{

"resourceType": "StructureDefinition",
"id": "patient-proficiency",
"extension": [
  {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode": "pa"
  },
  {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger": 1
  }
],
"url": "http://hl7.org/fhir/StructureDefinition/patient-proficiency",
"version": "4.0.1",
"name": "proficiency",
"title": "proficiency",
"status": "draft",
"date": "2019-11-01T09:29:23+11:00",
"publisher": "HL7",
"description": "Proficiency level of the communication.",
"fhirVersion": "4.0.1",
"mapping": [
  {
    "identity": "rim",
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping"
  }
],
"kind": "complex-type",
"abstract": false,
"context": [
  {
    "type": "element",
    "expression": "Patient.communication"
  }
],
"type": "Extension",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
"derivation": "constraint",
"snapshot": {
  "element": [
    {
      "id": "Extension",
      "path": "Extension",
      "short": "Proficiency level of the communication",
      "definition": "Proficiency level of the communication.",
      "min": 0,
      "max": "*",
      "base": {
        "path": "Extension",
        "min": 0,
        "max": "*"
      },
      "condition": [
        "ele-1"
      ],
      "constraint": [
        {
          "key": "ele-1",
          "severity": "error",
          "human": "All FHIR elements must have a @value or children",
          "expression": "hasValue() or (children().count() > id.count())",
          "xpath": "@value|f:*|h:div",
          "source": "http://hl7.org/fhir/StructureDefinition/Element"
        },
        {
          "key": "ext-1",
          "severity": "error",
          "human": "Must have either extensions or value[x], not both",
          "expression": "extension.exists() != value.exists()",
          "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
          "source": "http://hl7.org/fhir/StructureDefinition/Extension"
        }
      ],
      "isModifier": false
    },
    {
      "id": "Extension.id",
      "path": "Extension.id",
      "representation": [
        "xmlAttr"
      ],
      "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.",
      "min": 0,
      "max": "1",
      "base": {
        "path": "Element.id",
        "min": 0,
        "max": "1"
      },
      "type": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
              "valueUrl": "string"
            }
          ],
          "code": "http://hl7.org/fhirpath/System.String"
        }
      ],
      "isModifier": false,
      "isSummary": false,
      "mapping": [
        {
          "identity": "rim",
          "map": "n/a"
        }
      ]
    },
    {
      "id": "Extension.extension",
      "path": "Extension.extension",
      "slicing": {
        "discriminator": [
          {
            "type": "value",
            "path": "url"
          }
        ],
        "description": "Extensions are always sliced by (at least) url",
        "rules": "open"
      },
      "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.",
      "comment": "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": [
        "extensions",
        "user content"
      ],
      "min": 0,
      "max": "*",
      "base": {
        "path": "Element.extension",
        "min": 0,
        "max": "*"
      },
      "type": [
        {
          "code": "Extension"
        }
      ],
      "constraint": [
        {
          "key": "ele-1",
          "severity": "error",
          "human": "All FHIR elements must have a @value or children",
          "expression": "hasValue() or (children().count() > id.count())",
          "xpath": "@value|f:*|h:div",
          "source": "http://hl7.org/fhir/StructureDefinition/Element"
        },
        {
          "key": "ext-1",
          "severity": "error",
          "human": "Must have either extensions or value[x], not both",
          "expression": "extension.exists() != value.exists()",
          "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
          "source": "http://hl7.org/fhir/StructureDefinition/Extension"
        }
      ],
      "isModifier": false,
      "isSummary": false,
      "mapping": [
        {
          "identity": "rim",
          "map": "n/a"
        }
      ]
    },
    {
      "id": "Extension.extension:level",
      "path": "Extension.extension",
      "sliceName": "level",
      "short": "The proficiency level of the communication",
      "definition": "How well the patient can communicate this communication (good, poor, etc.).",
      "min": 0,
      "max": "1",
      "base": {
        "path": "Element.extension",
        "min": 0,
        "max": "*"
      },
      "type": [
        {
          "code": "Extension"
        }
      ],
      "constraint": [
        {
          "key": "ele-1",
          "severity": "error",
          "human": "All FHIR elements must have a @value or children",
          "expression": "hasValue() or (children().count() > id.count())",
          "xpath": "@value|f:*|h:div",
          "source": "http://hl7.org/fhir/StructureDefinition/Element"
        },
        {
          "key": "ext-1",
          "severity": "error",
          "human": "Must have either extensions or value[x], not both",
          "expression": "extension.exists() != value.exists()",
          "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
          "source": "http://hl7.org/fhir/StructureDefinition/Extension"
        }
      ],
      "isModifier": false,
      "isSummary": false
    },
    {
      "id": "Extension.extension:level.id",
