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Library/DF3 - Immutability

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.

OverviewLinked conceptsRelationshipsGraphRaw metadata

01

Overview

Producer metadata and the represented concept document.

Concept identity

design-knowledge/consent-self-management-hie-df3
Open concept record
Producer label
DF3
Source paper
Blockchain innovation for consent self-management in health information exchanges
Timestamp
2026-08-05T00:00:00+00:00
Bundle path
design-knowledge/consent-self-management-hie-df3.md
consent-managementconsent-self-management-hiedesign-featurehealthcareinteroperabilityprivacy

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).

Implements

  • Design principle DP3: Auditable consent history

02

Linked concepts

Concepts connected by incoming or outgoing native Markdown links.

1 Design Principle

design-knowledge/consent-self-management-hie-dp3

DP3 - Auditable consent history

The history of consent transactions between patients and the HIE must be auditable so that compliance with consent laws can be verified for all transactions.

consent-managementconsent-self-management-hiedesign-principlehealthcare+2

1 Paper

papers/consent-self-management-hie

Blockchain innovation for consent self-management in health information exchanges

Having established patients' desire to self-manage consent, the paper proposes a permissioned-blockchain solution enabling seamless sharing of patient consent across providers and HIEs, formalized through five design requirements, five design principles and five design features, and evaluated with a prototype.

blockchainconsent-managementconsent-self-management-hiedesign-science-research+3

03

Relationships

Directed links from Markdown. Heading context is displayed as derived metadata, not as a formal OKF predicate.

Outgoing links

2
  • →

    Blockchain innovation for consent self-management in health information exchanges

    Paper
    Source
    DF3 - Immutability
    Target
    Blockchain innovation for consent self-management in health information exchanges
    Link label
    Blockchain innovation for consent self-management in health information exchanges
    Status
    Resolved

    Derived heading context: Source paper

  • →

    DP3 - Auditable consent history

    Design Principle
    Source
    DF3 - Immutability
    Target
    DP3 - Auditable consent history
    Link label
    Design principle DP3: Auditable consent history
    Status
    Resolved

    Derived heading context: Implements

Incoming backlinks

2
  • ←

    Blockchain innovation for consent self-management in health information exchanges

    Paper
    Source
    Blockchain innovation for consent self-management in health information exchanges
    Target
    DF3 - Immutability
    Link label
    Design feature DF3: Immutability
    Status
    Resolved

    Derived heading context: Design features

  • ←

    DP3 - Auditable consent history

    Design Principle
    Source
    DP3 - Auditable consent history
    Target
    DF3 - Immutability
    Link label
    Design feature DF3: Immutability
    Status
    Resolved

    Derived heading context: Implemented by

04

Local graph

One-hop by default, with an optional bounded two-hop view. Nodes are concept files and arrows are Markdown links.

Knowledge graph

3 of 3 concepts · 6 directed relationships

Concept types
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Design FeatureSeed

Immutability

Concept identity

Concept ID
design-knowledge/consent-self-management-hie-df3
Producer label
DF3
Native type
design-feature

Description

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.

DOI

https://doi.org/10.1016/j.dss.2023.114021

Tags

  • consent-management
  • consent-self-management-hie
  • design-feature
  • healthcare
  • interoperability
  • privacy
Description and publication link from the library record.

05

Raw metadata

The complete producer frontmatter, serialized without server paths or runtime data.

Show producer frontmatter+
{
  "type": "design-feature",
  "title": "DF3 - Immutability",
  "description": "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.",
  "resource": "https://doi.org/10.1016/j.dss.2023.114021",
  "source_paper": "Blockchain innovation for consent self-management in health information exchanges",
  "label": "DF3",
  "tags": [
    "consent-self-management-hie",
    "design-feature",
    "healthcare",
    "consent-management",
    "privacy",
    "interoperability"
  ]
}