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

## : ExampleEpaGetMedicationListBundle - JSON Representation

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    {
      "resourceType" : "Bundle",
      "id" : "example-get-medication-list-bundle1",
      "identifier" : {
        "system" : "urn:ietf:rfc:3986",
        "value" : "urn:uuid:9e1f5895-ab0b-4237-856d-fa1065631400"
      },
      "type" : "searchset",
      "timestamp" : "2025-01-01T00:00:00Z",
      "total" : 16,
      "link" : [
        {
          "relation" : "self",
          "url" : "http://epa4all/epa/medication/api/v1/fhir/$medication-list&date=le2025-12-24&date=ge2025-01-01&_count=10&_offset=0"
        },
        {
          "relation" : "first",
          "url" : "http://epa4all/epa/medication/api/v1/fhir/$medication-list&date=le2025-12-24&date=ge2025-01-01&_count=10&_offset=0"
        },
        {
          "relation" : "next",
          "url" : "http://epa4all/epa/medication/api/v1/fhir/$medication-list&date=le2025-12-24&date=ge2025-01-01&_count=10&_offset=10"
        },
        {
          "relation" : "last",
          "url" : "http://epa4all/epa/medication/api/v1/fhir/$medication-list&date=le2025-12-24&date=ge2025-01-01&_count=10&_offset=10"
        }
      ],
      "entry" : [
        {
          "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/Patient/641f4cf5-e54b-406c-b8a8-1d3292fd5087",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "641f4cf5-e54b-406c-b8a8-1d3292fd5087",
            "meta" : {
              "profile" : [
                🔗 "https://gematik.de/fhir/epa/StructureDefinition/epa-patient"
              ]
            },
            "identifier" : [
              {
                "system" : "http://fhir.de/sid/gkv/kvid-10",
                "value" : "X110411319"
              }
            ],
            "active" : true,
            "name" : [
              {
                "use" : "official",
                "family" : "Mustermann",
                "given" : [
                  "Max"
                ]
              }
            ],
            "gender" : "male",
            "birthDate" : "1976-02-01"
          },
          "search" : {
            "mode" : "include"
          }
        },
        {
          "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/MedicationStatement/f3988023-2313-4645-bd6b-f9e37cfb6fc7",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "f3988023-2313-4645-bd6b-f9e37cfb6fc7",
            "meta" : {
              "versionId" : "2",
              "lastUpdated" : "2025-05-22T14:43:34.244Z",
              "profile" : [
                🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-statement"
              ]
            },
            "extension" : [
              {
                "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension",
                "valueIdentifier" : {
                  "system" : "https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier",
                  "value" : "160.100.000.000.006.24_20250520"
                }
              },
              {
                "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension",
                "valueCode" : "PRESCRIPTION"
              }
            ],
            "status" : "unknown",
            "medicationReference" : {
              🔗 "reference" : "Medication/bb91cde8-0426-4f4b-a766-5d818d0605bd"
            },
            "subject" : {
              "identifier" : {
                "system" : "http://fhir.de/sid/gkv/kvid-10",
                "value" : "X110411319"
              }
            },
            "effectivePeriod" : {
              "start" : "2025-05-22"
            },
            "dateAsserted" : "2025-05-22",
            "derivedFrom" : [
              {
                🔗 "reference" : "MedicationRequest/3191d752-3adf-4c7f-848d-8d43766fed72"
              },
              {
                🔗 "reference" : "MedicationDispense/4e6e1623-778e-44a3-b208-8479f5339e43"
              }
            ],
            "dosage" : [
              {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "algorithm",
                        "valueCoding" : {
                          "system" : "http://ig.fhir.de/igs/medication/CodeSystem/DosageTextAlgorithm",
                          "version" : "1.0.0",
                          "code" : "GematikDosageTextGenerator"
                        }
                      },
                      {
                        "url" : "algorithmVersion",
                        "valueString" : "1.0.0"
                      },
                      {
                        "url" : "language",
                        "valueCode" : "de-DE"
                      },
                      {
                        "url" : "text",
                        "valueString" : "2 x täglich: morgens und abends — je 1 Stück"
                      }
                    ],
                    "url" : "http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructions"
                  }
                ],
                "timing" : {
                  "repeat" : {
                    "frequency" : 2,
                    "period" : 1,
                    "periodUnit" : "d",
                    "when" : [
                      "MORN",
                      "EVE"
                    ]
                  }
                },
                "doseAndRate" : [
                  {
                    "doseQuantity" : {
                      "value" : 1,
                      "unit" : "Stück",
                      "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT",
                      "code" : "1"
                    }
                  }
                ]
              }
            ]
          },
          "search" : {
            "mode" : "match"
          }
        },
        {
          "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/Provenance/de42aa65-f84e-4e96-acfb-b9fd5e104b2d",
          "resource" : {
            "resourceType" : "Provenance",
            "id" : "de42aa65-f84e-4e96-acfb-b9fd5e104b2d",
            "meta" : {
              "profile" : [
                🔗 "https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance"
              ]
            },
            "target" : [
              {
                "reference" : "MedicationStatement/f3988023-2313-4645-bd6b-f9e37cfb6fc7/_history/2"
              }
            ],
