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HdBe-SNAQScore

WARNING This page contains a draft CBB, as raw output from the zib export and automatic conversion to CBB. It requires thorough review and adaption to the Belgian realm. This CBB is merely added for informative use.

CBBDescriptionStatus
HdBe-SNAQScore

The Short Nutritional Assessment Questionnaire (SNAQ) is a (validated) measuring tool for determining the extent of a patient’s malnutrition. The tool comprises three 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, nursing and retirement homes and independently living seniors. This concept describes the tool intended for the hospital setting.

Purpose

The SNAQ 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 18 years of age who are staying at the hospital.

draft

id0..1string
extensionI0..*Extension
WeightLossScore0..1CodeableConceptBinding
AppetiteScore0..1CodeableConceptBinding
NutritionScore0..1CodeableConceptBinding
TotalScore0..1positiveInt
SnaqscoreDateTime1..1dateTime
Comment0..1string

SNAQScore0..*
SNAQScore.WeightLossScoreCodeableConcept0..1
SNAQScore.AppetiteScoreCodeableConcept0..1
SNAQScore.NutritionScoreCodeableConcept0..1
SNAQScore.TotalScorepositiveInt0..1
SNAQScore.SnaqscoreDateTimedateTime1..1
SNAQScore.Commentstring0..1


SNAQScore
DefinitionRoot concept of the SNAQScore information model. This root concept contains all data elements of the SNAQScore information model.
Cardinality0...*
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
SNAQScore.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
SNAQScore.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
SNAQScore.WeightLossScore
DefinitionThe score based on undesired weight loss over the past month(s).
Cardinality0...1
TypeCodeableConcept
Binding

WeightLossScore codes

WeightLossScore (required)
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
SNAQScore.AppetiteScore
DefinitionThe score based on a reduced appetite over the past month.
Cardinality0...1
TypeCodeableConcept
Binding

AppetiteScore codes

AppetiteScore (required)
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
SNAQScore.NutritionScore
DefinitionThe score based on the use of fluid or enteral nutrition over the past month.
Cardinality0...1
TypeCodeableConcept
Binding

NutritionScore codes

NutritionScore (required)
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
SNAQScore.TotalScore
DefinitionThe total score is the sum of all the individual scores. The total score has a range from 0 - 5.
Cardinality0...1
TypepositiveInt
Comments

32 bit number; for values larger than this, use decimal

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
SNAQScore.SnaqscoreDateTime
DefinitionThe date and time at which the SNAQ score was determined.
Cardinality1...1
TypedateTime
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
SNAQScore.Comment
DefinitionA comment on the circumstances during the measurement.
Cardinality0...1
Typestring
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a

Example instances

[CBB name]
[Concept name ] [example value]

// example of NameInformation

## Example instances

| NameInformation      |                   |
|----------------------|-------------------|
| FirstNames | Johanna Petronella Maria   
| Initials | J.P.M. 
| GivenName | Jo 
| NameUsage | Geslachtsnaam partner gevolgd door eigen geslachtsnaam
| LastName.Prefix | van
| LastName.LastName | Putten
| LastNamePartner.PartnerPrefix | van der
| LastNamePartner.PartnerLastName | Giessen
| Titles |

zib [zib name + version](https://zibs.nl/wiki/[zib name + version(release)]) difference

Concept Category Description
[element.path] [category of change] [Description of change]([Reference to ticket/issue/zulip chat using MarkDown link])



Terminology Bindings

PathNameStrengthURL
WeightLossScoreWeightLossScorerequiredhttps://fhir.healthdata.be/ValueSet/WeightLossScore
AppetiteScoreAppetiteScorerequiredhttps://fhir.healthdata.be/ValueSet/AppetiteScore
NutritionScoreNutritionScorerequiredhttps://fhir.healthdata.be/ValueSet/NutritionScore