Proposed Extended Hierarchy (High-Level) for Roles

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1 Extended Hierarchy (High-Level) for Roles Aide Assistant Behavioral Health Chiropractic Clerk Coordinator Counselor Dietary & Nutritional Service Dental Emergency Service Eye and Vision Services Hygienist Interdisciplinary Manager Nurse Nursing Service Related Other Service Pharmacist (Allopathic and Osteopathic) Assistant Podiatric Medicine & Surgery Service Public Health Pressional Rehabilitative and Restorative Service Scribe Social Service Speech, Language and Hearing Service Student/Intern /Technologist Dated 08/21/2014 Available at 1 P age

2 Extended Hierarchy and Values for Roles 1 Aide 2 Dental Health Aide 3 Home Health Aide 4 Therapy Aide 5 Personal Care Aide 6 Pharmacy Aide 7 Physical Therapy Aide 8 Psychiatric Aide 9 Assistant 10 Anesthesiologist Assistant 11 Dental Assistant 12 Health Care Assistant 13 Assistant 14 Nursing Assistant 15 Nursing Station Assistant 16 Nursing Station 17 Therapy Assistant 18 Podiatric Assistant 19 Pharmaceutical Assistant 20 Physical Therapy Assistant 21 Radiology Practitioner Assistant 22 Social and Human Service Assistant 23 Behavioral Health 24 Behavioral Analyst 25 Clinical Counseling, and School Psychologist 26 Clinical Neuropsychologist 27 Chemical Dependency Treatment Dated 08/21/2014 Available at 2 P age

3 28 Mental Health 29 Parapressional Child and Adolescent Mental Health Worker 30 Psychoanalyst 31 Psychologist 32 Substance Abuse Prevention and Treatment 33 Chiropractic 34 Chiropractor 35 Clerk 36 Unit Clerk 37 Counselor 38 Genetic Counselor 39 Rehabilitation Counselor 40 Coordinator 41 Care Coordinator 42 Community Dental Health Coordinator 43 Health Unit Coordinator 44 Dietary & Nutritional Service 45 Dietary Manager 46 Dietary Office Worker 47 Meals Worker 48 Nutritionist 49 Registered Dietitian 50 Dental 51 Dentist 52 Emergency Service 53 Ambulance Worker 54 Emergency Room Specialist 55 Emergency Room 56 Emergency, Basic Dated 08/21/2014 Available at 3 P age

4 57 Emergency, Intermediate 58 Emergency, Paramedic 59 EMS workforce (including pressional and volunteer ambulance personnel and firefighters who perform emergency medical services) 60 Personal Emergency Response Attendant 61 Eye and Vision Services 62 Optometrist 63 Optician 64 Dispensing Optician 65 Hygienist 66 Dental Hygienist 67 Dental Hygienist - Advanced Practice 68 Dental Hygienist - Independent 69 Dental Hygienist - Supervised 70 Interdisciplinary 71 Team 72 Manager 73 Case Manager 74 Nurse 75 Registered Nurse 76 Cardiac Catheterization Nurse 77 Advanced Practice Nurse 78 Nurse Practitioner 79 Pediatric Nurse Practitioner 80 Certified Registered Nurse Anesthetist (CRNA) 81 Clinical Nurse Specialist 82 Advanced Practice Midwife 83 Certified Nurse Midwife 84 Licensed Practical Nurse 85 Licensed Vocational Nurse Dated 08/21/2014 Available at 4 P age

5 86 School Nurse 87 Nursing Service Related 88 Day Training/Habilitation Specialist 89 Doula 90 Nurse's Aide 91 Nursing Home Administrator 92 Religious Nonmedical Nursing Personnel 93 Other Service 94 Acupuncturist 95 Adult Companion 96 Athletic Trainer 97 Chaplain 98 Chore 99 Clinical Ethicist 100 Exercise Physiologist 101 Funeral Director 102 Health Educator 103 Diabetes Educator 104 Homemaker 105 Homeopath 106 Interpreter 107 Lactation Consultant, Non-RN 108 Lay Midwife 109 Legal Medicine 110 Genetics, Ph.D. 111 Transcriptionist 112 Military Health Care 113 Naprapath 114 Naturopath Dated 08/21/2014 Available at 5 P age