            "recorded" : "2025-05-22T14:43:34.244Z",
            "activity" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
                  "code" : "UPDATE"
                }
              ]
            },
            "agent" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                      "code" : "author"
                    }
                  ]
                },
                "who" : {
                  "display" : "MEDSVC"
                }
              }
            ]
          },
          "search" : {
            "mode" : "include"
          }
        },
        {
          "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/Medication/ec4d55a0-dec1-46b7-96cc-096845b74c4b",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "ec4d55a0-dec1-46b7-96cc-096845b74c4b",
            "meta" : {
              "profile" : [
                🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication"
              ]
            },
            "extension" : [
              {
                "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" : "N1"
              },
              {
                "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension",
                "valueBoolean" : false
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://fhir.de/CodeSystem/ifa/pzn",
                  "code" : "00814665"
                }
              ],
              "text" : "Januvia® 50 mg 28 Filmtabletten N1"
            },
            "status" : "active",
            "form" : {
              "coding" : [
                {
                  "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM",
                  "code" : "FTA",
                  "display" : "Tabletten"
                }
              ]
            }
          },
          "search" : {
            "mode" : "include"
          }
        },
        {
          "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/MedicationRequest/bb91cde8-0426-4f4b-a766-5d818d0605bd",
          "resource" : {
            "resourceType" : "MedicationRequest",
            "id" : "3191d752-3adf-4c7f-848d-8d43766fed72",
            "meta" : {
              "versionId" : "2",
              "lastUpdated" : "2025-05-22T14:43:33.244Z",
              "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"
              }
            ],
            "identifier" : [
              {
                "system" : "https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier",
                "value" : "160.100.000.000.006.24_20250520"
              },
              {
                "system" : "https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier",
                "value" : "bb91cde8-0426-4f4b-a766-5d818d0605bd_160.100.000.000.006.24"
              }
            ],
            "status" : "active",
            "intent" : "filler-order",
            "medicationReference" : {
              🔗 "reference" : "Medication/bb91cde8-0426-4f4b-a766-5d818d0605bd"
            },
            "subject" : {
              "identifier" : {
                "system" : "http://fhir.de/sid/gkv/kvid-10",
                "value" : "X110411319"
              }
            },
            "authoredOn" : "2025-05-20",
            "requester" : {
              🔗 "reference" : "PractitionerRole/73a551f8-d8cd-4b44-823d-ab5f8aeab1aa"
            },
            "dosageInstruction" : [
              {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "algorithm",
                        "valueCoding" : {
                          "system" : "http://ig.fhir.de/igs/medication/CodeSystem/DosageTextAlgorithm",
                          "version" : "1.0.0",
                          "code" : "GematikDosageTextGenerator"
                        }
                      },
                      {
                        "url" : "algorithmVersion",
                        "valueString" : "1.0.0"
                      },
                      {
                        "url" : "language",
                        "valueCode" : "de-DE"
                      },
                      {
                        "url" : "text",
                        "valueString" : "2 x täglich: morgens und abends — je 1 Stück"
                      }
                    ],
                    "url" : "http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructions"
                  }
                ],
                "timing" : {
                  "repeat" : {
                    "frequency" : 2,
                    "period" : 1,
                    "periodUnit" : "d",
                    "when" : [
                      "MORN",
                      "EVE"
                    ]
                  }
                },
                "doseAndRate" : [
                  {
                    "doseQuantity" : {
                      "value" : 1,
                      "unit" : "Stück",
                      "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT",
                      "code" : "1"
                    }
                  }
                ]
              }
            ],
            "dispenseRequest" : {
              "quantity" : {
                "value" : 1,
                "system" : "http://unitsofmeasure.org",
                "code" : "{Package}"
              }
            },
            "substitution" : {
              "allowedBoolean" : true
            }
          },
          "search" : {
            "mode" : "include"
          }
        },
        {
          "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/MedicationDispense/4e6e1623-778e-44a3-b208-8479f5339e43",
          "resource" : {
            "resourceType" : "MedicationDispense",
            "id" : "4e6e1623-778e-44a3-b208-8479f5339e43",
            "meta" : {
              "versionId" : "1",
              "lastUpdated" : "2025-05-22T14:43:33.244Z",
              "profile" : [
                🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense"
              ]
            },
            "extension" : [
              {
                "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension",
                "valueIdentifier" : {
                  "system" : "https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier",
                  "value" : "160.100.000.000.006.24_20250520"
                }
              }
            ],
            "identifier" : [
              {
