<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="behavioral-biomarker-cs"/>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem behavioral-biomarker-cs</b></p><a name="behavioral-biomarker-cs"> </a><a name="hcbehavioral-biomarker-cs"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/uv/aerospace/CodeSystem/behavioral-biomarker-cs</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">cortisol-ugdl<a name="behavioral-biomarker-cs-cortisol-ugdl"> </a></td><td>Cortisol (µg/dL)</td><td>Cortisol concentration used as a stress biomarker.</td></tr><tr><td style="white-space:nowrap">hrv-ms<a name="behavioral-biomarker-cs-hrv-ms"> </a></td><td>Heart rate variability (ms)</td><td>Root-mean-square or similar measure of HRV in milliseconds.</td></tr><tr><td style="white-space:nowrap">sleep-duration-h<a name="behavioral-biomarker-cs-sleep-duration-h"> </a></td><td>Sleep duration (hours)</td><td>Total nightly sleep duration in hours.</td></tr><tr><td style="white-space:nowrap">sleep-efficiency-pct<a name="behavioral-biomarker-cs-sleep-efficiency-pct"> </a></td><td>Sleep efficiency (%)</td><td>Percentage of time in bed spent asleep.</td></tr><tr><td style="white-space:nowrap">awakenings-count<a name="behavioral-biomarker-cs-awakenings-count"> </a></td><td>Nocturnal awakenings (count)</td><td>Number of awakenings during sleep period.</td></tr><tr><td style="white-space:nowrap">speech-stress-index<a name="behavioral-biomarker-cs-speech-stress-index"> </a></td><td>Speech stress index</td><td>Derived metric from speech prosody indicating stress level.</td></tr><tr><td style="white-space:nowrap">activity-level<a name="behavioral-biomarker-cs-activity-level"> </a></td><td>Activity level</td><td>Gross motor activity level from accelerometry.</td></tr><tr><td style="white-space:nowrap">reaction-time-ms<a name="behavioral-biomarker-cs-reaction-time-ms"> </a></td><td>Reaction time (ms)</td><td>Reaction time in milliseconds from vigilance or cognitive tests.</td></tr></table></div>
  </text>
  <url value="http://hl7.org/fhir/uv/aerospace/CodeSystem/behavioral-biomarker-cs"/>
  <version value="0.5.12"/>
  <name value="BehavioralBiomarkerCS"/>
  <title value="Behavioral Biomarker Code System"/>
  <status value="active"/>
  <date value="2026-03-25T00:24:16-05:00"/>
  <publisher value="MITRE"/>
  <contact>
    <name value="MITRE"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.mitre.org/"/>
    </telecom>
  </contact>
  <description value="Codes for physiologic and digital biomarkers related to behavioral health and stress."/>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="8"/>
  <concept>
    <code value="cortisol-ugdl"/>
    <display value="Cortisol (µg/dL)"/>
    <definition value="Cortisol concentration used as a stress biomarker."/>
  </concept>
  <concept>
    <code value="hrv-ms"/>
    <display value="Heart rate variability (ms)"/>
    <definition value="Root-mean-square or similar measure of HRV in milliseconds."/>
  </concept>
  <concept>
    <code value="sleep-duration-h"/>
    <display value="Sleep duration (hours)"/>
    <definition value="Total nightly sleep duration in hours."/>
  </concept>
  <concept>
    <code value="sleep-efficiency-pct"/>
    <display value="Sleep efficiency (%)"/>
    <definition value="Percentage of time in bed spent asleep."/>
  </concept>
  <concept>
    <code value="awakenings-count"/>
    <display value="Nocturnal awakenings (count)"/>
    <definition value="Number of awakenings during sleep period."/>
  </concept>
  <concept>
    <code value="speech-stress-index"/>
    <display value="Speech stress index"/>
    <definition value="Derived metric from speech prosody indicating stress level."/>
  </concept>
  <concept>
    <code value="activity-level"/>
    <display value="Activity level"/>
    <definition value="Gross motor activity level from accelerometry."/>
  </concept>
  <concept>
    <code value="reaction-time-ms"/>
    <display value="Reaction time (ms)"/>
    <definition value="Reaction time in milliseconds from vigilance or cognitive tests."/>
  </concept>
</CodeSystem>