---
name: AMD Write Access Protocol
description: AMD writes (appointments) now proven working. Requires per-request Gautam approval. Use delete+recreate to reschedule.
type: feedback
---

AMD appointment writes are now working via the API. Gautam approved writes on 2026-04-02 with "Yes. Only for this specific request right now."

**Why:** PHI is highly sensitive. AMD is the clinical system of record. Any incorrect write could affect patient care.

**How to apply:**
- Always confirm appointment details with Gautam BEFORE creating/modifying
- For rescheduling: DELETE old appointment, then POST new one (PUT doesn't work reliably -- returns 500)
- POST /api/scheduler/appointments requires `type:[{id:6614}]` NOT `appointmenttypeids`
- Include `id` in PUT body to match URI
- Each write request needs fresh approval -- standing approval does NOT carry over
- Read operations remain freely authorized