{
  "description": "This code system contains codes for documenting the attributes of spoken language proficiency",
  "_filename": "CodeSystem-codesystem-languageproficiency.json",
  "package_name": "hl7.fhir.uv.vhdir",
  "date": "2018-02-21",
  "publisher": "HL7 International",
  "content": "complete",
  "name": "VhDirSpokenLanguageProficiency",
  "type": null,
  "experimental": null,
  "resourceType": "CodeSystem",
  "title": "VhDir Spoken Language Proficiency Code System",
  "package_version": "0.2.0",
  "status": "active",
  "id": "861c78c1-7b47-42b3-90c5-6b5a20ea5218",
  "kind": null,
  "url": "http://hl7.org/fhir/uv/vhdir/CodeSystem/codesystem-languageproficiency",
  "concept": [ {
    "code": "00",
    "display": "No proficiency",
    "definition": "Unable to function in the spoken language."
  }, {
    "code": "06",
    "display": "Memorized proficiency",
    "definition": "Able to satisfy immediate needs using rehearsed utterances. Shows little real autonomy of expression, flexibility or spontaneity."
  }, {
    "code": "10",
    "display": "Elementary proficiency",
    "definition": "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."
  }, {
    "code": "16",
    "display": "Elementary proficiency, plus",
    "definition": "Can initiate and maintain predictable face-to-face conversations and satisfy limited social demands."
  }, {
    "code": "20",
    "display": "Limited working proficiency",
    "definition": "Able to satisfy routine social demands and limited work requirements."
  }, {
    "code": "26",
    "display": "Limited working proficiency, plus",
    "definition": "Able to satisfy most work requirements with language usage that is often, but not always, acceptable and effective."
  }, {
    "code": "30",
    "display": "General professional proficiency",
    "definition": "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."
  }, {
    "code": "36",
    "display": "General professional proficiency, plus",
    "definition": "Is often able to use the language to satisfy professional needs in a wide range of sophisticated and demanding tasks."
  }, {
    "code": "40",
    "display": "Advanced professional proficiency",
    "definition": "Able to use the language fluently and accurately on all levels normally pertinent to professional needs."
  }, {
    "code": "46",
    "display": "Advanced professional proficiency, plus",
    "definition": "Speaking proficiency is regularly superior in all respects, usually equivalent to that of a well educated, highly articulate native speaker."
  }, {
    "code": "50",
    "display": "Functional native proficiency",
    "definition": "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."
  } ],
  "caseSensitive": true,
  "version": "0.2.0",
  "contact": [ {
    "telecom": [ {
      "value": "http://hl7.org/fhir",
      "system": "other"
    } ]
  } ]
}