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

## : ExampleEPABatchEmpResponseBundle - JSON Representation

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    {
      "resourceType" : "Bundle",
      "id" : "example-epa-batch-emp-response-bundle",
      "type" : "transaction-response",
      "entry" : [
        {
          "resource" : {
            "resourceType" : "Parameters",
            "id" : "0fe348cc-adee-496c-9359-3cf3eaa1d355",
            "meta" : {
              "profile" : [
                🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-emp-entry-output-parameters"
              ]
            },
            "parameter" : [
              {
                "name" : "empEntry",
                "resource" : {
                  "resourceType" : "MedicationRequest",
                  "id" : "71b66f1b-8032-4886-b7bf-e775daee22fb",
                  "meta" : {
                    "versionId" : "1",
                    "lastUpdated" : "2026-12-01T14:00:00.400Z",
                    "profile" : [
                      🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication-request"
                    ]
                  },
                  "extension" : [
                    {
                      "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension",
                      "valueCode" : "EMP"
                    },
                    {
                      "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension",
                      "valueString" : "Bluthochdruck"
                    },
                    {
                      "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension",
                      "valueAnnotation" : {
                        "text" : "Benazepril kann anfangs Schwindel verursachen - daher zuerst in Ruhe einnehmen und Autofahren vermeiden."
                      }
                    },
                    {
                      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod",
                      "valuePeriod" : {
                        "start" : "2026-12-01"
                      }
                    }
                  ],
                  "identifier" : [
                    {
                      "system" : "https://gematik.de/fhir/sid/emp-identifier",
                      "value" : "71b66f1b-8032-4886-b7bf-e775daee22fb"
                    }
                  ],
                  "status" : "active",
                  "intent" : "plan",
                  "medicationReference" : {
                    🔗 "reference" : "Medication/13c66845-d0ce-43e1-9b0b-884cbbe8df7f"
                  },
                  "subject" : {
                    "identifier" : {
                      "system" : "http://fhir.de/sid/gkv/kvid-10",
                      "value" : "X110411319"
                    }
                  },
                  "authoredOn" : "2026-12-01",
                  "note" : [
                    {
                      "text" : "Hinweis für den LE"
                    }
                  ],
                  "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"
                          }
                        }
                      ]
                    }
                  ]
                }
              },
              {
                "name" : "medication",
                "resource" : {
                  "resourceType" : "Medication",
                  "id" : "13c66845-d0ce-43e1-9b0b-884cbbe8df7f",
                  "meta" : {
                    "versionId" : "1",
                    "lastUpdated" : "2026-12-01T14:00:00.200Z",
                    "profile" : [
                      🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication"
                    ]
                  },
                  "extension" : [
                    {
                      "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension",
                      "valueCode" : "EMP"
                    },
                    {
                      "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension",
                      "valueCoding" : {
                        "system" : "http://snomed.info/sct",
                        "code" : "763158003",
                        "display" : "Medicinal product (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"
                    },
                    {
                      "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension",
                      "valueBoolean" : false
                    }
                  ],
                  "identifier" : [
                    {
                      "system" : "https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier",
                      "value" : "D15E4956F59A13CD3BB365799857D6FA9757C62D36DBDB9578D018CA4B6D969F"
                    }
                  ],
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://fhir.de/CodeSystem/ifa/pzn",
                        "code" : "04351736",
                        "display" : "Benazepril AL 20mg 98 Filmtabletten N3"
                      }
                    ],
                    "text" : "Benazepril AL 20mg 98 Filmtabletten N3"
                  },
                  "status" : "active",
                  "form" : {
                    "coding" : [
                      {
                        "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM",
                        "code" : "FTA"
                      }
                    ]
                  },
                  "amount" : {
                    "numerator" : {
                      "extension" : [
                        {
                          "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension",
                          "valueString" : "98"
                        }
                      ],
                      "unit" : "Stück"
                    },
                    "denominator" : {
                      "value" : 1
                    }
                  },
                  "ingredient" : [
                    {
                      "itemCodeableConcept" : {
                        "coding" : [
                          {
                            "system" : "http://fhir.de/CodeSystem/ask",
                            "code" : "23413"
                          }
                        ],
                        "text" : "Benazepril hydrochlorid"
                      },
                      "strength" : {
                        "numerator" : {
                          "value" : 20,
                          "unit" : "mg"
                        },
                        "denominator" : {
                          "value" : 1,
                          "unit" : "Filmtbl."
