# EPA MHD Service (Document Consumer - Client) - Implementation Guide ePA MHD Service v1.1.1

Implementation Guide

ePA MHD Service

Version 1.1.1 - release 

* [**Table of Contents**](toc.md)
* [**FHIR-Artefakte**](artifacts.md)
* **EPA MHD Service (Document Consumer - Client)**

## CapabilityStatement: EPA MHD Service (Document Consumer - Client) 

| | |
| :--- | :--- |
| *Official URL*:https://gematik.de/fhir/epa-mhd/CapabilityStatement/epa-mhd-document-consumer | *Version*:1.1.1 |
| Active as of 2026-03-20 | *Computable Name*:EPAMHDDocumentConsumer |
| **Copyright/Legal**: gematik GmbH / Dieser Implementation Guide ist lizenziert unter [Apache License](./license.md), Version 2.0. | |

 
CapabilityStatement für den ePA MHD Service (Document Consumer - Client) 

**Abbildung:**
*Interaktionen zwischen Consumer (Client) und Responder (Server)*


*Hinweis:*Die Anfrage eines [FHIR Bundle] wird nicht unterstützt.



## Resource Content

```json
{
  "resourceType" : "CapabilityStatement",
  "id" : "epa-mhd-document-consumer",
  "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" : false
    }],
    "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}$"
    },
    {
      "url" : "required",
      "valueBoolean" : true
    }],
    "url" : "https://gematik.de/fhir/ti/StructureDefinition/extension-http-header"
  },
  {
    "extension" : [{
      "url" : "name",
      "valueString" : "x-useragent"
    },
    {
      "url" : "type",
      "valueString" : "string"
    },
    {
      "url" : "description",
      "valueString" : "user agent information"
    },
    {
      "url" : "pattern",
      "valueString" : "^[a-zA-Z0-9]{20}\\/[a-zA-Z0-9\\-\\.]{1,15}$"
    },
    {
      "url" : "required",
      "valueBoolean" : true
    }],
    "url" : "https://gematik.de/fhir/ti/StructureDefinition/extension-http-header"
  },
  {
    "extension" : [{
      "url" : "statusCode",
      "valueString" : "403"
    },
    {
      "url" : "description",
      "valueString" : "Requestor not authorized (no user session with valid ID-Token available)"
    },
    {
      "url" : "responseType",
      "valueString" : "application/json"
    },
    {
      "url" : "errorCode",
      "valueString" : "invalAuth"
    }],
    "url" : "https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"
  },
  {
    "extension" : [{
      "url" : "statusCode",
      "valueString" : "403"
    },
    {
      "url" : "description",
      "valueString" : "Requestor has no valid entitlement"
    },
    {
      "url" : "responseType",
      "valueString" : "application/json"
    },
    {
      "url" : "errorCode",
      "valueString" : "notEntitled"
    }],
    "url" : "https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"
  },
  {
    "extension" : [{
      "url" : "statusCode",
      "valueString" : "403"
    },
    {
      "url" : "description",
      "valueString" : "Requestor role is not in 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 INITIALIZED"
    },
    {
      "url" : "responseType",
      "valueString" : "application/json"
    },
    {
      "url" : "errorCode",
      "valueString" : "noHealthRecord"
    }],
    "url" : "https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"
  },
  {
    "extension" : [{
      "url" : "statusCode",
      "valueString" : "409"
    },
    {
      "url" : "description",
      "valueString" : "Request conflicts with the current state of the health record"
    },
    {
      "url" : "responseType",
      "valueString" : "application/json"
    },
    {
      "url" : "errorCode",
      "valueString" : "statusMismatch"
    }],
    "url" : "https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"
  },
  {
    "extension" : [{
      "url" : "statusCode",
      "valueString" : "500"
    },
    {
      "url" : "description",
      "valueString" : "Any other 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/mhd/api/v1/fhir/"
  }],
  "url" : "https://gematik.de/fhir/epa-mhd/CapabilityStatement/epa-mhd-document-consumer",
  "version" : "1.1.1",
  "name" : "EPAMHDDocumentConsumer",
  "title" : "EPA MHD Service (Document Consumer - Client)",
  "status" : "active",
  "date" : "2026-03-20",
  "publisher" : "gematik GmbH",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.gematik.de"
    }]
  }],
  "description" : "CapabilityStatement für den ePA MHD Service (Document Consumer - Client)",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "DE"
    }]
  }],
  "copyright" : "gematik GmbH / Dieser Implementation Guide ist lizenziert unter [Apache License](./license.html), Version 2.0.",
  "kind" : "requirements",
  "imports" : ["https://gematik.de/fhir/epa/CapabilityStatement/epa-basic-client"],
  "_imports" : [{
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
      "valueCode" : "SHALL"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "format" : ["application/fhir+json", "application/fhir+xml"],
  "rest" : [{
    "mode" : "client",
    "resource" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
        "valueCode" : "SHALL"
      }],
      "type" : "DocumentReference",
