Telemedicine Consent Records

This dataset provides comprehensive records of patient consent for telemedicine consultations, including patient and provider identifiers, consent status, method, and documentation details. It is designed to support healthcare compliance, auditability, and operational reporting for remote healthcare services. The dataset enables tracking of consent lifecycle, authorized representatives, and supports regulatory requirements for telemedicine practices.

  • last updated 12 Jul 2025
  • by GoMask
The brief that made it

Tracking and auditing patient consent for telemedicine services

Sample rows

preview · 8 of 40 rows · all 22 columns
consent_idstringconsent_statusstringauthorized_representativebooleanprovider_license_numberstringpatient_idstringpatient_first_namestringpatient_last_namestringpatient_date_of_birthdatepatient_emailstringpatient_phone_numberstringprovider_idstringprovider_namestringconsent_datedateconsent_timedatetimeconsent_methodstringconsent_expiry_datedateconsultation_typestringconsent_languagestringrepresentative_namestringrepresentative_relationshipstringnotesstringconsent_document_urlstring
CONSENT-0001activefalseLIC-887501PAT-1001EmilyHernandez1984-07-23ehernandez84@example.com(312) 555-0198PROV-201TeleCare Health Solutions2023-11-152023-11-15T10:18:22electronic_signatureblankvideoEnglishblankblankPatient reviewed and signed electronically.https://consentdocs.telecare.com/CONSENT-0001.pdf
CONSENT-0002activefalseLIC-993201PAT-1002SamuelNguyen1975-02-18sam.nguyen75@gmail.com(415) 555-1221PROV-202WellMed Virtual Clinic2024-01-042024-01-04T13:46:09verbalblankphoneEnglishblankblankblankhttps://vault.wellmed.com/CONSENT-0002.pdf
CONSENT-0003activetrueLIC-771112PAT-1003IsabellaSmith2013-03-30blankblankPROV-203PrimeHealth Telemedicine2023-09-122023-09-12T16:10:43writtenblankvideoEnglishJessica SmithMotherMinor consented via guardian.https://primehealth.com/consents/CONSENT-0003
CONSENT-0004activefalseLIC-228855PAT-1004LiamJohnson1991-11-09liamjohnson91@outlook.com(917) 555-3421PROV-204Unity Telehealth2024-04-092024-04-09T09:12:15electronic_signatureblankchatSpanishblankblankPatient preferred chat consultation.blank
CONSENT-0005revokedfalseLIC-887501PAT-1005JasmineBrown2000-06-17jasmine.brown2000@yahoo.comblankPROV-201TeleCare Health Solutions2023-06-122023-06-12T14:08:33electronic_signatureblankvideoEnglishblankblankConsent revoked by patient.https://consentdocs.telecare.com/CONSENT-0005.pdf
CONSENT-0006activetrueLIC-993201PAT-1006AvaLee2010-12-28blank(347) 555-8080PROV-202WellMed Virtual Clinic2022-12-182022-12-18T11:20:41writtenblankvideoMandarinWei LeeFatherParental consent required.blank
CONSENT-0007pendingfalseblankPAT-1007OliviaMartinez1996-05-02oliviamartinez96@protonmail.com(602) 555-1113PROV-203PrimeHealth Telemedicine2023-05-222023-05-22T15:30:11verbalblankvideoEnglishblankblankWaiting on additional documentation.https://primehealth.com/consents/CONSENT-0007
CONSENT-0008activetrueLIC-228855PAT-1008MeganPatel2009-08-14megan.patel09@gmail.comblankPROV-204Unity Telehealth2023-10-022023-10-02T18:47:55electronic_signatureblankchatHindiAnil PatelFatherblankblank

What the 40 rows show

from the 40-row sample

Active (consent status) stands out: 14 of its 29 rows have authorized_representative = true, against 0 of 11 for the rest.

