Purpose
Web service "Submit Encounter Package" allows to transmit all the data collected during the encounter into eHealth DB using one single endpoint. I.e. all the data such as conditions, observations, allergy intolerances should be aggregated in one single data package in order to be registered in eHealth.
Specification
Logic
Using this web service you can submit:
Object | Required | Part of Signed content |
|---|---|---|
Visit | 0-1 | false |
Encounter | 1-1 | true |
Condition | 0-* | true |
Observation | 0-* | true |
Allergy intolerance | 0-* | true |
Immunization | 0-* | true |
Risk assessment | 0-* | true |
Device | 0-* | true |
Medication statement | 0-* | true |
Medication administration | 0-* | true |
Diagnostic report | 0-* | true |
Procedure | 0-* | true |
Clinical impression | 0-* | true |
You can send the same request (with the same body) multiple times, but a new job will not be created before previous is not performed.
Global and configurable parameters
Dictionaries
https://e-health-ua.atlassian.net/wiki/spaces/EH/pages/1890812416
Request structure
See on Apiary
Example:
Authorize
Verify the validity of access token
in case of error - return 401 ('Invalid access token')
Verify that token is not expired
in case of error - return 401 ('Invalid access token')
Check user scope encounter:write in order to perform this action
in case of error generate 403 response ('Invalid scopes')
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")
Headers
Content-Type:application/json
Authorization:Bearer {{access_token}}
API-key:{{secret}}
Request data validation
Note: No update operations are allowed. All IDs, submitted as PK, should be unique for eHealth.
Validate patient status
db.patients.status for this patient must "active"
in case of error return 409 - "Patient is not active"
Validate request according to JSON Schema
Return 422 with list of validation errors in case validation fails
Validate Visit
$.visit.id is unique
in case of error return 422 - "Visit with such id already exists"
$.visit.period.start <= current_dateTime
in case of error return 422- "Start date must be in past"
$.visit.period.end <= current_dateTime
in case of error return 422- "End date must be in past"
$.visit.period.end > visit.period.start
in case of error return 422 - "End date must be greater than the start date"
Validate DS
Validate that DS belongs to the performer of encounter
validate that drfo from DS and party.drfo of performer matches
Validate that performer of encounter is a current user
validate that one of users employee is a performer of encouner
validate that client_id from token == PRM.performer.legal_entity
Validate encoded signed content according to JSON Schema
Return 422 with list of validation errors in case validation fails
Validate Legal Entity Type
Validate legal entity from token: legal_entities.type should be in me_allowed_transactions_le_types and legal_entities.status =='active'
Validate Encounter
Global validations
Validate encounter id as a primary key
Validate that the date is within acceptable limits
$.encounter.date<= current_date
$.encounter.date>=current_date-encounter_max_days_passed
$.encounter.date>=episode.period.start where episode.id=$encounter.episode.identifier.value
in case of error return 422 "Encounter’s date must be equal to or greater than start date of episode"
Validate that the period is within acceptable limits
$.encounter.period.start<= current_date
in case of error return 422 "Date must be in past"
$.encounter.period.start>=current_date-encounter_max_days_passed
in case of error return 422 "Date must be greater than {{current_date-encounter_max_days_passed}}"
$.encounter.period.start>=episode.period.start where episode.id=$encounter.episode.identifier.value
in case of error return 422 "Encounter’s date must be equal to or greater than start date of episode"
$.encounter.period.end>= $.encounter.period.start
in case of error return 422 "End date must be greater than start date"
Validate "episode" is an active episode that belongs to the current patient
$.encounter.episode.identifier.value is one of ME.patinet{patient_id}.episodes{*}.id
in case of error return 422 "Episode with such ID is not found"
$.encounter.episode.identifier.value is an ID of an Episode that meets the requirements:
ME.patient{patinet_id}.episodes{episode_id}.status = 'active'
in case of error return 422 "Episode is not active"
ME.patient{patinet_id}.episodes{episode_id}.managing_organization==token.client_id
in case of error return 422 "Managing_organization in the episode does not correspond to user`s legal_entity"
Validate "visit" is a visit that belongs to the current patient
$.encounter.visit.identifier.value=$.visit.id OR ID of already existing Visit in ME.patient{patient_id}.visit.id
in case of error return 422 "Visit with such ID is not found"
Validate referrals
As a referral it can be referenced electronic (registered in the system) OR paper service request
Validate ($.encounter.incoming_referrals OR $.encounter.paper_referral) or none in request
Validate incoming referrals as References
Validate paper referral as Object (paper_referral)
Validate incoming referrals that corresponds to $.encounter.incoming_referrals[*].identifier.value have:
..used_by_legal_entity.identifier.value==token.client_id OR null
in case of error return 409 "Service request is used by another legal_entity"
..status==active or program_processing_status=in_progress (any status is valid in case program_processing_status= in_progress)
in case of error return 409 "Invalid service request status"
..if program is defined program_processing_status=new, in_queue or in_progress
check that service_request contains based_on parameter
in case based_on present in service_request
verify care_plan:
It should be in active status
Care plan's period end (if exist) should be greater than current date or equal.
verify activity:
It has activity.detail.kind=service_request; activity.detail.product_reference=service_id.
It has scheduled, in_progress status
in case based_on not present in request skip previous validations.
Check if service request quantity is not exhausted as described at https://e-health-ua.atlassian.net/wiki/spaces/EH/pages/17061216257/Submit+Encounter+Package#Related-service-request-validation
Validate performer
$.encounter.performer.identifier.value is an ID of existing employee in PRM.Employees
in case of error return "There is no Employee with such id"
$.encounter.performer.identifier.value == PRM.Employees.id where (PRM.Employees.status==`active`)
in case of error return "Employee is not active"
$.encounter.performer.identifier.value == PRM.Employees.id where (PRM.Employees.legal_entity== client_id)
"User can not create encounter for this legal_entity"
validate employee type according to encounter.class - use config file (employee_encounter_classes)
in case error return 422, "Employee.type $type is forbidden for your encounter class"
according to employee.type as stated in employee_encounter_types
in case error return 422, msg "Employee.type $type is forbidden for your encounter type"
division
$.encounter.division.identifier.value must meet the following requirements
PRM.division.status = "ACTIVE"
in case of error return 409 "Division is not active "
PRM.division.legal_entity= token.client_id
in case of error return 409 "User is not allowed to create encouners for this division"
Validate supporting_info as References
Validate encounter.class
according to legal_entity.type - use config file (legal_entity_episode_types)
in case error return 409, msg "Encounter.class $class is forbidden for your legal entity type"
according to episode.type - use config file (episode_type_encounter_classes)
in case error return 409, msg "Encounter.class $class is forbidden for your episode type"
according to employee.type as stated in encounter class validations
in case error return 409, msg "Encounter.class $class is forbidden for your employee type"
Validate encounter.type according to encounter.class - use config file encounter_class_encounter_types
in case error return 409, msg "Encounter.type $type is forbidden for your encounter class"
Validate actions
Validate actions presence according to encounter class validations
in case error return '422', msg 'TBC'
Defined in the system that corresponds to encounter class validations
in case error return '422', msg 'TBC'
Validate action_references
Note. For encounter.action_references pass only "service", and the "service_group" does not passValidate action_references presence according to encounter class validations
in case error return '422', msg 'At least one of action references, diagnostic reports or procedures should exist in encounter package'
Validate code as a Reference
Validate action_references is in prm.services, has status ACTIVE and is_active = true
in case error return '422', msg 'Service with such ID is not found'
in case error return '422', msg 'Service should be active'
Validate that action_references is service with service.category==”counselling” in case encounter.class=”AMB”
in case error return ‘422', msg 'Invalid service category for AMB encounter class'
Validate diagnoses
Validate conditions as References
Validate that encounter type= 'intervention'. If not, than:
Validate encounter has exactly one diagnosis where $.encounter.diagnoses[?(@.role.coding[0].code=="primary")]
in case of error return 422 "Encounter must have exactly one primary diagnosis"
Validate http://condition.id is in DB or in current Encounter package
Validate that each condition is active (verification_status != entered_in_error)
in case of error return 409 "Conditions in diagnoses must be active"
Validate that primary diagnosis defined in the system that corresponds to encounter class validations
in case of error "Primary diagnosis should be defined in {$.encounter.diagnoses[*].role.coding[*].system } system"
Validate that rank
Rank value should be integer and >= 1
in case of error return 422 "expected the value to be >= 1"
Rank value should be integer and <= 10
in case of error return 422 "expected the value to be <= 10"
Validate reasons
Validate reasons presence according to encounter class validations
in case error return 422, msg 'Validation failed. You can find validators description at our API Manifest: Nebo #15 API Manifest · Apiary .', description 'can't be blank.
