---
type: "example"
title: "EnrollmentRequest Example: enrollmentrequest-example"
resource: "EnrollmentRequest"
example: "enrollmentrequest-example"
---
# EnrollmentRequest Example: enrollmentrequest-example

## Narrative

A human-readable rendering of the EnrollmentRequest.

## Example XML



```xml
<EnrollmentRequest xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../schema/remittance.xsd">
 <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>
```