{
"description": "Reasonable Adjustment Flag Reason Codes",
"_filename": "reasonable-adjustment-codes-bars.json",
"package_name": "uk.nhsdigital.bars.r4",
"date": "2022-03-11",
"publisher": "NHS Digital",
"content": "complete",
"name": "reasonableadjustmentcodesbars",
"copyright": "Copyright © 2022 NHS Digital",
"type": null,
"experimental": null,
"resourceType": "CodeSystem",
"title": "Reasonable Adjustment Codes BARS",
"package_version": "1.33.0",
"status": "active",
"id": "548dae27-6818-4bf5-ae78-40d9e9627452",
"kind": null,
"url": "https://fhir.nhs.uk/CodeSystem/reasonable-adjustment-codes-bars",
"identifier": [ {
"value": "reasonable-adjustment-codes-bars",
"system": "https://fhir.nhs.uk/identifier/CodeSystem"
} ],
"concept": [ {
"code": "patientChoice",
"display": "Patient Choice in Service Selection"
}, {
"code": "adjustcommunicationforhearingsensoryimpairment",
"display": "Adjust communication for hearing / sensory impairment"
}, {
"code": "adjustforatypicalexpressionofpain",
"display": "Adjust for atypical expression of pain"
}, {
"code": "adjustforuseofcommunicationbookaid",
"display": "Adjust for use of communication book / aid"
}, {
"code": "advocatetobepresent",
"display": "Advocate to be present"
}, {
"code": "carertobepresentforallcommunication",
"display": "Carer to be present for all communication"
}, {
"code": "patientlikelytoalwaysrespondinthepositive",
"display": "Patient likely to always respond in the positive"
}, {
"code": "provideappointmentreminders",
"display": "Provide appointment reminders"
}, {
"code": "providewrittenremindersandadvice",
"display": "Provide written reminders and advice"
}, {
"code": "reasonableadjustmentforcommunicationnodetailprovided",
"display": "Reasonable adjustment for communication (no detail provided)"
}, {
"code": "reasonableadjustmentforcommunicationseedetailprovided",
"display": "Reasonable adjustment for communication (see detail provided)"
}, {
"code": "patientnottobeleftalone",
"display": "Patient not to be left alone"
}, {
"code": "adjusttoinvolvecarersinallaspectsofcare",
"display": "Adjust to involve Carers in all aspects of care"
}, {
"code": "lastingpowerofattorney",
"display": "Lasting Power of Attorney"
}, {
"code": "additionalsupportfordischarge",
"display": "Additional support for discharge"
}, {
"code": "supportforvisualsensoryimpairment",
"display": "Support for visual /sensory impairment"
}, {
"code": "reasonableadjustmentforadditionalsupportseedetailprovided",
"display": "Reasonable adjustment for additional support (see detail provided)"
}, {
"code": "reasonableadjustmentforadditionalsupportnodetailprovided",
"display": "Reasonable adjustment for additional support (no detail provided)"
}, {
"code": "adjustforneedlephobia",
"display": "Adjust for needle phobia"
}, {
"code": "dislikesuniformswhitecoats",
"display": "Dislikes uniforms / white coats"
}, {
"code": "respondstodistraction",
"display": "Responds to distraction"
}, {
"code": "hasanticipatorycarecrisisplan",
"display": "Has anticipatory care /crisis plan"
}, {
"code": "willonlytoleratemedicationsincertainformat",
"display": "Will only tolerate medications in certain format"
}, {
"code": "maleorfemaleonlysupport",
"display": "Male or Female only support"
}, {
"code": "reasonableadjustmenttopersonalisationseedetailprovided",
"display": "Reasonable adjustment to personalisation (see detail provided)"
}, {
"code": "reasonableadjustmenttopersonalisationnodetailprovided",
"display": "Reasonable adjustment to personalisation (no detail provided)"
}, {
"code": "adjustforlownoisestimulus",
"display": "Adjust for low noise stimulus"
}, {
"code": "adjustforsingleroom",
"display": "Adjust for single room"
}, {
"code": "wheelchairaccess",
"display": "Wheelchair access"
}, {
"code": "adjustforspecialistequipment",
"display": "Adjust for specialist equipment"
}, {
"code": "adjustforlowlightstimulus",
"display": "Adjust for low light stimulus"
}, {
"code": "adjustminimisewaitingtimes",
"display": "Adjust / minimise waiting times"
}, {
"code": "reasonableadjustmenttoenvironmentseedetailprovided",
"display": "Reasonable adjustment to environment (see detail provided)"
