# Operation API: Batch eMP-Einträge - Implementation Guide ePA Medication Service v1.3.5

Implementation Guide

ePA Medication Service

Version 1.3.5 - release 

* [**Table of Contents**](toc.md)
* [**Operation API**](operation-api.md)
* **Operation API: Batch eMP-Einträge**

## Operation API: Batch eMP-Einträge

Mit der Operation *[Batch eMP-Einträge](./OperationDefinition-batch-emp-entries-op.md)* ($batch-emp) können Primärsysteme mehrere fachliche Änderungen am elektronischen Medikationsplan (eMP) gesammelt an den Medication Service übergeben. Innerhalb dieser Stapelverarbeitung werden die Operationen *[eMP-Eintrag hinzufügen](./op-add-emp-entry.md)* ($add-emp-entry) und *[eMP-Eintrag aktualisieren](./op-update-emp-entry.md)* ($update-emp-entry) gebündelt ausgeführt.

Der wesentliche Vorteil dieser Vorgehensweise liegt darin, dass mehrere Änderungen in einem konsistenten Kontext geprüft und übernommen werden können. Anstatt jede Änderung einzeln zu übertragen, lassen sich so ganze Änderungspakete gemeinsam validieren, was sowohl die Anzahl der notwendigen Server-Aufrufe reduziert als auch die Gefahr von Zwischenzuständen vermeidet.

Am Ende der Stapelverarbeitung wird zusätzlich ein *[eMP commit](./op-emp-commit.md)* ($emp-commit) ausgeführt. Dieser Schritt erzeugt eine neue Version des eMP, in der alle zuvor übermittelten Änderungen nachvollziehbar und revisionssicher zusammengefasst sind. Damit wird gewährleistet, dass das Ergebnis der Stapelverarbeitung als konsistente neue Planversion zur Verfügung steht.

### Nachricht

Im Rahmen der Stapelverarbeitung werden sowohl das Hinzufügen neuer Medikationseinträge als auch die Aktualisierung bestehender Einträge im eMP gemeinsam als Bestandteile einer HTTP POST-Anfrage an die Operation $batch-emp des Medication Service übermittelt.

#### 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 mehrere Medikationseinträge im eMP hinzufügen oder bestehende Einträge aktualisieren möchte, übermittelt es diese gebündelt über diese Operation an den Medication Service. Am Ende der Stapelverarbeitung wird zusätzlich ein **eMP commit** ausgeführt, durch den eine neue Version des eMP erzeugt wird.

#### Antwort

Die Operation liefert als Ergebnis ein **Bundle** vom Typ **transaction-response**, das für jeden im Batch verarbeiteten Eintrag den jeweiligen Rückgabekontext enthält. Dabei werden die Resultate der ausgeführten Operationen $add-emp-entry und $update-emp-entry als *Parameters*-Ressourcen in den **Bundle**-Einträgen zurückgegeben. Nach Abschluss der Stapelverarbeitung ist zusätzlich der Eintrag des $emp-commit enthalten, über den die neue Version des eMP in Form einer **Provenance**-Instanz bereitgestellt wird.

#### FHIR Operation API

funkt. Eignung: KonformitätsbestätigungDas Primärsystem KANN die Operation
*Batch eMP-Einträge*implementieren, um einer Leistungserbringerinstitution das stapelbasierte Hinzufügen oder Aktualisieren von Medikationseinträgen zum eMP zu ermöglichen.

funkt. Eignung: KonformitätsbestätigungDas Primärsystem MUSS für die Ausführung der Operation
*Batch eMP-Einträge*den HTTP Header
*X-Requesting-Organization*übermitteln.

funkt. Eignung: Test Produkt/FADer Medication Service MUSS für die Operation
*Batch eMP-Einträge*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.

funkt. Eignung: Test Produkt/FADer Medication Service MUSS die Operation
*Batch eMP-Einträge*gemäß der FHIR OperationDefinition
[Batch eMP Einträge](./OperationDefinition-batch-emp-entries-op.md)implementieren.

funkt. Eignung: Test Produkt/FADer Medication Service MUSS die Ausführung der Operation
*Batch eMP-Einträge*gemäß den Vorgaben von [FHIR_RESTful_API:batch/transaction] umsetzen.

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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 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%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 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
```

