# Operation API: Hinzufügen einer eML-eMP-Verknüpfung - 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: Hinzufügen einer eML-eMP-Verknüpfung**

## Operation API: Hinzufügen einer eML-eMP-Verknüpfung

Die Operation *[Hinzufügen einer eML-eMP-Verknüpfung](./OperationDefinition-link-emp-op.md)* dient der Verknüpfung einer bestehenden **MedicationStatement** Instanz (d.h. Medikationsinformation eines eML-Eintrags) mit einem bereits dokumentierten Eintrag im elektronischen Medikationsplan (eMP). Dabei wird die Operation direkt auf die zu verknüpfende **MedicationStatement**-Instanz aufgerufen. Als Eingabeparameter wird der eindeutige Identifier des Ziel-eMP-Eintrags übergeben. Die Geschäftslogik des Medication Service stellt daraufhin die Verbindung her und erzeugt eine neue Version des eMP. Im Zuge dessen wird die *medicationReference* des betroffenen eMP-Eintrags auf die in der Verknüpfung referenzierte *Medication* gesetzt. Eine Ausnahme bilden hierbei Kombipackungen (*kbvDarreichungsform = KPG*). Kombipackungen werden im Rahmen einer eML-eMP-Verknüpfung nicht automatisch als *medicationReference* in den eMP-Eintrag übernommen.

Die Verknüpfung stellt sicher, dass Informationen aus eML und eMP eindeutig zugeordnet sind und gemeinsam aus derselben Quelle im Medication Service stammen. So wird vermieden, dass widersprüchliche Dosierangaben oder doppelte Medikationen auftreten. Diese Verbindung ist insbesondere dann notwendig, wenn ein eML-Eintrag unabhängig vom eMP erstellt wurde – z.B. weil keine eMP-Einträge vorlagen oder ein E-Rezept außerhalb der ePA erstellt wurde. Als Ergebnis gibt die Operation die aktualisierte **MedicationStatement**-Instanz sowie optional Informationen über die neue eMP-Version in Form einer **Provenance**-Instanz gemäß des Profils **EMPChronologyProvenance** zurück.

### Nachricht

Die Nachricht zur Verknüpfung eines eML-Eintrags mit einem eMP-Eintrag wird als HTTP POST-Anfrage an den Medication Service auf die betreffende **MedicationStatement**-Instanz 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

Die Nachricht wird vom ePA-Client-System gesendet, wenn festgestellt wird, dass ein eML-Eintrag inhaltlich einem bestehenden eMP-Eintrag entspricht und diese Beziehung im System nachvollziehbar dokumentiert werden soll.

#### Antwort

Die Operation gibt den aktualisierten eML-Eintrag (**MedicationStatement**) sowie optional die zugehörige **Provenance**-Instanz der neuen eMP-Version als Ergebnis zurück.

#### FHIR Operation API

Das Primärsystem MUSS die Operation
*Hinzufügen einer eML-eMP-Verknüpfung*implementieren, um einen eML-Eintrag mit einem eMP-Eintrag zu verknüpfen.

Das Primärsystem MUSS für die Ausführung der Operation
*Hinzufügen einer eML-eMP-Verknüpfung*den HTTP Header
*X-Requesting-Organization*übermitteln.

Der Medication Service MUSS für die Operation
*Hinzufügen einer eML-eMP-Verknüpfung*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
*Hinzufügen einer eML-eMP-Verknüpfung*gemäß der FHIR OperationDefinition
[eMP-Eintrag verknüpfen](./OperationDefinition-link-emp-op.md)implementieren.

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
```

```

      {"resourceType":"OperationDefinition","id":"link-emp-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 link-emp-op</p><a name=\"link-emp-op\"> </a><a name=\"hclink-emp-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]/$link-empInput parameters Profile:<a href=\"StructureDefinition-epa-op-link-emp-entry-parameters.html\">EPA Operation Link eMP Parameters</a>Output parameters Profile:<a href=\"StructureDefinition-epa-op-link-emp-entry-output-parameters.html\">EPA Operation Link eMP 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/link-emp-op","version":"1.3.0","name":"linkEMP_MedicationSvc","title":"eMP-Eintrag verknüpfen","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 Instanz-Operation dient der Verknüpfung eines bestehenden eML-Eintrags (MedicationStatement) mit einem bereits dokumentierten Eintrag im elektronischen Medikationsplan (eMP).","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"DE"}]}],"affectsState":true,"code":"link-emp","resource":["MedicationStatement"],"system":false,"type":false,"instance":true,"inputProfile":"https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-link-emp-entry-parameters","outputProfile":"https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-link-emp-entry-output-parameters"}
    
```

### Geschäftslogik

Der Medication Service MUSS die Geschäftlogik der Operation
*Hinzufügen einer eML-eMP-Verknüpfung*gemäß dem Aktivitätsdiagramm mit der ID
**IG-MED-BL-LINK-EMP-ENTRY-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 *Hinzufügen einer eML-eMP-Verknüpfung* im Medication Service.

**Abbildung:**Geschäftslogik für die Operation
*Hinzufügen einer eML-eMP-Verknüpfung*
### Sicherheitsanforderungen

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

