RC_Create full medication registry (CSI-2140)

1 Purpose
2 Key points
3 Specification
4 Authorization
5 Validate request
- 5.1 File example:
6 Service logic
- 6.1 innms
- 6.2 medications (type = INNM_DOSAGE)
- 6.3 ingredients (for INNM_DOSAGE)
- 6.4 medications (type = BRAND)
- 6.5 ingredients (for BRAND)
- 6.6 program_medications

Purpose

The service is designed to uploading new medication registry. The process uses the jabba service. Upon execution of the request, a job is created, on the basis of which tasks are created. Each task is one request to create entity from registry.

Key points

This is a GraphQL method that is used in Administration panel only.
Only authenticated and authorized NHS employee with appropriate scope can create full medication registry.
Full medication registry input data for GraphQL mutatiuon should be in .csv format and with escaped symbols (i.e. quotes, new lines - " as \"; new line replaced as \r\n ). Please note that UI of NHS Admin panel converts csv file to appropriate GraphQL input.

Specification

  "Creates a single `MedicationRegistry`."
  createMedicationRegistry(
    input: CreateMedicationRegistryInput!
  ): CreateMedicationRegistryPayload

"""
Input for `createMedicationRegistry` mutation.

User must have a scope **medication_registry:write**
"""
input CreateMedicationRegistryInput {
  "Type of register originating medication registry data. The value should be present in the `REGISTER_TYPE` dictionary."
  registerType: String!
  "Create medication registry reason description."
  reasonDescription: String!
  "String with input file in csv format with medication register."
  csvData: String!  
}

"""
Return type for `createMedicationRegistry` mutation.
"""
type CreateMedicationRegistryPayload {
  "Created `MedicationRegistryJob`."
  medicationRegistryJob: MedicationRegistryJob
}

"""
An object for MedicationRegistryJob.
"""
type MedicationRegistryJob implements Node {
  "The ID of an object"
  id: ID!
  "Primary key identifier from the database"
  databaseId: UUID!
  "Job name."
  name: String
  "Medication registry Job status."
  status: JobStatus!
  "Job execution strategy."
  strategy: JobStrategy!
  "Date and time when the job starts."
  startedAt: DateTime!
  "Date and time when the job ends."
  endedAt: DateTime
  "Tasks within this job."
  tasks(
    "A condition to be used in determining which values should be returned by the collection."
    filter: TaskFilter
    "The method to use when ordering collection items."
    orderBy: TaskOrderBy
    "Read all values in the set after (below) this cursor."
    after: String
    "Read all values in the set before (above) this cursor."
    before: String
    "Only read the first _n_ values of the set."
    first: Int
    "Only read the last _n_ values of the set."
    last: Int
  ): MedicationRegistryTaskConnection!
  "Type of register originating medication registry data. The value should be present in the `REGISTER_TYPE` dictionary."
  registerType: String!
  "Medication registry job reason description."
  reasonDescription: String!
}

"""
A connection to a list of `MedicationRegistryTask` values.
"""
type MedicationRegistryTaskConnection {
  "Information to aid in pagination."
  pageInfo: PageInfo!
  "A list of nodes."
  nodes: [MedicationRegistryTask]
  "A list of edges."
  edges: [MedicationRegistryTaskEdge]
}

"""
Reads and enables pagination through a set of `MedicationRegistryTask`.
"""
type MedicationRegistryTaskEdge {
  "The item at the end of the edge."
  node: MedicationRegistryTask!
  "A cursor for use in pagination."
  cursor: String!
}

"""
A child of a `MedicationRegistryJob`, contains the result of task execution.
"""
type MedicationRegistryTask implements Node {
  "The ID of an object"
  id: ID!
  "Primary key identifier from the database"
  databaseId: UUID!
  "Task name."
  name: String
  "Task status, is set automatically."
  status: TaskStatus!
  "Task meta data."
  meta: MedicationRegistryTaskMeta
  "Date and time when task was executed."
  endedAt: DateTime
  "Task error."
  error: TaskError
  "Technical information when task was inserted into the DB."
  insertedAt: DateTime!
  "Technical information when task was updated in the DB."
  updatedAt: DateTime!
}

