<?xml version="1.0" encoding="UTF-8"?>

<EnrollmentRequest xmlns="http://hl7.org/fhir">
  <id value="22345"/>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the EnrollmentRequest.</div>
  </text>
  <identifier>
    <system value="http://happyvalley.com/enrollmentrequest"/>
    <value value="EN22345"/>
  </identifier>
  <status value="active"/>
  <created value="2014-08-16"/>
  <insurer>
    <reference value="Organization/2"/>
  </insurer>
  <provider>
    <reference value="Organization/1"/>
  </provider>
  <candidate>
    <reference value="Patient/1"/>
  </candidate>
  <coverage>
    <reference value="Coverage/9876B1"/>
  </coverage>
</EnrollmentRequest>