Implementation Guide
ePA Medication Service
Version 1.2.0 - release

Operation API: Medikationsplan abrufen (eMP)

Seiteninhalt:

Die Operation Medikationsplan abrufen (eMP) ermöglicht den gezielten Zugriff auf eine konsolidierte FHIR-Darstellung eines elektronischen Medikationsplans (eMP) aus dem Datenraum des Medication Service. Der zurückgegebene eMP umfasst eine Sammlung relevanter Ressourceninstanzen (z.B. MedicationRequest (eMP), MedicationStatement (eML) oder Medication (eMP)), die zu einem definierten Zeitpunkt gemeinsam gültig waren, ergänzt um die zugehörige Patient-Ressource aus dem Patient Service.

Als optionaler Eingabeparameter kann eine Provenance-ID übergeben werden (Provenance.id der EMPChronologyProvenance). Diese ID verweist auf einen eMP-Chronologieeintrag des Medikationsplans und referenziert eine spezifische Version des eMP, wie sie durch die Provenance-Instanz dokumentiert ist. Bei Angabe dieses Parameters liefert die Operation exakt den durch die angegebene Provenance beschriebenen Zustand des Medikationsplans, gegebenenfalls ergänzt durch aktuelle, zugehörige Verschreibungsdaten. Dadurch wird eine Abfrage vergangener Planstände ermöglicht.

Wird keine Provenance-ID übermittelt, gibt die Operation den aktuellen Zustand des eMP zurück – also die zur Abfragezeit gültige Kombination aus aktiven, vorgesehenen und pausierten Medikationsdaten, wie sie systemseitig als letzte Version ermittelt wurde.

Das Operationsergebnis ist ein FHIR Bundle vom Typ collection, das sämtliche zum angegebenen Stand gehörenden Ressourcen enthält.

Nachricht

Die Nachricht zum Abruf der FHIR-Instanzen des eMP wird als HTTP GET-Anfrage an den Medication Service gesendet.

Auslösung

Wenn das ePA-Client-System den eMP als strukturierte FHIR-Daten abrufen möchte, sendet es eine Operation API: Medikationsplan abrufen (eMP)-Anfrage an den Medication Service. Der Medication Service verarbeitet die Anfrage und stellt den Medikationsplan zur Verfügung, damit dieser im ePA-Client-System verarbeitet werden kann.

Das ePA-FdV MUSS es dem Versicherten ermöglichen, einen ICD-10-Code eines eMP-Eintrags mit Informationen des Nationalen Gesundheitsportals [NGP] zu verknüpfen, um eine patientenverständliche Erläuterung des Codes zur Anzeige zu bringen, sodass das Feld reasonCode für den Versicherten nachvollziehbar wird. Das ePA-Client-System MUSS bei der lokalen Darstellung der abgerufenen eMP-Einträge diese nach den Statuswerten aktiv (active) und pausiert (on-hold) gruppieren und den jeweiligen Status für den Benutzer eindeutig sichtbar darstellen. Das ePA-Client-System MUSS eine lokale Volltextsuche über die abgerufenen eMP-Einträge implementieren. Weitere Filter- und Suchfunktionen SOLL das ePA-Client-System ebenso umsetzen. Das ePA-Client-System MUSS mindestens die nachfolgenden Elemente eines eMP-Eintrags zur Anzeige bringen:

  • Präfix Versichertennamens - Patient.name:Name.prefix
  • Vorname des Versicherten - Patient.name:Name.given
  • Nachname des Versicherten - Patient.name:Name.family
  • Geburtsdatum - Patient.birthDate
  • Versichertennummer - Patient.identifier:KVNR
  • Verfassungsdatum - MedicationRequest.authoredOn
  • Wirkstoff - Medication.ingredient.item[x]:itemCodeableConcept.text
  • Handelsname - Medication.code.text in MedicationRequest.medicationReference
  • Wirkstärke (Numerator, Denominator, Text) - Medication.ingredient.strength.numerator in MedicationRequest.medicationReference
  • Form - Medication.form.coding
  • Hinweise für Versicherte - MedicationRequest.extension:patientNote.valueAnnotation.text
  • Grund (ICD-10 Code) - MedicationRequest.reasonCode.coding:icd-10-gm
  • Grund / Versicherter - MedicationRequest.extension:reasonPatientInstruction.valueString
  • Anwendungszeitraum Start/Ende - MedicationRequest.extension:effectiveDosePeriod
  • Dosierangabe - MedicationRequest.extension:renderedDosageInstruction.valueMarkdown, sonst falls vorhanden: MedicationRequest.dosageInstruction.text
  • Tabellendosierung morgens/mittags/abends/Nacht - MedicationRequest.dosageInstruction.timing.repeat.when
  • Hinweis für Mitbehandelnde - MedicationRequest.note

