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Whats this mean in my medical records ??? It's about Fancy Iced Cakes...

297 replies

ImitationofBeing · 08/10/2021 21:20

Just having a nosey at my online medical records.

There's several references about cake.

2 just say Cake
1 says Fancy iced cake.

What are they on about ???Cake

OP posts:
Thread gallery
6
Fluffmum · 10/10/2021 21:31

Don’t think that’s correct

BestBeforeddmmyy · 10/10/2021 21:50

I definitely think someone has done voice typing while in the office where they are all talking about cake. The computer has included the office convo on your notes.
It is pretty unprofessional imo. But also hilarious.
🤣

NiceGerbil · 10/10/2021 22:11

@BertieBotts

But just because something is updated, doesn't mean everyone gets the update straight away? I don't know whether it's one of those that pushes the update to all users or you have to buy the latest version. It would make more sense if it was the former, admittedly, but someone above said their practice was using placeholder codes so they must not have got the update in March last year.
It's an external database. Updates released to production last march. I can't see anyone working on local copies this day and age. It's not a software update either but a table update. I believe this is biggest global medical coding system. I know it's used across USA, Ireland and UK. And serves way more countries.

And if UK wanted to get codes for 'cake' added for covid. They would need to put request in, with rationale, have it agreed, tables updated, testing, and release to production anyway.

Interested in this thread?

Then you might like threads about this subject:

NiceGerbil · 10/10/2021 22:31

I used to help out in a GP practice sometimes when I was a young teen. 80s. All paper notes etc. Patients didn't ask to look and think answer would have been no anyway. All jargon etc.

The docs were very straightforward about what they thought of the patient.

I suppose when initially inputted to the first systems... They were cleansed somewhat!

TroysMammy · 10/10/2021 22:51

I'm not in work until Wednesday and will type in cake and fancy iced cake to see what comes up in the drop down menu. This is the first time I can't wait to go to work 😂

NiceGerbil · 10/10/2021 23:01

Ooh exciting!

Although SNOMED it just says-

Parent child relationship codes

12334 fancy cake
5774 choc cake
Etc

I have looked and no explanation that I could find :(

Please report back!

Tistheseason17 · 10/10/2021 23:52

@Nordlys

I’m loving this thread. I never post but I’m astounded by there being a thread entirely about SNOMED, CTV3, Read codes and clinical coding Shock
🤣🤣🤣
Everythinghasturnedtoshit · 11/10/2021 08:43

*It's an external database. Updates released to production last march. I can't see anyone working on local copies this day and age. It's not a software update either but a table update. I believe this is biggest global medical coding system. I know it's used across USA, Ireland and UK. And serves way more countries.

And if UK wanted to get codes for 'cake' added for covid. They would need to put request in, with rationale, have it agreed, tables updated, testing, and release to production anyway.*

Codes for Covid-19 i.e. the actual illness were released in March 2020. But the codes for the vaccines were released much later (once the vaccine was invented). Codes for administrative tasks around the vaccine may have been released even later once it was identified they were needed.

In the meantime practices may pick a random unused SNOMED code to add to records to mean the thing they want to add but currently have no code for. For counting and audit purposes. I definitely know this happens. Last month there was a panic because practices had no way of recording anything around covid booster vaccines because the codes hadn't been released yet (they probably have now).

The receptionist who posted above confirmed the cake code has been used as a substitute code for covid vaccine authorisation, so this is the most likely explanation.

Parent child relationship codes

This describes the structure of clinical coding. There is a parent code "cake" and child codes underneath "fancy iced cake" being one.

BertieBotts · 11/10/2021 08:54

Well you would see through PITA now as it's moved into internet/text vernacular. But since that poster says she is retired, I imagine it was a few years ago that codes like that were used.

BertieBotts · 11/10/2021 08:55

And YY Everything that's what I thought the other poster meant. Not that the UK was wanting to have cake codes added for covid Confused

fiveleftfeet · 11/10/2021 09:23

It's an external database. Updates released to production last march. I can't see anyone working on local copies this day and age. It's not a software update either but a table update. I believe this is biggest global medical coding system. I know it's used across USA, Ireland and UK. And serves way more countries.

And if UK wanted to get codes for 'cake' added for covid. They would need to put request in, with rationale, have it agreed, tables updated, testing, and release to production anyway.

Only if people use the system as intended. If they have a need for a code that doesn't exist, they may put the request in and keep a record of all entries that need updating when the new code is issued.

Or they may decide it's easier to use "fancy iced cake".

