description: The  US Core Observation Pregnancy Intent Profile inherits from the FHIR [Observation](https://hl7.org/fhir/R4/observation.html) resource; refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI)  *Pregnancy Status* Data Element. This profile sets minimum expectations for the Observation resource to record, search, and fetch the patient's intention to become pregnant. It specifies which core elements, extensions,  vocabularies, and value sets **SHALL** be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.
package_name: hl7.fhir.us.core
derivation: constraint
name: USCoreObservationPregnancyIntentProfile
type: Observation
elements:
  status: {mustSupport: true, index: 0}
  category:
    mustSupport: true
    index: 1
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: value}
      min: null
      slices:
        SocialHistory:
          match:
            coding:
            - {code: social-history, system: 'http://terminology.hl7.org/CodeSystem/observation-category'}
          schema:
            mustSupport: true
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: social-history, system: 'http://terminology.hl7.org/CodeSystem/observation-category'}
            index: 2
          min: 0
          max: 1
  code:
    short: Pregnancy Status
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: 86645-9, system: 'http://loinc.org'}
    index: 3
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 4
  effectiveDateTime: {mustSupport: true, index: 5}
  performer:
    type: Reference
    short: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Who is responsible for the observation'
    refers: ['http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson']
    index: 6
  valueCodeableConcept:
    type: CodeableConcept
    short: Coded Responses from Pregnancy Intent Value Set
    binding: {strength: extensible, valueSet: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1166.22'}
    mustSupport: true
    index: 7
package_version: 8.0.0-ballot
class: profile
kind: resource
url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-pregnancyintent
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 8.0.0-ballot
required: [effectiveDateTime, subject, valueCodeableConcept]