Purpose

This WS is designed to prequalify Service request: check the ability of create Service request within the Medical program

Specification

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Request to process the request using a token in the headers

Headers

Наприклад:

• Content-Type:application/json

• Authorization:Bearer mF_9.B5f-4.1JqM

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1. Validate that service request ID is unique

   1. $.id must be unique

      1. in case of error return 409 - "Service request with such id already exists"

2. Requisition is a common identifier for the group of service requests and it must matches with one of the patient's episode of care number

   1. $.requisition must match with patient's episode of care number

      1. in case of error return 409 - "Incorrect requisition number"

3. Service request category must refer to a valid dictionary

   1. $.category.coding[*].system  == "eHealth/SNOMED/service_request_categories" 

      1. in case of error return 409 "Incorrect service request category"

4. Procedure code must refer to a valid dictionary

   1. $.code.coding[*].system  == "eHealth/SNOMED/procedure_codes" 

      1. in case of error return 409 "Incorrect procedure code"

5. Patient must be active

   1. $.patient.identifier.type.coding[*].system == "eHealth/resources"

   2. $.patient.identifier.type.coding[*].code == "patient"

   3. $.patient.identifier.value refer to active MPI (is_active == true and status == 'active')

   4. in case patients.preperson == true

      1. check PREPERSON_SERVICE_REQUEST_ALLOWED_CATEGORIES (values from dictionary: eHealth/SNOMED/service_request_categories) configuration according allowed categories for prepersons

         1. in case of error return 422 (Category of service request is not allowed for prepersons)

6. Context must be an active encounter

   1. $.context.identifier.type.coding[*].system == "eHealth/resources"

   2. $.context.identifier.type.coding[*].code == "encounter"

   3. $.context.identifier.value refer to existing encounter (status == 'finished')

7. Occurence is a valid date-time in the future

   1. $.occurrenceDateTime 

      1. $.occurrence_date_time - ISO date must be greater current date-time

   2. $.occurrencePeriod.start

      1. $.occurrence_period.start - ISO date must be greater than current date-time

      2. $.occurrence_period.end - ISO date must be greater than current date-time and greater than $.occurrencePeriod.start

   3. in case based_on passed in request

      1. if care plan activity has detail.scheduled_timing.repeat.bounds_period - validate occurence within bounds_period

      2. if care plan activity has detail.scheduled_period - validate occurence within scheduled_period

      3. else - validate occurence within care_plan.period

8. Authored On is a valid date-time in the past

   1. $.authored_on - ISO date must be less than current date-time

9. Requester_employee must be active employee within current legal entity

   Performer type must refer to a valid dictionary

   1. $.requester_employee.identifier.type.coding[*].system == "eHealth/resources"

   2. $.requester_employee.identifier.type.coding[*].code == "employee"

   3. $.requester_employee.identifier.value refer to active employee within current legal entity (employee.status == approved and employee.is_active == true and employee.legal_entity_id == token.client_id .rand employee.type=value from list of employee_types in configuration: ALLOWED_SERVICE_REQUEST_REQUESTER_EMPLOYEE_TYPES)

      1. in case of error - 422 “Invalid employee type”

10. Requester is one of current user's employee

    1. in case of error return 422 "User is not allowed to create service request for the employee"

11. Requester_legal_enity must be current legal enity

12. 1. $.performer_type.coding[*].system  == "eHealth/SNOMED/service_request_performer_roles" _TYPES )

       1. in case of error - 422 “Invalid employee type”

13. Requester is one of current user's employee

    1. in case of error return

       409 "Incorrect service request category"

       422 "User is not allowed to create service request for the employee"

14. Requester_legal_enity must be current legal enity

15. Supporting info must refer to a valid medical events object (Episode of Care, Condition, Observation, Diagnostic report) within specified patient. 

