Implementation Guide
ePA Medication Service
Version 1.3.3 - release

## Operation API: eMP-Eintrag hinzufügen

Die Operation eMP-Eintrag hinzufügen ermöglicht das gezielte Einfügen eines neuen Medikationseintrags in den elektronischen Medikationsplan (eMP). Dabei werden zwei Ressourcen kombiniert, die gemeinsam den vollständigen fachlichen Kontext der Medikation abbilden: eine MedicationRequest-Instanz mit dem intent plan sowie eine zugehörige Medication-Instanz. Die MedicationRequest-Ressource muss dabei stets dem fachlichen FHIR-Profil EMPMedicationRequest entsprechen.

Für die Medication-Ressource gilt:

- Wird eine neue Medication-Ressource im Rahmen der Operation in den Medication Service eingestellt, so muss diese dem Profil EMPMedication entsprechen.

Der Medication Service validiert die übermittelten Inhalte und übernimmt ausschließlich konforme Ressourcen, sofern eine neue Medication bereitgestellt wird.

Die MedicationRequest beschreibt dabei die konkrete beabsichtigte oder durchgeführte Medikation, während die Medication die fachlich abstrahierte Arzneimittelbeschreibung liefert. Für das ePA-Client-System bestehen somit zwei Möglichkeiten:

- eine neue Medication-Ressource für die reine Planung hinzufügen, oder
- auf eine bereits vorhandene Medication-Instanz aus dem Verschreibungs- oder Abgabeprozess referenzieren.

Damit können sowohl geplante Arzneimittel als auch verschriebene und abgegebene Arzneimittel konsistent im eMP dokumentiert werden. Im Gegensatz zur eML, in der konkrete Arzneimittelpackungen referenziert werden, dienen die im eMP verwendeten Medication-Instanzen der langfristigen fachlichen Beschreibung der Therapie.

Im Zuge dieser Operation wird ferner automatisch eine neue Version des eMP erzeugt. Dazu wird eine Provenance-Ressource gemäß dem Profil EMPChronologyProvenance erstellt, die alle gültigen eMP-Einträge zum Zeitpunkt der Operation referenziert. Die Auswahl dieser Einträge basiert auf dem Status der MedicationRequest-Instanzen:

- Berücksichtigt werden alle Einträge mit Status aktiv (active) oder pausiert (on-hold).
- Nicht berücksichtigt werden Einträge mit Status beendet (completed), abgebrochen (stopped) oder fehlerhaft (entered-in-error).

Als Lesenachweis für die aktuell gültige eMP-Version muss bei Abrufoperationen immer die Resource.id dieses zuletzt erzeugten eMP-Chronologieeintrags angegeben werden. Zur Nachverfolgbarkeit werden im Rahmen der Operation zusätzlich zwei Provenance-Ressourcen erzeugt:

- Eine EPAActivityProvenance dokumentiert die Änderung an der MedicationRequest-Instanz und enthält Informationen zur ausführenden Organisation (aus dem HTTP Header X-Requesting-Organization).
- Eine EMPChronologyProvenance dokumentiert die vollständige eMP-Version zum aktuellen Zeitpunkt und referenziert alle relevanten Einträge gemäß oben genannter Statuslogik.

Die Ergebnisse der Operation werden in einer strukturierten Output-Parameters-Ressource zurückgegeben. Diese enthält die neu erstellten oder aktualisierten Ressourcen, einschließlich der Provenance-Instanzen.

### Nachricht

Die Nachricht zum Hinzufügen eines Medikationseintrags zum eMP 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 Medikationseinträge zum eMP ergänzen möchte, verwendet es diese Operation des Medication Service.

#### Antwort

Die Operation gibt den erzeugten Medikationseintrag mit den Instanzen gemäß EMPMedicationRequest und EMPMedication als Ergebnis zurück.

#### FHIR Operation API

Das Primärsystem MUSS die Operation eMP-Eintrag hinzufügen implementieren, um einer Leistungserbringerinstitution das Hinzufügen eines Medikationseintrags zum eMP zu ermöglichen. Das Primärsystem SOLL beim Erzeugen eines eMP-Eintrags mit anschließender Verordnung eines E-Rezepts dieselbe Arzneimittelkodierung und -bezeichnung sowie dieselbe Wirkstoffkodierung und -bezeichnung verwenden, wie sie im E-Rezept intendiert ist. Das Primärsystem MUSS beim Erzeugen eines eMP-Eintrags mit anschließender Verordnung eines E-Rezepts den vom Medication Service erzeugten [gemIG_TI_Common#MedicationPlanIdentifier] an das E-Rezept(-Modul) übergeben, um diesen in das E-Rezept zu integrieren. Das Primärsystem MUSS für die Ausführung der Operation eMP-Eintrag hinzufügen den HTTP Header X-Requesting-Organization übermitteln. Der Medication Service MUSS für die Operation eMP-Eintrag hinzufügen 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 eMP-Eintrag hinzufügen gemäß der FHIR OperationDefinition eMP-Eintrag hinzufügen implementieren.

