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Questionnaire: MEDB 1.10 Ophthalmologic Examination

Official URL: https://mitre.org/fhir/space-health/Questionnaire/medb-1-10-ophthalmologic-exam Version: 0.5.12
Active as of 2017-06-05 Computable Name: MEDB110OphthalmologicExam

Copyright/Legal: NASA Johnson Space Center - Medical Requirements Integration Documents (MRIDs) JSC28913

NASA Medical Requirements Integration Document for ophthalmologic examination. Captures comprehensive eye examination data for monitoring Spaceflight Associated Neuro-ocular Syndrome (SANS).

To assess pre- and postflight ocular status and monitor for Spaceflight Associated Neuro-ocular Syndrome (SANS)

Structure

LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. MEDB110OphthalmologicExamNASA Medical Requirements Integration Document for ophthalmologic examination. Captures comprehensive eye examination data for monitoring Spaceflight Associated Neuro-ocular Syndrome (SANS).Questionnairehttps://mitre.org/fhir/space-health/Questionnaire/medb-1-10-ophthalmologic-exam#0.5.12
... overviewMedical Requirements Overview0..1group
.... overview.mrid-numberMRID Number and Title0..1displayInitial Value: string = MEDB 1.10 Ophthalmologic Examination
.... overview.sponsorSponsor1..1choiceiconiconOptions: 1 option
Initial Value: Coding = NASA MRID Sponsor Organizations#medical-operations "Medical Operations"
.... overview.disciplineDiscipline1..1choiceiconiconOptions: 1 option
Initial Value: Coding = NASA MRID Medical Disciplines#ophthalmology "Ophthalmology"
.... overview.purposePurpose/Objectives1..1textInitial Value: string = To assess pre- and postflight ocular status, establish baseline measurements, and monitor for Spaceflight Associated Neuro-ocular Syndrome (SANS) including optic disc edema, globe flattening, choroidal folds, and refractive changes.
.... overview.measurement-parametersMeasurement Parameters1..1stringInitial Value: string = Visual acuity, refraction, IOP, fundoscopy, OCT, visual fields
.... overview.flight-durationFlight Duration1..1stringInitial Value: string = >= 30 days
... preflight-trainingPreflight Training0..1group
.... preflight-training.naNo Preflight Training Required0..1display
... preflight-activitiesPreflight Activities0..1group
.... preflight-activities.descriptionActivity Description0..1textInitial Value: string = Comprehensive ophthalmologic examination including visual acuity, refraction, intraocular pressure, slit lamp examination, dilated fundoscopy, optical coherence tomography (OCT), and visual field testing.
.... preflight-activities.durationDuration (minutes)1..1integerInitial Value: integer = 90
.... preflight-activities.scheduleSchedule1..1stringInitial Value: string = AME L-9/6 m, L-90 to L-30 days
.... preflight-activities.locationTest Location1..1choiceOptions: 1 option
Initial Value: Coding = NASA Medical Facility Locations#jsc "Johnson Space Center"
.... preflight-activities.test-datePreflight Exam Date0..1date
.... preflight-activities.test-completedPreflight Exam Completed1..1boolean
.... preflight-ophth-results.visual-acuityVisual Acuity0..1group
..... preflight-ophth-results.visual-acuity.right-uncorrectedRight Eye Uncorrected0..1string
..... preflight-ophth-results.visual-acuity.right-correctedRight Eye Best Corrected0..1string
..... preflight-ophth-results.visual-acuity.left-uncorrectedLeft Eye Uncorrected0..1string
..... preflight-ophth-results.visual-acuity.left-correctedLeft Eye Best Corrected0..1string
.... preflight-ophth-results.refractionRefraction0..1group
..... preflight-ophth-results.refraction.right-sphereRight Eye Sphere (D)0..1decimal
..... preflight-ophth-results.refraction.right-cylinderRight Eye Cylinder (D)0..1decimal
..... preflight-ophth-results.refraction.right-axisRight Eye Axis (degrees)0..1integer
..... preflight-ophth-results.refraction.left-sphereLeft Eye Sphere (D)0..1decimal
..... preflight-ophth-results.refraction.left-cylinderLeft Eye Cylinder (D)0..1decimal
..... preflight-ophth-results.refraction.left-axisLeft Eye Axis (degrees)0..1integer
.... preflight-ophth-results.iopIntraocular Pressure0..1group
..... preflight-ophth-results.iop.rightRight Eye IOP (mmHg)0..1integer
..... preflight-ophth-results.iop.leftLeft Eye IOP (mmHg)0..1integer
.... preflight-ophth-results.fundoscopyFundoscopy Findings0..1group
..... preflight-ophth-results.fundoscopy.optic-disc-rightOptic Disc Right Eye0..1choiceOptions: 3 options
..... preflight-ophth-results.fundoscopy.optic-disc-leftOptic Disc Left Eye0..1choiceOptions: 3 options
..... preflight-ophth-results.fundoscopy.choroidal-foldsChoroidal Folds Present0..1boolean
..... preflight-ophth-results.fundoscopy.globe-flatteningGlobe Flattening Present0..1boolean
.... preflight-ophth-results.octOCT Measurements0..1group
..... preflight-ophth-results.oct.rnfl-rightRight Eye RNFL Average (microns)0..1decimal
..... preflight-ophth-results.oct.rnfl-leftLeft Eye RNFL Average (microns)0..1decimal
..... preflight-ophth-results.oct.total-retinal-thickness-rightRight Eye Total Retinal Thickness (microns)0..1decimal
..... preflight-ophth-results.oct.total-retinal-thickness-leftLeft Eye Total Retinal Thickness (microns)0..1decimal
.... preflight-ophth-results.interpretationOverall Ophthalmologic Interpretation0..1choiceOptions: 2 options
.... preflight-ophth-results.notesExamination Notes0..1text
... inflight-activitiesIn-Flight Activities0..1group
.... inflight-activities.descriptionActivity Description0..1textInitial Value: string = Fundoscopy using Fundoscope onboard ISS. Images reviewed by ground team for SANS monitoring.
.... inflight-activities.scheduleSchedule0..1stringInitial Value: string = Monthly during mission
.... inflight-activities.fundoscopy-completedIn-flight Fundoscopy Completed0..1boolean
.... inflight-activities.sans-suspectedSANS Findings Suspected In-Flight0..1boolean
... postflight-activitiesPostflight Activities0..1group
.... postflight-activities.scheduleSchedule0..1stringInitial Value: string = R+1 to R+3 days, R+30 days, R+180 days
.... postflight-activities.test-datePostflight Exam Date (Initial)0..1date
.... postflight-activities.test-completedPostflight Exam Completed1..1boolean
... postflight-ophth-resultsPostflight Ophthalmologic Results0..1group
.... postflight-ophth-results.visual-acuityVisual Acuity0..1group
..... postflight-ophth-results.visual-acuity.right-correctedRight Eye Best Corrected0..1string
..... postflight-ophth-results.visual-acuity.left-correctedLeft Eye Best Corrected0..1string
.... postflight-ophth-results.iopIntraocular Pressure0..1group
..... postflight-ophth-results.iop.rightRight Eye IOP (mmHg)0..1integer
..... postflight-ophth-results.iop.leftLeft Eye IOP (mmHg)0..1integer
.... postflight-ophth-results.sans-assessmentSANS Assessment0..1group
..... postflight-ophth-results.sans-assessment.optic-disc-edemaOptic Disc Edema Present0..1boolean
..... postflight-ophth-results.sans-assessment.globe-flatteningGlobe Flattening Present0..1boolean
..... postflight-ophth-results.sans-assessment.choroidal-foldsChoroidal Folds Present0..1boolean
..... postflight-ophth-results.sans-assessment.hyperopic-shiftHyperopic Shift Present0..1boolean
..... postflight-ophth-results.sans-assessment.cotton-wool-spotsCotton Wool Spots Present0..1boolean
..... postflight-ophth-results.sans-assessment.sans-gradeSANS Grade0..1choiceOptions: 4 options
.... postflight-ophth-results.comparisonComparison to Preflight0..1choiceOptions: 3 options
.... postflight-ophth-results.notesExamination Notes0..1text
... data-deliveryData Delivery0..1group
.... data-delivery.archiveData Archive Systems0..*choiceOptions: 2 options
... postflight-debriefPostflight Debrief0..1group
.... postflight-debrief.naN/A - Included as part of Medical Operations overall debrief0..1display

