| SPECIFICATION |
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hands to 10 past 11.\"||Use preprinted circle for this exercise.\r\n Repeat instructions as needed as this is not a memory test. Move to Step 3 if the clock is not complete within three minutes.||[A normal clock has all numbers placed in th
e correct sequence and approximately correct position\r\n (e.g., 12, 3, 6 and 9 are in anchor positions) with no missing or duplicate numbers. Hands are pointing to the 11 and 2 (11:10). Hand length is not scored.]","max":0,"min":0,"questio
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"Step 3: Three Word Recall||Ask the person to recall the three words you stated in Step 1. Say: \"What were the three words I asked you to remember?\"\r\n||[A correct response is spontaneously recalled without cueing.]","max":0,"min":0,"que
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n, S.","auxDate":null,"auxVersion":"1.0.3.2","copyrightText":"S. Borson. All rights reserved.","copyrighted":true,"dllDate":null,"dllVersion":null,"enteredBy":
"Schultz, Roger","entryDate":"2011-06-30","fullText":true,"id":174,"interpretiveText":null,"lastEditDate":3230830.1414,"lastEditedBy":"HOWELL,LYNN","legacy":false,"licenseCurrent":false,"name":"MINICOG","national":false,"normSample":null,"o
perational":"Y","printTitle":"Mini-Cog","publicationDate":2011,"publisher":null,"purpose":null,"reference":"Int J Geriatr Psychiatry 2000; 15(11):1021.","requireSignature":false,"requiresLicense":"N","scoringRevision":2,"scoringRoutine":"YT
SMINIC","scoringTag":"DLL","staffOnly":"Y","submitNational":true,"suicideriskRoutine":null,"suicideriskTag":null,"targetPopulation":null,"version":"01.19.16","wasOperational":true},"report":{"id":72,"instrument":174,"template":"| Mini-Cog
Test\r\n| \r\n| Date Given: <.Date_Given.>\r\n| Clinician: <.Staff_Ordered_By.>\r\n| Location: <.Location.>\r\n| \r\n| Veteran: <.Patient_Name_Last_First.>\r\n| SSN: <.Patient_SSN.>\r\n| DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>
)\r\n| Gender: <.Patient_Gender.>\r\n| \r\n| <*Answer_7771*>\r\n| \r\n| A cut point of <3 on the Mini-Cog(tm) has been validated for dementia\r\n| screening, but many individuals with clinically meaningful cognitive\r\n| impairment wil
directly at person and say, \"Please listen carefully. I am going to say three words that I want you to repeat back\r\n to me now and try to remember. The words are [select a list of words from the versions below]. Please say them for me no
l score higher. When greater sensitivity is desired, a\r\n| cut point of <4 is recommended as it may indicate a need for further\r\n| evaluation of cognitive status.\r\n| \r\n| \r\n| Questions and Answers\r\n|\r\n<*Answer_7772*>\r\n| \r\
n| Information contained in this note is based on a self-report assessment and is not sufficient to use alone for diagnostic\r\n purposes. Assessment results should be verified for accuracy and used in conjunction with other diagnostic acti
vities and procedures"},"scaleGroup":[{"grid1":0,"grid2":0,"grid3":0,"id":163,"instrument":174,"name":"MINICOG","ordInc":1,"ordMax":4,"ordMin":0,"ordTitle":"MINIC","scale":[{"groupId":163,"id":624,"name":"Mini-Cog Score","sequence":1,"xLabe
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{\"id\": \"i610\", \"type\": \"IntroText\", \r\n \"text\": \"<strong>Step 1: Three Word Registration<\/strong><br \/><br \/>Look directly at person and say,\r\n \\u0022Please listen carefully. I am going to say three words that I want
you to\r\n repeat back to me now and try to remember. The words are [select a list of words\r\n from the versions below]. Please say them for me now.\\u0022 If the person is\r\n unable to repeat the words after three attempts, move on to St
ep 2 (clock\r\n drawing). <br \/><br \/>The following and other word lists have been used in one\r\n or more clinical studies. For repeated administrations, use of an alternative\r\n word list is recommended.<br \/> <br \/><i>Version 1:<\/i
> Banana, Sunrise, Chair<br\r\n \/><i>Version 2:<\/i> Leader, Season, Table<br \/><i>Version 3:<\/i> Village, Kitchen, Baby<br\r\n \/><i>Version 4:<\/i> River, Nation, Finger<br \/><i>Version 5:<\/i> Captain, Garden, Picture<br\r\n \/><i>Ve
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egistration<\/strong><br \/><br \/>Look directly at person and say,\r\n \\u0022Please listen carefully. I am going to say three words that I want you to\r\n repeat back to me now and try to remember. The words are [select a list of words\r\
w.\" If the person is unable to repeat the words after three attempts, move on to Step 2 (clock drawing).\r\n||The following and other word lists have been used in one or more clinical studies. For repeated administrations, use of an altern
