Seiteninhalt:
Die Operation eMP-Eintrag aktualisieren dient der gezielten Aktualisierung eines bestehenden Medikationseintrags im elektronischen Medikationsplan (eMP). Sie ermöglicht es, inhaltliche Änderungen an einer bereits dokumentierten Medikation vorzunehmen – beispielsweise um eine Notiz zu ergänzen, eine Dosierung zu verändern oder den Status des Eintrags zu aktualisieren.
Die Nachricht zum Aktualisieren eines Medikationseintrags zum eMP wird als HTTP POST-Anfrage an den Medication Service gesendet. Als Eingabe werden eine MedicationRequest-Instanz mit dem Profil EMPMedicationRequest sowie ein eindeutiger Bezeichner (identifier[MedicationPlanIdentifier]) erwartet, über den der bestehende eMP-Eintrag im Medication Service identifiziert werden kann.
Die Medication-Instanz selbst wird ebenfalls geladen und ggf. aktualisiert – etwa wenn sich aus dem geänderten Status der MedicationRequest ergibt, dass die zugehörige Medikation nun ebenfalls als fehlerhaft (entered-in-error) oder inaktiv markiert werden muss.
Die Aktualisierung eines Eintrags kann auch dazu verwendet werden, den Eintrag aus dem aktuellen eMP zu entfernen. Dies geschieht nicht durch Löschen, sondern durch Setzen eines geeigneten Statuswertes wie beendet (completed), abgebrochen (stopped) oder fehlerhaft (entered-in-error). Nur Einträge mit den Statuswerten aktiv (active) oder pausiert (on-hold) werden bei der Erzeugung einer neuen eMP-Version berücksichtigt – Einträge mit anderen Statuswerten gelten als fachlich nicht mehr relevant für den aktuellen Plan.
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
Diese Operation des Medication Service dient dazu, bestehende eMP-Einträge gezielt zu aktualisieren oder aus dem elektronischen Medikationsplan (eMP) zu entfernen. Sie wird vom ePA-Client-System aufgerufen, wenn bereits dokumentierte Medikationseinträge angepasst oder aus dem eMP ausgeschlossen werden sollen – etwa durch Statusänderung auf stopped, completed oder entered-in-error.
Die Operation gibt den erzeugten Medikationseintrag mit den Instanzen gemäß EMPMedicationRequest und EMPMedication als Ergebnis zurück.
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exists"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_EMP_ENTRY_ALREADY_EXISTS"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"}],"name":"add-emp-entry","definition":"https://gematik.de/fhir/epa-medication/OperationDefinition/add-emp-entry-op"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"},{"extension":[{"url":"name","valueString":"X-Requesting-Organization"},{"url":"type","valueString":"string"},{"url":"description","valueString":"Base64 encoded FHIR Organization resource in JSON format used to identify the originator of the request"},{"url":"format","valueString":"base64(fhir+json:Organization)"},{"url":"required","valueBoolean":true}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-header"},{"extension":[{"url":"statusCode","valueString":"200"},{"url":"description","valueString":"Successful operation"},{"url":"responseType","valueString":"Parameters"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"403"},{"url":"description","valueString":"ID-Token or Insurant-ID mismatch"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"SVC_IDENTITY_MISMATCH"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Profile mismatch in header Organization"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"SVC_ORG_HEADER_PROFILE_MISMATCH"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"409"},{"url":"description","valueString":"Update Conflict (server current version = %s, client version referenced = %s)"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_VERSION_AWARE_CONFLICT"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"404"},{"url":"description","valueString":"Resource is not known"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_RESOURCE_ID_FAIL"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid dosage structure or content"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_DOSAGE_INVALID"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid Data Structure in Medication Service"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_NO_VALID_STRUCTURE"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Parameter with wrong status"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_STATUS_INVALID"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"409"},{"url":"description","valueString":"Mismatch between acknowledged and current eMP chronology ID"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_EMP_CHRONOLOGY_ID_MISMATCH"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"}],"name":"update-emp-entry","definition":"https://gematik.de/fhir/epa-medication/OperationDefinition/update-emp-entry-op"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"},{"extension":[{"url":"name","valueString":"X-Requesting-Organization"},{"url":"type","valueString":"string"},{"url":"description","valueString":"Base64 