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 ???

When I last dealt with medical records there was a read code option under Falls/ Type of fall that said "Fall from a lunar module".

My bet would be that it's something the GP uses to make a record of something withoit it being meaningful to anyone else. Eg could mean "family interestingly crazy" - or "Fairly Incompetent Carer" - something that might be insulting or upsetting to know the meaning of so deliberately obscure.

Well it could be worse, you could have been read coded as fruit cake, crackers & bananas!

it is code and as evidenced by this thread you are all too FIC to crack it

Ub0Eu from op's screenshot is a read code. Snomed codes are numeric.

And agree with a pp that that doesn't answer the need to it.
Other aspects of the cake wpuld be more relevant for allergy reasons, or for aspiration.
I think marks and spencers have started to use clinical coding for their aisles.

There are loads of codes for obscure things and this is likely to be an incorrectly transferred or translated code either between records systems or coding systems (the coding system used changed recently).

If you let your surgery know they can tidy it up for you (a quick email should be fine) Also it will make them laugh and they can add Fancy Iced Cake to their obscure codes collection.

The coding system should have changed from read ctv3 to snomed but lots haven't - deadlie was april 2020. That is a read code so this one clearly hasnt.

From googling what FIC coukd stand for
Either youre a cat and you have had idiopathic cystitis
Or you are a fully immunised child

@JohnnyMcGrathSaysFuckOff

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

🤣

snowed codes

Article with some more weird and wonderful Snomed codes.

I’m a GP and never seen this code although as PPs have said there are various entertaining clinical codes available. I remember one that’s something about killed on rocket launch pad or similar.

No idea why there’s a family of cake codes but I’m this situation I would imagine that either:

• it’s a poorly translated imported code (the op suggesting it was originally school medical check sounds likely to me)

Or

• the computer software was being clever and inserting codes automatically while the dr was typing. My computer does this all the time as I’m typing - it’s the medical records equivalent of autocorrect and really annoying. Often you spot it as you go but sometimes things slip through.

The fact that there’s more than one reference to cake on your notes OP makes me think it’s more likely to be an imported code issue. I’m sure the practice would remove it for you if you can bring yourself to care enough to ask them to do so.

I can assure you it’s vanishingly unlikely to be a coded reference to “this woman looks like she eats a lot of fancy iced cakes” or “face like a fancy iced cake” or a substitute acronym for “Fucking Irritating Cow” or any of the other amusing suggestions.

When systems are set up in test mode often funny terms are used but dont get imported into the live system - maybe this one did by accident ?

Oh my god those codes are genius. I particularly like 'Unusually creative thinking' - it sounds exactly like a kind of MN 'stealth boast while explaining child's symptoms to GP'.

I’m desperate for a French Fancy now

See my post earlier which is from the wikipedia page about snomed.

Some codes might describe a common illness e.g. a poster earlier suggested Type 1 Diabetes. But others are kind of "build your own ailment". The example was where a patient had scalded their left middle finger. So you'd then use several code items:

Burn
Middle finger, left hand
[caused by] hot water

The cake would be a potential input in place of hot water.

I had no idea this coding system existed until yesterday but it sounds genius - I assume it's also international, so the codes can be translated and medical records will be understood by any medical establishment in the world. In that case it makes sense that you need both common and obscure items - how many people have bizarre accidents?

Type of food might make a difference in the case of burns or choking I suppose. Something sugary will stick to skin but is water soluble, oil has a high boiling point and is not. These might affect severity of burn or preferred mothod of treatment.

If you download ONS death records you get all kinds of granularity on the reasons for death particularly for causes like accidental death.

@thegreylady

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

I just did this and can access my allergies and medicines but not health conditions/test results/consultations and events or documents. Each of these results in "You do not currently have access to this section" .

@EmmaGrundyForPM

When I last dealt with medical records there was a read code option under Falls/ Type of fall that said "Fall from a lunar module".

Wow, that's niche!! When was the last time anyone was on the moon?! And did anyone fall from a lunar module?!

Overworked Gp who got his paperwork and his shopping list confused with your notes? Hate to think what he came back with from supermarket though!

When I last dealt with medical records there was a read code option under Falls/ Type of fall that said "Fall from a lunar module"

That's not precise enough, surely you'd need to know if it was on the earth or the moon. The latter you'd fall much less hard because of the low gravity.
One small misstep for a man....

@ImitationofBeing, Is your GP called Dr Oetker?

Explain the context? or go to the bowels of internet history because this thread isn't funny.

I’m going to propose I become the Clinical Lead for Fancy Iced Cakes.

Perhaps I'm sheltered but have not seen any of the old abbreviations that some people have alluded to for over a decade, NFN, TUBE and so on.

My online records say I had a sigmoidoscopy 4 years ago. I googled what that is and was like 'yeah, pretty sure I would remember that!!' I'm guessing it's a data entry error but imagine the faff of trying to get hold of someone at the surgery and then trying to get them to remove it!