Validate hospitalization
Validate hospitalization presence according to encounter class validations
in case error return 422, msg "Hospitalization block is forbidden for encounter.class = $encounter.class"
Validate all fields according to schemata
destination
discharge_disposition
pre_admission_identifier
admit_source
re_admission
discharge_department
If encounter.type.code = "discharge" than encounter.hospitalization.admit_source is required, encounter.hospitalization.discharge_disposition is required, encounter.hospitalization.discharge_department is required
in case error return 422, msg "<parameter> is required for encounter.type.code = "discharge"
Validate destination is a valid legal_entity in prm with status is ACTIVE and is_active = true
in case error return 422, "Legal entity is not active"
Validate patient_id for encounter.type == "patient_identity"
$patient_id should exist in mpi.prepersons.id, have status =='ACTIVE' and is_active = true
in case error return 'TBC', msg 'TBC'
If incoming referrals exists and incoming_referral (service request) category not in ('transfer_of_care', 'hospitalization') and encounter.class in ("AMB", "INPATIENT") and encounter.type <> "patient_identity" validate service for encounter.actions OR diagnostic_report.code OR procedure.code
If service_requests.code.identifier.value is service, validate $resourse.code.identifier.value = service_requests.code.identifier.value
in case error return 409, "Service in $resourse differ from service in service request"
if service_requests.code.identifier.value is service_group, validate $resourse.code.identifier.value in (SELECT service_id from service_inclusions where service_group_id='service_requests.code.identifier.value')
in case error return 409, "Service in $resourse differ from services in service request's service_group"
Validate $resourse.service.is_active = true
in case error return 409, "Service should be active"
Validate patient verification status:
If encounter has incoming referral with valid and active service request, then skip this validation.
Else check patient's verification_status is not equal to NOT_VERIFIED.
in case of error return 409, "Patient is not verified"
Validate priority
Validate priority presence according to eHealth/encounter_priority
in case error return 409, ""
If encounter.class.code = "INPATIENT", priority is required
in case error return 422, "Priority for encounter is required"
Validations for encounter classes
Important
This validations is applicable for all encounter types except covid. Specific validations for covid encounter type described in /wiki/spaces/CSI/pages/17129046100
Encounter class validations
Validation | PHC | AMB | INPATIENT |
|---|---|---|---|
employees.type | as stated in config file employee_encounter_types | as stated in config file employee_encounter_types | as stated in config file employee_encounter_types |
encounter.type | as stated in config file encounter_class_encounter_types | as stated in config file encounter_class_encounter_types | as stated in config file encounter_class_encounter_types |
actions |
| is absent in request | is absent in request |
diagnoses | diagnoses.primary is a condition with code in dictionary "eHealth/ICPC2/condition_codes" | diagnoses.primary is a condition with code in dictionary "eHealth/ICD10_AM/condition_codes" | diagnoses.primary is a condition with code in dictionary "eHealth/ICD10_AM/condition_codes" |
reasons |
|
|
|
hospitalisation | is absent in request | is absent in request | if encounter.type == "discharge" - this block is mandatory
For other encounter types
|
action_references | is absent in request | if encounter.type == "patient_identity"
For other encounter types
| if encounter.type == "patient_identity"
For other encounter types
|
division |
|
| Division must be filled |
Validate Conditions
Validate conditions ids as primary keys
Validate that context of conditions is a current encounter
$.conditions[*].context.identifier.value == $.encounter.id
in case of error return "Submitted context is not allowed for the condition"
Validate code depending on encounter class
if $.encounter.class = PHC - allowed both eHealth/ICPC2/condition_codes and eHealth/ICD10_AM/condition_codes
if $.encounter.class in (AMB, INPATIENT) - allowed only eHealth/ICD10_AM/condition_codes
Validate code.coding depending on the qty of codes
Maximum one code from one dictionary (eHealth/ICPC2/condition_codes and eHealth/ICD10_AM/condition_codes) is allowed
in case of error return 422 with msg "Only one code from one dictionary is allowed"
Validate that the date is within acceptable limits
$.conditions[*].onset_date <= current_date
in case of error "Onset date must be in past"
$.condition[*].onset_date>=current_date-condition_max_days_passed
in case of error "Onset date must be greater than {{current_date-condition_max_days_passed}}"
$.conditions[*].onset_date <= current_date
in case of error "Onset date must be in past"
$.conditions[*].asserted_date <= current_date
in case of error "Asserted date must be in past"
$.conditions[*].evidences[*].detail[*].identifier.value is an ID of existing observation in MedicalEvents.Observations or one of $.observations[*]
OR $.conditions[*].evidences[*].detail[*].identifier.value is an ID of existing condition in MedicalEvents.Conditionsin case of error 422 "<medical_event> with such id is not found"
$.conditions[*].evidences[*].detail[*].identifier.value is an ID of existing observation in MedicalEvents.Observations or one of $.observations[*]in case of error 409 "Observation with such id is not found"
$.conditions[*].evidences[*].detail[*].identifier.value meet follownig conditions
MedicalEvents.Observation.Patient == patient_id (from url)
Error 409 "Evidence can not reference another patient"
MedicalEvents.Observation.Status != "entered_in_error"
Error 409 "Observation in "entered_in_error" status can not be used as an evidence"
Validate $.conditions[*].evidences[*].detail[*].identifier.value
for each $.conditions[*].evidences
check:MedicalEvents.<MedicalEvent>.Patient == patient_id (from url)
Error 422 "<medical_event> with such id is not found"
MedicalEvents.<MedicalEvent>.Status != "entered_in_error"
Error 422 "<medical_event> in "entered_in_error" status can not be used as an evidence"
in case if PSYCHIATRY_ICPC2_DIAGNOSES_EVIDENCE_CHECK chart parameter contains $.conditions[*].code.coding.code
check if at least one item from $.conditions[*].evidences meets requirements:check if $.conditions[*].evidences[*].detail[*].identifier.type.coding.code == "condition"
Error 422 "Condition must be entered as an evidence to set condition code <$.conditions[*].code.coding.code>"
MedicalEvents.Condition.Code.Coding array contains at least one of codes from PSYCHIATRY_ICD10_AM_CONDITION_EVIDENCE_ALLOWED chart parameter.
Error 422 "Condition can not be used as an evidence to set condition code <$.conditions[*].code.coding.code>"
get Encounter by MedicalEvents.Condition.Contextget Encounter.Diagnoses[*] withhttp://Condition.idcheck if Encounter.Diagnoses[*].Role is equal to $.encounter.diagnoses[*].role for $.conditions[*].id.Error 422 "Condition can not be set as an evidence with wrong diagnosis role ("<role>")"
Validate asserter.
