Table of Contents

Purpose

This WS is designed to reject previously created Medication Request

Key points

Only authenticated and authorized user with an appropriate scope can reject Medication Request.
Medication Request can be rejected only from ‘ACTIVE' status.

Specification

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Link

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

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Посилання на Apiary або Swagger

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Resource

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/api/medication_requests/{{id}}/actions/reject

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

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Scope

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medication_request:reject

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Scope для доступу

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Components

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ePrescription

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Зазначається перелік бізнес компонентів, які використовують цей метод, наприклад: ePrescription

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Microservices

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API paragraph not found

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Перелік мікросервісів, які використовує метод API, наприклад: Auth, ABAC

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Protocol type

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REST

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Тип протоколу, який використовується запитом, наприклад: SOAP | REST

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Request type

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PATCH

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Тип запиту API, наприклад: GET, POST, PATCH…

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Sync/Async

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Table of Contents

Purpose

This WS is designed to reject previously created Medication Request

Key points

Only authenticated and authorized user with an appropriate scope can reject Medication Request.
Medication Request can be rejected only from ‘ACTIVE' status.

Specification

Page Properties

Link	https://ehealthmisapi1.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~~ 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

...

f the medication request is based on the activity with quantity:
1. 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)

Процеси роботи з випискою електронних рецептів

Input parameters

Input parameter	Values	Type	Description	Example
id		String	Required	a89f6a26-4221-4597-a1d2-542d5e40b565

Request structure

See on Apiary

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Authorize

Verify the validity of access token
- in case of error - return 401 (“Invalid access token”) in case of validation fails.
Verify that token is not expired
- in case of error - return 401 (“Invalid access token”).
Check user scopes in order to perform this action (scope = 'medication_request:reject')
- return 403 (“Your scope does not allow to access this resource. Missing allowances: medication_request:reject”) in case of invalid scope(s).

Headers

Content-Type:application/json

Authorization:Bearer c2778f3064753ea70de870a53795f5c9

Request data validation

Check signed content

Check that signed content contains all required fields and is equal to stored object:

Decode signed content.
Render requested medication request.
Check that rendered and decoded data matches.

Note! Medication request with intent plan and order has different structure

Medical program is optional object in order.
Medical program is absent in plan.

Validation transition

For info - status charts: Medication_request.
Get Medication request status by $.id.
Check status of medication request == ACTIVE
1. if invalid - return 409 error (message: "Invalid status Medication request for reject transition!")'.
Check connected medication dispenses medication_dispenses.status !== PROCESSED or NEW
1. if invalid - return 409 error (message: "Medication request with connected processed medication dispenses can not be rejected").
Validate request using JSON schema
1. In case validation fails - generate 422 error.
Validate content. Check equality decoded signed content with previously created medication request, except, "Reason"!
in case error return 422, "Signed content does not match the previously created content."
access token
- in case of error - return 401 (“Invalid access token”) in case of validation fails
Verify that token is not expired
- in case of error - return 401 (“Invalid access token”)
Check user scopes in order to perform this action (scope = 'medication_request:reject')
- return 403 (“Your scope does not allow to access this resource. Missing allowances: medication_request:reject”) in case of invalid scope(s)
If BLOCK_UNVERIFIED_PARTY_USERS is true, then check party's data match following condition: verification_status != NOT_VERIFIED or (verification_status = NOT_VERIFIED and updated_at <= current_date - UNVERIFIED_PARTY_PERIOD_DAYS_ALLOWED):
- in case not match - return 403 ("Access denied. Party is not verified")

Headers

Content-Type:application/json

Authorization:Bearer c2778f3064753ea70de870a53795f5c9

Request data validation

Check signed content

Check that signed content contains all required fields and is equal to stored object:

Decode signed content.
Render requested medication request.
Check that rendered and decoded data matches.

Note! Medication request with intent plan and order has different structure

Medical program is optional object in order.
Medical program is absent in plan.

Validate Digital Sign

Validate request is signed
- in case of error - return 400 (“document must be signed by 1 signer but contains 0 signatures”).
Check DS is valid and not expired.
Validate that DS belongs to the user
- in case of error - return 400 (“Invalid signature“).

...

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

~~is an~~~~author~~ ~~of the Medication request 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 ("Employee is not author of medication request, doesn't have approval or required employee type").~~
is an Employee from legal entity where Medication Request is created
- in case of error - return 409 ("Only an employee from legal entity where medication request is created can reject medication request")

Validate content

Validate request using JSON schema
- in case of error - return 422 ('schema does not allow additional properties' OR 'required property type was not present').
Check that signed content contains all required fields and is equal to stored object
- Decode signed content.
- Render requested medication request.
- Check that rendered and decoded data matches (except for reject_reason_code and reject_reason fields)
  - in case of error - return 422 ("Signed content does not match the previously created content").

...

Medical program is required in order.
Medical program is absent in plan.

Validation transition

Get status of Medication request by $.id in OPS DB. Check that Medication request is in status ‘ACTIVE’
- if invalid - return 409 ("Invalid status Medication request for reject transition!").

For more information look at Medication request status model .

Validate reject reason code

Validate $.reject_reason_code is a value from MEDICATION_REQUEST_REJECT_REASON dictionary
- in case of error - return 422 ("value is not allowed in enum")

Parameters that are used when processing the request

...

Expand

title	Response 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",
      "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": "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": "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
400	Invalid signature. Document must be signed by 1 signer but contains 0 signatures.
401	Invalid access token
403	Your scope does not allow to access this resource. Missing allowances: medication_request:reject
404	Not found
409	Invalid status Medication request for reject transition! Employee is not author of medication request, doesn't have approval or required employee type. Medication request with connected processed medication dispenses can not be rejected. Invalid status Medication request for reject transition!
422	Signed content does not match the previously created content. Schema does not allow additional properties' OR 'required property type was not present. Does not match the signer drfo. Signed content does not match the previously created content.

Backward compatibility

API paragraph not found

Versions Compared

Old Version 42

New Version Current

Key

Purpose

Key points

Specification

Purpose

Key points

Specification

Logic

Input parameters

Request structure

Authorize

Headers

Request data validation

Check signed content

Validation transition

Headers

Request data validation

Check signed content

Validate Digital Sign

Validate content

Validation transition

Validate reject reason code

Parameters that are used when processing the request

HTTP status codes

Backward compatibility

Page Comparison

Versions Compared

Old Version 42

New Version Current

Key

Purpose

Key points

Specification

Purpose

Key points

Specification

Logic

Input parameters

Request structure

Authorize

Headers

Request data validation

Check signed content

Validation transition

Headers

Request data validation

Check signed content

Validate Digital Sign

Validate content

Validation transition

Validate reject reason code

Parameters that are used when processing the request

HTTP status codes

Backward compatibility