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 Code Description
441092009 Does lip read
719369003 Does use communication device
285055002 Does use hearing aid
520471000000105 Preferred method of communication: British Sign Language
520491000000109 Preferred method of communication: written
082671000000100 Requires aphasia-friendly communication
1082691000000101 Requires support for expressive communication needs
1082681000000103 Requires support for receptive communication needs
225834007 Uses a citizen advocate
225833001 Uses a legal advocate
288595009 Uses a non-speech system for communication
761541000000100 Uses alternative communication skill
716524009 Uses augmentative and alternative communication
415803005 Uses British sign language
445129003 Uses cued speech transliterator
957031000000107 Uses deafblind intervener
981781000000107 Uses Deafblind Manual Alphabet
445121000 Uses electronic note taker
1077121000000101 Uses functional communication skills
1082531000000103 Uses gestures for communication
198061000000105 Uses hearing loop
719363002 Uses high technology communication device
445143008 Uses lipspeaker
719364008 Uses low technology communication device
415805003 Uses Makaton sign language
445076009 Uses manual note taker
719370002 Uses non-powered communication device
288583009 Uses non-verbal communication
1082541000000107 Uses objects for communication
720462004 Uses personal audio recording device to record information
837341000000108 Uses Personal Communication Passport
719393008 Uses photographs for communication
719373000 Uses powered communication device
404903008 Uses sign language
445123002 Uses speech to text reporter
719754002 Uses symbols for communication
445488003 Uses telecommunications device for the deaf
288601001 Uses verbal communication
716537007 Uses voice amplifier to support communication
762361000000101 Uses voice output communication aidSNOMED CT Code Description
441092009 Does lip read
719369003 Does use communication device
285055002 Does use hearing aid
520471000000105 Preferred method of communication: British Sign Language
520491000000109 Preferred method of communication: written
082671000000100 Requires aphasia-friendly communication
1082691000000101 Requires support for expressive communication needs
1082681000000103 Requires support for receptive communication needs
225834007 Uses a citizen advocate
225833001 Uses a legal advocate
288595009 Uses a non-speech system for communication
761541000000100 Uses alternative communication skill
716524009 Uses augmentative and alternative communication
415803005 Uses British sign language
445129003 Uses cued speech transliterator
957031000000107 Uses deafblind intervener
981781000000107 Uses Deafblind Manual Alphabet
445121000 Uses electronic note taker
1077121000000101 Uses functional communication skills
1082531000000103 Uses gestures for communication
198061000000105 Uses hearing loop
719363002 Uses high technology communication device
445143008 Uses lipspeaker
719364008 Uses low technology communication device
415805003 Uses Makaton sign language
445076009 Uses manual note taker
719370002 Uses non-powered communication device
288583009 Uses non-verbal communication
1082541000000107 Uses objects for communication
720462004 Uses personal audio recording device to record information
837341000000108 Uses Personal Communication Passport
719393008 Uses photographs for communication
719373000 Uses powered communication device
404903008 Uses sign language
445123002 Uses speech to text reporter
719754002 Uses symbols for communication
445488003 Uses telecommunications device for the deaf
288601001 Uses verbal communication
716537007 Uses voice amplifier to support communication
762361000000101 Uses voice output communication aid

Category code 2: Requires communication professional

204331000000107 British Sign Language interpreter needed
945731000000104 Hands-on signing interpreter needed
204341000000103 Makaton Sign Language interpreter needed
225835008 Needs an advocate
957071000000109 Requires deafblind block alphabet interpreter
796201000000109 Requires deafblind communicator guide
957111000000103 Requires deafblind haptic communication interpreter
957051000000100 Requires deafblind manual alphabet interpreter
945911000000109 Requires lipspeaker
945891000000106 Requires manual note taker
719563003 Requires sighted guide
1082661000000100 Requires speech and language therapist support to communicate
966401000000100 Requires speech to text reporter
936761000000104 Sign Supported English interpreter needed
945711000000107 Visual frame sign language interpreter needed

Category code 3: Requires specific contact method

945931000000101 Requires audible alert
936741000000100 Requires contact by email
936721000000107 Requires contact by letter
936701000000103 Requires contact by short message service text message
795661000000104 Requires contact by telephone
796081000000106 Requires contact by text relay
719561001 Requires contact via carer
945971000000104 Requires tactile alert
945951000000108 Requires visual alert

