I prefer to deal in the Reference Model with the documentation and archiving 
aspects.
Any Composition needs to be signed, irrespective of the content.
And that signing on occasion is by multiple persons, in different roles.

When specific parts of the data as defined by the Composition need to be 
signed-oof, than that is a different matter.

And signing off the Composition as artefact (Archetype) is a different matter 
again.

Gerard Freriks
+31 620347088
gfrer at luna.nl <mailto:gfrer at luna.nl>
> On 15 nov. 2014, at 10:56, Ian McNicoll <ian at mcmi.co.uk> wrote:
> 
> Hi William,
> 
> I don't really agree with your suggested approach. The specific
> requirement is to be able to formally sign or counter-sign the entire
> document, possibly for reasons of medico-legal responsibility as Dipak
> has described, or because specific requests or orders must have senior
> sign-off.  The majority of documents will have no attestations but the
> potential need is universal, whilst orthogonal to the type of document
> or content. This makes it entirely sensible to handle at RM level.
> 
> Attestation is quite different from the ideas of evidence, use of
> guidelines etc that you seem to be talking about.
> 
> Ian
> Dr Ian McNicoll
> mobile +44 (0)775 209 7859
> office +44 (0)1536 414994
> skype: ianmcnicoll
> email: ian at freshehr.com <mailto:ian at freshehr.com>
> twitter: @ianmcnicoll
> 
> Director, freshEHR Clinical Informatics
> Director, openEHR Foundation
> Director, HANDIHealth CIC
> Hon. Senior Research Associate, CHIME, UCL

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