Purpose

This WS is designed to create Device Dispense.

Method to create device dispense It can be processed in async way only

Key points

Only authenticated and authorized users with appropriate scope can invoke Create Device Dispense
Device Dispense is created in async way. Successful result of the job should return a link on the created Device Dispense (look at /wiki/spaces/CSI/pages/17467506869 ).
Device Dispense can be created only under active Device Request within valid dispense period
Several devices of different manufacturers with the same code can be dispensed at a time
Multiple dispenses to the same Device Request is not allowed
It is allowed to create Device Dispense for not active or not verified persons (for the same reasons as in the medication reimbursement process)

Specification

Link	https://ehealthmedicaleventsapi.docs.apiary.io/#reference/device-dispenses/create-device-dispense/create-device-dispense	Посилання на Apiary або Swagger
Resource	/api/patients/{{patient_id}}/device_dispenses	Посилання на ресурс, наприклад: /api/persons/create
Scope	`device_dispense:write`	Scope для доступу
Components	Devices	Зазначається перелік бізнес компонентів, які використовують цей метод, наприклад: ePrescription
Microservices		Перелік мікросервісів, які використовує метод API, наприклад: Auth, ABAC
Protocol type	REST	Тип протоколу, який використовується запитом, наприклад: SOAP \| REST
Request type	POST	Тип запиту API, наприклад: GET, POST, PATCH…
Sync/Async	Async	Метод є синхронним чи асинхронним?
Public/Private/Internal	Public	Потрібно зазначити тип методу за ступенем доступності

Logic

Fill in the following fields:
- status = IN_PROGRESS
- status_reason = null
- subject. Set hashed patient_id from URL
- performer_legal_entity. Set client_id from token
- quantity.unit. Set description according to quantity code and system
- inserted_at. Set current date and time
- updated_at. Set current date and time
- inserted_by. Set current user from token
- updated_by. Set current user from token
Save data to device_dispenses collection in MongoDB according to /wiki/spaces/CSI/pages/17467572335
Send StatusChangeEvent to Event Manager

Input parameters

Input parameter	Values	Type	Description	Example
patient_id		String	Unique patient identifier	`aff00bf6-68bf-4b49-b66d-f031d48922b3`

Request structure

See on Apiary

Example:

Request example

{
  "id": "b075f148-7f93-4fc2-b2ec-2d81b19a9b7b",
  "based_on": {
    "identifier": {
      "type": {
        "coding": [
          {
            "system": "eHealth/resources",
            "code": "device_request"
          }
        ]
      },
      "value": "b4a6d991-0bf7-476f-b3cf-bec83f044b1b"
    },
    "display_value": "null"
  },
  "performer": {
    "identifier": {
      "type": {
        "coding": [
          {
            "system": "eHealth/resources",
            "code": "employee"
          }
        ]
      },
      "value": "b4a6d991-0bf7-476f-b3cf-bec83f044b1b"
    },
    "display_value": "Мельник Микола Микитович"
  },
  "location": {
    "identifier": {
      "type": {
        "coding": [
          {
            "system": "eHealth/resources",
            "code": "division"
          }
        ]
      },
      "value": "b4a6d991-0bf7-476f-b3cf-bec83f044b1b"
    },
    "display_value": "Перше відділення"
  },
  "note": "Some notes",
  "program": {
    "identifier": {
      "type": {
        "coding": [
          {
            "system": "eHealth/resources",
            "code": "medical_program"
          }
        ]
      },
      "value": "c5a6d991-0bf7-476f-b3cf-bec83f044b2a"
    },
    "display_value": "Доступні медичні вироби"
  },
  "details": [
    {
      "device": {
        "identifier": {
          "type": {
            "coding": [
              {
                "system": "eHealth/resources",
                "code": "device_definition"
              }
            ]
          },
          "value": "b4a6d991-0bf7-476f-b3cf-bec83f044b1b"
        },
        "display_value": "null"
      },
      "program_device": {
        "identifier": {
          "type": {
            "coding": [
              {
                "system": "eHealth/resources",
                "code": "program_device"
              }
            ]
          },
          "value": "b4a6d991-0bf7-476f-b3cf-bec83f044b1b"
        },
        "display_value": "null"
      },
      "quantity": {
        "value": 10,
        "system": "device_unit",
        "code": "piece"
      },
      "sell_price": 18.65,
      "discount_amount": 150
    }
  ],
  "verification_code": "102364",
  "status": "in_progress"
}