encoded FHIR Organization resource in JSON format used to identify the originator of the request"},{"url":"format","valueString":"base64(fhir+json:Organization)"},{"url":"required","valueBoolean":true}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-header"},{"extension":[{"url":"statusCode","valueString":"200"},{"url":"description","valueString":"Successful operation"},{"url":"responseType","valueString":"Bundle"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid request"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_BAD_FORMAT"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"409"},{"url":"description","valueString":"Mismatch between acknowledged and current eMP chronology ID"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_EMP_CHRONOLOGY_ID_MISMATCH"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid dosage structure or content"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_DOSAGE_INVALID"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid Data Structure in Medication Service"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_NO_VALID_STRUCTURE"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Parameter with wrong status"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_STATUS_INVALID"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"409"},{"url":"description","valueString":"Update Conflict (server current version = %s, client version referenced = %s)"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_VERSION_AWARE_CONFLICT"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"404"},{"url":"description","valueString":"Resource is not known"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_RESOURCE_ID_FAIL"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"}],"name":"batch-emp","definition":"https://gematik.de/fhir/epa-medication/OperationDefinition/batch-emp-entries-op"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"},{"extension":[{"url":"name","valueString":"X-Requesting-Organization"},{"url":"type","valueString":"string"},{"url":"description","valueString":"Base64 encoded FHIR Organization resource in JSON format used to identify the originator of the request"},{"url":"format","valueString":"base64(fhir+json:Organization)"},{"url":"required","valueBoolean":true}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-header"},{"extension":[{"url":"statusCode","valueString":"200"},{"url":"description","valueString":"Successful operation"},{"url":"responseType","valueString":"Parameters"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"405"},{"url":"description","valueString":"The operation can only be executed within a batch context"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_OPERATION_OUTSIDE_BATCH"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"409"},{"url":"description","valueString":"Mismatch between acknowledged and current eMP chronology ID"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_EMP_CHRONOLOGY_ID_MISMATCH"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"}],"name":"emp-commit","definition":"https://gematik.de/fhir/epa-medication/OperationDefinition/emp-commit-op"}]}]}
{"resourceType":"OperationDefinition","id":"update-emp-entry-op","meta":{"profile":["https://gematik.de/fhir/ti/StructureDefinition/ti-operationdefinition"]},"text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\">Generated Narrative: OperationDefinition update-emp-entry-op</p><a name=\"update-emp-entry-op\"> </a><a name=\"hcupdate-emp-entry-op\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://simplifier.net/resolve?scope=de.gematik.ti@1.1.1&canonical=https://gematik.de/fhir/ti/StructureDefinition/ti-operationdefinition\">OperationDefinition Profil für TI FHIR Data Service</a></p></div>URL: [base]/$update-emp-entry
Input parameters Profile:<a href=\"StructureDefinition-epa-op-update-emp-entry-input-parameters.html\">EPA Operation UpdateEMPEntry Input-Parameters</a>
Output parameters Profile:<a href=\"StructureDefinition-epa-op-emp-entry-output-parameters.html\">EPA Operation EMPEntry Output-Parameters</a>
Parameters
<table class=\"grid\">Use Name Scope Cardinality Type Binding Documentation
{
"resourceType" : "Parameters",
"id" : "example-epa-op-update-emp-entry-input-parameters-1",
"meta" : {
"profile" : [
🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-update-emp-entry-input-parameters"
]
},
"parameter" : [
{
"name" : "acknowledgedChronologyId",
"valueId" : "b467ce05-e0e5-4d71-9a0b-d824dbb492ef"
},
{
"name" : "medicationPlanIdentifier",
"valueIdentifier" : {
"system" : "https://gematik.de/fhir/sid/emp-identifier",
"value" : "3dfe8327-dd4c-4e53-a695-cd2e0b21e699"
}
},
{
