{
  "resourceType" : "EligibilityRequest",
  "identifier" : [" Identifier "], 
  "ruleset" : " Coding ", 
  "originalRuleset" : " Coding ", 
  "created" : "<dateTime>", 
  "target" : " Reference(Organization) ", 
  "provider" : " Reference(Practitioner) ", 
  "organization" : " Reference(Organization) " 
}