MUSTScore-v1.0(2015EN)
General information
Name: nl.nfu.MUSTScore 
Version: 1.0
HCIM Status:Final
Publication: 2015
Release status: Published
Publication date: 8-9-2015
Metadata
| DCM::CoderList | Werkgroep RadB Verpleegkundige Gegevens |
| DCM::ContactInformation.Address | * |
| DCM::ContactInformation.Name | * |
| DCM::ContactInformation.Telecom | * |
| DCM::ContentAuthorList | Werkgroep RadB Verpleegkundige Gegevens |
| DCM::CreationDate | 12-2-2014 |
| DCM::DeprecatedDate | |
| DCM::DescriptionLanguage | nl |
| DCM::EndorsingAuthority.Address | |
| DCM::EndorsingAuthority.Name | NFU & V&VN |
| DCM::EndorsingAuthority.Telecom | |
| DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.4.5 |
| DCM::KeywordList | Ondervoeding, ondervoedingsscore, MUST, malnutrition |
| DCM::LifecycleStatus | Final |
| DCM::ModelerList | Werkgroep RadB Verpleegkundige Gegevens |
| DCM::Name | nl.nfu.MUSTScore |
| DCM::PublicationDate | 8-9-2015 |
| DCM::PublicationStatus | Published |
| DCM::ReviewerList | Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron |
| DCM::RevisionDate | 8-9-2015 |
| DCM::Superseeds | |
| DCM::Version | 1.0 |
| HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (01-07-2015).
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
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| Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | |||||||
|
NL-CM:4.5.1 |  MUSTScore
|
Root concept of the MUSTScore building block. This root concept contains all data elements of the MUSTScore building block. |
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NL-CM:4.5.3 |  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. |
| ||||||||
|
|
NL-CM:4.5.4 | WeightLossScore
|
0..1 | The percentage of undesired weight loss over the past 3-6 months. |
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NL-CM:4.5.5 | 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. |
| ||||||||
|
NL-CM:4.5.2 | TotalScore
|
0..1 | The total score is the sum of all the individual scores. The total score has a range from 0 - 6. | |||||||||
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NL-CM:4.5.6 | MUSTScoreDateTime
|
1 | The date and time at which the MUST score was determined. | |||||||||
|
NL-CM:4.5.7 | Explanation
|
0..1 | An explanation of the circumstances during the measurement. |
|
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Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page 
Example Instances
Only available in Dutch
| MUSTScore | |
| MUSTScoreDatumTijd | 27-01-2013 |
| BMIScore | 2 (BMI<18,5 kg/m2) |
| GewichtsverliesScore | 1 (Gewichtsverlies 5-10%) |
| ZiekteScore | 0 (Niet ziek) |
| TotaalScore | 3 |
| Toelichting | - |
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
BMIScoreCodelist
| Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.5.1 |
| Conceptname | Conceptcode | Conceptvalue | Codesystem name | Codesystem OID | Description |
| BMIHigh | B0 | 0 | MUST_BMI | 2.16.840.1.113883.2.4.3.11.60.40.4.4.1 | BMI >20 kg/m2 |
| BMIAverage | 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 |
| BMILow | B2 | 2 | MUST_BMI | 2.16.840.1.113883.2.4.3.11.60.40.4.4.1 | BMI < 18,5 kg/m2 |
IllnessScoreCodelist
| Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.5.3 |
| Conceptname | Conceptcode | Conceptvalue | Codesystem name | Codesystem OID | Description |
| NotAcutelyIll | Z0 | 0 | MUST_Ziekte | 2.16.840.1.113883.2.4.3.11.60.40.4.4.3 | Niet ziek |
| AcutelyIll | Z1 | 2 | MUST_Ziekte | 2.16.840.1.113883.2.4.3.11.60.40.4.4.3 | Ziek |
MUSTWeightLossScoreCodelist
| Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.5.2 |
| Conceptname | Conceptcode | Conceptvalue | Codesystem name | Codesystem OID | Description |
| LossLow | G0 | 0 | MUST_Gewichtsverlies | 2.16.840.1.113883.2.4.3.11.60.40.4.4.2 | Gewichtsverlies <5% |
| LossAverage | G1 | 1 | MUST_Gewichtsverlies | 2.16.840.1.113883.2.4.3.11.60.40.4.4.2 | Gewichtsverlies = 5-10% |
| LossHigh | G2 | 2 | MUST_Gewichtsverlies | 2.16.840.1.113883.2.4.3.11.60.40.4.4.2 | Gewichtsverlies >10% |
More on this information model
More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[1]
This information model is also available as pdf file 
or as spreadsheet 
About this information
The information in this wikipage is based on Registratie aan de bron publication 2015 including errata dd. 16-07-2015
Conditions for use are located on the mainpage
This page is generated on 28/09/2017 00:05:25