6 115 Phlebotomist 116 Reflexologist 117 Religious Nonmedical Practitioner 118 Sleep Specialist, PhD 119 Veterinarian Pharmacist 122 Clinical Pharmacist 123 (Allopathic & Osteopathic) 124 Attending 125 Consulting 126 Fellow 127 Intern 128 Resident 129 Assistant 130 Assistant - Certified 131 Assistant Intern 132 Podiatric Medicine & Surgery Service 133 Podiatrist 134 Public Health Pressional 135 Community Health Worker 136 Rehabilitative and Restorative Service 137 Anaplastologist 138 Mastectomy Fitter 139 Ocularist 140 Orthotist 141 Pedorthist 142 Prosthetist 143 Clinical Exercise Physiologist Dated 08/21/2014 Available at 6 P age

7 144 Rehabilitation Practitioner 145 Scribe 146 Social Service 147 Child, Family, and School Social Worker 148 Community Social Service Specialist 149 Healthcare Social Worker 150 Mental Health and Substance Abuse Social Worker 151 Social Worker 152 Licensed Clinical Social Worker 153 Social Worker, All Other 154 Speech, Language and Hearing Service 155 Audiologist 156 Audiologist-Hearing Aid Fitter 157 Hearing Instrument Specialist 158 Speech-Language Pathologist 159 Student/Intern 160 Dietetic Intern 161 Student 162 Nursing Student 163 Pharmacy Intern 164 Student in an Organized Health Care Education/Training Program 165 Therapy Student 166 /Technologist 167 Cardiology 168 Dental Laboratory 169 Denturist 170 Diagnostic Related Technologist and 171 Diagnostic Sonographer 172 Dietetic Dated 08/21/2014 Available at 7 P age

8 173 EchoTech 174 Eye and Vision /Technologist 175 Health Information 176 Health Practitioner Support Technologist and 177 Licensed Psychiatric 178 Magnetic Resonance Imaging Technologist 179 Appliance 180 and Clinical Laboratory Technologist 181 and Dental Prosthetic Miscellaneous Health Technologist and 184 Nuclear Medicine Technologist 185 Nursing Service 186 Ophthalmic Laboratory 187 Ophthalmic 188 Pathology 189 Perfusionist 190 Pharmacy 191 Psychiatric 192 Pulmonary Function Technologist 193 Radiologic Technologist 194 Respiratory Therapy 195 Surgical Technologist 196, Other Advanced Practice Dental 199 Art 200 Bieedback 201 Cardiopulmonary Dated 08/21/2014 Available at 8 P age

9 202 Dance 203 Dental 204 Developmental 205 Enterostomal 206 Hand 207 Kinesiotherapist 208 Lymphedema 209 Marriage & Family 210 Massage 211 Mechanotherapist 212 Music Poetry 215 Physical 216 Radiation 217 Respiratory 218 Speech 219 Therapeutic Recreation 220, All Other Dated 08/21/2014 Available at 9 P age

10 Mapping Different Sources Values for Role # on Title V 1 Aide 2 Dental Health Aide 3 Home Health Aide 4 Therapy Aide Personal Care 5 Aide Home Health Aide Home Health Aides Therapy Aides Dental health aides Home health aides Personal care aides 6 Pharmacy Aide Pharmacy Aides Physical Therapy Physical 7 Aide Aides 8 Psychiatric Aide Psychiatric Aides Psychiatric aides 9 Assistant Assistant Anesthesiologist 10 Assistant Anesthesiologist Assistant Anesthesiologist assistant 11 Dental Assistant Dental Assistant Health Care 12 assistant 13 assistant assistant Assistant Dental assistants Health care assistants assistants Dental Assistants Assistants 1 HL7/LOINC Document Ontology (DO) values available as part LOINC User s Guide at: 2 National Uniform Claim Committee (NUCC), Health Care Taxonomy. Available from: 3 Centers for Medicare and Medicaid Services (CMS), Code from Certification/MedicareSupEnroll/Downloads/TaxonomyCrosswalk.pdf. 4 Labour Organization (ILO), (ISCO) at 5 Bureau Labor Statistics, (SOC). Available from 6 The (ACA). Title V: Health Care Workforce at Dated 08/21/2014 Available at 10 P age

