NHS Booking and Referral Standard

Guide v1.0.0 | Core v1.0.0

Reasonable Adjustment Codes BARS

This code system https://fhir.nhs.uk/CodeSystem/reasonable-adjustment-codes-bars defines the following codes:

CodeDisplay
patientChoicePatient Choice in Service Selection
adjustcommunicationforhearingsensoryimpairmentAdjust communication for hearing / sensory impairment
adjustforatypicalexpressionofpainAdjust for atypical expression of pain
adjustforuseofcommunicationbookaidAdjust for use of communication book / aid
advocatetobepresentAdvocate to be present
carertobepresentforallcommunicationCarer to be present for all communication
patientlikelytoalwaysrespondinthepositivePatient likely to always respond in the positive
provideappointmentremindersProvide appointment reminders
providewrittenremindersandadviceProvide written reminders and advice
reasonableadjustmentforcommunicationnodetailprovidedReasonable adjustment for communication (no detail provided)
reasonableadjustmentforcommunicationseedetailprovidedReasonable adjustment for communication (see detail provided)
patientnottobeleftalonePatient not to be left alone
adjusttoinvolvecarersinallaspectsofcareAdjust to involve Carers in all aspects of care
lastingpowerofattorneyLasting Power of Attorney
additionalsupportfordischargeAdditional support for discharge
supportforvisualsensoryimpairmentSupport for visual /sensory impairment
reasonableadjustmentforadditionalsupportseedetailprovidedReasonable adjustment for additional support (see detail provided)
reasonableadjustmentforadditionalsupportnodetailprovidedReasonable adjustment for additional support (no detail provided)
adjustforneedlephobiaAdjust for needle phobia
dislikesuniformswhitecoatsDislikes uniforms / white coats
respondstodistractionResponds to distraction
hasanticipatorycarecrisisplanHas anticipatory care /crisis plan
willonlytoleratemedicationsincertainformatWill only tolerate medications in certain format
maleorfemaleonlysupportMale or Female only support
reasonableadjustmenttopersonalisationseedetailprovidedReasonable adjustment to personalisation (see detail provided)
reasonableadjustmenttopersonalisationnodetailprovidedReasonable adjustment to personalisation (no detail provided)
adjustforlownoisestimulusAdjust for low noise stimulus
adjustforsingleroomAdjust for single room
wheelchairaccessWheelchair access
adjustforspecialistequipmentAdjust for specialist equipment
adjustforlowlightstimulusAdjust for low light stimulus
adjustminimisewaitingtimesAdjust / minimise waiting times
reasonableadjustmenttoenvironmentseedetailprovidedReasonable adjustment to environment (see detail provided)
reasonableadjustmenttoenvironmentnodetailprovidedReasonable adjustment to environment (no detail provided)
offerfirstorlastappointmentOffer first or last appointment
considerhomevisitsConsider Home Visits
providelongerappointmentProvide longer appointment
provideadditionaltimefordecisionmakingprocessingProvide additional time for decision making / processing
adjustforhighlevelsofanxietyAdjust for high levels of anxiety
considerdesensitisationforanyprocedureConsider desensitisation for any procedure
considerpreoutpatientoradmissionvisitConsider pre outpatient or admission visit
reasonableadjustmenttoservicedeliveryseedetailprovidedReasonable adjustment to service delivery (see detail provided)
reasonableadjustmenttoservicedeliverynodetailprovidedReasonable adjustment to service delivery (no detail provided)
monitorforconstipationMonitor for constipation
monitorfordehydrationMonitor for dehydration
monitornutritionMonitor nutrition
monitorforpressuresoresMonitor for pressure sores
monitorfordysphagiaMonitor for Dysphagia
monitorforself-harmMonitor for self-harm
monitorforepilepsyMonitor for epilepsy
reasonableadjustmentforspecificrisksseedetailprovidedReasonable adjustment for specific risks (see detail provided)
reasonableadjustmentforspecificrisksnodetailprovidedReasonable adjustment for specific risks (no detail provided)
reasonableadjustmentsforhealthandcareaccessReasonable adjustments for health and care access
doeslipreadDoes lip read
doesusecommunicationdeviceDoes use communication device
