This page is part of the FHIR Specification (v0.0.82: DSTU 1). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions Allergyintolerance.questionnaire This is an example form generated from the questionnaire. See also the XML or JSON format. Allergyintolerance.questionnaire - FHIR v0.4.0                           div.fhir-code-form { background-color: Lemonchiffon; border-bottom: 1px solid #778899; border-right: 1px solid #778899; padding: 10px 10px 0px 10px; margin: 0px 0px 0px 0px; position: fixed; width: 520px; top: 0; left: 0; opacity: 1.0; z-order: 50; } div.fhir-code-form,div.fhir-reference-form { background-color: Lemonchiffon; border-bottom: 1px solid #778899; border-right: 1px solid #778899; padding: 10px 10px 0px 10px; margin: 0px 0px 0px 0px; position: fixed; width: 520px; top: 0; left: 0; opacity: 1.0; z-order: 50; } .combo {position:relative;width:310px;text-align:left;padding:0;margin:0;} .combo * {padding:0;margin:0;} .combo label {display:block;float:left;width:92px;text-align:right;} .combo input {width:300px; height:1.5em;z-index:50;} .combo ul {padding:1px;border:2px solid #ccc;width: 600px;background-color:#fff;position:absolute;left:3px;top:1.8em;display:none;z-index:51;} .combo li {display:block; width: 100%;} Form Development Version FHIR Home Documentation Implementation Resources Clinical Administrative Infrastructure Financial Home Clinical AllergyIntolerance Generated Questionnaire This is an example form generated from the questionnaire. See also the XML or JSON format Allergy or Intolerance (generally: Risk Of Adverse reaction to a substance) Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings. AllergyIntolerance AllergyIntolerance.id AllergyIntolerance.id.value Logical id of this artefact AllergyIntolerance.id 1 Metadata about the resource AllergyIntolerance.meta AllergyIntolerance.meta 1 AllergyIntolerance.implicitRules AllergyIntolerance.implicitRules.value A set of rules under which this content was created AllergyIntolerance.implicitRules 1 AllergyIntolerance.language AllergyIntolerance.language.value language AllergyIntolerance.language 1 Text summary of the resource, for human interpretation AllergyIntolerance.text AllergyIntolerance.text 1 Contained, inline Resources AllergyIntolerance.contained AllergyIntolerance.contained 1 External Ids for this item AllergyIntolerance.identifier AllergyIntolerance.identifier.label label: AllergyIntolerance.identifier.system system: AllergyIntolerance.identifier.value value: AllergyIntolerance.identifier 1 AllergyIntolerance.recordedDate AllergyIntolerance.recordedDate.value When recorded AllergyIntolerance.recordedDate 1 Who recorded the sensitivity AllergyIntolerance.recorder AllergyIntolerance.recorder._type type AllergyIntolerance.recorder._Practitioner AllergyIntolerance.recorder._Practitioner.value Practitioner Edit AllergyIntolerance.recorder._Practitioner 1 AllergyIntolerance.recorder._Patient AllergyIntolerance.recorder._Patient.value Patient Edit AllergyIntolerance.recorder._Patient 1 AllergyIntolerance.recorder 1 AllergyIntolerance.patient AllergyIntolerance.patient.value Who the sensitivity is for Edit AllergyIntolerance.patient 1 Source of the information about the allergy AllergyIntolerance.reporter AllergyIntolerance.reporter._type type AllergyIntolerance.reporter._Patient AllergyIntolerance.reporter._Patient.value Patient Edit AllergyIntolerance.reporter._Patient 1 AllergyIntolerance.reporter._RelatedPerson AllergyIntolerance.reporter._RelatedPerson.value RelatedPerson Edit AllergyIntolerance.reporter._RelatedPerson 1 AllergyIntolerance.reporter._Practitioner AllergyIntolerance.reporter._Practitioner.value Practitioner Edit AllergyIntolerance.reporter._Practitioner 1 AllergyIntolerance.reporter 1 Substance, (or class) considered to be responsible for risk AllergyIntolerance.substance AllergyIntolerance.substance.coding code: AllergyIntolerance.substance.text text: AllergyIntolerance.substance 1 AllergyIntolerance.status AllergyIntolerance.status.value status AllergyIntolerance.status 1 AllergyIntolerance.criticality AllergyIntolerance.criticality.value criticality AllergyIntolerance.criticality 1 AllergyIntolerance.type AllergyIntolerance.type.value type AllergyIntolerance.type 1 AllergyIntolerance.category AllergyIntolerance.category.value category AllergyIntolerance.category 1 AllergyIntolerance.lastOccurence AllergyIntolerance.lastOccurence.value Date(/time) of last known occurence of a reaction AllergyIntolerance.lastOccurence 1 AllergyIntolerance.comment AllergyIntolerance.comment.value Additional text not captured in other fields AllergyIntolerance.comment 1 Adverse Reaction Events linked to exposure to substance AllergyIntolerance.event AllergyIntolerance.event.id AllergyIntolerance.event.id.value xml:id (or equivalent in JSON) AllergyIntolerance.event.id 1 Specific substance considered to be responsible for event AllergyIntolerance.event.substance AllergyIntolerance.event.substance.coding code: AllergyIntolerance.event.substance.text text: AllergyIntolerance.event.substance 1 AllergyIntolerance.event.certainty AllergyIntolerance.event.certainty.value certainty AllergyIntolerance.event.certainty 1 Clinical symptoms/signs associated with the Event AllergyIntolerance.event.manifestation AllergyIntolerance.event.manifestation.coding code: AllergyIntolerance.event.manifestation.text text: AllergyIntolerance.event.manifestation 1 AllergyIntolerance.event.description AllergyIntolerance.event.description.value Description of the event as a whole AllergyIntolerance.event.description 1 AllergyIntolerance.event.onset AllergyIntolerance.event.onset.value Date(/time) when manifestations showed AllergyIntolerance.event.onset 1 How long Manifestations persisted AllergyIntolerance.event.duration AllergyIntolerance.event.duration.value value: AllergyIntolerance.event.duration.units units: AllergyIntolerance.event.duration 1 AllergyIntolerance.event.severity AllergyIntolerance.event.severity.value severity AllergyIntolerance.event.severity 1 How the subject was exposed to the substance AllergyIntolerance.event.exposureRoute AllergyIntolerance.event.exposureRoute.coding code: AllergyIntolerance.event.exposureRoute.text text: AllergyIntolerance.event.exposureRoute 1 AllergyIntolerance.event.comment AllergyIntolerance.event.comment.value Text about event not captured in other fields AllergyIntolerance.event.comment 1 AllergyIntolerance.event 1 AllergyIntolerance 1 Save as Draft Save as Complete © HL7.org 2011+. FHIR DSTU (v0.4.0-4902) generated on Fri, Mar 27, 2015 00:17+1100. Links: What's a DSTU? | Version History | Specification Map | Compare to DSTU1 | | Propose a change   © HL7.org 2011+. FHIR DSTU (v0.4.0-4902) generated on Fri, Mar 27, 2015 00:17+1100. Links: What's a DSTU? | Version History | Specification Map | Compare to DSTU1 | | Propose a change