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Codesystem-astm-signature-type.xml

Vocabulary Work GroupMaturity Level: N/AStandards Status: Informative

Raw XML (canonical form + also see XML Format Specification)

Definition for Code System ASTMSignatureTypeCodes

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

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="astm-signature-type"/> 
  <meta> 
    <lastUpdated value="2021-08-02T16:05:00.203+00:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> This code system urn:iso-astm:E1762-95:2013 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"/> 
  <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/recorder,
   and witness."/> 
  <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> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.