Implementation Guide
ePA Medication Service
Version 1.3.0 - release

## : ExpEPAOpUnlinkEMPEntryOutputParameters - XML Representation

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    <Parameters xmlns="http://hl7.org/fhir">
      <id value="example-epa-op-unlink-emp-entry-output-parameters-1"/>
      <meta>
        <profile
                 value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-op-link-emp-entry-output-parameters|1.3.0"/>
      </meta>
      <parameter>
        <name value="medicationStatement"/>
        <resource>
          <MedicationStatement>
            <id value="3afe43bc-8b57-417f-9e84-a70ea5062a6c"/>
            <meta>
              <versionId value="3"/>
              <lastUpdated value="2026-11-25T14:00:00.000Z"/>
              <profile
                       value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-statement|1.3.0"/>
            </meta>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension">
              <valueCode value="MANUAL"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction">
              <valueMarkdown value="1-0-0-0 Stück"/>
            </extension>
            <extension
                       url="http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta">
              <extension url="algorithmVersion">
                <valueString value="1.0.1"/>
              </extension>
              <extension url="language">
                <valueCode value="de-DE"/>
              </extension>
            </extension>
            <status value="unknown"/>
            <medicationReference>
              <reference value="Medication/b43cb3c2-552a-4da1-9eaa-605ac532a83d"/>
            </medicationReference>
            <subject>
              <identifier>
                <system value="http://fhir.de/sid/gkv/kvid-10"/>
                <value value="X110411319"/>
              </identifier>
            </subject>
            <effectivePeriod>
              <start value="2026-11-01"/>
            </effectivePeriod>
            <dateAsserted value="2026-11-01"/>
            <dosage>
              <timing>
                <repeat>
                  <frequency value="1"/>
                  <period value="1"/>
                  <periodUnit value="d"/>
                  <when value="MORN"/>
                </repeat>
              </timing>
              <doseAndRate>
                <doseQuantity>
                  <value value="1"/>
                  <unit value="Stück"/>
                  <system
                          value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT"/>
                  <code value="1"/>
                </doseQuantity>
              </doseAndRate>
            </dosage>
          </MedicationStatement>
        </resource>
      </parameter>
      <parameter>
        <name value="eMPEntry"/>
        <resource>
          <MedicationRequest>
            <id value="266620a9-2c26-41c1-b0cb-a10947b867f5"/>
            <meta>
              <versionId value="3"/>
              <lastUpdated value="2026-11-25T14:00:00.000Z"/>
              <profile
                       value="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication-request|1.3.0"/>
            </meta>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension">
              <valueCode value="EMP"/>
            </extension>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension">
              <valueString value="Kopfschmerzen"/>
            </extension>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension">
              <valueAnnotation>
                <text
                      value="Alkohol: das Risiko für Magen-Darm-Geschwüre und -Blutungen ist erhöht."/>
              </valueAnnotation>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod">
              <valuePeriod>
                <start value="2026-11-02"/>
              </valuePeriod>
            </extension>
            <extension
                       url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction">
              <valueMarkdown value="1-0-0-0 Stück"/>
            </extension>
            <extension
                       url="http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta">
              <extension url="algorithmVersion">
                <valueString value="1.0.1"/>
              </extension>
              <extension url="language">
                <valueCode value="de-DE"/>
              </extension>
            </extension>
            <identifier>
              <system value="https://gematik.de/fhir/sid/emp-identifier"/>
              <value value="266620a9-2c26-41c1-b0cb-a10947b867f5"/>
            </identifier>
            <status value="active"/>
            <intent value="plan"/>
            <medicationReference>
              <reference value="Medication/d6508f13-9314-4e54-a0c3-3eafe1f356ff"/>
            </medicationReference>
            <subject>
              <identifier>
                <system value="http://fhir.de/sid/gkv/kvid-10"/>
                <value value="X110411319"/>
              </identifier>
            </subject>
            <authoredOn value="2026-11-01"/>
            <note>
              <text value="Hinweis für den LE"/>
            </note>
            <dosageInstruction>
              <timing>
                <repeat>
                  <frequency value="1"/>
                  <period value="1"/>
                  <periodUnit value="d"/>
                  <when value="MORN"/>
                </repeat>
              </timing>
              <doseAndRate>
                <doseQuantity>
                  <value value="1"/>
                  <unit value="Stück"/>
                  <system
                          value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT"/>
                  <code value="1"/>
                </doseQuantity>
              </doseAndRate>
            </dosageInstruction>
          </MedicationRequest>
        </resource>
      </parameter>
      <parameter>
        <name value="relatedActivity"/>
        <resource>
          <Provenance>
            <id value="6fbf6cb7-6425-49c5-a005-50aac83fd8cd"/>
            <meta>
              <profile
                       value="https://gematik.de/fhir/epa/StructureDefinition/epa-activity-provenance|1.3.0"/>
            </meta>
            <target>
              <reference
                         value="MedicationStatement/3afe43bc-8b57-417f-9e84-a70ea5062a6c/_history/3"/>
            </target>
            <target>
              <reference
                         value="MedicationRequest/266620a9-2c26-41c1-b0cb-a10947b867f5/_history/3"/>
            </target>
            <recorded value="2026-11-25T14:00:00.000Z"/>
            <activity>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
                <code value="UPDATE"/>
              </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>
        </resource>
      </parameter>
      <parameter>
        <name value="relatedChronology"/>
        <resource>
          <Provenance>
            <id value="005c1662-8f1c-49cb-a08c-dfdf08080032"/>
            <meta>
              <profile
                       value="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-chronology-provenance|1.3.0"/>
            </meta>
            <extension
                       url="https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-chronology-extension">
              <valueBoolean value="true"/>
            </extension>
            <target>
              <reference
                         value="MedicationRequest/266620a9-2c26-41c1-b0cb-a10947b867f5/_history/3"/>
            </target>
            <occurredDateTime value="2026-11-25T14:00:00.000Z"/>
            <recorded value="2026-11-25T14:00:00.000Z"/>
            <activity>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
                <code value="UPDATE"/>
              </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>
        </resource>
      </parameter>
    </Parameters>