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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.4.5(EN)|1|MUSTScore-v3.1(2019EN)}}<br />
<!-- Tot hier de transclude page --><br />
==General information<!--hdGeneralInformation-->==<br />
Name<!--hdName-->: '''nl.zorg.MUSTScore''' [[Bestand:NL.png|link=MUSTScore-v3.1(2019NL)]]<BR><br />
Version<!--hdVersion-->: '''3.1''' <br><br />
HCIM Status<!--hdStatus-->:Final<br><br />
Release<!--hdPublication-->: '''2019''' <br><br />
Release status<!--hdPublicationStatus-->: Prepublished<br><br />
Release date<!--hdPublicationDate-->: 29-01-2020<br />
-----<br />
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2019(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2019(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div><br />
<br />
==Metadata==<br />
{| class="wikitable" style="font-size:90%; width: 750px"<br />
|- <br />
|style="width:250px; "|DCM::CoderList||Werkgroep RadB Verpleegkundige Gegevens<br />
|- <br />
|style="width:250px; "|DCM::ContactInformation.Address||*<br />
|- <br />
|style="width:250px; "|DCM::ContactInformation.Name||*<br />
|- <br />
|style="width:250px; "|DCM::ContactInformation.Telecom||*<br />
|- <br />
|style="width:250px; "|DCM::ContentAuthorList||Werkgroep RadB Verpleegkundige Gegevens<br />
|- <br />
|style="width:250px; "|DCM::CreationDate||12-2-2014<br />
|- <br />
|style="width:250px; "|DCM::DeprecatedDate||<br />
|- <br />
|style="width:250px; "|DCM::DescriptionLanguage||nl<br />
|- <br />
|style="width:250px; "|DCM::EndorsingAuthority.Address||<br />
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|style="width:250px; "|DCM::EndorsingAuthority.Name||PM<br />
|- <br />
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||<br />
|- <br />
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.4.5<br />
|- <br />
|style="width:250px; "|DCM::KeywordList||Ondervoeding, ondervoedingsscore, MUST, malnutrition<br />
|- <br />
|style="width:250px; "|DCM::LifecycleStatus||Final<br />
|- <br />
|style="width:250px; "|DCM::ModelerList||Werkgroep RadB Verpleegkundige Gegevens<br />
|- <br />
|style="width:250px; "|DCM::Name||nl.zorg.MUSTScore<br />
|- <br />
|style="width:250px; "|DCM::PublicationDate||29-01-2020<br />
|- <br />
|style="width:250px; "|DCM::PublicationStatus||Prepublished<br />
|- <br />
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron<br />
|- <br />
|style="width:250px; "|DCM::RevisionDate||09-01-2020<br />
|- <br />
|style="width:250px; "|DCM::Supersedes||nl.zorg.MUSTScore-v3.0<br />
|- <br />
|style="width:250px; "|DCM::Version||3.1<br />
|- <br />
|style="width:250px; "|HCIM::PublicationLanguage||EN<br />
|}<br />
<br />
==Revision History==<br />
<div class="mw-collapsible mw-collapsed"><br />
'' Only available in Dutch<!--noTranslation-->''<br />
<br />
<u>Publicatieversie 1.0</u> (01-07-2015)<br />
<br />
<u>Publicatieversie 3.0</u> (01-05-2016)<br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-453 | ZIB-453 ]]<br />
|Wijziging naamgeving ZIB's en logo's door andere opzet van beheer<br />
|}<br />
<br />
Publicatieversie <u>3.1</u> (29-01-2020)<br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-922 | ZIB-922 ]]<br />
|DefinitionCodes zib nl.MUSTScore<br />
|}<br />
</div><br />
<br />
==Concept==<br />
The Malnutrition Universal Screening Tool (MUST) is a (validated) diagnostic screening tool for determining the extent of a patient’s malnutrition. <BR><br />
For this screening tool, every patient’s Body Mass Index (BMI) and <BR><br />
weight loss percentage is calculated, after which the patient is assigned a disease factor. The MUST helps to recognize and treat malnutrition at an early stage.<BR><br />
<BR><br />
(Source: Guidelines for Screening and Treating Malnutrition.)<BR><br />
<br />
==Purpose==<br />
The MUST score is used to determine the extent of malnutrition or the risk of malnutrition. To treat malnutrition quickly and effectively, it is important to identify the malnutrition at an early stage.<br />
<br />
==Patient Population==<br />
The MUST is used for patients aged 18 and older. <BR><br />
For children, the STRONGkids tool is used.<BR><br />
<br />
==Information Model==<br />
<BR><br />
<imagemap> Bestand:MUSTScore-v3.1Model(2019EN).png | center <br />
rect 647 75 766 145 [[#8037]]<br />
rect 642 449 771 499 [[#IllnessScoreCodelist]]<br />
rect 442 449 622 499 [[#MUSTWeightLossScoreCodelist]]<br />
rect 648 324 766 394 [[#8036]]<br />
rect 473 324 591 394 [[#8033]]<br />
rect 298 95 417 199 [[#8028]]<br />
rect 278 449 424 499 [[#BMIScoreCodelist]]<br />
rect 646 187 765 257 [[#8035]]<br />
rect 298 324 416 394 [[#8026]]<br />
rect 469 104 589 184 [[#8027]]<br />
desc none<br />
</imagemap><br />
<BR><br />
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" <br />
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "<br />
|style="width:30px;"|Type<!--imType-->||style="width:100px;"|Id<!--imId-->||colspan="6 " style="width:140px;"|Concept<!--imConcept-->||Card.<!--imCard-->||style="width: 600px;"|Definition<!--imDefinition-->||style="width:200px;"|DefinitionCode<!--imDefinitionCode-->||style="width:200px;"|Reference<!--imReference--><br />
