OpenEHR Apperta Mirror
Name
Legal authority
Description
A framework to communicate information about legal directives or orders that apply to the individual, for example, a power of attorney or guardianship order.
Keywords
legal power attorney welfare guardian guardianship representative proxy decision-maker advocate intervention order
Purpose
To record information about legal directives or orders that apply to the individual.
Use
Use to record information about legal directives or orders that apply to the individual, for example, a power of attorney, guardianship order, or mental health detention order.

This archetype has been specifically designed as a framework or structure that can be extended for the complex range of use cases and local requirements by nesting a variety of possible CLUSTER archetypes which will contain specific details as per national or other local requirements.

When used to record details of legally-binding documents, it MUST be ensured that the Legal directive archetype and any nested archetypes adhere to relevant legal requirements.
Misuse
Not to be used to record information about advance care directives. Use openEHR-EHR-EVALUATION.advance_care_directive.v0 for this purpose.

Not to be used to record details of mental capacity assessments. Use openEHR-EHR-EVALUATION.mental_capacity.v0 for this purpose.
References
Appointing a medical treatment decision maker [Internet]. Office of the Public Advocate (Victoria). 2020 [cited 2020 May 11]. Available from: https://www.publicadvocate.vic.gov.au/power-of-attorney/appointing-a-medical-support-person.
LegalSituation-v1.0(2019EN) - Zorginformatiebouwstenen [Internet]. Zibs.nl. 2020 [cited 2020 May 11]. Available from: https://zibs.nl/wiki/LegalSituation-v1.0(2019EN).
Make, register or end a lasting power of attorney [Internet]. GOV.UK. 2020 [cited 2020 May 11]. Available from: https://www.gov.uk/power-of-attorney.
Powers of Attorney [Internet]. Ministry of the Attorney General (Ontario). 2020 [cited 2020 May 11]. Available from: https://www.attorneygeneral.jus.gov.on.ca/english/family/pgt/incapacity/poa.php.
What is a Power of Attorney [Internet]. Office of the Public Guardian (Scotland). 2020 [cited 2020 May 11]. Available from: https://www.publicguardian-scotland.gov.uk/power-of-attorney.
Archetype Id
openEHR-EHR-ADMIN_ENTRY.legal_authority.v0
Copyright
© openEHR Foundation, Apperta Foundation
Licencing
This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.
Original Author
Heidi Koikkalainen
freshEHR Clinical Informatics Ltd.
Date Originally Authored
2020-03-26
Name Card Type Description
Type
0..* DV_TEXT The type of legal directive or order that applies to the individual.
Comment
Coding of the type of legal directive or order with a terminology is preferred, where possible. It is expected that this is largely localised to reflect local policy and legislation. For example, 'Welfare Power of Attorney', 'Welfare Guardianship Order' or 'Emergency Detention Order'.
Status
0..1
CHOICE OF
DV_CODED_TEXT
DV_TEXT
The status of the legal directive or order.
Comment
Coding of the legal directive or order status with a terminology is preferred, where possible.
Constraint for DV_CODED_TEXT
  • Present
    [A legal directive or order is present.]
  • Absent
    [A legal directive or order is absent.]
  • Unknown
    [It is not known whether a legal directive or order is present or absent.]
Description
0..1 DV_TEXT Narrative description of the legal directive or order that applies to the individual.
Comment
This data element may be used to capture legacy data that is not available in a structured format.
Representative
0..* CLUSTER Details of a nominated representative who has authority to act and make decisions on behalf of the individual, or who has been appointed to support the individual in decision-making.
CLUSTER
Role
0..1 DV_TEXT Description of the representative's role.
Comment
For example, 'Welfare Attorney', 'Substitute Welfare Attorney'. or 'Welfare Guardian'.
Representative details
0..1 Slot (Cluster) Further information about the representative, including contact details and relationship to the individual.
Slot
Slot
Additional details
0..* Slot (Cluster) Additional details about the legal directive or order.
Slot
Slot
Valid period start
0..1 DV_DATE_TIME The date/time that marks the beginning of the valid period of time for this legal directive or order.
Valid period end
0..1 DV_DATE_TIME The date/time that marks the conclusion of the valid period of time for this legal directive or order.
Certificate location
0..* CLUSTER Information regarding where the legal directive or order certification is stored and who has a copy of it.
CLUSTER
Location
0..1 DV_TEXT Information regarding where the certificate is stored and how to gain access to it.
Copy holder
0..1 Slot (Cluster) Details of a person who has a copy of the certificate.
Slot
Slot
Digital representation
0..1 Slot (Cluster) Digital document or image representing the certificate.
Slot
Slot
Authority
0..* Slot (Cluster) Details about the authoritative body granting the directive, and/or nominated legal contact for further information about the directive.
Slot
Slot
Reference number
0..1 DV_TEXT Reference number for the legal directive or order.
Comment
For example, the court order reference number.
Mandate
0..*
CHOICE OF
DV_TEXT
DV_URI
Description of any legislation or other authoritative guidance that apply.
Comment
For example, 'In Scotland, Welfare Power of Attorneys are covered by the Adults with Incapacity (Scotland) Act 2000. Mandate: http://www.legislation.gov.uk/asp/2000/4/contents'.
Comment
0..1 DV_TEXT Additional narrative about the legal directive not captured in other fields.
Extension
0..* Slot (Cluster) Additional information required to extend the model with local content or to align with other reference models/formalisms.
Comment
For example: local information requirements; or additional metadata to align with FHIR.
Slot
Slot
Last updated
0..1 DV_DATE_TIME
archetype (adl_version=1.4; uid=63bef2a9-415e-419b-bb5d-23b2b6c6ba86)
	openEHR-EHR-ADMIN_ENTRY.legal_authority.v0

