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

## : ExampleEpaGetMedicationPlanBundle - JSON Representation

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    {
      "resourceType" : "Bundle",
      "id" : "example-get-medication-plan-bundle-1",
      "identifier" : {
        "system" : "urn:ietf:rfc:3986",
        "value" : "urn:uuid:6da4d89d-09f9-4c9a-9117-10c7e7948566"
      },
      "type" : "collection",
      "timestamp" : "2027-01-10T10:10:00Z",
      "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"
          }
        },
        {
          "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/Provenanc/63e6938b-18a3-4b0f-9423-084d53edba7b",
          "resource" : {
            "resourceType" : "Provenance",
            "id" : "63e6938b-18a3-4b0f-9423-084d53edba7b",
            "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/2"
              },
              {
                "reference" : "MedicationRequest/71b66f1b-8032-4886-b7bf-e775daee22fb/_history/1"
              }
            ],
            "occurredDateTime" : "2026-11-01T15:43:33.244Z",
            "recorded" : "2026-11-01T15:43:33.244Z",
            "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" : {
                  🔗 "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"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/MedicationRequest/71b66f1b-8032-4886-b7bf-e775daee22fb",
          "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"
                    }
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/Medication/13c66845-d0ce-43e1-9b0b-884cbbe8df7f",
          "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."
                  }
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/Provenance/8faa45dd-b2dc-4a80-8956-94aeab1db04b",
          "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"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/MedicationRequest/266620a9-2c26-41c1-b0cb-a10947b867f5",
          "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"
                    }
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/Medication/87f08ba2-da7e-467e-86aa-404d9035297c",
          "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
              }
            }
          }
        },
        {
          "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/Provenance/9090b28c-e165-4823-b82b-15bb63012123",
          "resource" : {
            "resourceType" : "Provenance",
            "id" : "9090b28c-e165-4823-b82b-15bb63012123",
            "meta" : {
              "profile" : [
                🔗 "https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance"
              ]
            },
            "target" : [
              {
                "reference" : "MedicationRequest/266620a9-2c26-41c1-b0cb-a10947b867f5/_history/1"
              }
            ],
            "recorded" : "2026-11-01T15:43:33.244Z",
            "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" : {
                  🔗 "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"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/MedicationStatement/f29f1d0c-be05-4b0d-a335-3e508da39c0c",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "f29f1d0c-be05-4b0d-a335-3e508da39c0c",
            "meta" : {
              "versionId" : "2",
              "lastUpdated" : "2026-11-01T15:43:33.244Z",
              "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" : "160.100.000.000.007.24_20261101"
                }
              },
              {
                "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension",
                "valueCode" : "PRESCRIPTION"
              }
            ],
            "basedOn" : [
              {
                🔗 "extension" : [
                  {
                    "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-extension",
                    "valueBoolean" : true
                  }
                ],
                "reference" : "MedicationRequest/266620a9-2c26-41c1-b0cb-a10947b867f5"
              }
            ],
            "status" : "unknown",
            "medicationReference" : {
              🔗 "reference" : "Medication/fc7b28e8-05ac-4ac8-86d7-7677d9c6134e"
            },
            "subject" : {
              "identifier" : {
                "system" : "http://fhir.de/sid/gkv/kvid-10",
                "value" : "X110411319"
              }
            },
            "effectivePeriod" : {
              "start" : "2025-11-01"
            },
            "dateAsserted" : "2026-11-01",
            "derivedFrom" : [
              {
                🔗 "reference" : "MedicationRequest/4dd6f19d-002c-44ac-ae2f-3c9d08ad35b8"
              },
              {
                🔗 "reference" : "MedicationDispense/fa0c29e1-c4e7-4f08-91ab-598a2233867c"
              }
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