Implementation Guide
ePA Medication Service
Version 1.2.0 - release

Operation API: eMP-Eintrag hinzufügen

Seiteninhalt:

Die Operation eMP-Eintrag hinzufügen ermöglicht das gezielte Einfügen eines neuen Medikationseintrags in den elektronischen Medikationsplan (eMP). Dabei werden zwei Ressourcen kombiniert, die gemeinsam den vollständigen fachlichen Kontext der Medikation abbilden: eine MedicationRequest-Instanz mit dem intent plan sowie eine zugehörige Medication-Instanz. Die MedicationRequest-Ressource muss dabei stets dem fachlichen FHIR-Profil EMPMedicationRequest entsprechen.

Für die Medication-Ressource gilt:

  • Wird eine neue Medication-Resource im Rahmen der Operation in den Medication Service eingestellt, so muss diese dem Profil EMPMedication entsprechen.

Der Medication Service validiert die übermittelten Inhalte und übernimmt ausschließlich konforme Ressourcen, sofern eine neue Medication bereitgestellt wird.

Die MedicationRequest beschreibt dabei die konkrete beabsichtigte oder durchgeführte Medikation, während die Medication die fachlich abstrahierte Arzneimittelbeschreibung liefert. Für den Client bestehen somit zwei Möglichkeiten:

  • eine neue Medication-Resource für die reine Planung hinzufügen, oder
  • auf eine bereits vorhandene Medication-Instanz aus dem Verschreibungs- oder Abgabeprozess referenzieren.

Damit können sowohl geplante Arzneimittel als auch verschriebene und abgegebene Arzneimittel konsistent im eMP dokumentiert werden. Im Gegensatz zur Medikationsliste (eML), in der konkrete Arzneimittelpackungen referenziert werden, dienen die im eMP verwendeten Medication-Instanzen der langfristigen fachlichen Beschreibung der Therapie.

Im Zuge dieser Operation wird automatisch eine neue Version des eMP erzeugt. Dazu wird eine Provenance-Ressource gemäß dem Profil EMPChronologyProvenance erstellt, die alle gültigen eMP-Einträge zum Zeitpunkt der Operation referenziert. Die Auswahl dieser Einträge basiert auf dem Status der MedicationRequest-Instanzen:

  • Berücksichtigt werden alle Einträge mit Status aktiv (active) oder pausiert (on-hold).
  • Nicht berücksichtigt werden Einträge mit Status beendet (completed), abgebrochen (stopped) oder fehlerhaft (entered-in-error).

Als Lesenachweis für die aktuell gültige eMP-Version muss bei Abrufoperationen immer die Resource.id dieser zuletzt erzeugten Chronologie-Provenance angegeben werden.

Zur Nachverfolgbarkeit werden im Rahmen der Operation zusätzlich zwei Provenance-Ressourcen erzeugt:

  • Eine Activity Provenance dokumentiert die Änderung an der MedicationRequest-Instanz und enthält Informationen zur ausführenden Organisation (aus dem HTTP-Header X-Requesting-Organization).
  • Eine Chronology Provenance dokumentiert die vollständige eMP-Version zum aktuellen Zeitpunkt und referenziert alle relevanten Einträge gemäß oben genannter Statuslogik.

Die Ergebnisse der Operation werden in einem strukturierten Output-Parameters zurückgegeben. Dieser enthält die neu erstellten oder aktualisierten Ressourcen, einschließlich der Provenance-Instanzen.

Nachricht

Die Nachricht zum Hinzufügen eines Medikationseintrags zum eMP 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 zur eMP ergänzen möchte, verwendet es diese Operation des Medication Service.

Antwort

Die Operation gibt den erzeugten Medikationseintrag mit den Instanzen gemäß EMPMedicationRequest und EMPMedication als Ergebnis zurück.