"""
Metadata of a `MedicationRegistryTask`.
"""
type MedicationRegistryTaskMeta {
  "Primary key identifier of an entity from the database."
  databaseId: UUID
  "Line number of csv file from input."
  csvDataLine: Int  
}

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 scopes in order to perform this action (scope = 'medication_registry:write')
- return 403 (“Your scope does not allow to access this resource. Missing allowances: medication_registry:write”) in case of invalid scope(s)

Validate request

Check request using schema
1. Return 422 with the list of validation errors in case validation fails
Check that registerType = 'FULL_MEDICATIONS_REGISTRY'
1. Return 422 Invalid register_type in case validation fails
Check csv_data input according to file structure
1. Return 422 with the list of validation errors in case validation fails
Check csv_data input file size - csv file with max 30000 lines is allowed.
1. Return 422 The number of tasks for the job with a sequential execution strategy is limited to 30,000 in case validation fails

File example:

*Note. Fields innms.sctid, innms.name, innms.name_original, innm_dosage_ingredients.is_primary, innm_dosage_ingredients.dosage.numerator_value, innm_dosage_ingredients.dosage.numerator_unit, innm_dosage_ingredients.dosage.denumerator_value, innm_dosage_ingredients.dosage.denumerator_unit, brand.code_atc can exist as an array. Values should be separated with | (respectively).

Service logic

Validate input according to schema
Create job with type create_medication_registry
For each line of input file create separate task of job
Each task must validate existing and create new entities of medications registry:
1. Extract and search medications with type = INNM_DOSAGE, is_active = TRUE, innm_dosage.name, innm_dosage.form and innm_dosage.ingredients.dosage, innm_dosage.ingredients.is_primary:
  1. in case more than one medication with type = INNM_DOSAGE ,is_active = TRUE, innm_dosage.name, innm_dosage.form is found - return FAILED task status with error ('More than one INNM_DOSAGE with such name and form exist in medications table')
  2. in case more than one ingredient is found - return FAILED task status with error ('More than one INNM_DOSAGE ingredient with such fields exist in ingredients table')
  3. in case single medication with type = INNM_DOSAGE is found then check ingredients, in case ingredients of INNM_DOSAGE in DB are not equal to ingredients in uploaded register - return FAILED task status with error ('INNM_DOSAGE has different INNMS in ingredients table')
  4. in case medication with type = INNM_DOSAGE is not found - insert it according to https://edenlab.atlassian.net/wiki/spaces/EH/pages/3367829508/Create+full+medication+registry#medications-(type-=-INNM_DOSAGE), its ingredients according to https://edenlab.atlassian.net/wiki/spaces/EH/pages/3367829508/Create+full+medication+registry#ingredients-(for-INNM_DOSAGE), brand according to https://edenlab.atlassian.net/wiki/spaces/EH/pages/3367829508/Create+full+medication+registry#medications-(type-=-BRAND), its ingredient according to https://edenlab.atlassian.net/wiki/spaces/EH/pages/3367829508/Create+full+medication+registry#ingredients-(for-BRAND) and program medication with brand according to https://edenlab.atlassian.net/wiki/spaces/EH/pages/3367829508/Create+full+medication+registry#program_medications
    1. check existence of INNMs by innms.name_original
      1. in case innm is not found - insert it according tohttps://edenlab.atlassian.net/wiki/spaces/EH/pages/3367829508/Create+full+medication+registry#innms
      2. in case innm is found - skip innm creation.
      3. in case more than one innm is found - return FAILED task status with error ('More than one INNM with such name_original exist in innms table')
  5. in case medication with type = INNM_DOSAGE is found - proceed to brand.
2. Extract and search connected medications with type = BRAND, is_active = TRUE, brand.name, brand.form, brand.package_qty, brand.package_min_qty, brand.certificate, brand.container, brand.manufacturer.name, brand.manufacturer.country, brand.certificate_expired_at and brand.ingredients.dosage, brand.ingredients.is_primary, brand.drlz_sku_id:
  1. in case more than one medication with such params is found - return FAILED task status with error ('More than one BRAND with such fields exist in medications table')
  2. in case single medication with type = BRAND is found then check ingredients, in case ingredient of BRAND in DB is not equal to ingredient of a brand in uploaded register - return FAILED task status with error ('Invalid BRAND ingredients in ingredients table')
  3. in case medication with type = BRAND is not found - insert brand according to https://edenlab.atlassian.net/wiki/spaces/EH/pages/3367829508/Create+full+medication+registry#medications-(type-=-BRAND), its ingredient according to https://edenlab.atlassian.net/wiki/spaces/EH/pages/3367829508/Create+full+medication+registry#ingredients-(for-BRAND) and program medication with brand according to https://edenlab.atlassian.net/wiki/spaces/EH/pages/3367829508/Create+full+medication+registry#program_medications
  4. in case medication with type = BRAND is found - proceed to program medication.
3. Extract and search connected program medication by:
  In case registry_number = NULL then search by medication_id (with type = BRAND) and program_medications.medical_program_id and program_medication.registry_number IS NULL;
  In case registry_number has id then search by medication_id (with type = BRAND) and program_medications.medical_program_id and program_medication.registry_number;
  1. in case more than one program medication with such params is found - return FAILED task status with error ('More than one PROGRAM_MEDICATION with such fields exist in program_medications table')
  2. in case program medication is not found - insert program medication with brand according to https://edenlab.atlassian.net/wiki/spaces/EH/pages/3367829508/Create+full+medication+registry#program_medication
  3. in case program medication is found - return FAILED task status with error ('Such medication already exist')
Return job identifier with result.

