{
  "package" : "hl7.terminology@6.3.0",
  "definition" : "Uses discourse strategies flexibly to enhance the effectiveness of the message conveyed. Employs a wide range of rhetorical devices. Incorporates nuanced phrasing and low frequency vocabulary that are rarely imprecise, but sometimes with weaknesses, for example in idioms, colloquialisms, or cultural references. Has a wide range and control of complex structures, including complex embedding. Makes few mistakes. Can address most topics to some extent. Can elaborate on the implications of most societal issues. Able to fulfill most cultural norms and expectations in a variety of interactions, although there may be rare instances of awkwardness. Shifts register and tailors speech to provide convincing arguments on most occasions. No further expectations for turn taking. Mood, feeling, emotion, or stance usually enhances the message conveyed. Uses the language with flexibility.",
  "system" : "http://terminology.hl7.org/CodeSystem/ILRSpeakingSkillScale",
  "property" : [ ],
  "codesystem" : "317b7128-c88d-591b-95ec-19fe54ac93a3",
  "concept_id" : "10bc4b9f-caf8-5355-aa7a-f09c863b06a9",
  "ancestors" : {
    "Level 4+" : 0
  },
  "id" : "b9b54147-056d-4eac-9dc6-958e8fa4068f",
  "code" : "Level 4+",
  "display" : "Able to speak with precision, using diverse linguistic resources to produce articulate, tailored, and nuanced language in most contexts with only rare mistakes.",
  "version" : "May 2021 Edition"
}