This error can occur when you have the "Wait for Ack" checked on an Destination Node. This option tells to qvera to connect and send the message. Then wait for the socket endpoint to send a message back acknowledging that the message was recieved. Often times the Ack message will contain details specifying if the message had an error or not.
The error "Read Timed Out" indicates that we were able to connect to the endpoint but never recieved any ack messages back from the endpoint.
Possible Causes:
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If HL7 message MSH-15 and MSH-15 are set to NE for never send ack messages
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Firewall is blocking response that is being sent.
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Recieving System not configured to send acknowledgements.