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

## Operation API: Dispensierinformationen einstellen

Die auf dieser Seite dargestellten Inhalte geben den Stand der Version 1.2.0-ballot.1 wieder. Rückmeldungen aus dem laufenden Kommentierungsverfahren sowie daraus resultierende fachliche oder technische Anpassungen sind in dieser Fassung noch nicht oder nur teilweise berücksichtigt.

Die Operation Dispensierinformationen einstellen im Medication Service dient dazu, Informationen über die Arzneimittelabgabe, die auf Basis einer Verschreibung erfolgt, in den Medication Service einzutragen. Diese Operation wird vom E-Rezept-Fachdienst verwendet, wenn ein Versicherter sein Arzneimittel in einer Apotheke erhält. Sie dokumentiert, dass das Arzneimittel gemäß der Verschreibung abgegeben wurde, einschließlich der Details wie Menge, Abgabedatum und Informationen zur Apotheke. Dies ermöglicht einen vollständigen Überblick über die verschriebenen und dispensierten Arzneimittel des Versicherten.

### Nachricht

Die Nachricht zum Übertragen von Dispensierinformationen wird als HTTP POST-Anfrage an den Medication Service gesendet.

#### Auslösung

Der E-Rezept-Fachdienst sendet eine Dispensierinformationen einstellen-Nachricht an den Medication Service, um eine bereits erstellte elektronische Dispensierung zu übertragen. Der Medication Service verarbeitet die empfangenen Daten und speichert die Dispensierinformationen dauerhaft.

#### FHIR Operation API

Der Medication Service MUSS die Operation API: Dispensierinformationen einstellen gemäß der FHIR OperationDefinition Provide Dispensation eRP ausführen. Die Verarbeitung der Dispensierinformationen MUSS entsprechend den in der OperationDefinition festgelegten Regeln und Strukturen erfolgen. Der Medication Service MUSS die Operation Dispensierinformationen einstellen mittels einer HTTP POST-Anfrage verarbeiten. Die empfangenen Dispensierinformationen MÜSSEN verarbeitet und die Dispensierinformationen dauerhaft gespeichert werden. Der Medication Service MUSS für die Operation Dispensierinformationen einstellen einen Partial Success ermöglichen.

- Falls einzelne Dispensierungen erfolgreich verarbeitet wurden, MUSS der Medication Service die zugehörigen prescriptionId und authoredOn Werte in der Antwort zurückgeben.
- Falls einzelne Dispensierungen nicht verarbeitet werden können, MUSS der Medication Service für diese ein OperationOutcome in der Antwort bereitstellen.
- Auch bei einer erfolgreichen Verarbeitung MUSS der Medication Service ein OperationOutcome mit einer entsprechenden Bestätigung bereitstellen.
- Der HTTP Response Code MUSS 200 OK sein, unabhängig davon, ob eine oder mehrere Dispensierungen fehlschlagen.

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known"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_RESOURCE_ID_FAIL"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid dosage structure or content"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_DOSAGE_INVALID"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid Data Structure in Medication 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":"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 Organization resource in JSON format used to identify the originator of the request"},{"url":"format","valueString":"base64(fhir+json:Organization)"},{"url":"required","valueBoolean":true}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-header"},{"extension":[{"url":"statusCode","valueString":"200"},{"url":"description","valueString":"Successful operation"},{"url":"responseType","valueString":"Bundle"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid request"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_BAD_FORMAT"}],"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"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid dosage structure or content"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_DOSAGE_INVALID"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid Data Structure in Medication 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 of the request"},{"url":"format","valueString":"base64(fhir+json:Organization)"},{"url":"required","valueBoolean":true}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-header"},{"extension":[{"url":"statusCode","valueString":"200"},{"url":"description","valueString":"Successful operation"},{"url":"responseType","valueString":"Parameters"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"405"},{"url":"description","valueString":"The operation can only be executed within a batch context"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_OPERATION_OUTSIDE_BATCH"}],"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":"emp-commit","definition":"https://gematik.de/fhir/epa-medication/OperationDefinition/emp-commit-op"}]}]}

