AllergyIntolerance

Terminology Bindings

AllergyIntolerance.substance
  • Description
    • Type of the substance and negation codes for reporting no known allergies.
  • RxNorm
  • SNOMED CT
    • SNOMED CT is supported for non-medication substances and for negations.
AllergyIntolerance.reaction.manifestation
  • Description
    • Clinical symptoms and/or signs that are observed or associated with an adverse reaction event.
  • SNOMED CT

Search for AllergyIntolerances that meet supplied query parameters:

GET /AllergyIntolerance?:parameters

Parameters

Name Required? Type Description
_id This or patient, if populated all other parameters are not allowed token The logical resource id associated with the resource. Example: 12345
patient This or _id reference Who the sensitivity is for. Example: 12345
status N token Certainty of the allergy or intolerance. Example: confirmed

Response

Status: 200 OK
Functionality: Search by patient
{
  "resourceType": "Bundle",
  "id": "c7330db8-59df-499b-9f97-9f89b79dbfb4",
  "type": "searchset",
  "total": 2,
  "link": [
    {
      "relation": "self",
      "url": "https://fhir-open.sandboxcerner.com/dstu2/0b8a0111-e8e6-4c26-a91c-5069cbc6b1ca/AllergyIntolerance?patient=4342010"
    }
  ],
  "entry": [
    {
      "fullUrl": "https://fhir-open.sandboxcerner.com/dstu2/0b8a0111-e8e6-4c26-a91c-5069cbc6b1ca/AllergyIntolerance/5703737",
      "resource": {
        "resourceType": "AllergyIntolerance",
        "id": "5703737",
        "meta": {
          "versionId": "5703737",
          "lastUpdated": "2016-06-27T14:10:11.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div><p><b>Allergy Intolerance</b></p><p><b>Patient</b>: Smart, Joe</p><p><b>Allergy</b>: Peanuts</p><p><b>Status</b>: Active</p><p><b>Criticality</b>: High Risk</p><p><b>Category</b>: Food</p><p><b>Reactions</b>: Dyspnea</p><p><b>Onset</b>: 1982</p></div>"
        },
        "onset": "1982",
        "recordedDate": "2016-06-27T09:10:11.000-05:00",
        "recorder": {
          "reference": "Practitioner/1912007",
          "display": "Who, Doctor"
        },
        "patient": {
          "reference": "Patient/4342010",
          "display": "Smart, Joe"
        },
        "substance": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "256349002",
              "display": "Peanut - dietary (substance)",
              "userSelected": false
            }
          ],
          "text": "Peanuts"
        },
        "status": "active",
        "criticality": "CRITH",
        "type": "allergy",
        "category": "food",
        "reaction": [
          {
            "id": "5703739",
            "manifestation": [
              {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "267036007",
                    "display": "Dyspnea (finding)",
                    "userSelected": false
                  }
                ],
                "text": "Dyspnea"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-open.sandboxcerner.com/dstu2/0b8a0111-e8e6-4c26-a91c-5069cbc6b1ca/AllergyIntolerance/5703733",
      "resource": {
        "resourceType": "AllergyIntolerance",
        "id": "5703733",
        "meta": {
          "versionId": "5703733",
          "lastUpdated": "2016-06-27T14:08:41.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div><p><b>Allergy Intolerance</b></p><p><b>Patient</b>: Smart, Joe</p><p><b>Allergy</b>: No known medicine allergy</p><p><b>Status</b>: Active</p></div>"
        },
        "recordedDate": "2016-06-27T09:08:41.000-05:00",
        "recorder": {
          "reference": "Practitioner/1912007",
          "display": "Who, Doctor"
        },
        "patient": {
          "reference": "Patient/4342010",
          "display": "Smart, Joe"
        },
        "substance": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "409137002",
              "display": "No known drug allergies (context-dependent category)",
              "userSelected": false
            }
          ],
          "text": "No known medicine allergy"
        },
        "status": "active",
        "type": "allergy"
      }
    }
  ]
}
Status: 200 OK
Functionality: Search by patient and status
{
  "resourceType": "Bundle",
  "id": "c7330db8-59df-499b-9f97-9f89b79dbfb4",
  "type": "searchset",
  "total": 2,
  "link": [
    {
      "relation": "self",
      "url": "https://fhir-open.sandboxcerner.com/dstu2/0b8a0111-e8e6-4c26-a91c-5069cbc6b1ca/AllergyIntolerance?patient=4342010&status=active"
    }
  ],
  "entry": [
    {
      "fullUrl": "https://fhir-open.sandboxcerner.com/dstu2/0b8a0111-e8e6-4c26-a91c-5069cbc6b1ca/AllergyIntolerance/5703737",
      "resource": {
        "resourceType": "AllergyIntolerance",
        "id": "5703737",
