Seiteninhalt:
Die Operation Dispensierinformationen einstellen im Medication Service dient dazu, Informationen über die Arzneimittelabgabe, die auf Basis einer Verschreibung erfolgt, in den Medication Service einzutragen. Diese Operation wird vom E-Rezept-Fachdienst verwendet, wenn ein Versicherter sein Arzneimittel in einer Apotheke erhält. Sie dokumentiert, dass das Arzneimittel gemäß der Verschreibung abgegeben wurde, einschließlich der Details wie Menge, Abgabedatum und Informationen zur Apotheke. Dies ermöglicht einen vollständigen Überblick über die verschriebenen und dispensierten Arzneimittel des Versicherten.
Die Nachricht zum Übertragen von Dispensierinformationen wird als HTTP POST-Anfrage an den Medication Service gesendet.
Der E-Rezept-Fachdienst sendet eine Dispensierinformationen einstellen-Nachricht an den Medication Service, um eine bereits erstellte elektronische Dispensierung zu übertragen. Der Medication Service verarbeitet die empfangenen Daten und speichert die Dispensierinformationen dauerhaft.
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{"resourceType":"OperationDefinition","id":"provide-dispensation-erp-OP","meta":{"profile":["https://gematik.de/fhir/ti/StructureDefinition/ti-operationdefinition"]},"text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\">Generated Narrative: OperationDefinition provide-dispensation-erp-OP</p><a name=\"provide-dispensation-erp-OP\"> </a><a name=\"hcprovide-dispensation-erp-OP\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://gematik.de/fhir/ti/1.1.1-ballot.1/StructureDefinition-ti-operationdefinition.html\">OperationDefinition Profil für TI FHIR Data Service</a></p></div>URL: [base]/$$provide-dispensation-erp
Input parameters Profile:<a href=\"StructureDefinition-epa-op-provide-dispensation-erp-input-parameters.html\">EPA Operation ProvideDispensation ERP Input-Parameters</a>
Output parameters Profile:<a href=\"StructureDefinition-epa-op-rx-dispensation-erp-output-parameters.html\">EPA Operation RxDispensation ERP Output-Parameters</a>
Parameters
<table class=\"grid\">Use Name Scope Cardinality Type Binding Documentation
{
"resourceType" : "Parameters",
"id" : "example-epa-op-provide-dispensation-erp-input-parameters-1",
"meta" : {
"profile" : [
🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-provide-dispensation-erp-input-parameters"
]
},
"parameter" : [
{
"name" : "rxDispensation",
"part" : [
{
"name" : "prescriptionId",
"valueIdentifier" : {
"system" : "https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId",
"value" : "160.153.303.257.459"
}
},
{
"name" : "authoredOn",
"valueDate" : "2025-01-22"
},
{
"name" : "medicationDispense",
"resource" : {
"resourceType" : "MedicationDispense",
"id" : "5d8fbf7c-bdb0-44c2-95fe-423ae0404ccd",
"meta" : {
"profile" : [
🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense"
]
},
"status" : "completed",
"medicationReference" : {
"reference" : "urn:uuid:2571d29b-e213-40ec-b817-a1490718a490"
},
"subject" : {
"identifier" : {
"system" : "http://fhir.de/sid/gkv/kvid-10",
"value" : "X110411319"
}
},
"performer" : [
{
"actor" : {
"reference" : "urn:uuid:151f1697-7512-4e21-9466-1b75207475d8"
}
}
],
"whenHandedOver" : "2025-01-22",
"dosageInstruction" : [
{
"text" : "1-0-0-0"
}
],
"substitution" : {
"wasSubstituted" : false
}
}
},
{
"name" : "medication",
"resource" : {
"resourceType" : "Medication",
"id" : "c7f34f27-7564-43ad-b13f-2be3c5d7fd3d",
"meta" : {
"profile" : [
🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication"
]
},
"extension" : [
{
