Operation API: Verschreibungsdaten einstellen

Seiteninhalt:

Nachricht
Geschäftslogik
Sicherheitsanforderungen

Die Operation Verschreibungsdaten einstellen wird vom E-Rezept-Fachdienst ausgeführt und ist eine spezielle Funktion, die dazu dient, bereits erstellte elektronische Verschreibungen in den Medication Service zu übertragen. Sie beinhaltet nicht das Erstellen der Verschreibungsdaten, sondern konzentriert sich darauf, eine bereits erzeugte Verschreibung sicher in den Medication Service hochzuladen und dauerhaft zu speichern. Die nachstehende Abbildung verdeutlicht die Kommunikationsflüsse für das Einstellen einer Verschreibung in den Medication Service per FHIR Operation Verschreibungsdaten einstellen.

Nachricht

Die Nachricht zum Übertragen von Verschreibungsdaten wird als HTTP POST-Anfrage an den Medication Service gesendet.

Auslösung

Der E-Rezept-Fachdienst sendet eine Verschreibungsdaten einstellen-Nachricht an den Medication Service, um eine bereits erstellte elektronische Verschreibung zu übertragen. Der Medication Service verarbeitet die empfangenen Daten und speichert die Verschreibung dauerhaft.

FHIR Operation API

Der Medication Service MUSS die Operation API: Verschreibungsdaten einstellen gemäß der FHIR OperationDefinition Provide Prescription eRP ausführen. Die Verarbeitung der Verschreibungsdaten MUSS entsprechend den in der OperationDefinition festgelegten Regeln und Strukturen erfolgen. Der Medication Service MUSS die Operation Verschreibungsdaten einstellen mittels einer HTTP POST-Anfrage verarbeiten. Die empfangenen Verschreibungsdaten MÜSSEN entsprechend verarbeitet und die Informationen zu den Verschreibungen dauerhaft gespeichert werden. Der Medication Service MUSS für die Operation Verschreibungsdaten einstellen einen Partial Success ermöglichen.

Falls einzelne elektronische Verschreibungen erfolgreich verarbeitet wurden, MUSS der Medication Service die zugehörigen prescriptionId und authoredOn Werte in der Antwort zurückgeben.
Falls einzelne Verschreibungen nicht verarbeitet werden können, MUSS der Medication Service für diese ein OperationOutcome in der Antwort bereitstellen.
Auch bei einer erfolgreichen Verarbeitung MUSS der Medication Service ein OperationOutcome mit einer entsprechenden Bestätigung bereitstellen.
Der HTTP Response Code MUSS 200 OK sein, unabhängig davon, ob ein oder mehrere Verschreibungen fehlschlagen.

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with wrong status"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_STATUS_INVALID"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"409"},{"url":"description","valueString":"Mismatch between acknowledged and current eMP chronology ID"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_EMP_CHRONOLOGY_ID_MISMATCH"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"}],"name":"update-emp-entry","definition":"https://gematik.de/fhir/epa-medication/OperationDefinition/update-emp-entry-op"}]}]}

      {"resourceType":"OperationDefinition","id":"provide-prescription-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-prescription-erp-OP</p><a name=\"provide-prescription-erp-OP\"> </a><a name=\"hcprovide-prescription-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-prescription-erp
Input parameters Profile:<a href=\"StructureDefinition-epa-op-provide-prescription-erp-input-parameters.html\">EPA Operation ProvidePrescription ERP Input-Parameters</a>
Output parameters Profile:<a href=\"StructureDefinition-epa-op-rx-prescription-erp-output-parameters.html\">EPA Operation RxPrescription ERP Output-Parameters</a>
Parameters
<table class=\"grid\">UseNameScopeCardinalityTypeBindingDocumentation</table></div>"},"extension":[{"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-method","valueCode":"POST"}],"url":"https://gematik.de/fhir/epa-medication/OperationDefinition/provide-prescription-erp-OP","version":"1.2.0-ballot.1","name":"providePrescription_MedicationSvc","title":"Provide Prescription eRP","status":"draft","kind":"operation","date":"2025-08-01","publisher":"gematik GmbH","contact":[{"name":"gematik GmbH","telecom":[{"system":"url","value":"https://www.gematik.de"},{"system":"email","value":"patientteam [ at ] gematik.de"}]}],"description":"The Provide Prescription eRP operation in the ePA MedicationService is used to add electronic prescriptions to a patient's record. These prescriptions are already made by the E-Rezept-Fachdienst. This operation does not create new patient prescriptions; it just puts the ones made by the E-Rezept-Fachdienst into the patient's ePA, making sure they are stored safely and can be easily accessed.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"DE"}]}],"affectsState":true,"code":"provide-prescription-erp","system":true,"type":false,"instance":false,"inputProfile":"https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-provide-prescription-erp-input-parameters","outputProfile":"https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-rx-prescription-erp-output-parameters"}

