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[DRAFT] Create Procedure [API-007-009-001-0302]

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https://e-health-ua.atlassian.net/wiki/spaces/EN/pages/17591304241 (remove the link block before publishing the document)

Properties of a REST API method document

Document type

Метод REST API

Document title

[DRAFT] Create Procedure [API-007-009-001-0302]

Guideline ID

GUI-0011

Author

@

Document version

1

Document status

DRAFT

Date of creation

ХХ.ХХ.ХХХХ (дата фінальної версії документа – RC або PROD)

Date of update

ХХ.ХХ.ХХХХ (дата зміни версії)

Method API ID

API-007-009-001-0302

Microservices (namespace)

ME

Component

Procedure

Component ID

COM-007-009

Link на API-специфікацію

https://ehealthmedicaleventsapi.docs.apiary.io/#reference/medical-events/procedures/create-procedure

Resource

{{host}}/api/patients/{{patient_id}}/procedures

Scope

procedure:write

Protocol type

REST

Request type

POST

Sync/Async

Async

Public/Private

Public

Purpose

This WS is designed to create a new procedure separately from encounter pckg. 

Logic

Procedure can be registered in eHealth as a part of encounter pckg or just by itself with reference on Service Request. Procedure should be registered in the system after it was performed for a patient.

Реєстрація запису про проведену процедуру в ЦК

Configuration parameters

N/A

Dictionaries

N/A

Input parameters

Input parameter

Mandatory

Type

Description

Example

Input parameter

Mandatory

Type

Description

Example

1

patient_id

 

String

Unique patient identifier

7075e0e2-6b57-47fd-aff7-324806efa7e5

Request structure

See on API-specification

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

Headers

Headers

Request data validation

Authorize

  • Verify the validity of access token

    • return 401 ('Unauthorized') in case of validation fails

  • Verify that token is not expired

    • in case of error - return 401 ('Unauthorized')

  • Check user scopes in order to perform this action (scope = 'procedure:write')

    • Return 403 ('Invalid scopes') 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")

Validate digital signature

Decode content that is encrypted in an electronic digital signature.
Use Digital signature WS. Method checks digital signature and returns result.
See service specification

  1. Ensure that digital signature is valid

  1. Validate that recorded_by of procedure is a current user

2.1. Get token metadata

  • Extract user_idclient_idclient_type

2.2. Determine the party_id associated with this user_id

SELECT pu.party_id FROM party_users pu WHERE pu.user_id = :user_id;

2.3. Determine employees related to this party_id in current MSP

SELECT e.id FROM employees e WHERE e.party_id = :party_id AND e.legal_entity_id = :client_id;

2.4 Ensure that $.recorded_by.identifier.value matches with user employees

  1. Validate that DS belongs to recorded_by

3.1. Determine the party_id associated with recorded_by ($.recorded_by.identifier.value)

SELECT p.tax_id FROM employees e, parties p WHERE e.party_id = p.id AND e.id = :recorded_by;

Validate request using JSON Schema

Return 422 with the list of validation errors in case validation fails

Validate procedure

  1. Validate id

    1. ID is unique for MongoDB.procedures

    2. ID is UUID

  2. Validate referrals

    1. As a referral it can be referenced electronic (registered in the system) OR paper service request

    2. Validate $.procedure.based_on OR $.procedure.paper_referral is in request

    3. Validate based_on as Reference(Referencevalidation)

    4. Validate paper referral as Object (paper_referral)

    5. Validate that service_request is

      1. in status is active 

        1. in case of error return 409 "Invalid service request status"

      2. if used_by_legal_entity != NULL:

        1. check used_by_legal_entity.identifier.value == token.client_id 

          1. in case of error return 409 "Service request is used by another legal_entity"

      3. service_request.expiration date should be >= now

        1. in case error return 422, "Service request expiration date must be a datetime greater than or equal"

      4. check that service_request contains based_on parameter

        1. in case based_on present in service_request

          1. verify care_plan:

            1. It should be in active status

            2. Care plan's period end (if exist) should be greater than current date or equal.

          2. verify activity:

            1. It has activity.detail.kind=service_request; activity.detail.product_reference=service_id. 

            2. It has scheduled, in_progress status

            3. For an old activities (has no units in quantity) validate remaining_quantity as described at Submit Encounter Data Package: Related care plan validation

        2. in case based_on not present in request skip previous validations.

