Content Comparison

Specification 

Apiary

Purpose

...

Specification 

Apiary

Purpose

This WS is designed to qualify Medication request (post) - check the ability of using Medication request within the Medication program.

Input parameters (filters)

...

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)

   in

   _VERIFY is on, then validate division is DLS verified (dls_verified=true)

   1. in case of error - return 409 "Invalid division dls status"

4. If the medical program has no setting skip_dispense_division_dls_verify or it is set in false/null validate:

   • Check $.division.dls_verify == true:

     • In case of error - return 409 "

   Division is not verified in DLS"

   • • Invalid division dls status"

   else if skip_dispense_division_dls_verify = true, then skip license verification for the division

5. Check division participates in submitted programs. Validate Provision for each Medical Program:

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

      1. if medical program in the request has funding_source one of NHS, LOCAL

         1. In case of error - return status=INVALID for a program, rejection_reason="Program was configured incorrectly. Either incorrect source of funding or option skip_contract_provision_verify"

      2. provision exist and active for the division:

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

      3. if medical program in the request has funding_source = NHS:

         1. provision relates to the actual reimbursement contract: contract.start_date <= current_date <= contract.end_date, is_active = true, status = VERIFIED, contracts.type==reimbursement, contracts.contractor_legal_entity_id=token.client_id, contracts.medical_program_id==$.medical_program_id

            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. contract is_suspended = false

            1. in case of error - return status=INVALID for a program, rejection_reason="Contract with number <contract_number> is suspended"

      4. if medical program in the request has funding_source = LOCAL, then check medical_program_provision.msp_legal_entity_id = medication_request.legal_entity_id

         1. in case of error - return status=INVALID for a program, rejection_reson = "Medical program can not be provided for the legal entity specified in the medication request"

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

6. Get license_types_allowed parameter from settings of medical program from request $.medical_program_id:

   1. if it is exists and not empty, get list of all license types from parameter.
      Check that division has active healthcare services with following parameters:

      1. legal_entity_id = client_id from access token

      2. division_id = division_id from request

      3. status = 'ACTIVE'

      4. licensed_healthcare_service.status = 'ACTIVE'

      5. healthcare_service.license_id is not null and licenses.type = value from license_types_allowed parameter

         1. in case of error - return status=INVALID for a program, rejection_reason = 'Division does not have active licenses to provide the medical program'

...

1. Get `check_innm_id`

   Code Block
   SELECT I.innm_child_id FROM ingredients I WHERE I.parent_id = _MR.medication_id AND I.is_primary = TRUE

2. Get Medication requests with their linked completed Medication dispense by person_id & innm_id

   Code Block

   SELECT * FROM medication_requests MR INNER JOIN medication_dispense MD ON MD.medication_request_id = MR.id AND MD.status IN (PROCESSED) INNER JOIN ingredients I ON I.parent_id = MR.medication_id -- type = INNM_DOSAGE AND I.innm_child_id = `check_innm_id` AND I.is_primary = TRUE WHERE MR.person_id == _MR.person_id AND MR.status IN (ACTIVE, COMPLETED) AND NOT($.started_at> MR.ended_at OR $.ended_at < MR.started_at)

3. Validate medication request_id
   

   1. for medication_dispense.medication_request_id !== $.id

      1. Validate exist (IF EXIST ()  - that is any crossing  calculating term (started_at + ended_at) for payload with terms selecting Medication requests with linked Medication dispense (started_at + ended_at)).  

      2. if found 

         1. get $.medical_programs.medical_program_setting by medical_program_id from request

            1. validate skip_mnn_in_treatment_period skip_treatment_period variable

               1. in case skip_mnn_in_treatment_period skip_treatment_period == FALSE (or absent) 

                  1. validate request according to logic:

                     1. add to response: status = INVALID

                     2. add to response: rejection_reason = "For the patient at the same term there can be only 1 dispensed medication request per one and the same innm!"

               2. in case skip_mnn_in_treatment_period skip_treatment_period == TRUE

                  1. skip validating frequency of receiving drugs

   2. for medication_dispense.medication_request_id = $.id

      1. Validate medication request qty: sum(medication_dispenses.medication_qty) >= medication_request.medication_qty 

      2. if found

         1. add to response: status = INVALID

         2. add to response: rejection_reason = "Sum of dispense's medication quantity can not be more then medication_request.medication_qty"

...