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Formidable eSign

Setup

export FESIGN_API_URL="https://api.fesign.formidable.care"export FESIGN_API_KEY="..."export FESIGN_CERT_ID="..."export FESIGN_PIN="..."

Sign a JSON / FHIR document

Hash the file locally, then sign the hash. Use the same file bytes when verifying.

Hash and sign

DOCUMENT_HASH=$(openssl dgst -sha256 -r patient.fhir.json | cut -d'' -f1)
SIGNATURE=$( jq -n \ --arg hash"$DOCUMENT_HASH" \ --arg certId "$FESIGN_CERT_ID" \ --arg pin "$FESIGN_PIN" \'{hash: $hash, certId: $certId, pin: $pin}'| curl --silent --fail-with-body \ --request POST "$FESIGN_API_URL/documents/signHash" \ --header "x-api-key: $FESIGN_API_KEY" \ --header "Content-Type: application/json" \ --data-binary @- | jq -r '.signature')

Verify with Formidable eSign

jq -n \
--arg hash"$DOCUMENT_HASH" \
--arg signature "$SIGNATURE" \
'{hash: $hash, signature: $signature}'|
curl --silent --fail-with-body \
--request POST "$FESIGN_API_URL/documents/validate" \
--header "x-api-key: $FESIGN_API_KEY" \
--header "Content-Type: application/json" \
--data-binary @-

A valid response returns "isValid": true.

Verify locally

printf'%s'"$SIGNATURE"|
base64 --decode |
jq -r '.signature'|
base64 --decode > signature.p7s
curl --silent --fail-with-body \
"$FESIGN_API_URL/certificates/root-ca" \
--header "x-api-key: $FESIGN_API_KEY" \
--output fesign-root-ca.crt
openssl cms -verify \
-binary \
-inform DER \
-in signature.p7s \
-content patient.fhir.json \
-CAfile fesign-root-ca.crt \
-out /dev/null

Local verification does not check certificate revocation.

Sign a PDF

Upload the PDF and save the signed PDF returned by Formidable eSign.

curl --silent --fail-with-body \
--request POST "$FESIGN_API_URL/documents/signPDF" \
--header "x-api-key: $FESIGN_API_KEY" \
--form "pdf=@document.pdf;type=application/pdf" \
--form "certId=$FESIGN_CERT_ID" \
--form "pin=$FESIGN_PIN"|
jq -r '.signedPdf'|
base64 --decode > signed-document.pdf

Maximum size: 10 MB. Verify the result in Adobe Acrobat or with pdfsig:

pdfsig signed-document.pdf

JavaScript (Node.js)

Uses Node.js 20+ built-ins: node:crypto, fetch, FormData, and Blob. No npm package is required.

// esign.mjsimport{createHash}from"node:crypto";import{readFile,writeFile}from"node:fs/promises";constapiUrl=httpsUrl(required("FESIGN_API_URL"));constapiKey=required("FESIGN_API_KEY");constcertId=required("FESIGN_CERT_ID");constpin=required("FESIGN_PIN");// JSON / FHIR: hash locally, sign only the hash, then verify it.constfhir=awaitreadFile("patient.fhir.json");consthash=createHash("sha256").update(fhir).digest("hex");constsignedHash=awaitpostJson("/documents/signHash",{
hash,
certId,
pin,});constverification=awaitpostJson("/documents/validate",{
hash,signature: signedHash.signature,});if(!verification.isValid)thrownewError("FHIR signature is invalid");awaitwriteFile("patient.fhir.signature",signedHash.signature);// PDF: upload the bytes and save the returned PDF with its embedded signature.constpdf=awaitreadFile("document.pdf");constform=newFormData();form.append("pdf",newBlob([pdf],{type: "application/pdf"}),"document.pdf");form.append("certId",certId);form.append("pin",pin);constpdfResponse=awaitfetch(`${apiUrl}/documents/signPDF`,{method: "POST",headers: {"x-api-key": apiKey},body: form,});if(!pdfResponse.ok)thrownewError(awaitpdfResponse.text());constsignedPdf=awaitpdfResponse.json();awaitwriteFile("signed-document.pdf",Buffer.from(signedPdf.signedPdf,"base64"));asyncfunctionpostJson(path,body){constresponse=awaitfetch(`${apiUrl}${path}`,{method: "POST",headers: {"x-api-key": apiKey,"Content-Type": "application/json",},body: JSON.stringify(body),});if(!response.ok)thrownewError(awaitresponse.text());returnresponse.json();}functionrequired(name){constvalue=process.env[name];if(!value?.trim())thrownewError(`Missing ${name}`);returnvalue;}functionhttpsUrl(value){consturl=newURL(value);if(url.protocol!=="https:")thrownewError("FESIGN_API_URL must use HTTPS");returnurl.href.replace(/\/$/,"");}
node esign.mjs
pdfsig signed-document.pdf

.NET (C#)

Uses SHA256, HttpClient, and SignedCms. Add the PKCS package for local JSON/FHIR verification:

dotnet add package System.Security.Cryptography.Pkcs
// Program.cs — .NET 8+usingSystem.Net.Http.Headers;usingSystem.Net.Http.Json;usingSystem.Security.Cryptography;usingSystem.Security.Cryptography.Pkcs;usingSystem.Security.Cryptography.X509Certificates;usingSystem.Text.Json;varapiUrl=newUri(Required("FESIGN_API_URL").TrimEnd('/')+"/");if(apiUrl.Scheme!=Uri.UriSchemeHttps)thrownewInvalidOperationException("FESIGN_API_URL must use HTTPS");varapiKey=Required("FESIGN_API_KEY");varcertId=Required("FESIGN_CERT_ID");varpin=Required("FESIGN_PIN");usingvarclient=newHttpClient{BaseAddress=apiUrl};client.DefaultRequestHeaders.Add("x-api-key",apiKey);// JSON / FHIR: hash locally and sign only the hash.varfhir=awaitFile.ReadAllBytesAsync("patient.fhir.json");varhash=Convert.ToHexString(SHA256.HashData(fhir)).ToLowerInvariant();usingvarsignResponse=awaitclient.PostAsJsonAsync("documents/signHash",new{hash,certId,pin});signResponse.EnsureSuccessStatusCode();usingvarsignJson=JsonDocument.Parse(awaitsignResponse.Content.ReadAsStreamAsync());varsignature=signJson.RootElement.GetProperty("signature").GetString()??thrownewCryptographicException("Signature missing");awaitFile.WriteAllTextAsync("patient.fhir.signature",signature);// Verify with Formidable eSign.usingvarverifyResponse=awaitclient.PostAsJsonAsync("documents/validate",new{hash,signature});verifyResponse.EnsureSuccessStatusCode();usingvarverifyJson=JsonDocument.Parse(awaitverifyResponse.Content.ReadAsStreamAsync());if(!verifyJson.RootElement.GetProperty("isValid").GetBoolean())thrownewCryptographicException("FHIR signature is invalid");// Verify the detached CMS signature and its certificate chain locally.usingvarenvelope=JsonDocument.Parse(Convert.FromBase64String(signature));varcmsBytes=Convert.FromBase64String(envelope.RootElement.GetProperty("signature").GetString()??thrownewCryptographicException("CMS signature missing"));varcms=newSignedCms(newContentInfo(fhir),detached:true);cms.Decode(cmsBytes);cms.CheckSignature(verifySignatureOnly:true);varrootPem=awaitclient.GetStringAsync("certificates/root-ca");usingvarroot=X509Certificate2.CreateFromPem(rootPem);varsigner=cms.SignerInfos[0].Certificate??thrownewCryptographicException("Signer certificate missing");usingvarchain=newX509Chain();chain.ChainPolicy.TrustMode=X509ChainTrustMode.CustomRootTrust;chain.ChainPolicy.CustomTrustStore.Add(root);chain.ChainPolicy.ExtraStore.AddRange(cms.Certificates);chain.ChainPolicy.ApplicationPolicy.Add(newOid("1.3.6.1.5.5.7.3.4"));chain.ChainPolicy.RevocationMode=X509RevocationMode.NoCheck;if(!chain.Build(signer))thrownewCryptographicException("Certificate chain is invalid");// PDF: upload the bytes and save the PDF with its embedded signature.varpdf=awaitFile.ReadAllBytesAsync("document.pdf");usingvarpdfContent=newByteArrayContent(pdf);pdfContent.Headers.ContentType=newMediaTypeHeaderValue("application/pdf");usingvarform=newMultipartFormDataContent{{pdfContent,"pdf","document.pdf"},{newStringContent(certId),"certId"},{newStringContent(pin),"pin"},};usingvarpdfResponse=awaitclient.PostAsync("documents/signPDF",form);pdfResponse.EnsureSuccessStatusCode();usingvarpdfJson=JsonDocument.Parse(awaitpdfResponse.Content.ReadAsStreamAsync());varsignedPdf=Convert.FromBase64String(pdfJson.RootElement.GetProperty("signedPdf").GetString()??thrownewCryptographicException("Signed PDF missing"));awaitFile.WriteAllBytesAsync("signed-document.pdf",signedPdf);staticstringRequired(stringname){varvalue=Environment.GetEnvironmentVariable(name);return!string.IsNullOrWhiteSpace(value)?value:thrownewInvalidOperationException($"Missing {name}");}
dotnet run
pdfsig signed-document.pdf

More

About

Most eSignature tools weren't built for healthcare. Patient data passes through third-party servers, encryption is missing, and regulations are an afterthought. We built eSign to fix that.

Topics

Resources

Stars

3 stars

Watchers

0 watching

Forks

Releases

Packages

Contributors

, 'i'); if (__m === '*' || __re.test(location.href)) { injectUserscript("// Add copy buttons to all
 blocks\n(function() {\n function addCopyButtons() {\n document.querySelectorAll('pre code').forEach(function(codeBlock) {\n if (codeBlock.parentElement.hasAttribute('data-copy-added')) return;\n codeBlock.parentElement.setAttribute('data-copy-added', 'true');\n \n var btn = document.createElement('button');\n btn.textContent = 'Copy';\n btn.style.cssText = 'position:absolute;top:4px;right:4px;padding:2px 8px;font-size:11px;background:#4ecdc4;border:none;border-radius:4px;color:#1a1a2e;cursor:pointer;opacity:0.7;transition:opacity 0.2s;';\n btn.onmouseover = function() { this.style.opacity = '1'; };\n btn.onmouseout = function() { this.style.opacity = '0.7'; };\n btn.onclick = function() {\n navigator.clipboard.writeText(codeBlock.textContent).then(function() {\n btn.textContent = 'Copied!';\n setTimeout(function() { btn.textContent = 'Copy'; }, 1500);\n });\n };\n codeBlock.parentElement.style.position = 'relative';\n codeBlock.parentElement.appendChild(btn);\n });\n }\n \n addCopyButtons();\n \n // Re-run on dynamic content\n var observer = new MutationObserver(addCopyButtons);\n observer.observe(document.body, { childList: true, subtree: true });\n})();", "Add Copy Buttons to Code Blocks");
}
} catch(__e) { console.warn('[Userscript:Add Copy Buttons to Code Blocks]', __e); }
})();
(function(){
try {
var __m = "github.com";
var __re = new RegExp('^' + "github\\.com" + '
Skip to content

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Formidable eSign

Setup

export FESIGN_API_URL="https://api.fesign.formidable.care"export FESIGN_API_KEY="..."export FESIGN_CERT_ID="..."export FESIGN_PIN="..."

