Responsible practitioner and annex signatures¶
An eAgreement request must designate a responsible practitioner and carry a signature on its annexes. This page explains the two mechanisms Resthome puts in place:
Who is identified as the responsible practitioner on the electronic request — and how their NIHII number is determined automatically;
How to sign Annexes 7, 10 and 11 directly in the application, from a stored signature image, instead of printing, signing and scanning.
The signing buttons appear on the eAgreement request (reachable from the resident record or the billing period). Identities are configured on the employee record and in the eHealth settings.
Two identities not to confuse
The responsible practitioner: the electronic identity recorded in the request sent to the health insurer — the clinician who carried out the Katz assessment. Resthome resolves it automatically (see below).
The signer: the person whose signature image is placed on the annex PDF. By default, this is you (the logged-in user).
In most cases these two roles coincide, but they are distinct: a secretary can send a request whose responsible practitioner is the nurse who scored the Katz.
The responsible practitioner¶
The responsible practitioner is the clinician who carried out the Katz assessment — the assessor — not the person who sends the request. Resthome determines their NIHII by walking down a fallback chain, so that a consistent identity is always transmitted to the health insurer.
Order |
Resthome uses… |
When |
|---|---|---|
1 |
The Katz assessor, if they have a personal NIHII |
Normal case |
2 |
The configured head nurse (their NIHII) |
The assessor (nurse, care assistant) has no NIHII |
3 |
The configured coordinating physician (their NIHII) |
Neither the assessor nor the head nurse has a NIHII |
4 |
A generic AViQ nurse number |
Last resort, no NIHII available |
Katz category D: a physician is mandatory
For a Katz category D (or Cd), the specification requires a physician as the responsible practitioner. Resthome then uses the assessor if they are a physician (with a NIHII), otherwise the configured coordinating physician. If no physician is available, sending is blocked with an explicit message: configure a coordinating physician in the eHealth settings.
The generic number is a last resort
If no one in the chain has a usable NIHII, Resthome falls back on the generic AViQ nurse number. This is a safety net: for a correct identity, enter the caregiver’s personal NIHII, or at least a fallback head nurse and coordinating physician.
Where identities are stored (employee record)¶
A caregiver’s NIHII, role and signature image live on their employee record, not on a user account. This way, a caregiver who signs an Annexe 10 from time to time does not consume a user license: they only need to exist as an employee.
Employees app → employee record → Nursing Home tab.
Field |
What it is for |
|---|---|
INAMI Number (NIHII/INAMI number) |
The caregiver’s personal NIHII, used as the responsible practitioner on the eAgreement request. 11 digits. |
Care role |
The job (nurse, head nurse, care assistant, physician…). It determines the eHealth role. |
eHealth Role |
Derived automatically from the care role: nurse (nurse / head nurse / care assistant) or physician (physician). Read-only. |
Foreign physician (no Belgian NIHII) |
Tick this for a cross-border physician without a Belgian NIHII. Visible only for a physician. |
Signature image (Annexe 10) |
The signature scan (PNG/JPG, transparent background preferred), placed on the PDF when signing in the app. |
A clean signature image
Prefer a PNG image with a transparent background, cropped to the strokes. Resthome places it in the annex’s “Signature” box while preserving its proportions — a well-cropped image gives a clean result.
Configuring the fallback identities¶
Settings > Nursing Home > eAgreement Responsible Practitioner. These two settings provide the fallback NIHII when the Katz assessor does not have their own.
Setting |
What it is for |
|---|---|
Head Nurse (NIHII fallback) |
Their NIHII identifies the responsible practitioner when the assessor (nurse, care assistant) has no personal NIHII. |
Coordinating Physician (NIHII fallback) |
Fallback when no nurse NIHII is available, and mandatory for a Katz category D. |
See also eHealth and eFact settings.
The Katz category is for declaring, not for setting the amount
The dependency fee is the same amount for all Katz categories (AViQ rates); the category serves to declare the resident’s profile to the health insurer. A D category does, however, require a physician as the responsible practitioner — hence the importance of the fallback coordinating physician.
The foreign physician¶
A cross-border physician who does not have a Belgian NIHII cannot provide a personal number. On their employee record (physician role), tick Foreign physician (no Belgian NIHII). Resthome then records on the request the generic number provided by the eHealth specification for foreign practitioners, which the insurance bodies accept. You have no number to enter yourself.
Signing an annex in the application¶
Rather than printing, signing by hand and then scanning, Resthome places your signature image on the annex PDF and saves it — a route compliant with the applicable signature rules. The annexes concerned:
Annexe 10 — the Katz scale (care agreement);
Annexe 7 — the admission agreement (admission / readmission);
Annexe 11 — the end-of-stay notification.
The path, on a request in Draft:
Generate the annex if not already done (Annexe 10 is produced from the Katz; Annexe 7 or 11 from the request).
Click Sign Annexe 10 (or Sign Annexe 7 / Sign Annexe 11). These buttons appear only in Draft, when the annex exists and is not yet signed.
In the Sign annex window, check the Signer (you by default), their role, the signature date and the signature preview.
Click Sign & replace PDF. Resthome regenerates a clean PDF, places the signature on it and ticks the annex as signed (a green ✓ “Signed” appears next to the annex).
Signing is a prerequisite for sending
As long as a generated annex is not signed, the Send Request button stays hidden. Sign all the annexes first, then send. Re-signing is safe: Resthome starts from a blank PDF each time, without stacking signatures.
Katz already signed during the assessment
If the Katz assessment was signed in the app at scoring time, the Annexe 10 PDF already carries the signature: Resthome marks it signed automatically and the step above is not needed.
Who can sign (signature rules)¶
Situation |
Allowed signer |
|---|---|
Annexe 10 — standard case |
Physician OR nurse |
Annexe 10 — Katz category D / Cd |
Physician mandatory (no nurse fallback) |
Annexe 10 — quick revision (new Katz less than 6 months after the previous one) |
Physician mandatory |
Annexe 7 (admission) / Annexe 11 (end of stay) |
Institution manager — no medical rule |
The signing window recalls the applicable rule in a signature rules banner. If the rule requires a physician and the signer is not one, the signature is refused with a clear message.
Readmission after a long absence
A readmission after more than 30 days of absence may require a new Katz assessment, but it does not require a physician: the Annexe 10 can be signed by a physician OR a nurse.
Everyone signs with their own signature¶
For safety, you can only sign with your own signature image. Signing on behalf of another clinician — whose name and role appear on a legal annex transmitted to the health insurer — requires eHealth manager rights. In all cases, the actual author of the action remains recorded in the audit log.
If no signature image is configured¶
If the signer has no signature image on their employee record, the window warns you and the Sign & replace PDF button is not offered. Two options:
upload a signature image on the employee record, then start again;
keep the manual route: print the annex, have it signed, scan the signed document and re-upload it on the request (for Annexe 7 / 11, tick Annex signed).
Key points to remember¶
The responsible practitioner is the Katz assessor, not the sender; Resthome resolves their NIHII in a cascade: assessor → head nurse → coordinating physician → generic number.
A Katz category D requires a physician; configure a fallback coordinating physician in the eHealth settings.
The NIHII, role and signature image live on the employee record (Nursing Home tab) — no user license needed for caregivers who sign occasionally.
Sign Annexe 10 / 7 / 11 places your signature image on the PDF: no more printing / signing / scanning. Signing is a prerequisite for sending.
Signature rules: physician OR nurse by default; physician mandatory in category D or a quick revision (< 6 months).
You sign only with your own signature, unless you have eHealth manager rights.