# NHIS (HIS BG) close to the schedule and patient

> Software for Bulgarian medical practices connected to NHIS: an e-examination from the patient's row, tablet signature instead of paper, outpatient sheet and examination search.

Source: https://reservation.business/en/platform/nzis-his-bg · Language: en

The e-examination opens with the "E-Examination" button straight from the patient's row in the appointment, while "Integrations" → "HIS" holds examination search and the signature device.

## This matters once the medical team already needs NHIS inside the real working process

- Prepare, open, close, and cancel NHIS examinations as part of the practice’s real workflow.
- The patient signs the outpatient sheet on a connected tablet when the examination is closed, and the signature appears on the printed sheet.
- Search for existing examinations by NRN, by patient data, or by date, and open the whole examination exactly as NHIS returns it.
- Keep facility data, specialist details, status, and the outpatient sheet close to the same platform instead of pushing them into a separate admin step.

## NHIS is more than an integration checkbox

For practices that actually work with NHIS, the value is that this work does not sit apart from the schedule and the patient. When the electronic examination, status, outpatient sheet, and signing flow live in a disconnected process, the team loses time and clarity.

## From appointment and patient into NHIS without a second disconnected workflow

NHIS becomes valuable when the medical team does not feel it as a separate administrative burden, but as an extension of an organized daily clinic process.

- Maintain the required facility and specialist details so the team does not have to recreate them for every examination.
- Open the examination from the appointment workflow for an existing patient and see the returned identifier and status when the record is submitted.
- Search for existing examinations when you need to check whether the same patient and date already have a submitted record.
- Close, cancel, or download the outpatient sheet without breaking the rest of the team workflow.
- The patient signs on a tablet at the moment of closing, and when no tablet is available or the patient declines, the paper sheet stays the fallback.
- When the process requires Desktop and qualified-signature steps, they remain part of the same medical flow instead of becoming a separate side process.

## What the NHIS layer actually covers

This is about concrete NHIS work in Bulgaria, not a broad claim that the platform has integrations.

- **NHIS examinations** — Prepare, open, close, and cancel electronic examinations when the medical workflow requires it.
- **Examination search and status** — Look up existing examinations by NRN, by patient name or identifier, or by date, and open the whole examination exactly as NHIS returns it.
- **Patient signature on a tablet** — At closing, the patient signs the outpatient sheet on a connected signature tablet and the signature appears on the printed sheet. When a tablet signature is not possible, the examination is closed and signed on paper.
- **Facility and specialist preparation** — The facility registration number sits on the location, while the UIN and specialty code sit on the employee. Selecting a specialist and location pulls them in automatically; if any of the three is missing, the examination cannot be submitted.
- **Desktop and qualified-signature steps** — When NHIS depends on Desktop environment and qualified-signature signing, that layer remains part of the wider clinic workflow.

## What improves when NHIS stays inside the workflow

The gain is not only technical. The team moves less by hand, loses less context, and works more calmly in a regulated medical environment.

- **Less manual switching between systems** — The team does not have to restart from scratch outside the main workflow each time NHIS work is required.
- **Clearer control over examination status** — The practice can see more clearly when an examination is opened, closed, cancelled, and what still needs attention.
- **Better fit for regulated practices in Bulgaria** — NHIS stays part of the clinic’s real daily process instead of remaining a separate administrative burden.

## Frequently asked questions

### Is this relevant for every business account?

No. This matters for clinics and medical practices that actually work with NHIS and need that work to stay structured.

### Is this the same as a general API or external integration?

No. This is a specific regulated medical workflow in Bulgaria. It is not a broad page about external connectivity, but about NHIS work inside the daily process of the practice.

### What can the NHIS workflow actually do?

It supports preparing, opening, closing, and cancelling examinations, searching for existing examinations by NRN or by patient data, opening the whole examination as returned by NHIS, capturing the patient's signature on a tablet at closing, and downloading the ambulatory-sheet PDF.

### What is needed for the patient signature on a tablet?

A Windows computer with the Desktop application, the Wacom signature software installed, and a connected signature tablet. The device is selected on each computer separately, because one location can have several rooms with different tablets. The signature is not a condition for closing: if no tablet is available or the patient declines, the examination is closed and the printed outpatient sheet is signed instead.

### Is this a full hospital HIS or EMR system?

No. This page covers the NHIS-specific layer in Business, not a full hospital information system for every medical scenario.

### Does NHIS require Desktop?

Yes, where the workflow depends on desktop environment and qualified-signature steps. This is one of the clearest cases where Desktop has a real role inside the platform.

### What setup is required?

The account needs NHIS enabled, facility registration details in the location setup, and specialist details such as identifier and specialty code in the employee setup.

### Can NHIS be opened for a brand-new client in the appointment row?

No. The examination flow from the appointment row is intended for an existing client, not for a brand-new client record.

## Related pages

- [Clinics and specialty practices](https://reservation.business/en/solutions/clinic-software)
- [Access and apps](https://reservation.business/en/platform/access-apps)
- [Appointments and front desk](https://reservation.business/en/platform/appointments-front-desk)

## Next step

- [Book a medical workflow demo](https://reservation.business/en/book-demo)
- [See medical and specialty clinics](https://reservation.business/en/solutions/clinic-software)