“…1 In order to implement the digital signature of electronic health records (EHR), some issues should be of concern, including integrity, authenticity, and long-term verifiability. 2,3 The digital signature specifications in the radiology domain have been addressed by Digital Imaging and Communication in Medicine (DICOM) 4 , Health Level 7 (HL7), and Integrating the Healthcare Enterprise (IHE). 5 In the real world, an EHR may contain many different types of clinical data (text, image, waveform, etc.).…”