Consent & lawful purpose

Access to patient-level data is controlled by role, consent and lawful purpose. Declare the basis for this request. Every field is recorded in the immutable audit trail.

Identity confirmed — Patient NH-4T9K2P7A

NIN verified · OTP confirmed · Record locked for this session

1 Requester role

Determines which categories of data the platform will release under role-based access control.

Your role in this care episode *

Please select your role.

2 Consent basis

Confirm how the patient's consent for this access was obtained.

Consent type *

Break-the-glass & guardian consent requests are flagged for mandatory post-hoc review by a data steward and generate a high-priority audit alert.

3 Data scope requested

Select only the data categories required for this lawful purpose. Minimise access to what is necessary.

DemographicsName, DOB, contact, NHCIP ID Clinical encountersVisit history, diagnoses, notes Laboratory resultsTests, pathology, imaging reports MedicationsPrescriptions, dispensing history ImmunisationsVaccination records Insurance / claimsNHIS / HMO coverage & claims

Select at least one data category.

4 Lawful purpose

State the specific clinical or administrative purpose for accessing these records.

Purpose of access *

Please select the lawful purpose.

Brief clinical justification *

Please provide a short justification.

I confirm that this access is for the lawful purpose stated above, is limited to the minimum data necessary, and complies with the Nigeria Data Protection Regulation and NHCIP governance rules. I understand this action is permanently audit-logged.

You must confirm the lawful-purpose declaration to continue.

Save & review later Audit-logged & consent-bound