That's the problem with any system, you can't always predict how the users will use it in real life, and not everyone will follow the instructions to the letter.

MyrtlethePurpleTurtle · 11/10/2021 22:12

@ELOU1111

Like 50% of people on mumsnet I am a qualified physician and can confirm it is code for smelly fanny.
Grin
TroysMammy · 21/10/2021 20:31

I typed in cake and the only code that came up was cake kidney. Fancy wasn't recognised at all.

Zobee82 · 05/01/2022 15:52

I've just been online to check some blood test results and have found a coded entry saying "Frozen Sponge Cake" on my medical records 🤷‍♀️

godmum56 · 05/01/2022 16:47

@EmKayEm

There are lots of abbreviations.

CTD - Circling the drain
NDBN - Not dead but nearly
FFN - Family fucking nightmare

The NHS have a lot to deal with, allow them some levity

not in patient notes. Its unprofessional and abusive.
godmum56 · 05/01/2022 16:50

the cake coding is for exclusion and intake recording

build.fhir.org/valueset-food-type.html

RavingAnnie · 05/01/2022 17:08

[quote godmum56]the cake coding is for exclusion and intake recording

build.fhir.org/valueset-food-type.html[/quote]
What's exclusion and intake recording?

Tiredalwaystired · 05/01/2022 17:08

Allergies? There’s a lot of different foods listed on SNOMED. Could it be related to that?

RavingAnnie · 05/01/2022 17:13

@Everythinghasturnedtoshit

*It's an external database. Updates released to production last march. I can't see anyone working on local copies this day and age. It's not a software update either but a table update. I believe this is biggest global medical coding system. I know it's used across USA, Ireland and UK. And serves way more countries.

And if UK wanted to get codes for 'cake' added for covid. They would need to put request in, with rationale, have it agreed, tables updated, testing, and release to production anyway.*

Codes for Covid-19 i.e. the actual illness were released in March 2020. But the codes for the vaccines were released much later (once the vaccine was invented). Codes for administrative tasks around the vaccine may have been released even later once it was identified they were needed.

In the meantime practices may pick a random unused SNOMED code to add to records to mean the thing they want to add but currently have no code for. For counting and audit purposes. I definitely know this happens. Last month there was a panic because practices had no way of recording anything around covid booster vaccines because the codes hadn't been released yet (they probably have now).

The receptionist who posted above confirmed the cake code has been used as a substitute code for covid vaccine authorisation, so this is the most likely explanation.

Parent child relationship codes

This describes the structure of clinical coding. There is a parent code "cake" and child codes underneath "fancy iced cake" being one.

But why are there codes for foodstuffs in the first place?

And if there are codes for foodstuffs for a good reason, who thought a code for a "fancy iced cake" specifically would've needed!?! It's so random!

Quarantino · 05/01/2022 17:18

What's exclusion and intake recording?

From the link it suggests that 'exclusion' is something a patient excludes from their diet e.g. due to allergy and 'intake recording' is when they need to record what someone's eaten, presumably if it's caused a medical problem.

minipie · 05/01/2022 17:52

I am fascinated by this thread. As someone who knows nothing about this field it’s like code breaking!

So it’s clearly a SNOMED code
Seems to be something to do with allergies
But it’s nothing to do with cake

It seems like SNOMED uses words as a code for something specific medically - a bit like what.three.words uses words as a code for a specific gps location.

As I don’t have access to SNOMED database I can’t find out what Fancy Iced Cake means. But definitely seems to be within the allergy category

Look forward to any updates from medical people!

greenweepingwillow · 05/01/2022 19:12

@idontgetpaidenoughforthis

Not sure where my post went but I'll try again:

it is a placeholder for authorisation for patients to receive certain vaccines. A GP has to place an authorIsation on each patients record and it's usually an easily searchable term so surgeries can quickly find out how many vaccines they need.

It can be deleted if you are concerned about it being there

Just stumbled across this thread and read it all. I cant believe you have clearly explained what has happened and everyone is till ignoring you and guessing Confused Grin

The point of the codes is really about tracking/analysing/counting/funding etc, not so much sharing info. So the GP needed an easy to track code to attach to pt records to be able to easily search how many pts had a certain code. They needed to know the code only related to the very specific situation they were trying to track (eg needing 1st covid vaccine) so they chose a random, rarely used, obscure code and used that. It would be meaningless to anyone else but uesful to the gp to count how many pts needed their first covid vaccine.
(possibly this was before a specific first covid vaccine read/snowmed code had been generated?)

hillarious thread though!

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