<?xml version="1.0" encoding="UTF-8"?><Observation xmlns="http://hl7.org/fhir"><id value="vp-oyster"/><text><status value="generated"/><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: 20171014-1234 (use: OFFICIAL)</p><p><b>status</b>: preliminary</p><p><b>code</b>: <span title="  
    Observations are often coded in multiple code systems.
      - LOINC
		- or SNOMED
      -and/or the source system may provides its own &quot;local&quot; code, which may be less or more granular than LOINC.
	In this example there is only local codes
    ">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></text><contained><Specimen><id value="bed1"/><note><text value="Live Oysters Acc#20171014-1234 from Bed 1"/></note></Specimen></contained><contained><Specimen><id value="bed2"/><note><text value="Live Oysters Acc#20171014-1234 from Bed 2"/></note></Specimen></contained><contained><Group><id value="group1"/><type value="animal"/><membership value="enumerated"/><member><entity><reference value="#bed1"/></entity></member><member><entity><reference value="#bed2"/></entity></member></Group></contained><identifier><use value="official"/><system value="http://sonomacounty.ca.gov/Health/Public-Health/Laboratory"/><value value="20171014-1234"/></identifier><status value="preliminary"/>  <!--    
    Observations are often coded in multiple code systems.
      - LOINC
		- or SNOMED
      -and/or the source system may provides its own "local" code, which may be less or more granular than LOINC.
	In this example there is only local codes
      --><code>  <!--    Should use a  proper LOINC code     --><coding><system value="http://loinc.org"/><code value="41857-4"/><display value="Vibrio parahaemolyticus DNA [Presence] in Unspecified specimen by Probe and target amplification method"/></coding>  <!--    here is the local code    --><coding><system value="http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/test-codes"/><code value="VP MULTI PCR"/><display value="VP MULTI PCR"/></coding><text value="OYSTER TESTING"/></code><subject>  <!--    reference value="Location/oyster-farm"/    --><display value="Sonoma oyster farm"/></subject><effectiveDateTime value="2017-10-12"/><issued value="2017-10-14T23:11:24Z"/><performer><reference value="Practitioner/f005"/><display value="A. Langeveld"/></performer>  <!--    results of this Qualtiattive PCR is a choice of Positive/Negative and Inconclusive    --><valueCodeableConcept>  <!--    SNOMED CT codes    --><coding><system value="http://snomed.info/sct"/><code value="10828004"/><display value="Positive (qualifier value)"/></coding>  <!--    local code translation    --><coding><system value="http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/result-codes"/><code value="POSITIVE"/><display value="POSITIVE"/></coding><text value="POSITIVE"/></valueCodeableConcept><interpretation><coding><system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/><code value="A"/><display value="Abnormal"/></coding></interpretation><specimen><reference value="#group1"/></specimen><referenceRange><text value="NEGATIVE"/></referenceRange></Observation>