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Create approval

Purpose

  1. This WS is designed to create approval on entity, which aggregate other entities (episode_of_care, diagnostic_report, care_plan), OR forbidden group OR diagnoses group, OR on service_request including it’s permitted_resources OR on cancel for encounter and procedure OR patient.

  2. Approvals are processed in the async way

  3. Only authenticated and authorized employees with appropriate scope can create approval.

  4. Approvals with “write” access give “read” access by default. Employee with verified not expired approval with “write” access will be able to read data of specified in approval medical_event (if is possible according to ABAC-rules)

 

Specification

Link

https://medicaleventsmisapi.docs.apiary.io/#reference/approvals/create-approval/create-approval

Resource

/api/patients/{{patient_id}}/approvals

Scope

approval:create

Components

Approvals

Microservices

API paragraph not found

Protocol type

REST

Request type

POST

Sync/Async

Async

Public/Private/Internal

Public

 

Input parameters

Input parameter

Values

Type

Description

Example

Input parameter

Values

Type

Description

Example

patient_id

 

String

mpi_id. Required

aff00bf6-68bf-4b49-b66d-f031d48922b3

 

Request structure

See on Apiary

Example:

{ "resources": [ { "identifier": { "type": { "coding": [ { "system": "eHealth/resources", "code": "episode_of_care" } ], "text": "" }, "value": "97d57238-ffbe-4335-92ea-28d4de117ea2" } } ], "granted_to": { "identifier": { "type": { "coding": [ { "system": "eHealth/resources", "code": "employee" } ] }, "value": "9183a36b-4d45-4244-9339-63d81cd08d9c" } }, "access_level": "read", "authorize_with": "cc949559-5dfe-420f-ac05-065e443b2cc6" }

 

Authorize

  1. Verify the validity of access token

    1. in case of error - return 401 (“Invalid access token”) in case of validation fails

  2. Verify that token is not expired

    1. in case of error - return 401 (“Invalid access token”)

  3. Check user scopes in order to perform this action (scope = 'approval:create ')

    1. return 403 (“Your scope does not allow to access this resource. Missing allowances: approval:create ”) in case of invalid scope(s)

Headers

Наприклад:

Content-Type:application/json

Authorization:Bearer d368a4b0-4a0e-457a-b267-32359fa6288f

 

Request data validation

Validate user

  1. Granted_to.employee_id should be active

    1. in case of error - return 422 “Should be active“

  2. Check if employee from the same legal entity as user:

    1. client_id from token should be linked with employee_id from granted_to object.

      1. in case of error - return 422 “Employee <employee_id> doesn't belong to your legal entity“

  3. Check employee_type is from list of employee types configuration CREATE_APPROVAL_ALLOWED_EMPLOYEE_TYPES

    1. in case of error - return 422 “Invalid employee type“

Validate resources or block of resources

  1. Approvals are processed in the async way

Validate resources

  1. if episode_of_care is presented in request as the code of resource

    1. Check episode_of_care in the request exists and is in active or closed status in DB

      1. in case of error return - 422 (Episode is canceled)

    2. Check if resource from granted_to = 'employee':

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

  2. if diagnostic_report is presented in request as the code of resource

    1. Check diagnostic_report block in the request exists and is in final status in DB

      1. in case of error return - 422 (Diagnostic report in \"entered_in_error\" status can not be referenced or Diagnostic report with such id is not found)

    2. Check if resource from granted_to = 'employee':

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

  3. if care_plan is presented in request as the code of resource

    1. Check care_plan in the request exists in DB

      1. in case of error return - 422 (Care plan with such id is not found)

    2. Check there no other objects in request

      1. in case of error return - 422 (Approval for care plan can not contain other entities)

    3. Check if resource from granted_to = 'employee':

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

    4. if access_level = 'write':

      1. Check if care_plans.managing_organization = granted_to.employees.legal_entity_id:

        1. in case of error return - 422 ('User is not allowed to write care plan from another legal_entity')

  4. if encounter  is presented in request as the code of resource

    1. Check encounter in the request exists in DB

      1. in case of error return - 422 (not found)

