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

      <id value="52345"/>

      <meta>
  <security>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
    <code value="HTEST"/>
    <display value="test health data"/>
  </security>
</meta>

      <identifier>
              <system value="http://happyvalley.com/coverageelegibilityrequest"/>
              <value value="52345"/>
      </identifier>

      <status value="active"/>

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

      <purpose value="validation"/>

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

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

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

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

      <insurance>
              <focal value="true"/>
              <coverage>
                      <reference value="Coverage/9876B1"/>
              </coverage>
      </insurance>

</CoverageEligibilityRequest>