ARCHETYPE GPCOG screening test (openEHR-EHR-OBSERVATION.gpcog_screening_test.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.gpcog_screening_test.v0
ConceptGPCOG screening test
DescriptionThe General Practitioner Assessment of Cognition (GPCOG) screening test.
UseTo record the results of the General Practitioner Assessment of Cognition (GPCOG) screening test.
PurposeRecording 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.
ReferencesDementia Partnerships: http://www.dementiapartnerships.org.uk/archive/primary-care/primarycaretoolkit/3-improving-diagnosis/cognitive-assessment-tools/ [cited 13-Jun-2016].
Copyright© Clinical Models UK
AuthorsAuthor name: Hildegard Franke
Organisation: freshEHR Clinical Informatics Ltd.
Email: hildi@freshehr.com
Date originally authored: 2016-06-13
Other Details LanguageAuthor name: Hildegard Franke
Organisation: freshEHR Clinical Informatics Ltd.
Email: hildi@freshehr.com
Date originally authored: 2016-06-13
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=UK Clinical Models, references=Dementia Partnerships: http://www.dementiapartnerships.org.uk/archive/primary-care/primarycaretoolkit/3-improving-diagnosis/cognitive-assessment-tools/ [cited 13-Jun-2016]., current_contact=Hildegard Franke, freshEHR Clinical Informatics Ltd., original_namespace=uk.org.clinicalmodels, original_publisher=UK Clinical Models, custodian_namespace=uk.org.clinicalmodels, MD5-CAM-1.0.1=541EFF994F69A7ED42E543C62C75E494, build_uid=54130a8b-5ae5-4a7f-9d32-ad29086b74c0, revision=0.0.1-alpha}
KeywordsGPCOG, screening, dementia, cognitive, impairment
Lifecyclein_development
UID77c0c862-981a-4d0a-830e-c8a745157086
Language useden
Citeable Identifier1013.1.3340
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=The General Practitioner Assessment of Cognition (GPCOG) screening test., archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={items=[], description=[], context=[], activities=[], identities=[], capabilities=[], provider=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0006]/items[at0007], code=at0007, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
All not explicitly excluded archetypes, extendedValues=null]], content=[], source=[], credentials=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=POINT_EVENT, level=2, text=Point in time, description=A specific date and/or time which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null]], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0038], code=at0038, itemType=CLUSTER, level=4, text=Step 1: patient examination, description=Step 1 of the GPCOG screening test, relating to the patient examination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0038]/items[at0008], code=at0008, itemType=ELEMENT, level=5, text=Time orientation, description=Statement whether the patient gives a correct or incorrect answer when asked to give the exact date today., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Incorrect [The patient gives an incorrect answer.]
1: Correct [The patient gives the correct answer.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0038]/items[at0014], code=at0014, itemType=ELEMENT, level=5, text=Clock drawing - specific time, description=Statement whether the patient correctly marks in hands a specified time (i.e. 10 minutes past 11 o'clock) on a clock face., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0038]/items[at0011], code=at0011, itemType=ELEMENT, level=5, text=Clock drawing - all numbers, description=Statement whether or not the patient marks all the correct numbers to indicate the hours of the clock with the correct spacing., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0038]/items[at0017], code=at0017, itemType=ELEMENT, level=5, text=Information, description=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., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0038]/items[at0020], code=at0020, itemType=ELEMENT, level=5, text=Recall first name, description=Statement whether patient correctly recalls first name of name and address phrase given at the start of the test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0038]/items[at0023], code=at0023, itemType=ELEMENT, level=5, text=Recall surname, description=Statement whether patient correctly recalls surname of name and address phrase given at the start of the test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0038]/items[at0027], code=at0027, itemType=ELEMENT, level=5, text=Recall house number, description=Statement whether patient correctly recalls house number of name and address phrase given at the start of the test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0038]/items[at0030], code=at0030, itemType=ELEMENT, level=5, text=Recall street name, description=Statement whether patient correctly recalls street name of name and address phrase given at the start of the test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0038]/items[at0033], code=at0033, itemType=ELEMENT, level=5, text=Recall locality or town, description=Statement whether patient correctly recalls locality or town of name and address phrase given at the start of the test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0038]/items[at0036], code=at0036, itemType=ELEMENT, level=5, text=Total score, description=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., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=9

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0039], code=at0039, itemType=CLUSTER, level=4, text=Step 2: informant interview, description=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., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0039]/items[at0037], code=at0037, itemType=ELEMENT, level=5, text=Trouble remembering, description=Statement whether, compared to a few years ago, the patient has more trouble remembering things that have happened recently than he/she used to., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Yes [The patient has more trouble remembering things that have happened recently than he/she used to.]
  • No [The patient does not have more trouble remembering things that have recently happened than he/she used to.]
  • Don't know [The informant doesn't know whether the patient has more trouble remembering thigns tha thave happened recently than he/she used to.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0039]/items[at0043], code=at0043, itemType=ELEMENT, level=5, text=Trouble recalling conversations, description=Statement whether, compared to a few years ago, the patient has more trouble recalling conversations a few days later., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Yes [The patient has trouble recalling conversations a few days later.]
  • No [The patient does not have trouble recalling conversations a few days later.]
  • Don't know [The informant doesn't know whether the patient has trouble recalling conversations a few days later.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0039]/items[at0047], code=at0047, itemType=ELEMENT, level=5, text=Difficulty finding right words or using wrong words, description=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., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Yes [When speaking, the patient has difficulty in finding the right words or tends to use the wrong words more often.]
  • No [When speaking, the patient does not have difficulty in finding the right words and does not tend to use the wrong words more often.]
  • Don't know [The informant doesn't know whether the patient, when speaking, has more difficulty in finding the right words or tends to use the wrong words more often.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0039]/items[at0051], code=at0051, itemType=ELEMENT, level=5, text=Less able to manage money, description=Statement whether, compared to a few years ago, the patient is less able to manage money and financial affairs (e.g. paying bills, budgeting)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Yes [The patient is less able to manage money and financial affairs.]
  • No [The patient is not less able to manage money and financial affairs.]
  • Don't know [The informant doesn't know whether the patient is less able to manage money and financial affairs.]
  • Not applicable [The question of whether the patient is less able to manage money or financial affairs is not applicable to this patient.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0039]/items[at0056], code=at0056, itemType=ELEMENT, level=5, text=Less able to manage medication, description=Statement whether, compared to a few years ago, the patient is less able to manage his/her medication independently., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Yes [The patient is less able to manage his/her medication independently.]
  • No [The patient is not less able to manage his/her medication independently.]
  • Don't know [The informant doesn't know whether the patient is less able to manage his/her medication independently.]
  • Not applicable [The question whether the patient is less able to manage his/her medication independently is not relevant to this patient.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0039]/items[at0061], code=at0061, itemType=ELEMENT, level=5, text=Needs more assistance with transport, description=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., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Yes [The patient needs more assistance with transport.]
  • No [The patient does not need more assistance with transport.]
  • Don't know [The informant doesn't know whether the patient needs more assistance with transport.]
  • Not applicable [The question whether the patient needs more assistance with transport is not applicable to this patient.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0039]/items[at0066], code=at0066, itemType=ELEMENT, level=5, text=Total score, description=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., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=6

, extendedValues=null]], contacts=[], ism_transition=[], details=[], relationships=[], state=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0004]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Confounding factors, description=Narrative record of factors that may have contributed to the score., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], target=[], other_participations=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0006], code=at0006, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], state=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/state[at0004], code=at0004, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0006]/items[at0007], code=at0007, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]