      5. Check if service request quantity is not exhausted as described at Submit Encounter Data Package: Related service request validation

  3. Validate status

    1. On create procedure status could be completed or not_done. `entered_in_error` could be set on update procedure.

      1. error 422 by json schema

  4. Validate code
    Note. For procedure.code pass only "service", and the "service_group" does not pass

    1. Validate code as Reference(Referencevalidation)

    2. If service_requests.code.identifier.value is service, validate $procedure.code.identifier.value = service_requests.code.identifier.value

      1. in case error return 409, "Service in procedure differ from service in service request"

    3. if service_requests.code.identifier.value is service_group, validate $procedure.code.identifier.value in (SELECT service_id from service_inclusions where service_group_id='service_requests.code.identifier.value')

      1. in case error return 409, "Service in procedure differ from services in service request's service_group"

    4. Validate procedure.service.is_active = true

      1. in case error return 409, "Service should be active"

  5. Validate performed_period/performed_date_time:

    1. if $.status == "not_done" check that  performed_period/performed_date_time fields are not present in request

      1. in case error return 422 entry: "$.performed_period" (or "$.performed_date_time"), rules[0].description: "Must not be present in procedure with status <$.status>"

    2. else, if $.status == "completed":

      1. Check that only one of this parameters present

        1. in case error return 422 "Only one of the parameters must be present"

      2. Validate performed_date_time

        1.  performed_date_time is real

          1. in case error return 422, "Performed_date_time in invalid"

        2. performed_date_time <= now

          1. in case error return 422 "Procedure cannot be registered in future"

      3. Validate performed_period

        1. $.performed_period.start <= now

          1. in case of error return 422 "Procedure cannot be registered in future"

        2. $.performed_period.end >= $.performed_period.start

          1. in case of error return 422 "End date must be greater than start date"

        3. $.performed_period.end <= now

          1. in case error return 422 "Procedure cannot be registered in future"

        4. Validate $.performed_period as required field in case if procedure based on service request with quantity that has code=MINUTE (system=SERVICE_UNIT)

          1. in case of error return 422, entry: "$.performed_period", rules[0].description: "can't be blank"

  6. Validate recorded_by

    1. Validate recorded_by as Reference(Referencevalidation)

    2. $..recorded_by.identifier.value is an ID of existing employee in PRM.employee

      1. in case of error  return 422, "Employee with such id is not found"

    3. Validate recorded_by is employee with status='APPROVED' and is_active= true and end_date is null or more than today and PRM.employees.employee_type in ('DOCTOR','SPECIALIST','ASSISTANT')

      1. in case error return 409, "This action is prohibited for current employee" 

    4. Validate employees.legal_entity_id=$managing_organization.identifier.value

      1. in case error return 409, "Employee should be from current legal entity"

  7. Performer(asserter) validation

    1. case $..primary_source==true

      1. $..performer(or $..asserter) must be filled

        1. in case of error "Performer (asserter) must be filled"

      2. $..report_origin must be absent

        1. in case of error "Report_origin can not be submitted in case primary_source is true" 

      3. validate performer(asserter) is a valid value from corresponding dictionary

        1. $..performer.identifier.type.coding[*].system == "eHealth/resources"

          1. in case of error "Submitted system is not allowed for this field"

        2. $..performer.identifier.type.coding[*].code=="employee"

          1. in case of error "Submitted code is not allowed for this field"

      4. validate performer(asserter) is an active medical staff from current legal_entity

        1. $..performer.identifier.value is an ID of existing employee in PRM.employee

          1. in case of error "Employee with such id is not found"

        2. $..performer.identifier.value == PRM.employees.id where (PRM.employees.status == "APPROVED" and PRM.employees.employee_type in ('DOCTOR','SPECIALIST','ASSISTANT'))

    2. case primary_source=false

      1.  error 422. (Procedure with primary_source=false could be send only with encounter package)

  8. Validate division

    1. Validate division as Reference(Referencevalidation)

    2. $division is an ID in PRM.divisions

      1. in case return 422, "Division with such id is not found"

    3. division.status=ACTIVE and is_active=true

      1. in case error return 409, "Division is not active"

    4. division.legal_entity_id = $client_id

      1. in case error return 409, "Division is not in current legal_entity"

  9. Validate managing_organization is a current active legal_entity with proper type

    1.  as Reference(Referencevalidation)

    2. $managing_organization is an ID in PRM.legal_entities

      1. in case return 422, "Legal entity with such id is not found"

    3. validate managing_organization status is 'ACTIVE' and is_active=true

      1. in case error return 422 ('Legal entity is not active')

    4. validate legal_entity type is in ('PRIMARY_CARE','MSP','MSP_PHARMACY','MSP_PHARMACY') (use `ME_ALLOWED_TRANSACTIONS_LE_TYPES` from charts)

      1. in case error return 422, "Legal entity with type $legal_entity.type cannot perform procedures"

    5. validate $managing_organization.identifier.value = $client_id

      1. in case of error 409 "Managing organization does not correspond to user's legal entity."

