CC-UC-01401 - Consent Is Not Given

Actors

  • Client/client caregiver
  • Medical doctor (MD)/nurse practitioner (NP)

Pre-conditions

  • Client has a scheduled procedure with the MD/NP/surgical team.
  • Client is at the clinic for a medical procedure.
Step Description Data elements collected Result
1 Client/client caregiver does not give consent to perform procedure.
  • Procedure Status
  • Procedure Status Reason
Procedure is not performed and recorded in the client's medical record.
2 Use case ends. Not applicable Not applicable

Post-conditions

  • Consent is not given.
  • Procedure is not performed.
  • Client's medical record is updated.

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. CC-UC-01401 - Consent Is Not Given. Accessed November 02, 2026.