{
  "resourceType": "Observation",
  "id": "vp-oyster",
  "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 Specimen by NAA with probe detection"
      },
      {
        "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"
      }
    ]
  }
}