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a. get config by type and category (of composition) from [prm].composition

а.1 in case there is no record in PRM.configurations with requested combination of type and category return 422 - (“Category {{Composition.category}} is not allowed for type {{Composition.type}}”)
b. get setting and compare config.condition data to composition data to find the desired setting (in case when some values isn’t exist - skip validation)
c. compare data from config.check with data from composition

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Check extension from Composition.extension in case when composition event code allow to include extension.

Extension parameters description:

CodeableConceptExtension

Extension

*next validations use configs

1. If composition.extension is not empty and there is an extension with extension.сode = "COMPOSITION_ADDITIONAL_CONDITION_ADMISSION" validate composition type = “DRIVERS“

   1. Return 422 (COMPOSITION_ADDITIONAL_CONDITION_ADMISSION extension is not allowed for {{composition_type}} composition type) in case of error

2. When (36) composition type = “DRIVERS“ and composition.extension is not empty, check that at least one of composition.event.code corresponds to appropriate config - COMPOSITION_EVENT_ADMIT_CODES

3. Return 422 ("Allow composition status must be Admit when extension is not empty") in case of error

4. If composition.extension is not empty, check that extension.сode of extension corresponds to appropriate config - COMPOSITION_EXTENSION_ALLOW

   • Return 422 ("Prohibited extension code") in case of error

*new validations

3. If (42.4) composition.extension is not empty
   AND
   extension.сode = “COMPOSITION_ADDITIONAL_CONDITION_ADMISSION“

   1. check that value in extension.valueCodeableConcept.coding.code is from COMPOSITION_ADDITIONAL_CONDITION_ADMISSION dictionary

      1. Return 422 ('value is not allowed in enum') in case of error

4. If (42.5) composition.extension is not empty
   AND
   extension.сode = "COMPOSITION_ADDITIONAL_CONDITION_ADMISSION"
   AND
   extension.valueCodeableConcept.extension.valueCodeableConcept.coding.code is not empty

   1. check that value is from the COMPOSITION_ADDITIONAL_CONDITION_ADMISSION_LETTER_DESIGNATIONS dictionary

      1. Return 422 ('value is not allowed in enum') in case of error

5. If (42.6) composition.extension is not empty
   ANDextension.сode = "COMPOSITION_ADDITIONAL_CONDITION_ADMISSION"
   ANDextension.valueCodeableConcept.extension is not empty
   ANDextension.valueCodeableConcept.extension.code = COMPOSITION_ADDITIONAL_CONDITION_ADMISSION_LETTER_DESIGNATIONS
   check that:

   1. extension.valueCodeableConcept.extension.valueCodeableConcept.coding.code value is in configuration.check array, where configuration.condition.code is equal to extension.valueCodeableConcept.coding.code, configuration - ADDITIONAL_CONDITION_RELATED_LETTER_DESIGNATIONS

      1. Return 422 ('Invalid letter designation for the additional admission condition code') in case of error

6. Ifcomposition.extension is not empty
   ANDextension.сode = "COMPOSITION_ADDITIONAL_CONDITION_ADMISSION"
   ANDextension.value_codeable_concept.extension is not empty
   ANDextension.value_codeable_concept.extension.code = “COMPOSITION_ADDITIONAL_CONDITION_ADMISSION_VALUE"
   check that:

   1. parameter extension.value_codeable_concept.extension.value_decimal is present

      1. Return 422 ("value_decimal must be present for COMPOSITION_ADDITIONAL_CONDITION_ADMISSION_VALUE extension") in case of error

   2. extension.value_codeable_concept.coding.code is in config.condition array of COMPOSITION_ADDITIONAL_CONDITION_VALUES
      AND config.check = false

      1. Return 422 ('COMPOSITION_ADDITIONAL_CONDITION_ADMISSION_VALUE extension is not allowed for additional admission condition with code {{extension.value_codeable_concept.coding.code}}') in case of error

