<MedicationRequest xmlns="http://hl7.org/fhir">
<id value="0435e19e-ed9a-4b5b-a9e9-70924c5922a0"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2025-10-27T12:00:03.244Z"/>
<profile
value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request"/>
</meta>
<extension
url="https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension">
<extension url="indicator">
<valueBoolean value="true"/>
</extension>
<extension url="counter">
<valueRatio>
<numerator>
<value value="3"/>
</numerator>
<denominator>
<value value="4"/>
</denominator>
</valueRatio>
</extension>
<extension url="period">
<valuePeriod>
<start value="2026-02-15"/>
<end value="2026-04-30"/>
</valuePeriod>
</extension>
<extension url="id">
<valueIdentifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:24e2e10d-e962-4d1c-be4f-8760e690a5f0"/>
</valueIdentifier>
</extension>
</extension>
<identifier>
<system
value="https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier"/>
<value value="160.100.000.000.016.91_20251027"/>
</identifier>
<identifier>
<system
value="https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier"/>
<value
value="68794d6d-2b05-4d5e-aaf1-49b4b6430104_160.100.000.000.016.91"/>
</identifier>
<status value="active"/>
<intent value="filler-order"/>
<medicationReference>🔗
<reference value="Medication/83d7ad1c-47d1-4524-829a-5b86ce333bbc"/>
</medicationReference>
<subject>
<identifier>
<system value="http://fhir.de/sid/gkv/kvid-10"/>
<value value="X110411319"/>
</identifier>
</subject>
<authoredOn value="2025-10-27"/>
<requester>🔗
<reference value="PractitionerRole/73a551f8-d8cd-4b44-823d-ab5f8aeab1aa"/>
</requester>
<dispenseRequest>
<quantity>
<value value="1"/>
<unit value="Packung"/>
</quantity>
</dispenseRequest>
<substitution>
<allowedBoolean value="false"/>
</substitution>
</MedicationRequest>