"url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "781405001",
"display" : "Medicinal product package (product)"
}
},
{
"url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/drug-category-extension",
"valueCoding" : {
"system" : "https://gematik.de/fhir/epa-medication/CodeSystem/epa-drug-category-cs",
"code" : "00"
}
},
{
"url" : "http://fhir.de/StructureDefinition/normgroesse",
"valueCode" : "N3"
}
],
"code" : {
"coding" : [
{
"system" : "http://fhir.de/CodeSystem/ifa/pzn",
"code" : "10019621",
"display" : "IBU-ratiopharm 400mg akut Schmerztabletten"
},
{
"system" : "http://fhir.de/CodeSystem/bfarm/atc",
"version" : "2022",
"code" : "M01AE01",
"display" : "Ibuprofen"
}
]
},
"status" : "inactive",
"form" : {
"coding" : [
{
"system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM",
"version" : "1.10",
"code" : "TAB",
"display" : "Tabletten"
}
]
},
"amount" : {
"numerator" : {
"value" : 50,
"unit" : "Tablet",
"system" : "http://unitsofmeasure.org",
"code" : "{Tablet}"
},
"denominator" : {
"value" : 1,
"unit" : "Package",
"system" : "http://unitsofmeasure.org",
"code" : "{Package}"
}
}
}
},
{
"name" : "organization",
"resource" : {
"resourceType" : "Organization",
"id" : "151f1697-7512-4e21-9466-1b75207475d8",
"meta" : {
"profile" : [
🔗 "https://gematik.de/fhir/directory/StructureDefinition/OrganizationDirectory"
],
"tag" : [
{
"system" : "https://gematik.de/fhir/directory/CodeSystem/Origin",
"code" : "ldap"
}
]
},
"identifier" : [
{
"system" : "https://gematik.de/fhir/sid/telematik-id",
"value" : "9-2.58.00000040"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "https://gematik.de/fhir/directory/CodeSystem/OrganizationProfessionOID",
"code" : "1.2.276.0.76.4.54",
"display" : "Öffentliche Apotheke"
}
]
}
],
"name" : "gematik Apotheke",
"alias" : [
"Apotheke"
],
"address" : [
{
"text" : "gematik Apotheke\nFriedrichstr. 136,\n10117 Berlin",
"line" : [
"Friedrichstr. 136"
],
"city" : "Berlin",
"district" : "Mitte",
"state" : "Berlin",
"postalCode" : "10117",
"country" : "DE"
}
],
"contact" : [
{
"purpose" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/contactentity-type",
"code" : "ADMIN"
}
]
},
"name" : {
"text" : "gematik ITSM"
},
"telecom" : [
{
"system" : "email",
"value" : "betrieb@gematik.de"
}
]
}
]
}
},
{
"name" : "status",
"valueCode" : "completed"
}
]
}
]
}
<Parameters xmlns="http://hl7.org/fhir">
<id value="example-epa-op-provide-dispensation-erp-input-parameters-1"/>
<meta>
<profile
value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-provide-dispensation-erp-input-parameters"/>
</meta>
<parameter>
<name value="rxDispensation"/>
<part>
<name value="prescriptionId"/>
<valueIdentifier>
<system
value="https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId"/>
<value value="160.153.303.257.459"/>
</valueIdentifier>
</part>
<part>
<name value="authoredOn"/>
<valueDate value="2025-01-22"/>
</part>
<part>
<name value="medicationDispense"/>
<resource>
<MedicationDispense>
<id value="5d8fbf7c-bdb0-44c2-95fe-423ae0404ccd"/>
<meta>
<profile
value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense"/>
</meta>
<status value="completed"/>
<medicationReference>
<reference value="urn:uuid:2571d29b-e213-40ec-b817-a1490718a490"/>
</medicationReference>
<subject>
<identifier>
<system value="http://fhir.de/sid/gkv/kvid-10"/>
<value value="X110411319"/>
</identifier>
</subject>
<performer>
<actor>
<reference
value="urn:uuid:151f1697-7512-4e21-9466-1b75207475d8"/>
</actor>
</performer>
<whenHandedOver value="2025-01-22"/>
<dosageInstruction>
<text value="1-0-0-0"/>
</dosageInstruction>