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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"}]}]}

###

          {"resourceType":"OperationDefinition","id":"add-emp-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 add-emp-entry-op</p><a name=\"add-emp-entry-op\"> </a><a name=\"hcadd-emp-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://simplifier.net/resolve?scope=de.gematik.ti@1.3.1&canonical=https://gematik.de/fhir/ti/StructureDefinition/ti-operationdefinition\">OperationDefinition Profil für TI FHIR Data Service</a></p></div>URL: [base]/$add-emp-entryInput parameters Profile:<a href=\"StructureDefinition-epa-op-add-emp-entry-input-parameters.html\">EPA Operation addEMPEntry Input-Parameters</a>Output parameters Profile:<a href=\"StructureDefinition-epa-op-emp-entry-output-parameters.html\">EPA Operation EMPEntry 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/add-emp-entry-op","version":"1.3.2","name":"addEMPEntry_MedicationSvc","title":"eMP-Eintrag hinzufügen","status":"active","kind":"operation","date":"2026-03-20","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 ermöglicht das Hinzufügen eines neuen Medikations-Eintrags zum elektronischen Medikationsplan (eMP). Der Eintrag wird als EMPMedicationRequest erzeugt, wobei die angegebene Medication sowohl in medicationReference als auch in extension[originMedication] referenziert wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"DE"}]}],"affectsState":true,"code":"add-emp-entry","system":true,"type":false,"instance":false,"inputProfile":"https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-add-emp-entry-input-parameters","outputProfile":"https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-emp-entry-output-parameters"}

    {
      "resourceType" : "Parameters",
      "id" : "example-epa-op-add-emp-entry-input-parameters-1",
      "meta" : {
        "profile" : [
          🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-add-emp-entry-input-parameters|1.3.0"
        ]
      },
      "parameter" : [
        {
          "name" : "acknowledgedChronologyId",
          "valueId" : "0b383501-f078-464b-b984-9fdb6751601b"
        },
        {
          "name" : "medication",
          "part" : [
            {
              "name" : "resource",
              "resource" : {
                "resourceType" : "Medication",
                "id" : "1193c409-3df4-4b55-b672-811665aaa1b7",
                "meta" : {
                  "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
                  }
                ],
                "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" : "empEntry",
          "resource" : {
            "resourceType" : "MedicationRequest",
            "id" : "881f3c6d-20e6-443e-b7dc-580a40fa3d14",
            "meta" : {
              "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"
              }
            ],
            "status" : "active",
            "intent" : "plan",
            "medicationReference" : {
              "reference" : "Medication/1193c409-3df4-4b55-b672-811665aaa1b7"
            },
            "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"
                    }
                  }
                ]
              }
            ]
          }
        }
      ]
    }

