Seiteninhalt:
Der Medication Service unterstützt die aufbereitete Generierung eines elektronischen Medikationsplans (eMP) im Datenformat PDF/A (d.h. hier kommt kein FHIR zum Einsatz). Intention ist eine für Versicherte verständliche und übersichtliche Darstellung des eMP, spezifisch an Leistungserbringer gerichtete Daten sind in der Ausgabe nicht enthalten.
Die Nachricht zum Abruf des eMP im Format PDF/A wird als HTTP GET-Anfrage an den Medication Service gesendet, um den Medikationsplan im Format PDF/A zu erhalten.
Zum Abruf des eMP im Format PDF/A sendet ein ePA-Client eine Render API: Medikationsplan abrufen (eMP)-Nachricht an den Medication Service.
Ein ePA-Client kann über den folgenden URL-Aufruf den eMP im PDF/A abrufen:
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operation"},{"url":"responseType","valueString":"Parameters"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"403"},{"url":"description","valueString":"ID-Token or Insurant-ID mismatch"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"SVC_IDENTITY_MISMATCH"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Profile mismatch in header Organization"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"SVC_ORG_HEADER_PROFILE_MISMATCH"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"409"},{"url":"description","valueString":"Update Conflict (server current version = %s, client version referenced = %s)"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_VERSION_AWARE_CONFLICT"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"404"},{"url":"description","valueString":"Resource is not known"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_RESOURCE_ID_FAIL"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid dosage structure or content"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_DOSAGE_INVALID"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid Data Structure in Medication Service"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_NO_VALID_STRUCTURE"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Parameter with wrong status"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_STATUS_INVALID"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"409"},{"url":"description","valueString":"Mismatch between acknowledged and current eMP chronology ID"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_EMP_CHRONOLOGY_ID_MISMATCH"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"}],"name":"update-emp-entry","definition":"https://gematik.de/fhir/epa-medication/OperationDefinition/update-emp-entry-op"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"},{"extension":[{"url":"name","valueString":"X-Requesting-Organization"},{"url":"type","valueString":"string"},{"url":"description","valueString":"Base64 encoded FHIR Organization resource in JSON format used to identify the originator of the request"},{"url":"format","valueString":"base64(fhir+json:Organization)"},{"url":"required","valueBoolean":true}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-header"},{"extension":[{"url":"statusCode","valueString":"200"},{"url":"description","valueString":"Successful operation"},{"url":"responseType","valueString":"Bundle"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid request"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_BAD_FORMAT"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"409"},{"url":"description","valueString":"Mismatch between acknowledged and current eMP chronology ID"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_EMP_CHRONOLOGY_ID_MISMATCH"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid dosage structure or content"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_DOSAGE_INVALID"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid Data Structure in Medication Service"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_NO_VALID_STRUCTURE"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Parameter with wrong status"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_STATUS_INVALID"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"409"},{"url":"description","valueString":"Update Conflict (server current version = %s, client version referenced = %s)"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_VERSION_AWARE_CONFLICT"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"404"},{"url":"description","valueString":"Resource is not known"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_RESOURCE_ID_FAIL"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"}],"name":"batch-emp","definition":"https://gematik.de/fhir/epa-medication/OperationDefinition/batch-emp-entries-op"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"},{"extension":[{"url":"name","valueString":"X-Requesting-Organization"},{"url":"type","valueString":"string"},{"url":"description","valueString":"Base64 encoded FHIR Organization resource in JSON format used to identify the originator of the request"},{"url":"format","valueString":"base64(fhir+json:Organization)"},{"url":"required","valueBoolean":true}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-header"},{"extension":[{"url":"statusCode","valueString":"200"},{"url":"description","valueString":"Successful operation"},{"url":"responseType","valueString":"Parameters"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"405"},{"url":"description","valueString":"The operation can only be executed within a batch context"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_OPERATION_OUTSIDE_BATCH"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"409"},{"url":"description","valueString":"Mismatch between acknowledged and current eMP chronology ID"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_EMP_CHRONOLOGY_ID_MISMATCH"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"}],"name":"emp-commit","definition":"https://gematik.de/fhir/epa-medication/OperationDefinition/emp-commit-op"}]}]}
| Status Code | Bedingung | Error Code | Anmerkung |
|---|---|---|---|
| 200 | Successful operation | ||
| 404 | Rendering led to empty list | noEntries |
Hinweis: Untereinander stehende Spaltentrennstriche müssen dennoch vertikal ausgerichtet und untereinander angeglichen bleiben. Abstände zwischen eMP-Einträgen sollen nicht unterschiedlich groß sein.
Nachstehend ist die Aufteilung der Blöcke dargestellt. Die Aufteilung ist auch in Originalgröße als PDF und HTML herunterlad- bzw. anzeigbar. Normativ sind die Festlegungen in den Anforderungen. Diese Dateien erfüllen nur illustrative Zwecke.
Hinweis: Die Texte “mor-gens”, “mit-tags”, “abends” und “zur-Nacht” in der Überschriftenzeile werden in je einer Zelle aufgebracht. Der in “eMP-PDF/A: Grundlegendes Layout” vorgeschriebene Abstand links- und rechtsseitig von jedem Spaltentrennstrich hat hier daher keine Gültigkeit.
