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All resources communicate error condition with standard HTTP status code. Below is an overview of all the supported codes, along with some suggestions that might help you fix things.

API document signing

Signing visit notes, non-visit notes, reports, letters, message threads, or imaging/cardiac/pulmonary/sleep orders through the API requires the authoring practice to have API document signing enabled. If you supply signed_by and signed_date (or sign_date) without that feature turned on, you’ll get:
Requests that omit both fields are unaffected — you only hit this if you’re actively trying to sign. To fix it: request that Elation enable API document signing for the practice via Getting Help. Before we can turn it on, an Admin User at the practice needs to review the Signing API agreement covering clinical oversight and regulatory responsibility for signing clinical notes and orders through the API, then reach out confirming they’ve read and agree to it.