In the "Declarations" tab, there is a form of adding patient’s new declaration and under it, there is a list of all the declarations made by the patient (if any have been filed) with access to the data of each of them by clicking on the information bar about the declaration.

Form of adding a new declaration allows you to enter the four declarations at the same time (family doctor, nurse, midwife, nurse of school medicine) if they differ only in staff and possibly the unit. To enter a new declaration (or a set of new declarations) in the form of adding the declaration should be specified staff depending of the type of entered declaration and filled at least all bold fields surrounded by a blue frame. To select staff, click the window icon located at the field of staff. Then will open a new window with the search engine of staff. Searching of staff is possible according to any combination of the following criteria:

• first name – in the field you can type in the name or the beginning of the name of the staff; capitalization does not
• surname – in the field you can type in the surname or the beginning of the surname of the staff; capitalization does not
• PESEL – in the field you can type in the PESEL number of staff
• NPWZ – in the field you can type in the number of license to practice of the doctor

After entering the search criteria and pressing the "Search" button, under the search engine will display a list of staff matching entered search criteria (or a message of lack of staff meets the search criteria). At every person from staff, there is displayed the "Select" button.

After pressing the "Select" button, window of searching is closed and the selected staff appears in the field of staff in form of adding a new declaration (to remove selected staff from the field, click the brush icon at the field).

In the "School REGON" field you can start typing in the REGON number or the name of the school if they have been defined in the REGON numbers database - the system will display a list of suggestions helps you to select the correct REGON number. After entering the post code, there is automatically filled post office, country, province, commune and TERYT. After selecting the country "Poland" when filling in the province and commune there are displayed hints: when typing province there is displayed a list of provinces containing typed fragment of the name - the appropriate province should be selected by clicking the mouse on the list of suggestions; typing the name of the commune (after typing the first 3 letters) there is displayed a list of communes containing typed fragment of the name - proper commune should be selected by clicking the mouse on the list of hints. With a choice of commune, there will be automatically selected appropriate TERYT.

Under the form of adding a declaration, there are following buttons:

• Add – adding declaration and remain in the "Declaration" tab of patient’s card
• Add and exit – adding declaration and return to the search engine of patients
• Cancel – undo the changes entered to the form (clean the form) and remain in the "Declaration" tab of patient’s card
• Back to patients search - back to search engine of patients without adding a document

Independently from used adding button before adding declaration to a database system verifies their correctness. In case of irregularities displays an error message indicating what should be corrected in the form. In case of such message data in the form should be corrected according to the message and retry to add a declaration. Correct adding declaration to database ends with a message about the successful completion of the operation, displays empty form of adding declaration and under this there is a list of all patient’s declarations, including this one already added (when to add the declaration is used "Add" button), or displays a message about the successful completion of the operation and search engine of patients (when to add the declaration is used the "Add and exit" button). The patient may have only one other than withdrawn declaration of particular type, and therefore at the addition of the patient’s new declaration all the declarations of the same type, except for that of the most recent date is automatically withdrawn (changing status to "withdrawn").

Below the form of adding the declaration there is displayed a list of all the declarations of the patient sorted by status in the following order: active, sent, entered, rejected or withdrawn. For each declaration there is information bar with basic declaration’s data: a kind of declaration, unit where it was entered, declared medical staff, the date of entering and status of declaration (highlighted by color). Declarations may have the following statuses:

• entered – new declaration entered to the system (blue)
• sent – declaration sent to the NFZ (yellow); if the declaration before sending had the "active" status, then at the "sent" status there will appear an additional annotation in green color; if the declaration before sending had "rejected" status, then at the "sent" status there will appear an additional annotation in red
• active – declaration accepted by the NFZ (green)
• rejected – declaration rejected by the NFZ (red)
• withdrawn – declaration withdrawn by ZOZ (no highlight)

To access data of any entered declaration, click on the information bar about selected declaration. After clicking, under the bar information will develop a full form with the data of declaration and a list of problems reported by the NFZ relating to the declaration (if declaration has been rejected by NFZ). Declaration’s data form has a similar structure as the form of adding the declaration, whereby:

• form contains data of a single declaration, so there is information about the type of declarations and only one filed of selecting staff and one of selecting unit
• only data of declaration with the status "entered" can be modified (the system does not allow modify the declaration with any other status displaying data form of such a declaration in read-only mode)
• type of declaration cannot be changed under any circumstances (the system does not allow you for change by blocking the field of type of declaration)

In the list of problems reported by the NFZ (if any have been reported) is placed date of reporting the problem, the scale of the problem (error, warning, information), problem code and description of the problem. Depending on the severity of the problem there are various colors of highlight:

• red in case of errors
• orange for warnings
• green for information.

Under the data form of selected declaration may be the following buttons (depending on the status of the declaration):

• Print – open/download a PDF file with declarations’ data to print; button is available independently of the status of declaration
• Save – save changes and remain in the "Declarations" tab in patient’s card; button is available only when the declaration has status "entered"
• Save and exit – save changes and return to the search engine of patients; button is available only when the declarations has status "entered"
• Cancel – withdrawn the changes and remain in the "Declarations" tab of patient’s card
• Withdraw – withdraw the declaration (declaration’s status will change to "withdrawn") and remain in the "Declarations" tab of patient’s card; button is available when the declaration has status "entered", "sent", "active" or "rejected"
• Use data to new declaration - start creating a new declaration with pre-filled data of declaration at which this button is located; button is available when the declaration has status "entered", "sent", "active" or "rejected"
• Back to patients search - back to the search engine of patients without saving changes

The "Use data to new declaration" button begins operation of inserting the patient’s new declaration - after pressing this button declaration’s data at which this button is located will be copied to the form of adding new declaration. The user can modify/supplement it (if it is necessary) and write thereby creating a new declaration.

Independently from used saving button before saving data to a database system verifies their correctness. In case of irregularities displays an error message indicating what should be corrected in the form. In case of such message data in the form should be corrected according to the message and retry to save. Correct saving ends with a message about the successful completion of the operation, displays empty form of adding declaration and under this there is a list of all patient’s declarations, including this one already added (when to save the data is used "Save" button), or displays a message about the successful completion of the operation and search engine of patients (when to save the data is used the "Save and exit" button).

Below a list of all the declaration there is the "Print all" button allows to print all types of patient’s declarations on a single form.

The "Require signature" checkbox visible in the declaration form and the "Require signature" buttons visible in the forms of individual declarations already issued (for which such a request has not yet been generated) are used to generate patient signature requests under the declaration documents. The registration of signatures is carried out as described in the chapter "Account" in the subsection "Signing documents". When patient signatures for the declaration have been registered, using the "Print" button visible in the declaration form or the "Print all" button under the list of declarations will display the declaration document in PDF format with patient signatures placed in appropriate places.

NOTICE!

If the data of a guardian has been entered in the declaration data, then such a guardian is automatically added to the "Guardians" tab in the patient's card.