Signing documents (list of documents)

Signing documents with a patient's handwritten signature

The "Signing documents (list of documents)" functionality from the "Account" menu is used to register in electronic form handwritten signatures of jHIS™ system users and handwritten signatures of patients, which are then applied (automatically by the system) to the appropriate document prints.

Registering signatures in electronic form allows you to avoid printing and then manual signing and storage of documents.

The patient's signature is recorded for the following types of documents:

  • declaration of selection of a primary health care physician / nurse / midwife and school medicine nurse by the patient
  • patient's statement authorizing to receive information about the patient's health condition and provided medical services as well as to obtain patient's medical records
  • statement of the patient / caregiver about the patient's insurance
  • patient's statement of consent to vaccination

The own signature of the jHIS™ system user is registered once and used many times. Once registered, the user's signature is automatically applied to all forms of the above-mentioned documents, e.g. the patient's statement of consent to vaccination requires the patient's signature and the signature of the nurse performing the vaccination, so registering the nurse's own signature once in the system will allow it to be automatically applied to all issued by this nurse statement.


The action of automatic placing of users' signatures on printed documents is performed when these documents are signed by patients, which means that until the patient signs the document, the user's signature will not appear on this document.

To use the document signing functionality, run it on a device with a touch screen (tablet, smartphone), and therefore run the Mozilla Firefox or Google Chrome browser on such device, log in to the jHIS system and select the "Signing documents (list of documents)" functionality from the "Account" menu.

The scenario for using the document signing mechanism is as follows:

  • The user logs into the jHIS™ system on two devices: on his computer, on which he works, and on a device with a touch screen, on which signatures will be registered.
  • During his work, the user indicates the documents to be signed on the computer (generates signature requests), e.g. the registration employee, while serving the patient who comes to visit, enters the data of his insurance statement and indicates that the document is to be signed.
  • The user registers signatures on the touch screen device: selects the appropriate document, passes the touch screen device to the person whose signature he expects to sign and that person signs it, e.g. if the registration employee, while handling the patient who attends the visit, entered his insurance statement on his computer and marked it that it is to be signed, the statement appears on the touch screen device, the user thus points to it on the device and hands the device to the patient so that he can sign the statement document.
  • If, after registering the signature, the user opens the document on his computer (in the form of a PDF file), then the registered signature / signatures will appear in the places designated for this (depending on the type of document, the patient's signature or the patient's and user's signatures).

After selecting the "Signing documents (list of documents)" functionality on the touchscreen device from the "Account" menu, a list of documents waiting for signature is displayed. This list is refreshed automatically at the intervals specified in the system configuration. Also, depending on the system configuration, two variants of displaying such a list of documents are possible:

  • displaying all documents requested to be signed by any user
  • displaying all documents requested to be signed by a user logged in to a touchscreen device

Two buttons are visible next to each document waiting to be signed:

  • CHOOSE - clicking this button starts the process of signing the document
  • DELETE - clicking this button (after confirmation) deletes (cancels) the request to sign the document (the request is deleted, not the document)

To register a signature, the user clicks the "CHOOSE" button next to the appropriate document on the list. The document data and two buttons will then be displayed:

  • SIGN - click this button to display the signature registration screen
  • RESIGNATION - clicking this button allows you to stop the signature registration process and return to the list of documents to be signed

At this point, the user gives the touchscreen device to the person whose signature is to be registered. After reading the document data, this person clicks the "SIGN" button, provided that the data is correct and the person accepts it. However, if the data is not correct or the person does not accept it, then this person should give the device to the jHIS™ system user, who should click the "RESIGNATION" button. Clicking the "SIGN" button will display the signature registration screen. The signature should be placed with a stylus (or with a finger) in such a way that it fits inside the field with a black border. If necessary, the signature field can be cleared by clicking the "CLEAR" button and then re-signing. If the signature has been made, the person signing the device hands over the touch screen device to the user and the user confirms the signature by clicking the "DONE" button. If the person who is expected to sign decides not to sign the signature, they also hand over the touch screen device to the user and the user clicks the "CANCEL" button.


In order to have full control over the functionality of signing documents, the user should make sure that the person signing the document does not use any buttons except "SIGN" and possibly "CLEAR", all other buttons should be operated by the user.

When confirming the signature, the empty (white) areas of the field above the signature, under the signature as well as on the right and left sides of the signature are automatically truncated so that only a significant part of the field containing the signature is saved to the database.

After confirming the signature, the list of documents awaiting signature is displayed again and the signed document disappears from this list.

Sample document with signatures superimposed: