Copy of 'GP Connect Data Model | FHIR STU3 Representation'

Extension: Extension-CareConnect-GPC-NHSCommunication-1

Extension-CareConnect-GPC-NHSCommunication-1 (Extension)	C		Extension	Element id Extension Short description NHS communication preferences for a resource Definition Communication preferences including a list of Languages which may be used for communication 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
id		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	C	1..*	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
language	C	1..1	Extension	Element id Extension.extension:language Short description Languages which may be used for communication Alternate names extensions, user content Definition Languages which may be used for communication. 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 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
id		0..1	string	There are no (further) constraints on this element Element id Extension.extension:language.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	C	0..0	Extension	There are no (further) constraints on this element Element id Extension.extension:language.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.extension:language.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 language Mappings rim: N/A
value[x]		1..1	Binding	Element id Extension.extension:language.value[x] Short description Languages which may be used for communication Definition Languages which may be used for communication. Binding Human Language (unbound) (required) 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
valueCodeableConcept			CodeableConcept	Data type CodeableConcept
preferred	C	0..*	Extension	There are no (further) constraints on this element Element id Extension.extension:preferred 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 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
id		0..1	string	There are no (further) constraints on this element Element id Extension.extension:preferred.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	C	0..0	Extension	There are no (further) constraints on this element Element id Extension.extension:preferred.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.extension:preferred.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 preferred Mappings rim: N/A
value[x]		1..1		Element id Extension.extension:preferred.value[x] Short description Indicates whether or not this language is preferred (over other languages up a certain level) Definition Indicates whether or not this language is preferred (over other languages up a certain level) 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
valueBoolean			boolean	Data type boolean
modeOfCommunication	C	0..*	Extension	There are no (further) constraints on this element Element id Extension.extension:modeOfCommunication 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 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
id		0..1	string	There are no (further) constraints on this element Element id Extension.extension:modeOfCommunication.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	C	0..0	Extension	There are no (further) constraints on this element Element id Extension.extension:modeOfCommunication.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.extension:modeOfCommunication.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 modeOfCommunication Mappings rim: N/A
value[x]		1..1	Binding	Element id Extension.extension:modeOfCommunication.value[x] Short description A valueset to describe the mode the patient can communicate in, representing the method of expression of the language. Definition A valueset to describe the mode the patient can communicate in, representing the method of expression of the language.. Binding Language Ability Mode (unbound) (required) 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
valueCodeableConcept			CodeableConcept	Data type CodeableConcept
communicationProficiency	C	0..1	Extension	There are no (further) constraints on this element Element id Extension.extension:communicationProficiency 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 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
id		0..1	string	There are no (further) constraints on this element Element id Extension.extension:communicationProficiency.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	C	0..0	Extension	There are no (further) constraints on this element Element id Extension.extension:communicationProficiency.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.extension:communicationProficiency.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 communicationProficiency Mappings rim: N/A
value[x]		1..1	Binding	Element id Extension.extension:communicationProficiency.value[x] Short description A valueset to describe the level of proficiency in communicating a language Definition A valueset to describe the level of proficiency in communicating a language. Binding Language Ability Proficiency (unbound) (required) 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
valueCodeableConcept			CodeableConcept	Data type CodeableConcept
interpreterRequired	C	0..1	Extension	There are no (further) constraints on this element Element id Extension.extension:interpreterRequired 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 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
id		0..1	string	There are no (further) constraints on this element Element id Extension.extension:interpreterRequired.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	C	0..0	Extension	There are no (further) constraints on this element Element id Extension.extension:interpreterRequired.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.extension:interpreterRequired.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 interpreterRequired Mappings rim: N/A
value[x]		1..1		Element id Extension.extension:interpreterRequired.value[x] Short description Indicates whether an interpreter is required for communication purposes Definition Indicates whether an interpreter is required for communication purposes- True / False? 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
valueBoolean			boolean	Data type boolean
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 https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSCommunication-1 Mappings rim: N/A
value[x]		0..0		There are no (further) constraints on this element 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). 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

