Purpose

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

https://e-health-ua.atlassian.net/wiki/spaces/EH/pages/2125038637/care+plan#%D0%92%D1%96%D0%B4%D0%BC%D1%96%D0%BD%D0%B0-%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/cancel-care-plan-activity/cancel-care-plan-activity
Resource	/api/patients/{{patient_id}}/care_plans/{{care_plan_id}}/activities{{id}}/actions/cancel
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

Sign message (pkcs7) that consists of signed content, digital signature, and signer public key

Important

Signed content of activity must be equal to activity stored in DB. See Get Care plan activity by ID
$.detail.status_reason must be changed in signed content

Logic

This method must be used to cancel of existing activity from patient's Care plan. Method receives signed message (pkcs7) that consists of signed content, digital signature and signer public key. All signature fields will be validated (including signer certificate authority)

Important

Signed content of activity must be equal to activity stored in DB. See Get Care plan activity by ID
$.detail.status_reason must be changed in signed content

Please see Care plan status model and Dummy Cancel Care plan activity for more details

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

Key points

Status can be changed by employee who has an Approval granted by the patient on write Care plan resource.
Cancel should be signed with DS. So, all the activity data should be submitted.
Activities status has changed in async way. The result of the job should be a link on the Care plan activity details.

Global and configurable parameters

https://e-health-ua.atlassian.net/wiki/spaces/EH/pages/2125039308/Care+Plan+dictionaries+and+configurable+parameters+UA#%D0%9A%D0%BE%D0%BD%D1%84%D1%96%D0%B3%D1%83%D1%80%D0%B0%D1%86%D1%96%D0%B9%D0%BD%D1%96-%D0%BF%D0%B0%D1%80%D0%B0%D0%BC%D0%B5%D1%82%D1%80%D0%B8

https://e-health-ua.atlassian.net/wiki/spaces/EH/pages/583402009/Medical+Events+Dictionaries+and+configurations#ME_ALLOWED_TRANSACTIONS_LE_TYPES

Input parameters

Input parameter	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_cancel_reasons

eHealth/care_plan_activity_outcomes

eHealth/ICPC2/condition_codes

eHealth/ICD10_AM/condition_codes

eHealth/care_plan_activity_goals

eHealth/care_plan_activity_complete_reasons

eHealth/ucum/units

MEDICATION_UNIT

DAYS_OF_WEEK

EVENT_TIMING

SPECIALITY_TYPES_ALLOWED

PROVIDING_CONDITIONS_ALLOWED

INNM_DOSAGE

Request structure

See on Apiary

Example:

Request example

{
  "signed_data": "ew0KICAicGVyaW9kIjogew0KIC..."
}

Dummy Example:

Request example

{
  "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": "scheduled",
    "status_reason": {
      "coding": [
        {
          "system": "eHealth/care_plan_activity_cancel_reasons",
          "code": "some code"
        }
      ]
    }
  },
  "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"
        }
      ]
    }
  ],
  "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"
}

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 mF_9.B5f-4.1JqM
api-key:aFBLVTZ6Z2dON1V

Request data validation and processing

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 Digital Sign

Check DS is valid and not expired
Validate that DS belongs to the user
- Check that DRFO from DS and user's party.tax_id matches

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_cancel_reasons dictionary
Validate value within dictionary specified above
- in case of error - return 422 ('value is not allowed in enum')

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

Validate content

Signed content must match with activity in DB in order to be changed

Render activity from DB
Exclude $.detail.status_reason from signed content
Compare rendered activity and signed content
1. In case both object doesn't match - return 422 ('Signed content doesn't match with previously created activity')

Processing

Service logic

Save signed content to media storage
Update activity status (update also updated_at, updated_by)
Set detail.status_reason

Response structure