$.conditions.asserter.identifier.value is an ID of one of users employee
in case of error return "Employee is not performer of encounter"
according to logic Submit Encounter Data Package#Performer(asserter)validation
check if asserter's employee_type == "ASSISTANT" then define allowed conditions from ASSISTANT_EMPLOYEE_CONDITIONS_ALLOWED
in case condition code is not allowed for the employee_type - return 409 error ('Asserter has no required employee type to set condition code <code>')
check if asserter's employee_type == "MED_COORDINATOR" then define allowed conditions from ICD10_AM_MED_COORDINATOR_EMPLOYEE_CONDITIONS_ALLOWED
in case condition code is not allowed for the employee_type - return 409 error ('Asserter has no required employee type to set condition code <code>')
ifprimary_source= true andcodehaseHealth/ICD10_AM/condition_codesdictionary value:define allowed specialities for ICD10_AM condition code using a set of chart variables ICD10_AM_<SPECIALITY_TYPE>_SPECIALITY_CONDITIONS_ALLOWEDcheck if asserter's speciality in allowed specialities defined on previous stepin case speciality not allowed for the condition code - return 409 error ('Asserter has no required speciality to set condition code <code>')
Validate primary_source:
if primary_source = true and code has eHealth/ICD10_AM/condition_codes dictionary value:
define allowed specialities for ICD10_AM condition code using a set of chart variables ICD10_AM_<SPECIALITY_TYPE>_SPECIALITY_CONDITIONS_ALLOWED
check if asserter's speciality in allowed specialities defined on previous step
in case speciality not allowed for the condition code - return 409 error ('Asserter has no required speciality to set condition code <code>')
if primary_source = false - skip this check
Validate Observations
Validate observations ids as primary keys
Validate that context of observation is a current encounter
$.observations[*].context.identifier.value==$.encounter.id
in case of error return "Submitted context is not allowed for the observation"
Validate that the date is within acceptable limits
$.observations[*].issued <= current_time
in case of error return "Issued date must be in past"
$.observations[*].issued>=current_date-observation_max_days_passed
in case of error "Issued must be greater than {{current_date-observation_max_days_passed}}"
Validate performer(asserter)
Validate $.observations[*].components
if $.observations[*].code.coding[*].system is "eHealth/ICF/classifiers":
Check number of component items with $.observations[*].components[*].code.coding[*].system = "eHealth/ICF/qualifiers":
if $.observations[*].code.coding[*].code starts from "b" letter, then components must contain exact 1 item with:
$.observations[*].components[*].code.coding[*].code = "extent_or_magnitude_of_impairment"
in case of missing qualifier - return 422 "Missing components with qualifiers <list of missing qualifiers>"
in case of incorrect number of qualifiers - return 422 "Required 1 component, but got <number of items>"
in case value is not active in dictionary - return 422 "Value is not active"
if $.observations[*].code.coding[*].code starts from "s" letter, then components must contain exact 3 items with:
$.observations[*].components[*].code.coding[*].code = "extent_or_magnitude_of_impairment"
$.observations[*].components[*].code.coding[*].code = "nature_of_change_in_body_structure"
$.observations[*].components[*].code.coding[*].code = "anatomical_localization"
in case of missing qualifier - return 422 "Missing components with qualifiers <list of missing qualifiers>"
in case of incorrect number of qualifiers - return 422 "Required 3 components, but got <number of items>"
in case value is not active in dictionary - return 422 "Value is not active"
if $.observations[*].code.coding[*].code starts from "d" letter, then components must contain exact 2 items with:
$.observations[*].components[*].code.coding[*].code = "performance"
$.observations[*].components[*].code.coding[*].code = "capacity"
in case of missing qualifier - return 422 "Missing components with qualifiers <list of missing qualifiers>"
in case of incorrect number of qualifiers - return 422 "Required 2 components, but got <number of items>"
in case value is not active in dictionary - return 422 "Value is not active"
if $.observations[*].code.coding[*].code starts from "e" letter, then components must contain exact 1 item with:
$.observations[*].components[*].code.coding[*].code = "barrier_or_facilitator"
in case of missing qualifier - return 422 "Missing components with qualifiers <list of missing qualifiers>"
in case of incorrect number of qualifiers - return 422 "Required 1 component, but got <number of items>"
in case value is not active in dictionary - return 422 "Value is not active"
Check $.observations[*].components[*].value_codeable_concept is present in each item with $.observations[*].components[*].code.coding[*].system = "eHealth/ICF/qualifiers" and $.observations[*].components[*].value_codeable_concept.coding[*].system corresponds to $.observations[*].components[*].code.coding[*].code
in case not present or doesn't correspond - return 422 "Doesn't correspond to $.observations[i].components[i].code"
in case code value is not active in dictionary - return 422 "Value is not active"
if observations[*].categories[0].coding[0].system == "eHealth/ICF/observation_categories" - skip validation of observations[*].value and make this fields optional
else - check that one off this fields present:
Validate$.observations[*].
components[*].value_period as a Period
Validate $.observations[*].value_quantity
$.observations[*].value must be with number type
in case of error return "type mismatch. Expected number but got {entered type}"
$.observations[*].comparator can take the following values : [">", ">=", "=", "<=", "<"]
in case of error return "value is not allowed in enum"
$.observations[*].unit can take values from dictionary eHealth/ucum/units
in case of error return "value is not allowed in enum"
Validate $.observations[*].value_codeable_concept
$.observations[*].code validate that the code belongs to the dictionary system
in case of error return "Value is not allowed in enum"
Validate $.observations[*].value_boolean
$.observations[*].value_boolean must be boolean type
in case of error return "type mismatch. Expected boolean but got {entered type}"
Validate $.observations[*].value_string
$.observations[*].value_string must be string type
in case of error return "type mismatch. Expected string but got {entered type}"
Validate $.observations[*].value_sampled_data
$.observations[*].data must be string type
in case of error return "type mismatch. Expected string but got {entered type}"
$.observations[*].origin must be with number type
in case of error return "type mismatch. Expected number but got {entered type}"
$.observations[*].period must be with number type
in case of error return "type mismatch. Expected number but got {entered type}"
$.observations[*].factor must be with number type
in case of error return "type mismatch. Expected number but got {entered type}"
$.observations[*].lower_limit must be with number type
in case of error return "type mismatch. Expected number but got {entered type}"
$.observations[*].upper_limit must be with number type
in case of error return "type mismatch. Expected number but got {entered type}"
$.observations[*].dimensions must be with number type
in case of error return "type mismatch. Expected number but got {entered type}"
Validate $.observations[*].value_range
$.observations[*].low must be with object type
in case of error return "type mismatch. Expected object but got {entered type}"
$.observations[*].high must be with object type
in case of error return "type mismatch. Expected object but got {entered type}"
Validate $.observations[*].value_ratio
$.observations[*].numerator must be with object type
in case of error return "type mismatch. Expected object but got {entered type}"
$.observations[*].denominator must be with object type
in case of error return "type mismatch. Expected object but got {entered type}"
Validate $.observations[*].value_time
$.observations[*].value_time must be with string type
in case of error return "type mismatch. Expected string but got {entered type}"
Validate $.observations[*].value_date_time
$.observations[*].value_date_time must be with string type
in case of error return "type mismatch. Expected string but got {entered type}"
Validate $.observations[*].value_boolean
$.observations[*].value_boolean must be boolean type
in case of error return "type mismatch. Expected boolean but got {entered type}"
Validate $.observations[*].value_string
$.observations[*].value_string must be string type
in case of error return "type mismatch. Expected string but got {entered type}"
Validate $.observations[*].value_sampled_data
$.observations[*].data must be string type
in case of error return "type mismatch. Expected string but got {entered type}"
$.observations[*].origin must be with number type
in case of error return "type mismatch. Expected number but got {entered type}"
$.observations[*].period must be with number type
in case of error return "type mismatch. Expected number but got {entered type}"
$.observations[*].factor must be with number type
in case of error return "type mismatch. Expected number but got {entered type}"
$.observations[*].lower_limit must be with number type
in case of error return "type mismatch. Expected number but got {entered type}"
$.observations[*].upper_limit must be with number type
in case of error return "type mismatch. Expected number but got {entered type}"
$.observations[*].dimensions must be with number type
in case of error return "type mismatch. Expected number but got {entered type}"
Validate $.observations[*].value_range
$.observations[*].low must be with object type
in case of error return "type mismatch. Expected object but got {entered type}"
if observations[*].code.coding[*].system is "eHealth/ICF/classifiers", then:
Check observations[*].categories[*].coding[*].system should contain "eHealth/ICF/observation_categories"
in case of error return 422 “Code doesn't match observation category“
Check observations[*].components are presented
in case of error return 422 “Components required“
Validate $.observations.code.coding[*].code is active in corresponding dictionary
in case of error return 409, “Value is not active”
Validate $.observations[*].value_ratio
$.observations[*].numerator must be with object type
in case of error return "type mismatch. Expected object but got {entered type}"
$.observations[*].categories[*].coding[*].system is "eHealth/observation_categories" or "eHealth/ICF/observation_categories"
in case of error return 422 "Value is not allowed in enum"
$.observations[*].categories[*].coding[*].code corresponds to the system
in case of error return 422 "Value is not allowed in enum"
Validate $.observations.categories[*].coding[*].code is active in corresponding dictionary
in case of error return 409, “Value is not active”
If $.observations[*].categories[*].coding[*].system = "eHealth/ICF/observation_categories", then $.observations[*].code should be filled from "eHealth/ICF/classifiers" dictionary.
