Version 2.78

79117-8 Patient Examination

Term Description

The Patient Examination portion of the General Practitioner assessment of Cognition (GPCOG) is a cognitive assessment for recall, time orientation, clock drawing, and ability to provide current news information. PMID: 11943052 The screening tool is designed for primary care settings. Scores between 0-9 where 9 indicates no significant cognitive impairment (all answers are correct), 5-8 is equivocal, and 0-4 indicates cognitive impairment. If the patient scores 5-8, the patient's informant completes the informant questionnaire [LOINC: 79116-0]. If the patient scores 0-3 out of 6 on the informant questionnaire, cognitive impairment is indicated.
Source: Regenstrief LOINC

Observation Required in Panel

Required

Form Coding Instructions

Unless specified, each question should be asked only once. Name and Address for Subsequent Recall Test Read the following to the patient: I am going to give you a name and address. After I have said it, I want you to repeat it. Remember this name and address because I am going to ask you to tell it to me again in a few minutes: John Brown 42 West Street Kensington (Allow a maximum of 4 attempts but do not score yet)

Source: General Practitioner Assessment of Cognition (GPCOG)

Fully-Specified Name

Component
Patient examination panel
Property
-
Time
Pt
System
^Patient
Scale
-
Method
GPCOG

Basic Attributes

Class
PANEL.SURVEY.GPCOG
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.63
Order vs. Observation
Subset
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
79115-2 General Practitioner Assessment of Cognition [GPCOG]

79105-3 Time Orientation.What is the date?

Observation Required in Panel

Required

Form Coding Instructions

(exact only)

Source: General Practitioner Assessment of Cognition (GPCOG)

Fully-Specified Name

Component
Can provide correct date
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
GPCOG

Basic Attributes

Class
SURVEY.GPCOG
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Survey Question

Text
Time Orientation.What is the date?
Source
GPCOG.Patient examination_Time Orientation

Normative Answer List LL3716-9

Answer Code Score Answer ID
Correct 1 LA9960-1
Incorrect 0 LA7342-4

Member of these Panels

LOINC Long Common Name
79115-2 General Practitioner Assessment of Cognition [GPCOG]

79150-9 Clock Drawing (Visuospatial functioning)

Observation Required in Panel

Required

Form Coding Instructions

Clock drawing: For a correct response to question 3, the numbers 12, 3, 6, and 9 should be in the correct quadrants of the circle and the other numbers should be approximately correctly placed. For a correct response to question 4, the hands should be pointing to the 11 and the 2, but do not penalize if the respondent fails to distinguish the long and short hands

Source: General Practitioner Assessment of Cognition (GPCOG)

Fully-Specified Name

Component
Clock drawing panel
Property
-
Time
Pt
System
^Patient
Scale
-
Method
GPCOG

Basic Attributes

Class
PANEL.SURVEY.GPCOG
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Subset
Panel Type
Convenience group

Member of these Panels

LOINC Long Common Name
79115-2 General Practitioner Assessment of Cognition [GPCOG]

79106-1 Please mark in all the numbers to indicate the hours of a clock

Observation Required in Panel

Required

Form Coding Instructions

Correct spacing required

Source: General Practitioner Assessment of Cognition (GPCOG)

Fully-Specified Name

Component
Can correctly draw all the numbers to indicate the hours of a clock
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
GPCOG

Basic Attributes

Class
SURVEY.GPCOG
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Normative Answer List LL3716-9

Answer Code Score Answer ID
Correct 1 LA9960-1
Incorrect 0 LA7342-4

Member of these Panels

LOINC Long Common Name
79115-2 General Practitioner Assessment of Cognition [GPCOG]

79107-9 Please mark in hands to show 10 minutes past eleven o'clock (11:10)

Observation Required in Panel

Required

Fully-Specified Name

Component
Can correctly draw hands to show 10M past eleven o'clock
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
GPCOG

Basic Attributes

Class
SURVEY.GPCOG
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Normative Answer List LL3716-9

Answer Code Score Answer ID
Correct 1 LA9960-1
Incorrect 0 LA7342-4

Member of these Panels

LOINC Long Common Name
79115-2 General Practitioner Assessment of Cognition [GPCOG]

79108-7 Information.Can you tell me something that happened in the news recently?