innms

Attribute	Source and Logic	Type and Constraints	O/M

Attribute	Source and Logic	Type and Constraints	O/M
id	uuid_generate_v4(), auto	uuid	M
sctid	innms.sctid, from request	varchar(255)	O
name	innms.name, from request	varchar(255)	M
name_original	innms.name_original, from request	varchar(255)	M
is_active	true, auto	bool	M
inserted_by	user_id, from token	uuid	M
updated_by	user_id, from token	uuid	M
inserted_at	now(), auto	timestamp	M
updated_at	now(), auto	timestamp	M

medications (type = INNM_DOSAGE)

Attribute	Source and Logic	Type and Constraints	O/M

Attribute	Source and Logic	Type and Constraints	O/M
id	uuid_generate_v4(), auto	uuid	M
name	innm_dosage.name	varchar(255)	M
type	auto (INNM_DOSAGE)	varchar(255)	M
is_active	true, auto	bool	M
form	innm_dosage.form	varchar(255) Dictionary MEDICATION_FORM	M
inserted_by	user_id, from token	uuid	M
updated_by	user_id, from token	uuid	M
inserted_at	now(), auto	timestamp	M
updated_at	now(), auto	timestamp	M
daily_dosage	innm_dosage.daily_dosage	float	O
mr_blank_type	innm_dosage.mr_blank_type	varchar(64) Dictionary MR_BLANK_TYPES	M
dosage_form_is_dosed	innm_dosage.dosage_form_is_dosed	bool	M

ingredients (for INNM_DOSAGE)

Attribute		Source and Logic	Type and Constraints		O/M

Attribute		Source and Logic	Type and Constraints		O/M
id		uuid_generate_v4(), auto	uuid		M
dosage	numerator_value	innm_dosage_ingredients.dosage.numerator_value, from request	jsonb	float8	M
	numerator_unit	innm_dosage_ingredients.dosage.numerator_unit, from request		varchar(255) Dictionary MEDICATION_UNIT	M
	denumerator_value	innm_dosage_ingredients.dosage.denumerator_value, from request		float8	M
	denumerator_unit	innm_dosage_ingredients.dosage.denumerator_unit, from request		varchar(255) Dictionary MEDICATION_UNIT	M
is_primary		innm_dosage_ingredients.is_primary, from request	bool At least one of the ingredients must be is_primary = true Two or more ingredients can be is_primary = true		M
innm_child_id		uuid_generate_v4(), auto	uuid innm_id		M
parent_id		uuid_generate_v4(), auto	uuid		M
inserted_at		now(), auto	timestamp		M
updated_at		now(), auto	timestamp		M

medications (type = BRAND)

