Scalable Consent Framework for the Advancement of Interoperability with FHIR-based APIs

Project Overview

A significant barrier to the efficient exchange of health information is the management of patient consent directives. This barrier not only influences point-of-care services that require data exchange but also has far-reaching implications for the secondary use of electronic health record data for public health, disease registries, and research.

To tackle this challenge, individuals from healthcare information exchange operator San Diego Health Connect and Cognitive Medical Systems, Inc., are creating a Health Level Seven International® (HL7®) Fast Healthcare Interoperability Resources® (FHIR®)–based platform that will simplify consent management and ensure interoperable services.

As the team develops a proposed set of improvements, they will build application programing interfaces (APIs) to enable consent use cases involving privacy, medical treatment, research, and advance care directives.

This project addresses the Leading Edge Acceleration Projects (LEAP) in Health Information Technology (Health IT) fiscal year 2019 special area of interest 1: Standardization and Implementation of Scalable HL7 FHIR Consent Resource.

Project Dates

This project began in 2019 and will end in 2021.

Project Goals

The goals of this project are to:

  • Create a common FHIR-based authorization framework capable of managing and enforcing patient consent and organizational and jurisdiction policies.
  • Review additional privacy- and security-related standards to ensure they support, rather than conflict with, the current FHIR Consent Resource.
  • Build and test APIs that enable the use cases and improve patient-centered care, informed consent, and shared decision-making.
  • Develop and share a FHIR Consent Implementation Guide and package of open-source prototypes and content to assist partners in using the FHIR Consent Resource.

Learn More

Press Release

To find out more about this project and the other 2019 LEAP in Health IT awardee, read the press release.


Please contact with questions about this project.

Content last reviewed on September 23, 2020
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