<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="logicalmodel-Malnutritionuniversalscreeningtool_must_-R4" />
  <url value="http://linkehr.com/fhir/logicalmodel-malnutritionuniversalscreeningtool_must_-R4" />
  <identifier>
    <system value="openEHR-CKM" />
    <value value="openEHR-EHR-OBSERVATION.must.v0" />
  </identifier>
  <version value="0" />
  <name value="Malnutritionuniversalscreeningtool_must_" />
  <title value="Malnutrition Universal Screening Tool (MUST)" />
  <status value="draft" />
  <date value="2024-06-18" />
  <publisher value="openEHR" />
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://www.veratech.es" />
    </telecom>
  </contact>
  <description value="Screening tool for malnourishment, undernutrition or obesity." />
  <purpose value="The Malnutrition Universal Screening Tool (MUST) is a scoring system designed to help identify adults who are malnourished, at risk of malnutrition (undernutrition), or obese. It intends to identify risk of poor protein-energy status, rather than status of individual nutrients. It has not been designed to detect deficiencies in or excessive intakes of vitamins and minerals. It was developed and is maintained by the British Association for Parenteral and Enteral Nutrition (BAPEN)." />
  <fhirVersion value="4.0.0" />
  <mapping>
    <identity value="openEHR" />
    <uri value="http://openehr.org" />
    <name value="openEHR Mapping" />
  </mapping>
  <mapping>
    <identity value="openEHR-natural" />
    <uri value="http://openehr.org" />
    <name value="openEHR natural path" />
  </mapping>
  <kind value="logical" />
  <abstract value="false" />
  <type value="StructureDefinition" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" />
  <snapshot>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST)">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST)" />
      <short value="Malnutrition Universal Screening Tool (MUST)" />
      <definition value="Screening tool for malnourishment, undernutrition or obesity." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST)" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).protocol">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).protocol" />
      <short value="Tree" />
      <definition value="@ internal @" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).protocol" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Height_determination_method_for_body_mass_index">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Height_determination_method_for_body_mass_index" />
      <short value="Height determination method for body mass index" />
      <definition value="Method used for determining height as a part of body mass index calculation." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Height_determination_method_for_body_mass_index" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Height_determination_method_for_body_mass_index.value">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Height_determination_method_for_body_mass_index.value" />
      <short value="Height determination method for body mass index" />
      <definition value="Method used for determining height as a part of body mass index calculation." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Height_determination_method_for_body_mass_index.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Weight_determination_method_for_body_mass_index">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Weight_determination_method_for_body_mass_index" />
      <short value="Weight determination method for body mass index" />
      <definition value="Method used for determining weight as a part of body mass index calculation." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Weight_determination_method_for_body_mass_index" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Weight_determination_method_for_body_mass_index.value">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Weight_determination_method_for_body_mass_index.value" />
      <short value="Weight determination method for body mass index" />
      <definition value="Method used for determining weight as a part of body mass index calculation." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Weight_determination_method_for_body_mass_index.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Body_mass_index_estimation_method">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Body_mass_index_estimation_method" />
      <short value="Body mass index estimation method" />
      <definition value="Method used for determining body mass index." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Body_mass_index_estimation_method" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Body_mass_index_estimation_method.value">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Body_mass_index_estimation_method.value" />
      <short value="Body mass index estimation method" />
      <definition value="Method used for determining body mass index." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Body_mass_index_estimation_method.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Weight_loss_determination_method">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Weight_loss_determination_method" />
      <short value="Weight loss determination method" />
      <definition value="Method used for determining weight change." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Weight_loss_determination_method" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Weight_loss_determination_method.value">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Weight_loss_determination_method.value" />
      <short value="Weight loss determination method" />
      <definition value="Method used for determining weight change." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Weight_loss_determination_method.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Extension">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Extension" />
      <short value="Extension" />
      <definition value="Additional information required to capture local context or to align with other reference models/formalisms." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).protocol.Extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series" />
      <short value="Event Series" />
      <definition value="@ internal @" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event" />
      <short value="Any event" />
      <definition value="Default, unspecified point in time event which may be explicitly defined in a template or at run-time." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data" />