11 # 14 Nursing Assistant Nursing Station 15 Assistant Nursing Station Therapy Assistant 18 Podiatric Assistant Pharmaceutical 19 Assistant Physical Therapy Assistant Radiology Practitioner Assistant Social and Human Service Assistant Behavioral Health 24 Behavioral Analyst Clinical, Counseling, and School 25 Psychologists Clinical Neuropsychologist Chemical Dependency Treatment Certified nursing assistant Therapy Assistant Assistant, Podiatric Physical Therapy Assistant Radiology Practitioner Assistant Behavioral Health & Social Service s Behavioral Analyst Clinical Neuropsychologi st Master List Role Values on Nurse Aide/Asst Nursing Sta Asst Nursing Station Tech Therapy Assistant Physical Therapy Assistant Chem Dep Nursing associate pressionals Pharmaceutical assistants Physiotherapy technicians and assistants Nursing Assistants/Nursing Aides Therapy Assistants Physical Assistants Social and Human Service Assistants Clinical, Counseling, and School Psychologists Title V Nursing assistants Mental health service pressional Dated 08/21/2014 Available at 11 P age

12 # Mental Health Parapressional child and adolescent mental health worker on Mental Health Title V Parapressional child and adolescent mental health worker 30 Psychoanalyst Psychoanalyst Psych Associate 31 Psychologist Psychologist Psychologist Substance Abuse Prevention and Treatment s Chiropractic s Chiropractic s 34 Chiropractor Chiropractor Chiropractor Clinical psychologist Psychologists Psychologists Other behavioral and mental health pressionals (including substance abuse prevention and treatment providers) Chiropractic Chiropractors Doctors Chiropractic 35 Clerk Clerk 36 Unit Clerk Unit Clerk 37 Counselor Counselor Counselor Counselor Genetic 38 Genetic Counselor Counselor, MS Genetic Counsel Genetic Counselors 39 Rehabilitation Counselor Rehabilitation Counselor 40 Coordinator Coordinator 41 Care Coordinator Case Manager/Care Coordinator Care Coordinator Dated 08/21/2014 Available at 12 P age

13 # Community Dental Health Coordinator Health Unit Coordinator Dietary & Nutritional Service s 45 Dietary Manager Dietary Office 46 Worker Dietary & Nutritional Service s Dietary Manager on HUC Dietary Office Worker Title V Community dental health coordinators 47 Meals Worker Meals 48 Nutritionist Nutritionist Nutritionist 49 Registered Dietitian Dietitian, Registered Registered Dietitian Registered dietician/nutrition pressional Dieticians and nutritionists Dietitians and Nutritionists 50 Dental s Dental s 51 Dentist Dentist Dentist Dentists Dentists 52 Emergency Service s Emergency Service s 53 Ambulance workers Ambulance workers 54 Emergency Room Specialist Emergency Room Specialist Emergency Room Emergency, Basic Emergency, Basic Emergency Room Dated 08/21/2014 Available at 13 P age

14 # Emergency, Intermediate Emergency, Paramedic EMS workforce (including pressional and volunteer ambulance personnel and firefighters who perform emergency medical services) Personal Emergency Response Attendant Eye and Vision Services s Emergency, Intermediate Emergency, Paramedic Personal Emergency Response Attendant Eye and Vision Services s on Emergency and Paramedics Title V EMS workforce (including pressional and volunteer ambulance personnel and firefighters who perform emergency medical services) 62 Optometrist Optometrist Optometrist Optometrists Optometrists optometrists Ophthalmic Optician Optician 63 opticians 64 Dispensing Optician Dispensing opticians Opticians, Dispensing 65 Hygienist Hygienist 66 Dental Hygienist Dental Hygienist Dental Hygienists dental hygienists 67 Dental Hygienist Advanced Practice Advance practice dental hygienists 68 Dental Hygienist - Independent Independent dental hygienists Dated 08/21/2014 Available at 14 P age

15 # 69 Dental Hygienist - Supervised on Title V Supervised dental hygienists 70 Interdisciplinary Interdisciplinary 71 Team Team 72 Manager Manager 73 Case Manager Case manager Case Manager/Care Coordinator Case Manager 74 Nurse Nurse Nursing Service s Nurse 75 Registered Nurse Cardiac Catheterization 76 Nurse Advanced Practice 77 Nurse Nurse 78 Practitioner Pediatric Nurse 79 Practitioner Certified Registered Nurse Anesthetist 80 (CRNA) Clinical Nurse 81 Specialist Advanced 82 Practice Midwife Certified Nurse 83 Midwife Nursing pressionals Registered nurse Registered Nurse Registered Nurse Registered Nurses Nurse practitioner CRNA Clinical nurse specialist Nurse midwife Nurse Practitioner Nurse Anesthetist, Certified Registered Clinical Nurse Specialist Advanced Practice Midwife carcathrn Advanced Practice RN Nurse Practitioner Pediatric Nurse Practitioner Nurse Anesthetist Clinical Nurse Specialist Nurses Nurse practitioner Nurse Practitioners nurse practitioners Certified registered nurse anesthetist (CRNA) Certified clinical nurse specialist Certified nurse midwife Nurse Anesthetists Nurse Midwives Certified nurse midwives Dated 08/21/2014 Available at 15 P age

