{
  "package" : "hl7.terminology@6.3.0",
  "definition" : "Employs some complex discourse strategies to organize thoughts and present a clear, coherent message. Can use some rhetorical devices for targeted effect or emphasis. Lexicon is broad and includes a range of nuanced words and phrases, with some inaccuracies. Uses some appropriate idiomatic expressions and cultural references. Uses some complex structures although not all are accurate or controlled. Weakness or unevenness in language use may result in loss of precision. Can speak on many professional topics, and to some degree on concepts relating to social, cultural, and theoretical topics. Supports ideas thoroughly without unnecessary information. Able to fulfill some cultural norms and expectations in a variety of interactions, although there may be instances of awkwardness. Controls formal and informal registers and can sometimes use register to tailor the message or make it more effective. Is sometimes able to engage with interlocutor's contributions and develop a joint discourse. Mood, feeling, emotion, or stance sometimes enhances the message conveyed. Often speaks effortlessly and smoothly.",
  "system" : "http://terminology.hl7.org/CodeSystem/ILRSpeakingSkillScale",
  "property" : [ ],
  "codesystem" : "317b7128-c88d-591b-95ec-19fe54ac93a3",
  "concept_id" : "5f5cf45c-dbb6-501e-a7b5-5fc43a3b7c8e",
  "ancestors" : {
    "Level 3+" : 0
  },
  "id" : "0dd537cc-95e0-4c6b-be2f-908dd6a092c1",
  "code" : "Level 3+",
  "display" : "Able to speak with accuracy using some culturally appropriate language tailored to some audiences on a range of topics.",
  "version" : "May 2021 Edition"
}