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Purpose

This method must be used to complete of existing activity from patient's Care plan.

https://e-health-ua.atlassian.net/wiki/spaces/EH/pages/2125038637/care+plan#%D0%97%D0%B0%D0%B2%D0%B5%D1%80%D1%88%D0%B5%D0%BD%D0%BD%D1%8F-%D0%BF%D0%B5%D1%80%D0%B2%D0%B8%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE-%D0%BF%D1%80%D0%B8%D0%B7%D0%BD%D0%B0%D1%87%D0%B5%D0%BD%D0%BD%D1%8F

Specification

Link

https://medicaleventsmisapi.docs.apiary.io/#reference/care-plan/complete-care-plan-activity/complete-care-plan-activity

Resource

/api/patients/{{patient_id}}/care_plans/{{care_plan_id}}/activities/{{id}}/actions/complete

Scope

care_plan:write

Components

Care plan

Microservices

me/api-medical-events

me/event-consumer

me/kafka-consumer

il/api(rpc)

Protocol type

REST

Request type

PATCH

Sync/Async

Async

Public/Private/Internal

Public

Preconditions

An activity from the Patient Care Plan must already be created

Logic

This method must be used to complete of existing activity from patient's Care plan.

It can be processed in both sync and async methods depends on Server decision.

Key points

  1. Status can be changed by employee who has an Approval granted by the patient on write Care plan resource.

  2. Activity completes without using DS.

  3. Activities status has changed in async way. The result of the job should be a link on the Care plan activity details.

Input parameters

Input parameter

Values

Type

Description

Example

patient_id

String

MPI identifier of the patient

7c3da506-804d-4550-8993-bf17f9ee0402

care_plan_id

String

Care Plan identifier

7c3da506-804d-4550-8993-bf17f9ee0403

id

String

activity identifier

7c3da506-804d-4550-8993-bf17f9ee0404

Filters

No

Dictionaries

eHealth/care_plan_activity_complete_reasons

eHealth/care_plan_activity_outcomes

Request structure

See on Apiary

Example:

 Request example
{
  "outcome_codeable_concept": [
    {
      "coding": [
        {
          "system": "eHealth/care_plan_activity_outcomes",
          "code": "some code"
        }
      ]
    }
  ],
  "detail": {
    "status_reason": {
      "coding": [
        {
          "system": "eHealth/care_plan_activity_complete_reasons",
          "code": "some code"
        }
      ]
    }
  }
}

Authorize

  • Verify the validity of access token

    • 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 = 'care_plan:write')

    • Return (403, 'Your scope does not allow to access this resource. Missing allowances: care_plan:write') in case of invalid scope(s)

Request to process the request using a token in the headers

Headers

Наприклад:

Content-Type:application/json
Authorization:Bearer {{access_token}}
API-key:{{mis_client_secret}}

Request data validation

Validate legal entity

  • Extract client_id from token

  • Check legal entity status is ACTIVE

    • In case of error - return 409 (Legal entity must be ACTIVE)

  • Check legal entity type in ME_ALLOWED_TRANSACTIONS_LE_TYPES config parameter

    • in case of error - return 409 ('client_id refers to legal entity with type that is not allowed to create medical events transactions')

Validate User

  • Extract user_id from token.

  • Check user has an active and approved employee that:

    • has an active Approval granted by the Patient on write the Care plan resource (care plan id from URL)

      • Return 403 ('Access denied') in case employee has no Approval on write

Validate data consistency

  • Ensure that submitted activity relates to the Patient and Care Plan (from URL)

    • Return 404 (not found) in case of error

Validate status transition

  • Get activity by id

  • Check activity.detail.status: activity status should be changed according to activity status model.

    • Return 409 (Invalid activity status) in case of error

Validate status reason

Validate value in the field $.detail.status_reason, required

  • Validate field type is codeable concept

  • Check that codeable concept refers to the eHealth/care_plan_activity_complete_reasons dictionary

  • Validate value within dictionary specified above

Validate related entities

  • if activity kind = medication_request:

    • Check there is no medication request requests in status NEW based on the activity

      • in case of error - return 409 (Unable to complete activity with new Medication Request requests).

    • Check there is no medication requests in status ACTIVE based on the activity

      • in case of error - return 409 (Unable to complete activity with active Medication requests).

  • if activity kind = service_request:

    • Check availability of service requests with status = active. If such service requests exist, then needs to check availability of service requests with program_processing_status:

      1. if program_processing_status is undefined (NULL), then return error 409 (Unable to complete activity with Service requests in status <status value> and program processing status is NULL or not completed)

      2. if program_processing_status is defined, then needs to check that program_processing_status = complete. Otherwise, return error 409 (Unable to complete activity with Service requests in status <status value> and program processing status is NULL or not completed)

    • Check all related service requests in final status: completed, recalled or entered_in_error.

