Validated Healthcare Directory
0.2.0 - CI Build

Validated Healthcare Directory, published by HL7 International - Patient Administration Work Group. This is not an authorized publication; it is the continuous build for version 0.2.0). This version is based on the current content of and changes regularly. See the Directory of published versions

ValueSet: VhDir Spoken Language Proficiency


Defining URL:
Title:VhDir Spoken Language Proficiency
Status:Active as of 2018-02-21

Codes for documenting spoken language proficiency based on the Interagency Language Roundtable scale of abilities to communicate in a language.

Publisher:HL7 International - Patient Administration Work Group

Used by permission of HL7 International all rights reserved Creative Commons License

Source Resource:XML / JSON / Turtle


Logical Definition (CLD)



This value set contains 11 concepts

Expansion based on VhDir Spoken Language Proficiency Code System v0.2.0 (CodeSystem)

All codes in this table are from the system

00No proficiencyUnable to function in the spoken language.
06Memorized proficiencyAble to satisfy immediate needs using rehearsed utterances. Shows little real autonomy of expression, flexibility or spontaneity.
10Elementary proficiencyAble to satisfy minimum courtesy requirements and maintain very simple face-to-face conversations on familiar topics. A native speaker must often use slowed speech, repetition, paraphrase, or a combination of these to be understood by this individual.
16Elementary proficiency, plusCan initiate and maintain predictable face-to-face conversations and satisfy limited social demands.
20Limited working proficiencyAble to satisfy routine social demands and limited work requirements.
26Limited working proficiency, plusAble to satisfy most work requirements with language usage that is often, but not always, acceptable and effective.
30General professional proficiencyAble to speak the language with sufficient structural accuracy and vocabulary to participate effectively in most formal and informal conversations in practical, social and professional topics.
36General professional proficiency, plusIs often able to use the language to satisfy professional needs in a wide range of sophisticated and demanding tasks.
40Advanced professional proficiencyAble to use the language fluently and accurately on all levels normally pertinent to professional needs.
46Advanced professional proficiency, plusSpeaking proficiency is regularly superior in all respects, usually equivalent to that of a well educated, highly articulate native speaker.
50Functional native proficiencySpeaking proficiency is functionally equivalent to that of a highly articulate well-educated native speaker and reflects the cultural standards of the country where the language is natively spoken.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
Source The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code