Attribute		Source and Logic	Type and Constraints		O/M

Attribute		Source and Logic	Type and Constraints		O/M
id		uuid_generate_v4(), auto	uuid		M
name		brand.name	varchar(255)		M
type		auto (BRAND)	varchar(255)		M
manufacturer	name	brand.manufacturer.name	jsonb	varchar(255)	M
manufacturer	country	brand.manufacturer.country	jsonb	varchar(255) Dictionary COUNTRY	M
code_atc		brand.code_atc	jsonb	varchar(255)	M
is_active		true, auto	bool		M
form		brand.form	varchar(255) Dictionary MEDICATION_FORM		M
container	numerator_value	brand.container.numerator_value	jsonb	float8	M
	numerator_unit	brand.container.numerator_unit		varchar(255) Dictionary MEDICATION_UNIT	M
	denumerator_value	brand.container.denumerator_value		float8	M
	denumerator_unit	brand.container.denumerator_unit		varchar(255) Dictionary MEDICATION_UNIT	M
package_qty		brand.package_qty	float		O
package_min_qty		brand.package_min_qty	float		O
certificate		brand.certificate	varchar(255)		O
certificate_expired_at		brand.certificate_expired_at	date		O
inserted_by		user_id, from token	uuid		M
updated_by		user_id, from token	uuid		M
inserted_at		now(), auto	timestamp		M
updated_at		now(), auto	timestamp		M
form_pharm		brand.form_pharm	varchar(255)		O
max_request_dosage		brand.max_request_dosage	int		O
drlz_sku_id		brand.drlz_product_id	varchar(255)		O

ingredients (for BRAND)

Attribute		Source and Logic	Type and Constraints		O/M

Attribute		Source and Logic	Type and Constraints		O/M
id		uuid_generate_v4(), auto	uuid		M
is_primary		brand_ingredients.is_primary, from request	bool Only one ingredient should be is_primary = true		M
dosage	numerator_value	brand_ingredients.dosage.numerator_value, from request	jsonb	float8	M
	numerator_unit	brand_ingredients.dosage.numerator_unit, from request		varchar(255) Dictionary MEDICATION_UNIT	M
	denumerator_value	brand_ingredients.dosage.denumerator_value, from request		float8	M
	denumerator_unit	brand_ingredients.dosage.denumerator_unit, from request		varchar(255) Dictionary MEDICATION_UNIT	M
medication_child_id		uuid_generate_v4(), auto	uuid medication (type = INNM_DOSAGE)		M
parent_id		uuid_generate_v4(), auto	uuid		M
inserted_at		now(), auto	timestamp		M
updated_at		now(), auto	timestamp		M

program_medications

Attribute	Source and Logic	Type and Constraints	O/M

Attribute	Source and Logic	Type and Constraints	O/M
id	uuid_generate_v4(), auto	uuid	M
reimbursement	program_medications.reimbursement.type	varchar(64) Dictionary REIMBURSEMENT_TYPE	M
	program_medications.reimbursement.reimbursement_amount	float	M
	program_medications.reimbursement.percentage_discount	float	M
is_active	true, auto	bool	M
medication_request_allowed	true, auto	bool	M
care_plan_activity_allowed	true, auto	bool	M
inserted_by	user_id, from token	uuid	M
updated_by	user_id, from token	uuid	M
medication_id	medication_id (type = BRAND), auto	uuid	M
medical_program_id	program_medications.medical_program_id	uuid	M
inserted_at	now(), auto	timestamp	M
updated_at	now(), auto	timestamp	M
wholesale_price	program_medications.wholesale_price	float8	O
consumer_price	program_medications.consumer_price	float8	O
reimbursement_daily_dosage	program_medications.reimbursement_daily_dosage	float8	O
estimated_payment_amount	program_medications.estimated_payment_amount	float8	O
start_date	program_medications.start_date	date	O
end_date	program_medications.end_date	date	O
registry_number	program_medications.registry_number	varchar(255)	O
max_daily_dosage	program_medications.max_daily_dosage	float	O
package_qty_divisible	program_medication.package_qty_divisible	bool	M