The scenario
A hospital referral coordinator needs to track outgoing referrals to specialists and prior authorization requests submitted to payers.
What is in this drawing
Read the decisions behind it.
01
Modeled Provider, Patient, Insurance, and Specialty as independent entities
02
Linked Referral to Patient, referring Provider, and Specialty; PriorAuthorization links Referral and Insurance
03
Used many-to-one mandatory references for all foreign keys
Reusable for ambulatory referral workflows, specialty care coordination, or payer authorization tracking.
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