SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: SGHI Malnutrition Screening (MUST) Answer - JSON Representation

Active as of 2026-09-15

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{
  "resourceType" : "ValueSet",
  "id" : "malnutrition-screening-answer",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet malnutrition-screening-answer</b></p><a name=\"malnutrition-screening-answer\"> </a><a name=\"hcmalnutrition-screening-answer\"> </a><ul><li>Include these codes as defined in <a href=\"CodeSystem-clinical-score-codesystem.html\"><code>https://fhir.slade360.co.ke/fhir/CodeSystem/clinical-score-codesystem</code></a><span title=\"Version is not explicitly stated, which means it is fixed to the version provided in this specification\"> version &#x1F4E6;0.1.0</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-must-bmi-0\">must-bmi-0</a></td><td>BMI 20 or over</td><td>MUST body mass index step: 20 kg/m2 or above.</td></tr><tr><td><a href=\"CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-must-bmi-1\">must-bmi-1</a></td><td>BMI 18.5 to 20</td><td>MUST body mass index step: 18.5 to 20 kg/m2.</td></tr><tr><td><a href=\"CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-must-bmi-2\">must-bmi-2</a></td><td>BMI under 18.5</td><td>MUST body mass index step: below 18.5 kg/m2.</td></tr><tr><td><a href=\"CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-must-loss-0\">must-loss-0</a></td><td>Weight loss under 5%</td><td>MUST weight loss step: unplanned loss of less than 5% of body weight in the last three to six months.</td></tr><tr><td><a href=\"CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-must-loss-1\">must-loss-1</a></td><td>Weight loss 5 to 10%</td><td>MUST weight loss step: unplanned loss of 5 to 10% of body weight in the last three to six months.</td></tr><tr><td><a href=\"CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-must-loss-2\">must-loss-2</a></td><td>Weight loss over 10%</td><td>MUST weight loss step: unplanned loss of more than 10% of body weight in the last three to six months.</td></tr><tr><td><a href=\"CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-must-acute-0\">must-acute-0</a></td><td>Eating normally</td><td>MUST acute disease effect step: the patient is eating, or a break in intake of five days or more is not expected.</td></tr><tr><td><a href=\"CodeSystem-clinical-score-codesystem.html#clinical-score-codesystem-must-acute-2\">must-acute-2</a></td><td>No nutritional intake for 5 days or more</td><td>MUST acute disease effect step: acutely ill with no nutritional intake for five days or more, or none expected for that long.</td></tr></table></li></ul></div>"
  },
  "url" : "https://fhir.slade360.co.ke/fhir/ValueSet/malnutrition-screening-answer",
  "version" : "0.1.0",
  "name" : "SGHIMalnutritionScreeningAnswer",
  "title" : "SGHI Malnutrition Screening (MUST) Answer",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-09-15T11:40:24+00:00",
  "publisher" : "Kathurima Kimathi",
  "contact" : [
    {
      "name" : "Kathurima Kimathi",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.linkedin.com/in/kathurima-kimathi/"
        },
        {
          "system" : "email",
          "value" : "kathurimakimathi415@gmail.com"
        }
      ]
    },
    {
      "name" : "Oscar John",
      "telecom" : [
        {
          "system" : "email",
          "value" : "oscarjohnotieno@gmail.com",
          "use" : "work"
        }
      ]
    },
    {
      "name" : "Kennedy Omondi",
      "telecom" : [
        {
          "system" : "email",
          "value" : "kennankole@gmail.com",
          "use" : "work"
        }
      ]
    }
  ],
  "description" : "The answers to the three MUST steps: body mass index, unplanned weight loss and acute disease effect. The extracted Observation carries the total, banded low, medium or high per BAPEN.",
  "compose" : {
    "include" : [
      {
        "system" : "https://fhir.slade360.co.ke/fhir/CodeSystem/clinical-score-codesystem",
        "concept" : [
          {
            "code" : "must-bmi-0",
            "display" : "BMI 20 or over"
          },
          {
            "code" : "must-bmi-1",
            "display" : "BMI 18.5 to 20"
          },
          {
            "code" : "must-bmi-2",
            "display" : "BMI under 18.5"
          },
          {
            "code" : "must-loss-0",
            "display" : "Weight loss under 5%"
          },
          {
            "code" : "must-loss-1",
            "display" : "Weight loss 5 to 10%"
          },
          {
            "code" : "must-loss-2",
            "display" : "Weight loss over 10%"
          },
          {
            "code" : "must-acute-0",
            "display" : "Eating normally"
          },
          {
            "code" : "must-acute-2",
            "display" : "No nutritional intake for 5 days or more"
          }
        ]
      }
    ]
  }
}