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 - TTL Representation
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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@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 -------------------------------------------------------------------
a fhir:ServiceRequest ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "servicerequest-pmo-example1"] ; #
fhir:meta [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/instance-name"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "ServiceRequest DNR Example" ] ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/instance-description"^^xsd:anyURI ] ;
fhir:value [
a fhir:markdown ;
fhir:v "This is an example DNR request using the *US Core PMO ServiceRequest Profile*." ] ] ) ;
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-pmo-servicerequest"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-pmo-servicerequest> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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 Profile</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 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\">Granny Smith</a></p><p><b>encounter</b>: <a href=\"Encounter/example\">Encounter/example</a></p><p><b>occurrence</b>: 2025-08-26 --> (ongoing)</p><p><b>authoredOn</b>: 2025-08-26</p><p><b>requester</b>: <a href=\"Practitioner/example\">Dr. Jane Doe</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 422650009}\">Terminal illness</span></p><p><b>reasonReference</b>: <a href=\"DocumentReference/example\">US Core ADI DocumentReference for POLST</a></p></div>"^^rdf:XMLLiteral
] ; #
fhir:status [ fhir:v "active"] ; #
fhir:intent [ fhir:v "directive"] ; #
fhir:category ( [
( fhir:coding [
a loinc:100822-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "100822-6" ] ;
fhir:display [ fhir:v "Cardiopulmonary resuscitation orders" ] ] ) ;
fhir:text [ fhir:v "Cardiopulmonary resuscitation orders" ]
] ) ; #
fhir:code [
( fhir:coding [
a loinc:LA33471-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LA33471-6" ] ;
fhir:display [ fhir:v "No CPR: Do Not Attempt Resuscitation" ] ] ) ;
fhir:text [ fhir:v "No CPR: Do Not Attempt Resuscitation" ]
] ; #
fhir:orderDetail ( [
fhir:text [ fhir:v "Patient has explicitly declined CPR per advance directive discussion" ]
] ) ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/example" ] ;
fhir:display [ fhir:v "Granny Smith" ]
] ; #
fhir:encounter [
fhir:reference [ fhir:v "Encounter/example" ]
] ; #
fhir:occurrence [
a fhir:Period ;
fhir:start [ fhir:v "2025-08-26"^^xsd:date ]
] ; #
fhir:authoredOn [ fhir:v "2025-08-26"^^xsd:date] ; #
fhir:requester [
fhir:reference [ fhir:v "Practitioner/example" ] ;
fhir:display [ fhir:v "Dr. Jane Doe" ]
] ; #
fhir:reasonCode ( [
( fhir:coding [
a sct:422650009 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "422650009" ] ;
fhir:display [ fhir:v "Terminal illness" ] ] ) ;
fhir:text [ fhir:v "Terminal illness" ]
] ) ; #
fhir:reasonReference ( [
fhir:reference [ fhir:v "DocumentReference/example" ] ;
fhir:display [ fhir:v "US Core ADI DocumentReference for POLST" ]
] ) . #