Extension		C
Short	NHS communication preferences for a resource
Definition	Communication preferences including a list of Languages which may be used for communication
Cardinality	0..*
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
Extension.id
Short	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.
Cardinality	0..1
Type	string
Mappings	rim: n/a
Extension.extension		C
Short	Additional content defined by implementations
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.
Cardinality	1..*
Type	Extension
Alias	extensions, user content
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.
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
Extension.extension:language		C
Short	Languages which may be used for communication
Definition	Languages which may be used for communication.
Cardinality	1..1
Type	Extension
Alias	extensions, user content
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.
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
Extension.extension:language.id
Short	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.
Cardinality	0..1
Type	string
Mappings	rim: n/a
Extension.extension:language.extension		C
Short	Additional content defined by implementations
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.
Cardinality	0..0
Type	Extension
Alias	extensions, user content
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.
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
Extension.extension:language.url
Short	identifies the meaning of the extension
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1..1
Type	uri
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.
Fixed Value	language
Mappings	rim: N/A
Extension.extension:language.value[x]
Short	Languages which may be used for communication
Definition	Languages which may be used for communication.
Cardinality	1..1
Type	CodeableConcept
Binding	Human Language (unbound) (required)
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
Extension.extension:preferred		C
Short	Additional content defined by implementations
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.
Cardinality	0..*
Type	Extension
Alias	extensions, user content
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.
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
Extension.extension:preferred.id
Short	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.
Cardinality	0..1
Type	string
Mappings	rim: n/a
Extension.extension:preferred.extension		C
Short	Additional content defined by implementations
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.
Cardinality	0..0
Type	Extension
Alias	extensions, user content
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.
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
Extension.extension:preferred.url
Short	identifies the meaning of the extension
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1..1
Type	uri
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.
Fixed Value	preferred
Mappings	rim: N/A
Extension.extension:preferred.value[x]
Short	Indicates whether or not this language is preferred (over other languages up a certain level)
Definition	Indicates whether or not this language is preferred (over other languages up a certain level)
Cardinality	1..1
Type	boolean
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
Extension.extension:modeOfCommunication		C
Short	Additional content defined by implementations
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.
Cardinality	0..*
Type	Extension
Alias	extensions, user content
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.
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
Extension.extension:modeOfCommunication.id
Short	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.
Cardinality	0..1
Type	string
Mappings	rim: n/a
Extension.extension:modeOfCommunication.extension		C
Short	Additional content defined by implementations
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.
Cardinality	0..0
Type	Extension
Alias	extensions, user content
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.
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
Extension.extension:modeOfCommunication.url
Short	identifies the meaning of the extension
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1..1
Type	uri
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.
Fixed Value	modeOfCommunication
Mappings	rim: N/A