{
  "resourceType" : "Parameters",
  "id" : "example-epa-op-provide-prescription-erp-input-parameters-1",
  "meta" : {
    "profile" : [
      🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-provide-prescription-erp-input-parameters"
    ]
  },
  "parameter" : [
    {
      "name" : "rxPrescription",
      "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" : "medicationRequest",
          "resource" : {
            "resourceType" : "MedicationRequest",
            "id" : "6ae6a7ca-c9b5-46bf-9411-2ba49d96f988",
            "meta" : {
              "profile" : [
                🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request"
              ]
            },
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "indicator",
                    "valueBoolean" : false
                  }
                ],
                "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension"
              }
            ],
            "status" : "active",
            "intent" : "order",
            "medicationReference" : {
              "reference" : "urn:uuid:dc810e53-c26b-47bc-8c78-c7f79ea5f7ae"
            },
            "subject" : {
              "identifier" : {
                "system" : "http://fhir.de/sid/gkv/kvid-10",
                "value" : "X110411319"
              }
            },
            "authoredOn" : "2025-01-22",
            "dosageInstruction" : [
              {
                "text" : "1-0-0-0"
              }
            ],
            "dispenseRequest" : {
              "quantity" : {
                "value" : 1,
                "system" : "http://unitsofmeasure.org",
                "code" : "{Package}"
              }
            },
            "substitution" : {
              "allowedBoolean" : true
            }
          }
        },
        {
          "name" : "medication",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "dc810e53-c26b-47bc-8c78-c7f79ea5f7ae",
            "meta" : {
              "profile" : [
                🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication"
              ]
            },
            "code" : {
              "coding" : [
                {
                  "system" : "http://fhir.de/CodeSystem/ask",
                  "code" : "5682",
                  "display" : "Ibuprofen"
                }
              ]
            },
            "status" : "inactive"
          }
        },
        {
          "name" : "organization",
          "resource" : {
            "resourceType" : "Organization",
            "id" : "be51e0d2-783d-4e21-b16b-1a4cd7403515",
            "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" : "1.2.276.0.76.4.58",
                    "display" : "Betriebsstätte gematik"
                  }
                ]
              }
            ],
            "name" : "gematik GmbH",
            "alias" : [
              "gematik"
            ],
            "address" : [
              {
                "text" : "gematik GmbH\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" : "practitioner",
          "resource" : {
            "resourceType" : "Practitioner",
            "id" : "498c345f-31f5-4da6-9f04-00fa2bc8af7c",
            "meta" : {
              "profile" : [
                🔗 "https://gematik.de/fhir/directory/StructureDefinition/PractitionerDirectory"
              ],
              "tag" : [
                {
                  "system" : "https://gematik.de/fhir/directory/CodeSystem/Origin",
                  "code" : "ldap"
                }
              ]
            },
            "identifier" : [
              {
                "system" : "https://gematik.de/fhir/sid/telematik-id",
                "value" : "1-1.58.00000040"
              },
              {
                "system" : "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR",
                "value" : "123456789"
              }
            ],
            "active" : true,
            "name" : [
              {
                "text" : "Dr. Max Manfred Mustermann",
                "family" : "Musterman",
                "given" : [
                  "Max",
                  "Manfred"
                ],
                "prefix" : [
                  "Dr."
                ]
              }
            ]
          }
        }
      ]
    }
  ]
}


