US Core Implementation Guide
9.0.0 - STU 9 United States of America flag

US Core Implementation Guide, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 9.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/US-Core/ and changes regularly. See the Directory of published versions

: ServiceRequest DNR Example - TTL Representation

Page standards status: Informative

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/ServiceRequest/servicerequest-dnr-example1> a fhir:ServiceRequest ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "servicerequest-dnr-example1"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|9.0.0" ;
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|9.0.0>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest servicerequest-dnr-example1</b></p><a name=\"servicerequest-dnr-example1\"> </a><a name=\"hcservicerequest-dnr-example1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-us-core-servicerequest.html\">US Core ServiceRequest Profile</a> version: 9.0.0</p></div><p><b>status</b>: Active</p><p><b>intent</b>: Directive</p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/core/CodeSystem/us-core-category PMO}\">PMO derived order</span>, <span title=\"Codes:{http://loinc.org 100822-6}\">Cardiopulmonary resuscitation orders</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org LA33471-6}\">No CPR: Do Not Attempt Resuscitation</span></p><p><b>orderDetail</b>: <span title=\"Codes:\">Patient has explicitly declined CPR per advance directive discussion</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Amy V. Baxter</a></p><p><b>encounter</b>: <a href=\"Encounter-1036.html\">Encounter: status = in-progress; class = inpatient encounter (ActCode#IMP); type = Unknown (qualifier value)</a></p><p><b>occurrence</b>: 2025-08-26 --&gt; (ongoing)</p><p><b>authoredOn</b>: 2025-08-26</p><p><b>requester</b>: <a href=\"Practitioner-practitioner-1.html\">Dr. Ronald Bone</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 300936002}\">Terminal illness</span></p><p><b>reasonReference</b>: <a href=\"DocumentReference-polst.html\">US Core ADI DocumentReference for POLST</a></p></div>"
  ] ;
  fhir:ServiceRequest.status [ fhir:value "active"] ;
  fhir:ServiceRequest.intent [ fhir:value "directive"] ;
  fhir:ServiceRequest.category [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/core/CodeSystem/us-core-category" ] ;
       fhir:Coding.code [ fhir:value "PMO" ] ;
       fhir:Coding.display [ fhir:value "Portable Medical Order (PMO)" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "PMO derived order" ]
  ], [
     fhir:index 1 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a loinc:100822-6 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "100822-6" ] ;
       fhir:Coding.display [ fhir:value "Cardiopulmonary resuscitation orders" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Cardiopulmonary resuscitation orders" ]
  ] ;
  fhir:ServiceRequest.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a loinc:LA33471-6 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "LA33471-6" ] ;
       fhir:Coding.display [ fhir:value "No CPR: Do Not Attempt Resuscitation." ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "No CPR: Do Not Attempt Resuscitation" ]
  ] ;
  fhir:ServiceRequest.orderDetail [
     fhir:index 0 ;
     fhir:CodeableConcept.text [ fhir:value "Patient has explicitly declined CPR per advance directive discussion" ]
  ] ;
  fhir:ServiceRequest.subject [
     fhir:link <http://hl7.org/fhir/Patient/example> ;
     fhir:Reference.reference [ fhir:value "Patient/example" ] ;
     fhir:Reference.display [ fhir:value "Amy V. Baxter" ]
  ] ;
  fhir:ServiceRequest.encounter [
     fhir:link <http://hl7.org/fhir/Encounter/1036> ;
     fhir:Reference.reference [ fhir:value "Encounter/1036" ]
  ] ;
  fhir:ServiceRequest.occurrencePeriod [
     fhir:Period.start [ fhir:value "2025-08-26"^^xsd:date ]
  ] ;
  fhir:ServiceRequest.authoredOn [ fhir:value "2025-08-26"^^xsd:date] ;
  fhir:ServiceRequest.requester [
     fhir:link <http://hl7.org/fhir/Practitioner/practitioner-1> ;
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner-1" ] ;
     fhir:Reference.display [ fhir:value "Dr. Ronald Bone" ]
  ] ;
  fhir:ServiceRequest.reasonCode [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a sct:300936002 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.version [ fhir:value "http://snomed.info/sct/731000124108" ] ;
       fhir:Coding.code [ fhir:value "300936002" ] ;
       fhir:Coding.display [ fhir:value "Terminal illness" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Terminal illness" ]
  ] ;
  fhir:ServiceRequest.reasonReference [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/DocumentReference/polst> ;
     fhir:Reference.reference [ fhir:value "DocumentReference/polst" ] ;
     fhir:Reference.display [ fhir:value "US Core ADI DocumentReference for POLST" ]
  ] .

<http://hl7.org/fhir/Patient/example> a fhir:Patient .

<http://hl7.org/fhir/Encounter/1036> a fhir:Encounter .

<http://hl7.org/fhir/Practitioner/practitioner-1> a fhir:Practitioner .

<http://hl7.org/fhir/DocumentReference/polst> a fhir:DocumentReference .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ServiceRequest/servicerequest-dnr-example1.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ServiceRequest/servicerequest-dnr-example1.ttl> .