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The technical mechanisms for digitally signing clinical documents are well supported by international standards. However, a digital signature alone is not always sufficient as a complete personal electronic signature mechanism. There is a range of trade-offs between the cost and complexity of implementation and use of personal electronic signatures, and the assurance they provide of the signer’s identity. The Agency’s Electronic Signatures Recommendations document explores the legal context for electronic signatures on clinical documents, explains key concepts relating to electronic signatures, and analyses the clinical and business risks associated with the signer’s identity in order to draw conclusions about the most appropriate signature mechanisms to use on different types of clinical documents.

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Associated components

eSignature - Release Notification v1.0


This document presents the agreed recommendations for the signing of clinical documents. The recommendations are intended to be used as a basis for the development of technical specifications, software systems, legislative instruments, and local policies.

Monday, 12 Mar 2012

eSignature - Final Recommendations v1.0


This document provides guidance on appropriate mechanisms for the signing of clinical documents where the originator and the potential recipient(s) of the document are in separate and independent healthcare organisations.

Sunday, 11 Mar 2012
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