{
  "resourceType": "Observation",
  "id": "vp-oyster",
  "text": {
    "status": "generated",
    "div": "\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003e\u003cp\u003e\u003cb\u003eGenerated Narrative: Observation\u003c/b\u003e\u003ca name\u003d\"vp-oyster\"\u003e \u003c/a\u003e\u003c/p\u003e\u003cdiv style\u003d\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"\u003e\u003cp style\u003d\"margin-bottom: 0px\"\u003eResource Observation \u0026quot;vp-oyster\u0026quot; \u003c/p\u003e\u003c/div\u003e\u003cp\u003e\u003cb\u003eidentifier\u003c/b\u003e: id: 20171014-1234 (use: OFFICIAL)\u003c/p\u003e\u003cp\u003e\u003cb\u003estatus\u003c/b\u003e: preliminary\u003c/p\u003e\u003cp\u003e\u003cb\u003ecode\u003c/b\u003e: \u003cspan title\u003d\"  \n    Observations are often coded in multiple code systems.\n      - LOINC\n\t\t- or SNOMED\n      -and/or the source system may provides its own \u0026quot;local\u0026quot; code, which may be less or more granular than LOINC.\n\tIn this example there is only local codes\n    \"\u003eOYSTER TESTING \u003cspan style\u003d\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"\u003e (\u003ca href\u003d\"https://loinc.org/\"\u003eLOINC\u003c/a\u003e#41857-4 \u0026quot;Vibrio parahaemolyticus DNA [Presence] in Unspecified specimen by Probe and target amplification method\u0026quot;; test-codes#VP MULTI PCR \u0026quot;VP MULTI PCR\u0026quot;)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cb\u003esubject\u003c/b\u003e: \u003cspan\u003e: Sonoma oyster farm\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cb\u003eeffective\u003c/b\u003e: 2017-10-12\u003c/p\u003e\u003cp\u003e\u003cb\u003eissued\u003c/b\u003e: 15 Oct 2017, 10:11:24 am\u003c/p\u003e\u003cp\u003e\u003cb\u003eperformer\u003c/b\u003e: \u003ca href\u003d\"practitioner-example-f005-al.html\"\u003ePractitioner/f005: A. Langeveld\u003c/a\u003e \u0026quot;Langeveld ANNE\u0026quot;\u003c/p\u003e\u003cp\u003e\u003cb\u003evalue\u003c/b\u003e: \u003cspan title\u003d\"  results of this Qualtiattive PCR is a choice of Positive/Negative and Inconclusive  \"\u003ePOSITIVE \u003cspan style\u003d\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"\u003e (\u003ca href\u003d\"https://browser.ihtsdotools.org/\"\u003eSNOMED CT\u003c/a\u003e#10828004 \u0026quot;Positive (qualifier value)\u0026quot;; result-codes#POSITIVE)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cb\u003einterpretation\u003c/b\u003e: Abnormal \u003cspan style\u003d\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"\u003e (\u003ca href\u003d\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ObservationInterpretation.html\"\u003eObservationInterpretation\u003c/a\u003e#A)\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cb\u003especimen\u003c/b\u003e: \u003ca name\u003d\"group1\"\u003e \u003c/a\u003e\u003c/p\u003e\u003cblockquote\u003e\u003cp/\u003e\u003cp\u003e\u003ca name\u003d\"group1\"\u003e \u003c/a\u003e\u003c/p\u003e\u003cp\u003e\u003cb\u003etype\u003c/b\u003e: animal\u003c/p\u003e\u003cp\u003e\u003cb\u003emembership\u003c/b\u003e: enumerated\u003c/p\u003e\u003cblockquote\u003e\u003cp\u003e\u003cb\u003emember\u003c/b\u003e\u003c/p\u003e\u003cp\u003e\u003cb\u003eentity\u003c/b\u003e: \u003ca href\u003d\"#bed1\"\u003e#bed1\u003c/a\u003e\u003c/p\u003e\u003c/blockquote\u003e\u003cblockquote\u003e\u003cp\u003e\u003cb\u003emember\u003c/b\u003e\u003c/p\u003e\u003cp\u003e\u003cb\u003eentity\u003c/b\u003e: \u003ca href\u003d\"#bed2\"\u003e#bed2\u003c/a\u003e\u003c/p\u003e\u003c/blockquote\u003e\u003c/blockquote\u003e\u003ch3\u003eReferenceRanges\u003c/h3\u003e\u003ctable class\u003d\"grid\"\u003e\u003ctr\u003e\u003ctd\u003e-\u003c/td\u003e\u003ctd\u003e\u003cb\u003eText\u003c/b\u003e\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd\u003e*\u003c/td\u003e\u003ctd\u003eNEGATIVE\u003c/td\u003e\u003c/tr\u003e\u003c/table\u003e\u003c/div\u003e"
  },
  "contained": [
    {
      "resourceType": "Specimen",
      "id": "bed1",
      "note": [
        {
          "text": "Live Oysters Acc#20171014-1234 from Bed 1"
        }
      ]
    },
    {
      "resourceType": "Specimen",
      "id": "bed2",
      "note": [
        {
          "text": "Live Oysters Acc#20171014-1234 from Bed 2"
        }
      ]
    },
    {
      "resourceType": "Group",
      "id": "group1",
      "type": "animal",
      "membership": "enumerated",
      "member": [
        {
          "entity": {
            "reference": "#bed1"
          }
        },
        {
          "entity": {
            "reference": "#bed2"
          }
        }
      ]
    }
  ],
  "identifier": [
    {
      "use": "official",
      "system": "http://sonomacounty.ca.gov/Health/Public-Health/Laboratory",
      "value": "20171014-1234"
    }
  ],
  "status": "preliminary",
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "41857-4",
        "display": "Vibrio parahaemolyticus DNA [Presence] in Unspecified specimen by Probe and target amplification method"
      },
      {
        "system": "http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/test-codes",
        "code": "VP MULTI PCR",
        "display": "VP MULTI PCR"
      }
    ],
    "text": "OYSTER TESTING"
  },
  "subject": {
    "display": "Sonoma oyster farm"
  },
  "effectiveDateTime": "2017-10-12",
  "issued": "2017-10-14T23:11:24Z",
  "performer": [
    {
      "reference": "Practitioner/f005",
      "display": "A. Langeveld"
    }
  ],
  "valueCodeableConcept": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "10828004",
        "display": "Positive (qualifier value)"
      },
      {
        "system": "http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/result-codes",
        "code": "POSITIVE",
        "display": "POSITIVE"
      }
    ],
    "text": "POSITIVE"
  },
  "interpretation": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code": "A",
          "display": "Abnormal"
        }
      ]
    }
  ],
  "specimen": {
    "reference": "#group1"
  },
  "referenceRange": [
    {
      "text": "NEGATIVE"
    }
  ],
  "meta": {
    "tag": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST",
        "display": "test health data"
      }
    ]
  }
}