Patient Intake
Review and confirm patient profile before beginning assessment
MT
Full Name
Margaret Thornton
Date of Birth
14 Mar 1952 (74 yrs)
Patient ID
#PT-2024-0183
Primary Referral
GP â Dr. A. Okafor
HBOT Program
Block 3 â 40 sessions
Diagnosis Context
Long COVID, cognitive fatigue
Current Session
Session 22 / 40
Informant Available
Yes â David Thornton (spouse)
Active
â
Baseline
01 Jun 2026
2
Follow-up #1
15 Jul 2026
3
Follow-up #2
Scheduled
4
Discharge Review
TBD
Assessment Indication
Select the primary indication for this cognitive screening episode
Primary Indication
Assessment Battery
Administering Clinician
Assessment Date
Relevant clinical notes for this session
Baseline Assessment Entry
GPCOG Part 1 â Patient examination · Administered 01 Jun 2026
This screen shows the baseline visit data already entered. It is read-only to demonstrate the captured record. Use the Follow-up Entry screen to enter new visit data.
GPCOG Part 1 â Patient Tasks (Max Score: 9)
Each correct response scores 1 point. Items marked "not attempted" score 0.
Task 1 · Time Orientation
Ask the patient: "What is today's date?" (exact date not required â year, month, and approximate date)
✓ Correct â 1pt
Incorrect â 0pt
Not attempted
Task 2 · Clock Drawing â Numbers
Ask the patient to draw a clock face with all numbers correctly placed
Score 1 if all numbers are present and in approximately correct positions
Baseline: Numbers partially placed.
Only 12, 3, 6, 9 drawn. 1, 2, 4, 5, 7, 8, 10, 11 absent.
Only 12, 3, 6, 9 drawn. 1, 2, 4, 5, 7, 8, 10, 11 absent.
✓ Correct â 1pt
✗ Incorrect â 0pt
Task 3 · Clock Drawing â Hands
Score 1 if clock hands are correctly placed to show 10 minutes past 11
✓ Correct â 1pt
✗ Incorrect â 0pt
Task 4 · Name and Address Learning
Read aloud and ask patient to repeat: "John Brown, 42 West Street, Kew"
Allow up to 4 attempts. Record the result after final recall trial.
Items recalled correctly (0â5)
Task 5 · Recent News Item
Ask the patient to describe something that has been in the news lately
Accept any recent factual event. Score 0 only if patient cannot recall any news event at all.
✓ Correct â 1pt
Incorrect â 0pt
Baseline Score
5 / 9
More information required
GPCOG Part 2 informant interview recommended
Follow-up Assessment Entry
GPCOG Part 1 â Patient examination · Visit date: 15 Jul 2026
Enter the patient's responses below. Scores calculate automatically on submission. No manual scoring required.
GPCOG Part 1 â Follow-up Tasks (Max Score: 9)
Task 1 · Time Orientation
What is today's date?
✓ Correct â 1pt
Incorrect â 0pt
Not attempted
Task 2 · Clock Drawing â Numbers
Draw a clock face with all numbers
Follow-up: All 12 numbers present
and in approximately correct positions.
and in approximately correct positions.
✓ Correct â 1pt
Incorrect â 0pt
Task 3 · Clock Drawing â Hands
Hands set to 10 past 11?
✓ Correct â 1pt
✗ Incorrect â 0pt
Task 4 · Name and Address Recall
Recall trial: "John Brown, 42 West Street, Kew"
Items recalled correctly (0â5)
Task 5 · Recent News
Patient describes a recent news event
✓ Correct â 1pt
Incorrect â 0pt
Follow-up Score (auto-calculated)
7 / 9
More information recommended
Improved from baseline (5/9). Still within review threshold.
Auto-Scored Results
All scores calculated from item-level responses. No manual calculation required.
Baseline GPCOG
5/9
01 Jun 2026
Follow-up GPCOG
7/9
15 Jul 2026
Score Delta
+2
Improvement from baseline
Time to Results
0min
Auto-scored on submission
Item-Level Response Comparison
Raw responses per task, both visits. Differences highlighted automatically.
| Task | Points | Baseline | Follow-up | Change |
|---|---|---|---|---|
| Time orientation | 1 pt | Correct | Correct | — |
| Clock â numbers | 1 pt | Incorrect | Correct | +1 |
| Clock â hands | 1 pt | Incorrect | Incorrect | — |
| Name/address recall 5 sub-items, each 1 pt |
5 pt | 3 / 5 | 4 / 5 | +1 |
| Recent news recall | 1 pt | Correct | Correct | — |
Threshold Interpretation
Both visits score within the 5â8 range: further information recommended. GPCOG Part 2 informant interview is indicated.
GPCOG Part 2 â Informant Interview Summary
Completed by: David Thornton (spouse) · Baseline visit only. Follow-up informant interview pending.
| Informant Question | Baseline Response | Score |
|---|---|---|
| Compared to 10 years ago, does patient have more difficulty remembering recent events? | Yes, more difficulty | 0 |
| More difficulty recalling conversations? | Sometimes | 0 |
| More difficulty finding the right word? | Yes, a lot more | 0 |
| More difficulty managing finances? | No | 1 |
| More difficulty managing medications independently? | No change | 1 |
| More difficulty with transportation? | Slight concern | 0 |
2 / 6
Part 2 score of 3 or below indicates cognitive impairment. Standard investigations recommended.
