Seiteninhalt:
Die Operation eML-Eintrag stornieren ermöglicht das gezielte Widerrufen bzw. Abbrechen eines bestehenden Medikations-Eintrags in der elektronischen Medikationsliste (eML). Sie kann ausschließlich für eML-Einträge aus einem Nachtrag verwendet werden; Einträge aus dem Verschreibungs- oder Abgabeprozess sind von dieser Operation ausgeschlossen.
Die Nachricht zum Stornieren eines Medikations-Eintrags in der eML wird als HTTP-POST-Anfrage an den Medication Service gesendet.
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
Wenn das ePA-Client-System einen Medikations-Eintrag der elektronischen Medikationsliste stornieren möchte, verwendet es diese Operation des Medication Service.
Die Operation gibt den stornierten Medikations-Eintrag als Instanz gemäß EPAMedicationStatement zurück, ergänzt um die zugehörige EPAMedication sowie die EPAActivityProvenance als Nachweis der durchgeführten Stornierungsaktivität.
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operation"},{"url":"responseType","valueString":"Parameters"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"403"},{"url":"description","valueString":"ID-Token or Insurant-ID mismatch"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"SVC_IDENTITY_MISMATCH"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Profile mismatch in header Organization"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"SVC_ORG_HEADER_PROFILE_MISMATCH"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"409"},{"url":"description","valueString":"Update Conflict (server current version = %s, client version referenced = %s)"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_VERSION_AWARE_CONFLICT"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"404"},{"url":"description","valueString":"Resource is not known"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_RESOURCE_ID_FAIL"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid dosage structure or content"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_DOSAGE_INVALID"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid Data Structure in Medication Service"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_NO_VALID_STRUCTURE"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Parameter with wrong status"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_STATUS_INVALID"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"409"},{"url":"description","valueString":"Mismatch between acknowledged and current eMP chronology 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":"cancel-eml-entry-op","meta":{"profile":["https://gematik.de/fhir/ti/StructureDefinition/ti-operationdefinition"]},"text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\">Generated Narrative: OperationDefinition cancel-eml-entry-op</p><a name=\"cancel-eml-entry-op\"> </a><a name=\"hccancel-eml-entry-op\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://simplifier.net/resolve?scope=de.gematik.ti@1.1.1&canonical=https://gematik.de/fhir/ti/StructureDefinition/ti-operationdefinition\">OperationDefinition Profil für TI FHIR Data Service</a></p></div>URL: [base]/MedicationStatement/[id]/$cancel-eml-entry
Output parameters Profile:<a href=\"StructureDefinition-epa-op-eml-entry-output-parameters.html\">EPA Operation EMLEntry Output-Parameters</a>
Parameters
<table class=\"grid\">Use Name Scope Cardinality Type Binding Documentation
{
"resourceType" : "Parameters",
"id" : "example-epa-op-eml-entry-cancelled-output-parameters-1",
"meta" : {
"profile" : [
🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-eml-entry-output-parameters"
]
},
"parameter" : [
{
"name" : "medicationStatement",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "6e340b90-35cd-4070-bad8-c26704d85d55",
"meta" : {
"versionId" : "2",
"lastUpdated" : "2026-02-23T15:00:00.444Z",
"profile" : [
🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-statement"
]
},
"extension" : [
{
"url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension",
"valueCode" : "MANUAL"
