This code system http://hl7.org/fhir/uv/vhdir/CodeSystem/codesystem-languageproficiency defines the following codes:
Code | Display | Definition |
00 | No proficiency | Unable to function in the spoken language. |
06 | Memorized proficiency | Able to satisfy immediate needs using rehearsed utterances. Shows little real autonomy of expression, flexibility or spontaneity. |
10 | Elementary proficiency | 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. |
16 | Elementary proficiency, plus | Can initiate and maintain predictable face-to-face conversations and satisfy limited social demands. |
20 | Limited working proficiency | Able to satisfy routine social demands and limited work requirements. |
26 | Limited working proficiency, plus | Able to satisfy most work requirements with language usage that is often, but not always, acceptable and effective. |
30 | General professional proficiency | 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. |
36 | General professional proficiency, plus | Is often able to use the language to satisfy professional needs in a wide range of sophisticated and demanding tasks. |
40 | Advanced professional proficiency | Able to use the language fluently and accurately on all levels normally pertinent to professional needs. |
46 | Advanced professional proficiency, plus | Speaking proficiency is regularly superior in all respects, usually equivalent to that of a well educated, highly articulate native speaker. |
50 | Functional native proficiency | 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. |