<?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 with Details</b></p><p><b>id</b>: vp-oyster</p><p><b>identifier</b>: 20171014-1234 (OFFICIAL)</p><p><b>status</b>: preliminary</p><p><b>code</b>: OYSTER TESTING <span>(Details : {LOINC code &#39;41857-4&#39; = &#39;Vibrio parahaemolyticus DNA [Presence] in Unspecified specimen by Probe and target amplification method&#39;, given as &#39;Vibrio parahaemolyticus DNA [Presence] in Unspecified specimen by Probe and target amplification method&#39;}; {http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/test-codes code &#39;VP MULTI PCR&#39; = &#39;VP MULTI PCR&#39;, given as &#39;VP MULTI PCR&#39;})</span></p><p><b>subject</b>: Sonoma oyster farm</p><p><b>effective</b>: 12/10/2017</p><p><b>issued</b>: 14/10/2017 11:11:24 PM</p><p><b>performer</b>: <a>A. Langeveld</a></p><p><b>value</b>: POSITIVE <span>(Details : {SNOMED CT code &#39;10828004&#39; = &#39;Positive&#39;, given as &#39;Positive (qualifier value)&#39;}; {http://sonomacounty.ca.gov/Health/Public-Health/Laboratory/result-codes code &#39;POSITIVE&#39; = &#39;POSITIVE&#39;, given as &#39;POSITIVE&#39;})</span></p><p><b>interpretation</b>: Abnormal <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code &#39;A&#39; = &#39;Abnormal&#39;, given as &#39;Abnormal&#39;})</span></p><p><b>specimen</b>: Live Oysters Acc#20171014-1234</p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Text</b></td></tr><tr><td>*</td><td>NEGATIVE</td></tr></table></div></text><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>
		<display value="Live Oysters Acc#20171014-1234"/>
	</specimen>
	<referenceRange>
		<text value="NEGATIVE"/>
	</referenceRange>
</Observation>