Currently, the element is 0..1 with the allowed codes of "clinical | admin | both | conditional"

Suggest changing it to 0..* with allowed codes of "clinical | admin | patient | conditional" and change definition of conditional

patient: "Details most likely to originate from the patient or their personal representative (e.g. parent, spouse, etc.) are required to satisfy additional documentation requirements, determine coverage and/or prior auth applicability.  For example, information about household composition, accessibility considerations, etc.  This should be used when the data needs to come from the patient themselves, rather than a clinician's assessment of the patient"

conditional: "There is the potential for information requirements from a participant type not listed.  However, a decision on whether there in fact are additional information requirements cannot be made without more information (more detailed code, service rendering information, etc.)"