> ## Documentation Index
> Fetch the complete documentation index at: https://docs.rxscale.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Signing Prescriptions

> How to electronically sign prescriptions in the Sign Center

# Signing Prescriptions

After you approve a prescription, it needs to be electronically signed before it can be sent to a pharmacy. The Sign Center is where you do this.

## The Sign Center

The Sign Center shows all prescriptions that have been approved and are waiting for your electronic signature. You can see how many prescriptions are in your signing queue from the counter displayed in the Sign Center.

## How Signing Works

RxScale uses **RxScaleSign** as the signing provider for qualified electronic signatures (QES). A QES has the same legal validity as a handwritten signature and is required for prescriptions to be legally valid in Germany and the EU.

<Steps>
  <Step title="Open the Sign Center">
    Navigate to the Sign Center from the sidebar. You will see a count of prescriptions waiting to be signed.
  </Step>

  <Step title="Review the queue">
    The Sign Center shows the prescriptions that are ready for signing. You can review the details of each prescription before signing.
  </Step>

  <Step title="Sign prescriptions">
    You can sign prescriptions individually or use batch signing to sign multiple prescriptions at once. Batch signing saves you time when there are several prescriptions waiting.
  </Step>

  <Step title="Authenticate with RxScaleSign">
    When you initiate the signing process, you will be prompted to authenticate through RxScaleSign. This ensures that only you can apply your signature.
  </Step>

  <Step title="Signing is complete">
    Once signed, the prescription status changes to "signed". The prescription is now legally valid and the associated order moves forward to a pharmacy.
  </Step>
</Steps>

## Batch Signing

Batch signing lets you sign multiple prescriptions in a single session. This is especially useful when you have reviewed and approved several prescriptions and want to sign them all at once, rather than going through the signing process for each one individually.

When you use batch signing:

1. The Sign Center groups eligible prescriptions together.
2. You authenticate once through RxScaleSign.
3. All selected prescriptions are signed in one batch.
4. Each prescription receives its own individual qualified electronic signature.

<Tip>
  Batch signing can significantly speed up your workflow. If you review prescriptions throughout the day, consider signing them in batches at set times.
</Tip>

### Optional Batch Review Before RxScaleSign

Doctors can enable an additional review step before starting a batch with RxScaleSign. When enabled, the Sign Center shows every prescription that will be included in the next batch together with the associated questionnaire information.

The doctor can remove individual prescriptions before signing. Each removed prescription requires its own comment and is returned for follow-up review. After the doctor confirms the batch, the remaining prescriptions continue to RxScaleSign.

## Queue Counter

The Sign Center displays a counter showing how many prescriptions are waiting for your signature. This helps you keep track of your signing workload at a glance without needing to open the Sign Center each time.

## What Happens After Signing

Once a prescription is signed:

1. The prescription status changes to **signed**.
2. The associated order status moves to **waiting for pharmacy**.
3. The order is routed to an appropriate pharmacy for fulfillment.
4. The patient and pharmacy are notified.

## Downloading Signed Prescriptions

You can download signed prescriptions as a ZIP file. This is useful for record-keeping or if you need to share a copy of the signed prescription. The downloaded file contains the prescription document with your qualified electronic signature.

## Frequently Asked Questions

<AccordionGroup>
  <Accordion title="How long do I have to sign a prescription?">
    Signing requests have an expiration window. If a signing request expires before you sign it, a new request may be created automatically. It is best to sign prescriptions promptly after approval.
  </Accordion>

  <Accordion title="Can I undo a signature?">
    Once a prescription is signed with a qualified electronic signature, it cannot be unsigned. If there is an issue with a signed prescription, contact the support team.
  </Accordion>

  <Accordion title="What if RxScaleSign authentication fails?">
    If you encounter issues during the RxScaleSign authentication step, try again. If the problem persists, contact the support team for assistance.
  </Accordion>
</AccordionGroup>

## Related Topics

* [Reviewing Prescriptions](/for-doctors/reviewing-prescriptions) -- Learn how to review prescriptions before signing.
* [Prescription Signing](/help-center/signing) -- Technical details about the electronic signing process.
* [Prescription Statuses](/help-center/prescription-statuses) -- See all prescription statuses and their meanings.