Table of Contents

Purpose

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Specification

Page Properties

Link	https://ehealthmisapi1uaehealthapi.docs.apiary.io/#reference/public.-reimbursement/medication-request/reject-medication-request	Посилання на Apiary або Swagger
Resource	/api/medication_requests/{{id}}/actions/reject	Посилання на ресурс, наприклад: /api/persons/create
Scope	medication_request:reject	Scope для доступу
Components	ePrescription	Зазначається перелік бізнес компонентів, які використовують цей метод, наприклад: ePrescription
Microservices	API paragraph not found	Перелік мікросервісів, які використовує метод API, наприклад: Auth, ABAC
Protocol type	REST	Тип протоколу, який використовується запитом, наприклад: SOAP \| REST
Request type	PATCH	Тип запиту API, наприклад: GET, POST, PATCH…
Sync/Async	Sync	Метод є синхронним чи асинхронним?
Public/Private/Internal	Public	Потрібно зазначити тип методу за ступенем доступності

Logic

Save signed content to media storage.
Update Medication request in OPS DB:
1. set status = 'REJECTED'
2. set reject_reason_code = $.reject_reason_code
3. set reject_reason = $.reject_reason
4. set updated_by = user_id
5. set updated_at = now()
Send SMS for person
1. If Medication request has program with medical program setting medication_request_notification_disabled = true, then don't send SMS.
  Else:
  1. Get authentication_method of person from MPI
  2. If authentication_method == OTP, then send SMS to a person from Medication request:
    1. Generate SMS text (
      1. get template from reject_template_sms parameter
      2. enrich template with data from Medication request
    2. Send SMS to a person
Add new status to event manager

field	value
`event_type`	`StatusChangeEvent`
`entity_type`	`MedicationRequest`
`entity_id`	$.id
`properties.status.new_value`	$.status
`event_time`	$.update_at
`changed_by`	$.changed_by

5. If the medication request is based on the activity with quantity:

Recalculate and set remaining_quantity for the activity as described at Create Medication Request: Validate based_on (p. 2.d.1 )and do not include current MR but include all MD which related to current MR

Технічний опис бізнес-процесу виписування рецепту в ЕСОЗ (загальний процес для усіх рецептурних ЛЗ, в т.ч. і тих, які підлягають реімбурсації)

