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 BokmÃ¥l 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)