},
{
"url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction",
"valueMarkdown" : "1-0-1-0 Stück"
},
{
"extension" : [
{
"url" : "algorithmVersion",
"valueString" : "1.0.0"
},
{
"url" : "language",
"valueCode" : "de-DE"
}
],
"url" : "http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta"
}
],
"status" : "entered-in-error",
"medicationReference" : {
🔗 "reference" : "Medication/2571d29b-e213-40ec-b817-a1490718f491"
},
"subject" : {
"identifier" : {
"system" : "http://fhir.de/sid/gkv/kvid-10",
"value" : "X110411319"
}
},
"effectivePeriod" : {
"start" : "2026-02-10"
},
"dosage" : [
{
"timing" : {
"repeat" : {
"frequency" : 2,
"period" : 1,
"periodUnit" : "d",
"when" : [
"MORN",
"EVE"
]
}
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 1,
"unit" : "Stück",
"system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT",
"code" : "1"
}
}
]
}
]
}
},
{
"name" : "medication",
"resource" : {
"resourceType" : "Medication",
"id" : "16920f85-569e-415b-8b01-476bb018c794",
"meta" : {
"versionId" : "2",
"lastUpdated" : "2026-02-23T15:00:00.500Z",
"profile" : [
🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication"
]
},
"extension" : [
{
"url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "781405001",
"display" : "Medicinal product package (product)"
}
},
{
"url" : "http://fhir.de/StructureDefinition/normgroesse",
"valueCode" : "N1"
}
],
"identifier" : [
{
"system" : "https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier",
"value" : "B849184C973EA5FA7D9751E6FAA6AFCFFD100183596239F84DD2C0FG4C751D67"
}
],
"code" : {
"coding" : [
{
"system" : "http://fhir.de/CodeSystem/ifa/pzn",
"code" : "14170042",
"display" : "Diclo-ratiopharm® bei Schmerzen und Fieber 25 mg Filmtabletten"
}
],
"text" : "Diclo-ratiopharm® bei Schmerzen und Fieber 25 mg Filmtabletten"
},
"status" : "entered-in-error",
"form" : {
"coding" : [
{
"system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM",
"code" : "TAB"
}
]
},
"amount" : {
"numerator" : {
"extension" : [
{
"url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension",
"valueString" : "20 St."
}
],
"value" : 20,
"unit" : "St"
},
"denominator" : {
"value" : 1
}
}
}
},
{
"name" : "relatedActivity",
"resource" : {
"resourceType" : "Provenance",
"id" : "39475183-3444-4b63-bfed-ae0741f4496b",
"meta" : {
"profile" : [
🔗 "https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance"
]
},
"target" : [
{
"reference" : "MedicationStatement/6e340b90-35cd-4070-bad8-c26704d85d55/_history/2"
}
],
"recorded" : "2026-02-23T15:00:00.550Z",
"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/8B421590-9F7F-46BE-BD1E-C987063AC4F5",
"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PRN"
}
]
},
"system" : "https://gematik.de/fhir/sid/telematik-id",
"value" : "9-2.58.00000060"
},
"display" : "Die Apotheke"
}
}
]
}
}
]
}
<Parameters xmlns="http://hl7.org/fhir">
<id value="example-epa-op-eml-entry-cancelled-output-parameters-1"/>
<meta>
<profile
value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-eml-entry-output-parameters"/>
</meta>
<parameter>
<name value="medicationStatement"/>
<resource>
<MedicationStatement>
<id value="6e340b90-35cd-4070-bad8-c26704d85d55"/>
<meta>
<versionId value="2"/>
<lastUpdated value="2026-02-23T15:00:00.444Z"/>
<profile
value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-statement"/>
</meta>
<extension
url="https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension">
<valueCode value="MANUAL"/>
</extension>
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction">
<valueMarkdown value="1-0-1-0 Stück"/>
</extension>
<extension
url="http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta">
<extension url="algorithmVersion">
<valueString value="1.0.0"/>
</extension>
<extension url="language">
<valueCode value="de-DE"/>
</extension>
</extension>
<status value="entered-in-error"/>
<medicationReference>🔗
<reference value="Medication/2571d29b-e213-40ec-b817-a1490718f491"/>
</medicationReference>
<subject>
<identifier>