      "path": "Extension.extension.id",
      "representation": [
        "xmlAttr"
      ],
      "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.",
      "min": 0,
      "max": "1",
      "base": {
        "path": "Element.id",
        "min": 0,
        "max": "1"
      },
      "type": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
              "valueUrl": "string"
            }
          ],
          "code": "http://hl7.org/fhirpath/System.String"
        }
      ],
      "isModifier": false,
      "isSummary": false,
      "mapping": [
        {
          "identity": "rim",
          "map": "n/a"
        }
      ]
    },
    {
      "id": "Extension.extension:level.extension",
      "path": "Extension.extension.extension",
      "slicing": {
        "discriminator": [
          {
            "type": "value",
            "path": "url"
          }
        ],
        "description": "Extensions are always sliced by (at least) url",
        "rules": "open"
      },
      "short": "Extension",
      "definition": "An Extension",
      "min": 0,
      "max": "0",
      "base": {
        "path": "Element.extension",
        "min": 0,
        "max": "*"
      },
      "type": [
        {
          "code": "Extension"
        }
      ],
      "constraint": [
        {
          "key": "ele-1",
          "severity": "error",
          "human": "All FHIR elements must have a @value or children",
          "expression": "hasValue() or (children().count() > id.count())",
          "xpath": "@value|f:*|h:div",
          "source": "http://hl7.org/fhir/StructureDefinition/Element"
        },
        {
          "key": "ext-1",
          "severity": "error",
          "human": "Must have either extensions or value[x], not both",
          "expression": "extension.exists() != value.exists()",
          "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
          "source": "http://hl7.org/fhir/StructureDefinition/Extension"
        }
      ],
      "isModifier": false,
      "isSummary": false
    },
    {
      "id": "Extension.extension:level.url",
      "path": "Extension.extension.url",
      "representation": [
        "xmlAttr"
      ],
      "short": "identifies the meaning of the extension",
      "definition": "Source of the definition for the extension code - a logical name or a URL.",
      "comment": "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.",
      "min": 1,
      "max": "1",
      "base": {
        "path": "Extension.url",
        "min": 1,
        "max": "1"
      },
      "type": [
        {
          "code": "uri"
        }
      ],
      "fixedUri": "level",
      "isModifier": false,
      "isSummary": false,
      "mapping": [
        {
          "identity": "rim",
          "map": "N/A"
        }
      ]
    },
    {
      "id": "Extension.extension:level.value[x]",
      "path": "Extension.extension.value[x]",
      "short": "Value of extension",
      "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list).",
      "min": 1,
      "max": "1",
      "base": {
        "path": "Extension.value[x]",
        "min": 0,
        "max": "1"
      },
      "type": [
        {
          "code": "Coding"
        }
      ],
      "constraint": [
        {
          "key": "ele-1",
          "severity": "error",
          "human": "All FHIR elements must have a @value or children",
          "expression": "hasValue() or (children().count() > id.count())",
          "xpath": "@value|f:*|h:div",
          "source": "http://hl7.org/fhir/StructureDefinition/Element"
        }
      ],
      "isModifier": false,
      "isSummary": false,
      "binding": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
            "valueString": "ProficiencyLevel"
          }
        ],
        "strength": "preferred",
        "description": "The proficiency level for the communication.",
        "valueSet": "http://terminology.hl7.org/ValueSet/v3-LanguageAbilityProficiency"
      },
      "mapping": [
        {
          "identity": "rim",
          "map": "N/A"
        }
      ]
    },
    {
      "id": "Extension.extension:type",
      "path": "Extension.extension",
      "sliceName": "type",
      "short": "The proficiency type of the communication",
      "definition": "What type of communication for the proficiency (spoken, written, etc.).",
      "min": 0,
      "max": "*",
      "base": {
        "path": "Element.extension",
        "min": 0,
        "max": "*"
      },
      "type": [
        {
          "code": "Extension"
        }
      ],
      "constraint": [
        {
          "key": "ele-1",
          "severity": "error",
          "human": "All FHIR elements must have a @value or children",
          "expression": "hasValue() or (children().count() > id.count())",
          "xpath": "@value|f:*|h:div",
          "source": "http://hl7.org/fhir/StructureDefinition/Element"
        },
        {
          "key": "ext-1",
          "severity": "error",
          "human": "Must have either extensions or value[x], not both",
          "expression": "extension.exists() != value.exists()",
          "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
          "source": "http://hl7.org/fhir/StructureDefinition/Extension"
        }
      ],
      "isModifier": false,
      "isSummary": false
    },
    {
      "id": "Extension.extension:type.id",
      "path": "Extension.extension.id",
      "representation": [
        "xmlAttr"
      ],
      "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.",
      "min": 0,
      "max": "1",
      "base": {
