VhDir Implementation Guide CI Build: STU2 Ballot

This page is part of the Validated Healthcare Directory FHIR IG (v0.2.0: STU 1 Ballot 2) based on FHIR v3.5.0. . For a full list of available versions, see the Directory of published versions

CodeSystem: codesystem-languageproficiency

VhDir Spoken Language Proficiency Code System

This code system contains codes for documenting the attributes of spoken language proficiency

This code system http://hl7.org/fhir/uv/vhdir/CodeSystem/codesystem-languageproficiency defines the following codes:

CodeDisplayDefinition
00 No proficiencyUnable to function in the spoken language.
06 Memorized proficiencyAble to satisfy immediate needs using rehearsed utterances. Shows little real autonomy of expression, flexibility or spontaneity.
10 Elementary 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.
16 Elementary proficiency, plusCan initiate and maintain predictable face-to-face conversations and satisfy limited social demands.
20 Limited working proficiencyAble to satisfy routine social demands and limited work requirements.
26 Limited working proficiency, plusAble to satisfy most work requirements with language usage that is often, but not always, acceptable and effective.
30 General 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.
36 General professional proficiency, plusIs often able to use the language to satisfy professional needs in a wide range of sophisticated and demanding tasks.
40 Advanced professional proficiencyAble to use the language fluently and accurately on all levels normally pertinent to professional needs.
46 Advanced professional proficiency, plusSpeaking proficiency is regularly superior in all respects, usually equivalent to that of a well educated, highly articulate native speaker.
50 Functional 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.