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Difference between revisions of "Digital signature for header participations - author, authenticator, legalAuthenticator"

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{{CDA R3 Open Proposals}}
+
{{CDA R3 Approved Proposals}}
  
 
Return to [[Structured Documents TC|SDTC]] page; Return to [[:category:CDA R3 Formal Proposals|CDA R3 Formal Proposals]] page.
 
Return to [[Structured Documents TC|SDTC]] page; Return to [[:category:CDA R3 Formal Proposals|CDA R3 Formal Proposals]] page.
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Currently there is no way include a digital signature in the document header along with the identity of an author, authenticator, or legal authenticator. This information is often mandatory for legally binding documents.
 
Currently there is no way include a digital signature in the document header along with the identity of an author, authenticator, or legal authenticator. This information is often mandatory for legally binding documents.
 
===Severity:High===
 
===Severity:High===
High: The workaround "Signature" section (see Dicussion) is inefficient and duplicative of metadata specified in the HL7 RIM (signature).  
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High: The workaround "Signature" section (see Dicussion) is inefficient and duplicative of metadata specified in the HL7 RIM (Participation.signatureText).  
 
[[Community-Based Collaborative Care|CBCC WG Wiki]]
 
[[Community-Based Collaborative Care|CBCC WG Wiki]]
  
 
== Recommendation ==
 
== Recommendation ==
* Add "digitalSignature" to Participation instances in the document header.
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* Add "signatureText" attribute to Participation occurrences in the document header.
  
  
 
== Rationale ==
 
== Rationale ==
Needed for Consent Directive representations. The current workaround is to specify a "Signature" section in structure body of a document:
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Needed for Consent Directive representations. The current workaround is to specify a "Signature" section in structure body of a document because we cannot use the Participation.signatureText for legalAuthenticator, authenticator, etc. specified in the header.
<section classCode="DOCSECT" moodCode="EVN">
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The following workaround would be eliminated in CDA R3 if this proposal were approved:
 +
              <section classCode="DOCSECT" moodCode="EVN">
 
                     <code code="57016-8" codeSystemName="LOINC"/>
 
                     <code code="57016-8" codeSystemName="LOINC"/>
 
                     <title>Signatures</title>
 
                     <title>Signatures</title>
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== Resolution ==
 
== Resolution ==
(Resolution is to be recorded here and in the referenced minutes, which are the authoritative source of resolution).
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March 30, 2010 SDWG: Agree. Opposed: 0; Abstain: 0; Approve: 6.

Latest revision as of 21:50, 30 March 2010


Return to SDTC page; Return to CDA R3 Formal Proposals page.

Submitted by: Ioana Singureanu Revision date: <<Revision Date>>
Submitted date: 11/17/2009 Change request ID: <<Change Request ID>>

Issue

Currently there is no way include a digital signature in the document header along with the identity of an author, authenticator, or legal authenticator. This information is often mandatory for legally binding documents.

Severity:High

High: The workaround "Signature" section (see Dicussion) is inefficient and duplicative of metadata specified in the HL7 RIM (Participation.signatureText). CBCC WG Wiki

Recommendation

  • Add "signatureText" attribute to Participation occurrences in the document header.


Rationale

Needed for Consent Directive representations. The current workaround is to specify a "Signature" section in structure body of a document because we cannot use the Participation.signatureText for legalAuthenticator, authenticator, etc. specified in the header. The following workaround would be eliminated in CDA R3 if this proposal were approved:

              <section classCode="DOCSECT" moodCode="EVN">
                   
                   <title>Signatures</title>
                   <text> This section contains the signatures of the relevant  
                            authenticators</text>
                   <entry typeCode="COMP">
                       <observationMedia classCode="OBS" moodCode="EVN">
                           <value mediaType="application/pdf" representation="B64"> 
                              ... 
                           </value>
                       </observationMedia>
                   </entry>
               </section>

This method, however, does not specify how to which authenticator is belongs, the narrative block has to specify using references.

Discussion

The item was introduced during the SDWG meeting - Nov. 17th, 2009.


Recommended Action Items

Resolution

March 30, 2010 SDWG: Agree. Opposed: 0; Abstain: 0; Approve: 6.