# Render API: Medikationsliste abrufen (eML) - Implementation Guide ePA Medication Service v1.3.3

Implementation Guide

ePA Medication Service

Version 1.3.3 - release 

* [**Table of Contents**](toc.md)
* [**Render API**](render-api.md)
* **Render API: Medikationsliste abrufen (eML)**

## Render API: Medikationsliste abrufen (eML)

Der Medication Service unterstützt die aufbereitete Generierung einer elektronische Medikationsliste (eML) in den Datenformaten XHTML und PDF/A (d.h. hier kommt ****kein**** FHIR zum Einsatz).

### Nachricht

Die Nachricht zum Abruf der eML wird als HTTP GET-Anfrage an den Medication Service gesendet, um die Liste im Format PDF/A oder XHTML zu erhalten.

#### Auslösung

Wenn das ePA-Client-System die aufbereitete eML im Format PDF/A oder XHTML abrufen möchte, sendet es eine **Render API: Medikationsliste abrufen (eML)**-Nachricht an den Medication Service.

#### Render API

Das ePA-FdV MUSS es dem Nutzer ermöglichen, die Medikationsliste für sein Aktenkonto oder für das Aktenkonto des zu Vertretenden unter Verwendung von
*Render API: Medikationsliste abrufen (eML)*anzuzeigen.

Das Primärsystem KANN die
*Render API: Medikationsliste abrufen (eML)*implementieren, um die Medikationsliste anzuzeigen.
Ein ePA-Client-System kann über die folgenden URL-Aufrufe die o.g. Formate anfordern:

```

    {"resourceType":"CapabilityStatement","id":"epa-medication-service-server","meta":{"profile":["https://gematik.de/fhir/ti/StructureDefinition/ti-capability-statement"]},"extension":[{"extension":[{"url":"name","valueString":"X-Request-ID"},{"url":"type","valueString":"string"},{"url":"description","valueString":"UUID of the request message"},{"url":"format","valueString":"uuid"},{"url":"required","valueBoolean":true}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-header"},{"extension":[{"url":"name","valueString":"x-insurantid"},{"url":"type","valueString":"string"},{"url":"description","valueString":"Health Record Identifier"},{"url":"pattern","valueString":"^[A-Z]{1}\\d{9}$"},{"url":"required","valueBoolean":true}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-header"},{"extension":[{"url":"name","valueString":"x-useragent"},{"url":"type","valueString":"string"},{"url":"description","valueString":"user agent 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the list of allowed user groups"},{"url":"responseType","valueString":"application/json"},{"url":"errorCode","valueString":"invalidOid"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"403"},{"url":"description","valueString":"Device registration does not exist (if requestor role is oid_versicherter only)"},{"url":"responseType","valueString":"application/json"},{"url":"errorCode","valueString":"unregisteredDevice"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"404"},{"url":"description","valueString":"Health record is in state UNKNOWN or 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error"},{"url":"responseType","valueString":"application/json"},{"url":"errorCode","valueString":"internalError"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-base-url","valueString":"http://epa4all/epa/medication/api/v1/fhir"},{"extension":[{"url":"statusCode","valueString":"423"},{"url":"description","valueString":"If the insurant objected to the medication process or objected to the submission of prescription and dispensation data into the ePA system, the Medication Service is locked."},{"url":"responseType","valueString":"application/json"},{"url":"errorCode","valueString":"locked"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"}],"url":"https://gematik.de/fhir/epa-medication/CapabilityStatement/epa-medication-service-server","version":"1.3.2","name":"EPAMedicationServiceServer","title":"EPA CapabilityStatement für den Medication Service","status":"active","date":"2026-03-20","publisher":"gematik GmbH","contact":[{"telecom":[{"system":"url","value":"https://www.gematik.de"}]}],"description":"EPA CapabilityStatement für den Medication Service","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"DE"}]}],"copyright":"gematik GmbH / Dieser Implementation Guide ist lizenziert unter [Apache License](./license.html), Version 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
```

Successful operation

Unknown or invalid search parameter(s)

