Connections

• Payment service. Agree how a received amount and reference reach the patient payment record, and who confirms a refund.
• Billing service. Decide how an approved encounter charge becomes an invoice in the clinic’s billing process.
• Laboratory service. If specimens are part of the care pathway, agree how collection and processing states are recorded.
• Pharmacy service. If dispensations are used, agree how medication, lot, quantity and authorizing person are captured.

Name the owner of each external system and the person who reconciles its result here. Test a normal transaction, a correction and a duplicate message before relying on an exchange. A local status should reflect an event that actually happened in the connected service. Keep patient identity and encounter references consistent across the handoff. Start with implementation and rehearse the selected connections with real staff roles.