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Anyone know what is required or how to do electronic signatures?

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  • Anyone know what is required or how to do electronic signatures?

    The title says it all.

    Anyone know how to do this?
    Gary S. Traub, Ph.D.


  • #2
    Re: Anyone know what is required or how to do electronic signatures?

    What represents an electronic signature for you? Text that says "signed by John"? Or need a signature image? What are you trying to sign and from where? A little more detail is needed.
    Mike W
    __________________________
    "I rebel in at least small things to express to the world that I have not completely surrendered"

    Comment


    • #3
      Re: Anyone know what is required or how to do electronic signatures?

      Hi Mike,

      That's just it - I don't really know what is required.

      What I want to do is to allow users to electronically sign a report or clinical note. I was hoping to get some pointers on: what is required (i.e., what is considered 'acceptable' legally), and some suggestions on how to implement it.
      Gary S. Traub, Ph.D.

      Comment


      • #4
        Re: Anyone know what is required or how to do electronic signatures?

        Hi Gary,
        I'm working currently on a document control application where one of the features is signing off on policies and procedures. The following thread got me in the right direction and should help.

        http://msgboard.alphasoftware.com/al...highlight=word

        As far as legalities, the only thing I understand as being necessary is that the application structure that generates the signers name as a signature on a document occur within an application that has a secure, login-password doorway. That's not hard to setup. Attaching the signature wasn't hard. What I am finding difficult is that I want to give each document signed a unique document number and have this number attached to the document in the footer of the document. I have found this a bit more involved in a network environment, but I believe I am very close to completing this. By the regulatory standards that govern medical laboratories, a text statement at the end of the document as follows is sufficient:
        "This document was read and approved by Mike Wilson, MD, on 03-29-2010"

        Good luck.
        Mike W
        __________________________
        "I rebel in at least small things to express to the world that I have not completely surrendered"

        Comment


        • #5
          Re: Anyone know what is required or how to do electronic signatures?

          "This document was read and approved by Mike Wilson, MD, on 03-29-2010"

          Mike,

          Thanks so much for this. So, if I understand correctly, the statement quoted above is an electronic signature? And, that just needs to be placed on the document?

          Is there a requirement that once it is electronically signed, the program cannot allow it to be edited or deleted?
          Gary S. Traub, Ph.D.

          Comment


          • #6
            Re: Anyone know what is required or how to do electronic signatures?

            For official patient records, once signed, edits and changes are not permitted to the original record. If an edit/change is needed, it is required that the original signed document be maintained in its native signed state and either an addendum or a corrected component be generated. The addendum/corrected component can be a new document, or an addition to the existing document "at the end", so that the original signed document remains completely intact WITH NOTATION AN ADDENDUM-CORRECTION exists. I have seen it done both ways.... added at the end of original report, and a new report linked to the original report. Up to you.

            Gary, I will share with you that if you engage in this... there are requirements that all patient electronic records must fall behind a formal, secure user login with password doorway and that every access to records have a logged audit trails of the user that accessed the patient record. Do you understand the complexity and build of this? Are you ready for that?

            I know that Tom Cone worked at one time with Cheryl Lamiere (spelling ?) on a patient records system and worked on an audit trail component for that application. You might touch base with a personal email to him about this.
            Last edited by Mike Wilson; 03-29-2010, 09:29 PM.
            Mike W
            __________________________
            "I rebel in at least small things to express to the world that I have not completely surrendered"

            Comment


            • #7
              Re: Anyone know what is required or how to do electronic signatures?

              Legally Gary you are not allowed to store signatures electronically due to the fact the you could paste them into anywhere you wanted to. They wont hold up in legal court.
              Chad Brown

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              • #8
                Re: Anyone know what is required or how to do electronic signatures?

                I understand digital signature as a private key that identifies the user from others.

                Ken

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                • #9
                  Re: Anyone know what is required or how to do electronic signatures?

                  I don't know if it's of any help as I am not totally clear on what you need, but when you setup a UK company online, your electronic signature is made up from the first three letters of three items: your mothers maiden name, your town of birth and your eye colour. For example: LAWson, BOSton and BROwn = LAWBOSBRO. You don't sign any forms as it's all done online.

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