"name" : "empEntry",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "3dfe8327-dd4c-4e53-a695-cd2e0b21e699",
"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" : "3dfe8327-dd4c-4e53-a695-cd2e0b21e699"
}
],
"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"
}
}
]
}
]
}
}
]
}
<Parameters xmlns="http://hl7.org/fhir">
<id value="example-epa-op-update-emp-entry-input-parameters-1"/>
<meta>
<profile
value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-update-emp-entry-input-parameters"/>
</meta>
<parameter>
<name value="acknowledgedChronologyId"/>
<valueId value="b467ce05-e0e5-4d71-9a0b-d824dbb492ef"/>
</parameter>
<parameter>
<name value="medicationPlanIdentifier"/>
<valueIdentifier>
<system value="https://gematik.de/fhir/sid/emp-identifier"/>
<value value="3dfe8327-dd4c-4e53-a695-cd2e0b21e699"/>
</valueIdentifier>
</parameter>
<parameter>
<name value="empEntry"/>
<resource>
<MedicationRequest>
<id value="3dfe8327-dd4c-4e53-a695-cd2e0b21e699"/>
<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="3dfe8327-dd4c-4e53-a695-cd2e0b21e699"/>
</identifier>
<status value="active"/>
<intent value="plan"/>
<medicationReference>🔗
<reference value="Medication/13c66845-d0ce-43e1-9b0b-884cbbe8df7f"/>
</medicationReference>
<subject>
<identifier>
<system value="http://fhir.de/sid/gkv/kvid-10"/>
<value value="X110411319"/>
</identifier>
</subject>
<authoredOn value="2026-12-01"/>
<note>
<text value="Hinweis für den LE"/>
</note>
<dosageInstruction>
<timing>
<repeat>
<frequency value="2"/>
<period value="1"/>
<periodUnit value="d"/>
<when value="MORN"/>
<when value="EVE"/>
</repeat>
</timing>
<doseAndRate>
<doseQuantity>
<value value="1"/>
<unit value="Stück"/>
<system
value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT"/>
<code value="1"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
</MedicationRequest>
</resource>
</parameter>
</Parameters>{
"resourceType" : "Parameters",
"id" : "example-epa-op-emp-entry-output-parameters-2",
"meta" : {
"profile" : [
🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-emp-entry-output-parameters"
]
},
"parameter" : [
{
"name" : "empEntry",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "3dfe8327-dd4c-4e53-a695-cd2e0b21e699",
"meta" : {
"versionId" : "2",
"lastUpdated" : "2026-12-15T14:00:00.400Z",
"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" : "3dfe8327-dd4c-4e53-a695-cd2e0b21e699"
}
],
"status" : "active",
"intent" : "plan",
"medicationReference" : {
🔗 "reference" : "Medication/13c66845-d0ce-43e1-9b0b-884cbbe8df7f"
},
"subject" : {
"identifier" : {
"system" : "http://fhir.de/sid/gkv/kvid-10",
"value" : "X110411319"
}
},
"authoredOn" : "2026-12-01",
"note" : [
{
"text" : "Hinweis für den LE"
}
],
"dosageInstruction" : [
{
"timing" : {
"repeat" : {
"frequency" : 2,
"period" : 1,
"periodUnit" : "d",
"when" : [
"MORN",
"EVE"
]
}
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 1,
"unit" : "Stück",
"system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT",
"code" : "1"
}
}
]
}
]
}
},
{
"name" : "medication",
"resource" : {
"resourceType" : "Medication",
"id" : "13c66845-d0ce-43e1-9b0b-884cbbe8df7f",
"meta" : {
"versionId" : "1",
"lastUpdated" : "2026-12-01T14:00:00.200Z",
"profile" : [
🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication"
]
},
"extension" : [
{
"url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension",
"valueCode" : "EMP"
},
{
"url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "763158003",
"display" : "Medicinal product (product)"
}
},
{
"url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/drug-category-extension",
"valueCoding" : {
"system" : "https://gematik.de/fhir/epa-medication/CodeSystem/epa-drug-category-cs",
"code" : "00"
}
},
{
"url" : "http://fhir.de/StructureDefinition/normgroesse",
"valueCode" : "N3"
},
{
"url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension",
"valueBoolean" : false
}
],
"identifier" : [
{
"system" : "https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier",
"value" : "D15E4956F59A13CD3BB365799857D6FA9757C62D36DBDB9578D018CA4B6D969F"
}
],
"code" : {
"coding" : [
{
"system" : "http://fhir.de/CodeSystem/ifa/pzn",
"code" : "04351736",
"display" : "Benazepril AL 20mg 98 Filmtabletten N3"
}
],
"text" : "Benazepril AL 20mg 98 Filmtabletten N3"
},
"status" : "active",
"form" : {
"coding" : [
{
"system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM",
"code" : "FTA"
}
]
},
"amount" : {
"numerator" : {
"extension" : [
{
"url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension",
"valueString" : "98"
}
],
"unit" : "Stück"
},
"denominator" : {
"value" : 1
}
},
"ingredient" : [
{
"itemCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.de/CodeSystem/ask",
"code" : "23413"
}
],
"text" : "Benazepril hydrochlorid"
},
"strength" : {
"numerator" : {
"value" : 20,
"unit" : "mg"
},
"denominator" : {
"value" : 1,
"unit" : "Filmtbl."