FHIR Operation API

Das Primärsystem MUSS die Operation API: eMP-Eintrag hinzufügen implementieren, um einer Leistungserbringerinstitution das Hinzufügen eines Medikationseintrags zum eMP zu ermöglichen. Das Primärsystem MUSS für die Ausführung der Operation eMP-Eintrag hinzufügen den HTTP-Header X-Requesting-Organization übermitteln. Der Medication Service MUSS für die Operation eMP-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: eMP-Eintrag hinzufügen gemäß der FHIR OperationDefinition eMP-Eintrag hinzufügen implementieren. 
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operation"},{"url":"responseType","valueString":"Bundle"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"}],"name":"medication-plan-log","definition":"https://gematik.de/fhir/epa-medication/OperationDefinition/medication-plan-log-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":"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":"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 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":"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":"410"},{"url":"description","valueString":"Resource was deleted"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_DELETED"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"409"},{"url":"description","valueString":"eMP entry already exists"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_EMP_ENTRY_ALREADY_EXISTS"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"}],"name":"add-emp-entry","definition":"https://gematik.de/fhir/epa-medication/OperationDefinition/add-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":"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 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":"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":"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":"add-emp-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-emp-entry-op</p><a name=\"add-emp-entry-op\"> </a><a name=\"hcadd-emp-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]/$add-emp-entry
Input parameters Profile:<a href=\"StructureDefinition-epa-op-add-emp-entry-input-parameters.html\">EPA Operation addEMPEntry Input-Parameters</a>
Output parameters Profile:<a href=\"StructureDefinition-epa-op-emp-entry-output-parameters.html\">EPA Operation EMPEntry 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-emp-entry-op","version":"1.2.0","name":"addEMPEntry_MedicationSvc","title":"eMP-Eintrag hinzufügen","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 Hinzufügen eines neuen Medikations-Eintrags zum elektronischen Medikationsplan (eMP). Der Eintrag wird als EMPMedicationRequest erzeugt, wobei die angegebene Medication sowohl in medicationReference als auch in extension[originMedication] referenziert wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"DE"}]}],"affectsState":true,"code":"add-emp-entry","system":true,"type":false,"instance":false,"inputProfile":"https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-add-emp-entry-input-parameters","outputProfile":"https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-emp-entry-output-parameters"}
    
{
  "resourceType" : "Parameters",
  "id" : "example-epa-op-add-emp-entry-input-parameters-1",
  "meta" : {
    "profile" : [
      🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-add-emp-entry-input-parameters"
    ]
  },
  "parameter" : [
    {
      "name" : "acknowledgedChronologyId",
      "valueId" : "0b383501-f078-464b-b984-9fdb6751601b"
    },
    {
      "name" : "medication",
      "part" : [
        {
          "name" : "resource",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "1193c409-3df4-4b55-b672-811665aaa1b7",
            "meta" : {
              "profile" : [
                🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication"
              ]
            },
            "extension" : [
              {
                "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension",
                "valueCode" : "EMP"
              },
              {
                "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension",
                "valueCoding" : {
                  "system" : "http://snomed.info/sct",
                  "code" : "763158003",
                  "display" : "Medicinal product (product)"
                }
              },
              {
                "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/drug-category-extension",
                "valueCoding" : {
                  "system" : "https://gematik.de/fhir/epa-medication/CodeSystem/epa-drug-category-cs",
                  "code" : "00"
                }
              },
              {
                "url" : "http://fhir.de/StructureDefinition/normgroesse",
                "valueCode" : "N3"
              },
              {
                "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension",
                "valueBoolean" : false
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://fhir.de/CodeSystem/ifa/pzn",
                  "code" : "04351736",
                  "display" : "Benazepril AL 20mg 98 Filmtabletten N3"
                }
              ],
              "text" : "Benazepril AL 20mg 98 Filmtabletten N3"
            },
            "status" : "active",
            "form" : {
              "coding" : [
                {
                  "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM",
                  "code" : "FTA"
                }
              ]
            },
            "amount" : {
              "numerator" : {
                "extension" : [
                  {
                    "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension",
                    "valueString" : "98"
                  }
                ],
                "unit" : "Stück"
              },
              "denominator" : {
                "value" : 1
              }
            },
            "ingredient" : [
              {
                "itemCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://fhir.de/CodeSystem/ask",
                      "code" : "23413"
                    }
                  ],
                  "text" : "Benazepril hydrochlorid"
                },
                "strength" : {
                  "numerator" : {
                    "value" : 20,
                    "unit" : "mg"
                  },
                  "denominator" : {
                    "value" : 1,
                    "unit" : "Filmtbl."
                  }
                }
              }
            ]
          }
        }
      ]
    },
    {
      "name" : "empEntry",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "881f3c6d-20e6-443e-b7dc-580a40fa3d14",
        "meta" : {
          "profile" : [
            🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication-request"
          ]
        },
        "extension" : [
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension",
            "valueCode" : "EMP"
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension",
            "valueString" : "Bluthochdruck"
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension",
            "valueAnnotation" : {
              "text" : "Benazepril kann anfangs Schwindel verursachen - daher zuerst in Ruhe einnehmen und Autofahren vermeiden."
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod",
            "valuePeriod" : {
              "start" : "2026-12-01"
            }
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-origin-medication-extension",
            "valueReference" : {
              🔗 "reference" : "Medication/13c66845-d0ce-43e1-9b0b-884cbbe8df7f"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.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" : "active",
        "intent" : "plan",
        "medicationReference" : {
          "reference" : "Medication/1193c409-3df4-4b55-b672-811665aaa1b7"
        },
        "subject" : {
          "identifier" : {
            "system" : "http://fhir.de/sid/gkv/kvid-10",
            "value" : "X110411319"
          }
        },
        "authoredOn" : "2026-12-01",
        "note" : [
          {
            "text" : "Hinweis für den LE"
          }
        ],
        "dosageInstruction" : [
          {
            "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"
                }
              }
            ]
          }
        ]
      }
    }
  ]
}

