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Modelling Consent and Data Use Conditions in a Health Data Donation Space
Karl Kreiner1, Hannah Vinatzer1, Nadja Kartschmit2
1AIT Austrian Institute of Technology GmbH, Austria.
Studies in Health Technology and Informatics
|July 3, 2026
Summary
Standardizing health data donation requires robust consent and data use conditions. Current methods like Common Conditions of Use Elements (CCEs) and Digital Use Condition Profiles (DUCs) need extensions for full FHIR implementation.
Area of Science:
- Health Informatics
- Data Governance
- Bioethics
Background:
- Informed consent is crucial for ethical health data donation, dictating data usage terms.
- Standardized representation of consent and data use conditions remains a challenge in health data sharing.
Purpose of the Study:
- To analyze consent requirements for directed and undirected health data donations.
- To evaluate the suitability of Common Conditions of Use Elements (CCEs) and Digital Use Condition Profiles (DUCs) for health data donation.
- To examine the machine-readable implementation of these conditions using FHIR.
Main Methods:
- Analysis of consent requirements within the Smart FOX project's Health Data Donation Space.
- Evaluation of CCEs and DUCs in the context of health data donation scenarios.
- Assessment of FHIR (Fast Healthcare Interoperability Resources) for implementing data use conditions.
Main Results:
- Only 10 out of 20 original CCE terms were applicable for health data donation use conditions.
- Existing CCEs and DUCs could not fully capture all necessary data usage aspects.
- FHIR v4 demonstrated partial support for expressing DUC profiles, indicating limitations.
Conclusions:
- CCEs and DUCs offer a foundational framework for health data donation conditions.
- Extensions and complementary methods are necessary to fully represent data use conditions.
- FHIR v4 alone is insufficient for comprehensive machine-readable implementation of data use condition profiles.
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