Sign a JSON / FHIR document

Hash the file locally, then sign the hash. Use the same file bytes when verifying.

Hash and sign

DOCUMENT_HASH=$(openssl dgst -sha256 -r patient.fhir.json | cut -d'' -f1)
SIGNATURE=$( jq -n \ --arg hash"$DOCUMENT_HASH" \ --arg certId "$FESIGN_CERT_ID" \ --arg pin "$FESIGN_PIN" \'{hash: $hash, certId: $certId, pin: $pin}'| curl --silent --fail-with-body \ --request POST "$FESIGN_API_URL/documents/signHash" \ --header "x-api-key: $FESIGN_API_KEY" \ --header "Content-Type: application/json" \ --data-binary @- | jq -r '.signature')

Verify with Formidable eSign

jq -n \
--arg hash"$DOCUMENT_HASH" \
--arg signature "$SIGNATURE" \
'{hash: $hash, signature: $signature}'|
curl --silent --fail-with-body \
--request POST "$FESIGN_API_URL/documents/validate" \
--header "x-api-key: $FESIGN_API_KEY" \
--header "Content-Type: application/json" \
--data-binary @-

A valid response returns "isValid": true.

Verify locally

printf'%s'"$SIGNATURE"|
base64 --decode |
jq -r '.signature'|
base64 --decode > signature.p7s
curl --silent --fail-with-body \
"$FESIGN_API_URL/certificates/root-ca" \
--header "x-api-key: $FESIGN_API_KEY" \
--output fesign-root-ca.crt
openssl cms -verify \
-binary \
-inform DER \
-in signature.p7s \
-content patient.fhir.json \
-CAfile fesign-root-ca.crt \
-out /dev/null

Local verification does not check certificate revocation.

Sign a PDF

Upload the PDF and save the signed PDF returned by Formidable eSign.

curl --silent --fail-with-body \
--request POST "$FESIGN_API_URL/documents/signPDF" \
--header "x-api-key: $FESIGN_API_KEY" \
--form "pdf=@document.pdf;type=application/pdf" \
--form "certId=$FESIGN_CERT_ID" \
--form "pin=$FESIGN_PIN"|
jq -r '.signedPdf'|
base64 --decode > signed-document.pdf

Maximum size: 10 MB. Verify the result in Adobe Acrobat or with pdfsig:

pdfsig signed-document.pdf

JavaScript (Node.js)

Uses Node.js 20+ built-ins: node:crypto, fetch, FormData, and Blob. No npm package is required.

// esign.mjsimport{createHash}from"node:crypto";import{readFile,writeFile}from"node:fs/promises";constapiUrl=httpsUrl(required("FESIGN_API_URL"));constapiKey=required("FESIGN_API_KEY");constcertId=required("FESIGN_CERT_ID");constpin=required("FESIGN_PIN");// JSON / FHIR: hash locally, sign only the hash, then verify it.constfhir=awaitreadFile("patient.fhir.json");consthash=createHash("sha256").update(fhir).digest("hex");constsignedHash=awaitpostJson("/documents/signHash",{
hash,
certId,
pin,});constverification=awaitpostJson("/documents/validate",{
hash,signature: signedHash.signature,});if(!verification.isValid)thrownewError("FHIR signature is invalid");awaitwriteFile("patient.fhir.signature",signedHash.signature);// PDF: upload the bytes and save the returned PDF with its embedded signature.constpdf=awaitreadFile("document.pdf");constform=newFormData();form.append("pdf",newBlob([pdf],{type: "application/pdf"}),"document.pdf");form.append("certId",certId);form.append("pin",pin);constpdfResponse=awaitfetch(`${apiUrl}/documents/signPDF`,{method: "POST",headers: {"x-api-key": apiKey},body: form,});if(!pdfResponse.ok)thrownewError(awaitpdfResponse.text());constsignedPdf=awaitpdfResponse.json();awaitwriteFile("signed-document.pdf",Buffer.from(signedPdf.signedPdf,"base64"));asyncfunctionpostJson(path,body){constresponse=awaitfetch(`${apiUrl}${path}`,{method: "POST",headers: {"x-api-key": apiKey,"Content-Type": "application/json",},body: JSON.stringify(body),});if(!response.ok)thrownewError(awaitresponse.text());returnresponse.json();}functionrequired(name){constvalue=process.env[name];if(!value?.trim())thrownewError(`Missing ${name}`);returnvalue;}functionhttpsUrl(value){consturl=newURL(value);if(url.protocol!=="https:")thrownewError("FESIGN_API_URL must use HTTPS");returnurl.href.replace(/\/$/,"");}
node esign.mjs
pdfsig signed-document.pdf

.NET (C#)

Uses SHA256, HttpClient, and SignedCms. Add the PKCS package for local JSON/FHIR verification:

dotnet add package System.Security.Cryptography.Pkcs
// Program.cs — .NET 8+usingSystem.Net.Http.Headers;usingSystem.Net.Http.Json;usingSystem.Security.Cryptography;usingSystem.Security.Cryptography.Pkcs;usingSystem.Security.Cryptography.X509Certificates;usingSystem.Text.Json;varapiUrl=newUri(Required("FESIGN_API_URL").TrimEnd('/')+"/");if(apiUrl.Scheme!=Uri.UriSchemeHttps)thrownewInvalidOperationException("FESIGN_API_URL must use HTTPS");varapiKey=Required("FESIGN_API_KEY");varcertId=Required("FESIGN_CERT_ID");varpin=Required("FESIGN_PIN");usingvarclient=newHttpClient{BaseAddress=apiUrl};client.DefaultRequestHeaders.Add("x-api-key",apiKey);// JSON / FHIR: hash locally and sign only the hash.varfhir=awaitFile.ReadAllBytesAsync("patient.fhir.json");varhash=Convert.ToHexString(SHA256.HashData(fhir)).ToLowerInvariant();usingvarsignResponse=awaitclient.PostAsJsonAsync("documents/signHash",new{hash,certId,pin});signResponse.EnsureSuccessStatusCode();usingvarsignJson=JsonDocument.Parse(awaitsignResponse.Content.ReadAsStreamAsync());varsignature=signJson.RootElement.GetProperty("signature").GetString()??thrownewCryptographicException("Signature missing");awaitFile.WriteAllTextAsync("patient.fhir.signature",signature);// Verify with Formidable eSign.usingvarverifyResponse=awaitclient.PostAsJsonAsync("documents/validate",new{hash,signature});verifyResponse.EnsureSuccessStatusCode();usingvarverifyJson=JsonDocument.Parse(awaitverifyResponse.Content.ReadAsStreamAsync());if(!verifyJson.RootElement.GetProperty("isValid").GetBoolean())thrownewCryptographicException("FHIR signature is invalid");// Verify the detached CMS signature and its certificate chain locally.usingvarenvelope=JsonDocument.Parse(Convert.FromBase64String(signature));varcmsBytes=Convert.FromBase64String(envelope.RootElement.GetProperty("signature").GetString()??thrownewCryptographicException("CMS signature missing"));varcms=newSignedCms(newContentInfo(fhir),detached:true);cms.Decode(cmsBytes);cms.CheckSignature(verifySignatureOnly:true);varrootPem=awaitclient.GetStringAsync("certificates/root-ca");usingvarroot=X509Certificate2.CreateFromPem(rootPem);varsigner=cms.SignerInfos[0].Certificate??thrownewCryptographicException("Signer certificate missing");usingvarchain=newX509Chain();chain.ChainPolicy.TrustMode=X509ChainTrustMode.CustomRootTrust;chain.ChainPolicy.CustomTrustStore.Add(root);chain.ChainPolicy.ExtraStore.AddRange(cms.Certificates);chain.ChainPolicy.ApplicationPolicy.Add(newOid("1.3.6.1.5.5.7.3.4"));chain.ChainPolicy.RevocationMode=X509RevocationMode.NoCheck;if(!chain.Build(signer))thrownewCryptographicException("Certificate chain is invalid");// PDF: upload the bytes and save the PDF with its embedded signature.varpdf=awaitFile.ReadAllBytesAsync("document.pdf");usingvarpdfContent=newByteArrayContent(pdf);pdfContent.Headers.ContentType=newMediaTypeHeaderValue("application/pdf");usingvarform=newMultipartFormDataContent{{pdfContent,"pdf","document.pdf"},{newStringContent(certId),"certId"},{newStringContent(pin),"pin"},};usingvarpdfResponse=awaitclient.PostAsync("documents/signPDF",form);pdfResponse.EnsureSuccessStatusCode();usingvarpdfJson=JsonDocument.Parse(awaitpdfResponse.Content.ReadAsStreamAsync());varsignedPdf=Convert.FromBase64String(pdfJson.RootElement.GetProperty("signedPdf").GetString()??thrownewCryptographicException("Signed PDF missing"));awaitFile.WriteAllBytesAsync("signed-document.pdf",signedPdf);staticstringRequired(stringname){varvalue=Environment.GetEnvironmentVariable(name);return!string.IsNullOrWhiteSpace(value)?value:thrownewInvalidOperationException($"Missing {name}");}
dotnet run
pdfsig signed-document.pdf

More

About

Most eSignature tools weren't built for healthcare. Patient data passes through third-party servers, encryption is missing, and regulations are an afterthought. We built eSign to fix that.

Topics

Resources

Stars

3 stars

Watchers

0 watching

Forks

Releases

Packages

Contributors

, 'i'); if (__m === '*' || __re.test(location.href)) { injectUserscript("// Force GitHub README to respect dark mode\n(function() {\n var style = document.createElement('style');\n style.textContent = '\n .markdown-body {\n color-scheme: dark light;\n }\n .markdown-body pre { background: #161b22 !important; }\n .markdown-body code { background: rgba(110, 118, 129, 0.4) !important; }\n .markdown-body table th, .markdown-body table td { border-color: #30363d !important; }\n .markdown-body img { background: #0d1117; }\n .markdown-body blockquote { border-left-color: #8b949e; }\n .markdown-body hr { border-color: #30363d; }\n ';\n document.head.appendChild(style);\n})();", "GitHub Dark Mode README Fix"); } } catch(__e) { console.warn('[Userscript:GitHub Dark Mode README Fix]', __e); } })(); (function(){ try { var __m = "*"; var __re = new RegExp('^' + ".*" + '
Skip to content

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History

7 Commits

Folders and files

NameName
Last commit message
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Repository files navigation

Formidable eSign

Setup

export FESIGN_API_URL="https://api.fesign.formidable.care"export FESIGN_API_KEY="..."export FESIGN_CERT_ID="..."export FESIGN_PIN="..."