<Parameters xmlns="http://hl7.org/fhir">
  <id value="example-epa-op-add-emp-entry-input-parameters-1"/>
  <meta>
    <profile
             value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-add-emp-entry-input-parameters"/>
  </meta>
  <parameter>
    <name value="acknowledgedChronologyId"/>
    <valueId value="0b383501-f078-464b-b984-9fdb6751601b"/>
  </parameter>
  <parameter>
    <name value="medication"/>
    <part>
      <name value="resource"/>
      <resource>
        <Medication>
          <id value="1193c409-3df4-4b55-b672-811665aaa1b7"/>
          <meta>
            <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>
          <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>
    </part>
  </parameter>
  <parameter>
    <name value="empEntry"/>
    <resource>
      <MedicationRequest>
        <id value="881f3c6d-20e6-443e-b7dc-580a40fa3d14"/>
        <meta>
          <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>
        <extension
                   url="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-origin-medication-extension">
          <valueReference>🔗 
            <reference
                       value="Medication/13c66845-d0ce-43e1-9b0b-884cbbe8df7f"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.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="active"/>
        <intent value="plan"/>
        <medicationReference>
          <reference value="Medication/1193c409-3df4-4b55-b672-811665aaa1b7"/>
        </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>
          <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>
</Parameters>
{
  "resourceType" : "Parameters",
  "id" : "example-epa-op-add-emp-entry-with-reference-input-parameters-1",
  "meta" : {
    "profile" : [
      🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-add-emp-entry-input-parameters"
    ]
  },
  "parameter" : [
    {
      "name" : "acknowledgedChronologyId",
      "valueId" : "0b383501-f078-464b-b984-9fdb6751601b"
    },
    {
      "name" : "medication",
      "part" : [
        {
          "name" : "reference",
          "valueReference" : {
            🔗 "reference" : "Medication/fc7b28e8-05ac-4ac8-86d7-7677d9c6134e"
          }
        }
      ]
    },
    {
      "name" : "empEntry",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "6cc286cc-15a6-48ad-a349-9e8b6a48af75",
        "meta" : {
          "profile" : [
            🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication-request"
          ]
        },
        "extension" : [
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension",
            "valueCode" : "EMP"
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension",
            "valueString" : "akuten Behandlung von Migräneanfällen mit und ohne Aura"
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension",
            "valueAnnotation" : {
              "text" : "Bitte schützen Sie das Arzneimittel vor hohen Temperaturen und direkter Sonneneinstrahlung."
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod",
            "valuePeriod" : {
              "start" : "2027-02-01"
            }
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-origin-medication-extension",
            "valueReference" : {
              🔗 "reference" : "Medication/87f08ba2-da7e-467e-86aa-404d9035297c"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction",
            "valueMarkdown" : "1-0-0-0 Stück"
          },
          {
            "extension" : [
              {
                "url" : "algorithmVersion",
                "valueString" : "1.0.0"
              },
              {
                "url" : "language",
                "valueCode" : "de-DE"
              }
            ],
            "url" : "http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta"
          }
        ],
        "status" : "active",
        "intent" : "plan",
        "medicationReference" : {
          🔗 "reference" : "Medication/87f08ba2-da7e-467e-86aa-404d9035297c",
          "display" : "Sumatriptan-1a Pharma 100 mg Tabletten"
        },
        "subject" : {
          "identifier" : {
            "system" : "http://fhir.de/sid/gkv/kvid-10",
            "value" : "X110411319"
          }
        },
        "authoredOn" : "2026-11-01",
        "note" : [
          {
            "text" : "Hinweis für den LE"
          }
        ],
        "dosageInstruction" : [
          {
            "timing" : {
              "repeat" : {
                "frequency" : 1,
                "period" : 1,
                "periodUnit" : "d",
                "when" : [
                  "MORN"
                ]
              }
            },
            "doseAndRate" : [
              {
                "doseQuantity" : {
                  "value" : 1,
                  "unit" : "Stück",
                  "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT",
                  "code" : "1"
                }
              }
            ]
          }
        ]
      }
    }
  ]
}

