Purpose

This WS is designed to reject previously created Medication request Request

Key points

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

Specification

Link	https://ehealthmisapi1.docs.apiary.io/#reference/public.-reimbursement/medication-request-requests/reject-medication-request-request	Посилання на Apiary або Swagger
Resource	/api/medication_request_requests/{{id}}/actions/reject	Посилання на ресурс, наприклад: /api/persons/create
Scope	medication_request_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

Logic

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

Preconditions

No

Global and configurable parameters

No

Input parameters

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

Filters

No

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_request:reject')
- return 403 (“Your scope does not allow to access this resource. Missing allowances: medication_request_request:reject”) in case of invalid scope(s).

Headers

Content-Type:application/json

Authorization:Bearer c2778f3064753ea70de870a53795f5c9

Request data validation

Validate user

Medication request 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_request.employee_id);
has an approval on write Care plan if Medication request request based on the Care plan (medication_request_request.based_on);
is med_admin from legal entity where Medication request request is created
- in case of error - return 409 ("Employee is not author of medication request request, doesn't have approval or required employee type").

Validate transition

Get status of Medication request request by $.id in IL DB. Check that Medication request request is in status 'NEW'
- in case of error - return 409 ("Invalid status Request for Medication request for reject transition!")

For more information look at Medication request status model .

Parameters that are used when processing the request

Configuration parameters

Access to the method is defined by the scope medication_request_request:reject. Permission for this scope is determined by the System administrator by configuring scopes in the context of clients and roles.

Dictionaries

MEDICATION_REQUEST_BLOCK_REASON
MEDICATION_REQUEST_INTENT
MEDICATION_REQUEST_CATEGORY
MEDICATION_REQUEST_PRIORITY
eHealth/SNOMED/additional_dosage_instructions
eHealth/SNOMED/anatomical_structure_administration_site_codes
eHealth/SNOMED/route_codes
eHealth/SNOMED/administration_methods
eHealth/SNOMED/dose_and_rate
eHealth/ICD10_AM/condition_codes
eHealth/ICPC2/condition_codes

Processing

Update status

Update Medication request request data in IL DB:
1. set status = 'REJECTED'
2. updated_by = user_id
3. updated_at = now()
if the medication request 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 MRR

Response structure

See on Apiary

Example:

Response example

{
  "meta": {
    "code": 200,
    "url": "https://example.com/resource",
    "type": "object",
    "request_id": "req-adasdoijasdojsda"
  },
  "data": {
    "id": "b075f148-7f93-4fc2-b2ec-2d81b19a9b7b",
    "status": "NEW",
    "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"
        }
      }
    ],
    "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
    }
  }
}

Post-processing processes

No

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_request:reject
409	Invalid status Request for Medication request for reject transition! Employee is not author of medication request request, doesn't have approval or required employee type

Backward compatibility

API paragraph not found

Reject Medication request Request