A precondition requirement was not satisfied - Patient PATCH

[Shankar Ganesh Jayaraman]

Hi,

I am trying to update the patient record with R4 using Patch method, using the below reference

https://fhir.cerner.com/millennium/r4/individuals/patient/#patch

x-request-id →0da08df21642a861d5c31b08a7fa9a76

Request Header

Authorization:Bearer eyJraWQiOiIyMDE5LTEyLTI1VDAzOjM1OjEwLjE5Ni5lYyIsInR5cCI6IkpXVCIsImFsZyI6IkVTMjU2In0.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.VHyzxgglAdjlMIoaGsNRPbb0wZuRtdCdxqLFm2-iWSBWdp-vv7HB4Ibt1eqNuxWAHb2-QgDQoqQsXhJGSNk0Og
Content-Type:application/json-patch+json
If-Match:W/"25"
Accept:application/fhir+json

Request Body

[
  {
    "op": "add",
    "path": "/identifier/-",
    "value": {
      "type": {
        "coding": [
          {
            "code": "MR",
            "system": "http://hl7.org/fhir/v2/0203"
          }
        ]
      },
      "system": "urn:oid:1.1.1.1.1.1",
      "value": "THIS:IS:A:UNIQUE:IDENTIFIER",
      "period": {
        "start": "2018-01-02T00:00:00-05:00",
        "end": "2022-01-02T00:00:00-05:00"
      }
    }
  },
  {
    "path": "/name/0/id",
    "op": "test",
    "value": "CI-5786010-0"
  },
  {
    "path": "/name/0/given",
    "op": "replace",
    "value": [
      "Harrison",
      "James"
    ]
  },
  {
    "path": "/telecom/0/id",
    "op": "test",
    "value": "CI-PH-2807950-0"
  },
  {
    "path": "/telecom/0",
    "op": "remove"
  },
  {
    "path": "/maritalStatus",
    "op": "replace",
    "value": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
          "code": "M"
        }
      ]
    }
  },
  {
    "path": "/communication",
    "op": "replace",
    "value": [
      {
        "language": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/0b8a0111-e8e6-4c26-a91c-5069cbc6b1ca/codeSet/36",
              "code": "312729"
            }
          ]
        },
        "preferred": true
      }
    ]
  },
  {
    "path": "/extension",
    "op": "replace",
    "value": [
      {
        "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
        "valueCode": "M"
      },
      {
        "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
        "extension": [
          {
            "url": "ombCategory",
            "valueCoding": {
              "system": "urn:oid:2.16.840.1.113883.6.238",
              "code": "2106-3",
              "display": "White"
            }
          },
          {
            "url": "detailed",
            "valueCoding": {
              "system": "urn:oid:2.16.840.1.113883.6.238",
              "code": "2110-5",
              "display": "English"
            }
          }
        ]
      },
      {
        "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
        "extension": [
          {
            "url": "ombCategory",
            "valueCoding": {
              "system": "urn:oid:2.16.840.1.113883.6.238",
              "code": "2135-2",
              "display": "Hispanic or Latino"
            }
          },
          {
            "url": "detailed",
            "valueCoding": {
              "system": "urn:oid:2.16.840.1.113883.6.238",
              "code": "2156-8",
              "display": "Costa Rican"
            }
          }
        ]
      }
    ]
  }
]

PATCH https://fhir-ehr.sandboxcerner.com/r4/0b8a0111-e8e6-4c26-a91c-5069cbc6b1ca/Patient/5786010

Response

{
    "resourceType": "OperationOutcome",
    "issue": [
        {
            "severity": "error",
            "code": "invalid",
            "details": {
                "text": "A precondition requirement was not satisfied"
            }
        }
    ]
}

Can anyone help with this? I am not sure where I am missing precondition.

[Armani Akines (Cerner)]

Hello Shankar,

It looks like the precondition that is not being met is your version passed in to the If-Match header. A quick pull of the patient shows a version of '6' (at the time of this reply). I recommend attempting the request again with an If-Match header[1] that is the current version of the Patient Resource.

[1] - https://fhir.cerner.com/millennium/r4/individuals/patient/#headers-3

Thanks,

Armani

[Shankar Ganesh Jayaraman]

Thanks, Armani! 

I have somehow managed to find the issue and already fixed it. 

But the issue was the Version passed.

[Benjamin Eichhorn (Cerner)]

Hi,

Friendly reminder, and per our group guidelines. DO NOT post Authorization tokens anywhere in this forum or anywhere else. I would suggest you remove the token from this post.

Thank you,

Ben (Cerner)