authoredOn: '2022-06-17T16:16:06Z'
code:
  coding:
  - code: data-request-questionnaire
    system: http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp
for:
  identifier:
    system: http://example.org/cdex/payer/member-ids
    type:
      coding:
      - code: MB
        display: Member Number
        system: http://terminology.hl7.org/CodeSystem/v2-0203
      text: Member Number
    value: Member123
id: cdex-task-inline-example26
input:
- type:
    coding:
    - code: questionnaire
      system: http://hl7.org/fhir/uv/sdc/CodeSystem/temp
  valueCanonical: http://example.org/cdex-questionnaire-example1
- type:
    coding:
    - code: purpose-of-use
      system: http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp
  valueCodeableConcept:
    coding:
    - code: COVERAGE
      system: http://terminology.hl7.org/CodeSystem/v3-ActReason
intent: order
lastModified: '2022-06-17T16:16:06Z'
meta:
  extension:
  - url: http://hl7.org/fhir/StructureDefinition/instance-name
    valueString: CDex Inline Task Example 26
  - url: http://hl7.org/fhir/StructureDefinition/instance-description
    valueMarkdown: Task example used to create inline task based scenarios [using questionnaire as task input](task-based-approach.html#using-questionnaire-as-task-input)
  profile:
  - http://hl7.org/fhir/us/davinci-cdex/StructureDefinition/cdex-task-data-request
owner:
  identifier:
    system: http://hl7.org/fhir/sid/us-npi
    value: '9941339108'
reasonReference:
  identifier:
    system: http://example.org/cdex/payer/claim-ids
    type:
      coding:
      - code: FILL
        display: Filler Identifier
        system: http://terminology.hl7.org/CodeSystem/v2-0203
      text: Payer Claim ID
    value: Claim123
requester:
  identifier:
    system: http://example.org/cdex/payer/payer-ids
    value: Payer123
resourceType: Task
status: requested