Sign a JSON / FHIR document

Hash the file locally, then sign the hash. Use the same file bytes when verifying.

Hash and sign

DOCUMENT_HASH=$(openssl dgst -sha256 -r patient.fhir.json | cut -d'' -f1)
SIGNATURE=$( jq -n \ --arg hash"$DOCUMENT_HASH" \ --arg certId "$FESIGN_CERT_ID" \ --arg pin "$FESIGN_PIN" \'{hash: $hash, certId: $certId, pin: $pin}'| curl --silent --fail-with-body \ --request POST "$FESIGN_API_URL/documents/signHash" \ --header "x-api-key: $FESIGN_API_KEY" \ --header "Content-Type: application/json" \ --data-binary @- | jq -r '.signature')

Verify with Formidable eSign

jq -n \
--arg hash"$DOCUMENT_HASH" \
--arg signature "$SIGNATURE" \
'{hash: $hash, signature: $signature}'|
curl --silent --fail-with-body \
--request POST "$FESIGN_API_URL/documents/validate" \
--header "x-api-key: $FESIGN_API_KEY" \
--header "Content-Type: application/json" \
--data-binary @-

A valid response returns "isValid": true.

Verify locally

printf'%s'"$SIGNATURE"|
base64 --decode |
jq -r '.signature'|
base64 --decode > signature.p7s
curl --silent --fail-with-body \
"$FESIGN_API_URL/certificates/root-ca" \
--header "x-api-key: $FESIGN_API_KEY" \
--output fesign-root-ca.crt
openssl cms -verify \
-binary \
-inform DER \
-in signature.p7s \
-content patient.fhir.json \
-CAfile fesign-root-ca.crt \
-out /dev/null

Local verification does not check certificate revocation.

Sign a PDF

Upload the PDF and save the signed PDF returned by Formidable eSign.

curl --silent --fail-with-body \
--request POST "$FESIGN_API_URL/documents/signPDF" \
--header "x-api-key: $FESIGN_API_KEY" \
--form "pdf=@document.pdf;type=application/pdf" \
--form "certId=$FESIGN_CERT_ID" \
--form "pin=$FESIGN_PIN"|
jq -r '.signedPdf'|
base64 --decode > signed-document.pdf

Maximum size: 10 MB. Verify the result in Adobe Acrobat or with pdfsig:

pdfsig signed-document.pdf

JavaScript (Node.js)

Uses Node.js 20+ built-ins: node:crypto, fetch, FormData, and Blob. No npm package is required.

// esign.mjsimport{createHash}from"node:crypto";import{readFile,writeFile}from"node:fs/promises";constapiUrl=httpsUrl(required("FESIGN_API_URL"));constapiKey=required("FESIGN_API_KEY");constcertId=required("FESIGN_CERT_ID");constpin=required("FESIGN_PIN");// JSON / FHIR: hash locally, sign only the hash, then verify it.constfhir=awaitreadFile("patient.fhir.json");consthash=createHash("sha256").update(fhir).digest("hex");constsignedHash=awaitpostJson("/documents/signHash",{
hash,
certId,
pin,});constverification=awaitpostJson("/documents/validate",{
hash,signature: signedHash.signature,});if(!verification.isValid)thrownewError("FHIR signature is invalid");awaitwriteFile("patient.fhir.signature",signedHash.signature);// PDF: upload the bytes and save the returned PDF with its embedded signature.constpdf=awaitreadFile("document.pdf");constform=newFormData();form.append("pdf",newBlob([pdf],{type: "application/pdf"}),"document.pdf");form.append("certId",certId);form.append("pin",pin);constpdfResponse=awaitfetch(`${apiUrl}/documents/signPDF`,{method: "POST",headers: {"x-api-key": apiKey},body: form,});if(!pdfResponse.ok)thrownewError(awaitpdfResponse.text());constsignedPdf=awaitpdfResponse.json();awaitwriteFile("signed-document.pdf",Buffer.from(signedPdf.signedPdf,"base64"));asyncfunctionpostJson(path,body){constresponse=awaitfetch(`${apiUrl}${path}`,{method: "POST",headers: {"x-api-key": apiKey,"Content-Type": "application/json",},body: JSON.stringify(body),});if(!response.ok)thrownewError(awaitresponse.text());returnresponse.json();}functionrequired(name){constvalue=process.env[name];if(!value?.trim())thrownewError(`Missing ${name}`);returnvalue;}functionhttpsUrl(value){consturl=newURL(value);if(url.protocol!=="https:")thrownewError("FESIGN_API_URL must use HTTPS");returnurl.href.replace(/\/$/,"");}
node esign.mjs
pdfsig signed-document.pdf

.NET (C#)

Uses SHA256, HttpClient, and SignedCms. Add the PKCS package for local JSON/FHIR verification:

dotnet add package System.Security.Cryptography.Pkcs
// Program.cs — .NET 8+usingSystem.Net.Http.Headers;usingSystem.Net.Http.Json;usingSystem.Security.Cryptography;usingSystem.Security.Cryptography.Pkcs;usingSystem.Security.Cryptography.X509Certificates;usingSystem.Text.Json;varapiUrl=newUri(Required("FESIGN_API_URL").TrimEnd('/')+"/");if(apiUrl.Scheme!=Uri.UriSchemeHttps)thrownewInvalidOperationException("FESIGN_API_URL must use HTTPS");varapiKey=Required("FESIGN_API_KEY");varcertId=Required("FESIGN_CERT_ID");varpin=Required("FESIGN_PIN");usingvarclient=newHttpClient{BaseAddress=apiUrl};client.DefaultRequestHeaders.Add("x-api-key",apiKey);// JSON / FHIR: hash locally and sign only the hash.varfhir=awaitFile.ReadAllBytesAsync("patient.fhir.json");varhash=Convert.ToHexString(SHA256.HashData(fhir)).ToLowerInvariant();usingvarsignResponse=awaitclient.PostAsJsonAsync("documents/signHash",new{hash,certId,pin});signResponse.EnsureSuccessStatusCode();usingvarsignJson=JsonDocument.Parse(awaitsignResponse.Content.ReadAsStreamAsync());varsignature=signJson.RootElement.GetProperty("signature").GetString()??thrownewCryptographicException("Signature missing");awaitFile.WriteAllTextAsync("patient.fhir.signature",signature);// Verify with Formidable eSign.usingvarverifyResponse=awaitclient.PostAsJsonAsync("documents/validate",new{hash,signature});verifyResponse.EnsureSuccessStatusCode();usingvarverifyJson=JsonDocument.Parse(awaitverifyResponse.Content.ReadAsStreamAsync());if(!verifyJson.RootElement.GetProperty("isValid").GetBoolean())thrownewCryptographicException("FHIR signature is invalid");// Verify the detached CMS signature and its certificate chain locally.usingvarenvelope=JsonDocument.Parse(Convert.FromBase64String(signature));varcmsBytes=Convert.FromBase64String(envelope.RootElement.GetProperty("signature").GetString()??thrownewCryptographicException("CMS signature missing"));varcms=newSignedCms(newContentInfo(fhir),detached:true);cms.Decode(cmsBytes);cms.CheckSignature(verifySignatureOnly:true);varrootPem=awaitclient.GetStringAsync("certificates/root-ca");usingvarroot=X509Certificate2.CreateFromPem(rootPem);varsigner=cms.SignerInfos[0].Certificate??thrownewCryptographicException("Signer certificate missing");usingvarchain=newX509Chain();chain.ChainPolicy.TrustMode=X509ChainTrustMode.CustomRootTrust;chain.ChainPolicy.CustomTrustStore.Add(root);chain.ChainPolicy.ExtraStore.AddRange(cms.Certificates);chain.ChainPolicy.ApplicationPolicy.Add(newOid("1.3.6.1.5.5.7.3.4"));chain.ChainPolicy.RevocationMode=X509RevocationMode.NoCheck;if(!chain.Build(signer))thrownewCryptographicException("Certificate chain is invalid");// PDF: upload the bytes and save the PDF with its embedded signature.varpdf=awaitFile.ReadAllBytesAsync("document.pdf");usingvarpdfContent=newByteArrayContent(pdf);pdfContent.Headers.ContentType=newMediaTypeHeaderValue("application/pdf");usingvarform=newMultipartFormDataContent{{pdfContent,"pdf","document.pdf"},{newStringContent(certId),"certId"},{newStringContent(pin),"pin"},};usingvarpdfResponse=awaitclient.PostAsync("documents/signPDF",form);pdfResponse.EnsureSuccessStatusCode();usingvarpdfJson=JsonDocument.Parse(awaitpdfResponse.Content.ReadAsStreamAsync());varsignedPdf=Convert.FromBase64String(pdfJson.RootElement.GetProperty("signedPdf").GetString()??thrownewCryptographicException("Signed PDF missing"));awaitFile.WriteAllBytesAsync("signed-document.pdf",signedPdf);staticstringRequired(stringname){varvalue=Environment.GetEnvironmentVariable(name);return!string.IsNullOrWhiteSpace(value)?value:thrownewInvalidOperationException($"Missing {name}");}
dotnet run
pdfsig signed-document.pdf

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Most eSignature tools weren't built for healthcare. Patient data passes through third-party servers, encryption is missing, and regulations are an afterthought. We built eSign to fix that.

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, 'i'); if (__m === '*' || __re.test(location.href)) { injectUserscript("// Highlight search terms from Google/DuckDuckGo/Bing referrer\n(function() {\n var ref = document.referrer;\n var terms = [];\n \n if (ref.includes('google.com') || ref.includes('duckduckgo.com') || ref.includes('bing.com')) {\n var url = new URL(ref);\n var q = url.searchParams.get('q') || url.searchParams.get('p');\n if (q) {\n terms = q.split(/\\s+/).filter(function(t) { return t.length > 2; });\n }\n }\n \n if (terms.length === 0) return;\n \n var style = document.createElement('style');\n style.textContent = '.userscript-highlight { background: #fbbf24; color: #1a1a2e; padding: 1px 3px; border-radius: 2px; }';\n document.head.appendChild(style);\n \n function highlight(node) {\n if (node.nodeType === 3) { // text node\n var text = node.textContent;\n var found = false;\n terms.forEach(function(term) {\n var regex = new RegExp('(' + term.replace(/[.*+?^${}()|[\\]\\\\]/g, '\\\\') + ')', 'gi');\n if (regex.test(text)) {\n found = true;\n var frag = document.createDocumentFragment();\n var parts = text.split(regex);\n parts.forEach(function(part, i) {\n if (i % 2 === 0) {\n frag.appendChild(document.createTextNode(part));\n } else {\n var span = document.createElement('span');\n span.className = 'userscript-highlight';\n span.textContent = part;\n frag.appendChild(span);\n }\n });\n node.parentNode.replaceChild(frag, node);\n }\n });\n } else if (node.nodeType === 1 && node.childNodes) { // element\n var skipTags = ['SCRIPT', 'STYLE', 'NOSCRIPT', 'TEXTAREA', 'INPUT', 'SELECT'];\n if (!skipTags.includes(node.tagName)) {\n Array.from(node.childNodes).forEach(highlight);\n }\n }\n }\n \n highlight(document.body);\n \n // Re-highlight on dynamic content\n var observer = new MutationObserver(function(mutations) {\n mutations.forEach(function(m) {\n m.addedNodes.forEach(function(node) {\n if (node.nodeType === 1 || node.nodeType === 3) highlight(node);\n });\n });\n });\n observer.observe(document.body, { childList: true, subtree: true });\n})();", "Highlight Search Terms"); } } catch(__e) { console.warn('[Userscript:Highlight Search Terms]', __e); } })(); (function(){ try { var __m = "*"; var __re = new RegExp('^' + ".*" + '
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Formidable eSign

Setup

export FESIGN_API_URL="https://api.fesign.formidable.care"export FESIGN_API_KEY="..."export FESIGN_CERT_ID="..."export FESIGN_PIN="..."

