element -> <eOther.SignatureGroup>
Group Tag to hold signature details
Namespace:
Type:
anonymous complexType
Content:
complex, 1 attribute, 10 elements
Defined:
locally within eOther complexType in eOther_v3.xsd; see XML source
Includes:
definitions of 1 attribute, 10 elements
Content Model Diagram
XML Representation Summary
<eOther.SignatureGroup
    CorrelationID
 = 
xs:string
    >
   
Content: 
eOther.12?, eOther.13*, eOther.14?, eOther.15?, eOther.16?, eOther.17?, eOther.18?, eOther.19?, eOther.20?, eOther.21?
</eOther.SignatureGroup>
Content model elements (10):
Included in content model of elements (1):
XML Source (w/o annotations (11); see within schema source)
<xs:element id="eOther.SignatureGroup" maxOccurs="unbounded" minOccurs="0" name="eOther.SignatureGroup">
<xs:complexType>
<xs:sequence>
<xs:element id="eOther.TypeofPersonSigning" minOccurs="0" name="eOther.12" type="SignatureType"/>
<xs:element id="eOther.SignatureReason" maxOccurs="unbounded" minOccurs="0" name="eOther.13">
<xs:complexType>
<xs:simpleContent>
<xs:extension base="SignatureReason">
<xs:attribute name="CorrelationID" type="CorrelationID" use="optional"/>
</xs:extension>
</xs:simpleContent>
</xs:complexType>
</xs:element>
<xs:element id="eOther.TypeOfPatientRepresentative" minOccurs="0" name="eOther.14" type="RelationshipSignature"/>
<xs:element id="eOther.SignatureStatus" minOccurs="0" name="eOther.15" type="SignatureStatus"/>
<xs:element id="eOther.SignatureFileName" minOccurs="0" name="eOther.16" type="FileName"/>
<xs:element id="eOther.SignatureFileType" minOccurs="0" name="eOther.17" type="GraphicType"/>
<xs:element id="eOther.SignatureGraphic" minOccurs="0" name="eOther.18" type="Graphic"/>
<xs:element id="eOther.DateTimeofSignature" minOccurs="0" name="eOther.19" type="DateTimeType"/>
<xs:element id="eOther.SignatureLastName" minOccurs="0" name="eOther.20" type="PersonLastName"/>
<xs:element id="eOther.SignatureFirstName" minOccurs="0" name="eOther.21" type="PersonFirstName"/>
</xs:sequence>
<xs:attribute name="CorrelationID" type="CorrelationID" use="optional"/>
</xs:complexType>
</xs:element>
Attribute Detail (all declarations; defined in this component only; 1/1)
CorrelationID
Type:
Use:
optional
Attribute Value
xs:string
MaxLength:
255
MinLength:
0
XML Source (see within schema source)
<xs:attribute name="CorrelationID" type="CorrelationID" use="optional"/>
Content Element Detail (all declarations; defined in this component only; 10/10)
eOther.12
Type:
SignatureType, simple content
eOther.12 Type of Person Signing No No The individual's signature associated with eOther.15 (Signature Status). Optional Added to better document disposition and billing information.
Simple Content
enumeration of xs:string
Enumeration:
"4512001"
 - 
EMS Crew Member (Other)
"4512003"
 - 
EMS Primary Care Provider (for this event)
"4512005"
 - 
Healthcare Provider
"4512007"
 - 
Medical Director
"4512009"
 - 
Non-Healthcare Provider
"4512011"
 - 
Online Medical Control Healthcare Practitioner
"4512013"
 - 
Other
"4512015"
 - 
Patient
"4512017"
 - 
Patient Representative
"4512019"
 - 
Witness
XML Source (w/o annotations (1); see within schema source)
<xs:element id="eOther.TypeofPersonSigning" minOccurs="0" name="eOther.12" type="SignatureType"/>

eOther.13
Type:
anonymous (extension of SignatureReason), simple content
eOther.13 Signature Reason No No The reason for the individuals signature. Optional
Simple Content
enumeration of xs:string
Enumeration:
"4513001"
 - 
HIPAA acknowledgement/Release
"4513003"
 - 
Permission to Treat
"4513005"
 - 
Release for Billing
"4513007"
 - 
Transfer of Patient Care
"4513009"
 - 
Refusal of Care
"4513011"
 - 
Controlled Substance, Administration
"4513013"
 - 
Controlled Substance, Waste
"4513015"
 - 
Airway Verification
"4513017"
 - 
Patient Belongings (Receipt)
"4513019"
 - 
Permission to Transport
"4513021"
 - 
Refusal of Transport
"4513023"
 - 
Other
XML Source (w/o annotations (1); see within schema source)
<xs:element id="eOther.SignatureReason" maxOccurs="unbounded" minOccurs="0" name="eOther.13">
<xs:complexType>
<xs:simpleContent>
<xs:extension base="SignatureReason">
<xs:attribute name="CorrelationID" type="CorrelationID" use="optional"/>
</xs:extension>
</xs:simpleContent>
</xs:complexType>
</xs:element>