|-style="vertical-align:top; background-color: #E3E3E3; "<br />
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]<br />
||NL-CM:4.5.1<br />
|colspan ="6" style ="padding-left: 0px"|<span Id=8027 Title="NL: MUSTScore">[[Bestand: arrowdown.png | 10px | link=]]MUSTScore</span><br />
|<br />
|Root concept of the MUSTScore information model. This root concept contains all data elements of the MUSTScore information model.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: SNOMED CT" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=414648004 414648004] Malnutrition universal screening tool</span><br />
|}<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]<br />
||NL-CM:4.5.3<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=8026 Title="NL: BMIScore">[[Bestand: arrowright.png | 10px | link=]]BMIScore</span><br />
|0..1<br />
|A person’s Body Mass Index (BMI), also known as their Quetelet index (QI), is an index indicating the ratio between a person’s height and weight. This BMI is expressed in kg/m<sup>2</sup>.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: ScoreObservaties>4005003 MUSTScore BMIScore</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#BMIScoreCodelist]]||[[#BMIScoreCodelist|BMIScoreCodelist]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]<br />
||NL-CM:4.5.4<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=8033 Title="NL: GewichtsverliesScore">[[Bestand: arrowright.png | 10px | link=]]WeightLossScore</span><br />
|0..1<br />
|The percentage of undesired weight loss over the past 3-6 months.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: ScoreObservaties>4005004 MUSTScore WeightLossScore</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#MUSTWeightLossScoreCodelist]]||[[#MUSTWeightLossScoreCodelist|MUSTWeightLossScoreCodelist]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]<br />
||NL-CM:4.5.5<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=8036 Title="NL: ZiekteScore">[[Bestand: arrowright.png | 10px | link=]]IllnessScore</span><br />
|0..1<br />
|Illness can result in reduced food intake, leading to a higher risk of malnutrition. <br />
The IllnessScore concept is used to indicate that the patient is seriously ill and that the patient has not eaten for more than 5 days or that there is a chance that the patient has not eaten for more than 5 days.<br />
<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: ScoreObservaties>4005005 MUSTScore IllnessScore</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#IllnessScoreCodelist]]||[[#IllnessScoreCodelist|IllnessScoreCodelist]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: INT.png| 16px | link=]]<br />
||NL-CM:4.5.2<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=8028 Title="NL: TotaalScore">[[Bestand: arrowright.png | 10px | link=]]TotalScore</span><br />
|0..1<br />
|The total score is the sum of all the individual scores. The total score has a range from 0 - 6.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: SNOMED CT; 'Malnutrition Universal Screening Tool'-score" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=444297006 444297006] Malnutrition universal screening tool score</span><br />
|}<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]<br />
||NL-CM:4.5.6<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=8037 Title="NL: MUSTScoreDatumTijd">[[Bestand: arrowright.png | 10px | link=]]MUSTScoreDateTime</span><br />
|1<br />
|The date and time at which the MUST score was determined.<br />
|<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]<br />
||NL-CM:4.5.7<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=8035 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span><br />
|0..1<br />
|A comment on the circumstances during the measurement.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: LOINC" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative</span><br />
|}<br />
|<br />
|}<br />
Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR><br />
For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]]<br />
<br />
==Example Instances==<br />
''Only available in Dutch<!--noTranslation-->''<br />
<br />
{|class="wikitable" width="474px" style= "font-size: 9.5pt;"<br />
|-style=vertical-align:top;<br />
|colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>MUST</b></font><font color=#FFFFFF><b>S</b></font><font color=#FFFFFF><b>core</b></font><br />
|-style=vertical-align:top;<br />
| style="width: 43%; "|MUSTScoreDatumTijd<br />
| style="width: 57%; "|27-01-2013<br />
|-style=vertical-align:top;<br />
| style="width: 43%; "|BMIScore<br />
| style="width: 57%; "|2 (BMI<18,5 kg/m<sup>2</sup>)<br />
|-style=vertical-align:top;<br />
| style="width: 43%; "|GewichtsverliesScore<br />
| style="width: 57%; "|1 (Gewichtsverlies 5-10%)<br />
|-style=vertical-align:top;<br />
| style="width: 43%; "|ZiekteScore<br />
| style="width: 57%; "|0 (Niet ziek)<br />
|-style=vertical-align:top;<br />
| style="width: 43%; "|TotaalScore<br />
| style="width: 57%; "|3<br />
|-style=vertical-align:top;<br />
| style="width: 43%; "|Toelichting<br />
| style="width: 57%; "|<noWiki>-</noWiki><br />
|}<br />
<br />
==References==<br />