      "supportedProfile" : ["https://gematik.de/fhir/epa-mhd/StructureDefinition/epa-mhd-document-reference"],
      "_supportedProfile" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "SHALL"
        }]
      }],
      "interaction" : [{
        "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" : "TIOperationOutcome"
          },
          {
            "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" : "TIOperationOutcome"
          },
          {
            "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" : "TIOperationOutcome"
          },
          {
            "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" : "Unknown resource type"
          },
          {
            "url" : "responseType",
            "valueString" : "TIOperationOutcome"
          },
          {
            "url" : "errorCode",
            "valueString" : "MSG_UNKNOWN_TYPE"
          }],
          "url" : "https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"
        }],
        "code" : "search-type"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "SHALL"
        },
        {
          "extension" : [{
            "url" : "statusCode",
            "valueString" : "200"
          },
          {
            "url" : "description",
            "valueString" : "Successful operation"
          },
          {
            "url" : "responseType",
            "valueString" : "DocumentReference"
          }],
          "url" : "https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"
        },
        {
          "extension" : [{
            "url" : "statusCode",
            "valueString" : "400"
          },
          {
            "url" : "description",
            "valueString" : "Invalid request"
          },
          {
            "url" : "responseType",
            "valueString" : "TIOperationOutcome"
          },
          {
            "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" : "Unknown resource type"
          },
          {
            "url" : "responseType",
            "valueString" : "TIOperationOutcome"
          },
          {
            "url" : "errorCode",
            "valueString" : "MSG_UNKNOWN_TYPE"
          }],
          "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" : "TIOperationOutcome"
          },
          {
            "url" : "errorCode",
            "valueString" : "MSG_RESOURCE_ID_FAIL"
          }],
          "url" : "https://gematik.de/fhir/ti/StructureDefinition/extension-http-response-info"
        }],
        "code" : "read"
      }],
      "versioning" : "versioned-update",
      "readHistory" : true,
      "searchParam" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "_id",
        "definition" : "http://hl7.org/fhir/SearchParameter/Resource-id",
        "type" : "token",
        "documentation" : "Aktenweit eindeutige Kennung des Dokuments auf Basis von DocumentReference.entryUUID"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "_content",
        "definition" : "http://hl7.org/fhir/SearchParameter/Resource-content",
        "type" : "string",
        "documentation" : "Angaben für inhaltsbasierte Volltextsuche in von DocumentReference referenzierten Dokumenten"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "_lastUpdated",
        "definition" : "http://hl7.org/fhir/SearchParameter/Resource-lastUpdated",
        "type" : "date",
        "documentation" : "Änderungszeitpunkt der DocumentReference"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "author.given",
        "type" : "string",
        "documentation" : "Vorname der dokumenterstellenden Person auf Basis von DocumentReference.author, welcher dem authorPerson-Slot der DocumentEntry.author-Classification entspricht"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "author.family",
        "type" : "string",
        "documentation" : "Nachname der dokumenterstellenden Person auf Basis von DocumentReference.author, welcher dem authorPerson-Slot der DocumentEntry.author-Classification entspricht"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "author.organization.name",
        "type" : "string",
        "documentation" : "Name der dokumenterstellenden Leistungserbringerinstitution auf Basis von DocumentReference.author, welcher dem authorInstitution-Slot der DocumentEntry.author-Classification entspricht"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "category",
        "definition" : "http://hl7.org/fhir/SearchParameter/DocumentReference-category",
        "type" : "token",
        "documentation" : "Grobe Klassifizierung des Dokuments auf Basis von DocumentReference.category"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "contenttype",
        "definition" : "http://hl7.org/fhir/SearchParameter/DocumentReference-contenttype",
        "type" : "token",
        "documentation" : "MimeType des Dokuments auf Basis von DocumentReference.content.attachment.contentType"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "creation",
        "definition" : "https://profiles.ihe.net/ITI/MHD/SearchParameter/DocumentReference-Creation",
