Consent and DNR directive capture & cloud storage

Purpose

1. Capture patient consent and Do Not Resuscitate (DNR) directives digitally and upload to secure cloud storage for real-time access during emergency air ambulance deployments.

2. Ensure legal compliance, reduce paperwork errors, increase speed of documentation, and guarantee immediate provider access to critical patient directives.

3. Automate secure collection, verification, timestamping, and organization of directives for compliance, audits, and continuity of patient care.

Trigger Conditions

1. New mission initiation or patient onboarding event.

2. Receipt of a new patient identity or care transfer form by EMS coordinator.

3. Manual workflow launch by care staff to initiate DNR/consent processing.

4. Update in patient records within EHR indicating absence of documented directives.

5. External e-signature platform callback/webhook on directive form completion.

Platform Variants

1. DocuSign

• Feature: Envelope Sent/Completed webhook.
  
• Setting: Configure callback to trigger workflow on form completion and data sealing.
  

2. Adobe Sign

• Feature: Agreement Completed event—API v6 POST to endpoint.
  
• Setting: Automatically download signed files as PDFs for cloud upload.
  

3. HelloSign

• Feature: Signature Request Finished webhook.
  
• Setting: Retrieve document via callback and push to storage API.
  

4. PandaDoc

• Feature: Document Completed webhook.
  
• Setting: Enable auto-export PDF via API on signature finalization.
  

5. JotForm

• Feature: Form Submission event.
  
• Setting: Upload submitted files and data via API to healthcare storage.
  

6. Google Forms

• Feature: Form submission/Google Sheets new row.
  
• Setting: Use Apps Script to trigger storage API on submission.
  

7. Typeform

• Feature: webhook on “form_response” event.
  
• Setting: Configure webhook to collect consent/DNR data.
  

8. Microsoft Forms

• Feature: Power Automate trigger on new response.
  
• Setting: Connect to cloud storage via MS Power Automate flow.
  

9. Zoho Sign

• Feature: API callback for “Document Signed” event.
  
• Setting: Auto-download and route files to storage endpoint.
  

10. SignNow

• Feature: Event Subscription—document complete.
  
• Setting: Webhook or API push to storage service.
  

11. Dropbox Sign

• Feature: callback_url on request completion.
  
• Setting: Transfer completed document to secure storage.
  

12. AWS S3

• Feature: PutObject API for storage upload.
  
• Setting: Secure upload of each consent/DNR file.
  

13. Google Drive

• Feature: Drive API Files.create endpoint.
  
• Setting: Automate upload of encrypted directive PDFs.
  

14. Box

• Feature: Files Upload API.
  
• Setting: Route files from signatures to HIPAA-compliant folders.
  

15. OneDrive

• Feature: Upload API via Graph API.
  
• Setting: Automate storage in patient-specific directories.
  

16. SharePoint

• Feature: Sites/drive/items API.
  
• Setting: Store directives in team or compliance library.
  

17. Salesforce Health Cloud

• Feature: Consent/DNR Custom Object update trigger.
  
• Setting: Push file uploads and status records.
  

18. Epic EHR

• Feature: App Orchard API—Upload Document.
  
• Setting: Attach consent/DNR files to patient chart.
  

19. Cerner

• Feature: FHIR DocumentReference API.
  
• Setting: Upload documents as FHIR resources linked to records.
  

20. Meditech

• Feature: API Inbound Document Routing.
  
• Setting: Script automation on inbound signed directives.
  

Benefits

1. Instant access to patient directives at point-of-care, reducing risk of treatment errors.

2. Compliance with legal storage and retrieval standards for medical records.

3. Elimination of paper-based lags, improved team efficiency during emergencies.

4. Audit trails and timestamping for medico-legal defense and quality control.

5. Secure, redundant backup and uniform policy coverage across all air ambulance cases.