        "path": "Element.id",
        "min": 0,
        "max": "1"
      },
      "type": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
              "valueUrl": "string"
            }
          ],
          "code": "http://hl7.org/fhirpath/System.String"
        }
      ],
      "isModifier": false,
      "isSummary": false,
      "mapping": [
        {
          "identity": "rim",
          "map": "n/a"
        }
      ]
    },
    {
      "id": "Extension.extension:type.extension",
      "path": "Extension.extension.extension",
      "slicing": {
        "discriminator": [
          {
            "type": "value",
            "path": "url"
          }
        ],
        "description": "Extensions are always sliced by (at least) url",
        "rules": "open"
      },
      "short": "Extension",
      "definition": "An Extension",
      "min": 0,
      "max": "0",
      "base": {
        "path": "Element.extension",
        "min": 0,
        "max": "*"
      },
      "type": [
        {
          "code": "Extension"
        }
      ],
      "constraint": [
        {
          "key": "ele-1",
          "severity": "error",
          "human": "All FHIR elements must have a @value or children",
          "expression": "hasValue() or (children().count() > id.count())",
          "xpath": "@value|f:*|h:div",
          "source": "http://hl7.org/fhir/StructureDefinition/Element"
        },
        {
          "key": "ext-1",
          "severity": "error",
          "human": "Must have either extensions or value[x], not both",
          "expression": "extension.exists() != value.exists()",
          "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
          "source": "http://hl7.org/fhir/StructureDefinition/Extension"
        }
      ],
      "isModifier": false,
      "isSummary": false
    },
    {
      "id": "Extension.extension:type.url",
      "path": "Extension.extension.url",
      "representation": [
        "xmlAttr"
      ],
      "short": "identifies the meaning of the extension",
      "definition": "Source of the definition for the extension code - a logical name or a URL.",
      "comment": "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.",
      "min": 1,
      "max": "1",
      "base": {
        "path": "Extension.url",
        "min": 1,
        "max": "1"
      },
      "type": [
        {
          "code": "uri"
        }
      ],
      "fixedUri": "type",
      "isModifier": false,
      "isSummary": false,
      "mapping": [
        {
          "identity": "rim",
          "map": "N/A"
        }
      ]
    },
    {
      "id": "Extension.extension:type.value[x]",
      "path": "Extension.extension.value[x]",
      "short": "Value of extension",
      "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list).",
      "min": 1,
      "max": "1",
      "base": {
        "path": "Extension.value[x]",
        "min": 0,
        "max": "1"
      },
      "type": [
        {
          "code": "Coding"
        }
      ],
      "constraint": [
        {
          "key": "ele-1",
          "severity": "error",
          "human": "All FHIR elements must have a @value or children",
          "expression": "hasValue() or (children().count() > id.count())",
          "xpath": "@value|f:*|h:div",
          "source": "http://hl7.org/fhir/StructureDefinition/Element"
        }
      ],
      "isModifier": false,
      "isSummary": false,
      "binding": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
            "valueString": "proficiencyType"
          }
        ],
        "strength": "preferred",
        "description": "The proficiency type for the communication.",
        "valueSet": "http://terminology.hl7.org/ValueSet/v3-LanguageAbilityMode"
      },
      "mapping": [
        {
          "identity": "rim",
          "map": "N/A"
        }
      ]
    },
    {
      "id": "Extension.url",
      "path": "Extension.url",
      "representation": [
        "xmlAttr"
      ],
      "short": "identifies the meaning of the extension",
      "definition": "Source of the definition for the extension code - a logical name or a URL.",
      "comment": "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.",
      "min": 1,
      "max": "1",
      "base": {
        "path": "Extension.url",
        "min": 1,
        "max": "1"
      },
      "type": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
              "valueUrl": "uri"
            }
          ],
          "code": "http://hl7.org/fhirpath/System.String"
        }
      ],
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-proficiency",
      "isModifier": false,
      "isSummary": false,
      "mapping": [
        {
          "identity": "rim",
          "map": "N/A"
        }
      ]
    },
    {
      "id": "Extension.value[x]",
      "path": "Extension.value[x]",
      "short": "Value of extension",
      "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list).",
      "min": 0,
      "max": "0",
      "base": {
        "path": "Extension.value[x]",
        "min": 0,
        "max": "1"
      },
      "type": [
        {
          "code": "base64Binary"
        },
        {
          "code": "boolean"
        },
        {
          "code": "canonical"
        },
        {
          "code": "code"
        },
        {
          "code": "date"
        },
        {
          "code": "dateTime"
        },
        {
          "code": "decimal"
        },
        {
          "code": "id"
        },
        {
          "code": "instant"
        },
        {
          "code": "integer"