###

          {"resourceType":"OperationDefinition","id":"provide-dispensation-erp-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 provide-dispensation-erp-OP</p><a name=\"provide-dispensation-erp-OP\"> </a><a name=\"hcprovide-dispensation-erp-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]/$$provide-dispensation-erpInput parameters Profile:<a href=\"StructureDefinition-epa-op-provide-dispensation-erp-input-parameters.html\">EPA Operation ProvideDispensation ERP Input-Parameters</a>Output parameters Profile:<a href=\"StructureDefinition-epa-op-rx-dispensation-erp-output-parameters.html\">EPA Operation RxDispensation ERP 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/provide-dispensation-erp-OP","version":"1.2.0-ballot.2","name":"provideDispensation_MedicationSvc","title":"Provide Dispensation eRP","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":"The Provide Dispensation eRP operation in the ePA Medication Service is used to record information about the dispensing of medications based on an electronic prescription in the patient's record. This operation comes into play when a patient receives their medication from a pharmacy. It documents that the medication has been dispensed as per the prescription, including details like the quantity, date of dispensing, and pharmacy information. This helps maintain a comprehensive overview of the patient's medication history.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"DE"}]}],"affectsState":true,"code":"provide-dispensation-erp","system":true,"type":false,"instance":false,"inputProfile":"https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-provide-dispensation-erp-input-parameters","outputProfile":"https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-rx-dispensation-erp-output-parameters"}

    {
      "resourceType" : "Parameters",
      "id" : "example-epa-op-provide-dispensation-erp-input-parameters-1",
      "meta" : {
        "profile" : [
          🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-provide-dispensation-erp-input-parameters"
        ]
      },
      "parameter" : [
        {
          "name" : "rxDispensation",
          "part" : [
            {
              "name" : "prescriptionId",
              "valueIdentifier" : {
                "system" : "https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId",
                "value" : "160.100.000.000.011.09"
              }
            },
            {
              "name" : "authoredOn",
              "valueDate" : "2025-09-06"
            },
            {
              "name" : "medicationDispense",
              "resource" : {
                "resourceType" : "MedicationDispense",
                "id" : "72f86151-cdb2-472c-8e98-e5ba71191e1d",
                "meta" : {
                  "profile" : [
                    🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense"
                  ]
                },
                "status" : "completed",
                "medicationReference" : {
                  "reference" : "Medication/9fae333f-92b1-4f03-b838-cd5c5d2285b5"
                },
                "subject" : {
                  "identifier" : {
                    "system" : "http://fhir.de/sid/gkv/kvid-10",
                    "value" : "X110411319"
                  }
                },
                "performer" : [
                  {
                    "actor" : {
                      "reference" : "Organization/ccc03731-4c38-4b48-bd41-583766b796c6",
                      "identifier" : {
                        "type" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                              "version" : "2.9.0",
                              "code" : "PRN",
                              "display" : "Provider number"
                            }
                          ]
                        },
                        "system" : "https://gematik.de/fhir/sid/telematik-id",
                        "value" : "9-2.58.00000023"
                      },
                      "display" : "gematik Apotheke"
                    }
                  }
                ],
                "whenHandedOver" : "2025-09-08",
                "substitution" : {
                  "wasSubstituted" : false
                }
              }
            },
            {
              "name" : "medication",
              "resource" : {
                "resourceType" : "Medication",
                "id" : "9fae333f-92b1-4f03-b838-cd5c5d2285b5",
                "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" : "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" : "N1"
                  },
                  {
                    "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension",
                    "valueBoolean" : false
                  }
                ],
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://fhir.de/CodeSystem/ifa/pzn",
                      "code" : "04773414"
                    }
                  ],
                  "text" : "Doxycyclin AL 200 T, 10 Tabletten N1"
                },
                "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" : "10"
                      }
                    ],
                    "unit" : "Tabletten"
                  },
                  "denominator" : {
                    "value" : 1
                  }
                },
                "ingredient" : [
                  {
                    "itemCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://fhir.de/CodeSystem/ask",
                          "code" : "03876"
                        }
                      ],
                      "text" : "Doxycyclin"
                    },
                    "strength" : {
                      "numerator" : {
                        "value" : 200,
                        "unit" : "mg"
                      },
                      "denominator" : {
                        "value" : 1,
                        "unit" : "Tbl."
                      }
                    }
                  }
                ]
              }
            },
            {
              "name" : "organization",
              "resource" : {
                "resourceType" : "Organization",
                "id" : "ccc03731-4c38-4b48-bd41-583766b796c6",
                "meta" : {
                  "profile" : [
                    🔗 "https://gematik.de/fhir/directory/StructureDefinition/OrganizationDirectory"
                  ],
                  "tag" : [
                    {
                      "system" : "https://gematik.de/fhir/directory/CodeSystem/Origin",
                      "code" : "ldap"
                    }
                  ]
                },
                "identifier" : [
                  {
                    "system" : "https://gematik.de/fhir/sid/telematik-id",
                    "value" : "9-2.58.00000023"
                  }
                ],
                "active" : true,
                "type" : [
                  {
                    "coding" : [
                      {
                        "system" : "https://gematik.de/fhir/directory/CodeSystem/OrganizationProfessionOID",
                        "code" : "1.2.276.0.76.4.54",
                        "display" : "Öffentliche Apotheke"
                      }
                    ]
                  }
                ],
                "name" : "gematik Apotheke",
                "alias" : [
                  "Apotheke"
                ],
                "address" : [
                  {
                    "text" : "gematik Apotheke\nFriedrichstr. 136,\n10117 Berlin",
                    "line" : [
                      "Friedrichstr. 136"
                    ],
                    "city" : "Berlin",
                    "district" : "Mitte",
                    "state" : "Berlin",
                    "postalCode" : "10117",
                    "country" : "DE"
                  }
                ],
                "contact" : [
                  {
                    "purpose" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/contactentity-type",
                          "code" : "ADMIN"
                        }
                      ]
                    },
                    "name" : {
                      "text" : "gematik ITSM"
                    },
                    "telecom" : [
                      {
                        "system" : "email",
                        "value" : "betrieb@gematik.de"
                      }
                    ]
                  }
                ]
              }
            },
            {
              "name" : "status",
              "valueCode" : "completed"
            }
          ]
        }
      ]
    }

