Texas In-Hospital DNR Order Pathway (HSC 166.203, 166.204)
Identifies which Health and Safety Code 166.203(a) pathway a Texas hospital DNR order rests on, and whether its elements are met.
Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- The order rests on
- The attending physician's judgment that death is imminent
- The order is dated
- Yes
- Not contrary to a competent patient's directions
- Met
- Death imminent within minutes to hours
- Met
- The order is medically appropriate
- Met
- The patient is competent
- No
Result: Valid under 166.203(a)(2); before charting it, try to reach the agent, guardian, or nearest family (166.203(c)(2)).
The tool opens with these values already filled in. Replace them with your own.
What you enter
- The order rests on
- The order is dated
- Oral directions: two qualifying witnesses
- Not contrary to a competent patient's directions
- Death imminent within minutes to hours
- The order is medically appropriate
- The patient is competent
- The patient is incompetent
The other 2 fields
- Attending and decision-maker agree
- A second physician or ethics representative concurred
How this is calculated
Tex. Health & Safety Code 166.203-166.205 (SB 11, 2019). Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.