| Name | Description | Type | Additional information |
|---|---|---|---|
| RequestCategoryCode | RequestCategoryCode |
None. |
|
| CertificationTypeCode | CertificationTypeCode |
None. |
|
| ServiceTypeCode | ServiceTypeCode |
None. |
|
| HealthCareServiceLocation | HealthCareServiceLocation |
None. |
|
| RelatedCausesInformation | RelatedCausesInformation |
None. |
|
| LevelOfServiceCode | LevelOfServiceCode |
None. |
|
| CurrentHealthConditionCode | CurrentHealthConditionCode |
None. |
|
| PrognosisCode | PrognosisCode |
None. |
|
| ReleaseOfInformationCode | ReleaseOfInformationCode |
None. |
|
| DelayReasonCode | DelayReasonCode |
None. |