doesusehearingaidDoes use hearing aid
preferredmethodofcommunicationwrittenPreferred method of communication: written
usesa citizenadvocateUses a citizen advocate
usesa legaladvocateUses a legal advocate
usesalternativecommunicationskillUses alternative communication skill
usesbritishsignlanguageUses British sign language
usescuedspeechtransliteratorUses cued speech transliterator
usesdeafblindintervenerUses deafblind intervener
usesdeafblindmanualalphabetUses Deafblind Manual Alphabet
useselectronicnotetakerUses electronic note taker
useslipspeakerUses lipspeaker
usesmakatonsignlanguageUses Makaton sign language
usesmanualnotetakerUses manual note taker
usespersonalaudiorecordingdevicetorecordinformationUses personal audio recording device to record information
usespersonalcommunicationpassportUses Personal Communication Passport
usessignlanguageUses sign language
usesspeechtotextreporterUses speech to text reporter
usestelecommunicationsdeviceforthedeafUses telecommunications device for the deaf
britishsignlanguageinterpreterneededBritish Sign Language interpreter needed
hands-onsigninginterpreterneededHands-on signing interpreter needed
makatonsignlanguageinterpreterneededMakaton Sign Language interpreter needed
needsanadvocateNeeds an advocate
requiresdeafblindblockalphabetinterpreterRequires deafblind block alphabet interpreter
requiresdeafblindcommunicatorguideRequires deafblind communicator guide
requiresdeafblindhapticcommunicationinterpreterRequires deafblind haptic communication interpreter
requiresdeafblindmanualalphabetinterpreterRequires deafblind manual alphabet interpreter
requireslipspeakerRequires lipspeaker
requiresmanualnotetakerRequires manual note taker
requiressightedguideRequires sighted guide
requiresspeechtotextreporterRequires speech to text reporter
signsupportedenglishinterpreterneededSign Supported English interpreter needed
visualframesignlanguageinterpreterneededVisual frame sign language interpreter needed
requiresaudiblealertRequires audible alert
requirescontactbyemailRequires contact by email
requirescontactbyletterRequires contact by letter
requirescontactbyshortmessageservicetextmessageRequires contact by short message service text message
requirescontactbytelephoneRequires contact by telephone
requirescontactbytextrelayRequires contact by text relay
requirescontactviacarerRequires contact via carer
requirestactilealertRequires tactile alert
requiresvisualalertRequires visual alert
requireshealthcareinformationrecordingonpersonalaudiorecordingdeviceRequires healthcare information recording on personal audio recording device
requiresinformationbyemailRequires information by email
requiresinformationincontractedgrade2brailleRequires information in contracted (Grade 2) Braille
requiresinformationineasyreadRequires information in Easyread
requiresinformationinelectronicaudioformatRequires information in electronic audio format
requiresinformationinelectronicdownloadableformatRequires information in electronic downloadable format
requiresinformationinmakatonRequires information in Makaton
requiresinformationinmoonalphabetRequires information in Moon alphabet
requiresinformationinuncontractedgrade1brailleRequires information in uncontracted (Grade 1) Braille
requiresinformationonaudiocassettetapeRequires information on audio cassette tape
requiresinformationoncompactdiscRequires information on compact disc
requiresinformationondigitalversatilediscRequires information on digital versatile disc
requiresinformationonuniversalserialbusmassstoragedeviceRequires information on universal serial bus mass storage device
requiresinformationverballyRequires information verbally
requiresthirdpartytoreadoutwritteninformationRequires third party to read out written information
requireswritteninformationinatleast20pointsansseriffontRequires written information in at least 20 point sans serif font
requireswritteninformationinatleast24pointsansseriffontRequires written information in at least 24 point sans serif font
requireswritteninformationinatleast28pointsansseriffontRequires written information in at least 28 point sans serif font

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