QA87

ICD-11 MMS 2026-01

Problem with clinical documentation without injury or harm

Description

Documentation on wrong patient; incomplete documentation; incorrect documentation identified as inconsistent with other source, but without documented injury or harm to the patient.

Index terms

  • Problem with clinical documentation without injury or harm
  • documentation on wrong patient without documented injury or harm
  • incomplete documentation without documented injury or harm
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  • incorrect documentation identified as inconsistent with other source without documented injury or harm

Excludes

  • PL14.7 – Problem associated with clinical documentation

Sibling codes

  • QA80 – Non-administration of necessary drug without injury or harm
  • QA81 – Non-provision of necessary procedure without injury or harm
  • QA82 – Problem associated with physical transfer of patient without injury or harm
  • QA83 – Mismatched blood used in transfusion without injury or harm
  • QA84 – Other problem with transfusion without injury or harm
  • QA85 – Problem with physical restraints without injury or harm
  • QA86 – Problem with isolation protocol without injury or harm
  • QA88 – Problem with clinical software without injury or harm
  • QA89 – Incorrect diagnosis without injury or harm
  • QA8A – Delayed diagnosis without injury or harm
  • QA8B – Delayed treatment without injury or harm
  • QA8C – Problem with transitions of care, hand offs, or handovers without injury or harm
  • QA8D – Patient received diagnostic test or treatment intended for another patient without injury or harm
  • QA8E – Fall in health care without injury or harm
  • QA8F – Needle stick without injury or harm
  • QA8Y – Other specified circumstances associated with other aspects of care influencing the episode of care without injury or harm
  • QA8Z – Circumstances associated with other aspects of care influencing the episode of care without injury or harm, unspecified

Foundation entity

Problem with clinical documentation without injury or harm – http://id.who.int/icd/entity/1568096403

Part of: 24: Factors influencing health status or contact with health services