n from the versions below]. Please say them for me now.\\u0022 If the person is\r\n unable to repeat the words after three attempts, move on to Step 2 (clock\r\n drawing). <br \/><br \/>The following and other word lists have been used in o
ne\r\n or more clinical studies. For repeated administrations, use of an alternative
\r\n word list is recommended.<br \/> <br \/><i>Version 1:<\/i> Banana, Sunrise, Chair<br\r\n \/><i>Version 2:<\/i> Leader, Season, Table<br \/><i>Version 3:<\/i> Village, Kitchen, Baby<br\r\n \/><i>Version 4:<\/i> River, Nation, Finger<br
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pe\": \"IntroText\", \r\n \"text\": \"<strong>Step 2: Clock Drawing<\/strong><br \/><br \/>Say: \\u0022Next, I want you to draw a clock for\r\n me. First, put in all of the numbers where they go.\\u0022 When that is\r\n completed, say: \
\u0022Now, set the hands to 10 past 11.\\u0022<br \/><br \/>Use\r\n preprinted circle for this exercise. Repeat instructions as needed as this is\r\n not a memory test. Move to Step 3 if the clock is not complete within three\r\n minutes.<b
r \/><br \/><small>[A normal clock has all numbers placed in the correct\r\n sequence and approximately correct position (e.g., 12, 3, 6 and 9 are in anchor\r\n positions) with no missing or duplicate numbers. Hands are pointing to the 11\r
\n and 2 (11:10). Hand length is not scored.]<\/small>\"\r\n }, \r\n {\"id\": \"q5536\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \" Clock Drawing\", \r\n \"intro\": \"<strong>Step 2: Cl
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ative word list is recommended.|\r\n|Version 1: Banana, Sunrise, Chair|Version 2: Leader, Season, Table|Version 3: Village, Kitchen, Baby|Version 4: River, Nation, Finger|Version 5: Captain, Garden, Picture|Version 6: Daughter, Heaven, Moun
>Use\r\n preprinted circle for this exercise. Repeat instructions as needed as this is\r\n not a memory test. Move to Step 3 if the clock is not complete within three\r\n minutes.<br \/><br \/><small>[A normal clock has all numbers placed i
n the correct\r\n sequence and approximately correct position (e.g., 12, 3, 6 and 9 are in anchor\r\n positions) with no missing or duplicate numbers. Hands are pointing to the 11\r\n and 2 (11:10). Hand length is not scored.]<\/small>\", \
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IntroText\", \r\n \"text\": \"<strong>Step 3: Three Word Recall<\/strong><br \/><br \/>Ask the person to recall the three words you\r\n stated in Step 1. Say: \\u0022What were the three words I asked you to\r\n remember?\\u0022 <br \/><b
r \/><small>[A correct response is spontaneously recalled\r\n without cueing.]<\/small>\"\r\n }, \r\n {\"id\": \"q5537\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \" Recall of FIRST WORD\",
\r\n \"intro\": \"<strong>Step 3: Three Word Recall<\/strong><br \/><br \/>Ask the person to recall the three words you\r\n stated in Step 1. Say: \\u0022What were the three words I asked you to\r\n remember?\\u0022 <br \/><br \/><small
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/strong><br \/><br \/>Ask the person to recall the three words you\r\n stated in Step 1. Say: \\u0022What were the three words I asked you to
\r\n remember?\\u0022 <br \/><br \/><small>[A correct response is spontaneously recalled\r\n without cueing.]<\/small>\", \r\n \"columns\": 3, \r\n \"choices\":[\r\n {\"id\": \"c2504\", \"text\": \"1. Correct\", \"quickKey\": 1},
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\": \"<strong>Step 3: Three Word Recall<\/strong><br \/><br \/>Ask the person to recall the three words you\r\n stated in Step 1. Say: \\u0022What were the three words I asked you to\r\n remember?\\u0022 <br \/><br \/><small>[A correct resp
onse is spontaneously recalled\r\n without cueing.]<\/small>\", \r\n \"columns\": 3, \r\n \"choices\":[\r\n {\"id\": \"c2504\", \"text\": \"1. Correct\", \"quickKey\": 1}, \r\n {\"id\": \"c2503\", \"text\": \"2. Incorrect\", \
"quickKey\": 2}\r\n ]}, \r\n {\"id\": \"q9173\", \"type\": \"StringQuestion\", \"required\": false, \r\n \"text\": \" Person's Answers\", \r\n \"intro\": \"<strong>Step 3: Three Word Recall<\/strong><br \/><br \/>Ask the person to
recall the three words you\r\n stated in Step 1. Say: \\u0022What were the three words I asked you to\r\n remember?\\u0022 <br \/><br \/><small>[A correct response is spontaneously recalled\r\n without cueing.]<\/small>\", \r\n \"contro
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id":4304,"instrument":174,"introDisplay":44030,"introId":2534,"introText":"Step 2: Clock Drawing||Say: \"Next, I want you to draw a clock for me. First, put in all of the numbers where they go.\" When that is completed, say: \"Now, set the
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