PractitionerLicenseType

Reference data entity for types of professional healthcare licenses. Defines the categories of licenses that authorize practitioners to practice in specific healthcare roles.

Overview

PractitionerLicenseType catalogs the different types of professional licenses that healthcare workers may hold. Licenses are government-issued credentials that legally authorize individuals to practice in specific healthcare roles. This reference data is used by PractitionerLicense to specify what type of license a practitioner holds.

Key Concepts

License Categories

Licenses are grouped by professional domain:

CategoryDescriptionExample Licenses
physicianMedical doctorsMD, DO, MBBS, GMC
nursingNursing professionalsRN, LPN, NP, CNM
pharmacyPharmacy professionalsPharmD, RPh
therapyTherapeutic professionalsPT, OT, SLP
technicalTechnical specialistsRT, MLT

Standard License Types

Physician Licenses

  • MD - Medical Doctor (allopathic)
  • DO - Doctor of Osteopathic Medicine
  • GMC - General Medical Council Registration (UK)
  • MBBS - Bachelor of Medicine (Commonwealth)

Nursing Licenses

  • RN - Registered Nurse
  • LPN / LVN - Licensed Practical/Vocational Nurse
  • NP - Nurse Practitioner
  • CNM - Certified Nurse Midwife

Pharmacy Licenses

  • PHARM - Pharmacist (RPh, PharmD)

Therapy Licenses

  • PT - Physical Therapist
  • OT - Occupational Therapist
  • SLP - Speech-Language Pathologist

License vs Qualification

Understanding the distinction:

ConceptEntityPurpose
LicensePractitionerLicenseTypeLegal authorization to practice
QualificationPractitionerQualificationTypeEducational credentials and certifications

A license is required to practice; qualifications demonstrate competency.

License Identification

Each license type record contains:

  • code - Unique license code (e.g., "MD", "RN")
  • label - Human-readable name
  • category - Professional domain
  • description - Scope of practice

Use Cases

License Verification

When verifying a practitioner's authorization:

  1. Identify required license type for role
  2. Check practitioner holds appropriate license
  3. Verify license is active and valid
  4. Confirm jurisdiction coverage

Credentialing

During provider credentialing:

  1. Determine required license types for position
  2. Collect license documentation from practitioner
  3. Verify against licensing board records
  4. Track license expiration dates

Scope of Practice

When authorizing clinical activities:

  1. Map license types to permitted activities
  2. Verify practitioner has appropriate license
  3. Enforce scope of practice limits
  4. Document authorization basis

Provider Enrollment

For insurance credentialing:

  1. Verify license type meets payer requirements
  2. Confirm license status with issuing authority
  3. Document license for network participation
  4. Monitor for license status changes

Related Entities

EntityRelationshipDescription
PractitionerLicenseReferenced byActual licenses that use this type
HealthReferencePractitionerRoleRelatedProfessional roles requiring specific licenses

Enums

category

ValueDescription
physicianMedical doctor licenses (MD, DO, MBBS, GMC)
nursingNursing professional licenses (RN, LPN, NP, CNM)
pharmacyPharmacist and pharmacy technician licenses
therapyPhysical, occupational, speech, and other therapy licenses
technicalMedical technician and technologist licenses
otherOther professional healthcare licenses
4 properties
Schema

Properties

PropertyTypeModeDescriptionRequired
codestring
stored

Unique code identifying the license type

Example: "MD"

Required
labelstring
stored

Human-readable name of the license type

Example: "Medical Doctor"

Required
categorystring
stored

Category of license

Values: physician, nursing, pharmacy, therapy, technical, other

Example: "physician"

Required
descriptionstring
stored

Additional details about the license type

Optional

Examples

Example 1

{
  "@type": "PractitionerLicenseType",
  "code": "MD",
  "label": "Medical Doctor",
  "category": "physician",
  "description": "License to practice medicine"
}

Example 2

{
  "@type": "PractitionerLicenseType",
  "code": "DO",
  "label": "Doctor of Osteopathic Medicine",
  "category": "physician",
  "description": "License for osteopathic physicians"
}

Example 3

{
  "@type": "PractitionerLicenseType",
  "code": "RN",
  "label": "Registered Nurse",
  "category": "nursing",
  "description": "License for registered nursing practice"
}

Example 4

{
  "@type": "PractitionerLicenseType",
  "code": "NP",
  "label": "Nurse Practitioner",
  "category": "nursing",
  "description": "Advanced practice nursing license"
}

Example 5

{
  "@type": "PractitionerLicenseType",
  "code": "PHARM",
  "label": "Pharmacist",
  "category": "pharmacy",
  "description": "License to practice pharmacy"
}

Example 6

{
  "@type": "PractitionerLicenseType",
  "code": "PT",
  "label": "Physical Therapist",
  "category": "therapy",
  "description": "License for physical therapy practice"
}

Example 7

{
  "@type": "PractitionerLicenseType",
  "code": "GMC",
  "label": "General Medical Council Registration",
  "category": "physician",
  "description": "UK medical practitioner registration"
}