Page Comparison

Purpose

This WS allows to prequalify care plan activity in order to define whether the medical program could be applied in this particular case or not.

Key points

1. Activity can be prequalify by the employee who has an Approval granted by the patient on write Care plan resource

2. Activity shouldn’t be signed with DS

Specification

Apiary

Authorization

• Verify the validity of access token

  • Return (401, 'Invalid access token') in case of validation fails

• Verify that token is not expired

  • in case of error - return (401, 'Invalid access token')

• Check user scopes in order to perform this action (scope = 'care_plan:write')

  • Return (403, 'Your scope does not allow to access this resource. Missing allowances: care_plan:write') in case of invalid scope(s)

Validate legal entity

• Extract client_id from token

• Check legal entity status is ACTIVE

  • In case of error - return 409 ('client_id refers to legal entity that is not active')

• Check legal entity type in ME_ALLOWED_TRANSACTIONS_LE_TYPES config parameter

  • in case of error - return 409 ('client_id refers to legal entity with type that is not allowed to create medical events transactions')

Validate Care plan

• Get Care plan identifier from the URL

• Check Care plan:

  • belongs to patient (from url)

    • in case of error - return 422 ('Care plan with such id is not found')

  • is not in final status

    • in case of error - return 422 ('Invalid care plan status')

  • Care plan’s period.end >= current date.

    • in case of error - return 422 ('Care Plan end date is expired')

Validate Patient

• Get person_id from URL

• Validate patient status is active

  • in case of error - return 409 ('Person is not active')

• If patient is a person - validate patient'sverification_status is not equal to NOT_VERIFIED.

  • in case NOT_VERIFIED - return error 409, "Patient is not verified"

Validate User

• Extract user_id from token.

• Check user has an active and approved employee from legal entity (token) that:

  • has an active Approval granted by the Patient on write the Care plan resource (care plan id from URL)

    • Return 403 ('Access denied') in case employee has no Approval on write

Validate activity

Activity should be validated. User fills following fields in the activity:

Validate care plan identifier

As care plan identifier should be contained in signed content, $.care_plan required in the request body.

• Check value matches with care plan identifier from URL

  • in case of error - return 409 ('Care Plan from url does not match to Care Plan ID specified in body')

Validate activity author

Validate value in the field $.author, required

• Check employee belongs to the user and legal entity (from token)

• Employee is:

  • an employee who has active Approval on write the Care plan

  • belongs to user

    • in case of error - return 422 ('User is not allowed to create care plan activity for the employee')

Validate activity detail

1. Kind

Validate value in the field $.detail.kind, required

• Check value in enum: medication_request, service_request

  • Return 422 ('value is not allowed in enum')

2. Product

Validate value in the field $.detail.product_reference, required

...

• Check that value is a reference on service or service_group

  • Return 422 ('Cannot refer to medication for kind = service_request')

• Check service or service_group is active

  • Return 422 ('<Service/Service group> should be active')

• Check there is no activities (status=scheduled, in_progress) with the same service or service_group in the Care plan

  • Return 422 (“Another activity with status ‘scheduled' or ‘in_progress' already exists in the current Care plan“)

3. Reason code

Validate value in the field $.detail.reason_code, if submitted

• Check that value matches with values in eHealth/ICD10_AM/condition_codes dictionary

  • in case of error - return 422 ('value is not allowed in enum')

4. Reason reference

Validate value in the field $.detail.reason_reference, if submitted

• Check that value is an array with references of condition, observation, diagnostic report, clinical impression types.

