MOCA BLIND (193)    MH TEST/SURVEY SPEC (601.712)

Name Value
INSTRUMENT MOCA BLIND
LAST UPDATE 2024-05-09 10:19:24
ENTRY CHECKSUM 1325907915
ENTRY SPECIFICATION
{"name": "MOCA BLIND", 
 recorded here so that the administration can be saved in VistA. <br /> Read list
     {"id": "c6085", "text": "1. Correct", "quickKey": 1}, 
     {"id": "c6086", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
   {"id": "q9502", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "4B. Similarity between WATCH - RULER.", 
    "intro": "4. Abstraction", 
    "columns": 1, 
    "choices":[
     {"id": "c6085", "text": "1. Correct", "quickKey": 1}, 
     {"id": "c6086", "text": "2. Incorrect", "quickKey": 2}
 of words to be recalled. <br /> <br />1. Attention"
   ]}, 
   {"id": "i2610", "type": "IntroText", 
    "text": "5. Delayed Recall"
    }, 
   {"id": "q9503", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "5A. Recall FACE.", 
    "intro": "5. Delayed Recall", 
    "columns": 1, 
    "choices":[
     {"id": "c6087", "text": "0. Correctly recalled - No Cue", "quickKey": 0}, 
    }, 
     {"id": "c6088", "text": "1. Correct with Category Cue", "quickKey": 1}, 
     {"id": "c6089", "text": "2. Correct with Multiple Choice Cue", "quickKey": 2}, 
     {"id": "c6090", "text": "3. Could not recall - Incorrect", "quickKey": 3}
   ]}, 
   {"id": "q9504", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "5B. Recall VELVET.", 
    "intro": "5. Delayed Recall", 
    "columns": 1, 
    "choices":[
     {"id": "c6087", "text": "0. Correctly recalled - No Cue", "quickKey": 0}, 
   {"id": "q9494", "type": "ChoiceQuestion", "required": false, "inline": false, 
     {"id": "c6088", "text": "1. Correct with Category Cue", "quickKey": 1}, 
     {"id": "c6089", "text": "2. Correct with Multiple Choice Cue", "quickKey": 2}, 
     {"id": "c6090", "text": "3. Could not recall - Incorrect", "quickKey": 3}
   ]}, 
   {"id": "q9505", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "5C. Recall CHURCH", 
    "intro": "5. Delayed Recall", 
    "columns": 1, 
    "choices":[
     {"id": "c6087", "text": "0. Correctly recalled - No Cue", "quickKey": 0}, 
    "text": "1A. Forward Digit Span.", 
     {"id": "c6088", "text": "1. Correct with Category Cue", "quickKey": 1}, 
     {"id": "c6089", "text": "2. Correct with Multiple Choice Cue", "quickKey": 2}, 
     {"id": "c6090", "text": "3. Could not recall - Incorrect", "quickKey": 3}
   ]}, 
   {"id": "q9506", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "5D. Recall DAISY.", 
    "intro": "5. Delayed Recall", 
    "columns": 1, 
    "choices":[
     {"id": "c6087", "text": "0. Correctly recalled - No Cue", "quickKey": 0}, 
    "intro": "The administration of the Montreal Cognitive Assessment requires the use of a
     {"id": "c6088", "text": "1. Correct with Category Cue", "quickKey": 1}, 
     {"id": "c6089", "text": "2. Correct with Multiple Choice Cue", "quickKey": 2}, 
     {"id": "c6090", "text": "3. Could not recall - Incorrect", "quickKey": 3}
   ]}, 
   {"id": "q9507", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "5E. Recall RED.", 
    "intro": "5. Delayed Recall", 
    "columns": 1, 
    "choices":[
     {"id": "c6087", "text": "0. Correctly recalled - No Cue", "quickKey": 0}, 
 pencil-and-paper answer sheet. Please be familiar with the instructions and
     {"id": "c6088", "text": "1. Correct with Category Cue", "quickKey": 1}, 
     {"id": "c6089", "text": "2. Correct with Multiple Choice Cue", "quickKey": 2}, 
     {"id": "c6090", "text": "3. Could not recall - Incorrect", "quickKey": 3}
   ]}, 
   {"id": "i2611", "type": "IntroText", 
    "text": "6. Orientation"
    }, 
   {"id": "q9508", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "6A. Today's date.", 
    "intro": "6. Orientation", 
 scoring of this instrument prior to administration. The subject's scores are
    "columns": 1, 
    "choices":[
     {"id": "c6085", "text": "1. Correct", "quickKey": 1}, 
     {"id": "c6086", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
   {"id": "q9509", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "6B. Current month", 
    "intro": "6. Orientation", 
    "columns": 1, 
    "choices":[
 recorded here so that the administration can be saved in VistA. <br /> Read list
     {"id": "c6085", "text": "1. Correct", "quickKey": 1}, 
     {"id": "c6086", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
   {"id": "q9510", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "6C. Current year", 
    "intro": "6. Orientation", 
    "columns": 1, 
    "choices":[
     {"id": "c6085", "text": "1. Correct", "quickKey": 1}, 
     {"id": "c6086", "text": "2. Incorrect", "quickKey": 2}
 of words to be recalled. <br /> <br />1. Attention", 
   ]}, 
   {"id": "q9511", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "6D. Day of the week", 
    "intro": "6. Orientation", 
    "columns": 1, 
    "choices":[
     {"id": "c6085", "text": "1. Correct", "quickKey": 1}, 
     {"id": "c6086", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
   {"id": "q9512", "type": "ChoiceQuestion", "required": false, "inline": false, 
 "copyright": "Copyright (c) Z. Nasreddine MD", 
    "columns": 1, 