        "meta": {
          "versionId": "5703737",
          "lastUpdated": "2016-06-27T14:10:11.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div><p><b>Allergy Intolerance</b></p><p><b>Patient</b>: Smart, Joe</p><p><b>Allergy</b>: Peanuts</p><p><b>Status</b>: Active</p><p><b>Criticality</b>: High Risk</p><p><b>Category</b>: Food</p><p><b>Reactions</b>: Dyspnea</p><p><b>Onset</b>: 1982</p></div>"
        },
        "onset": "1982",
        "recordedDate": "2016-06-27T09:10:11.000-05:00",
        "recorder": {
          "reference": "Practitioner/1912007",
          "display": "Who, Doctor"
        },
        "patient": {
          "reference": "Patient/4342010",
          "display": "Smart, Joe"
        },
        "substance": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "256349002",
              "display": "Peanut - dietary (substance)",
              "userSelected": false
            }
          ],
          "text": "Peanuts"
        },
        "status": "active",
        "criticality": "CRITH",
        "type": "allergy",
        "category": "food",
        "reaction": [
          {
            "id": "5703739",
            "manifestation": [
              {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "267036007",
                    "display": "Dyspnea (finding)",
                    "userSelected": false
                  }
                ],
                "text": "Dyspnea"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-open.sandboxcerner.com/dstu2/0b8a0111-e8e6-4c26-a91c-5069cbc6b1ca/AllergyIntolerance/5703733",
      "resource": {
        "resourceType": "AllergyIntolerance",
        "id": "5703733",
        "meta": {
          "versionId": "5703733",
          "lastUpdated": "2016-06-27T14:08:41.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div><p><b>Allergy Intolerance</b></p><p><b>Patient</b>: Smart, Joe</p><p><b>Allergy</b>: No known medicine allergy</p><p><b>Status</b>: Active</p></div>"
        },
        "recordedDate": "2016-06-27T09:08:41.000-05:00",
        "recorder": {
          "reference": "Practitioner/1912007",
          "display": "Who, Doctor"
        },
        "patient": {
          "reference": "Patient/4342010",
          "display": "Smart, Joe"
        },
        "substance": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "409137002",
              "display": "No known drug allergies (context-dependent category)",
              "userSelected": false
            }
          ],
          "text": "No known medicine allergy"
        },
        "status": "active",
        "type": "allergy"
      }
    }
  ]
}
Status: 200 OK
Functionality: Search by id
{
  "resourceType": "Bundle",
  "id": "db663826-30c9-4278-a6e2-b2b6843334f7",
  "type": "searchset",
  "total": 1,
  "link": [
    {
      "relation": "self",
      "url": "https://fhir-open.sandboxcerner.com/dstu2/0b8a0111-e8e6-4c26-a91c-5069cbc6b1ca/AllergyIntolerance?_id=5703737"
    }
  ],
  "entry": [
    {
      "fullUrl": "https://fhir-open.sandboxcerner.com/dstu2/0b8a0111-e8e6-4c26-a91c-5069cbc6b1ca/AllergyIntolerance/5703737",
      "resource": {
        "resourceType": "AllergyIntolerance",
        "id": "5703737",
        "meta": {
          "versionId": "5703737",
          "lastUpdated": "2016-06-27T14:10:11.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div><p><b>Allergy Intolerance</b></p><p><b>Patient</b>: Smart, Joe</p><p><b>Allergy</b>: Peanuts</p><p><b>Status</b>: Active</p><p><b>Criticality</b>: High Risk</p><p><b>Category</b>: Food</p><p><b>Reactions</b>: Dyspnea</p><p><b>Onset</b>: 1982</p></div>"
        },
        "onset": "1982",
        "recordedDate": "2016-06-27T09:10:11.000-05:00",
        "recorder": {
          "reference": "Practitioner/1912007",
          "display": "Who, Doctor"
        },
        "patient": {
          "reference": "Patient/4342010",
          "display": "Smart, Joe"
        },
        "substance": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "256349002",
              "display": "Peanut - dietary (substance)",
              "userSelected": false
            }
          ],
          "text": "Peanuts"
        },
        "status": "active",
        "criticality": "CRITH",
        "type": "allergy",
        "category": "food",
        "reaction": [
          {
            "id": "5703739",
            "manifestation": [
              {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "267036007",
                    "display": "Dyspnea (finding)",
                    "userSelected": false
                  }
                ],
                "text": "Dyspnea"
              }
            ]
          }
        ]
      }
    }
  ]
}