    <Parameters xmlns="http://hl7.org/fhir">
      <id value="example-epa-op-provide-dispensation-erp-input-parameters-1"/>
      <meta>
        <profile
                 value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-provide-dispensation-erp-input-parameters"/>
      </meta>
      <parameter>
        <name value="rxDispensation"/>
        <part>
          <name value="prescriptionId"/>
          <valueIdentifier>
            <system
                    value="https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId"/>
            <value value="160.100.000.000.011.09"/>
          </valueIdentifier>
        </part>
        <part>
          <name value="authoredOn"/>
          <valueDate value="2025-09-06"/>
        </part>
        <part>
          <name value="medicationDispense"/>
          <resource>
            <MedicationDispense>
              <id value="72f86151-cdb2-472c-8e98-e5ba71191e1d"/>
              <meta>
                <profile
                         value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense"/>
              </meta>
              <status value="completed"/>
              <medicationReference>
                <reference
                           value="Medication/9fae333f-92b1-4f03-b838-cd5c5d2285b5"/>
              </medicationReference>
              <subject>
                <identifier>
                  <system value="http://fhir.de/sid/gkv/kvid-10"/>
                  <value value="X110411319"/>
                </identifier>
              </subject>
              <performer>
                <actor>
                  <reference
                             value="Organization/ccc03731-4c38-4b48-bd41-583766b796c6"/>
                  <identifier>
                    <type>
                      <coding>
                        <system
                                value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                        <version value="2.9.0"/>
                        <code value="PRN"/>
                        <display value="Provider number"/>
                      </coding>
                    </type>
                    <system value="https://gematik.de/fhir/sid/telematik-id"/>
                    <value value="9-2.58.00000023"/>
                  </identifier>
                  <display value="gematik Apotheke"/>
                </actor>
              </performer>
              <whenHandedOver value="2025-09-08"/>
              <substitution>
                <wasSubstituted value="false"/>
              </substitution>
            </MedicationDispense>
          </resource>
        </part>
        <part>
          <name value="medication"/>
          <resource>
            <Medication>
              <id value="9fae333f-92b1-4f03-b838-cd5c5d2285b5"/>
              <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="763158003"/>
                  <display value="Medicinal product (product)"/>
                </valueCoding>
              </extension>
              <extension
                         url="https://gematik.de/fhir/epa-medication/StructureDefinition/drug-category-extension">
                <valueCoding>
                  <system
                          value="https://gematik.de/fhir/epa-medication/CodeSystem/epa-drug-category-cs"/>
                  <code value="00"/>
                </valueCoding>
              </extension>
              <extension url="http://fhir.de/StructureDefinition/normgroesse">
                <valueCode value="N1"/>
              </extension>
              <extension
                         url="https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension">
                <valueBoolean value="false"/>
              </extension>
              <code>
                <coding>
                  <system value="http://fhir.de/CodeSystem/ifa/pzn"/>
                  <code value="04773414"/>
                </coding>
                <text value="Doxycyclin AL 200 T, 10 Tabletten N1"/>
              </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="10"/>
                  </extension>
                  <unit value="Tabletten"/>
                </numerator>
                <denominator>
                  <value value="1"/>
                </denominator>
              </amount>
              <ingredient>
                <itemCodeableConcept>
                  <coding>
                    <system value="http://fhir.de/CodeSystem/ask"/>
                    <code value="03876"/>
                  </coding>
                  <text value="Doxycyclin"/>
                </itemCodeableConcept>
                <strength>
                  <numerator>
                    <value value="200"/>
                    <unit value="mg"/>
                  </numerator>
                  <denominator>
                    <value value="1"/>
                    <unit value="Tbl."/>
                  </denominator>
                </strength>
              </ingredient>
            </Medication>
          </resource>
        </part>
        <part>
          <name value="organization"/>
          <resource>
            <Organization>
              <id value="ccc03731-4c38-4b48-bd41-583766b796c6"/>
              <meta>
                <profile
                         value="https://gematik.de/fhir/directory/StructureDefinition/OrganizationDirectory"/>
                <tag>
                  <system
                          value="https://gematik.de/fhir/directory/CodeSystem/Origin"/>
                  <code value="ldap"/>
                </tag>
              </meta>
              <identifier>
                <system value="https://gematik.de/fhir/sid/telematik-id"/>
                <value value="9-2.58.00000023"/>
              </identifier>
              <active value="true"/>
              <type>
                <coding>
                  <system
                          value="https://gematik.de/fhir/directory/CodeSystem/OrganizationProfessionOID"/>
                  <code value="1.2.276.0.76.4.54"/>
                  <display value="Öffentliche Apotheke"/>
                </coding>
              </type>
              <name value="gematik Apotheke"/>
              <alias value="Apotheke"/>
              <address>
                <text value="gematik Apotheke
    Friedrichstr. 136,
    10117 Berlin"/>
                <line value="Friedrichstr. 136"/>
                <city value="Berlin"/>
                <district value="Mitte"/>
                <state value="Berlin"/>
                <postalCode value="10117"/>
                <country value="DE"/>
              </address>
              <contact>
                <purpose>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/contactentity-type"/>
                    <code value="ADMIN"/>
                  </coding>
                </purpose>
                <name>
                  <text value="gematik ITSM"/>
                </name>
                <telecom>
                  <system value="email"/>
                  <value value="betrieb@gematik.de"/>
                </telecom>
              </contact>
            </Organization>
          </resource>
        </part>
        <part>
          <name value="status"/>
          <valueCode value="completed"/>
        </part>
      </parameter>
    </Parameters>

