Indicator LNG004, "Improvement or Optimal Maintenance in Cognitive Function Among Adult Patients," reads straight from the Department of Health circular, Healthy Longevity Medicine Jawda Guidance, Version 1 (issued May 2026): domains, semi-annual reporting, baseline rules and the recommended tools, in the circular's own words.
Guidance issued May 2026 · Source on file, verified against the circular PDF
Every field below is copied from the DoH indicator sheet for LNG004, "Improvement or Optimal Maintenance in Cognitive Function Among Adult Patients," Domain: Effectiveness, Indicator Type: Outcome.
Quoted exactly from the LNG004 denominator guidance in the circular. Any of the four satisfies the "evidence-based tool" requirement for baseline.
“Recommended tools can be any of the following: CNS Vital Signs, NeuroTrax, Cambridge Cognition CANTAB, Cogstate.”
Healthy Longevity Medicine Jawda Guidance, Version 1 — LNG004, Denominator GuidanceThe circular puts specific operational obligations on every DoH-licensed Healthy Longevity Medicine facility, on top of the indicator's own baseline rules.
"Each provider must designate a staff member responsible for coordinating, collecting, and monitoring quality indicators."
"Healthy Longevity Medicine providers are required to submit data semi-annually through the JAWDA e-notification system."
"Jawda team may use centrally collected claim data submitted by healthcare providers through Shafafiya portal to validate the data submitted by the providers through Jawda portal." A baseline that only exists on paper, without a matching visit and claim, is exposed to this check.
The denominator only includes patients with a minimum of 4 visits in the previous 12 months, baselined at their lowest recorded score across those visits, per domain, using an evidence-based tool. A single walk-in assessment does not qualify a patient into the denominator on its own.
Memory, executive function and processing speed are reported separately in both numerator and denominator. A tool that only produces a composite score does not satisfy the per-domain reporting requirement as written.
Under-65 patients below the 75th percentile at baseline need ≥5% improvement per domain; under-65 patients at or above the 75th percentile need to hold that optimal level; patients 65 and over need to maintain or avoid decline. Three different pass conditions, tracked per patient, per domain.
deegha is the supervised psychometric vendor and report engine behind the LNG004 line. This does not remove your clinic's obligations under the circular — it allocates the work.
One AED 2,500 total offer returns five unsigned, review-ready drafts for five clinic-referred cases. ClinicBaseline is included as the delivery workspace.
Every answer below is grounded in the same circular quoted above — no outside interpretation.
The circular's LNG004 denominator guidance states: "Recommended tools can be any of the following: CNS Vital Signs, NeuroTrax, Cambridge Cognition CANTAB, Cogstate." CNS Vital Signs is listed first.
The guidance document as a whole is issued May 2026 and effective from H2 2026, but the LNG004 indicator page itself carries its own annotation: "Effective H1 2027." Confirm the applicable date for your facility with DoH before your first reporting cycle.
Semi-annually, submitted through the JAWDA e-notification system. The JAWDA team may also use centrally collected claim data submitted through the Shafafiya portal to validate what providers submit through JAWDA.
The denominator only includes patients baseline-assessed for cognitive function with an evidence-based tool during the previous 12-month reporting period, with a minimum of 4 visits to the facility in that window. Where a patient has multiple visits, the lowest recorded score values are used as baseline, and this is applied per domain (memory, executive function, processing speed).
The circular excludes patients with acute neurological events: acute cerebrovascular events (stroke, intracerebral hemorrhage, TIA in early recovery), acute confusional or encephalopathic states, CNS infections, traumatic brain injury (including concussion with ongoing symptoms), post-interventional or perioperative cognitive states, acute exacerbations of chronic neurological disease, and acute or chronic toxic or medication-related states. The circular states this list is "not limited to" the examples given.
Source on file: Healthy Longevity Medicine Jawda Guidance, Version 1, Department of Health — Abu Dhabi. Issued May 2026. Every claim on this page is quoted or paraphrased directly from that circular, filed at deegha-web/docs/sources/ alongside its provenance note.