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Mandates
The concepts making responsibility explicit: mandates, commitments, consent, and authorisation.
care commitment
acceptance of a request for care including commitment by the care actor to perform requested care activities

Mandates
The concepts making responsibility explicit: mandates, commitments, consent, and authorisation.
- care mandate
  mandate based on a commitment and either an informed consent or an authorization by law defining the rights and obligations of one care actor with regard to their involvement in care processes performed for a specific subject of care
- care commitment
  acceptance of a request for care including commitment by the care actor to perform requested care activities
- informed consent
  permission to perform care activities, voluntarily given by a subject of care with consent competence or by a subject of care proxy with consent competence after having been informed about the purpose and the possible results of the care activities
- objection
  subject of care desire that specific care activities are not performed
- consent competence
  capability of the subject of care or the subject of care proxy, or both, to give or withhold informed consent
- authorization by law
  provision in legislation that, in certain circumstances, may overrule the need for informed consent
- subject of care desire
  desire expressed by the subject of care or the subject of care proxy regarding the performance of certain care activities
- care activity mandate
  care mandate assigning the right and obligation to perform specific care activities
- clinical care activity mandate
  care mandate to provide needed care activities concerned with the physical or mental health of a subject of care
- social care activity mandate
  care mandate to provide needed social care
- proxy mandate
  care mandate to take decisions on behalf of a subject of care
- care period mandate
  care mandate commissioning a mandated period of care
- request mandate
  care mandate implying the right and obligation to request care activities
- continuity facilitator mandate
  care mandate assigning the right and obligation to monitor and coordinate the delivery of care to one subject of care including the right to retrieve relevant information and obligation to document all activities based on this mandate
- mandate to export personal information
  care mandate implying the right to communicate health record extracts

care commitment

acceptance of a request for care including commitment by the care actor to perform requested care activities

care commitment extends the class commitment

Table 1. Associations of care commitment
Source multiplicity	Source class	Association	Target class	Target multiplicity
1..*	care commitment	relates to the provision of	care activity	0..*
1..*	care mandate	requires care commitment	care commitment	1
0..*	care provider	states	care commitment	1..*
1	referral	asks for	care commitment	1

Figure 1. Class Diagram

Admitted terms care commitment

Plural care commitments

Note 1 The care commitment is the promise by the care actor to perform care activities. This also means that the care provider accepts and confirms the pending care mandate issued through the proposed care plan. It is only once the care commitment has been stated that an effective care mandate exists and will be the legal framework for all care activities of the subsequent care process.

Note 2 Implicitly, a care commitment results from a dialogue with the subject of care or someone on behalf of the subject of care within a care needs assessment.