We will make updates to the text to clarify.  Below is the proposed language.   Element Id PractitionerRole.organization Definition The organization where this role is available.   Short Display Organization where the role is available Comment Some relationships (represented as PractitionerRoles) that may exist between practitioners and organizations include: A practitioner may act as a pediatrician when associated with an organization that runs a family clinic.  PractitionerRole.organization would represent the family clinic. The same practitioner may act as a physician when providing physicals for an athletics department at a school.  PractitionerRole.organization would represent the school. A practitioner may perform coumadin / anticoagulation services for a clinic run by a health system.   PractitionerRole.organization would represent the coumadin clinic. A practitioner may act as an inpatient pharmacist reviewing and dispensing medications.  PractitionerRole.organization would represent the hospital pharmacy. A practitioner may perform medication management and adherence services for an internal medicine clinic.  PractitionerRole.organization would represent the internal medicine clinic. A practitioner is part of a payer's network (such as a preferred provider organization (PPO), or health maintenance organizations (HMO)).  PractitionerRole.organization would represent the payer's network. Each of the examples above above, would be represented as different PractitionerRole instances, each with a different values for PractitionerRole.organization.|