Evidence-based patient choice (EBPC) is a subsetof the set of alternative frameworks that have been proposedtosupplementorsupplantthecourt-deriveddoctrinesofconsent and informed consent. In this paper, we will examinethedefinition,roles,andhierarchiesandtopologiesofevidence that have been proposed to be provided to patientstouseintheirdecisionmakingrelatedtotheowncareinhealth and medicine. Patient-based rational decision makinginitspresentformhasa relatively smallbaseof high-qualitymedicalandscientificevidencethatareofpotentialusetopatientsindecisionmakingrelativetothebroadrangeofhealth and medical decisions that patients face and thus is notreflectiveofthevastdomainofdecisionspatientsface. In addition,theproponentsofalternativepatient-basedframeworkshavenotfullyexaminedthepotentialimpactsofevidenceonpatients,howevidenceistobeadequatelycommunicatedtopatients,andthusEBPCisstillinitsdefinitionalphasesofdevelopment.Inthispaper,wealsoexamineanewtaxonomyofpatient-baseddecisionmakinginclusive of a broad range of patient decisions. This taxonomyincludes characteristics of four types: (1) characteristics of thedecision, (2) characteristics of the patient being counseled, (3)characteristicsofthepatient’scounselors(providersofinformationandthosewhohelpclarifytheuniquepatient’svalues relativeto the decision), and (4) characteristics oftheevidence underlying the decision. This paper also presents afutureresearchagendatohelpfillcurrentgapsinpatientbased rational decision making relative to this taxonomy.