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

[ImitationofBeing]

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 ???

@StealthPolarBear

Could habe been worse, they coukd have recorded you as 226659009 lardy cake.

trying to not giggle here incase DP wonders what I'm on about.

It's the GPS medical online patient service. All the other records are boringly normal... vaccines, smear etc... then there's 2 about Cake and 1 about Fancy Iced Cake.

Is it code for 'nightmare patient' ?

I'm not on crack.

They're under substances so I assume they could be used, for example if someone has inhaled something. Seems veey specific though. Do ww have any clinicians who can shed some light.

@StealthPolarBear

Could habe been worse, they coukd have recorded you as 226659009 lardy cake.

Oh the mortification

Everythinghasturnedtoshit
But is there one for cake and fancy iced cake?

It'll be hierarchical
Cake
butterfly cake
whole cake
--fancy iced
tea loaf
festive (birthday)--
festive

And complicated by an episode of spun sugar with adjunctive chocolate flakes

It appears to be some form of coding...

phinvads.cdc.gov/vads/http:/phinvads.cdc.gov/vads/ViewCodeSystemConcept.action?oid=2.16.840.1.113883.6.96&code=226598007

phinvads.cdc.gov/vads/http:/phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.96

@ImitationofBeing

trying to not giggle here incase DP wonders what I'm on about.

It's the GPS medical online patient service. All the other records are boringly normal... vaccines, smear etc... then there's 2 about Cake and 1 about Fancy Iced Cake.

Is it code for 'nightmare patient' ?

I'm not on crack.

I believe you now OP.

I can only assume it's a mistake. Maybe when system transfered from read to snomed codes. Or just a random error. Or a coding error. Who knows?

Honestly I don't think snomed codes have been out long enough for an accepted code for "nightmare patient" to have developed.

It’s apparently: Allergy or adverse effect causative agent simple reference set (foundation metadata concept)

Or: someone spends too much time in the mr Kipling isle at Tesco

I need to know what it means now!

Attaching a photo to assure you I'm not on crack.

Oh my gosh, I need to know!

I suppose it’s possible it’s under the coding for dietitian, speech and language or allergy. There’s all sorts of SaLT dietary recommendations on texture and moisture or Dietetics recommendations for weight gain etc.
I can’t think why specifically cake though. My best guess would be some sort of coding error on your notes.

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

@TeaSoakedDisasterMagnet I can’t think why a dietician would specifically recommend a fancy iced cake, though 😂
This is really cracking me up though!

"Fancy iced cake" is so meaningless though.

What counts we fancy iced cake?

A cupcake? Mr Kipling French Fancy? A bakewell slice? A custard slice?

How does it identify an allergy? A dietary need? A salt need?

[quote Firstbornunicorn]@TeaSoakedDisasterMagnet I can’t think why a dietician would specifically recommend a fancy iced cake, though 😂
This is really cracking me up though![/quote]
When helping patients gain weight, I’ve known colleagues to recommend the occasional treat but I would be amazed if there’s a SNOMED code for it. Unless the coders are really scraping the barrel for every bit of information!

assets.researchsquare.com/files/rs-118179/v1/3724d6239d34c1c8132d7aee.docx

Is it billing for food you eat while in hospital?

I'm intrigued by the CDC having the same codes or whatever it is. What's the parent child bit about? Is that just computer speak for folders or is it something to do with genetics or psychology?

I googled and found it in snowmed.

Clicked though but no more info than the code and the fancy iced cake.

Bonkers.

Oops snomed.

'SNOMED CT[note 1] or SNOMED Clinical Terms is a systematically organized computer processable collection of medical terms providing codes, terms, synonyms and definitions used in clinical documentation and reporting. SNOMED CT is considered to be the most comprehensive, multilingual clinical healthcare terminology in the world'

My bet is it's terms used in a different country.

But. That's nonsense actually. OP has it!

This is very weird!

@Everythinghasturnedtoshit

"Fancy iced cake" is so meaningless though.

What counts we fancy iced cake?

A cupcake? Mr Kipling French Fancy? A bakewell slice? A custard slice?

How does it identify an allergy? A dietary need? A salt need?

Well.to me a fancy iced cake is one of those for a special occasion not your bog standard Mr Kipling. Certainly not a custard slice. Blurghh.

I guess it could be a recording of things which a person might potentially choke on or present an allergic reaction to? Is it that kind of thing - so it wouldn't be used in isolation but as a clarification of some other entry?

Doubt uploaded by accident as snomed I think it's prob done v careful. And it's been put in a category.

And OP doc has used it!!