AllergyIntolerance PUT throws Internal Service Error from Resource Store

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shilpa1294...@gmail.com

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Dec 8, 2022, 8:32:36 AM12/8/22
to Oracle Cerner FHIR Developers
Hi Team,

We are facing issue with Allergy Intolerance Update. I am trying to update severity from "mild" to "severe". I was able to update earlier, not sure why this request is failing now.

Please help me understand the issue here.

Request/response details below:
X-Request-Id : 04fb522d-016c-44e2-90e1-b73c8bdb1470+gnlY_hKmP
Request:
{
  "patient": {
    "reference": "Patient/12815964",
    "display": "Parker , Josh "
  },
  "onsetDateTime": "2022-01-01T05:00:00.00Z",
  "resourceType": "AllergyIntolerance",
  "id": "12816981",
  "clinicalStatus": {
    "coding": [
      {
        "code": "Active",
        "display": "Active",
        "userSelected": false
      }
    ]
  },
  "verificationStatus": {
    "coding": [
      {
        "code": "confirmed",
        "display": "confirmed",
        "userSelected": false
      }
    ]
  },
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "294404005",
        "display": "Acetic acid allergy (disorder)",
        "userSelected": false
      }
    ],
    "text": "Acetic acid allergy (disorder)"
  },
  "recorder": {
    "reference": null,
    "display": null
  },
  "note": [
    {
      "text": "12/08/2022  8 2022 - Added via CheckinAsyst",
      "AuthorReference": null
    }
  ],
  "reaction": [
    {
      "manifestation": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "418290006",
              "display": "Itching",
              "userSelected": false
            }
          ],
          "text": "Itching"
        }
      ],
      "severity": "severe"
    }
  ]
}

Response:
{
    "resourceType": "OperationOutcome",
    "issue": [
        {
            "severity": "fatal",
            "code": "exception",
            "details": {
                "text": "Internal service error from resource store"
            }
        }
    ]
}

Thanks,
Shilpa

shilpa1294...@gmail.com

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Dec 12, 2022, 4:06:33 AM12/12/22
to Oracle Cerner FHIR Developers
Hi Team,

Could someone please help us here?

Thanks,
Shilpa

Aaron McGinn (Oracle Cerner)

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Dec 15, 2022, 10:20:15 PM12/15/22
to Oracle Cerner FHIR Developers
The error is around the reaction.manifestation value. It is erroring due to a manifestation already existing on the allergy. Our documentation says that you cannot update/remove that value, so can you try the update while not providing the manifestation? We may need to update the documentation [1] to properly reflect the intended workflow. I have engaged the concept owner to help verify this.


-Aaron (Oracle Cerner)
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