in case of error return 422 “Code doesn't match observation category“
Validate $.observations[*].value_time
$.observations[*].value_time must be with string type
in case of error return "type mismatch. Expected string but got {entered type}"
Validate $.observations[*].value_date_time
$.observations[*].value_date_time must be with string type
in case of error return "type mismatch. Expected string but got {entered type}"
Validate diagnostic report is one of reports in the current package
$.observations[*].diagnostic_report.identifier.value == one of $.diagnostic_report[*].identifier.value
in case of error "Invalid reference"
Validate $.observations[*].reaction_on
check that the appropriate immunizations.status != "entered_in_error"
in case of error return 409 "Immunization with status ‘entered_in_error’ can not be use"
Validate $.observations.code
if observations.code.coding[*].code value is included in chart variables 'OBSERVATION_CODES_WITH_<VALUE_TYPE>_REQUIRED', <value_type> field is mandatory
in case of error return 422 “This field is required for code = <code>“
Validate specimen, if submitted:
Check the field is a Reference on a specimen resource
in case of error return 422 “not allowed in enum”
Check it exists in DB or within current package, and belongs to the same patient:
in case of error return 422 "Specimen not found"
Check status:
is available if the specimen was found in the DB
in case of error return 422 "Specimen created before the current package should be available"
is unavailable if the specimen not found in the DB, but in the package
in case of error return 422 "Specimen created in the current package should be unavailable"
Validate observations for encounter.type == "patient_identity"
EDP with type == "patient_identity" should have list of special observations.
Such list can contain limited set of codes, some of them are mandatory
code | M/O |
|---|---|
height | M |
weight | M |
sex | M |
stature | O |
eye_colour | O |
hair_ color | O |
hair_length | O |
beard | O |
mustache | O |
clothes | O |
peculiarity | O |
Validate Immunizations
Validate immunizations ids as primary keys
Validate primary_source
in case primary_source == true
$..performer must be filled
in case of error return 422 with msg "performer must be present if primary_source is true"
$..report_origin must be absent
in case of error return 422 with msg "Only one of the parameters must be present"
check not_given parameter
in case not_given == false
$..explanation.reasons, $..manufacturer, $..lot_number, $..expiration_date, $..dose_quantity.value, $..dose_quantity.unit, $..dose_quantity.code, $..site, $..route, $..vaccination_protocols.dose_sequence, $..vaccination_protocols.authority, $..vaccination_protocols.series, $..vaccination_protocols.series_doses, $..vaccination_protocols.target_diseases must be filled (inclusive with those that are mandatory according to the apiary)
in case of error return 422 with msg "<reasons|manufacturer|lot_number|expiration_date|value|unit|code|site|route|dose_sequence|authority|series|series_doses|target_diseases> must be present if primary_source is true and not_given is false"
$..explanation.reasons_not_given must be absent
in case of error return 422 with msg "Only one of the parameters must be present"
in case not_given == true
$..explanation.reasons_not_given, $..vaccination_protocols.dose_sequence, $..vaccination_protocols.authority, $..vaccination_protocols.series, $..vaccination_protocols.series_doses, $..vaccination_protocols.target_diseases must be filled (inclusive with those that are mandatory according to the apiary)
in case of error return 422 with msg "<reasons_not_given|dose_sequence|authority|series|series_doses|target_diseases> must be present if primary_source and not_given is true"
$..explanation.reasons must be absent
in case of error return 422 with msg "Only one of the parameters must be present"
in case primary_source == false
$..report_origin must be filled
in case of error return 422 with msg "report_origin must be present if primary_source is false"
$..performer must be absent
in case of error return 422 with msg "Only one of the parameters must be present"
check not_given parameter
in case not_given == true return error 422 with msg "Only completed immunizations can be filled if primary_source is false and not_given is true"
in case not_given == false
$..explanation.reasons, $..dose_quantity.value, $..dose_quantity.unit, $..vaccination_protocols.authority, $..vaccination_protocols.target_diseases must be filled (inclusive with those that are mandatory according to the apiary)
in case of error return 422 with msg "<reasons|value|unit|authority|target_diseases> must be present if primary_source and not_given is false"
if vaccination_protocols.authority == MoH $..vaccination_protocols.dose_sequence, vaccination_protocols.series, vaccination_protocols.series_doses must be filled
in case of error return 422 with msg "<dose_sequence|series|series_doses> must be present if primary_source and not_given is false"
$..explanation.reasons_not_given must be absent
in case of error return 422 with msg "Only one of the parameters must be present"
$..manufacturer must be optional
Validate that context of immunizations is a current encounter
$.immunizations[*].context.identifier.value == $.encounter.id
in case of error "Submitted context is not allowed for the immunization"
Validate that the date is within acceptable limits
$.immunizations[*].date <= current_time
in case of error "Date must be in past"
$.immunizations[*].date>=current_date-immunization_max_days_passed
in case of error "Date must be greater than {{current_date-immunization_max_days_passed}}"
Validate performer according to the Rule
Validate that observation submitted as a detail of reaction is an existing observation that belongs to the current patient
$.immunizations[*].reactions[*].detail.identifier.value is an ID of existing observation in ME.observations where (ME.observations.patient_id==patient_id from url) OR one of $.observations[*].id
in case of error return 422 "There is no observation with such id"
Validate Allergy Intolerances
Validate allergy intolerances ids as primary keys
Validate that context of allergy_intolerances is a current encounter
$.allergy_intolerances[*].context.identifier.value == $.encounter.id
in case of error "Submitted context is not allowed for the allergy_intolerances"
Validate asserter according to the Rule
Validate that the date is within acceptable limits
$.allergy_intolerances[*].onset_date_time<= current date_time
in case of error "Onset date time must be in past"
$.allergy_intolerances[*].onset_date_time>=current_date-allergy_intolerance_max_days_passed
in case of error "Onset date time must be greater than {{current_date-allergy_intolerance_max_days_passed}}"
Validate that asserted_date is in past
$.allergy_intolerances[*].asserted_date<= current date_time
in case of error "Asserted date must be in past"
Validate that last_occurrence is in past
$.allergy_intolerances[*].last_occurrence<= current date_time
in case of error "Last occurrence must be in past"
Validate Risk Assessments
Validate risk assessment id as a primary key
Validate that context of risk_assessments is a current encounter
$.risk_assessments[*].context.identifier.value == $.encounter.id
in case of error "Submitted context is not allowed for the risk_assessments"
Validate that asserted_date is within acceptable limits
$.risk_assessments [*].asserted_date<= current date_time
in case of error "Asserted date must be in past"
$.risk_assessments [*].asserted_date>=current_date-risk_assessment_max_days_passed
in case of error "Asserted date must be greater than {{current_date-risk_assessment_max_days_passed}}"
Validate performer according to the Rule
validate performer is an active doctor from current legal_entity
$..performer.identifier.value is an ID of existing employee in PRM.employee
in case of error "Employee with such id is not found"
$..performer.identifier.value == PRM.employees.id where (PRM.employees.status == "APPROVED" and PRM.employees.employee_type in ("DOCTOR", "SPECIALIST")
in case of error return 422 "Invalid employee type"
Validate only one of these fields are filled: reason_reference , reason_codeable_concept
Validate reason_reference as a Reference
Validate basis as a Reference
Validate when_period as a Period
Validate only one of the fields is filled: prediction.when_period or prediction.when_range
