HdBe-SNAQScore

CBB	Concept	Status
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

CBB

Concept

Status

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

Snaqscore		Snaqscore	There are no (further) constraints on this element Element Id Snaqscore Short description SNAQScore Definition Root concept of the SNAQScore information model. This root concept contains all data elements of the SNAQScore information model. Data Type Snaqscore
WeightLossScore	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Snaqscore.WeightLossScore Short description WeightLossScore Definition The score based on undesired weight loss over the past month(s). Data Type CodeableConcept Binding WeightLossScore codes SNAQGewichtsverliesScore (required)
AppetiteScore	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Snaqscore.AppetiteScore Short description AppetiteScore Definition The score based on a reduced appetite over the past month. Data Type CodeableConcept Binding AppetiteScore codes EetlustScore (required)
NutritionScore	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Snaqscore.NutritionScore Short description NutritionScore Definition The score based on the use of fluid or enteral nutrition over the past month. Data Type CodeableConcept Binding NutritionScore codes VoedingsScore (required)
TotalScore	0..1	Count	There are no (further) constraints on this element Element Id Snaqscore.TotalScore Short description TotalScore Definition The total score is the sum of all the individual scores. The total score has a range from 0 - 5. Data Type Count
SnaqscoreDateTime	1..1	dateTime	There are no (further) constraints on this element Element Id Snaqscore.SnaqscoreDateTime Short description SNAQScoreDateTime Definition The date and time at which the SNAQ score was determined. Data Type dateTime
Comment	0..1	string	There are no (further) constraints on this element Element Id Snaqscore.Comment Short description Comment Definition A comment on the circumstances during the measurement. Data Type string

Snaqscore		0..*
Snaqscore.WeightLossScore	CodeableConcept	0..1
Snaqscore.AppetiteScore	CodeableConcept	0..1
Snaqscore.NutritionScore	CodeableConcept	0..1
Snaqscore.TotalScore	Count	0..1
Snaqscore.SnaqscoreDateTime	dateTime	1..1
Snaqscore.Comment	string	0..1

SNAQScore
Definition	Base definition for all elements in a resource.
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	System.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.Snaqscore
Definition	Root concept of the SNAQScore information model. This root concept contains all data elements of the SNAQScore information model.
Cardinality	0...*

Example instances

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## 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 |

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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	SNAQGewichtsverliesScore	required	https://fhir.healthdata.be/ValueSet/SNAQGewichtsverliesScore
AppetiteScore	EetlustScore	required	https://fhir.healthdata.be/ValueSet/EetlustScore
NutritionScore	VoedingsScore	required	https://fhir.healthdata.be/ValueSet/VoedingsScore