Observation Required in Panel

Required

Form Coding Instructions

Respondents are not required to provide extensive details, as long as they demonstrate awareness of a recent news story. If a general answer is given, such as "war,""a lot of rain," ask for details-if unable to give details, the answer should be scored as incorrect

Source: General Practitioner Assessment of Cognition (GPCOG)

Fully-Specified Name

Component
Can report something that happened in the news recently
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
GPCOG

Basic Attributes

Class
SURVEY.GPCOG
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Survey Question

Text
Information.Can you tell me something that happened in the news recently?
Source
GPCOG.Patient examination_Information

Normative Answer List LL3716-9

Answer Code Score Answer ID
Correct 1 LA9960-1
Incorrect 0 LA7342-4

Member of these Panels

LOINC Long Common Name
79115-2 General Practitioner Assessment of Cognition [GPCOG]

79104-6 What was the name and address I asked you to remember?

Observation Required in Panel

Required

Fully-Specified Name

Component
Recall
Property
-
Time
Pt
System
^Patient
Scale
-
Method
GPCOG

Basic Attributes

Class
PANEL.SURVEY.GPCOG
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Subset
Panel Type
Organizer

Survey Question

Text
What was the name and address I asked you to remember?
Source
GPCOG.Patient examination_Recall

Member of these Panels

LOINC Long Common Name
79115-2 General Practitioner Assessment of Cognition [GPCOG]

79109-5 John

Observation Required in Panel

Required

Fully-Specified Name

Component
Can recall John
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
GPCOG

Basic Attributes

Class
SURVEY.GPCOG
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Normative Answer List LL3716-9

Answer Code Score Answer ID
Correct 1 LA9960-1
Incorrect 0 LA7342-4

Member of these Panels

LOINC Long Common Name
79115-2 General Practitioner Assessment of Cognition [GPCOG]

79110-3 Brown

Observation Required in Panel

Required

Fully-Specified Name

Component
Can recall Brown
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
GPCOG

Basic Attributes

Class
SURVEY.GPCOG
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Normative Answer List LL3716-9

Answer Code Score Answer ID
Correct 1 LA9960-1
Incorrect 0 LA7342-4

Member of these Panels

LOINC Long Common Name
79115-2 General Practitioner Assessment of Cognition [GPCOG]

79111-1 42

Observation Required in Panel

Required

Fully-Specified Name

Component
Can recall 42
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
GPCOG

Basic Attributes

Class
SURVEY.GPCOG
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Normative Answer List LL3716-9

Answer Code Score Answer ID
Correct 1 LA9960-1
Incorrect 0 LA7342-4

Member of these Panels

LOINC Long Common Name
79115-2 General Practitioner Assessment of Cognition [GPCOG]

79112-9 West (St)

Observation Required in Panel

Required

Fully-Specified Name

Component
Can recall West
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
GPCOG

Basic Attributes

Class
SURVEY.GPCOG
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Normative Answer List LL3716-9

Answer Code Score Answer ID
Correct 1 LA9960-1
Incorrect 0 LA7342-4

Member of these Panels

LOINC Long Common Name
79115-2 General Practitioner Assessment of Cognition [GPCOG]

79113-7 Kensington

Observation Required in Panel

Required

Fully-Specified Name

Component
Can recall Kensington
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
GPCOG

Basic Attributes

Class
SURVEY.GPCOG
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Normative Answer List LL3716-9

Answer Code Score Answer ID
Correct 1 LA9960-1
Incorrect 0 LA7342-4

Member of these Panels

LOINC Long Common Name
79115-2 General Practitioner Assessment of Cognition [GPCOG]

79114-5 Total correct (out of 9)

Term Description

The total score for the GPCOG Patient Examination is equal to the total number of correct answers out of 9 questions. If patient scores 9, no significant cognitive impairment and further testing not necessary. If patient scores 5-8, more information required. Proceed with Step 2, informant section. If patient scores 0-4, cognitive impairment is indicated. Conduct standard investigations.
Source: Regenstrief LOINC

