Digital Health / MedTech
Consent only counts when the policy version and downstream audit trail stay in sync.
This control plane makes consent pressure, policy drift, revocation blockers, and downstream reset risk visible before stale state turns into audit exposure or patient-trust damage.
5Active consent records modeled through version and audit pressure.
5Current policy versions represented across programs.
4Consent records that still carry watch or critical pressure.
3Revocation packets that still have reset or completeness blockers.
Operating Recommendation
Clear revocation export and suppression-reset blockers first so stale consent state does not leak into downstream outreach.
Remote cardiac monitoring · CONS-201
PCM-4.2
1 days since event · Confirm downstream messaging tool acknowledged the newest policy version.Behavioral intake portal · CONS-214
BHP-2.8
3 days since event · Route missing revocation export to the intake vendor before stale consent state persists.Specialty pharmacy refill reminders · CONS-227
SPR-3.1
5 days since event · Attach SMS vendor acknowledgement to the audit packet.Consent Queue
Which consent records are most likely to create audit trouble next.
| Consent | Channel | Owner | Days Since Event | Risk |
|---|---|---|---|---|
| Remote cardiac monitoring CONS-201 PCM-4.2 | Mobile app + care coordinator confirmation | Patient Access | 1 | watch |
| Behavioral intake portal CONS-214 BHP-2.8 | Web intake + signed PDF export | Privacy Ops | 3 | critical |
| Specialty pharmacy refill reminders CONS-227 SPR-3.1 | SMS opt-in + nurse confirmation | Growth Compliance | 5 | watch |
| Women's health scheduling CONS-233 WHS-1.6 | Call center capture + CRM sync | Care Navigation | 2 | critical |
| Population outreach analytics CONS-246 POA-5.0 | Portal opt-in + warehouse sync | Data Governance | 7 | low |
Program Coverage
Where consent pressure is concentrated.
Remote cardiac monitoring1 modeled consent in this program.
Behavioral intake portal1 modeled consent in this program.
Specialty pharmacy refill reminders1 modeled consent in this program.
Women's health scheduling1 modeled consent in this program.
Population outreach analytics1 modeled consent in this program.
Audit Stream
Trust comes from proving what happened after consent changed, not from saying consent was captured.
Behavioral intake suppressionRevocation export chain → Revocation timestamp plus downstream vendor suppression log
Cardiac monitoring messagingPolicy version acknowledgement → Coordinator acknowledgement plus patient-app version proof
Scheduling outreach suppressionCall center suppression reset → CRM suppression log and outbound-tool reset confirmation
Analytics usage approvalWarehouse usage attestation → Portal capture event plus warehouse sync receipt