<status value="active" /> <date value="2022-03-11" /> <publisher value="NHS Digital" /> <contact> <name value="NHS Digital" /> <telecom> <system value="email" /> <value value="interoperabilityteam@nhs.net" /> <use value="work" /> </telecom> </contact> <description value="Reasonable Adjustment Flag Reason Codes" /> <copyright value="Copyright © 2022 NHS Digital" /> <caseSensitive value="true" /> <content value="complete" /> <concept> <code value="patientChoice" /> <display value="Patient Choice in Service Selection" /> </concept>  <concept> <code value="adjustcommunicationforhearingsensoryimpairment" /> <display value="Adjust communication for hearing / sensory impairment" /> </concept> <concept> <code value="adjustforatypicalexpressionofpain" /> <display value="Adjust for atypical expression of pain" /> </concept> <concept> <code value="adjustforuseofcommunicationbookaid" /> <display value="Adjust for use of communication book / aid" /> </concept> <concept> <code value="advocatetobepresent" /> <display value="Advocate to be present" /> </concept> <concept> <code value="carertobepresentforallcommunication" /> <display value="Carer to be present for all communication" /> </concept> <concept> <code value="patientlikelytoalwaysrespondinthepositive" /> <display value="Patient likely to always respond in the positive" /> </concept> <concept> <code value="provideappointmentreminders" /> <display value="Provide appointment reminders" /> </concept> <concept> <code value="providewrittenremindersandadvice" /> <display value="Provide written reminders and advice" /> </concept> <concept> <code value="reasonableadjustmentforcommunicationnodetailprovided" /> <display value="Reasonable adjustment for communication (no detail provided)" /> </concept> <concept> <code value="reasonableadjustmentforcommunicationseedetailprovided" /> <display value="Reasonable adjustment for communication (see detail provided)" /> </concept>  <concept> <code value="patientnottobeleftalone" /> <display value="Patient not to be left alone" /> </concept> <concept> <code value="adjusttoinvolvecarersinallaspectsofcare" /> <display value="Adjust to involve Carers in all aspects of care" /> </concept> <concept> <code value="lastingpowerofattorney" /> <display value="Lasting Power of Attorney" /> </concept> <concept> <code value="additionalsupportfordischarge" /> <display value="Additional support for discharge" /> </concept> <concept> <code value="supportforvisualsensoryimpairment" /> <display value="Support for visual /sensory impairment" /> </concept> <concept> <code value="reasonableadjustmentforadditionalsupportseedetailprovided" /> <display value="Reasonable adjustment for additional support (see detail provided)" /> </concept> <concept> <code value="reasonableadjustmentforadditionalsupportnodetailprovided" /> <display value="Reasonable adjustment for additional support (no detail provided)" /> </concept>  <concept> <code value="adjustforneedlephobia" /> <display value="Adjust for needle phobia" /> </concept> <concept> <code value="dislikesuniformswhitecoats" /> <display value="Dislikes uniforms / white coats" /> </concept> <concept> <code value="respondstodistraction" /> <display value="Responds to distraction" /> </concept> <concept> <code value="hasanticipatorycarecrisisplan" /> <display value="Has anticipatory care /crisis plan" /> </concept> <concept> <code value="willonlytoleratemedicationsincertainformat" /> <display value="Will only tolerate medications in certain format" /> </concept> <concept> <code value="maleorfemaleonlysupport" /> <display value="Male or Female only support" /> </concept> <concept> <code value="reasonableadjustmenttopersonalisationseedetailprovided" /> <display value="Reasonable adjustment to personalisation (see detail provided)" /> </concept> <concept> <code value="reasonableadjustmenttopersonalisationnodetailprovided" /> <display value="Reasonable adjustment to personalisation (no detail provided)" /> </concept>  <concept> <code value="adjustforlownoisestimulus" /> <display value="Adjust for low noise stimulus" /> </concept> <concept> <code value="adjustforsingleroom" /> <display value="Adjust for single room" /> </concept> <concept> <code value="wheelchairaccess" /> <display value="Wheelchair access" /> </concept> <concept> <code value="adjustforspecialistequipment" /> <display value="Adjust for specialist equipment" /> </concept> <concept> <code value="adjustforlowlightstimulus" /> <display value="Adjust for low light stimulus" /> </concept> <concept> <code value="adjustminimisewaitingtimes" /> <display value="Adjust / minimise waiting times" /> </concept> <concept> <code value="reasonableadjustmenttoenvironmentseedetailprovided" /> <display value="Reasonable adjustment to environment (see detail provided)" /> </concept> <concept> <code value="reasonableadjustmenttoenvironmentnodetailprovided" /> <display value="Reasonable adjustment to environment (no detail provided)" /> </concept>  <concept> <code value="offerfirstorlastappointment" /> <display value="Offer first or last