FHIR Operation API

Der Medication Service MUSS die Operation API: Medikationsplan abrufen (eMP) gemäß der FHIR OperationDefinition Get Medication Plan (eMP)" ausführen. 
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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 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(server current version = %s, client version referenced = %s)"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_VERSION_AWARE_CONFLICT"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"404"},{"url":"description","valueString":"Resource is not known"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_RESOURCE_ID_FAIL"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"}],"name":"batch-emp","definition":"https://gematik.de/fhir/epa-medication/OperationDefinition/batch-emp-entries-op"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"},{"extension":[{"url":"name","valueString":"X-Requesting-Organization"},{"url":"type","valueString":"string"},{"url":"description","valueString":"Base64 encoded FHIR Organization resource in JSON format used to identify the originator of the request"},{"url":"format","valueString":"base64(fhir+json:Organization)"},{"url":"required","valueBoolean":true}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-header"},{"extension":[{"url":"statusCode","valueString":"200"},{"url":"description","valueString":"Successful operation"},{"url":"responseType","valueString":"Parameters"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"405"},{"url":"description","valueString":"The operation can only be executed within a batch context"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_OPERATION_OUTSIDE_BATCH"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"409"},{"url":"description","valueString":"Mismatch between 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":"get-medication-plan-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 get-medication-plan-op</p><a name=\"get-medication-plan-op\"> </a><a name=\"hcget-medication-plan-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]/$medication-plan
Parameters
<table class=\"grid\">UseNameScopeCardinalityTypeBindingDocumentationINprovenance0..1<a href=\"http://hl7.org/fhir/R4/datatypes.html#uuid\">uuid</a>
Die UUID der Provenance-Instanz, die eine bestimmte Version des elektronischen Medikationsplans (eMP) identifiziert. Diese Provenance-Instanz repräsentiert den Zustand zu einem bestimmten Zeitpunkt und bündelt die zu diesem Zeitpunkt aktiven eMP-Elemente. Wird kein provenance-Parameter angegeben, liefert die Operation den aktuellsten bekannten Zustand des eMP zurück.
\n
OUTreturn1..1<a href=\"http://hl7.org/fhir/R4/bundle.html\">Bundle</a>
Ein Bundle vom Typ collection, das alle relevanten Ressourceninstanzen enthält, die zum angegebenen eMP-Zustand gehören. Diese Ressourcen stammen aus dem Datenraum des Medication Service und bilden gemeinsam den logischen Medikationsplan zum gewünschten Stand ab.
\n
</table></div>"},"extension":[{"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-method","valueCode":"GET"}],"url":"https://gematik.de/fhir/epa-medication/OperationDefinition/get-medication-plan-op","version":"1.2.0","name":"getMedicationPlan_MedicationSvc","title":"Get Medication Plan (eMP)","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 den gezielten Abruf eines elektronischen Medikationsplans (eMP) aus dem Datenraum des Medication Service. Der zurückgegebene Medikationsplan besteht aus einer Sammlung relevanter Ressourceninstanzen, die zu einem bestimmten Zeitpunkt gemeinsam gültig waren, sowie die zugehörige Versicherteninformation (Patient) aus dem Patient Service. Die Operation akzeptiert optional eine Provenance-Referenz.id als Eingabeparameter. Wird diese übergeben, liefert die Operation exakt den Zustand des Medikationsplans, wie er durch diese Provenance-Version beschrieben ist. So kann auch ein vergangener Stand des eMP nachvollziehbar wiedergegeben werden. Wird keine Provenance angegeben, gibt die Operation den aktuellsten Stand des Medikationsplans zurück - also die derzeit gültige Kombination aus aktiven und pausierten Medikationsdaten. Das Ergebnis ist ein Bundle vom Typ collection, das alle zugehörigen Ressourcendaten enthält.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"DE"}]}],"affectsState":false,"code":"medication-plan","system":true,"type":false,"instance":false,"parameter":[{"name":"provenance","use":"in","min":0,"max":"1","documentation":"Die UUID der Provenance-Instanz, die eine bestimmte Version des elektronischen Medikationsplans (eMP) identifiziert. Diese Provenance-Instanz repräsentiert den Zustand zu einem bestimmten Zeitpunkt und bündelt die zu diesem Zeitpunkt aktiven eMP-Elemente. Wird kein provenance-Parameter angegeben, liefert die Operation den aktuellsten bekannten Zustand des eMP zurück.","type":"uuid"},{"name":"return","use":"out","min":1,"max":"1","documentation":"Ein Bundle vom Typ collection, das alle relevanten Ressourceninstanzen enthält, die zum angegebenen eMP-Zustand gehören. Diese Ressourcen stammen aus dem Datenraum des Medication Service und bilden gemeinsam den logischen Medikationsplan zum gewünschten Stand ab.","type":"Bundle"}]}
    
