Storing Patient Consent in FHIR

You’re lying on a gurney about to be wheeled in for a procedure. A junior doctor hands you a clipboard with a document filled with small print.

The operating theatre is around the corner. Your mind’s elsewhere.

You hurriedly scribble a signature wherever you see a yellow X.

Signature one consents to treatment.

Signature two consents to having your data stored and shared where necessary.

In FHIR, this can be stored in two Consent resources — one for each signature and what it signifies.

There are four anticipated uses for the Consent resource in FHIR.

– Privacy Consent — to collect and use data
– Treatment Consent — to carry out the procedure
– Research Consent — willingness to participate in research
– Advance Care Directive — DNR, etc.

A diverse range of consent categories exist covering a host of different consent scenarios.

http://hl7.org/fhir/R4/valueset-consent-category.html#expansion

It sounds simple and straight forwards, but it’s not.

Storing consent is more than just a technical implementation. There are business, privacy and legal implications that need to be understood.

More about Consent: http://hl7.org/fhir/R4/consent.html

Discussion

---

Sign up to “The Tuesday FHIR Sessions” and receive an email every Tuesday where I go deep on a single FHIR topic.