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Montreal Cognitive Assessment (MoCA) 30-Point Battery LOINC 72106-8

Version 8.1 Standard Protocol • Nasreddine et al. (2005) • Rapid Neurocognitive Screener

30/30

Raw: 30 | Edu: +0

Normal Cognition ← Portal

1. Alternating Trail Making Test

Connect numbers and letters in alternating sequence: 1 → A → 2 → B → 3 → C → 4 → D → 5 → E without crossing lines.

1 Point

Next Target: 1

Pass Alternating Trail Making (Completed perfectly with 0 self-uncorrected errors)

2. 3D Cube Copy

Patient copies a three-dimensional wireframe cube.

1 Point

Target 3D Necker Cube

Drawing is 3-dimensional, all 12 lines present, no lines added, lines relatively parallel

3. Clock Drawing Test

Draw clock face, all numbers, and hands set to 11:10.

3 Points

Contour (1 pt): Circle drawn with only minor distortion Numbers (1 pt): All 12 numbers present, correct order and quadrants Hands (1 pt): Exactly 2 hands pointing to 11 and 2 (11:10), hour hand visibly shorter

Animal Naming

Patient identifies each animal from left to right without prompts.

3 Points

🦁

Lion

Panthera leo

Correct Identification (1 pt)

🦏

Rhinoceros

Rhinocerotidae

Correct Identification (1 pt)

🐪

Camel / Dromedary

Camelus dromedarius

Correct Identification (1 pt)

Memory Registration (Two Trials)

Read list of 5 words at 1 word per second. Patient repeats list. Repeat in Trial 2 even if all recalled. No points awarded here; points awarded during delayed recall.

0 Points (Registration)

FACE • VELVET • CHURCH • DAISY • RED

Target Word	Category Cue	Trial 1 Registered	Trial 2 Registered
FACE	Part of the body
VELVET	Type of fabric
CHURCH	Type of building
DAISY	Type of flower
RED	A color

Forward & Backward Digit Span

Auditory attention and working memory manipulation.

2 Points

Forward (1 digit/sec)

2 - 1 - 8 - 5 - 4

Repeated exactly: 2 - 1 - 8 - 5 - 4 (1 pt)

Backward (Reverse Order)

7 - 4 - 2 → (2 - 4 - 7)

Repeated backward: 2 - 4 - 7 (1 pt)

Vigilance 'A' Tap Test

Tap table with hand on letter 'A'. (30 letters at 1 Hz).

1 Point

F B A C M N A A J K L B A F A K D E A A A J A M O F A A B

≤ 1 error (omission or false commission tap) (1 pt)

Serial 7 Subtraction (from 100)

Subtract 7 from 100, and keep subtracting 7 from each answer for 5 steps.

3 Points

Step 1 (100 - 7) 93

Step 2 (93 - 7) 86

Step 3 (86 - 7) 79

Step 4 (79 - 7) 72

Step 5 (72 - 7) 65

4 or 5 correct subtractions (3 pts) 2 or 3 correct subtractions (2 pts) 1 correct subtraction (1 pt) 0 correct subtractions (0 pts)

Sentence Repetition

Patient repeats each sentence exactly as spoken without omissions or substitutions.

2 Points

"I only know that John is the one to help today."

Repeated with 100% exact fidelity (1 pt)

"The cat always hid under the couch when dogs were in the room."

Repeated with 100% exact fidelity (1 pt)

Verbal Fluency ('F')

Name as many words as possible starting with 'F' in 60 seconds (no proper nouns or numbers).

1 Point

Countdown

60s

Generated ≥ 11 distinct valid words beginning with 'F' (1 pt)

Conceptual Abstraction

Identify the conceptual category similarity between each word pair.

2 Points

Train • Bicycle

Acceptable: Transportation, Means of transport, Vehicles

Correct Categorical Abstraction (1 pt)

Watch • Ruler

Acceptable: Measuring instruments, Tools for measurement

Correct Categorical Abstraction (1 pt)

Delayed Word Recall

Spontaneous recall of the 5 words registered earlier. 1 point awarded per word recalled spontaneously without cues.

5 Points

Target Word	Spontaneous Recall (1 pt)	Category Cue (Diagnostic)	Multiple Choice (Diagnostic)
FACE	Spontaneous (1 pt)	Part of body	Nose, Face, Hand
VELVET	Spontaneous (1 pt)	Type of fabric	Denim, Cotton, Velvet
CHURCH	Spontaneous (1 pt)	Type of building	Church, School, Hospital
DAISY	Spontaneous (1 pt)	Type of flower	Rose, Daisy, Tulip
RED	Spontaneous (1 pt)	A color	Red, Blue, Green

Temporal & Spatial Orientation

Patient must state the exact date, month, year, day of the week, place, and city.

6 Points

Exact Date / Day of Month (1 pt)

Exact Month (1 pt)

Exact Year (1 pt)

Day of the Week (1 pt)

Name of Place / Clinic (1 pt)

City / Municipality (1 pt)

Clinical Assessment Summary & SBAR Brief

Standardized clinical scorecard, education adjustment, and physician encounter transfer note.

LOINC 72172-0

Education Correction Factor

Patient has ≤ 12 years of formal education (Add +1 point to raw score if score < 30)

Total Adjusted Score

30/30

Cognitive Domain	LOINC Component	Earned	Max	% Attained

Clinician SBAR Transfer Brief

FDA 520(o) Non-Device Clinical Decision Support Notice: This digital Montreal Cognitive Assessment (MoCA) interface is intended exclusively as a cognitive screening tool to support clinical encounters and patient-provider shared decision-making. It does not provide standalone diagnostic conclusions. Diagnostic confirmation of Mild Cognitive Impairment or Dementia requires comprehensive clinical evaluation by a licensed neurologist, geriatrician, or neuropsychologist. MoCA © Ziad Nasreddine MD.