Observation Required in Panel

Required

Form Coding Instructions

To get a total score, add the number of items answered correctly. If patient scores 9, no significant cognitive impairment and further testing not necessary. If patient scores 5-8, more information required. Proceed with Step 2, informant section. If patient scores 0-4, cognitive impairment is indicated. Conduct standard investigations

Source: General Practitioner Assessment of Cognition (GPCOG)

Fully-Specified Name

Component
Total score - Patient examination
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
GPCOG

Basic Attributes

Class
SURVEY.GPCOG
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.54
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
79115-2 General Practitioner Assessment of Cognition [GPCOG]

Example Units

Unit Source
{score} Example UCUM Units

79116-0 Informant Interview

Term Description

The Informant Interview section of the General Practitioner Assessment of Cognition (GPCOG) screening test [LOINC: 79115-2] is performed when the patient scores between 5-8 out of 9 on the patient GPCOG cognitive assessment [LOINC: 79117-8 ]. To determine if the patient has cognitive impairment, the patient's informant is asked six questions about how the patient is compared to when s/he was well (e.g. 5 - 10 years ago). The total score is equal to the number of items answered 'no', 'don't know' or 'N/A'. If the patient scores between 0-3 out of 6, cognitive impairment is indicated.
Source: Regenstrief LOINC

Observation Required in Panel

Conditional

Form Coding Instructions

Ask the informant: "Compared to a few years ago,"

Source: General Practitioner Assessment of Cognition (GPCOG)

Fully-Specified Name

Component
Informant interview panel
Property
-
Time
Pt
System
^Patient
Scale
-
Method
GPCOG

Basic Attributes

Class
PANEL.SURVEY.GPCOG
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.63
Order vs. Observation
Subset
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
79115-2 General Practitioner Assessment of Cognition [GPCOG]

79118-6 Does the patient have more trouble remembering things that have happened recently than s/he used to?

Observation Required in Panel

Required

Fully-Specified Name

Component
Compared to a few Y ago, does the patient have more trouble remembering things that have happened recently than she or he used to
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
GPCOG

Basic Attributes

Class
SURVEY.GPCOG
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.58
Change Reason
Changed "year" to "Y" in the Component based on current naming conventions.
Order vs. Observation
Observation

Survey Question

Text
Does the patient have more trouble remembering things that have happened recently than s/he used to?
Source
GPCOG.Informant interview_QI

Normative Answer List LL3718-5

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 0 LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 1 LA32-8
Don't know Copyright http://snomed.info/sct ID:456791000124100 Do not know (qualifier value) 1 LA12688-0
N/A 1 LA4543-0

Member of these Panels

LOINC Long Common Name
79115-2 General Practitioner Assessment of Cognition [GPCOG]

79119-4 Does he or she have more trouble recalling conversations a few days later?

Observation Required in Panel

Required

Fully-Specified Name

Component
Compared to a few Y ago, does he or she have more trouble recalling conversations a few days later
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
GPCOG

Basic Attributes

Class
SURVEY.GPCOG
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.58
Change Reason
Changed "year" to "Y" in the Component based on current naming conventions.
Order vs. Observation
Observation

Survey Question

Text
Does he or she have more trouble recalling conversations a few days later?
Source
GPCOG.Informant interview_QII

Normative Answer List LL3718-5

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 0 LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 1 LA32-8
Don't know Copyright http://snomed.info/sct ID:456791000124100 Do not know (qualifier value) 1 LA12688-0
N/A 1 LA4543-0

Member of these Panels

LOINC Long Common Name
79115-2 General Practitioner Assessment of Cognition [GPCOG]

79120-2 When speaking, does the patient have more difficulty in finding the right word or tend to use the wrong words more often?