    2. Check if resource from granted_to = 'employee':

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

    3. Check is status of episode from encounter = 'active'

      1. in case of error return - 422 ("Encounter refers to episode that is not active")

    4. Validate episode related to the encounter:

      1. exists

        1. in case of error - return 422 ('Encounter refers to episode that does not exist')

      2. is “active” or “closed”

        1. in case of error - return 422 ('Encounter refers to episode that is not active or closed')

      3. it’s managing organization matches with author’s legal entity (client_id)

        1. in case of error - return 422 ('Encounter is from another legal entity')

Add label

  1. if procedure is presented in request as the code of resource

    1. Check procedure in the request exists in DB

      1. in case of error return - 422 (not found)

    2. Check if resource from granted_to = 'employee':

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

  2. if specimen is presented in request as the code of resource

    1. Check specimen in the request exists in DB and is not in “entered_in_error” status in DB

      1. in case of error return - 422 (Invalid specimen status)

    2. Check if resource from granted_to = 'employee':

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

Validate service_request

  1. If service_request block is presented in request

    1. Get Service_request details (only in active status)

    2. use Response.permitted_resources as resources for approval(could be episode or diagnostic_report).

  2. If resource from granted_to = 'legal_entity':

    1. Check if status of legal_entity in (ACTIVE, SUSPENDED):

      1. in case of error return - 422 (Legal entity should be active)

Validate forbidden_group

  1. if forbidden_group block is presented in request

    1. Check forbidden group in the request exists and is_active in DB

      1. in case of error return - 404 (not found)

    2. Check if resource from granted_to = 'employee':

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

Validate diagnoses_group

  1. if diagnoses_group block is presented in request

    1. Check diagnoses_group in the request exists and is_active in DB

      1. in case of error return - 404 (not found)

    2. Check if resource from granted_to = 'employee':

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

Validate service_group

  1. if service_group block is presented in request

    1. Check services_group in the request exists and is_active in DB

      1. in case of error return - 404 (not found)

  2. Check if resource from granted_to = 'employee':

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

Validate patient

  1. if patient block is presented in request

    1. Get patient_id from URL:

      1. Check person_id from the request equal to the patient_id from URL

        1. in case of error return - 404 (“Approval for one patient can not be created in another patient’s context”)

      2. exists and is_active in DB

        1. in case of error return - 404 (Person is not found)

    2. Check if resource from granted_to = 'employee':

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

Validate resource_types

  1. Check if resource from granted_to = 'employee':

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

  2. Check that requested resource_types are any of the following [device, device_association, detected_issue]

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

  3. Check that device and device_association requested in resource_types as they are both required

    1. in case of error return - 422 ("$.resource_types device and device_association are required)

Validate block child_resource

  1. if child_resource is not empty:

    1. validate that access_level == read

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

    2. check that $.child_resource.identifier.value context is equal to $.resource.identifier.value

      1. in case of error return - 422 (Child resource context id is not equal to granted resource id)

    3. validate that service_requests / forbidden_groups / diagnoses_group / patients are not filled

      1. in case of error return - 422 (schema does not allow additional properties)

    4. validate that resources max items = 1

      1. in case of error return - 422 ($.resources.expected a maximum of 1 items but got 2)

    5. Check if resource from granted_to = 'employee':

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

Validate person authentication_method

  1. if resource = care_plan & care_plans.terms_of_service = 'INPATIENT'&granted_to.employees.legal_entity_id = care_plans.managing_organization:

    1. skip validation of person authentication_method

    2. set approvals.urgent = null

  2. In other cases: Check patient_id:

    1. if belongs to person, then GET auth_method from MPI using {patient_id}

      1. If it's OTP:

        1. send SMS to the auth_phone via otp_verification service POST /verifications

        2. save approval to DB

        3. save authentication_method_current.type and number to DB

        4. return authentication_method_current.type = OTP

      2. If it is offline

        1. save approval to DB

        2. save authentication_method_current.type and number to DB

        3. return  authentication_method_current.type = offline

      3.  if it is null:

        1. return error 409 (Person does not have active authentication method)

    2. if belongs to preperson:

