# description
 A set of codes specifying whether and how the participant has attested his participation through a signature and or whether such a signature is needed.  Examples:
A surgical Procedure act object (representing a procedure report) requires a signature of the performing and responsible surgeon, and possibly other participants. (See also: Participation.signatureText.)

# concept[].definition
The particpant intends to provide a signature.

# concept[].definition
Signature has been affixed, either written on file, or electronic (incl. digital) signature in Participation.signatureText.

# concept[].definition
A signature for the service is required of this actor.