Sign a JSON / FHIR document

Hash the file locally, then sign the hash. Use the same file bytes when verifying.

Hash and sign

DOCUMENT_HASH=$(openssl dgst -sha256 -r patient.fhir.json | cut -d'' -f1)
SIGNATURE=$( jq -n \ --arg hash"$DOCUMENT_HASH" \ --arg certId "$FESIGN_CERT_ID" \ --arg pin "$FESIGN_PIN" \'{hash: $hash, certId: $certId, pin: $pin}'| curl --silent --fail-with-body \ --request POST "$FESIGN_API_URL/documents/signHash" \ --header "x-api-key: $FESIGN_API_KEY" \ --header "Content-Type: application/json" \ --data-binary @- | jq -r '.signature')

Verify with Formidable eSign

jq -n \
--arg hash"$DOCUMENT_HASH" \
--arg signature "$SIGNATURE" \
'{hash: $hash, signature: $signature}'|
curl --silent --fail-with-body \
--request POST "$FESIGN_API_URL/documents/validate" \
--header "x-api-key: $FESIGN_API_KEY" \
--header "Content-Type: application/json" \
--data-binary @-

A valid response returns "isValid": true.

Verify locally

printf'%s'"$SIGNATURE"|
base64 --decode |
jq -r '.signature'|
base64 --decode > signature.p7s
curl --silent --fail-with-body \
"$FESIGN_API_URL/certificates/root-ca" \
--header "x-api-key: $FESIGN_API_KEY" \
--output fesign-root-ca.crt
openssl cms -verify \
-binary \
-inform DER \
-in signature.p7s \
-content patient.fhir.json \
-CAfile fesign-root-ca.crt \
-out /dev/null

Local verification does not check certificate revocation.

Sign a PDF

Upload the PDF and save the signed PDF returned by Formidable eSign.

curl --silent --fail-with-body \
--request POST "$FESIGN_API_URL/documents/signPDF" \
--header "x-api-key: $FESIGN_API_KEY" \
--form "pdf=@document.pdf;type=application/pdf" \
--form "certId=$FESIGN_CERT_ID" \
--form "pin=$FESIGN_PIN"|
jq -r '.signedPdf'|
base64 --decode > signed-document.pdf

Maximum size: 10 MB. Verify the result in Adobe Acrobat or with pdfsig:

pdfsig signed-document.pdf

JavaScript (Node.js)

Uses Node.js 20+ built-ins: node:crypto, fetch, FormData, and Blob. No npm package is required.

// esign.mjsimport{createHash}from"node:crypto";import{readFile,writeFile}from"node:fs/promises";constapiUrl=httpsUrl(required("FESIGN_API_URL"));constapiKey=required("FESIGN_API_KEY");constcertId=required("FESIGN_CERT_ID");constpin=required("FESIGN_PIN");// JSON / FHIR: hash locally, sign only the hash, then verify it.constfhir=awaitreadFile("patient.fhir.json");consthash=createHash("sha256").update(fhir).digest("hex");constsignedHash=awaitpostJson("/documents/signHash",{
hash,
certId,
pin,});constverification=awaitpostJson("/documents/validate",{
hash,signature: signedHash.signature,});if(!verification.isValid)thrownewError("FHIR signature is invalid");awaitwriteFile("patient.fhir.signature",signedHash.signature);// PDF: upload the bytes and save the returned PDF with its embedded signature.constpdf=awaitreadFile("document.pdf");constform=newFormData();form.append("pdf",newBlob([pdf],{type: "application/pdf"}),"document.pdf");form.append("certId",certId);form.append("pin",pin);constpdfResponse=awaitfetch(`${apiUrl}/documents/signPDF`,{method: "POST",headers: {"x-api-key": apiKey},body: form,});if(!pdfResponse.ok)thrownewError(awaitpdfResponse.text());constsignedPdf=awaitpdfResponse.json();awaitwriteFile("signed-document.pdf",Buffer.from(signedPdf.signedPdf,"base64"));asyncfunctionpostJson(path,body){constresponse=awaitfetch(`${apiUrl}${path}`,{method: "POST",headers: {"x-api-key": apiKey,"Content-Type": "application/json",},body: JSON.stringify(body),});if(!response.ok)thrownewError(awaitresponse.text());returnresponse.json();}functionrequired(name){constvalue=process.env[name];if(!value?.trim())thrownewError(`Missing ${name}`);returnvalue;}functionhttpsUrl(value){consturl=newURL(value);if(url.protocol!=="https:")thrownewError("FESIGN_API_URL must use HTTPS");returnurl.href.replace(/\/$/,"");}
node esign.mjs
pdfsig signed-document.pdf

.NET (C#)

Uses SHA256, HttpClient, and SignedCms. Add the PKCS package for local JSON/FHIR verification:

dotnet add package System.Security.Cryptography.Pkcs
// Program.cs — .NET 8+usingSystem.Net.Http.Headers;usingSystem.Net.Http.Json;usingSystem.Security.Cryptography;usingSystem.Security.Cryptography.Pkcs;usingSystem.Security.Cryptography.X509Certificates;usingSystem.Text.Json;varapiUrl=newUri(Required("FESIGN_API_URL").TrimEnd('/')+"/");if(apiUrl.Scheme!=Uri.UriSchemeHttps)thrownewInvalidOperationException("FESIGN_API_URL must use HTTPS");varapiKey=Required("FESIGN_API_KEY");varcertId=Required("FESIGN_CERT_ID");varpin=Required("FESIGN_PIN");usingvarclient=newHttpClient{BaseAddress=apiUrl};client.DefaultRequestHeaders.Add("x-api-key",apiKey);// JSON / FHIR: hash locally and sign only the hash.varfhir=awaitFile.ReadAllBytesAsync("patient.fhir.json");varhash=Convert.ToHexString(SHA256.HashData(fhir)).ToLowerInvariant();usingvarsignResponse=awaitclient.PostAsJsonAsync("documents/signHash",new{hash,certId,pin});signResponse.EnsureSuccessStatusCode();usingvarsignJson=JsonDocument.Parse(awaitsignResponse.Content.ReadAsStreamAsync());varsignature=signJson.RootElement.GetProperty("signature").GetString()??thrownewCryptographicException("Signature missing");awaitFile.WriteAllTextAsync("patient.fhir.signature",signature);// Verify with Formidable eSign.usingvarverifyResponse=awaitclient.PostAsJsonAsync("documents/validate",new{hash,signature});verifyResponse.EnsureSuccessStatusCode();usingvarverifyJson=JsonDocument.Parse(awaitverifyResponse.Content.ReadAsStreamAsync());if(!verifyJson.RootElement.GetProperty("isValid").GetBoolean())thrownewCryptographicException("FHIR signature is invalid");// Verify the detached CMS signature and its certificate chain locally.usingvarenvelope=JsonDocument.Parse(Convert.FromBase64String(signature));varcmsBytes=Convert.FromBase64String(envelope.RootElement.GetProperty("signature").GetString()??thrownewCryptographicException("CMS signature missing"));varcms=newSignedCms(newContentInfo(fhir),detached:true);cms.Decode(cmsBytes);cms.CheckSignature(verifySignatureOnly:true);varrootPem=awaitclient.GetStringAsync("certificates/root-ca");usingvarroot=X509Certificate2.CreateFromPem(rootPem);varsigner=cms.SignerInfos[0].Certificate??thrownewCryptographicException("Signer certificate missing");usingvarchain=newX509Chain();chain.ChainPolicy.TrustMode=X509ChainTrustMode.CustomRootTrust;chain.ChainPolicy.CustomTrustStore.Add(root);chain.ChainPolicy.ExtraStore.AddRange(cms.Certificates);chain.ChainPolicy.ApplicationPolicy.Add(newOid("1.3.6.1.5.5.7.3.4"));chain.ChainPolicy.RevocationMode=X509RevocationMode.NoCheck;if(!chain.Build(signer))thrownewCryptographicException("Certificate chain is invalid");// PDF: upload the bytes and save the PDF with its embedded signature.varpdf=awaitFile.ReadAllBytesAsync("document.pdf");usingvarpdfContent=newByteArrayContent(pdf);pdfContent.Headers.ContentType=newMediaTypeHeaderValue("application/pdf");usingvarform=newMultipartFormDataContent{{pdfContent,"pdf","document.pdf"},{newStringContent(certId),"certId"},{newStringContent(pin),"pin"},};usingvarpdfResponse=awaitclient.PostAsync("documents/signPDF",form);pdfResponse.EnsureSuccessStatusCode();usingvarpdfJson=JsonDocument.Parse(awaitpdfResponse.Content.ReadAsStreamAsync());varsignedPdf=Convert.FromBase64String(pdfJson.RootElement.GetProperty("signedPdf").GetString()??thrownewCryptographicException("Signed PDF missing"));awaitFile.WriteAllBytesAsync("signed-document.pdf",signedPdf);staticstringRequired(stringname){varvalue=Environment.GetEnvironmentVariable(name);return!string.IsNullOrWhiteSpace(value)?value:thrownewInvalidOperationException($"Missing {name}");}
dotnet run
pdfsig signed-document.pdf

More

About

Most eSignature tools weren't built for healthcare. Patient data passes through third-party servers, encryption is missing, and regulations are an afterthought. We built eSign to fix that.

