Implementation Guide
ePA Medication Service
Version 1.3.5 - release

## : INVALIDE - EMP MedicationRequest mit History-Referenzen (Sumatriptan) - XML Representation

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    <MedicationRequest xmlns="http://hl7.org/fhir">
      <id value="55b8a1f8-daeb-4d1e-a0e1-36279e2d9913"/>
      <meta>
        <versionId value="2"/>
        <lastUpdated value="2026-11-01T15:43:33.244Z"/>
        <profile
                 value="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication-request|1.3.1"/>
      </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="akuten Behandlung von Migräneanfällen mit und ohne Aura"/>
      </extension>
      <extension
                 url="https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension">
        <valueAnnotation>
          <text
                value="Bitte schützen Sie das Arzneimittel vor hohen Temperaturen und direkter Sonneneinstrahlung."/>
        </valueAnnotation>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod">
        <valuePeriod>
          <start value="2026-12-01"/>
          <end value="2027-02-01"/>
        </valuePeriod>
      </extension>
      <extension
                 url="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-origin-medication-extension">
        <valueReference>
          <reference
                     value="Medication/fc7b28e8-05ac-4ac8-86d7-7677d9c6134e/_history/2"/>
        </valueReference>
      </extension>
      <extension
                 url="https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension">
        <extension url="reference">
          <valueReference>
            <reference
                       value="MedicationStatement/f29f1d0c-be05-4b0d-a335-3e508da39c0c/_history/2"/>
          </valueReference>
        </extension>
        <extension url="addedOn">
          <valueDateTime value="2026-11-01T15:43:33.244Z"/>
        </extension>
      </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/87f08ba2-da7e-467e-86aa-404d9035297c"/>
      </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>