<system value="http://fhir.de/sid/gkv/kvid-10"/>
<value value="X110411319"/>
</identifier>
</subject>
<effectivePeriod>
<start value="2026-02-10"/>
</effectivePeriod>
<dosage>
<timing>
<repeat>
<frequency value="2"/>
<period value="1"/>
<periodUnit value="d"/>
<when value="MORN"/>
<when value="EVE"/>
</repeat>
</timing>
<doseAndRate>
<doseQuantity>
<value value="1"/>
<unit value="Stück"/>
<system
value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT"/>
<code value="1"/>
</doseQuantity>
</doseAndRate>
</dosage>
</MedicationStatement>
</resource>
</parameter>
<parameter>
<name value="medication"/>
<resource>
<Medication>
<id value="16920f85-569e-415b-8b01-476bb018c794"/>
<meta>
<versionId value="2"/>
<lastUpdated value="2026-02-23T15:00:00.500Z"/>
<profile
value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication"/>
</meta>
<extension
url="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension">
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="781405001"/>
<display value="Medicinal product package (product)"/>
</valueCoding>
</extension>
<extension url="http://fhir.de/StructureDefinition/normgroesse">
<valueCode value="N1"/>
</extension>
<identifier>
<system
value="https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier"/>
<value
value="B849184C973EA5FA7D9751E6FAA6AFCFFD100183596239F84DD2C0FG4C751D67"/>
</identifier>
<code>
<coding>
<system value="http://fhir.de/CodeSystem/ifa/pzn"/>
<code value="14170042"/>
<display
value="Diclo-ratiopharm® bei Schmerzen und Fieber 25 mg Filmtabletten"/>
</coding>
<text
value="Diclo-ratiopharm® bei Schmerzen und Fieber 25 mg Filmtabletten"/>
</code>
<status value="entered-in-error"/>
<form>
<coding>
<system
value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM"/>
<code value="TAB"/>
</coding>
</form>
<amount>
<numerator>
<extension
url="https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension">
<valueString value="20 St."/>
</extension>
<value value="20"/>
<unit value="St"/>
</numerator>
<denominator>
<value value="1"/>
</denominator>
</amount>
</Medication>
</resource>
</parameter>
<parameter>
<name value="relatedActivity"/>
<resource>
<Provenance>
<id value="39475183-3444-4b63-bfed-ae0741f4496b"/>
<meta>
<profile
value="https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance"/>
</meta>
<target>
<reference
value="MedicationStatement/6e340b90-35cd-4070-bad8-c26704d85d55/_history/2"/>
</target>
<recorded value="2026-02-23T15:00:00.550Z"/>
<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/8B421590-9F7F-46BE-BD1E-C987063AC4F5"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PRN"/>
</coding>
</type>
<system value="https://gematik.de/fhir/sid/telematik-id"/>
<value value="9-2.58.00000060"/>
</identifier>
<display value="Die Apotheke"/>
</who>
</agent>
</Provenance>
</resource>
</parameter>
</Parameters>Anhand der Eingangsdaten werden bei Ausführung dieser Operation die folgenden FHIR-Artefakte erzeugt bzw. aktualisiert:
Die adressierte Medikationsinformation als Instanz gemäß Profil EPAMedicationStatement wird aktualisiert. Dabei wird der Status der Instanz auf entered-in-error gesetzt, um den Eintrag in der elektronischen Medikationsliste (eML) als storniert zu kennzeichnen.
Die zur Medikationsinformation gehörende Instanz gemäß Profil EPAMedication wird ebenfalls auf entered-in-error gesetzt und im Operationsergebnis zurückgegeben, um die referenzierte Medikation konsistent als storniert nachzuweisen.
Ein zur Medikationsinformation zugehöriger Änderungseintrag wird als Instanz gemäß Profil EPAActivityProvenance erzeugt, der die Stornierungsaktivität dokumentiert.
Eine zum Änderungseintrag zugehörige verordnende LEI wird als Instanz gemäß Profil TIOrganization erzeugt bzw. aktualisiert.
Einschränkung: Diese Operation kann ausschließlich für eML-Nachträge verwendet werden. Wird versucht, einen Eintrag aus dem Verschreibungs- oder Abgabeprozess zu stornieren, gibt der Medication Service einen Fehler zurück.
Generelle Sicherheitsanforderungen werden hier festgehalten.