Overview
Beyond the summary scores and impressions, the BrainCheck Assess report provides valuable tools to help you connect cognitive test performance to real-life function, understand terminology, and track changes over time.
To access this report:
Go to the Orders screen in BrainCheck.
Select the completed assessment you want to review.
Click Download Report.
Optional: Open the Interpretation and Patient Discussion Guide alongside the Assess report to understand results.
Education level is entered once during assessment setup and carries forward to future visits. If it is missing, age-only norms are applied.
Overall & Domain-Level Results
The report opens with a summary of the patient’s performance:
Overall Clinical Impression – Likely Cognitive Impairment, Borderline Cognitive Impairment, or Unlikely Cognitive Impairment based on overall results.
Population Percentile – How the patient’s overall performance compares to healthy individuals in the same age group (and education level, for patients 50 and older tested on iPad) from BrainCheck’s normative database. It appears on a bell curve that shows where the patient falls compared to others. The further left, the further below average.
Composite Cognitive Score – A score from 0–200, adjusted for age group and device used, plus education level where applicable. Higher scores indicate better performance relative to healthy peers.
Individual Cognitive Domain Results – For each domain tested:
Impression – Likely Cognitive Impairment, Borderline Cognitive Impairment, or Unlikely Cognitive Impairment.
Score – 0–200, adjusted for age and device, plus education level where applicable.
Population Percentile – Comparison to healthy peers in the same age group.
Result status wording – Any result that is incomplete, skipped, timed out, or invalid is labeled with clear wording, so it is obvious why a result looks different than expected.
For more on how to interpret these results, see Understanding BrainCheck Screen & Assess Reports.
Reading the Overall Clinical Impression and Composite Cognitive Score Together
These two measures answer different questions, and it is normal for them to disagree. The Overall Clinical Impression is your main clinical finding. It flags whether any one skill area shows real impairment, regardless of how the other areas performed. The Composite Cognitive Score is an average across every skill area and is most useful for tracking change from visit to visit.
Because the composite is an average, a patient can do well in most areas and still have a serious problem in one, and the composite score will not show it. If the two disagree, go with the Overall Clinical Impression.
Trends Graph
The trends graph helps you monitor a patient’s cognitive performance over time.
Appears after a patient has completed at least two Assess tests.
Displays composite cognitive scores and impressions (Likely Cognitive Impairment, Borderline Cognitive Impairment, Unlikely Cognitive Impairment) for each testing date.
The legend shows icons for each impression category, making it easy to identify patterns.
How to use the Trends Graph:
Identify improvement, stability, or decline in cognitive function.
If prescribing medication or treatments after the first Assess, analyze how they are working and determine if adjustments are needed.
Interpretation
The interpretation section provides a summary of the patient’s results. Depending on the results, you may also see in the section:
Delayed Recognition flag – Appears when results suggest a memory-loss pattern that may need a closer look. It signals a possible amnestic pattern worth further evaluation and does not provide a diagnosis.
Interpretation of Change – For patients with two or more visits, a summary describes how each skill area has changed.
Glossary
The glossary defines common terms and cognitive concepts used throughout the report.
Use it as a quick reference if you are unsure of a term or need to explain results to a patient or caregiver.
Common entries include definitions for specific cognitive domains, types of memory, and test-specific terms.
Short descriptions of each assessment appear here as glossary entries.
Clinical Correlations
Clinical correlations link performance on specific tests to potential functional abilities or challenges in daily life.
These notes can be used to start conversations with patients and caregivers.
Poor performance in certain areas may indicate functional challenges.
Examples:
Trails B – May prompt questions about driving, paying bills, or managing medications.
Digit Symbol Substitution – May prompt questions about work tasks, following instructions, or processing speed in daily activities.
Immediate & Delayed Recognition – May prompt questions about remembering conversations, appointments, or names.
Tip: Use these correlations to guide follow-up evaluations, caregiver discussions, and care planning.
Interpretation Guide
Results from BrainCheck Assess come with an Interpretation Guide, tailored to each patient’s performance patterns. It is a supplemental educational resource that supports clinical judgment and does not provide a diagnosis.
The guide includes:
Glossary of clinical terminology – A shared vocabulary for cognitive care and assessment results, so teams can discuss findings consistently.
Pattern explanation and clinical considerations – A plain-language description of the identified performance pattern, with clinical context to help evaluate what the results may indicate.
Next step recommendations – Guidance based on results, including when to involve a care partner, additional evaluation tools, lab or imaging considerations, specialist referrals, and follow-up scheduling.
Patient conversation guidance – Structured language for reviewing results with patients, including how to explain findings and walk through recommended next steps.
To use it, download and review the clinical report, reference the guide for interpretation support and next steps, and use the included conversation script to walk through findings with the patient.
Key Takeaways
The report opens with a snapshot of overall and domain-specific results.
Clinical correlations help connect test scores to functional concerns.
The glossary ensures you and your patients understand key terms.
Trends graphs turn repeated testing into actionable data for care planning.
The Overall Clinical Impression is the main clinical finding. When it disagrees with the Composite Cognitive Score, go with the Overall Clinical Impression.
The Interpretation Guide supports next steps and patient conversations.