Axis NM · Sp — Spirit (cognitive)
Cognition you can chart.
You wouldn't accept "feels okay" as a blood pressure reading. We don't accept it for cognition either. Twenty-two signals across processing speed, working memory, executive function, and circadian alertness — measured passively from device usage, plus a weekly 6-minute battery you actually enjoy.
Spirit's cognitive face. Reaction, memory, focus, executive load.
Twenty-two cognitive signals, sourced from passive phone telemetry plus a 6-minute weekly battery. No clinic visit, no neuropsych referral, no $2,000 bill.
From signals to a single value.
Each signal contributes a weighted partial score. The axis aggregates them and clamps to 0–100. Here's a worked example for a real (anonymized) patient on this axis today:
Sample contribution
Where it lands in CH
NM contributes Sp in the (S × Sp)C term. Crucially, it's also the canary: NM dips 7–14 days before patients self-report cognitive fatigue or burnout, giving providers an upstream lever.
Sp — Spirit (cognitive)
A typical week, on the axis.
No single day defines you. A consistent week does. Here's what consistent looks like — and the HCR you'd earn for it.
The pay ladder.
Cognition pays for trend, not for performance. We don't reward you for being smart — we reward you for protecting and building the cognition you have. Always free to receive — patients never pay to earn HCR, and clinics never see a bill for hosting it.
All payouts settle to the patient's HCR wallet within 24 hours of verification. HCR is redeemable for care, contributions to a Conceptual Health pharmacy account, or held as a long-term reserve.
For providers ordering on this axis.
For Conceptual Health-credentialed clinicians: this is the recommended order-of-operations on this axis. Free to use, no certification required, no software to install — the protocol lives inside the EHR you already use through us.
Neurocognitive Mastery · clinical sequence
- Open the patient's NM panel — battery results plus passive trajectory.
- Compare against their personal 90-day baseline. Population norms are useful only as guardrails.
- If the dip is in reaction time, look at sleep + medication first; cognitive complaints rarely precede sleep complaints.
- If the dip is in executive function (Trails B, Stroop), screen for mood and stress; refer ER axis simultaneously.
- Order: a 4-week sleep protocol, a stimulant-medication review, or a cognitive-rehab referral. The axis updates within 2 weeks.
- If the lift holds 8 weeks, patient mints HCR for the recovery — and so do we, in the form of a healthier panel.
The peer-reviewed evidence base.
Every signal we score has a literature trail. These are the foundational papers we cite in our scoring model documentation. Our full bibliography (404 references) is available in the methodology appendix.
One real (anonymized) trajectory.
Names changed. Numbers verified. A composite from three patients with similar starting conditions — the chart, the intervention, and the outcome.
Daniel K., 58, Austin
"I thought I was getting Alzheimer's. Turns out I was getting six hours of sleep a night and a stimulant past its expiration date. Twelve weeks of sleep work, a meds review, and my reaction time is back to where it was at 45."
What you can study, and how.
Cognitive data is the highest-sensitivity domain on the platform. Per-variable consent is required from every patient before access; default sharing is OFF. Research access is available to credentialed institutions through the HCC research portal — pay-per-query, patient revenue-shared.
All fields below are time-aligned and de-identified to NIST 800-53 standards.
Standards we conform to.
No new yardsticks. We map every signal on this axis to existing peer-reviewed instruments and regulatory norms — the same instruments your clinician learned in residency.
NIH Toolbox
Cognitive battery items map to NIH Toolbox Cognition Battery.
CANTAB
Reaction time and working memory tasks calibrated against CANTAB norms.
AAN
MCI screening flags align with American Academy of Neurology guidance.
FDA Digital Health
Battery is a registered Class II software medical device (SaMD).
APA
Test administration follows American Psychological Association testing standards.
The other seven axes
Eight axes. One score. Each pulls.
Health is multi-dimensional. NM is one of eight. The Master Equation weights them, multiplies them, and gives you and your clinician a single number — and the ability to see exactly which axis is moving it.