Current Build 

{
  "resourceType" : "ValueSet",
  "id" : "englishProficiency",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/valueset-shareable-definition"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns="http://www.w3.org/1999/xhtml"><h2>FPAR English Proficiency value set</h2><div><p>Select SNOMED CT codes.  A set of codes that describe if an individual is proficient or not in speaking English.</p>
</div><p><b>Copyright Statement:</b> TBD</p><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href="http://www.snomed.org/"><code>http://snomed.info/sct</code></a><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=455951000124102">455951000124102</a></td><td>Proficient in English (finding)</td><td/></tr><tr><td><a href="http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=455961000124100">455961000124100</a></td><td>Not proficient in English (finding)</td><td/></tr></table></li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/valueset-extensible",
      "valueBoolean" : true
    }
  ],
  "url" : "http://hl7.org/fhir/fpar/ValueSet/englishProficiency",
  "version" : "0.01",
  "name" : "FPAR English Proficiency value set",
  "status" : "draft",
  "date" : "2018-03-29T00:00:00-04:00",
  "publisher" : "Family Planning Annual Report",
  "description" : "Select SNOMED CT codes.  A set of codes that describe if an individual is proficient or not in speaking English.",
  "immutable" : true,
  "copyright" : "TBD",
  "extensible" : true,
  "compose" : {
    "include" : [
      {
        "system" : "http://snomed.info/sct",
        "concept" : [
          {
            "code" : "455951000124102",
            "display" : "Proficient in English (finding)"
          },
          {
            "code" : "455961000124100",
            "display" : "Not proficient in English (finding)"
          }
        ]
      }
    ]
  }
}