| Name | Description | Type | Additional information |
|---|---|---|---|
| ReferenceCode | CoverageReferenceCode |
None. |
|
| ReferenceText | string |
None. |
| Name | Description | Type | Additional information |
|---|---|---|---|
| ReferenceCode | CoverageReferenceCode |
None. |
|
| ReferenceText | string |
None. |