Validate only one of the fields is filled: prediction.probability_decimal or prediction.probability_range
Validate Devices
Validate device id as a primary key
Validate that context of devices is a current encounter
$.devices[*].context.identifier.value == $.encounter.id
in case of error "Submitted context is not allowed for the device"
Validate that asserted_date is within acceptable limits
$.devices[*].asserted_date<= current date_time
in case of error "Asserted date must be in past"
$.devices[*].asserted_date>=current_date-device_max_days_passed
in case of error "Asserted date must be greater than {{current_date-device_max_days_passed}}"
Validate asserter according to the Rule
Validate usage_period as a period
Validate Medication Statement
Validate medication statement id as primary key
Validate that context of medication statement is a current encounter
$.medication_statements[*].context.identifier.value == $.encounter.id
in case of error "Submitted context is not allowed for the medication statement"
Validate that asserted_date is within acceptable limits
$.medication statements[*].asserted_date<= current date_time
in case of error "Asserted date must be in past"
$.medication statements[*].asserted_date>=current_date-medication statement_max_days_passed
in case of error "Asserted date must be greater than {{current_date-medication statement_max_days_passed}}"
Validate asserter according to the Rule
Validate based_on as a Reference to OPS.medication_request
Validate Medication Administration
Validate medication statement id as primary key
Validate part_of
validate procedure or medication_administration is made for the same patient
procedure.patient_id=@person_id
medication_administration.patient_id=@person_id
in case error return 409 "Procedure/Medication administration was made for another person"
validate procedure or medication_administration is not in status `entered_in_error`
in case error return 409, "Procedure/Medication administration is not active"
if part_of.identifier.value is a procedure validate it is a procedure in DB or in payload
in case error return 422, "Procedure with such id is not found"
Validate medication
validate that medication is of type 'BRAND'
in case error return 422, "Medication should be of type brand"
medication corresponds to the INNM_DOSAGE medication from request.medication
"select count(*) from ingredients where parent_id=‘medication_administration.medication.id’ and medication_child_id = ‘medication_request.medication_id’ " >=1
in case error return 422, "Medication should correspond to the one in request"
Validate that context of medication administration is a current encounter
$.medication_administration[*].context.identifier.value == $.encounter.id
in case of error "Submitted context is not allowed for the medication administration"
validate performed_date_time <= now()
in case error return 422, "performed_date_time should be in the past"
Validate performer according to the Rule
validate performer is an active doctor from current legal_entity
$..performer.identifier.value is an ID of existing employee in PRM.employee
in case of error "Employee with such id is not found"
$..performer.identifier.value == PRM.employees.id where (PRM.employees.status == "APPROVED" and PRM.employees.employee_type in ("DOCTOR","SPECIALIST"))
"Employee is not an active doctor"
validate reason_references
validate Condition|Observation|DiagnosticReport as Reference
validate Condition|Observation|DiagnosticReport is not in status "entered_in_error"
in case error return 409, "Reason reference should be active"
validate Condition|Observation|DiagnosticReport is made for the same person
in case error return 409, "Reason reference was made for another person"
validate Condition|Observation|DiagnosticReport exist in DB or in payload
in case error return 422, "Condition|Observation|DiagnosticReport with such id is not found"
Validate request
validate medication_request as a reference
validate medication_request is in active status. medication_request.status='ACTIVE' and is_active=true
in case error return 409, "medication request is not active"
validate medication request is made for the same person
in case error return 409, "medication request was made for another person"
Validate medication_request.started_at < now()
in case error return 409, "Medication request started at should be in the past"
Validate dosage
Validate Diagnostic Report
Validate diagnostic reports ids as primary keys
Validate based_on as Reference
Validate that service_request, referenced as based_on, is
in status is
activeor program_processing_status=in_progress (any status is valid in case program_processing_status= in_progress)in case of error return 409 "Invalid service request status"
if program is defined than used_by_legal_entity==token.client_id OR null
in case of error return 409 "Service request is used by another legal_entity"
if program is defined than program_processing_status == new, in_queue or in_progress
check that service_request contains based_on parameter
in case based_on present in service_request
verify care_plan:
It should be in active status
Care plan's period end (if exist) should be greater than current date or equal.
verify activity:
It has activity.detail.kind=service_request; activity.detail.product_reference=service_id.
It has scheduled, in_progress status
in case based_on not present in request skip previous validations.
Check if service request quantity is not exhausted as described at related service request validation
category
Validate that one of diagnostic reports categories corresponds to service category, that is references as code in DR
$.diagnostic_report.category[?]=PRM.services.category where PRM.services.id=$.diagnostic_report.code.identifier.value
in case of error return 422 "None of the diagnostic report categories matches with the service category"
Validate code
Validate code as Reference
If service_requests.code.identifier.value is service, validate $diagnostic_report.code.identifier.value = service_requests.code.identifier.value
in case error return 409, "Service in diagnostic_report differ from service in service request"
if service_requests.code.identifier.value is service_group, validate $diagnostic_report.code.identifier.value in (SELECT service_id from service_inclusions where service_group_id='service_requests.code.identifier.value')
in case error return 409, "Service in diagnostic_report differ from services in service request's service_group"
Validate diagnostic_report.service.is_active = true
in case error return 409, "Service should be active"
Validate effective_period as a period
Validate that issued is within acceptable limits
$.diagnostic_reports[*].issued<= current date_time
in case of error 422 "Asserted date must be in past"
$.diagnostic_reports[*].issued>=current_date-diagnostic_report_max_days_passed
in case of error 422 "Issued must be greater than {{current_date-diagnostic_report_max_days_passed}}"
Validate conclusion_code:
$.diagnostic_reports[*].conclusion_code.coding[*].code validate that the code belongs to the dictionary system 'eHealth/ICD10_AM/condition_codes'
in case of error return "Value is not allowed in enum"
Check that there is only one code in conclusion_code.coding array
if more - return error "Only one code from one dictionary is allowed"
Validate recorded_by as Employee
Validate encounter
$.diagnostic_reports[*].encounter.identifier.value == $.encounter.id
in case of error 409 "Invalid reference"
Validate performer:
as Employee
according to logic Performer(asserter) validation
Validate managing_organization is a current legal_entity
$.managing_organization.identifier.value==token.client_id
in case of error 409 "Managing organization does not correspond to user's legal entity."
Validate result_interpreter.identifier as Employee
Validate result_interpreter.identifier is an employee with employee_type = DOCTOR or SPECIALIST
Validate only One of the fields is filled:
$.diagnostic_report[*].results_interpreter.reference OR $.diagnostic_report[*].results_interpreter.text
$.diagnostic_report[*].performer.reference OR $.diagnostic_report[*].performer.text
Validate primary_source
If primary_source==true, then
Managing organization MUST be filled
performer.reference MUST be filled
If primary_source==false, then
report_origin must be filled
performer.reference must NOT be filled
results_enterpreter.reference must NOT be filled
Validate patient verification status:
If diagnostic report has based_on with valid and active service request, then skip this validation.
