| 79118-6 | Compared to a few Y ago, does the patient have more trouble remembering things that have happened recently than she or he used to:Find:Pt:^Patient:Ord:GPCOG | required |
| 79119-4 | Compared to a few Y ago, does he or she have more trouble recalling conversations a few days later:Find:Pt:^Patient:Ord:GPCOG | required |
| 79120-2 | Compared to a few Y ago, when speaking, does the patient have more difficulty in finding the right word or tend to use the wrong words more often:Find:Pt:^Patient:Ord:GPCOG | required |
| 79121-0 | Compared to a few Y ago, is the patient less able to manage money and financial affairs (e.g. paying bills, budgeting):Find:Pt:^Patient:Ord:GPCOG | required |
| 79122-8 | Compared to a few Y ago, is the patient less able to manage his or her medication independently:Find:Pt:^Patient:Ord:GPCOG | required |
| 79123-6 | Compared to a few Y ago, does the patient need more assistance with transport (either private or public):Find:Pt:^Patient:Ord:GPCOG | required |
| 79124-4 | Total score - Informant interview:Score:Pt:^Patient:Qn:GPCOG | required |