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: CDex Task Example 27 - JSON Representation

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{
  "resourceType" : "Task",
  "id" : "cdex-task-example27",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/davinci-cdex/StructureDefinition/cdex-task-data-request"
    ],
    "tag" : [
      {
        "system" : "http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp",
        "code" : "claims-processing"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Task</b><a name=\"cdex-task-example27\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Task &quot;cdex-task-example27&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-cdex-task-data-request.html\">CDex Task Data Request Profile</a></p><p style=\"margin-bottom: 0px\">Tag: <span title=\"{http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp}\">http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp</span></p></div><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>code</b>: Data Request Questionnaire <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cdex-temp.html\">CDex Temporary Code System</a>#data-request-questionnaire)</span></p><p><b>for</b>: <span/></p><p><b>authoredOn</b>: 2022-06-17 16:16:06+0000</p><p><b>lastModified</b>: 2022-06-19 12:00:00+0000</p><p><b>requester</b>: <span/></p><p><b>owner</b>: <span/></p><p><b>reasonReference</b>: <span/></p><blockquote><p><b>input</b></p><p><b>type</b>: Questionnaire <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/uv/sdc/STU3/CodeSystem-temp.html\">Temporary SDC Codes</a>#questionnaire)</span></p><p><b>value</b>: <a href=\"Questionnaire-cdex-questionnaire-example1.html\">Home Oxygen Therapy Questionnaire</a></p></blockquote><blockquote><p><b>input</b></p><p><b>type</b>: Purpose Of Use <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cdex-temp.html\">CDex Temporary Code System</a>#purpose-of-use)</span></p><p><b>value</b>: coverage under policy or program <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActReason.html\">ActReason</a>#COVERAGE)</span></p></blockquote><h3>Outputs</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Questionnaire Response <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/uv/sdc/STU3/CodeSystem-temp.html\">Temporary SDC Codes</a>#questionnaire-response)</span></td><td><a href=\"QuestionnaireResponse-cdex-questionnaireresponse-example1.html\">QuestionnaireResponse/cdex-questionnaireresponse-example1</a></td></tr></table></div>"
  },
  "status" : "completed",
  "intent" : "order",
  "code" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp",
        "code" : "data-request-questionnaire"
      }
    ]
  },
  "for" : {
    "identifier" : {
      "type" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/davinci-hrex/CodeSystem/hrex-temp",
            "code" : "UMB",
            "display" : "Member Number"
          }
        ],
        "text" : "Member Number"
      },
      "system" : "http://example.org/cdex/payer/member-ids",
      "value" : "Member123"
    }
  },
  "authoredOn" : "2022-06-17T16:16:06Z",
  "lastModified" : "2022-06-19T12:00:00Z",
  "requester" : {
    "identifier" : {
      "system" : "http://example.org/cdex/payer/payer-ids",
      "value" : "Payer123"
    }
  },
  "owner" : {
    "identifier" : {
      "system" : "http://hl7.org/fhir/sid/us-npi",
      "value" : "9941339108"
    }
  },
  "reasonReference" : {
    "identifier" : {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "FILL",
            "display" : "Filler Identifier"
          }
        ],
        "text" : "Payer Claim ID"
      },
      "system" : "http://example.org/cdex/payer/claim-ids",
      "value" : "Claim123"
    }
  },
  "input" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/temp",
            "code" : "questionnaire"
          }
        ]
      },
      "valueCanonical" : "http://example.org/cdex-questionnaire-example1"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp",
            "code" : "purpose-of-use"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
            "code" : "COVERAGE"
          }
        ]
      }
    }
  ],
  "output" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/temp",
            "code" : "questionnaire-response"
          }
        ]
      },
      "valueReference" : {
        "reference" : "QuestionnaireResponse/cdex-questionnaireresponse-example1"
      }
    }
  ]
}