concept
	[at0000]	-- Legal authority
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Heidi Koikkalainen">
		["organisation"] = <"freshEHR Clinical Informatics Ltd.">
		["email"] = <"heidi@freshehr.com">
		["date"] = <"2020-03-26">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record information about legal directives or orders that apply to the individual.">
			use = <"Use to record information about legal directives or orders that apply to the individual, for example, a power of attorney, guardianship order, or mental health detention order.

This archetype has been specifically designed as a framework or structure that can be extended for the complex range of use cases and local requirements by nesting a variety of possible CLUSTER archetypes which will contain specific details as per national or other local requirements.

When used to record details of legally-binding documents, it MUST be ensured that the Legal directive archetype and any nested archetypes adhere to relevant legal requirements.">
			keywords = <"legal, power, attorney, welfare, guardian, guardianship, representative, proxy, decision-maker, advocate, intervention, order", ...>
			misuse = <"Not to be used to record information about advance care directives. Use openEHR-EHR-EVALUATION.advance_care_directive.v0 for this purpose.

Not to be used to record details of mental capacity assessments. Use openEHR-EHR-EVALUATION.mental_capacity.v0 for this purpose.">
			copyright = <"© openEHR Foundation, Apperta Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Ian McNicoll, freshEHR Clinical Informatics Ltd.", ...>
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.">
		["custodian_organisation"] = <"Apperta UK">
		["references"] = <"Appointing a medical treatment decision maker [Internet]. Office of the Public Advocate (Victoria). 2020 [cited 2020 May 11]. Available from: https://www.publicadvocate.vic.gov.au/power-of-attorney/appointing-a-medical-support-person.

LegalSituation-v1.0(2019EN) - Zorginformatiebouwstenen [Internet]. Zibs.nl. 2020 [cited 2020 May 11]. Available from: https://zibs.nl/wiki/LegalSituation-v1.0(2019EN).

