S-PRC-01 · W13 PRC (Purchased/Referred Care) · fit: unknown
Authorise Purchased/Referred Care
As a PRC clerk, I want to decide a referral's PRC eligibility and issue a purchase order, so that outside care is paid within the rules.
| Persona | prc_clerk |
|---|---|
| Journey | Purchased/Referred Care is authorized |
| Step | Decides PRC eligibility Task_02_DecidesPRCEligibility |
Scenarios
| S-PRC-01.1 | Given a referral for an eligible patient, When I approve it, Then a PRC document exists with an obligated amount. |
|---|---|
| S-PRC-01.2 | Given a referral waiting for my PRC decision, When I open it to decide, Then I see what the decision needs from the chart (the reason for referral, its diagnoses, and the documents attached to it, such as labs, imaging and the history and physical), and nothing else of the patient's chart: no behavioral health notes, no unrelated conditions, and nothing for a patient with no active referral. |