Abstract: Automated execution of health care protocols in an integrated communications infrastructure is described. In one aspect, a computing device receives data from one or more of the remote computing devices, telecom devices, or executing health care protocols. The computing device then determines if the received data is a health care protocol triggering event. If so, the computing device identifies a standard of health care based protocol expression mapped to the triggering event, and instantiates (i.e., executes or automates) a protocol having the contextual characteristics of the mapped protocol expression and the triggering event. The automated protocol implements a set of actions associated with providing health care to a patient. If the received data is determined not to be a health care protocol triggering event, the computing device dispatches the received data to any executing health care protocol that previously registered to receive such input.