Da Vinci Clinical Data Exchange (CDex)
2.1.0 - STU 2.1

Publication Build: This will be filled in by the publication tooling

## Example Task: CDex Task Example 27

Page standards status: Informative

Generated Narrative: Task cdex-task-example27

status: Completed

intent: order

code: Data Request Questionnaire

for: Identifier: Member Number/Member123

authoredOn: 2022-06-17 16:16:06+0000

lastModified: 2022-06-19 12:00:00+0000

requester: Identifier: `http://example.org/cdex/payer/payer-ids`/Payer123

owner: Identifier: United States National Provider Identifier/9941339108

reasonReference: Identifier: Payer Claim ID/Claim123

> input

> type: Questionnaire

> value: Home Oxygen Therapy Questionnaire

> input

> type: Purpose Of Use

> value: coverage under policy or program

### Outputs

- | Type | Value[x]
* | Questionnaire Response | Response to Questionnaire '->Home Oxygen Therapy Questionnaire' about '->display: string (PrimitiveType/QuestionnaireResponse.subject.display): element = string -> display=string[Amy Shaw]'