Patient Immunization Data Absent Reason

Context and value of a Data Absent Reason (DAR) indicating why information is missing or not recorded about some or all of a patient's immunizations.
If the DAR applies to the entire immunization class, then only the DAR Code is populated. All other attributes must be left empty.
Other attributes, when present, provide context for the DAR, indicating the specific vaccine or reaction to which the DAR applies.

Appears in

Constraints

Unique key(s)

  • Patient, XOR (Vaccine Drug Code, Vaccine Generic Concept Code) if either is specified, Immunization Reaction Code if specified

Stereotype(s)

n/a

Attributes

AttributeTypeMultiplicityAttribute note
Vaccine Drug Code Codeable Concept 0..1
Vaccine Generic Concept Code Codeable Concept 0..1
Uniquely specifies a generic immunization agent (not a vaccine product). Value Set: https://nvc-cnv.canada.ca/en/generic-immunizing-agents
Immunization Reaction Code Codeable Concept 0..1
Uniquely specifies the type of a reaction to the administration of a vaccine (e.g., rash, fever, anaphylaxis). Value Set: https://fhir.infoway-inforoute.ca/ValueSet/clinicalfindingcode
Immunization Data Absent Reason Code Codeable Concept 1
Uniquely specifies the reason that immunization information is missing or not recorded for a patient (e.g., asked-declined, not-asked, unknown). Value Set: http://terminology.hl7.org/CodeSystem/data-absent-reason

Relationships

From class From multiplicity Relationship To class To multiplicity
Patient Immunization Data Absent Reason 0..* has Clinical Information Life Cycle Event 0..*
Patient Immunization Data Absent Reason 0..* for Patient 1
Patient Immunization Data Absent Reason 0..* documented in Encounter 0..1

Contact us

If you have questions about this initiative, would like to be added to our stakeholder notification list or would like to participate in our consultations, please email us.

connectedcare@cihi.ca

How to cite:

Canadian Institute for Health Information. Patient Immunization Data Absent Reason. Accessed November 02, 2026.