Outpatient sheet and patient signature
The outpatient sheet is downloaded and printed straight from the e-examination. The patient can sign it on paper or on a connected signature tablet.
Download and print
In a draft, an open and a closed examination there are two icons at the bottom left — "Download outpatient sheet" and "Print outpatient sheet".
- In the desktop application, printing opens the sheet in the computer's default PDF program, from which you print it. If the computer has no such program, the sheet is saved as a file.
- In the browser, printing opens the print dialog.
The sheet follows the NHIF form. Long text is not cut: the field on the first page ends with "продължава на стр. 2" (continues on page 2), and the full text is on the following pages. Every page carries the NRN, the patient's name and the page number.
The sheet of a draft has no NRN and carries the mark "Не е подаден в НЗИС" (not submitted to NHIS). The sheet of a voided examination is downloaded with the "Download outpatient sheet" button and carries the mark "АНУЛИРАН В НЗИС" (voided in NHIS). It cannot be printed from the application.
You do not have to submit the examination to NHIS to use the outpatient sheet. If you work on paper, you save the examination, print the sheet and the patient signs it — an equally valid path.
Patient signature on a tablet
The patient can sign the outpatient sheet on a connected signature tablet instead of on paper. The signature is captured at the moment the examination is closed and appears on the printed outpatient sheet, in the patient column.
What you need
- A Windows computer with the desktop application.
- A signature tablet connected over USB. Signing is verified with a Wacom STU-430.
- The Wacom software installed on the same computer — the tablet driver, Wacom Ink SDK for signature and SigCaptX.
- A device selected on this computer.
Install the Wacom software
Download the software from the official Wacom site and install it on the computer where signing will take place. Without SigCaptX the application does not offer signing on a tablet — the signature lines in the examination are not shown at all.
- The tablet driver. Open the Wacom drivers page, select the "Signature Pads" category and your model, STU-430 for example.
- Wacom Ink SDK for signature. Install it before SigCaptX — SigCaptX runs on top of it.
- SigCaptX. Install it last. It is the link between the application and the tablet.
- Restart the computer, connect the tablet over USB and open the desktop application.
Wacom Ink SDK for signature and SigCaptX are downloaded from the Wacom developer site — developer.wacom.com. A Wacom account is required for the download.
Install the software on every computer where signing will take place. No signature license is entered anywhere — it comes with the application.
Select the device
- Open "Integrations" → "HIS" → "Patient signature device".
- Select "Manufacturer" and "Model".
- Press "Save".
After that, the menu shows the model you selected next to "Patient signature device".
The device is stored on this computer only. If you have several rooms with tablets, select the device on each computer separately. The screen itself says the same: "The device is saved on this computer only. Select it again on every computer with a signature pad."
What you see in the examination
When the examination is open, one of two lines appears in the bar at the top:
- "When you close the examination, the patient will sign it on the connected tablet." — everything is ready. Next to the text there is a "Change device" link.
- "A signature pad is connected, but no device is selected on this computer." — the Wacom software is ready, but you have not selected a model yet. Next to the text there is a "Select device" link.
If SigCaptX is not installed or not running on this computer, these lines are not shown and the examination is closed without the tablet.
When someone else signs
When the person signing is not the patient, switch on "The signer is different from the patient (parent/guardian)". The fields "Identifier type", "Identifier", "Name" and "Lastname" appear for the person who signs.
If the signature does not go through
The signature never stops the examination from being closed. If the patient declines or the tablet does not respond, you see a message with two choices:
| What you see | Most common cause | What to do |
|---|---|---|
| "The patient declined to sign" | The patient pressed cancel on the tablet itself | "Try again" or "Close without signature" |
| "The signature pad is not responding" | The cable is unplugged or the tablet is not ready | Check the cable, then "Try again" or "Close without signature" |
With "Close without signature" the examination is closed normally and the patient signs the printed outpatient sheet.
If the tablet is not detected
Check:
- that you work through the desktop application on Windows;
- that the Wacom driver and SigCaptX are installed on this computer;
- that the tablet is connected;
- that you have selected a device.
If you have just installed the Wacom software, restart the computer.