{
  "resourceType" : "Bundle",
  "id" : "example-get-medication-plan-bundle-1",
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:6da4d89d-09f9-4c9a-9117-10c7e7948566"
  },
  "type" : "collection",
  "timestamp" : "2027-01-10T10:10:00Z",
  "entry" : [
    {
      "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/Patient/641f4cf5-e54b-406c-b8a8-1d3292fd5087",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "641f4cf5-e54b-406c-b8a8-1d3292fd5087",
        "meta" : {
          "profile" : [
            🔗 "https://gematik.de/fhir/epa/StructureDefinition/epa-patient"
          ]
        },
        "identifier" : [
          {
            "system" : "http://fhir.de/sid/gkv/kvid-10",
            "value" : "X110411319"
          }
        ],
        "active" : true,
        "name" : [
          {
            "use" : "official",
            "family" : "Mustermann",
            "given" : [
              "Max"
            ]
          }
        ],
        "gender" : "male",
        "birthDate" : "1976-02-01"
      }
    },
    {
      "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/Provenanc/63e6938b-18a3-4b0f-9423-084d53edba7b",
      "resource" : {
        "resourceType" : "Provenance",
        "id" : "63e6938b-18a3-4b0f-9423-084d53edba7b",
        "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/2"
          },
          {
            "reference" : "MedicationRequest/71b66f1b-8032-4886-b7bf-e775daee22fb/_history/1"
          }
        ],
        "occurredDateTime" : "2026-11-01T15:43:33.244Z",
        "recorded" : "2026-11-01T15:43:33.244Z",
        "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"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/MedicationRequest/71b66f1b-8032-4886-b7bf-e775daee22fb",
      "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"
                }
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/Medication/13c66845-d0ce-43e1-9b0b-884cbbe8df7f",
      "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" : {
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          🔗 "reference" : "Medication/fc7b28e8-05ac-4ac8-86d7-7677d9c6134e"
        },
        "subject" : {
          "identifier" : {
            "system" : "http://fhir.de/sid/gkv/kvid-10",
            "value" : "X110411319"
          }
        },
        "authoredOn" : "2026-11-01",
        "requester" : {
          🔗 "reference" : "PractitionerRole/b9eb9668-b61e-43b5-b3ea-485234836d59"
        },
        "basedOn" : [
          {
            "identifier" : {
              "system" : "https://gematik.de/fhir/sid/emp-identifier",
              "value" : "4dd6f19d-002c-44ac-ae2f-3c9d08ad35b8"
            }
          }
        ],
        "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"
                }
              }
            ]
          }
        ],
        "dispenseRequest" : {
          "quantity" : {
            "value" : 1,
            "system" : "http://unitsofmeasure.org",
            "code" : "{Package}"
          }
        },
        "substitution" : {
          "allowedBoolean" : true
        }
      }
    },
    {
      "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/MedicationDispense/fa0c29e1-c4e7-4f08-91ab-598a2233867c",
      "resource" : {
        "resourceType" : "MedicationDispense",
        "id" : "fa0c29e1-c4e7-4f08-91ab-598a2233867c",
        "meta" : {
          "versionId" : "1",
          "lastUpdated" : "2026-11-01T15:43:33.244Z",
          "profile" : [
            🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense"
          ]
        },
        "extension" : [
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension",
            "valueIdentifier" : {
              "system" : "https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier",
              "value" : "160.100.000.000.007.24_20261101"
            }
          }
        ],
        "identifier" : [
          {
            "system" : "https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier",
            "value" : "1da91bd3-d5cb-459b-a270-32fad7d5d5d5_160.100.000.000.007.24"
          }
        ],
        "status" : "completed",
        "medicationReference" : {
          🔗 "reference" : "Medication/fc7b28e8-05ac-4ac8-86d7-7677d9c6134e"
        },
        "subject" : {
          "identifier" : {
            "system" : "http://fhir.de/sid/gkv/kvid-10",
            "value" : "X110411319"
          }
        },
        "performer" : [
          {
            "actor" : {
              🔗 "reference" : "Organization/151f1697-7512-4e21-9466-1b75207475d8",
              "identifier" : {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "version" : "2.9.0",
                      "code" : "PRN",
                      "display" : "Provider number"
                    }
                  ]
                },
                "system" : "https://gematik.de/fhir/sid/telematik-id",
                "value" : "9-2.58.00000023"
              },
              "display" : "gematik Apotheke"
            }
          }
        ],
        "authorizingPrescription" : [
          {
            🔗 "reference" : "MedicationRequest/4dd6f19d-002c-44ac-ae2f-3c9d08ad35b8"
          }
        ],
        "whenHandedOver" : "2026-11-01",
        "substitution" : {
          "wasSubstituted" : false
        }
      }
    },
    {
      "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/PractitionerRole/b9eb9668-b61e-43b5-b3ea-485234836d59",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "b9eb9668-b61e-43b5-b3ea-485234836d59",
        "practitioner" : {
          🔗 "reference" : "Practitioner/498c345f-31f5-4da6-9f04-00fa2bc8af7c",