Authorization

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 and client scopes in order to perform this action (scope = 'device_dispense:write')
- return 403 (“Your scope does not allow to access this resource. Missing allowances: device_dispense:write”) 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):
1. in case not match - return 403 ("Access denied. Party is not verified")
If BLOCK_DECEASED_PARTY_USERS is true, check that party is not deceased (party_verification record does not equal to: dracs_death_verification_status = VERIFIED and dracs_death_verification_reason = MANUAL_CONFIRMED):
1. in case of error - return 403 ("Access denied. Party is deceased")

Validate legal entity

Extract client_id from token
Check legal entity exists and its status is ACTIVE
- In case of error - return 409 ('client_id refers to legal entity that is not active')

Validate dispense

Validate performer

Validate value in the field $.performer, Reference on employee resource, required.

Extract user_id from token. Check that requester belongs to one of the user’s employee.
- in case of error - return 422 ('User is not allowed to create device dispense for the performer')
Check performer is an active and approved employee.
- in case of error - return 422 ('Employee is not active ')
Check performer employee.end_date is grater then today.
- in case of error - return 422 ('end_date must be in future ')
Check performer relates to the legal entity (client_id from token).
- in case of error - return 422 ('Employee does not belong to legal entity from token')

Validate location

Validate value in the field $.location, Reference on division resource, required.

Check that division exists and is_active = true
- in case of error - return 409 ("Division not found")
Check that division status = “ACTIVE”
- in case of error - return 409 ("Division is not active")
Validate division belongs to user's legal entity (client_id from token)
- in case of error - return 409 ("Division does not belong to user's legal entity")
If chart parameter DEVICE_DISPENSE_DIVISION_DLS_VERIFY is on, then validate division is DLS verified (dls_verified=true)
- in case of error - return 409 "Division is not verified in DLS"

Validate status

The target status value must be submitted in the order of display in the signed content (media storage)

Validate $.status is in_progress
1. in case of error - return 422 ("value is not allowed in enum")

Validate Device request

Validate value in the field $.based_on ($.based_on.identifier.value), Reference on device request, required.

Check that device request exists
- in case of error - return 422 ('Device request not found')
Check that intent specified in Device request is order
- in case of error - return 409 error ('Only device request with intent = 'order' can be dispensed')
Сheck that Device request is in status 'ACTIVE'
- in case of error - return 422 error ('Device request is not active')
Check that dispense_valid_to is greater or equal to current date
- in case of error - return 409 ('Device request is expired for dispense')

Validate program

Check that program in dispense is the same as program in device request (request.program.identifier.value = device_requests.program.identifier.value)
- in case of error - return 422 ("Program doesn't match the one from request params")

Qualify Device request

This validation must be done only if medical_program exists in request and medical_program is the same as in device request

Check that Device request is valid and available for dispense under this medical program
- Invoke https://e-health-ua.atlassian.net/wiki/spaces/EH/pages/17492804914/RC+Qualify+Device+Request+by+ID
- Check that program_id is in Qualify response
  - Device request is prohibited for dispense in case $.data[?(@.program_id=device_request.program.identifier.value)].status = 'INVALID' or program_id is absent in qualify response
    - In case of error - return 409 error ('Device request can not be dispensed. Invoke qualify dispense request API to get detailed info')
  - Device request is allowed for dispense in case $.data[?(@.program_id=device_request.program.identifier.value)].status = 'VALID' and program_id is present in qualify response

Check for existing Device dispenses

Check that there is no other IN_PROGRESS device dispenses based on the same device request
- Find all device dispenses related to the same device request ($.based_on)
- Check that there are no records in status in-progress where inserted_at + config device_dispense_ttl >= current date-time()
  - in case of error - return 422 "Other active device dispenses already exist"

Validate Dispense details

Validate device

Check device (device definition) to be dispensed ($.details.device)
- Check code ($.details.device.identifier.type.coding.code) = device_definition
  - in case of error - return 422 ('value is not allowed in enum')
- Get device definition by id ($.details.device.identifier.value)
  - device_definition.is_active = true
    - in case of error - return 422 ('Device definition not found')
- Check that this device definition is compliant with prescribed device
  - If device_request.code is of type Reference
    - Check that device_definition_id in dispense is equal to device_definition_id in request
  - If device_request.code is of type CodeableConcept
    - Check that device_definition.classification_type is equal to prescribed device definition code in device request (device_request.code)
  - in case of error - return 422 ('Dispensed device doesn’t match with prescribed device')
- Check that packaging_unit matches with quantity.code of the Device Request
  - in case of error - return 422 (Dispensed packaging unit doesn’t match with prescribed packaging unit)
- Check the remainder of the division ($.details.quantity.value/device_definition.packaging_count) is equal to 0
  - in case of error - return reject_reason = “The quantity must be divisible to packaging_count of prescribed Device Definition”

