Background: Risk communication in Indonesian clinical encounters remains shaped by unequal health literacy, medical uncertainty, professional authority, and uneven access to patient-centred explanation. Objective: This study examines how clinical risk, uncertainty, and treatment-relevant information are translated into everyday Indonesian language and how such translation enables or constrains patient decision-making. Method: This study applies qualitative discourse-pragmatic analysis to a 25-item corpus of public patient-facing health materials, consent-related texts, hospital education documents, and regulatory-context sources, coded through risk translation, uncertainty management, and decision-participation indicators. Results: Risk is most frequently translated as everyday manageability through chronic disease control, warning signs, treatment adherence, and professional escalation rather than abstract probability. Uncertainty is commonly organised through conditional boundaries, patient profiles, safety thresholds, and institutional procedures that make indeterminate clinical futures practically navigable. Patient decision-making appears as guided participation, where patients are encouraged to act responsibly but are less frequently invited to compare options, express preferences, or deliberate over alternatives. Implication: This study argues that health literacy should be understood as a communicative condition of clinical justice rather than merely as an individual patient capacity. Novelty: This study contributes an integrated Indonesian framework for analysing risk translation, uncertainty disclosure, and patient participation within one consistent discourse corpus.
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