Patient Procedure 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 procedures.
If the DAR applies to all procedures (e.g., the patient declined to answer “Did you undergo any procedures?”),then only the DAR Code is populated. All other attributes must be left empty.
If the DAR applies to a specific procedure (for example, the patient declined to answer “Did you have procedure X?”), then DAR Code records the reason (e.g., asked-declined) and the context attribute - Procedure Code - identifies the specific procedure (e.g., procedure X).
When a DAR is specified, this class shall be populated, but Patient Procedure shall not.
When an actual procedure is specified, the Patient Procedure class shall be populated, but this class shall not.

Appears in

Constraints

Unique key(s)

  • Patient, Procedure Code if specified, Procedure Category Code if specified

Stereotype(s)

n/a

Attributes

AttributeTypeMultiplicityAttribute note
Procedure Code Codeable Concept 0..1
Uniquely specifies a procedure (e.g., "repair of femoral hernia by Henry approach"). This attribute is mandatory for procedure events. Value Set: https://fhir.infoway-inforoute.ca/ValueSet/procedurecode Alternate Value Set: Canadian Classification of Health Interventions (CCI): recommended supporting classification. https://secure.cihi.ca/estore/productFamily.htm?pf=PFC4851&lang=en&media=0
Procedure Category Code Codeable Concept 0..1
Uniquely specifies a category which classifies the procedure, in particular for searching, sorting, and display purposes (e.g., "Surgical Procedure"). Value Set: To be developed.
Procedure Data Absent Reason Code Codeable Concept 1
Uniquely specifies the reason that procedure information is missing or not 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 Procedure Data Absent Reason 0..* has Clinical Information Life Cycle Event 0..*
Patient Procedure Data Absent Reason 0..* documented in Encounter 0..1
Patient Procedure Data Absent Reason 0..* for Patient 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 Procedure Data Absent Reason. Accessed November 02, 2026.