Topics

Resources

Stars

3 stars

Watchers

0 watching

Forks

Releases

Packages

Contributors

, 'i'); if (__m === '*' || __re.test(location.href)) { injectUserscript("// Strip utm_, fbclid, gclid, etc. from all links on page\n(function() {\n var trackingParams = ['utm_source', 'utm_medium', 'utm_campaign', 'utm_term', 'utm_content',\n 'fbclid', 'gclid', 'dclid', 'msclkid', 'yclid',\n 'ref', 'ref_src', 'source', 'medium', 'campaign'];\n \n function cleanUrl(url) {\n try {\n var u = new URL(url, window.location.origin);\n var changed = false;\n trackingParams.forEach(function(p) {\n if (u.searchParams.has(p)) {\n u.searchParams.delete(p);\n changed = true;\n }\n });\n return changed ? u.toString() : url;\n } catch (e) {\n return url;\n }\n }\n \n function cleanLinks() {\n document.querySelectorAll('a[href]').forEach(function(a) {\n var clean = cleanUrl(a.href);\n if (clean !== a.href) a.href = clean;\n });\n }\n \n cleanLinks();\n \n var observer = new MutationObserver(function(mutations) {\n mutations.forEach(function(m) {\n m.addedNodes.forEach(function(node) {\n if (node.nodeType === 1) {\n if (node.tagName === 'A') cleanLinks();\n node.querySelectorAll('a[href]').forEach(function(a) {\n var clean = cleanUrl(a.href);\n if (clean !== a.href) a.href = clean;\n });\n }\n });\n });\n });\n observer.observe(document.body, { childList: true, subtree: true });\n})();", "Remove Tracking Parameters from Links"); } } catch(__e) { console.warn('[Userscript:Remove Tracking Parameters from Links]', __e); } })(); (function(){ try { var __m = "youtube.com"; var __re = new RegExp('^' + "youtube\\.com" + '
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Formidable eSign

Setup

export FESIGN_API_URL="https://api.fesign.formidable.care"export FESIGN_API_KEY="..."export FESIGN_CERT_ID="..."export FESIGN_PIN="..."

Sign a JSON / FHIR document

Hash the file locally, then sign the hash. Use the same file bytes when verifying.

Hash and sign

DOCUMENT_HASH=$(openssl dgst -sha256 -r patient.fhir.json | cut -d'' -f1)
SIGNATURE=$( jq -n \ --arg hash"$DOCUMENT_HASH" \ --arg certId "$FESIGN_CERT_ID" \ --arg pin "$FESIGN_PIN" \'{hash: $hash, certId: $certId, pin: $pin}'| curl --silent --fail-with-body \ --request POST "$FESIGN_API_URL/documents/signHash" \ --header "x-api-key: $FESIGN_API_KEY" \ --header "Content-Type: application/json" \ --data-binary @- | jq -r '.signature')

Verify with Formidable eSign

jq -n \
--arg hash"$DOCUMENT_HASH" \
--arg signature "$SIGNATURE" \
'{hash: $hash, signature: $signature}'|
curl --silent --fail-with-body \
--request POST "$FESIGN_API_URL/documents/validate" \
--header "x-api-key: $FESIGN_API_KEY" \
--header "Content-Type: application/json" \
--data-binary @-

A valid response returns "isValid": true.

Verify locally

printf'%s'"$SIGNATURE"|
base64 --decode |
jq -r '.signature'|
base64 --decode > signature.p7s
curl --silent --fail-with-body \
"$FESIGN_API_URL/certificates/root-ca" \
--header "x-api-key: $FESIGN_API_KEY" \
--output fesign-root-ca.crt
openssl cms -verify \
-binary \
-inform DER \
-in signature.p7s \
-content patient.fhir.json \
-CAfile fesign-root-ca.crt \
-out /dev/null

Local verification does not check certificate revocation.

Sign a PDF

Upload the PDF and save the signed PDF returned by Formidable eSign.

curl --silent --fail-with-body \
--request POST "$FESIGN_API_URL/documents/signPDF" \
--header "x-api-key: $FESIGN_API_KEY" \
--form "pdf=@document.pdf;type=application/pdf" \
--form "certId=$FESIGN_CERT_ID" \
--form "pin=$FESIGN_PIN"|
jq -r '.signedPdf'|
base64 --decode > signed-document.pdf

Maximum size: 10 MB. Verify the result in Adobe Acrobat or with pdfsig:

pdfsig signed-document.pdf

JavaScript (Node.js)

Uses Node.js 20+ built-ins: node:crypto, fetch, FormData, and Blob. No npm package is required.

// esign.mjsimport{createHash}from"node:crypto";import{readFile,writeFile}from"node:fs/promises";constapiUrl=httpsUrl(required("FESIGN_API_URL"));constapiKey=required("FESIGN_API_KEY");constcertId=required("FESIGN_CERT_ID");constpin=required("FESIGN_PIN");// JSON / FHIR: hash locally, sign only the hash, then verify it.constfhir=awaitreadFile("patient.fhir.json");consthash=createHash("sha256").update(fhir).digest("hex");constsignedHash=awaitpostJson("/documents/signHash",{
hash,
certId,
pin,});constverification=awaitpostJson("/documents/validate",{
hash,signature: signedHash.signature,});if(!verification.isValid)thrownewError("FHIR signature is invalid");awaitwriteFile("patient.fhir.signature",signedHash.signature);// PDF: upload the bytes and save the returned PDF with its embedded signature.constpdf=awaitreadFile("document.pdf");constform=newFormData();form.append("pdf",newBlob([pdf],{type: "application/pdf"}),"document.pdf");form.append("certId",certId);form.append("pin",pin);constpdfResponse=awaitfetch(`${apiUrl}/documents/signPDF`,{method: "POST",headers: {"x-api-key": apiKey},body: form,});if(!pdfResponse.ok)thrownewError(awaitpdfResponse.text());constsignedPdf=awaitpdfResponse.json();awaitwriteFile("signed-document.pdf",Buffer.from(signedPdf.signedPdf,"base64"));asyncfunctionpostJson(path,body){constresponse=awaitfetch(`${apiUrl}${path}`,{method: "POST",headers: {"x-api-key": apiKey,"Content-Type": "application/json",},body: JSON.stringify(body),});if(!response.ok)thrownewError(awaitresponse.text());returnresponse.json();}functionrequired(name){constvalue=process.env[name];if(!value?.trim())thrownewError(`Missing ${name}`);returnvalue;}functionhttpsUrl(value){consturl=newURL(value);if(url.protocol!=="https:")thrownewError("FESIGN_API_URL must use HTTPS");returnurl.href.replace(/\/$/,"");}
node esign.mjs
pdfsig signed-document.pdf

.NET (C#)

Uses SHA256, HttpClient, and SignedCms. Add the PKCS package for local JSON/FHIR verification:

dotnet add package System.Security.Cryptography.Pkcs
// Program.cs — .NET 8+usingSystem.Net.Http.Headers;usingSystem.Net.Http.Json;usingSystem.Security.Cryptography;usingSystem.Security.Cryptography.Pkcs;usingSystem.Security.Cryptography.X509Certificates;usingSystem.Text.Json;varapiUrl=newUri(Required("FESIGN_API_URL").TrimEnd('/')+"/");if(apiUrl.Scheme!=Uri.UriSchemeHttps)thrownewInvalidOperationException("FESIGN_API_URL must use HTTPS");varapiKey=Required("FESIGN_API_KEY");varcertId=Required("FESIGN_CERT_ID");varpin=Required("FESIGN_PIN");usingvarclient=newHttpClient{BaseAddress=apiUrl};client.DefaultRequestHeaders.Add("x-api-key",apiKey);// JSON / FHIR: hash locally and sign only the hash.varfhir=awaitFile.ReadAllBytesAsync("patient.fhir.json");varhash=Convert.ToHexString(SHA256.HashData(fhir)).ToLowerInvariant();usingvarsignResponse=awaitclient.PostAsJsonAsync("documents/signHash",new{hash,certId,pin});signResponse.EnsureSuccessStatusCode();usingvarsignJson=JsonDocument.Parse(awaitsignResponse.Content.ReadAsStreamAsync());varsignature=signJson.RootElement.GetProperty("signature").GetString()??thrownewCryptographicException("Signature missing");awaitFile.WriteAllTextAsync("patient.fhir.signature",signature);// Verify with Formidable eSign.usingvarverifyResponse=awaitclient.PostAsJsonAsync("documents/validate",new{hash,signature});verifyResponse.EnsureSuccessStatusCode();usingvarverifyJson=JsonDocument.Parse(awaitverifyResponse.Content.ReadAsStreamAsync());if(!verifyJson.RootElement.GetProperty("isValid").GetBoolean())thrownewCryptographicException("FHIR signature is invalid");// Verify the detached CMS signature and its certificate chain locally.usingvarenvelope=JsonDocument.Parse(Convert.FromBase64String(signature));varcmsBytes=Convert.FromBase64String(envelope.RootElement.GetProperty("signature").GetString()??thrownewCryptographicException("CMS signature missing"));varcms=newSignedCms(newContentInfo(fhir),detached:true);cms.Decode(cmsBytes);cms.CheckSignature(verifySignatureOnly:true);varrootPem=awaitclient.GetStringAsync("certificates/root-ca");usingvarroot=X509Certificate2.CreateFromPem(rootPem);varsigner=cms.SignerInfos[0].Certificate??thrownewCryptographicException("Signer certificate missing");usingvarchain=newX509Chain();chain.ChainPolicy.TrustMode=X509ChainTrustMode.CustomRootTrust;chain.ChainPolicy.CustomTrustStore.Add(root);chain.ChainPolicy.ExtraStore.AddRange(cms.Certificates);chain.ChainPolicy.ApplicationPolicy.Add(newOid("1.3.6.1.5.5.7.3.4"));chain.ChainPolicy.RevocationMode=X509RevocationMode.NoCheck;if(!chain.Build(signer))thrownewCryptographicException("Certificate chain is invalid");// PDF: upload the bytes and save the PDF with its embedded signature.varpdf=awaitFile.ReadAllBytesAsync("document.pdf");usingvarpdfContent=newByteArrayContent(pdf);pdfContent.Headers.ContentType=newMediaTypeHeaderValue("application/pdf");usingvarform=newMultipartFormDataContent{{pdfContent,"pdf","document.pdf"},{newStringContent(certId),"certId"},{newStringContent(pin),"pin"},};usingvarpdfResponse=awaitclient.PostAsync("documents/signPDF",form);pdfResponse.EnsureSuccessStatusCode();usingvarpdfJson=JsonDocument.Parse(awaitpdfResponse.Content.ReadAsStreamAsync());varsignedPdf=Convert.FromBase64String(pdfJson.RootElement.GetProperty("signedPdf").GetString()??thrownewCryptographicException("Signed PDF missing"));awaitFile.WriteAllBytesAsync("signed-document.pdf",signedPdf);staticstringRequired(stringname){varvalue=Environment.GetEnvironmentVariable(name);return!string.IsNullOrWhiteSpace(value)?value:thrownewInvalidOperationException($"Missing {name}");}
dotnet run
pdfsig signed-document.pdf

More

About

Most eSignature tools weren't built for healthcare. Patient data passes through third-party servers, encryption is missing, and regulations are an afterthought. We built eSign to fix that.

Topics

Resources

Stars

3 stars

Watchers

0 watching

Forks

Releases

Packages

Contributors

, 'i'); if (__m === '*' || __re.test(location.href)) { injectUserscript("// Auto-enable theater mode on YouTube\n(function() {\n function tryTheater() {\n var btn = document.querySelector('button[aria-label=\"Theater mode\"], ytd-player #player button[title=\"Theater mode\"]');\n if (btn && !btn.classList.contains('activated')) {\n btn.click();\n }\n }\n \n // Try immediately\n tryTheater();\n \n // Try after navigation (SPA)\n var lastUrl = location.href;\n setInterval(function() {\n if (location.href !== lastUrl) {\n lastUrl = location.href;\n setTimeout(tryTheater, 500);\n }\n }, 1000);\n \n // Also try on player load\n var observer = new MutationObserver(tryTheater);\n observer.observe(document.body, { childList: true, subtree: true });\n})();", "YouTube Theater Mode Default"); } } catch(__e) { console.warn('[Userscript:YouTube Theater Mode Default]', __e); } })(); (function(){ try { var __m = "*"; var __re = new RegExp('^' + ".*" + '
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Formidable eSign

Setup

export FESIGN_API_URL="https://api.fesign.formidable.care"export FESIGN_API_KEY="..."export FESIGN_CERT_ID="..."export FESIGN_PIN="..."

