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Source1

{
  "resourceType": "Task",
  "id": "cdex-task-inline-example26",
  "status": "requested",
  "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://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "MB",
            "display": "Member Number"
          }
        ],
        "text": "Member Number"
      },
      "system": "http://example.org/cdex/payer/member-ids",
      "value": "Member123"
    }
  },
  "authoredOn": "2022-06-17T16:16:06Z",
  "lastModified": "2022-06-17T16:16:06Z",
  "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"
          }
        ]
      }
    }
  ]
}