    <Parameters xmlns="http://hl7.org/fhir">
      <id value="example-epa-op-add-emp-entry-input-parameters-1"/>
      <meta>
        <profile
                 value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-add-emp-entry-input-parameters|1.3.0"/>
      </meta>
      <parameter>
        <name value="acknowledgedChronologyId"/>
        <valueId value="0b383501-f078-464b-b984-9fdb6751601b"/>
      </parameter>
      <parameter>
        <name value="medication"/>
        <part>
          <name value="resource"/>
          <resource>
            <Medication>
              <id value="1193c409-3df4-4b55-b672-811665aaa1b7"/>
              <meta>
                <profile
                         value="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication|1.3.0"/>
              </meta>
              <extension
                         url="https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension">
                <valueCode value="EMP"/>
              </extension>
              <extension
                         url="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension">
                <valueCoding>
                  <system value="http://snomed.info/sct"/>
                  <code value="763158003"/>
                </valueCoding>
              </extension>
              <extension
                         url="https://gematik.de/fhir/epa-medication/StructureDefinition/drug-category-extension">
                <valueCoding>
                  <system
                          value="https://gematik.de/fhir/epa-medication/CodeSystem/epa-drug-category-cs"/>
                  <code value="00"/>
                </valueCoding>
              </extension>
              <extension url="http://fhir.de/StructureDefinition/normgroesse">
                <valueCode value="N3"/>
              </extension>
              <extension
                         url="https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension">
                <valueBoolean value="false"/>
              </extension>
              <code>
                <coding>
                  <system value="http://fhir.de/CodeSystem/ifa/pzn"/>
                  <code value="04351736"/>
                  <display value="Benazepril AL 20mg 98 Filmtabletten N3"/>
                </coding>
                <text value="Benazepril AL 20mg 98 Filmtabletten N3"/>
              </code>
              <status value="active"/>
              <form>
                <coding>
                  <system
                          value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM"/>
                  <code value="FTA"/>
                </coding>
              </form>
              <amount>
                <numerator>
                  <extension
                             url="https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension">
                    <valueString value="98"/>
                  </extension>
                  <unit value="Stück"/>
                </numerator>
                <denominator>
                  <value value="1"/>
                </denominator>
              </amount>
              <ingredient>
                <itemCodeableConcept>
                  <coding>
                    <system value="http://fhir.de/CodeSystem/ask"/>
                    <code value="23413"/>
                  </coding>
                  <text value="Benazepril hydrochlorid"/>
                </itemCodeableConcept>
                <strength>
                  <numerator>
                    <value value="20"/>
                    <unit value="mg"/>
                  </numerator>
                  <denominator>
                    <value value="1"/>
                    <unit value="Filmtbl."/>
                  </denominator>
                </strength>
              </ingredient>
            </Medication>
          </resource>
        </part>
      </parameter>
      <parameter>
        <name value="empEntry"/>
        <resource>
          <MedicationRequest>
            <id value="881f3c6d-20e6-443e-b7dc-580a40fa3d14"/>
            <meta>
              <profile
                       value="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication-request|1.3.1"/>
            </meta>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension">
              <valueCode value="EMP"/>
            </extension>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension">
              <valueString value="Bluthochdruck"/>
            </extension>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension">
              <valueAnnotation>
                <text
                      value="Benazepril kann anfangs Schwindel verursachen - daher zuerst in Ruhe einnehmen und Autofahren vermeiden."/>
              </valueAnnotation>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod">
              <valuePeriod>
                <start value="2026-12-01"/>
              </valuePeriod>
            </extension>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-origin-medication-extension">
              <valueReference>🔗
                <reference
                           value="Medication/13c66845-d0ce-43e1-9b0b-884cbbe8df7f"/>
              </valueReference>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction">
              <valueMarkdown value="1-0-1-0 Stück"/>
            </extension>
            <extension
                       url="http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta">
              <extension url="algorithmVersion">
                <valueString value="1.0.1"/>
              </extension>
              <extension url="language">
                <valueCode value="de-DE"/>
              </extension>
            </extension>
            <status value="active"/>
            <intent value="plan"/>
            <medicationReference>
              <reference value="Medication/1193c409-3df4-4b55-b672-811665aaa1b7"/>
            </medicationReference>
            <subject>
              <identifier>
                <system value="http://fhir.de/sid/gkv/kvid-10"/>
                <value value="X110411319"/>
              </identifier>
            </subject>
            <authoredOn value="2026-12-01"/>
            <note>
              <text value="Hinweis für den LE"/>
            </note>
            <dosageInstruction>
              <timing>
                <repeat>
                  <frequency value="2"/>
                  <period value="1"/>
                  <periodUnit value="d"/>
                  <when value="MORN"/>
                  <when value="EVE"/>
                </repeat>
              </timing>
              <doseAndRate>
                <doseQuantity>
                  <value value="1"/>
                  <unit value="Stück"/>
                  <system
                          value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT"/>
                  <code value="1"/>
                </doseQuantity>
              </doseAndRate>
            </dosageInstruction>
          </MedicationRequest>
        </resource>
      </parameter>
    </Parameters>

