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

## Operation API: eML-Eintrag hinzufügen

Diese Operation eML-Eintrag hinzufügen ermöglicht das gezielte Hinzufügen (Nachtragen) eines Medikations-Eintrags zur elektronischen Medikationsliste (eML). Anhand der Eingangsdaten werden im Medication Service folgende FHIR-Artefakte erzeugt bzw. aktualisiert:

- Eine Medikationsinformation als Instanz gemäß Profil EPAMedicationStatement, welche den Nachtrag einer Medikation und der Einnahmeinformation enthält – einschließlich Feldern wie dosage und effective[x].
- Ein zugehöriges Arzneimittel als Instanz gemäß Profil EPAMedication.
- Ein zugehöriger Änderungseintrag als Instanz gemäß Profil EPAActivityProvenance.
- Eine zum Änderungseintrag zugehörige verordnende LEI als Instanz gemäß Profil TIOrganization.

### Nachricht

Die Nachricht zum Hinzufügen eines Medikationseintrags zur eML wird als HTTP POST-Anfrage an den Medication Service gesendet.

#### Auslösung

Wenn das ePA-Client-System Medikationseinträge der elektronischen Medikationsliste ergänzen möchte, verwendet es diese Operation des Medication Service.

#### Antwort

Die Operation gibt den erzeugten Medikationseintrag mit den Instanzen gemäß EPAMedicationStatement und EPAMedication als Ergebnis zurück.

#### FHIR Operation API

Das Primärsystem MUSS die Operation API: eML-Eintrag hinzufügen implementieren, um einer Leistungserbringerinstitution den Nachtrag in eine eML zu ermöglichen. Der Medication Service MUSS die Operation API: eML-Eintrag hinzufügen gemäß der FHIR OperationDefinition eML-Eintrag hinzufügen implementieren.

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with wrong status"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_STATUS_INVALID"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"409"},{"url":"description","valueString":"Mismatch between acknowledged and current eMP chronology ID"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_EMP_CHRONOLOGY_ID_MISMATCH"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"}],"name":"update-emp-entry","definition":"https://gematik.de/fhir/epa-medication/OperationDefinition/update-emp-entry-op"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"},{"extension":[{"url":"name","valueString":"X-Requesting-Organization"},{"url":"type","valueString":"string"},{"url":"description","valueString":"Base64 encoded FHIR 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Service"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDICATIONSVC_NO_VALID_STRUCTURE"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Parameter with wrong status"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_STATUS_INVALID"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"409"},{"url":"description","valueString":"Update Conflict (server current version = %s, client version referenced = %s)"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_VERSION_AWARE_CONFLICT"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"404"},{"url":"description","valueString":"Resource is not known"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_RESOURCE_ID_FAIL"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"}],"name":"batch-emp","definition":"https://gematik.de/fhir/epa-medication/OperationDefinition/batch-emp-entries-op"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"},{"extension":[{"url":"name","valueString":"X-Requesting-Organization"},{"url":"type","valueString":"string"},{"url":"description","valueString":"Base64 encoded FHIR Organization resource in JSON format used to identify the originator 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###

