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US Core Observation Screening Assessment Profile (US Core 6.1.0)

US Core Observation Screening Assessment Profile is a US Core 6.1.0 profile on the FHIR R4 Observation resource. It marks 10 elements as must-support; the rows below list each constrained element's cardinality and binding strength.

Profileus-core-observation-screening-assessment
Implementation GuideUS Core 6.1.0
Base resourceObservation
Canonical URLhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment
Must-support elements10
Constrained elements with bindings5
Observation.status1..1, must support, binding: required
Observation.category1..* (base 0..*), must support, binding: preferred
Observation.code1..1, must support, binding: preferred
Observation.subject1..1 (base 0..1), must support
Observation.effective[x]0..1, must support
Observation.performer0..*, must support
Observation.value[x]0..1, must support
Observation.dataAbsentReason0..1, must support, binding: extensible
Observation.hasMember0..*, must support
Observation.derivedFrom0..*, must support
Observation.component.code1..1, binding: example

Example

pidgeon data install fhir-us-core-6.0
pidgeon conform --endpoint https://your-fhir-base/fhir --ig us-core-6.0 --ci

The conform run walks the live endpoint and grades sampled resources against the installed US Core profiles. A failed report exits non-zero; --ci also fails the run on must-support gaps (MUSTSUPPORT-*) and stub-profile fallbacks (CONFORM_STUB_PROFILE).

Validation context

  • strict Profile validation grades an instance against this profile's snapshot: cardinality findings carry FHIR-PROFILE-CARDINALITY and terminology binding findings carry FHIR-PROFILE-BINDING.(FHIR-PROFILE-CARDINALITY)
  • strict Under pidgeon conform --ci, a sampled resource missing one of this profile's must-support elements fails the run with a MUSTSUPPORT-<element> rule id.
  • strict If the fhir-us-core-6.0 package is not installed, validation falls back to an embedded subset stub and the report is flagged CONFORM_STUB_PROFILE; under --ci that warning fails the run.(CONFORM_STUB_PROFILE)

This answer, in your terminal

pidgeon conform --endpoint https://your-fhir-base/fhir --ig us-core-6.0 --ci

Wire it into your AI agent:

claude mcp add pidgeon -- npx -y @pidgeonhealth/mcp

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Published by Pattern Engine LLC (Pidgeon Health).

Rendered from the same machine-readable definitions the Pidgeon engine validates against. Exported from the installed fhir-us-core-6.0 package (6.1.0, CC0) through the Pidgeon engine's profile loader.