Adult Social Care Glossary, v 0.6

The Reasonable Adjustments Flag is a national record which indicates that reasonable adjustments are required for a person with learning disabilities, dementia, etc. It includes the About Me information and the key adjustments that should be considered. The flag has been piloted in the Summary Care Records (SCR) and a FHIR software interface will soon be available for systems to integrate with the flag, enabling health and care professionals to record, share and view individuals' reasonable adjustments.

Category code 1: Communication support SNOMED CT CodeDescription 441092009Does lip read 719369003Does use communication device 285055002Does use hearing aid 520471000000105Preferred method of communication: British Sign Language 520491000000109Preferred method of communication: written 082671000000100Requires aphasia-friendly communication 1082691000000101Requires support for expressive communication needs 1082681000000103Requires support for receptive communication needs 225834007Uses a citizen advocate 225833001Uses a legal advocate 288595009Uses a non-speech system for communication 761541000000100Uses alternative communication skill 716524009Uses augmentative and alternative communication 415803005Uses British sign language 445129003Uses cued speech transliterator 957031000000107Uses deafblind intervener 981781000000107Uses Deafblind Manual Alphabet 445121000Uses electronic note taker 1077121000000101Uses functional communication skills 1082531000000103Uses gestures for communication 198061000000105Uses hearing loop 719363002Uses high technology communication device 445143008Uses lipspeaker 719364008Uses low technology communication device 415805003Uses Makaton sign language 445076009Uses manual note taker 719370002Uses non-powered communication device 288583009Uses non-verbal communication 1082541000000107Uses objects for communication 720462004Uses personal audio recording device to record information 837341000000108Uses Personal Communication Passport 719393008Uses photographs for communication 719373000Uses powered communication device 404903008Uses sign language 445123002Uses speech to text reporter 719754002Uses symbols for communication 445488003Uses telecommunications device for the deaf 288601001Uses verbal communication 716537007Uses voice amplifier to support communication 762361000000101Uses voice output communication aidSNOMED CT CodeDescription 441092009Does lip read 719369003Does use communication device 285055002Does use hearing aid 520471000000105Preferred method of communication: British Sign Language 520491000000109Preferred method of communication: written 082671000000100Requires aphasia-friendly communication 1082691000000101Requires support for expressive communication needs 1082681000000103Requires support for receptive communication needs 225834007Uses a citizen advocate 225833001Uses a legal advocate 288595009Uses a non-speech system for communication 761541000000100Uses alternative communication skill 716524009Uses augmentative and alternative communication 415803005Uses British sign language 445129003Uses cued speech transliterator 957031000000107Uses deafblind intervener 981781000000107Uses Deafblind Manual Alphabet 445121000Uses electronic note taker 1077121000000101Uses functional communication skills 1082531000000103Uses gestures for communication 198061000000105Uses hearing loop 719363002Uses high technology communication device 445143008Uses lipspeaker 719364008Uses low technology communication device 415805003Uses Makaton sign language 445076009Uses manual note taker 719370002Uses non-powered communication device 288583009Uses non-verbal communication 1082541000000107Uses objects for communication 720462004Uses personal audio recording device to record information 837341000000108Uses Personal Communication Passport 719393008Uses photographs for communication 719373000Uses powered communication device 404903008Uses sign language 445123002Uses speech to text reporter 719754002Uses symbols for communication 445488003Uses telecommunications device for the deaf 288601001Uses verbal communication 716537007Uses voice amplifier to support communication 762361000000101Uses voice output communication aid Category code 2: Requires communication professional 204331000000107British Sign Language interpreter needed 945731000000104Hands-on signing interpreter needed 204341000000103Makaton Sign Language interpreter needed 225835008Needs an advocate 957071000000109Requires deafblind block alphabet interpreter 796201000000109Requires deafblind communicator guide 957111000000103Requires deafblind haptic communication interpreter 957051000000100Requires deafblind manual alphabet interpreter 945911000000109Requires lipspeaker 945891000000106Requires manual note taker 719563003Requires sighted guide 1082661000000100Requires speech and language therapist support to communicate 966401000000100Requires speech to text reporter 936761000000104Sign Supported English interpreter needed 945711000000107Visual frame sign language interpreter needed Category code 3: Requires specific contact method 