Extension.extension:modeOfCommunication.value[x]
Short	A valueset to describe the mode the patient can communicate in, representing the method of expression of the language.
Definition	A valueset to describe the mode the patient can communicate in, representing the method of expression of the language..
Cardinality	1..1
Type	CodeableConcept
Binding	Language Ability Mode (unbound) (required)
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
Extension.extension:communicationProficiency		C
Short	Additional content defined by implementations
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.
Cardinality	0..1
Type	Extension
Alias	extensions, user content
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.
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
Extension.extension:communicationProficiency.id
Short	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.
Cardinality	0..1
Type	string
Mappings	rim: n/a
Extension.extension:communicationProficiency.extension		C
Short	Additional content defined by implementations
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.
Cardinality	0..0
Type	Extension
Alias	extensions, user content
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.
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
Extension.extension:communicationProficiency.url
Short	identifies the meaning of the extension
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1..1
Type	uri
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.
Fixed Value	communicationProficiency
Mappings	rim: N/A
Extension.extension:communicationProficiency.value[x]
Short	A valueset to describe the level of proficiency in communicating a language
Definition	A valueset to describe the level of proficiency in communicating a language.
Cardinality	1..1
Type	CodeableConcept
Binding	Language Ability Proficiency (unbound) (required)
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
Extension.extension:interpreterRequired		C
Short	Additional content defined by implementations
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.
Cardinality	0..1
Type	Extension
Alias	extensions, user content
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.
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
Extension.extension:interpreterRequired.id
Short	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.
Cardinality	0..1
Type	string
Mappings	rim: n/a
Extension.extension:interpreterRequired.extension		C
Short	Additional content defined by implementations
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.
Cardinality	0..0
Type	Extension
Alias	extensions, user content
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.
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
Extension.extension:interpreterRequired.url
Short	identifies the meaning of the extension
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1..1
Type	uri
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.
Fixed Value	interpreterRequired
Mappings	rim: N/A
Extension.extension:interpreterRequired.value[x]
Short	Indicates whether an interpreter is required for communication purposes
Definition	Indicates whether an interpreter is required for communication purposes- True / False?
Cardinality	1..1
Type	boolean
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
Extension.url
Short	identifies the meaning of the extension
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1..1
Type	uri
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.
Fixed Value	https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSCommunication-1
Mappings	rim: N/A
Extension.value[x]
Short	Value of extension
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Cardinality	0..0
Type	Address \| Age \| Annotation \| Attachment \| base64Binary \| boolean \| canonical \| code \| CodeableConcept \| Coding \| ContactDetail \| ContactPoint \| Contributor \| Count \| DataRequirement \| date \| dateTime \| decimal \| Distance \| Dosage \| Duration \| Expression \| HumanName \| id \| Identifier \| instant \| integer \| markdown \| Meta \| Money \| oid \| ParameterDefinition \| Period \| positiveInt \| Quantity \| Range \| Ratio \| Reference \| RelatedArtifact \| SampledData \| Signature \| string \| time \| Timing \| TriggerDefinition \| unsignedInt \| uri \| url \| UsageContext \| uuid
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