  10. Validate reason_references

    1. Validate reason_reference as a Reference (Referencevalidation)

    2. Validate reason_refernce.identifier.type.coding.[0].code is 'condition' or 'observation'

      1. in case error return 422 "value is not allowed in enum"

    3. Validate reason_refernce.identifier.value is condition or observation not in status ENTERED_IN_ERROR

      1. in case error return 422, "<Medical event resource> in "entered_in_error" status can not be referenced"

  11. Validate outcome

    1. validate outcome as a Reference (Referencevalidation)

    2. validate outcome.coding.object.system is in dictionary eHealth/procedure_outcomes

      1. in case error return 422, "outcome not in dictionary eHealth/procedure_outcomes"

  12. Validate category

    1. according to the dictionary 'eHealth/procedure_categories' - by schemata

    2. Validate that procedure category corresponds to service category, that is references as code in procedure

      1. $.procedure.category=PRM.services.category where PRM.services.id=$.procedure.code.identifier.value

        1. in case of error return 422 "Procedure category does not match with the service category"

  13.  If patient is person - validate verification status:

    1. If procedure has based_on with service request, then skip this validation.

    2. Else check patient verification_status is not equal to NOT_VERIFIED.

      1. in case NOT_VERIFIED - return error 409, "Patient is not verified"

  14. Validate used_codes

    1. Check that the $.used_codes[*].coding[*].code belongs to the dictionary in $.used_codes[*].coding[*].system

      1. in case of error - return 422 "Value is not allowed in enum"

    2. Validate 'used_codes.coding.code'  is_active = true

      1. in case error return 409, "Value is not active"

Processing

N/A

Response structure examples

See on API-specification

{ "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" } }

HTTP status codes

Response code

HTTP Status code

Message

Internal name

Description

Response code

HTTP Status code

Message

Internal name

Description

1

Базові

2

 

202

 

 

 

3

 

401

Access denied

 

 

4

 

403

Access denied. Party is not verified

 

 

5

 

403

Invalid scopes

 

 

6

 

404

Patient not found

 

 

7

 

409

Division is not active

 

 

8

 

409

Division is not in current legal_entity

 

 

9

 

409

Employee should be from current legal entity

 

 

10

 

409

Invalid service request status

 

 

11

 

409

Managing organization does not correspond to user's legal entity.

 

 

12

 

409

Patient is not verified

 

 

13

 

409

Service request is used by another legal_entity

 

 

14

 

409

Service in procedure differ from service in service request

 

 

15

 

409

Service should be active

 

 

16

 

409

This action is prohibited for current employee

 

 

17

 

409

Value is not active

 

 

18

 

422

 

Validation error

 

19

 

422

Division with such id is not found

 

 

20

 

422

End date must be greater than start date

 

 

21

 

422

Employee with such id is not found

 

 

22

 

422

Legal entity with such id is not found

 

 

23

 

422

Legal entity is not active

 

 

24

 

422

Legal entity with type $legal_entity.type cannot perform procedures

 

 

25

 

422

<Medical event resource> in "entered_in_error" status can not be referenced

 

 

26

 

422

Only one of the parameters must be present

 

 

27

 

422

outcome not in dictionary eHealth/procedure_outcomes

 

 

28

 

422

Performed_date_time in invalid

 

 

29

 

422

Procedure category does not match with the service category

 

 

30

 

422

Procedure with primary_source=false could be send only with encounter package

 

 

31

 

422

Procedure cannot be registered in future

 

 

32

 

422

$.performed_period", rules[0].description: "can't be blank

 

 

33

 

422

$.performed_period" (or "$.performed_date_time"), rules[0].description: "Must not be present in procedure with status <$.status>

 

 

34

 

422

Service request expiration date must be a datetime greater than or equal

 

 

35

 

422

value is not allowed in enum

 

 

36

Специфічні

37

 

 

 

 

 

Post-processing processes

  1. Save signed_content to Media Storage

  2. Save data to corresponding collection in DB

  3. In case procedures.based_on was filled set $.procedures.id to related to $.service_request $.activity[].outcome_reference

  4. Update $ .activity.status to in_progress if previous activity status was scheduled

  5. Update the $ .activity.remaining_quantity parameter by the value achieved at  Submit Encounter Data Package: Related care plan validation (for an old activities only that has no quantity units)

  6. Update remaining_quantity in the service request with a value that was calculated in the  Submit Encounter Data Package: Related care plan validation

  7. Set origin_episode (if $.based_on in request and $.based_on.service_request.context != null) for Procedure:

    1. origin_episode is an object from the $.service_request.context.episode

Technical modules where the method is used

 

ЕСОЗ - публічна документація