Category code 4: Requires specific information format

719758004 Requires healthcare information recording on personal audio recording device
936581000000101 Requires information by email
1082551000000100 Requires information in aphasia-accessible format
936661000000109 Requires information in contracted (Grade 2) Braille
796161000000101 Requires information in Easyread
936601000000105 Requires information in electronic audio format
945751000000106 Requires information in electronic downloadable format
936641000000108 Requires information in Makaton
936621000000101 Requires information in Moon alphabet
936681000000100 Requires information in uncontracted (Grade 1) Braille
795801000000104 Requires information on audio cassette tape
795731000000104 Requires information on compact disc
795691000000105 Requires information on digital versatile disc
945691000000105 Requires information on universal serial bus mass storage device
367741000000102 Requires information verbally
985021000000106 Requires third party to read out written information
957331000000109 Requires written information in at least 20 point sans serif font
957351000000102 Requires written information in at least 24 point sans serif font
957371000000106 Requires written information in at least 28 point sans serif font

Category code 5: Additional communication needs and support

307089001 Difficulty analysing information
311540003 Difficulty processing information accurately
311543001 Difficulty processing information at normal speed
1325291000000103 Emergency contact details of specialist support team
1108141000000108 Expresses pain atypically
1108121000000101 Has My Healthcare Passport
737350008 Needs assistance with communication
1108131000000104 Requires appointment reminders
1325421000000100 Requires approach to care to be discussed with carer
1108151000000106 Requires carer to be present at encounters
955771000000100 Uses apps on mobile device to support communication
954871000000106 Uses switches for communication
936561000000105 Uses Tadoma method for communication