          "identifier" : {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "version" : "2.9.0",
                  "code" : "PRN",
                  "display" : "Provider number"
                }
              ]
            },
            "system" : "https://gematik.de/fhir/sid/telematik-id",
            "value" : "1-1.58.00000056"
          },
          "display" : "Dr. Max Manfred Mustermann"
        },
        "organization" : {
          🔗 "reference" : "Organization/450a9511-53e5-4af7-be36-a18444bb8dd2",
          "identifier" : {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "version" : "2.9.0",
                  "code" : "PRN",
                  "display" : "Provider number"
                }
              ]
            },
            "system" : "https://gematik.de/fhir/sid/telematik-id",
            "value" : "9-2.58.00000089"
          },
          "display" : "Die Hausarztpraxis"
        }
      }
    },
    {
      "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/Organization/450a9511-53e5-4af7-be36-a18444bb8dd2",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "450a9511-53e5-4af7-be36-a18444bb8dd2",
        "meta" : {
          "profile" : [
            🔗 "https://gematik.de/fhir/ti/StructureDefinition/ti-organization"
          ]
        },
        "identifier" : [
          {
            "system" : "https://gematik.de/fhir/sid/telematik-id",
            "value" : "9-2.58.00000089"
          },
          {
            "system" : "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_BSNR",
            "value" : "721111100"
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "https://gematik.de/fhir/directory/CodeSystem/OrganizationProfessionOID",
                "code" : "1.2.276.0.76.4.50",
                "display" : "Betriebsstätte Arzt"
              }
            ]
          }
        ],
        "name" : "Die Hausarztpraxis",
        "address" : [
          {
            "text" : "Friedrichstr. 136,\n10117 Berlin",
            "line" : [
              "Friedrichstr. 136"
            ],
            "city" : "Berlin",
            "district" : "Mitte",
            "state" : "Berlin",
            "postalCode" : "10117",
            "country" : "DE"
          }
        ],
        "contact" : [
          {
            "telecom" : [
              {
                "system" : "phone",
                "value" : "0301234567"
              },
              {
                "system" : "fax",
                "value" : "030123456789"
              },
              {
                "system" : "email",
                "value" : "hausarztpraxis@example.com"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/Practitioner/498c345f-31f5-4da6-9f04-00fa2bc8af7c",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "498c345f-31f5-4da6-9f04-00fa2bc8af7c",
        "meta" : {
          "profile" : [
            🔗 "https://gematik.de/fhir/directory/StructureDefinition/PractitionerDirectory"
          ],
          "tag" : [
            {
              "system" : "https://gematik.de/fhir/directory/CodeSystem/Origin",
              "code" : "ldap"
            }
          ]
        },
        "identifier" : [
          {
            "system" : "https://gematik.de/fhir/sid/telematik-id",
            "value" : "1-1.58.00000056"
          },
          {
            "system" : "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR",
            "value" : "123456789"
          }
        ],
        "active" : true,
        "name" : [
          {
            "text" : "Dr. Max Manfred Mustermann",
            "family" : "Musterman",
            "given" : [
              "Max",
              "Manfred"
            ],
            "prefix" : [
              "Dr."
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/Organization/151f1697-7512-4e21-9466-1b75207475d8",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "151f1697-7512-4e21-9466-1b75207475d8",
        "meta" : {
          "profile" : [
            🔗 "https://gematik.de/fhir/directory/StructureDefinition/OrganizationDirectory"
          ],
          "tag" : [
            {
              "system" : "https://gematik.de/fhir/directory/CodeSystem/Origin",
              "code" : "ldap"
            }
          ]
        },
        "identifier" : [
          {
            "system" : "https://gematik.de/fhir/sid/telematik-id",
            "value" : "9-2.58.00000023"
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "https://gematik.de/fhir/directory/CodeSystem/OrganizationProfessionOID",
                "code" : "1.2.276.0.76.4.54",
                "display" : "Öffentliche Apotheke"
              }
            ]
          }
        ],
        "name" : "gematik Apotheke",
        "alias" : [
          "Apotheke"
        ],
        "address" : [
          {
            "text" : "gematik Apotheke\nFriedrichstr. 136,\n10117 Berlin",
            "line" : [
              "Friedrichstr. 136"
            ],
            "city" : "Berlin",
            "district" : "Mitte",
            "state" : "Berlin",
            "postalCode" : "10117",
            "country" : "DE"
          }
        ],
        "contact" : [
          {
            "purpose" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/contactentity-type",
                  "code" : "ADMIN"
                }
              ]
            },
            "name" : {
              "text" : "gematik ITSM"
            },
            "telecom" : [
              {
                "system" : "email",
                "value" : "betrieb@gematik.de"
              }
            ]
          }
        ]
      }
    }
  ]
}

