Design feature DF3: Immutability
Consent transactions are never erased; a previous transaction remains, and any change is added as a new transaction to the append-only blockchain data structure.
Source paper
This design feature is a technology-specific realization proposed by Blockchain innovation for consent self-management in health information exchanges (Chad Anderson, Arthur Carvalho, Mala Kaul, Jeffrey W. Merhout, 2023).