Retrieve by id

List an individual AllergyIntolerance by its id:

GET /AllergyIntolerance/:id

Response

Status: 200 OK
{
  "resourceType": "AllergyIntolerance",
  "id": "3643739",
  "meta": {
    "versionId": "3643739",
    "lastUpdated": "2015-03-11T20:36:08.000Z"
  },
  "text": {
    "status": "generated",
    "div": "<div><p><b>Allergy Intolerance</b></p><p><b>Patient</b>: RHEUM, TEST ONE</p><p><b>Allergy</b>: Dust allergy</p><p><b>Status</b>: Active</p><p><b>Criticality</b>: </p><p><b>Category</b>: Environment</p><p><b>Reactions</b>: </p><p><b>Onset</b>: </p><p><b>Note</b>: </p></div>"
  },
  "recordedDate": "2015-03-11T15:36:08.000",
  "recorder": {
    "reference": "Practitioner/3270007",
    "display": "Who, Doctor"
  },
  "patient": {
    "reference": "Patient/2744010",
    "display": "RHEUM, TEST ONE"
  },
  "substance": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "390952000",
        "display": "Dust allergy (disorder)",
        "userSelected": true
      }
    ],
    "text": "Dust allergy"
  },
  "status": "active",
  "type": "allergy",
  "category": "environment"
}

Create

Create new allergies.

POST /AllergyIntolerance

Headers

To successfully POST an allergy, the following headers must be provided. Allergy creation is supported from the closed endpoint only.

Content-Type: application/json+fhir
Authorization: <OAuth2 Bearer Token>

Body fields

Name Required Cardinality Type
resourceType Yes 1..1 string
  • Description
    • The type of the FHIR resource.
  • Example
    • AllergyIntolerance
  • Notes
    • resourceType must be AllergyIntolerance
contained No 0..* Resource
  • Description
    • Contained, inline Resources.
  • Example
    • Contained RelatedPerson
      {
        "contained": [
          {
            "resourceType": "RelatedPerson",
            "id": "5366328",
            "relationship": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v3/RoleCode",
                  "code": "SIGOTHR"
                }
              ]
            }
          }
        ]
      }
      
      Contained Practitioner
      {
        "contained": [
          {
            "resourceType": "Practitioner",
            "id": "123",
            "practitionerRole": [
              {
                "role": {
                  "coding": [
                    {
                      "system": "http://hl7.org/fhir/v2/0286",
                      "code": "RP"
                    }
                  ]
                }
              }
            ]
          }
        ]
      }
      
  • Notes
onset No 0..1 dateTime
  • Description
    • Date(/time) when manifestations showed.
  • Example
    • {
        "onset: "2012-07-13T00:00:00Z"
      }
      
recordedDate Yes 0..1 dateTime
  • Description
    • When the sensitivity was recorded.
  • Example
    • {
        "recordedDate": "2015-10-14T13:13:20-06:00"
      }
      
recorder No 0..1 Reference (Practitioner)
  • Description
    • Who recorded the sensitivity.
  • Example
    • {
        "recorder": {
          "reference": "Practitioner/21500971"
        }
      }
      
