Individuals facing serious illness, who may be near the end of life, are just like the rest of us. They have personal stories, replete with meaningful experiences. They have families, friends, and important others they've influenced and who have influenced them. They have deeply-held values as well as sources of strength and meaning that may transcend their illness. However, too frequently the health care system does not know about our personal stories, and/or they do not prioritize them even in situations where a person's narrative is critical to the health care decisions at hand.
About Me, version 2.1 is a digital framework that brings individuals' personal stories into health care settings as a permanent, though modifiable and updateable, part of their health care record. It could be completed through a human-centered tablet-based application that provides patients with questions that elicit their personal narrative, including questions about important developmental landmarks, family, meaningful life events, goals for their future, and feelings about mortality and other loss. The format could also allow people to upload photos and videos, including a video version of an advance directive, if desired, as an added support for their designated surrogate decision maker(s).
Since current EMRs are highly variable in terms of ability to "push" external data and documents into them, I would imagine About Me being housed either as a scanned document in the advance planning section of certain EMRs (e.g. Epic) or possible within a cloud-based registry as currently occurs with POLST. Eventually, I anticipate this could readily be pushed into any EMR, making it optimally accessible at the point of care.