LanguageCommunication
type: StructureDefinition
node role: treeRoot
id:
  v: LanguageCommunication
text:
  status:
    v: generated
  div: 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.
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/logical-target
  value: boolean
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/data-absent-reason
      value: code
        v: not-applicable
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-namespace
  value: uri
    v: urn:hl7-org:v3
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/xml-name
  value: string
    v: languageCommunication
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/logical-container
  value: uri
    v: http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/type-profile-style
  value: code
    v: cda
url:
  v: http://hl7.org/cda/stds/core/StructureDefinition/LanguageCommunication
version:
  v: 1.0.1
name:
  v: LanguageCommunication
title:
  v: LanguageCommunication (CDA Class)
status:
  v: active
experimental:
  v: false
date:
  v: 2025-10-10T09:58:30+10:00
publisher:
  v: HL7
description:
  v: 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.
fhir version:
  v: 5.0.0
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
  name:
    v: RIM Mapping
kind:
  v: logical
abstract:
  v: false
type:
  v: http://hl7.org/cda/stds/core/StructureDefinition/LanguageCommunication
base definition:
  v: http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
  link: http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
derivation:
  v: specialization
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
    value: string
      v: 1.0.1
  element:
    id:
      v: LanguageCommunication
    path:
      v: LanguageCommunication
    short:
      v: Base for all types and resources
    definition:
      v: Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.
    min:
      v: 1
    max:
      v: 1
    base:
      path:
        v: Base
      min:
        v: 0
      max:
        v: *
    is modifier:
      v: false
    mapping:
      identity:
        v: rim
      map:
        v: n/a
  element:
    id:
      v: LanguageCommunication.nullFlavor
    path:
      v: LanguageCommunication.nullFlavor
    representation:
      v: xmlAttr
    label:
      v: Exceptional Value Detail
    definition:
      v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
    min:
      v: 0
    max:
      v: 1
    base:
      path:
        v: ANY.nullFlavor
      min:
        v: 0
      max:
        v: 1
    type:
      code:
        v: code
      profile:
        v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
        link: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
    binding:
      strength:
        v: required
      value set:
        v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
        link: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
  element:
    id:
      v: LanguageCommunication.realmCode
    path:
      v: LanguageCommunication.realmCode
    definition:
      v: When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: InfrastructureRoot.realmCode
      min:
        v: 0
      max:
        v: *
    type:
      code:
        v: http://hl7.org/cda/stds/core/StructureDefinition/CS
  element:
    id:
      v: LanguageCommunication.typeId
    path:
      v: LanguageCommunication.typeId
    definition:
      v: When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
    min:
      v: 0
    max:
      v: 1
    base:
      path:
        v: InfrastructureRoot.typeId
      min:
        v: 0
      max:
        v: 1
    type:
      code:
        v: http://hl7.org/cda/stds/core/StructureDefinition/II
    constraint:
      key:
        v: II-1
      severity:
        v: error
      human:
        v: An II instance must have either a root or an nullFlavor.
      expression:
        v: root.exists() or nullFlavor.exists()
      source:
        v: http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
        link: http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
  element:
    id:
      v: LanguageCommunication.typeId.nullFlavor
    path:
      v: LanguageCommunication.typeId.nullFlavor
    representation:
      v: xmlAttr

v: Exceptional Value Detail

v: If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

v: 0

v: 1

path:
  v: ANY.nullFlavor
min:
  v: 0
max:
  v: 1

code:
  v: code
profile:
  v: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple
  link: http://hl7.org/cda/stds/core/StructureDefinition/cs-simple

strength:
  v: required
value set:
  v: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
  link: http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor

id:
  v: LanguageCommunication.typeId.assigningAuthorityName
path:
  v: LanguageCommunication.typeId.assigningAuthorityName
representation:
  v: xmlAttr
label:
  v: Assigning Authority Name
definition:
  v: A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: II.assigningAuthorityName
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    link: http://hl7.org/cda/stds/core/StructureDefinition/st-simple

id:
  v: LanguageCommunication.typeId.displayable
path:
  v: LanguageCommunication.typeId.displayable
representation:
  v: xmlAttr
label:
  v: Displayable
definition:
  v: Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: II.displayable
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple
    link: http://hl7.org/cda/stds/core/StructureDefinition/bl-simple