                        }
                      }
                    }
                  ]
                }
              },
              {
                "name" : "relatedActivity",
                "resource" : {
                  "resourceType" : "Provenance",
                  "id" : "8faa45dd-b2dc-4a80-8956-94aeab1db04b",
                  "meta" : {
                    "profile" : [
                      🔗 "https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance"
                    ]
                  },
                  "target" : [
                    {
                      "reference" : "MedicationRequest/71b66f1b-8032-4886-b7bf-e775daee22fb/_history/1"
                    }
                  ],
                  "recorded" : "2026-12-01T14:00:00.600Z",
                  "activity" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
                        "code" : "CREATE"
                      }
                    ]
                  },
                  "agent" : [
                    {
                      "type" : {
                        "coding" : [
                          {
                            "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                            "code" : "author"
                          }
                        ]
                      },
                      "who" : {
                        🔗 "reference" : "Organization/450a9511-53e5-4af7-be36-a18444bb8dd2",
                        "identifier" : {
                          "type" : {
                            "coding" : [
                              {
                                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                                "code" : "PRN"
                              }
                            ]
                          },
                          "system" : "https://gematik.de/fhir/sid/telematik-id",
                          "value" : "9-2.58.00000089"
                        },
                        "display" : "Die Hausarztpraxis"
                      }
                    }
                  ]
                }
              }
            ]
          },
          "response" : {
            "status" : "200 OK"
          }
        },
        {
          "resource" : {
            "resourceType" : "Parameters",
            "id" : "946af3ef-eec2-4a5d-81c4-fe46bc115d58",
            "meta" : {
              "profile" : [
                🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-emp-entry-output-parameters"
              ]
            },
            "parameter" : [
              {
                "name" : "empEntry",
                "resource" : {
                  "resourceType" : "MedicationRequest",
                  "id" : "266620a9-2c26-41c1-b0cb-a10947b867f5",
                  "meta" : {
                    "versionId" : "3",
                    "lastUpdated" : "2026-12-01T14:00:00.400Z",
                    "profile" : [
                      🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication-request"
                    ]
                  },
                  "extension" : [
                    {
                      "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension",
                      "valueCode" : "EMP"
                    },
                    {
                      "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension",
                      "valueString" : "akuten Behandlung von Migräneanfällen mit und ohne Aura"
                    },
                    {
                      "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension",
                      "valueAnnotation" : {
                        "text" : "Bitte schützen Sie das Arzneimittel vor hohen Temperaturen und direkter Sonneneinstrahlung."
                      }
                    },
                    {
                      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod",
                      "valuePeriod" : {
                        "start" : "2027-02-01"
                      }
                    },
                    {
                      "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension",
                      "valueReference" : {
                        🔗 "reference" : "MedicationStatement/f29f1d0c-be05-4b0d-a335-3e508da39c0c"
                      }
                    }
                  ],
                  "identifier" : [
                    {
                      "system" : "https://gematik.de/fhir/sid/emp-identifier",
                      "value" : "266620a9-2c26-41c1-b0cb-a10947b867f5"
                    }
                  ],
                  "status" : "active",
                  "intent" : "plan",
                  "medicationReference" : {
                    🔗 "reference" : "Medication/87f08ba2-da7e-467e-86aa-404d9035297c"
                  },
                  "subject" : {
                    "identifier" : {
                      "system" : "http://fhir.de/sid/gkv/kvid-10",
                      "value" : "X110411319"
                    }
                  },
                  "authoredOn" : "2026-11-01",
                  "note" : [
                    {
                      "text" : "Hinweis für den LE"
                    }
                  ],
                  "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" : "täglich: morgens — je 1 Stück"
                            }
                          ],
                          "url" : "http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructions"
                        }
                      ],
                      "timing" : {
                        "repeat" : {
                          "frequency" : 1,
                          "period" : 1,
                          "periodUnit" : "d",
                          "when" : [
                            "MORN"
                          ]
                        }
                      },
                      "doseAndRate" : [
                        {
                          "doseQuantity" : {
                            "value" : 1,
                            "unit" : "Stück",
                            "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT",
                            "code" : "1"
                          }
                        }
                      ]
                    }
                  ]
                }
