Eligibilityrequest-example.xml

General Person Primary Coverage Example (id = "52345")

<EligibilityRequest xmlns="http://hl7.org/fhir">
  <id value="52345"/>

  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the EligibilityRequest</div>
  </text>

  <identifier>
    <system value="http://happyvalley.com/elegibilityrequest"/>
    <value value="52345"/>
  </identifier>
 
  <status value="active"/>
 
  <priority>
   <coding>
    <code value="normal"/>
   </coding>
  </priority>

  <patient>
    <reference value="Patient/pat1"/>
  </patient>
 
  <created value="2014-08-16"/>

  <organization>
    <reference value="Organization/1"/>
  </organization>

  <insurer>
    <reference value="Organization/2"/>
  </insurer>

  <coverage>
      <reference value="Coverage/9876B1"/>
  </coverage>

 </EligibilityRequest>