Implementation Guide
ePA MHD Service
Version 1.1.2 - release

## : EPA MHD Service (Document Responder - Server) - JSON Representation

Active as of 2026-03-20

Raw json | Download

    {
      "resourceType" : "CapabilityStatement",
      "id" : "epa-mhd-document-responder",
      "meta" : {
        "profile" : [
          🔗 "https://gematik.de/fhir/ti/StructureDefinition/ti-capability-statement"
        ]
      },
      "extension" : [
        {
          "extension" : [
            {
              "url" : "name",
              "valueString" : "X-Request-ID"
            },
            {
              "url" : "type",
              "valueString" : "string"
            },
            {
              "url" : "description",
              "valueString" : "UUID of the request message"
            },
            {
              "url" : "format",
              "valueString" : "uuid"
            },
            {
              "url" : "required",
              "valueBoolean" : true
            }
          ],
          "url" : "https://gematik.de/fhir/ti/StructureDefinition/extension-http-header"
        },
        {
          "extension" : [
            {
              "url" : "name",
              "valueString" : "x-insurantid"
            },
            {
              "url" : "type",
              "valueString" : "string"
            },
            {
              "url" : "description",
              "valueString" : "Health Record Identifier"
            },
            {
              "url" : "pattern",
              "valueString" : "^[A-Z]{1}\\d{9}$"
            },
            {
              "url" : "required",
              "valueBoolean" : true
            }
          ],
          "url" : "https://gematik.de/fhir/ti/StructureDefinition/extension-http-header"
        },
        {
          "extension" : [
            {
              "url" : "name",
              "valueString" : "x-useragent"
            },
            {
              "url" : "type",
              "valueString" : "string"
            },
            {
              "url" : "description",
              "valueString" : "user agent information"
            },
            {
              "url" : "pattern",
              "valueString" : "^[a-zA-Z0-9]{20}\\/[a-zA-Z0-9\\-\\.]{1,15}$"
            },
            {
              "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-responder",
      "version" : "1.1.2",
      "name" : "EPAMHDDocumentResponder",
      "title" : "ePA MHD Service (Document Responder - Server)",
      "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 Responder - Server)",
      "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-server"
      ],
      "_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" : "server",
          "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" : "SHALL"
                    }
                  ],
                  "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" : "SHALL"
                    }
                  ],
                  "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" : "SHALL"
                    }
                  ],
                  "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" : "SHALL"
                    }
                  ],
                  "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" : "SHALL"
                    }
                  ],
                  "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" : "SHALL"
                    }
                  ],
                  "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" : "SHALL"
                    }
                  ],
                  "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" : "SHALL"
                    }
                  ],
                  "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" : "SHALL"
                    }
                  ],
                  "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" : "SHALL"
                    }
                  ],
                  "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" : "SHALL"
                    }
                  ],
                  "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" : "SHALL"
                    }
                  ],
                  "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" : "SHALL"
                    }
                  ],
                  "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" : "SHALL"
                    }
                  ],
                  "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" : "SHALL"
                    }
                  ],
                  "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" : "SHALL"
                    }
                  ],
                  "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" : "SHALL"
                    }
                  ],
                  "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" : "SHALL"
                    }
                  ],
                  "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" : "SHALL"
                    }
                  ],
                  "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" : "SHALL"
                    }
                  ],
                  "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" : "SHALL"
                    }
                  ],
                  "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" : "SHALL"
                    }
                  ],
                  "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" : "SHALL"
                    }
                  ],
                  "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
            }
          ]
        }
      ]
    }