{
  "package" : "hl7.terminology.r4@6.3.0",
  "definition" : "May exhibit some frequently used organizational devices. Usually, cannot sustain cohesiveness in longer utterances. Shows good control of most high frequency vocabulary, but vocabulary is typically inaccurate elsewhere. May make some cultural references. Accuracy in basic grammatical relations is inconsistent. Use of person, place, and time references is often incorrect. Can speak about personal life, such as family and activities, and a limited ability to discuss work or major current events. Sometimes able to speak on topic in routine content, but with limited ability to give details. Shows little ability to apply social norms and etiquette, though may have little command of cultural norms and expectations. Demonstrates some turn-taking management; however, transitions between turns are often abrupt or unnatural. May convey some isolated instances of mood, feeling, or emotion. Pauses may be infrequent on some topics, but speech is typically labored elsewhere.",
  "system" : "http://terminology.hl7.org/CodeSystem/ILRSpeakingSkillScale",
  "property" : [ ],
  "codesystem" : "23d36b1d-52e5-5f27-abf5-3c14661a992e",
  "concept_id" : "92e8c35f-eca6-5f9d-afd2-22bcc09c2b3e",
  "ancestors" : {
    "Level 1+" : 0
  },
  "id" : "3cb3a2e3-1dfd-4cb5-aef5-7e4dc97a57c5",
  "code" : "Level 1+",
  "display" : "Able to initiate and maintain simple conversations in areas beyond most basic needs, though inaccurately and not always appropriately.",
  "version" : "May 2021 Edition"
}