Table 2.
Summary of issues with roles and proposed extensions to the DO Role axis
| Role Group | Issue | Examples |
|---|---|---|
| Pre-coordinated: addition of new values to the DO Role axis | ||
| Assistants and Aides | Role+SMD | Anesthesiologist Assistant, Radiology Practitioner Assistant, Psychiatric Aides, Home Health Aides |
| Coordinators | Not covered | Care Coordinator |
| Counselors | Role+SMD | Genetic Counselor, Rehabilitation Counselor |
| Educators and Trainers | Role+SMD | Athletic Trainer, Health Educator, Diabetes Educator |
| Nurses | Role+Condition | Advanced Practice Midwife |
| Nutritionists | Role+SMD | Public Health Nutritionist |
| Other | Not covered | Scribe, Interpreter |
| Other condition-specific roles | Role+Condition | Lymphedema Therapist |
| Other location-specific roles | Role+Setting | Emergency Room Specialist, Emergency Room Technician |
| Other licensed independent practitioners | Role+SMD | Dentist, Optometrist, Chiropractor, Psychologist |
| Other specialty-specific roles | Role+SMD | Orthotist, Prosthetist |
| Physicians (Allopathic, Osteopathic) | Role+Post Graduate Training | Physician Attending, Physician Fellow, Physician Resident |
| Social Workers | Role+SMD | Mental Health Social Worker |
| Specialists and Technologists | Role+SMD | Hearing Instrument Specialist, Radiologic Technologist |
| Students | Role+SMD | Physical Therapy Student |
| Technicians | Role+Training | EchoTech, Pathology Technician |
| Therapists | Role+SMD | Physical Therapist, Occupational Therapist, Speech Therapist |
| Post-coordinated: existing DO Role+SMD values (or) new role value+existing SMD value* | ||
| Interns, Residents, and Fellows (Non-Physician) | Role+SMD | Pharmacy Intern, Dietetic Intern New DO Role and existing SMD values (eg, Intern+Pharmacy) |
| Nurses | Role+SMD | Pediatric Nurse Practitioner Existing DO Role and SMD values (eg, Nurse Practitioner+Pediatrics) |
| Office workers | DO value too specific | Unit Clerk, Dietary Office Worker Existing DO Role and SMD values (eg, Clerk+Nutrition and dietetics) |
| Other licensed independent practitioners | Role+SMD | Orthodontist New pre-coordinated value of Dentist+new DO SMD |
| Physicians | Role+SMD | Oncologist, Anesthesiologist, Primary Care Physician Existing DO Role and SMD values (eg, Physician+Oncology) |
| Physician in training (Interns, Resident and Fellows) | Role+SMD | Oncologist, Anesthesiologist, Primary Care Physician Existing DO Role and SMD values (eg, Physician Resident+Internal Medicine) |
*Post-coordination of existing DO values using the Role and SMD axes need additional guidelines/rules.
DO, Document Ontology; SMD, Subject Matter Domain.