Operation API: Batch eMP-Einträge

Seiteninhalt:

Nachricht
Geschäftslogik
Sicherheitsanforderungen

Mit der Operation API Batch eMP-Einträge ($batch-emp) können Primärsysteme mehrere fachliche Änderungen am elektronischen Medikationsplan (eMP) gesammelt an den Medication Service übergeben. Innerhalb dieser Stapelverarbeitung werden die Operationen eMP-Eintrag hinzufügen ($add-emp-entry) und eMP-Eintrag aktualisieren ($update-emp-entry) gebündelt ausgeführt.

Der wesentliche Vorteil dieser Vorgehensweise liegt darin, dass mehrere Änderungen in einem konsistenten Kontext geprüft und übernommen werden können. Anstatt jede Änderung einzeln zu übertragen, lassen sich so ganze Änderungspakete gemeinsam validieren, was sowohl die Anzahl der notwendigen Serveraufrufe reduziert als auch die Gefahr von Zwischenzuständen vermeidet.

Am Ende der Stapelverarbeitung wird zusätzlich ein $emp-commit ausgeführt. Dieser Schritt erzeugt eine neue Version des eMP, in der alle zuvor übermittelten Änderungen nachvollziehbar und revisionssicher zusammengefasst sind. Damit wird gewährleistet, dass das Ergebnis der Batch-Verarbeitung als konsistente neue Plan-Version zur Verfügung steht.

Nachricht

Im Rahmen der Batch-Verarbeitung werden sowohl das Hinzufügen neuer Medikationseinträge als auch die Aktualisierung bestehender Einträge im eMP gemeinsam als Bestandteile einer HTTP-POST-Anfrage an die Operation $batch-emp des Medication Service übermittelt.

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 mehrere Medikationseinträge im eMP hinzufügen oder bestehende Einträge aktualisieren möchte, übermittelt es diese gebündelt über die Operation API Batch eMP-Einträge ($batch-emp) an den Medication Service. Am Ende der Stapelverarbeitung wird zusätzlich ein $emp-commit ausgeführt, durch den eine neue Version des eMP erzeugt wird.

Antwort

Die Operation liefert als Ergebnis ein Bundle vom Typ transaction-response, das für jeden im Batch verarbeiteten Eintrag den jeweiligen Rückgabekontext enthält. Dabei werden die Resultate der ausgeführten Operationen $add-emp-entry und $update-emp-entry als Parameters-Ressourcen in den Bundle-Einträgen zurückgegeben. Nach Abschluss der Stapelverarbeitung ist zusätzlich der Eintrag des $emp-commit enthalten, über den die neue Version des eMP in Form einer Provenance-Instanz bereitgestellt wird.

FHIR Operation API

Das Primärsystem KANN die Operation API Batch eMP-Einträge implementieren, um einer Leistungserbringerinstitution das Hinzufügen oder Aktualisieren eines Medikationseintrags zum eMP zu ermöglichen. Das Primärsystem MUSS für die Ausführung der Operation API Batch eMP-Einträge den HTTP-Header X-Requesting-Organization übermitteln. Der Medication Service MUSS für die Operation API Batch eMP-Einträg 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: Batch eMP-Einträge gemäß der FHIR OperationDefinition Batch eMP Einträge implementieren. Der Medication Service MUSS die Ausführung der Operation API: Batch eMP-Einträge gemäß den Vorgaben von [FHIR_RESTful_API:batch/transaction] umsetzen.

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Parameters
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                },
                {
                  "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"
                },
                {
                  "extension" : [
                    {
                      "url" : "reference",
                      "valueReference" : {
                        🔗 "reference" : "MedicationStatement/f29f1d0c-be05-4b0d-a335-3e508da39c0c"
                      }
                    },
                    {
                      "url" : "addedOn",
                      "valueDateTime" : "2026-11-01T15:43:33.244Z"
                    }
                  ],
                  "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension"
                }
              ],
              "identifier" : [
                {
                  "system" : "https://gematik.de/fhir/sid/emp-identifier",
                  "value" : "266620a9-2c26-41c1-b0cb-a10947b867f5"
                }
              ],
              "status" : "active",
              "intent" : "plan",
              "medicationReference" : {
                🔗 "reference" : "Medication/fc7b28e8-05ac-4ac8-86d7-7677d9c6134e"
              },
              "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"
                      }
                    }
                  ]
                }
              ]
            }
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "$update-emp-entry"
      }
    },
    {
      "fullUrl" : "urn:uuid:ba863a1b-f6bc-45f7-92ba-cc8bf79cf8c2",
      "resource" : {
        "resourceType" : "Parameters",
        "id" : "4beaf1af-daec-4c7a-930d-c2062517b42c",
        "meta" : {
          "profile" : [
            🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-rmp-commit-input-parameters"
          ]
        },
        "parameter" : [
          {
            "name" : "acknowledgedChronologyId",
            "valueId" : "b467ce05-e0e5-4d71-9a0b-d824dbb492ef"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "$emp-commit"
      }
    }
  ]
}