Make, register or end a lasting power of attorney [Internet]. GOV.UK. 2020 [cited 2020 May 11]. Available from: https://www.gov.uk/power-of-attorney.

Powers of Attorney [Internet]. Ministry of the Attorney General (Ontario). 2020 [cited 2020 May 11]. Available from: https://www.attorneygeneral.jus.gov.on.ca/english/family/pgt/incapacity/poa.php.

What is a Power of Attorney [Internet]. Office of the Public Guardian (Scotland). 2020 [cited 2020 May 11]. Available from: https://www.publicguardian-scotland.gov.uk/power-of-attorney.">
		["current_contact"] = <"Heidi Koikkalainen, heidi@freshehr.com">
		["original_namespace"] = <"uk.org.clinicalmodels">
		["original_publisher"] = <"Apperta UK">
		["custodian_namespace"] = <"uk.org.clinicalmodels">
		["MD5-CAM-1.0.1"] = <"E266402BDA2C48470E35B77FB4A084F4">
		["build_uid"] = <"7830c60a-6a7f-4182-a1fd-ca548774d709">
		["revision"] = <"0.0.1-alpha">
	>

definition
	ADMIN_ENTRY[at0000] matches {    -- Legal authority
		data matches {
			ITEM_TREE[at0001] matches {    -- Item tree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0002] occurrences matches {0..*} matches {    -- Type
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0004] occurrences matches {0..1} matches {    -- Status
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0005,    -- Present
									at0006,    -- Absent
									at0007]    -- Unknown
								}
							}
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0008] occurrences matches {0..1} matches {    -- Description
						value matches {
							DV_TEXT matches {*}
						}
					}
					CLUSTER[at0023] occurrences matches {0..*} matches {    -- Representative
						items cardinality matches {1..*; unordered} matches {
							ELEMENT[at0024] occurrences matches {0..1} matches {    -- Role
								value matches {
									DV_TEXT matches {*}
								}
							}
							allow_archetype CLUSTER[at0025] occurrences matches {0..1} matches {    -- Representative details
								include
									archetype_id/value matches {/.*/}
							}
						}
					}
					allow_archetype CLUSTER[at0042] occurrences matches {0..*} matches {    -- Additional details
						include
							archetype_id/value matches {/.*/}
					}
					ELEMENT[at0028] occurrences matches {0..1} matches {    -- Valid period start
						value matches {
							DV_DATE_TIME matches {*}
						}
					}
					ELEMENT[at0029] occurrences matches {0..1} matches {    -- Valid period end
						value matches {
							DV_DATE_TIME matches {*}
						}
					}
					CLUSTER[at0034] occurrences matches {0..*} matches {    -- Certificate location
						items cardinality matches {1..*; unordered} matches {
							ELEMENT[at0035] occurrences matches {0..1} matches {    -- Location
								value matches {
									DV_TEXT matches {*}
								}
							}
							allow_archetype CLUSTER[at0036] occurrences matches {0..1} matches {    -- Copy holder
								include
									archetype_id/value matches {/.*/}
							}
							allow_archetype CLUSTER[at0037] occurrences matches {0..1} matches {    -- Digital representation
								include
									archetype_id/value matches {/openEHR-EHR-CLUSTER\.multimedia\.v0/}
							}
						}
					}
					allow_archetype CLUSTER[at0045] occurrences matches {0..*} matches {    -- Authority
						include
							archetype_id/value matches {/.*/}
					}
					ELEMENT[at0044] occurrences matches {0..1} matches {    -- Reference number
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0039] occurrences matches {0..*} matches {    -- Mandate
						value matches {
							DV_TEXT matches {*}
							DV_URI matches {*}
						}
					}
					ELEMENT[at0026] occurrences matches {0..1} matches {    -- Comment
						value matches {
							DV_TEXT matches {*}
						}
					}
					allow_archetype CLUSTER[at0040] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
					ELEMENT[at0046] occurrences matches {0..1} matches {    -- Last updated
						value matches {
							DV_DATE_TIME matches {*}
						}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Legal authority">
					description = <"A framework to communicate information about legal directives or orders that apply to the individual, for example, a power of attorney or guardianship order.">
				>
				["at0001"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Type">
