National Directory of Healthcare Providers & Services (NDH) Implementation Guide
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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 2.0.0-current 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

Extension: NDH Communication Proficiency

Official URL: http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-communication-proficiency Version: 2.0.0-current
Standards status: Trial-use Active as of 2026-04-22 Maturity Level: 4 Computable Name: CommunicationProficiency

An extension to express a practitioner’s spoken proficiency with the language indicated in practitioner.communication.

Context of Use

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension NDH Communication Proficiency
... extension 0..0 Extension
... url 1..1 uri "http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-communication-proficiency"
... value[x] 1..1 CodeableConcept Value of extension
Binding: Interagency Language Roundtable Speaking Skill Scale (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Extension.value[x] Base extensible Interagency Language Roundtable Speaking Skill Scale 📦1.0.0 THO v7.1
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension NDH Communication Proficiency
... id 0..1 string Unique id for inter-element referencing
... extension 0..0 Extension
Slice: Unordered, Open by value:url
... url 1..1 uri "http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-communication-proficiency"

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.value[x] Base extensible Interagency Language Roundtable Speaking Skill Scale 📦1.0.0 THO v7.1

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Simple Extension with the type CodeableConcept: An extension to express a practitioner’s spoken proficiency with the language indicated in practitioner.communication.

Maturity: 4

Differential ViewDifferential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension NDH Communication Proficiency
... extension 0..0 Extension
... url 1..1 uri "http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-communication-proficiency"
... value[x] 1..1 CodeableConcept Value of extension
Binding: Interagency Language Roundtable Speaking Skill Scale (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Extension.value[x] Base extensible Interagency Language Roundtable Speaking Skill Scale 📦1.0.0 THO v7.1

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension NDH Communication Proficiency
... id 0..1 string Unique id for inter-element referencing
... extension 0..0 Extension
Slice: Unordered, Open by value:url
... url 1..1 uri "http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-communication-proficiency"

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.value[x] Base extensible Interagency Language Roundtable Speaking Skill Scale 📦1.0.0 THO v7.1

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Simple Extension with the type CodeableConcept: An extension to express a practitioner’s spoken proficiency with the language indicated in practitioner.communication.

Maturity: 4

 

Other representations of profile: CSV, Excel, Schematron