    {
      "resourceType" : "Parameters",
      "id" : "example-epa-op-add-emp-entry-with-reference-input-parameters-1",
      "meta" : {
        "profile" : [
          🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-add-emp-entry-input-parameters|1.3.0"
        ]
      },
      "parameter" : [
        {
          "name" : "acknowledgedChronologyId",
          "valueId" : "0b383501-f078-464b-b984-9fdb6751601b"
        },
        {
          "name" : "medication",
          "part" : [
            {
              "name" : "reference",
              "valueReference" : {
                🔗 "reference" : "Medication/fc7b28e8-05ac-4ac8-86d7-7677d9c6134e"
              }
            }
          ]
        },
        {
          "name" : "empEntry",
          "resource" : {
            "resourceType" : "MedicationRequest",
            "id" : "6cc286cc-15a6-48ad-a349-9e8b6a48af75",
            "meta" : {
              "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"
              }
            ],
            "status" : "active",
            "intent" : "plan",
            "medicationReference" : {
              🔗 "reference" : "Medication/87f08ba2-da7e-467e-86aa-404d9035297c",
              "display" : "Sumatriptan-1a Pharma 100 mg Tabletten"
            },
            "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"
                    }
                  }
                ]
              }
            ]
          }
        }
      ]
    }

    <Parameters xmlns="http://hl7.org/fhir">
      <id value="example-epa-op-add-emp-entry-with-reference-input-parameters-1"/>
      <meta>
        <profile
                 value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-add-emp-entry-input-parameters|1.3.0"/>
      </meta>
      <parameter>
        <name value="acknowledgedChronologyId"/>
        <valueId value="0b383501-f078-464b-b984-9fdb6751601b"/>
      </parameter>
      <parameter>
        <name value="medication"/>
        <part>
          <name value="reference"/>
          <valueReference>🔗
            <reference value="Medication/fc7b28e8-05ac-4ac8-86d7-7677d9c6134e"/>
          </valueReference>
        </part>
      </parameter>
      <parameter>
        <name value="empEntry"/>
        <resource>
          <MedicationRequest>
            <id value="6cc286cc-15a6-48ad-a349-9e8b6a48af75"/>
            <meta>
              <profile
                       value="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication-request|1.3.1"/>
            </meta>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension">
              <valueCode value="EMP"/>
            </extension>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension">
              <valueString
                           value="akuten Behandlung von Migräneanfällen mit und ohne Aura"/>
            </extension>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension">
              <valueAnnotation>
                <text
                      value="Bitte schützen Sie das Arzneimittel vor hohen Temperaturen und direkter Sonneneinstrahlung."/>
              </valueAnnotation>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod">
              <valuePeriod>
                <start value="2026-12-01"/>
                <end value="2027-02-01"/>
              </valuePeriod>
            </extension>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-origin-medication-extension">
              <valueReference>🔗
                <reference
                           value="Medication/87f08ba2-da7e-467e-86aa-404d9035297c"/>
              </valueReference>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction">
              <valueMarkdown value="1-0-0-0 Stück"/>
            </extension>
            <extension
                       url="http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta">
              <extension url="algorithmVersion">
                <valueString value="1.0.1"/>
              </extension>
              <extension url="language">
                <valueCode value="de-DE"/>
              </extension>
            </extension>
            <status value="active"/>
            <intent value="plan"/>
            <medicationReference>🔗
              <reference value="Medication/87f08ba2-da7e-467e-86aa-404d9035297c"/>
              <display value="Sumatriptan-1a Pharma 100 mg Tabletten"/>
            </medicationReference>
            <subject>
              <identifier>
                <system value="http://fhir.de/sid/gkv/kvid-10"/>
                <value value="X110411319"/>
              </identifier>
            </subject>
            <authoredOn value="2026-11-01"/>
            <note>
              <text value="Hinweis für den LE"/>
            </note>
            <dosageInstruction>
              <timing>
                <repeat>
                  <frequency value="1"/>
                  <period value="1"/>
                  <periodUnit value="d"/>
                  <when value="MORN"/>
                </repeat>
              </timing>
              <doseAndRate>
                <doseQuantity>
                  <value value="1"/>
                  <unit value="Stück"/>
                  <system
                          value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT"/>
                  <code value="1"/>
                </doseQuantity>
              </doseAndRate>
            </dosageInstruction>
          </MedicationRequest>
        </resource>
      </parameter>
    </Parameters>

    {
      "resourceType" : "Parameters",
      "id" : "example-epa-op-emp-entry-output-parameters-1",
      "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"
                }
              }
            ]
          }
        },
        {
          "name" : "relatedChronology",
          "resource" : {
            "resourceType" : "Provenance",
            "id" : "b467ce05-e0e5-4d71-9a0b-d824dbb492ef",
            "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/173439a1-40ee-4b61-bb8c-aab3f5a1af10/_history/2"
              },
              {
                "reference" : "MedicationRequest/e2da4372-accc-4a76-81da-83e43ef9b15a/_history/1"
              },
              {
                "reference" : "MedicationRequest/71b66f1b-8032-4886-b7bf-e775daee22fb/_history/1"
              }
            ],
            "occurredDateTime" : "2026-12-01T14:00:00.700Z",
            "recorded" : "2026-12-01T14:00:00.700Z",
            "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"
                }
              }
            ]
          }
        }
      ]
    }