					description = <"The type of legal directive or order that applies to the individual.">
					comment = <"Coding of the type of legal directive or order with a terminology is preferred, where possible. It is expected that this is largely localised to reflect local policy and legislation. For example, 'Welfare Power of Attorney', 'Welfare Guardianship Order' or 'Emergency Detention Order'.">
				>
				["at0004"] = <
					text = <"Status">
					description = <"The status of the legal directive or order.">
					comment = <"Coding of the legal directive or order status with a terminology is preferred, where possible.">
				>
				["at0005"] = <
					text = <"Present">
					description = <"A legal directive or order is present.">
				>
				["at0006"] = <
					text = <"Absent">
					description = <"A legal directive or order is absent.">
				>
				["at0007"] = <
					text = <"Unknown">
					description = <"It is not known whether a legal directive or order is present or absent.">
				>
				["at0008"] = <
					text = <"Description">
					description = <"Narrative description of the legal directive or order that applies to the individual.">
					comment = <"This data element may be used to capture legacy data that is not available in a structured format.">
				>
				["at0023"] = <
					text = <"Representative">
					description = <"Details of a nominated representative who has authority to act and make decisions on behalf of the individual, or who has been appointed to support the individual in decision-making.">
				>
				["at0024"] = <
					text = <"Role">
					description = <"Description of the representative's role.">
					comment = <"For example, 'Welfare Attorney', 'Substitute Welfare Attorney'. or 'Welfare Guardian'.">
				>
				["at0025"] = <
					text = <"Representative details">
					description = <"Further information about the representative, including contact details and relationship to the individual.">
				>
				["at0026"] = <
					text = <"Comment">
					description = <"Additional narrative about the legal directive not captured in other fields.">
				>
				["at0028"] = <
					text = <"Valid period start">
					description = <"The date/time that marks the beginning of the valid period of time for this legal directive or order.">
				>
				["at0029"] = <
					text = <"Valid period end">
					description = <"The date/time that marks the conclusion of the valid period of time for this legal directive or order.">
				>
				["at0034"] = <
					text = <"Certificate location">
					description = <"Information regarding where the legal directive or order certification is stored and who has a copy of it.">
				>
				["at0035"] = <
					text = <"Location">
					description = <"Information regarding where the certificate is stored and how to gain access to it.">
				>
				["at0036"] = <
					text = <"Copy holder">
					description = <"Details of a person who has a copy of the certificate.">
				>
				["at0037"] = <
					text = <"Digital representation">
					description = <"Digital document or image representing the certificate.">
				>
				["at0039"] = <
					text = <"Mandate">
					description = <"Description of any legislation or other authoritative guidance that apply.">
					comment = <"For example, 'In Scotland, Welfare Power of Attorneys are covered by the Adults with Incapacity (Scotland) Act 2000.  Mandate: http://www.legislation.gov.uk/asp/2000/4/contents'.">
				>
				["at0040"] = <
					text = <"Extension">
					description = <"Additional information required to extend the model with local content or to align with other reference models/formalisms.">
					comment = <"For example: local information requirements; or additional metadata to align with FHIR.">
				>
				["at0042"] = <
					text = <"Additional details">
					description = <"Additional details about the legal directive or order.">
				>
				["at0044"] = <
					text = <"Reference number">
					description = <"Reference number for the legal directive or order.">
					comment = <"For example, the court order reference number.">
				>
				["at0045"] = <
					text = <"Authority">
					description = <"Details about the authoritative body granting the directive, and/or nominated legal contact for further information about the directive.">
				>
				["at0046"] = <
					text = <"Last updated">
					description = <"">
				>
			>
		>
	>