diff --git a/src/main/kotlin/dev/dnpm/etl/processor/input/KafkaInputListener.kt b/src/main/kotlin/dev/dnpm/etl/processor/input/KafkaInputListener.kt
index 63bf60a..de901ce 100644
--- a/src/main/kotlin/dev/dnpm/etl/processor/input/KafkaInputListener.kt
+++ b/src/main/kotlin/dev/dnpm/etl/processor/input/KafkaInputListener.kt
@@ -35,12 +35,27 @@ class KafkaInputListener(
 
     override fun onMessage(data: ConsumerRecord<String, String>) {
         val mtbFile = objectMapper.readValue(data.value(), MtbFile::class.java)
+        val firstRequestIdHeader = data.headers().headers("requestId")?.firstOrNull()
+        val requestId = if (null != firstRequestIdHeader) {
+            String(firstRequestIdHeader.value())
+        } else {
+            ""
+        }
+
         if (mtbFile.consent.status == Consent.Status.ACTIVE) {
             logger.debug("Accepted MTB File for processing")
-            requestProcessor.processMtbFile(mtbFile)
+            if (requestId.isBlank()) {
+                requestProcessor.processMtbFile(mtbFile)
+            } else {
+                requestProcessor.processMtbFile(mtbFile, requestId)
+            }
         } else {
             logger.debug("Accepted MTB File and process deletion")
-            requestProcessor.processDeletion(mtbFile.patient.id)
+            if (requestId.isBlank()) {
+                requestProcessor.processDeletion(mtbFile.patient.id)
+            } else {
+                requestProcessor.processDeletion(mtbFile.patient.id, requestId)
+            }
         }
     }
 }
\ No newline at end of file
diff --git a/src/main/kotlin/dev/dnpm/etl/processor/services/RequestProcessor.kt b/src/main/kotlin/dev/dnpm/etl/processor/services/RequestProcessor.kt
index d0b6341..66ff291 100644
--- a/src/main/kotlin/dev/dnpm/etl/processor/services/RequestProcessor.kt
+++ b/src/main/kotlin/dev/dnpm/etl/processor/services/RequestProcessor.kt
@@ -48,7 +48,10 @@ class RequestProcessor(
 ) {
 
     fun processMtbFile(mtbFile: MtbFile) {
-        val requestId = UUID.randomUUID().toString()
+        processMtbFile(mtbFile, UUID.randomUUID().toString())
+    }
+
+    fun processMtbFile(mtbFile: MtbFile, requestId: String) {
         val pid = mtbFile.patient.id
 
         mtbFile pseudonymizeWith pseudonymizeService
@@ -103,8 +106,10 @@ class RequestProcessor(
     }
 
     fun processDeletion(patientId: String) {
-        val requestId = UUID.randomUUID().toString()
+        processDeletion(patientId, UUID.randomUUID().toString())
+    }
 
+    fun processDeletion(patientId: String, requestId: String) {
         try {
             val patientPseudonym = pseudonymizeService.patientPseudonym(patientId)
 
diff --git a/src/test/kotlin/dev/dnpm/etl/processor/input/KafkaInputListenerTest.kt b/src/test/kotlin/dev/dnpm/etl/processor/input/KafkaInputListenerTest.kt
index cf5ba39..1157644 100644
--- a/src/test/kotlin/dev/dnpm/etl/processor/input/KafkaInputListenerTest.kt
+++ b/src/test/kotlin/dev/dnpm/etl/processor/input/KafkaInputListenerTest.kt
@@ -25,6 +25,9 @@ import de.ukw.ccc.bwhc.dto.MtbFile
 import de.ukw.ccc.bwhc.dto.Patient
 import dev.dnpm.etl.processor.services.RequestProcessor
 import org.apache.kafka.clients.consumer.ConsumerRecord
+import org.apache.kafka.common.header.internals.RecordHeader
+import org.apache.kafka.common.header.internals.RecordHeaders
+import org.apache.kafka.common.record.TimestampType
 import org.junit.jupiter.api.BeforeEach
 import org.junit.jupiter.api.Test
 import org.junit.jupiter.api.extension.ExtendWith
@@ -34,6 +37,7 @@ import org.mockito.junit.jupiter.MockitoExtension
 import org.mockito.kotlin.any
 import org.mockito.kotlin.times
 import org.mockito.kotlin.verify
+import java.util.*
 
 @ExtendWith(MockitoExtension::class)
 class KafkaInputListenerTest {
@@ -76,4 +80,33 @@ class KafkaInputListenerTest {
         verify(requestProcessor, times(1)).processDeletion(anyString())
     }
 
+    @Test
+    fun shouldProcessMtbFileRequestWithExistingRequestId() {
+        val mtbFile = MtbFile.builder()
+            .withPatient(Patient.builder().withId("DUMMY_12345678").build())
+            .withConsent(Consent.builder().withStatus(Consent.Status.ACTIVE).build())
+            .build()
+
+        val headers = RecordHeaders(listOf(RecordHeader("requestId", UUID.randomUUID().toString().toByteArray())))
+        kafkaInputListener.onMessage(
+            ConsumerRecord("testtopic", 0, 0, -1L, TimestampType.NO_TIMESTAMP_TYPE, -1, -1, "", this.objectMapper.writeValueAsString(mtbFile), headers, Optional.empty())
+        )
+
+        verify(requestProcessor, times(1)).processMtbFile(any(), anyString())
+    }
+
+    @Test
+    fun shouldProcessDeleteRequestWithExistingRequestId() {
+        val mtbFile = MtbFile.builder()
+            .withPatient(Patient.builder().withId("DUMMY_12345678").build())
+            .withConsent(Consent.builder().withStatus(Consent.Status.REJECTED).build())
+            .build()
+
+        val headers = RecordHeaders(listOf(RecordHeader("requestId", UUID.randomUUID().toString().toByteArray())))
+        kafkaInputListener.onMessage(
+            ConsumerRecord("testtopic", 0, 0, -1L, TimestampType.NO_TIMESTAMP_TYPE, -1, -1, "", this.objectMapper.writeValueAsString(mtbFile), headers, Optional.empty())
+        )
+        verify(requestProcessor, times(1)).processDeletion(anyString(), anyString())
+    }
+
 }
\ No newline at end of file