          {"resourceType":"OperationDefinition","id":"add-eml-entry-op","meta":{"profile":["https://gematik.de/fhir/ti/StructureDefinition/ti-operationdefinition"]},"text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\">Generated Narrative: OperationDefinition add-eml-entry-op</p><a name=\"add-eml-entry-op\"> </a><a name=\"hcadd-eml-entry-op\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://gematik.de/fhir/ti/1.1.1-ballot.1/StructureDefinition-ti-operationdefinition.html\">OperationDefinition Profil für TI FHIR Data Service</a></p></div>URL: [base]/MedicationStatement/$add-eml-entryInput parameters Profile:<a href=\"StructureDefinition-epa-op-add-eml-entry-input-parameters.html\">EPA Operation addEMLEntry Input-Parameters</a>Output parameters Profile:<a href=\"StructureDefinition-epa-op-eml-entry-output-parameters.html\">EPA Operation EMLEntry Output-Parameters</a>Parameters<table class=\"grid\">UseNameScopeCardinalityTypeBindingDocumentation</table></div>"},"extension":[{"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-method","valueCode":"POST"}],"url":"https://gematik.de/fhir/epa-medication/OperationDefinition/add-eml-entry-op","version":"1.2.0-ballot.2","name":"addEMLEntry_MedicationSvc","title":"Add Medication List Entry","status":"draft","kind":"operation","date":"2025-09-02","publisher":"gematik GmbH","contact":[{"name":"gematik GmbH","telecom":[{"system":"url","value":"https://www.gematik.de"},{"system":"email","value":"patientteam [ at ] gematik.de"}]}],"description":"Diese Operation ermöglicht das gezielte Hinzufügen einer neuen Medikation zur elektronischen Medikationsliste (eML).","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"DE"}]}],"affectsState":true,"code":"add-eml-entry","resource":["MedicationStatement"],"system":false,"type":true,"instance":false,"inputProfile":"https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-add-eml-entry-input-parameters","outputProfile":"https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-eml-entry-output-parameters"}

    {
      "resourceType" : "Parameters",
      "id" : "example-epa-op-add-eml-entry-input-parameters-1",
      "meta" : {
        "profile" : [
          🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-add-eml-entry-input-parameters"
        ]
      },
      "parameter" : [
        {
          "name" : "medicationStatement",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "36581a11-806e-4455-a1c9-9173b7d247fd",
            "meta" : {
              "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" : {
              "reference" : "Medication/fe79ff64-42e5-4cf8-a8d1-5ce527323dcc"
            },
            "subject" : {
              "identifier" : {
                "system" : "http://fhir.de/sid/gkv/kvid-10",
                "value" : "X110411319"
              }
            },
            "effectivePeriod" : {
              "start" : "2026-02-10"
            },
            "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"
                    }
                  }
                ]
              }
            ]
          }
        },
        {
          "name" : "medication",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "fe79ff64-42e5-4cf8-a8d1-5ce527323dcc",
            "meta" : {
              "profile" : [
                🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication"
              ]
            },
            "extension" : [
              {
                "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" : "http://fhir.de/StructureDefinition/normgroesse",
                "valueCode" : "N1"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://fhir.de/CodeSystem/ifa/pzn",
                  "code" : "14170042",
                  "display" : "Diclo-ratiopharm® bei Schmerzen und Fieber 25 mg Filmtabletten"
                }
              ],
              "text" : "Diclo-ratiopharm® bei Schmerzen und Fieber 25 mg Filmtabletten"
            },
            "status" : "active",
            "form" : {
              "coding" : [
                {
                  "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM",
                  "code" : "TAB"
                }
              ]
            },
            "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
              }
            }
          }
        }
      ]
    }