}, {
"code": "reasonableadjustmenttoenvironmentnodetailprovided",
"display": "Reasonable adjustment to environment (no detail provided)"
}, {
"code": "offerfirstorlastappointment",
"display": "Offer first or last appointment"
}, {
"code": "considerhomevisits",
"display": "Consider Home Visits"
}, {
"code": "providelongerappointment",
"display": "Provide longer appointment"
}, {
"code": "provideadditionaltimefordecisionmakingprocessing",
"display": "Provide additional time for decision making / processing"
}, {
"code": "adjustforhighlevelsofanxiety",
"display": "Adjust for high levels of anxiety"
}, {
"code": "considerdesensitisationforanyprocedure",
"display": "Consider desensitisation for any procedure"
}, {
"code": "considerpreoutpatientoradmissionvisit",
"display": "Consider pre outpatient or admission visit"
}, {
"code": "reasonableadjustmenttoservicedeliveryseedetailprovided",
"display": "Reasonable adjustment to service delivery (see detail provided)"
}, {
"code": "reasonableadjustmenttoservicedeliverynodetailprovided",
"display": "Reasonable adjustment to service delivery (no detail provided)"
}, {
"code": "monitorforconstipation",
"display": "Monitor for constipation"
}, {
"code": "monitorfordehydration",
"display": "Monitor for dehydration"
}, {
"code": "monitornutrition",
"display": "Monitor nutrition"
}, {
"code": "monitorforpressuresores",
"display": "Monitor for pressure sores"
}, {
"code": "monitorfordysphagia",
"display": "Monitor for Dysphagia"
}, {
"code": "monitorforself-harm",
"display": "Monitor for self-harm"
}, {
"code": "monitorforepilepsy",
"display": "Monitor for epilepsy"
}, {
"code": "reasonableadjustmentforspecificrisksseedetailprovided",
"display": "Reasonable adjustment for specific risks (see detail provided)"
}, {
"code": "reasonableadjustmentforspecificrisksnodetailprovided",
"display": "Reasonable adjustment for specific risks (no detail provided)"
}, {
"code": "reasonableadjustmentsforhealthandcareaccess",
"display": "Reasonable adjustments for health and care access"
}, {
"code": "doeslipread",
"display": "Does lip read"
}, {
"code": "doesusecommunicationdevice",
"display": "Does use communication device"
}, {
"code": "doesusehearingaid",
"display": "Does use hearing aid"
}, {
"code": "preferredmethodofcommunicationwritten",
"display": "Preferred method of communication: written"
}, {
"code": "usesa citizenadvocate",
"display": "Uses a citizen advocate"
}, {
"code": "usesa legaladvocate",
"display": "Uses a legal advocate"
}, {
"code": "usesalternativecommunicationskill",
"display": "Uses alternative communication skill"
}, {
"code": "usesbritishsignlanguage",
"display": "Uses British sign language"
}, {
"code": "usescuedspeechtransliterator",
"display": "Uses cued speech transliterator"
}, {
"code": "usesdeafblindintervener",
"display": "Uses deafblind intervener"
}, {
"code": "usesdeafblindmanualalphabet",
"display": "Uses Deafblind Manual Alphabet"
}, {
"code": "useselectronicnotetaker",
"display": "Uses electronic note taker"
}, {
"code": "useslipspeaker",
"display": "Uses lipspeaker"
}, {
"code": "usesmakatonsignlanguage",
"display": "Uses Makaton sign language"
}, {
"code": "usesmanualnotetaker",
"display": "Uses manual note taker"
}, {
"code": "usespersonalaudiorecordingdevicetorecordinformation",
"display": "Uses personal audio recording device to record information"
}, {
"code": "usespersonalcommunicationpassport",
"display": "Uses Personal Communication Passport"
}, {
"code": "usessignlanguage",
"display": "Uses sign language"
}, {
"code": "usesspeechtotextreporter",
"display": "Uses speech to text reporter"
}, {
"code": "usestelecommunicationsdeviceforthedeaf",
"display": "Uses telecommunications device for the deaf"
}, {
"code": "britishsignlanguageinterpreterneeded",
"display": "British Sign Language interpreter needed"
}, {
"code": "hands-onsigninginterpreterneeded",
"display": "Hands-on signing interpreter needed"
}, {
"code": "makatonsignlanguageinterpreterneeded",
"display": "Makaton Sign Language interpreter needed"
}, {
"code": "needsanadvocate",
"display": "Needs an advocate"
}, {