eOther.14
Type:
RelationshipSignature, simple content
eOther.14 Type Of Patient Representative No No If Patient Representative is chosen as the owner of the signature, this documents the relationship of the individual signing to the patient. Optional Required for Billing. Added to improve documentation on disposition and billing.
Simple Content
enumeration of xs:string
Enumeration:
"4514001"
 - 
Aunt
"4514003"
 - 
Brother
"4514005"
 - 
Daughter
"4514007"
 - 
Discharge Planner
"4514009"
 - 
Domestic Partner
"4514011"
 - 
Father
"4514013"
 - 
Friend
"4514015"
 - 
Grandfather
"4514017"
 - 
Grandmother
"4514019"
 - 
Guardian
"4514021"
 - 
Husband
"4514023"
 - 
Law Enforcement
"4514025"
 - 
MD/DO
"4514027"
 - 
Mother
"4514029"
 - 
Nurse (RN)
"4514031"
 - 
Nurse Practitioner (NP)
"4514033"
 - 
Other Care Provider (Home health, hospice, etc.)
"4514035"
 - 
Other
"4514037"
 - 
Physician's Assistant (PA)
"4514039"
 - 
Power of Attorney
"4514041"
 - 
Other Relative
"4514043"
 - 
Self
"4514045"
 - 
Sister
"4514047"
 - 
Son
"4514049"
 - 
Uncle
"4514051"
 - 
Wife
XML Source (w/o annotations (1); see within schema source)
<xs:element id="eOther.TypeOfPatientRepresentative" minOccurs="0" name="eOther.14" type="RelationshipSignature"/>

eOther.15
Type:
SignatureStatus, simple content
eOther.15 Signature Status No No Indication that a patient or patient representative signature has been collected or attempted to be collected. Optional Added to better document disposition and billing.
Simple Content
enumeration of xs:string
Enumeration:
"4515001"
 - 
Not Signed - Crew Called out to another call
"4515003"
 - 
Not Signed - Deceased
"4515005"
 - 
Not Signed - Due to Distress Level
"4515007"
 - 
Not Signed - Equipment Failure
"4515009"
 - 
Not Signed - In Law Enforcement Custody
"4515011"
 - 
Not Signed - Language Barrier
"4515013"
 - 
Not Signed - Mental Status/Impaired
"4515015"
 - 
Not Signed - Minor/Child
"4515017"
 - 
Not Signed - Physical Impairment of Extremities
"4515019"
 - 
Not Signed - Refused
"4515021"
 - 
Not Signed - Transferred Care/No Access to Obtain Signature
"4515023"
 - 
Not Signed - Unconscious
"4515025"
 - 
Not Signed -Visually Impaired
"4515027"
 - 
Physical Signature/Paper Copy Obtained
"4515029"
 - 
Refused
"4515031"
 - 
Signed
"4515033"
 - 
Signed-Not Patient
XML Source (w/o annotations (1); see within schema source)
<xs:element id="eOther.SignatureStatus" minOccurs="0" name="eOther.15" type="SignatureStatus"/>

eOther.16
Type:
FileName, simple content
eOther.16 Signature File Name No No The name of the graphic file for the signature. Optional
Simple Content
xs:string
maxLength:
255
XML Source (w/o annotations (1); see within schema source)
<xs:element id="eOther.SignatureFileName" minOccurs="0" name="eOther.16" type="FileName"/>