<Parameters xmlns="http://hl7.org/fhir">
  <id value="example-epa-op-provide-prescription-erp-input-parameters-1"/>
  <meta>
    <profile
             value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-provide-prescription-erp-input-parameters"/>
  </meta>
  <parameter>
    <name value="rxPrescription"/>
    <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="medicationRequest"/>
      <resource>
        <MedicationRequest>
          <id value="6ae6a7ca-c9b5-46bf-9411-2ba49d96f988"/>
          <meta>
            <profile
                     value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request"/>
          </meta>
          <extension
                     url="https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension">
            <extension url="indicator">
              <valueBoolean value="false"/>
            </extension>
          </extension>
          <status value="active"/>
          <intent value="order"/>
          <medicationReference>
            <reference value="urn:uuid:dc810e53-c26b-47bc-8c78-c7f79ea5f7ae"/>
          </medicationReference>
          <subject>
            <identifier>
              <system value="http://fhir.de/sid/gkv/kvid-10"/>
              <value value="X110411319"/>
            </identifier>
          </subject>
          <authoredOn value="2025-01-22"/>
          <dosageInstruction>
            <text value="1-0-0-0"/>
          </dosageInstruction>
          <dispenseRequest>
            <quantity>
              <value value="1"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="{Package}"/>
            </quantity>
          </dispenseRequest>
          <substitution>
            <allowedBoolean value="true"/>
          </substitution>
        </MedicationRequest>
      </resource>
    </part>
    <part>
      <name value="medication"/>
      <resource>
        <Medication>
          <id value="dc810e53-c26b-47bc-8c78-c7f79ea5f7ae"/>
          <meta>
            <profile
                     value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication"/>
          </meta>
          <code>
            <coding>
              <system value="http://fhir.de/CodeSystem/ask"/>
              <code value="5682"/>
              <display value="Ibuprofen"/>
            </coding>
          </code>
          <status value="inactive"/>
        </Medication>
      </resource>
    </part>
    <part>
      <name value="organization"/>
      <resource>
        <Organization>
          <id value="be51e0d2-783d-4e21-b16b-1a4cd7403515"/>
          <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="1.2.276.0.76.4.58"/>
              <display value="Betriebsstätte gematik"/>
            </coding>
          </type>
          <name value="gematik GmbH"/>
          <alias value="gematik"/>
          <address>
            <text value="gematik GmbH
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="practitioner"/>
      <resource>
        <Practitioner>
          <id value="498c345f-31f5-4da6-9f04-00fa2bc8af7c"/>
          <meta>
            <profile
                     value="https://gematik.de/fhir/directory/StructureDefinition/PractitionerDirectory"/>
            <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="1-1.58.00000040"/>
          </identifier>
          <identifier>
            <system value="https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR"/>
            <value value="123456789"/>
          </identifier>
          <active value="true"/>
          <name>
            <text value="Dr. Max Manfred Mustermann"/>
            <family value="Musterman"/>
            <given value="Max"/>
            <given value="Manfred"/>
            <prefix value="Dr."/>
          </name>
        </Practitioner>
      </resource>
    </part>
  </parameter>
</Parameters>

{
  "resourceType" : "Parameters",
  "id" : "example-epa-op-rx-prescription-erp-output-parameters-1",
  "meta" : {
    "profile" : [
      🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-rx-prescription-erp-output-parameters"
    ]
  },
  "parameter" : [
    {
      "name" : "rxPrescription",
      "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-prescription-erp-output-parameters-1"/>
  <meta>
    <profile
             value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-rx-prescription-erp-output-parameters"/>
  </meta>
  <parameter>
    <name value="rxPrescription"/>
    <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>

Geschäftslogik

Der Medication Service MUSS bei der Ausführung der Operation Verschreibungsdaten einstellen sicherstellen, dass jede neu erzeugte MedicationStatement-Instanz die Extension https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension mit dem Wert PRESCRIPTION enthält. Der Medication Service MUSS die Geschäftlogik der Operation Verschreibungsdaten einstellen gemäß dem Aktivitätsdiagramm mit der ID IG-MED-BL-PROVIDE-PRESCRIPTION-ERP-V2 ausführen. Dabei sind alle mit transaction gekennzeichneten Abschnitte entsprechend den Transaktionssicherheitsregeln der ePA umzusetzen, sodass diese Abschnitte mit ihren Verarbeitungsschritten atomar, konsistent und isoliert durchgeführt werden.

Das folgende Aktivitätsdiagramm illustriert die Geschäftslogik der Operation Verschreibungsdaten einstellen im Medication Service.

Abbildung: Geschäftslogik für die Operation Verschreibungsdaten einstellen

Sicherheitsanforderungen

Generelle Sicherheitsanforderungen werden hier festgehalten.