    {
      "resourceType" : "Parameters",
      "id" : "example-epa-op-rx-dispensation-erp-output-parameters-1",
      "meta" : {
        "profile" : [
          🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-rx-dispensation-erp-output-parameters"
        ]
      },
      "parameter" : [
        {
          "name" : "rxDispensation",
          "part" : [
            {
              "name" : "prescriptionId",
              "valueIdentifier" : {
                "system" : "https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId",
                "value" : "160.100.000.000.011.09"
              }
            },
            {
              "name" : "authoredOn",
              "valueDate" : "2025-09-06"
            },
            {
              "name" : "operationOutcome",
              "resource" : {
                "resourceType" : "OperationOutcome",
                "id" : "255002c7-aa1b-4163-bdd4-ede482453cca",
                "meta" : {
                  "profile" : [
                    🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-ms-operation-outcome"
                  ]
                },
                "issue" : [
                  {
                    "severity" : "information",
                    "code" : "informational",
                    "details" : {
                      "coding" : [
                        {
                          "system" : "https://gematik.de/fhir/epa-medication/CodeSystem/epa-ms-operation-outcome-details",
                          "code" : "MEDICATIONSVC_OPERATION_SUCCESS",
                          "display" : "Operation Successfully Completed in Medication Service"
                        }
                      ]
                    }
                  }
                ]
              }
            }
          ]
        }
      ]
    }