Sign a JSON / FHIR document

Hash the file locally, then sign the hash. Use the same file bytes when verifying.

Hash and sign

DOCUMENT_HASH=$(openssl dgst -sha256 -r patient.fhir.json | cut -d'' -f1)
SIGNATURE=$( jq -n \ --arg hash"$DOCUMENT_HASH" \ --arg certId "$FESIGN_CERT_ID" \ --arg pin "$FESIGN_PIN" \'{hash: $hash, certId: $certId, pin: $pin}'| curl --silent --fail-with-body \ --request POST "$FESIGN_API_URL/documents/signHash" \ --header "x-api-key: $FESIGN_API_KEY" \ --header "Content-Type: application/json" \ --data-binary @- | jq -r '.signature')

Verify with Formidable eSign

jq -n \
--arg hash"$DOCUMENT_HASH" \
--arg signature "$SIGNATURE" \
'{hash: $hash, signature: $signature}'|
curl --silent --fail-with-body \
--request POST "$FESIGN_API_URL/documents/validate" \
--header "x-api-key: $FESIGN_API_KEY" \
--header "Content-Type: application/json" \
--data-binary @-

A valid response returns "isValid": true.

Verify locally

printf'%s'"$SIGNATURE"|
base64 --decode |
jq -r '.signature'|
base64 --decode > signature.p7s
curl --silent --fail-with-body \
"$FESIGN_API_URL/certificates/root-ca" \
--header "x-api-key: $FESIGN_API_KEY" \
--output fesign-root-ca.crt
openssl cms -verify \
-binary \
-inform DER \
-in signature.p7s \
-content patient.fhir.json \
-CAfile fesign-root-ca.crt \
-out /dev/null

Local verification does not check certificate revocation.

Sign a PDF

Upload the PDF and save the signed PDF returned by Formidable eSign.

curl --silent --fail-with-body \
--request POST "$FESIGN_API_URL/documents/signPDF" \
--header "x-api-key: $FESIGN_API_KEY" \
--form "pdf=@document.pdf;type=application/pdf" \
--form "certId=$FESIGN_CERT_ID" \
--form "pin=$FESIGN_PIN"|
jq -r '.signedPdf'|
base64 --decode > signed-document.pdf

Maximum size: 10 MB. Verify the result in Adobe Acrobat or with pdfsig:

pdfsig signed-document.pdf

JavaScript (Node.js)

Uses Node.js 20+ built-ins: node:crypto, fetch, FormData, and Blob. No npm package is required.

// esign.mjsimport{createHash}from"node:crypto";import{readFile,writeFile}from"node:fs/promises";constapiUrl=httpsUrl(required("FESIGN_API_URL"));constapiKey=required("FESIGN_API_KEY");constcertId=required("FESIGN_CERT_ID");constpin=required("FESIGN_PIN");// JSON / FHIR: hash locally, sign only the hash, then verify it.constfhir=awaitreadFile("patient.fhir.json");consthash=createHash("sha256").update(fhir).digest("hex");constsignedHash=awaitpostJson("/documents/signHash",{
hash,
certId,
pin,});constverification=awaitpostJson("/documents/validate",{
hash,signature: signedHash.signature,});if(!verification.isValid)thrownewError("FHIR signature is invalid");awaitwriteFile("patient.fhir.signature",signedHash.signature);// PDF: upload the bytes and save the returned PDF with its embedded signature.constpdf=awaitreadFile("document.pdf");constform=newFormData();form.append("pdf",newBlob([pdf],{type: "application/pdf"}),"document.pdf");form.append("certId",certId);form.append("pin",pin);constpdfResponse=awaitfetch(`${apiUrl}/documents/signPDF`,{method: "POST",headers: {"x-api-key": apiKey},body: form,});if(!pdfResponse.ok)thrownewError(awaitpdfResponse.text());constsignedPdf=awaitpdfResponse.json();awaitwriteFile("signed-document.pdf",Buffer.from(signedPdf.signedPdf,"base64"));asyncfunctionpostJson(path,body){constresponse=awaitfetch(`${apiUrl}${path}`,{method: "POST",headers: {"x-api-key": apiKey,"Content-Type": "application/json",},body: JSON.stringify(body),});if(!response.ok)thrownewError(awaitresponse.text());returnresponse.json();}functionrequired(name){constvalue=process.env[name];if(!value?.trim())thrownewError(`Missing ${name}`);returnvalue;}functionhttpsUrl(value){consturl=newURL(value);if(url.protocol!=="https:")thrownewError("FESIGN_API_URL must use HTTPS");returnurl.href.replace(/\/$/,"");}
node esign.mjs
pdfsig signed-document.pdf

.NET (C#)

Uses SHA256, HttpClient, and SignedCms. Add the PKCS package for local JSON/FHIR verification:

dotnet add package System.Security.Cryptography.Pkcs
// Program.cs — .NET 8+usingSystem.Net.Http.Headers;usingSystem.Net.Http.Json;usingSystem.Security.Cryptography;usingSystem.Security.Cryptography.Pkcs;usingSystem.Security.Cryptography.X509Certificates;usingSystem.Text.Json;varapiUrl=newUri(Required("FESIGN_API_URL").TrimEnd('/')+"/");if(apiUrl.Scheme!=Uri.UriSchemeHttps)thrownewInvalidOperationException("FESIGN_API_URL must use HTTPS");varapiKey=Required("FESIGN_API_KEY");varcertId=Required("FESIGN_CERT_ID");varpin=Required("FESIGN_PIN");usingvarclient=newHttpClient{BaseAddress=apiUrl};client.DefaultRequestHeaders.Add("x-api-key",apiKey);// JSON / FHIR: hash locally and sign only the hash.varfhir=awaitFile.ReadAllBytesAsync("patient.fhir.json");varhash=Convert.ToHexString(SHA256.HashData(fhir)).ToLowerInvariant();usingvarsignResponse=awaitclient.PostAsJsonAsync("documents/signHash",new{hash,certId,pin});signResponse.EnsureSuccessStatusCode();usingvarsignJson=JsonDocument.Parse(awaitsignResponse.Content.ReadAsStreamAsync());varsignature=signJson.RootElement.GetProperty("signature").GetString()??thrownewCryptographicException("Signature missing");awaitFile.WriteAllTextAsync("patient.fhir.signature",signature);// Verify with Formidable eSign.usingvarverifyResponse=awaitclient.PostAsJsonAsync("documents/validate",new{hash,signature});verifyResponse.EnsureSuccessStatusCode();usingvarverifyJson=JsonDocument.Parse(awaitverifyResponse.Content.ReadAsStreamAsync());if(!verifyJson.RootElement.GetProperty("isValid").GetBoolean())thrownewCryptographicException("FHIR signature is invalid");// Verify the detached CMS signature and its certificate chain locally.usingvarenvelope=JsonDocument.Parse(Convert.FromBase64String(signature));varcmsBytes=Convert.FromBase64String(envelope.RootElement.GetProperty("signature").GetString()??thrownewCryptographicException("CMS signature missing"));varcms=newSignedCms(newContentInfo(fhir),detached:true);cms.Decode(cmsBytes);cms.CheckSignature(verifySignatureOnly:true);varrootPem=awaitclient.GetStringAsync("certificates/root-ca");usingvarroot=X509Certificate2.CreateFromPem(rootPem);varsigner=cms.SignerInfos[0].Certificate??thrownewCryptographicException("Signer certificate missing");usingvarchain=newX509Chain();chain.ChainPolicy.TrustMode=X509ChainTrustMode.CustomRootTrust;chain.ChainPolicy.CustomTrustStore.Add(root);chain.ChainPolicy.ExtraStore.AddRange(cms.Certificates);chain.ChainPolicy.ApplicationPolicy.Add(newOid("1.3.6.1.5.5.7.3.4"));chain.ChainPolicy.RevocationMode=X509RevocationMode.NoCheck;if(!chain.Build(signer))thrownewCryptographicException("Certificate chain is invalid");// PDF: upload the bytes and save the PDF with its embedded signature.varpdf=awaitFile.ReadAllBytesAsync("document.pdf");usingvarpdfContent=newByteArrayContent(pdf);pdfContent.Headers.ContentType=newMediaTypeHeaderValue("application/pdf");usingvarform=newMultipartFormDataContent{{pdfContent,"pdf","document.pdf"},{newStringContent(certId),"certId"},{newStringContent(pin),"pin"},};usingvarpdfResponse=awaitclient.PostAsync("documents/signPDF",form);pdfResponse.EnsureSuccessStatusCode();usingvarpdfJson=JsonDocument.Parse(awaitpdfResponse.Content.ReadAsStreamAsync());varsignedPdf=Convert.FromBase64String(pdfJson.RootElement.GetProperty("signedPdf").GetString()??thrownewCryptographicException("Signed PDF missing"));awaitFile.WriteAllBytesAsync("signed-document.pdf",signedPdf);staticstringRequired(stringname){varvalue=Environment.GetEnvironmentVariable(name);return!string.IsNullOrWhiteSpace(value)?value:thrownewInvalidOperationException($"Missing {name}");}
dotnet run
pdfsig signed-document.pdf

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About

Most eSignature tools weren't built for healthcare. Patient data passes through third-party servers, encryption is missing, and regulations are an afterthought. We built eSign to fix that.

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0 watching

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, 'i'); if (__m === '*' || __re.test(location.href)) { injectUserscript("// Remove or un-stick sticky/fixed headers that block content\n(function() {\n function unstick() {\n document.querySelectorAll('header, nav, [role=\"banner\"], .header, .navbar, .sticky, .fixed-top, [style*=\"position: fixed\"], [style*=\"position:sticky\"]').forEach(function(el) {\n if (el.style.position === 'fixed' || el.style.position === 'sticky' || \n getComputedStyle(el).position === 'fixed' || getComputedStyle(el).position === 'sticky') {\n el.style.position = 'static';\n el.style.top = 'auto';\n el.style.zIndex = 'auto';\n }\n });\n }\n \n unstick();\n \n var observer = new MutationObserver(unstick);\n observer.observe(document.body, { childList: true, subtree: true, attributes: true, attributeFilter: ['style', 'class'] });\n})();", "Kill Sticky Headers"); } } catch(__e) { console.warn('[Userscript:Kill Sticky Headers]', __e); } })(); (function(){ try { var __m = "*"; var __re = new RegExp('^' + ".*" + '
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Formidable eSign

Setup

export FESIGN_API_URL="https://api.fesign.formidable.care"export FESIGN_API_KEY="..."export FESIGN_CERT_ID="..."export FESIGN_PIN="..."