16 # Licensed Practical Nurse Licensed Vocational Nurse Licensed practical nurse Licensed Practical Nurse Licensed Vocational Nurse on Licensed Nurse Licensed Practical and Licensed Vocational Nurses Title V 86 School Nurses School nurses Nursing Service 87 Nursing Service Related s Related s 88 Day Training/ Habilitation Specialist Day Training/Habilitati on Specialist 89 Doula Doula 90 Nurse's Aide Nurse's Aide 91 Nursing Home Administrator Nursing Home Administrator Religious Nonmedical Nursing Personnel Other Service s Religious Nonmedical Nursing Personnel Other Service s 94 Acupuncturist Acupuncturist 95 Adult Companion Adult Companion 96 Athletic Trainer Athletic Trainer Athletic Trainers 97 Chaplain Chaplain 98 Chore Chore 99 Clinical Ethicist Clinical Ethicist Dated 08/21/2014 Available at 16 P age

17 # 100 Exercise Physiologists on Exercise Physiologists Title V 101 Funeral Director Funeral Director 102 Health Educator Health Educator Health Educator Health Educators 103 Diabetes Educator Diabetes Educator 104 Homeopath Homeopath 105 Homemaker Homemaker 106 Interpreter Interpreter Interpreter 107 Lactation Consultant, Non- RN Lactation Consultant, Non- RN 108 Lay Midwife Midwife, Lay Midwife Midwifery pressionals 109 Legal Medicine Legal Medicine 110 Genetics, Ph.D. Genetics, Ph.D. Genetics 111 Transcriptionists 112 Military Health Care Military Health Care Transcriptionists 113 Naprapath Naprapath 114 Naturopath Naturopath 115 Phlebotomists Phlebotomists 116 Reflexologist Reflexologist Dated 08/21/2014 Available at 17 P age

18 # Religious Nonmedical Practitioner Sleep Specialist, PhD Religious Nonmedical Practitioner Sleep Specialist, PhD on Title V 119 Veterinarian Veterinarian Veterinarians Veterinarians Pharmacist Pharmacist Pharmacist Pharmacist Pharmacists Pharmacists pharmacists Clinical clinical 122 Pharmacists pharmacists (Allopathic & Osteopathic) Attending Consulting attending consulting Allopathic & Osteopathic s 126 Fellow fellow Fellow doctors, Generalist medical practitioners, Specialist medical practitioners s, primary care providers/primary care physicians, specialty physicians, preventive medicine physicians 127 Intern intern 128 Resident resident 129 Assistant assistant Assistant Certified Assistant Resident Assistant Assistant - C assistant Assistants assistants Dated 08/21/2014 Available at 18 P age

19 # Physican Assistant Intern Podiatric Medicine & Surgery Service s Podiatric Medicine & Surgery Service s on Title V 133 Podiatrist Podiatrist Podiatrist Podiatrists Podiatrists 134 Public health pressional Public health pressionals 135 Community health workers Community Health Worker Community health workers Community Health Workers community health workers 136 Rehabilitative and Restorative Service s Respiratory, Developmental, Rehabilitative and Restorative Service s 137 Anaplastologist Anaplastologist Mastectomy Mastectomy 138 Fitter Fitter 139 Ocularist 140 Orthotist Orthotist & orthotic fitter 141 Pedorthist Pedorthist Orthotist Ocularist Pedorthic personnel Orthotists and Prosthetists 142 Prosthetist Prosthetist 143 Clinical Exercise Physiologist Clinical Exercise Physiologist Rehabilitation Rehabilitation 144 Practitioner Practitioner Exercise Physiologist 145 Scribe Scribe Social Service 146 Dated 08/21/2014 Available at 19 P age

