The short version
Shanghai Document 32 is not a marketing permission slip. It is an operating framework, and the obligations it creates are concentrated in three places: who may contract, what may be promised, and what must be reported.
Who may contract
Only licensed medical institutions may deliver care to inbound patients under the policy frame. A coordination company is not a licensed institution. Our role is contractual and logistical — agreements, translation, scheduling, accompaniment — and any description of our work that implies clinical judgment is wrong on its face.
What may be promised
The clauses that matter most are the negative ones. Price must be contracted, not quoted from a brochure. Outcome language is constrained. Testimonials cannot substitute for clinical evidence.
A coordinator who promises a cure is not overselling. They are misrepresenting the entity they work for.
What must be reported
Case volume, adverse events and pricing deviations all have reporting obligations attached. This is the part agencies discover late — usually during an audit.
What we changed
We rewrote our intake to separate the diagnosis from the question, so that a coordinator never has to interpret a pathology report to do their job. And we moved pricing from "estimates" to contracted ranges with the uncertainties written down.
简述
上海 32 号文不是一张营销通行证，而是一套运营框架。它产生的义务集中在三处：谁能签约、能承诺什么、必须报送什么。
谁能签约
在该政策框架下，只有持牌医疗机构可以向入境患者提供诊疗。协调公司不是持牌机构。我们的角色是合同与后勤——协议、翻译、排期、陪诊——任何把我们描述成具备临床判断能力的说法，本身就不成立。
能承诺什么
最要紧的是那些「禁止性」条款。价格必须是协议价，不是宣传册上的报价。涉及疗效的表述受约束。客户见证不能替代临床证据。
承诺治愈的协调员不是「过度宣传」，而是在虚假陈述他所代表的主体。
必须报送什么
病例量、不良事件、价格偏差都附有报送义务。这是代理机构发现得最晚的部分——通常是在审计时。
我们改了什么
我们重写了受理流程，把「诊断」和「问题」分开，让协调员永远不需要为了干活去解读病理报告。我们同时把报价从「估算」改成协议区间，并把不确定项写进合同。