      <short value="Tree" />
      <definition value="@ internal @" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Body_mass_index_score">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Body_mass_index_score" />
      <short value="Body mass index score" />
      <definition value="Derived from the subject’s body mass index." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Body_mass_index_score" />
        <min value="1" />
        <max value="1" />
      </base>
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Body_mass_index_score.value">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Body_mass_index_score.value" />
      <short value="Body mass index score" />
      <definition value="Derived from the subject’s body mass index." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Body_mass_index_score.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Weight_loss_score">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Weight_loss_score" />
      <short value="Weight loss score" />
      <definition value="To establish the subject’s weight loss score, ask if there has been any weight loss in the last 3 – 6 months, and if so how much (or look in their medical records)." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Weight_loss_score" />
        <min value="1" />
        <max value="1" />
      </base>
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Weight_loss_score.value">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Weight_loss_score.value" />
      <short value="Weight loss score" />
      <definition value="To establish the subject’s weight loss score, ask if there has been any weight loss in the last 3 – 6 months, and if so how much (or look in their medical records)." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Weight_loss_score.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Acute_disease_effect_score">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Acute_disease_effect_score" />
      <short value="Acute disease effect score" />
      <definition value="If the subject is currently affected by an acute patho-physiological or psychological condition, and there has been no nutritional intake or likelihood of no intake for more than 5 days, they are likely to be at nutritional risk." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Acute_disease_effect_score" />
        <min value="1" />
        <max value="1" />
      </base>
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Acute_disease_effect_score.value">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Acute_disease_effect_score.value" />
      <short value="Acute disease effect score" />
      <definition value="If the subject is currently affected by an acute patho-physiological or psychological condition, and there has been no nutritional intake or likelihood of no intake for more than 5 days, they are likely to be at nutritional risk." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Acute_disease_effect_score.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Total_score">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Total_score" />
      <short value="Total score" />
      <definition value="The sum of scores for body mass index, weight loss and acute disease effect." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Total_score" />
        <min value="1" />
        <max value="1" />
      </base>
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Total_score.value">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Total_score.value" />
      <short value="Total score" />
      <definition value="The sum of scores for body mass index, weight loss and acute disease effect." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Total_score.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Quantity" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Risk_category">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Risk_category" />
      <short value="Risk category" />
      <definition value="The overall risk of malnutrition as derived from the total score." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Risk_category" />
        <min value="1" />
        <max value="1" />
      </base>
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Risk_category.value">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Risk_category.value" />
      <short value="Risk category" />
      <definition value="The overall risk of malnutrition as derived from the total score." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Risk_category.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Comment">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Comment" />
      <short value="Comment" />
      <definition value="Additional narrative about the screening, not captured in other fields." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Comment" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Comment.value">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Comment.value" />
      <short value="Comment" />
      <definition value="Additional narrative about the screening, not captured in other fields." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.data.Comment.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.state">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.state" />
      <short value="Tree" />
      <definition value="@ internal @" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.state" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.state.Confounding_factors">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.state.Confounding_factors" />
      <short value="Confounding factors" />
      <definition value="Some variables used in the calculation of the MUST score may be influenced by confunding factors, specially in the case of weight and BMI determination." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.state.Confounding_factors" />
        <min value="0" />
        <max value="*" />
      </base>
    </element>
    <element id="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.state.Confounding_factors.value">
      <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.state.Confounding_factors.value" />
      <short value="Confounding factors" />
      <definition value="Some variables used in the calculation of the MUST score may be influenced by confunding factors, specially in the case of weight and BMI determination." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Malnutrition_Universal_Screening_Tool_(MUST).Event_Series.Any_event.state.Confounding_factors.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
  </snapshot>
</StructureDefinition>