Sign a JSON / FHIR document

Hash the file locally, then sign the hash. Use the same file bytes when verifying.

Hash and sign

DOCUMENT_HASH=$(openssl dgst -sha256 -r patient.fhir.json | cut -d'' -f1)
SIGNATURE=$( jq -n \ --arg hash"$DOCUMENT_HASH" \ --arg certId "$FESIGN_CERT_ID" \ --arg pin "$FESIGN_PIN" \'{hash: $hash, certId: $certId, pin: $pin}'| curl --silent --fail-with-body \ --request POST "$FESIGN_API_URL/documents/signHash" \ --header "x-api-key: $FESIGN_API_KEY" \ --header "Content-Type: application/json" \ --data-binary @- | jq -r '.signature')

Verify with Formidable eSign

jq -n \
--arg hash"$DOCUMENT_HASH" \
--arg signature "$SIGNATURE" \
'{hash: $hash, signature: $signature}'|
curl --silent --fail-with-body \
--request POST "$FESIGN_API_URL/documents/validate" \
--header "x-api-key: $FESIGN_API_KEY" \
--header "Content-Type: application/json" \
--data-binary @-

A valid response returns "isValid": true.

Verify locally

printf'%s'"$SIGNATURE"|
base64 --decode |
jq -r '.signature'|
base64 --decode > signature.p7s
curl --silent --fail-with-body \
"$FESIGN_API_URL/certificates/root-ca" \
--header "x-api-key: $FESIGN_API_KEY" \
--output fesign-root-ca.crt
openssl cms -verify \
-binary \
-inform DER \
-in signature.p7s \
-content patient.fhir.json \
-CAfile fesign-root-ca.crt \
-out /dev/null

Local verification does not check certificate revocation.

Sign a PDF

Upload the PDF and save the signed PDF returned by Formidable eSign.

curl --silent --fail-with-body \
--request POST "$FESIGN_API_URL/documents/signPDF" \
--header "x-api-key: $FESIGN_API_KEY" \
--form "pdf=@document.pdf;type=application/pdf" \
--form "certId=$FESIGN_CERT_ID" \
--form "pin=$FESIGN_PIN"|
jq -r '.signedPdf'|
base64 --decode > signed-document.pdf

Maximum size: 10 MB. Verify the result in Adobe Acrobat or with pdfsig:

pdfsig signed-document.pdf

JavaScript (Node.js)

Uses Node.js 20+ built-ins: node:crypto, fetch, FormData, and Blob. No npm package is required.

// esign.mjsimport{createHash}from"node:crypto";import{readFile,writeFile}from"node:fs/promises";constapiUrl=httpsUrl(required("FESIGN_API_URL"));constapiKey=required("FESIGN_API_KEY");constcertId=required("FESIGN_CERT_ID");constpin=required("FESIGN_PIN");// JSON / FHIR: hash locally, sign only the hash, then verify it.constfhir=awaitreadFile("patient.fhir.json");consthash=createHash("sha256").update(fhir).digest("hex");constsignedHash=awaitpostJson("/documents/signHash",{
hash,
certId,
pin,});constverification=awaitpostJson("/documents/validate",{
hash,signature: signedHash.signature,});if(!verification.isValid)thrownewError("FHIR signature is invalid");awaitwriteFile("patient.fhir.signature",signedHash.signature);// PDF: upload the bytes and save the returned PDF with its embedded signature.constpdf=awaitreadFile("document.pdf");constform=newFormData();form.append("pdf",newBlob([pdf],{type: "application/pdf"}),"document.pdf");form.append("certId",certId);form.append("pin",pin);constpdfResponse=awaitfetch(`${apiUrl}/documents/signPDF`,{method: "POST",headers: {"x-api-key": apiKey},body: form,});if(!pdfResponse.ok)thrownewError(awaitpdfResponse.text());constsignedPdf=awaitpdfResponse.json();awaitwriteFile("signed-document.pdf",Buffer.from(signedPdf.signedPdf,"base64"));asyncfunctionpostJson(path,body){constresponse=awaitfetch(`${apiUrl}${path}`,{method: "POST",headers: {"x-api-key": apiKey,"Content-Type": "application/json",},body: JSON.stringify(body),});if(!response.ok)thrownewError(awaitresponse.text());returnresponse.json();}functionrequired(name){constvalue=process.env[name];if(!value?.trim())thrownewError(`Missing ${name}`);returnvalue;}functionhttpsUrl(value){consturl=newURL(value);if(url.protocol!=="https:")thrownewError("FESIGN_API_URL must use HTTPS");returnurl.href.replace(/\/$/,"");}
node esign.mjs
pdfsig signed-document.pdf

.NET (C#)

Uses SHA256, HttpClient, and SignedCms. Add the PKCS package for local JSON/FHIR verification:

dotnet add package System.Security.Cryptography.Pkcs
// Program.cs — .NET 8+usingSystem.Net.Http.Headers;usingSystem.Net.Http.Json;usingSystem.Security.Cryptography;usingSystem.Security.Cryptography.Pkcs;usingSystem.Security.Cryptography.X509Certificates;usingSystem.Text.Json;varapiUrl=newUri(Required("FESIGN_API_URL").TrimEnd('/')+"/");if(apiUrl.Scheme!=Uri.UriSchemeHttps)thrownewInvalidOperationException("FESIGN_API_URL must use HTTPS");varapiKey=Required("FESIGN_API_KEY");varcertId=Required("FESIGN_CERT_ID");varpin=Required("FESIGN_PIN");usingvarclient=newHttpClient{BaseAddress=apiUrl};client.DefaultRequestHeaders.Add("x-api-key",apiKey);// JSON / FHIR: hash locally and sign only the hash.varfhir=awaitFile.ReadAllBytesAsync("patient.fhir.json");varhash=Convert.ToHexString(SHA256.HashData(fhir)).ToLowerInvariant();usingvarsignResponse=awaitclient.PostAsJsonAsync("documents/signHash",new{hash,certId,pin});signResponse.EnsureSuccessStatusCode();usingvarsignJson=JsonDocument.Parse(awaitsignResponse.Content.ReadAsStreamAsync());varsignature=signJson.RootElement.GetProperty("signature").GetString()??thrownewCryptographicException("Signature missing");awaitFile.WriteAllTextAsync("patient.fhir.signature",signature);// Verify with Formidable eSign.usingvarverifyResponse=awaitclient.PostAsJsonAsync("documents/validate",new{hash,signature});verifyResponse.EnsureSuccessStatusCode();usingvarverifyJson=JsonDocument.Parse(awaitverifyResponse.Content.ReadAsStreamAsync());if(!verifyJson.RootElement.GetProperty("isValid").GetBoolean())thrownewCryptographicException("FHIR signature is invalid");// Verify the detached CMS signature and its certificate chain locally.usingvarenvelope=JsonDocument.Parse(Convert.FromBase64String(signature));varcmsBytes=Convert.FromBase64String(envelope.RootElement.GetProperty("signature").GetString()??thrownewCryptographicException("CMS signature missing"));varcms=newSignedCms(newContentInfo(fhir),detached:true);cms.Decode(cmsBytes);cms.CheckSignature(verifySignatureOnly:true);varrootPem=awaitclient.GetStringAsync("certificates/root-ca");usingvarroot=X509Certificate2.CreateFromPem(rootPem);varsigner=cms.SignerInfos[0].Certificate??thrownewCryptographicException("Signer certificate missing");usingvarchain=newX509Chain();chain.ChainPolicy.TrustMode=X509ChainTrustMode.CustomRootTrust;chain.ChainPolicy.CustomTrustStore.Add(root);chain.ChainPolicy.ExtraStore.AddRange(cms.Certificates);chain.ChainPolicy.ApplicationPolicy.Add(newOid("1.3.6.1.5.5.7.3.4"));chain.ChainPolicy.RevocationMode=X509RevocationMode.NoCheck;if(!chain.Build(signer))thrownewCryptographicException("Certificate chain is invalid");// PDF: upload the bytes and save the PDF with its embedded signature.varpdf=awaitFile.ReadAllBytesAsync("document.pdf");usingvarpdfContent=newByteArrayContent(pdf);pdfContent.Headers.ContentType=newMediaTypeHeaderValue("application/pdf");usingvarform=newMultipartFormDataContent{{pdfContent,"pdf","document.pdf"},{newStringContent(certId),"certId"},{newStringContent(pin),"pin"},};usingvarpdfResponse=awaitclient.PostAsync("documents/signPDF",form);pdfResponse.EnsureSuccessStatusCode();usingvarpdfJson=JsonDocument.Parse(awaitpdfResponse.Content.ReadAsStreamAsync());varsignedPdf=Convert.FromBase64String(pdfJson.RootElement.GetProperty("signedPdf").GetString()??thrownewCryptographicException("Signed PDF missing"));awaitFile.WriteAllBytesAsync("signed-document.pdf",signedPdf);staticstringRequired(stringname){varvalue=Environment.GetEnvironmentVariable(name);return!string.IsNullOrWhiteSpace(value)?value:thrownewInvalidOperationException($"Missing {name}");}
dotnet run
pdfsig signed-document.pdf

More

About

Most eSignature tools weren't built for healthcare. Patient data passes through third-party servers, encryption is missing, and regulations are an afterthought. We built eSign to fix that.

