상황
A hospital referral coordinator needs to track outgoing referrals to specialists and prior authorization requests submitted to payers.
이 도면에 담긴 내용
그 이면의 의사결정을 읽어 보세요.
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.