<Bundle xmlns="http://hl7.org/fhir">
  <id value="example-get-medication-plan-bundle-1"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:6da4d89d-09f9-4c9a-9117-10c7e7948566"/>
  </identifier>
  <type value="collection"/>
  <timestamp value="2027-01-10T10:10:00Z"/>
  <entry>
    <fullUrl
             value="http://epa4all/epa/medication/api/v1/fhir/Patient/641f4cf5-e54b-406c-b8a8-1d3292fd5087"/>
    <resource>
      <Patient>
        <id value="641f4cf5-e54b-406c-b8a8-1d3292fd5087"/>
        <meta>
          <profile
                   value="https://gematik.de/fhir/epa/StructureDefinition/epa-patient"/>
        </meta>
        <identifier>
          <system value="http://fhir.de/sid/gkv/kvid-10"/>
          <value value="X110411319"/>
        </identifier>
        <active value="true"/>
        <name>
          <use value="official"/>
          <family value="Mustermann"/>
          <given value="Max"/>
        </name>
        <gender value="male"/>
        <birthDate value="1976-02-01"/>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://epa4all/epa/medication/api/v1/fhir/Provenanc/63e6938b-18a3-4b0f-9423-084d53edba7b"/>
    <resource>
      <Provenance>
        <id value="63e6938b-18a3-4b0f-9423-084d53edba7b"/>
        <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/2"/>
        </target>
        <target>
          <reference
                     value="MedicationRequest/71b66f1b-8032-4886-b7bf-e775daee22fb/_history/1"/>
        </target>
        <occurredDateTime value="2026-11-01T15:43:33.244Z"/>
        <recorded value="2026-11-01T15:43:33.244Z"/>
        <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>
  </entry>
  <entry>
    <fullUrl
             value="http://epa4all/epa/medication/api/v1/fhir/MedicationRequest/71b66f1b-8032-4886-b7bf-e775daee22fb"/>
    <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>
  </entry>
  <entry>
    <fullUrl
             value="http://epa4all/epa/medication/api/v1/fhir/Medication/13c66845-d0ce-43e1-9b0b-884cbbe8df7f"/>
    <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>
  </entry>
  <entry>
    <fullUrl
             value="http://epa4all/epa/medication/api/v1/fhir/Provenance/8faa45dd-b2dc-4a80-8956-94aeab1db04b"/>
    <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>
  </entry>
  <entry>
    <fullUrl
             value="http://epa4all/epa/medication/api/v1/fhir/MedicationRequest/266620a9-2c26-41c1-b0cb-a10947b867f5"/>
    <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>
  </entry>
  <entry>
    <fullUrl
             value="http://epa4all/epa/medication/api/v1/fhir/Medication/87f08ba2-da7e-467e-86aa-404d9035297c"/>
    <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>
  </entry>
  <entry>
    <fullUrl
             value="http://epa4all/epa/medication/api/v1/fhir/Provenance/9090b28c-e165-4823-b82b-15bb63012123"/>
    <resource>
      <Provenance>
        <id value="9090b28c-e165-4823-b82b-15bb63012123"/>
        <meta>
          <profile
                   value="https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance"/>
        </meta>
        <target>
          <reference
                     value="MedicationRequest/266620a9-2c26-41c1-b0cb-a10947b867f5/_history/1"/>
        </target>
        <recorded value="2026-11-01T15:43:33.244Z"/>
        <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>
  </entry>
  <entry>
    <fullUrl
             value="http://epa4all/epa/medication/api/v1/fhir/MedicationStatement/f29f1d0c-be05-4b0d-a335-3e508da39c0c"/>
    <resource>
      <MedicationStatement>
        <id value="f29f1d0c-be05-4b0d-a335-3e508da39c0c"/>
        <meta>
          <versionId value="2"/>
          <lastUpdated value="2026-11-01T15:43:33.244Z"/>
          <profile
                   value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-statement"/>
        </meta>
        <extension
                   url="https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension">
          <valueIdentifier>
            <system
                    value="https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier"/>
            <value value="160.100.000.000.007.24_20261101"/>
          </valueIdentifier>
        </extension>
        <extension
                   url="https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension">
          <valueCode value="PRESCRIPTION"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.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>
        <basedOn>🔗 
          <extension
                     url="https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-extension">
            <valueBoolean value="true"/>
          </extension>
          <reference
                     value="MedicationRequest/266620a9-2c26-41c1-b0cb-a10947b867f5"/>
        </basedOn>
        <status value="unknown"/>
        <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>
        <effectivePeriod>
          <start value="2025-11-01"/>
        </effectivePeriod>
        <dateAsserted value="2026-11-01"/>
        <derivedFrom>🔗 
          <reference
                     value="MedicationRequest/4dd6f19d-002c-44ac-ae2f-3c9d08ad35b8"/>
        </derivedFrom>
        <derivedFrom>🔗 
          <reference
                     value="MedicationDispense/fa0c29e1-c4e7-4f08-91ab-598a2233867c"/>
        </derivedFrom>
        <dosage>
          <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>
        </dosage>
      </MedicationStatement>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://epa4all/epa/medication/api/v1/fhir/Provenance/176eec9c-8d5a-46a7-96e3-7af3f68c49ed"/>
    <resource>
      <Provenance>
        <id value="176eec9c-8d5a-46a7-96e3-7af3f68c49ed"/>
        <meta>
          <profile
                   value="https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance"/>
        </meta>
        <target>
          <reference
