CMS is collaborating with DHHS Office of the National Coordinator for Health IT (ONC) to develop a method to replace wet signatures with digital signatures for medical documents and transactions. Through working with the Standards and Interoperability (S&I) Framework, CMS has identified requirements within the following major topics for Author of Record (AoR):
Identity Proofing
Digital Credential Management
Digital Signatures & Signature Artifacts
Delegation of Rights
These topics are focused on meeting requirements for signature non-repudiation and data integrity.
The Author of Record pilots are focused on four different types of signatures:
1) Signatures on transactions (see esMD use case 1 and use case 2)
2) Signatures on bundles of documents using the IHE DSG standards as defined in Author of Record Level 1 Implementation Guide.
3) Signatures on individual C-CDAs using the XADES-X-L standard defined in the HL7 Digital Signatures Implementation Guide.
4) Delegation of rights assertions using a SAML assertion as defined in the guides.
The pilots are designed to test signatures and delegations of rights on transaction, bundles of documents and individual documents. The end goals of the Author of Record pilots include addressing the following capabilities to:
Stream 1: Signature on transactions
1) White papers
2) PPA Implementation Guide
3) Author of Record Level 1 Implementation Guide
Stream 2: Signature on document bundle
1) White papers
2) Author of Record Level 1 Implementation Guide
Stream 3: Signature on a Consolidated CDA
1) White papers
2) Author of Record Level 2 Implementation Guide (in progress)
3) HL7 Digital Signatures and Delegation of Rights Implementation Guide (DSTU)
Stream 1 – Use Case 1 Provider Registration (signing a transaction)
Goal: Phase 1
Pilot Participants:
Stream 2 – Author of Record Level 1 (signing a bundle of documents)
Goal: Phase 1
Pilot Participants:
Stream 3 – Author of Record Level 2 (signing an individual CDA document)
Goal: Phase 1
Pilot Participants:
Organization | POCs | Pilot Project Profile |
---|---|---|
PAHISP LLC & NHDS | Peter Bachman | Download (.docx) |
MEA | Tim Staley | Missing File |
Inpriva | Ginna Yost Don Jorgenson | Missing File |
MaxMD | Bruce Schreiber | Download (.docx) |
MRO Coportaion & DigiCert | David Borden Scott Rea | Missing File |
Strategic Healthcare Solutions | Dr. Mark Pilley | Missing File |
MediProfit | Mark Kimmel mark.codeablelanguage@gmail.com Susan Hemme | Missing File |