NHIS (HIS BG)
This section is for medical practices that submit electronic examinations to NHIS, the Bulgarian National Health Information System. This page covers what to set up first and where to find each part. The details are on separate pages.
In the application, NHIS appears as "HIS".
Which page is for what
| You want to… | Page |
|---|---|
| open, close, correct or void an examination | E-examination |
| download or print the outpatient sheet, or have the patient sign it on a tablet | Outpatient sheet and patient signature |
| fill in the examination faster | Examination templates |
| issue a referral or a prescription for the examination | E-referrals and e-prescriptions |
| find an examination — in the application or in NHIS | List of examinations and search in HIS |
| register a substitute or contracted doctor who works in place of the titular doctor | Substitution in HIS |
Before you start
- NHIS must be enabled for your account. Without it, the NHIS fields and buttons are not shown anywhere.
- In Locations, fill in "Medical facility registration number according to the HIS register" for every location.
- In Employees, fill in "UIN of the medical specialist" and "Specialty code" for every medical specialist.
- Work through the desktop application. Every submission to NHIS is signed with a qualified electronic signature, which needs a computer with access to your certificate.
- If a substitute or contracted doctor will work in place of the titular doctor, the titular doctor first registers the period in Substitution in HIS. Otherwise NHIS refuses the substitute's examinations.
If the UIN, the specialty or the registration number of the medical facility is missing, you cannot send the examination to NHIS.
Where to find it
- Top menu in the computer version: "Integrations" → "HIS". It holds "List of examinations", "Examination templates", "Search in HIS", "Substitution in HIS" and "Patient signature device".
- From the client row in the appointment: the "E-Examination" button. It is shown once the appointment with that client is saved — not for a client just added to an unsaved appointment.
Common problems
- The examination cannot be sent. Check the UIN and the specialty code of the employee, and the registration number of the medical facility in the location.
- Closing stops with a message. Most often a required field is missing — see What is required for closing. If NHIS refuses, its message is shown on the screen.
- NHIS refuses the examination of a substitute doctor. Check in Substitution in HIS that the titular doctor has a registered period for today.
- You are not sure whether the examination reached NHIS. Press "Check in HIS" in the examination.
- "HIS opened this examination on an earlier attempt and keeps its data from then." NHIS keeps the data from the first opening attempt. Compare them in "Search in HIS" by the NRN — if they differ, void the examination and create a new one.
- The tablet is not detected. See Outpatient sheet and patient signature.
Limitations
- "E-Examination" opens only for a client already saved in the appointment.
- "E-Dental treatment" is visible, but the button is inactive.
- There is no separate screen for managing NHIS access — the application asks for access when it is needed.