    <Parameters xmlns="http://hl7.org/fhir">
      <id value="example-epa-op-add-eml-entry-input-parameters-1"/>
      <meta>
        <profile
                 value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-add-eml-entry-input-parameters"/>
      </meta>
      <parameter>
        <name value="medicationStatement"/>
        <resource>
          <MedicationStatement>
            <id value="36581a11-806e-4455-a1c9-9173b7d247fd"/>
            <meta>
              <profile
                       value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-statement"/>
            </meta>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension">
              <valueCode value="MANUAL"/>
            </extension>
            <status value="unknown"/>
            <medicationReference>
              <reference value="Medication/fe79ff64-42e5-4cf8-a8d1-5ce527323dcc"/>
            </medicationReference>
            <subject>
              <identifier>
                <system value="http://fhir.de/sid/gkv/kvid-10"/>
                <value value="X110411319"/>
              </identifier>
            </subject>
            <effectivePeriod>
              <start value="2026-02-10"/>
            </effectivePeriod>
            <dosage>
              <extension
                         url="http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructions">
                <extension url="algorithm">
                  <valueCoding>
                    <system
                            value="http://ig.fhir.de/igs/medication/CodeSystem/DosageTextAlgorithm"/>
                    <version value="1.0.0"/>
                    <code value="GematikDosageTextGenerator"/>
                  </valueCoding>
                </extension>
                <extension url="algorithmVersion">
                  <valueString value="1.0.0"/>
                </extension>
                <extension url="language">
                  <valueCode value="de-DE"/>
                </extension>
                <extension url="text">
                  <valueString
                               value="2 x täglich: morgens und abends — je 1 Stück"/>
                </extension>
              </extension>
              <timing>
                <repeat>
                  <frequency value="2"/>
                  <period value="1"/>
                  <periodUnit value="d"/>
                  <when value="MORN"/>
                  <when value="EVE"/>
                </repeat>
              </timing>
              <doseAndRate>
                <doseQuantity>
                  <value value="1"/>
                  <unit value="Stück"/>
                  <system
                          value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT"/>
                  <code value="1"/>
                </doseQuantity>
              </doseAndRate>
            </dosage>
          </MedicationStatement>
        </resource>
      </parameter>
      <parameter>
        <name value="medication"/>
        <resource>
          <Medication>
            <id value="fe79ff64-42e5-4cf8-a8d1-5ce527323dcc"/>
            <meta>
              <profile
                       value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication"/>
            </meta>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension">
              <valueCoding>
                <system value="http://snomed.info/sct"/>
                <code value="781405001"/>
                <display value="Medicinal product package (product)"/>
              </valueCoding>
            </extension>
            <extension url="http://fhir.de/StructureDefinition/normgroesse">
              <valueCode value="N1"/>
            </extension>
            <code>
              <coding>
                <system value="http://fhir.de/CodeSystem/ifa/pzn"/>
                <code value="14170042"/>
                <display
                         value="Diclo-ratiopharm® bei Schmerzen und Fieber 25 mg Filmtabletten"/>
              </coding>
              <text
                    value="Diclo-ratiopharm® bei Schmerzen und Fieber 25 mg Filmtabletten"/>
            </code>
            <status value="active"/>
            <form>
              <coding>
                <system
                        value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM"/>
                <code value="TAB"/>
              </coding>
            </form>
            <amount>
              <numerator>
                <extension
                           url="https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension">
                  <valueString value="20 St."/>
                </extension>
                <value value="20"/>
                <unit value="St"/>
              </numerator>
              <denominator>
                <value value="1"/>
              </denominator>
            </amount>
          </Medication>
        </resource>
      </parameter>
    </Parameters>