Rendering led to empty list

```

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parameter"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_PARAM_UNKNOWN"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid query parameter(s)"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_BAD_SYNTAX"}],"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":"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"}],"name":"provide-dispensation-erp","definition":"https://gematik.de/fhir/epa-medication/OperationDefinition/provide-dispensation-erp-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":"400"},{"url":"description","valueString":"Unknown search parameter"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_PARAM_UNKNOWN"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid query parameter(s)"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_BAD_SYNTAX"}],"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"}],"name":"cancel-dispensation-erp","definition":"https://gematik.de/fhir/epa-medication/OperationDefinition/cancel-dispensation-erp-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":"Bundle"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Unknown search parameter"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_PARAM_UNKNOWN"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid query parameter(s)"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_BAD_SYNTAX"}],"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":"404"},{"url":"description","valueString":"No Resource found matching the query"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_NO_MATCH"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"}],"name":"medication-list","definition":"https://gematik.de/fhir/epa-medication/OperationDefinition/get-medication-list-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":"Bundle"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Unknown search parameter"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_PARAM_UNKNOWN"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"},{"extension":[{"url":"statusCode","valueString":"400"},{"url":"description","valueString":"Invalid query parameter(s)"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_BAD_SYNTAX"}],"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":"404"},{"url":"description","valueString":"No Resource found matching the query"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MSG_NO_MATCH"}],"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":"404"},{"url":"description","valueString":"eMP does not exist"},{"url":"responseType","valueString":"EPAMSOperationOutcome"},{"url":"errorCode","valueString":"MEDSVC_EMP_NO_EXIST"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"}],"name":"medication-plan","definition":"https://gematik.de/fhir/epa-medication/OperationDefinition/get-medication-plan-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":"Bundle"}],"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"}],"name":"medication-plan-log","definition":"https://gematik.de/fhir/epa-medication/OperationDefinition/medication-plan-log-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":"application/json"},{"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":"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":"application/json"},{"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":"application/json"},{"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"}]}]}
    
```

Successful operation

Unknown or invalid search parameter(s)

Rendering led to empty list

#### Rückgabeformate

Der Medication Service MUSS die Media Types (Content-Types)
*text/html*und
*application/pdf*setzen, um eine erfolgreiche Ausgabe der aufbereiteten, elektronischen Medikationsliste zu gewährleisten.

Der Medication Service MUSS für die
*Render API: Medikationsliste abrufen*die folgenden HTTP Status Codes zurückgeben, um den Erfolg oder mögliche Fehler bei der Verarbeitung einer Anfrage klar zu kommunizieren:

| | | | |
| :--- | :--- | :--- | :--- |
| 200 | Successful operation |  |  |
| 400 | Unknown or invalid search parameter(s) |  |  |
| 404 | Rendering led to empty list | noEntries |  |

**Tabelle:**HTTP Status Codes für die Antwortnachricht
#### Schematischer Aufbau

Der Medication Service MUSS zur Generierung der aufbereiteten eML in den Formaten PDF/A und XHTML die Medikationsdaten der letzten 12 Monate aus den relevanten FHIR-Ressourcen heranziehen. Dabei sind sowohl Verordnungen, Dispensierungen als auch Medikationsnachträge zu berücksichtigen. Die Sortierung erfolgt absteigend (
*desc*) nach dem Datum der Medikationsinformation. Grundlage hierfür ist das Element
*MedicationStatement.effective*, das sowohl das ursprüngliche Verordnungsdatum als auch ein Nachtragsdatum abbildet. Bei mehreren
*MedicationStatement*-Instanzen mit demselben
*effective*-Wert ist zusätzlich das Element
*MedicationStatement.meta.lastUpdated*in absteigender Reihenfolge zu berücksichtigen.

Der Medication Service MUSS sicherstellen, dass die generierte elektronische Medikationsliste (eML) in den Formaten PDF/A und XHTML alle für die korrekte Anzeige und Nachvollziehbarkeit relevanten Informationen enthält. Grundlage der gerenderten eML sind
*MedicationStatement*-Instanzen.

