本文件通过提供生成和验证数字签名及相关证书的最低要求和格式，支持数字签名的互换性，并防止不正确或非法的数字签名。 本文档描述了需要解决的常见技术、操作和政策要求，以使数字证书能够用于保护单个域内、域之间以及跨管辖边界的医疗保健信息交换。其目的是创建一个全球互操作性平台。它特别支持支持支持数字证书的跨境通信，但也可以为国家或地区在医疗保健领域部署数字证书提供指导。 它定义了医疗保健领域所需的可证明的PKI政策合规性。本文件规定了一种采用长期签名格式的方法，以确保医疗保健信息的长期电子保存的完整性和不可否认性。 本文档提供了基于ETSI标准和CAdES、XAdES和PAdES中规定的ISO/ETSI标准的医疗保健特定PKI（HPKI）数字签名配置文件。

This document supports interchangeability of digital signatures and the prevention of incorrect or illegal digital signatures by providing minimum requirements and formats for generating and verifying digital signatures and related certificates. This document describes the common technical, operational, and policy requirements that need to be addressed to enable digital certificates to be used in protecting the exchange of healthcare information within a single domain, between domains, and across jurisdictional boundaries. Its purpose is to create a platform for global interoperability. It specifically supports digital certificate enabled communication across borders but could also provide guidance for the national or regional deployment of digital certificates in healthcare. It defines the provable compliance with a PKI policy necessary in the domain of healthcare. This document specifies a method of adopting long-term signature formats to ensure integrity and non-repudiation in long-term electronic preservation of healthcare information. This document provides Healthcare specific PKI (HPKI) profiles of digital signature based on the ETSI Standard and the profile of the ISO/ETSI Standard specified in CAdES, XAdES, and PAdES.