eOther.17
Type:
GraphicType, simple content
eOther.17 Signature File Type No No The description of the file attachment stored in Signature Graphic (eOther.18). Optional The description is defined as the extension of the file type. Examples of file name extensions include "doc", "jpeg", "tiff", etc. For a list of additional extensions reference the following website(s): <br/> <table><tr><td width="10px"></td><td> <table> <tr><td>3D Image formats: <span style="color:blue">http://www.fileinfo.com/filetypes/3d_image</span></td></tr> <tr><td>Raster Image formats: <span style="color:blue">http://www.fileinfo.com/filetypes/raster_image</span></td></tr> <tr><td>Vector Image formats: <span style="color:blue">http://www.fileinfo.com/filetypes/vector_image</span></td></tr> <tr><td><br/></td></tr> <tr><td>Video formats: <span style="color:blue">http://www.fileinfo.com/filetypes/video</span></td></tr> <tr><td>Audio formats: <span style="color:blue">http://www.fileinfo.com/filetypes/audio</span></td></tr> <tr><td><br/></td></tr> <tr><td>Comparison of formats:</td></tr> <tr><td>Image: <span style="color:blue">http://en.wikipedia.org/wiki/Comparison_of_image_file_formats</span></td></tr> <tr><td>Audio: <span style="color:blue">http://en.wikipedia.org/wiki/Audio_file_format</span></td></tr> <tr><td>Container: <span style="color:blue">http://en.wikipedia.org/wiki/Comparison_of_container_formats</span></td></tr> <tr><td><br/></td></tr> <tr><td>A general list of image formats: <span style="color:blue">http://en.wikipedia.org/wiki/Image_file_formats</span></td></tr> <tr><td>Mime Types: <span style="color:blue">http://en.wikipedia.org/wiki/Internet_media_type</span></td></tr> </table> </td></tr></table>
Simple Content
xs:string
maxLength:
255
minLength:
1
XML Source (w/o annotations (1); see within schema source)
<xs:element id="eOther.SignatureFileType" minOccurs="0" name="eOther.17" type="GraphicType"/>

eOther.18
Type:
Graphic, simple content
eOther.18 Signature Graphic No No The graphic file for the signature. Optional Added to better document disposition and billing.
Simple Content
xs:base64Binary
XML Source (w/o annotations (1); see within schema source)
<xs:element id="eOther.SignatureGraphic" minOccurs="0" name="eOther.18" type="Graphic"/>

eOther.19
Type:
DateTimeType, simple content
eOther.19 Date/Time of Signature No No The date and time the signature was captured. Optional DateTime consists of finite-length characters of the form: yyyy '-' mm '-' dd 'T' hh ':' mm ':' ss ('.' s+)? (zzzzzz) <table cellspacing="2"><tr><td> <table border="1px" cellpadding="3px" cellspacing="0"> <tr><td align="center">yyyy</td><td>a four-digit numeral that represents the year</td></tr> <tr><td align="center">'-'</td><td>separators between parts of the date portion</td></tr> <tr><td align="center">mm</td><td>a two-digit numeral that represents the month</td></tr> <tr><td align="center">dd</td><td>a two-digit numeral that represents the day</td></tr> <tr><td align="center">T</td><td>separator that indicates time-of-day follows</td></tr> <tr><td align="center">hh</td><td>a two-digit numeral that represents the hour</td></tr> <tr><td align="center">':'</td><td>a separator between parts of the time-of-day portion</td></tr> <tr><td align="center">mm</td><td>a two-digit numeral that represents the minute</td></tr> <tr><td align="center">ss</td><td>a two-integer-digit numeral that represents the whole seconds</td></tr> <tr><td align="center">'.' s+</td><td>(not required) represents the fractional seconds</td></tr> <tr><td align="center">zzzzzz</td><td>(required) represents the timezone (as described below)</td></tr> </table> </td></tr></table> <br/>Timezones, required, are durations with (integer-valued) hour and minute properties in the form: ('+' | '-') hh ':' mm <table cellspacing="2"><tr><td> <table border="1px" cellpadding="3px" cellspacing="0"> <tr><td align="center">hh</td><td>a two-digit numeral (with leading zeros as required) that represents the hours</td></tr> <tr><td align="center">mm</td><td>a two-digit numeral that represents the minutes</td></tr> <tr><td align="center">'+'</td><td>a nonnegative duration</td></tr> <tr><td align="center">'-'</td><td>a nonpositive duration</td></tr> </table> </td></tr></table> Added to better document disposition and billing.
Simple Content
xs:dateTime
maxInclusive:
2050-01-01T00:00:00-00:00
minInclusive:
1950-01-01T00:00:00-00:00
Pattern:
[0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+|-)[0-9]{2}:[0-9]{2}
XML Source (w/o annotations (1); see within schema source)
<xs:element id="eOther.DateTimeofSignature" minOccurs="0" name="eOther.19" type="DateTimeType"/>

eOther.20
Type:
PersonLastName, simple content
eOther.20 Signature Last Name No No The last name of the individual who signed the associated signature. Optional Added to better document disposition and billing.
Simple Content
xs:string
maxLength:
60
minLength:
1
XML Source (w/o annotations (1); see within schema source)
<xs:element id="eOther.SignatureLastName" minOccurs="0" name="eOther.20" type="PersonLastName"/>

eOther.21
Type:
PersonFirstName, simple content
eOther.21 Signature First Name No No The first name of the individual associated with the signature. Optional Added to better document disposition and billing.
Simple Content
xs:string
maxLength:
50
minLength:
1
XML Source (w/o annotations (1); see within schema source)
<xs:element id="eOther.SignatureFirstName" minOccurs="0" name="eOther.21" type="PersonFirstName"/>