HIMSS 2022 Interoperability Showcase
Advance Directives – The Patient’s Voice

Participating Organizations:

ADVault, Inc.



Red Hat


In this HIMSS 2022 Interoperability Showcase, the Trisotech Digital Enterprise Suite (DES) plays the central role of automating the clinical workflows and decisions involved in managing Medical Advanced Directives. The Trisotech Digital Automation Suite (DAS) automates the flow of work making sure that Medical Advanced Directives are surfaced to the care provider at the right place and the right time. To achieve this, Trisotech Digital Automation Suite (DAS) orchestrates, via automation, the collaboration (Interoperability) of all the other vendors involved.

Patients rightly expect that care will be aligned to their personal values and wishes, yet far too often their voice isn’t heard or completely understood. Over the past two years, this disparity has become significant as many patients have come to the emergency room alone and unresponsive, only to receive undesired critical care. A patient’s advance directive or advance care plan can provide valuable information needed to guide the care team in their activities. However, only 37% of the U.S. population has either, and the availability and detail vary dramatically. This leaves medical practitioners relying on a combination of family input (if available) and their best clinical judgment to deliver the best care possible. Given these information gaps, even the best-intentioned clinical actions may lead to unwanted care and even patient harm. This demonstration highlights the use of standards-based interoperable technology and intelligent process automation within an ED setting. Providing the patient’s healthcare wishes in context and enabling the delivery of goal-aligned care for all patients anytime and anywhere. This patient-centric, state-of-the-art interoperable solution focuses on the orchestration of a patient’s advance directives through the implementation of data (HL7® FHIR®), knowledge (CDS Hooks/CQL) and process (BPM+ Health) standards to: (1) empower preauthorization and other burden reduction tools to deconflict clinical workflows while ensuring the patient’s wishes are met; (2) leverage data automation to remedy the crippling health IT inefficiencies cluttering clinical workflows; (3) increase velocity and decrease burden across the full cycle of clinical interoperability. View detailed description here.


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