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Expand

title	Response example

Code Block

{
  "meta": {
    "code": 200,
    "url": "https://example.com/resource",
    "type": "object",
    "request_id": "req-adasdoijasdojsda6617aeec-15e2-4d6f-b9bd-53559c358f97#17810"
  },
  "data": {
    "id": "b075f148-7f93-4fc2-b2ec-2d81b19a9b7b",
    "status": "ACTIVE",
    "request_number": "0000-243P-1X53-EH38",
    "created_at": "2017-08-17",
    "started_at": "2017-08-17",
    "ended_at": "2017-09-16",
    "dispense_valid_from": "2017-08-17",
    "dispense_valid_to": "2017-09-16",
    "legal_entity": {
      "id": "b075f148-7f93-4fc2-b2ec-2d81b19a9b7b",
      "name": "Клініка Ноунейм",
      "short_name": "Ноунейм",
      "public_name": "Клініка Ноунейм",
      "type": "MSP",
      "edrpou": "5432345432",
      "status": "ACTIVE"
    },
    "division": {
      "id": "d290f1ee-6c54-4b01-90e6-d701748f0851",
      "legal_entity_id": "c8aadb87-ecb9-41ca-9ad4-ffdfe1dd89c9",
      "name": "Бориспільське відділення Клініки Ноунейм",
      "addresses": [
        {
          "type": "RESIDENCE",
          "country": "UA",
          "area": "Житомирська",
          "region": "Бердичівський",
          "settlement": "Київ",
          "settlement_type": "CITY",
          "settlement_id": "b075f148-7f93-4fc2-b2ec-2d81b19a9b7b",
          "street_type": "STREET",
          "street": "вул. Ніжинська",
          "building": "15",
          "apartment": "23",
          "zip": "02090"
        }
      ],
      "phones": [
        {
          "type": "MOBILE",
          "number": "+380503410870"
        }
      ],
      "email": "email@example.com",
      "working_hours": {
        "mon": [
          [
            "08.00",
            "12.00"
          ],
          [
            "14.00",
            "18.00"
          ]
        ],
        "tue": [
          [
            "08.00",
            "12.00"
          ]
        ],
        "wed": [
          [
            "08.00",
            "12.00"
          ]
        ],
        "thu": [
          [
            "08.00",
            "12.00"
          ]
        ],
        "fri": [
          [
            "08.00",
            "12.00"
          ]
        ]
      },
      "type": "CLINIC",
      "external_id": "3213213",
      "location": {
        "latitude": 30.1233,
        "longitude": 50.32423
      },
      "dls_id": "2872985",
      "dls_verified": true
    },
    "employee": {
      "id": "d290f1ee-6c54-4b01-90e6-d701748f0851",
      "position": "P6",
      "party": {
        "id": "b075f148-7f93-4fc2-b2ec-2d81b19a9b7b",
        "no_tax_id": true,
        "first_name": "Петро",
        "last_name": "Іванов",
        "second_name": "Миколайович",
        "email": "email@example.com",
        "phones": [
          {
            "type": "MOBILE",
            "number": "+380503410870"
          }
        ]
      }
    },
    "person": {
      "id": "b075f148-7f93-4fc2-b2ec-2d81b19a9b7b",
      "short_name": "Петро І. І.",
      "age": 35
    },
    "medication_info": {
      "medication_id": "4a63b858-c138-4921-9341-ae9e384bcbd6",
      "medication_name": "Аміодарон 200мг таблетки",
      "form": "PILL",
      "dosage": {
        "numerator_unit": "MG",
        "numerator_value": 200,
        "denumerator_unit": "PILL",
        "denumerator_value": 1
      },
      "ingredients": [
        {
          "id": "1349a693-4db1-4a3f-9ac6-8c2f9e541982",
          "name": "Інсулін деглюдек",
          "name_original": "Insulin degludec",
          "sctid": "52574003",
          "dosage": {
            "numerator_unit": "MG",
            "numerator_value": 200,
            "denumerator_unit": "PILL",
            "denumerator_value": 1
          },
          "is_primary": true
        }
      ],
      "medication_qty": 10.34
    },
    "medical_program": {
      "id": "c7d52544-0bd4-4129-97b0-2d72633e0490",
      "name": "Доступні ліки",
      "medical_program_settings": {
        "care_plan_required": true,
        "employee_types_to_create_medication_request": [
          "SPECIALIST",
          "DOCTOR"
        ],
        "skip_mnn_in_treatment_period": true,
        "skip_employee_validation": true,
        "speciality_types_allowed": [
          "ENDOCRINOLOGY",
          "PEDIATRIC_NEUROLOGY"
        ],
        "conditions_icd10_am_allowed": [
          "A00.0",
          "A00.1"
        ],
        "conditions_icpc2_allowed": [
          "A01",
          "A02"
        ],
        "providing_conditions_allowed": [
          "INPATIENT",
          "OUTPATIENT"
        ],
        "medication_request_max_period_day": 90,
        "skip_medication_request_employee_declaration_verify": true,
        "skip_medication_request_legal_entity_declaration_verify": true,
        "multi_medication_dispense_allowed": true,
        "skip_medication_dispense_sign": true,
        "medication_request_notification_disabled": true,
        "skip_contract_provision_verify": true,
        "medication_dispense_period_day": 90
      },
      "medical_program_settings_text": "Some text",
      "is_active": true,
      "medication_dispense_allowed": true,
      "medication_dispense_allowed_text": "Some text",
      "medication_request_allowed": true,
      "medication_request_allowed_text": "Some text",
      "type": "MEDICATION",
      "funding_source": "NHS",
      "inserted_at": "2017-04-20T19:14:13Z",
      "inserted_by": "e1453f4c-1077-4e85-8c98-c13ffca0063e ліки",
      "updatedfunding_atsource": "2017-04-20T19:14:13ZNHS",
      "updatedmr_blank_bytype": "2922a240-63db-404e-b730-09222bfeb2ddF-1"
    },
    "intent": "plan",
    "category": "community",
