Implementation Guide
ePA Medication Service
Version 1.3.0 - release

Operation API: eML-Eintrag stornieren

Seiteninhalt:

Die Operation eML-Eintrag stornieren 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 implementieren. 
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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":"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"},{"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":"410"},{"url":"description","valueString":"Resource was deleted"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_DELETED"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"409"},{"url":"description","valueString":"eMP entry already 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 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":"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":"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":"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":"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-entry
Output 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"}
    
{
  "resourceType" : "Parameters",
  "id" : "example-epa-op-eml-entry-cancelled-output-parameters-1",
  "meta" : {
    "profile" : [
      🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-eml-entry-output-parameters|1.3.0"
    ]
  },
  "parameter" : [
    {
      "name" : "relatedActivity",
      "resource" : {
        "resourceType" : "Provenance",
        "id" : "39475183-3444-4b63-bfed-ae0741f4496b",
        "meta" : {
          "profile" : [
            "https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance|1.3.0"
          ]
        },
        "target" : [
          {
            "reference" : "MedicationStatement/6e340b90-35cd-4070-bad8-c26704d85d55/_history/1"
          }
        ],
        "recorded" : "2026-02-23T15:00:00.550Z",
        "activity" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "code" : "DELETE"
            }
          ]
        },
        "agent" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "code" : "author"
                }
              ]
            },
            "who" : {
              🔗 "reference" : "Organization/8B421590-9F7F-46BE-BD1E-C987063AC4F5",
              "identifier" : {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "PRN"
                    }
                  ]
                },
                "system" : "https://gematik.de/fhir/sid/telematik-id",
                "value" : "9-2.58.00000060"
              },
              "display" : "Die Apotheke"
            }
          }
        ]
      }
    }
  ]
}

<Parameters xmlns="http://hl7.org/fhir">
  <id value="example-epa-op-eml-entry-cancelled-output-parameters-1"/>
  <meta>
    <profile
             value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-eml-entry-output-parameters|1.3.0"/>
  </meta>
  <parameter>
    <name value="relatedActivity"/>
    <resource>
      <Provenance>
        <id value="39475183-3444-4b63-bfed-ae0741f4496b"/>
        <meta>
          <profile
                   value="https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance|1.3.0"/>
        </meta>
        <target>
          <reference
                     value="MedicationStatement/6e340b90-35cd-4070-bad8-c26704d85d55/_history/1"/>
        </target>
        <recorded value="2026-02-23T15:00:00.550Z"/>
        <activity>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
            <code value="DELETE"/>
          </coding>
        </activity>
        <agent>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
              <code value="author"/>
            </coding>
          </type>
          <who>🔗 
            <reference
                       value="Organization/8B421590-9F7F-46BE-BD1E-C987063AC4F5"/>
            <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="9-2.58.00000060"/>
            </identifier>
            <display value="Die Apotheke"/>
          </who>
        </agent>
      </Provenance>
    </resource>
  </parameter>
</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.

