Implementation Guide
ePA Medication Service
Version 1.3.0 - release

## Operation API: eMP commit

Die Operation eMP commit dient dem Abschluss einer Stapelverarbeitung von eMP-Einträgen. Sie fasst alle im Rahmen der Batch-Operation erfolgreich hinzugefügten oder aktualisierten Einträge zusammen und erzeugt daraus eine neue Version des elektronischen Medikationsplans (eMP). Sie wird ausschließlich im Batch-Kontext verwendet und am Ende des Stapels aufgerufen. Damit wird sichergestellt, dass alle Änderungen konsistent in einem neuen eMP-Chronologieeintrag dokumentiert werden. Ein Aufruf außerhalb einer Stapelverarbeitung ist nicht zulässig und führt zu einem Fehler.

### Nachricht

Die Nachricht zum Abschluss einer Stapelverarbeitung wird als HTTP POST-Anfrage mit der Operation eMP commit an den Medication Service gesendet. Sie enthält die ResourceId auf den zuletzt bestätigten eMP-Chronologieeintrag (acknowledgedChronology).

#### Auslösung

Die Operation eMP commit des Medication Service wird ausschließlich am Ende einer Stapelverarbeitung ausgelöst. Sie wird vom ePA-Client-System aufgerufen, um die zuvor im Stapel hinzugefügten oder aktualisierten eMP-Einträge in einen neuen eMP-Chronologieeintrag zusammenzufassen. Einzelaufrufe außerhalb einer Stapelverarbeitung sind nicht zulässig.

#### Antwort

Als Ergebnis liefert die Operation eMP commit eine Ressource vom Typ Provenance, die dem Profil EMPChronologyProvenance entspricht. Diese Provenance stellt den neu erzeugten Chronologieeintrag des elektronischen Medikationsplans (eMP) dar.

Die in Provenance.target enthaltenen Referenzen verweisen auf alle EMPMedicationRequest-Instanzen, die nach der Stapelverarbeitung im eMP enthalten sind. Damit dokumentiert der Chronologieeintrag die vollständige Menge der aktuell gültigen Medikationseinträge und bildet so die konsistente Grundlage für die weitere Verarbeitung und Anzeige des Medikationsplans.

#### FHIR Operation API

Das Primärsystem KANN die Operation eMP commit implementieren, um im Batch-Kontext alle Änderungen konsistent in einem neuen eMP-Choronologieeintrag zu dokumentieren. Der Medication Service MUSS die Operation eMP commit gemäß der FHIR OperationDefinition eMP commit implementieren.

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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":"431"},{"url":"description","valueString":"Requesting 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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":"422"},{"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":"431"},{"url":"description","valueString":"Requesting Organization Header exceeds maximum size"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"SVC_ORG_HEADER_TOO_LARGE"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"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":"422"},{"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":"422"},{"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":"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":"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":"emp-commit-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 emp-commit-op</p><a name=\"emp-commit-op\"> </a><a name=\"hcemp-commit-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]/$emp-commitInput parameters Profile:<a href=\"StructureDefinition-epa-op-rmp-commit-input-parameters.html\">EPA eMP Commit Operation Input-Parameters</a>Parameters<table class=\"grid\">UseNameScopeCardinalityTypeBindingDocumentationOUTreturn1..1<a href=\"http://hl7.org/fhir/R4/provenance.html\">Provenance</a></table></div>"},"extension":[{"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-method","valueCode":"POST"}],"url":"https://gematik.de/fhir/epa-medication/OperationDefinition/emp-commit-op","version":"1.3.0","name":"eMPCommit_MedicationSvc","title":"eMP Commit Operation","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":"Die eMP Commit Operation dient zum Abschluss einer Batch-Verarbeitung von eMP-Einträgen.  \nSie erzeugt eine neue Version des elektronischen Medikationsplans (eMP), indem eine aktualisierte  \nInstanz von EMPChronologyProvenance erstellt wird, die auf alle relevanten EMPMedicationRequest  \nverweist. Diese Operation wird in der Regel nur einmal am Ende eines Batch-Kontextes aufgerufen.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"DE"}]}],"affectsState":true,"code":"emp-commit","system":true,"type":false,"instance":false,"inputProfile":"https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-rmp-commit-input-parameters","parameter":[{"name":"return","use":"out","min":1,"max":"1","type":"Provenance"}]}

