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General information

Name: nl.zorg.MUSTScore NL.png
Version: 3.1
HCIM Status:Final
Release: 2021
Release status: Prepublished
Release date: 01-12-2021

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DCM::CoderList Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate 12-2-2014
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Name PM
DCM::Id 2.16.840.1.113883.
DCM::KeywordList Ondervoeding, ondervoedingsscore, MUST, malnutrition
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.zorg.MUSTScore
DCM::PublicationDate 01-12-2021
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 09-01-2020
DCM::Supersedes nl.zorg.MUSTScore-v3.0
DCM::Version 3.1
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-07-2015)

Publicatieversie 3.0 (01-05-2016)

ZIB-453 Wijziging naamgeving ZIB's en logo's door andere opzet van beheer

Publicatieversie 3.1 (31-01-2020)

ZIB-922 DefinitionCodes zib nl.MUSTScore


The Malnutrition Universal Screening Tool (MUST) is a (validated) diagnostic screening tool for determining the extent of a patient’s malnutrition.
For this screening tool, every patient’s Body Mass Index (BMI) and
weight loss percentage is calculated, after which the patient is assigned a disease factor. The MUST helps to recognize and treat malnutrition at an early stage.

(Source: Guidelines for Screening and Treating Malnutrition.)


The MUST 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.

Patient Population

The MUST is used for patients aged 18 and older.
For children, the STRONGkids tool is used.

Information Model


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:4.5.1 Arrowdown.pngMUSTScore Root concept of the MUSTScore information model. This root concept contains all data elements of the MUSTScore information model.
414648004 Malnutrition universal screening tool
CO.png NL-CM:4.5.3 Arrowright.pngBMIScore 0..1 A person’s Body Mass Index (BMI), also known as their Quetelet index (QI), is an index indicating the ratio between a person’s height and weight. This BMI is expressed in kg/m2.
4005003 MUSTScore BMIScore
List2.png BMIScoreCodelist
CO.png NL-CM:4.5.4 Arrowright.pngWeightLossScore 0..1 The percentage of undesired weight loss over the past 3-6 months.
4005004 MUSTScore WeightLossScore
List2.png MUSTWeightLossScoreCodelist
CO.png NL-CM:4.5.5 Arrowright.pngIllnessScore 0..1 Illness can result in reduced food intake, leading to a higher risk of malnutrition.

The IllnessScore concept is used to indicate that the patient is seriously ill and that the patient has not eaten for more than 5 days or that there is a chance that the patient has not eaten for more than 5 days.

4005005 MUSTScore IllnessScore
List2.png IllnessScoreCodelist
INT.png NL-CM:4.5.2 Arrowright.pngTotalScore 0..1 The total score is the sum of all the individual scores. The total score has a range from 0 - 6.
444297006 Malnutrition universal screening tool score
TS.png NL-CM:4.5.6 Arrowright.pngMUSTScoreDateTime 1 The date and time at which the MUST score was determined.
ST.png NL-CM:4.5.7 Arrowright.pngComment 0..1 A comment on the circumstances during the measurement.
48767-8 Annotation comment [Interpretation] Narrative

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page List2.png

Example Instances

Only available in Dutch

MUSTScoreDatumTijd 27-01-2013
BMIScore 2 (BMI<18,5 kg/m2)
GewichtsverliesScore 1 (Gewichtsverlies 5-10%)
ZiekteScore 0 (Niet ziek)
TotaalScore 3
Toelichting -


1. Stuurgroep Ondervoeding [Online] Beschikbaar op: [Geraadpleegd: 13 februari 2015]

2. Bapen [Online] Beschikbaar op: [Geraadpleegd: 13 februari 2015]

3. Richtlijn Behandeling en screening ondervoeding. [Online] Beschikbaar op: [Geraadpleegd: 13 februari 2015]



Valueset OID: 2.16.840.1.113883. Binding: Required
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
BMIHigh B0 0 MUST_BMI 2.16.840.1.113883. BMI >20 kg/m2
BMIAverage B1 1 MUST_BMI 2.16.840.1.113883. BMI tussen 18,5-20 kg/m2
BMILow B2 2 MUST_BMI 2.16.840.1.113883. BMI < 18,5 kg/m2


Valueset OID: 2.16.840.1.113883. Binding: Required
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
NotAcutelyIll Z0 0 MUST_Ziekte 2.16.840.1.113883. Niet ziek
AcutelyIll Z1 2 MUST_Ziekte 2.16.840.1.113883. Ziek


Valueset OID: 2.16.840.1.113883. Binding: Required
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
LossLow G0 0 MUST_Gewichtsverlies 2.16.840.1.113883. Gewichtsverlies <5%
LossAverage G1 1 MUST_Gewichtsverlies 2.16.840.1.113883. Gewichtsverlies = 5-10%
LossHigh G2 2 MUST_Gewichtsverlies 2.16.840.1.113883. Gewichtsverlies >10%

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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.
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:

  • HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment Artdecor.jpg
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This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

About this information

The information in this wikipage is based on Pre-release 2021-2
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20210731 [R] (July 2021 Release)
  • LOINC version 2.67

Conditions for use are located on the mainpage List2.png
This page is generated on 30/11/2021 10:39:28 with ZibExtraction v. 6.4.8004.1652

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