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Example EnrollmentRequest/22345 (XML)

Financial Management Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Patient

Raw XML (canonical form + also see XML Format Specification)

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General Simple Enrollment Example (id = "22345")

<?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>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.