Tania, hmm yes technology. Who remembers floppy disks? What?? We would need to think about average time interval of technology leaps vs. the lifespan of the individual making the plans. Do I outlive the medium I have used?? 

Sharron thank you for your encouragement. You can be my early adopter for the app!!

Inge I'm so pleased to hear that the refinement phase work is clarifying the intent of InMyHands. And encouraged by your suggestion that later on the scope might be extended beyond medical end-of-life wishes.  I hadn't considered alerts after hospital visits/medical events but its a really good idea. I like that we are adding layers of value to the original concept. Thank you!