Update to the US Core Observation Screening Assessment Profile with the following changes: QI-Core Profile-based Path Action Include in QI-Core 6.0 Justification Observation. status Keep YES USCDI – Import US Core Observation Screening Assessment Profile and modify value set binding to required Non-Negative Observation Status . This is a subset of the required US Core binding value set removing the cancelled option to allow a disjoint with QICoreObservationCancelled. QICoreObservation. category Keep YES USCDI – Import US Core Observation Screening Assessment Profile; slices for category with preferred binding to ObservationCategoryCodes ;[category:survey http://hl7.org/fhir/us/core/StructureDefinition-us-core-observation-screening-assessment-definitions.html#Observation.category:survey] with required binding to US Core Clinical Result Observation Category and coding complex with code Fixed Value = survey. AND category:screening-assessment with required binding to US Core Screening Assessment Observation Category (includes sdoh, functional-status, disability-status, cognitive-status) QICoreObservation. code Keep YES USCDI – Import US Core Observation Screening Assessment Result Observation Profile and its preferred  binding to US Core Survey Codes .  This is not a change from QI-Core Observation Survey profile QICoreObservation. subject Keep YES (modify reference) USCDI – Modify reference from US Core Laboratory Result Observation Profile to refer to QI-CorePatient QICoreObservation.[effective [x] http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-observation-lab-definitions.html#key_Observation.effective[x]] Keep YES USCDI – Same as US Core effectiveDateTime using datatype dateTime QICoreObservation. performer Keep YES USCDI – US Core references USCorePractitioner, USCoreOrganization, USCorePatient, USCorePractitionerRole, USCoreCareTeam, USCoreRelatedPerson.  Change references to QICorePractitioner, QICoreOrganization, QICorePatient, QICorePractitionerRole, QICoreCareTeam, QICoreRelatedPerson. QICoreObservation.[value [x] http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-observation-lab-definitions.html#key_Observation.value[x]] Keep YES USCDI – not US Core notation SHOULD use SNOMED CT for coded results. Also, US Core limited values to Quantity, Codeable Concept, ValueString.  Continue to include valueBoolean, valueInteger, valueRange, valueRatio, valueTime, valueDateTime, valuePeriod QICoreObservation. dataAbsentReason Keep YES USCDI – US Core extensible binding to DataAbsentReason QICoreObservation. interpretation Keep YES Not included in US Core/USCDI but has value similar to lab tests as discovered by eCQM community. Retain extensible binding to ObservationInterpretationCodes QICoreObservation. hasMember Keep YES USCDI – US Core references US Core Observation Screening Assessment Profile and US Core QuestionnaireResponse profile, change to QICore Observation Screening Assessment Profile and QICore QuestionnaireResponse profile QICoreObservation. derivedFrom Keep YES USCDI – US Core references US Core Observation Screening Assessment Profile, change to QICore Observation Screening Assessment Profile