Implementation Guide
ePA Medication Service
Version 1.3.3 - release

## Operation API: eMP Chronologie abrufen

Die Operation eMP-Chronologie abrufen liefert die chronologische Historie aller gespeicherten Versionen des elektronischen Medikationsplans (eMP) in Form von Provenance-Ressourcen. Jede Provenance-Instanz beschreibt dabei einen dokumentierten Zustand des eMP zu einem bestimmten Zeitpunkt. Die Operation ermöglicht es, gezielt die Versionshistorie des Medikationsplans abzufragen - etwa um Änderungen nachzuvollziehen oder frühere Zustände einzusehen. Die Einträge werden standardmäßig absteigend nach dem Erfassungszeitpunkt (Provenance.recorded) sortiert, sodass die neueste Version zuerst erscheint. Zur Steuerung der Ergebnismenge werden die Parameter count und _offset unterstützt. Damit lässt sich das Ergebnis-Bundle paginieren. Das Ergebnis ist ein Bundle vom Typ searchset, das ausschließlich solche Provenance-Instanzen enthält, die zur Versionierung des eMP gehören - andere Provenance-Instanzen werden nicht berücksichtigt.

### Nachricht

Die Nachricht zum Abruf der FHIR-Instanzen der eMP-Chronologie wird als HTTP GET-Anfrage an den Medication Service gesendet.

#### Auslösung

Wenn das ePA-Client-System die chronologische Historie des eMP abrufen möchte, sendet es eine Anfrage an die Operation API: eMP-Chronologie abrufen. Der Medication Service verarbeitet die Anfrage und stellt die entsprechende Liste von Provenance-Instanzen bereit, sodass die verschiedenen Versionen des eMP im ePA-Client-System angezeigt oder weiterverarbeitet werden können.

#### FHIR Operation API

Das Primärsystem MUSS die Operation eMP-Chronologie abrufen implementieren, um eine chronologische Historie aller gespeicherten Versionen des eMP darstellen zu können. Das ePA-FdV SOLL die Operation eMP-Chronologie abrufen implementieren, um eine chronologische Historie aller gespeicherten Versionen des eMP darstellen zu können. Der Medication Service MUSS die Operation eMP-Chronologie abrufen gemäß der FHIR OperationDefinition Medication Plan Chronology Log ausführen.

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              <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/29d46448-b585-4501-9660-a1236436560f/_history/1"/>
            </target>
            <target>
              <reference
                         value="MedicationRequest/9f5200a9-deaf-4c11-ab68-fc4d1c9db92b/_history/2"/>
            </target>
            <target>
              <reference
                         value="MedicationRequest/f9a249c2-8304-45d9-8b8f-b2865351b17b/_history/1"/>
            </target>
            <target>
              <reference
                         value="MedicationRequest/da4009cc-ee0d-40a4-92fc-402fd6b0c129/_history/1"/>
            </target>
            <occurredDateTime value="2026-08-03T14:00:00+01:00"/>
            <recorded value="2026-08-03T14:00:00+01:00"/>
            <activity>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
                <code value="UPDATE"/>
                <display value="revise"/>
              </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>
                  <system value="https://gematik.de/fhir/sid/telematik-id"/>
                  <value value="9-2.58.00000040"/>
                </identifier>
                <display value="gematik Apotheke"/>
              </who>
            </agent>
          </Provenance>
        </resource>
        <search>
          <mode value="match"/>
        </search>
      </entry>
      <entry>
        <fullUrl
                 value="http://epa4all/epa/medication/api/v1/fhir/Provenance/75f7a1f9-5bc8-4ff8-884e-120caf30dde5"/>
        <resource>
          <Provenance>
            <id value="75f7a1f9-5bc8-4ff8-884e-120caf30dde5"/>
            <meta>
              <versionId value="1"/>
              <lastUpdated value="2026-07-11T14:20:00+01:00"/>
              <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/29d46448-b585-4501-9660-a1236436560f/_history/1"/>
            </target>
            <target>
              <reference
                         value="MedicationRequest/9f5200a9-deaf-4c11-ab68-fc4d1c9db92b/_history/2"/>
            </target>
            <target>
              <reference
                         value="MedicationRequest/f9a249c2-8304-45d9-8b8f-b2865351b17b/_history/1"/>
            </target>
            <occurredDateTime value="2026-07-11T14:20:00+01:00"/>
            <recorded value="2026-07-11T14:20:00+01:00"/>
            <activity>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
                <code value="UPDATE"/>
                <display value="revise"/>
              </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>
                  <system value="https://gematik.de/fhir/sid/telematik-id"/>
                  <value value="9-2.58.00000040"/>
                </identifier>
                <display value="gematik Apotheke"/>
              </who>
            </agent>
          </Provenance>
        </resource>
        <search>
          <mode value="match"/>
        </search>
      </entry>
      <entry>
        <fullUrl
                 value="http://epa4all/epa/medication/api/v1/fhir/Provenance/afacd2a0-f3e8-4cc1-ac47-be7a44fe01a3"/>
        <resource>
          <Provenance>
            <id value="afacd2a0-f3e8-4cc1-ac47-be7a44fe01a3"/>
            <meta>
              <versionId value="1"/>
              <lastUpdated value="2026-07-11T11:15:00+01:00"/>
              <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/29d46448-b585-4501-9660-a1236436560f/_history/1"/>
            </target>
            <target>
              <reference
                         value="MedicationRequest/9f5200a9-deaf-4c11-ab68-fc4d1c9db92b/_history/1"/>
            </target>
            <target>
              <reference
                         value="MedicationRequest/f9a249c2-8304-45d9-8b8f-b2865351b17b/_history/1"/>
            </target>
            <occurredDateTime value="2026-07-11T11:15:00+01:00"/>
            <recorded value="2026-07-11T11:15:00+01:00"/>
            <activity>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
                <code value="UPDATE"/>
                <display value="revise"/>
              </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>
                  <system value="https://gematik.de/fhir/sid/telematik-id"/>
                  <value value="9-2.58.00000040"/>
                </identifier>
                <display value="gematik Apotheke"/>
              </who>
            </agent>
          </Provenance>
        </resource>
        <search>
          <mode value="match"/>
        </search>
      </entry>
    </Bundle>

Der Medication Service MUSS in der Operation eMP-Chronologie abrufen das Ergebnis als FHIR Bundle mit dem type searchset zurückgeben. Der Medication Service MUSS in der Operation eMP-Chronologie abrufen auch dann ein Bundle vom Typ searchset zurückgeben, wenn keine eMP-Chronologieeinträge vorhanden sind. In diesem Fall enthält das Bundle keine Provenance-Instanzen. Der Medication Service MUSS in der Operation eMP-Chronologie abrufen ausschließlich Provenance-Instanzen berücksichtigen, bei denen die Extension IsEMPChronologyExtension den Wert true hat. Der Medication Service MUSS das Suchergebnis der Operation eMP-Chronologie abrufen absteigend (desc) nach dem Element Provenance.recorded sortieren. Der Medication Service MUSS in der Operation eMP-Chronologie abrufen die Paginierung unterstützen, um eine Verarbeitung und Navigation durch große Mengen an eMP-Chronologieeinträgen zu ermöglichen. Die Implementierung der Paginierung erfolgt gemäß den allgemeinen Paginierungsanforderungen eines FHIR Data Service.

### Sicherheitsanforderungen

Generelle Sicherheitsanforderungen werden hier festgehalten.