As somebody who ran a business for a long time, I can say that looking for 100% accuracy in this database is an unrealistic expectation.
Canadians who choose medical tourism.... That is an outlier percentage. It is minor. Do we give that patient or their surgeon an option when they land back in Canada and have a problem? Can somebody populate that data? Yes, medical tourism is an issue, but it is far greater an issue in Taiwan and Australia.
At some point.... We're not going to capture 100%, but less than 100% is better than the 0% we're collecting today.