Create Allergy with reaction thows 500 internal server error

Shankar Ganesh Jayaraman

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Jan 16, 2020, 12:55:41 PM1/16/20

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x-request-id →6122388691536469656925ddc0ef183d

Request Payload:

{
  "resourceType": "AllergyIntolerance",
  "clinicalStatus": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
        "code": "active"
      }
    ]
  },
  "verificationStatus": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
        "code": "confirmed"
      }
    ]
  },
  "type": "allergy",
  "category": [
    "medication"
  ],
  "criticality": "high",
  "code": {
    "coding": [
      {
        "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
        "code": "723"
      }
    ],
    "text": "amoxicillin"
  },
  "patient": {
    "reference": "Patient/5938008"
  },
  "encounter": {
    "reference": "Encounter/4749909"
  },
  "onsetDateTime": "2020-01-11T05:00:00.000Z",
  "note": [
    {
      "authorReference": {
        "reference": "Practitioner/2578010"
      },
      "text": "Updated with additional details provided by patient."
    }
  ],
  "reaction": [
    {
      "manifestation": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "271757001"
            }
          ],
          "text": "Papular eruption"
        }
      ],
      "severity": "severe"
    }
  ]
}

Joshua Fisk (Cerner)

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Jan 16, 2020, 3:05:50 PM1/16/20

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Hello Ganesh,

It looks like something has changed in our configuration for reaction severity. We will work to get that re-enabled. In the meantime, by removing just the severity field you would be able to create a successful allergy.

However, something else is going on here too. This patient already has this allergy code (https://fhir-open.sandboxcerner.com/r4/0b8a0111-e8e6-4c26-a91c-5069cbc6b1ca/AllergyIntolerance/8339739). So if you were to try to post this body as is after removing severity, but without changing the allergy code then it would result in a 409 Conflict error. By supplying a new code this will work.

Shankar Ganesh Jayaraman

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Feb 25, 2020, 2:52:58 AM2/25/20

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Hi Joshua,

Is there a timeline for enabling the reaction.severity field to create Allergy?

Joshua Fisk (Cerner)

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Feb 26, 2020, 1:54:15 PM2/26/20

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We are currently looking into what it will take to get this enabled in our sandbox. Unfortunately we do not comment on timelines in this group.

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