Generated Narrative: Questionnaire MEDB110OphthalmologicExamQuestionnaire Structure LinkID Text Cardinality Type Flags Description & Constraints MEDB110OphthalmologicExam NASA Medical Requirements Integration Document for ophthalmologic examination. Captures comprehensive eye examination data for monitoring Spaceflight Associated Neuro-ocular Syndrome (SANS). Questionnaire https://mitre.org/fhir/space-health/Questionnaire/medb-1-10-ophthalmologic-exam#0.5.12 #xD; overview Medical Requirements Overview 0..1 group #xD; overview.mrid-number MRID Number and Title 0..1 display Initial Value: string = MEDB 1.10 Ophthalmologic Examination #xD; overview.sponsor Sponsor 1..1 choice Options: 1 option Initial Value: Coding = NASA MRID Sponsor Organizations#medical-operations "Medical Operations" #xD; overview.discipline Discipline 1..1 choice Options: 1 option Initial Value: Coding = NASA MRID Medical Disciplines#ophthalmology "Ophthalmology" #xD; overview.purpose Purpose/Objectives 1..1 text Initial 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. #xD; overview.measurement-parameters Measurement Parameters 1..1 string Initial Value: string = Visual acuity, refraction, IOP, fundoscopy, OCT, visual fields #xD; overview.flight-duration Flight Duration 1..1 string Initial Value: string = >= 30 days #xD; preflight-training Preflight Training 0..1 group #xD; preflight-training.na No Preflight Training Required 0..1 display #xD; preflight-activities Preflight Activities 0..1 group #xD; preflight-activities.description Activity Description 0..1 text Initial Value: string = Comprehensive ophthalmologic examination including visual acuity, refraction, intraocular pressure, slit lamp examination, dilated fundoscopy, optical coherence tomography (OCT), and visual field testing. #xD; preflight-activities.duration Duration (minutes) 1..1 integer Initial Value: integer = 90 #xD; preflight-activities.schedule Schedule 1..1 string Initial Value: string = AME L-9/6 m, L-90 to L-30 days #xD; preflight-activities.location Test Location 1..1 choice Options: 1 option Initial Value: Coding = NASA Medical Facility Locations#jsc "Johnson Space Center" #xD; preflight-activities.test-date Preflight Exam Date 0..1 date #xD; preflight-activities.test-completed Preflight Exam Completed 1..1 boolean #xD; preflight-ophth-results Preflight Ophthalmologic Results 0..1 group #xD; preflight-ophth-results.visual-acuity Visual Acuity 0..1 group #xD; preflight-ophth-results.visual-acuity.right-uncorrected Right Eye Uncorrected 0..1 string #xD; preflight-ophth-results.visual-acuity.right-corrected Right Eye Best Corrected 0..1 string #xD; preflight-ophth-results.visual-acuity.left-uncorrected Left Eye Uncorrected 0..1 string #xD; preflight-ophth-results.visual-acuity.left-corrected Left Eye Best Corrected 0..1 string #xD; preflight-ophth-results.refraction Refraction 0..1 group #xD; preflight-ophth-results.refraction.right-sphere Right Eye Sphere (D) 0..1 decimal #xD; preflight-ophth-results.refraction.right-cylinder Right Eye Cylinder (D) 0..1 decimal #xD; preflight-ophth-results.refraction.right-axis Right Eye Axis (degrees) 0..1 integer #xD; preflight-ophth-results.refraction.left-sphere Left Eye Sphere (D) 0..1 decimal #xD; preflight-ophth-results.refraction.left-cylinder Left Eye Cylinder (D) 0..1 decimal #xD; preflight-ophth-results.refraction.left-axis Left Eye Axis (degrees) 0..1 integer #xD; preflight-ophth-results.iop Intraocular Pressure 0..1 group #xD; preflight-ophth-results.iop.right Right Eye IOP (mmHg) 0..1 integer #xD; preflight-ophth-results.iop.left Left Eye IOP (mmHg) 0..1 integer #xD; preflight-ophth-results.fundoscopy Fundoscopy Findings 0..1 group #xD; preflight-ophth-results.fundoscopy.optic-disc-right Optic Disc Right Eye 0..1 choice Options: 3 options #xD; preflight-ophth-results.fundoscopy.optic-disc-left Optic Disc Left Eye 0..1 choice Options: 3 options #xD; preflight-ophth-results.fundoscopy.choroidal-folds Choroidal Folds Present 0..1 boolean #xD; preflight-ophth-results.fundoscopy.globe-flattening Globe