  • Notes
patient Yes 1..1 Reference (Patient)
  • Description
    • Who the sensitivity is for.
  • Example
    • {
        "patient": {
          "reference": "Patient/5366327"
        }
      }
      
reporter Yes 0..1 Reference (Patient) | contained Reference (Practitioner | RelatedPerson)
  • Description
    • Source of the information about the allergy.
  • Example
    • Reporter as a Patient Reference
      {
        "reporter": {
          "reference": "Patient/5366327"
        }
      }
      
      Reporter as a contained reference
      {
        "reporter": "#5366328"
      }
      
  • Notes
substance Yes 1..1 CodeableConcept
  • Description
    • Substance, (or class) considered to be responsible for risk
  • Example
    • {
        "substance": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "4125",
              "display": "Ethiodized oil"
            }
          ]
        }
      }
      
status Yes 0..1 code
  • Description
    • Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance.
  • Example
    • {
        "status": "resolved"
      }
      
criticality Yes 0..1 code
  • Description
    • Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance.
  • Example
    • {
        "criticality": "CRITU"
      }
      
type No 0..1 code
  • Description
    • Identification of the underlying physiological mechanism for the reaction risk.
  • Example
    • {
        "type": "allergy"
      }
      
category Yes 0..1 code
  • Description
  • Example
    • {
        "type": "food"
      }
      
note No 0..1 Annotation
  • Description
    • Additional text not captured in other fields.
  • Example
    • {
        "note": {
          "authorReference": {
            "reference": "Practitioner/21500971"
          },
          "time": "2015-10-14T13:13:20-06:00",
          "text": "Patient complains of discomfort"
        }
      }
      
note.authorReference No 0..1 Reference (Practitioner)
  • Description
    • Individual responsible for the annotation.
  • Example
    • {
        "note": {
          "authorReference": {
            "reference": "Practitioner/21500971"
          }
        }
      }
      
note.time No 0..1 dateTime
  • Description
    • When the annotation was made.
  • Example
    • {
        "note": {
          "time": "2015-10-14T13:13:20-06:00"
        }
      }
      
note.text Yes 1..1 string
  • Description
    • The text content.
  • Example
    • {
        "note": {
          "text": "Patient complains of discomfort"
        }
      }
      
reaction No 0..* BackboneElement
  • Description
    • Adverse reaction events linked to exposure to substance.
  • Example
    • {
        "reaction": [
          {
            "manifestation": [
              {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "39579001",
                    "display": "Anaphylactic reaction"
                  }
                ]
              }
            ]
          }
        }
      }
      
reaction.manifestation Yes 1..* CodeableConcept
  • Description
    • Clinical symptoms/signs associated with the event.
  • Example
    • Manifestation with a coding:
      {
        "reaction": [
          {
            "manifestation": [
              {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "39579001",
                    "display": "Anaphylactic reaction"
                  }
                ]
              }
            ]
          }
        }
      }
      
      Manifestation with a freetext value:
      {
        "reaction": [
          {
            "manifestation": [
              {
                "text": "Anaphylactic reaction"
              }
            ]
          }
        ]
      }
      

Example Body

{
  "resourceType": "AllergyIntolerance",
  "category": "medication",
  "criticality": "CRITL",
  "recordedDate": "2017-02-28T15:03:00-06:00",
  "status": "active",
  "type": "allergy",
  "onset": "2015-12-15T00:00:00Z",
  "patient": {
    "reference": "Patient/1316020"
  },
  "reporter": {
    "reference": "Patient/1316020"
  },
  "recorder": {
    "reference": "Practitioner/1316007"
  },
  "reaction": [
    {
      "manifestation": [
        {
          "text": "Hives"
        }
      ]
    }
  ],
  "note": {
    "authorReference": {
      "reference": "Practitioner/41562141"
    },
    "time": "2017-02-28T09:03:00Z",
    "text": "Note 1"
  },
  "substance": {
    "coding": [
      {
        "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
        "code": "3498"
      }
    ]
  }
}