<substitution>
<wasSubstituted value="false"/>
</substitution>
</MedicationDispense>
</resource>
</part>
<part>
<name value="medication"/>
<resource>
<Medication>
<id value="c7f34f27-7564-43ad-b13f-2be3c5d7fd3d"/>
<meta>
<profile
value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication"/>
</meta>
<extension
url="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension">
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="781405001"/>
<display value="Medicinal product package (product)"/>
</valueCoding>
</extension>
<extension
url="https://gematik.de/fhir/epa-medication/StructureDefinition/drug-category-extension">
<valueCoding>
<system
value="https://gematik.de/fhir/epa-medication/CodeSystem/epa-drug-category-cs"/>
<code value="00"/>
</valueCoding>
</extension>
<extension url="http://fhir.de/StructureDefinition/normgroesse">
<valueCode value="N3"/>
</extension>
<code>
<coding>
<system value="http://fhir.de/CodeSystem/ifa/pzn"/>
<code value="10019621"/>
<display value="IBU-ratiopharm 400mg akut Schmerztabletten"/>
</coding>
<coding>
<system value="http://fhir.de/CodeSystem/bfarm/atc"/>
<version value="2022"/>
<code value="M01AE01"/>
<display value="Ibuprofen"/>
</coding>
</code>
<status value="inactive"/>
<form>
<coding>
<system
value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM"/>
<version value="1.10"/>
<code value="TAB"/>
<display value="Tabletten"/>
</coding>
</form>
<amount>
<numerator>
<value value="50"/>
<unit value="Tablet"/>
<system value="http://unitsofmeasure.org"/>
<code value="{Tablet}"/>
</numerator>
<denominator>
<value value="1"/>
<unit value="Package"/>
<system value="http://unitsofmeasure.org"/>
<code value="{Package}"/>
</denominator>
</amount>
</Medication>
</resource>
</part>
<part>
<name value="organization"/>
<resource>
<Organization>
<id value="151f1697-7512-4e21-9466-1b75207475d8"/>
<meta>
<profile
value="https://gematik.de/fhir/directory/StructureDefinition/OrganizationDirectory"/>
<tag>
<system
value="https://gematik.de/fhir/directory/CodeSystem/Origin"/>
<code value="ldap"/>
</tag>
</meta>
<identifier>
<system value="https://gematik.de/fhir/sid/telematik-id"/>
<value value="9-2.58.00000040"/>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="https://gematik.de/fhir/directory/CodeSystem/OrganizationProfessionOID"/>
<code value="1.2.276.0.76.4.54"/>
<display value="Öffentliche Apotheke"/>
</coding>
</type>
<name value="gematik Apotheke"/>
<alias value="Apotheke"/>
<address>
<text value="gematik Apotheke
Friedrichstr. 136,
10117 Berlin"/>
<line value="Friedrichstr. 136"/>
<city value="Berlin"/>
<district value="Mitte"/>
<state value="Berlin"/>
<postalCode value="10117"/>
<country value="DE"/>
</address>
<contact>
<purpose>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/contactentity-type"/>
<code value="ADMIN"/>
</coding>
</purpose>
<name>
<text value="gematik ITSM"/>
</name>
<telecom>
<system value="email"/>
<value value="betrieb@gematik.de"/>
</telecom>
</contact>
</Organization>
</resource>
</part>
<part>
<name value="status"/>
<valueCode value="completed"/>
</part>
</parameter>
</Parameters>{
"resourceType" : "Parameters",
"id" : "example-epa-op-rx-dispensation-erp-output-parameters-1",
"meta" : {
"profile" : [
🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-rx-dispensation-erp-output-parameters"
]
},
"parameter" : [
{
"name" : "rxDispensation",
"part" : [
{
"name" : "prescriptionId",
"valueIdentifier" : {
"system" : "https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId",
"value" : "160.153.303.257.459"
