Decision Clarify in the US Core Observation Simple Observation Profile section that clinical Judgements may be recorded as conditions instead of observations, and thus the Condition profile is used instead.   Systems record clinical judgments such as "Patient X has housing insecurity" using FHIR Conditions, FHIR Observations, or both. Systems that record clinical judgments as Observations  SHALL  use the  US Core Simple Observation Profile  to represent them. These observations can contribute to the identification of future problems or health concerns and support service requests and procedures. In addition, Simple Observations and Problem or Health Concern Conditions  SHOULD  reference associated  US Core Observation Screening and Assessments Observations  when they are based on them. # Update the Profile conformance expectations in the capability statement to be logically consistent. Background Because systems MAY record clinical Judgements as Conditions instead of Observations, they MAY not need to support the Simple Observation profile for Assessments and Screenings.  The US Core CapabilityStatement states: The US Core Server  SHALL : Support the US Core Patient resource profile. Support at least one additional resource profile from the list of US Core Profiles. We agree the cascading conformance expectations need to be clarified. US Core is silent on whether Screening and Assessment SHALL result in a Simple Observation, Screening and Assessment Observation(s), or both.  That is the result of clinical workflow. However, the use case for recording a clinician or even a patient’s assertion is documented here: http://hl7.org/fhir/us/core/2023Jan/screening-and-assessments.html#us-core-observation-simple-observation-profile and on the profile page.