945931000000101Requires audible alert 936741000000100Requires contact by email 936721000000107Requires contact by letter 936701000000103Requires contact by short message service text message 795661000000104Requires contact by telephone 796081000000106Requires contact by text relay 719561001Requires contact via carer 945971000000104Requires tactile alert 945951000000108Requires visual alert Category code 4: Requires specific information format 719758004Requires healthcare information recording on personal audio recording device 936581000000101Requires information by email 1082551000000100Requires information in aphasia-accessible format 936661000000109Requires information in contracted (Grade 2) Braille 796161000000101Requires information in Easyread 936601000000105Requires information in electronic audio format 945751000000106Requires information in electronic downloadable format 936641000000108Requires information in Makaton 936621000000101Requires information in Moon alphabet 936681000000100Requires information in uncontracted (Grade 1) Braille 795801000000104Requires information on audio cassette tape 795731000000104Requires information on compact disc 795691000000105Requires information on digital versatile disc 945691000000105Requires information on universal serial bus mass storage device 367741000000102Requires information verbally 985021000000106Requires third party to read out written information 957331000000109Requires written information in at least 20 point sans serif font 957351000000102Requires written information in at least 24 point sans serif font 957371000000106Requires written information in at least 28 point sans serif font Category code 5: Additional communication needs and support 307089001Difficulty analysing information 311540003Difficulty processing information accurately 311543001Difficulty processing information at normal speed 1325291000000103Emergency contact details of specialist support team 1108141000000108Expresses pain atypically 1108121000000101Has My Healthcare Passport 737350008Needs assistance with communication 1108131000000104Requires appointment reminders 1325421000000100Requires approach to care to be discussed with carer 1108151000000106Requires carer to be present at encounters 955771000000100Uses apps on mobile device to support communication 954871000000106Uses switches for communication 936561000000105Uses Tadoma method for communication Category code 6: Community Language Support 362721000000106Abkhazian language interpreter needed 362691000000102Afar language interpreter needed 362571000000102Afrikaans language interpreter needed 203281000000104Akan language interpreter needed 203291000000102Albanian language interpreter needed 203301000000103Amharic language interpreter needed 203311000000101Arabic language interpreter needed 972511000000109Aragonese interpreter needed 362261000000106Armenian language interpreter needed 362231000000101Assamese language interpreter needed 972521000000103Avaric interpreter needed 972531000000101Avestan interpreter needed 362541000000108Aymara language interpreter needed 362611000000106Azerbaijani language interpreter needed 972541000000105Bambara interpreter needed 972551000000108Bashkir interpreter needed 362641000000107Basque language interpreter needed 362071000000107Belarusian language interpreter needed 203321000000107Bengali language interpreter needed 362201000000107Bihari language interpreter needed 362171000000106Bislama language interpreter needed 972561000000106Bosnian interpreter needed 359821000000104Brawa language interpreter needed 362141000000100Breton language interpreter needed 353921000000107Bulgarian language interpreter needed 362371000000109Burmese language interpreter needed 203381000000108Cantonese language interpreter needed 362041000000101Catalan language interpreter needed 362331000000107Central Khmer language interpreter needed 972571000000104Chamorro interpreter needed 972581000000102Chechen interpreter needed 972591000000100Chinese interpreter needed 972601000000106Church Slavic interpreter needed 972611000000108Chuvash interpreter needed 972621000000102Cornish interpreter needed 361941000000107Corsican language interpreter needed 972631000000100Cree interpreter needed 203391000000105Croatian language interpreter needed 203401000000108Czech language interpreter needed 361971000000101Danish language interpreter needed 972641000000109Dhivehi interpreter needed 203411000000105Dutch language interpreter needed 362781000000107Dzongkha language interpreter needed 343671000000102English language interpreter needed 361881000000106Esperanto language interpreter needed 361911000000106Estonian language interpreter needed 359791000000109Ethiopian language interpreter needed 972651000000107Ewe interpreter needed 361791000000100Faroese language interpreter needed 203421000000104Farsi language interpreter needed 361821000000105Fijian language interpreter needed 343701000000103Finnish language interpreter needed 343711000000101Flemish language interpreter needed 203521000000103French Creole language interpreter needed 203441000000106French