The decision of DNR patients was first negotiated in 1976 in In re Quinlan. The New Jersey Supreme Court upheld the right of Karen Ann Quinlan`s parents to order her removal from artificial respiration. In 1991, Congress passed the Patient Self-Determination Act, which required hospitals to respect a person`s decision on health care.  Forty-nine states currently allow next of kin to make medical decisions about parents with disabilities, with the exception of Missouri. Missouri has a living will law that requires two witnesses for every signed living will that results in DNR/DNI code status at the hospital. It should be noted that in the United States, a living will or living will is not sufficient to guarantee that a patient is treated in accordance with the DNR protocol, even if it is their wish, because neither a living will nor a living will is legally binding on physicians.  They may be legally binding when appointing a medical representative, but not when making treatment decisions. Studies on 26,000 patients revealed similarities in the health situations of patients with and without DNR. For each of the 10 stages of the disease, from the healthiest to the sickest, 7% to 36% of patients had received prescriptions for DNR; the others had the full code.  Resuscitation orders or their absence may also be mentioned in the United States as part of physician prescriptions for life-sustaining treatment (POLST), medical prescriptions for life-sustaining treatment (MOLST), physician`s prescriptions for the extent of treatment (POST), or transportable physician prescriptions for patient preferences (TPOPP), which are usually created with the contribution of his relatives when the patient or client is unable to: to communicate his wishes.
DNRs are not recognised by Italy. Doctors should try to revive all patients, regardless of their individual or family wishes. Italian laws require medical staff to resuscitate a patient even if the patient has a DNR or does not want to live. There are prison sentences (from 6 to 15 years) for medical personnel who violate this law, e.B. «omicidio del consenziente».  [Circular reference] Therefore, in Italy, a signed DNR has no legal value.  Reductions in other treatments should not result from DNR, but they do. Some patients choose DNR because they prefer less care: half of Oregon patients with DNR prescriptions who completed a POLST (known in Tennessee as POST (Physician Orders and Scope of Treatment) only wanted comfortable care, and 7% wanted comprehensive care. The others wanted different limits for care, so the general assumptions are unreliable.  Many physicians «misinterpret the preferences of the DNR and therefore do not offer other appropriate therapeutic interventions.»  DNRs are not recognized by Jordan. Doctors try to revive all patients regardless of individual or family wishes.  The UAE has laws that require health care workers to resuscitate a patient even if the patient has a DNR or does not want to live.
There are penalties for violating the law.  In Saudi Arabia, patients cannot legally sign a DNR, but a DNR can be accepted for terminally ill patients by order of the family physician. In Israel, it is possible to sign a DNR form as long as the patient dies and is aware of their actions. [Citation needed] When a patient or family and physicians disagree on DNR status, it is common to seek help from the hospital`s ethics committee, but the authors pointed out that many members have little or no ethics training, some have little medical education, and they have conflicts of interest by having the same employer and budget as physicians.    MNR documents are widely used in some countries and not available in others. In countries where DNR is not available, the decision to stop resuscitation is made exclusively by doctors. In the United States, documentation is particularly complicated because each state accepts different forms and living wills and living wills may not be accepted by EMS as legally valid forms. If a patient has a living will stating that they are applying for a DNR but does not have a completed government-sponsored form that has been co-signed by a physician, EMS may attempt to resuscitate. In Victoria, denial of medical treatment is a legal way to refuse medical treatment under current conditions. It does not apply to palliative care (adequate pain relief; Food and drinks). An Advanced Care Directive legally defines the medical treatments that a person can receive (or not receive) in various defined circumstances. It can be used to refuse resuscitation to avoid unnecessary suffering.
 DNR orders have been legal in Taiwan since May 2000 and were issued by the Palliative care and Palliative Care Ordinance. The requirement to inform a patient of his incurable condition also includes the requirement to inform a patient of his incurable condition, but the requirement is not explicitly defined, which leads to the interpretation of the exact conclusion of the truth.  In 2005, France implemented its «Patients` Rights and End-of-Life Care» law. This law allows for the retention/discontinuation of life-sustaining treatment, as well as the increased use of certain medications that can accelerate the effect of death. .