<Parameters xmlns="http://hl7.org/fhir">
  <id value="example-epa-op-add-emp-entry-with-reference-input-parameters-1"/>
  <meta>
    <profile
             value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-add-emp-entry-input-parameters"/>
  </meta>
  <parameter>
    <name value="acknowledgedChronologyId"/>
    <valueId value="0b383501-f078-464b-b984-9fdb6751601b"/>
  </parameter>
  <parameter>
    <name value="medication"/>
    <part>
      <name value="reference"/>
      <valueReference>🔗 
        <reference value="Medication/fc7b28e8-05ac-4ac8-86d7-7677d9c6134e"/>
      </valueReference>
    </part>
  </parameter>
  <parameter>
    <name value="empEntry"/>
    <resource>
      <MedicationRequest>
        <id value="6cc286cc-15a6-48ad-a349-9e8b6a48af75"/>
        <meta>
          <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="akuten Behandlung von Migräneanfällen mit und ohne Aura"/>
        </extension>
        <extension
                   url="https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension">
          <valueAnnotation>
            <text
                  value="Bitte schützen Sie das Arzneimittel vor hohen Temperaturen und direkter Sonneneinstrahlung."/>
          </valueAnnotation>
        </extension>
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod">
          <valuePeriod>
            <start value="2027-02-01"/>
          </valuePeriod>
        </extension>
        <extension
                   url="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-origin-medication-extension">
          <valueReference>🔗 
            <reference
                       value="Medication/87f08ba2-da7e-467e-86aa-404d9035297c"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction">
          <valueMarkdown value="1-0-0-0 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="active"/>
        <intent value="plan"/>
        <medicationReference>🔗 
          <reference value="Medication/87f08ba2-da7e-467e-86aa-404d9035297c"/>
          <display value="Sumatriptan-1a Pharma 100 mg Tabletten"/>
        </medicationReference>
        <subject>
          <identifier>
            <system value="http://fhir.de/sid/gkv/kvid-10"/>
            <value value="X110411319"/>
          </identifier>
        </subject>
        <authoredOn value="2026-11-01"/>
        <note>
          <text value="Hinweis für den LE"/>
        </note>
        <dosageInstruction>
          <timing>
            <repeat>
              <frequency value="1"/>
              <period value="1"/>
              <periodUnit value="d"/>
              <when value="MORN"/>
            </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>
</Parameters>
{
  "resourceType" : "Parameters",
  "id" : "example-epa-op-emp-entry-output-parameters-1",
  "meta" : {
    "profile" : [
      🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-emp-entry-output-parameters"
    ]
  },
  "parameter" : [
    {
      "name" : "empEntry",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "71b66f1b-8032-4886-b7bf-e775daee22fb",
        "meta" : {
          "versionId" : "1",
          "lastUpdated" : "2026-12-01T14:00:00.400Z",
          "profile" : [
            🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication-request"
          ]
        },
        "extension" : [
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension",
            "valueCode" : "EMP"
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension",
            "valueString" : "Bluthochdruck"
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension",
            "valueAnnotation" : {
              "text" : "Benazepril kann anfangs Schwindel verursachen - daher zuerst in Ruhe einnehmen und Autofahren vermeiden."
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod",
            "valuePeriod" : {
              "start" : "2026-12-01"
            }
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-origin-medication-extension",
            "valueReference" : {
              🔗 "reference" : "Medication/13c66845-d0ce-43e1-9b0b-884cbbe8df7f"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.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"
          }
        ],
        "identifier" : [
          {
            "system" : "https://gematik.de/fhir/sid/emp-identifier",
            "value" : "71b66f1b-8032-4886-b7bf-e775daee22fb"
          }
        ],
        "status" : "active",
        "intent" : "plan",
        "medicationReference" : {
          🔗 "reference" : "Medication/13c66845-d0ce-43e1-9b0b-884cbbe8df7f"
        },
        "subject" : {
          "identifier" : {
            "system" : "http://fhir.de/sid/gkv/kvid-10",
            "value" : "X110411319"
          }
        },
        "authoredOn" : "2026-12-01",
        "note" : [
          {
            "text" : "Hinweis für den LE"
          }
        ],
        "dosageInstruction" : [
          {
            "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" : "13c66845-d0ce-43e1-9b0b-884cbbe8df7f",
        "meta" : {
          "versionId" : "1",
          "lastUpdated" : "2026-12-01T14:00:00.200Z",
          "profile" : [
            🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication"
          ]
        },
        "extension" : [
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension",
