<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://hl7.org/fhir/StructureDefinition/patient-proficiency" />
  <version value="4.6.0" />
  <name value="proficiency" />
  <title value="proficiency" />
  <status value="draft" />
  <date value="2021-01-02T08:58:31+11:00" />
  <publisher value="HL7" />
  <description value="Proficiency level of the communication." />
  <fhirVersion value="4.6.0" />
  <mapping>
    <identity value="rim" />
    <uri value="http://hl7.org/v3" />
    <name value="RIM Mapping" />
  </mapping>
  <kind value="complex-type" />
  <abstract value="false" />
  <context>
    <type value="element" />
    <expression value="Patient.communication" />
  </context>
  <context>
    <type value="element" />
    <expression value="RelatedPerson.communication" />
  </context>
  <context>
    <type value="element" />
    <expression value="Person.communication" />
  </context>
  <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." />
      <min value="0" />
      <max value="*" />
    </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="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
      </type>
    </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" />
      <type>
        <code value="uri" />
      </type>
      <fixedUri value="level" />
    </element>
    <element id="Extension.extension:level.value[x]">
      <path value="Extension.extension.value[x]" />
      <min value="1" />
      <type>
        <code value="Coding" />
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProficiencyLevel" />
        </extension>
        <strength value="preferred" />
        <description value="The proficiency level for the communication." />
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-LanguageAbilityProficiency" />
      </binding>
    </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="0" />
      <max value="*" />
      <type>
        <code value="Extension" />
      </type>
    </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" />
      <type>
        <code value="uri" />
      </type>
      <fixedUri value="type" />
    </element>
    <element id="Extension.extension:type.value[x]">
      <path value="Extension.extension.value[x]" />
      <min value="1" />
      <type>
        <code value="Coding" />
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="proficiencyType" />
        </extension>
        <strength value="preferred" />
        <description value="The proficiency type for the communication." />
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-LanguageAbilityMode" />
      </binding>
    </element>
    <element id="Extension.url">
      <path value="Extension.url" />
      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-proficiency" />
    </element>
    <element id="Extension.value[x]">
      <path value="Extension.value[x]" />
      <min value="0" />
      <max value="0" />
    </element>
  </differential>
</StructureDefinition>