    {
      "resourceType" : "Parameters",
      "id" : "example-epa-op-eml-entry-output-parameters-1",
      "meta" : {
        "profile" : [
          🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-eml-entry-output-parameters"
        ]
      },
      "parameter" : [
        {
          "name" : "medicationStatement",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "71601cdb-8a53-4f26-b5d5-e5457b498e76",
            "meta" : {
              "versionId" : "1",
              "lastUpdated" : "2026-02-22T14:43:33.444Z",
              "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" : {
              🔗 "reference" : "Medication/2571d29b-e213-40ec-b817-a1490718f491"
            },
            "subject" : {
              "identifier" : {
                "system" : "http://fhir.de/sid/gkv/kvid-10",
                "value" : "X110411319"
              }
            },
            "effectivePeriod" : {
              "start" : "2026-02-10"
            },
            "dateAsserted" : "2026-02-22",
            "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"
                    }
                  }
                ]
              }
            ]
          }
        },
        {
          "name" : "medication",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "2571d29b-e213-40ec-b817-a1490718f491",
            "meta" : {
              "versionId" : "1",
              "lastUpdated" : "2026-02-22T14:43:33.244Z",
              "profile" : [
                🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication"
              ]
            },
            "extension" : [
              {
                "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" : "http://fhir.de/StructureDefinition/normgroesse",
                "valueCode" : "N1"
              }
            ],
            "identifier" : [
              {
                "system" : "https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier",
                "value" : "B849184C973EA5FA7D9751E6FAA6AFCFFD100183596239F84DD2C0FG4C751D67"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://fhir.de/CodeSystem/ifa/pzn",
                  "code" : "14170042",
                  "display" : "Diclo-ratiopharm® bei Schmerzen und Fieber 25 mg Filmtabletten"
                }
              ],
              "text" : "Diclo-ratiopharm® bei Schmerzen und Fieber 25 mg Filmtabletten"
            },
            "status" : "active",
            "form" : {
              "coding" : [
                {
                  "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM",
                  "code" : "TAB"
                }
              ]
            },
            "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" : "a36b3ae8-1c1d-4dbb-b209-ee2ee9fc31e6",
            "meta" : {
              "profile" : [
                🔗 "https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance"
              ]
            },
            "target" : [
              {
                "reference" : "MedicationStatement/71601cdb-8a53-4f26-b5d5-e5457b498e76/_history/1"
              }
            ],
            "recorded" : "2026-08-18T14:43:33.344Z",
            "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/8B421590-9F7F-46BE-BD1E-C987063AC4F5",
                  "identifier" : {
                    "type" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                          "code" : "PRN"
                        }
                      ]
                    },
                    "system" : "https://gematik.de/fhir/sid/telematik-id",
                    "value" : "9-2.58.00000060"
                  },
                  "display" : "Die Apotheke"
                }
              }
            ]
          }
        }
      ]
    }