            "valueCode" : "EMP"
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension",
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "763158003",
              "display" : "Medicinal product (product)"
            }
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/drug-category-extension",
            "valueCoding" : {
              "system" : "https://gematik.de/fhir/epa-medication/CodeSystem/epa-drug-category-cs",
              "code" : "00"
            }
          },
          {
            "url" : "http://fhir.de/StructureDefinition/normgroesse",
            "valueCode" : "N3"
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension",
            "valueBoolean" : false
          }
        ],
        "identifier" : [
          {
            "system" : "https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier",
            "value" : "D15E4956F59A13CD3BB365799857D6FA9757C62D36DBDB9578D018CA4B6D969F"
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://fhir.de/CodeSystem/ifa/pzn",
              "code" : "04351736",
              "display" : "Benazepril AL 20mg 98 Filmtabletten N3"
            }
          ],
          "text" : "Benazepril AL 20mg 98 Filmtabletten N3"
        },
        "status" : "active",
        "form" : {
          "coding" : [
            {
              "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM",
              "code" : "FTA"
            }
          ]
        },
        "amount" : {
          "numerator" : {
            "extension" : [
              {
                "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension",
                "valueString" : "98"
              }
            ],
            "unit" : "Stück"
          },
          "denominator" : {
            "value" : 1
          }
        },
        "ingredient" : [
          {
            "itemCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://fhir.de/CodeSystem/ask",
                  "code" : "23413"
                }
              ],
              "text" : "Benazepril hydrochlorid"
            },
            "strength" : {
              "numerator" : {
                "value" : 20,
                "unit" : "mg"
              },
              "denominator" : {
                "value" : 1,
                "unit" : "Filmtbl."
              }
            }
          }
        ]
      }
    },
    {
      "name" : "relatedActivity",
      "resource" : {
        "resourceType" : "Provenance",
        "id" : "8faa45dd-b2dc-4a80-8956-94aeab1db04b",
        "meta" : {
          "profile" : [
            🔗 "https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance"
          ]
        },
        "target" : [
          {
            "reference" : "MedicationRequest/71b66f1b-8032-4886-b7bf-e775daee22fb/_history/1"
          }
        ],
        "recorded" : "2026-12-01T14:00:00.600Z",
        "activity" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "code" : "CREATE"
            }
          ]
        },
        "agent" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "code" : "author"
                }
              ]
            },
            "who" : {
              🔗 "reference" : "Organization/450a9511-53e5-4af7-be36-a18444bb8dd2",
              "identifier" : {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "PRN"
                    }
                  ]
                },
                "system" : "https://gematik.de/fhir/sid/telematik-id",
                "value" : "9-2.58.00000089"
              },
              "display" : "Die Hausarztpraxis"
            }
          }
        ]
      }
    },
    {
      "name" : "relatedChronology",
      "resource" : {
        "resourceType" : "Provenance",
        "id" : "b467ce05-e0e5-4d71-9a0b-d824dbb492ef",
        "meta" : {
          "profile" : [
            🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-chronology-provenance"
          ]
        },
        "extension" : [
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-chronology-extension",
            "valueBoolean" : true
          }
        ],
        "target" : [
          {
            "reference" : "MedicationRequest/173439a1-40ee-4b61-bb8c-aab3f5a1af10/_history/2"
          },
          {
            "reference" : "MedicationRequest/e2da4372-accc-4a76-81da-83e43ef9b15a/_history/1"
          },
          {
            "reference" : "MedicationRequest/71b66f1b-8032-4886-b7bf-e775daee22fb/_history/1"
          }
        ],
        "occurredDateTime" : "2026-12-01T14:00:00.700Z",
        "recorded" : "2026-12-01T14:00:00.700Z",
        "activity" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "code" : "UPDATE"
            }
          ]
        },
        "agent" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "code" : "author"
                }
              ]
            },
            "who" : {
              🔗 "reference" : "Organization/450a9511-53e5-4af7-be36-a18444bb8dd2",
              "identifier" : {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "PRN"
                    }
                  ]
                },
                "system" : "https://gematik.de/fhir/sid/telematik-id",
                "value" : "9-2.58.00000089"
              },
              "display" : "Die Hausarztpraxis"
            }
          }
        ]
      }
    }
  ]
}