Hinweis: Wenn strukturierte Daten (Stärke-Numerator, Stärke-Denominator) und unstrukturierte Daten (Stärke-Text) gemeinsam vorliegen, dann werden für die Ausgabe nur die strukturierten Daten verwendet.
Hinweis: Die Formatierung des Textes im Feld Form folgt ansonsten den Regeln in “eMP-PDF/A: Zeilenumbrüche in Tabellenfeldern”.
Hinweis: folgender FHIR-Path Ausdruck ist ein Beispiel für diese Prüfung
dosageInstruction.all(
timing.repeat.when.exists()
and timing.repeat.frequency.exists()
and timing.repeat.period = 1
and timing.repeat.periodUnit = 'd'
and timing.repeat.timeOfDay.empty()
and timing.repeat.dayOfWeek.empty()
and timing.repeat.bounds.empty()
)
and dosageInstruction.doseAndRate.dose.unit.distinct().count() = 1
Medication.ingredient.count() > 1) gilt:Hinweis: Muss für einzelne Wirkstoffe oder Stärken eine Zeilenumbruch gemäß eMP-PDF/A: Zeilenumbrüche in Tabellenfeldern eingefügt werden, so müssen im Resultat Wirkstoff- und Stärkeangaben weiterhin horizontal auf einer Höhe liegen.
Hinweis: Ein eMP im Format PDF/A enthält keine Seiten mit einem unbefüllten Bereich für die Medikationstabelle.
| Bezeichnung | FHIR-Profil FHIR Element-ID |
Beispiel |
|---|---|---|
| Präfix | [EPAPatient]Patient.name:Name.prefix |
"Dr." |
| Vorname | [EPAPatient]Patient.name:Name.given |
"Horst" |
| Nachname | [EPAPatient]Patient.name:Name.family |
"Graf van Himmelblau" |
| Erstellungszeitpunkt | Aktueller Systemzeitpunkt | "04.11.2025 10:13" |
| Geburtsdatum | [EPAPatient]Patient.birthDate |
|
| Versichertennummer | [EPAPatient]Patient.identifier:KVNR |
|
| Verfassungsdatum | EMPMedicationRequestMedicationRequest.authoredOn |
|
| Wirkstoff | EMPMedicationMedication.ingredient.item[x]:itemCodeableConcept.text |
|
| Handelsname | EMPMedicationMedication.code.text in MedicationRequest.medicationReference |
|
| Stärke-Numerator | EMPMedicationMedication.ingredient.strength.numerator in MedicationRequest.medicationReference |
|
| Stärke-Denominator | EMPMedicationMedication.ingredient.strength.denominator in MedicationRequest.medicationReference |
|
| Stärke-Text | EMPMedicationMedication.ingredient.strength.extension:amountText in MedicationRequest.medicationReference |
|
| Form | EMPMedication Falls vorhanden: Medication.form.coding.display,ansonsten: Medication.form.coding.code |
|
| Hinweise | EMPMedicationRequestMedicationRequest.extension:patientNote.valueAnnotation.text |
|
| Grund | EMPMedicationRequestMedicationRequest.extension:reasonPatientInstruction.valueString |
|
| Anwendungszeitraum-Start | EMPMedicationRequestMedicationRequest.extension:effectiveDosePeriod.start |
|
| Anwendungszeitraum-Ende | EMPMedicationRequestMedicationRequest.extension:effectiveDosePeriod.end |
|
| Dosierinformation | EMPMedicationRequest Falls vorhanden: MedicationRequest.extension:renderedDosageInstruction.valueMarkdown,ansonsten, falls vorhanden: MedicationRequest.dosageInstruction.text |
|
| Tabellendosierung-morgens | EMPMedicationRequestMedicationRequest.dosageInstruction.doseAndRate.doseQuantity.value aus derjenigen Dosierung in MedicationRequest.dosageInstruction, welche in MedicationRequest.dosageInstruction.timing.repeat.when den Wert 'MORN' enthält. |
|
| Tabellendosierung-mittags | EMPMedicationRequestMedicationRequest.dosageInstruction.doseAndRate.doseQuantity.value aus derjenigen Dosierung in MedicationRequest.dosageInstruction, welche in MedicationRequest.dosageInstruction.timing.repeat.when den Wert 'NOON' enthält. |
|
| Tabellendosierung-abends | EMPMedicationRequestMedicationRequest.dosageInstruction.doseAndRate.doseQuantity.value aus derjenigen Dosierung in MedicationRequest.dosageInstruction, welche in MedicationRequest.dosageInstruction.timing.repeat.when den Wert 'EVE' enthält. |
|
| Tabellendosierung-zur-Nacht | EMPMedicationRequestMedicationRequest.dosageInstruction.doseAndRate.doseQuantity.value aus derjenigen Dosierung in MedicationRequest.dosageInstruction, welche in MedicationRequest.dosageInstruction.timing.repeat.when den Wert 'NIGHT' enthält. |
|
| Einheit | EMPMedicationRequestMedicationRequest.dosageInstruction.doseAndRate.doseQuantity.unit.distinct() |
Nachstehend ist ein Beispiel des eMP abgebildet. Dieses Beispiel ist auch in Originalgröße als PDF und HTML herunterlad- bzw. anzeigbar. Normativ sind die Festlegungen in den Anforderungen. Die Beispiele erfüllen nur illustrative Zwecke.
Generelle Sicherheitsanforderungen werden hier festgehalten.