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R4 APIs (Millennium)

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How to make PATCH appointment request with patient-status and action-comment

Harshal A3 days ago

Workflow or API calls:

I want to send action-comment (The comment to be associated with the action performed on the resource) operation to a PATCH appointment request along with patient-status operation

Reference: https://docs.oracle.com/en/industries/health/millennium-platform-apis/mfrap/op-appointment-id-patch.html

Note: I do NOT want to send a slot reference in the PATCH request, because it will be considered as appointment reschedule

[
  {
    "op": "replace",
    "path": "/patient-status",
    "value": "accepted"
  },
  {
    "op": "replace",
    "path": "/extension",
    "value": [
      {
        "url": "https://fhir-ehr.cerner.com/r4/StructureDefinition/action-comment",
        "valueString": "action comment - accepted"
      }
    ]
  }
]

Background Information:

Developer questions:

Are you an OPN Member? Yes
Have you signed up to be in the Healthcare Developer Track? Yes
Are you a registered Code Program member? Yes
Does your App have a presence on the Oracle Healthcare App Marketplace? Yes

Are you developing on behalf of an Oracle Health client? No

Expected Result:

PATCH request should be successful

Actual Result:

PATCH request returns error

{
  "resourceType": "OperationOutcome",
  "issue": [
    {
      "severity": "error",
      "code": "business-rule",
      "details": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/operation-outcome",
            "code": "MSG_PARAM_INVALID",
            "display": "Parameter '/extension' content is invalid"
          }
        ],
        "text": "The value for /extension is not supported."
      },
      "diagnostics": "An action comment can be updated when slot replace operation is present"
    }
  ]
}

X-Request-Id: /B624665089EB66F1E27BDF50CC6CD309+DnsD_TPzp
Date/time of the example: Thu, 16 Oct 2025 10:01:49 GMT

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