<?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="  &#xA;    Observations are often coded in multiple code systems.&#xA;      - LOINC&#xA;&#x9;&#x9;- or SNOMED&#xA;      -and/or the source system may provides its own &quot;local&quot; code, which may be less or more granular than LOINC.&#xA;&#x9;In this example there is only local codes&#xA;    ">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>