Index: leahi_dialin/common/msg_ids.py
===================================================================
diff -u -r099095611e541d69aee3afc90ec06a2046836079 -r8ea0a9904718b6e9527c4a7d6cb79a80b8fffc97
--- leahi_dialin/common/msg_ids.py	(.../msg_ids.py)	(revision 099095611e541d69aee3afc90ec06a2046836079)
+++ leahi_dialin/common/msg_ids.py	(.../msg_ids.py)	(revision 8ea0a9904718b6e9527c4a7d6cb79a80b8fffc97)
@@ -197,6 +197,8 @@
     MSG_ID_UI_TUBE_SET_AUTHENTICATION_ACK_RESPONSE = 0xAF
     MSG_ID_TD_SYRINGE_PUMP_DATA = 0xB1
     MSG_ID_TD_HEPARIN_PAUSE_RESUME_RESPONSE= 0xB2
+    MSG_ID_UI_VITALS_ADJUSTMENT_REQUEST = 0xB8
+    MSG_ID_TD_VITALS_ADJUSTMENT_RESPONSE = 0xB9
 
     MSG_ID_DD_PISTON_PUMP_CONTROL_DATA = 0xF0
 
Index: leahi_dialin/ui/td_messaging.py
===================================================================
diff -u -r7e864b8d034f7a5cb961402d4f6672b180a57bb5 -r8ea0a9904718b6e9527c4a7d6cb79a80b8fffc97
--- leahi_dialin/ui/td_messaging.py	(.../td_messaging.py)	(revision 7e864b8d034f7a5cb961402d4f6672b180a57bb5)
+++ leahi_dialin/ui/td_messaging.py	(.../td_messaging.py)	(revision 8ea0a9904718b6e9527c4a7d6cb79a80b8fffc97)
@@ -1630,6 +1630,33 @@
         self.can_interface.send(message, 0)
 
 
+
+    def td_vitals_alarm_limits_adjustment_response(self,vAccepted                               : int, 
+                                                        vSystolicBpLowAlarmLimitRejectionReson  : int,
+                                                        vSystolicBpHighAlarmLimitRejectionReson : int,
+                                                        vHeartRateLowAlarmLimitRejectionReson   : int,
+                                                        vHeartRateHighAlarmLimitRejectionReson  : int,
+                                                        vVitalsIntervalRejectionReson           : int):
+        """
+        the set points adjustment response message method(Msg ID: 0xB9, 123)
+        Args:
+            None
+        @return: None
+        """
+        payload  = conversions.integer_to_bytearray(vAccepted                               )
+        payload += conversions.integer_to_bytearray(vSystolicBpLowAlarmLimitRejectionReson  )
+        payload += conversions.integer_to_bytearray(vSystolicBpHighAlarmLimitRejectionReson )
+        payload += conversions.integer_to_bytearray(vHeartRateLowAlarmLimitRejectionReson   )
+        payload += conversions.integer_to_bytearray(vHeartRateHighAlarmLimitRejectionReson  )
+        payload += conversions.integer_to_bytearray(vVitalsIntervalRejectionReson           )
+
+        message = CAN.DenaliMessage.build_message(
+                                            channel_id=CAN.DenaliChannels.td_to_ui_ch_id,
+                                            message_id=msg_ids.MsgIds.MSG_ID_TD_VITALS_ADJUSTMENT_RESPONSE.value,
+                                            payload=payload)
+        self.can_interface.send(message, 0)
+
+
     def td_patient_disconnect_confirm_response(self, vAccepted: int, vRejectionReason: int):
         """
         the patient disconnect confirm response message method(Msg ID: 0xXX, XXX)