                "system" : "https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier",
                "value" : "5d8fbf7c-bdb0-44c2-95fe-423ae0404ccd_160.100.000.000.006.24"
              }
            ],
            "status" : "completed",
            "medicationReference" : {
              🔗 "reference" : "Medication/bb91cde8-0426-4f4b-a766-5d818d0605bd"
            },
            "subject" : {
              "identifier" : {
                "system" : "http://fhir.de/sid/gkv/kvid-10",
                "value" : "X110411319"
              }
            },
            "performer" : [
              {
                "actor" : {
                  🔗 "reference" : "Organization/151f1697-7512-4e21-9466-1b75207475d8",
                  "identifier" : {
                    "type" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                          "version" : "2.9.0",
                          "code" : "PRN",
                          "display" : "Provider number"
                        }
                      ]
                    },
                    "system" : "https://gematik.de/fhir/sid/telematik-id",
                    "value" : "9-2.58.00000023"
                  },
                  "display" : "gematik Apotheke"
                }
              }
            ],
            "authorizingPrescription" : [
              {
                🔗 "reference" : "MedicationRequest/3191d752-3adf-4c7f-848d-8d43766fed72"
              }
            ],
            "whenHandedOver" : "2025-05-22",
            "substitution" : {
              "wasSubstituted" : false
            }
          },
          "search" : {
            "mode" : "include"
          }
        },
        {
          "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/PractitionerRole/73a551f8-d8cd-4b44-823d-ab5f8aeab1aa",
          "resource" : {
            "resourceType" : "PractitionerRole",
            "id" : "73a551f8-d8cd-4b44-823d-ab5f8aeab1aa",
            "practitioner" : {
              🔗 "reference" : "Practitioner/498c345f-31f5-4da6-9f04-00fa2bc8af7c",
              "identifier" : {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "version" : "2.9.0",
                      "code" : "PRN",
                      "display" : "Provider number"
                    }
                  ]
                },
                "system" : "https://gematik.de/fhir/sid/telematik-id",
                "value" : "1-1.58.00000056"
              },
              "display" : "Dr. Max Manfred Mustermann"
            },
            "organization" : {
              🔗 "reference" : "Organization/ad7dc0e7-cb44-4740-ba67-cb573e29d596",
              "identifier" : {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "version" : "2.9.0",
                      "code" : "PRN",
                      "display" : "Provider number"
                    }
                  ]
                },
                "system" : "https://gematik.de/fhir/sid/telematik-id",
                "value" : "9-2.58.00000045"
              },
              "display" : "Praxis Dr. med. Max Mustermann"
            }
          },
          "search" : {
            "mode" : "include"
          }
        },
        {
          "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/Organization/ad7dc0e7-cb44-4740-ba67-cb573e29d596",
          "resource" : {
            "resourceType" : "Organization",
            "id" : "ad7dc0e7-cb44-4740-ba67-cb573e29d596",
            "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" : "9-2.58.00000045"
              },
              {
                "system" : "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_BSNR",
                "value" : "012300004"
              }
            ],
            "active" : true,
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "https://gematik.de/fhir/directory/CodeSystem/OrganizationProfessionOID",
                    "code" : "1.2.276.0.76.4.50",
                    "display" : "Betriebsstätte Arzt"
                  }
                ]
              }
            ],
            "name" : "Praxis Dr. med. Max Mustermann",
            "address" : [
              {
                "type" : "both",
                "line" : [
                  "Musterstr. 1",
                  "Mitte"
                ],
                "city" : "Darmstadt",
                "postalCode" : "64283",
                "country" : "DE"
              },
              {
                "type" : "postal",
                "line" : [
                  "45678"
                ],
                "city" : "Darmstadt",
                "country" : "DE"
              }
            ]
          },
          "search" : {
            "mode" : "include"
          }
        },
        {
          "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/Practitioner/498c345f-31f5-4da6-9f04-00fa2bc8af7c",
          "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" : "1-1.58.00000056"
              },
              {
                "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."
                ]
              }
            ]
          },
          "search" : {
            "mode" : "include"
          }
        },
        {
          "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/Organization/151f1697-7512-4e21-9466-1b75207475d8",
          "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" : "9-2.58.00000023"
              }
            ],
            "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"
                  }
                ]
              }
            ]
          },
          "search" : {
            "mode" : "include"
          }
        },
        {
          "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/MedicationStatement/1cb0f018-178d-4488-a6b4-2be32dbda784",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "1cb0f018-178d-4488-a6b4-2be32dbda784",
            "meta" : {
              "versionId" : "1",
              "lastUpdated" : "2026-08-18T14:43:33.244Z",
              "profile" : [
                🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-statement"
              ]
            },
            "extension" : [
              {
                "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension",
                "valueCode" : "MANUAL"
              }
            ],
            "status" : "unknown",
            "medicationReference" : {
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