# ExampleEPABatchEmpResponseBundle - Implementation Guide ePA Medication Service v1.3.3

Implementation Guide

ePA Medication Service

Version 1.3.3 - release 

* [**Table of Contents**](toc.md)
* [**FHIR-Artefakte**](artifacts.md)
* **ExampleEPABatchEmpResponseBundle**

## Example Bundle: ExampleEPABatchEmpResponseBundle



## Resource Content

```json
{
  "resourceType" : "Bundle",
  "id" : "example-epa-batch-emp-response-bundle",
  "type" : "transaction-response",
  "entry" : [{
    "resource" : {
      "resourceType" : "Parameters",
      "id" : "0fe348cc-adee-496c-9359-3cf3eaa1d355",
      "meta" : {
        "profile" : ["https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-emp-entry-output-parameters|1.3.0"]
      },
      "parameter" : [{
        "name" : "empEntry",
        "resource" : {
          "resourceType" : "MedicationRequest",
          "id" : "71b66f1b-8032-4886-b7bf-e775daee22fb",
          "meta" : {
            "versionId" : "1",
            "lastUpdated" : "2026-12-01T14:00:00.400Z",
            "profile" : ["https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication-request|1.3.1"]
          },
          "extension" : [{
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension",
            "valueCode" : "EMP"
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension",
            "valueString" : "Bluthochdruck"
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension",
            "valueAnnotation" : {
              "text" : "Benazepril kann anfangs Schwindel verursachen - daher zuerst in Ruhe einnehmen und Autofahren vermeiden."
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod",
            "valuePeriod" : {
              "start" : "2026-12-01"
            }
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-origin-medication-extension",
            "valueReference" : {
              "reference" : "Medication/13c66845-d0ce-43e1-9b0b-884cbbe8df7f"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction",
            "valueMarkdown" : "1-0-1-0 Stück"
          },
          {
            "extension" : [{
              "url" : "algorithmVersion",
              "valueString" : "1.0.1"
            },
            {
              "url" : "language",
              "valueCode" : "de-DE"
            }],
            "url" : "http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta"
          }],
          "identifier" : [{
            "system" : "https://gematik.de/fhir/sid/emp-identifier",
            "value" : "71b66f1b-8032-4886-b7bf-e775daee22fb"
          }],
          "status" : "active",
          "intent" : "plan",
          "medicationReference" : {
            "reference" : "Medication/13c66845-d0ce-43e1-9b0b-884cbbe8df7f"
          },
          "subject" : {
            "identifier" : {
              "system" : "http://fhir.de/sid/gkv/kvid-10",
              "value" : "X110411319"
            }
          },
          "authoredOn" : "2026-12-01",
          "note" : [{
            "text" : "Hinweis für den LE"
          }],
          "dosageInstruction" : [{
            "timing" : {
              "repeat" : {
                "frequency" : 2,
                "period" : 1,
                "periodUnit" : "d",
                "when" : ["MORN", "EVE"]
              }
            },
            "doseAndRate" : [{
              "doseQuantity" : {
                "value" : 1,
                "unit" : "Stück",
                "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT",
                "code" : "1"
              }
            }]
          }]
        }
      },
      {
        "name" : "medication",
        "resource" : {
          "resourceType" : "Medication",
          "id" : "13c66845-d0ce-43e1-9b0b-884cbbe8df7f",
          "meta" : {
            "versionId" : "1",
            "lastUpdated" : "2026-12-01T14:00:00.200Z",
            "profile" : ["https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication|1.3.0"]
          },
          "extension" : [{
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension",
            "valueCode" : "EMP"
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension",
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "763158003"
            }
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/drug-category-extension",
            "valueCoding" : {
              "system" : "https://gematik.de/fhir/epa-medication/CodeSystem/epa-drug-category-cs",
              "code" : "00"
            }
          },
          {
            "url" : "http://fhir.de/StructureDefinition/normgroesse",
            "valueCode" : "N3"
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension",
            "valueBoolean" : false
          }],
          "identifier" : [{