    "based_on": [
      {
        "identifier": {
          "type": {
            "coding": [
              {
                "system": "eHealth/resources",
                "code": "care_plan"
              }
            ]
          },
          "value": "9183a36b-4d45-4244-9339-63d81cd08d9c"
        }
      },
      {
        "identifier": {
          "type": {
            "coding": [
              {
                "system": "eHealth/resources",
                "code": "activity"
              }
            ]
          },
          "value": "9183a36b-4d45-4244-9339-63d81cd08d9c"
        }
      }
    ],
    "context": {
      "identifier": {
        "type": {
          "coding": [
            {
              "system": "eHealth/resources",
              "code": "encounter"
            }
          ]
        },
        "value": "9183a36b-4d45-4244-9339-63d81cd08d9c"
      }
    },
    "dosage_instruction": [
      {
        "sequence": 1,
        "text": "0.25mg PO every 6-12 hours as needed for menses from Jan 15-20, 2015.  Do not exceed more than 4mg per day",
        "additional_instruction": [
          {
            "coding": [
              {
                "system": "eHealth/SNOMED/additional_dosage_instructions",
                "code": "311504000"
              }
            ]
          }
        ],
        "patient_instruction": "0.25mg PO every 6-12 hours as needed for menses from Jan 15-20, 2015.  Do not exceed more than 4mg per day",
        "timing": {
          "event": [
            "2017-04-20T19:14:13Z"
          ],
          "repeat": {
            "bounds_duration": {
              "value": 10,
              "unit": "days",
              "system": "eHealth/ucum/units",
              "code": "d"
            },
            "count": 2,
            "count_max": 4,
            "duration": 4,
            "duration_max": 6,
            "duration_unit": "d",
            "frequency": 1,
            "frequency_max": 2,
            "period": 4,
            "period_max": 6,
            "period_unit": "d",
            "day_of_week": [
              "mon"
            ],
            "time_of_day": [
              "2017-04-20T19:14:13Z"
            ],
            "when": [
              "WAKE"
            ],
            "offset": 4
          },
          "code": {
            "coding": [
              {
                "system": "TIMING_ABBREVIATIONS",
                "code": "patient"
              }
            ]
          }
        },
        "as_needed_boolean": true,
        "site": {
          "coding": [
            {
              "system": "eHealth/SNOMED/anatomical_structure_administration_site_codes",
              "code": "344001"
            }
          ]
        },
        "route": {
          "coding": [
            {
              "system": "eHealth/SNOMED/route_codes",
              "code": "46713006"
            }
          ]
        },
        "method": {
          "coding": [
            {
              "system": "eHealth/SNOMED/administration_methods",
              "code": "419747000"
            }
          ]
        },
        "dose_and_rate": {
          "type": {
            "coding": [
              {
                "system": "eHealth/dose_and_rate",
                "code": "'ordered'"
              }
            ]
          },
          "dose_range": {
            "low": {
              "value": 0,
              "unit": "mg",
              "system": "eHealth/ucum/units",
              "code": "mg"
            },
            "high": {
              "value": 0,
              "unit": "mg",
              "system": "eHealth/ucum/units",
              "code": "mg"
            }
          },
          "rate_ratio": {
            "numerator": {
              "value": 0,
              "unit": "mg",
              "system": "eHealth/ucum/units",
              "code": "mg"
            },
            "denominator": {
              "value": 0,
              "unit": "mg",
              "system": "eHealth/ucum/units",
              "code": "mg"
            }
          }
        },
        "max_dose_per_period": {
          "numerator": {
            "value": 0,
            "unit": "mg",
            "system": "eHealth/ucum/units",
            "code": "mg"
          },
          "denominator": {
            "value": 0,
            "unit": "mg",
            "system": "eHealth/ucum/units",
            "code": "mg"
          }
        },
        "max_dose_per_administration": {
          "value": 0,
          "unit": "mg",
          "system": "eHealth/ucum/units",
          "code": "mg"
        },
        "max_dose_per_lifetime": {
          "value": 0,
          "unit": "mg",
          "system": "eHealth/ucum/units",
          "code": "mg"
        }
      }
    ],
    "rejected_at": "2017-04-20T19:14:13Z",
    "rejected_by": "2922a240-63db-404e-b730-09222bfeb2dd",
    "reject_reason": "Помилка призначення. Несумісні препарати.",
    "reject_reason_code": "INCORRECT_DOSAGE",
    "is_blocked": false,
    "block_reason": "Підозра на фрод",
    "block_reason_code": "BLOCK_WRONG_QTY_DRUG",
    "block_legal_entity": {
      "id": "UUID",
      "type": "NHS"
    },
    "priority": "routine",
    "prior_prescription": {
      "identifier": {
        "type": {
          "coding": [
            {
              "system": "eHealth/resources",
              "code": "medication_request"
            }
          ]
        },
        "value": "9183a36b-4d45-4244-9339-63d81cd08d9c"
      }
    },
    "container_dosage": {
      "system": "MEDICATION_UNIT",
      "code": "ML",
      "value": 4
    }
  }
}

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