Suffix Code: Clinical Licenses Academic Degrees Certifications Brenda Maeske, SAIC NCI Content Administrators

Issues for Consideration  Focus Abbreviations for academic titles, clinical licenses, and certifications used as a suffix with a person’s name  Specificity Written Address ex., John Smith, PHD; Jane Doe, RN  Applicable Standards/References HL7 v2.5  Out of Scope Titles as suffixes such as an individual’s genealogy Titles as prefixes such as prefix or courtesy titles Board Certifications/Credentialing Organizations Honorifics (e.g. Esq.)

Use Case Analysis  Purpose of Standard: Capture of formal educational or professional titles as an abbreviated suffix to a person’s name  Use/Applications: Firebird

Recommendation Details Person Clinical License Suffix Code Person Clinical License DEC – v1.0 Object = Person (C25190) Property = License (C43611) P. Q1 = Clinical (C25398) Definition: A person’s official or legal permission relating to the examination and treatment of patients. Clinical License Suffix Code VD – v1.0 Representation Term = Code (C25162) R. Q1 = Clinical (C25398) R. Q2 = License (C43611) R. Q3 = Suffix (C49106) Definition: The code that represents the abbreviation occurring at the end of a name for an official or legal permission relating to the examination and treatment of patients. Data Type = Character Max length = 4 *See next slide for complete list of Permissible Values Person Clinical License Suffix Code DE – v1.0 Definition: The code that represents the abbreviation occurring at the end of a name for an official or legal permission relating to the examination and treatment of patients.

Permissible Values Details Person Clinical License Suffix Code *Firebird additions to HL7 list ValueValue Meaning FPNPFamily Practice Nurse Practitioner *LPNLicensed Practical Nurse NPNurse Practitioner PAPhysician Assistant RMARegistered Medical Assistant *RNRegistered Nurse *RNPRegistered Nurse Practitioner RPHRegistered Pharmacist

Recommendation Details Template [Object Class] Clinical License Suffix Code Template [Object Class] Clinical License DEC – v1.0 Object Class = Any Property = License (C43611) P. Q1 = Clinical (C25398) Definition: When there is a need to capture clinical license suffix code with an Object Class other than Person, this template may be used to create new data element concepts. Template [Object Class] Clinical License Suffix Code DE – v1.0 Definition: When there is a need to capture a Clinical License Suffix Code with an Object Class other than Person, this template may be used to create descriptive data elements. Clinical License Suffix Code VD – v1.0 Representation Term: Code (C25162) R. Q1 = Clinical (C25398) R. Q2 = License (C43611) R. Q3 = Suffix (C49106 ) Definition: The code that represents the abbreviation occurring at the end of a name for an official or legal permission relating to the examination and treatment of patients. Data Type = Character Max length = 4

Recommendation Details Person Academic Degree Suffix Code Person Academic Degree DEC – v1.0 Object = Person (C25190) Property = Academic Degree (C25354) Definition: An award conferred to an individual by a college, university, or other postsecondary education institution as official recognition for the successful completion of a program of studies. Academic Degree Suffix Code VD – v1.0 Representation Term = Code (C25162) R. Q1 = Academic Degree (C25354) R. Q2 = Suffix (C49106) Definition: The code that represents the abbreviation occurring at the end of a name for an award conferred by a college, university, or other postsecondary education institution as official recognition for the successful completion of a program of studies. Data Type = Character Max length = 8 *See next slide for complete list of Permissible Values Person Academic Degree Suffix Code DE – v1.0 Definition: The code that represents the abbreviation occurring at the end of a name for an award conferred by a college, university, or other postsecondary education institution as official recognition for the successful completion of a program of studies.

Permissible Values Details Person Academic Degree Suffix Code ValueValue MeaningValueValue MeaningValueValue Meaning AAAssociate of ArtsDBADoctor of Business AdministrationMEDMaster of Education AASAssociate of Applied Science*DDSDoctor of Dental SurgeryMEE Master of Electrical Engineering ABA Associate of Business AdministrationDEDDoctor of EducationMFAMaster of Fine Arts AEAssociate of Engineering*DMDDoctor of Dental MedicineMME Master of Mechanical Engineering ASAssociate of ScienceDODoctor of Osteopathy*MPHMaster of Public Health BABachelor of Arts*DVMDoctor of Veterinary MedicineMSMaster of Science BBA Bachelor of Business AdministrationEdDEducation DoctorateMSLMaster of Science - Law BEBachelor or EngineeringJDJuris DoctorMSNMaster of Science - Nursing BFABachelor of Fine ArtsMAMaster of ArtsMTMaster of Theology BNBachelor of NursingMBAMaster of Business AdministrationPharmDDoctor of Pharmacy BSBachelor of ScienceMCEMaster of Civil EngineeringPHDDoctor of Philosophy BSLBachelor of Science - LawMDDoctor of MedicinePHEDoctor of Engineering BSNBachelor of Science - NursingMDIMaster of DivinityPHSDoctor of Science BTBachelor of TheologyMEMaster of Engineering *Firebird additions to HL7 list