```

      {"resourceType":"OperationDefinition","id":"batch-emp-entries-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 batch-emp-entries-op</p><a name=\"batch-emp-entries-op\"> </a><a name=\"hcbatch-emp-entries-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]/$batch-empParameters<table class=\"grid\">UseNameScopeCardinalityTypeBindingDocumentationINresource1..1<a href=\"http://hl7.org/fhir/R4/bundle.html\">Bundle</a>FHIR-Bundle vom Typ transaction gemäß des Profils gemäß EPABatchEmpRequestBundle.\nDie Ausführungssemantik ist serverseitig festgelegt. Verboten: direkte POST/PUT/DELETE auf Ressourcen außerhalb von Operationen.\nOUTreturn1..1<a href=\"http://hl7.org/fhir/R4/bundle.html\">Bundle</a>Antwort ist ein Bundle vom Typ transaction-response (bei atomarer Server-Policy.\nFür jeden Request-Entry enthält die Antwort einen korrespondierenden Entry mit:\n\nresponse.status (HTTP-Status),\nresource = Parameters (Ergebnisse von $add-emp-entry / $update-emp-entry),\nbeim letzten Eintrag ($emp-commit): eine Provenance-Instanz (neue eMP-Plan-Version).\n\n</table></div>"},"extension":[{"url":"https://gematik.de/fhir/ti/StructureDefinition/extension-http-method","valueCode":"POST"}],"url":"https://gematik.de/fhir/epa-medication/OperationDefinition/batch-emp-entries-op","version":"1.3.2","name":"batchEMPEntries_MedicationSvc","title":"Batch eMP Einträge","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":"Mit der Batch Operation $batch-emp können Primärsysteme mehrere fachliche Änderungen am eMP in einem Aufruf\nan den Medication Service übergeben. Innerhalb des Request-Bundles werden ausschließlich FHIR-Operationen\nausgeführt (keine direkten Resource-CRUDs). Als letzte Operation ein $emp-commit ausgeführt, der eine neue\nPlan-Version (Provenance) erzeugt. Die Operation antwortet mit einem Bundle vom Typ transaction-response.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"DE"}]}],"purpose":"Stapelverarbeitung von eMP-Änderungen mit konsistenter, atomarer Ausführung und anschließender\nVersionierung des eMP. Reduziert Roundtrips, vermeidet Zwischenzustände und stellt eine neue Plan-Version bereit.","affectsState":true,"code":"batch-emp","system":true,"type":false,"instance":false,"parameter":[{"name":"resource","use":"in","min":1,"max":"1","documentation":"FHIR-Bundle vom Typ transaction gemäß des Profils gemäß EPABatchEmpRequestBundle.\nDie Ausführungssemantik ist serverseitig festgelegt. Verboten: direkte POST/PUT/DELETE auf Ressourcen außerhalb von Operationen.","type":"Bundle"},{"name":"return","use":"out","min":1,"max":"1","documentation":"Antwort ist ein Bundle vom Typ transaction-response (bei atomarer Server-Policy. \nFür jeden Request-Entry enthält die Antwort einen korrespondierenden Entry mit:\n- response.status (HTTP-Status),\n- resource = Parameters (Ergebnisse von $add-emp-entry / $update-emp-entry),\n- beim letzten Eintrag ($emp-commit): eine Provenance-Instanz (neue eMP-Plan-Version).","type":"Bundle"}]}
    
```

### Geschäftslogik

funkt. Eignung: KonformitätsbestätigungDas Primärsystem MUSS für Aufrufe der Operation
*Batch eMP-Einträge*ein FHIR‑Bundle vom Typ
*transaction*gemäß des Profils
*[EPABatchEmpRequestBundle](./StructureDefinition-epa-batch-emp-request-bundle.md)*als Request Body verwenden.

funkt. Eignung: Test Produkt/FADer Medication Service MUSS im Erfolgsfall auf die Operation
*Batch eMP-Einträge*mit dem HTTP Status Code 200 OK antworten und als Ergebnis ein
*Bundle*vom Typ
*transaction-response*zurückgeben.

funkt. Eignung: HerstellererklärungDer Medication Service MUSS die Operation
*Batch eMP-Einträge*atomar (transaction) ausführen, sodass alle Verarbeitungsschritte im Stapel fehlerfrei durchgeführt werden. Tritt ein Fehler auf, wird ein Rollback aller Änderungen durchgeführt und die Verarbeitung an dieser Stelle mit einer Fehler-Response-Nachricht abgebrochen.

funkt. Eignung: HerstellererklärungDer Medication Service MUSS für die Operation
*Batch eMP-Einträge*ein serverinternes Ausführungskontext‑Flag (beispielsweise
*isBatchContext*) führen, das vom Dispatcher der Operation
*Batch eMP-Einträge*gesetzt wird und vom Client nicht beeinflussbar ist. Ist das Flag aktiv, werden die aufgerufenen Teiloperationen in Batch‑Semantik ausgeführt.

funkt. Eignung: HerstellererklärungDer Medication Service MUSS die Verarbeitung der übergebenen Operationen in einer festen Reihenfolge durchführen:

1. Alle Operationen*eMP-Eintrag hinzufügen*($add-emp-entry)
1. Danach alle Operationen*eMP-Eintrag aktualisieren*($update-emp-entry)
1. Abschließend die Operation*eMP-Commit*($emp-commit)
Diese Reihenfolge ist zwingend einzuhalten, um eine konsistente Verarbeitung und die korrekte Erzeugung einer neuen Version des eMP sicherzustellen.

funkt. Eignung: HerstellererklärungDer Medication Service MUSS die Geschäftlogik der Operation
*Batch eMP-Einträge*gemäß dem Aktivitätsdiagramm mit der ID
**IG-MED-BL-BATCH-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 *Batch eMP-Einträge* im Medication Service.

**Abbildung:**Geschäftslogik für die Operation
*Batch eMP-Einträge*
### Sicherheitsanforderungen

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