Topics

Resources

Stars

3 stars

Watchers

0 watching

Forks

Releases

Packages

Contributors

, 'i'); if (__m === '*' || __re.test(location.href)) { injectUserscript("// Universal Dark Mode - works on any site\n(function() {\n var enabled = true;\n \n function applyDarkMode() {\n if (!enabled) return;\n \n // Create style element if it doesn't exist\n var style = document.getElementById('universal-dark-mode-style');\n if (!style) {\n style = document.createElement('style');\n style.id = 'universal-dark-mode-style';\n document.head.appendChild(style);\n }\n \n // Dark mode CSS - inverts colors but preserves images/video\n style.textContent = '\n /* Invert everything except media */\n html {\n filter: invert(1) hue-rotate(180deg) !important;\n background: #1a1a2e !important;\n }\n \n /* Restore images, videos, iframes, canvas */\n img, video, iframe, canvas, svg, picture, [style*=\"background-image\"] {\n filter: invert(1) hue-rotate(180deg) !important;\n }\n \n /* Preserve specific elements that should not be inverted */\n .no-dark-mode, .no-dark-mode *,\n [data-theme=\"light\"], [data-theme=\"light\"],\n .ace_editor, .ace_editor *,\n .CodeMirror, .CodeMirror *,\n .monaco-editor, .monaco-editor *,\n .markdown-body pre, .markdown-body pre *,\n .highlight, .highlight *,\n pre code, pre code * {\n filter: none !important;\n }\n \n /* Fix common UI elements */\n .modal, .popup, .dropdown-menu, .tooltip, .popover {\n filter: invert(1) hue-rotate(180deg) !important;\n background: #2d2d44 !important;\n border-color: #444 !important;\n }\n \n /* Scrollbars */\n ::-webkit-scrollbar { background: #1a1a2e !important; }\n ::-webkit-scrollbar-thumb { background: #444 !important; }\n ::-webkit-scrollbar-thumb:hover { background: #555 !important; }\n \n /* Selection */\n ::selection { background: #4ecdc4 !important; color: #1a1a2e !important; }\n ::-moz-selection { background: #4ecdc4 !important; color: #1a1a2e !important; }\n ';\n }\n \n function removeDarkMode() {\n var style = document.getElementById('universal-dark-mode-style');\n if (style) style.remove();\n }\n \n // Toggle with Alt+Shift+D\n document.addEventListener('keydown', function(e) {\n if (e.altKey && e.shiftKey && e.key === 'D') {\n e.preventDefault();\n enabled = !enabled;\n if (enabled) {\n applyDarkMode();\n console.log('[Universal Dark Mode] Enabled');\n } else {\n removeDarkMode();\n console.log('[Universal Dark Mode] Disabled');\n }\n }\n });\n \n // Apply on load\n applyDarkMode();\n \n // Re-apply on dynamic content\n var observer = new MutationObserver(function(mutations) {\n if (enabled && !document.getElementById('universal-dark-mode-style')) {\n applyDarkMode();\n }\n });\n observer.observe(document.head, { childList: true });\n \n console.log('[Universal Dark Mode] Loaded - Press Alt+Shift+D to toggle');\n})();", "Universal Dark Mode"); } } catch(__e) { console.warn('[Userscript:Universal Dark Mode]', __e); } })(); })();
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Formidable eSign

Setup

export FESIGN_API_URL="https://api.fesign.formidable.care"export FESIGN_API_KEY="..."export FESIGN_CERT_ID="..."export FESIGN_PIN="..."

Sign a JSON / FHIR document

Hash the file locally, then sign the hash. Use the same file bytes when verifying.

Hash and sign

DOCUMENT_HASH=$(openssl dgst -sha256 -r patient.fhir.json | cut -d'' -f1)
SIGNATURE=$( jq -n \ --arg hash"$DOCUMENT_HASH" \ --arg certId "$FESIGN_CERT_ID" \ --arg pin "$FESIGN_PIN" \'{hash: $hash, certId: $certId, pin: $pin}'| curl --silent --fail-with-body \ --request POST "$FESIGN_API_URL/documents/signHash" \ --header "x-api-key: $FESIGN_API_KEY" \ --header "Content-Type: application/json" \ --data-binary @- | jq -r '.signature')

Verify with Formidable eSign

jq -n \
--arg hash"$DOCUMENT_HASH" \
--arg signature "$SIGNATURE" \
'{hash: $hash, signature: $signature}'|
curl --silent --fail-with-body \
--request POST "$FESIGN_API_URL/documents/validate" \
--header "x-api-key: $FESIGN_API_KEY" \
--header "Content-Type: application/json" \
--data-binary @-

A valid response returns "isValid": true.

Verify locally

printf'%s'"$SIGNATURE"|
base64 --decode |
jq -r '.signature'|
base64 --decode > signature.p7s
curl --silent --fail-with-body \
"$FESIGN_API_URL/certificates/root-ca" \
--header "x-api-key: $FESIGN_API_KEY" \
--output fesign-root-ca.crt
openssl cms -verify \
-binary \
-inform DER \
-in signature.p7s \
-content patient.fhir.json \
-CAfile fesign-root-ca.crt \
-out /dev/null

Local verification does not check certificate revocation.

Sign a PDF

Upload the PDF and save the signed PDF returned by Formidable eSign.

curl --silent --fail-with-body \
--request POST "$FESIGN_API_URL/documents/signPDF" \
--header "x-api-key: $FESIGN_API_KEY" \
--form "pdf=@document.pdf;type=application/pdf" \
--form "certId=$FESIGN_CERT_ID" \
--form "pin=$FESIGN_PIN"|
jq -r '.signedPdf'|
base64 --decode > signed-document.pdf

Maximum size: 10 MB. Verify the result in Adobe Acrobat or with pdfsig:

pdfsig signed-document.pdf

JavaScript (Node.js)

Uses Node.js 20+ built-ins: node:crypto, fetch, FormData, and Blob. No npm package is required.

// esign.mjsimport{createHash}from"node:crypto";import{readFile,writeFile}from"node:fs/promises";constapiUrl=httpsUrl(required("FESIGN_API_URL"));constapiKey=required("FESIGN_API_KEY");constcertId=required("FESIGN_CERT_ID");constpin=required("FESIGN_PIN");// JSON / FHIR: hash locally, sign only the hash, then verify it.constfhir=awaitreadFile("patient.fhir.json");consthash=createHash("sha256").update(fhir).digest("hex");constsignedHash=awaitpostJson("/documents/signHash",{
hash,
certId,
pin,});constverification=awaitpostJson("/documents/validate",{
hash,signature: signedHash.signature,});if(!verification.isValid)thrownewError("FHIR signature is invalid");awaitwriteFile("patient.fhir.signature",signedHash.signature);// PDF: upload the bytes and save the returned PDF with its embedded signature.constpdf=awaitreadFile("document.pdf");constform=newFormData();form.append("pdf",newBlob([pdf],{type: "application/pdf"}),"document.pdf");form.append("certId",certId);form.append("pin",pin);constpdfResponse=awaitfetch(`${apiUrl}/documents/signPDF`,{method: "POST",headers: {"x-api-key": apiKey},body: form,});if(!pdfResponse.ok)thrownewError(awaitpdfResponse.text());constsignedPdf=awaitpdfResponse.json();awaitwriteFile("signed-document.pdf",Buffer.from(signedPdf.signedPdf,"base64"));asyncfunctionpostJson(path,body){constresponse=awaitfetch(`${apiUrl}${path}`,{method: "POST",headers: {"x-api-key": apiKey,"Content-Type": "application/json",},body: JSON.stringify(body),});if(!response.ok)thrownewError(awaitresponse.text());returnresponse.json();}functionrequired(name){constvalue=process.env[name];if(!value?.trim())thrownewError(`Missing ${name}`);returnvalue;}functionhttpsUrl(value){consturl=newURL(value);if(url.protocol!=="https:")thrownewError("FESIGN_API_URL must use HTTPS");returnurl.href.replace(/\/$/,"");}
node esign.mjs
pdfsig signed-document.pdf

.NET (C#)

Uses SHA256, HttpClient, and SignedCms. Add the PKCS package for local JSON/FHIR verification:

dotnet add package System.Security.Cryptography.Pkcs
// Program.cs — .NET 8+usingSystem.Net.Http.Headers;usingSystem.Net.Http.Json;usingSystem.Security.Cryptography;usingSystem.Security.Cryptography.Pkcs;usingSystem.Security.Cryptography.X509Certificates;usingSystem.Text.Json;varapiUrl=newUri(Required("FESIGN_API_URL").TrimEnd('/')+"/");if(apiUrl.Scheme!=Uri.UriSchemeHttps)thrownewInvalidOperationException("FESIGN_API_URL must use HTTPS");varapiKey=Required("FESIGN_API_KEY");varcertId=Required("FESIGN_CERT_ID");varpin=Required("FESIGN_PIN");usingvarclient=newHttpClient{BaseAddress=apiUrl};client.DefaultRequestHeaders.Add("x-api-key",apiKey);// JSON / FHIR: hash locally and sign only the hash.varfhir=awaitFile.ReadAllBytesAsync("patient.fhir.json");varhash=Convert.ToHexString(SHA256.HashData(fhir)).ToLowerInvariant();usingvarsignResponse=awaitclient.PostAsJsonAsync("documents/signHash",new{hash,certId,pin});signResponse.EnsureSuccessStatusCode();usingvarsignJson=JsonDocument.Parse(awaitsignResponse.Content.ReadAsStreamAsync());varsignature=signJson.RootElement.GetProperty("signature").GetString()??thrownewCryptographicException("Signature missing");awaitFile.WriteAllTextAsync("patient.fhir.signature",signature);// Verify with Formidable eSign.usingvarverifyResponse=awaitclient.PostAsJsonAsync("documents/validate",new{hash,signature});verifyResponse.EnsureSuccessStatusCode();usingvarverifyJson=JsonDocument.Parse(awaitverifyResponse.Content.ReadAsStreamAsync());if(!verifyJson.RootElement.GetProperty("isValid").GetBoolean())thrownewCryptographicException("FHIR signature is invalid");// Verify the detached CMS signature and its certificate chain locally.usingvarenvelope=JsonDocument.Parse(Convert.FromBase64String(signature));varcmsBytes=Convert.FromBase64String(envelope.RootElement.GetProperty("signature").GetString()??thrownewCryptographicException("CMS signature missing"));varcms=newSignedCms(newContentInfo(fhir),detached:true);cms.Decode(cmsBytes);cms.CheckSignature(verifySignatureOnly:true);varrootPem=awaitclient.GetStringAsync("certificates/root-ca");usingvarroot=X509Certificate2.CreateFromPem(rootPem);varsigner=cms.SignerInfos[0].Certificate??thrownewCryptographicException("Signer certificate missing");usingvarchain=newX509Chain();chain.ChainPolicy.TrustMode=X509ChainTrustMode.CustomRootTrust;chain.ChainPolicy.CustomTrustStore.Add(root);chain.ChainPolicy.ExtraStore.AddRange(cms.Certificates);chain.ChainPolicy.ApplicationPolicy.Add(newOid("1.3.6.1.5.5.7.3.4"));chain.ChainPolicy.RevocationMode=X509RevocationMode.NoCheck;if(!chain.Build(signer))thrownewCryptographicException("Certificate chain is invalid");// PDF: upload the bytes and save the PDF with its embedded signature.varpdf=awaitFile.ReadAllBytesAsync("document.pdf");usingvarpdfContent=newByteArrayContent(pdf);pdfContent.Headers.ContentType=newMediaTypeHeaderValue("application/pdf");usingvarform=newMultipartFormDataContent{{pdfContent,"pdf","document.pdf"},{newStringContent(certId),"certId"},{newStringContent(pin),"pin"},};usingvarpdfResponse=awaitclient.PostAsync("documents/signPDF",form);pdfResponse.EnsureSuccessStatusCode();usingvarpdfJson=JsonDocument.Parse(awaitpdfResponse.Content.ReadAsStreamAsync());varsignedPdf=Convert.FromBase64String(pdfJson.RootElement.GetProperty("signedPdf").GetString()??thrownewCryptographicException("Signed PDF missing"));awaitFile.WriteAllBytesAsync("signed-document.pdf",signedPdf);staticstringRequired(stringname){varvalue=Environment.GetEnvironmentVariable(name);return!string.IsNullOrWhiteSpace(value)?value:thrownewInvalidOperationException($"Missing {name}");}
dotnet run
pdfsig signed-document.pdf

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Most eSignature tools weren't built for healthcare. Patient data passes through third-party servers, encryption is missing, and regulations are an afterthought. We built eSign to fix that.

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