IG-MED-BL-CANCEL-EML-ENTRY-V3Check whether the size of theX-Requesting-OrganizationHTTP headeris within the allowed limit (≤ 8 KB)Header size ≤ 8 KB?yesnoCheck whether theOrganizationresource from theX-Requesting-OrganizationHTTP header conforms to theTIOrganizationprofileReturn errorOperationOutcomewith codestructureand detailsSVC_ORG_HEADER_PROFILE_MISMATCH(HTTP 422)noOrganization is valid?yesReturn errorOperationOutcomewith codeprocessingand detailsSVC_ORG_HEADER_TOO_LARGE(HTTP 431)Check whether the KVNR-based logical reference(s) in thesubjectelement match thex-insurantvalue from the HTTP header,and whether the Telematics ID from theX-Requesting-Organizationheader matches the Telematics ID from the ID tokenReturn errorOperationOutcomewith codeforbiddenand detailsSVC_IDENTITY_MISMATCH(HTTP 403)noidentity information is valid?yestransaction Note: This is a temporary flag used only during processing -it is not persisted or part of the eMP content Initialize helper variablehasEMPChanges = falsefor the eMP processing contextRetrieveMedicationStatementinstance using the ID provided in the instance-level operation URL (i.e.[Base URL of FHIR API]/MedicationStatement/[id]/$cancel-eml-entry)Return errorOperationOutcomewith codenot-foundand detailsMSG_RESOURCE_ID_FAIL(HTTP 404)noMedicationStatement exists?yesCheckcontext-extensiononMedicationStatement(URL: context-extension)Return errorOperationOutcomewith codeforbiddenand detailsMSG_OP_NOT_ALLOWED(HTTP 405)PRESCRIPTIONExtension is present and value is PRESCRIPTION or MANUALMANUALCheck whether the loadedMedicationStatementinstancehas abasedOn.referencethat containsextension[isEmp]with value istrueRemove eMP linkageLoad referencedEMPMedicationRequest«Update without Save»EPAMedicationStatementinstanceremovebasedOnreference to the loadedEMPMedicationRequest  including the associatedextension[isEMP] = true«Update without Save»EMPMedicationRequestinstanceremoveReference(EPAMedicationStatement)  fromextension[activity]Check whetherEMPMedicationRequest.medicationReferencematchesEPAMedicationStatement.medicationReference«Load»Read allextension[activity]ofEMPMedicationRequestActivity entries exist?yesnoFilter validMedicationStatemententries(keep only entries where the referencedMedicationStatementexistsValid entries exist?yesno«Set without save»EMPMedicationRequestinstancesetmedicationReference=MedicationStatement.medicationReference  from theMedicationStatementinstanceselected with the latestextension[activity].extension[addedOn].valueDateTime«Set without save»EMPMedicationRequestinstancesetmedicationReference = extension[originMedication].valueReference«Set without save»EMPMedicationRequestinstancesetmedicationReference = extension[originMedication].valueReferenceyesmedicationReference points to the sameMedicationinstanceno«Save»EMPMedicationRequestinstance«Create»EPAActivityProvenanceactivity =UPDATEagent.type =authoragent.who = Organization instance derived fromX-Requesting-Organizationheadertarget = VersionedReference(EMPMedicationRequest)SethasEMPChanges = trueto indicate that at least one eMP entry has been updated during this batchyesvalid eMP linkage exists?no«Save»MedicationStatementinstanceconforming to theEPAMedicationStatementprofileCheck for existingOrganizationwith TelematikID from the X-Requesting-Organization HTTP headerOrganization exists?yesno«Update»Organizationderived from X-Requesting-Organization header,conforming to theTIOrganizationprofileidentifier[TelematikID] = value from headerReplace all other elements with the provided instance«Create»Organizationderived from X-Requesting-Organization header,conforming to theTIOrganizationprofileidentifier[TelematikID] = value from headerSet all other elements with the provided instanceCheck value ofhasEMPChangesto determine whether any eMP entries were updated during batch processinghasEMPChanges== trueyesnoCreate eMP Chronology ProvenanceLoad thelatest Provenance(if any) with extension[isEMPChronology].valueBoolean =truefrom the Medication Service (this is the current eMP chronology)Load allMedicationRequestwith extension[context] =EMPandstatusin (active,on-hold)Collect versioned references of all relevantEMPMedicationRequestinstancesDerive the currenttarget set(versioned refs) from the loadedlatest chronology(if present) Note:  The list ofMedicationRequestinstances,referenced viatarget, may be empty. «CREATE»Provenanceconforming to theEMPChronologyProvenanceprofileactivity =UPDATE  extension[isEMPChronology].valueBoolean =true  agent.type =author  agent.who =MEDICATIONSVC  target = versioned references to all collectedMedicationRequestinstancesyes Have the collectedMedicationRequestinstances changed?(compared to latest chronology target set) noSkip eMP Chronology Provenance creationno changes detectedLoad referencedMedicationinstance from MedicationStatement.medicationReference Note:agent.who = Reference(Organization)incl. display and TelematikID identifier aslogical reference «CREATE»Provenanceconforming to theEPAActivityProvenanceprofileactivity =DELETE agent.type =author agent.who = Organization instance derived from X-Requesting-Organization headertarget = versioned reference to the updatedMedicationStatementinstanceNote:Deleted instances remainaccessible via the FHIR history view.Delete loadedEPAMedicationStatementinstanceNote:Deleted instances remainaccessible via the FHIR history view.Delete loadedEPAMediccationinstanceReturnOutput-Parameterscontaining theEPAActivityProvenanceinstanceas resources inparameter[relatedActivity],conforming to the profileEPAOpEmlEntryOutputParameters(HTTP 200)
Abbildung: Geschäftslogik für die Operation eML-Eintrag stornieren

Sicherheitsanforderungen

Generelle Sicherheitsanforderungen werden hier festgehalten.