Else check patient's verification_status is not equal to NOT_VERIFIED.
in case of error return 409, "Patient is not verified"
Validate specimens, if submitted:
Check field has array with elements of Reference type on specimen resource
in case of error return 422 “not allowed in enum”
For each specimen check:
Check it exists in DB or within current package, and belongs to the same patient:
in case of error return 422 "Specimen not found"
Check it is present in the only one diagnostic report within the package.
in case of error return 422 "Specimen is already used in another diagnostic report"
Check status:
is available if the specimen found in the DB
in case of error return 422 "Specimen created before the current package should be available"
is unavailable if the specimen not found in the DB, but in the package
Validate Procedures
Validate by json schema
Validate procedure id as primary key
Validate status
On create procedure status could be completed or not_done. `entered_in_error` could be set on update procedure.
error 422 by json schema
Validate code
Validate code as Reference
Validate procedure.service.is_active = true
in case error return 409, "Service is not active"
Validate encounter
$.procedure[*].encounter.identifier.value == $.encounter.id
in case error return 409, "Submitted encounter is not allowed for procedure"
Validate performed_date_time
Validate performed_period/performed_date_time:
if $.status == "not_done" check that performed_period/performed_date_time fields are not present in request
in case error return 422 entry: "$.performed_period" (or "$.performed_date_time"), rules[0].description: "Must not be present in procedure with status <$.status>"
else, if $.status == "completed":
Check that only one of this parameters present
in case error return 422 "Only one of the parameters must be present"
Validate performed_date_time
performed_date_time is real
in case error return 422, "Performed_date_time in invalid"
performed_date_time <= now
in case error return 422 "Procedure cannot be registered in future"
Validate performed_period
$.performed_period.start<= now
in case of error return 422 "Procedure cannot be registered in future"
$.performed_period.end>= $.performed_period.start
in case of error return 422 "End date must be greater than start date"
performed_period.end <= now
in case error return 422 "Procedure cannot be registered in future"
Validate $.performed_period as required field in case if procedure based on service request with quantity that has code=MINUTE (system=SERVICE_UNIT)
in case of error return 422 "can't be blank"
Validate recorded_by
Validate recorded_by as Reference
$..recorded_by.identifier.value is an ID of existing employee in PRM.employee
in case of error return 422, "Employee with such id is not found"
Validate recorded_by is employee with status='APPROVED' and is_active= true and end_date is null or more than today
in case error return 409, "This action is prohibited for current employee"
Validate employees.legal_entity_id=$managing_organization.identifier.value
in case error return 409, "Employee should be from current legal entity"
Validate asserter
Validate division
Validate division as Reference
$division is an ID in PRM.divisions
in case return 422, "Division with such id is not found"
division.status=ACTIVE and is_active=true
in case error return 409, "Division is not active"
division.legal_entity_id = $client_id or division.legal_entity_id=$managing_organization.identifier.value
in case error return 409, "Division is not in current legal_entity"
Validate managing_organization is a current active legal_entity with proper type
as Reference
$managing_organization is an ID in PRM.legal_entities
in case return 422, "Legal entity with such id is not found"
validate managing_organization status is 'ACTIVE' and is_active=true
in case error return 422 ('Legal entity is not active')
validate legal_entity type is in ('PRIMARY_CARE','MSP','MSP_PHARMACY','MSP_PHARMACY') (use `ME_ALLOWED_TRANSACTIONS_LE_TYPES` from charts)
in case error return 422, "Legal entity with type $legal_entity.type cannot perform procedures"
validate $managing_organization.identifier.value = $client_id
in case of error 409 "Managing organization does not correspond to user's legal entity."
Validate reason_references
Validate reason_reference as a Reference (Reference)
Validate reason_refernce.identifier.type.coding.[0].code is condition or observation
in case error return 422 "value is not allowed in enum"
Validate reason_refernce.identifier.value is condition or observation not in status ENTERED_IN_ERROR
in case error return 422, "Observation in "entered_in_error" status can not be referenced" if observation, else - "Condition is canceled"
Validate outcome
validate outcome as a Reference
validate outcome.coding.object.system is in dictionary eHealth/procedure_outcomes
in case error return 422, "outcome not in dictionary eHealth/procedure_outcomes"
Validate complication_details
validate complication_details as a Reference
validate complication_details.identifier.value refer to condition in the same encounter package
in case error return 422, "complication_details does not correspond to condition in this encounter package"
Validate category
according to the dictionary 'eHealth/procedure_categories' - by schemata
Validate that procedure category corresponds to service category, that is references as code in procedure
$.procedure.category=PRM.services.category where PRM.services.id=$.procedure.code.identifier.value
in case of error return 422 "Procedure category does not match with the service category"
Validate patient verification status:
If procedure has based_on with valid and active service request, then skip this validation.
Else check patient verification_status is not equal to NOT_VERIFIED.
in case of error return 409, "Patient is not verified"
Validate used_codes
Check that the $.used_codes[*].coding[*].code belongs to the dictionary in $.used_codes[*].coding[*].system
in case of error - return 422 "Value is not allowed in enum"
Validate 'used_codes.coding.code' is_active = true
in case error return 409, "Value is not active"
Validate Clinical impression
Validate by json schema
Validate clinical impression id as primary key (Primarykeyvalidation)
Validate status
Check that the code belongs to the dictionary system (eHealth/clinical_impression_statuses)
in case of error - return 422 ('value is not allowed in enum')
Check it has value = completed
in case of error - return 422 ('value is not allowed in enum')
Validate code
Check that the code belongs to the dictionary system (eHealth/clinical_impression_patient_categories)
in case of error - return 422 ('value is not allowed in enum')
Validate code.coding depending on the qty of codes. Maximum one code is allowed
in case of error - return 422 ('Only one code is allowed')
Check by code.coding[0].code and code.coding[0].system active rules in rule_engine_rules collection
in case any active rules present - check request only with following validations
in case rule present in collection - check request with following validations and with additional from rule engine rule
Validate description
Check that value with string type
in case of error - return 422 ('type mismatch. Expected string but got {entered type}')
Validate encounter
Check the value is valid reference on encounter resource
Check that value is an object with references of type encounter
in case of error - return 422 ('value is not allowed in enum')
Check the value is valid reference on encounter resource
Check that $.clinical_impressions[*].encounter.identifier.value == $.encounter.id
in case error - return 422 ('Invalid reference')
Validate effective_period and effective_date_time:
Validate that at least one of the parameters are present
in case of error - return 422 ('At least one of the parameters must be present')
Validate effective_period as a period (PeriodValidation)
Validate value in the field $.effective_period
Check that $.effective_period.start <= encounter.date
in case of error - return 422 ('Start date must be in the past')
Check that $.effective_period.end >= $.effective_period.start
in case of error - return 422 ('End date must be greater than or equal the start date')
Validate that $.effective_period.end is within acceptible limits
Check that $.effective_period.end <= current_time
in case of error - return 422 ('Date must be in past')
Check that $.effective_period.end >= current_date-clinical_impression_max_days_passed
in case of error - return 422 ('Date must be greater than {{current_date-clinical_impression_max_days_passed}}')
Validate effective_date_time
Check that field $.effective_date_time with string type
in case of error - return 422 ('type mismatch. Expected string but got {entered type}')
Check that field $.effective_date_time <= current_time
in case of error - return 422 ('Date must be in past')
Check that field $.effective_date_time >= current_date-clinical_impression_max_days_passed
in case of error - return 422 ('Date must be greater than {{current_date-clinical_impression_max_days_passed}}')
Validate assessor
Validate assessor as Reference (Referencevalidation)
$.assessor.identifier.value is an ID of existing employee in PRM.employee
in case of error - return 422 ('Employee with such id is not found')
Validate assessor is employee with status='APPROVED' and is_active= true and end_date is null or more than today
in case of error - return 422 ('Invalid employee status')
Validate previous
Check the value is valid reference on clinical impression resource