    "text": "6E. What place is this?", 
    "intro": "6. Orientation", 
    "columns": 1, 
    "choices":[
     {"id": "c6085", "text": "1. Correct", "quickKey": 1}, 
     {"id": "c6086", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
   {"id": "q9513", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "6F. What city are we in?", 
    "intro": "6. Orientation", 
    "choices":[
    "columns": 1, 
    "choices":[
     {"id": "c6085", "text": "1. Correct", "quickKey": 1}, 
     {"id": "c6086", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
   {"id": "q9514", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "7. Years of formal education:", 
    "intro": "6. Orientation", 
    "columns": 1, 
    "choices":[
     {"id": "c6071", "text": "1. Correct forward digit span", "quickKey": 1}, 
     {"id": "c6091", "text": "1. Twelve years or fewer.", "quickKey": 1}, 
     {"id": "c6092", "text": "2. More than twelve years.", "quickKey": 2}
   ]}]
}
     {"id": "c6072", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
   {"id": "q9495", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "1B. Backward Digit Span. Correct response for the backwards trial is 7-4-2.", 
    "intro": "The administration of the Montreal Cognitive Assessment requires the use of a
 pencil-and-paper answer sheet. Please be familiar with the instructions and
 scoring of this instrument prior to administration. The subject's scores are
 "restartDays": 2, 
 recorded here so that the administration can be saved in VistA. <br /> Read list
 of words to be recalled. <br /> <br />1. Attention", 
    "columns": 1, 
    "choices":[
     {"id": "c6073", "text": "1. Correct backward digit span", "quickKey": 1}, 
     {"id": "c6074", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
   {"id": "q9496", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "1C. Vigilance. Correct when there is zero to one errors (an error is a tap on a
 wrong letter or a failure to tap on letter A).", 
 "printTitle": "Montreal Cognitive Assessment - Blind", 
    "intro": "The administration of the Montreal Cognitive Assessment requires the use of a
 pencil-and-paper answer sheet. Please be familiar with the instructions and
 scoring of this instrument prior to administration. The subject's scores are
 recorded here so that the administration can be saved in VistA. <br /> Read list
 of words to be recalled. <br /> <br />1. Attention", 
    "columns": 1, 
    "choices":[
     {"id": "c6075", "text": "1. Correct vigilance", "quickKey": 1}, 
     {"id": "c6076", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
 "content":[
   {"id": "q9497", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "1D. Serial 7 subtraction starting at 100. Continue for five responses", 
    "intro": "The administration of the Montreal Cognitive Assessment requires the use of a
 pencil-and-paper answer sheet. Please be familiar with the instructions and
 scoring of this instrument prior to administration. The subject's scores are
 recorded here so that the administration can be saved in VistA. <br /> Read list
 of words to be recalled. <br /> <br />1. Attention", 
    "columns": 1, 
    "choices":[
     {"id": "c6077", "text": "0. No correct subtractions", "quickKey": 0}, 
   {"id": "i2606", "type": "IntroText", 
     {"id": "c6078", "text": "1. One correct subtraction", "quickKey": 1}, 
     {"id": "c6079", "text": "2. Two or three correct subtraction", "quickKey": 2}, 
     {"id": "c6080", "text": "3. No errors or four or more correct subtractions", "quickKey": 3}
   ]}, 
   {"id": "i2607", "type": "IntroText", 
    "text": "2. Language"
    }, 
   {"id": "q9498", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "2A. Sentence repetition. I only know that John is the one to help today.", 
    "intro": "2. Language", 
    "text": "The administration of the Montreal Cognitive Assessment requires the use of a
    "columns": 1, 
    "choices":[
     {"id": "c6081", "text": "1. Correctly repeated", "quickKey": 1}, 
     {"id": "c6082", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
   {"id": "q9499", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "2B. Sentence repetition. That cat always hid under the couch when dogs were in
 the room.", 
    "intro": "2. Language", 
    "columns": 1, 
 pencil-and-paper answer sheet. Please be familiar with the instructions and
    "choices":[
     {"id": "c6081", "text": "1. Correctly repeated", "quickKey": 1}, 
     {"id": "c6082", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
   {"id": "q9500", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "3. Words beginning with the letter F.", 
    "intro": "2. Language", 
    "columns": 1, 
    "choices":[
     {"id": "c6083", "text": "1. Correct: more than 10 words in one minute", "quickKey": 1}, 
 scoring of this instrument prior to administration. The subject's scores are
     {"id": "c6084", "text": "2. Incorrect: 10 or less words in a minute.", "quickKey": 2}
   ]}, 
   {"id": "i2609", "type": "IntroText", 
    "text": "4. Abstraction"
    }, 
   {"id": "q9501", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "4A. Similarity between TRAIN - BICYCLE.", 
    "intro": "4. Abstraction", 
    "columns": 1, 
    "choices":[