Progress View
Longitudinal score comparison with automated trend markers
Longitudinal Score Summary
| Test | Max Score | Baseline | Follow-up 1 | Delta | Clinical Range | Status |
|---|---|---|---|---|---|---|
| GPCOG Part 1 | 9 | 5 | 7 | +2 | 5â8: Review range | Improved, monitor |
| GPCOG Part 2 Informant â baseline only |
6 | 2 | Pending | â | â¤3: Impairment indicated | Flagged â repeat needed |
| Clock Drawing Numbers sub-score |
1 | 0 | 1 | +1 | Normalised | Resolved |
| Recall â Name/Address Sub-score of Part 1 |
5 | 3 | 4 | +1 | Partial improvement | Monitor |
How your manual process becomes this view
Automated Referral Flags
GPCOG Part 2 not repeated at follow-up. Informant interview is indicated given Part 1 score remaining in review range. Schedule before next session.
Clock hand placement remains incorrect across both visits. Visuospatial/executive component has not normalised. Consider noting in referral if patient progresses to specialist evaluation.
Clock number placement normalised at follow-up. Baseline error resolved. Consistent with patient-reported reduction in cognitive fatigue.
AI Assessment Note
System-generated first-pass synthesis. Edit before finalising.
This note was generated automatically from structured response data. It is a draft for clinician review, not a clinical document until reviewed and signed. Edit any section before export.
AI DRAFT
Cognitive Screening Summary â Margaret Thornton
Generated: 15 Jul 2026 · 14:38
Patient and Assessment Context
Margaret Thornton (DOB 14 March 1952, age 74) is currently receiving hyperbaric oxygen therapy for post-COVID cognitive fatigue, Session 22 of a 40-session block. This follow-up cognitive screening was conducted on 15 July 2026 as part of structured pre/post HBOT assessment. Baseline assessment was completed on 01 June 2026. The administering clinician was Dr. Sarah Mehra.
Baseline Findings (01 Jun 2026)
At baseline, the patient's GPCOG Part 1 score was 5 out of 9, placing the result in the range where additional information is recommended (score 5â8) rather than a clear normal classification. Time orientation was intact. Clock drawing was impaired on both number placement and hand placement. Delayed recall of a name and address yielded 3 of 5 items correctly. Recent news recall was intact. GPCOG Part 2 informant interview (spouse) scored 2 out of 6, which falls below the threshold of 3 and indicates cognitive impairment warranting standard clinical investigations.
Follow-up Findings (15 Jul 2026)
At follow-up, the patient's GPCOG Part 1 score improved to 7 out of 9, representing a 2-point gain from baseline. This result continues to fall within the 5â8 review range. Time orientation remained intact. Clock number placement improved to correct (resolved from baseline). Clock hand placement remained incorrect. Delayed recall improved to 4 of 5 items. Recent news recall remained intact.
Synthesis and Pattern
Across both administrations, the pattern suggests measurable improvement in short-term recall and visuospatial performance specifically in number placement accuracy. Clock hand placement and delayed name/address recall (one remaining error) represent areas that have not fully normalised. The overall GPCOG Part 1 trajectory is positive but does not move the result into the unimpaired range (9/9). The system therefore classifies the case as improved from baseline with monitoring indicated, and flags that the GPCOG Part 2 informant interview was not repeated at this visit and remains outstanding.
Automated Recommendations
1. Schedule GPCOG Part 2 informant repeat at next visit. 2. Continue structured follow-up at completion of HBOT block. 3. Consider specialist referral if Part 2 score at next visit remains at or below 3. 4. Document patient-reported improvement in word-finding (noted in session notes) alongside formal screening data for complete clinical picture.
Clinician Additions / Overrides
Audit Trail
Immutable log of all entries, score calculations, and actions for this patient episode
What was automated in this episode
Manual steps removed from the clinical workflow
| Manual Step | Old Process | New Process | Estimated Time Saved |
|---|---|---|---|
| GPCOG Part 1 scoring | Manual count, lookup scoring guide | Automatic on submit | ~5 min |
| GPCOG Part 2 scoring | Manual count, threshold check, informant collation | Automatic on submit | ~5 min |
| Photo to record transcription | Manual re-entry across multiple forms â error-prone | OCR extraction + confirm | ~10 min |
| Baseline vs follow-up comparison | Pull prior records, calculate deltas, check thresholds across all tests | Auto-generated delta table | ~15 min |
| Assessment note drafting | Clinician writes full narrative from raw scores across multiple assessments | AI draft for clinician review | ~25 min |
| Flag / referral check | Clinician manually reviews all thresholds across each test | Rules-based auto-flags | ~5 min |
Minimum estimated time saved per visit pair
75+ min
At 20+ patients/week, this is 40+ hours of clinical staff time recovered â and we believe these are conservative estimates
Activity Log
| Timestamp | Action | User | Data |
|---|---|---|---|
| 15 Jul 2026 14:02 | Patient intake confirmed | Dr. S. Mehra | Intake |
| 15 Jul 2026 14:18 | Follow-up GPCOG Part 1 submitted | Dr. S. Mehra | 7 / 9 |
| 15 Jul 2026 14:18 | Score auto-calculated | System | Auto-score |
| 15 Jul 2026 14:19 | Baseline delta comparison generated | System | +2 pts |
| 15 Jul 2026 14:35 | Referral flags auto-triggered | System | 2 flags |
| 15 Jul 2026 14:38 | AI assessment note generated | System | Draft |
| 15 Jul 2026 14:51 | Clinician annotation added | Dr. S. Mehra | Edited |
| 15 Jul 2026 14:52 | Assessment note finalised and signed | Dr. S. Mehra | Signed |