Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.4.30(EN)|1|SNAQ65+Score-v1.3(2026-1EN)}} ==General information== Name: '''nl.zorg.SNAQ65+Score''' link=SNAQ65+Score-v1.3(2026-1NL)
Version: '''1.3'''
HCIM Status:Final
Release: '''2026-1'''
…'

2026-04-18T16:46:31Z

Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.4.30(EN)|1|SNAQ65+Score-v1.3(2026-1EN)}}  ==General information== Name: '''nl.zorg.SNAQ65+Score''' link=SNAQ65+Score-v1.3(2026-1NL) Version: '''1.3''' HCIM Status:Final Release: '''2026-1''' …'

Nieuwe pagina

{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.4.30(EN)|1|SNAQ65+Score-v1.3(2026-1EN)}}

==General information==
Name: '''nl.zorg.SNAQ65+Score''' [[Bestand:NL.png|link=SNAQ65+Score-v1.3(2026-1NL)]] 
Version: '''1.3''' 
HCIM Status:Final 
Release: '''2026-1''' 
Release status: Prepublished 
Release date: 17-04-2026

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

-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2026-1(EN)]] [[HCIM_Release_2026-1(EN) |Back to HCIM list ]]</div>

==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||28-7-2016
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||zorg
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.4.30
|-
|style="width:250px; "|DCM::KeywordList||Ondervoeding, ondervoedingsscore, SNAQ, SNAQ65+, malnutrition
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::Name||nl.zorg.SNAQ65+Score
|-
|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||27-05-2022
|-
|style="width:250px; "|DCM::Supersedes||nl.zorg.SNAQ65+Score-v1.2.1
|-
|style="width:250px; "|DCM::Version||1.3
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

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

Publicatieversie 1.0 (04-09-2017)

Publicatieversie 1.1 (06-07-2019)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-718 | ZIB-718 ]]
|Kleine onvolkomenheid SNAQ 65+ ZIB
|}

Publicatieversie 1.2 (31-01-2020)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-929 | ZIB-929 ]]
|DefinitionCodes zib Nl.zorg.SNAQ65+Score-v1.0
|}

Publicatieversie 1.2.1 (01-12-2021)
{|
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1377 | ZIB-1377 ]]
|enkele typos in SNAQ65+
|}

Publicatieversie 1.3 (10-06-2022)
{|
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1633 | ZIB-1633 ]]
|Tekstuele wijzigingen zibs SNAQScore, SNAQ65+Score, SNAQrcScore (2020)
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1635 | ZIB-1635 ]]
|Foutieve totaalscores SNAQ65+ en SNAQrc
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1668 | ZIB-1668 ]]
|Foutieve constraint SNAQ65+Score
|}
</div>

==Concept==
The Short Nutritional Assessment Questionnaire 65+ (SNAQ65+) is a (validated) measuring tool for determining the extent of a patient’s malnutrition. The tool comprises a number of questions, each of which is assigned a score. The total score determines the extent of malnutrition. 
The SNAQ helps to recognize and treat malnutrition at an early stage. 
Three varieties of the measuring tool were developed for different care settings: hospitals (adults and children), nursing and retirement homes and independently living seniors. This concept describes the tool intended for the setting of independently living elderly. 

==Purpose==
The SNAQ65+ 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.

==Evidence Base==
To determine the extent of malnutrition, SNAQ has a number of tools, validated for different settings: 
<ul>
<li>The SNAQ was developed for adults admitted to hospital.</li>
<li>The SNAQ65+ was developed for the group of seniors (age over 65) who live at home and who may make use of care at home.</li>
<li>The SNAQrc (Short Nutritional Assessment Questionnaire for Residential Care) is available for screening for malnutrition in nursing and retirement homes.</li>
<li>The STRONGkids tool is available for screening for malnutrition among children.</li>
</ul>

==Patient Population==
The SNAQ is meant for patients over 65 years of age who are living independently in their own environment

