Design Feature

DF4 - Decentralization

A user can connect and submit a consent transaction to a single HIE without the need for a central, trusted entity to mediate the exchange.

Overview

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Concept identity

design-knowledge/consent-self-management-hie-df4

Open concept record

Producer label: DF4
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-df4.md

consent-managementconsent-self-management-hiedesign-featurehealthcareinteroperabilityprivacy

Design feature DF4: Decentralization

A user can connect and submit a consent transaction to a single HIE without the need for a central, trusted entity to mediate the exchange.

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

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2 Design Principles

design-knowledge/consent-self-management-hie-dp4

DP4 - Cross-HIE consent communication without central authority

HIEs should be able to communicate consent status across HIEs without a central authority, supporting interoperability.

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

design-knowledge/consent-self-management-hie-dp5

DP5 - Patient-driven cross-HIE consent updates

Enable patients to share changes in their consent status across HIEs.

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

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4 of 4 concepts · 10 directed relationships

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{
  "type": "design-feature",
  "title": "DF4 - Decentralization",
  "description": "A user can connect and submit a consent transaction to a single HIE without the need for a central, trusted entity to mediate the exchange.",
  "resource": "https://doi.org/10.1016/j.dss.2023.114021",
  "source_paper": "Blockchain innovation for consent self-management in health information exchanges",
  "label": "DF4",
  "tags": [
    "consent-self-management-hie",
    "design-feature",
    "healthcare",
    "consent-management",
    "privacy",
    "interoperability"
  ]
}