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Mandates
The concepts making responsibility explicit: mandates, commitments, consent, and authorisation.
subject of care desire
desire expressed by the subject of care or the subject of care proxy regarding the performance of certain 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

subject of care desire

desire expressed by the subject of care or the subject of care proxy regarding the performance of certain care activities

subject of care desire extends the class health condition

Table 1. Associations of subject of care desire
Source multiplicity	Source class	Association	Target class	Target multiplicity
0..*	subject of care desire	considered during	care needs assessment	0..*
1..*	subject of care desire	influences	care mandate	0..*
1..*	subject of care desire	recorded in	health record	0..*
0..*	subject of care	expresses (1)	subject of care desire	0..1
0..*	subject of care proxy	expresses	subject of care desire	0..*

Figure 1. Class Diagram

Plural subject of care desires

Example 1 No blood transfusion, cultural or religious preference, do not resuscitate, allow natural death.

Example 2 Preference for a monetary subsidy instead of a direct social service to support a disabled person.

Example 3 To be supported or treated by same gender social care or care professional.

Example 4 To specify the place of care (home, professional office, etc...) where to receive a service (psychological support).

Example 5 To receive a financial or economic support instead of a social service.

Example 6 To prefer home services instead of being moved in a retirement home.

Note 1 In quality management [ISO 9000:2015] requirement is defined as “needs and expectations that is stated, generally implied or obligatory”. The expectations reflect the subject of care’s desires.