Response

Status: 201 Created
    Date → Tue, 28 Feb 2017 21:08:20 GMT
    Cache-Control → no-cache
    Vary → Origin,User-Agent,Accept-Encoding
    Strict-Transport-Security → max-age=631152000
    Server-Response-Time → 10023.126891
    X-Xss-Protection → 1; mode=block
    Pragma → no-cache
    X-Request-Id → b0fee21c20d2a240d9b4b86cfbcbd87c
    Etag → W/"6167733"
    X-Frame-Options → SAMEORIGIN
    X-Runtime → 10.023081
    X-Content-Type-Options → nosniff
    Expires → Mon, 01 Jan 1990 00:00:00 GMT
    Last-Modified → Tue, 28 Feb 2017 21:03:00 GMT
    Location → https://fhir-ehr.sandboxcerner.com/dstu2/0b8a0111-e8e6-4c26-a91c-5069cbc6b1ca/AllergyIntolerance/6167733
    Status → 201 Created
    Content-Length → 0
    Content-Type → application/json

The ETag response header indicates the current If-Match version to use on subsequent updates.

Update

Update an existing allergy.

PUT /AllergyIntolerance/:id

Note that any field which is missing will be interpreted as nulling out or removing data from the resource. See FHIR® Update for additional details about update operations.

Headers

To successfully PUT an allergy, the following headers must be provided. Allergy updates are supported from the closed endpoint only.

Content-Type: application/json+fhir
Authorization: <OAuth2 Bearer Token>
If-Match: W/"<Current allergy id>"

Body fields

Name Required Cardinality Type
resourceType Yes 1..1 string
  • Description
    • The type of the FHIR resource.
  • Example
    • AllergyIntolerance
  • Notes
    • resourceType must be AllergyIntolerance
id Yes 0..1 id
  • Description
    • The logical id of the resource to update.
  • Example
    • {
        "id": "123412"
      }
      
  • Notes
    • The id value must match the AllergyIntolerance/<id> value.
contained No 0..* Resource
  • Description
    • Contained, inline Resources.
  • Example
    • Contained RelatedPerson
      {
        "contained": [
          {
            "resourceType": "RelatedPerson",
            "id": "5366328",
            "relationship": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v3/RoleCode",
                  "code": "SIGOTHR"
                }
              ]
            }
          }
        ]
      }
      
      Contained Practitioner
      {
        "contained": [
          {
            "resourceType": "Practitioner",
            "id": "123",
            "practitionerRole": [
              {
                "role": {
                  "coding": [
                    {
                      "system": "http://hl7.org/fhir/v2/0286",
                      "code": "RP"
                    }
                  ]
                }
              }
            ]
          }
        ]
      }
      
  • Notes
onset No 0..1 dateTime
  • Description
    • Date(/time) when manifestations showed.
  • Example
    • {
        "onset: "2012-07-13T00:00:00Z"
      }
      
recordedDate Yes 0..1 dateTime
  • Description
    • When the sensitivity was recorded.
  • Example
    • {
        "recordedDate": "2015-10-14T13:13:20-06:00"
      }
      
recorder No 0..1 Reference (Practitioner)
  • Description
    • Who recorded the sensitivity.
  • Example
    • {
        "recorder": {
          "reference": "Practitioner/21500971"
        }
      }
      
  • Notes
patient Yes 1..1 Reference (Patient)
  • Description
    • Who the sensitivity is for.
  • Example
    • {
        "patient": {
          "reference": "Patient/5366327"
        }
      }
      
reporter Yes 0..1 Reference (Patient) | contained Reference (Practitioner | RelatedPerson)
  • Description
    • Source of the information about the allergy.
  • Example
    • Reporter as a Patient Reference
      {
        "reporter": {
          "reference": "Patient/5366327"
        }
      }
      
      Reporter as a contained reference
      {
        "reporter": "#5366328"
      }
      
  • Notes
substance Yes 1..1 CodeableConcept
  • Description
    • Substance, (or class) considered to be responsible for risk
  • Example
    • {
        "substance": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "4125",
              "display": "Ethiodized oil"
            }
          ]
        }
      }
      
status Yes 0..1 code
  • Description
    • Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance.
  • Example
    • {
        "status": "resolved"
      }
      
criticality Yes 0..1 code
  • Description
    • Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance.
  • Example
    • {
        "criticality": "CRITU"
      }
      
type No 0..1 code
  • Description
    • Identification of the underlying physiological mechanism for the reaction risk.
  • Example
    • {
        "type": "allergy"
      }
      
