<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="patient-proficiency" />
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="pa" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1" />
  </extension>
  <url value="http://nictiz.nl/fhir/StructureDefinition/patient-proficiency" />
  <version value="2.0.2" />
  <name value="proficiency" />
  <title value="proficiency" />
  <status value="active" />
  <publisher value="HL7" />
  <description value="Proficiency level of the communication.&#xD;&#xA;Extension is mocked from the offical HL7 core extension in R4 FHIR build specification at 12-09-2018." />
  <fhirVersion value="3.0.2" />
  <mapping>
    <identity value="rim" />
    <uri value="http://hl7.org/v3" />
    <name value="RIM Mapping" />
  </mapping>
  <kind value="complex-type" />
  <abstract value="false" />
  <contextType value="resource" />
  <context value="Patient.communication" />
  <type value="Extension" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
  <derivation value="constraint" />
  <differential>
    <element id="Extension">
      <path value="Extension" />
      <short value="Proficiency level of the communication" />
      <definition value="Proficiency level of the communication." />
    </element>
    <element id="Extension.extension">
      <path value="Extension.extension" />
      <min value="2" />
    </element>
    <element id="Extension.extension:type">
      <path value="Extension.extension" />
      <sliceName value="type" />
      <short value="The proficiency type of the communication" />
      <definition value="What type of communication for the proficiency (spoken, written, etc.)." />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Extension.extension:type.extension">
      <path value="Extension.extension.extension" />
      <max value="0" />
    </element>
    <element id="Extension.extension:type.url">
      <path value="Extension.extension.url" />
      <fixedUri value="type" />
    </element>
    <element id="Extension.extension:type.value[x]:valueCoding">
      <path value="Extension.extension.valueCoding" />
      <sliceName value="valueCoding" />
      <min value="1" />
      <type>
        <code value="Coding" />
      </type>
      <binding>
        <strength value="preferred" />
        <description value="The proficiency type for the communication." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v3-LanguageAbilityMode" />
          <display value="TaalvaardigheidBegrijpenCodelijst" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Extension.extension:level">
      <path value="Extension.extension" />
      <sliceName value="level" />
      <short value="The proficiency level of the communication" />
      <definition value="How well the patient can communicate this communication (good, poor, etc.)." />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Extension.extension:level.extension">
      <path value="Extension.extension.extension" />
      <max value="0" />
    </element>
    <element id="Extension.extension:level.url">
      <path value="Extension.extension.url" />
      <fixedUri value="level" />
    </element>
    <element id="Extension.extension:level.value[x]:valueCoding">
      <path value="Extension.extension.valueCoding" />
      <sliceName value="valueCoding" />
      <min value="1" />
      <type>
        <code value="Coding" />
      </type>
      <binding>
        <strength value="preferred" />
        <description value="The proficiency level for the communication." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v3-LanguageAbilityProficiency" />
          <display value="TaalvaardigheidBegrijpenCodelijst" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Extension.url">
      <path value="Extension.url" />
      <fixedUri value="http://nictiz.nl/fhir/StructureDefinition/patient-proficiency" />
    </element>
    <element id="Extension.value[x]">
      <path value="Extension.value[x]" />
      <max value="0" />
    </element>
  </differential>
</StructureDefinition>