<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="DataStandardsWales-Observation-VitalSigns-BMI" />
  <url value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Observation-VitalSigns-BMI" />
  <version value="1.2.0" />
  <name value="DataStandardsWalesObservationVitalSignsBMI" />
  <title value="Data Standards Wales Observation Vital Signs BMI" />
  <status value="active" />
  <date value="2026-02-26" />
  <publisher value="NHS Wales" />
  <contact>
    <name value="NHS Wales" />
    <telecom>
      <system value="email" />
      <value value="fhir.standards@wales.nhs.uk" />
      <use value="work" />
      <rank value="1" />
    </telecom>
  </contact>
  <description value="Resource structure is derived from Data Standards Wales - Observation - Vital Signs. It has drawn on UK Core - Observation - BMI v 1.0.0 (not yet included in a balloted release) for guidance on specific content and constraints for use when the observation is a BMI measurement." />
  <purpose value="To provide implementers with additional support when implementing measuring and recording body mass index and to provide a consistent structure to how the data is presented." />
  <copyright value="2026 NHS Wales" />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Observation-VitalSigns" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation.code.coding:loinc">
      <path value="Observation.code.coding" />
      <sliceName value="loinc" />
    </element>
    <element id="Observation.code.coding:loinc.code">
      <path value="Observation.code.coding.code" />
      <fixedCode value="39156-5" />
    </element>
    <element id="Observation.code.coding:snomedCT">
      <path value="Observation.code.coding" />
      <sliceName value="snomedCT" />
      <min value="1" />
      <max value="1" />
      <binding>
        <strength value="preferred" />
        <valueSet value="https://fhir.nhs.wales/ValueSet/DataStandardsWales-BMI" />
      </binding>
    </element>
    <element id="Observation.code.coding:snomedCT.system">
      <path value="Observation.code.coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.code.coding:snomedCT.code">
      <path value="Observation.code.coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.value[x]">
      <path value="Observation.value[x]" />
      <min value="1" />
      <type>
        <code value="Quantity" />
      </type>
    </element>
    <element id="Observation.value[x].value">
      <path value="Observation.value[x].value" />
      <min value="1" />
    </element>
    <element id="Observation.value[x].system">
      <path value="Observation.value[x].system" />
      <min value="1" />
      <fixedUri value="http://unitsofmeasure.org" />
    </element>
    <element id="Observation.value[x].code">
      <path value="Observation.value[x].code" />
      <min value="1" />
      <fixedCode value="kg/m2" />
    </element>
    <element id="Observation.note.author[x]">
      <path value="Observation.note.author[x]" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization" />
        <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-RelatedPerson" />
        <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Patient" />
        <targetProfile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Practitioner" />
      </type>
      <type>
        <code value="string" />
      </type>
    </element>
  </differential>
</StructureDefinition>