{
  "package" : "hl7.terminology.r5@6.3.0",
  "definition" : "Can conduct daily activities or state in a simple manner action to be taken. Able to formulate some brief questions. Can elicit and provide minimal biographical information. Speaks in disconnected or loosely connected phrases and short sentences with unrehearsed material. With rehearsed material, may be able to produce more coherent discourse. Has little to no ability to employ organizational devices. Vocabulary is frequently inaccurate and generally restricted to the highest frequency items. Little ability to make cultural references. Displays some use of basic structural relations, although errors mark almost every statement; accuracy is limited. Pronunciation, stress, intonation, and tone (in tonal languages) are generally poor and often interfere with communication. Topics are usually limited to self, family, or immediate environment, including basic needs and activities, such as meals, time, simple transactions or directions, or personal information. Often lacks linguistic resources to stay on topic. Conveys basic ideas with little to no details. Demonstrates an extremely limited command of cultural norms and expectations and an extremely limited ability to express register other than in basic courtesy requirements. Little ability to manage turn-taking. Operates mostly in a reactive mode. Cannot easily articulate mood, feeling, or emotion. Often speaks with great difficulty and false starts.",
  "system" : "http://terminology.hl7.org/CodeSystem/ILRSpeakingSkillScale",
  "property" : [ ],
  "codesystem" : "23d73cf5-f7e0-56d6-8178-3ed564b8d62b",
  "concept_id" : "7a4894b5-c687-5053-9a6f-230ebd0df001",
  "ancestors" : {
    "Level 1" : 0
  },
  "id" : "29eba41a-bd32-4b39-89c9-6dd8efbab29b",
  "code" : "Level 1",
  "display" : "Able to maintain simple exchanges on topics related to self, despite pervasive errors and limited contextual appropriateness.",
  "version" : "May 2021 Edition"
}