                     value="MedicationStatement/f29f1d0c-be05-4b0d-a335-3e508da39c0c/_history/2"/>
        </target>
        <recorded value="2026-11-01T15:43:33.244Z"/>
        <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>
            <display value="MEDSVC"/>
          </who>
        </agent>
      </Provenance>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://epa4all/epa/medication/api/v1/fhir/Medication/fc7b28e8-05ac-4ac8-86d7-7677d9c6134e"/>
    <resource>
      <Medication>
        <id value="fc7b28e8-05ac-4ac8-86d7-7677d9c6134e"/>
        <meta>
          <versionId value="2"/>
          <lastUpdated value="2026-11-01T14:43:33.244Z"/>
          <profile
                   value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication"/>
        </meta>
        <extension
                   url="https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension">
          <valueIdentifier>
            <system
                    value="https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier"/>
            <value value="160.100.000.000.007.24_20261101"/>
          </valueIdentifier>
        </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>
        <identifier>
          <system
                  value="https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier"/>
          <value
                 value="a3197c39-d03c-45fa-bcb7-b32578143c56_160.100.000.000.007.24"/>
        </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>
  </entry>
  <entry>
    <fullUrl
             value="http://epa4all/epa/medication/api/v1/fhir/MedicationRequest/4dd6f19d-002c-44ac-ae2f-3c9d08ad35b8"/>
    <resource>
      <MedicationRequest>
        <id value="4dd6f19d-002c-44ac-ae2f-3c9d08ad35b8"/>
        <meta>
          <versionId value="2"/>
          <lastUpdated value="2026-11-01T14:43:33.244Z"/>
          <profile
                   value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request"/>
        </meta>
        <extension
                   url="https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension">
          <extension url="indicator">
            <valueBoolean value="false"/>
          </extension>
        </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>
        <identifier>
          <system
                  value="https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier"/>
          <value value="160.100.000.000.007.24_20250425"/>
        </identifier>
        <identifier>
          <system
                  value="https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier"/>
          <value
                 value="5f4bc41c-480e-4ee4-b58e-a99268c1a1d0_160.100.000.000.007.24"/>
        </identifier>
        <status value="active"/>
        <intent value="filler-order"/>
        <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"/>
        <requester>🔗 
          <reference
                     value="PractitionerRole/b9eb9668-b61e-43b5-b3ea-485234836d59"/>
        </requester>
        <basedOn>
          <identifier>
            <system value="https://gematik.de/fhir/sid/emp-identifier"/>
            <value value="4dd6f19d-002c-44ac-ae2f-3c9d08ad35b8"/>
          </identifier>
        </basedOn>
        <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>
        <dispenseRequest>
          <quantity>
            <value value="1"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="{Package}"/>
          </quantity>
        </dispenseRequest>
        <substitution>
          <allowedBoolean value="true"/>
        </substitution>
      </MedicationRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://epa4all/epa/medication/api/v1/fhir/MedicationDispense/fa0c29e1-c4e7-4f08-91ab-598a2233867c"/>
    <resource>
      <MedicationDispense>
        <id value="fa0c29e1-c4e7-4f08-91ab-598a2233867c"/>
        <meta>
          <versionId value="1"/>
          <lastUpdated value="2026-11-01T15:43:33.244Z"/>
          <profile
                   value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense"/>
        </meta>
        <extension
                   url="https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension">
          <valueIdentifier>
            <system
                    value="https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier"/>
            <value value="160.100.000.000.007.24_20261101"/>
          </valueIdentifier>
        </extension>
        <identifier>
          <system
                  value="https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier"/>
          <value
                 value="1da91bd3-d5cb-459b-a270-32fad7d5d5d5_160.100.000.000.007.24"/>
        </identifier>
        <status value="completed"/>
        <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>
        <performer>
          <actor>🔗 
            <reference
                       value="Organization/151f1697-7512-4e21-9466-1b75207475d8"/>
            <identifier>
              <type>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <version value="2.9.0"/>
                  <code value="PRN"/>
                  <display value="Provider number"/>
                </coding>
              </type>
              <system value="https://gematik.de/fhir/sid/telematik-id"/>
              <value value="9-2.58.00000023"/>
            </identifier>
            <display value="gematik Apotheke"/>
          </actor>
        </performer>
        <authorizingPrescription>🔗 
          <reference
                     value="MedicationRequest/4dd6f19d-002c-44ac-ae2f-3c9d08ad35b8"/>
        </authorizingPrescription>
        <whenHandedOver value="2026-11-01"/>
        <substitution>
          <wasSubstituted value="false"/>
        </substitution>
      </MedicationDispense>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://epa4all/epa/medication/api/v1/fhir/PractitionerRole/b9eb9668-b61e-43b5-b3ea-485234836d59"/>
    <resource>
