| ARCHETYPE ID | openEHR-EHR-OBSERVATION.gpcog_screening_test.v0 |
|---|---|
| Concept | GPCOG screening test |
| Description | The General Practitioner Assessment of Cognition (GPCOG) screening test. |
| Use | To record the results of the General Practitioner Assessment of Cognition (GPCOG) screening test. |
| Purpose | Recording of the General Practitioner Assessment of Cognition (GPCOG) screening test. This test was designed as a GP screening tool for dementia. There are two components: a cognitive assessment conducted with the patient, and an informant questionnaire (only considered necessary if the results of the cognitive section are equivocal, i.e. score 5-8 inclusive). Results > 8 or < 5 on the GPCOG patient section were assumed to be cognitively intact or impaired, respectively For patients requiring a informant questionnaire, scores of 3 or less out of 6 in this section indicates cognitive impairment. |
| References | Dementia Partnerships: http://www.dementiapartnerships.org.uk/archive/primary-care/primarycaretoolkit/3-improving-diagnosis/cognitive-assessment-tools/ [cited 13-Jun-2016]. |
| Copyright | © Clinical Models UK |
| Authors | Author name: Hildegard Franke Organisation: freshEHR Clinical Informatics Ltd. Email: hildi@freshehr.com Date originally authored: 2016-06-13 |
| Other Details Language | Author name: Hildegard Franke Organisation: freshEHR Clinical Informatics Ltd. Email: hildi@freshehr.com Date originally authored: 2016-06-13 |
| Other Details (Language Independent) |
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| Keywords | GPCOG, screening, dementia, cognitive, impairment |
| Lifecycle | in_development |
| UID | 77c0c862-981a-4d0a-830e-c8a745157086 |
| Language used | en |
| Citeable Identifier | 1246.145.2787 |
| Revision Number | 0.0.1-alpha |
| protocol | |
| Extension | Extension: Additional information required to capture local content or to align with other reference models/formalisms. For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents. Include: All not explicitly excluded archetypes |
| state | |
| Confounding factors | Confounding factors: Narrative record of factors that may have contributed to the score. |
| data | |
| Step 1: patient examination | Step 1: patient examination: Step 1 of the GPCOG screening test, relating to the patient examination. |
| Time orientation | Time orientation: Statement whether the patient gives a correct or incorrect answer when asked to give the exact date today. 0: Incorrect [The patient gives an incorrect answer.] 1: Correct [The patient gives the correct answer.] |
| Clock drawing - specific time | Clock drawing - specific time: Statement whether the patient correctly marks in hands a specified time (i.e. 10 minutes past 11 o'clock) on a clock face. 0: Incorrect [The patient does not correctly mark in hands a specified time (11.10) on a clock face.] 1: Correct [The patient correctly marks in hands a specified time (11.10) on a clock face.] |
| Clock drawing - all numbers | Clock drawing - all numbers: Statement whether or not the patient marks all the correct numbers to indicate the hours of the clock with the correct spacing. 0: Incorrect [The patient does not mark all the correct numbers to indicate the hours of the clock with the correct spacing.] 1: Correct [The patient marks all the correct number to indicate the hours of the clock with the correct spacing.] |
| Information | Information: Statement whether the patient gives a correct and specific answer when asked to say something that happened in the news recently. Recently = in the last week. If a general answer is given, e.g. "lot of rain", "war", further details should be asked for. 0: Incorrect [Patient does not give specific and correct answer when asked to say something that happened in the news recently.] 1: Correct [Patient gives specific and correct answer when asked to say something that happened in the news recently.] |
| Recall first name | Recall first name: Statement whether patient correctly recalls first name of name and address phrase given at the start of the test. 0: Incorrect [Patient does not correctly recall first name of name and address phrase given at the start of the test.] 1: Correct [Patient correctly recalls first name of name and address phrase given at the start of the test.] |
| Recall surname | Recall surname: Statement whether patient correctly recalls surname of name and address phrase given at the start of the test. 0: Incorrect [Patient does not correctly recall surname of name and address phrase given at the start of the test.] 1: Correct [Patient correctly recalls surname of name and address phrase given at the start of the test.] |
| Recall house number | Recall house number: Statement whether patient correctly recalls house number of name and address phrase given at the start of the test. 0: Incorrect [Patient does not correctly recall house number of name and address phrase given at the start of the test.] 1: Correct [Patient correctly recalls house number of name and address phrase given at the start of the test.] |
| Recall street name | Recall street name: Statement whether patient correctly recalls street name of name and address phrase given at the start of the test. 0: Incorrect [Patient does not correctly recall street name of name and address phrase given at the start of the test.] 1: Correct [Patient correctly recalls street name of name and address phrase given at the start of the test.] |
| Recall locality or town | Recall locality or town: Statement whether patient correctly recalls locality or town of name and address phrase given at the start of the test. 0: Incorrect [Patient does not correctly recall locality or town of name and address phrase given at the start of the test.] 1: Correct [Patient correctly recalls locality or town of name and address phrase given at the start of the test.] |
| Total score | Total score: The total score from all nine individual scores. 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 5-8, more information required. Proceed with Step 2, informant section. min: >=0; max: <=9 |
| Step 2: informant interview | Step 2: informant interview: Step 2 of the GPCOG screening test, relating to the informant interview. This section is required if the total score from Step 1 is between 5 and 8. |
| Trouble remembering | Trouble remembering: Statement whether, compared to a few years ago, the patient has more trouble remembering things that have happened recently than he/she used to.
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| Trouble recalling conversations | Trouble recalling conversations: Statement whether, compared to a few years ago, the patient has more trouble recalling conversations a few days later.
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| Difficulty finding right words or using wrong words | Difficulty finding right words or using wrong words: Statement whether, compared to a few years ago, the patient, when speaking, has more difficulty in finding the right words or tends to use the wrong words more often.
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| Less able to manage money | Less able to manage money: Statement whether, compared to a few years ago, the patient is less able to manage money and financial affairs (e.g. paying bills, budgeting).
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| Less able to manage medication | Less able to manage medication: Statement whether, compared to a few years ago, the patient is less able to manage his/her medication independently.
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| Needs more assistance with transport | Needs more assistance with transport: Statement whether, compared to a few years ago, the patient needs more assistance with transport (either private or public). If patient has difficulties only due to physical problems, e.g. bad leg, 'No' should be selected.
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| Total score | Total score: To get the total score, add the number of items answered 'No', 'Don't know' or 'Not applicable'. A total score of 0-3 indicates cognitive impairment, and standard investigations should be conducted. min: >=0; max: <=6 |
| events | |
| Point in time | Point in time: A specific date and/or time which may be explicitly defined in a template or at run-time. |
| Other contributors | |
| Translators |