    1. $.supporting_info.identifier.type.coding[*].system == "eHealth/resources"

       1. in case of error return 409 "Incorrect supporting info"

16. Reason reference must refer to a valid medical events object (Observation, Condition) within specified patient. 

    1. $.reason_reference.identifier.type.coding[*].system == "eHealth/resources"

    2. $.reason_reference.identifier.type.coding[*].code in ("condition", "observation")

       1. in case of error return 409 "Incorrect reason reference"

17. Permitted resources must refer to a valid medical events object (Episode of Care, diagnostic report) within specified patient. 

    1. $.permitted_resources.identifier.type.coding[*].system == "eHealth/resources"

    2. $.permitted_resources.identifier.type.coding[*].code == "episode_of_care", “diagnostic“diagnostic_report”report”

       1. in case of error return 409 "Incorrect permitted resources"

18. Validate code is an existing service or service group that is allowed to be used in service_request

    1. in case not found or is_active == false return 422 "Service(Service group) not found"

    2. if request_allowed==false return 422 "Service request is not allowed for this service(service_group)"

    3. in case based_on passed in request

       1. If service_requests.code.identifier.value is service, validate $based_on[].activity.code.identifier.value = service_requests.code.identifier.value

          1. in case error return 422, "Service in activity differs from service in service request"

       2. If service_requests.code.identifier.value is service_group, validate $based_on[].activity.code.identifier.value = service_requests.code.identifier.value

          1. in case error return 422, "Service group in care plan activity differ from service group in service request"

       3. if service_requests.code.identifier.value is service/service group, validate $based_on[].activity.code.identifier.value is service/service group

          1. in case error return 422, "Activity referes to '#{service/service group}' but service request refers to '#{service group/service}'"

19. Validate service category is equal to service request category in case service was defined as a code (not a service_group)

    1. Select category from PRM.services where id = $.code.identifier.value

       1. if PRM.services.category!=$.category OR PRM.services.category is not NULL  return 422 "Service category does not match with service request category"

20. For each program validate it is an existing service program (type=service)

    1. in case not found or is_active==false write result in Data collection according to apiary

    2. in case type!= service write result in Data collection according to apiary - "Invalid program type"

    3. check if medical_programs.medical_program_settings.care_plan_required == true then the request should contain a based_on with care plan and activity that contains the same medical program

       1. in case of error return 422 with msg ("Care plan and activity with the same program should be present in request")

       2. check that program equal to $.activity[].program

          1. in case of error return 422 with msg ("Program from activity should be equal to program from request")

21. For each program validate that service(or service_group) is an active member of the program

    Select request_allowed, is_active from PRM.program_services where service_id

    (or service_group

    _id

    )

    == $.signed_content.code.identifier.value and program_id=$.program.identifier.value

    1. if not found or is_active==false write result in Data collection according to apiary - "Service is not included in the program"

    2. if request_allowed==false write result in Data collection according to apiary -  "Service request is not allowed for this service(service_group) in this programm"

    For each program validate that doctor is allowed to create service request with the program for the current patient

22. $.requester has an active declaration with the patient OR

$.requester works in the same MSP with doctor that has an active declaration with the patient AND doctors employee_type== DOCTOR

in case of error

is an active member of the program

1. Select request_allowed, is_active from PRM.program_services where service_id(or group_id) == $.signed_content.code.identifier.value and program_id=$.program.identifier.value

   1. if not found or is_active==false write result in Data collection according to apiary - "User Service is not allowed to create service request with the program for the patientincluded in the program"

   2. if request_allowed==false write result in Data collection according to apiary -  "Service request is not allowed for this service(service_group) in this programm"

23. Validate performer

    1. if category = transfer_of_care,

       performer is sent

       ,

       1. performer is sent, in case error return 422, "performer is mandatory for category `transfer_of_care`"

       2. performer is real LE with status=Active and is_Active=true, in case error, return 422, "performer is mandatory for category `transfer_of_care`"performer is not active legal entity"

    2. if category = laboratory_procedure,

       1. performer is optional; if is send - performer is real LE with status=Active and is_Active=true, in case error, return 422, "performer is not active legal entity"

