Informed consent systems

Consent capture with versioning and a full audit trail — so proving what was explained, to whom and when becomes a query rather than a search through scanned images.

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What a consent system has to guarantee

  • Consent capture and versioning

    The exact document version presented to the patient stored with the signature, so the wording shown at the time can be reproduced years later.

  • Audit trails for every signature

    Who signed, who witnessed, when, where and against which version — recorded immutably rather than assembled afterwards from several systems.

  • Clinic and hospital workflows

    The differing paths for outpatient, inpatient and procedure consent, including where a clinician must be present and where they need not be.

  • Remote and in-person consent

    Consent given at home with time to read, or at the bedside, with the same evidential weight and the same record structure.

  • Withdrawal and re-consent

    Withdrawal recorded as an event rather than a deletion, and re-consent triggered automatically when a document version changes materially.

  • Reporting for regulators

    Queryable evidence of consent coverage and currency, produced on demand instead of compiled for each inspection.

Don’t see your challenge here? Talk to us about your project

Signed, scanned and filed turns a question into a search

Paper consent answers the question at the time and almost nothing afterwards. Establishing which version a patient saw, whether it was current, or whether consent was later withdrawn means opening images one by one.

Capturing consent structurally — version, timestamp, signatory, witness, basis — makes the same question a query, and makes coverage reportable across a department rather than provable only case by case.

Versioned documents
The exact wording shown is stored with the signature.
Immutable audit
Records are appended, never altered.
Withdrawal as event
History preserved rather than deleted.
Automatic re-consent
Triggered when a document materially changes.
Coverage reporting
Gaps visible before an inspection finds them.
Remote or bedside
One record structure for both routes.

A consent system for fertility treatment, where the evidence has to last

Fertility treatment consent is the strictest version of this problem: what was explained, to whom, in which wording, with whose agreement, has to be provable long after the fact and often involves more than one consenting party. Building it meant treating the audit trail as the product and the signature capture as a detail.

Common questions

Is an electronic signature legally sufficient?

In the European countries we work in, yes, when the identity assurance and the audit trail meet the relevant standard. The specific requirements vary by country and by procedure, and we design to the strictest one in scope.

What happens when the consent document changes?

The old version is retained and remains linked to everyone who signed it. Whether a change requires re-consent is a clinical and legal judgement, and the system supports triggering it rather than deciding it.

Can consent involve more than one person?

Yes. Multi-party consent — both partners, a parent and a guardian, a patient and a legal representative — is modelled explicitly, including the case where the parties consent at different times or in different places.

Let's talk about your healthcare platform

Tell us where the friction sits in the pathway today and what the regulatory position requires. We will come back with an honest read on the integration work, the identity problem underneath it, and what a realistic first phase looks like.

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Rando Siimon

Business Development Manager