Check that value is an object with references of type clinical_impression
in case of error - return 422 ('value is not allowed in enum')
Check that clinical impression is active (status is not entered_in_error)
in case of error - return 422 ('Clinical impression in "entered_in_error" status can not be referenced')
Check that clinical impression belongs to patient ($.subject)
in case of error - return 422 ('Clinical impression with such id is not found')
Validate problems
Check that value is an array with references of type condition
in case of error - return 422 ('value is not allowed in enum')
Check that each condition is active (verification_status is not entered_in_error)
in case of error - return 422 ('Condition in "entered_in_error" status can not be referenced')
Check that condition belongs to the patient ($.subject)
in case of error - return 422 ('Condition with such id is not found')
Validate finding
Check that value is an array with objects
Validate item_reference
Check that value is an object with reference of resource condition, observation (further <Medical event resource>)
in case of error - return 422 ('value is not allowed in enum')
Check that <Medical event resource> is active (status is not entered_in_error)
in case of error - return 422 ('<Medical event resource> in "entered_in_error" status can not be referenced')
Check that each reference:
is valid ME of defined type above
belongs to the patient ($.subject)
in case of error - return 422 (<Medical event resource> with such ID is not found')
In case some resources present in active rule, check that they correspond to configured rule
Check that value is an object with reference of resource condition, observation (further <Medical event resource>)
in case of error - return 422 'entry': '$.clinical_impressions[0].code', 'entry_type': 'json_data_property', 'rules': [{'description': '<description_text of the failed rule>, rule: <number of failed rule>', …
Validate basis
Check that value with string type
in case of error - return 422 ('type mismatch. Expected string but got {entered type}')
Validate supporting_info
Check that value is an array with references of type episode_of_care, procedure, diagnostic report, encounter (further <Medical event resource>)
in case of error - return 422 ('value is not allowed in enum')
Check that <Medical event resource> is active (status is not entered_in_error)
in case of error - return 422 ('<Medical event resource> in "entered_in_error" status can not be referenced')
Check that each reference:
is valid ME of defined type above
belongs to the patient ($.subject)
in case of error - return 422 (<Medical event resource> with such ID is not found')
In case some resources present in active rule, check that they correspond to configured rule
in case of error - return 422 'entry': '$.clinical_impressions[0].code', 'entry_type': 'json_data_property', 'rules': [{'description': '<description_text of the failed rule>, rule: <number of failed rule>', …
Validate note
Check that value with string type
in case of error - return 422 ('type mismatch. Expected string but got {entered type}')
Validate patient
In case patient params present in active rule, get them through subject and check that they correspond to configured rule
in case of error - return 422 'entry': '$.clinical_impressions[0].code', 'entry_type': 'json_data_property', 'rules': [{'description': '<description_text of the failed rule>, rule: <number of failed rule>', …
In case medication dispense data presents in active rule, get medication dispense data in patient context (through subject) and check that it correspond to configured rule
in case of error - return 422 'entry': '$.clinical_impressions[0].code', 'entry_type': 'json_data_property', 'rules': [{'description': '<description_text of the failed rule>, rule: <number of failed rule>', …
Validate Specimen
Validate by json schema
Validate specimens ids as primary keys (Submit Encounter Data Package#Primarykeyvalidation)
Validate that context of specimen is a current encounter
$.specimens[*].context.identifier.value==$.encounter.id
in case of error return 422 "Submitted context is not allowed for the specimen"
Validate specimen's root attributes:
Validate requests, type, condition, registered_by, managing_organization as described at Create Specimen: Validate specimen
Validate parent as described at Create Specimen: Validate specimen, but also check it within current package
Validate status:
Check the value is available or unavailable, according to the
specimen_statusesdictionaryin case of error return 422 "value is not allowed in enum"
Specimen is unavailable if there is at least one entity that references specimen (Observations where ($.observations[*].specimen.reference == specimen.id) or Diagnostic Reports where ($.diagnostic_reports[*].specimen.reference == specimen.id))
in case of error return 422 "Specimen that is not referenced in Observation or Diagnostic Report must be in 'available' status"
Validate collection attributes:
Validate collector, collected, quantity, duration, method, body_site, fasting status as described at Create Specimen: Validate collection
Validate procedure in the field $.collection.procedure, Reference type, optional
Check it references to procedure resource
in case of error - return 422 ('value is not allowed in enum')
Check that procedure exists in the DB and belongs to the patient, or it is within current package
in case of error - return 422 ('Procedure not found')
Validate that entity is not in status "entered_in_error"
in case of error - return 422 ("Entity in status "entered_in_error" can not be referenced")
Validate container attributes as described at Create specimen: Validate container
Validate received_time as described at Process Specimen: Validate received datetime
received_time must be empty if there are no other entities that reference specimen (NO Observations where ($.observations[*].specimen.reference == specimen.id) and NO Diagnostic Reports where ($.diagnostic_reports[*].specimen.reference == specimen.id))
in case of error return 422 "
Received time must not be set for available specimen"
Validate status_reason:
is set to codeable concept with system = specimen_invalidate_reasons and code = used, if the specimen status is unavailable (i.e. at least one entity that references specimen).
in case of error return 422 ('value is not allowed in enum')
is empty, if the specimen status is available.
in case of error return 422 ('Status reason must not be set for available specimen')
Primary key validation
Validate that IDs of all submitted entities in the array are unique
validate that $.{collection}[*].id from the payload are all unique among themselves
in case of error return 409 "All primary keys must be unique"
validate there is no entity with such id in the corresponding Medical events collection
in case of error return 422 "{Entity} with such id already exists"
Reference validation
This validation is used to validate references to medical events data from patient's collection.
Validate that $..identifier.value is an existing value from $..identifier.type.coding[0].code collection in DB and it belongs to the patient OR it is a value from corresponding collection in the current request
in case of errror return 422 "There is no {$..identifier.type.coding[0].code} with such id"
Validate that this entity is not in status entered_in error
in case of errror return 422 "Could not reference entity in status entered_in_error"
Example:
"identifier": {
"type": {
"coding": [
{
"system": "eHealth/resources",
"code": "observation"
}
]
},
"value": "9183a36b-4d45-4244-9339-63d81cd08d9c"
}
}
In this case validate that "9183a36b-4d45-4244-9339-63d81cd08d9c" is an existing observation from patients collection and it is not entered_in_error.
Performer(asserter) validation
case $..primary_source==true
$..performer(or $..asserter) must be filled
in case of error "Performer (asserter) must be filled"
$..report_origin must be absent
in case of error "Report_origin can not be submitted in case primary_source is true"
validate performer(asserter) is a valid value from corresponding dictionary
$..performer.identifier.type.coding[*].system == "eHealth/resources"
in case of error "Submitted system is not allowed for this field"
$..performer.identifier.type.coding[*].code=="employee"
in case of error "Submitted code is not allowed for this field"
validate performer(asserter) is a active doctor from current legal_entity
$..performer.identifier.value is an ID of existing employee in PRM.employee
in case of error "Employee with such id is not found"
$..performer.identifier.value == PRM.employees.id where (PRM.employees.status == "APPROVED" and PRM.employees.employee_type=="DOCTOR" or "SPECIALIST") (in case of observation also ASSISTANT)
case primary_source==false
$..report_origin must be filled
in case of error "Report_origin must be filled"
if $..primary_source==false then $..performer(asserter) must be absent
in case of error "Performer(asserter) can not be submitted in case primary_source is false"
validate report_origin
$..report_origin.coding[*].system == "eHealth/report_origins"
in case of error "Submitted system is not allowed for this field"
Period Validation
$..period.start <= current_dateTime
in case of error return 422- "Start date must be in past"
if $..period.end is filled:
$..period.end > visit.period.start
in case of error return 422 - "End date must be greater than the start date"
Employee validation
Users can not reference employees between different legal entities. Employee that is not in status `approved` can not be referenced as well.