1. Stuurgroep Ondervoeding [Online] Beschikbaar op:<font color="#0000ff"><u>http://www.stuurgroepondervoeding.nl/</u></font> [Geraadpleegd: 13 februari 2015]<br />
<br />
2. Bapen [Online] Beschikbaar op:<font color="#0000ff"><u>http://www.bapen.co.uk</u></font> [Geraadpleegd: 13 februari 2015]<br />
<br />
3. Richtlijn Behandeling en screening ondervoeding. [Online] Beschikbaar op:<font color="#0000ff"><u>http://stuurgroepondervoeding.nl/wp-content/uploads/2015/02/Richtlijn_screenen_en_behandeling_van_ondervoeding_juni_2011.pdf</u></font> [Geraadpleegd: 13 februari 2015]<br />
<br />
== Valuesets ==<br />
=== BMIScoreCodelist===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.4.5.1<br />
|Binding<!--vsBindingTag-->: Required<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptname<!--vsConceptName--><br />
|Conceptcode<!--vsConceptCode--><br />
|Conceptvalue<!--vsConceptValue--><br />
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--><br />
|Description<!--vsDescription--><br />
|-style="vertical-align:top; "<br />
|BMIHigh<br />
|B0<br />
|0<br />
|MUST_BMI<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.4.1<br />
|BMI >20 kg/m2<br />
|-style="vertical-align:top; "<br />
|BMIAverage<br />
|B1<br />
|1<br />
|MUST_BMI<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.4.1<br />
|BMI tussen 18,5-20 kg/m2<br />
|-style="vertical-align:top; "<br />
|BMILow<br />
|B2<br />
|2<br />
|MUST_BMI<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.4.1<br />
|BMI < 18,5 kg/m2<br />
|}<br />
=== IllnessScoreCodelist===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.4.5.3<br />
|Binding<!--vsBindingTag-->: Extensible<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptname<!--vsConceptName--><br />
|Conceptcode<!--vsConceptCode--><br />
|Conceptvalue<!--vsConceptValue--><br />
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--><br />
|Description<!--vsDescription--><br />
|-style="vertical-align:top; "<br />
|NotAcutelyIll<br />
|Z0<br />
|0<br />
|MUST_Ziekte<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.4.3<br />
|Niet ziek<br />
|-style="vertical-align:top; "<br />
|AcutelyIll<br />
|Z1<br />
|2<br />
|MUST_Ziekte<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.4.3<br />
|Ziek<br />
|}<br />
=== MUSTWeightLossScoreCodelist===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.4.5.2<br />
|Binding<!--vsBindingTag-->: Required<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptname<!--vsConceptName--><br />
|Conceptcode<!--vsConceptCode--><br />
|Conceptvalue<!--vsConceptValue--><br />
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--><br />
|Description<!--vsDescription--><br />
|-style="vertical-align:top; "<br />
|LossLow<br />
|G0<br />
|0<br />
|MUST_Gewichtsverlies<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.4.2<br />
|Gewichtsverlies <5%<br />
|-style="vertical-align:top; "<br />
|LossAverage<br />
|G1<br />
|1<br />
|MUST_Gewichtsverlies<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.4.2<br />
|Gewichtsverlies = 5-10%<br />
|-style="vertical-align:top; "<br />
|LossHigh<br />
|G2<br />
|2<br />
|MUST_Gewichtsverlies<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.4.2<br />
|Gewichtsverlies >10%<br />
|}<br />
<br />
==This information model in other releases<!--ftOtherReleases-->==<br />
<!-- Hieronder wordt een transclude page aangeroepen --><br />
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.4.5(EN)|2|2019}}<br />
<!-- Tot hier de transclude page --><br />
==Information model references<!--ftReferences-->==<br />
====This information model refers to<!--ftRefersTo-->====<br />
:--<br />
====This information model is used in<!--ftReferredBy-->====<br />
:--<br />
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==<br />
To exchange information based on health and care information models, additional, more technical specifications are required.<BR><br />
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro--><br />
<ul><br />
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2019bbr-?id=2.16.840.1.113883.2.4.3.11.60.9.4.2.4.5&effectiveDate=2020-01-29T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li><br />
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2019}}</li><br />
</ul><br />
==Downloads<!--ftDownloadTitle-->==<br />
This information model is also available as [[Media:nl.zorg.MUSTScore-v3.1(2019EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.MUSTScore-v3.1(2019EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--><br />
==About this information<!--ftHeader2-->==<br />
The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2019-2 <BR><br />
SNOMED CT and LOINC codes are based on:<br />
<ul><br />
<li>SNOMED Clinical Terms version: 20190731 [R] (July 2019 Release)</li><br />
<li>LOINC version 2.64</li><br />
</ul><br />
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR><br />
This page is generated on 03/02/2020 01:27:44 with ZibExtraction v. 4.0.7338.2051<!--ftDate--> <BR><br />
-----<br />
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2019(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2019(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div></div>
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