}
},
{
"name" : "authoredOn",
"valueDate" : "2025-01-22"
},
{
"name" : "operationOutcome",
"resource" : {
"resourceType" : "OperationOutcome",
"id" : "255002c7-aa1b-4163-bdd4-ede482453cca",
"meta" : {
"profile" : [
🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-ms-operation-outcome"
]
},
"issue" : [
{
"severity" : "information",
"code" : "informational",
"details" : {
"coding" : [
{
"system" : "https://gematik.de/fhir/epa-medication/CodeSystem/epa-ms-operation-outcome-details",
"code" : "MEDICATIONSVC_OPERATION_SUCCESS",
"display" : "Operation Successfully Completed in Medication Service"
}
]
}
}
]
}
}
]
}
]
}
<Parameters xmlns="http://hl7.org/fhir">
<id value="example-epa-op-rx-dispensation-erp-output-parameters-1"/>
<meta>
<profile
value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-rx-dispensation-erp-output-parameters"/>
</meta>
<parameter>
<name value="rxDispensation"/>
<part>
<name value="prescriptionId"/>
<valueIdentifier>
<system
value="https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId"/>
<value value="160.153.303.257.459"/>
</valueIdentifier>
</part>
<part>
<name value="authoredOn"/>
<valueDate value="2025-01-22"/>
</part>
<part>
<name value="operationOutcome"/>
<resource>
<OperationOutcome>
<id value="255002c7-aa1b-4163-bdd4-ede482453cca"/>
<meta>
<profile
value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-ms-operation-outcome"/>
</meta>
<issue>
<severity value="information"/>
<code value="informational"/>
<details>
<coding>
<system
value="https://gematik.de/fhir/epa-medication/CodeSystem/epa-ms-operation-outcome-details"/>
<code value="MEDICATIONSVC_OPERATION_SUCCESS"/>
<display
value="Operation Successfully Completed in Medication Service"/>
</coding>
</details>
</issue>
</OperationOutcome>
</resource>
</part>
</parameter>
</Parameters>Die Operation Dispensierinformationen einstellen verarbeitet eine oder mehrere Dispensierinformationen, die im FHIR Parameters-Objekt übergeben werden. Für jede übergebene Abgabe erfolgt zunächst eine Validierung der enthaltenen Ressourcen Medication, Organization und MedicationDispense.
Anhand des Abgabedatums und der E-Prescription-ID wird ein eindeutiger RxPrescriptionProcessIdentifier gebildet, der als Schlüssel für die weiteren Verarbeitungsschritte dient. Es wird geprüft, ob eine passende MedicationRequest-Instanz existiert, die noch nicht abgeschlossen ist. Falls nicht, wird die Verarbeitung abgebrochen.
Ist die MedicationRequest-Instanz gültig, wird im Kontext einer Transaktion weiterverarbeitet:
Für jede übergebene MedicationDispense wird die referenzierte Medication-Ressource aus den Input-Parametern ermittelt. Je nach Substitutionsstatus (MedicationDispense.substitution.wasSubstituted) wird entweder eine neue Medication-Instanz angelegt oder diejenige aktualisiert, die von der verschreibenden MedicationRequest referenziert wird.
Anschließend wird eine neue MedicationDispense-Instanz erstellt, deren Status aus dem Parameter RxDispensation.part.status übernommen wird. Wird der Status nicht gesetzt oder ist er gleich completed, so wird zusätzlich die zugehörige MedicationRequest auf completed gesetzt.
Alle Änderungen erfolgen transaktional. Am Ende der erfolgreichen Verarbeitung wird eine entsprechende OperationOutcome-Meldung zurückgegeben. Fehlerhafte Eingaben führen zu einer abgeleiteten Fehlermeldung im Output.
Das folgende Aktivitätsdiagramm illustriert die Geschäftslogik der Operation Dispensierinformationen einstellen im Medication Service.
Generelle Sicherheitsanforderungen werden hier festgehalten.