   3. there is only one extension in extension.value_codeable_concept.extension array with code =“COMPOSITION_ADDITIONAL_CONDITION_ADMISSION_VALUE"

      1. Return 422 ("Only one COMPOSITION_ADDITIONAL_CONDITION_ADMISSION_VALUE extension is allowed for each additional admission condition") in case of error

7. If (42.7) composition.extension is not empty
   ANDextension.сode = "COMPOSITION_ADDITIONAL_CONDITION_ADMISSION"
   check config COMPOSITION_ADDITIONAL_CONDITION_VALUES:

   1. If extension.valueCodeableConcept.coding.code is in config.condition array
      ANDconfig.check = true
      THEN

      1. Check that extension.value_codeable_concept.extension is present and extension.value_codeable_concept.extension.code = “COMPOSITION_ADDITIONAL_CONDITION_ADMISSION_VALUE"

         1. Return 422 ('Missing required extension COMPOSITION_ADDITIONAL_CONDITION_ADMISSION_VALUE for additional admission condition with code {{extension.value_codeable_concept.coding.code}}') in case of error

      2. parameter extension.value_codeable_concept.extension.value_decimal is present for this additional admission condition

         1. Return 422 ("value_decimal must be present for COMPOSITION_ADDITIONAL_CONDITION_ADMISSION_VALUE extension") in case of error

10. Relates to

New composition can replace previously created composition in case when employee add some new information or change patient data. In this case employee fill parameter “relates_to” - reference on previously composition. Get previously created composition identifier from Composition.relates_to and execute next validations:

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1. When (39) composition type = “DRIVERS“ and composition.event.code = "DRIVERS_GROUP1_ADMIT" or "DRIVERS_GROUP2_ADMIT" - composition.event.period.start and composition.event.period.end is required

   • Return 422 ("Event period start and period end is required") in case of error

2. When (40) composition type = “DRIVERS“ and composition.event.code = "DRIVERS_GROUP1_DENY" or "DRIVERS_GROUP2_DENY" - composition.event.period.start is required and composition.event.period.end must be empty

   • Return 422 ("Event period start is required and event period end must be empty") in case of error

3. When (40.1) composition type = “ADOPTION“ and composition.event.code = "ADOPTION_ADOPTER_INELIGIBLE" or "ADOPTION_ADOPTER_RELATIVE_INELIGIBLE" - composition.event.period.start is required and composition.event.period.end must be empty

   Return 422 ("Event period start is required and event period end must be empty") in case of error

4. Check (38.1) all event.code must be unique. In case when composition has more than one event

   • Return 422 ("Event codes must be unique") in case of error

5. Check (37.1) that composition.event.code corresponds to appropriate dictionary - COMPOSITION_EVENTS

   • Return 422 ('value is not allowed in enum") in case of error

*next validations use configs

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1. Check (43) count of medical records in composition.section.entry <= then value from config - COMPOSITION_SECTION_ENTRY_LIMIT.

   • Return 422 ("Limit of medical records for this composition type and category must be less or equal <RECORDS_LIMIT>") in case of error

2. Check (41) codes for all records from composition.section.entry where resource.type = "observation" on prohibited values for composition (all records not include prohibited codes), depends on event codes which included in config - COMPOSITION_SECTION_ENTRY_PROHIBITED_CODES where config.resource_type = "observation"

   • Return 422 ("Prohibited observation code - <code> in section.entry for current composition") in case of error

3. Check (41.1) codes for all records from composition.section.entry where resource.type = "condition" on prohibited values for composition (all records not include prohibited codes), depends on event codes which included in config - COMPOSITION_SECTION_ENTRY_PROHIBITED_CODES where config.resource_type = "condition"

   • Return 422 ("Prohibited condition code - <code> in section.entry for current composition") in case of error

