シナリオ
A hospital referral coordinator needs to track outgoing referrals to specialists and prior authorization requests submitted to payers.
この図に含まれるもの
図の背後にある意思決定を読み解く。
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.