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

## : ExpEPAOpEMPEntryOutputParametersUpdate - XML Representation

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    <Parameters xmlns="http://hl7.org/fhir">
      <id value="example-epa-op-emp-entry-output-parameters-2"/>
      <meta>
        <profile
                 value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-emp-entry-output-parameters"/>
      </meta>
      <parameter>
        <name value="empEntry"/>
        <resource>
          <MedicationRequest>
            <id value="3dfe8327-dd4c-4e53-a695-cd2e0b21e699"/>
            <meta>
              <versionId value="2"/>
              <lastUpdated value="2026-12-15T14:00:00.400Z"/>
              <profile
                       value="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication-request"/>
            </meta>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension">
              <valueCode value="EMP"/>
            </extension>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension">
              <valueString value="Bluthochdruck"/>
            </extension>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension">
              <valueAnnotation>
                <text
                      value="Benazepril kann anfangs Schwindel verursachen - daher zuerst in Ruhe einnehmen und Autofahren vermeiden."/>
              </valueAnnotation>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod">
              <valuePeriod>
                <start value="2026-12-01"/>
              </valuePeriod>
            </extension>
            <identifier>
              <system value="https://gematik.de/fhir/sid/emp-identifier"/>
              <value value="3dfe8327-dd4c-4e53-a695-cd2e0b21e699"/>
            </identifier>
            <status value="active"/>
            <intent value="plan"/>
            <medicationReference>🔗
              <reference value="Medication/13c66845-d0ce-43e1-9b0b-884cbbe8df7f"/>
            </medicationReference>
            <subject>
              <identifier>
                <system value="http://fhir.de/sid/gkv/kvid-10"/>
                <value value="X110411319"/>
              </identifier>
            </subject>
            <authoredOn value="2026-12-01"/>
            <note>
              <text value="Hinweis für den LE"/>
            </note>
            <dosageInstruction>
              <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>
            </dosageInstruction>
          </MedicationRequest>
        </resource>
      </parameter>
      <parameter>
        <name value="medication"/>
        <resource>
          <Medication>
            <id value="13c66845-d0ce-43e1-9b0b-884cbbe8df7f"/>
            <meta>
              <versionId value="1"/>
              <lastUpdated value="2026-12-01T14:00:00.200Z"/>
              <profile
                       value="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication"/>
            </meta>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension">
              <valueCode value="EMP"/>
            </extension>
            <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="N3"/>
            </extension>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension">
              <valueBoolean value="false"/>
            </extension>
            <identifier>
              <system
                      value="https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier"/>
              <value
                     value="D15E4956F59A13CD3BB365799857D6FA9757C62D36DBDB9578D018CA4B6D969F"/>
            </identifier>
            <code>
              <coding>
                <system value="http://fhir.de/CodeSystem/ifa/pzn"/>
                <code value="04351736"/>
                <display value="Benazepril AL 20mg 98 Filmtabletten N3"/>
              </coding>
              <text value="Benazepril AL 20mg 98 Filmtabletten N3"/>
            </code>
            <status value="active"/>
            <form>
              <coding>
                <system
                        value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM"/>
                <code value="FTA"/>
              </coding>
            </form>
            <amount>
              <numerator>
                <extension
                           url="https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension">
                  <valueString value="98"/>
                </extension>
                <unit value="Stück"/>
              </numerator>
              <denominator>
                <value value="1"/>
              </denominator>
            </amount>
            <ingredient>
              <itemCodeableConcept>
                <coding>
                  <system value="http://fhir.de/CodeSystem/ask"/>
                  <code value="23413"/>
                </coding>
                <text value="Benazepril hydrochlorid"/>
              </itemCodeableConcept>
              <strength>
                <numerator>
                  <value value="20"/>
                  <unit value="mg"/>
                </numerator>
                <denominator>
                  <value value="1"/>
                  <unit value="Filmtbl."/>
                </denominator>
              </strength>
            </ingredient>
          </Medication>
        </resource>
      </parameter>
      <parameter>
        <name value="relatedActivity"/>
        <resource>
          <Provenance>
            <id value="d79a8998-0143-47df-9b07-d0d4d6e8c64b"/>
            <meta>
              <profile
                       value="https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance"/>
            </meta>
            <target>
              <reference
                         value="MedicationRequest/3dfe8327-dd4c-4e53-a695-cd2e0b21e699/_history/2"/>
            </target>
            <recorded value="2026-12-15T14:00:00.100Z"/>
            <activity>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
                <code value="UPDATE"/>
              </coding>
            </activity>
            <agent>
              <type>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
                  <code value="author"/>
                </coding>
              </type>
              <who>🔗
                <reference
                           value="Organization/450a9511-53e5-4af7-be36-a18444bb8dd2"/>
                <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="9-2.58.00000089"/>
                </identifier>
                <display value="Die Hausarztpraxis"/>
              </who>
            </agent>
          </Provenance>
        </resource>
      </parameter>
      <parameter>
        <name value="relatedChronology"/>
        <resource>
          <Provenance>
            <id value="6c98e872-4247-4a54-aa7f-6967b099656a"/>
            <meta>
              <profile
                       value="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-chronology-provenance"/>
            </meta>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-chronology-extension">
              <valueBoolean value="true"/>
            </extension>
            <target>
              <reference
                         value="MedicationRequest/173439a1-40ee-4b61-bb8c-aab3f5a1af10/_history/2"/>
            </target>
            <target>
              <reference
                         value="MedicationRequest/e2da4372-accc-4a76-81da-83e43ef9b15a/_history/1"/>
            </target>
            <target>
              <reference
                         value="MedicationRequest/3dfe8327-dd4c-4e53-a695-cd2e0b21e699/_history/2"/>
            </target>
            <occurredDateTime value="2026-12-15T14:00:00.100Z"/>
            <recorded value="2026-12-15T14:00:00.100Z"/>
            <activity>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
                <code value="UPDATE"/>
              </coding>
            </activity>
            <agent>
              <type>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
                  <code value="author"/>
                </coding>
              </type>
              <who>🔗
                <reference
                           value="Organization/450a9511-53e5-4af7-be36-a18444bb8dd2"/>
                <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="9-2.58.00000089"/>
                </identifier>
                <display value="Die Hausarztpraxis"/>
              </who>
            </agent>
          </Provenance>
        </resource>
      </parameter>
    </Parameters>