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BrainScribeai
OverviewPerformance tests

Performance tests — scored where the norms are public, integrated where they aren't.

BrainScribe converts raw scores against published normative datasets where the literature is open. For publisher-proprietary tests (WAIS, WMS, CVLT, BVMT-R, D-KEFS), the clinician scores with their own licensed materials and enters the result; BrainScribe records provenance and integrates it with the rest of the assessment.

Score in two waysPublic + enteredPublic norms computed; proprietary scores entered with provenance preserved
Public-norm tests10+Trail Making · COWAT · Animal fluency · BNT · RCFT · Stroop · MoCA · NART · SDMT · Grooved Pegboard
Score-entry tests10+WAIS-IV · WMS-IV · CVLT-3 · BVMT-R · HVLT-R · D-KEFS · Warrington RMT · others on request
Reverse-direction measureshandledTime and error variables inverted before they enter a draft

Performance scores, on a named distribution.

BrainScribe converts raw test scores against the normative dataset that fits the patient and renders a domain-level profile. The source, the stratum and the conversion direction stay visible. The clinician verifies before anything enters a draft.

Patient · A8C2 · age 63 · 16 y ed

Domain profile

Compiled from eight performance tests across five domains. Reverse-scored measures (time, errors) handled before plotting.

Markers · z-score position
MemoryHVLT-R · BVMT-R · CVLT
z = −1.6
AttentionDigit Span · Symbol-Digit
z = −0.1
ExecutiveTrail B · Hayling · COWAT
z = −0.3
LanguageBoston Naming · COWAT
z = +0.4
VisuospatialRey Complex Figure · Block Design
z = +0.2
−3 SD−2−1Mean+1+2+3 SD
Live conversion

Raw in. Scaled, z, percentile out.

The slider runs against published Animal Fluency norms (Tombaugh, Kozak & Rees, 1999, Archives of Clinical Neuropsychology, age 60–69 with ≥ 12 years of education). Move it to see raw input map to z and percentile in real time, with the descriptor band shifting at the published cut-points. The conversion logic is identical for every test BrainScribe computes against published norms.

Low average
Source · Tombaugh, Kozak & Rees (1999) · Arch Clin Neuropsychol Mean 17.5 · SD 4.6
Scaled7M=10 · SD=3
z-score−1.43Distance from mean
Percentile8thPopulation rank
Normative library

Two tiers: scored, and integrated.

Performance tests fall into two groups. Where normative data is published in the open literature, BrainScribe scores the test against the named dataset with source, stratum and scoring direction preserved. Where norms live in a publisher's commercial manual, the clinician scores the test using their own licensed materials and enters the raw and standardised values; BrainScribe records the provenance and integrates the result with the rest of the assessment record.

AScored against published literature

MoCA ScreenRossetti et al., 2011, Neurology · age × education strataN = 2,653US population
NART PremorbidChristensen et al., 2011 · Australian 65–103N ≈ 2,636AU population
Trail Making A/B Set shiftTombaugh, 2004, Arch Clin Neuropsychol · age × educationN = 911Reverse
COWAT (FAS) FluencyTombaugh et al., 1999, Arch Clin Neuropsychol; Zhou et al., 2023Sex × age × edLinear reg
Animal Fluency CategoryTombaugh, Kozak & Rees, 1999, Arch Clin NeuropsycholN ≈ 1,300Linear reg
Bells Cancellation AttentionMancuso et al., 2019, Neurol Sci · regression-basedItalianReverse
Hayling InhibitionBurgess & Shallice, 1996 · published category normsN = 121Mixed
Stroop (classic) InterferenceSpreen & Strauss compendium; Lucas et al., 2005, Mayo Older AmericansAge-stratifiedReverse
Boston Naming Test ConfrontationTombaugh & Hubley, 1997, Arch Clin Neuropsychol; Heaton et al., 2004Age × edPercentile
Rey Complex Figure VisuoconstructionKnight, McMahon & Skeaff, 2006 · Australian norms; Spreen & StraussAge × edT-scores
Grooved Pegboard MotorHeaton et al., 2004 · age × education × sexN = 553Reverse

BScore-entry — clinician brings the publisher's scoring

WAIS-IV Working memoryWechsler · WAIS-IV Manual (Pearson)Clinician entersScaled
WMS-IV Logical Memory StoryWechsler Memory Scale (Pearson)Clinician entersScaled
CVLT-3 Verbal learningDelis et al., 2017 · CVLT-3 Manual (Pearson)Clinician entersT-scores
HVLT-R Verbal learningBrandt & Benedict · HVLT-R Manual (PAR)Clinician entersT-scores
BVMT-R Visual learningBenedict · BVMT-R Manual (PAR)Clinician entersT-scores
D-KEFS subtests ExecutiveDelis · D-KEFS Manual (Pearson)Clinician entersScaled
Warrington RMT RecognitionWarrington · Recognition Memory Test ManualClinician entersPercentile
SDMT Processing speedSmith · SDMT Manual (WPS)Clinician entersT-scores
JLO Visuospatial judgementBenton · Judgement of Line OrientationClinician entersScaled

Score-entry tests are integrated into the same record as the public-norm tests. The clinician's scoring stays in the publisher's tool; BrainScribe records the raw, the standardised value, the normative stratum cited, and any qualitative descriptor — and uses them in the same way during draft assembly. A formal publisher relationship — a publisher-licence-style integration where the practitioner brings their own publisher entitlement and BrainScribe handles the workflow — is on the roadmap and would extend tier A.

Scoring governance

Three rules that keep the conversion honest.

Reconciliation tolerance

Raw → scaled → z → T → percentile must reconcile to within a half-unit. Outside that tolerance, the field surfaces a soft warning rather than silently passing values into the draft.

Reverse direction handled

Time-based and error-based measures (Trail Making, Stroop time, Bells omissions) are inverted before they contribute to a domain score. The descriptor always reflects clinical direction, not arithmetic direction.

Provenance preserved

Every converted score carries its source — the manual citation, the stratum, the sample size — into the assessment record. If a referrer queries a score, the source is visible to the clinician before they answer.

From a converted score, into the report draft
CVLT-3 Trial 5 raw8
T-score · age-matched38 — mildly impaired
Percentile12th
Stratum≥12 yr education

Verbal list-learning was mildly impaired, with performance at the 12th percentile on the CVLT-3 (T = 38).

Domain · Memory section

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