# US Core Interpreter Needed Extension - US Core Implementation Guide v9.0.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **US Core Interpreter Needed Extension**

## Extension: US Core Interpreter Needed Extension 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.org/fhir/us/core/StructureDefinition/us-core-interpreter-needed | *Version*:9.0.0 | |
| * Standards status: *[Trial-use](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](changes-between-versions.md#us-core-maturity-levels): 2 | *Computable Name*:USCoreInterpreterNeededExtension |
| *Other Identifiers:*OID:2.16.840.1.113883.4.642.40.2.42.34 | | |

This extension indicates the individual's need for an interpreter to communicate healthcare information in a language other than the default language of the organization. It has the same meaning as the LOINC [54588-9](https://loinc.org/54588-9) (Interpreter needed)

**Context of Use**

**Usage info**

**Usages:**

* Use this Extension: [US Core Encounter Profile](StructureDefinition-us-core-encounter.md) and [US Core Patient Profile](StructureDefinition-us-core-patient.md)
* Examples for this Extension: [Encounter/example-1](Encounter-example-1.md) and [Patient/example](Patient-example.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/resource/hl7.fhir.us.core|current/StructureDefinition/StructureDefinition-us-core-interpreter-needed.json)

**Changes since version 8.0.1:**

* The resource metadata has changed (copyright)

### Formal Views of Extension Content

 [Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-us-core-interpreter-needed.csv), [Excel](StructureDefinition-us-core-interpreter-needed.xlsx), [Schematron](StructureDefinition-us-core-interpreter-needed.sch) 

#### Terminology Bindings

#### Constraints



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "us-core-interpreter-needed",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "cgp"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-interpreter-needed",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.40.2.42.34"
  }],
  "version" : "9.0.0",
  "name" : "USCoreInterpreterNeededExtension",
  "title" : "US Core Interpreter Needed Extension",
  "status" : "active",
  "date" : "2024-09-11",
  "publisher" : "HL7 International / Cross-Group Projects",
  "contact" : [{
    "name" : "HL7 International / Cross-Group Projects",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/cgp"
    },
    {
      "system" : "email",
      "value" : "cgp@lists.HL7.org"
    }]
  }],
  "description" : "This extension indicates the individual's need for an interpreter to communicate healthcare information in a language other than the default language of the organization. It has the same meaning as the LOINC [54588-9](https://loinc.org/54588-9) (Interpreter needed)",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  }],
  "kind" : "complex-type",
  "abstract" : false,
  "context" : [{
    "type" : "element",
    "expression" : "Encounter"
  },
  {
    "type" : "element",
    "expression" : "Patient"
  },
  {
    "type" : "element",
    "expression" : "RelatedPerson"
  },
  {
    "type" : "element",
    "expression" : "Practitioner"
  }],
  "type" : "Extension",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Extension",
      "path" : "Extension",
      "short" : "Whether the individual needs an interpreter",
      "definition" : "This individual needs an interpreter to communicate healthcare information.",
      "comment" : "The individual does not speak the default language of the organization, and hence requires an interpreter.",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Extension.extension",
      "path" : "Extension.extension",
      "max" : "0"
    },
    {
      "id" : "Extension.url",
      "path" : "Extension.url",
      "code" : [{
        "system" : "http://loinc.org",
        "code" : "54588-9",
        "display" : "Interpreter needed"
      }],
      "fixedUri" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-interpreter-needed"
    },
    {
      "id" : "Extension.value[x]",
      "path" : "Extension.value[x]",
      "min" : 1,
      "type" : [{
        "code" : "Coding"
      }],
      "binding" : {
        "strength" : "required",
        "description" : "Answer Set with Yes No and Unknowns",
        "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.16"
      }
    }]
  }
}

```