      • in case at least one is active - return error 409 (Unable to cancel activity with Service requests in active status)

Validate outcome

Validate value in the field $.outcome_codeable_concept, required

  • Validate field type is array of codeable concepts

  • Validate each value in array:

    • it refers to the eHealth/care_plan_activity_outcomes dictionary

    • value within dictionary

Processing

Service logic

  1. Update activity status to completed (update also updated_at, updated_by)

  2. Set outcome_codeable_concept

Response structure

See on Apiary

Example:

 Response example
{
  "data": {
    "id": "75a5d991-0bf7-476f-b3cf-bec73f044b2e",
    "author": {
      "identifier": {
        "type": {
          "coding": [
            {
              "system": "eHealth/resources",
              "code": "employee"
            }
          ]
        },
        "value": "9183a36b-4d45-4244-9339-63d81cd08d9c"
      }
    },
    "care_plan": {
      "identifier": {
        "type": {
          "coding": [
            {
              "system": "eHealth/resources",
              "code": "care_plan"
            }
          ]
        },
        "value": "9183a36b-4d45-4244-9339-63d81cd08d9c"
      }
    },
    "detail": {
      "kind": "service_request",
      "product_reference": {
        "identifier": {
          "type": {
            "coding": [
              {
                "system": "eHealth/resources",
                "code": "service"
              }
            ],
            "text": ""
          },
          "value": "97d57238-ffbe-4335-92ea-28d4de117ea3"
        }
      },
      "reason_code": [
        {
          "coding": [
            {
              "system": "eHealth/ICD10_AM/condition_codes",
              "code": "X85"
            }
          ]
        }
      ],
      "reason_reference": [
        {
          "identifier": {
            "type": {
              "coding": [
                {
                  "system": "eHealth/resources",
                  "code": "condition"
                }
              ]
            },
            "value": "9183a36b-4d45-4244-9339-63d81cd08d9c"
          }
        }
      ],
      "goal": [
        {
          "coding": [
            {
              "system": "eHealth/care_plan_activity_goals",
              "code": "diabetes_treatment"
            }
          ]
        }
      ],
      "quantity": {
        "value": 13,
        "system": "MEDICATION_UNIT",
        "code": "MG",
        "unit": "мг"
      },
      "scheduled_timing": {
        "event": [
          "2018-08-02T10:45:16Z"
        ],
        "repeat": {
          "bounds_duration": {
            "value": 10,
            "comparator": ">",
            "unit": "доба",
            "system": "eHealth/ucum/units",
            "code": "day"
          },
          "count": 10,
          "count_max": 20,
          "duration": 15,
          "duration_max": 25,
          "duration_unit": "day",
          "frequency": 1,
          "frequency_max": 4,
          "period": 1,
          "period_max": 3,
          "period_unit": "day",
          "day_of_week": [
            "mon"
          ],
          "time_of_day": [
            "16:00:00"
          ],
          "when": [
            "WAKE"
          ],
          "offset": 20
        },
        "code": {
          "coding": [
            {
              "system": "TIMING_ABBREVIATION",
              "code": "Q4H"
            }
          ]
        }
      },
      "location": {
        "identifier": {
          "type": {
            "coding": [
              {
                "system": "eHealth/resources",
                "code": "division"
              }
            ]
          },
          "value": "9183a36b-4d45-4244-9339-63d81cd08d9c"
        }
      },
      "performer": {
        "identifier": {
          "type": {
            "coding": [
              {
                "system": "eHealth/resources",
                "code": "employee"
              }
            ]
          },
          "value": "9183a36b-4d45-4244-9339-63d81cd08d9c"
        }
      },
      "daily_amount": {
        "value": 13.5,
        "system": "MEDICATION_UNIT",
        "code": "MG",
        "unit": "мг"
      },
      "description": "Some activity description",
      "do_not_perform": false,
      "program": {
        "identifier": {
          "type": {
            "coding": [
              {
                "system": "eHealth/resources",
                "code": "medical_program"
              }
            ]
          },
          "value": "9183a36b-4d45-4244-9339-63d81cd08d9c"
        }
      },
      "status": "completed",
      "status_reason": {
        "coding": [
          {
            "system": "eHealth/care_plan_activity_cancel_reasons",
            "code": "some code"
          }
        ]
      },
      "remaining_quantity": {
        "value": 12,
        "system": "MEDICATION_UNIT",
        "code": "MG",
        "unit": "мг"
      }
    },
    "outcome_reference": [
      {
        "identifier": {
          "type": {
            "coding": [
              {
                "system": "eHealth/resources",
                "code": "encounter"
              }
            ]
          },
          "value": "9183a36b-4d45-4244-9339-63d81cd08d9c"
        }
      }
    ],
    "outcome_codeable_concept": [
      {
        "coding": [
          {
            "system": "eHealth/care_plan_activity_outcomes",
            "code": "some code"
          }
        ]
      }
    ]
  },
  "meta": {
    "code": 201,
    "url": "http://example.com/resource",
    "type": "object",
    "request_id": "req-adasdoijasdojsda"
  }
}

 Response example
{
  "data": {
    "status": "pending",
    "eta": "2018-08-02T10:45:16.000Z",
    "links": [
      {
        "entity": "job",
        "href": "/Jobs/NBXk9EyErUZv1RhXgyvgg"
      }
    ]
  },
  "meta": {
    "code": 202,
    "url": "http://example.com/resource",
    "type": "object",
    "request_id": "req-adasdoijasdojsda"
  }
}

Post-processing processes

API paragraph not found

HTTP status codes

HTTP status code

Message

What caused the error

 201

 use payload from response

 sync

 202

 use Get job details to get processing result. Response payload will be returned in the job details

 async: default method

401

Invalid access token

  • validation fails

  • token is expired

403

  • Your scope does not allow to access this resource. Missing allowances: care_plan:write

  • Access denied

  • invalid scope(s)

  • employee has no Approval on write

404

not found

The submitted activity is not related to the Patient Care Plan

409

  • Legal entity must be ACTIVE

  • client_id refers to legal entity with type that is not allowed to create medical events transactions

  • Invalid activity status

  • Unable to cancel activity with new Medication Request requests

  • Unable to cancel activity with active Medication requests

  • Unable to cancel activity with Service requests in status <status value> and program processing status is NULL or not completed

  • Unable to cancel activity with Service requests in active status

Validation error

  • No labels

ЕСОЗ - публічна документація