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Language Spoken

Reference:2.2.2.2
Definition:Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. This module contains the primary and secondary languages of communication for the patient.
OID:2.16.840.1.113883.3.88.11.83.2
CDA Data Location HITSP Data Element Identifier and Name O/R Additional Specification
cda:recordTarget/cda:patientRole/cda:patient/ cda:languageCommunication 2.01 - Language R/Y

Optionality Legend: “R” for Required, “R2” for Required if known, “O” for Optional and Repeat = “Y” for Yes or “N” for No


Section ID Constraint ID Definition
2.2.2.2.1 Language Constraints Not Provided
C154-[DE-2.01-1] Language SHALL be coded as specified in HITSP/C80 Section 2.2.1.2.9 Language
C154-[DE-2.01-2] Sign language SHALL be treated as a separate language
C83-[DE-2.01-CDA-1] Languages spoken shall be recorded using the <languageCommunication> infrastructure class associated with the patient. The <languageCommunication> element describes the primary and secondary languages of communication for a person
C83-[DE-2.01-CDA-2] A CDA Document SHALL declare conformance for the Language Spoken module by including a <templateID> element with the root attribute set to the value 2.16.840.1.113883.3.88.11.83.2
C83-[DE-2.01-CDA-3] All Language Spoken entries SHALL declare conformance to the IHE Language Communication module by including a <templateID> element with the root attribute set to the value 1.3.6.1.4.1.19376.1.5.3.1.2.1
C83-[DE-2.01-CDA-4] The codes for the <modeCode> element SHALL be coded as specified in HITSP/C80 section 2.2.1.2.10 Language Ability Mode. Mode codes SHALL be appropriate to the type of language. Thus English, as spoken in the U.S. SHOULD use the code en-US and SHOULD only use mode codes for written and verbal communications (see example 2 in Figure 2-10 above). On the other hand, American Sign Language would be represented using the code sign-US (see example 3 in Figure 2-10 above), and would only use mode codes for signed communication
C83-[DE-2.01-CDA-5] While this HL7 CDA allows for the specification of proficiency using the <proficiencyLevelCode> element, this element SHOULD NOT be used

Language Constraints Example:

<!-- These examples assume the default namespace is 'urn:hl7-org:v3' -->
<!-- example 1 -->
<languageCommunication>
<templateId root='2.16.840.1.113883.3.88.11.83.2'/>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.2.1'/>
<languageCode code='fr-CN' />
<preferenceInd value='true'/>
</languageCommunication>
<!-- example 2 -->
<languageCommunication>
<templateId root='2.16.840.1.113883.3.88.11.83.2'/>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.2.1'/>
<languageCode code='en-US' />
<modeCode code='RWR' displayName='Recieve Written'
codeSystem='2.16.840.1.113883.5.60' codeSystemName='LanguageAbilityMode'/>
<preferenceInd value='false'/>
</languageCommunication>
<!-- example 3 -->
<languageCommunication>
<templateId root='2.16.840.1.113883.3.88.11.83.2'/>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.2.1'/>
<languageCode code='sgn-US' />
<preferenceInd value='true'/>
</languageCommunication>
<!-- example 4 - not known-->
<languageCommunication> <templateId root="2.16.840.1.113883.3.88.11.83.2"/> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.2.1'/>
<languageCode nullFlavor="UNK"/> </languageCommunication>
C32-[CT1--10] Language Spoken See HITSP/C83 Section 2.2.2.2 Language Spoken
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