Integration · Electronic signatures

Electronic signaturesfrom the EMR flow

Clinical documents signed directly from the EMR, with verification and an audit trail. Today this is an uncertified electronic signature; certified e-signature integration through BSrE (government hospitals) or a non-agency PSrE (private hospitals) is being prepared with the first partner hospital — certificates are issued by the provider, not Adievia.

Why now

E-signatures are shifting from nice-to-have to the core of the claims flow.

Certified e-signatures have long been treated as an optional extra. The JKN electronic-claims direction (the 30 July 2026 joint circular) changes that: claim-supporting clinical documents are steered toward being signed electronically — not scanned — as part of an auditable data chain.

Because certificate issuance involves identity verification for each clinician, this is not preparation that can be crammed overnight. Hospitals that start early stay in control of their own deadline.

E-signature flow

From certificate to signed document

[01]

Certificate issuance & KYC

The e-signature certificate is issued by an electronic certification provider (PSrE) after identity verification of the clinician — BSrE (BSSN) for government hospital staff, a non-agency PSrE for private hospitals. The certificate belongs to the hospital/individual, not the Adievia license.

[02]

Signing sessions from the EMR

Clinical documents — medical resumes, physician letters, consents — are submitted to a signing session directly from the EMR flow, with no manual export-import round trips.

[03]

Today: uncertified

Signing in Adievia HMS currently runs as an uncertified electronic signature: the stroke is added as a PDF update so the original document stays intact, and its SHA-256 fingerprint and signing order are recorded.

[04]

Verification & audit trail

Signed documents can be verified, and the full cycle — submission, signing, outcome — is recorded on the system audit trail.

[05]

Next: certified e-signatures

Integration with a provider — BSrE for government hospitals, a non-agency PSrE for private hospitals — is not yet available. The BSrE adapter is being prepared and non-agency PSrEs follow; both are switched on with the first partner hospital once that hospital is enrolled with its provider.

Honest status

Signing runs today; certification does not yet.

Adievia does not issue e-signature certificates and does not sell an "already e-signed" status. Signing in Adievia HMS today is an uncertified electronic signature. Certified e-signatures need a certificate from a provider — BSrE for government hospitals, a non-agency PSrE for private hospitals — and our integration with those providers is not yet available: the BSrE adapter is being prepared, non-agency PSrEs follow, and both are switched on with the first partner hospital. The technical specifics of e-signatures in JKN electronic claims also await the circular's implementing guidance — we adapt as soon as the rules are published.

Full guide to JKN electronic claims

FAQ

Questions about e-signatures & BSrE.

A scanned signature is just an image — it proves nothing about who signed and is trivially copied. A certified e-signature is issued by an Indonesian electronic certification provider (PSrE) — BSrE (BSSN) for government agencies, or a non-agency PSrE — and bound to the signer's identity through a verification (KYC) process, giving it legal standing under the applicable regulations.

The 30 July 2026 joint circular steers JKN claims onto SATUSEHAT-integrated EMR — and, as reported, e-signature adoption is part of the transition period. Claim-supporting clinical documents are steered toward being signed electronically, not scanned. With all JKN claims due to be EMR-based from June 2027 per the Ministry's presentation, hospitals that start the certificate process early will not be stuck in an issuance queue at the deadline.

No — and we state that plainly. Certificates are only issued by a PSrE. What Adievia provides is signing inside the EMR flow, document verification, and an audit trail — today as an uncertified electronic signature. Provider integration for certified e-signatures is being prepared with the first partner hospital. The certificate is separate and belongs to the hospital or its clinicians.

No. BSrE (the Electronic Certification Agency under BSSN) serves employees of state institutions — suitable for regional and other government-owned hospitals. Private hospitals use a non-agency PSrE, such as Privy, VIDA, or Peruri. Adievia's integration with providers — BSrE and non-agency PSrEs alike — is not yet available: the BSrE adapter is being prepared and non-agency PSrEs follow, both with the first partner hospital. We do not claim it before it runs.

Three things: a certificate from the right provider (BSrE through the agency for government hospitals, a non-agency PSrE for private hospitals), the identity-verification (KYC) process for the clinicians who will sign, and a decision on which documents require certified signatures in your clinical flow. We complete the provider integration together with the first partner hospital — and guide the path from certificate application to the first signed document.

Next step

Get e-signatures in place before they become a claims prerequisite?