{
  "resourceType" : "QuestionnaireResponse",
  "questionnaire" : "http://example.org/cdex-questionnaire-example1",
  "status" : "completed",
  "subject" : {
    "identifier" : {
      "use" : "usual",
      "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"
    },
    "display" : "Amy Shaw"
  },
  "authored" : "2022-06-17",
  "author" : {
    "identifier" : {
      "system" : "http://hl7.org/fhir/sid/us-npi",
      "value" : "9941339100"
    }
  },
  "item" : [{
    "linkId" : "1",
    "text" : "Relevant Patient Diagnoses (conditions that might be expected to improve with oxygen therapy)",
    "answer" : [{
      "valueString" : "Examplitis"
    }]
  },
  {
    "linkId" : "2",
    "text" : "Order Reason",
    "answer" : [{
      "valueCoding" : {
        "system" : "http://example.org",
        "code" : "4",
        "display" : "Replacement"
      }
    }]
  }]
}