        },
        {
          "code": "markdown"
        },
        {
          "code": "oid"
        },
        {
          "code": "positiveInt"
        },
        {
          "code": "string"
        },
        {
          "code": "time"
        },
        {
          "code": "unsignedInt"
        },
        {
          "code": "uri"
        },
        {
          "code": "url"
        },
        {
          "code": "uuid"
        },
        {
          "code": "Address"
        },
        {
          "code": "Age"
        },
        {
          "code": "Annotation"
        },
        {
          "code": "Attachment"
        },
        {
          "code": "CodeableConcept"
        },
        {
          "code": "Coding"
        },
        {
          "code": "ContactPoint"
        },
        {
          "code": "Count"
        },
        {
          "code": "Distance"
        },
        {
          "code": "Duration"
        },
        {
          "code": "HumanName"
        },
        {
          "code": "Identifier"
        },
        {
          "code": "Money"
        },
        {
          "code": "Period"
        },
        {
          "code": "Quantity"
        },
        {
          "code": "Range"
        },
        {
          "code": "Ratio"
        },
        {
          "code": "Reference"
        },
        {
          "code": "SampledData"
        },
        {
          "code": "Signature"
        },
        {
          "code": "Timing"
        },
        {
          "code": "ContactDetail"
        },
        {
          "code": "Contributor"
        },
        {
          "code": "DataRequirement"
        },
        {
          "code": "Expression"
        },
        {
          "code": "ParameterDefinition"
        },
        {
          "code": "RelatedArtifact"
        },
        {
          "code": "TriggerDefinition"
        },
        {
          "code": "UsageContext"
        },
        {
          "code": "Dosage"
        },
        {
          "code": "Meta"
        }
      ],
      "constraint": [
        {
          "key": "ele-1",
          "severity": "error",
          "human": "All FHIR elements must have a @value or children",
          "expression": "hasValue() or (children().count() > id.count())",
          "xpath": "@value|f:*|h:div",
          "source": "http://hl7.org/fhir/StructureDefinition/Element"
        }
      ],
      "isModifier": false,
      "isSummary": false,
      "mapping": [
        {
          "identity": "rim",
          "map": "N/A"
        }
      ]
    }
  ]
},
"differential": {
  "element": [
    {
      "id": "Extension",
      "path": "Extension",
      "short": "Proficiency level of the communication",
      "definition": "Proficiency level of the communication.",
      "min": 0,
      "max": "*"
    },
    {
      "id": "Extension.extension:level",
      "path": "Extension.extension",
      "sliceName": "level",
      "short": "The proficiency level of the communication",
      "definition": "How well the patient can communicate this communication (good, poor, etc.).",
      "min": 0,
      "max": "1",
      "type": [
        {
          "code": "Extension"
        }
      ]
    },
    {
      "id": "Extension.extension:level.extension",
      "path": "Extension.extension.extension",
      "max": "0"
    },
    {
      "id": "Extension.extension:level.url",
      "path": "Extension.extension.url",
      "type": [
        {
          "code": "uri"
        }
      ],
      "fixedUri": "level"
    },
    {
      "id": "Extension.extension:level.value[x]",
      "path": "Extension.extension.value[x]",
      "min": 1,
      "type": [
        {
          "code": "Coding"
        }
      ],
      "binding": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
            "valueString": "ProficiencyLevel"
          }
        ],
        "strength": "preferred",
        "description": "The proficiency level for the communication.",
        "valueSet": "http://terminology.hl7.org/ValueSet/v3-LanguageAbilityProficiency"
      }
    },
    {
      "id": "Extension.extension:type",
      "path": "Extension.extension",
      "sliceName": "type",
      "short": "The proficiency type of the communication",
      "definition": "What type of communication for the proficiency (spoken, written, etc.).",
      "min": 0,
      "max": "*",
      "type": [
        {
          "code": "Extension"
        }
      ]
    },
    {
      "id": "Extension.extension:type.extension",
      "path": "Extension.extension.extension",
      "max": "0"
    },
    {
      "id": "Extension.extension:type.url",
      "path": "Extension.extension.url",
      "type": [
        {
          "code": "uri"
        }
      ],
      "fixedUri": "type"
    },
    {
      "id": "Extension.extension:type.value[x]",
      "path": "Extension.extension.value[x]",
      "min": 1,
      "type": [
        {
          "code": "Coding"
        }
      ],
      "binding": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
            "valueString": "proficiencyType"
          }
        ],
        "strength": "preferred",
        "description": "The proficiency type for the communication.",
        "valueSet": "http://terminology.hl7.org/ValueSet/v3-LanguageAbilityMode"
      }
    },
    {
      "id": "Extension.url",
      "path": "Extension.url",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-proficiency"
    },
    {
      "id": "Extension.value[x]",
      "path": "Extension.value[x]",
      "min": 0,
      "max": "0"
    }
  ]
}

}