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 ???

It seems to genuinely relate to fancy iced cakes! It's not a code name for anything else.

There's a whole list of different types of food, including the fancy iced cakes.

On the next page there are subsets so where it has either been excluded as per doctors' instructions, or the food in question has been prescribed by a nutritionist.

So the question OP is, have you gone to your doctor about losing weight and he's told you to lay off the cakes - or have you been lucky enough to get a nutritionist to prescribe you fancy iced cakes? 😅

www.hl7.org/fhir/valueset-food-type.html

www.hl7.org/fhir/nutritionorder-definitions.html#NutritionOrder.excludeFoodModifier

@Abigail12345654321

Fancy iced cake is a clinical code!

See bioportal.bioontology.org/ontologies/RCD/?p=classes&conceptid=http%3A%2F%2Fpurl.bioontology.org%2Fontology%2FRCD%2FUb0Eu

Am guessing it’s a data entry error if you aren’t allergic to cake…….

Whoaaaaa well done. That fits the notes. But I haven't a clue why it's on my records. I love cake. Well good cakes. I am picky.

I have never talked cake with my Dr.

I once read the notes of a very tired A&E Dr who had been coming to the end of a tough night shift and written something like this “patient is more settled , temp 38.9 , black pudding and bacon roll.”
Perhaps the person writing your notes was also dreaming of their break time treat!

If you download the NHS App you can see your medical records.

Perhaps when doing your records the doctor was also messaging someone else before lunch and asking them do they fancy an iced cake, but wrote it on your records instead of note to friend. X

I was going to suhhest something entirely reasonable like the random password they give you for Choose&Book but that's far too tame for this thread.

At least they didn't call you a FANCY TART

I'm confused but in a good, Friday night had a glass or two of wine way. I don't want to check my records, but I do want some fancy iced cake now 😂

It's on this health database - you have to scroll down. Many seem to be allergen related
term.healthbase.info/cgi-bin/display_refset.py?r=Substance%20foundation%20reference%20set

Dr Cake working with professor Battenberg
I cupped (tapped this would be a misreading because doctors writing/scrawl)
Cake or iced cake - hmm iced could be IC ed the cake from my memory of trying to read dr notes eons ago the c could be anything from an L or I or & the K could be an H or a t or god alone knows =
I was a student nurse & we had to follow a patients notes for training - the sister on the ward & I spent a good 15 minutes trying to work out the dr intials for some action - it looked like UUR it was actually supposed to be UVL (ultra violet light as opposed to Ultra violet radiation which is a term hardly anyone ever uses & his V definitely looked like a second U) it was an unusual thing to suggest.

What is SNOMED?

Currently abstaining from ?

Quite a lot of years ago when I was a GP admin, I used to search the READ cose register for weird codes when I was bored. The best one I found was the parent code ‘crushed by boat’ then child codes specifying what kind of boat including ‘crushed by lifeboat’!

@ARudeTerriblePerson

What is SNOMED?

From NHS Digital

‘ SNOMED CT is a structured clinical vocabulary for use in an electronic health record. It is the most comprehensive and precise clinical health terminology product in the world.’ Each diagnosis/symptom/test has a related code.

It's a read code, and presumably has been mistranslated or misrecorded somewhere along the way. I've been trying to find out what the root is, but it's difficult to look them up.

For example, HPV positive (cervical screening) has several sub findings. If you go upwards in the hierarchy, it belongs in:

clinical finding\evaluation finding (finding)\measurement finding\positive measurement finding\HPV - human papilloma virus positive\

then you get several choices under here, but the read code is XaIVA

Having a browse through, I found that Ub0eL is administrative statuses
so I suspect the code that's supposed to be in your records should be from here, as it's close.

They’re comparing you to Mr Kilpling’s French Fancies.

There's been a lot of work to replace read code with SNOMED-CT which requires them to be mapped. However if you look at my example related to cervical screening, there are multiple read codes that could apply. I've had primary care contact me many times to ask how they should code cervical screening results. The lab results don't directly correlate with the read codes available.

@PhoboPhobia Thanks!

That is wonderful!

I need to knooooowwwwwwwww

I really want to eat Mr Kipling cakes now.
As it’s the weekend I would call 111 to find out.
Don’t think it can wait until Monday.

@JohnnyMcGrathSaysFuckOff

Did you attend AnE with those items stuck up your jacksy?

😱😂😂😂😂

[quote SpidersAreShitheads]It seems to genuinely relate to fancy iced cakes! It's not a code name for anything else.

There's a whole list of different types of food, including the fancy iced cakes.

On the next page there are subsets so where it has either been excluded as per doctors' instructions, or the food in question has been prescribed by a nutritionist.

So the question OP is, have you gone to your doctor about losing weight and he's told you to lay off the cakes - or have you been lucky enough to get a nutritionist to prescribe you fancy iced cakes? 😅

www.hl7.org/fhir/valueset-food-type.html

www.hl7.org/fhir/nutritionorder-definitions.html#NutritionOrder.excludeFoodModifier[/quote]
That's a strange list of recognisable foods including Lardy cake, Jaffa Cakes (not with the other cakes) and then I suppose things that might be found in food...bovine shock protein yum....
And 'Mother's milk'.

Ocado ran out of Mr Kipling French Fancies last week, so we had to get the M&S ones. It turns out they are much nicer. They're not just fancy iced cakes...

It's a typo that's been auto-spell corrected for something else.

Doctors sometimes dictate their notes and a secretary or a computer types what they hear.

When I was reading my gynae records, the medical history said I'd had a 'tooth extraction'. It took me a while to realize it was meant to be 'ventouse extraction'. 😂