<?xml version=“1.0” encoding=“UTF-8”?><EligibilityRequest xmlns=“hl7.org/fhir”>

<id value="52346"/>

<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="52346"/>
</identifier>

<status value="active"/>

<priority>
        <coding>
                <code value="normal"/>
        </coding>
</priority>

<patient>
        <reference value="Patient/pat1"/>
</patient>

<servicedDate value="2014-09-17"/> <!--  Anticipated service date  -->

<created value="2014-08-16"/>

<enterer>
        <identifier>
                <system value="http://happyvalleyclinic.com/staff"/>
                <value value="14"/>
        </identifier>
</enterer>

<provider>
        <identifier>
                <system value="http://happyvalleyclinic.com/staff"/>
                <value value="18"/>
        </identifier>
</provider>

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

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

<facility>
        <identifier>
                <system value="http://statecliniclicensor.com/clinicid"/>
                <value value="G35B9"/>
        </identifier>
</facility>

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

<businessArrangement value="NB8742"/>

<benefitCategory>
        <coding>
                <system value="http://hl7.org/fhir/benefit-category"/>
                <code value="medical"/>
        </coding>
</benefitCategory>

<benefitSubCategory>
        <coding>
                <system value="http://hl7.org/fhir/benefit-subcategory"/>
                <code value="69"/>
                <display value="Maternity"/>
        </coding>
</benefitSubCategory>

</EligibilityRequest>