<meta>
<lastUpdated value="2026-10-30T08:40:02.3442055+00:00" />
</meta>
<url value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSCommunication-1" />
<version value="1.0.0" />
<name value="Extension-CareConnect-GPC-NHSCommunication-1" />
<status value="active" />
<date value="2017-06-07T15:55:24.330896+01:00" />
<publisher value="HL7 UK" />
<description value="This extension is constrained to support the communication preferences for a resource in the NHS." />
<copyright value="Copyright © 2016 HL7 UK\n\nLicensed under the Apache License, Version 2.0 (the "License"); you may not use this file except in compliance with the License. You may obtain a copy of the License at\n\nhttp://www.apache.org/licenses/LICENSE-2.0\n\nUnless required by applicable law or agreed to in writing, software distributed under the License is distributed on an "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License.\n\nHL7® FHIR® standard Copyright © 2011+ HL7\n\nThe HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at\n\nhttps://www.hl7.org/fhir/license.html" />
<fhirVersion value="3.0.2" />
<kind value="complex-type" />
<abstract value="false" />
<context />
<context />
<type value="Extension" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
<derivation value="constraint" />
<differential>
<element id="Extension">
<path value="Extension" />
<short value="NHS communication preferences for a resource" />
<definition value="Communication preferences including a list of Languages which may be used for communication" />
</element>
<element id="Extension.extension">
<path value="Extension.extension" />
<min value="1" />
</element>
<element id="Extension.extension:language">
<path value="Extension.extension" />
<sliceName value="language" />
<short value="Languages which may be used for communication" />
<definition value="Languages which may be used for communication." />
<min value="1" />
<max value="1" />
</element>
<element id="Extension.extension:language.extension">
<path value="Extension.extension.extension" />
<max value="0" />
</element>
<element id="Extension.extension:language.url">
<path value="Extension.extension.url" />
<fixedUri value="language" />
</element>
<element id="Extension.extension:language.value[x]">
<path value="Extension.extension.value[x]" />
<short value="Languages which may be used for communication" />
<definition value="Languages which may be used for communication." />
<min value="1" />
<type>
<code value="CodeableConcept" />
</type>
<binding>
<strength value="required" />
<description value="Human Language" />
</binding>
</element>
<element id="Extension.extension:preferred">
<path value="Extension.extension" />
<sliceName value="preferred" />
</element>
<element id="Extension.extension:preferred.extension">
<path value="Extension.extension.extension" />
<max value="0" />
</element>
<element id="Extension.extension:preferred.url">
<path value="Extension.extension.url" />
<fixedUri value="preferred" />
</element>
<element id="Extension.extension:preferred.value[x]">
<path value="Extension.extension.value[x]" />
<short value="Indicates whether or not this language is preferred (over other languages up a certain level)" />
<definition value="Indicates whether or not this language is preferred (over other languages up a certain level)" />
<min value="1" />
<type>
<code value="boolean" />
</type>
</element>
<element id="Extension.extension:modeOfCommunication">
<path value="Extension.extension" />
<sliceName value="modeOfCommunication" />
</element>
<element id="Extension.extension:modeOfCommunication.extension">
<path value="Extension.extension.extension" />
<max value="0" />
</element>
<element id="Extension.extension:modeOfCommunication.url">
<path value="Extension.extension.url" />
<fixedUri value="modeOfCommunication" />
</element>
<element id="Extension.extension:modeOfCommunication.value[x]">
<path value="Extension.extension.value[x]" />
<short value="A valueset to describe the mode the patient can communicate in, representing the method of expression of the language." />
<definition value="A valueset to describe the mode the patient can communicate in, representing the method of expression of the language.." />
<min value="1" />
<type>
<code value="CodeableConcept" />
</type>
<binding>
<strength value="required" />
<description value="Language Ability Mode" />
</binding>
</element>
<element id="Extension.extension:communicationProficiency">
<path value="Extension.extension" />
<sliceName value="communicationProficiency" />
<max value="1" />
</element>
<element id="Extension.extension:communicationProficiency.extension">
<path value="Extension.extension.extension" />
<max value="0" />
</element>
<element id="Extension.extension:communicationProficiency.url">
<path value="Extension.extension.url" />
<fixedUri value="communicationProficiency" />
</element>
<element id="Extension.extension:communicationProficiency.value[x]">
<path value="Extension.extension.value[x]" />
<short value="A valueset to describe the level of proficiency in communicating a language" />
<definition value="A valueset to describe the level of proficiency in communicating a language." />
<min value="1" />
<type>
<code value="CodeableConcept" />
</type>
<binding>
<strength value="required" />
<description value="Language Ability Proficiency" />
</binding>
</element>
<element id="Extension.extension:interpreterRequired">
<path value="Extension.extension" />
<sliceName value="interpreterRequired" />
<max value="1" />
</element>
<element id="Extension.extension:interpreterRequired.extension">
<path value="Extension.extension.extension" />
<max value="0" />
</element>
<element id="Extension.extension:interpreterRequired.url">
<path value="Extension.extension.url" />
<fixedUri value="interpreterRequired" />
</element>
<element id="Extension.extension:interpreterRequired.value[x]">
<path value="Extension.extension.value[x]" />
<short value="Indicates whether an interpreter is required for communication purposes" />
<definition value="Indicates whether an interpreter is required for communication purposes- True / False?" />
<min value="1" />
<type>
<code value="boolean" />
</type>
</element>
<element id="Extension.url">
<path value="Extension.url" />
<fixedUri value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSCommunication-1" />
</element>
<element id="Extension.value[x]">
<path value="Extension.value[x]" />
<max value="0" />
</element>
</differential>

