500 Internal Server Error for AllergyIntolerance - R4

[Shankar Ganesh Jayaraman]

Hi,

While I update AllergyIntolerance as per R4 documentation I get a response with code 500

Request:

URL:

PUT https://fhir-ehr.sandboxcerner.com/r4/0b8a0111-e8e6-4c26-a91c-5069cbc6b1ca/AllergyIntolerance/8135733

Header:

Authorization:Bearer eyJraWQiOiIyMDE5LTEyLTI5VDAzOjM1OjExLjExOS5lYyIsInR5cCI6IkpXVCIsImFsZyI6IkVTMjU2In0.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.jNhq0BzcJoteJ-oEz7V6obSfNnt5iKHC7Zeh9_GCm02pghC9-5lkGbYeg2g7f5J9ASTLu8siZXLr9i_qyGCJSg
Content-Type:application/fhir+json
If-Match:W/"8135733"

Body:

{
  "resourceType": "AllergyIntolerance",
  "id": "8135733",
  "clinicalStatus": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
        "code": "active"
      }
    ]
  },
  "verificationStatus": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
        "code": "unconfirmed"
      }
    ]
  },
  "category": [
    "food"
  ],
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "91935009",
        "display": "Allergy to peanuts (disorder)"
      }
    ],
    "text": "Allergy to peanuts"
  },
  "patient": {
    "reference": "Patient/5938008",
    "display": "Ruskin, Shankar Ganesh"
  },
  "recordedDate": "2019-02-08T00:00:00Z",
  "recorder": {
    "reference": "Practitioner/2042017",
    "display": "Generated Domain User for 0"
  },
  "note": [
    {
      "text": "Updated with additional details provided by patient."
    }
  ]
}

Response:

Status Code: 

500 Internal Server Error

Body

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

Response Header:

x-request-id →9dc3f2ddbbc828fa487f35c4fd3db6b5

Can you please help with this issue?

Thanks,

Shankar

[Fenil Desani (Cerner)]

Hi Shankar,

Looks like you are providing incorrect value for code. Please perform a GET call first and use the same coding as you get back.

  "code": {

        "coding": [

            {

                "system": "http://snomed.info/sct",

                "code": "91930004",

                "display": "Allergy to eggs (disorder)"

            }

Also, as per the guidelines,
Do NOT post your OAuth Bearer token or other security credentials on this group.

Thanks!

[Shankar Ganesh Jayaraman]

Hi Fenil,

Thanks for the reply.

Noted on the guidelines.

I am not using 91930004 in my payload. I am using the below payload (refer my Request Body)

"code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",

        "code": "91935009",
        "display": "Allergy to peanuts (disorder)"
      }
    ],
    "text": "Allergy to peanuts"
  }

Can you please reconfirm the cause of 500 errors?

- Shankar

[Fenil Desani (Cerner)]

Hi Shankar,

You cannot update the code value. It needs to be the same that you get back from the GET call. Please refer to our documentation for further reference. [1]

[1] https://fhir.cerner.com/millennium/r4/general-clinical/allergy-intolerance/#update

Thanks,

Fenil

[Shankar Ganesh Jayaraman]

Got it. Thanks, Fenil for directing me to the documentation. 

May I know - if Delete Allergy is in the roadmap? If so when can we expect it?

[Cerner FHIR Developers]

Hi Shankar,

Unfortunately, per group guidelines, we will not comment on any future timelines.

Thanks,

Cerner