Purpose

This WS is designed to qualify Medication request (post) - check the ability to use Medication request within the Medication program and receive program participants.

Specification

Logic

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1. Verify Care plan:

   1. It should be in active status

      1. in case of error - return 409 (message: "Invalid care plan status").

   2. Care plan's period end (if exist) should be greater than current date or equal

      1. in case of error - return 409 (message: “Care plan expired“).

2. Verify care plan Activity:

   1. It has scheduled, in_progress status

      1. in case of error - return 409 (message: "Invalid activity status").

Validate division

If division_id submitted:

1. Validate division is active

   1. in case of error - return 409 ("Division is not active").

2. Validate division belongs to user's legal entity

   1. in case of error - return 409 ("Division does not belong to user's legal entity").

3. If chart parameter DISPENSE_DIVISION_DLS_VERIFY is on, then validate division is DLS verified (dls_verified=true)

   1. in case of error - return 409 "Division is not verified in DLS".

4. If chart parameter MEDICAL_PROGRAM_PROVISION_VERIFY, then check division provide each submitted program. For each Medical Program Provision validate following:

   1.  If the medical program has no setting skip_contract_provision_verify or it is equal to false/null:

      1. provision exist and active:

         1. in case of error - return status=INVALID for a program, rejection_reason= "Division does not provide the medical program"

      2. provision relates to the actual reimbursement contract: contract.start_date <= current_date <= contract.end_date, is_active = true, status = VERIFIED.

         1. in case of error - return status=INVALID for a program, rejection_reason="Medical program provision is not related to any actual contract for the current date"

   2. else if skip_contract_provision_verify = true, then skip provision verification for the medical program.

Logic for qualify (analyze compliance with programs)

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