1.2.0-DFT - The specification is version 1.2.0-DFT of CA Core+ For a full list of available versions, see the Directory of published versions

CommunicationBarrier

Description

The extension is required to identify if the patient speaks/understands an offical language (english/french), or if an interpretor is required.

References to this Extension

PatientCACore

Standards Status	FMM
trial-use	2

Resource Content

CommunicationBarrier (Extension)

Extension

extension

..0

There are no (further) constraints on this element

Element id

Extension.extension

url

Fixed Value

There are no (further) constraints on this element

Element id

Extension.url

Fixed value

http://fhir.infoway-inforoute.ca/ca-ext/StructureDefinition/patient-communicationBarrier

value[x]

Binding

There are no (further) constraints on this element

Element id

Extension.value[x]

Binding

CommunicationBarrierValueSet (extensible)

Obligations

Code	Actor
May:populate-if-known	http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer
SHALL:no-error	http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer

valueCodeableConcept

CodeableConcept

CommunicationBarrier (Extension)

Extension

There are no (further) constraints on this element

Element id

Extension

Short description

Optional Extensions Element

Definition

Optional Extension Element - found in all resources.

Data type

Extension

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

0..1

string

There are no (further) constraints on this element

Element id

Extension.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..0

Extension

There are no (further) constraints on this element

Element id

Extension.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

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.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

url

1..1

uriFixed Value

Element id

Extension.url

Short description

identifies the meaning of the extension

Definition

Source of the definition for the extension code - a logical name or a URL.

Comments

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Data type

uri

Fixed value

http://fhir.infoway-inforoute.ca/ca-ext/StructureDefinition/patient-communicationBarrier

Mappings

rim: N/A

value[x]

0..1

Binding

Element id

Extension.value[x]

Short description

Value of extension

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Binding

CommunicationBarrierValueSet (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

Obligations

Code	Actor
May:populate-if-known	http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer
SHALL:no-error	http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer

valueCodeableConcept

CodeableConcept

Data type

CodeableConcept

<id value="ext-communicationbarrier" />
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="2" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="trial-use" />
</extension>
<url value="http://fhir.infoway-inforoute.ca/ca-ext/StructureDefinition/patient-communicationBarrier" />
<version value="1.1.0" />
<name value="CommunicationBarrier" />
<title value="Communication Barrier" />
<status value="active" />
<experimental value="false" />
<publisher value="Canada Health Infoway" />
<contact>
<name value="National Standards Release Centre" />
<telecom>
<system value="url" />
<value value="http://www.infoway-inforoute.ca" />
</telecom>
<telecom>
<system value="email" />
<value value="standards@infoway-inforoute.ca" />
</telecom>
</contact>
<description value="The extension is required to identify if the patient speaks/understands an offical language (english/french), or if an interpretor is required." />
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166" />
<code value="CA" />
</coding>
</jurisdiction>
<copyright value="Copyright © 2025+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy)." />
<fhirVersion value="4.0.1" />
<kind value="complex-type" />
<abstract value="false" />
<context>
<type value="element" />
<expression value="Patient" />
</context>
<type value="Extension" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
<derivation value="constraint" />
<differential>
<element id="Extension.extension">
<path value="Extension.extension" />
<max value="0" />
</element>
<element id="Extension.url">
<path value="Extension.url" />
<fixedUri value="http://fhir.infoway-inforoute.ca/ca-ext/StructureDefinition/patient-communicationBarrier" />
</element>
<element id="Extension.value[x]">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="May:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<path value="Extension.value[x]" />
<type>
<code value="CodeableConcept" />
</type>
<binding>
<strength value="extensible" />
<valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/ca-communicationbarrier" />
</binding>
</element>
</differential>

</StructureDefinition>

{

"resourceType": "StructureDefinition",
"id": "ext-communicationbarrier",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use"
}
],
"url": "http://fhir.infoway-inforoute.ca/ca-ext/StructureDefinition/patient-communicationBarrier",
"version": "1.1.0",
"name": "CommunicationBarrier",
"title": "Communication Barrier",
"status": "active",
"experimental": false,
"publisher": "Canada Health Infoway",
"contact": [
{
"name": "National Standards Release Centre",
"telecom": [
{
"system": "url",
"value": "http://www.infoway-inforoute.ca"
},
{
"system": "email",
"value": "standards@infoway-inforoute.ca"
}
]
}
],
"description": "The extension is required to identify if the patient speaks/understands an offical language (english/french), or if an interpretor is required.",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "CA"
}
]
}
],
"copyright": "Copyright © 2025+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy).",
"fhirVersion": "4.0.1",
"kind": "complex-type",
"abstract": false,
"context": [
{
"type": "element",
"expression": "Patient"
}
],
"type": "Extension",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Extension.extension",
"path": "Extension.extension",
"max": "0"
},
{
"id": "Extension.url",
"path": "Extension.url",
"fixedUri": "http://fhir.infoway-inforoute.ca/ca-ext/StructureDefinition/patient-communicationBarrier"
},
{
"id": "Extension.value[x]",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "May:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Extension.value[x]",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "extensible",
"valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/ca-communicationbarrier"
}
}
]
}

}

Terminology bindings

Path	Conformance	ValueSet
Extension.value[x]	extensible	https://fhir.infoway-inforoute.ca/ValueSet/ca-communicationbarrier

CommunicationBarrier

Links

Extension

Description

References to this Extension

Resource Content

Terminology bindings