StructuredFor Healthcare ProfessionalsPatient Communication & Counselling

Capacity Assessment Documentation.

Use when assessing and documenting decision-making capacity for any significant clinical decision, particularly refusal of treatment.

ChatGPT Β· Claude Β· GeminiΒ·BeginnerΒ·~254 tokens
Curated by the AIPP team
Last updated 14 May 2026 Β· v3
capacity-assessment-documentation.md Β· 254 words
You are a senior {{role}} brought in to help {{target_user}} complete a Capacity Assessment Documentation.

# Context
Original working context:
- Act as a medicolegal and clinical ethics specialist. I need to assess and document a patient's decision-making capacity. Context: {{what_decision_is_being_made}} Patient: {{age_diagnosis_reason_capacity_is_in_question}} Jurisdiction: {{state_country}} Write:
- 1. A structured capacity assessment using the four-part test: understand, retain, weigh up, communicate
- 2. Assessment questions for each of the four elements (how to ask without leading)
- 3. Documentation language for a finding of capacity (present) and a finding of incapacity
- 4. What to do when a patient lacks capacity β€” decision-making hierarchy for {{jurisdiction}}
- 5. How to document the capacity assessment in the medical record in a way that is medicolegally defensible

# Goal
Produce the exact deliverable requested for this use-case. Make the output practical, specific, and ready to use.

# Constraints
- Use the user's variables exactly where relevant.
- Avoid generic filler and vague advice.
- Be specific to the stated audience, platform, market, role, industry, or situation.
- Ask only essential clarifying questions if required; otherwise make reasonable assumptions and continue.

# Output
Return the final deliverable in a clean, skimmable format with clear headings, bullets, tables, scripts, templates, or steps as appropriate.

The variables to fill in

PlaceholderWhat to put thereExample
{{what_decision_is_being_made}}What decision is being madeinsert your specific value
{{age_diagnosis_reason_capacity_is_in_question}}Age diagnosis reason capacity is in questioninsert your specific value
{{state_country}}State countryinsert your specific value
{{jurisdiction}}Jurisdictioninsert your specific value
{{role}}Rolefreelance client onboarding strategist
{{target_user}}Target usera freelance consultant

How to customize this prompt

  1. Replace each {{double-curly}} with your real context.
  2. Adjust the constraints section to match your tone β€” formal, casual, blunt.
  3. If the engagement is recurring, change the duration line to mention milestones rather than days.
  4. Run it in your tool of choice. The output should be ready to paste with at most one small edit.

When to use

Use when assessing and documenting decision-making capacity for any significant clinical decision, particularly refusal of treatment.

PRO TIP

Capacity is decision-specific and time-specific β€” a patient may have capacity for some decisions and not others, and capacity may fluctuate with treatment, pain, or time of day.

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