Operation API: eML-Eintrag hinzufügen

Seiteninhalt:

Nachricht
Geschäftslogik
Sicherheitsanforderungen

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.

Verwendung des HTTP Header X-Requesting-Organization

Bei der Ausführung dieser Operation ist der HTTP Header X-Requesting-Organization mitzugeben. Er enthält eine FHIR Organization-Ressource im Format FHIR+JSON, die Base64-kodiert übermittelt wird.

Die übermittelte Organisation dient zur Identifikation der anfragenden Leistungserbringerinstitution (LEI). Sie wird vom Service validiert, in jedem Änderungseintrag (Provenance nach dem Profil EPA Activity Provenance) der betroffenen Instanz referenziert und zusätzlich im Medication Service als Organization-Ressource dedupliziert gespeichert. Dadurch ist sichergestellt, dass alle Änderungen eindeutig einer LEI zugeordnet und auch über die Query API nachvollzogen werden können

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. Das Primärsystem MUSS für die Ausführung der Operation eML-Eintrag hinzufügen den HTTP-Header X-Requesting-Organization übermitteln. Der Medication Service MUSS für die Operation eML-Eintrag hinzufügen die im HTTP-Header X-Requesting-Organization enthaltene Organization-Ressource validieren, im Änderungseintrag (Provenance nach dem Profil EPAActivityProvenance) referenzieren und als Organization-Instanz dedupliziert speichern. Der Medication Service MUSS die Operation API: eML-Eintrag hinzufügen gemäß der FHIR OperationDefinition eML-Eintrag hinzufügen implementieren.

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operation"},{"url":"responseType","valueString":"Parameters"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"403"},{"url":"description","valueString":"ID-Token or Insurant-ID mismatch"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"SVC_IDENTITY_MISMATCH"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Profile mismatch in header Organization"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"SVC_ORG_HEADER_PROFILE_MISMATCH"}],"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"},{"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":"MEDSVC_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 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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 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(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 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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://simplifier.net/resolve?scope=de.gematik.ti@1.1.1&canonical=https://gematik.de/fhir/ti/StructureDefinition/ti-operationdefinition\">OperationDefinition Profil für TI FHIR Data Service</a></p></div>URL: [base]/MedicationStatement/$add-eml-entry
Input 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","name":"addEMLEntry_MedicationSvc","title":"Add Medication List Entry","status":"active","kind":"operation","date":"2025-09-12","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"
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction",
            "valueMarkdown" : "1-0-1-0 Stück"
          },
          {
            "extension" : [
              {
                "url" : "algorithmVersion",
                "valueString" : "1.0.0"
              },
              {
                "url" : "language",
                "valueCode" : "de-DE"
              }
            ],
            "url" : "http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta"
          }
        ],
        "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" : [
          {
            "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>
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction">
          <valueMarkdown value="1-0-1-0 Stück"/>
        </extension>
        <extension
                   url="http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta">
          <extension url="algorithmVersion">
            <valueString value="1.0.0"/>
          </extension>
          <extension url="language">
            <valueCode value="de-DE"/>
          </extension>
        </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>
          <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"
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction",
            "valueMarkdown" : "1-0-1-0 Stück"
          },
          {
            "extension" : [
              {
                "url" : "algorithmVersion",
                "valueString" : "1.0.0"
              },
              {
                "url" : "language",
                "valueCode" : "de-DE"
              }
            ],
            "url" : "http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta"
          }
        ],
        "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" : [
          {
            "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>
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction">
          <valueMarkdown value="1-0-1-0 Stück"/>
        </extension>
        <extension
                   url="http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta">
          <extension url="algorithmVersion">
            <valueString value="1.0.0"/>
          </extension>
          <extension url="language">
            <valueCode value="de-DE"/>
          </extension>
        </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>
          <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.