Creation of allergy returns 500

[Pedro Simon]

Hi! Another issue I'm having with the AllergyIntolerance resource.

When a patient has no allergies, and I attempt to create an allergy with the following data

{
    "clinicalStatus": {
        "coding": [
            {
                "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
                "code": "active"
            }
        ]
    },
    "code": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "67825001"
            }
        ],
        "text": "Pollen"
    },
    "patient": {
        "reference": "Patient/12754393"
    },
    "resourceType": "AllergyIntolerance"
}

it returns a 500 response. But it's happening just for this Pollen with code 67825001, because when I send Pollen code 256259004:

{
    "clinicalStatus": {
        "coding": [
            {
                "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
                "code": "active"
            }
        ]
    },
    "code": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "256259004"
            }
        ],
        "text": "Pollen"
    },
    "patient": {
        "reference": "Patient/12754392"
    },
    "resourceType": "AllergyIntolerance"
}

it works perfectly. It worked well for all allergies I created, except for Pollen code:

67825001 system uri:

http://snomed.info/sct

Both are valid SNOMED alllergies. How could I know when a specific allergy is not supported beforehand? Any recommendations?

Request ID of failing example: f92997b8-a442-4648-9174-e773c36111be


Thanks a lot!


 

[Fenil Desani (Cerner)]

Is Snomed 67825001 active ?

It depends on the mappings per domain. Our Sandbox does not have mapping for 67825001. 

[Pedro Simon]

According to this it is not active. I guess that might be the problem... Seems we'll need to filter those, right? Thanks!

[Fenil Desani (Cerner)]

Correct! For Pollen, 67825001 is not mapped in our domain but 256259004  is mapped.

You would need to use 256259004  for pollen.

[Pedro Simon]

A follow-up question related to that? How can we know if an allergy is active or not? Is there a way to find out that? We use the UMLS data, which has the columns detailed in this site, does any of those columns represent the "active" status?

[Fenil Desani (Cerner)]

We would not have knowledge about UMLS data. Our Mappings team is generally up-to date with the active allergies/Snomeds out there