MUSTScore-v3.1(2021EN)

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General information

Name: nl.zorg.MUSTScore
Version: 3.1
HCIM Status:Final
Release: 2021
Release status: Prepublished
Release date: 01-12-2021

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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	PM
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.zorg.MUSTScore
DCM::PublicationDate	01-12-2021
DCM::PublicationStatus	Prepublished
DCM::ReviewerList	Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	09-01-2020
DCM::Supersedes	nl.zorg.MUSTScore-v3.0
DCM::Version	3.1
HCIM::PublicationLanguage	EN

Revision History

Uitvouwen

Only available in Dutch

Publicatieversie 1.0 (01-07-2015)

Publicatieversie 3.0 (01-05-2016)

ZIB-453

Wijziging naamgeving ZIB's en logo's door andere opzet van beheer

Publicatieversie 3.1 (31-01-2020)

ZIB-922

DefinitionCodes zib nl.MUSTScore

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

Type	Id	Concept						Card.	Definition	DefinitionCode	Reference
	NL-CM:4.5.1	MUSTScore							Root concept of the MUSTScore information model. This root concept contains all data elements of the MUSTScore information model.	414648004 Malnutrition universal screening tool
	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.	4005003 MUSTScore BMIScore	BMIScoreCodelist
	NL-CM:4.5.4		WeightLossScore					0..1	The percentage of undesired weight loss over the past 3-6 months.	4005004 MUSTScore WeightLossScore	MUSTWeightLossScoreCodelist
	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.	4005005 MUSTScore IllnessScore	IllnessScoreCodelist
	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.	444297006 Malnutrition universal screening tool score
	NL-CM:4.5.6		MUSTScoreDateTime					1	The date and time at which the MUST score was determined.
	NL-CM:4.5.7		Comment					0..1	A comment on the circumstances during the measurement.	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

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

Binding: Required

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

Binding: Required

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

Binding: Required

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%

This information model in other releases

• Release 2015, (Version 1.0)
• Release 2016, (Version 3.0)
• Release 2017, (Version 3.0)
• Prerelease 2018-2, (Version 3.0)
• Prerelease 2019-2, (Version 3.1)
• Release 2020, (Version 3.1)
• Prerelease 2022-1, (Version 3.1.1)
• Prerelease 2023-1, (Version 3.1.1)
• Prerelease 2024-1, (Version 3.1.1)

Information model references

This information model refers to

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This information model is used in

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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:

• HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
• HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR

Downloads

This information model is also available as pdf file or as spreadsheet

About this information

The information in this wikipage is based on Pre-release 2021-2
SNOMED CT and LOINC codes are based on:

• SNOMED Clinical Terms version: 20210731 [R] (July 2021 Release)
• LOINC version 2.67

Conditions for use are located on the mainpage
This page is generated on 30/11/2021 10:39:28 with ZibExtraction v. 6.4.8004.1652

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