<Parameters xmlns="http://hl7.org/fhir">
  <id value="example-epa-op-emp-entry-output-parameters-1"/>
  <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="71b66f1b-8032-4886-b7bf-e775daee22fb"/>
        <meta>
          <versionId value="1"/>
          <lastUpdated value="2026-12-01T14:00:00.400Z"/>
          <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>
        <extension
                   url="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-origin-medication-extension">
          <valueReference>🔗 
            <reference
                       value="Medication/13c66845-d0ce-43e1-9b0b-884cbbe8df7f"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.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>
        <identifier>
          <system value="https://gematik.de/fhir/sid/emp-identifier"/>
          <value value="71b66f1b-8032-4886-b7bf-e775daee22fb"/>
        </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>
          <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="8faa45dd-b2dc-4a80-8956-94aeab1db04b"/>
        <meta>
          <profile
                   value="https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance"/>
        </meta>
        <target>
          <reference
                     value="MedicationRequest/71b66f1b-8032-4886-b7bf-e775daee22fb/_history/1"/>
        </target>
        <recorded value="2026-12-01T14:00:00.600Z"/>
        <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/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="b467ce05-e0e5-4d71-9a0b-d824dbb492ef"/>
        <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/71b66f1b-8032-4886-b7bf-e775daee22fb/_history/1"/>
        </target>
        <occurredDateTime value="2026-12-01T14:00:00.700Z"/>
        <recorded value="2026-12-01T14:00:00.700Z"/>
        <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>

