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When registering a patient, the Admission or Emergency Room Form will be selected from the Registration and ADT screen. If the program XCNPSFOR7A is loaded on AHIS page 2 in the Adm Form Phase field, then the Admission Form will print along with a Consent Form. The Consent Form should then be given to the patient to review, since it is the same document they will be signing digitally.
Selecting the Digital Signature Directory radio button indicates a file will be copied from the Dig Sig Doc Table in the Business Office Table Maintenance and attached to a patient’s account. This location will allow a description to be selected from the Description drop-down.
Once a description has been chosen, select Sign.
Select Web Client > Charts > Select Patient Account > Scanned Images > Add File > Digital Signature Directory > Select description
Electronic File Management - Digital Signature
The selected digital signature document will then display in Word. Stop Codes have been placed in the generic consent documents. By selecting F11, the cursor will go directly to the place in the document where signatures should be captured. After selecting F11, the brackets will be highlighted. At this point, press the Right Arrow key to move one position to the right of the brackets. At this point, the signature may be captured.
NOTE: To set up a Stop Code within a document, place the cursor in the desired positions and press Ctrl F9. When the document is accessed after this setup, entering F11 will move the cursor to the previously designated positions.
Once the cursor has been placed where the signature needs to be captured, select the pencil icon on the Add-Ins toolbar.
The "New" option in the Signature Select section will be highlighted, indicating a signature should be entered on the signature pad. The patient may then sign the digital signature pad. The patient's signature will display on the screen as they are signing.
Once the signature has been entered, there are several options.
•Done: If the signature is correct, select this option to save it. The signature will then be displayed in the text of the document.
•Clear: If the signature is illegible or the patient wishes to re-sign, this option will clear the signature and allow a new one to be entered.
•Cancel: This option will exit the Sign Document mode without saving a signature.
A system-generated date is then placed beneath the signature. The day of the week, month, year, entire date and time (including hour, minutes, seconds) are captured. The system will also assign a number for that signature, such as SigPlus1. Once the second and subsequent signatures are captured, they will each be assigned a number.
Once all signatures have been captured, select Save/Exit from the TruBridge toolbar. The system will prompt “Was the signature acquired?” If the signature was acquired, answer Yes. If Yes is selected, another prompt will display "Is the document complete? Were all the signatures acquired?" If there are no more signatures to be acquired, answer Yes. If additional signatures will need to be captured, answer No.
NOTE: Please refer to the Additional Signatures section for how to capture additional signatures on a document.
Once a document has been signed, it may be accessed through Electronic File Management. All signed documents and the signed dates will display in this listing along with any scanned images. To view a document select the line and the document will be viewable at the bottom of the screen.