20 # 147 Child, Family, and School Social Workers on Child, Family, and School Social Workers Miscellaneous Community and Social Service Specialists Title V Community and Social Service Specialists Healthcare Social Workers Mental Health and Substance Abuse Social Workers 151 Social Worker Licensed Clinical Social 152 Worker Social Workers, 153 All Other 154 Speech, Language and Hearing Service s Community and Social Service Specialists, All Other Healthcare Social Workers Mental Health and Substance Abuse Social Workers Social Worker Social Worker Social Workers social workers Speech, Language and Hearing Service s 158 Speech-Language Pathologist 159 Student/Intern Student 155 Audiologist Audiologist Audiologist Audiologist- Audiologist- 156 Hearing Aid Fitter Hearing Aid Fitter Hearing Hearing Instrument Instrument 157 Specialist Specialist Speech- Language Pathologist Student, Health Care Speech Language Licensed clinical social worker Audiologist Audiologists Social Workers, All Other Audiologists Hearing Aid Specialists Speech-Language Pathologists Clinical Social Worker Dated 08/21/2014 Available at 20 P age

21 # on Title V 160 Dietetic Intern Dietetic Intern 161 Student student Student 162 Nursing Student Nursing student Nursing Student 163 Pharmacy Intern Pharmacy Intern Student in an 164 Organized Health Care Education/Training Program Student in an Organized Health Care Education/ Training Program 165 Therapy Student Therapy Student 166 / Technologist, Cardiology Cardiology Dental Laboratory Spec/Tech, Cardiovascular Dental Laboratory 169 Denturist Denturist 170 Diagnostic Related Technologists and Diagnostic 171 Sonographers 172 Dietetic Dietetic, Registered Cardiac Rehab Cardiovascular Technologists and Dental Laboratory Diagnostic Related Technologists and Diagnostic Sonographers Dietetic Dated 08/21/2014 Available at 21 P age

22 # on Title V 173 EchoTech ECHOTECH 174 Eye and Vision /Technologist / Technologist (Eye and Vision), Health Information Health Information Health Practitioner Support Technologists and Licensed Psychiatric Magnetic Resonance Imaging Technologists Appliance and Clinical Laboratory Technologists and dental prosthetic technicians technicians Miscellaneous Health Technologists and Nuclear Medicine Technologists Spec/Tech, Health Info Licensed Psychiatric records and health information technicians and dental prosthetic technicians technicians Records and Health Information Health Practitioner Support Technologists and Magnetic Resonance Imaging Technologists Appliance and Clinical Laboratory Technologists Miscellaneous Health Technologists and Nuclear Medicine Technologists Dated 08/21/2014 Available at 22 P age

23 # Nursing Service Ophthalmic Laboratory Ophthalmic Pathology (Nursing Service), Pathology on and pathology laboratory technicians Ophthalmic Laboratory Ophthalmic Title V 189 Perfusionist Perfusionist 190 Pharmacy Pharmacy Psychiatric 191 Pulmonary Pulmonary Function Function 192 Technologist Technologist Radiologic Technologist Respiratory Therapy Surgical Technologists 196, Other Radiologic Technologist, Other Specialist/ Technologist, Other Pharmaceutical technicians imaging and therapeutic equipment technicians Pharmacy Psychiatric Radiologic Technologists Respiratory Therapy Surgical Technologists Health Technologists and, All Other 197 s Dated 08/21/2014 Available at 23 P age

24 # 198 Advanced Practice Dental Advanced Practice Dental on Title V 199 Art Art 200 Bieedback Cardiopulmonary 201 Bieedback Cardiopulm 202 Dance Dance 203 Dental Dental Dental therapists Dental therapists 204 Developmental Developmental 205 Enterostomal Enterostomal 206 Hand Hand 207 Kinesiotherapist Kinesiotherapist 208 Lymphedema Marriage & Family Marriage & 209 Family Massage Massage 210 Mechano 211 Mechanotherapist therapist Lymphedema Massage s 212 Music Music 213 therapist s therapists 214 Poetry Poetry Physical 215 Physical Physical Physical therapist Physiotherapists Physical s Physical therapists Dated 08/21/2014 Available at 24 P age

25 # Radiation Respiratory Respiratory, Certified on Respiratory 218 Speech Speech Therapeutic Rec Therapeutic Recreation Recreation Recreational 219 s, All 220 Other Speech therapists Radiation s Respiratory s Recreational s s, All Other Title V Dated 08/21/2014 Available at 25 P age

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