  • in case of error - return 422 ('value is not allowed in enum')

• Check that each reference:

  • is valid ME

  • belongs to the patient ($.subject)

    • in case of error - return 422 ('<medical event type> with such ID is not found')

• If $.detail.reason_reference=clinical_impression:

  • Check that clinical impression is valid based on clinical_impression.code.coding.code and CLINICAL_IMPRESSION_PATIENT_CATEGORIES_<CODE.CODING.CODE>_VALIDITY_PERIOD chart parameter: difference between now() and clinical_impression.inserted_at date must be less than a value in chart parameter (pointed in config for a corresponding care plan category) for clinical impression code

    • in case of error - return 422 ("Clinical impression with patient category exceeds validity period")

5. Goal

Validate value in the field $.detail.goal, if submitted

• Check that value matches with values in eHealth/care_plan_activity_goals dictionary

  • in case of error - return 422 ('value is not allowed in enum')

6. Quantity

Validate value in the field $.quantity, if submitted

• Check $.quantity.value is not empty, is integer, greater than zero

  • Return 422 schema validation error

• Set remaining_quantity.value = $.quantity.value

7. Scheduled

If submitted, validate there is one of the $.detail.scheduled_[x] field: scheduled_timing, scheduled_period or scheduled_string.

...

• Validate value with schema of the Period type

  • in case of error - return 422 schema validation error

• Check values within $.CarePlan.Period

  • in case period.end validation error - return 422 ('Period end time must be within care plan period range, after period start date')

  • in case period.start validation error - return 422 ('Period start time must be within care plan period range')

8. Location

Validate value in the field $.detail.location, if submitted

• Check the value is valid reference on division resource

• Check the division is active and division’s legal entity has active status

  • Return 422 ('Division is not active')

9. Performer

Validate value in the field $.detail.performer, if submitted

• Check the value is valid reference o employee resource

• Check employee is active and approved

  • Return 422 ('Invalid employee status')

10. Daily amount

Validate value in the field $.detail.daily_amount, if submitted.

• Check activity kind is medication_request

  • Return 422 ('Field is allowed for medication request activities only') in case kind is not medication_request

11. Do not perform flag

Validate value in the field $.do_not_perform

• Check it is false

  • in case of error - return 422 ('not allowed in enum')

12. Status

Validate value in the field $.status

• Check it has value = scheduled

  • in case of error - return 422 ('value is not allowed in enum')

Validate programs

Validate value in the field $.programs

• Сheck program exists and active

  • in case not found or is_active==false return 200 with status = INVALID and rejection_reason "Program not found"

• Validate product is program participant:

  • If product is medication - validate that medication has brand that is an active member of the program (program_medications table)

    • in case not found or is_active==false return 200 with status = INVALID and rejection_reason "Medication is not included in the program"

  • If product is service - validate that service is an active member of the program

    • in case not found or is_active==false return 200 with status = INVALID and rejection_reason "Service is not included in the program"

  • if product is service_group - validate that service group is an active member of the program

    • in case not found or is_active==false return 200 with status = INVALID and rejection_reason "Service group is not included in the program"

• Validate medical program settings (prm.medical_programs table):

  • if there is a parameter speciality_types_allowed:

    • Check author’s speciality is present in speciality_types_allowed

      • in case of error - return return 200 with status = INVALID and rejection_reason “Author’s specialty doesn't allow to create activity with medical program from request”

  • if there is a parameter conditions_icd10_am_allowed or/and conditions_icpc2_allowed:

    • Check related Care plan has condition codes in addresses field that correspond to codes pointed in conditions_icd10_am_allowed or/and conditions_icpc2_allowed (depending on dictionary - eHealth/ICD10_AM/condition_codes or eHealth/ICPC2/condition_codes)

      • in case of error - return 200 with status = INVALID and rejection_reason “Care plan diagnosis is not allowed for the medical program“

  • If there is a parameter providing_conditions_allowed:

    • Check related Care plan has a value in terms_of_service field that is included in the list of providing_conditions_allowed parameter

      • in case of error - return 200 with status = INVALID and rejection_reason “Care plan’s terms of service are not allowed for the medical program“

  • if there is a parameter patient_categories_allowed:

    • check if patient_categories_allowed is not null then $.detail.reason_reference should contain a reference on clinical_impression with patient category

    • check if patient_categories_allowed has codes in $.detail.reason_reference.[].clinical_impression.code.[].value that correspond to codes pointed in patient_categories_allowed

      • in case of error return 200 with status = INVALID with rejection_reason ("Clinical impression with patient category should be present in request for this medical program")

If program meets the requirements write status "VALID" according to apiary.

Service logic

1. Render response with prequalification result in order to define whether the medical program could be applied in this particular case or not