Add this as an additional 'card type' In addition to capturing the information as an annotation, will also add a complex extension with the following components: 1..1 extension with a code with one of the following values: not-covered (no coverage or possibility of coverage for this service) covered (regular coverage applies) prior-auth (coverage is possible with prior authorization) clinical (clinical details are required to determine coverage/prior auth applicability - e.g. via DTR by clinician) admin (administrative details are required to determine coverage/prior auth applicability - e.g. via DTR by clinician) 1..1 Reference to Coverage that assertion applies to 1..1 date (on which assertion was made) 0..1 Identifier to allow tracking the guidance in source system. Will make clear that the 'detail' for the card should indicate that the statement is point-in-time.  Will indicate that payers should include all of this discrete information above in the 'annotation'. This will be handled as a single 'update' action.  EHRs that don't support the extension will ignore it and just store the annotation. (Partial pre-apply will need to be revised)