      <PractitionerRole>
        <id value="b9eb9668-b61e-43b5-b3ea-485234836d59"/>
        <practitioner>🔗 
          <reference
                     value="Practitioner/498c345f-31f5-4da6-9f04-00fa2bc8af7c"/>
          <identifier>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                <version value="2.9.0"/>
                <code value="PRN"/>
                <display value="Provider number"/>
              </coding>
            </type>
            <system value="https://gematik.de/fhir/sid/telematik-id"/>
            <value value="1-1.58.00000056"/>
          </identifier>
          <display value="Dr. Max Manfred Mustermann"/>
        </practitioner>
        <organization>🔗 
          <reference
                     value="Organization/450a9511-53e5-4af7-be36-a18444bb8dd2"/>
          <identifier>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                <version value="2.9.0"/>
                <code value="PRN"/>
                <display value="Provider number"/>
              </coding>
            </type>
            <system value="https://gematik.de/fhir/sid/telematik-id"/>
            <value value="9-2.58.00000089"/>
          </identifier>
          <display value="Die Hausarztpraxis"/>
        </organization>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://epa4all/epa/medication/api/v1/fhir/Organization/450a9511-53e5-4af7-be36-a18444bb8dd2"/>
    <resource>
      <Organization>
        <id value="450a9511-53e5-4af7-be36-a18444bb8dd2"/>
        <meta>
          <profile
                   value="https://gematik.de/fhir/ti/StructureDefinition/ti-organization"/>
        </meta>
        <identifier>
          <system value="https://gematik.de/fhir/sid/telematik-id"/>
          <value value="9-2.58.00000089"/>
        </identifier>
        <identifier>
          <system value="https://fhir.kbv.de/NamingSystem/KBV_NS_Base_BSNR"/>
          <value value="721111100"/>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="https://gematik.de/fhir/directory/CodeSystem/OrganizationProfessionOID"/>
            <code value="1.2.276.0.76.4.50"/>
            <display value="Betriebsstätte Arzt"/>
          </coding>
        </type>
        <name value="Die Hausarztpraxis"/>
        <address>
          <text value="Friedrichstr. 136,
10117 Berlin"/>
          <line value="Friedrichstr. 136"/>
          <city value="Berlin"/>
          <district value="Mitte"/>
          <state value="Berlin"/>
          <postalCode value="10117"/>
          <country value="DE"/>
        </address>
        <contact>
          <telecom>
            <system value="phone"/>
            <value value="0301234567"/>
          </telecom>
          <telecom>
            <system value="fax"/>
            <value value="030123456789"/>
          </telecom>
          <telecom>
            <system value="email"/>
            <value value="hausarztpraxis@example.com"/>
          </telecom>
        </contact>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://epa4all/epa/medication/api/v1/fhir/Practitioner/498c345f-31f5-4da6-9f04-00fa2bc8af7c"/>
    <resource>
      <Practitioner>
        <id value="498c345f-31f5-4da6-9f04-00fa2bc8af7c"/>
        <meta>
          <profile
                   value="https://gematik.de/fhir/directory/StructureDefinition/PractitionerDirectory"/>
          <tag>
            <system
                    value="https://gematik.de/fhir/directory/CodeSystem/Origin"/>
            <code value="ldap"/>
          </tag>
        </meta>
        <identifier>
          <system value="https://gematik.de/fhir/sid/telematik-id"/>
          <value value="1-1.58.00000056"/>
        </identifier>
        <identifier>
          <system value="https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR"/>
          <value value="123456789"/>
        </identifier>
        <active value="true"/>
        <name>
          <text value="Dr. Max Manfred Mustermann"/>
          <family value="Musterman"/>
          <given value="Max"/>
          <given value="Manfred"/>
          <prefix value="Dr."/>
        </name>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://epa4all/epa/medication/api/v1/fhir/Organization/151f1697-7512-4e21-9466-1b75207475d8"/>
    <resource>
      <Organization>
        <id value="151f1697-7512-4e21-9466-1b75207475d8"/>
        <meta>
          <profile
                   value="https://gematik.de/fhir/directory/StructureDefinition/OrganizationDirectory"/>
          <tag>
            <system
                    value="https://gematik.de/fhir/directory/CodeSystem/Origin"/>
            <code value="ldap"/>
          </tag>
        </meta>
        <identifier>
          <system value="https://gematik.de/fhir/sid/telematik-id"/>
          <value value="9-2.58.00000023"/>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="https://gematik.de/fhir/directory/CodeSystem/OrganizationProfessionOID"/>
            <code value="1.2.276.0.76.4.54"/>
            <display value="Öffentliche Apotheke"/>
          </coding>
        </type>
        <name value="gematik Apotheke"/>
        <alias value="Apotheke"/>
        <address>
          <text value="gematik Apotheke
Friedrichstr. 136,
10117 Berlin"/>
          <line value="Friedrichstr. 136"/>
          <city value="Berlin"/>
          <district value="Mitte"/>
          <state value="Berlin"/>
          <postalCode value="10117"/>
          <country value="DE"/>
        </address>
        <contact>
          <purpose>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/contactentity-type"/>
              <code value="ADMIN"/>
            </coding>
          </purpose>
          <name>
            <text value="gematik ITSM"/>
          </name>
          <telecom>
            <system value="email"/>
            <value value="betrieb@gematik.de"/>
          </telecom>
        </contact>
      </Organization>
    </resource>
  </entry>
</Bundle>