}
}
}
]
}
},
{
"name" : "relatedActivity",
"resource" : {
"resourceType" : "Provenance",
"id" : "d79a8998-0143-47df-9b07-d0d4d6e8c64b",
"meta" : {
"profile" : [
🔗 "https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance"
]
},
"target" : [
{
"reference" : "MedicationRequest/3dfe8327-dd4c-4e53-a695-cd2e0b21e699/_history/2"
}
],
"recorded" : "2026-12-15T14:00:00.100Z",
"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"
}
}
]
}
},
{
"name" : "relatedChronology",
"resource" : {
"resourceType" : "Provenance",
"id" : "6c98e872-4247-4a54-aa7f-6967b099656a",
"meta" : {
"profile" : [
🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-chronology-provenance"
]
},
"extension" : [
{
"url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-chronology-extension",
"valueBoolean" : true
}
],
"target" : [
{
"reference" : "MedicationRequest/173439a1-40ee-4b61-bb8c-aab3f5a1af10/_history/2"
},
{
"reference" : "MedicationRequest/e2da4372-accc-4a76-81da-83e43ef9b15a/_history/1"
},
{
"reference" : "MedicationRequest/3dfe8327-dd4c-4e53-a695-cd2e0b21e699/_history/2"
}
],
"occurredDateTime" : "2026-12-15T14:00:00.100Z",
"recorded" : "2026-12-15T14:00:00.100Z",
"activity" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
"code" : "UPDATE"
}
]
},
"agent" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
"code" : "author"
}
]
},
"who" : {
🔗 "reference" : "Organization/450a9511-53e5-4af7-be36-a18444bb8dd2",
"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PRN"
}
]
},
"system" : "https://gematik.de/fhir/sid/telematik-id",
"value" : "9-2.58.00000089"
},
"display" : "Die Hausarztpraxis"
}
}
]
}
}
]
}
<Parameters xmlns="http://hl7.org/fhir">
<id value="example-epa-op-emp-entry-output-parameters-2"/>
<meta>
<profile
value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-emp-entry-output-parameters"/>
</meta>
<parameter>
<name value="empEntry"/>
<resource>
<MedicationRequest>
<id value="3dfe8327-dd4c-4e53-a695-cd2e0b21e699"/>
<meta>
<versionId value="2"/>
<lastUpdated value="2026-12-15T14:00:00.400Z"/>
<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="3dfe8327-dd4c-4e53-a695-cd2e0b21e699"/>
</identifier>
<status value="active"/>
<intent value="plan"/>
<medicationReference>🔗
<reference value="Medication/13c66845-d0ce-43e1-9b0b-884cbbe8df7f"/>
</medicationReference>
<subject>
<identifier>
<system value="http://fhir.de/sid/gkv/kvid-10"/>
<value value="X110411319"/>
</identifier>
</subject>
<authoredOn value="2026-12-01"/>
<note>
<text value="Hinweis für den LE"/>
</note>
<dosageInstruction>
<timing>
<repeat>
<frequency value="2"/>
<period value="1"/>
<periodUnit value="d"/>
<when value="MORN"/>
<when value="EVE"/>
</repeat>
</timing>
<doseAndRate>
<doseQuantity>
<value value="1"/>
<unit value="Stück"/>
<system
value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT"/>
<code value="1"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
</MedicationRequest>
</resource>
</parameter>
<parameter>
<name value="medication"/>
<resource>
<Medication>
<id value="13c66845-d0ce-43e1-9b0b-884cbbe8df7f"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2026-12-01T14:00:00.200Z"/>
<profile
value="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication"/>
</meta>
<extension
url="https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension">
<valueCode value="EMP"/>
</extension>
<extension
url="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension">
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="763158003"/>
<display value="Medicinal product (product)"/>
</valueCoding>
</extension>
<extension
url="https://gematik.de/fhir/epa-medication/StructureDefinition/drug-category-extension">
<valueCoding>
<system
value="https://gematik.de/fhir/epa-medication/CodeSystem/epa-drug-category-cs"/>
<code value="00"/>
</valueCoding>
</extension>
<extension url="http://fhir.de/StructureDefinition/normgroesse">
<valueCode value="N3"/>
</extension>
<extension
url="https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension">
<valueBoolean value="false"/>
</extension>
<identifier>
<system
value="https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier"/>
<value
value="D15E4956F59A13CD3BB365799857D6FA9757C62D36DBDB9578D018CA4B6D969F"/>
</identifier>
<code>
<coding>
<system value="http://fhir.de/CodeSystem/ifa/pzn"/>