Category code 6: Community Language Support

362721000000106 Abkhazian language interpreter needed
362691000000102 Afar language interpreter needed
362571000000102 Afrikaans language interpreter needed
203281000000104 Akan language interpreter needed
203291000000102 Albanian language interpreter needed
203301000000103 Amharic language interpreter needed
203311000000101 Arabic language interpreter needed
972511000000109 Aragonese interpreter needed
362261000000106 Armenian language interpreter needed
362231000000101 Assamese language interpreter needed
972521000000103 Avaric interpreter needed
972531000000101 Avestan interpreter needed
362541000000108 Aymara language interpreter needed
362611000000106 Azerbaijani language interpreter needed
972541000000105 Bambara interpreter needed
972551000000108 Bashkir interpreter needed
362641000000107 Basque language interpreter needed
362071000000107 Belarusian language interpreter needed
203321000000107 Bengali language interpreter needed
362201000000107 Bihari language interpreter needed
362171000000106 Bislama language interpreter needed
972561000000106 Bosnian interpreter needed
359821000000104 Brawa language interpreter needed
362141000000100 Breton language interpreter needed
353921000000107 Bulgarian language interpreter needed
362371000000109 Burmese language interpreter needed
203381000000108 Cantonese language interpreter needed
362041000000101 Catalan language interpreter needed
362331000000107 Central Khmer language interpreter needed
972571000000104 Chamorro interpreter needed
972581000000102 Chechen interpreter needed
972591000000100 Chinese interpreter needed
972601000000106 Church Slavic interpreter needed
972611000000108 Chuvash interpreter needed
972621000000102 Cornish interpreter needed
361941000000107 Corsican language interpreter needed
972631000000100 Cree interpreter needed
203391000000105 Croatian language interpreter needed
203401000000108 Czech language interpreter needed
361971000000101 Danish language interpreter needed
972641000000109 Dhivehi interpreter needed
203411000000105 Dutch language interpreter needed
362781000000107 Dzongkha language interpreter needed
343671000000102 English language interpreter needed
361881000000106 Esperanto language interpreter needed
361911000000106 Estonian language interpreter needed
359791000000109 Ethiopian language interpreter needed
972651000000107 Ewe interpreter needed
361791000000100 Faroese language interpreter needed
203421000000104 Farsi language interpreter needed
361821000000105 Fijian language interpreter needed
343701000000103 Finnish language interpreter needed
343711000000101 Flemish language interpreter needed
203521000000103 French Creole language interpreter needed
203441000000106 French language interpreter needed
361501000000104 Frisian language interpreter needed
972671000000103 Fulah interpreter needed
343721000000107 Gaelic language interpreter needed
361851000000100 Galician language interpreter needed
203801000000105 Ganda language interpreter needed
361471000000106 Georgian language interpreter needed
203581000000102 German language interpreter needed
203591000000100 Greek language interpreter needed
361441000000100 Guarani language interpreter needed
203601000000106 Gujarati language interpreter needed
972681000000101 Haitian interpreter needed
203611000000108 Hakka language interpreter needed
203631000000100 Hausa language interpreter needed
203641000000109 Hebrew language interpreter needed
972691000000104 Herero interpreter needed
203651000000107 Hindi language interpreter needed
972701000000104 Hiri Motu interpreter needed
360431000000104 Hungarian language interpreter needed
359881000000103 Iban language interpreter needed
360401000000105 Icelandic language interpreter needed
972711000000102 Ido interpreter needed
203531000000101 Igbo language interpreter needed
362111000000101 Indonesian language interpreter needed
972721000000108 Interlingua interpreter needed
360341000000102 Interlingue language interpreter needed
315594003 Interpreter needed
360311000000103 Inuktitut language interpreter needed
360251000000107 Inupiaq language interpreter needed
972731000000105 Irish interpreter needed
203371000000106 Italian language interpreter needed
203681000000101 Japanese language interpreter needed
360281000000101 Javanese language interpreter needed
362011000000102 Kalaallisut language interpreter needed
360101000000102 Kannada language interpreter needed
972741000000101 Kanuri interpreter needed
360191000000109 Kashmiri language interpreter needed
360221000000102 Kazakh language interpreter needed
972751000000103 Kikuyu interpreter needed
360131000000108 Kinyarwanda language interpreter needed
359851000000109 Kirghiz language interpreter needed
972771000000107 Komi interpreter needed
972781000000109 Kongo interpreter needed
203691000000104 Korean language interpreter needed
972791000000106 Kuanyama interpreter needed
203701000000104 Kurdish language interpreter needed
343771000000106 Kutchi language interpreter needed
360371000000108 Lao language interpreter needed
972801000000105 Latin interpreter needed
360071000000106 Latvian language interpreter needed
972811000000107 Limburgan interpreter needed
203711000000102 Lingala language interpreter needed
203721000000108 Lithuanian language interpreter needed
972821000000101 Luba-Katanga interpreter needed
359761000000103 Luganda language interpreter needed
972831000000104 Luxembourgish interpreter needed
359971000000108 Macedonian language interpreter needed
360011000000101 Malagasy language interpreter needed
360161000000103 Malay language interpreter needed
203811000000107 Malayalam language interpreter needed
359731000000108 Maltese language interpreter needed
203821000000101 Mandarin language interpreter needed
972851000000106 Manx interpreter needed
359911000000103 Maori language interpreter needed
359701000000102 Marathi language interpreter needed
972861000000109 Marshallese interpreter needed
359671000000101 Moldavian language interpreter needed
359641000000107 Mongolian language interpreter needed
364351000000107 Nauru language interpreter needed
972881000000100 Navajo interpreter needed
352931000000102 Ndebele language interpreter needed
972891000000103 Ndonga interpreter needed
364251000000104 Nepali language interpreter needed
972911000000100 North Ndebele interpreter needed
972921000000106 Northern Sami interpreter needed
972931000000108 Norwegian Bokmål interpreter needed
203831000000104 Norwegian language interpreter needed
972941000000104 Norwegian Nynorsk interpreter needed
973071000000100 Nuosu interpreter needed
972951000000101 Nyanja interpreter needed
364311000000108 Occitan language interpreter needed
972981000000107 Ojibwa interpreter needed
364211000000103 Oriya language interpreter needed
362991000000107 Oromo language interpreter needed
973001000000108 Ossetian interpreter needed
973011000000105 Pali interpreter needed
203961000000103 Panjabi language interpreter needed
203841000000108 Pashto language interpreter needed
203901000000102 Polish language interpreter needed
203911000000100 Portuguese language interpreter needed
364011000000105 Quechua language interpreter needed
353881000000101 Romanian language interpreter needed
364481000000106 Romansh language interpreter needed
1047321000000104 Romany language interpreter needed
363061000000105 Rundi language interpreter needed
203971000000105 Russian language interpreter needed
363841000000104 Samoan language interpreter needed
364051000000109 Sango language interpreter needed
973031000000102 Sanskrit interpreter needed
973041000000106 Sardinian interpreter needed
973051000000109 Scottish Gaelic interpreter needed
203981000000107 Serbian language interpreter needed
973061000000107 Serbo-Croatian interpreter needed
203991000000109 Shona language interpreter needed
363711000000105 Sindhi language interpreter needed
204011000000102 Sinhala language interpreter needed
352901000000108 Slovak language interpreter needed
363591000000107 Slovenian language interpreter needed
204021000000108 Somali language interpreter needed
973081000000103 South Ndebele interpreter needed
363651000000100 Southern Sotho language interpreter needed
204031000000105 Spanish language interpreter needed
363781000000103 Sundanese language interpreter needed
204041000000101 Swahili language interpreter needed
363621000000105 Swati language interpreter needed
204051000000103 Swedish language interpreter needed
204081000000109 Sylheti language interpreter needed
204111000000101 Tagalog language interpreter needed
973101000000109 Tahitian interpreter needed
363681000000106 Tajik language interpreter needed
204131000000109 Tamil language interpreter needed
363221000000107 Tatar language interpreter needed
363341000000107 Telugu language interpreter needed
204151000000102 Thai language interpreter needed
363141000000105 Tibetan language interpreter needed
204171000000106 Tigrinya language interpreter needed
363461000000100 Tongan language interpreter needed
363181000000102 Tsonga language interpreter needed
363941000000108 Tswana language interpreter needed
204191000000105 Turkish language interpreter needed
363551000000104 Turkmen language interpreter needed
363301000000109 Twi language interpreter needed
364141000000107 Uighur language interpreter needed
204201000000107 Ukrainian language interpreter needed
204211000000109 Urdu language interpreter needed
362961000000101 Uzbek language interpreter needed
973121000000100 Venda interpreter needed
204221000000103 Vietnamese language interpreter needed
973131000000103 Volapük interpreter needed
973141000000107 Walloon interpreter needed
204231000000101 Welsh language interpreter needed
973151000000105 Western Frisian interpreter needed
973161000000108 Wolof interpreter needed
364511000000100 Xhosa language interpreter needed
363021000000102 Yiddish language interpreter needed
204241000000105 Yoruba language interpreter needed
362911000000103 Zhuang language interpreter needed
362821000000104 Zulu language interpreter needed

