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 - XML Representation

Page standards status: Informative

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<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="servicerequest-pmo-example1"/>
  <meta>
    <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
      <valueString value="ServiceRequest DNR Example"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/instance-description">
      <valueMarkdown
                     value="This is an example DNR request using the *US Core PMO ServiceRequest Profile*."/>
    </extension>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-pmo-servicerequest"/>
  </meta>
  <text>
    <status value="generated"/>
    <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 --&gt; (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>
  </text>
  <status value="active"/>
  <intent value="directive"/>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <code value="100822-6"/>
      <display value="Cardiopulmonary resuscitation orders"/>
    </coding>
    <text value="Cardiopulmonary resuscitation orders"/>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="LA33471-6"/>
      <display value="No CPR: Do Not Attempt Resuscitation"/>
    </coding>
    <text value="No CPR: Do Not Attempt Resuscitation"/>
  </code>
  <orderDetail>
    <text
          value="Patient has explicitly declined CPR per advance directive discussion"/>
  </orderDetail>
  <subject>🔗 
    <reference value="Patient/example"/>
    <display value="Granny Smith"/>
  </subject>
  <encounter>
    <reference value="Encounter/example"/>
  </encounter>
  <occurrencePeriod>
    <start value="2025-08-26"/>
  </occurrencePeriod>
  <authoredOn value="2025-08-26"/>
  <requester>
    <reference value="Practitioner/example"/>
    <display value="Dr. Jane Doe"/>
  </requester>
  <reasonCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="422650009"/>
      <display value="Terminal illness"/>
    </coding>
    <text value="Terminal illness"/>
  </reasonCode>
  <reasonReference>
    <reference value="DocumentReference/example"/>
    <display value="US Core ADI DocumentReference for POLST"/>
  </reasonReference>
</ServiceRequest>