Flattening Present 0..1 boolean #xD; preflight-ophth-results.oct OCT Measurements 0..1 group #xD; preflight-ophth-results.oct.rnfl-right Right Eye RNFL Average (microns) 0..1 decimal #xD; preflight-ophth-results.oct.rnfl-left Left Eye RNFL Average (microns) 0..1 decimal #xD; preflight-ophth-results.oct.total-retinal-thickness-right Right Eye Total Retinal Thickness (microns) 0..1 decimal #xD; preflight-ophth-results.oct.total-retinal-thickness-left Left Eye Total Retinal Thickness (microns) 0..1 decimal #xD; preflight-ophth-results.interpretation Overall Ophthalmologic Interpretation 0..1 choice Options: 2 options #xD; preflight-ophth-results.notes Examination Notes 0..1 text #xD; inflight-activities In-Flight Activities 0..1 group #xD; inflight-activities.description Activity Description 0..1 text Initial Value: string = Fundoscopy using Fundoscope onboard ISS. Images reviewed by ground team for SANS monitoring. #xD; inflight-activities.schedule Schedule 0..1 string Initial Value: string = Monthly during mission #xD; inflight-activities.fundoscopy-completed In-flight Fundoscopy Completed 0..1 boolean #xD; inflight-activities.sans-suspected SANS Findings Suspected In-Flight 0..1 boolean #xD; postflight-activities Postflight Activities 0..1 group #xD; postflight-activities.schedule Schedule 0..1 string Initial Value: string = R+1 to R+3 days, R+30 days, R+180 days #xD; postflight-activities.test-date Postflight Exam Date (Initial) 0..1 date #xD; postflight-activities.test-completed Postflight Exam Completed 1..1 boolean #xD; postflight-ophth-results Postflight Ophthalmologic Results 0..1 group #xD; postflight-ophth-results.visual-acuity Visual Acuity 0..1 group #xD; postflight-ophth-results.visual-acuity.right-corrected Right Eye Best Corrected 0..1 string #xD; postflight-ophth-results.visual-acuity.left-corrected Left Eye Best Corrected 0..1 string #xD; postflight-ophth-results.iop Intraocular Pressure 0..1 group #xD; postflight-ophth-results.iop.right Right Eye IOP (mmHg) 0..1 integer #xD; postflight-ophth-results.iop.left Left Eye IOP (mmHg) 0..1 integer #xD; postflight-ophth-results.sans-assessment SANS Assessment 0..1 group #xD; postflight-ophth-results.sans-assessment.optic-disc-edema Optic Disc Edema Present 0..1 boolean #xD; postflight-ophth-results.sans-assessment.globe-flattening Globe Flattening Present 0..1 boolean #xD; postflight-ophth-results.sans-assessment.choroidal-folds Choroidal Folds Present 0..1 boolean #xD; postflight-ophth-results.sans-assessment.hyperopic-shift Hyperopic Shift Present 0..1 boolean #xD; postflight-ophth-results.sans-assessment.cotton-wool-spots Cotton Wool Spots Present 0..1 boolean #xD; postflight-ophth-results.sans-assessment.sans-grade SANS Grade 0..1 choice Options: 4 options #xD; postflight-ophth-results.comparison Comparison to Preflight 0..1 choice Options: 3 options #xD; postflight-ophth-results.notes Examination Notes 0..1 text #xD; data-delivery Data Delivery 0..1 group #xD; data-delivery.archive Data Archive Systems 0..* choice Options: 2 options #xD; postflight-debrief Postflight Debrief 0..1 group #xD; postflight-debrief.na N/A - Included as part of Medical Operations overall debrief 0..1 display #xD; 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")
The astronaut/crewmember subject of this medical requirement
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)
NASA Johnson Space Center - Medical Requirements Integration Documents (MRIDs) JSC28913
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.
Visual acuity, refraction, IOP, fundoscopy, OCT, visual fields
Comprehensive ophthalmologic examination including visual acuity, refraction, intraocular pressure, slit lamp examination, dilated fundoscopy, optical coherence tomography (OCT), and visual field testing.
Right Eye Total Retinal Thickness (microns)
Left Eye Total Retinal Thickness (microns)
Fundoscopy using Fundoscope onboard ISS. Images reviewed by ground team for SANS monitoring.
Picture Archiving and Communication System
N/A - Included as part of Medical Operations overall debrief