In order for [procedure] treatment to be morally permitted, it is necessary to obtain at least the [freedom] [competence] [understanding] [directness] [voice] of the affected party.

voice	directness	freedom	understanding	competence	procedure
consent	explicit	free	comprehended	competent	emergency
silence	proxy	|	disclosed	|	beneficial
|	implied	pressured	uninformed	|	nonbeneficial
refusal	presumed	coerced	misinformed	incompetent	detrimental