Geschäftslogik

Der Medication Service MUSS beim Erstellen einer MedicationRequest Instanz sicherstellen, dass der identifier mit dem Slice MedicationPlanIdentifier gesetzt wird und denselben UUIDWert wie die resource.id der erzeugten MedicationRequest Instanz erhält. Der Medication Service MUSS die Geschäftlogik der Operation eMP-Eintrag hinzufügen gemäß dem Aktivitätsdiagramm mit der ID IG-MED-BL-ADD-EMP-ENTRY-V1 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.
IG-MED-BL-ADD-EMP-ENTRY-V1Check whetherisBatchContext = trueCheck whether theOrganizationresource from theX-Requesting-OrganizationHTTP headerconforms to theTIOrganizationprofileReturn errorOperationOutcomewith codestructureand detailsSVC_ORG_HEADER_PROFILE_MISMATCH(HTTP 400)noOrganization is valid?yesCheck whether the KVNR-based logical reference(s) in thesubjectelement match thex-insurantvalue from the HTTP header,and whether the Telematics ID from theX-Requesting-Organizationheader matches the Telematics ID from the ID tokenReturn errorOperationOutcomewith codeforbiddenand detailsSVC_IDENTITY_MISMATCH(HTTP 403)noidentity information is valid?yesnoisBatchContext== trueyesValidateInput-Parameters(empEntry and medication and acknowledgedChronology)according toEPAOpAddEMPEntryInputParametersprofileReturn errorOperationOutcomewith codestructureand detailsMEDSVC_NO_VALID_STRUCTURE(HTTP 400)noValidation successfullyesCheck whether thestatusofInput-Parameters.parameter[empEntry].resource(MedicationRequest)is not equal toentered-in-errorReturn errorOperationOutcomewith codeprocessingand detailsMEDSVC_STATUS_INVALID(HTTP 400)nostatus is not "entered-in-error"yesCheck whetherDosageis present inInput-Parameters.parameter[empEntry].resource.dosageInstructionValidate theextension[renderedDosageInstruction]within theDosageelement according to the HL7 DeutschlandDosageDgMPprofile rules OR check whether it is a free-text dosage instructionReturn errorOperationOutcomewith codestructureand detailsMEDSVC_DOSAGE_INVALID(HTTP 400)notext is valid according to IG or is free-text?yesyesDosage is presentnotransactionCheck whetherisBatchContext = trueLoad the latestProvenanceinstance conforming to theEMPChronologyProvenanceprofilewith extensionisEMPChronology= true from the Medication ServiceProvenance was foundyesnoCheck whether the ID fromInput-Parameters.parameter[acknowledgedChronologyId].valueIdmatches the resource ID of the loadedProvenanceReturn errorOperationOutcomewith codeconflictand detailsMEDSVC_EMP_CHRONOLOGY_ID_MISMATCH(HTTP 409)yesIDs do not matchNo chronology Provenance exists- continue without check -noisBatchContext== trueyesCheck whetherInput-Parameters.parameter[medication]containaMedication resourceor aMedication referenceInput-Parameters.parameter[medication]Check whether thestatusofInput-Parameters.parameter[medication].part[resource].resource(Medication)is not equal toentered-in-errorReturn errorOperationOutcomewith codeprocessingand detailsMEDSVC_STATUS_INVALID(HTTP 400)nostatus is not "entered-in-error"yesGenerate forEPAMedicationUniqueIdentifierfrom hashedInput-Parameters.parameter[medication].part[resource].resource(Medication)«Create»Medicationfrom Input-Parameters.parameter[medication].part[resource].resource**conforming to theEMPMedicationprofileSet identifier[EPAMedicationUniqueIdentifier] to the provided value, set extension[context].valueCode toEMP  Copy all other available elements from the input resourceRetrieveMedicationinstance using the reference provided inInput-Parameters.parameter[medication].part[reference].valueReferenceyesMedication exists?yesMedication was deletednoReturn errorOperationOutcomewith codeprocessingand detailsMSG_DELETED(HTTP 410)Return errorOperationOutcomewith codenot-foundand detailsMSG_RESOURCE_ID_FAIL(HTTP 404)Check whether thestatusofMedicationinstance is not equal toentered-in-errorReturn errorOperationOutcomewith codeprocessingand detailsMEDSVC_STATUS_INVALID(HTTP 400)nostatus is not "entered-in-error"yesCheck whether an existingMedicationRequestinstancewithextension[context].valueCode = EMP  already references the givenMedicationinstanceReturn errorOperationOutcomewith codeconflictand detailsMEDSVC_EMP_ENTRY_ALREADY_EXISTS(HTTP 409)yesSuch MedicationRequest exists?no Note:The medicationReference is used for the actual medication,while extension[originMedication].valueReference explicitly documentsthe original source Medication instance. «Init without save»MedicationRequestfromInput-Parameters.parameter[empEntry].resourceconforming