Consent management is a system, process or set of policies for allowing consumers and patients to determine what health information they are willing to permit their various care providers to access. It enables patients and consumers to affirm their participation in e-health initiatives (patient portal, personal health record or health information exchange) and to establish privacy preferences to determine who will have access to their protected health information (PHI), for what purpose and under what circumstances. Consent management supports the dynamic creation, management and enforcement of consumer, organizational and jurisdictional privacy directives.