Die gerenderte eML enthält folgende Inhalte:

* Alle relevanten *MedicationStatement*-Instanzen des Profils *EPAMedicationStatement*.
* Die zugehörigen *Medication*-Instanzen, die in der *medicationReference* des *MedicationStatement* oder in den über *derivedFrom* referenzierten *MedicationRequest*- und *MedicationDispense*-Instanzen verwendet werden.
* Alle *MedicationRequest*-Instanzen, die über *MedicationStatement.derivedFrom* referenziert sind, zur Darstellung der ursprünglichen Verordnungsinformationen.
* Alle *MedicationDispense*-Instanzen, die über *MedicationStatement.derivedFrom* referenziert sind, zur Darstellung der Abgabeinformationen.
* Alle *PractitionerRole*- und *Organization*-Instanzen, die in den *MedicationRequest*- und *MedicationDispense*-Instanzen als Akteure referenziert werden.
* Alle *Practitioner*- und *Organization*-Instanzen, die von *PractitionerRole*-Instanzen referenziert werden, um die Akteure vollständig darzustellen.
* Alle relevanten *Provenance*-Instanzen des Profils *EPAActivityProvenance*, die als *target* auf die jeweilige Version der *MedicationStatement*-Instanz zeigen. Diese *Provenance*-Instanzen dokumentieren die Entstehungshistorie.
* Alle *Organization*-Instanzen, die in den *Provenance.agent.who*-Referenzen enthalten sind.

Der Medication Service MUSS sicherstellen, dass in der gerenderten elektronischen Medikationsliste (eML) nur gültige und relevante Medikationsinformationen angezeigt werden. Medikationsdaten, die fehlerhaft sind oder storniert wurden, dürfen nicht in die eML aufgenommen werden. Dazu sind
*MedicationStatement*-Instanzen auszuschließen, wenn ihr Status den Wert
*entered-in-error*hat. Ebenso dürfen
*MedicationRequest*- und
*MedicationDispense*-Instanzen nicht berücksichtigt werden, wenn sie ausschließlich von ausgeschlossenen
*MedicationStatement*-Instanzen über
*derivedFrom*referenziert werden. Darüber hinaus sind
*MedicationDispense*-Instanzen auszuschließen, deren Status auf
*cancelled*oder
*declined*gesetzt ist
*Medication*-Instanzen dürfen nicht in der eML erscheinen, wenn sie ausschließlich von ausgeschlossenen oder stornierten
*MedicationRequest*- oder
*MedicationDispense*-Instanzen referenziert werden. Wird eine
*Medication*-Instanz jedoch zusätzlich von gültigen Instanzen referenziert, bleibt sie in der eML enthalten.

Der Medication Service MUSS die Medikationsliste in beiden Ausgabeformaten (d.h. PDF/A und XHTML) generieren können. Verbindliche Vorgaben für den schematischen Aufbau und die Benennung der Datenherkunft innerhalb des Medication Service erfolgen nachstehend. Liegen substituierte Arzneimittel vor, müssen diese pro Substitution als Listeneintrag für die Quelle herangezogen werden. Der identifizierenden Werte des Aktenkontoinhabers müssen unter Hinzuziehung der aktuellen Instanz von [EPAPatient] belegt werden, sofern sie im Patient Service vorliegen. Liegt sie nicht vor, MUSS der Medication Service dennoch den schematischen Aufbau für die Identifikationsdaten beibehalten (d.h. Name und Geburtsdatum ohne Wert). Die KVNR wird aus dem intern verfügbaren Aktenkonto bezogen.

* Name: Geburtsdatum
  * `Patient.name:Name.prefix``Patient.name:Name.given``Patient.name:Name.family`: `Patient.birthDate`im Format [TT.MM.JJJJ]
* Name: KVNR
  * `Patient.name:Name.prefix``Patient.name:Name.given``Patient.name:Name.family`: `Patient.identifier:KVNR`