==Information Model==
 
<imagemap> Bestand:SNAQ65+Score-v1.3Model(2026-1EN).png | center
rect 803 476 1038 526 [[#SNAQ65+UpperArmCircumferenceScoreCodelist]]
rect 801 367 925 437 [[#3677]]
rect 608 120 741 190 [[#3674]]
rect 566 476 774 526 [[#SNAQ65+ExerciseScoreCodelist]]
rect 118 476 340 526 [[#SNAQ65+WeightLossScoreCodelist]]
rect 608 367 726 437 [[#3665]]
rect 221 367 340 437 [[#3670]]
rect 415 43 533 145 [[#3676]]
rect 369 475 543 525 [[#SNAQ65+AppetiteScoreCodelist]]
rect 608 230 727 300 [[#3669]]
rect 415 367 533 437 [[#3673]]
rect 414 208 534 288 [[#3678]]
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:4.30.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]SNAQ65+Score
|
|Root concept of the SNAQ65+Score information model. This root concept contains all data elements of the SNAQ65+Score information model.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=108321000146101 108321000146101] Short Nutritional Questionnaire for 65+
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
||NL-CM:4.30.3
|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=]]WeightLossScore
|0..1
|The score based on undesired weight loss over the past six months.
|
{|
|-
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_concepten 4030003] SNAQ65+Score WeightLossScore
|}
|
{|
|-
|[[Bestand: List2.png | link=#SNAQ65+WeightLossScoreCodelist]]||[[#SNAQ65+WeightLossScoreCodelist|SNAQ65+WeightLossScoreCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
||NL-CM:4.30.8
|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=]]UpperArmCircumferenceScore
|0..1
|The score based on circumference of the upper arm.
|
{|
|-
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_concepten 4030008] SNAQ65+Score UpperArmCircumferenceScore
|}
|
{|
|-
|[[Bestand: List2.png | link=#SNAQ65+UpperArmCircumferenceScoreCodelist]]||[[#SNAQ65+UpperArmCircumferenceScoreCodelist|SNAQ65+UpperArmCircumferenceScoreCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
||NL-CM:4.30.4
|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=]]AppetiteScore
|0..1
|The score based on a reduced appetite over the past month.
|
{|
|-
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_concepten 4030004] SNAQ65+Score AppetiteScore
|}
|
{|
|-
|[[Bestand: List2.png | link=#SNAQ65+AppetiteScoreCodelist]]||[[#SNAQ65+AppetiteScoreCodelist|SNAQ65+AppetiteScoreCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
||NL-CM:4.30.5
|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=]]ExerciseScore
|0..1
|The score based on the ability to perform exercise like climbing stairs without rest or walking for five minutes without rest.
|
{|
|-
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_concepten 4030005] SNAQ65+Score ExerciseScore
|}
|
{|
|-
|[[Bestand: List2.png | link=#SNAQ65+ExerciseScoreCodelist]]||[[#SNAQ65+ExerciseScoreCodelist|SNAQ65+ExerciseScoreCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: INT.png| 16px | link=]]
||NL-CM:4.30.2
|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 - 5. The relation between the value of the total score and the color outcome of the score tool is: 0-1 = green 2 = orange 3 and higher = red.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=108891000146109 108891000146109] Short Nutritional Questionnaire for age 65+ total score
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:4.30.6
|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=]]SNAQScoreDateTime
|1
|The date and time at which the SNAQ65+ score was determined.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:4.30.7
|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="530px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="3" style="background-color: #1F497D; width: 100%; "|SNAQ65+ score (eerstelijnszorg en thuiszorg)
|-style=vertical-align:top;
| style="width: 29%; "|Datum
|colspan="2" style="width: 71%; "|27-01-2016
|-style=vertical-align:top;
| style="width: 29%; "|Opmerking
|colspan="2" style="width: 71%; "|
|-style=vertical-align:top;
| style="background-color: #4F81BD; width: 29%; "|Item
| style="background-color: #4F81BD; width: 13%; "|Score
| style="background-color: #4F81BD; width: 58%; "|Beschrijving
|-style=vertical-align:top;
| style="width: 29%; "|Gewichtsverlies
| style="width: 13%; "|3
| style="width: 58%; "|4 kg of meer in de laatste 6 maanden
|-style=vertical-align:top;
| style="width: 29%; "|Eetlust
| style="width: 13%; "|0
| style="width: 58%; "|Normale eetlust
|-style=vertical-align:top;
| style="width: 29%; "|Inspanning
| style="width: 13%; "|0
| style="width: 58%; "|Geen verminderde functionaliteit
|-style=vertical-align:top;
| style="width: 29%; "|Bovenarmomtrek
| style="width: 13%; "|3
| style="width: 58%; "|Minder dan 25 cm
|-style=vertical-align:top;
| style="background-color: #4F81BD; width: 29%; "|Totaalscore
| style="background-color: #4F81BD; width: 13%; "|Score
| style="background-color: #4F81BD; width: 58%; "|Scorekleur
|-style=vertical-align:top;
| style="width: 29%; "|SNAQ65+ Score
| style="width: 13%; "|6
| style="width: 58%; "|Rood
|}

