US Core Implementation Guide
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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-ballot 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 - JSON Representation

Page standards status: Informative

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{
  "resourceType" : "ServiceRequest",
  "id" : "servicerequest-pmo-example1",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-pmo-servicerequest|9.0.0-ballot"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest servicerequest-pmo-example1</b></p><a name=\"servicerequest-pmo-example1\"> </a><a name=\"hcservicerequest-pmo-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-pmo-servicerequest.html\">US Core PMO ServiceRequest Profileversion: null9.0.0-ballot)</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Directive</p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 93037-0}\">PMO derived Cardiopulmonary resuscitation 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>"
  },
  "status" : "active",
  "intent" : "directive",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "code" : "93037-0",
          "display" : "Portable medical order form"
        }
      ],
      "text" : "PMO derived Cardiopulmonary resuscitation order"
    },
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "code" : "100822-6",
          "display" : "Cardiopulmonary resuscitation orders"
        }
      ],
      "text" : "Cardiopulmonary resuscitation orders"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "LA33471-6",
        "display" : "No CPR: Do Not Attempt Resuscitation."
      }
    ],
    "text" : "No CPR: Do Not Attempt Resuscitation"
  },
  "orderDetail" : [
    {
      "text" : "Patient has explicitly declined CPR per advance directive discussion"
    }
  ],
  "subject" : {
    🔗 "reference" : "Patient/example",
    "display" : "Amy V. Baxter"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/1036"
  },
  "occurrencePeriod" : {
    "start" : "2025-08-26"
  },
  "authoredOn" : "2025-08-26",
  "requester" : {
    🔗 "reference" : "Practitioner/practitioner-1",
    "display" : "Dr. Ronald Bone"
  },
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "300936002",
          "display" : "Terminal illness"
        }
      ],
      "text" : "Terminal illness"
    }
  ],
  "reasonReference" : [
    {
      🔗 "reference" : "DocumentReference/polst",
      "display" : "US Core ADI DocumentReference for POLST"
    }
  ]
}