The Practitioner.Qualification and PractitionerRole.specialty definitions and comments will be updated to clarify the distinction between specialty and qualifications:   On PractitionerRole.specialty: Definition : The specialty of a practitioner that describes the functional role they are practicing at a given organization or location. Comment : The specialty represents the functional role a practitioner is playing within an organization/location. This role may require the individual have certain qualifications, which would be represented in the Practitioner.qualifications property.  Note that qualifications may or may not relate to or be required by the practicing specialty. On Practitioner.Qualification: Add a comment to the Practitioner.qualification Comment :  The PractitionerRole.specialty defines the functional role that they are practicing at a given organization or location.  Those specialties may or may not require a qualification, and are not defined on the practitioner.