Managing dynamic study participation consents with FHIR
summary
A web prototype lets patients view research studies and selectively share or exclude specific clinical data by creating FHIR Consent resources tied to ResearchStudy identifiers; DiagnosticReport and Media metadata point to hospital-held images. Consent creation triggers a subscription that produces a cryptographically signed Subscription/Provenance bundle, a retry list on the FHIR backend ensures delivery, and hospital systems re-sign to acknowledge receipt. Team solves signature mismatches by canonicalizing the exact resource representation before signing and by using the study ID as the consent category.
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chapters (6)
- 0:00Introduction to dynamic consents
- 3:33Prototype and data model
- 7:46Consent workflow example
- 11:03Challenges and solutions
- 12:29Next steps and evaluation
- 13:11Q&A session
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