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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.

CBB	Concept	Status
HdBe-SNAQScore	De Short Nutritional Assessment Questionnaire (SNAQ) is een (gevalideerd) meetinstrument voor het bepalen van de mate van ondervoeding van de patiënt. Het instrument bestaat uit drie vragen waaraan een score wordt toegekend. De totaalsom van deze score bepaalt de mate van ondervoeding. De SNAQ ondersteunt het vroegtijdig herkennen en behandelen van ondervoeding. Er zijn drie varianten van het meetinstrument voor verschillende zorgsettingen ontwikkeld, te weten ziekenhuis, verzorgings- en verpleeghuizen en zelfstandig wonende ouderen. Dit concept beschrijft het instrument dat bedoeld is voor de ziekenhuissetting. Purpose De SNAQ score wordt toegepast om de mate van ondervoeding of het risico hierop vast te stellen. Om ondervoeding snel en adequaat te kunnen behandelen is het van belang dat ondervoeding tijdig gesignaleerd wordt. Evidence Base Voor het vaststellen van de mate van ondervoeding kent SNAQ een aantal instrumenten, gevalideerd voor verschillende omgevingen: De SNAQ is ontwikkeld voor volwassenen bij ziekenhuisopname De SNAQ65+ is ontwikkeld voor de groep ouderen (>65 jaar) die thuis woont en eventueel gebruik maakt van thuiszorg. Voor screening op ondervoeding in verpleeg- en verzorgingshuizen is de SNAQrc (Short Nutritional Assessment Questionnaire for Residential Care) beschikbaar. Voor screenen op ondervoeding bij kinderen is het instrument STRONGkids beschikbaar. Patient Population De SNAQ is bedoeld voor patienten boven de 18 jaar en die verblijven in het ziekenhuis. References Stuurgroep Ondervoeding [Online] Beschikbaar op: http://www.stuurgroepondervoeding.nl/ [Geraadpleegd: 13 februari 2015]	draft

CBB

Concept

Status

HdBe-SNAQScore

De Short Nutritional Assessment Questionnaire (SNAQ) is een (gevalideerd) meetinstrument voor het bepalen van de mate van ondervoeding van de patiënt. Het instrument bestaat uit drie vragen waaraan een score wordt toegekend. De totaalsom van deze score bepaalt de mate van ondervoeding. De SNAQ ondersteunt het vroegtijdig herkennen en behandelen van ondervoeding. Er zijn drie varianten van het meetinstrument voor verschillende zorgsettingen ontwikkeld, te weten ziekenhuis, verzorgings- en verpleeghuizen en zelfstandig wonende ouderen. Dit concept beschrijft het instrument dat bedoeld is voor de ziekenhuissetting.

Purpose

De SNAQ score wordt toegepast om de mate van ondervoeding of het risico hierop vast te stellen. Om ondervoeding snel en adequaat te kunnen behandelen is het van belang dat ondervoeding tijdig gesignaleerd wordt.

Evidence Base

Voor het vaststellen van de mate van ondervoeding kent SNAQ een aantal instrumenten, gevalideerd voor verschillende omgevingen:

De SNAQ is ontwikkeld voor volwassenen bij ziekenhuisopname
De SNAQ65+ is ontwikkeld voor de groep ouderen (>65 jaar) die thuis woont en eventueel gebruik maakt van thuiszorg.
Voor screening op ondervoeding in verpleeg- en verzorgingshuizen is de SNAQrc (Short Nutritional Assessment Questionnaire for Residential Care) beschikbaar.
Voor screenen op ondervoeding bij kinderen is het instrument STRONGkids beschikbaar.

Patient Population

De SNAQ is bedoeld voor patienten boven de 18 jaar en die verblijven in het ziekenhuis. References

Stuurgroep Ondervoeding [Online] Beschikbaar op: http://www.stuurgroepondervoeding.nl/ [Geraadpleegd: 13 februari 2015]

draft

SNAQScore			SNAQScore	Element id SNAQScore Short description SNAQScore Definition Rootconcept van de bouwsteen SNAQScore. Dit rootconcept bevat alle gegevenselementen van de bouwsteen SNAQScore. Data type SNAQScore Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id SNAQScore.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id SNAQScore.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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
WeightLossScore		0..1	CodeableConceptBinding	Element id SNAQScore.WeightLossScore Short description GewichtsverliesScore Definition De score gebaseerd op het ongewenst gewichtsverlies gedurende de afgelopen maand(en). 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. Data type CodeableConcept Binding WeightLossScore codes WeightLossScore (required) Constraints 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
AppetiteScore		0..1	CodeableConceptBinding	Element id SNAQScore.AppetiteScore Short description EetlustScore Definition De score gebaseerd op een verminderde eetlust gedurende de afgelopen maand. 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. Data type CodeableConcept Binding AppetiteScore codes AppetiteScore (required) Constraints 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
NutritionScore		0..1	CodeableConceptBinding	Element id SNAQScore.NutritionScore Short description VoedingsScore Definition De score gebaseerd op het gebruik van drink- of sondevoeding gedurende de afgelopen maand. 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. Data type CodeableConcept Binding NutritionScore codes NutritionScore (required) Constraints 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
TotalScore		0..1	positiveInt	Element id SNAQScore.TotalScore Short description TotaalScore Definition De totaalscore is de optelsom van de deelscores. Het bereik van de totaalscore is 0 tot 5. Comments 32 bit number; for values larger than this, use decimal Data type positiveInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
SnaqscoreDateTime		1..1	dateTime	Element id SNAQScore.SnaqscoreDateTime Short description SNAQScoreDatumTijd Definition De datum en het tijdstip waarop de SNAQ score bepaald is. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
Comment		0..1	string	Element id SNAQScore.Comment Short description Toelichting Definition Een toelichting op de meting of omstandigheden tijdens de meting. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a

SNAQScore		0..*
SNAQScore.WeightLossScore	CodeableConcept	0..1
SNAQScore.AppetiteScore	CodeableConcept	0..1
SNAQScore.NutritionScore	CodeableConcept	0..1
SNAQScore.TotalScore	positiveInt	0..1
SNAQScore.SnaqscoreDateTime	dateTime	1..1
SNAQScore.Comment	string	0..1

SNAQScore
Definition	Root concept of the SNAQScore information model. This root concept contains all data elements of the SNAQScore information model.
Cardinality	0...*
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
SNAQScore.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
SNAQScore.extension
Definition	May 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.
Cardinality	0...*
Type	Extension
Alias	extensions, 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.
Slicing	Unordered, 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
Definition	The score based on undesired weight loss over the past month(s).
Cardinality	0...1
Type	CodeableConcept
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
Definition	The score based on a reduced appetite over the past month.
Cardinality	0...1
Type	CodeableConcept
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
Definition	The score based on the use of fluid or enteral nutrition over the past month.
Cardinality	0...1
Type	CodeableConcept
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
Definition	The total score is the sum of all the individual scores. The total score has a range from 0 - 5.
Cardinality	0...1
Type	positiveInt
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
Definition	The date and time at which the SNAQ score was determined.
Cardinality	1...1
Type	dateTime
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
SNAQScore.Comment
Definition	A comment on the circumstances during the measurement.
Cardinality	0...1
Type	string
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

Path	Name	Strength	URL
WeightLossScore	WeightLossScore	required	https://fhir.healthdata.be/ValueSet/WeightLossScore
AppetiteScore	AppetiteScore	required	https://fhir.healthdata.be/ValueSet/AppetiteScore
NutritionScore	NutritionScore	required	https://fhir.healthdata.be/ValueSet/NutritionScore