A code indicating whether the language is preferred, secondary, or practiced in an unconventional or limited way.
This code system http://hl7.org/fhir/us/sw/CodeSystem/cimi-entity-LanguageQualifierCS defines the following codes:
| Code | Display | Definition | 
| preferred_spoken  | Preferred language | Preferred language | 
| secondary_spoken  | Secondary language | Secondary language | 
| apraxia  | Difficulty speaking due to motor disorder | Difficulty speaking due to motor disorder | 
| aphasia  | Difficulty in speaking, listening, reading, and writing | Difficulty in speaking, listening, reading, and writing | 
| signs  | Uses sign language | Uses sign language | 
| braille  | Reads using braille | Reads using braille | 
| lipreads  | Uses lipreading (speechreading) | Uses lipreading (speechreading) | 
| aac  | Uses augmentative and alternative communication | Uses augmentative and alternative communication |