If a patient with cardiac or respiratory arrest has both an advance directive directing that no CPR be provided and an out-of-hospital DNR order, an EMS provider shall comply with the out-of-hospital DNR order as set forth in § 1051.51 (relating to implementation of an out-of-hospital DNR order).
28 Pa. Code § 1051.52
This section cited in 28 Pa. Code § 1051.101 (relating to recognition of other states' out-of-hospital DNR orders).