It is my understanding that if your facility is not entirely paperless, then you need 
a a properly printed and signed MDS.  The signature stamps discussed in the RAI manual 
are not electronic signatures.  Even though our system time/date/name stamps our RAP 
Documentation Notes, we still physically sign and date each RAP.  I doubt this is what 
you wanted to hear, but that is my understanding of the Regs.

Good Luck!
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