"code": "requiresdeafblindblockalphabetinterpreter",
"display": "Requires deafblind block alphabet interpreter"
}, {
"code": "requiresdeafblindcommunicatorguide",
"display": "Requires deafblind communicator guide"
}, {
"code": "requiresdeafblindhapticcommunicationinterpreter",
"display": "Requires deafblind haptic communication interpreter"
}, {
"code": "requiresdeafblindmanualalphabetinterpreter",
"display": "Requires deafblind manual alphabet interpreter"
}, {
"code": "requireslipspeaker",
"display": "Requires lipspeaker"
}, {
"code": "requiresmanualnotetaker",
"display": "Requires manual note taker"
}, {
"code": "requiressightedguide",
"display": "Requires sighted guide"
}, {
"code": "requiresspeechtotextreporter",
"display": "Requires speech to text reporter"
}, {
"code": "signsupportedenglishinterpreterneeded",
"display": "Sign Supported English interpreter needed"
}, {
"code": "visualframesignlanguageinterpreterneeded",
"display": "Visual frame sign language interpreter needed"
}, {
"code": "requiresaudiblealert",
"display": "Requires audible alert"
}, {
"code": "requirescontactbyemail",
"display": "Requires contact by email"
}, {
"code": "requirescontactbyletter",
"display": "Requires contact by letter"
}, {
"code": "requirescontactbyshortmessageservicetextmessage",
"display": "Requires contact by short message service text message"
}, {
"code": "requirescontactbytelephone",
"display": "Requires contact by telephone"
}, {
"code": "requirescontactbytextrelay",
"display": "Requires contact by text relay"
}, {
"code": "requirescontactviacarer",
"display": "Requires contact via carer"
}, {
"code": "requirestactilealert",
"display": "Requires tactile alert"
}, {
"code": "requiresvisualalert",
"display": "Requires visual alert"
}, {
"code": "requireshealthcareinformationrecordingonpersonalaudiorecordingdevice",
"display": "Requires healthcare information recording on personal audio recording device"
}, {
"code": "requiresinformationbyemail",
"display": "Requires information by email"
}, {
"code": "requiresinformationincontractedgrade2braille",
"display": "Requires information in contracted (Grade 2) Braille"
}, {
"code": "requiresinformationineasyread",
"display": "Requires information in Easyread"
}, {
"code": "requiresinformationinelectronicaudioformat",
"display": "Requires information in electronic audio format"
}, {
"code": "requiresinformationinelectronicdownloadableformat",
"display": "Requires information in electronic downloadable format"
}, {
"code": "requiresinformationinmakaton",
"display": "Requires information in Makaton"
}, {
"code": "requiresinformationinmoonalphabet",
"display": "Requires information in Moon alphabet"
}, {
"code": "requiresinformationinuncontractedgrade1braille",
"display": "Requires information in uncontracted (Grade 1) Braille"
}, {
"code": "requiresinformationonaudiocassettetape",
"display": "Requires information on audio cassette tape"
}, {
"code": "requiresinformationoncompactdisc",
"display": "Requires information on compact disc"
}, {
"code": "requiresinformationondigitalversatiledisc",
"display": "Requires information on digital versatile disc"
}, {
"code": "requiresinformationonuniversalserialbusmassstoragedevice",
"display": "Requires information on universal serial bus mass storage device"
}, {
"code": "requiresinformationverbally",
"display": "Requires information verbally"
}, {
"code": "requiresthirdpartytoreadoutwritteninformation",
"display": "Requires third party to read out written information"
}, {
"code": "requireswritteninformationinatleast20pointsansseriffont",
"display": "Requires written information in at least 20 point sans serif font"
}, {
"code": "requireswritteninformationinatleast24pointsansseriffont",
"display": "Requires written information in at least 24 point sans serif font"
}, {
"code": "requireswritteninformationinatleast28pointsansseriffont",
"display": "Requires written information in at least 28 point sans serif font"
} ],
"caseSensitive": true,
"version": "1.0.0",
"contact": [ {
"name": "NHS Digital",
"telecom": [ {
"use": "work",
"value": "interoperabilityteam@nhs.net",
"system": "email"
} ]
} ]
}