Thank you for your inquiry into CMS 986, the Global Malnutrition Composite Score. To best capture measure intent, it is recommended that you map the screening documentation data element to the initial admission malnutrition screen. However, given the role of iatrogenic malnutrition, mapping subsequent malnutrition risk screenings may better capture patient care. At this time, the presence of a Not-at-Risk Result will supersede an At-Risk Result from the Malnutrition Risk Screening, regardless of the timing. The Measure Steward (MS) is evaluating the options to be able to update the logic to prioritize the need to identify malnutrition throughout the encounter.