# Operation API: eML-Eintrag stornieren - Implementation Guide ePA Medication Service v1.3.0

Implementation Guide

ePA Medication Service

Version 1.3.0 - release

* [**Table of Contents**](toc.md)
* [**Operation API**](operation-api.md)
* **Operation API: eML-Eintrag stornieren**

## Operation API: eML-Eintrag stornieren

Die Operation *[eML-Eintrag stornieren](./OperationDefinition-cancel-eml-entry-op.md)* ermöglicht das gezielte Widerrufen bzw. Abbrechen eines bestehenden Medikationseintrags in der elektronischen Medikationsliste (eML). Sie kann ausschließlich für eML-Einträge aus einem Nachtrag verwendet werden. Einträge aus dem Verschreibungs- oder Abgabeprozess sind von dieser Operation ausgeschlossen.

### Nachricht

Die Nachricht zum Stornieren eines Medikationseintrags in der eML wird als HTTP POST-Anfrage an den Medication Service gesendet.

#### Verwendung des HTTP Header X-Requesting-Organization

Bei der Ausführung dieser Operation ist der HTTP Header *X-Requesting-Organization* mitzugeben. Er enthält eine FHIR *Organization*-Ressource im Format FHIR+JSON, die Base64-kodiert übermittelt wird.

Die übermittelte Organisation dient zur Identifikation der anfragenden Leistungserbringerinstitution (LEI). Sie wird vom Service validiert, in jedem Änderungseintrag (*Provenance* nach dem Profil *EPA Activity Provenance*) der betroffenen Instanz referenziert und zusätzlich im Medication Service als *Organization*-Ressource dedupliziert gespeichert. Dadurch ist sichergestellt, dass alle Änderungen eindeutig einer LEI zugeordnet und auch über die Query API nachvollzogen werden können

#### Auslösung

Wenn das ePA-Client-System einen Medikationseintrag der elektronischen Medikationsliste stornieren möchte, verwendet es diese Operation des Medication Service.

#### Antwort

Die Operation gibt den stornierten Medikationseintrag als Instanz gemäß **EPAMedicationStatement** zurück, ergänzt um die zugehörige **EPAMedication** sowie die **EPAActivityProvenance** als Nachweis der durchgeführten Stornierungsaktivität.

#### FHIR Operation API

Das Primärsystem MUSS die Operation
*eML-Eintrag stornieren*implementieren, um einer Leistungserbringerinstitution das Stornieren eines eML-Eintrags zu ermöglichen.

Das Primärsystem MUSS für die Ausführung der Operation
*eML-Eintrag stornieren*den HTTP Header
*X-Requesting-Organization*übermitteln.

Der Medication Service MUSS für die Operation
*eML-Eintrag stornieren*die im HTTP Header
*X-Requesting-Organization*enthaltene
*Organization*-Ressource validieren, im Änderungseintrag (
*Provenance*nach dem Profil
*EPAActivityProvenance*) referenzieren und als
*Organization*-Instanz dedupliziert speichern.

Der Medication Service MUSS die Operation
*eML-Eintrag stornieren*gemäß der FHIR OperationDefinition
[eML-Eintrag stornieren](./OperationDefinition-cancel-eml-entry-op.md)implementieren.

```

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
```

```

      {"resourceType":"OperationDefinition","id":"cancel-eml-entry-op","meta":{"profile":["https://gematik.de/fhir/ti/StructureDefinition/ti-operationdefinition"]},"text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\">Generated Narrative: OperationDefinition cancel-eml-entry-op</p><a name=\"cancel-eml-entry-op\"> </a><a name=\"hccancel-eml-entry-op\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://gematik.de/fhir/ti/1.2.0/StructureDefinition-ti-operationdefinition.html\">OperationDefinition Profil für TI FHIR Data Service</a></p></div>URL: [base]/MedicationStatement/[id]/$cancel-eml-entryOutput parameters Profile:<a href=\"StructureDefinition-epa-op-eml-entry-output-parameters.html\">EPA Operation EMLEntry Output-Parameters</a>Parameters<table class=\"grid\">UseNameScopeCardinalityTypeBindingDocumentation</table></div>"},"extension":[{"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-method","valueCode":"POST"}],"url":"https://gematik.de/fhir/epa-medication/OperationDefinition/cancel-eml-entry-op","version":"1.3.0","name":"cancelEMLEntry_MedicationSvc","title":"Cancel Medication List Entry","status":"active","kind":"operation","date":"2025-12-15","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 dient dem gezielten Widerruf/Abbruch eines bestehenden Eintrags der elektronischen Medikationsliste (eML) auf Instanzebene.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"DE"}]}],"affectsState":true,"code":"cancel-eml-entry","resource":["MedicationStatement"],"system":false,"type":false,"instance":true,"outputProfile":"https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-eml-entry-output-parameters"}
    
```

### Geschäftslogik

Anhand der Eingangsdaten werden bei Ausführung dieser Operation die folgenden FHIR-Artefakte erzeugt bzw. aktualisiert:

* Die adressierte Medikationsinformation als Instanz gemäß Profil **EPAMedicationStatement** wird aktualisiert. Dabei wird der Status der Instanz auf **entered-in-error** gesetzt, um den Eintrag in der elektronischen Medikationsliste (eML) als storniert zu kennzeichnen.
* Die zur Medikationsinformation gehörende Instanz gemäß Profil **EPAMedication** wird ebenfalls auf **entered-in-error** gesetzt und im Operationsergebnis zurückgegeben, um die referenzierte Medikation konsistent als storniert nachzuweisen.
* Ein zur Medikationsinformation zugehöriger Änderungseintrag wird als Instanz gemäß Profil **EPAActivityProvenance** erzeugt, der die Stornierungsaktivität dokumentiert.
* Eine zum Änderungseintrag zugehörige verordnende LEI wird als Instanz gemäß Profil **TIOrganization** erzeugt bzw. aktualisiert.

**Einschränkung:** Diese Operation kann ausschließlich für eML-Nachträge verwendet werden. Wird versucht, einen Eintrag aus dem Verschreibungs- oder Abgabeprozess zu stornieren, gibt der Medication Service einen Fehler zurück.

Der Medication Service MUSS die Geschäftlogik der Operation
*eML-Eintrag stornieren*gemäß dem Aktivitätsdiagramm mit der ID
**IG-MED-BL-CANCEL-EML-ENTRY-V3**ausführen. Dabei sind alle mit
**transaction**gekennzeichneten Abschnitte entsprechend den Transaktionssicherheitsregeln des ePA-Aktensystems umzusetzen, sodass diese Abschnitte mit ihren Verarbeitungsschritten atomar, konsistent und isoliert durchgeführt werden.
Das folgende Aktivitätsdiagramm illustriert die Geschäftslogik der Operation *eML-Eintrag stornieren* im Medication Service.

**Abbildung:**Geschäftslogik für die Operation
*eML-Eintrag stornieren*
### Sicherheitsanforderungen

Generelle Sicherheitsanforderungen werden [hier](./privacy-security.md) festgehalten.