to theEMPMedicationRequestprofileUseIdentifierKvid10as subject,setmedicationReferenceand extension[originMedication].valueReference to the previously created or loadedMedicationinstance,set extension[context] toEMP, setintenttoplan,setidentifier[MedicationPlanIdentifier]to the same UUID as theresource ID,and copy all other available data (e.g., status, authoredOn, dosageInstruction, note, reasonCode, extension[reasonPatientInstruction],extension[effectiveDosePeriod], extension[renderedDosageInstruction], extension[generatedDosageInstructionsMeta] etc.) from the input resourceCheck thestatusof the inputMedicationRequestyesstatusisactiveSet the status of theMedicationinstance toactiveyesstatusison-holdor any other allowed statusSet the status of theMedicationinstance toinactive«Init without Save»Provenanceinsatnce conforming to theEPAActivityProvenanceprofileactivity =CREATE  agent.type =authorCheck whetherextension[context].valueCodeof theMedicationinstance isEMPlink eMP element«Load»Load theMedicationStatementinstancethat references the givenMedicationinstanceVerify that the loaded MedicationStatement is not already linkedto a different EMPMedicationRequest via basedOn (isEMP=true)«UPDATE»EPAMedicationStatementbasedOn = Reference(EMPMedicationRequest)basedOn.extension[isEMP] =true«Set without Save»Provenanceinstance conforming to theEPAActivityProvenanceprofiletarget[+] = VersionedReference(EPAMedicationStatement)«Set without save»EMPMedicationRequestinstanceaddextension[activity].extension[reference] = Reference(EPAMedicationStatement)setextension[activity].extension[addedOn] to the current date/timeno MedicationStatement.basedOn existsand MedicationStatement.basedOn.extension[isEMP] = true    yesyesMedicationStatement exists?nonoextension[context].valueCode == EMPyes«Save»EMPMedicationRequestinstanceconforming to theEMPMedicationRequestprofileCheck whetherisBatchContext = trueCheck for existingOrganizationwith TelematikID from the X-Requesting-Organization HTTP headerOrganization exists?yesno«Update»Organizationderived from X-Requesting-Organization header,conforming to theTIOrganizationprofileidentifier[TelematikID] = value from headerReplace all other elements with the provided instance«Create»Organizationderived from X-Requesting-Organization header,conforming to theTIOrganizationprofileidentifier[TelematikID] = value from headerSet all other elements with the provided instancenoisBatchContext== trueyes Note:agent.who = Reference(Organization)incl. display and TelematikID identifier alslogical reference «Set WITH Save»Provenanceinstance conforming to theEPAActivityProvenanceprofileagent.who = Organization instance derived from X-Requesting-Organization headertarget[+] = VersionedReference(EMPMedicationRequest)Check whetherisBatchContext = trueCreate eMP Chronology ProvenanceLoad thelatest Provenance(if any) with extension[isEMPChronology].valueBoolean =truefrom the Medication Service (this is the current eMP chronology)Load allMedicationRequestwith extension[context] =EMPandstatusin (active,on-hold)Collect versioned references of all relevantEMPMedicationRequestinstancesDerive the currenttarget set(versioned refs) from the loadedlatest chronology(if present) Have the collectedMedicationRequestinstances changed?(compared to latest chronology target set) yesnoNote:  The elementagent.whoMUST be a Reference(Organization) includingdisplay  and a logical identifier (TelematikID).Thetargetlist may be empty.«CREATE»Provenanceconforming toEMPChronologyProvenance  activity =UPDATE  extension[isEMPChronology].valueBoolean =true  agent.type =author  agent.who = Organization instance derived fromX-Requesting-Organizationheadertarget = versioned references to all collectedMedicationRequestinstancesReuse thelatest chronology Provenance(no new instance created)noisBatchContext== trueyesInitOutput-Parameterscontaining the newly createdMedicationRequest,MedicationandProvenancefor the activity provenance as resources inparameter[empEntry],parameter[medication]  andparameter[relatedActivity]conforming to the profileEPAOpEMPEntryOutputParametersCheck whetherisBatchContext = trueAdd theProvenancefor the chronology provenance as resourcesparameter[relatedChronology]to theOutput-ParametersnoisBatchContext== trueyesReturnOutput-Parameters(HTTP 200)Medication resource presentMedication reference present
Abbildung: Geschäftslogik für die Operation eMP-Eintrag hinzufügen

Sicherheitsanforderungen

Generelle Sicherheitsanforderungen werden hier festgehalten.