cognitive

---

name: cognitive description: Cognitive function assessment tracking for elderly - MMSE/MoCA tests, cognitive domain evaluation, ADL/IADL assessment, and risk monitoring argument-hint: <operation_type+info, e.g.: mmse score 27, moca 24, domain memory mild_impairment, adl independent> allowed-tools: Read, Write schema: cognitive/schema.json

Cognitive Function Assessment Skill

Manages cognitive function assessment for the elderly, including MMSE, MoCA tests, cognitive domain evaluation, and daily function assessment.

Core Flow

User Input -> Identify Operation Type -> Extract Parameter Info -> Check Completeness -> [Need Supplement] Ask User
                                                      |
                                                   [Information Complete]
                                                      |
                                              Generate JSON -> Save Data -> Output Confirmation

Step 1: Parse User Input

Operation Type Recognition

Input Keywords	Operation Type	Description
mmse	mmse_test	MMSE Mini-Mental State Examination
moca	moca_test	MoCA Montreal Cognitive Assessment
domain	cognitive_domain	Cognitive domain assessment
adl	adl_assessment	Activities of Daily Living assessment
iadl	iadl_assessment	Instrumental ADL assessment
status	cognitive_status	View cognitive status
trend	trend_analysis	View change trends
risk	risk_assessment	Cognitive function risk assessment

Cognitive Domain Keywords Mapping

Input Keywords	Domain Name
memory	memory
executive	executive
language	language
visuospatial	visuospatial

Function Status Keywords Mapping

Input Keywords	Status Value
normal	normal
mild	mild_impairment
moderate	moderate_impairment
severe	severe_impairment
independent	independent
needs_assistance	needs_assistance
dependent	dependent
supervision_needed	supervision_needed

ADL Item Keywords

Input Keywords	Item Name
bathing	bathing
dressing	dressing
toileting	toileting
transferring	transferring
continence	continence
feeding	feeding

IADL Item Keywords

Input Keywords	Item Name
shopping	shopping
cooking	cooking
managing_medications	managing_medications
using_telephone	using_telephone
managing_finances	managing_finances
housekeeping	housekeeping
transportation	transportation
laundry	laundry

Step 2: Check Information Completeness

MMSE Test Required:

• Total score (0-30 points)

MoCA Test Required:

• Total score (0-30 points)
• Education level (optional, for score adjustment)

Cognitive Domain Assessment Required:

• Domain name (memory/executive/language/visuospatial)
• Function status (normal/mild_impairment/moderate_impairment/severe_impairment)

ADL/IADL Assessment Required:

• Item name
• Function status

Step 3: Interactive Prompts (If Needed)

Scenario A: Missing MMSE/MoCA Score

Please provide test total score (0-30 points)

Scenario B: Missing Cognitive Domain Assessment Information

Please specify the cognitive domain to assess:
- memory (memory)
- executive (executive function)
- language (language ability)
- visuospatial (visuospatial ability)

What is the function status?
- normal (normal)
- mild_impairment (mild impairment)
- moderate_impairment (moderate impairment)
- severe_impairment (severe impairment)

Scenario C: Missing ADL/IADL Items

Please provide specific activity items and function status

Step 4: Generate JSON

MMSE Test Record

{
  "test_type": "mmse",
  "date": "2025-06-20",
  "total_score": 27,
  "max_score": 30,
  "interpretation": "Normal",
  "items": {
    "orientation": 10,
    "registration": 3,
    "attention": 5,
    "recall": 3,
    "language": 6
  }
}

MoCA Test Record

{
  "test_type": "moca",
  "date": "2025-06-20",
  "total_score": 24,
  "adjusted_score": 25,
  "education_years": 12,
  "max_score": 30,
  "interpretation": "Mild Cognitive Impairment"
}

Cognitive Domain Assessment Record

{
  "domain": "memory",
  "status": "mild_impairment",
  "assessment_date": "2025-06-20",
  "notes": "Short-term memory impaired, long-term memory preserved"
}

ADL Assessment Record

{
  "activity": "bathing",
  "status": "independent",
  "assessment_date": "2025-06-20"
}

Complete schema definition: see schema.json.

Step 5: Save Data

1. Read data/cognitive-assessment.json
2. Update corresponding sections based on operation type
3. Update statistics
4. Write back to file

Execution Instructions

1. Identify operation type (mmse/moca/domain/adl/iadl/status/trend/risk)
2. Extract parameter information (scores, cognitive domains, function status, etc.)
3. Check required field completeness
4. If missing, ask user to supplement
5. Generate JSON compliant with schema.json
6. Save to data/cognitive-assessment.json
7. Output confirmation and interpretation results

Example Interactions

Example 1: MMSE Test

User: mmse score 27

AI: MMSE test result recorded
Total score: 27/30
Interpretation: Normal
Next assessment: 2026-06-20

Example 2: Cognitive Domain Assessment

User: domain memory mild_impairment

AI: Cognitive domain assessment recorded
Cognitive domain: Memory (memory)
Status: Mild impairment (mild_impairment)

Currently impaired cognitive domain: Memory

Example 3: ADL Assessment

User: adl independent

AI: ADL assessment result recorded
All 6 basic activities: Independent
Dependency level: No dependency

Example 4: View Status

User: cognitive status

AI: Cognitive Function Status Report
━━━━━━━━━━━━━━━━━━━━━━━━
Latest MMSE: 27/30 (Normal) - 2025-06-20
Latest MoCA: 24/30 (Mild impairment) - 2025-06-15

Cognitive domain status:
- Memory: Mild impairment
- Executive function: Normal
- Language: Normal
- Visuospatial: Normal

Daily function:
- ADL: Independent
- IADL: Needs assistance (2 items)

For more examples, see examples.md.

Medical Safety Boundaries

Cannot Do:

• Diagnose cognitive impairment or dementia
• Replace neurologist/geriatrician professional assessment
• Provide specific medication treatment plans

Can Do:

• Cognitive function screening (MMSE/MoCA)
• Cognitive decline trend tracking
• Activities of daily living assessment (ADL/IADL)
• Cognitive domain function assessment
• Risk warning and medical visit recommendations

Medical Visit Recommendations:

Seek medical attention if:

• MMSE <= 26 points
• MoCA <= 25 points
• Multiple cognitive domains impaired
• ADL/IADL function decline
• Rapid cognitive decline