<Bundle xmlns="http://hl7.org/fhir">
  <id value="example-epa-batch-emp-request-bundle"/>
  <meta>
    <profile
             value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-batch-emp-request-bundle"/>
  </meta>
  <type value="transaction"/>
  <entry>
    <fullUrl value="urn:uuid:42a697f3-3989-4be8-bf27-92c05a025e79"/>
    <resource>
      <Parameters>
        <id value="517301af-f07c-4694-9780-451132352d95"/>
        <meta>
          <profile
                   value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-add-emp-entry-input-parameters"/>
        </meta>
        <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>
    </resource>
    <request>
      <method value="POST"/>
      <url value="$add-emp-entry"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:cae0c349-08bc-4fe5-9233-ca5a9a4c4673"/>
    <resource>
      <Parameters>
        <id value="7ccb2670-7178-4f82-912a-de70f68ecd51"/>
        <meta>
          <profile
                   value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-update-emp-entry-input-parameters"/>
        </meta>
        <parameter>
          <name value="medicationPlanIdentifier"/>
          <valueIdentifier>
            <system value="https://gematik.de/fhir/sid/emp-identifier"/>
            <value value="266620a9-2c26-41c1-b0cb-a10947b867f5"/>
          </valueIdentifier>
        </parameter>
        <parameter>
          <name value="empEntry"/>
          <resource>
            <MedicationRequest>
              <id value="266620a9-2c26-41c1-b0cb-a10947b867f5"/>
              <meta>
                <versionId value="2"/>
                <lastUpdated value="2026-11-01T15:43:33.244Z"/>
                <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>
              <extension
                         url="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension">
                <extension url="reference">
                  <valueReference>🔗 
                    <reference
                               value="MedicationStatement/f29f1d0c-be05-4b0d-a335-3e508da39c0c"/>
                  </valueReference>
                </extension>
                <extension url="addedOn">
                  <valueDateTime value="2026-11-01T15:43:33.244Z"/>
                </extension>
              </extension>
              <identifier>
                <system value="https://gematik.de/fhir/sid/emp-identifier"/>
                <value value="266620a9-2c26-41c1-b0cb-a10947b867f5"/>
              </identifier>
              <status value="active"/>
              <intent value="plan"/>
              <medicationReference>🔗 
                <reference
                           value="Medication/fc7b28e8-05ac-4ac8-86d7-7677d9c6134e"/>
              </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>
    </resource>
    <request>
      <method value="POST"/>
      <url value="$update-emp-entry"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:ba863a1b-f6bc-45f7-92ba-cc8bf79cf8c2"/>
    <resource>
      <Parameters>
        <id value="4beaf1af-daec-4c7a-930d-c2062517b42c"/>
        <meta>
          <profile
                   value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-rmp-commit-input-parameters"/>
        </meta>
        <parameter>
          <name value="acknowledgedChronologyId"/>
          <valueId value="b467ce05-e0e5-4d71-9a0b-d824dbb492ef"/>
        </parameter>
      </Parameters>
    </resource>
    <request>
      <method value="POST"/>
      <url value="$emp-commit"/>
    </request>
  </entry>
</Bundle>