Observation Required in Panel

Required

Fully-Specified Name

Component
Compared to a few Y ago, when speaking, does the patient have more difficulty in finding the right word or tend to use the wrong words more often
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
GPCOG

Basic Attributes

Class
SURVEY.GPCOG
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.58
Change Reason
Changed "year" to "Y" in the Component based on current naming conventions.
Order vs. Observation
Observation

Survey Question

Text
When speaking, does the patient have more difficulty in finding the right word or tend to use the wrong words more often?
Source
GPCOG.Informant interview_QIII

Normative Answer List LL3718-5

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 0 LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 1 LA32-8
Don't know Copyright http://snomed.info/sct ID:456791000124100 Do not know (qualifier value) 1 LA12688-0
N/A 1 LA4543-0

Member of these Panels

LOINC Long Common Name
79115-2 General Practitioner Assessment of Cognition [GPCOG]

79121-0 Is the patient less able to manage money and financial affairs (e.g. paying bills, budgeting)?

Observation Required in Panel

Required

Fully-Specified Name

Component
Compared to a few Y ago, is the patient less able to manage money and financial affairs (e.g. paying bills, budgeting)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
GPCOG

Basic Attributes

Class
SURVEY.GPCOG
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.58
Change Reason
Changed "year" to "Y" in the Component based on current naming conventions.
Order vs. Observation
Observation

Survey Question

Text
Is the patient less able to manage money and financial affairs (e.g. paying bills, budgeting)?
Source
GPCOG.Informant interview_QIV

Normative Answer List LL3718-5

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 0 LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 1 LA32-8
Don't know Copyright http://snomed.info/sct ID:456791000124100 Do not know (qualifier value) 1 LA12688-0
N/A 1 LA4543-0

Member of these Panels

LOINC Long Common Name
79115-2 General Practitioner Assessment of Cognition [GPCOG]

79122-8 Is the patient less able to manage his or her medication independently?

Observation Required in Panel

Required

Fully-Specified Name

Component
Compared to a few Y ago, is the patient less able to manage his or her medication independently
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
GPCOG

Basic Attributes

Class
SURVEY.GPCOG
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.58
Change Reason
Changed "year" to "Y" in the Component based on current naming conventions.
Order vs. Observation
Observation

Survey Question

Text
Is the patient less able to manage his or her medication independently?
Source
GPCOG.Informant interview_QV

Normative Answer List LL3718-5

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 0 LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 1 LA32-8
Don't know Copyright http://snomed.info/sct ID:456791000124100 Do not know (qualifier value) 1 LA12688-0
N/A 1 LA4543-0

Member of these Panels

LOINC Long Common Name
79115-2 General Practitioner Assessment of Cognition [GPCOG]

79123-6 Does the patient need more assistance with transport (either private or public)?

Observation Required in Panel

Required

Fully-Specified Name

Component
Compared to a few Y ago, does the patient need more assistance with transport (either private or public)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
GPCOG

Basic Attributes

Class
SURVEY.GPCOG
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.58
Change Reason
Changed "year" to "Y" in the Component based on current naming conventions.
Order vs. Observation
Observation

Survey Question

Text
Does the patient need more assistance with transport (either private or public)?
Source
GPCOG.Informant interview_QVI

Normative Answer List LL3718-5

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 0 LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 1 LA32-8
Don't know Copyright http://snomed.info/sct ID:456791000124100 Do not know (qualifier value) 1 LA12688-0
N/A 1 LA4543-0

Member of these Panels

LOINC Long Common Name
79115-2 General Practitioner Assessment of Cognition [GPCOG]

79124-4 Total score (out of 6)

Term Description

The total score of the GPCOG Informant Interview is equal to the number of items answered 'no', 'don't know' or 'N/A' out of six questions. If the patient scores 0-3, cognitive impairment is indicated.
Source: Regenstrief LOINC

Observation Required in Panel

Required

Form Coding Instructions

To get a total score, add the number of items answered 'no', 'don't know' or 'N/A' If patient scores 0-3, cognitive impairment is indicated. Conduct standard investigations

Source: General Practitioner Assessment of Cognition (GPCOG)

Fully-Specified Name

Component
Total score - Informant interview
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
GPCOG

Basic Attributes

Class
SURVEY.GPCOG
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.58
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
79115-2 General Practitioner Assessment of Cognition [GPCOG]

Example Units

Unit Source
{score} Example UCUM Units