appointment" /> </concept> <concept> <code value="considerhomevisits" /> <display value="Consider Home Visits" /> </concept> <concept> <code value="providelongerappointment" /> <display value="Provide longer appointment" /> </concept> <concept> <code value="provideadditionaltimefordecisionmakingprocessing" /> <display value="Provide additional time for decision making / processing" /> </concept> <concept> <code value="adjustforhighlevelsofanxiety" /> <display value="Adjust for high levels of anxiety" /> </concept> <concept> <code value="considerdesensitisationforanyprocedure" /> <display value="Consider desensitisation for any procedure" /> </concept> <concept> <code value="considerpreoutpatientoradmissionvisit" /> <display value="Consider pre outpatient or admission visit" /> </concept> <concept> <code value="reasonableadjustmenttoservicedeliveryseedetailprovided" /> <display value="Reasonable adjustment to service delivery (see detail provided)" /> </concept> <concept> <code value="reasonableadjustmenttoservicedeliverynodetailprovided" /> <display value="Reasonable adjustment to service delivery (no detail provided)" /> </concept>  <concept> <code value="monitorforconstipation" /> <display value="Monitor for constipation" /> </concept> <concept> <code value="monitorfordehydration" /> <display value="Monitor for dehydration" /> </concept> <concept> <code value="monitornutrition" /> <display value="Monitor nutrition" /> </concept> <concept> <code value="monitorforpressuresores" /> <display value="Monitor for pressure sores" /> </concept> <concept> <code value="monitorfordysphagia" /> <display value="Monitor for Dysphagia" /> </concept> <concept> <code value="monitorforself-harm" /> <display value="Monitor for self-harm" /> </concept> <concept> <code value="monitorforepilepsy" /> <display value="Monitor for epilepsy" /> </concept> <concept> <code value="reasonableadjustmentforspecificrisksseedetailprovided" /> <display value="Reasonable adjustment for specific risks (see detail provided)" /> </concept> <concept> <code value="reasonableadjustmentforspecificrisksnodetailprovided" /> <display value="Reasonable adjustment for specific risks (no detail provided)" /> </concept>  <concept> <code value="reasonableadjustmentsforhealthandcareaccess" /> <display value="Reasonable adjustments for health and care access" /> </concept>  <concept> <code value="doeslipread" /> <display value="Does lip read" /> </concept> <concept> <code value="doesusecommunicationdevice" /> <display value="Does use communication device" /> </concept> <concept> <code value="doesusehearingaid" /> <display value="Does use hearing aid" /> </concept> <concept> <code value="preferredmethodofcommunicationwritten" /> <display value="Preferred method of communication: written" /> </concept> <concept> <code value="usesa citizenadvocate" /> <display value="Uses a citizen advocate" /> </concept> <concept> <code value="usesa legaladvocate" /> <display value="Uses a legal advocate" /> </concept> <concept> <code value="usesalternativecommunicationskill" /> <display value="Uses alternative communication skill" /> </concept> <concept> <code value="usesbritishsignlanguage" /> <display value="Uses British sign language" /> </concept> <concept> <code value="usescuedspeechtransliterator" /> <display value="Uses cued speech transliterator" /> </concept> <concept> <code value="usesdeafblindintervener" /> <display value="Uses deafblind intervener" /> </concept> <concept> <code value="usesdeafblindmanualalphabet" /> <display value="Uses Deafblind Manual Alphabet" /> </concept> <concept> <code value="useselectronicnotetaker" /> <display value="Uses electronic note taker" /> </concept> <concept> <code value="useslipspeaker" /> <display value="Uses lipspeaker" /> </concept> <concept> <code value="usesmakatonsignlanguage" /> <display value="Uses Makaton sign language" /> </concept> <concept> <code value="usesmanualnotetaker" /> <display value="Uses manual note taker" /> </concept> <concept> <code value="usespersonalaudiorecordingdevicetorecordinformation" /> <display value="Uses personal audio recording device to record information" /> </concept> <concept> <code value="usespersonalcommunicationpassport" /> <display value="Uses Personal Communication Passport" /> </concept> <concept> <code value="usessignlanguage" /> <display value="Uses sign language" /> </concept> <concept> <code value="usesspeechtotextreporter" /> <display value="Uses speech to text reporter" /> </concept> <concept> <code value="usestelecommunicationsdeviceforthedeaf" /> <display value="Uses telecommunications device for the deaf" /> </concept> <concept> <code value="britishsignlanguageinterpreterneeded" /> <display value="British Sign Language interpreter needed" /> </concept> <concept> <code value="hands-onsigninginterpreterneeded" /> <display value="Hands-on signing interpreter needed" /> </concept> <concept> <code value="makatonsignlanguageinterpreterneeded" /> <display value="Makaton Sign Language interpreter needed" /> </concept> <concept> <code value="needsanadvocate" /> <display value="Needs