Definition for Code SystemASTMSignatureTypeCodes

<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="astm-signature-type"/> 
  <meta> 
    <lastUpdated value="2024-12-12T18:56:29.677+00:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p class="res-header-id">
        <b> Generated Narrative: CodeSystem astm-signature-type</b> 
      </p> 
      <a name="astm-signature-type"> </a> 
      <a name="hcastm-signature-type"> </a> 
      <a name="astm-signature-type-en-US"> </a> 
      <p> This case-sensitive code system 
        <code> urn:iso-astm:E1762-95:2013</code>  defines the following codes:
      </p> 
      <table class="codes">
        <tr> 
          <td style="white-space:nowrap">
            <b> Code</b> 
          </td> 
          <td> 
            <b> Display</b> 
          </td> 
          <td> 
            <b> Definition</b> 
          </td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">1.2.840.10065.1.12.1.1
            <a name="astm-signature-type-1.462.46840.4610065.461.4612.461.461"> </a> 
          </td> 
          <td> Author's Signature</td> 
          <td> the signature of the primary or sole author of a health information document. There
             can be only one primary author of a health information document.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">1.2.840.10065.1.12.1.2
            <a name="astm-signature-type-1.462.46840.4610065.461.4612.461.462"> </a> 
          </td> 
          <td> Coauthor's Signature</td> 
          <td> the signature of a health information document coauthor. There can be multiple
             coauthors of a health information document.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">1.2.840.10065.1.12.1.3
            <a name="astm-signature-type-1.462.46840.4610065.461.4612.461.463"> </a> 
          </td> 
          <td> Co-participant's Signature</td> 
          <td> the signature of an individual who is a participant in the health information document
             but is not an author or coauthor. (Example a surgeon who is required by institutional,
             regulatory, or legal rules to sign an operative report, but who was not involved
             in the authorship of that report.)</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">1.2.840.10065.1.12.1.4
            <a name="astm-signature-type-1.462.46840.4610065.461.4612.461.464"> </a> 
          </td> 
          <td> Transcriptionist/Recorder Signature</td> 
          <td> the signature of an individual who has transcribed a dictated document or recorded
             written text into a digital machine readable format.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">1.2.840.10065.1.12.1.5
            <a name="astm-signature-type-1.462.46840.4610065.461.4612.461.465"> </a> 
          </td> 
          <td> Verification Signature</td> 
          <td> a signature verifying the information contained in a document. (Example a physician
             is required to countersign a verbal order that has previously been recorded in
             the medical record by a registered nurse who has carried out the verbal order.)</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">1.2.840.10065.1.12.1.6
            <a name="astm-signature-type-1.462.46840.4610065.461.4612.461.466"> </a> 
          </td> 
          <td> Validation Signature</td> 
          <td> a signature validating a health information document for inclusion in the patient
             record. (Example a medical student or resident is credentialed to perform history
             or physical examinations and to write progress notes. The attending physician signs
             the history and physical examination to validate the entry for inclusion in the
             patient's medical record.)</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">1.2.840.10065.1.12.1.7
            <a name="astm-signature-type-1.462.46840.4610065.461.4612.461.467"> </a> 
          </td> 
          <td> Consent Signature</td> 
          <td> the signature of an individual consenting to what is described in a health information
             document.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">1.2.840.10065.1.12.1.8
            <a name="astm-signature-type-1.462.46840.4610065.461.4612.461.468"> </a> 
          </td> 
          <td> Signature Witness Signature</td> 
          <td> the signature of a witness to any other signature.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">1.2.840.10065.1.12.1.9
            <a name="astm-signature-type-1.462.46840.4610065.461.4612.461.469"> </a> 
          </td> 
          <td> Event Witness Signature</td> 
          <td> the signature of a witness to an event. (Example the witness has observed a procedure
             and is attesting to this fact.)</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">1.2.840.10065.1.12.1.10
            <a name="astm-signature-type-1.462.46840.4610065.461.4612.461.4610"> </a> 
          </td> 
          <td> Identity Witness Signature</td> 
          <td> the signature of an individual who has witnessed another individual who is known
             to them signing a document. (Example the identity witness is a notary public.)</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">1.2.840.10065.1.12.1.11
            <a name="astm-signature-type-1.462.46840.4610065.461.4612.461.4611"> </a> 
          </td> 
          <td> Consent Witness Signature</td> 
          <td> the signature of an individual who has witnessed the health care provider counselling
