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General information

Name: nl.zorg.SNAQ65+Score NL.png
Version: 1.0
HCIM Status:Final
Release: 2017
Release status: Published
Release date: 31-12-2017

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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 28-7-2016
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Name zorg
DCM::Id 2.16.840.1.113883.
DCM::KeywordList Ondervoeding, ondervoedingsscore, SNAQ, SNAQ65+, malnutrition
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.zorg.SNAQ65+Score
DCM::PublicationDate 31-12-2017
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 31-12-2017
DCM::Version 1.0
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (04-09-2017).


The Short Nutritional Assessment Questionnaire 65+ (SNAQ65+) is a (validated) measuring tool for determining the extent of a patient’s malnutrition. The tool comprises a number of 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 (adults and children), nursing and retirement homes and independently living seniors. This concept describes the tool intended for the setting of independently living elderly.


The SNAQ65+ 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 65 years of age who are living independently in their own environment

Information Model


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:4.30.1 Arrowdown.pngSNAQ65+Score Root concept of the SNAQ65+Score information model. This root concept contains all data elements of the SNAQ65+Score information model.
CO.png NL-CM:4.30.3 Arrowright.pngWeightLossScore 0..1 The score based on undesired weight loss over the past six months.
List2.png SNAQ65+WeightLossScoreCodelist
CO.png NL-CM:4.30.8 Arrowright.pngUpperarmCircumference 0..1 The score based on circumference of the upper arm.
List2.png SNAQ65+UpperarmCircumferenceCodelist
CO.png NL-CM:4.30.4 Arrowright.pngAppetiteScore 0..1 The score based on a reduced appetite over the past month.
List2.png SNAQ65+AppetiteScoreCodelist
CO.png NL-CM:4.30.5 Arrowright.pngExerciseScore 0..1 The score based on the ability to perform exercise like climbing stairs without rest or to walk for five minute without rest.
List2.png SNAQ65+ExerciseScoreCodelist
INT.png NL-CM:4.30.2 Arrowright.pngTotalScore 0..1 The total score is the sum of all the individual scores. The total score has a range from 0 - 5. The relation between the value of the total score and the color outcome of the score tool is:

0-1 = green 2= orange 3 and higher = red.

TS.png NL-CM:4.30.6 Arrowright.pngSNAQScoreDateTime 1 The date and time at which the SNAQ65+ score was determined.
ST.png NL-CM:4.30.7 Arrowright.pngComment 0..1 A comment on the circumstances during the measurement.
48767-8 Annotation comment

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

SNAQ65+ score (eerstelijnszorg en thuiszorg)
Datum 27-01-2016
Item Score Beschrijving
Gewichtsverlies 3 4 kg of meer in de laatste 6 maanden
Eetlust 0 Normale eetlust
Inspanning 0 Geen verminderde functionaliteit
Bovenarmomtrek 3 Minder dan 25 cm
Totaalscore Score Scorekleur
SNAQ65+ Score 6 Rood


1. Stuurgroep Ondervoeding [Online] Beschikbaar op: [Geraadpleegd: 16 december 2016]



Valueset OID: 2.16.840.1.113883. Binding:
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
Eetlust B0 0 SNAQ65+_Eetlust 2.16.840.1.113883. Normale eetlust
GeenEetlust B1 1 SNAQ65+_Eetlust 2.16.840.1.113883. Verminderde eetlust de afgelopen week


Valueset OID: 2.16.840.1.113883. Binding:
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
Mogelijk In0 0 SNAQ65+_Inspanning 2.16.840.1.113883. In staat tot fysieke inspanning
NietMogelijk In1 1 SNAQ65+_Inspanning 2.16.840.1.113883. Niet in staat tot fysieke inspanning


Valueset OID: 2.16.840.1.113883. Binding:
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
Normaal A0 0 SNAQ65+_BovenarmOmtrek 2.16.840.1.113883. Omtrek >= 25cm
Klein A1 3 SNAQ65+_BovenarmOmtrek 2.16.840.1.113883. Omtrek < 25cm


Valueset OID: 2.16.840.1.113883. Binding:
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
LossLow G0 0 SNAQ65+_Gewichtsverlies 2.16.840.1.113883. Minder dan 4kg in de laatste maand
LossHigh G2 3 SNAQ65+_Gewichtsverlies 2.16.840.1.113883. Meer dan 4kg in de laatste maand

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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
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png


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 Release 2017
Conditions for use are located on the mainpage List2.png
This page is generated on 21/12/2018 14:48:19 with ZibExtraction v. 3.0.6929.24609

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