Electronic Advance Directives

Advance Care Planning: Helping Patients Understand Their Options

Advance care planning is a widely recognized way to support patient self-determination, facilitate decision making, and promote better care at the end of life (AMA). Regardless of health status, everyone over the age of 18 is encouraged to think about and document their values and treatment preferences to guide future medical decisions about their care. This includes appointing a health care agent. Refer to resources provided by the Maryland Health Care Commission that overview the advance care planning process and options for creating an electronic advance directive. Electronic Advance Directives – A Quick Guide is available in two options. Both options contain the same content; the only difference is how they are formatted.

Pursuant to Maryland regulations (COMAR § 10.25.19), the Maryland Health Care Commission maintains rigorous criteria, including privacy and security standards, for recognizing advance directive services that are authorized to connect to CRISP, the Maryland-designated Health Information Exchange.  Currently, the following services have been recognized by the Maryland Health Care Commission and vetted through its criteria (COMAR 10.25.19).

By clicking on the above link, you are being routed to a state-recognized electronic advanced directive service that may share your advance directive with the state-designated Health Information Exchange.

Viewing Advance Directives within CRISP

CRISP InContext or Portal (with access to clinical data) users can view Advance Directives within the InContext Application or Clinical Information Service. Once within the InContext or Clinical Information service, click on Care Coordination from the left menu and Advance Directives in the tab menu.