What does this LOINC code represent?

This LOINC code identifies a lab observation, measurement, question, or clinical concept in a standardized format.

Is this enough to understand my test result?

No. The code identifies the test or observation, but the interpretation depends on the actual result, reference range, and clinical context.

LOINCActiveObservation

LOINC Code 105475-8: Did you have to fill out or sign any forms at a doctor or other health provider office 12 months

Name: LOINC Code 105475-8: Did you have to fill out or sign any forms at a doctor or other health provider office 12 months
Creator: HealthAssure Clinical Team
Published: 2026-05-21T11:17:19.135Z

105475-8 is a LOINC code used to identify Did you have to fill out or sign any forms at a doctor or other health provider office 12 months in laboratory and clinical observation data. You may see this code in lab systems, lab reports, EHR exports, interoperability feeds, or other structured clinical data exchanges. LOINC codes identify tests, measurements, observations, survey items, and clinical questions in a standardized way. It is associated with the component Did you have to fill out or sign any forms at a doctor or other health provider office. It is commonly used with the system or sample type ^Patient.

Reviewed by HealthAssure Clinical TeamUpdated 21 May 2026

What is this code?

LOINC codes identify tests, measurements, observations, survey items, and clinical questions in a standardized way. It is associated with the component Did you have to fill out or sign any forms at a doctor or other health provider office. It is commonly used with the system or sample type ^Patient.

When is it used?

Used in lab systems, EHRs, and clinical data exchange.
May identify a test, observation, survey item, or clinical document request rather than a diagnosis.
Status: ACTIVE
Order vs observation: Observation

What it does not mean

The code identifies the observation or test, not the actual result.

Key facts

Did you have to fill out or sign any forms at a doctor or other health provider office 12 months
Did you have to fill out or sign any forms at a doctor or other health provider office
1 year; 12Mos; Finding; Findings; Ordinal; Othr; PhenX; Ql; Qual; Qualitative; Screen

Where you may see this code

You may see this code in lab systems, lab reports, EHR exports, interoperability feeds, or other structured clinical data exchanges.

Common synonyms

Did you have to fill out or sign any forms at a doctor or other health provider office 12 monthsFill sign form 12MoDid you have to fill out or sign any forms at a doctor or other health provider officePHENXFind12Mo^Patient

Frequently asked questions

Code details

Code105475-8

SystemLOINC

Display nameDid you have to fill out or sign any forms at a doctor or other health provider office 12 months

DescriptionDid you have to fill out or sign any forms at a doctor or other health provider office

Short nameFill sign form 12Mo

ComponentDid you have to fill out or sign any forms at a doctor or other health provider office

PropertyFind

Timing12Mo

System (specimen)^Patient

ScaleOrd

ClassPHENX

StatusACTIVE

Order/ObservationObservation

Flags

BillableNo

Valid clinical useNo

Source

SourceLOINC

Version2.82

Releasemain

First released2.78

Last changed2.78

Part names

Did you have to fill out or sign any forms at a doctor or other health provider officeFind12Mo^PatientOrdFinding12 months

About this content

This page is prepared by HealthAssure's clinical team using official coding standards from LOINC. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.