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.)
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
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.)
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
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.)
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.
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
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.
Returns the enum constant of this type with the specified name.
The string must match exactly an identifier used to declare an
enum constant in this type. (Extraneous whitespace characters are
name - the name of the enum constant to be returned.