doco Documentation for this format

Options Sets

Answer options for overview.sponsor

  • https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-sponsor-cs#medical-operations ("Medical Operations")

Answer options for overview.discipline

  • https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-discipline-cs#ophthalmology ("Ophthalmology")

Answer options for preflight-activities.location

  • https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs#jsc ("Johnson Space Center")

Answer options for preflight-ophth-results.fundoscopy.optic-disc-right

  • http://snomed.info/sct#17621005 ("Normal")
  • http://snomed.info/sct#423341008 ("Optic disc edema")
  • http://snomed.info/sct#263654008 ("Abnormal")

Answer options for preflight-ophth-results.fundoscopy.optic-disc-left

  • http://snomed.info/sct#17621005 ("Normal")
  • http://snomed.info/sct#423341008 ("Optic disc edema")
  • http://snomed.info/sct#263654008 ("Abnormal")

Answer options for preflight-ophth-results.interpretation

  • http://snomed.info/sct#17621005 ("Normal")
  • http://snomed.info/sct#263654008 ("Abnormal")

Answer options for postflight-ophth-results.sans-assessment.sans-grade

  • No SANS
  • Grade 1 - Mild
  • Grade 2 - Moderate
  • Grade 3 - Severe

Answer options for postflight-ophth-results.comparison

  • No significant change
  • SANS findings present
  • Other changes

Answer options for data-delivery.archive

  • https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs#pacs ("Picture Archiving and Communication System")
  • https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs#mmis ("Medical Mission Information System")