Recommendation Details Template [Object Class] Academic Degree Suffix Code Template [Object Class] Academic Degree DEC – v1.0 Object Class = Any Property = Academic Degree (C25354) Definition: When there is a need to capture academic degree with an Object Class other than Person, this template may be used to create new data element concepts. Template [Object Class] Academic Degree Suffix Code DE – v1.0 Definition: When there is a need to capture an Academic Degree Suffix with an Object Class other than Person, this template may be used to create descriptive data elements. Academic Degree Suffix Code VD – v1.0 Representation Term: Code (C25162) R. Q1 = Academic Degree (C25354) R. Q2 = Suffix (C49106) Definition: The code that represents the abbreviation occurring at the end of a name for an award conferred by a college, university, or other postsecondary education institution as official recognition for the successful completion of a program of studies. Data Type = Character Max length = 8

Recommendation Details Person Certification Suffix Code Person Certification DEC – v1.0 Object = Person (C25190) Property = Certification (C43610) Definition: A designation earned by a person that indicates that the person has specific knowledge, skills, or abilities determined by a certifying body. Certification Suffix Code VD – v1.0 Representation Term = Code (C25162) R. Q1 = Certification (C43610) R. Q2 = Suffix (C49106) Definition: The code that represents the abbreviation occurring at the end of a name for a designation earned that indicates that the person has specific knowledge, skills, or abilities determined by a certifying body. Data Type = Character Max length = 5 *See next slide for complete list of Permissible Values Person Certification Suffix Code DE – v1.0 Definition: The code that represents the abbreviation occurring at the end of a name for a designation earned that indicates that the person has specific knowledge, skills, or abilities determined by a certifying body.

Permissible Values Details Person Certification Suffix Code *Firebird additions to HL7 list ValueValue MeaningValueValue MeaningValueValue Meaning **ACNPAcute Care Nurse Practitioner**CFNPCertified Family Nurse PractitionerDIPDiploma **ANPAdult Nurse Practitioner**CMCertified MidwifeEMTEmergency Medical Technician *AONCAdvanced Oncology Certified NurseCMACertified Medical AssistantEMTPEmergency Medical Technician - Paramedic **AOCNPAdvanced Oncology Certified Nurse Practitioner **CNACertified Nurse AssistantFNPFamily Nurse Practitioner **AOCNSAdvanced Oncology Certified Nurse Specialist CNMCertified Nurse Midwife**GNPGerontological Nurse Practitioner *APRNAdvanced Practice Nurse PractitionerCNPCertified Nurse PractitionerHSHigh School Graduate CANPCertified Adult Nurse PractitionerCNSCertified Nurse SpecialistMDAMedical Assistant **CCNSCertified Clinical Nurse Specialist**CPNCertified Pediatric Nurse*OCNOncology Certified Nurse *CCRACertified Clinical Research AssociateCPNPCertified Pediatric Nurse Practitioner *PA-CPhysician Assistant Certified *CCRCCertified Clinical Research Coordinator **CPONCertified Pediatric Oncology Nurse**PCCNProgressive Care Certified Nurse **CCRNCertification In Critical Care NursingCRNCertified Registered Nurse**PMPain Management *CCRPCertified Clinical Research Professional **CRNACertified Registered Nurse Anesthetist PNAdvanced Practice Nurse **CENCertified Emergency Nurse**CVNCertified Vascular NurseSECSecretarial Certificate CERCertificate**CTRNCertified Transport Registered Nurse TSTrade School **CFRNCertified Flight Registered Nurse **DCP additions to HL7 list

Recommendation Details Template [Object Class] Certification Suffix Code Template [Object Class] Certification DEC – v1.0 Object Class = Any Property = Certification (C43610) Definition: When there is a need to capture Certification with an Object Class other than Person, this template may be used to create new data element concepts. Template [Object Class] Certification Suffix Code DE – v1.0 Definition: When there is a need to capture a Certification Suffix Code with an Object Class other than Person, this template may be used to create descriptive data elements. Certification Suffix Code VD – v1.0 Representation Term: Code (C25162) R. Q1 = Certification (C43610) R. Q2 = Suffix (C49106) Definition: The code that represents the abbreviation occurring at the end of a name for a designation earned that indicates that the person has specific knowledge, skills, or abilities determined by a certifying body. Data Type = Character Max length = 5

Suggested UML Guidance Goal is to provide reusable/searchable metadata for manual and automated curation methods Standardize CDEs from existing caDSR content Two acceptable UML models shown, in order of preference. Highly recommended: UML model to fit proposed standard CDEs Acceptable: Use standard attribute and value domain if alternate class name is necessary

UML Model Guidance (Preference #1) Person Clinical License Suffix Code Person Academic Degree Suffix Code Person Certification Suffix Code Use Standard CDEs UML Model

UML Model Guidance (Acceptable) Use other Class name with attributes clinicalLicense (C25398, C43611), academicDegree (C25354) and certification (C43610). Map attribute to Value Domain, Academic Degree Suffix Code. [Object Class] Clinical License Suffix Code [Object Class] Academic Degree Suffix Code [Object Class] Certification Suffix Code Object Class -clinicalLicense -academicDegree -certification UML Model Use Template CDEs to create new CDEs from existing

Discussion  Questions  Propose to VCDE Small Group