  • 35%authorized_representative = true
  • 2representative relationships
  • 4providers
  • 4provider names
  • 4consent methods
  • 4consultation types
Authorized representative rate by consent_statusauthorized_representative = true
0%50%100%48%active14 of 290%revoked0 of 40%expired0 of 30%pending0 of 4
provider_license_number27 rows with a value · 13 left blank
  1. LIC-9932018
  2. LIC-8875017
  3. LIC-7711126
  4. LIC-2288556
22 columns by typefrom the column list below
  • string 17
  • date 3
  • datetime 1
  • boolean 1

Columns

22 columns in three groups
blueprint · 22 columns
columntypedescriptionexample
Text 17 columns
consent_idstringUnique identifier for each telemedicine consent recorduniqueCONSENT-0001
patient_idstringUnique identifier for the patient providing consentPAT-1001
patient_first_namestringPatient's first nameEmily
patient_last_namestringPatient's last nameHernandez
patient_emailstringPatient's email addressoptionalehernandez84@example.com
patient_phone_numberstringPatient's contact phone numberoptional(312) 555-0198
provider_idstringUnique identifier for the healthcare provider obtaining consent4 providersPROV-201
provider_namestringName of the healthcare provider or organization4 namesWellMed Virtual Clinic
provider_license_numberstringLicense number of the healthcare provider4 licenses · optionalLIC-887501
consent_methodstringMethod by which consent was obtained (e.g., electronic signature, verbal, written)electronic_signature · verbal · written · otherelectronic_signature
consent_statusstringCurrent status of the consent (e.g., active, revoked, expired)active · revoked · expired · pendingactive
consent_document_urlstringURL or file path to the stored consent documentoptionalhttps://consentdocs.telec…
consultation_typestringType of telemedicine consultation for which consent is given (e.g., video, phone, chat)video · phone · chat · othervideo
consent_languagestringLanguage in which consent was obtained5 languages · optionalEnglish
representative_namestringName of the authorized representative, if applicableoptionalJessica Smith
representative_relationshipstringRelationship of the authorized representative to the patient2 relationships · optionalMother
notesstringAdditional notes or comments related to the consentoptionalAnnual consent expired.
Dates and times 4 columns
patient_date_of_birthdatePatient's date of birth1984-07-23
consent_datedateDate on which the patient provided consent2023-11-15
consent_timedatetimeTimestamp when consent was recorded2023-11-15T10:18:22
consent_expiry_datedateDate when the consent expires, if applicableoptional2023-10-27
True or false 1 column
authorized_representativebooleanIndicates if consent was given by an authorized representative (e.g., parent, guardian)false

Use it for

  • authorized rep…35%14 of 40 rowsauthorized representa…48%acti…0%revo…0%expi…0%pend…

    A healthcare dashboard

    The authorized_representative rate, authorized_representative by consent_status and a breakdown of provider_license_number. Excel, Power BI or Tableau.

  • Why do 14 of 40 rows have authorized_representative = true?

    A root-cause class exercise

    Hand out the rows and one question. The answer is in the data, not in the brief.

  • A software demo

    Believable consents with patient_id, patient_first_name and patient_last_name to fill a screen in front of a buyer.

Not quite right?

Make it yours.

Same 22 columns, your size and your rules. See 20 rows before you pay.

Preview 20 rows free

1,000 rows: $1.99 · 10,000: $12.99One-time. No subscription. All prices

This dataset40 rows22 columns
Yours1,000 rows22 columns

blueprint · telemedicine-consent-records

Behind this dataset

Same schema. As many rows as you need.

These 40 rows came out of a blueprint — 22 columns with generation rules behind each one. Open it in Data Factory to retune a column, add your own, wire in foreign keys, and run it at the size you actually need.

Rules it was built with
  • Consent must be signed before appointment
  • Consent status updated for each session
  • Sessions without consent are not billed
  • Patient ID verification mandatory
Rows
Open the blueprint in Data Factory

1 credit per row. Preview 20 rows free. Buy rows for the full run.

Exports
CSV, JSON, JSONL, Parquet, SQL, Excel, TSV, XML
Licence
yours to use, including commercially
API slug
telemedicine-consent-records

More in Healthcare

Browse all
Also in HealthcareClinical Progress Notes and DocumentationPharmacy Inventory ForecastingPatient Medication Adherence LogsAll 1,958 datasets

What should your data show?

Preview 20 rows free
No signup. No card.