    3. else other category and performer is send return 422 error $.performer.identifier.value “Not allowed for this category“

24. validate LocationReference

    1. if category = transfer_of_care,

       1. LocationReference is real division with type in (CLINIC, LICENSED_UNIT,AMBULANT_CLINIC,FAP) and status=Active and is_active=true, in case error return 422, "LocationReference is not an active division"

       2. LocationReference division.legal_entity_id=Performer, in case error return 422, "Division does not belong to performer legal entity"

25. Validate PerformerType

    1. if category = hospitalization

       1. PerformerType is sent, in case error return 422, "PerformerType is mandatory for category hospitalization"

       2. PerformerType is a code from dictionary.SPECIALITY_TYPE and match config file 'SERVICE_REQUEST_HOSPITALIZATION_SPECIALITY_TYPES', in case error return 422, "PerformerType=$PerformerType is forbidden for category hospitalization"

       3. if performer_type value is included in chart variables 'SERVICE_REQUEST_PERFORMER_TYPE_SPECIALITY_TYPES':

          1.  define allowed service codes for service_requests.code.identifier.value using a set of chart variables  'SERVICE_REQUEST_<SPECIALITY_TYPE>_PERFORMER_TYPE_CODES', in case of error return 422 “Service does not correspond to performer's speciality for hospitalization“

    2. if category = transfer_of_care

       1. if service codes for service_requests.code.identifier.value using a set of chart variables 'SERVICE_REQUEST_TRANSFER_OF_CARE_<SPECIALITY_TYPE>_PERFORMER_TYPE_CODES', performer_type field is mandatory

          1. in case error return 422, "PerformerType is mandatory"

       2. PerformerType is a code from dictionary.SPECIALITY_TYPE and match config file 'SERVICE_REQUEST_TRANSFER_OF_CARE_SPECIALITY_TYPES', in case error return 422, "PerformerType=$PerformerType is forbidden for category transfer_of_care"

       3. if performer_type value is included in chart variables 'SERVICE_REQUEST_TRANSFER_OF_CARE_PERFORMER_TYPE_SPECIALITY_TYPES':

          1.  define allowed service codes for service_requests.code.identifier.value using a set of chart variables 'SERVICE_REQUEST_TRANSFER_OF_CARE_<SPECIALITY_TYPE>_PERFORMER_TYPE_CODES', in case of error return 422 “Service does not correspond to performer's speciality for transfer of care“

    3. else other category and PerformerType is send return 422 error $.performer_type.coding[0].value "Not allowed for category <category>"

        

26. Validate based_on

    1. If submitted, check field has array with two values of Reference type: one is valid Care plan resource, another - Activity resource.

       1. in case of error return 422 with msg ("expected a minimum of %{min} items but got %{actual}")

    2. Verify Care plan:

       1. It should belong to the same person as set in service request

          1. in case of error return 422 with msg ("Care plan with such id is not found")

       2. It should be in active status

          1. in case of error return 422 with msg ("Care plan is not active")

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

    3. Verify submitted Activity:

       1. It belongs to the Care plan.

          1. in case of error return 422 with msg ("Activity with such id is not found")

       2. It has activity.detail.kind=service_request; activity.detail.product_reference=service_request.code[].value.

          1. in case of error return 422 with msg ("Invalid activity kind")

       3. It has scheduled, in_progress status

          1. in case of error return 422 with msg ("Invalid activity status")

       4. if quantity was set, then validate remaining_quantity greater then zero:

          1. in case of error return 422, "The number of available services according to the care plan activity has been exhausted"

    4. Verify activity period: 

       1. If it has scheduled_timing:

          1. if bounds_period.end defined then check it greater than current date or equal.

       2. If it has scheduled_period:

          1. if scheduled_period.end defined then check it greater than current date or equal.

27. Validate patient's verification status:

    1. If SR has based_on with valid activity, then skip this validation.

    2. Else check patient's verification_status is not equal to NOT_VERIFIED.

       1. in case of error return 409, "Patient is not verified"

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