The descriptionid extension is used to carry the snomed code for the preferred term description used in the display element.
From the Care Connect spec:
2.3 Sending a SNOMED CT concept with its associated preferred term
When sending a SNOMED CT concept id with its preferred term then code.coding.extension.descrpitionId, code.coding.code and code.coding.system SHALL be populated.
PSA Example:
<code>
<coding>
<extension url=https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension coding-sctdescid>
<extension url="descriptionId">
<valueId value=”2772071000000119"/>
</extension>
</extension>
<code value="1107811000000102"/>
<display value="Prostate specific antigen mass concentration in serum"/>
<system value=http://snomed.info/sct/>
<userSelected value="true"/>
</coding>
</code>
The descriptionid extension is used to carry the snomed code for the preferred term description used in the display element.
From the Care Connect spec:
PSA Example: