# Coverage01 - Data Exchange For Quality Measures Implementation Guide v1.0.0-ballot

## Example Coverage: Coverage01

version: 2; Last updated: 2019-02-11 14:19:25+0000; Language: en; 

Information Source: [http://example.org/fhir/server](http://example.org/fhir/server)

Profile: [QICore Coverage](http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-coverage.html)

**status**: Active

**policyHolder**: [Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345 (use: usual, ))](Patient-patient01.md)

**subscriber**: [Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345 (use: usual, ))](Patient-patient01.md)

**subscriberId**: A123456789

**beneficiary**: [Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345 (use: usual, ))](Patient-patient01.md)

**relationship**: Self

**payor**: [Organization DVPayer04](Organization-organization04.md)



## Resource Content

```json
{
  "resourceType" : "Coverage",
  "id" : "coverage01",
  "meta" : {
    "versionId" : "2",
    "lastUpdated" : "2019-02-11T14:19:25.000+00:00",
    "source" : "http://example.org/fhir/server",
    "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"]
  },
  "language" : "en",
  "status" : "active",
  "policyHolder" : {
    "reference" : "Patient/patient01"
  },
  "subscriber" : {
    "reference" : "Patient/patient01"
  },
  "subscriberId" : "A123456789",
  "beneficiary" : {
    "reference" : "Patient/patient01"
  },
  "relationship" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
      "code" : "self"
    }]
  },
  "payor" : [{
    "reference" : "Organization/organization04"
  }]
}

```