{
  "resourceType" : "Bundle",
  "id" : "example-epa-batch-emp-response-bundle",
  "type" : "transaction-response",
  "entry" : [
    {
      "resource" : {
        "resourceType" : "Parameters",
        "id" : "0fe348cc-adee-496c-9359-3cf3eaa1d355",
        "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"
                  }
                }
              ]
            }
          }
        ]
      },
      "response" : {
        "status" : "200 OK"
      }
    },
    {
      "resource" : {
        "resourceType" : "Parameters",
        "id" : "946af3ef-eec2-4a5d-81c4-fe46bc115d58",
        "meta" : {
          "profile" : [
            🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-emp-entry-output-parameters"
          ]
        },
        "parameter" : [
          {
            "name" : "empEntry",
            "resource" : {
              "resourceType" : "MedicationRequest",
              "id" : "266620a9-2c26-41c1-b0cb-a10947b867f5",
              "meta" : {
                "versionId" : "3",
                "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" : "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"
                },
                {
                  "extension" : [
                    {
                      "url" : "reference",
                      "valueReference" : {
                        🔗 "reference" : "MedicationStatement/f29f1d0c-be05-4b0d-a335-3e508da39c0c"
                      }
                    },
                    {
                      "url" : "addedOn",
                      "valueDateTime" : "2026-12-01T14:00:00.400Z"
                    }
                  ],
                  "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension"
                }
              ],
              "identifier" : [
                {
                  "system" : "https://gematik.de/fhir/sid/emp-identifier",
                  "value" : "266620a9-2c26-41c1-b0cb-a10947b867f5"
                }
              ],
              "status" : "active",
              "intent" : "plan",
              "medicationReference" : {
                🔗 "reference" : "Medication/87f08ba2-da7e-467e-86aa-404d9035297c"
              },
              "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"
                      }
                    }
                  ]
                }
              ]
            }
          },
          {
            "name" : "medication",
            "resource" : {
              "resourceType" : "Medication",
              "id" : "87f08ba2-da7e-467e-86aa-404d9035297c",
              "meta" : {
                "versionId" : "1",
                "lastUpdated" : "2026-11-01T14:00:00.200Z",
                "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" : "781405001",
                    "display" : "Medicinal product package (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" : "https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension",
                  "valueBoolean" : false
                },
                {
                  "url" : "http://fhir.de/StructureDefinition/normgroesse",
                  "valueCode" : "N1"
                }
              ],
              "identifier" : [
                {
                  "system" : "https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier",
                  "value" : "5CA9B89A31D81FFF6869E6A93B192C03C7F715FC4A568FB060630DD639F94EF1"
                }
              ],
              "code" : {
                "coding" : [
                  {
                    "system" : "http://fhir.de/CodeSystem/ifa/pzn",
                    "code" : "06313728"
                  }
                ],
                "text" : "Sumatriptan-1a Pharma 100 mg Tabletten"
              },
              "status" : "active",
              "form" : {
                "coding" : [
                  {
                    "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM",
                    "code" : "TAB",
                    "display" : "Tabletten"
                  }
                ]
              },
              "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" : "20335453-d103-4957-a370-03c9007db2f6",
              "meta" : {
                "profile" : [
                  🔗 "https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance"
                ]
              },
              "target" : [
                {
                  "reference" : "MedicationRequest/266620a9-2c26-41c1-b0cb-a10947b867f5/_history/3"
                }
              ],
              "recorded" : "2026-12-01T14:00:00.400Z",
              "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"
                  }
                }
              ]
            }
          }
        ]
      },
      "response" : {
        "status" : "200 OK"
      }
    },
    {
      "resource" : {
        "resourceType" : "Provenance",
        "id" : "319fcc6e-049d-4eb1-9a5c-82c33438cf94",
        "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/266620a9-2c26-41c1-b0cb-a10947b867f5/_history/3"
          },
          {
            "reference" : "MedicationRequest/71b66f1b-8032-4886-b7bf-e775daee22fb/_history/1"
          }
        ],
        "occurredDateTime" : "2026-12-01T14:00:00.400Z",
        "recorded" : "2026-12-01T14:00:00.400Z",
        "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"
            }
          }
        ]
      },
      "response" : {
        "status" : "200 OK"
      }
    }
  ]
}