    <Parameters xmlns="http://hl7.org/fhir">
      <id value="example-epa-op-eml-entry-output-parameters-1"/>
      <meta>
        <profile
                 value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-eml-entry-output-parameters"/>
      </meta>
      <parameter>
        <name value="medicationStatement"/>
        <resource>
          <MedicationStatement>
            <id value="71601cdb-8a53-4f26-b5d5-e5457b498e76"/>
            <meta>
              <versionId value="1"/>
              <lastUpdated value="2026-02-22T14:43:33.444Z"/>
              <profile
                       value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-statement"/>
            </meta>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension">
              <valueCode value="MANUAL"/>
            </extension>
            <status value="unknown"/>
            <medicationReference>🔗
              <reference value="Medication/2571d29b-e213-40ec-b817-a1490718f491"/>
            </medicationReference>
            <subject>
              <identifier>
                <system value="http://fhir.de/sid/gkv/kvid-10"/>
                <value value="X110411319"/>
              </identifier>
            </subject>
            <effectivePeriod>
              <start value="2026-02-10"/>
            </effectivePeriod>
            <dateAsserted value="2026-02-22"/>
            <dosage>
              <extension
                         url="http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructions">
                <extension url="algorithm">
                  <valueCoding>
                    <system
                            value="http://ig.fhir.de/igs/medication/CodeSystem/DosageTextAlgorithm"/>
                    <version value="1.0.0"/>
                    <code value="GematikDosageTextGenerator"/>
                  </valueCoding>
                </extension>
                <extension url="algorithmVersion">
                  <valueString value="1.0.0"/>
                </extension>
                <extension url="language">
                  <valueCode value="de-DE"/>
                </extension>
                <extension url="text">
                  <valueString
                               value="2 x täglich: morgens und abends — je 1 Stück"/>
                </extension>
              </extension>
              <timing>
                <repeat>
                  <frequency value="2"/>
                  <period value="1"/>
                  <periodUnit value="d"/>
                  <when value="MORN"/>
                  <when value="EVE"/>
                </repeat>
              </timing>
              <doseAndRate>
                <doseQuantity>
                  <value value="1"/>
                  <unit value="Stück"/>
                  <system
                          value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT"/>
                  <code value="1"/>
                </doseQuantity>
              </doseAndRate>
            </dosage>
          </MedicationStatement>
        </resource>
      </parameter>
      <parameter>
        <name value="medication"/>
        <resource>
          <Medication>
            <id value="2571d29b-e213-40ec-b817-a1490718f491"/>
            <meta>
              <versionId value="1"/>
              <lastUpdated value="2026-02-22T14:43:33.244Z"/>
              <profile
                       value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication"/>
            </meta>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension">
              <valueCoding>
                <system value="http://snomed.info/sct"/>
                <code value="781405001"/>
                <display value="Medicinal product package (product)"/>
              </valueCoding>
            </extension>
            <extension url="http://fhir.de/StructureDefinition/normgroesse">
              <valueCode value="N1"/>
            </extension>
            <identifier>
              <system
                      value="https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier"/>
              <value
                     value="B849184C973EA5FA7D9751E6FAA6AFCFFD100183596239F84DD2C0FG4C751D67"/>
            </identifier>
            <code>
              <coding>
                <system value="http://fhir.de/CodeSystem/ifa/pzn"/>
                <code value="14170042"/>
                <display
                         value="Diclo-ratiopharm® bei Schmerzen und Fieber 25 mg Filmtabletten"/>
              </coding>
              <text
                    value="Diclo-ratiopharm® bei Schmerzen und Fieber 25 mg Filmtabletten"/>
            </code>
            <status value="active"/>
            <form>
              <coding>
                <system
                        value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM"/>
                <code value="TAB"/>
              </coding>
            </form>
            <amount>
              <numerator>
                <extension
                           url="https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension">
                  <valueString value="20 St."/>
                </extension>
                <value value="20"/>
                <unit value="St"/>
              </numerator>
              <denominator>
                <value value="1"/>
              </denominator>
            </amount>
          </Medication>
        </resource>
      </parameter>
      <parameter>
        <name value="relatedActivity"/>
        <resource>
          <Provenance>
            <id value="a36b3ae8-1c1d-4dbb-b209-ee2ee9fc31e6"/>
            <meta>
              <profile
                       value="https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance"/>
            </meta>
            <target>
              <reference
                         value="MedicationStatement/71601cdb-8a53-4f26-b5d5-e5457b498e76/_history/1"/>
            </target>
            <recorded value="2026-08-18T14:43:33.344Z"/>
            <activity>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
                <code value="CREATE"/>
              </coding>
            </activity>
            <agent>
              <type>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
                  <code value="author"/>
                </coding>
              </type>
              <who>🔗
                <reference
                           value="Organization/8B421590-9F7F-46BE-BD1E-C987063AC4F5"/>
                <identifier>
                  <type>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                      <code value="PRN"/>
                    </coding>
                  </type>
                  <system value="https://gematik.de/fhir/sid/telematik-id"/>
                  <value value="9-2.58.00000060"/>
                </identifier>
                <display value="Die Apotheke"/>
              </who>
            </agent>
          </Provenance>
        </resource>
      </parameter>
    </Parameters>

### Geschäftslogik

Der Medication Service MUSS bei der Ausführung der Operation eML-Eintrag hinzufügen sicherstellen, dass jede neu erzeugte MedicationStatement-Instanz die Extension https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension mit dem Wert MANUAL enthält. Der Medication Service MUSS die Geschäftlogik der Operation eML-Eintrag hinzufügen gemäß dem Aktivitätsdiagramm mit der ID IG-MED-BL-ADD-EML-ENTRY-V2 ausführen. Dabei sind alle mit transaction gekennzeichneten Abschnitte entsprechend den Transaktionssicherheitsregeln der ePA umzusetzen, sodass diese Abschnitte mit ihren Verarbeitungsschritten atomar, konsistent und isoliert durchgeführt werden.
Abbildung: Geschäftslogik für die Operation eML-Eintrag hinzufügen

### Sicherheitsanforderungen

Generelle Sicherheitsanforderungen werden hier festgehalten.