MFK_M01|ACK77121|P|2.5.1
MSA|AE|MFN10242
MFI|STF^Staff Master^HL70175|HRMASTER|UPD|20260610093100|20260610093215|AL
MFA|MUP|MFN10242|20260610093210||^7740^STAFF|ST
MFA|MUP|MFN10242|20260610093215|205^Record update failed: lock contention^HL70181|^7741^STAFF|ST

FHIR mapping

  • Source: MFA segment.
  • Target: Not mapped at the segment level.
  • The v2-to-FHIR Implementation Guide does not publish a segment-level ConceptMap for MFA. MFA is master-file acknowledgment control; it describes the outcome of an HL7 master file transaction rather than clinical or demographic content, so it has no direct FHIR resource equivalent. In a FHIR context the equivalent behavior is expressed through transaction or operation outcome responses, not a mapped resource.

Engine considerations

  • Match each inbound MFA to its originating MFE using MFA-2 and the primary key values, not message order alone.
  • Preserve the MFA-5 and MFA-6 repetition pairing when transforming, so each key value keeps its declared type.
  • Surface MFA-4 error codes to monitoring so partial master file failures are visible rather than silently dropped.
  • Confirm the MSA acknowledgment code (AA, AE, AR) is consistent with the aggregate of the MFA record-level outcomes.
  • Retain the event completion date/time for audit reconciliation of when master file changes were applied.

How Vorro parses and produces MFA

Vorro parses MFA by reading MFA-1 to classify the acknowledged action and MFA-2 to bind the record back to the original MFE request. The repeating MFA-5 and MFA-6 fields are read as paired key-value and type entries so composite primary keys are reconstructed faithfully. When MFA-4 is present, Vorro normalizes the coded error into its internal result model and flags the record as a partial failure. When producing MFA, Vorro emits one segment per acknowledged record, carries the originating control ID into MFA-2, stamps MFA-3 with the completion time, and populates MFA-4 only on rejection, keeping the MSA code aligned with the overall outcome.

Sources

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