SNAQ65+Score-v1.0(2018EN)
General information
Name: nl.zorg.SNAQ65+Score 
Version: 1.0
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 26-02-2019
Metadata
| DCM::CoderList | Werkgroep RadB Verpleegkundige Gegevens |
| DCM::ContactInformation.Address | * |
| DCM::ContactInformation.Name | * |
| DCM::ContactInformation.Telecom | * |
| DCM::ContentAuthorList | Werkgroep RadB Verpleegkundige Gegevens |
| DCM::CreationDate | 28-7-2016 |
| DCM::DeprecatedDate | |
| DCM::DescriptionLanguage | nl |
| DCM::EndorsingAuthority.Address | |
| DCM::EndorsingAuthority.Name | zorg |
| DCM::EndorsingAuthority.Telecom | |
| DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.4.30 |
| DCM::KeywordList | Ondervoeding, ondervoedingsscore, SNAQ, SNAQ65+, malnutrition |
| DCM::LifecycleStatus | Final |
| DCM::ModelerList | Werkgroep RadB Verpleegkundige Gegevens |
| DCM::Name | nl.zorg.SNAQ65+Score |
| DCM::PublicationDate | 26-02-2019 |
| DCM::PublicationStatus | Prepublished |
| DCM::ReviewerList | Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron |
| DCM::RevisionDate | 31-12-2017 |
| DCM::Superseeds | |
| DCM::Version | 1.0 |
| HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (04-09-2017).
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:
- The SNAQ was developed foe adults admitted to hospital
- The SNAQ65+ was developed for the group of seniors (> over 65) who live at home and who may make use of care at home.
- The SNAQrc (Short Nutritional Assessment Questionnaire for Residential Care) is available for screening for malnutrition in nursing and retirement homes.
- The STRONGkids tool is available for screening for malnutrition among children.
Patient Population
The SNAQ is meant for patients over 65 years of age who are living independently in their own environment
Information Model
| Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | |||||||
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NL-CM:4.30.1 |  SNAQ65+Score
|
Root concept of the SNAQ65+Score information model. This root concept contains all data elements of the SNAQ65+Score information model. | ||||||||||
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NL-CM:4.30.3 |  WeightLossScore
|
0..1 | The score based on undesired weight loss over the past six months. |
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|
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NL-CM:4.30.8 | UpperarmCircumference
|
0..1 | The score based on circumference of the upper arm. |
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|
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NL-CM:4.30.4 | AppetiteScore
|
0..1 | The score based on a reduced appetite over the past month. |
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NL-CM:4.30.5 | ExerciseScore
|
0..1 | The score based on the ability to perform exercise like climbing stairs without rest or to walk for five minute without rest. |
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|
NL-CM:4.30.2 | 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. |
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NL-CM:4.30.6 | SNAQScoreDateTime
|
1 | The date and time at which the SNAQ65+ score was determined. | |||||||||
|
NL-CM:4.30.7 | Comment
|
0..1 | A comment on 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
| SNAQ65+ score (eerstelijnszorg en thuiszorg) | ||
| Datum | 27-01-2016 | |
| Opmerking | ||
| Item | Score | Beschrijving |
| Gewichtsverlies | 3 | 4 kg of meer in de laatste 6 maanden |
| Eetlust | 0 | Normale eetlust |
| Inspanning | 0 | Geen verminderde functionaliteit |
| Bovenarmomtrek | 3 | Minder dan 25 cm |
| Totaalscore | Score | Scorekleur |
| SNAQ65+ Score | 6 | Rood |
References
1. Stuurgroep Ondervoeding [Online] Beschikbaar op:http://www.stuurgroepondervoeding.nl/ [Geraadpleegd: 16 december 2016]
Valuesets
SNAQ65+AppetiteScoreCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.30.2 | Binding: Required |
| Conceptname | Conceptcode | Conceptvalue | Codesystem name | Codesystem OID | Description |
| Eetlust | B0 | 0 | SNAQ65+_Eetlust | 2.16.840.1.113883.2.4.3.11.60.40.4.18.2 | Normale eetlust |
| GeenEetlust | B1 | 1 | SNAQ65+_Eetlust | 2.16.840.1.113883.2.4.3.11.60.40.4.18.2 | Verminderde eetlust de afgelopen week |
SNAQ65+ExerciseScoreCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.30.3 | Binding: Required |
| Conceptname | Conceptcode | Conceptvalue | Codesystem name | Codesystem OID | Description |
| Mogelijk | In0 | 0 | SNAQ65+_Inspanning | 2.16.840.1.113883.2.4.3.11.60.40.4.18.3 | In staat tot fysieke inspanning |
| NietMogelijk | In1 | 1 | SNAQ65+_Inspanning | 2.16.840.1.113883.2.4.3.11.60.40.4.18.3 | Niet in staat tot fysieke inspanning |
SNAQ65+UpperarmCircumferenceCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.30.4 | Binding: Required |
| Conceptname | Conceptcode | Conceptvalue | Codesystem name | Codesystem OID | Description |
| Normaal | A0 | 0 | SNAQ65+_BovenarmOmtrek | 2.16.840.1.113883.2.4.3.11.60.40.4.18.4 | Omtrek >= 25cm |
| Klein | A1 | 3 | SNAQ65+_BovenarmOmtrek | 2.16.840.1.113883.2.4.3.11.60.40.4.18.4 | Omtrek < 25cm |
SNAQ65+WeightLossScoreCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.30.1 | Binding: Required |
| Conceptname | Conceptcode | Conceptvalue | Codesystem name | Codesystem OID | Description |
| LossLow | G0 | 0 | SNAQ65+_Gewichtsverlies | 2.16.840.1.113883.2.4.3.11.60.40.4.18.1 | Minder dan 4kg in de laatste maand |
| LossHigh | G2 | 3 | SNAQ65+_Gewichtsverlies | 2.16.840.1.113883.2.4.3.11.60.40.4.18.1 | Meer dan 4kg in de laatste maand |
This information model in other releases
- Release 2017, (Version 1.0)
- Prerelease 2019-2, (Version 1.2)
- Release 2020, (Version 1.2)
- Prerelease 2021-2, (Version 1.2.1)
- Prerelease 2022-1, (Version 1.3)
- Prerelease 2023-1, (Version 1.3)
- Prerelease 2024-1, (Version 1.3)
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.
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- HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
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Downloads
This information model is also available as pdf file 
or as spreadsheet 
About this information
The information in this wikipage is based on Prerelease 2018-2
SNOMED CT and LOINC codes are based on:
- SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)
- LOINC version 2.64
Conditions for use are located on the mainpage
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