              },
              {
                "name" : "medication",
                "resource" : {
                  "resourceType" : "Medication",
                  "id" : "87f08ba2-da7e-467e-86aa-404d9035297c",
                  "meta" : {
                    "versionId" : "1",
                    "lastUpdated" : "2026-11-01T14:00:00.200Z",
                    "profile" : [
                      🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication"
                    ]
                  },
                  "extension" : [
                    {
                      "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension",
                      "valueCode" : "EMP"
                    },
                    {
                      "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" : "https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension",
                      "valueBoolean" : false
                    },
                    {
                      "url" : "http://fhir.de/StructureDefinition/normgroesse",
                      "valueCode" : "N1"
                    }
                  ],
                  "identifier" : [
                    {
                      "system" : "https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier",
                      "value" : "5CA9B89A31D81FFF6869E6A93B192C03C7F715FC4A568FB060630DD639F94EF1"
                    }
                  ],
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://fhir.de/CodeSystem/ifa/pzn",
                        "code" : "06313728"
                      }
                    ],
                    "text" : "Sumatriptan-1a Pharma 100 mg Tabletten"
                  },
                  "status" : "active",
                  "form" : {
                    "coding" : [
                      {
                        "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM",
                        "code" : "TAB",
                        "display" : "Tabletten"
                      }
                    ]
                  },
                  "amount" : {
                    "numerator" : {
                      "extension" : [
                        {
                          "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension",
                          "valueString" : "20 St."
                        }
                      ],
                      "value" : 20,
                      "unit" : "St"
                    },
                    "denominator" : {
                      "value" : 1
                    }
                  }
                }
              },
              {
                "name" : "relatedActivity",
                "resource" : {
                  "resourceType" : "Provenance",
                  "id" : "20335453-d103-4957-a370-03c9007db2f6",
                  "meta" : {
                    "profile" : [
                      🔗 "https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance"
                    ]
                  },
                  "target" : [
                    {
                      "reference" : "MedicationRequest/266620a9-2c26-41c1-b0cb-a10947b867f5/_history/3"
                    }
                  ],
                  "recorded" : "2026-12-01T14:00:00.400Z",
                  "activity" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
                        "code" : "CREATE"
                      }
                    ]
                  },
                  "agent" : [
                    {
                      "type" : {
                        "coding" : [
                          {
                            "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                            "code" : "author"
                          }
                        ]
                      },
                      "who" : {
                        🔗 "reference" : "Organization/450a9511-53e5-4af7-be36-a18444bb8dd2",
                        "identifier" : {
                          "type" : {
                            "coding" : [
                              {
                                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                                "code" : "PRN"
                              }
                            ]
                          },
                          "system" : "https://gematik.de/fhir/sid/telematik-id",
                          "value" : "9-2.58.00000089"
                        },
                        "display" : "Die Hausarztpraxis"
                      }
                    }
                  ]
                }
              }
            ]
          },
          "response" : {
            "status" : "200 OK"
          }
        },
        {
          "resource" : {
            "resourceType" : "Provenance",
            "id" : "319fcc6e-049d-4eb1-9a5c-82c33438cf94",
            "meta" : {
              "profile" : [
                🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-chronology-provenance"
              ]
            },
            "extension" : [
              {
                "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-chronology-extension",
                "valueBoolean" : true
              }
            ],
            "target" : [
              {
                "reference" : "MedicationRequest/266620a9-2c26-41c1-b0cb-a10947b867f5/_history/3"
              },
              {
                "reference" : "MedicationRequest/71b66f1b-8032-4886-b7bf-e775daee22fb/_history/1"
              }
            ],
            "occurredDateTime" : "2026-12-01T14:00:00.400Z",
            "recorded" : "2026-12-01T14:00:00.400Z",
            "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" : {
                  🔗 "reference" : "Organization/450a9511-53e5-4af7-be36-a18444bb8dd2",
                  "identifier" : {
                    "type" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                          "code" : "PRN"
                        }
                      ]
                    },
                    "system" : "https://gematik.de/fhir/sid/telematik-id",
                    "value" : "9-2.58.00000089"
                  },
                  "display" : "Die Hausarztpraxis"
                }
              }
            ]
          },
          "response" : {
            "status" : "200 OK"
          }
        }
      ]
    }