    <Parameters xmlns="http://hl7.org/fhir">
      <id value="example-epa-op-emp-entry-output-parameters-1"/>
      <meta>
        <profile
                 value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-emp-entry-output-parameters|1.3.0"/>
      </meta>
      <parameter>
        <name value="empEntry"/>
        <resource>
          <MedicationRequest>
            <id value="71b66f1b-8032-4886-b7bf-e775daee22fb"/>
            <meta>
              <versionId value="1"/>
              <lastUpdated value="2026-12-01T14:00:00.400Z"/>
              <profile
                       value="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication-request|1.3.1"/>
            </meta>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension">
              <valueCode value="EMP"/>
            </extension>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension">
              <valueString value="Bluthochdruck"/>
            </extension>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension">
              <valueAnnotation>
                <text
                      value="Benazepril kann anfangs Schwindel verursachen - daher zuerst in Ruhe einnehmen und Autofahren vermeiden."/>
              </valueAnnotation>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod">
              <valuePeriod>
                <start value="2026-12-01"/>
              </valuePeriod>
            </extension>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-origin-medication-extension">
              <valueReference>🔗
                <reference
                           value="Medication/13c66845-d0ce-43e1-9b0b-884cbbe8df7f"/>
              </valueReference>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction">
              <valueMarkdown value="1-0-1-0 Stück"/>
            </extension>
            <extension
                       url="http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta">
              <extension url="algorithmVersion">
                <valueString value="1.0.1"/>
              </extension>
              <extension url="language">
                <valueCode value="de-DE"/>
              </extension>
            </extension>
            <identifier>
              <system value="https://gematik.de/fhir/sid/emp-identifier"/>
              <value value="71b66f1b-8032-4886-b7bf-e775daee22fb"/>
            </identifier>
            <status value="active"/>
            <intent value="plan"/>
            <medicationReference>🔗
              <reference value="Medication/13c66845-d0ce-43e1-9b0b-884cbbe8df7f"/>
            </medicationReference>
            <subject>
              <identifier>
                <system value="http://fhir.de/sid/gkv/kvid-10"/>
                <value value="X110411319"/>
              </identifier>
            </subject>
            <authoredOn value="2026-12-01"/>
            <note>
              <text value="Hinweis für den LE"/>
            </note>
            <dosageInstruction>
              <timing>
                <repeat>
                  <frequency value="2"/>
                  <period value="1"/>
                  <periodUnit value="d"/>
                  <when value="MORN"/>
                  <when value="EVE"/>
                </repeat>
              </timing>
              <doseAndRate>
                <doseQuantity>
                  <value value="1"/>
                  <unit value="Stück"/>
                  <system
                          value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT"/>
                  <code value="1"/>
                </doseQuantity>
              </doseAndRate>
            </dosageInstruction>
          </MedicationRequest>
        </resource>
      </parameter>
      <parameter>
        <name value="medication"/>
        <resource>
          <Medication>
            <id value="13c66845-d0ce-43e1-9b0b-884cbbe8df7f"/>
            <meta>
              <versionId value="1"/>
              <lastUpdated value="2026-12-01T14:00:00.200Z"/>
              <profile
                       value="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication|1.3.0"/>
            </meta>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension">
              <valueCode value="EMP"/>
            </extension>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension">
              <valueCoding>
                <system value="http://snomed.info/sct"/>
                <code value="763158003"/>
              </valueCoding>
            </extension>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/drug-category-extension">
              <valueCoding>
                <system
                        value="https://gematik.de/fhir/epa-medication/CodeSystem/epa-drug-category-cs"/>
                <code value="00"/>
              </valueCoding>
            </extension>
            <extension url="http://fhir.de/StructureDefinition/normgroesse">
              <valueCode value="N3"/>
            </extension>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension">
              <valueBoolean value="false"/>
            </extension>
            <identifier>
              <system
                      value="https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier"/>
              <value
                     value="D15E4956F59A13CD3BB365799857D6FA9757C62D36DBDB9578D018CA4B6D969F"/>
            </identifier>
            <code>
              <coding>
                <system value="http://fhir.de/CodeSystem/ifa/pzn"/>
