Describe primary source of water

Describe secondary source of water

Describe third source of water

Describe any additional information regarding water source or use

Have you attended an event (e.g. festival, wedding, etc.) where food was served and you know of others who are also sick

Describe the specific common foods consumed

Have you shared a meal with others who you know are also experiencing the same symptoms?

Specify the foods shared with others with the same symptoms

Specify when these meals were shared

Does the patient suspect a specific food or the beverage to be the cause of the disease

Explain why this suspicion

Were there any notable changes to the types of sources of food or drinks normally consumed prior to symptom onset

Describe the changes to the types of sources

Details of food in the morning

Details of food at mid-day

Details of food in the evening

Details of beverage in the morning

Details of beverage at mid-day

Details of beverage in the evening

Any other observation to share regarding food and drinks

Base definition for all elements that are defined inside a resource - but not those in a data type.

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Describe primary source of water

Describe secondary source of water

Describe third source of water

Describe any additional information regarding water source or use

Have you attended an event (e.g. festival, wedding, etc.) where food was served and you know of others who are also sick

Describe the specific common foods consumed

Have you shared a meal with others who you know are also experiencing the same symptoms?

Specify the foods shared with others with the same symptoms

Specify when these meals were shared

Does the patient suspect a specific food or the beverage to be the cause of the disease

Explain why this suspicion

Were there any notable changes to the types of sources of food or drinks normally consumed prior to symptom onset

Describe the changes to the types of sources

Details of food in the morning

Details of food at mid-day

Details of food in the evening

Details of beverage in the morning

Details of beverage at mid-day

Details of beverage in the evening

Any other observation to share regarding food and drinks

Base definition for all elements that are defined inside a resource - but not those in a data type.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• value @ url

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Describe primary source of water

Describe secondary source of water

Describe third source of water

Describe any additional information regarding water source or use

Have you attended an event (e.g. festival, wedding, etc.) where food was served and you know of others who are also sick

Describe the specific common foods consumed

Have you shared a meal with others who you know are also experiencing the same symptoms?

Specify the foods shared with others with the same symptoms

Specify when these meals were shared

Does the patient suspect a specific food or the beverage to be the cause of the disease

Explain why this suspicion

Were there any notable changes to the types of sources of food or drinks normally consumed prior to symptom onset

Describe the changes to the types of sources

Details of food in the morning

Details of food at mid-day

Details of food in the evening

Details of beverage in the morning

Details of beverage at mid-day

Details of beverage in the evening

Any other observation to share regarding food and drinks