      1. save approval to DB

      2. set approval status = active

      3. set approval urgent = null 

Validate access_level

  1. Validate that access_level correspond to granted_resources:

    1. In case error return 422 ("Resource types [\"$.granted_resources[].code\"] not allowed to use write access_level")

  2. If employee_type of granted_to.identifier.value employee == ASSISTANT:

    1. Check that access_level == ‘read’:

      1. In case error return 422 ("Role ASSISTANT is not allowed to use write access_level for approval")

block

granted_resources

context

access_level

access to

reason

block

granted_resources

context

access_level

access to

reason

resources

episode_of_care

 

read

Reading all the data of specified in approval episode

null or child_resource

diagnostic_report

 

read

Reading all the data of specified in approval diagnostic report

diagnostic_report

 

write

Canceling diagnostic report package

care_plan

 

read

Reading all the data of specified in approval care plan

care_plan

 

write

Creating activities for care plan, cancelling medication requests or recalling/cancelling service requests based on care plan

encounter

 

write

Canceling encounter data package

procedure

 

write

Canceling procedure

 

specimen

 

write

Canceling specimen

child_resources

diagnostic_report

episode_of_care

read

Reading all the data of specified in context for diagnostic_report

null

encounter

episode_of_care

Reading all the data of specified in context for encounter

null

condition

episode_of_care

Reading all the data of specified in context for condition

null

observation

episode_of_care

diagnostic_report

Reading all the data of specified in context for observation

null

activity

care_plan

Reading all the data of specified in context for activity

null

clinical_impression

episode_of_care

Reading all the data of specified in context for clinical_impression

null

allergy_intolerance

episode_of_care

Reading all the data of specified in context for allergy_intolerance

null

immunization

episode_of_care

Reading all the data of specified in context for immunization

null

device

episode_of_care

Reading all the data of specified in context for device

null

risk_assessment

episode_of_care

Reading all the data of specified in context for risk_assessment

null

procedure

episode_of_care

Reading all the data of specified in context for procedure

null

service_request

episode_of_care

 

read

Reading data from granted_resources in approval service request

service_request

diagnostic_report

 

read

forbidden_group

forbidden_group

 

read

Reading all the medical events with items (codes/services/service_groups) of specified in approval forbidden groups 

null

diagnoses_group

episode_of_care array

 

read

Reading all data of episodes with current_diagnoses.codes that specified in approval diagnoses group 

null

services_group

diagnostic_reports and procedures array

 

read

Reading all data of diagnostic reports and procedures with code.identifier.value that specified in approval service group

null

patient_id

patient_id

 

read

Reading all the data of specified patient

null

resource_types

device

 

read

Read all the data of specified patient and resource type

null

device_association

 

read

Read all the data of specified patient and resource type

null

detected_issue

 

read

Read all the data of specified patient and resource type

null

Validate authorize_with

The patient can pass the id of his auth_method which he wants to confirm the approval. The necessary auth method can be found by making Get person's auth methods

  1. validate auth_method.id is UUID

    1. in case error return 422

  2. search auth method in MPI.person_authentication_method

    1. in case error return 422, "such authentication method doesn't exist"

  3. search auth method of this patient where  MPI.person_authentication_method.person_id = $.patient.id

    1. in case error return 422, "such authentication method does not belong to this person"

  4. validate if auth_method.type = NA

    1. error return 422, "Сannot be confirmed by a method with type= NA. Use a different method."

  5. validate that this method is active ( authentication_method.ended_at > now() and is_active = true)

This field is optional and set in new field authorize_with and save type and phone_number in approvals.urgent.authentication_method_current.

If approval doesn't have this field, then choose that method which is returned from mpi as person's default method.

