{
  "package" : "hl7.terminology.r4@6.3.0",
  "definition" : "Often communicates a coherent message; however, the message conveyed is not consistently clear or there may be occasional instances of miscommunication. May employ some common rhetorical devices. Uses high frequency and some mid frequency vocabulary but cannot always make appropriate lexical choices. May use some widely used idiomatic expressions and cultural references, though not always accurately. Controls most basic structures. Control of complex structures is limited. Speech may contain awkward or inaccurate phrasing of ideas and mistaken time, space, or person references. Shows considerable ability to communicate effectively on topics relating to interests and special fields of competence. Information conveyed is typically on topic. Generally, provides supporting details, but not consistently. Often shows a high degree of fluency and ease of speech. Is often able to adhere to social norms and etiquette, but not consistently. May be able to fulfill common cultural norms and expectations in routine and some professional interactions. Is almost always able to manage turn-taking and use some collaborative features in interactions such as topic initiation or development of topics initiated by interlocutor. Demonstrates high ability to start turns. Can verbally convey some mood, feeling, emotion, or position, though not consistently.",
  "system" : "http://terminology.hl7.org/CodeSystem/ILRSpeakingSkillScale",
  "property" : [ ],
  "codesystem" : "23d36b1d-52e5-5f27-abf5-3c14661a992e",
  "concept_id" : "97058a87-4e5f-5ef2-91f3-6b7735586873",
  "ancestors" : {
    "Level 2+" : 0
  },
  "id" : "9c32abab-716e-4e53-9d0e-e4b269d9f4e3",
  "code" : "Level 2+",
  "display" : "Able to communicate fully in many informal and everyday contexts; in some formal and professional contexts, speaks with language that is often, but not always, acceptable and effective.",
  "version" : "May 2021 Edition"
}