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Library/DP4 - Cross-HIE consent communication without central authority

Design Principle

DP4 - Cross-HIE consent communication without central authority

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

OverviewLinked conceptsRelationshipsGraphRaw metadata

01

Overview

Producer metadata and the represented concept document.

Concept identity

design-knowledge/consent-self-management-hie-dp4
Open concept record
Producer label
DP4
Source paper
Blockchain innovation for consent self-management in health information exchanges
Timestamp
2026-07-16T00:00:00+00:00
Bundle path
design-knowledge/consent-self-management-hie-dp4.md
consent-managementconsent-self-management-hiedesign-principlehealthcareinteroperabilityprivacy

Design principle DP4: Cross-HIE consent communication without central authority

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

Source paper

This design principle is proposed by Blockchain innovation for consent self-management in health information exchanges (Chad Anderson, Arthur Carvalho, Mala Kaul, Jeffrey W. Merhout, 2023).

Addresses

  • Design requirement DR5: Interoperability

Implemented by

  • Design feature DF4: Decentralization
  • Design feature DF5: Distribution

02

Linked concepts

Concepts connected by incoming or outgoing native Markdown links.

2 Design Features

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

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.

consent-managementconsent-self-management-hiedesign-featurehealthcare+2
design-knowledge/consent-self-management-hie-df5

DF5 - Distribution

A consent transaction submitted to a single HIE is shared with all blockchain network nodes (HIEs), eventually becoming available to all HIEs.

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

1 Design Requirement

design-knowledge/consent-self-management-hie-dr5

DR5 - Interoperability

The solution must be interoperable across the currently fragmented health information exchange infrastructure to enable full self-management of consent, since the range of HIE organizational forms is each designed to support connectivity for only a limited set of entities.

consent-managementconsent-self-management-hiedesign-requirementhealthcare+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

4
  • →

    Blockchain innovation for consent self-management in health information exchanges

    Paper
    Source
    DP4 - Cross-HIE consent communication without central authority
    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

  • →

    DF4 - Decentralization

    Design Feature
    Source
    DP4 - Cross-HIE consent communication without central authority
    Target
    DF4 - Decentralization
    Link label
    Design feature DF4: Decentralization
    Status
    Resolved

    Derived heading context: Implemented by

  • →

    DF5 - Distribution

    Design Feature
    Source
    DP4 - Cross-HIE consent communication without central authority
    Target
    DF5 - Distribution
    Link label
    Design feature DF5: Distribution
    Status
    Resolved

    Derived heading context: Implemented by

  • →

    DR5 - Interoperability

    Design Requirement
    Source
    DP4 - Cross-HIE consent communication without central authority
    Target
    DR5 - Interoperability
    Link label
    Design requirement DR5: Interoperability
    Status
    Resolved

    Derived heading context: Addresses

Incoming backlinks

3
  • ←

    Blockchain innovation for consent self-management in health information exchanges

    Paper
    Source
    Blockchain innovation for consent self-management in health information exchanges
    Target
    DP4 - Cross-HIE consent communication without central authority
    Link label
    Design principle DP4: Cross-HIE consent communication without central authority
    Status
    Resolved

    Derived heading context: Design knowledge

  • ←

    DF4 - Decentralization

    Design Feature
    Source
    DF4 - Decentralization
    Target
    DP4 - Cross-HIE consent communication without central authority
    Link label
    Design principle DP4: Cross-HIE consent communication without central authority
    Status
    Resolved

    Derived heading context: Implements

  • ←

    DF5 - Distribution

    Design Feature
    Source
    DF5 - Distribution
    Target
    DP4 - Cross-HIE consent communication without central authority
    Link label
    Design principle DP4: Cross-HIE consent communication without central authority
    Status
    Resolved

    Derived heading context: Implements

04

Local graph

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Knowledge graph

5 of 5 concepts · 13 directed relationships

Concept types
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Design PrincipleSeed

Cross-HIE consent communication without central authority

Concept identity

Concept ID
design-knowledge/consent-self-management-hie-dp4
Producer label
DP4
Native type
design-principle

Description

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

DOI

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

Tags

  • consent-management
  • consent-self-management-hie
  • design-principle
  • 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-principle",
  "title": "DP4 - Cross-HIE consent communication without central authority",
  "description": "HIEs should be able to communicate consent status across HIEs without a central authority, supporting interoperability.",
  "resource": "https://doi.org/10.1016/j.dss.2023.114021",
  "source_paper": "Blockchain innovation for consent self-management in health information exchanges",
  "label": "DP4",
  "tags": [
    "consent-self-management-hie",
    "design-principle",
    "healthcare",
    "consent-management",
    "privacy",
    "interoperability"
  ]
}