The document discusses a study examining where patients' advance health care directives (AHCDs) are located within an electronic health record (EHR) system, and how easily accessible and actionable they are. The study found that while many patients had AHCDs documented, they were often only listed in the problem list and not accompanied by scanned documents, making them difficult to find and not truly actionable. Certain patient characteristics like older age, dementia and cancer were associated with having more accessible AHCDs. The implications are that standardizing and improving the accessibility of AHCDs in EHRs could help ensure patients' end-of-life wishes are honored.