category Yes 0..1 code
  • Description
  • Example
    • {
        "type": "food"
      }
      
note No 0..1 Annotation
  • Description
    • Additional text not captured in other fields.
  • Example
    • {
        "note": {
          "authorReference": {
            "reference": "Practitioner/21500971"
          },
          "time": "2015-10-14T13:13:20-06:00",
          "text": "Patient complains of discomfort"
        }
      }
      
note.authorReference No 0..1 Reference (Practitioner)
  • Description
    • Individual responsible for the annotation.
  • Example
    • {
        "note": {
          "authorReference": {
            "reference": "Practitioner/21500971"
          }
        }
      }
      
note.time No 0..1 dateTime
  • Description
    • When the annotation was made.
  • Example
    • {
        "note": {
          "time": "2015-10-14T13:13:20-06:00"
        }
      }
      
note.text Yes 1..1 string
  • Description
    • The text content.
  • Example
    • {
        "note": {
          "text": "Patient complains of discomfort"
        }
      }
      
reaction No 0..* BackboneElement
  • Description
    • Adverse reaction events linked to exposure to substance.
  • Example
    • {
        "reaction": [
          {
            "manifestation": [
              {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "39579001",
                    "display": "Anaphylactic reaction"
                  }
                ]
              }
            ]
          }
        }
      }
      
reaction.id Yes 0..1 id
  • Description
    • Logical id of the reaction event.
  • Example
    • {
        "id": "543123"
      }
      
reaction.manifestation Yes 1..* CodeableConcept
  • Description
    • Clinical symptoms/signs associated with the event.
  • Example
    • Manifestation with a coding:
      {
        "reaction": [
          {
            "manifestation": [
              {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "39579001",
                    "display": "Anaphylactic reaction"
                  }
                ]
              }
            ]
          }
        }
      }
      
      Manifestation with a freetext value:
      {
        "reaction": [
          {
            "manifestation": [
              {
                "text": "Anaphylactic reaction"
              }
            ]
          }
        ]
      }
      

Example Body

{
  "resourceType": "AllergyIntolerance",
  "id": "6167733",
  "meta": {
    "versionId": "6167733",
    "lastUpdated": "2017-02-28T21:08:25.000Z"
  },
  "contained": [
    {
      "resourceType": "RelatedPerson",
      "id": "19775887",
      "patient": {
        "reference": "Patient/1316020"
      },
      "relationship": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v3/RoleCode",
            "code": "ONESELF",
            "display": "self"
          }
        ],
        "text": "self"
      }
    }
  ],
  "onset": "2015-12-14T16:00:00.000-08:00",
  "recordedDate": "2017-02-28T15:03:00.000-06:00",
  "recorder": {
    "reference": "Practitioner/1316007"
  },
  "patient": {
    "reference": "Patient/1316020"
  },
  "reporter": {
    "reference": "#19775887"
  },
  "substance": {
    "text": "calamine-diphenhydrAMINE topical"
  },
  "status": "active",
  "criticality": "CRITH",
  "type": "allergy",
  "category": "medication",
  "note": {
    "text": "2017-02-28T09:03:00.000Z - Note 1"
  },
  "reaction": [
    {
      "id": "6167735",
      "manifestation": [
        {
          "text": "Hives"
        }
      ]
    }
  ]
}

Response

Status: 200 OK
    Date →  Tue, 28 Feb 2017 21:19:18 GMT
    Cache-Control →  no-cache
    Vary →  Origin,User-Agent,Accept-Encoding
    Strict-Transport-Security →  max-age=631152000
    Server-Response-Time →  647.014821
    X-Xss-Protection →  1; mode=block
    Pragma →  no-cache
    X-Request-Id →  d30766e5445f973b32efa9ec516cb5db
    Etag →  W/"6167741"
    X-Frame-Options →  SAMEORIGIN
    X-Runtime →  0.646992
    X-Content-Type-Options →  nosniff
    Expires →  Mon, 01 Jan 1990 00:00:00 GMT
    Last-Modified →  Tue, 28 Feb 2017 21:03:00 GMT
    Status →  200 OK
    Content-Length →  0
    Content-Type →  application/json