<code value="04351736"/>
<display value="Benazepril AL 20mg 98 Filmtabletten N3"/>
</coding>
<text value="Benazepril AL 20mg 98 Filmtabletten N3"/>
</code>
<status value="active"/>
<form>
<coding>
<system
value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM"/>
<code value="FTA"/>
</coding>
</form>
<amount>
<numerator>
<extension
url="https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension">
<valueString value="98"/>
</extension>
<unit value="Stück"/>
</numerator>
<denominator>
<value value="1"/>
</denominator>
</amount>
<ingredient>
<itemCodeableConcept>
<coding>
<system value="http://fhir.de/CodeSystem/ask"/>
<code value="23413"/>
</coding>
<text value="Benazepril hydrochlorid"/>
</itemCodeableConcept>
<strength>
<numerator>
<value value="20"/>
<unit value="mg"/>
</numerator>
<denominator>
<value value="1"/>
<unit value="Filmtbl."/>
</denominator>
</strength>
</ingredient>
</Medication>
</resource>
</parameter>
<parameter>
<name value="relatedActivity"/>
<resource>
<Provenance>
<id value="d79a8998-0143-47df-9b07-d0d4d6e8c64b"/>
<meta>
<profile
value="https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance"/>
</meta>
<target>
<reference
value="MedicationRequest/3dfe8327-dd4c-4e53-a695-cd2e0b21e699/_history/2"/>
</target>
<recorded value="2026-12-15T14:00:00.100Z"/>
<activity>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
<code value="UPDATE"/>
</coding>
</activity>
<agent>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
<code value="author"/>
</coding>
</type>
<who>🔗
<reference
value="Organization/450a9511-53e5-4af7-be36-a18444bb8dd2"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PRN"/>
</coding>
</type>
<system value="https://gematik.de/fhir/sid/telematik-id"/>
<value value="9-2.58.00000089"/>
</identifier>
<display value="Die Hausarztpraxis"/>
</who>
</agent>
</Provenance>
</resource>
</parameter>
<parameter>
<name value="relatedChronology"/>
<resource>
<Provenance>
<id value="6c98e872-4247-4a54-aa7f-6967b099656a"/>
<meta>
<profile
value="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-chronology-provenance"/>
</meta>
<extension
url="https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-chronology-extension">
<valueBoolean value="true"/>
</extension>
<target>
<reference
value="MedicationRequest/173439a1-40ee-4b61-bb8c-aab3f5a1af10/_history/2"/>
</target>
<target>
<reference
value="MedicationRequest/e2da4372-accc-4a76-81da-83e43ef9b15a/_history/1"/>
</target>
<target>
<reference
value="MedicationRequest/3dfe8327-dd4c-4e53-a695-cd2e0b21e699/_history/2"/>
</target>
<occurredDateTime value="2026-12-15T14:00:00.100Z"/>
<recorded value="2026-12-15T14:00:00.100Z"/>
<activity>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
<code value="UPDATE"/>
</coding>
</activity>
<agent>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
<code value="author"/>
</coding>
</type>
<who>🔗
<reference
value="Organization/450a9511-53e5-4af7-be36-a18444bb8dd2"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PRN"/>
</coding>
</type>
<system value="https://gematik.de/fhir/sid/telematik-id"/>
<value value="9-2.58.00000089"/>
</identifier>
<display value="Die Hausarztpraxis"/>
</who>
</agent>
</Provenance>
</resource>
</parameter>
</Parameters>Wurde ein Eintrag erfolgreich geändert, wird automatisch eine neue Version des eMP erzeugt. Dabei wird eine Provenance-Instanz vom Profil EMPChronologyProvenance erstellt, die alle derzeit relevanten MedicationRequest-Instanzen im Kontext des eMP referenziert. Diese Version bildet den neuen Stand des Medikationsplans ab. Als Lesenachweis für diesen Stand dient die Resource.id der soeben erzeugten Provenance-Instanz mit isEMPChronology = true.
Zusätzlich wird auch eine Provenance-Instanz vom Profil EPAActivityProvenance erzeugt, um die durchgeführte Aktivität (UPDATE) zu dokumentieren. Diese verweist auf die aktualisierte MedicationRequest-Instanz und gibt die Organisation an, die die Änderung vorgenommen hat – abgeleitet aus dem HTTP-Header X-Requesting-Organization.
Das Ergebnis dieser Operation wird im Format eines Output-Parameters zurückgegeben, welcher die aktualisierten bzw. geladenen Ressourcen enthält (einschließlich beider Provenance-Instanzen).
Generelle Sicherheitsanforderungen werden hier festgehalten.