             a patient.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">1.2.840.10065.1.12.1.12
            <a name="astm-signature-type-1.462.46840.4610065.461.4612.461.4612"> </a> 
          </td> 
          <td> Interpreter Signature</td> 
          <td> the signature of an individual who has translated health care information during
             an event or the obtaining of consent to a treatment.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">1.2.840.10065.1.12.1.13
            <a name="astm-signature-type-1.462.46840.4610065.461.4612.461.4613"> </a> 
          </td> 
          <td> Review Signature</td> 
          <td> the signature of a person, device, or algorithm that has reviewed or filtered data
             for inclusion into the patient record. ( Examples: (1) a medical records clerk
             who scans a document for inclusion in the medical record, enters header information,
             or catalogues and classifies the data, or a combination thereof; (2) a gateway
             that receives data from another computer system and interprets that data or changes
             its format, or both, before entering it into the patient record.)</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">1.2.840.10065.1.12.1.14
            <a name="astm-signature-type-1.462.46840.4610065.461.4612.461.4614"> </a> 
          </td> 
          <td> Source Signature</td> 
          <td> the signature of an automated data source. (Examples: (1) the signature for an
             image that is generated by a device for inclusion in the patient record; (2) the
             signature for an ECG derived by an ECG system for inclusion in the patient record;
             (3) the data from a biomedical monitoring device or system that is for inclusion
             in the patient record.)</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">1.2.840.10065.1.12.1.15
            <a name="astm-signature-type-1.462.46840.4610065.461.4612.461.4615"> </a> 
          </td> 
          <td> Addendum Signature</td> 
          <td> the signature on a new amended document of an individual who has corrected, edited,
             or amended an original health information document. An addendum signature can either
             be a signature type or a signature sub-type (see 8.1). Any document with an addendum
             signature shall have a companion document that is the original document with its
             original, unaltered content, and original signatures. The original document shall
             be referenced via an attribute in the new document, which contains, for example,
             the digest of the old document. Whether the original, unaltered, document is always
             displayed with the addended document is a local matter, but the original, unaltered,
             document must remain as part of the patient record and be retrievable on demand.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">1.2.840.10065.1.12.1.16
            <a name="astm-signature-type-1.462.46840.4610065.461.4612.461.4616"> </a> 
          </td> 
          <td> Modification Signature</td> 
          <td> the signature on an original document of an individual who has generated a new
             amended document. This (original) document shall reference the new document via
             an additional signature purpose. This is the inverse of an addendum signature and
             provides a pointer from the original to the amended document.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">1.2.840.10065.1.12.1.17
            <a name="astm-signature-type-1.462.46840.4610065.461.4612.461.4617"> </a> 
          </td> 
          <td> Administrative (Error/Edit) Signature</td> 
          <td> the signature of an individual who is certifying that the document is invalidated
             by an error(s), or is placed in the wrong chart. An administrative (error/edit)
             signature must include an addendum to the document and therefore shall have an
             addendum signature sub-type (see 8.1). This signature is reserved for the highest
             health information system administrative classification, since it is a statement
             that the entire document is invalidated by the error and that the document should
             no longer be used for patient care, although for legal reasons the document must
             remain part of the permanent patient record.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">1.2.840.10065.1.12.1.18
            <a name="astm-signature-type-1.462.46840.4610065.461.4612.461.4618"> </a> 
          </td> 
          <td> Timestamp Signature</td> 
          <td> the signature by an entity or device trusted to provide accurate timestamps. This
             timestamp might be provided, for example, in the signature time attribute.</td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <url value="urn:iso-astm:E1762-95:2013"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.4.642.4.64"/> 
  </identifier> 
  <identifier> 
    <use value="old"/> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.4.642.1.57"/> 
  </identifier> 
  <version value="6.0.0-ballot2"/> 
  <name value="ASTMSignatureTypeCodes"/> 
  <title value="ASTM Signature Type Codes"/> 
  <status value="active"/> 
  <experimental value="false"/> 
  <publisher value="ASTM"/> 
  <description value="The Digital Signature Purposes, an indication of the reason an entity signs a document.