Validate program device

Check program device
- Is applicable only if program was passed to request and program device passed to request
  - Check code ($.details.program_device.identifier.type.coding.code) = program_device
    - in case of error - return 422 ('value is not allowed in enum')
  - Check that program device exists in DB and has is_active=true
    - in case of error - return 422 ('Program device not found')
  - Check that program device has validity period (start_date and end_date) within current date
    - in case of error - return 422 ('Program device is not active')
  - Check that program device relates to the device definition in $.details.device
    - in case of error - return 422 ('Program device doesn’t match with device')
  - Check that program device relates to the program in $.program
    - in case of error - return 422 ('Program device doesn’t match with program')
- if program was passed to request and no program device specified
  - find program device related to dispensed device definition and selected program with:
    - active status
    - validity period (start_date and end_date) within current date
      - in case not found - return 422 ('No appropriate participants found for this medical program')
      - in case found more then one - return 422 ('More than one program_device was found. Specify the required in the request')

Valdate quantity

Perform the validation if Device request has quantity

Validate quantity value
- Check that dispensed device quantity is equal to prescribed quantity in Device Request
- sum($.details.quantity.value) = device_request.quantity
  - in case of error - return 422 ('Dispensed quantity must be equal to prescribed quantity in Device Request')
Validate quantity units
- Check that quantity.code matches with packaging_unit of the device
  - in case of error - return 422 (Does not match the packaging unit of the prescribed device)

Validate discount

Validate sell_price
- Check it is present if medical program is present
  - in case of error - return 422 ('Required property sell_price was not present')
Validate discount_amount
- Check it is present if medical program is present
  - in case of error - return 422 ('Required property discount_amount was not present')
- Check it is absent if medical program is absent
  - in case of error - return 422 ('Property discount_amount shouldn’t be submitted if medical program is absent')
- Calculate allowed reimbursement amount:
  - If reimbursement_type of program_device is PERCENTAGE:
    - If reimbursement_percentage_discount of program_device is zero, then check $.discount_amount is equal to zero too
      - in case of error - return 422 ('Requested discount amount must be equal to 0')
    - Calculate allowed_reimbursement_amount = $.sell_price * program_device.reimbursement_percentage_discount/100
  - If reimbursement_type of program_device is FIXED:
    - Get allowed_reimbursement_amount = program_device.reimbursement_amount
- Check $.discount_amount <= allowed_reimbursement_amount * ($.details.quantity.value/device_definition.packaging_count) + DEVICE_DISPENSE_TOLERANCE
  - in case of error - return 422 ('Requested discount amount must be less or equal to allowed reimbursement amount')
- Check the ratio of discount amount to reimbursement amount as $.discount_amount/ (allowed_reimbursement_amount * ($.details.quantity.value/device_definition.packaging_count)) >= 1 - DEVICE_DISPENSE_DEVIATION
  - In case of error - return 422 ('The ratio of requested discount amount to allowed reimbursement amount must be greater or equal to <1 - DEVICE_DISPENSE_DEVIATION>')

Validate verification code

Check that $.verification_code in request is equal to verification_code in device_request
- In case code exists in request - it should match with code in device_request
  - in case of error - return 403 (message: “Incorrect code“)

Service logic

Fill in the following fields:
- status = IN_PROGRESS
- status_reason = null
- subject. Set hashed patient_id from URL
- performer_legal_entity. Set client_id from token
- details.quantity.unit. Set description according to quantity code and system
- details.reimbursement_amount. Set calculated above allowed_reimbursement_amount from program_medication if program is present.
- inserted_at. Set current date and time
- updated_at. Set current date and time
- inserted_by. Set current user from token
- updated_by. Set current user from token
Save data to device_dispenses collection in MongoDB according to /wiki/spaces/CSI/pages/17467572335
Send StatusChangeEvent to Event Manager

Response structure