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General information

Name: nl.zorg.SNAQ65+Score NL.png
Version: 1.2.1
HCIM Status:Final
Release: 2021
Release status: Prepublished
Release date: 01-12-2021

Back 16.png Back to HCIM list


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 01-12-2021
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 11-08-2021
DCM::Supersedes nl.zorg.SNAQ65+Score-v1.2
DCM::Version 1.2.1
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (04-09-2017)

Publicatieversie 1.1 (06-07-2019)

ZIB-718 Kleine onvolkomenheid SNAQ 65+ ZIB

Publicatieversie 1.2 (31-01-2020)

ZIB-929 DefinitionCodes zib Nl.zorg.SNAQ65+Score-v1.0

Publicatieversie 1.2.1 (01-12-2021)

ZIB-1377 enkele typos in SNAQ65+


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 for 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.
108321000146101 Short Nutritional Questionnaire for 65+
CO.png NL-CM:4.30.3 Arrowright.pngWeightLossScore 0..1 The score based on undesired weight loss over the past six months.
4030003 SNAQ65+Score WeightLossScore
List2.png SNAQ65+WeightLossScoreCodelist
CO.png NL-CM:4.30.8 Arrowright.pngUpperarmCircumference 0..1 The score based on circumference of the upper arm.
4030008 SNAQ65+Score UpperarmCircumference
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.
4030004 SNAQ65+Score AppetiteScore
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.
4030005 SNAQ65+Score ExerciseScore
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.
108891000146109 Short Nutritional Questionnaire for age 65+ total score
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 [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

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: Required
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
Appetite B0 0 SNAQ65+_Eetlust 2.16.840.1.113883. Normale eetlust
No appetite B1 1 SNAQ65+_Eetlust 2.16.840.1.113883. Verminderde eetlust de afgelopen week


Valueset OID: 2.16.840.1.113883. Binding: Required
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
Possible In0 0 SNAQ65+_Inspanning 2.16.840.1.113883. In staat tot fysieke inspanning
Not possible In1 1 SNAQ65+_Inspanning 2.16.840.1.113883. Niet in staat tot fysieke inspanning


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


Valueset OID: 2.16.840.1.113883. Binding: Required
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
LossLow G0 0 SNAQ65+_Gewichtsverlies 2.16.840.1.113883. Minder dan 4kg in de laatste 6 maanden
LossHigh G2 3 SNAQ65+_Gewichtsverlies 2.16.840.1.113883. 4kg of meer in de laatste 6 maanden

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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 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 10:39:55 with ZibExtraction v. 6.4.8004.1652

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