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Version: '''3.1.1'''
HCIM Status:Final
Release: '''2026-1'''
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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.4.5(EN)|1|MUSTScore-v3.1.1(2026-1EN)}}

==General information==
Name: '''nl.zorg.MUSTScore''' [[Bestand:NL.png|link=MUSTScore-v3.1.1(2026-1NL)]] 
Version: '''3.1.1''' 
HCIM Status:Final 
Release: '''2026-1''' 
Release status: Prepublished 
Release date: 17-04-2026

{{ErrataEN|2026-1|{{PAGENAME}}}}

-----
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==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|-
|style="width:250px; "|DCM::CoderList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::ContactInformation.Address||*
|-
|style="width:250px; "|DCM::ContactInformation.Name||*
|-
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|-
|style="width:250px; "|DCM::ContentAuthorList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::CreationDate||12-2-2014
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||PM
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.4.5
|-
|style="width:250px; "|DCM::KeywordList||Ondervoeding, ondervoedingsscore, MUST, malnutrition
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::Name||nl.zorg.MUSTScore
|-
|style="width:250px; "|DCM::PublicationDate||17-04-2026
|-
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|-
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::RevisionDate||26-05-2022
|-
|style="width:250px; "|DCM::Supersedes||nl.zorg.MUSTScore-v3.1
|-
|style="width:250px; "|DCM::Version||3.1.1
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

==Revision History==
<div class="mw-collapsible mw-collapsed">
'' Only available in Dutch''

Publicatieversie 1.0 (01-07-2015)

Publicatieversie 3.0 (01-05-2016)
{|
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-453 | ZIB-453 ]]
|Wijziging naamgeving ZIB's en logo's door andere opzet van beheer
|}

Publicatieversie 3.1 (31-01-2020)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-922 | ZIB-922 ]]
|DefinitionCodes zib nl.MUSTScore
|}

Publicatieversie 3.1.1 (10-06-2022)
{|
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1636 | ZIB-1636 ]]
|Tekstuele wijzigingen zib MUSTScore (2020)
|}
</div>

==Concept==
The Malnutrition Universal Screening Tool (MUST) is a (validated) diagnostic screening tool for determining the extent of a patient’s malnutrition. 
For this screening tool, every patient’s Body Mass Index (BMI) and 
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. 
 
(Source: Guidelines for Screening and Treating Malnutrition.) 

==Purpose==
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.

==Patient Population==
The MUST is used for patients aged 18 and older. 
For children, the STRONGkids tool is used. 

==Information Model==
 
<imagemap> Bestand:MUSTScore-v3.1.1Model(2026-1EN).png | center
rect 647 75 766 145 [[#3550]]
rect 642 449 771 499 [[#IllnessScoreCodelist]]
rect 442 449 622 499 [[#WeightLossScoreCodelist]]
rect 648 324 766 394 [[#3549]]
rect 473 324 591 394 [[#3546]]
rect 298 95 417 199 [[#3541]]
rect 278 449 424 499 [[#MUSTBMIScoreCodelist]]
rect 646 187 765 257 [[#3547]]
rect 298 324 416 394 [[#3539]]
rect 469 104 589 184 [[#3540]]
desc none
</imagemap>
 
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:4.5.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]MUSTScore
|
|Root concept of the MUSTScore information model. This root concept contains all data elements of the MUSTScore information model.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=414648004 414648004] Malnutrition universal screening tool
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
||NL-CM:4.5.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]BMIScore
|0..1
|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/m2.
|
{|
|-
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_concepten 4005003] MUSTScore BMIScore
|}
|
{|
|-
|[[Bestand: List2.png | link=#MUSTBMIScoreCodelist]]||[[#MUSTBMIScoreCodelist|MUSTBMIScoreCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
||NL-CM:4.5.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]WeightLossScore
|0..1
|The percentage of undesired weight loss over the past 3-6 months.
|
{|
|-
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_concepten 4005004] MUSTScore WeightLossScore
|}
|
{|
|-
|[[Bestand: List2.png | link=#WeightLossScoreCodelist]]||[[#WeightLossScoreCodelist|WeightLossScoreCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
||NL-CM:4.5.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]IllnessScore
|0..1
|Illness can result in reduced food intake, leading to a higher risk of malnutrition.
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.

|
{|
|-
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_concepten 4005005] MUSTScore IllnessScore
|}
|
{|
|-
|[[Bestand: List2.png | link=#IllnessScoreCodelist]]||[[#IllnessScoreCodelist|IllnessScoreCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: INT.png| 16px | link=]]
||NL-CM:4.5.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]TotalScore
|0..1
|The total score is the sum of all the individual scores. The total score has a range from 0 - 6.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=444297006 444297006] Malnutrition universal screening tool score
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:4.5.6
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]MUSTScoreDateTime
|1
|The date and time at which the MUST score was determined.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:4.5.7
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]Comment
|0..1
|A comment on the circumstances during the measurement.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative
|}
|
|}
Columns Concept and DefinitionCode: hover over the values for more information 
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]

==Example Instances==
''Only available in Dutch''