$...identifier.value exists in PRM.employees
in case of error 409 "Employee not found"
$...identifier.value == PRM.employees.id where (PRM.employees.status == "APPROVED" and PRM.employees.legal_entity==token.client_id)
in case of error 409 "Submitted employee is not an active employee from current legal entity"
Related service request validation
If service request referenced as based on in ME:
if it has quantity:
Check allowed quantity units for ME:
if ME is Procedure, then service_request.quantity.code can have values MINUTE or PIECE (system=SERVICE_UNIT)
if ME is Encounter or Diagnostic report, then service_request.quantity.code can have PIECE only
in case of error return error 409 ("<ME type> cannot be measured in <quantity.code's value>")
Check service_request remaining quantity parameter:
if quantity.code = PIECE:
count number of related MEs to the service request as used quantity.
calculate remaining quantity by subtracting used quantity and number of current MEs that are related to the service request from service request's quantity
Validate remaining quantity is greater then or equal to zero
in case of error return 409 "The total amount of medical events exceeds quantity in related service request with <id>"
if quantity.code = MINUTE:
select related Procedures to the service request.
for each selected Procedure calculate duration as performedPeriod.end - performedPeriod.start without considering seconds. Result should be in minutes.
calculate used quantity as sum of procedure durations
calculate remaining quantity by subtracting used quantity and durations of current Procedures that are related to the service request from service request's quantity
Validate remaining quantity is greater then or equal to zero
in case of error return 409 "The total amount of medical events exceeds quantity in related service request with <id>"
Related care plan validation
As for old care plan activities (has quantity w/o units) the amount of service request was no controlled, we should ensure that number of created medical events are not exceed its quantity:
Validate remaining_quantity in activities referenced by service requests in the EDP using the algorithm described for a quantity without units (code=null) in PreQualify Service Request#Validate-service-request . But also, add the reserved at the moment quantity, that includes the number of medical events in the EDP related to the activity, to the used_quantity.
If entities (encounter.incoming_referral, procedure.based_on, diagnostic_report.based_on) has reference on service request and service_request[].activity.detail.quantity was set - check possibility to create EDP depending on service_request[].activity remaining quantitycalculate the quantity of artifacts that are contained in the $.activity.outcome_reference by service_request.based_on[].activity[].idcalculate the quantity of artifacts that are contained in the request and have a link to the service requestcompare quantity from outcome_reference with the artifact quantitycheck that difference is greater then or equal to zeroin case of error return 409 "The total amount of the prescribed service quantity exceeds quantity in care plan activity"
Processing
API paragraph not found
Response structure
See on Apiary
Example:
Post-processing processes
Save signed_content to Media Storage
Save data to corresponding collections in DBs
Save link to the signed content to the encounter
Enrich encounter.diagnoses:
select condition.code from Medical Events DB(or from request body) where condition.id==diagnoses[@].condition.identifier.value
set diagnoses[@].code = select 1
Save diagnoses from encounter to episodes.current_diagnoses
ME.patients.episodes.diagnoses = $.encounter.diagnoses
Add a record to the ME.patient.episodes{episode_id}.diagnoses_hstr
date = current_date
evidence = reference to encounter ($.encounter.id)
diagnoses = $.encounter.diagnoses
Generate accession_identifier number:
Generate requisition number (see Human readable requisition number) based on the specimen id. Note: requisition number should be unique for each specimen and should not match with number of another entities. So, if generated number match to existing in DB - it should be regenerated
Encode and set it into $.accession_identifier attribute
Set display_value to employees for all submitted objects
Select PRM.parties.first_name, PRM.parties.second_name, PRM.parties.last_name from PRM.parties where (PRM.parties.id == (Select PRM.employees.party_id from PRM.employees where PRM.employees.id== $.care_manager.identifier.value))
ME.patients.encounters{encounter_id}.performer.display== Select 1
ME.conditions{condition_id}.asserter.display == Select 1
ME.observations{observation_id}.performer.display == Select 1
ME.patients.immunizations{immunization_id}.performer.display == Select 1
ME.patients.allergy_intolerance{ai_id}.asserter.display == Select 1
ME.patients.devices{device_id}.asserter.display == Select 1
ME.patients.medication_statements{ms_id}.asserter.display == Select 1
ME.patients.risk_assessment{rs_id}.asserter.display == Select 1
ME.patients.diagnostic_reports{dr_id}.performer.reference.display == Select 1
ME.patients.diagnostic_reports{dr_id}.recorded_by.reference.display == Select 1
ME.patients.diagnostic_reports{dr_id}.results_interpreter.reference.display == Select 1
ME.specimens{specimen_id}.registered_by.reference.display == Select 1
ME.specimens{specimen_id}.collector.reference.display == Select 1, if collector type is employee
In case there are reactions ($.observations[?].reaction_on) in the request, update corresponding immunizations with the reactions:
Set in ME.patient.immunization.reaction.detail $.observation.id as a reference
note: $.observations[?].reaction_on should not be saved in observation, only in corresponding immunization
Set display_value for legal_entities
ME.patients.diagnostic_reports{dr_id}.managing_organization.display
ME.specimens{specimen_id}.managing_organization.display_value
Set managing_organization for submitted observations, conditions, encounter
ME.conditions{cond_id}.managing_organization=token.client_id
ME.observations{observ_id}.managing_organization=token.client_id
ME.encounters{encounter_id}.managing_organization=token.client_id
In case encounter.incoming_referral was filled, set episode_origin to encounter
Select episode where id== (select ME.encounter.episode.identifier.value where encounter.id==(select ME.service_requests.context.identifier.value where id==$.encounter.incoming_referral.identifier.value))
In case diagnostic_reports.based_on was filled, set episode_origin to diagnostic report
Select episode where id== (select ME.encounter.episode.identifier.value where encounter.id==(select ME.service_requests.context.identifier.value where id==$.diagnostic_reports.based_on.identifier.value))
in case service request has reference on care plan and encounter.incoming_referral was filled set $.encounter.id to related to $.service_request activity[].outcome_reference
in case service request has reference on care plan and procedures.based_on was filled set $.procedures.id to related to $.service_request $.activity[].outcome_reference
in case service request has reference on care plan and diagnostic_reports.based_on was filled set $.diagnostic_reports.id to related to $.service_request activity[].outcome_reference
in case reference on service request has reference on care plan update $ .activity.status to in_progress if previous activity status was scheduled
in case reference on service request has reference on care plan update $ .activity.remaining_quantity parameter by subtracting the quantity of artifacts that have a reference on service request that contains an $.based_on.[]activity
If there are at least one record for speciality where speciality_officio = true:
Enrich encounter data with performer speciality:
SELECT speciality -> 'speciality' FROM employees WHERE speciality ->> 'speciality_officio' = 'true' AND id = $.encounter.performer.identifier.value
Set encounter.performer_speciality as CodeableConcept type with system = SPECIALITY_TYPE
In case encounter.clinical_impression was filled set $.context_episode_id to clinical_impressions data model (encounters.context.[].episode.value=clinical_impression.context_episode_id)
If any available specimen, that has already stored in DB, is referenced in Observation or Diagnostic Report - change its (Specimen) status to unavailable in DB according to RC.__Specimen status model_EN . Also, set status_reason for a specimen: system = specimen_invalidate_reasons, code = used.
Set origin_episode (if $.based_on in request and $.based_on.service_request.context != null) for Diagnostic Report:
origin_episode is an object from the $.service_request.context.episode
Set origin_episode (if $.based_on in request and $.based_on.service_request.context != null) for Procedure:
origin_episode is an object from the $.service_request.context.episode
HTTP status codes
HTTP status code | Message | What caused the error |
|---|---|---|
202 | Response |
|
401 | Access denied | |
403 | Invalid scopes | |
404 | Patient not found | |
409 | Validation error | |
422 | Validation error |