language interpreter needed 361501000000104Frisian language interpreter needed 972671000000103Fulah interpreter needed 343721000000107Gaelic language interpreter needed 361851000000100Galician language interpreter needed 203801000000105Ganda language interpreter needed 361471000000106Georgian language interpreter needed 203581000000102German language interpreter needed 203591000000100Greek language interpreter needed 361441000000100Guarani language interpreter needed 203601000000106Gujarati language interpreter needed 972681000000101Haitian interpreter needed 203611000000108Hakka language interpreter needed 203631000000100Hausa language interpreter needed 203641000000109Hebrew language interpreter needed 972691000000104Herero interpreter needed 203651000000107Hindi language interpreter needed 972701000000104Hiri Motu interpreter needed 360431000000104Hungarian language interpreter needed 359881000000103Iban language interpreter needed 360401000000105Icelandic language interpreter needed 972711000000102Ido interpreter needed 203531000000101Igbo language interpreter needed 362111000000101Indonesian language interpreter needed 972721000000108Interlingua interpreter needed 360341000000102Interlingue language interpreter needed 315594003Interpreter needed 360311000000103Inuktitut language interpreter needed 360251000000107Inupiaq language interpreter needed 972731000000105Irish interpreter needed 203371000000106Italian language interpreter needed 203681000000101Japanese language interpreter needed 360281000000101Javanese language interpreter needed 362011000000102Kalaallisut language interpreter needed 360101000000102Kannada language interpreter needed 972741000000101Kanuri interpreter needed 360191000000109Kashmiri language interpreter needed 360221000000102Kazakh language interpreter needed 972751000000103Kikuyu interpreter needed 360131000000108Kinyarwanda language interpreter needed 359851000000109Kirghiz language interpreter needed 972771000000107Komi interpreter needed 972781000000109Kongo interpreter needed 203691000000104Korean language interpreter needed 972791000000106Kuanyama interpreter needed 203701000000104Kurdish language interpreter needed 343771000000106Kutchi language interpreter needed 360371000000108Lao language interpreter needed 972801000000105Latin interpreter needed 360071000000106Latvian language interpreter needed 972811000000107Limburgan interpreter needed 203711000000102Lingala language interpreter needed 203721000000108Lithuanian language interpreter needed 972821000000101Luba-Katanga interpreter needed 359761000000103Luganda language interpreter needed 972831000000104Luxembourgish interpreter needed 359971000000108Macedonian language interpreter needed 360011000000101Malagasy language interpreter needed 360161000000103Malay language interpreter needed 203811000000107Malayalam language interpreter needed 359731000000108Maltese language interpreter needed 203821000000101Mandarin language interpreter needed 972851000000106Manx interpreter needed 359911000000103Maori language interpreter needed 359701000000102Marathi language interpreter needed 972861000000109Marshallese interpreter needed 359671000000101Moldavian language interpreter needed 359641000000107Mongolian language interpreter needed 364351000000107Nauru language interpreter needed 972881000000100Navajo interpreter needed 352931000000102Ndebele language interpreter needed 972891000000103Ndonga interpreter needed 364251000000104Nepali language interpreter needed 972911000000100North Ndebele interpreter needed 972921000000106Northern Sami interpreter needed 972931000000108Norwegian BokmÃ¥l interpreter needed 203831000000104Norwegian language interpreter needed 972941000000104Norwegian Nynorsk interpreter needed 973071000000100Nuosu interpreter needed 972951000000101Nyanja interpreter needed 364311000000108Occitan language interpreter needed 972981000000107Ojibwa interpreter needed 364211000000103Oriya language interpreter needed 362991000000107Oromo language interpreter needed 973001000000108Ossetian interpreter needed 973011000000105Pali interpreter needed 203961000000103Panjabi language interpreter needed 203841000000108Pashto language interpreter needed 203901000000102Polish language interpreter needed 203911000000100Portuguese language interpreter needed 364011000000105Quechua language interpreter needed 353881000000101Romanian language interpreter needed 364481000000106Romansh language interpreter needed 1047321000000104Romany language interpreter needed 363061000000105Rundi language interpreter needed 203971000000105Russian language interpreter needed 363841000000104Samoan language interpreter needed 364051000000109Sango language interpreter needed 973031000000102Sanskrit interpreter needed 973041000000106Sardinian interpreter needed 973051000000109Scottish Gaelic interpreter needed 203981000000107Serbian language interpreter needed 973061000000107Serbo-Croatian interpreter needed 203991000000109Shona language interpreter needed 363711000000105Sindhi language interpreter needed 204011000000102Sinhala language interpreter needed 352901000000108Slovak