// message to send
String message =
"MSH|^~\\&|||||200803051508||ADT^A31|2|P|2.5\r" +
"EVN||200803051509\r" +
"PID|||ZZZZZZ83M64Z148R^^^SSN^SSN^^20070103\r";
ISendable sendable = new RawSendable(message);
try {
// sendAndReceive actually sends the message
IReceivable<String> receivable = client.sendAndReceive(sendable);