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Objective: Mandatory folic acid fortification of breads in New Zealand was put on hold in 2009. At this time, bread manufacturers were requested to adopt greater voluntary fortification and agreed to add folic acid to approximately one-third of their bread range. We sought to evaluate the impact of increased voluntary fortification of bread and the proposed mandatory fortification programme on folate intake adequacy of reproductive-age women. Design: Cross-sectional study conducted in 2008. Dietary data were collected using 3 d weighed food records and usual folate intakes were generated by modifying the food composition table as follows: (i)

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documentation made by the case note reviewer was crosschecked by another reviewer to reduce bias as far as possible. All abbreviations were noted and used to develop an agreed specialist palliative care glossary that can be used by clinical staff in the organisation when documenting. Results While full audit results are yet to be analysed, initial results suggest that abbreviations are commonplace and not universally understood by our workforce. Subjectivity is more likely to arise when documenting under pressure outside of direct clinical consultation, such as during multidisciplinary meetings. Conclusions SARs are becoming more frequent in our organisation. Staff should be mindful that all documentation may be read by patients or family members. As digital abbreviations become more common in society, clinical teams need to agree upon accepted terms to ensure all language used is accessible to healthcare professional and the public alike.