{"code":{"coding":[{"code":"41857-4","display":"Vibrio parahaemolyticus DNA [Presence] in Unspecified specimen by Probe and target amplification method","system":"http://loinc.org"},{"code":"VP MULTI PCR","display":"VP MULTI PCR","system":"http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/test-codes"}],"text":"OYSTER TESTING"},"contained":[{"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":"Specimen"},{"id":"group1","member":[{"entity":{"reference":"#bed1"}},{"entity":{"reference":"#bed2"}}],"membership":"enumerated","resourceType":"Group","type":"animal"}],"effectiveDateTime":"2017-10-12","id":"vp-oyster","identifier":[{"system":"http://sonomacounty.ca.gov/Health/Public-Health/Laboratory","use":"official","value":"20171014-1234"}],"interpretation":[{"coding":[{"code":"A","display":"Abnormal","system":"http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"}]}],"issued":"2017-10-14T23:11:24Z","performer":[{"display":"A. Langeveld","reference":"Practitioner/f005"}],"referenceRange":[{"text":"NEGATIVE"}],"resourceType":"Observation","specimen":{"reference":"#group1"},"status":"preliminary","subject":{"display":"Sonoma oyster farm"},"text":{"div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"vp-oyster\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;vp-oyster&quot; </p></div><p><b>identifier</b>: id:\u00a020171014-1234\u00a0(use:\u00a0OFFICIAL)</p><p><b>status</b>: preliminary</p><p><b>code</b>: <span title=\"  \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 &quot;local&quot; code, which may be less or more granular than LOINC.\n\tIn this example there is only local codes\n    \">OYSTER TESTING <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#41857-4 &quot;Vibrio parahaemolyticus DNA [Presence] in Unspecified specimen by Probe and target amplification method&quot;; test-codes#VP MULTI PCR &quot;VP MULTI PCR&quot;)</span></span></p><p><b>subject</b>: <span>: Sonoma oyster farm</span></p><p><b>effective</b>: 2017-10-12</p><p><b>issued</b>: 15 Oct 2017, 10:11:24 am</p><p><b>performer</b>: <a href=\"practitioner-example-f005-al.html\">Practitioner/f005: A. Langeveld</a> &quot;Langeveld ANNE&quot;</p><p><b>value</b>: <span title=\"  results of this Qualtiattive PCR is a choice of Positive/Negative and Inconclusive  \">POSITIVE <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#10828004 &quot;Positive (qualifier value)&quot;; result-codes#POSITIVE)</span></span></p><p><b>interpretation</b>: Abnormal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#A)</span></p><p><b>specimen</b>: <a name=\"group1\"> </a></p><blockquote><p/><p><a name=\"group1\"> </a></p><p><b>type</b>: animal</p><p><b>membership</b>: enumerated</p><blockquote><p><b>member</b></p><p><b>entity</b>: <a href=\"#bed1\">#bed1</a></p></blockquote><blockquote><p><b>member</b></p><p><b>entity</b>: <a href=\"#bed2\">#bed2</a></p></blockquote></blockquote><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td>-</td><td><b>Text</b></td></tr><tr><td>*</td><td>NEGATIVE</td></tr></table></div>","status":"generated"},"valueCodeableConcept":{"coding":[{"code":"10828004","display":"Positive (qualifier value)","system":"http://snomed.info/sct"},{"code":"POSITIVE","display":"POSITIVE","system":"http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/result-codes"}],"text":"POSITIVE"}}