# Logical Record Architecture for Health and Social Care
## Discharge Summary Release 0.02

Contents
# Requirements Specification for Mental Capacity
The mental capacity of the patient to make decisions about treatment etc. Example, where an Independent Mental Capacity Advocate (IMCA) is required for decisions relating to discharge destination, medical treatment, ability to consent etc. Any information given to a significant other in relation to this matter. Requirement Reference: A Clinician’s Guide to Record Standards – Part 2: Standards for the structure and content of medical records and communications when patients are admitted to hospital (Academy of Medical Royal Colleges, October 2008).
## Mental Capacity ### Business Definition The mental capacity of the patient to make decisions about treatment, including whether an Independent Mental Capacity Advocate is required for decisions relating to discharge destination or ongoing treatment. NOTE: The LRA Discharge Summary expert group 2011 questioned how this data would be consistently interpreted and also who was expected to capture and use this data. (For example, if this is mainly about mental capacity to consent to treatment, this would be expected to be time-specific information, relevant at the time of requesting consent, but not necessarily useful at the time of discharge from hospital.) It was suggested that this type of data would more appropriately be included in the Clinical Narrative summary of the hospital stay, or Problems or Issues at Discharge, along with additional clinical context.) This requirement has been included in order to be consistent with the published Academy of Medical Royal Colleges Discharge Summary content standard, but clarification will be requested as input to future iterations of the Academy’s professional standard. ### Requirement Reference A Clinician’s Guide to Record Standards – Part 2: Standards for the structure and content of medical records and communications when patients are admitted to hospital (Academy of Medical Royal Colleges, October 2008). ### Proposed Data Values Free text. ### Data Use Unknown. ### Data Source Unknown.