Referral

This worked example represents the <referral> made by Dr. Luigi for John Doe's surgery and
X-ray treatment.

From the <insurer>'s perspective, John Doe is an <outpatient>, a sub-type of <claimant>.

John Doe undergoes a <diagnosis>, a sub-type of <assessment activity>.
The <activity performer> of the <diagnosis> is Dr. Luigi, , that results in two <referral>s,
sub-type of <authorisation>:
- A <referral> authorising the X-ray (a <medical treatment>) on John Doe's back by any
<health care provider>
- A <referral> authorising the surgery (a <medical treatment>) on John Doe's back, of
which the referred provider, the <activity performer>, is St Luc Hospital, a <health care
provider>.
The surgery <medical treatment> is mentioned as the follow-up of the X-ray <medical
treatment>.

Parent View:
WEC0017 Outpatient care