4. Check (42) codes for all records from composition.section.entry where resource.type = "observation" on required values for composition (at least one record composition entry must contain) which depends on section.code wich included in config - COMPOSITION_SECTION_ENTRY_REQUIRED_CODES where config.resource_type = "observation"

   • Return 422 ("Empty required codes in section.entry for current composition") in case of error

5. Check (42.1) codes for all records from composition.section.entrywhere resource.type = "condition" on required values for composition (at least one record composition entry must contain) which depends on section.code wich included in config - COMPOSITION_SECTION_ENTRY_REQUIRED_CODES where config.resource_type = "condition"

   • Return 422 ("Empty required codes in section entry for current composition") in case of error

6. Check (44 + 45) existing in composition required and optional sections codes which depends on section.code - COMPOSITION_SECTION_CONFIG
   Logic description:
   Find all config.code where parameter config.mandatory = true and compare all codes to composition.section.[n].code. In case when config has nested sections but parameter mandatory = false - don't compare codes to nested sections.
   Logic description:

   • in case when object from config or config.sections.[n] have mandatory = true but composition.section.code or composition.section.section.[n].code hasn’t same value in config.code or config.sections.[n].code - return error

   • in case when composition.section.code has code wich hasn’t config.code - return error

   • Return 422 ("Invalid section content. Mandatory section {{code}} is missed") in case of error with empty required fields

7. Check (45.1) section codes for nested sections hierarchy from config which depends on config - COMPOSITION_SECTION_CONFIG
   Logic description:
   Check that all values from composition.section.code equal to config.code from config.sections on the same nested level where config.sectionAllowed = true

   • in case when value from composition.section.code hasn’t same values with nested config.code (from config.sections) or composition.section.code has codes wich doesn’t exist in config.code (from config.sections) - return error Return 422 ("Invalid section hierarchy for nested section") in case of error with empty required fields

   examples
   success case:
   Composition - composition.section.code = MAIN, nested section - composition.section.section.code = PEDIATRIST
   Config - config.sectionAllowed = true, config.code = MAIN, config.section.code = PEDIATRIST
   error case 1:
   Composition - composition.section.code = MAIN, nested section - composition.section.section.code = NURSING
   Config - config.sectionAllowed = true, config.code = MAIN, config.section.code = PEDIATRIST
   error case 2:
   Composition - composition.section.code = MAIN, nested section - composition.section.section.code = PEDIATRIST
   Config - config.sectionAllowed = true, config.code = MAIN, config.section.code = PEDIATRIST + config.section.code = MAIN

8. Check (45.2) section content for all sections which depends on section code - COMPOSITION_SECTION_CONFIG

   1. Configuration parameters description:

      • if sectionAllowed = true current section can contain nested sections

      • if isEmpty = true current section can contain emptyReason parameter instead of entry array

      • if containsResources = true current section can contain entry and orderBy parameters

   2. Validate section content:

      1. Check that current section contains at least one of:

         1. nested section parameter

         2. emptyReason parameter

         3. entry parameter

         4. in case of error an error return 422 ("Section {{section_code}} must contain at least one of: nested section, emptyReason or entry")

      2. In case section contains entry parameter check that containsResources = true

         1. in case containsResources = false return 422 ("Section {{section_code}} can not contain entry")

      3. In case section contains emptyReason check that isEmpty = true

         1. in case isEmpty = false return 422 ("Section {{section_code}} can not contain emptyReason")

      4. In case section contains nested section check that sectionAllowed = true

         1. in case sectionAllowed = false return 422 ("Section {{section_code}} can not contain nested section")

      5.  In case section containsentry parameter AND emptyReason parameter

         1. in case of error an error return 422 ("Section {{section_code}} can not contain both entry and emptyReason parameters")

      6. In case configuration parameters containsResources = true and isEmpty = true check that one of parameters is present: entry or emptyReason, and entry array is not empty

         1. in case of error an error return 422 ("Section {{section_code}} must contain one of: entry or emptyReason parameters")