    {
      "resourceType" : "Parameters",
      "id" : "example-epa-op-rmp-commit-input-parameters-1",
      "meta" : {
        "profile" : [
          🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-rmp-commit-input-parameters|1.3.0"
        ]
      },
      "parameter" : [
        {
          "name" : "acknowledgedChronologyId",
          "valueId" : "b467ce05-e0e5-4d71-9a0b-d824dbb492ef"
        }
      ]
    }

    <Parameters xmlns="http://hl7.org/fhir">
      <id value="example-epa-op-rmp-commit-input-parameters-1"/>
      <meta>
        <profile
                 value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-rmp-commit-input-parameters|1.3.0"/>
      </meta>
      <parameter>
        <name value="acknowledgedChronologyId"/>
        <valueId value="b467ce05-e0e5-4d71-9a0b-d824dbb492ef"/>
      </parameter>
    </Parameters>

    {
      "resourceType" : "Provenance",
      "id" : "2e1ba746-1aef-4eef-b741-2dfc771c7001",
      "meta" : {
        "profile" : [
          🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-chronology-provenance|1.3.0"
        ]
      },
      "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"
          }
        }
      ]
    }

    <Provenance xmlns="http://hl7.org/fhir">
      <id value="2e1ba746-1aef-4eef-b741-2dfc771c7001"/>
      <meta>
        <profile
                 value="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-chronology-provenance|1.3.0"/>
      </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>

### Geschäftslogik

Der Medication Service MUSS bei einem Aufruf der Operation eMP commit außerhalb einer Stapelverarbeitung die Verarbeitung mit einer Fehlerantwort abbrechen. In diesem Fall ist ein OperationOutcome mit dem Code forbidden, dem Detailcode MEDSVC_OPERATION_OUTSIDE_BATCH und dem HTTP Status Code 405 Method Not Allowed zurückzugeben.

Ein Beispiel Fehlermeldung bei Aufruf außerhalb einer Batch-Verarbeitung

    {
      "resourceType" : "OperationOutcome",
      "id" : "912a5e81-6274-439e-9d79-5172c4855a70",
      "meta" : {
        "profile" : [
          🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-ms-operation-outcome|1.0.6-2"
        ]
      },
      "issue" : [
        {
          "severity" : "error",
          "code" : "forbidden",
          "details" : {
            "coding" : [
              {
                "system" : "https://gematik.de/fhir/epa-medication/CodeSystem/epa-ms-operation-outcome-details",
                "code" : "MEDSVC_OPERATION_OUTSIDE_BATCH",
                "display" : "The operation can only be executed within a batch context"
              }
            ]
          }
        }
      ]
    }

    <OperationOutcome xmlns="http://hl7.org/fhir">
      <id value="912a5e81-6274-439e-9d79-5172c4855a70"/>
      <meta>
        <profile
                 value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-ms-operation-outcome|1.0.6-2"/>
      </meta>
      <issue>
        <severity value="error"/>
        <code value="forbidden"/>
        <details>
          <coding>
            <system
                    value="https://gematik.de/fhir/epa-medication/CodeSystem/epa-ms-operation-outcome-details"/>
            <code value="MEDSVC_OPERATION_OUTSIDE_BATCH"/>
            <display
                     value="The operation can only be executed within a batch context"/>
          </coding>
        </details>
      </issue>
    </OperationOutcome>

Der Medication Service MUSS die Geschäftlogik der Operation eMP commit gemäß dem Aktivitätsdiagramm mit der ID IG-MED-BL-EMP-COMMIT-V1 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 eMP commit im Medication Service.

Abbildung: Geschäftslogik für die Operation eMP commit

### Sicherheitsanforderungen

Generelle Sicherheitsanforderungen werden hier festgehalten.