National Directory of Healthcare Providers & Services (NDH) Implementation Guide, published by HL7 International / Patient Administration. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-ndh/ and changes regularly. See the Directory of published versions

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: Language Proficiency Code System - XML Representation

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="LanguageProficiencyCS"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p>This case-sensitive code system <code>http://hl7.org/fhir/us/ndh/CodeSystem/LanguageProficiencyCS</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">00<a name="LanguageProficiencyCS-00"> </a></td><td>No proficiency</td><td>Unable to function in the spoken language.</td></tr><tr><td style="white-space:nowrap">10<a name="LanguageProficiencyCS-10"> </a></td><td>Elementary proficiency</td><td>Able 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.</td></tr><tr><td style="white-space:nowrap">20<a name="LanguageProficiencyCS-20"> </a></td><td>Limited working proficiency</td><td>Able to satisfy routine social demands and limited work requirements.</td></tr><tr><td style="white-space:nowrap">30<a name="LanguageProficiencyCS-30"> </a></td><td>General professional proficiency</td><td>Able 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.</td></tr><tr><td style="white-space:nowrap">40<a name="LanguageProficiencyCS-40"> </a></td><td>Advanced professional proficiency</td><td>Able to use the language fluently and accurately on all levels normally pertinent to professional needs.</td></tr><tr><td style="white-space:nowrap">50<a name="LanguageProficiencyCS-50"> </a></td><td>Functional native proficiency</td><td>Speaking 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.</td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="pa"/>
  </extension>
  <url value="http://hl7.org/fhir/us/ndh/CodeSystem/LanguageProficiencyCS"/>
  <version value="1.0.0-ballot"/>
  <name value="LanguageProficiencyCS"/>
  <title value="Language Proficiency Code System"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2024-03-28T00:58:01+00:00"/>
  <publisher value="HL7 International / Patient Administration"/>
  <contact>
    <name value="HL7 International / Patient Administration"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/pafm"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="pafm@lists.hl7.org"/>
    </telecom>
  </contact>
  <description
               value="Codes for documenting spoken language proficiency based on the Interagency Language Roundtable scale of abilities to communicate in a language."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="6"/>
  <concept>
    <code value="00"/>
    <display value="No proficiency"/>
    <definition value="Unable to function in the spoken language."/>
  </concept>
  <concept>
    <code value="10"/>
    <display value="Elementary proficiency"/>
    <definition
                value="Able 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."/>
  </concept>
  <concept>
    <code value="20"/>
    <display value="Limited working proficiency"/>
    <definition
                value="Able to satisfy routine social demands and limited work requirements."/>
  </concept>
  <concept>
    <code value="30"/>
    <display value="General professional proficiency"/>
    <definition
                value="Able 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."/>
  </concept>
  <concept>
    <code value="40"/>
    <display value="Advanced professional proficiency"/>
    <definition
                value="Able to use the language fluently and accurately on all levels normally pertinent to professional needs."/>
  </concept>
  <concept>
    <code value="50"/>
    <display value="Functional native proficiency"/>
    <definition
                value="Speaking 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."/>
  </concept>
</CodeSystem>