            "system" : "https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier",
            "value" : "D15E4956F59A13CD3BB365799857D6FA9757C62D36DBDB9578D018CA4B6D969F"
          }],
          "code" : {
            "coding" : [{
              "system" : "http://fhir.de/CodeSystem/ifa/pzn",
              "code" : "04351736",
              "display" : "Benazepril AL 20mg 98 Filmtabletten N3"
            }],
            "text" : "Benazepril AL 20mg 98 Filmtabletten N3"
          },
          "status" : "active",
          "form" : {
            "coding" : [{
              "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM",
              "code" : "FTA"
            }]
          },
          "amount" : {
            "numerator" : {
              "extension" : [{
                "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension",
                "valueString" : "98"
              }],
              "unit" : "Stück"
            },
            "denominator" : {
              "value" : 1
            }
          },
          "ingredient" : [{
            "itemCodeableConcept" : {
              "coding" : [{
                "system" : "http://fhir.de/CodeSystem/ask",
                "code" : "23413"
              }],
              "text" : "Benazepril hydrochlorid"
            },
            "strength" : {
              "numerator" : {
                "value" : 20,
                "unit" : "mg"
              },
              "denominator" : {
                "value" : 1,
                "unit" : "Filmtbl."
              }
            }
          }]
        }
      },
      {
        "name" : "relatedActivity",
        "resource" : {
          "resourceType" : "Provenance",
          "id" : "8faa45dd-b2dc-4a80-8956-94aeab1db04b",
          "meta" : {
            "profile" : ["https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance|1.3.0"]
          },
          "target" : [{
            "reference" : "MedicationRequest/71b66f1b-8032-4886-b7bf-e775daee22fb/_history/1"
          }],
          "recorded" : "2026-12-01T14:00:00.600Z",
          "activity" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "code" : "CREATE"
            }]
          },
          "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"
            }
          }]
        }
      }]
    },
    "response" : {
      "status" : "200 OK"
    }
  },
  {
    "resource" : {
      "resourceType" : "Parameters",
      "id" : "946af3ef-eec2-4a5d-81c4-fe46bc115d58",
      "meta" : {
        "profile" : ["https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-emp-entry-output-parameters|1.3.0"]
      },
      "parameter" : [{
        "name" : "empEntry",
        "resource" : {
          "resourceType" : "MedicationRequest",
          "id" : "266620a9-2c26-41c1-b0cb-a10947b867f5",
          "meta" : {
            "versionId" : "3",
            "lastUpdated" : "2026-12-01T14:00:00.400Z",
            "profile" : ["https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication-request|1.3.1"]
          },
          "extension" : [{
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension",
            "valueCode" : "EMP"
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension",
            "valueString" : "akuten Behandlung von Migräneanfällen mit und ohne Aura"
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension",
            "valueAnnotation" : {
              "text" : "Bitte schützen Sie das Arzneimittel vor hohen Temperaturen und direkter Sonneneinstrahlung."
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod",
            "valuePeriod" : {
              "start" : "2026-12-01",
              "end" : "2027-02-01"
            }
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-origin-medication-extension",
            "valueReference" : {
              "reference" : "Medication/87f08ba2-da7e-467e-86aa-404d9035297c"
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction",
            "valueMarkdown" : "1-0-0-0 Stück"
          },
          {
            "extension" : [{
              "url" : "algorithmVersion",
              "valueString" : "1.0.1"
            },
            {
              "url" : "language",
              "valueCode" : "de-DE"
            }],
            "url" : "http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta"
          },
          {
            "extension" : [{
              "url" : "reference",
              "valueReference" : {
                "reference" : "MedicationStatement/f29f1d0c-be05-4b0d-a335-3e508da39c0c"
              }
            },
            {
              "url" : "addedOn",
              "valueDateTime" : "2026-12-01T14:00:00.400Z"
            }],
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension"
          }],
          "identifier" : [{
