Who signed, in what capacity. The patient's own name is the reliable test — it is known exactly —
so it is checked FIRST; a recorded role/credential is corroboration, not the primary signal. That
ordering matters because the credential vocabulary is open-ended (stacked licences, punctuated
forms, job titles), so treating its absence as "the patient signed" would invent the very
staff-signature gaps this is meant to detect.
EMRs differ in what they supply: LightningStep and Sunwave record a role natively, while Kipu bakes
a credential into the signer name. Both arrive here as role.
Who signed, in what capacity. The patient's own name is the reliable test — it is known exactly — so it is checked FIRST; a recorded role/credential is corroboration, not the primary signal. That ordering matters because the credential vocabulary is open-ended (stacked licences, punctuated forms, job titles), so treating its absence as "the patient signed" would invent the very staff-signature gaps this is meant to detect.
EMRs differ in what they supply: LightningStep and Sunwave record a role natively, while Kipu bakes a credential into the signer name. Both arrive here as
role.