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

## : ExampleEPABatchEmpRequestBundle - JSON Representation

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    {
      "resourceType" : "Bundle",
      "id" : "example-epa-batch-emp-request-bundle",
      "meta" : {
        "profile" : [
          🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-batch-emp-request-bundle"
        ]
      },
      "type" : "transaction",
      "entry" : [
        {
          "fullUrl" : "urn:uuid:42a697f3-3989-4be8-bf27-92c05a025e79",
          "resource" : {
            "resourceType" : "Parameters",
            "id" : "517301af-f07c-4694-9780-451132352d95",
            "meta" : {
              "profile" : [
                🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-add-emp-entry-input-parameters"
              ]
            },
            "parameter" : [
              {
                "name" : "empEntry",
                "resource" : {
                  "resourceType" : "MedicationRequest",
                  "id" : "881f3c6d-20e6-443e-b7dc-580a40fa3d14",
                  "meta" : {
                    "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"
                      }
                    }
                  ],
                  "status" : "active",
                  "intent" : "plan",
                  "medicationReference" : {
                    "reference" : "Medication/1193c409-3df4-4b55-b672-811665aaa1b7"
                  },
                  "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" : "1193c409-3df4-4b55-b672-811665aaa1b7",
                  "meta" : {
                    "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
                    }
                  ],
                  "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."
                        }
                      }
                    }
                  ]
                }
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "$add-emp-entry"
          }
        },
        {
          "fullUrl" : "urn:uuid:cae0c349-08bc-4fe5-9233-ca5a9a4c4673",
          "resource" : {
            "resourceType" : "Parameters",
            "id" : "7ccb2670-7178-4f82-912a-de70f68ecd51",
            "meta" : {
              "profile" : [
                🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-update-emp-entry-input-parameters"
              ]
            },
            "parameter" : [
              {
                "name" : "medicationPlanIdentifier",
                "valueIdentifier" : {
                  "system" : "https://gematik.de/fhir/sid/emp-identifier",
                  "value" : "266620a9-2c26-41c1-b0cb-a10947b867f5"
                }
              },
              {
                "name" : "empEntry",
                "resource" : {
                  "resourceType" : "MedicationRequest",
                  "id" : "266620a9-2c26-41c1-b0cb-a10947b867f5",
                  "meta" : {
                    "versionId" : "2",
                    "lastUpdated" : "2026-11-01T15:43:33.244Z",
                    "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"
                          }
                        }
                      ]
                    }
                  ]
                }
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "$update-emp-entry"
          }
        },
        {
          "fullUrl" : "urn:uuid:ba863a1b-f6bc-45f7-92ba-cc8bf79cf8c2",
          "resource" : {
            "resourceType" : "Parameters",
            "id" : "4beaf1af-daec-4c7a-930d-c2062517b42c",
            "meta" : {
              "profile" : [
                🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-rmp-commit-input-parameters"
              ]
            },
            "parameter" : [
              {
                "name" : "acknowledgedChronologyId",
                "valueId" : "b467ce05-e0e5-4d71-9a0b-d824dbb492ef"
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "$emp-commit"
          }
        }
      ]
    }