* Spaltenkopf: Verordnung
  * FHIR-Profil FHIR Element-ID: [EPAMedicationRequest](./StructureDefinition-epa-medication-request.md)`MedicationRequest.authoredOn`*und**Beide Datenquellen aus der Verordnung sind zu verknüpfen:*[PractitionerDirectory] bzw. [OrganizationDirectory]`Practitioner.name` + " " +`Organization.name`
  * Bemerkung: Bleibt leer bei Nachträgen
* Spaltenkopf: Dispensierung
  * FHIR-Profil FHIR Element-ID: [EPAMedicationDispense](./StructureDefinition-epa-medication-dispense.md)`MedicationDispense.whenHandedOver`*und*[OrganizationDirectory]`Organization.name`in`MedicationDispense.performer.actor`
  * Bemerkung: Bleibt leer bei Nachträgen
* Spaltenkopf: Bearbeitung
  * FHIR-Profil FHIR Element-ID: [EPAActivityProvenance]`Provenance.recorded`*und*[TIOrganization]`Organization.name`*in*`Provenance.agent.who`
  * Bemerkung: Bleibt leer, wenn`Provenance.agent.who`der Medication Service
* Spaltenkopf: Wirkstoffname
  * FHIR-Profil FHIR Element-ID: *Wenn vorhanden, dann wie folgt zu belegen:*[EPAMedicationStatement](./StructureDefinition-epa-medication-statement.md)*bzw.*[EPAMedication](./StructureDefinition-epa-medication.md)`Medication.ingredient.item[x]:itemCodeableConcept.text`*in*`MedicationStatement.medicationReference`
  * Bemerkung: 
* Spaltenkopf: Wirkstärke
  * FHIR-Profil FHIR Element-ID: *Wenn vorhanden, dann wie folgt zu belegen:*[EPAMedicationStatement](./StructureDefinition-epa-medication-statement.md)*bzw.*[EPAMedication](./StructureDefinition-epa-medication.md)`Medication.ingredient.strength`*in*`MedicationStatement.medicationReference`*Falls vorhanden, sind `Numerator` und `Denominator` mit jeweils den Belegungen zu `value` und `unit` getrennt mit Bruchstrich anzugeben.*
  * Bemerkung: 
* Spaltenkopf: Arzneimittelbezeichnung
  * FHIR-Profil FHIR Element-ID: *Wenn vorhanden, dann bei Nicht-Wirkstoffverordnungen wie folgt zu belegen:*[EPAMedicationStatement](./StructureDefinition-epa-medication-statement.md)*bzw.*[EPAMedication](./StructureDefinition-epa-medication.md)`Medication.code.text`*in*`MedicationStatement.medicationReference`
* Spaltenkopf: Form
  * FHIR-Profil FHIR Element-ID: *Wenn vorhanden, dann wie folgt zu belegen:*[EPAMedicationStatement](./StructureDefinition-epa-medication-statement.md)*bzw.*[EPAMedication](./StructureDefinition-epa-medication.md)`Medication.form.coding`
  * Bemerkung: 
* Spaltenkopf: Dosierangabe
  * FHIR-Profil FHIR Element-ID: [DosageDgMP]*Wenn vorhanden, dann wie folgt zu belegen:*`MedicationStatement.extension:renderedDosageInstruction.valueMarkdown`*ansonsten, falls vorhanden:*`Dosage.text`*in*`MedicationStatement.dosage`
* Spaltenkopf: PZN
  * FHIR-Profil FHIR Element-ID: *Bei PZN-Verordnung wie folgt zu belegen:*[EPAMedicationStatement](./StructureDefinition-epa-medication-statement.md)*bzw.*[EPAMedication](./StructureDefinition-epa-medication.md)`Medication.code.coding:pznCode`in`MedicationStatement.medicationReference`*Bei PZN-basierter Abgabe zu einer Rezepturverordnung wie folgt zu belegen:*[EPAMedicationStatement](./StructureDefinition-epa-medication-statement.md)*bzw.*[EPAMedication](./StructureDefinition-epa-medication.md)`Medication.ingredient.item[x]:itemCodeableConcept.coding:pznCode.code`*in*`MedicationStatement.medicationReference`
  * Bemerkung: 
* Spaltenkopf: eMP
  * FHIR-Profil FHIR Element-ID: *Sofern ein Eintrag in*[EPAMedicationStatement](./StructureDefinition-epa-medication-statement.md)*mit*`MedicationStatement.baseOn`*und*`.extension:isEmp.valueBoolean = true`*existiert, wird hier ein *X* dargestellt.*
  * Bemerkung: 

**Tabelle:**Schematischer Aufbau und Datenherkunft der generierten elektronischen Medikationsliste (eML)
Der Medication Service MUSS beim Rendern der elektronischen Medikationsliste (eML) Substitution und Mehrfachverordnung in dem Dokument erkennbar markieren.

* Eine Substitution muss dem Dispensierdatum mittels einem vorrangestellten *(S)* gekennzeichnet werden.
* Eine Mehrfachverordnung muss dem Verordnungsdatum mittels einem vorrangestellten *(M)* gekennzeichnet werden.

Auf jeder Seite muss diese Information in einer Legende wie folgt dargestellt werden:
*Legende: (S) Substitution, (M) Mehrfachverordnung*
### Sicherheitsanforderungen

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

