{

"resourceType": "EligibilityRequest",
"id": "52346",
"text": {
  "status": "generated",
  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the EligibilityRequest</div>"
},
"identifier": [
  {
    "system": "http://happyvalley.com/elegibilityrequest",
    "value": "52346"
  }
],
"status": "active",
"priority": {
  "coding": [
    {
      "code": "normal"
    }
  ]
},
"patient": {
  "reference": "Patient/pat1"
},
"servicedDate": "2014-09-17",
"created": "2014-08-16",
"enterer": {
  "identifier": {
    "system": "http://happyvalleyclinic.com/staff",
    "value": "14"
  }
},
"provider": {
  "identifier": {
    "system": "http://happyvalleyclinic.com/staff",
    "value": "18"
  }
},
"organization": {
  "reference": "Organization/1"
},
"insurer": {
  "reference": "Organization/2"
},
"facility": {
  "identifier": {
    "system": "http://statecliniclicensor.com/clinicid",
    "value": "G35B9"
  }
},
"coverage": {
  "reference": "Coverage/9876B1"
},
"businessArrangement": "NB8742",
"benefitCategory": {
  "coding": [
    {
      "system": "http://hl7.org/fhir/benefit-category",
      "code": "medical"
    }
  ]
},
"benefitSubCategory": {
  "coding": [
    {
      "system": "http://hl7.org/fhir/benefit-subcategory",
      "code": "69",
      "display": "Maternity"
    }
  ]
}

}