TAVR Evaluation Questionnaire
What a TAVR evaluation questionnaire asks, with sample questions for structural heart teams.
A TAVR evaluation questionnaire such as Cleveland Clinic's checklist lists contact details, insurance, doctors, and test results needed before a transcatheter aortic valve replacement evaluation. It's also called a TAVR/TMVR patient checklist or structural heart patient information.
TAVR evaluation questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a TAVR evaluation questionnaire in the patient's own language, strictly following the practice's instructions.
- Intake before the visit. Patients answer online before they arrive, or at a kiosk when they check in.
- Answers ready for the clinician. Clinicians see what the patient said before the visit starts.
- Less workload at the front desk. Staff spend less time handing out forms and entering answers by hand.
- Key details at a glance. The care team sees what matters up front and decides who needs attention first.
The form becomes a natural conversation: patients answer by talking, in their own words. AI Doctor is an information and patient-assistance interface. It collects answers for the care team to review. It doesn't diagnose, triage, or give treatment advice.
Sample TAVR evaluation questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- What is your date of birth?About you
- What is the best phone number for you?About you
- Who is your health insurance with?Insurance
- Can you send both sides of your card?Insurance
- Have you had a physical in the last year?Records
- Can your doctor send that history and physical?Records
- When was your most recent echocardiogram?Test results
- Have you had a heart cath, and where?Test results
- Have you had open heart surgery?Heart procedures
- Do you have a pacemaker or defibrillator?Heart procedures
- Who is your local cardiologist?Your doctors
- Who is your primary care provider?Your doctors
These are examples to read, not a form to fill in.
TAVR evaluation questionnaire: FAQ
What does a TAVR evaluation questionnaire ask?
The questions on this page follow the Cleveland Clinic TAVR evaluation patient checklist. They cover six areas: about you, insurance, records, test results, heart procedures, and your doctors.
Who fills in a TAVR evaluation questionnaire, and when?
The patient, before the TAVR evaluation visit. The Cleveland Clinic version asks patients to complete both sides and send it to their doctor ahead of the evaluation.
Is it the same as a TAVR/TMVR patient checklist?
It can be. Cleveland Clinic titles its version a TAVR evaluation patient checklist. It asks mostly for records, contacts, and test results rather than symptoms.
Which images does the checklist ask for?
The Cleveland Clinic form asks for the latest heart cath and echocardiogram images on CD in DICOM format, along with the written reports. It asks patients to send CDs by overnight delivery.
Does a TAVR evaluation questionnaire decide if TAVR is right for the patient?
No. The heart team decides that after the evaluation. The avatar only collects contact details, records information, and history.
What happens after the form is sent?
The office gathers the listed records and test results before the evaluation. The Cleveland Clinic form tells patients to call the office with any questions.
Does AI Doctor give medical advice?
No. It collects information for the care team. It doesn't diagnose, triage, or recommend treatment.
Can patient answers stay on our own servers?
Yes. RAVATAR offers on-prem deployment: the platform can run inside your own perimeter, so patient answers stay there. RAVATAR complies with GDPR and the EU AI Act.
Set up your AI Doctor in Genesis AI Avatar Studio
Genesis AI Avatar Studio is where you set up, test, and publish AI avatars for your website, mobile app, or Holobox. No coding or technical skills needed.
- 01Choose the AI Doctor avatar.
- 02Add your practice's FAQs and visit information.
- 03Talk to it, then publish it.
