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database design · healthcare · referral management

Healthcare Provider Referral Management ERD with Prior Authorization

類型 ERD標準 Chen 1976 / Everest 1976 (crow's foot)引擎 schematex-erd更新時間 2026/8/21
Healthcare Provider Referral Management ERD with Prior Authorization
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情境

A hospital referral coordinator needs to track outgoing referrals to specialists and prior authorization requests submitted to payers.

這張圖裡有什麼

看懂背後的決策。

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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