 

Processing

Service logic

  1. Set is_verified = false

  2. All the approvals where is_verified = false should be deleted 12 hours after creation - env. configuration parameter

  3. All approvals depends on value of granted_resources has its own expires_at config parameter - env. configuration parameter

  4. Approvals with child_resources will be created ON entity which is context of this child_resources

  5. For approvals on child_resource with resource and on service_request:

    1. set child resource to block reason

    2. set service_request to block reason

  6. If block resource_types passed in request - it must be saved to db.approvals.granted_resource_types. db.approvals.granted_resources must be empty

    1. in all other scenarios db.approvals.granted_resource_types must be empty

  7. Check type of authentication_method for patient:

    1. If type = 'OTP' send SMS type of granted_to & type of entity in granted_resources:

granted_to

block

granted_resources

Sms

items with FG

w\o items with FG

employee

resources

episode_of_care

Код <code> для доступу до даних про <forbidden_groups.short_name> <forbidden_groups.sms_url>

 

If there are codes from more than 1 group:

 

Код <code> для доступу до даних про ВІЛ, РПП психіатріюhttps://bit.ly/nszu1677f

Код авторизації дій в системі eHealth: <code>

diagnostic_report

care_plan

encounter

procedure

specimen

child_resources

diagnostic_report

encounter

condition

observation

activity

clinical_impression

allergy_intolerance

immunization

device

risk_assessment

procedure

service_request

episode_of_care

diagnostic_report

forbidden_group

forbidden_group

-(only with FG)

diagnoses_group

diagnoses_group

ICD10: Код <code>: доступ на групу діагнозів {diagnoses_group_code} http://bit.ly/nszu1677b

ICPC2: Код <code>: доступ на групу діагнозів {diagnoses_group_code} http://bit.ly/nszu1677e

services_group

diagnostic_reports and procedures array

Код ****: доступ на групу сервісів {service_group_code}   http://bit.ly/nszu1677e

patient_id

patient_id

Код авторизації дій в системі eHealth: <code>

resource_types

device

Код <code>: доступ до інформації про медичні вироби пацієнта

device_association

detected_issue

granted_to

block

granted_resources

Sms

items with FG

w\o items with FG

legal_entity

service_request

episode_of_care

-(only w/o FG)

Код <code>: згода на обробку персональних даних https://bit.ly/nszu1677i)

diagnostic_report

 

Response structure

See on Apiary

Example:

{ "data": { "id": "d5a5d991-0bf7-476f-b3cf-bec73f044b2e", "granted_resources": [ { "identifier": { "type": { "coding": [ { "system": "eHealth/resources", "code": "episode_of_care" } ] }, "value": "d5a5d991-0bf7-476f-b3cf-bec73f044b2e" }, "display_value": "null" } ], "granted_to": { "identifier": { "type": { "coding": [ { "system": "eHealth/resources", "code": "employee" } ] }, "value": "9183a36b-4d45-4244-9339-63d81cd08d9c" }, "display_value": "null" }, "expires_at": 1498749591, "reason": { "identifier": { "type": { "coding": [ { "system": "eHealth/resources", "code": "service_request" } ] }, "value": "9183a36b-4d45-4244-9339-63d81cd08d9c" }, "display_value": "null" }, "status": "new", "access_level": "read", "authentication_method_current": { "type": "OTP", "number": "+38093*****85" } }, "meta": { "code": 201, "url": "http://example.com/resource", "type": "object", "request_id": "req-adasdoijasdojsda" } }

 

{ "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

HTTP status code

Message

What caused the error

HTTP status code

Message

What caused the error

201

 response

 

202

 response

 

401

Invalid access token

 

403

Your scope does not allow to access this resource. Missing allowances: approval:create

 

404

  • not found

  • Person is not found

  • Approval for one patient can not be created in another patient’s context

 

409

Person does not have active authentication method

 

422

  • Сannot be confirmed by a method with type= NA. Use a different method

  • Should be active

  • Employee <employee_id> doesn't belong to your legal entity

  • Episode is canceled

  • Diagnostic report in "entered_in_error" status can not be referenced or Diagnostic report with such id is not found

  • Care plan with such id is not found

  • Approval for care plan can not contain other entities

  • $.access_level. value is not allowed in enum

  • Child resource context id is not equal to granted resource id

  • schema does not allow additional properties

  • $.resources.expected a maximum of 1 items but got 2

  • Resource types ["$.granted_resources[].code"] not allowed to use write access_level

  • such authentication method doesn't exist

  • such authentication method does not belong to this person

 

 

 

ЕСОЗ - публічна документація