            "system" : "https://gematik.de/fhir/sid/emp-identifier",
            "value" : "266620a9-2c26-41c1-b0cb-a10947b867f5"
          }],
          "status" : "active",
          "intent" : "plan",
          "medicationReference" : {
            "reference" : "Medication/87f08ba2-da7e-467e-86aa-404d9035297c"
          },
          "subject" : {
            "identifier" : {
              "system" : "http://fhir.de/sid/gkv/kvid-10",
              "value" : "X110411319"
            }
          },
          "authoredOn" : "2026-11-01",
          "note" : [{
            "text" : "Hinweis für den LE"
          }],
          "dosageInstruction" : [{
            "timing" : {
              "repeat" : {
                "frequency" : 1,
                "period" : 1,
                "periodUnit" : "d",
                "when" : ["MORN"]
              }
            },
            "doseAndRate" : [{
              "doseQuantity" : {
                "value" : 1,
                "unit" : "Stück",
                "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT",
                "code" : "1"
              }
            }]
          }]
        }
      },
      {
        "name" : "medication",
        "resource" : {
          "resourceType" : "Medication",
          "id" : "87f08ba2-da7e-467e-86aa-404d9035297c",
          "meta" : {
            "versionId" : "1",
            "lastUpdated" : "2026-11-01T14:00:00.200Z",
            "profile" : ["https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication|1.3.0"]
          },
          "extension" : [{
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension",
            "valueCode" : "EMP"
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension",
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "781405001"
            }
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/drug-category-extension",
            "valueCoding" : {
              "system" : "https://gematik.de/fhir/epa-medication/CodeSystem/epa-drug-category-cs",
              "code" : "00"
            }
          },
          {
            "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension",
            "valueBoolean" : false
          },
          {
            "url" : "http://fhir.de/StructureDefinition/normgroesse",
            "valueCode" : "N1"
          }],
          "identifier" : [{
            "system" : "https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier",
            "value" : "5CA9B89A31D81FFF6869E6A93B192C03C7F715FC4A568FB060630DD639F94EF1"
          }],
          "code" : {
            "coding" : [{
              "system" : "http://fhir.de/CodeSystem/ifa/pzn",
              "code" : "06313728"
            }],
            "text" : "Sumatriptan-1a Pharma 100 mg Tabletten"
          },
          "status" : "active",
          "form" : {
            "coding" : [{
              "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM",
              "code" : "TAB",
              "display" : "Tabletten"
            }]
          },
          "amount" : {
            "numerator" : {
              "extension" : [{
                "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension",
                "valueString" : "20 St."
              }],
              "value" : 20,
              "unit" : "St"
            },
            "denominator" : {
              "value" : 1
            }
          }
        }
      },
      {
        "name" : "relatedActivity",
        "resource" : {
          "resourceType" : "Provenance",
          "id" : "20335453-d103-4957-a370-03c9007db2f6",
          "meta" : {
            "profile" : ["https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance|1.3.0"]
          },
          "target" : [{
            "reference" : "MedicationRequest/266620a9-2c26-41c1-b0cb-a10947b867f5/_history/3"
          }],
          "recorded" : "2026-12-01T14:00:00.400Z",
          "activity" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "code" : "CREATE"
            }]
          },
          "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"
            }
          }]
        }
      }]
    },
    "response" : {
      "status" : "200 OK"
    }
  },
  {
    "resource" : {
      "resourceType" : "Provenance",
      "id" : "319fcc6e-049d-4eb1-9a5c-82c33438cf94",
      "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/266620a9-2c26-41c1-b0cb-a10947b867f5/_history/3"
      },
      {
        "reference" : "MedicationRequest/71b66f1b-8032-4886-b7bf-e775daee22fb/_history/1"
      }],
      "occurredDateTime" : "2026-12-01T14:00:00.400Z",
      "recorded" : "2026-12-01T14:00:00.400Z",
      "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"
        }
      }]
    },
    "response" : {
      "status" : "200 OK"
    }
  }]
}

```
