OpenEHR Apperta Mirror
Name
Mental capacity
Description
The ability of an individual to use and understand information to make a decision or plan.
Keywords
mental capacity competency competent decision
Purpose
To record details about the ability of an individual to use and understand information to make a decision or plan.
Use
Use to record details about the ability of an individual to use and understand information to make a decision or plan.

This archetype is intended to capture information about the mental capacity status of an individual, which is typically assessed in relation to a specific decision or plan that needs to be made about their medical care or treatment at a particular time. If specific details about the mental capacity assessments are required, additional archetypes can be nested within the 'Assessment details' SLOT.
References
Think Capacity, Think Consent [Internet]. NHS Education for Scotland. 2020 [cited 2020 May 12]. Available from: https://www.nes.scot.nhs.uk/media/1557644/capacity_and_consent-interactive.pdf
What is capacity? [Internet]. Compassion in Dying. 2020 [cited 2020 May 12]. Available from: https://compassionindying.org.uk/making-decisions-and-planning-your-care/treatment-care-decisions/about-capacity/.
Archetype Id
openEHR-EHR-EVALUATION.mental_capacity.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
2020-04-22
Name Card Type Description
Decision/plan
0..1 DV_TEXT Description of the specific decision or plan to which the mental capacity status and assessment details relate.
Status
0..1 DV_CODED_TEXT The individual's mental capacity status.
Constraint for DV_CODED_TEXT
  • Has capacity
    [The individual has sufficient mental capacity to make the decision or plan.]
  • Does not have capacity
    [The individual does not have sufficient mental capacity to make the decision or plan.]
  • Indeterminate
    [It has not been able to determinate whether the individual has sufficient mental capacity to make decision or plan.]
Description
0..1 DV_TEXT Narrative description of the individual's mental capacity.
Details
0..* Slot (Cluster) Structured details about the the individual's mental capacity.
Slot
Slot
Formal assessment
0..* CLUSTER Details of a mental capacity assessment undertaken in relation to the specific decision or plan.
CLUSTER
Valid period start
0..1 DV_DATE_TIME The date/time that marks the beginning of the valid period of time for this mental capacity assessment.
Valid period end
0..1 DV_DATE_TIME The date/time that marks the conclusion of the valid period of time for this mental capacity assessment.
Assessor
0..1 Slot (Cluster) Details of the person carrying out the mental capacity assessment.
Slot
Slot
Person consulted
0..* Slot (Cluster) Details of a person who has been consulted in relation to the mental capacity assessment.
Slot
Slot
Assessment details
0..* Slot (Cluster) Additional structured details about the mental capacity assessment.
Slot
Slot
Comment
0..1 DV_TEXT Additional narrative about the individual's mental capacity or incapacity not captured in other fields.
Name Card Type Description
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
archetype (adl_version=1.4; uid=0d44dfae-4e46-4f67-a6d5-f129e16903c0)
	openEHR-EHR-EVALUATION.mental_capacity.v0

concept
	[at0000]	-- Mental capacity
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Heidi Koikkalainen">
		["organisation"] = <"freshEHR Clinical Informatics Ltd.">
		["email"] = <"heidi@freshehr.com">
		["date"] = <"2020-04-22">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record details about the ability of an individual to use and understand information to make a decision or plan.">
			use = <"Use to record details about the ability of an individual to use and understand information to make a decision or plan.

This archetype is intended to capture information about the mental capacity status of an individual, which is typically assessed in relation to a specific decision or plan that needs to be made about their medical care or treatment at a particular time. If specific details about the mental capacity assessments are required, additional archetypes can be nested within the 'Assessment details' SLOT.">
			keywords = <"mental, capacity, competency, competent, decision", ...>
			misuse = <"">
			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"] = <"Think Capacity, Think Consent [Internet]. NHS Education for Scotland. 2020 [cited 2020 May 12]. Available from: https://www.nes.scot.nhs.uk/media/1557644/capacity_and_consent-interactive.pdf

