#consented - A semantic consent code to facilitate consistent documentation and implementation of consent in collaborative medical research.

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  • Additional Information
    • Source:
      Publisher: Elsevier Science Ireland Ltd Country of Publication: Ireland NLM ID: 9711057 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-8243 (Electronic) Linking ISSN: 13865056 NLM ISO Abbreviation: Int J Med Inform Subsets: MEDLINE
    • Publication Information:
      Original Publication: Shannon, Co. Clare, Ireland : Elsevier Science Ireland Ltd., c1997-
    • Subject Terms:
      Informed Consent*/standards ; Semantics* ; Biomedical Research*/standards ; Documentation*/standards; Humans ; Germany
    • Abstract:
      Introduction: In German and international research networks different approaches concerning patient consent are applied. So far it is time-consuming to find out to what extent data from these networks can be used for a specific research project. To make the contents of the consents queryable, we aimed for a permission-based approach (Opt-In) that can map both the permission and the withdrawal of consent contents as well as make it queryable beyond project boundaries.
      Materials and Methods: The current state of research was analysed in terms of approach and reusability. Selected process models for defining consent policies were abstracted in a next step. On this basis, a standardised semantic terminology for the description of consent policies was developed and initially agreed with experts. In a final step, the resulting code was evaluated with regards to different aspects of applicability.
      Results: A first and extendable version for a Semantic Consent Code (SCC) based on 3-axis (CLASS, ACTION, PURPOSE) was developed, consolidated und published. The added value achieved by the SCC was illustrated using the example of real consents from large national research associations (Medical Informatics Initiative and NUM NAPKON/NUKLEUS). The applicability of the SCC was successfully evaluated in terms of the manual semantic mapping of consents by briefly trained personnel and the automated interpretability of consent policies according to the SCC (and vice versa). In addition, a concept for the use of the SCC to simplify consent queries in heterogeneous research scenarios was presented.
      Conclusions: The Semantic Consent Code has already successfully undergone initial evaluations. As the published 3-axis code SCC is an essential preliminary work to standardising initially diverse consent texts and contents and can iteratively be extended in multiple ways in terms of content and technical additions. It should be extended in cooperation with the potential user community.
      Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
      (Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)
    • Contributed Indexing:
      Keywords: Consent management; Consent registry; EU GDPR; FHIR; Informed consent; Medical data management; Opt-in; Opt-out; Patient rights; Semantic; Terminology
    • Publication Date:
      Date Created: 20240717 Date Completed: 20240819 Latest Revision: 20240819
    • Publication Date:
      20240820
    • Accession Number:
      10.1016/j.ijmedinf.2024.105545
    • Accession Number:
      39018708