</StructureDefinition>

{

"resourceType": "StructureDefinition",
"contextType": "resource",
"meta": {
"lastUpdated": "2026-10-30T08:40:02.3442055+00:00"
},
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSCommunication-1",
"version": "1.0.0",
"name": "Extension-CareConnect-GPC-NHSCommunication-1",
"status": "active",
"date": "2017-06-07T15:55:24.330896+01:00",
"publisher": "HL7 UK",
"description": "This extension is constrained to support the communication preferences for a resource in the NHS.",
"copyright": "Copyright © 2016 HL7 UK\n\nLicensed under the Apache License, Version 2.0 (the \"License\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at\n\nhttp://www.apache.org/licenses/LICENSE-2.0\n\nUnless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \"AS IS\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License.\n\nHL7® FHIR® standard Copyright © 2011+ HL7\n\nThe HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at\n\nhttps://www.hl7.org/fhir/license.html",
"fhirVersion": "3.0.2",
"kind": "complex-type",
"abstract": false,
"context": [
{
"value": "Patient"
},
{
"value": "Practitioner"
}
],
"type": "Extension",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Extension",
"path": "Extension",
"short": "NHS communication preferences for a resource",
"definition": "Communication preferences including a list of Languages which may be used for communication"
},
{
"id": "Extension.extension",
"path": "Extension.extension",
"min": 1
},
{
"id": "Extension.extension:language",
"path": "Extension.extension",
"sliceName": "language",
"short": "Languages which may be used for communication",
"definition": "Languages which may be used for communication.",
"min": 1,
"max": "1"
},
{
"id": "Extension.extension:language.extension",
"path": "Extension.extension.extension",
"max": "0"
},
{
"id": "Extension.extension:language.url",
"path": "Extension.extension.url",
"fixedUri": "language"
},
{
"id": "Extension.extension:language.value[x]",
"path": "Extension.extension.value[x]",
"short": "Languages which may be used for communication",
"definition": "Languages which may be used for communication.",
"min": 1,
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"valueSetReference": {
"reference": "https://fhir.nhs.uk/STU3/ValueSet/CareConnect-HumanLanguage-1"
},
"strength": "required",
"description": "Human Language"
}
},
{
"id": "Extension.extension:preferred",
"path": "Extension.extension",
"sliceName": "preferred"
},
{
"id": "Extension.extension:preferred.extension",
"path": "Extension.extension.extension",
"max": "0"
},
{
"id": "Extension.extension:preferred.url",
"path": "Extension.extension.url",
"fixedUri": "preferred"
},
{
"id": "Extension.extension:preferred.value[x]",
"path": "Extension.extension.value[x]",
"short": "Indicates whether or not this language is preferred (over other languages up a certain level)",
"definition": "Indicates whether or not this language is preferred (over other languages up a certain level)",
"min": 1,
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Extension.extension:modeOfCommunication",
"path": "Extension.extension",
"sliceName": "modeOfCommunication"
},
{
"id": "Extension.extension:modeOfCommunication.extension",
"path": "Extension.extension.extension",
"max": "0"
},
{
"id": "Extension.extension:modeOfCommunication.url",
"path": "Extension.extension.url",
"fixedUri": "modeOfCommunication"
},
{
"id": "Extension.extension:modeOfCommunication.value[x]",
"path": "Extension.extension.value[x]",
"short": "A valueset to describe the mode the patient can communicate in, representing the method of expression of the language.",
"definition": "A valueset to describe the mode the patient can communicate in, representing the method of expression of the language..",
"min": 1,
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"valueSetReference": {
"reference": "https://fhir.nhs.uk/STU3/ValueSet/CareConnect-LanguageAbilityMode-1"
},
"strength": "required",
"description": "Language Ability Mode"
}
},
{
"id": "Extension.extension:communicationProficiency",
"path": "Extension.extension",
"sliceName": "communicationProficiency",
"max": "1"
},
{
"id": "Extension.extension:communicationProficiency.extension",
"path": "Extension.extension.extension",
"max": "0"
},
{
"id": "Extension.extension:communicationProficiency.url",
"path": "Extension.extension.url",
"fixedUri": "communicationProficiency"
},
{
"id": "Extension.extension:communicationProficiency.value[x]",
"path": "Extension.extension.value[x]",
"short": "A valueset to describe the level of proficiency in communicating a language",
"definition": "A valueset to describe the level of proficiency in communicating a language.",
"min": 1,
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"valueSetReference": {
"reference": "https://fhir.nhs.uk/STU3/ValueSet/CareConnect-LanguageAbilityProficiency-1"
},
"strength": "required",
"description": "Language Ability Proficiency"
}
},
{
"id": "Extension.extension:interpreterRequired",
"path": "Extension.extension",
"sliceName": "interpreterRequired",
"max": "1"
},
{
"id": "Extension.extension:interpreterRequired.extension",
"path": "Extension.extension.extension",
"max": "0"
},
{
"id": "Extension.extension:interpreterRequired.url",
"path": "Extension.extension.url",
"fixedUri": "interpreterRequired"
},
{
"id": "Extension.extension:interpreterRequired.value[x]",
"path": "Extension.extension.value[x]",
"short": "Indicates whether an interpreter is required for communication purposes",
"definition": "Indicates whether an interpreter is required for communication purposes- True / False?",
"min": 1,
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Extension.url",
"path": "Extension.url",
"fixedUri": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSCommunication-1"
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"max": "0"
}
]
}

}

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