National Directory of Healthcare Providers & Services (NDH) Implementation Guide
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This page is part of the National Directory of Healthcare Providers and Services (NDH) Implementation Guide (v1.0.0-ballot: STU1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

CodeSystem: Language Proficiency Code System

Official URL: http://hl7.org/fhir/us/ndh/CodeSystem/LanguageProficiencyCS Version: 1.0.0-ballot
Active as of 2023-07-30 Computable Name: LanguageProficiencyCS

Codes for documenting spoken language proficiency based on the Interagency Language Roundtable scale of abilities to communicate in a language.

This Code system is referenced in the content logical definition of the following value sets:

This code system http://hl7.org/fhir/us/ndh/CodeSystem/LanguageProficiencyCS defines the following codes:

CodeDisplayDefinition
00 No proficiencyUnable to function in the spoken language.
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.
20 Limited working proficiencyAble to satisfy routine social demands and limited work requirements.
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.
40 Advanced professional proficiencyAble to use the language fluently and accurately on all levels normally pertinent to professional needs.
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.