The practitioner qualification backbone element will have its short description updated to include: "Qualifications, certifications, accreditations, licenses, training etc" (and the same change in the definition) Add a new "Certification" backbone element on organization as defined in the Practitioner.Qualification. The definition will include text covering: The official certifications, accreditations, training, designations and licenses that authorize and/or otherwise endorse the provision of care by the organization. For example, an approval to provide a type of services issued by a certifying body (such as the US Joint Commission) to an organization.