<Bundle xmlns="http://hl7.org/fhir">
  <id value="example-epa-batch-emp-response-bundle"/>
  <type value="transaction-response"/>
  <entry>
    <resource>
      <Parameters>
        <id value="0fe348cc-adee-496c-9359-3cf3eaa1d355"/>
        <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>
      </Parameters>
    </resource>
    <response>
      <status value="200 OK"/>
    </response>
  </entry>
  <entry>
    <resource>
      <Parameters>
        <id value="946af3ef-eec2-4a5d-81c4-fe46bc115d58"/>
        <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="266620a9-2c26-41c1-b0cb-a10947b867f5"/>
              <meta>
                <versionId value="3"/>
                <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="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>
              <extension
                         url="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension">
                <extension url="reference">
                  <valueReference>🔗 
                    <reference
                               value="MedicationStatement/f29f1d0c-be05-4b0d-a335-3e508da39c0c"/>
                  </valueReference>
                </extension>
                <extension url="addedOn">
                  <valueDateTime value="2026-12-01T14:00:00.400Z"/>
                </extension>
              </extension>
              <identifier>
                <system value="https://gematik.de/fhir/sid/emp-identifier"/>
                <value value="266620a9-2c26-41c1-b0cb-a10947b867f5"/>
              </identifier>
              <status value="active"/>
              <intent value="plan"/>
              <medicationReference>🔗 
                <reference
                           value="Medication/87f08ba2-da7e-467e-86aa-404d9035297c"/>
              </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>
        <parameter>
          <name value="medication"/>
          <resource>
            <Medication>
              <id value="87f08ba2-da7e-467e-86aa-404d9035297c"/>
              <meta>
                <versionId value="1"/>
                <lastUpdated value="2026-11-01T14:00:00.200Z"/>
                <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="781405001"/>
                  <display value="Medicinal product package (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="https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension">
                <valueBoolean value="false"/>
              </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="5CA9B89A31D81FFF6869E6A93B192C03C7F715FC4A568FB060630DD639F94EF1"/>
              </identifier>
              <code>
                <coding>
                  <system value="http://fhir.de/CodeSystem/ifa/pzn"/>
                  <code value="06313728"/>
                </coding>
                <text value="Sumatriptan-1a Pharma 100 mg Tabletten"/>
              </code>
              <status value="active"/>
              <form>
                <coding>
                  <system
                          value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM"/>
                  <code value="TAB"/>
                  <display value="Tabletten"/>
                </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="20335453-d103-4957-a370-03c9007db2f6"/>
              <meta>
                <profile
                         value="https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance"/>
              </meta>
              <target>
                <reference
                           value="MedicationRequest/266620a9-2c26-41c1-b0cb-a10947b867f5/_history/3"/>
              </target>
              <recorded value="2026-12-01T14:00:00.400Z"/>
              <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>
      </Parameters>
    </resource>
    <response>
      <status value="200 OK"/>
    </response>
  </entry>
  <entry>
    <resource>
      <Provenance>
        <id value="319fcc6e-049d-4eb1-9a5c-82c33438cf94"/>
        <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/266620a9-2c26-41c1-b0cb-a10947b867f5/_history/3"/>
        </target>
        <target>
          <reference
                     value="MedicationRequest/71b66f1b-8032-4886-b7bf-e775daee22fb/_history/1"/>
        </target>
        <occurredDateTime value="2026-12-01T14:00:00.400Z"/>
        <recorded value="2026-12-01T14:00:00.400Z"/>
        <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>
    <response>
      <status value="200 OK"/>
    </response>
  </entry>
</Bundle>

Geschäftslogik

Das Primärsystem MUSS für Aufrufe der Operation API Batch eMP-Einträge ein FHIR‑Bundle vom Typ transaction gemäß des Profils EPABatchEmpRequestBundle als Request-Body verwenden. Der Medication Service MUSS im Erfolgsfall auf die Operation API Batch eMP-Einträge mit dem HTTP-Statuscode 200 OK antworten und als Ergebnis ein Bundle vom Typ transaction-response zurückgeben. Der Medication Service MUSS die Operation API Batch eMP-Einträge atomar (transaction) ausführen, sodass alle Verarbeitungsschritte im Stapel fehlerfrei durchgeführt werden. Tritt ein Fehler auf, wird ein Rollback aller Änderungen durchgeführt und die Verarbeitung an dieser Stelle mit einem Fehler-Response abgebrochen. Der Medication Service MUSS für die Operation API Batch eMP-Einträge ein serverinternes Ausführungskontext‑Flag (beispielsweise isBatchContext) führen, das vom Dispatcher der Operation API Batch eMP-Einträge gesetzt wird und vom Client nicht beeinflussbar ist. Ist das Flag aktiv, werden die aufgerufenen Teiloperationen in Batch‑Semantik ausgeführt. Der Medication Service MUSS die Verarbeitung der übergebenen Operationen in einer festen Reihenfolge durchführen:

Alle Operationen eMP-Eintrag hinzufügen ($add-emp-entry)
Danach alle Operationen eMP-Eintrag aktualisieren ($update-emp-entry)
Abschließend die Operation eMP-Commit ($emp-commit)

Diese Reihenfolge ist zwingend einzuhalten, um eine konsistente Verarbeitung und die korrekte Erzeugung einer neuen Version des eMP sicherzustellen. Der Medication Service MUSS die Geschäftlogik der Operation API Batch eMP-Einträge gemäß dem Aktivitätsdiagramm mit der ID IG-MED-BL-BATCH-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.

Abbildung: Geschäftslogik für die Operation API Batch eMP-Einträge

Sicherheitsanforderungen

Generelle Sicherheitsanforderungen werden hier festgehalten.