language interpreter needed 363591000000107Slovenian language interpreter needed 204021000000108Somali language interpreter needed 973081000000103South Ndebele interpreter needed 363651000000100Southern Sotho language interpreter needed 204031000000105Spanish language interpreter needed 363781000000103Sundanese language interpreter needed 204041000000101Swahili language interpreter needed 363621000000105Swati language interpreter needed 204051000000103Swedish language interpreter needed 204081000000109Sylheti language interpreter needed 204111000000101Tagalog language interpreter needed 973101000000109Tahitian interpreter needed 363681000000106Tajik language interpreter needed 204131000000109Tamil language interpreter needed 363221000000107Tatar language interpreter needed 363341000000107Telugu language interpreter needed 204151000000102Thai language interpreter needed 363141000000105Tibetan language interpreter needed 204171000000106Tigrinya language interpreter needed 363461000000100Tongan language interpreter needed 363181000000102Tsonga language interpreter needed 363941000000108Tswana language interpreter needed 204191000000105Turkish language interpreter needed 363551000000104Turkmen language interpreter needed 363301000000109Twi language interpreter needed 364141000000107Uighur language interpreter needed 204201000000107Ukrainian language interpreter needed 204211000000109Urdu language interpreter needed 362961000000101Uzbek language interpreter needed 973121000000100Venda interpreter needed 204221000000103Vietnamese language interpreter needed 973131000000103Volapük interpreter needed 973141000000107Walloon interpreter needed 204231000000101Welsh language interpreter needed 973151000000105Western Frisian interpreter needed 973161000000108Wolof interpreter needed 364511000000100Xhosa language interpreter needed 363021000000102Yiddish language interpreter needed 204241000000105Yoruba language interpreter needed 362911000000103Zhuang language interpreter needed 362821000000104Zulu language interpreter needed Category code 7: Adjustments for providing Additional Support to patients 105506000Dependence on seeing eye dog 1325291000000103Emergency contact details of specialist support team 816361000000101Has appointed person with personal welfare lasting power of attorney (Mental Capacity Act 2005) 988851000000103Has appointed relevant person's representative (Mental Capacity Act 2005) 829101000000101Needs assistance with medication regimen adherence 1325861000000105Requires additional healthcare personnel to be present at encounter 1325421000000100Requires approach to care to be discussed with carer 240451000000106Requires constant supervision 1109351000000102Requires enhanced discharge planning 225861007Unsafe to be left alone 1325301000000104Uses emotional support animal 862731000000105Uses guide dog for the blind Category code 8: Adjustments for Individual Care Requirements 1325321000000108Anxiety related to clinical environment 105506000Dependence on seeing eye dog 792871000000101Has anticipatory care plan 231501003Needle phobia 829101000000101Needs assistance with medication regimen adherence 314434008Preference for female healthcare professional 314435009Preference for male healthcare professional 1325411000000106Requires distraction technique whilst undergoing care procedure 1108171000000102Requires extended appointment 1325341000000101Requires familiarisation with care environment 1325331000000105Requires familiarisation with care procedure 1325351000000103Requires first appointment in appointment schedule 1325371000000107Requires home visit appointments 1325361000000100Requires last appointment in appointment schedule 1325841000000109Requires minimal waiting time between arrival and being seen in care environment 1108161000000109Requires priority appointment 1325401000000109Requires single room during inpatient care 285035003Self care deficit for medication management 865301000000107Uses dispensed monitored dosage system Category code 9: Adjustments in relation to the environment of care 1325321000000108Anxiety related to clinical environment 246622003Eyes sensitive to light 247994001Noise intolerance 409668002Photophobia 1325341000000101Requires familiarisation with care environment 1325381000000109Requires low light environment 1325391000000106Requires low noise environment 1325401000000109Requires single room during inpatient care 1108191000000103Requires wheelchair access 1325301000000104Uses emotional support animal 862731000000105Uses guide dog for the blind Category code 10: Adjustments to support Additional needs 1325761000000101Assessment of eating and drinking behaviour indicated 1325741000000102Constipation care indicated 1325751000000104Dysphagia therapy regime indicated 1325771000000108Screening for risk of falls indicated 1325781000000105Seizure management indicated 1325791000000107Self-harm behaviour management indicated 1325801000000106Thyroid function test indicated Category code 11: Bespoke Reasonable adjustments 1108111000000107Requires reasonable adjustment for health and care access (Equality Act 2010)