US Core Implementation Guide
9.0.0 - STU 9 US

US Core Implementation Guide - Downloaded Version 9.0.0 See the Directory of published versions

## : ServiceRequest DNR Example - XML Representation

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    <ServiceRequest xmlns="http://hl7.org/fhir">
      <id value="servicerequest-dnr-example1"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|9.0.0"/>
      </meta>
      <text>
        <status value="generated"/>
        <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 (v3 Code System 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>
      </text>
      <status value="active"/>
      <intent value="directive"/>
      <category>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/core/CodeSystem/us-core-category"/>
          <code value="PMO"/>
          <display value="Portable Medical Order (PMO)"/>
        </coding>
        <text value="PMO derived order"/>
      </category>
      <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="Amy V. Baxter"/>
      </subject>
      <encounter>🔗
        <reference value="Encounter/1036"/>
      </encounter>
      <occurrencePeriod>
        <start value="2025-08-26"/>
      </occurrencePeriod>
      <authoredOn value="2025-08-26"/>
      <requester>🔗
        <reference value="Practitioner/practitioner-1"/>
        <display value="Dr. Ronald Bone"/>
      </requester>
      <reasonCode>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/731000124108"/>
          <code value="300936002"/>
          <display value="Terminal illness"/>
        </coding>
        <text value="Terminal illness"/>
      </reasonCode>
      <reasonReference>🔗
        <reference value="DocumentReference/polst"/>
        <display value="US Core ADI DocumentReference for POLST"/>
      </reasonReference>
    </ServiceRequest>