LOINC Code 71482-4: Risk assessment Document

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 Risk assessment. It is commonly used with the system or sample type {Setting}.

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: Both
• Method: {Role}

What it does not mean

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

Key facts

• Risk assessment Document
• Risk assessment
• A risk assessment document (or section) contains a clinical interpretation of the risk factors for a particular patient. For example, a cardiovascular risk assessment might contain the Framingham derived 10 year probability of coronary heart disease. It is meant to cover a broad range of potential domains of risk (e.g. cardiovascular, psychological, physical function, etc) and therefor these are not specified in the name. This term was originally created for, but not limited in use to, use within the Cardiac Imaging Report CDA Implementation Guide developed by IHE (in collaboration with the American College of Cardiology and the DICOM Standards Committee).
• DOC.MISC; Document; Finding; Findings; MISC; Point in time; Random

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

Frequently asked questions