   This is included in the signed information and can be used when determining accountability
   for various actions concerning the document. Examples include: author, transcriptionist/recor
  der, and witness."/> 
  <jurisdiction> 
    <coding> 
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> 
      <code value="001"/> 
      <display value="World"/> 
    </coding> 
  </jurisdiction> 
  <copyright value="These codes are excerpted from ASTM Standard, E1762-95(2013) - Standard Guide for
   Electronic Authentication of Health Care Information, Copyright by ASTM International,
   100 Barr Harbor Drive, West Conshohocken, PA 19428. Copies of this standard are
   available through the ASTM Web Site at www.astm.org."/> 
  <caseSensitive value="true"/> 
  <content value="complete"/> 
  <concept> 
    <code value="1.2.840.10065.1.12.1.1"/> 
    <display value="Author's Signature"/> 
    <definition value="the signature of the primary or sole author of a health information document. There
     can be only one primary author of a health information document."/> 
  </concept> 
  <concept> 
    <code value="1.2.840.10065.1.12.1.2"/> 
    <display value="Coauthor's Signature"/> 
    <definition value="the signature of a health information document coauthor. There can be multiple
     coauthors of a health information document."/> 
  </concept> 
  <concept> 
    <code value="1.2.840.10065.1.12.1.3"/> 
    <display value="Co-participant's Signature"/> 
    <definition value="the signature of an individual who is a participant in the health information document
     but is not an author or coauthor. (Example a surgeon who is required by institutional,
     regulatory, or legal rules to sign an operative report, but who was not involved
     in the authorship of that report.)"/> 
  </concept> 
  <concept> 
    <code value="1.2.840.10065.1.12.1.4"/> 
    <display value="Transcriptionist/Recorder Signature"/> 
    <definition value="the signature of an individual who has transcribed a dictated document or recorded
     written text into a digital machine readable format."/> 
  </concept> 
  <concept> 
    <code value="1.2.840.10065.1.12.1.5"/> 
    <display value="Verification Signature"/> 
    <definition value="a signature verifying the information contained in a document. (Example a physician
     is required to countersign a verbal order that has previously been recorded in
     the medical record by a registered nurse who has carried out the verbal order.)"/> 
  </concept> 
  <concept> 
    <code value="1.2.840.10065.1.12.1.6"/> 
    <display value="Validation Signature"/> 
    <definition value="a signature validating a health information document for inclusion in the patient
     record. (Example a medical student or resident is credentialed to perform history
     or physical examinations and to write progress notes. The attending physician signs
     the history and physical examination to validate the entry for inclusion in the
     patient's medical record.)"/> 
  </concept> 
  <concept> 
    <code value="1.2.840.10065.1.12.1.7"/> 
    <display value="Consent Signature"/> 
    <definition value="the signature of an individual consenting to what is described in a health information
     document."/> 
  </concept> 
  <concept> 
    <code value="1.2.840.10065.1.12.1.8"/> 
    <display value="Signature Witness Signature"/> 
    <definition value="the signature of a witness to any other signature."/> 
  </concept> 
  <concept> 
    <code value="1.2.840.10065.1.12.1.9"/> 
    <display value="Event Witness Signature"/> 
    <definition value="the signature of a witness to an event. (Example the witness has observed a procedure
     and is attesting to this fact.)"/> 
  </concept> 
  <concept> 
    <code value="1.2.840.10065.1.12.1.10"/> 
    <display value="Identity Witness Signature"/> 
    <definition value="the signature of an individual who has witnessed another individual who is known
     to them signing a document. (Example the identity witness is a notary public.)"/> 
  </concept> 
  <concept> 
    <code value="1.2.840.10065.1.12.1.11"/> 
