Implementation Guide
ePA Medication Service
Version 1.2.0-ballot.2 - draft

## Operation API: Dispensierung stornieren

Die auf dieser Seite dargestellten Inhalte geben den Stand der Version 1.2.0-ballot.1 wieder. Rückmeldungen aus dem laufenden Kommentierungsverfahren sowie daraus resultierende fachliche oder technische Anpassungen sind in dieser Fassung noch nicht oder nur teilweise berücksichtigt.

Die Operation Dispensierung stornieren ermöglicht das Stornieren oder Rückgängigmachen einer Arzneimittelabgabe im Medication Service. Sie wird über die Löschung einer Dispensierinformation im E-Rezept-Fachdienst als Stornierung im Medication Service “weitergereicht”. Dies erfolgt, wenn eine Arzneimittelabgabe irrtümlich erfolgt ist oder wenn eine Aktualisierung in der Arzneimittelhistorie des Versicherten notwendig wird. Nachdem der E-Rezept-Fachdienst die Operation durchführt, wird die betreffende Abgabe im Medication Service des Versicherten als storniert bzw. rückgängig gemacht markiert, was zu einer genauen und aktuellen Erfassung der Arzneimitteldaten des Versicherten beiträgt.

### Nachricht

Die Nachricht zur Stornierung oder Löschung einer Dispensierinformation wird als HTTP POST-Anfrage an den Medication Service gesendet.

#### Auslösung

Der E-Rezept-Fachdienst sendet eine Nachricht zur Stornierung oder Löschung einer Dispensierinformationen an den Medication Service. Der Medication Service verarbeitet die Anfrage, führt die entsprechende Stornierung oder Löschung der Dispensierinformationen durch und speichert diese Information dauerhaft.

#### FHIR Operation API

Der Medication Service MUSS die Operation API: Dispensierinformationen stornieren gemäß der FHIR OperationDefinition Cancel Dispensation eRP ausführen. Die Verarbeitung der Dispensierinformationen MUSS entsprechend den in der OperationDefinition festgelegten Regeln und Strukturen erfolgen. Der Medication Service MUSS die Operation Dispensierinformationen stornieren mittels einer HTTP POST-Anfrage verarbeiten. Die empfangene Stornierungsanfrage MUSS entsprechend verarbeitet und die Information zur stornierten Dispensierung dauerhaft gespeichert werden. Der Medication Service MUSS für die Operation Verschreibungsdaten einstellen einen Partial Success ermöglichen.

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

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known"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_RESOURCE_ID_FAIL"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid dosage structure or content"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_DOSAGE_INVALID"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid Data Structure in Medication Service"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDICATIONSVC_NO_VALID_STRUCTURE"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Parameter 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"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"},{"extension":[{"url":"name","valueString":"X-Requesting-Organization"},{"url":"type","valueString":"string"},{"url":"description","valueString":"Base64 encoded FHIR 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ID"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_EMP_CHRONOLOGY_ID_MISMATCH"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid dosage structure or content"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_DOSAGE_INVALID"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid Data Structure in Medication Service"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDICATIONSVC_NO_VALID_STRUCTURE"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Parameter 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":"Update Conflict (server current version = %s, client version referenced = %s)"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_VERSION_AWARE_CONFLICT"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"404"},{"url":"description","valueString":"Resource is not known"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_RESOURCE_ID_FAIL"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"}],"name":"batch-emp","definition":"https://gematik.de/fhir/epa-medication/OperationDefinition/batch-emp-entries-op"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"},{"extension":[{"url":"name","valueString":"X-Requesting-Organization"},{"url":"type","valueString":"string"},{"url":"description","valueString":"Base64 encoded FHIR Organization resource in JSON format used to identify the originator 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###

          {"resourceType":"OperationDefinition","id":"cancel-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 cancel-dispensation-erp-OP</p><a name=\"cancel-dispensation-erp-OP\"> </a><a name=\"hccancel-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]/$$cancel-dispensation-erpInput parameters Profile:<a href=\"StructureDefinition-epa-op-cancel-dispensation-erp-input-parameters.html\">EPA Operation CancelDispensation 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\">UseNameScopeCardinalityTypeBindingDocumentation</table></div>"},"extension":[{"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-method","valueCode":"POST"}],"url":"https://gematik.de/fhir/epa-medication/OperationDefinition/cancel-dispensation-erp-OP","version":"1.2.0-ballot.2","name":"cancelDispensation_MedicationSvc","title":"Cancel Dispensation eRP","status":"draft","kind":"operation","date":"2025-09-02","publisher":"gematik GmbH","contact":[{"name":"gematik GmbH","telecom":[{"system":"url","value":"https://www.gematik.de"},{"system":"email","value":"patientteam [ at ] gematik.de"}]}],"description":"The Cancel Dispensation eRP operation, used by the E-Rezept-Fachdienst, in the context of the ePA Medication Service, is applied to cancel or reverse information regarding the dispensation of a medication. This operation is necessary when a medication dispensation is cancelled by a pharmacist or when there is a return of the medication by the insurant. After the E-Rezept-Fachdienst performs this operation, the corresponding dispensation entry for the medication in the patient's ePA is marked as cancelled, which the goal in ensuring an accurate and up-to-date record of the patient's medication data.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"DE"}]}],"affectsState":true,"code":"cancel-dispensation-erp","system":true,"type":false,"instance":false,"inputProfile":"https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-cancel-dispensation-erp-input-parameters","outputProfile":"https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-rx-dispensation-erp-output-parameters"}

    {
      "resourceType" : "Parameters",
      "id" : "example-epa-op-cancel-dispensation-erp-input-parameters-1",
      "meta" : {
        "profile" : [
          🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-cancel-dispensation-erp-input-parameters"
        ]
      },
      "parameter" : [
        {
          "name" : "rxDispensation",
          "part" : [
            {
              "name" : "prescriptionId",
              "valueIdentifier" : {
                "system" : "https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId",
                "value" : "160.100.000.000.011.09"
              }
            },
            {
              "name" : "authoredOn",
              "valueDate" : "2025-09-06"
            }
          ]
        }
      ]
    }

    <Parameters xmlns="http://hl7.org/fhir">
      <id value="example-epa-op-cancel-dispensation-erp-input-parameters-1"/>
      <meta>
        <profile
                 value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-cancel-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="160.100.000.000.011.09"/>
          </valueIdentifier>
        </part>
        <part>
          <name value="authoredOn"/>
          <valueDate value="2025-09-06"/>
        </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" : "160.100.000.000.011.09"
              }
            },
            {
              "name" : "authoredOn",
              "valueDate" : "2025-09-06"
            },
            {
              "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="160.100.000.000.011.09"/>
          </valueIdentifier>
        </part>
        <part>
          <name value="authoredOn"/>
          <valueDate value="2025-09-06"/>
        </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 die Geschäftlogik der Operation Dispensierinformationen stornieren gemäß dem Aktivitätsdiagramm mit der ID IG-MED-BL-CANCEL-DISPENSATION-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 Dispensierinformationen stornieren im Medication Service.

Abbildung: Geschäftslogik für die Operation Dispensierinformationen stornieren

### Sicherheitsanforderungen

Generelle Sicherheitsanforderungen werden hier festgehalten.