<status value="draft" /> <date value="2022-07-07T15:04:03.2592055+00:00" /> <publisher value="Healthdata.be (Sciensano)" /> <contact> <name value="Service portal – healthdata.be" /> <telecom> <system value="url" /> <value value="https://sciensano.service-now.com/sp" /> <use value="work" /> </telecom> </contact> <description value="Linguistic proficiency is the ability to express oneself in a certain language and understand statements made in that language. This includes both oral and written communication. #### Purpose Patients who are not fluent in the language of communication often have trouble asking for help and understanding the aids. Recording and communicating language problems offers other health professionals this knowledge. This informs them of any possible communication problems. Furthermore, you can record whether the patient is fluent in another language, so that a translator can be called in to communicate with the patient if needed."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Taalvaardigheid is het vermogen zich uit te drukken in een taal en mededelingen gedaan in die taal te begrijpen. Het gaat daarbij zowel om mondelinge als schriftelijke communicatie. #### Purpose Patiënten die de communicatie taal niet of niet goed beheersen hebben vaak moeite met het vragen om hulp en het begrijpen van de hulpverlening. Het vastleggen en communiceren van taalproblemen biedt andere zorgverleners hiervan kennis te nemen. Hierdoor zijn zij geattendeerd op mogelijke communicatieproblemen. Bovendien kan vastgelegd worden of er een andere taal is die de patiënt wel beheerst, zodat voor de communicatie met de patiënt eventueel de hulp van een tolk ingeroepen kan worden." /> </extension> </extension> </description> <copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." /> <fhirVersion value="4.0.1" /> <kind value="logical" /> <abstract value="true" /> <type value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/LanguageProficiency" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" /> <derivation value="specialization" /> <snapshot> <element id="LanguageProficiency"> <path value="LanguageProficiency" /> <short value="LanguageProficiency"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Taalvaardigheid" /> </extension> </extension> </short> <definition value="Root concept of the LanguageProficiency information model. This concept contains all data elements of the LanguageProficiency information model."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Rootconcept van de bouwsteen Taalvaardigheid. Dit concept bevat alle gegevenselementen van de bouwsteen Taalvaardigheid." /> </extension> </extension> </definition> <min value="0" /> <max value="*" /> <base> <path value="LanguageProficiency" /> <min value="0" /> <max value="*" /> </base> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="LanguageProficiency.id"> <path value="LanguageProficiency.id" /> <representation value="xmlAttr" /> <short value="xml:id (or equivalent in JSON)" /> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <comment value="Note that FHIR strings may not exceed 1MB in size" /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="LanguageProficiency.extension"> <path value="LanguageProficiency.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional Content defined by implementations" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="LanguageProficiency.CommunicationLanguage"> <path value="LanguageProficiency.CommunicationLanguage" /> <short value="CommunicationLanguage"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="CommunicatieTaal" /> </extension> </extension> </short> <definition value="The language of communication."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De taal waarin de communicatie plaatsvindt." /> </extension> </extension> </definition> <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." /> <min value="1" /> <max value="1" /> <base> <path value="LanguageProficiency.CommunicationLanguage" /> <min value="1" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <binding> <strength value="required" /> <description value="CommunicationLanguage codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/CommunicatieTaal" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> </element> <element id="LanguageProficiency.LanguageControlListening"> <path value="LanguageProficiency.LanguageControlListening" /> <short value="LanguageControlListening"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="TaalvaardigheidBegrijpen" /> </extension> </extension> </short> <definition value="The ability to understand spoken text in the language in question."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Het vermogen om in de betreffende taal uitgesproken tekst te verstaan en begrijpen. Het gaat hierbij om het taaltechnische aspect" /> </extension> </extension> </definition> <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." /> <min value="0" /> <max value="1" /> <base> <path value="LanguageProficiency.LanguageControlListening" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <binding> <strength value="required" /> <description value="LanguageControlListening codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/TaalvaardigheidBegrijpen" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> </element> <element id="LanguageProficiency.LanguageControlSpeaking"> <path value="LanguageProficiency.LanguageControlSpeaking" /> <short value="LanguageControlSpeaking"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="TaalvaardigheidSpreken" /> </extension> </extension> </short> <definition value="The ability to express oneself in spoken language."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Het vermogen om zich in de betreffende taal mondeling uit te kunnen drukken." /> </extension> </extension> </definition> <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." /> <min value="0" /> <max value="1" /> <base> <path value="LanguageProficiency.LanguageControlSpeaking" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <binding> <strength value="required" /> <description value="LanguageControlSpeaking codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/TaalvaardigheidSpreken" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> </element> <element id="LanguageProficiency.LanguageControlReading"> <path value="LanguageProficiency.LanguageControlReading" /> <short value="LanguageControlReading"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="TaalvaardigheidLezen" /> </extension> </extension> </short> <definition value="The ability to understand written text in he language in question."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Het vermogen om in de betreffende taal geschreven tekst te kunnen lezen en begrijpen. Het gaat hierbij om het taaltechnische aspect" /> </extension> </extension> </definition> <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." /> <min value="0" /> <max value="1" /> <base> <path value="LanguageProficiency.LanguageControlReading" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <binding> <strength value="required" /> <description value="LanguageControlReading codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/TaalvaardigheidLezen" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> </element> <element id="LanguageProficiency.CommunicationDetails"> <path value="LanguageProficiency.CommunicationDetails" /> <short value="CommunicationDetails"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="CommunicatieBijzonderheden" /> </extension> </extension> </short> <definition value="Additional ways or tools that the person uses to communicate, such as braille, sign language, etc."