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 ???

SNOMED is an utter nightmare
If I want (for example) to put Diabetes Type 1 , I need to put diabetes mellitus then type :
And it will give a millionty different selections .

If I mis spell though , and put diabites unlike any other search , it won;t put did you mean diabetes ? try and spell properly you dozy bat

No it'll put "No SNOMED found"
It won;t even try to hazard a guess and help me out .

@PricklesTheHedgehog

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'. 😂

Maybe.

Or maybe it was this

I have entries in my record made by "Mr Phelb Phelbotamist" - the misspelling really irritates me!

So glad I use voice activated dictation and can just say what I want. I also don’t have to spell anything.

@Lucked

So glad I use voice activated dictation and can just say what I want. I also don’t have to spell anything.

Does this work with snomed codes

@StealthPolarBear

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.

Who, when deciding on codes, thought "ooo we'll definitely need a code for "fancy iced cake"". Wtf!?!

I know! It means you are a Christmas fruitcake which is a fancy cake with icing so you are an actual nutcase in other words

@ImitationofBeing

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

Shit, not a "new episode" of fancy iced cake. I'm very glad you contacted your doctor immediately about that and it's been recorded on your medical records. You never know when they'll be another episode so good it's been noted in case of emergency.

Fancy Iced Cake = FIC = Fanny Is Clear = normal smear test result

Cake = Could Actually Kick Ears = joints in good shape, flexible.

There's lots of people saying "oh it's a SNOMED code" or "it's a code for dieticians" etc etc but that still makes no sense. If the code was for "cake" I would be happy with those explanations. But why the need for "fancy" and who ever has an "iced cake" anyway, "iced bun" maybe. Nothing adds up here people.

@KloppsTeeth

Fancy Iced Cake = FIC = Fanny Is Clear = normal smear test result

Cake = Could Actually Kick Ears = joints in good shape, flexible.

😂😂😂😂😂😂

Fancy Iced Cake = FIC = Fanny Is Clear

AHAHAHAH

@KloppsTeeth

Fancy Iced Cake = FIC = Fanny Is Clear = normal smear test result

Cake = Could Actually Kick Ears = joints in good shape, flexible.

Cake is an interesting one because it appears under 2 classifications.

See patient feedback category KMN (Kill Me Now) where it shows as

Cake = Could Actually Kick Ears = patient won't stop talking!

Did you go to the GP, with violent stomach ache and bouts of vomiting, and told them that you had been to a party with fancy cakes and stuff, and eaten 20 cream cakes and a load of muffins. So they had written down the cause of your illness in their view.

It's not a typo.
I wish I knew what it stood for, but I know it''s not a typo because if you use the Bioportal link and look at the "class mappings" tab, it's also there in Spanish.

It means something - no idea what!

Proof

@BelaLug0si

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.

In the links I put the root is showing. It’s a nutrition code - alongside a whole host of others food. It’s a ‘starchy cake’ which is a subtype of ‘cake’.

@ThumbWitchesAbroad

It's not a typo. I wish I knew what it stood for, but I know it''s not a typo because if you use the Bioportal link and look at the "class mappings" tab, it's also there in Spanish.

It means something - no idea what!

It means fancy iced cake. The letters/number is the code and it means fancy iced cake.

It’s a type of starchy cake. Starchy cake is a type of cake. Cake is a type of food. Food is a type of nutrition. Alongside drinks.

It doesn’t mean anything else. It’s a clinical code for fancy iced cake.

A lot of doctors use a dictaphone instead of writing notes so it could have just picked it up wrong and the doctors not checked what he's written.

Or that doctors really wants to eat you and the day you were a fancy cake, he desperately wanted to eat you! 🍰

@RavingAnnie

There's lots of people saying "oh it's a SNOMED code" or "it's a code for dieticians" etc etc but that still makes no sense. If the code was for "cake" I would be happy with those explanations. But why the need for "fancy" and who ever has an "iced cake" anyway, "iced bun" maybe. Nothing adds up here people.

Someone, somewhere (probably after much research) will have reviewed commonly eaten types of cake and categorised them. Fancy iced cake is what they decided was one of the options in the category of starchy cakes.

Equally they might have decided itchy rash was an item under types of rash. Or they might have called it red itchy rash. Or scaly itchy rash.

But you can ask them to add iced buns if you feel strongly. Just submit a change request.

digital.nhs.uk/services/terminology-and-classifications/snomed-ct#requests-for-change

In the case of the op I expect it’s a coding error.

Ooh fancy!

@ImitationofBeing

Do you think it meant "Fancy-arsed cake" to show you're being a bit precious, OP?