        "type" : "date",
        "documentation" : "Erstellungszeitpunkt des Dokuments auf Basis von DocumentReference.content.attachment.creation"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "date",
        "definition" : "https://profiles.ihe.net/ITI/MHD/SearchParameter/DocumentReference-date",
        "type" : "date",
        "documentation" : "Erstellungszeitpunkt der DocumentReference"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "description",
        "definition" : "http://hl7.org/fhir/SearchParameter/DocumentReference-description",
        "type" : "string",
        "documentation" : "Ergänzende Hinweise in Freitext auf Basis von DocumentReference.description"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "event",
        "definition" : "http://hl7.org/fhir/SearchParameter/DocumentReference-event",
        "type" : "token",
        "documentation" : "Die zur Erstellung des Dokuments geführten Ereignisse auf Basis von DocumentReference.context.event"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "facility",
        "definition" : "http://hl7.org/fhir/SearchParameter/DocumentReference-facility",
        "type" : "token",
        "documentation" : "Die auf Basis von DocumentReference.context.facilityTypeArt benannte Art der Einrichtung des dokumentierenden Ereignisses"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "format",
        "definition" : "http://hl7.org/fhir/SearchParameter/DocumentReference-format",
        "type" : "token",
        "documentation" : "Global eindeutiger Code für das Dokumentenformat  auf Basis von DocumentReference.content.format"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "identifier",
        "definition" : "http://hl7.org/fhir/SearchParameter/clinical-identifier",
        "type" : "token",
        "documentation" : "Aktenweit eindeutige Kennung des Dokuments auf Basis von DocumentReference.entryUUID"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "language",
        "definition" : "http://hl7.org/fhir/SearchParameter/DocumentReference-contenttype",
        "type" : "token",
        "documentation" : "Sprache in der ein Dokument verfasst ist"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "patient",
        "definition" : "http://hl7.org/fhir/SearchParameter/clinical-patient",
        "type" : "reference",
        "documentation" : "Aktenkontoinhaber"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "SHALL"
        }],
        "name" : "patient.identifier",
        "type" : "token",
        "documentation" : "Identifikator des Aktenkontoinhabers"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "period",
        "definition" : "http://hl7.org/fhir/SearchParameter/DocumentReference-period",
        "type" : "date",
        "documentation" : "Zeitraum des dokumentierenden Ereignisses auf Basis von DocumentReference.context.period"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "related",
        "definition" : "http://hl7.org/fhir/SearchParameter/DocumentReference-related",
        "type" : "reference",
        "documentation" : "ID-Liste mit assoziierten Dokumenten auf Basis von DocumentReference.context.related"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "security-label",
        "definition" : "http://hl7.org/fhir/SearchParameter/DocumentReference-security-label",
        "type" : "token",
        "documentation" : "Vertraulichkeitskennzeichnung/Datenkategorie des Dokuments auf Basis von DocumentReference.securityLabel"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "setting",
        "definition" : "http://hl7.org/fhir/SearchParameter/DocumentReference-setting",
        "type" : "token",
        "documentation" : "Art der Fachrichtung der erstellenden Einrichtung auf Basis von DocumentReference.context.practiceSetting"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "SHALL"
        }],
        "name" : "status",
        "definition" : "http://hl7.org/fhir/SearchParameter/DocumentReference-status",
        "type" : "token",
        "documentation" : "Status des Dokuments auf Basis von DocumentReference.status"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "title",
        "definition" : "https://gematik.de/fhir/epa-mhd/SearchParameter/epa-mhd-documentreference-title",
        "type" : "string",
        "documentation" : "Titel des Dokuments auf Basis von DocumentReference.content.attachment.title"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }],
        "name" : "type",
        "definition" : "http://hl7.org/fhir/SearchParameter/clinical-type",
        "type" : "token",
        "documentation" : "Art des Dokuments auf Basis von DocumentReference.type"
      }]
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
        "valueCode" : "SHALL"
      }],
      "type" : "Bundle",
      "supportedProfile" : ["https://gematik.de/fhir/epa-mhd/StructureDefinition/epa-document-search-result-bundle"],
      "_supportedProfile" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "SHALL"
        }]
      }],
      "versioning" : "versioned-update",
      "readHistory" : true
    }]
  }]
}

```
