Clinical Document Architecture
2.0.1-sd - release
Clinical Document Architecture
2.0.1-sd - release
Clinical Document Architecture, published by Health Level 7. This guide is not an authorized publication; it is the continuous build for version 2.0.1-sd built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-core-sd/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/cda/stds/core/StructureDefinition/LanguageCommunication | Version: 2.0.1-sd | |||
| Active as of 2025-10-02 | Computable Name: LanguageCommunication | |||
The language communication capabilities of an Entity.
While it may seem on the surface that this class would be restricted in usage to only the LivingSubject subtypes, Devices also have the ability to communicate, such as automated telephony devices that transmit patient information to live operators on a triage line or provide automated laboratory results to clinicians.
A patient who originally came from Mexico may have fluent language capabilities to speak, read and write in Spanish, and rudimentary capabilities in English. A person from Russia may have the capability to communicate equally well in spoken language in Russian, Armenian or Ukrainian, and a preference to speak in Armenian.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Template, Differentials, Snapshots and how the different presentations work.
This structure is derived from InfrastructureRoot
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  LanguageCommunication |
1..1 | InfrastructureRoot | XML Namespace: urn:hl7-org:v3 Base for all types and resources Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | |
  languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| modeCode |
0..1 | CE | Binding: LanguageAbilityMode (example) | |
| proficiencyLevelCode |
0..1 | CE | Binding: LanguageAbilityProficiency (example) | |
 preferenceInd |
0..1 | BL | ||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| LanguageCommunication.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
| LanguageCommunication.modeCode | Base | example | LanguageAbilityMode | 📦2.0.0 | THO v5.2 |
| LanguageCommunication.proficiencyLevelCode | Base | example | LanguageAbilityProficiency | 📦2.0.0 | THO v5.2 |
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| LanguageCommunication |
1..1 | InfrastructureRoot | XML Namespace: urn:hl7-org:v3 Base for all types and resources Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | |
 @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
 typeId |
C | 0..1 | II | Constraints: II-1 |
 @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| modeCode |
0..1 | CE | Binding: LanguageAbilityMode (example) | |
| proficiencyLevelCode |
0..1 | CE | Binding: LanguageAbilityProficiency (example) | |
| preferenceInd |
0..1 | BL | ||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| LanguageCommunication.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | This IG |
| LanguageCommunication.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | This IG |
| LanguageCommunication.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
| LanguageCommunication.modeCode | Base | example | LanguageAbilityMode | 📦2.0.0 | THO v5.2 |
| LanguageCommunication.proficiencyLevelCode | Base | example | LanguageAbilityProficiency | 📦2.0.0 | THO v5.2 |
| Id | Grade | Path(s) | Description | Expression |
| II-1 | error | LanguageCommunication.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| LanguageCommunication |
1..1 | InfrastructureRoot | XML Namespace: urn:hl7-org:v3 Base for all types and resources Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| modeCode |
0..1 | CE | Binding: LanguageAbilityMode (example) | |
| proficiencyLevelCode |
0..1 | CE | Binding: LanguageAbilityProficiency (example) | |
| preferenceInd |
0..1 | BL | ||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| LanguageCommunication.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | This IG |
| LanguageCommunication.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | This IG |
| LanguageCommunication.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
| LanguageCommunication.modeCode | Base | example | LanguageAbilityMode | 📦2.0.0 | THO v5.2 |
| LanguageCommunication.proficiencyLevelCode | Base | example | LanguageAbilityProficiency | 📦2.0.0 | THO v5.2 |
| Id | Grade | Path(s) | Description | Expression |
| II-1 | error | LanguageCommunication.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
This structure is derived from InfrastructureRoot
Differential View
This structure is derived from InfrastructureRoot
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| LanguageCommunication |
1..1 | InfrastructureRoot | XML Namespace: urn:hl7-org:v3 Base for all types and resources Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | |
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| modeCode |
0..1 | CE | Binding: LanguageAbilityMode (example) | |
| proficiencyLevelCode |
0..1 | CE | Binding: LanguageAbilityProficiency (example) | |
| preferenceInd |
0..1 | BL | ||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| LanguageCommunication.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
| LanguageCommunication.modeCode | Base | example | LanguageAbilityMode | 📦2.0.0 | THO v5.2 |
| LanguageCommunication.proficiencyLevelCode | Base | example | LanguageAbilityProficiency | 📦2.0.0 | THO v5.2 |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| LanguageCommunication |
1..1 | InfrastructureRoot | XML Namespace: urn:hl7-org:v3 Base for all types and resources Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| modeCode |
0..1 | CE | Binding: LanguageAbilityMode (example) | |
| proficiencyLevelCode |
0..1 | CE | Binding: LanguageAbilityProficiency (example) | |
| preferenceInd |
0..1 | BL | ||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| LanguageCommunication.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | This IG |
| LanguageCommunication.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | This IG |
| LanguageCommunication.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
| LanguageCommunication.modeCode | Base | example | LanguageAbilityMode | 📦2.0.0 | THO v5.2 |
| LanguageCommunication.proficiencyLevelCode | Base | example | LanguageAbilityProficiency | 📦2.0.0 | THO v5.2 |
| Id | Grade | Path(s) | Description | Expression |
| II-1 | error | LanguageCommunication.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| LanguageCommunication |
1..1 | InfrastructureRoot | XML Namespace: urn:hl7-org:v3 Base for all types and resources Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| modeCode |
0..1 | CE | Binding: LanguageAbilityMode (example) | |
| proficiencyLevelCode |
0..1 | CE | Binding: LanguageAbilityProficiency (example) | |
| preferenceInd |
0..1 | BL | ||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| LanguageCommunication.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | This IG |
| LanguageCommunication.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | This IG |
| LanguageCommunication.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
| LanguageCommunication.modeCode | Base | example | LanguageAbilityMode | 📦2.0.0 | THO v5.2 |
| LanguageCommunication.proficiencyLevelCode | Base | example | LanguageAbilityProficiency | 📦2.0.0 | THO v5.2 |
| Id | Grade | Path(s) | Description | Expression |
| II-1 | error | LanguageCommunication.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
This structure is derived from InfrastructureRoot
IG © 2019+ Health Level 7. Package hl7.cda.uv.core#2.0.1-sd based on FHIR 5.0.0. Generated 2025-10-02
Links: Table of Contents |
QA Report
| Version History 
|
|
Propose a change