It was interesting and relevant to this subject to see that my insurer
(MDASA), still requires doctors to sign and date their progress notes - was
going through their on-line practice assessment recently. I run a paperless
system - wonder if they'll be happy with the fact that an entry was made
under my login and dated by the system. I think the latest accrediation
standards state something similar but I'm not sure.
T 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Ian Cheong
Sent: Friday, 18 August 2006 7:37 AM
To: General Practice Computing Group Talk
Subject: Re: [GPCG_TALK] FW: E-signing catches on

At 9:30 am +1000 17/8/06, David Guest wrote:
>[...]> a scanned image of the referral letter as proof that the 
>referral took place,
>>  they do not insist the paper original be kept.
>>
>>  They don't say the scanning has the take place in the specialist's 
>>surgery...
>>
>>  Ian
>Signatures can be a problem in generated documents. Time to find that 
>Viner Hand ITC again.


But people have signed with rubber stamp signatures for decades. The
government does in on Reserve Bank cheques. One has to have a management
policy restricting use of such a "signature" to the signer or appropriately
authorised delegate.

(an article on electronic signatures
http://www.acm.org/ubiquity/views/e_michael_1.html)

Presumably one could do the same thing with a TIFF of your signature as long
as it was appropriately managed. Wondering if one can use steganography to
authenticate a bitmap signature....

Obviously if you sign your digital outgoings with your HESA private key (I
presume there is a digital timestamp from an external time stamp server in
the signed document somewhere), you will have no problems. Don't even ask
them if you can, just do it.

Don't forget, Medicare has no interest in collecting all those referral
letters unless their data mining computer has reason to audit and they are
investigating.

Ian.

--
Dr Ian R Cheong, BMedSc, FRACGP, GradDipCompSc, MBA(Exec) Health Informatics
Consultant, Brisbane, Australia
Internet: [EMAIL PROTECTED]
(for urgent matters, please send a copy to my practice email as well: 
[EMAIL PROTECTED])

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