==Instructions==
If the individual scores are used, they must be filled in accordance with the decision tree of the score.

==References==
1. Stuurgroep Ondervoeding [Online] Beschikbaar op:http://www.stuurgroepondervoeding.nl/ [Geraadpleegd: 16 december 2016]

== Valuesets ==
=== SNAQ65+AppetiteScoreCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.30.2
|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; "
|Appetite
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten B0]
|0
|SNAQ65+_Eetlust
|2.16.840.1.113883.2.4.3.11.60.40.4.18.2
|Normale eetlust
|-style="vertical-align:top; "
|No appetite
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten B1]
|1
|SNAQ65+_Eetlust
|2.16.840.1.113883.2.4.3.11.60.40.4.18.2
|Verminderde eetlust de afgelopen week
|-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
|}
=== SNAQ65+ExerciseScoreCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.30.3
|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; "
|Possible
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten In0]
|0
|SNAQ65+_Inspanning
|2.16.840.1.113883.2.4.3.11.60.40.4.18.3
|In staat tot fysieke inspanning
|-style="vertical-align:top; "
|Not possible
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten In1]
|1
|SNAQ65+_Inspanning
|2.16.840.1.113883.2.4.3.11.60.40.4.18.3
|Niet in staat tot fysieke inspanning
|-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
|}
=== SNAQ65+UpperArmCircumferenceScoreCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.30.4
|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; "
|Normal
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten A0]
|0
|SNAQ65+_BovenarmOmtrek
|2.16.840.1.113883.2.4.3.11.60.40.4.18.4
|Omtrek >= 25cm
|-style="vertical-align:top; "
|Small
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten A1]
|3
|SNAQ65+_BovenarmOmtrek
|2.16.840.1.113883.2.4.3.11.60.40.4.18.4
|Omtrek < 25cm
|-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
|}
=== SNAQ65+WeightLossScoreCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.30.1
|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; "
|LossLow
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten G0]
|0
|SNAQ65+_Gewichtsverlies
|2.16.840.1.113883.2.4.3.11.60.40.4.18.1
|Minder dan 4kg in de laatste 6 maanden
|-style="vertical-align:top; "
|LossHigh
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten G2]
|3
|SNAQ65+_Gewichtsverlies
|2.16.840.1.113883.2.4.3.11.60.40.4.18.1
|4kg of meer in de laatste 6 maanden
|-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-2.16.840.1.113883.2.4.3.11.60.40.3.4.30(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|4.30}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR {{SimplefierLinks|2026-1|SNAQ65+Score}}</li>
</ul>
==Downloads==
This information model is also available as [[Media:nl.zorg.SNAQ65+Score-v1.3(2026-1EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.SNAQ65+Score-v1.3(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 18:38:23 with ZibExtraction v. 10.0.9604.31200 
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2026-1(EN)]] [[HCIM_Release_2026-1(EN) |Back to HCIM list ]]</div>

SNAQ65+Score-v1.3(2026-1EN) - Bewerkingsoverzicht

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.4.30(EN)|1|SNAQ65+Score-v1.3(2026-1EN)}} ==General information== Name: '''nl.zorg.SNAQ65+Score''' link=SNAQ65+Score-v1.3(2026-1NL) Version: '''1.3''' HCIM Status:Final Release: '''2026-1''' …'

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.4.30(EN)|1|SNAQ65+Score-v1.3(2026-1EN)}} ==General information== Name: '''nl.zorg.SNAQ65+Score''' link=SNAQ65+Score-v1.3(2026-1NL)
Version: '''1.3'''
HCIM Status:Final
Release: '''2026-1'''
…'