an advocate" /> </concept> <concept> <code value="requiresdeafblindblockalphabetinterpreter" /> <display value="Requires deafblind block alphabet interpreter" /> </concept> <concept> <code value="requiresdeafblindcommunicatorguide" /> <display value="Requires deafblind communicator guide" /> </concept> <concept> <code value="requiresdeafblindhapticcommunicationinterpreter" /> <display value="Requires deafblind haptic communication interpreter" /> </concept> <concept> <code value="requiresdeafblindmanualalphabetinterpreter" /> <display value="Requires deafblind manual alphabet interpreter" /> </concept> <concept> <code value="requireslipspeaker" /> <display value="Requires lipspeaker" /> </concept> <concept> <code value="requiresmanualnotetaker" /> <display value="Requires manual note taker" /> </concept> <concept> <code value="requiressightedguide" /> <display value="Requires sighted guide" /> </concept> <concept> <code value="requiresspeechtotextreporter" /> <display value="Requires speech to text reporter" /> </concept> <concept> <code value="signsupportedenglishinterpreterneeded" /> <display value="Sign Supported English interpreter needed" /> </concept> <concept> <code value="visualframesignlanguageinterpreterneeded" /> <display value="Visual frame sign language interpreter needed" /> </concept> <concept> <code value="requiresaudiblealert" /> <display value="Requires audible alert" /> </concept> <concept> <code value="requirescontactbyemail" /> <display value="Requires contact by email" /> </concept> <concept> <code value="requirescontactbyletter" /> <display value="Requires contact by letter" /> </concept> <concept> <code value="requirescontactbyshortmessageservicetextmessage" /> <display value="Requires contact by short message service text message" /> </concept> <concept> <code value="requirescontactbytelephone" /> <display value="Requires contact by telephone" /> </concept> <concept> <code value="requirescontactbytextrelay" /> <display value="Requires contact by text relay" /> </concept> <concept> <code value="requirescontactviacarer" /> <display value="Requires contact via carer" /> </concept> <concept> <code value="requirestactilealert" /> <display value="Requires tactile alert" /> </concept> <concept> <code value="requiresvisualalert" /> <display value="Requires visual alert" /> </concept> <concept> <code value="requireshealthcareinformationrecordingonpersonalaudiorecordingdevice" /> <display value="Requires healthcare information recording on personal audio recording device" /> </concept> <concept> <code value="requiresinformationbyemail" /> <display value="Requires information by email" /> </concept> <concept> <code value="requiresinformationincontractedgrade2braille" /> <display value="Requires information in contracted (Grade 2) Braille" /> </concept> <concept> <code value="requiresinformationineasyread" /> <display value="Requires information in Easyread" /> </concept> <concept> <code value="requiresinformationinelectronicaudioformat" /> <display value="Requires information in electronic audio format" /> </concept> <concept> <code value="requiresinformationinelectronicdownloadableformat" /> <display value="Requires information in electronic downloadable format" /> </concept> <concept> <code value="requiresinformationinmakaton" /> <display value="Requires information in Makaton" /> </concept> <concept> <code value="requiresinformationinmoonalphabet" /> <display value="Requires information in Moon alphabet" /> </concept> <concept> <code value="requiresinformationinuncontractedgrade1braille" /> <display value="Requires information in uncontracted (Grade 1) Braille" /> </concept> <concept> <code value="requiresinformationonaudiocassettetape" /> <display value="Requires information on audio cassette tape" /> </concept> <concept> <code value="requiresinformationoncompactdisc" /> <display value="Requires information on compact disc" /> </concept> <concept> <code value="requiresinformationondigitalversatiledisc" /> <display value="Requires information on digital versatile disc" /> </concept> <concept> <code value="requiresinformationonuniversalserialbusmassstoragedevice" /> <display value="Requires information on universal serial bus mass storage device" /> </concept> <concept> <code value="requiresinformationverbally" /> <display value="Requires information verbally" /> </concept> <concept> <code value="requiresthirdpartytoreadoutwritteninformation" /> <display value="Requires third party to read out written information" /> </concept> <concept> <code value="requireswritteninformationinatleast20pointsansseriffont" /> <display value="Requires written information in at least 20 point sans serif font" /> </concept> <concept> <code value="requireswritteninformationinatleast24pointsansseriffont" /> <display value="Requires written information in at least 24 point sans serif font" /> </concept> <concept> <code value="requireswritteninformationinatleast28pointsansseriffont" /> <display value="Requires written information in at least 28 point sans serif font" /> </concept> </CodeSystem>