Category code 7: Adjustments for providing Additional Support to patients

105506000 Dependence on seeing eye dog
1325291000000103 Emergency contact details of specialist support team
816361000000101 Has appointed person with personal welfare lasting power of attorney (Mental Capacity Act 2005)
988851000000103 Has appointed relevant person's representative (Mental Capacity Act 2005)
829101000000101 Needs assistance with medication regimen adherence
1325861000000105 Requires additional healthcare personnel to be present at encounter
1325421000000100 Requires approach to care to be discussed with carer
240451000000106 Requires constant supervision
1109351000000102 Requires enhanced discharge planning
225861007 Unsafe to be left alone
1325301000000104 Uses emotional support animal
862731000000105 Uses guide dog for the blind

Category code 8: Adjustments for Individual Care Requirements

1325321000000108 Anxiety related to clinical environment
105506000 Dependence on seeing eye dog
792871000000101 Has anticipatory care plan
231501003 Needle phobia
829101000000101 Needs assistance with medication regimen adherence
314434008 Preference for female healthcare professional
314435009 Preference for male healthcare professional
1325411000000106 Requires distraction technique whilst undergoing care procedure
1108171000000102 Requires extended appointment
1325341000000101 Requires familiarisation with care environment
1325331000000105 Requires familiarisation with care procedure
1325351000000103 Requires first appointment in appointment schedule
1325371000000107 Requires home visit appointments
1325361000000100 Requires last appointment in appointment schedule
1325841000000109 Requires minimal waiting time between arrival and being seen in care environment
1108161000000109 Requires priority appointment
1325401000000109 Requires single room during inpatient care
285035003 Self care deficit for medication management
865301000000107 Uses dispensed monitored dosage system

Category code 9: Adjustments in relation to the environment of care

1325321000000108 Anxiety related to clinical environment
246622003 Eyes sensitive to light
247994001 Noise intolerance
409668002 Photophobia
1325341000000101 Requires familiarisation with care environment
1325381000000109 Requires low light environment
1325391000000106 Requires low noise environment
1325401000000109 Requires single room during inpatient care
1108191000000103 Requires wheelchair access
1325301000000104 Uses emotional support animal
862731000000105 Uses guide dog for the blind

Category code 10: Adjustments to support Additional needs

1325761000000101 Assessment of eating and drinking behaviour indicated
1325741000000102 Constipation care indicated
1325751000000104 Dysphagia therapy regime indicated
1325771000000108 Screening for risk of falls indicated
1325781000000105 Seizure management indicated
1325791000000107 Self-harm behaviour management indicated
1325801000000106 Thyroid function test indicated

Category code 11: Bespoke Reasonable adjustments

1108111000000107 Requires reasonable adjustment for health and care access (Equality Act 2010)