{
  "package" : "hl7.terminology.r4@6.3.0",
  "definition" : "Can typically report facts, make simple recommendations, and provide straightforward descriptions, directions, instructions, and narrations across timeframes. Additionally, can participate in everyday interactions and can handle complications in otherwise routine transactions. Speech consists of connected statements that are minimally cohesive yet demonstrates sequencing and linking of phrases. Has some ability to employ frequently used rhetorical devices, such as repetition and exaggeration. Can readily produce high frequency vocabulary that is appropriate for routine interactions, but vocabulary may be unusual, imprecise, or lead to paraphrasing elsewhere. Can sometimes make references to historical or cultural events, such as movies, famous people, books, or major holidays. Generally, has command of simple structures and basic grammatical relations. Errors in complex structures are frequent and may be patterned or cause misunderstanding. Pronunciation occasionally interferes with communication. Can sustain, with some repair, most normal, frequently occurring social conversations, including casual conversations about personal life, such as family, activities, or work, or major current events. Often able to speak on topic in routine content. Can provide some supporting details, but does not always make the message clear or cover the topic thoroughly. Generally, language is culturally awkward. May demonstrate some command of common cultural and social norms, albeit inconsistently. Does not control register shifts. Is often able to manage turn-taking and use some collaborative features in interactions such as topic initiation or development of topics initiated by interlocutor; however, transitions between turns may sometimes be abrupt or unnatural. May be able to verbally convey some mood, feeling, emotion, or position, though not always appropriate to the context. Speaks easily, but at times speech production may be labored.",
  "system" : "http://terminology.hl7.org/CodeSystem/ILRSpeakingSkillScale",
  "property" : [ ],
  "codesystem" : "23d36b1d-52e5-5f27-abf5-3c14661a992e",
  "concept_id" : "aa1fd0df-5be7-5a2d-8ad1-d224dc273c2b",
  "ancestors" : {
    "Level 2" : 0
  },
  "id" : "83301465-c922-4fd5-8957-7fd4eb21b5d8",
  "code" : "Level 2",
  "display" : "Able to communicate intended meaning in straightforward, everyday conversations and routine, work-related interactions.",
  "version" : "May 2021 Edition"
}