Beispiel für den Abruf der aktuellen Version des eMP:

GET [base] /epa/medication/api/v1/fhir/$medication-plan

Beispiel für den Abruf einer äteren Version des eMP:

GET [base] /epa/medication/api/v1/fhir/$medication-plan?provenance=F530632C-7CE9-4369-B99B-2DE68B0C9F25

Beispiel für den Abruf eines Medikationsplans in XML:

GET [base] /epa/medication/api/v1/fhir/$medication-plan?_format=application/fhir+xml



Der Medication Service MUSS in der Operation Medikationsplan abrufen (eMP) das Ergebnis als FHIR Bundle mit dem type collection zurückgeben. Der Medication Service MUSS sicherstellen, dass das Ergebnis der Operation Medikationsplan abrufen (eMP) ausschließlich relevante Instanzen des adressierten eMP-Chronologieeintrags enthält.
Das zurückgegebene FHIR Collection Bundle MUSS folgende Instanzen enthalten:

  • Instanz des Profils EPAPatient aus dem Patient Service,
  • die adressierte Provenance Instanz des Profils EMPChronologyProvenance,
  • alle Versionen von Instanzen des Profils EMPMedicationRequest, die in Provenance.target (EMPChronologyProvenance) referenziert sind,
  • alle Instanzen des Profils EMPMedication, die in MedicationRequest.medicationReference (EMPMedicationRequest) referenziert sind (eMP-Medikation),
  • alle Instanzen des Profils EPAActivityProvenance, die in Provenance.target (EPAActivityProvenance) auf die relevanten Versionen von MedicationRequest (EMPMedicationRequest) verweisen,
  • alle Instanzen des ResourceType Organization, die in Provenance.agent.who (EPAActivityProvenance) referenziert werden,,
  • falls vorhanden:
    • jeweils die in MedicationRequest.activity (EMPMedicationRequest) referenzierte Instanz des Profils EPAMedicationStatement (erlaubter Status: unknown). Werden mehrere Instanzen des Profils EPAMedicationStatement referenziert, wird die gemäß MedicationStatement.effective jeweils jüngste Instanz verwendet.
    • alle durch die relevanten Instanzen des Profils EPAMedicationStatement in MedicationStatement.derivedFrom referenzierten Instanzen des Profils EPAMedicationDispense,
    • alle durch die relevanten Instanzen des Profils EPAMedicationStatement in MedicationStatement.derivedFrom referenzierten Instanzen des Profils EPAMedicationRequest,
    • alle durch die relevanten Instanzen des Profils EPAMedicationRequest und EPAMedicationDispense in medicationReference referenzierten Instanzen des Profils EPAMedication,
    • alle Instanzen des ResourceType Organization, die in MedicationDispense.performer.actor (EPAMedicationDispense) referenziert werden,
    • alle Instanzen des ResourceType PractitionerRole, die in MedicationRequest.requester (EPAMedicationRequest) referenziert werden, sowie deren in PractitionerRole.practitioner referenzierte Instanzen des ResourceType Practitioner und in PractitionerRole.organization referenzierte Instanzen des ResourceType Organization.
 Der Medication Service MUSS die eMP-Einträge im Suchergebnis der Operation Medikationsplan abrufen (eMP) entsprechend des Elements MedicationRequest.extension[effectiveDosePeriod] der Instanzen des Profils EMPMedicationRequest auflisten (neueste zuerst) und bei gleichem MedicationRequest.extension[effectiveDosePeriod] alphabetisch aufsteigend entsprechend Medication.ingredient.item[x]:itemCodeableConcept.text (Wirkstoff) sortieren.

Falls die relevante EMPChronologyProvenance auf keinen eMP-Eintrag (EMPMedicationRequest) verweist, wird trotzdem ein FHIR Collection Bundle mit der entsprechenden EMPChronologyProvenance-Instanz und falls vorhanden referenzierten Organization-Instanz und anderen Instanzen zurück geliefert.

Der Medication Service MUSS die Operation Medikationsplan abrufen (eMP) abbrechen und mit einer OperationOutcome-Ressource und Wert MSG_RESOURCE_ID_FAIL antworten, wenn die durch den Parameter Provenance-ID adressierte EMPChronologyProvenance nicht vorhanden ist.

Das folgende Beispiel zeigt die erwartete Antwort bei nicht existierender Version des eMP:

{
  "resourceType" : "OperationOutcome",
  "id" : "98ca7dff-aa8d-47d0-a074-4055f55cb4db",
  "meta" : {
    "profile" : [
      🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-ms-operation-outcome"
    ]
  },
  "issue" : [
    {
      "severity" : "error",
      "code" : "not-found",
      "details" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/operation-outcome",
            "code" : "MSG_RESOURCE_ID_FAIL",
            "display" : "unable to allocate resource id"
          }
        ]
      },
      "diagnostics" : "unable to allocate resource id"
    }
  ]
}

<OperationOutcome xmlns="http://hl7.org/fhir">
  <id value="98ca7dff-aa8d-47d0-a074-4055f55cb4db"/>
  <meta>
    <profile
             value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-ms-operation-outcome"/>
  </meta>
  <issue>
    <severity value="error"/>
    <code value="not-found"/>
    <details>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/operation-outcome"/>
        <code value="MSG_RESOURCE_ID_FAIL"/>
        <display value="unable to allocate resource id"/>
      </coding>
    </details>
    <diagnostics value="unable to allocate resource id"/>
  </issue>
</OperationOutcome>
Der Medication Service MUSS die Operation Medikationsplan abrufen (eMP) abbrechen und mit einer OperationOutcome-Ressource und Wert MEDSVC_EMP_NO_EXIST antworten, wenn bei Abruf des aktuellen eMP keine EMPChronologyProvenance existiert.

Das folgende Beispiel zeigt die erwartete Antwort bei einem nicht existierenden eMP:

{
  "resourceType" : "OperationOutcome",
  "id" : "98ca7dff-aa8d-47d0-a074-4055f55cb4dc",
  "meta" : {
    "profile" : [
      🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-ms-operation-outcome"
    ]
  },
  "issue" : [
    {
      "severity" : "error",
      "code" : "not-found",
      "details" : {
        "coding" : [
          {
            "system" : "https://gematik.de/fhir/epa-medication/CodeSystem/epa-ms-operation-outcome-details",
            "code" : "MEDSVC_EMP_NO_EXIST",
            "display" : "eMP does not exist"
          }
        ]
      },
      "diagnostics" : "eMP does not exist"
    }
  ]
}

<OperationOutcome xmlns="http://hl7.org/fhir">
  <id value="98ca7dff-aa8d-47d0-a074-4055f55cb4dc"/>
  <meta>
    <profile
             value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-ms-operation-outcome"/>
  </meta>
  <issue>
    <severity value="error"/>
    <code value="not-found"/>
    <details>
      <coding>
        <system
                value="https://gematik.de/fhir/epa-medication/CodeSystem/epa-ms-operation-outcome-details"/>
        <code value="MEDSVC_EMP_NO_EXIST"/>
        <display value="eMP does not exist"/>
      </coding>
    </details>
    <diagnostics value="eMP does not exist"/>
  </issue>
</OperationOutcome>

Sicherheitsanforderungen

Generelle Sicherheitsanforderungen werden hier festgehalten.