    <Parameters xmlns="http://hl7.org/fhir">
      <id value="example-epa-op-rx-dispensation-erp-output-parameters-1"/>
      <meta>
        <profile
                 value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-rx-dispensation-erp-output-parameters"/>
      </meta>
      <parameter>
        <name value="rxDispensation"/>
        <part>
          <name value="prescriptionId"/>
          <valueIdentifier>
            <system
                    value="https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId"/>
            <value value="160.100.000.000.011.09"/>
          </valueIdentifier>
        </part>
        <part>
          <name value="authoredOn"/>
          <valueDate value="2025-09-06"/>
        </part>
        <part>
          <name value="operationOutcome"/>
          <resource>
            <OperationOutcome>
              <id value="255002c7-aa1b-4163-bdd4-ede482453cca"/>
              <meta>
                <profile
                         value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-ms-operation-outcome"/>
              </meta>
              <issue>
                <severity value="information"/>
                <code value="informational"/>
                <details>
                  <coding>
                    <system
                            value="https://gematik.de/fhir/epa-medication/CodeSystem/epa-ms-operation-outcome-details"/>
                    <code value="MEDICATIONSVC_OPERATION_SUCCESS"/>
                    <display
                             value="Operation Successfully Completed in Medication Service"/>
                  </coding>
                </details>
              </issue>
            </OperationOutcome>
          </resource>
        </part>
      </parameter>
    </Parameters>

### Geschäftslogik

Die Operation Dispensierinformationen einstellen verarbeitet eine oder mehrere Dispensierinformationen, die im FHIR Parameters-Objekt übergeben werden. Für jede übergebene Abgabe erfolgt zunächst eine Validierung der enthaltenen Ressourcen Medication, Organization und MedicationDispense.

Anhand des Abgabedatums und der E-Prescription-ID wird ein eindeutiger RxPrescriptionProcessIdentifier gebildet, der als Schlüssel für die weiteren Verarbeitungsschritte dient. Es wird geprüft, ob eine passende MedicationRequest-Instanz existiert, die noch nicht abgeschlossen ist. Falls nicht, wird die Verarbeitung abgebrochen.

Ist die MedicationRequest-Instanz gültig, wird im Kontext einer Transaktion weiterverarbeitet:

- Die angegebene Organization-Ressource wird anhand der Telematik-ID aktualisiert oder neu angelegt.
- Vorherige MedicationDispense-Instanzen zum selben RxPrescriptionProcessIdentifier, werden auf den Status entered-in-error gesetzt.
- Ebenso werden Medication-Instanzen auf den Status entered-in-error gesetzt, die noch aktiv sind, aber nicht mehr von der zugehörigen MedicationRequest referenziert werden.

Für jede übergebene MedicationDispense wird die referenzierte Medication-Ressource aus den Input-Parametern ermittelt. Je nach Substitutionsstatus (MedicationDispense.substitution.wasSubstituted) wird entweder eine neue Medication-Instanz angelegt oder diejenige aktualisiert, die von der verschreibenden MedicationRequest referenziert wird.

Anschließend wird eine neue MedicationDispense-Instanz erstellt, deren Status aus dem Parameter RxDispensation.part.status übernommen wird. Wird der Status nicht gesetzt oder ist er gleich completed, so wird zusätzlich die zugehörige MedicationRequest auf completed gesetzt.

Alle Änderungen erfolgen transaktional. Am Ende der erfolgreichen Verarbeitung wird eine entsprechende OperationOutcome-Meldung zurückgegeben. Fehlerhafte Eingaben führen zu einer abgeleiteten Fehlermeldung im Output.

Der Medication Service MUSS bei der Ausführung der Operation Dispensierinformationen einstellen erkennen, ob es sich um eine Substitution handelt. Dies geschieht durch die Prüfung, ob der boolesche Wert MedicationDispense.substitution.wasSubstituted auf true gesetzt ist.

- Falls wasSubstituted den Wert true hat, MUSS eine neue Medication-Instanz für diesen Abgabeprozess erstellt werden.
- Falls wasSubstituted nicht gesetzt oder false ist, muss die im Verschreibungsprozess vorhandene Medication-Instanz aktualisiert werden

Der Medication Service MUSS die Geschäftlogik der Operation Dispensierinformationen einstellen gemäß dem Aktivitätsdiagramm mit der ID IG-MED-BL-PROVIDE-DISPENSATION-ERP-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.

Das folgende Aktivitätsdiagramm illustriert die Geschäftslogik der Operation Dispensierinformationen einstellen im Medication Service.

Abbildung: Geschäftslogik für die Operation Dispensierinformationen einstellen

### Sicherheitsanforderungen

Generelle Sicherheitsanforderungen werden hier festgehalten.