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Additionele wijzen of hulpmiddelen die de persoon gebruikt om te kunnen communiceren, zoals brailleschrift, gebarentaal etc." /> </extension> </extension> </definition> <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." /> <min value="0" /> <max value="*" /> <base> <path value="LanguageProficiency.CommunicationDetails" /> <min value="0" /> <max value="*" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <binding> <strength value="extensible" /> <description value="CommunicationDetails codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/CommunicatieBijzonderheden" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> </element> <element id="LanguageProficiency.Comment"> <path value="LanguageProficiency.Comment" /> <short value="Comment"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Toelichting" /> </extension> </extension> </short> <definition value="A comment on the linguistic proficiency. When using sign language, this field can be used to clarify, for example, which sign language is used. This can be informative, as there is not always a one-to-one relationship between the spoken language and sign language."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Een toelichting op de taalvaardigheid. Bij gebruik van gebarentaal kan dit veld worden gebruikt om bijvoorbeeld te verduidelijken welke gebarentaal wordt gebruikt. Dit kan informatief zijn, omdat er niet altijd een één-op-één-relatie is tussen de gesproken taal en gebarentaal." /> </extension> </extension> </definition> <comment value="Note that FHIR strings may not exceed 1MB in size" /> <min value="0" /> <max value="1" /> <base> <path value="LanguageProficiency.Comment" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> </snapshot> <differential> <element id="LanguageProficiency"> <path value="LanguageProficiency" /> <short value="LanguageProficiency"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Taalvaardigheid" /> </extension> </extension> </short> <definition value="Root concept of the LanguageProficiency information model. This concept contains all data elements of the LanguageProficiency information model."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Rootconcept van de bouwsteen Taalvaardigheid. Dit concept bevat alle gegevenselementen van de bouwsteen Taalvaardigheid." /> </extension> </extension> </definition> <min value="0" /> <max value="*" /> </element> <element id="LanguageProficiency.CommunicationLanguage"> <path value="LanguageProficiency.CommunicationLanguage" /> <short value="CommunicationLanguage"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="CommunicatieTaal" /> </extension> </extension> </short> <definition value="The language of communication."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De taal waarin de communicatie plaatsvindt." /> </extension> </extension> </definition> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <description value="CommunicationLanguage codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/CommunicatieTaal" /> </binding> </element> <element id="LanguageProficiency.LanguageControlListening"> <path value="LanguageProficiency.LanguageControlListening" /> <short value="LanguageControlListening"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="TaalvaardigheidBegrijpen" /> </extension> </extension> </short> <definition value="The ability to understand spoken text in the language in question."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Het vermogen om in de betreffende taal uitgesproken tekst te verstaan en begrijpen. Het gaat hierbij om het taaltechnische aspect" /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <description value="LanguageControlListening codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/TaalvaardigheidBegrijpen" /> </binding> </element> <element id="LanguageProficiency.LanguageControlSpeaking"> <path value="LanguageProficiency.LanguageControlSpeaking" /> <short value="LanguageControlSpeaking"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="TaalvaardigheidSpreken" /> </extension> </extension> </short> <definition value="The ability to express oneself in spoken language."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Het vermogen om zich in de betreffende taal mondeling uit te kunnen drukken." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <description value="LanguageControlSpeaking codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/TaalvaardigheidSpreken" /> </binding> </element> <element id="LanguageProficiency.LanguageControlReading"> <path value="LanguageProficiency.LanguageControlReading" /> <short value="LanguageControlReading"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="TaalvaardigheidLezen" /> </extension> </extension> </short> <definition value="The ability to understand written text in he language in question."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Het vermogen om in de betreffende taal geschreven tekst te kunnen lezen en begrijpen. Het gaat hierbij om het taaltechnische aspect" /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <description value="LanguageControlReading codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/TaalvaardigheidLezen" /> </binding> </element> <element id="LanguageProficiency.CommunicationDetails"> <path value="LanguageProficiency.CommunicationDetails" /> <short value="CommunicationDetails"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="CommunicatieBijzonderheden" /> </extension> </extension> </short> <definition value="Additional ways or tools that the person uses to communicate, such as braille, sign language, etc."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Additionele wijzen of hulpmiddelen die de persoon gebruikt om te kunnen communiceren, zoals brailleschrift, gebarentaal etc." /> </extension> </extension> </definition> <min value="0" /> <max value="*" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <description value="CommunicationDetails codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/CommunicatieBijzonderheden" /> </binding> </element> <element id="LanguageProficiency.Comment"> <path value="LanguageProficiency.Comment" /> <short value="Comment"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Toelichting" /> </extension> </extension> </short> <definition value="A comment on the linguistic proficiency. When using sign language, this field can be used to clarify, for example, which sign language is used. This can be informative, as there is not always a one-to-one relationship between the spoken language and sign language."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Een toelichting op de taalvaardigheid. Bij gebruik van gebarentaal kan dit veld worden gebruikt om bijvoorbeeld te verduidelijken welke gebarentaal wordt gebruikt. Dit kan informatief zijn, omdat er niet altijd een één-op-één-relatie is tussen de gesproken taal en gebarentaal." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> </element> </differential> </StructureDefinition>