What is capacity? [Internet]. Compassion in Dying. 2020 [cited 2020 May 12]. Available from: https://compassionindying.org.uk/making-decisions-and-planning-your-care/treatment-care-decisions/about-capacity/.">
		["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"] = <"B1380ED5FEA8726AC3FE796219147054">
		["build_uid"] = <"8928acca-a536-48ad-8350-2869f498f29d">
		["revision"] = <"0.0.1-alpha">
	>

definition
	EVALUATION[at0000] matches {    -- Mental capacity
		data matches {
			ITEM_TREE[at0001] matches {    -- Item tree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0009] occurrences matches {0..1} matches {    -- Decision/plan
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0002] occurrences matches {0..1} matches {    -- Status
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0003,    -- Has capacity
									at0004,    -- Does not have capacity
									at0005]    -- Indeterminate
								}
							}
						}
					}
					ELEMENT[at0006] occurrences matches {0..1} matches {    -- Description
						value matches {
							DV_TEXT matches {*}
						}
					}
					allow_archetype CLUSTER[at0029] occurrences matches {0..*} matches {    -- Details
						include
							archetype_id/value matches {/.*/}
					}
					CLUSTER[at0008] occurrences matches {0..*} matches {    -- Formal assessment
						items cardinality matches {1..*; unordered} matches {
							ELEMENT[at0028] occurrences matches {0..1} matches {    -- Valid period start
								value matches {
									DV_DATE_TIME matches {*}
								}
							}
							ELEMENT[at0027] occurrences matches {0..1} matches {    -- Valid period end
								value matches {
									DV_DATE_TIME matches {*}
								}
							}
							allow_archetype CLUSTER[at0012] occurrences matches {0..1} matches {    -- Assessor
								include
									archetype_id/value matches {/.*/}
							}
							allow_archetype CLUSTER[at0013] occurrences matches {0..*} matches {    -- Person consulted
								include
									archetype_id/value matches {/.*/}
							}
							allow_archetype CLUSTER[at0014] occurrences matches {0..*} matches {    -- Assessment details
								include
									archetype_id/value matches {/.*/}
							}
						}
					}
					ELEMENT[at0022] occurrences matches {0..1} matches {    -- Comment
						value matches {
							DV_TEXT matches {*}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0023] matches {    -- Item tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0024] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Mental capacity">
					description = <"The ability of an individual to use and understand information to make a decision or plan.">
				>
				["at0001"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Status">
					description = <"The individual's mental capacity status.">
				>
				["at0003"] = <
					text = <"Has capacity">
					description = <"The individual has sufficient mental capacity to make the decision or plan.">
				>
				["at0004"] = <
					text = <"Does not have capacity">
					description = <"The individual does not have sufficient mental capacity to make the decision or plan.">
				>
				["at0005"] = <
					text = <"Indeterminate">
					description = <"It has not been able to determinate whether the individual has sufficient mental capacity to make decision or plan.">
				>
				["at0006"] = <
					text = <"Description">
					description = <"Narrative description of the individual's mental capacity.">
				>
				["at0008"] = <
					text = <"Formal assessment">
					description = <"Details of a mental capacity assessment undertaken in relation to the specific decision or plan.">
				>
				["at0009"] = <
					text = <"Decision/plan">
					description = <"Description of the specific decision or plan to which the mental capacity status and assessment details relate.">
				>
				["at0012"] = <
					text = <"Assessor">
					description = <"Details of the person carrying out the mental capacity assessment.">
				>
				["at0013"] = <
					text = <"Person consulted">
					description = <"Details of a person who has been consulted in relation to the mental capacity assessment.">
				>
				["at0014"] = <
					text = <"Assessment details">
					description = <"Additional structured details about the mental capacity assessment.">
				>
				["at0022"] = <
					text = <"Comment">
					description = <"Additional narrative about the individual's mental capacity or incapacity not captured in other fields.">
				>
				["at0023"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0024"] = <
					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.">
				>
				["at0027"] = <
					text = <"Valid period end">
					description = <"The date/time that marks the conclusion of the valid period of time for this mental capacity assessment.">
				>
				["at0028"] = <
					text = <"Valid period start">
					description = <"The date/time that marks the beginning of the valid period of time for this mental capacity assessment.">
				>
				["at0029"] = <
					text = <"Details">
					description = <"Structured details about the the individual's mental capacity.">
				>
			>
		>
	>