                <code value="04351736"/>
                <display value="Benazepril AL 20mg 98 Filmtabletten N3"/>
              </coding>
              <text value="Benazepril AL 20mg 98 Filmtabletten N3"/>
            </code>
            <status value="active"/>
            <form>
              <coding>
                <system
                        value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM"/>
                <code value="FTA"/>
              </coding>
            </form>
            <amount>
              <numerator>
                <extension
                           url="https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension">
                  <valueString value="98"/>
                </extension>
                <unit value="Stück"/>
              </numerator>
              <denominator>
                <value value="1"/>
              </denominator>
            </amount>
            <ingredient>
              <itemCodeableConcept>
                <coding>
                  <system value="http://fhir.de/CodeSystem/ask"/>
                  <code value="23413"/>
                </coding>
                <text value="Benazepril hydrochlorid"/>
              </itemCodeableConcept>
              <strength>
                <numerator>
                  <value value="20"/>
                  <unit value="mg"/>
                </numerator>
                <denominator>
                  <value value="1"/>
                  <unit value="Filmtbl."/>
                </denominator>
              </strength>
            </ingredient>
          </Medication>
        </resource>
      </parameter>
      <parameter>
        <name value="relatedActivity"/>
        <resource>
          <Provenance>
            <id value="8faa45dd-b2dc-4a80-8956-94aeab1db04b"/>
            <meta>
              <profile
                       value="https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance|1.3.0"/>
            </meta>
            <target>
              <reference
                         value="MedicationRequest/71b66f1b-8032-4886-b7bf-e775daee22fb/_history/1"/>
            </target>
            <recorded value="2026-12-01T14:00:00.600Z"/>
            <activity>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
                <code value="CREATE"/>
              </coding>
            </activity>
            <agent>
              <type>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
                  <code value="author"/>
                </coding>
              </type>
              <who>🔗
                <reference
                           value="Organization/450a9511-53e5-4af7-be36-a18444bb8dd2"/>
                <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="9-2.58.00000089"/>
                </identifier>
                <display value="Die Hausarztpraxis"/>
              </who>
            </agent>
          </Provenance>
        </resource>
      </parameter>
      <parameter>
        <name value="relatedChronology"/>
        <resource>
          <Provenance>
            <id value="b467ce05-e0e5-4d71-9a0b-d824dbb492ef"/>
            <meta>
              <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/173439a1-40ee-4b61-bb8c-aab3f5a1af10/_history/2"/>
            </target>
            <target>
              <reference
                         value="MedicationRequest/e2da4372-accc-4a76-81da-83e43ef9b15a/_history/1"/>
            </target>
            <target>
              <reference
                         value="MedicationRequest/71b66f1b-8032-4886-b7bf-e775daee22fb/_history/1"/>
            </target>
            <occurredDateTime value="2026-12-01T14:00:00.700Z"/>
            <recorded value="2026-12-01T14:00:00.700Z"/>
            <activity>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
                <code value="UPDATE"/>
              </coding>
            </activity>
            <agent>
              <type>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
                  <code value="author"/>
                </coding>
              </type>
              <who>🔗
                <reference
                           value="Organization/450a9511-53e5-4af7-be36-a18444bb8dd2"/>
                <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="9-2.58.00000089"/>
                </identifier>
                <display value="Die Hausarztpraxis"/>
              </who>
            </agent>
          </Provenance>
        </resource>
      </parameter>
    </Parameters>

### Geschäftslogik

Der Medication Service MUSS beim Erstellen einer MedicationRequest-Instanz sicherstellen, dass das identifier-Element mit dem Slice MedicationPlanIdentifier gesetzt wird und denselben UUID-Wert wie die resource.id der erzeugten MedicationRequest-Instanz erhält. Der Medication Service MUSS die Geschäftlogik der Operation eMP-Eintrag hinzufügen gemäß dem Aktivitätsdiagramm mit der ID IG-MED-BL-ADD-EMP-ENTRY-V1 ausführen. Dabei sind alle mit transaction gekennzeichneten Abschnitte entsprechend den Transaktionssicherheitsregeln des ePA-Aktensystems umzusetzen, sodass diese Abschnitte mit ihren Verarbeitungsschritten atomar, konsistent und isoliert durchgeführt werden.

Das folgende Aktivitätsdiagramm illustriert die Geschäftslogik der Operation eMP-Eintrag hinzufügen im Medication Service.

Abbildung: Geschäftslogik für die Operation eMP-Eintrag hinzufügen

### Sicherheitsanforderungen

Generelle Sicherheitsanforderungen werden hier festgehalten.