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Table of Contents

Purpose

...

Any medication request in the ACTIVE status can be blocked by an NHS employee (parameter is_blocked = true) with indicating block_reason. NHS employee must have the appropriate scope medication_request: block for such action.

Specification

Description

  1. The medication request can be blocked or unlocked by the NHS employee at any time also with having the appropriate scope: medication_request: block.

  2. Medication requests which are in the status is_blocked = true cannot be released in the PHARMACY.

    1. On create/process medication dispense for the medication request with is_blocked = true status return an error 422 with msg "Medication request is blocked".

  3. Information about blocking or unblocking medication request is displayed in Event Manager.

  4. The person with the authentication_method = OTP can be notified by SMS about blocking or unlocking with the following appropriate messages:

Code Block
«Ваш рецепт №---- заблоковано НСЗУ. Зверніться до вашого лікаря»

...

This WS is designed to block previously created Medication request with indicating block_reason_code and block_reason

Key points

  1. Only authenticated and authorized user with an appropriate scope can block Medication request.

  2. Medication request can be blocked only from the ‘ACTIVE' status.

Specification

Page Properties

Link

https://ehealthmisapi1.docs.apiary.io/#reference/public.-reimbursement/medication-request/block-medication-request

Посилання на Apiary або Swagger

Resource

/api/medication_requests/{{id}}/actions/block

Посилання на ресурс, наприклад: /api/persons/create

Scope

medication_request:block

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

Logic

  1. Update Medication request in OPS DB:

    1. set is_blocked = true

    2. set block_reason_code = $.block_reason_code

    3. set block_reason = $.block_reason

    4. set updated_by = user_id

    5. set updated_at = now()

  2. 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 block_template_sms parameter

          2. enrich template with data from Medication request

        2. Send SMS to a person with text from template (“Ваш рецепт <request_number> заблоковано. Зверніться до вашого лікаря”)

  3. Add new record in Event manager:

field

value

event_type

StateChangeEvent

entity_type

MedicationRequest

entity_id

$.id

properties.is_blocked.new_value

true

event_time

$.update_at

changed_by

$.changed_by

Input parameters

Input parameter

Values

Type

Description

Example

id

String

Medication Request identifier

d290f1ee-6c54-4b01-90e6-d701748f0851

Request structure

Example:

Expand
titleRequest example
Code Block
{
  "block_reason": "перевищено норми відпуску",
  "block_reason_code": "WRONG_QTY_DRUG"
}

Authorize

  1. Verify the validity of access token

    • in case of error - return 401 (“Invalid access token”) in case of validation fails.

  2. Verify that token is not expired

    • in case of error - return 401 (“Invalid access token”).

  3. Check user scopes in order to perform this action (scope = 'medication_request:block')

    • return 403 (“Your scope does not allow to access this resource. Missing allowances: medication_request:block”) in case of invalid scope(s).

Headers

Content-Type:application/json

Authorization:Bearer c2778f3064753ea70de870a53795f5c9

Validate request

Validate request using JSON schema

  • in case of error - return 422

Request data validation

Validate Medication request

  • Get Medication request identifier from the URL. Check Medication request exists in OPS DB

    • in case of error - return 404 ("Medication request does not exist").

Validate user

Medication Request blocking is allowed for user if he has one of the following active and approved employee that:

  • is an author of the Medication request (medication_request.employee_id);

  • has an approval on write Care plan if Medication request based on the Care plan (medication_request.based_on);

  • is Med_Admin from legal entity where Medication request is created;

    • in case of error - return 409 ("Only an author, employee with approval on care plan or med_admin from the same legal entity can block medication request").

Validation transition

  • Get Medication request by $.id in OPS DB. Check that Medication request status = ‘ACTIVE’

    • in case of error - return 409 ("Medication request must be in active status").

  • Get Medication request by $.id in OPS DB. Check that Medication request is not blocked, i.e. is_blocked = false

    • in case of error - return 409 ("Medication request is already blocked").

Validate block reason

  • Validate $.block_reason_code is a value from MEDICATION_REQUEST_BLOCK_REASON dictionary

    • in case of error - return 422 ("value is not allowed in enum").

  • Check that $.block_reason_code is present in <EMPLOYEE_TYPE>_MEDICATION_REQUEST_BLOCK_REASON_CODES chart parameter for validated user

    • in case of error - return 422 ("Block reason code is not allowed for <employee_type>").

Response structure

Example:

Expand
titleResponse example
Code Block
{
  "meta": {
    "code": 200,
    "url": "https://example.com/resource",
    "type": "object",
    "request_id": "req-adasdoijasdojsda"
  },
  "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",
          "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",
      "mr_blank_type": "F-1",
      "inserted_at": "2017-04-20T19:14:13Z",
      "inserted_by": "e1453f4c-1077-4e85-8c98-c13ffca0063e",
      "updated_at": "2017-04-20T19:14:13Z",
      "updated_by": "2922a240-63db-404e-b730-09222bfeb2dd"
    },
    "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": "2022-01-28",
    "rejected_by": "e8e5a969-74d8-4620-8496-f5e41f2e8312",
    "reject_reason": "Incompatible drugs",
    "reject_reason_code": "PATIENT_REJECT",
    "is_blocked": false,
    "block_reason": "Підозра на фрод",
    "block_reason_code": "WRONG_QTY_DRUG",
    "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
    }
  }
}

HTTP status codes

HTTP status code

Message

What caused the error

200

Response

 

401

Invalid access token

 

403

Your scope does not allow to access this resource. Missing allowances: medication_request:block

 

404

Medication request does not exist

 

409

  • Medication request is already blocked.

  • Medication request must be in active status.

  • Only an author, employee with approval on care plan or med_admin from the same legal entity can block medication request.

 

422

  • Error.

  • Block reason code is not allowed for <employee_type>.

  • Value is not allowed in enum.

  Request validation fails