<?xml version="1.0" encoding="UTF-8"?>

<Provenance xmlns="http://hl7.org/fhir">
  <id value="8faa45dd-b2dc-4a80-8956-94aeab1db04b"/>
  <meta>
    <profile value="https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance"/>
  </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>