☰ Revisor of Missouri


Chapter 190

< > Effective - 28 Aug 2023    bottom

  190.613.  Out-of-state order, physician may execute order, when. — 1.  A patient or patient's representative and the patient's attending physician may execute an outside the hospital do-not-resuscitate order through the presentation of a properly executed outside the hospital do-not-resuscitate order from another state, the District of Columbia, or a territory of the United States, or a Transportable Physician Orders for Patient Preferences (TPOPP)/Physician Orders for Life-Sustaining Treatment (POLST) form containing a specific do-not-resuscitate section.

  2.  Any outside the hospital do-not-resuscitate form identified from another state, the District of Columbia, or a territory of the United States, or a TPOPP/POLST form, shall:

  (1)  Have been previously reviewed and approved by the department as in compliance with the provisions of sections 190.600 to 190.621;

  (2)  Not be accepted for a patient under eighteen years of age, except as allowed under section 191.250; and

  (3)  Not be effective during such time as the patient is pregnant as set forth in section 190.609.



A patient or patient's representative may express to emergency medical services personnel, at any time and by any means, the intent to revoke the outside the hospital do-not-resuscitate order.

  3.  The provisions of section 190.606 shall apply to the good faith acts or omissions of emergency medical services personnel under this section.


(L. 2023 H.B. 402 merged with S.B. 45 & 90 merged with S.B. 106)

---- end of effective  28 Aug 2023 ----

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