id:
  v: LanguageCommunication.typeId.root
path:
  v: LanguageCommunication.typeId.root
representation:
  v: xmlAttr
label:
  v: Root
definition:
  v: Identifies the type as an HL7 Registered model
min:
  v: 1
max:
  v: 1
base:
  path:
    v: II.root
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/oid
    link: http://hl7.org/cda/stds/core/StructureDefinition/oid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/uuid
    link: http://hl7.org/cda/stds/core/StructureDefinition/uuid
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/ruid
    link: http://hl7.org/cda/stds/core/StructureDefinition/ruid
fixed: string
  v: 2.16.840.1.113883.1.3

id:
  v: LanguageCommunication.typeId.extension
path:
  v: LanguageCommunication.typeId.extension
representation:
  v: xmlAttr
label:
  v: Extension
definition:
  v: A character string as a unique identifier within the scope of the identifier root.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: II.extension
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
  profile:
    v: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
    link: http://hl7.org/cda/stds/core/StructureDefinition/st-simple

id:
  v: LanguageCommunication.templateId
path:
  v: LanguageCommunication.templateId
definition:
  v: When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
min:
  v: 0
max:
  v: *
base:
  path:
    v: InfrastructureRoot.templateId
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/II

id:
  v: LanguageCommunication.languageCode
path:
  v: LanguageCommunication.languageCode
min:
  v: 0
max:
  v: 1
base:
  path:
    v: LanguageCommunication.languageCode
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CS
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/fhir/ValueSet/all-languages
    link: http://hl7.org/fhir/ValueSet/all-languages

id:
  v: LanguageCommunication.modeCode
path:
  v: LanguageCommunication.modeCode
min:
  v: 0
max:
  v: 1
base:
  path:
    v: LanguageCommunication.modeCode
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CE
binding:
  strength:
    v: example
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-LanguageAbilityMode
    link: http://terminology.hl7.org/ValueSet/v3-LanguageAbilityMode

id:
  v: LanguageCommunication.proficiencyLevelCode
path:
  v: LanguageCommunication.proficiencyLevelCode
min:
  v: 0
max:
  v: 1
base:
  path:
    v: LanguageCommunication.proficiencyLevelCode
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/CE
binding:
  strength:
    v: example
  value set:
    v: http://terminology.hl7.org/ValueSet/v3-LanguageAbilityProficiency
    link: http://terminology.hl7.org/ValueSet/v3-LanguageAbilityProficiency

id:
  v: LanguageCommunication.preferenceInd
path:
  v: LanguageCommunication.preferenceInd
min:
  v: 0
max:
  v: 1
base:
  path:
    v: LanguageCommunication.preferenceInd
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://hl7.org/cda/stds/core/StructureDefinition/BL

element:
  id:
    v: LanguageCommunication
  path:
    v: LanguageCommunication
  min:
    v: 1
  max:
    v: 1
element:
  id:
    v: LanguageCommunication.languageCode
  path:
    v: LanguageCommunication.languageCode
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: http://hl7.org/cda/stds/core/StructureDefinition/CS
  binding:
    strength:
      v: required
    value set:
      v: http://hl7.org/fhir/ValueSet/all-languages
      link: http://hl7.org/fhir/ValueSet/all-languages
element:
  id:
    v: LanguageCommunication.modeCode
  path:
    v: LanguageCommunication.modeCode
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: http://hl7.org/cda/stds/core/StructureDefinition/CE
  binding:
    strength:
      v: example
    value set:
      v: http://terminology.hl7.org/ValueSet/v3-LanguageAbilityMode
      link: http://terminology.hl7.org/ValueSet/v3-LanguageAbilityMode
element:
  id:
    v: LanguageCommunication.proficiencyLevelCode
  path:
    v: LanguageCommunication.proficiencyLevelCode
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: http://hl7.org/cda/stds/core/StructureDefinition/CE
  binding:
    strength:
      v: example
    value set:
      v: http://terminology.hl7.org/ValueSet/v3-LanguageAbilityProficiency
      link: http://terminology.hl7.org/ValueSet/v3-LanguageAbilityProficiency
element:
  id:
    v: LanguageCommunication.preferenceInd
  path:
    v: LanguageCommunication.preferenceInd
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: http://hl7.org/cda/stds/core/StructureDefinition/BL