    <display value="Consent Witness Signature"/> 
    <definition value="the signature of an individual who has witnessed the health care provider counselling
     a patient."/> 
  </concept> 
  <concept> 
    <code value="1.2.840.10065.1.12.1.12"/> 
    <display value="Interpreter Signature"/> 
    <definition value="the signature of an individual who has translated health care information during
     an event or the obtaining of consent to a treatment."/> 
  </concept> 
  <concept> 
    <code value="1.2.840.10065.1.12.1.13"/> 
    <display value="Review Signature"/> 
    <definition value="the signature of a person, device, or algorithm that has reviewed or filtered data
     for inclusion into the patient record. ( Examples: (1) a medical records clerk
     who scans a document for inclusion in the medical record, enters header information,
     or catalogues and classifies the data, or a combination thereof; (2) a gateway
     that receives data from another computer system and interprets that data or changes
     its format, or both, before entering it into the patient record.)"/> 
  </concept> 
  <concept> 
    <code value="1.2.840.10065.1.12.1.14"/> 
    <display value="Source Signature"/> 
    <definition value="the signature of an automated data source. (Examples: (1) the signature for an
     image that is generated by a device for inclusion in the patient record; (2) the
     signature for an ECG derived by an ECG system for inclusion in the patient record;
     (3) the data from a biomedical monitoring device or system that is for inclusion
     in the patient record.)"/> 
  </concept> 
  <concept> 
    <code value="1.2.840.10065.1.12.1.15"/> 
    <display value="Addendum Signature"/> 
    <definition value="the signature on a new amended document of an individual who has corrected, edited,
     or amended an original health information document. An addendum signature can either
     be a signature type or a signature sub-type (see 8.1). Any document with an addendum
     signature shall have a companion document that is the original document with its
     original, unaltered content, and original signatures. The original document shall
     be referenced via an attribute in the new document, which contains, for example,
     the digest of the old document. Whether the original, unaltered, document is always
     displayed with the addended document is a local matter, but the original, unaltered,
     document must remain as part of the patient record and be retrievable on demand."/> 
  </concept> 
  <concept> 
    <code value="1.2.840.10065.1.12.1.16"/> 
    <display value="Modification Signature"/> 
    <definition value="the signature on an original document of an individual who has generated a new
     amended document. This (original) document shall reference the new document via
     an additional signature purpose. This is the inverse of an addendum signature and
     provides a pointer from the original to the amended document."/> 
  </concept> 
  <concept> 
    <code value="1.2.840.10065.1.12.1.17"/> 
    <display value="Administrative (Error/Edit) Signature"/> 
    <definition value="the signature of an individual who is certifying that the document is invalidated
     by an error(s), or is placed in the wrong chart. An administrative (error/edit)
     signature must include an addendum to the document and therefore shall have an
     addendum signature sub-type (see 8.1). This signature is reserved for the highest
     health information system administrative classification, since it is a statement
     that the entire document is invalidated by the error and that the document should
     no longer be used for patient care, although for legal reasons the document must
     remain part of the permanent patient record."/> 
  </concept> 
  <concept> 
    <code value="1.2.840.10065.1.12.1.18"/> 
    <display value="Timestamp Signature"/> 
    <definition value="the signature by an entity or device trusted to provide accurate timestamps. This
     timestamp might be provided, for example, in the signature time attribute."/> 
  </concept> 
</CodeSystem>