{|class="wikitable" width="474px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="2" style="background-color: #1F497D; width: 100%; "|MUSTScore
|-style=vertical-align:top;
| style="width: 43%; "|MUSTScoreDatumTijd
| style="width: 57%; "|27-01-2013
|-style=vertical-align:top;
| style="width: 43%; "|BMIScore
| style="width: 57%; "|2 (BMI<18,5 kg/m2)
|-style=vertical-align:top;
| style="width: 43%; "|GewichtsverliesScore
| style="width: 57%; "|1 (Gewichtsverlies 5-10%)
|-style=vertical-align:top;
| style="width: 43%; "|ZiekteScore
| style="width: 57%; "|0 (Niet ziek)
|-style=vertical-align:top;
| style="width: 43%; "|TotaalScore
| style="width: 57%; "|3
|-style=vertical-align:top;
| style="width: 43%; "|Toelichting
| style="width: 57%; "|<noWiki>-</noWiki>
|}

==References==
1. Stuurgroep Ondervoeding [Online] Beschikbaar op:http://www.stuurgroepondervoeding.nl/ [Geraadpleegd: 13 februari 2015]

2. Bapen [Online] Beschikbaar op:http://www.bapen.co.uk [Geraadpleegd: 13 februari 2015]

3. Richtlijn Behandeling en screening ondervoeding. [Online] Beschikbaar op:http://stuurgroepondervoeding.nl/wp-content/uploads/2015/02/Richtlijn_screenen_en_behandeling_van_ondervoeding_juni_2011.pdf [Geraadpleegd: 13 februari 2015]

== Valuesets ==
=== IllnessScoreCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.5.3
|Binding: Required
|Status: Active
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|NotAcutelyIll
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Z0]
|0
|MUST_Ziekte
|2.16.840.1.113883.2.4.3.11.60.40.4.4.3
|Niet ziek
|-style="vertical-align:top; "
|AcutelyIll
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Z1]
|2
|MUST_Ziekte
|2.16.840.1.113883.2.4.3.11.60.40.4.4.3
|Ziek
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="6"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="6"|Other values are not allowed
|}
=== MUSTBMIScoreCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.5.1
|Binding: Required
|Status: Active
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|BMIHigh
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten B0]
|0
|MUST_BMI
|2.16.840.1.113883.2.4.3.11.60.40.4.4.1
|BMI >20 kg/m2
|-style="vertical-align:top; "
|BMIAverage
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten B1]
|1
|MUST_BMI
|2.16.840.1.113883.2.4.3.11.60.40.4.4.1
|BMI tussen 18,5-20 kg/m2
|-style="vertical-align:top; "
|BMILow
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten B2]
|2
|MUST_BMI
|2.16.840.1.113883.2.4.3.11.60.40.4.4.1
|BMI < 18,5 kg/m2
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="6"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="6"|Other values are not allowed
|}
=== WeightLossScoreCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.5.2
|Binding: Required
|Status: Active
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|LossLow
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten G0]
|0
|MUST_Gewichtsverlies
|2.16.840.1.113883.2.4.3.11.60.40.4.4.2
|Gewichtsverlies <5%
|-style="vertical-align:top; "
|LossAverage
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten G1]
|1
|MUST_Gewichtsverlies
|2.16.840.1.113883.2.4.3.11.60.40.4.4.2
|Gewichtsverlies = 5-10%
|-style="vertical-align:top; "
|LossHigh
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten G2]
|2
|MUST_Gewichtsverlies
|2.16.840.1.113883.2.4.3.11.60.40.4.4.2
|Gewichtsverlies >10%
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="6"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="6"|Other values are not allowed
|}

==This information model in other releases==

{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.4.5(EN)|2|2026-1}}

==Information model references==
====This information model refers to====
:--
====This information model is used in====
:--
==Technical specifications in HL7v3 CDA and HL7 FHIR==
To exchange information based on health and care information models, additional, more technical specifications are required. 
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment {{ArtDecorLinks|2026-1|4.5}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR {{SimplefierLinks|2026-1|MUSTScore}}</li>
</ul>
==Downloads==
This information model is also available as [[Media:nl.zorg.MUSTScore-v3.1.1(2026-1EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.MUSTScore-v3.1.1(2026-1EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on prerelease 2026-1 
SNOMED CT and LOINC codes are based on:
<ul>
<li>SNOMED Clinical Terms versie: 20260331 [R] (maart 2026-editie)</li>
<li>LOINC version 2.81</li>
</ul>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 18/04/2026 18:38:10 with ZibExtraction v. 10.0.9604.31200 
-----
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MUSTScore-v3.1.1(2026-1EN) - Bewerkingsoverzicht

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.4.5(EN)|1|MUSTScore-v3.1.1(2026-1EN)}} ==General information== Name: '''nl.zorg.MUSTScore''' link=MUSTScore-v3.1.1(2026-1NL) Version: '''3.1.1''' HCIM Status:Final Release: '''2026-1''' Re…'

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.4.5(EN)|1|MUSTScore-v3.1.1(2026-1EN)}} ==General information== Name: '''nl.zorg.MUSTScore''' link=MUSTScore-v3.1.1(2026-1NL)
Version: '''3.1.1'''
HCIM Status:Final
Release: '''2026-1'''
Re…'