      7. In case one of configuration parameters: containsResources or isEmpty is true:

         1. containsResources= true, isEmpty=false check that entry array is not empty

            1. in case of error an error return 422 ("Section {{section_code}} must contain entry array with resources")

         2. containsResources= false, isEmpty=true check that emptyReason is not empty

            1. in case of error an error return 422 ("Section {{section_code}} must contain emptyReason")

9. Check (46) nesting level of sections <= the allowed limit - COMPOSITION_SECTION_NESTING_LEVEL

   • Return 422 ("Prohibited nested level for composition section") in case of error

10. Check (47) count of section <= than value from - COMPOSITION_SECTION_COUNT_LIMIT

    • Return 422 ("Prohibited amount of composition section") in case of error

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3. Check (48) composition.section.title

   1. Check that composition.section.title is not empty.

   2. Also check value from COMPOSITION_SECTION_TITLE_MANUAL_FILL config (depends on composition.section.code)

      1. if config.value = "true" (or section with same code doesn't exist) - don’t validate composition.section.title

      2. else if value = "false"

         1. get display value from COMPOSITION_SECTION_CODES dictionary where key=composition.section.code

         2. check composition.section.title = display

   3. Return 422 ("Invalid title for composition.section") in case of error

4. Check (48.1) that section code (composition.section.code) corresponds to appropriate dictionary - COMPOSITION_SECTION_CODES

   • Return 422 ("Section code value is not allowed in enum") in case of error

5. Check (48.2) that section order by parameter (composition.section.orderby) corresponds to appropriate dictionary - COMPOSITION_SECTION_ORDERBY

   • Return 422 ("Section order by value is not allowed in enum") in case of error

6. Check (48.3) that empty reason (composition.section.emptyreason) corresponds to appropriate config - COMPOSITION_SECTION_EMPTY_REASON. In case when composition.section.emptyreason is not empty

   • Return 422 ("Empty reason value is not allowed in enum") in case of error

7. Check (50) that person from all records in composition.section.entry the same as composition.subject (or merged person in mpi.merged_person)

   • Return 422 ("Person from section.entry must be the same as composition.subject or composition.section.focus") in case of error

8. Check (54) that author position from section.author based on config - COMPOSITION_SECTION_AUTHOR_POSITION for selected section.code

   • Return 422 ("Section author position does not allow to create such composition") in case of error

9. Check (55) that author speciality from section.author based on config - COMPOSITION_SECTION_AUTHOR_SPECIALITY for selected section.code

   • Return 422 ("Section author speciality does not allow to create such composition") in case of error

10. Check (56) count of resources from composition.section.entry selected section.code - COMPOSITION_SECTION_SECTION_ENTRY_LIMIT

    • Return 422 ("Max count of resources in section.entry - <count>") in case of error

11. Check (56.1) that the resource type of the resource in composition.section.entry is allowed by config COMPOSITION_SECTION_SECTION_ENTRY_RESOURCESfor this section.code and event.code

    • Return 422 ("Resource type is not allowed in this section for this event code") in case of error

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1. Save signed content to media storage, in the bucket pointed in MEDIA_STORAGE_COMPOSITION_BUCKET chart parameter

2. Set subject with hashed mpi identifier from URL

3. Get encounter where id = Composition.encounter.identifier.value

   1. Set Composition.context_episode_id = encounter.episode

4. Save data to compositions collection in DB according to composition data model

5. Save link from media storage to the $.signed_content_links field in compositions collection

6. Create job and return it’s id.

7. If $.authorize_with is submitted send SMS to patient with composition number via template CREATE_{{COMPOSITION_TYPE}}_COMPOSITION_SMS_TEMPLATE. Use $.authorize_with as patient’s authentication method

Response structure

https://ehealthmedicaleventsapi.docs.apiary.io/#reference/medical-events/composition/create-composition

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