Attestation 'Request'

Hi! We are looking at using Attestations and have a question about the following:

https://specifications.openehr.org/releases/RM/latest/common.html#_attestation

When an attestation is required, the most common scenario will be that a Composition Version will be committed with a commit_audit of type ATTESTATION, rather than just AUDIT_DETAILS; the is_pending flag will be set to True to indicate that the committed information needs to be signed by another person.

So if I understand this correctly the committer of this first ATTESTATION is the person that made the change to the Composition. And another ATTESTATION object needs to be added to the Composition Version to finish the Attestation.

And our question about this is: Is there a way to indicate who needs to sign it with a second Attestation object as sort of a request instead of it just being an open Attestation?

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At the moment there is not. There is probably an argument for adding a ‘signer’ or ‘awaiting_signer’ field that indicates - a name (Dr Sara Bergman)? and/or a role type (surgeon)? Something else? @siljelb , @ian.mcnicoll , @heather.leslie & other clinical modelling specialists may have opinions to offer.

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I know this kind of “awaiting signing” flag is used in some EHR implementations, but I don’t know the details. Maybe implementers such as DIPS (ping @bna) could elaborate?

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Now that I think of it, @sebastian.iancu may know about this, since Code24 systems are used extensively in mental health where I believe attestation occurs more often.

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Yes we have several workflow options for documents in the legacy system. These are essential for the usage of the EHR. Since it was present before we introduced openehr into the system we never used any openehr related features for this.

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Indeed we may had similar requirements. It relates to Patient consent, but we did not implemented with ATTESTATION (due to some internal technical choices), but as ADMIN_ENTRY compositions and the use of LINKs & FOLDERs.

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Thank you for all your replies. We will see if we will implement it in another way for now then and will curiously await to see if something will be added to the specifications.

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The simple solution if you do not need to ‘park’ a verison if the composition until formal attestation, is just to add the name of the attester/signatory as a parcticipant with the role ’ key signatory /attester etc. We have done something like for and Endo life Care wishes form where.

You can add a list of participants to any COMPOSITION or any ENTRY.

This is a bit ‘softer’ then formal versioned Attestation but was enough for us.

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