@prefix fhir: . @prefix loinc: . @prefix owl: . @prefix rdf: . @prefix rdfs: . @prefix sct: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Questionnaire ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "MEDB110OphthalmologicExamQuestionnaire"] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div [ fhir:v "

Generated Narrative: Questionnaire MEDB110OphthalmologicExamQuestionnaire

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LinkIDTextCardinalityTypeFlagsDescription & Constraints\"doco\"
\".\"\".\" 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..1choice\"icon\"/\"icon\"/Options: 1 option
Initial Value: Coding = NASA MRID Sponsor Organizations#medical-operations \"Medical Operations\"
\".\"\".\"\".\"\".\" overview.disciplineDiscipline1..1choice\"icon\"/\"icon\"/Options: 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-resultsPreflight Ophthalmologic Results0..1group
\".\"\".\"\".\"\".\" 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\")
"^^rdf:XMLLiteral ] ] ; # fhir:extension ( [ fhir:extension ( [ fhir:url [ fhir:v "name"^^xsd:anyURI ; fhir:l fhir:name ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "patient" ] ] ] [ fhir:url [ fhir:v "type"^^xsd:anyURI ; fhir:l fhir:type ] ; fhir:value [ a fhir:Code ; fhir:v "Patient" ] ] [ fhir:url [ fhir:v "description"^^xsd:anyURI ; fhir:l fhir:description ] ; fhir:value [ a fhir:String ; fhir:v "The astronaut/crewmember subject of this medical requirement" ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext"^^xsd:anyURI ; fhir:l ] ] ) ; # fhir:url [ fhir:v "https://mitre.org/fhir/space-health/Questionnaire/medb-1-10-ophthalmologic-exam"^^xsd:anyURI ; fhir:l ] ; # fhir:version [ fhir:v "0.5.12"] ; # fhir:name [ fhir:v "MEDB110OphthalmologicExam"] ; # fhir:title [ fhir:v "MEDB 1.10 Ophthalmologic Examination"] ; # fhir:status [ fhir:v "active"] ; # fhir:date [ fhir:v "2017-06-05"^^xsd:date] ; # fhir:publisher [ fhir:v "MITRE"] ; # fhir:contact ( [ fhir:name [ fhir:v "MITRE" ] ; fhir:telecom ( [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "https://www.mitre.org/" ] ] ) ] ) ; # fhir:description [ fhir:v "NASA Medical Requirements Integration Document for ophthalmologic examination. Captures comprehensive eye examination data for monitoring Spaceflight Associated Neuro-ocular Syndrome (SANS)."] ; # fhir:purpose [ fhir:v "To assess pre- and postflight ocular status and monitor for Spaceflight Associated Neuro-ocular Syndrome (SANS)"] ; # fhir:copyright [ fhir:v "NASA Johnson Space Center - Medical Requirements Integration Documents (MRIDs) JSC28913"] ; # fhir:item ( [ fhir:linkId [ fhir:v "overview" ] ; fhir:text [ fhir:v "Medical Requirements Overview" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "overview.mrid-number" ] ; fhir:text [ fhir:v "MRID Number and Title" ] ; fhir:type [ fhir:v "display" ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "MEDB 1.10 Ophthalmologic Examination" ] ] ) ] [ fhir:linkId [ fhir:v "overview.sponsor" ] ; fhir:text [ fhir:v "Sponsor" ] ; fhir:type [ fhir:v "choice" ] ; fhir:required [ fhir:v true ] ; fhir:readOnly [ fhir:v true ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-sponsor-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "medical-operations" ] ; fhir:display [ fhir:v "Medical Operations" ] ] ] ) ; fhir:initial ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-sponsor-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "medical-operations" ] ; fhir:display [ fhir:v "Medical Operations" ] ] ] ) ] [ fhir:linkId [ fhir:v "overview.discipline" ] ; fhir:text [ fhir:v "Discipline" ] ; fhir:type [ fhir:v "choice" ] ; fhir:required [ fhir:v true ] ; fhir:readOnly [ fhir:v true ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-discipline-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "ophthalmology" ] ; fhir:display [ fhir:v "Ophthalmology" ] ] ] ) ; fhir:initial ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-discipline-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "ophthalmology" ] ; fhir:display [ fhir:v "Ophthalmology" ] ] ] ) ] [ fhir:linkId [ fhir:v "overview.purpose" ] ; fhir:text [ fhir:v "Purpose/Objectives" ] ; fhir:type [ fhir:v "text" ] ; fhir:required [ fhir:v true ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "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." ] ] ) ] [ fhir:linkId [ fhir:v "overview.measurement-parameters" ] ; fhir:text [ fhir:v "Measurement Parameters" ] ; fhir:type [ fhir:v "string" ] ; fhir:required [ fhir:v true ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "Visual acuity, refraction, IOP, fundoscopy, OCT, visual fields" ] ] ) ] [ fhir:linkId [ fhir:v "overview.flight-duration" ] ; fhir:text [ fhir:v "Flight Duration" ] ; fhir:type [ fhir:v "string" ] ; fhir:required [ fhir:v true ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v ">= 30 days" ] ] ) ] ) ] [ fhir:linkId [ fhir:v "preflight-training" ] ; fhir:text [ fhir:v "Preflight Training" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "preflight-training.na" ] ; fhir:text [ fhir:v "No Preflight Training Required" ] ; fhir:type [ fhir:v "display" ] ] ) ] [ fhir:linkId [ fhir:v "preflight-activities" ] ; fhir:text [ fhir:v "Preflight Activities" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "preflight-activities.description" ] ; fhir:text [ fhir:v "Activity Description" ] ; fhir:type [ fhir:v "text" ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "Comprehensive ophthalmologic examination including visual acuity, refraction, intraocular pressure, slit lamp examination, dilated fundoscopy, optical coherence tomography (OCT), and visual field testing." ] ] ) ] [ fhir:linkId [ fhir:v "preflight-activities.duration" ] ; fhir:text [ fhir:v "Duration (minutes)" ] ; fhir:type [ fhir:v "integer" ] ; fhir:required [ fhir:v true ] ; fhir:initial ( [ fhir:value [ a fhir:Integer ; fhir:v 90 ] ] ) ] [ fhir:linkId [ fhir:v "preflight-activities.schedule" ] ; fhir:text [ fhir:v "Schedule" ] ; fhir:type [ fhir:v "string" ] ; fhir:required [ fhir:v true ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "AME L-9/6 m, L-90 to L-30 days" ] ] ) ] [ fhir:linkId [ fhir:v "preflight-activities.location" ] ; fhir:text [ fhir:v "Test Location" ] ; fhir:type [ fhir:v "choice" ] ; fhir:required [ fhir:v true ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "jsc" ] ; fhir:display [ fhir:v "Johnson Space Center" ] ] ] ) ; fhir:initial ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-medical-facility-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "jsc" ] ; fhir:display [ fhir:v "Johnson Space Center" ] ] ] ) ] [ fhir:linkId [ fhir:v "preflight-activities.test-date" ] ; fhir:text [ fhir:v "Preflight Exam Date" ] ; fhir:type [ fhir:v "date" ] ] [ fhir:linkId [ fhir:v "preflight-activities.test-completed" ] ; fhir:text [ fhir:v "Preflight Exam Completed" ] ; fhir:type [ fhir:v "boolean" ] ; fhir:required [ fhir:v true ] ] ) ] [ fhir:linkId [ fhir:v "preflight-ophth-results" ] ; fhir:text [ fhir:v "Preflight Ophthalmologic Results" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "preflight-ophth-results.visual-acuity" ] ; fhir:text [ fhir:v "Visual Acuity" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "preflight-ophth-results.visual-acuity.right-uncorrected" ] ; fhir:code ( [ a loinc:79880-1 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "79880-1" ] ; fhir:display [ fhir:v "Visual acuity uncorrected Right eye" ] ] ) ; fhir:text [ fhir:v "Right Eye Uncorrected" ] ; fhir:type [ fhir:v "string" ] ] [ fhir:linkId [ fhir:v "preflight-ophth-results.visual-acuity.right-corrected" ] ; fhir:code ( [ a loinc:79881-9 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "79881-9" ] ; fhir:display [ fhir:v "Visual acuity best corrected Right eye" ] ] ) ; fhir:text [ fhir:v "Right Eye Best Corrected" ] ; fhir:type [ fhir:v "string" ] ] [ fhir:linkId [ fhir:v "preflight-ophth-results.visual-acuity.left-uncorrected" ] ; fhir:code ( [ a loinc:79882-7 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "79882-7" ] ; fhir:display [ fhir:v "Visual acuity uncorrected Left eye" ] ] ) ; fhir:text [ fhir:v "Left Eye Uncorrected" ] ; fhir:type [ fhir:v "string" ] ] [ fhir:linkId [ fhir:v "preflight-ophth-results.visual-acuity.left-corrected" ] ; fhir:code ( [ a loinc:79883-5 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "79883-5" ] ; fhir:display [ fhir:v "Visual acuity best corrected Left eye" ] ] ) ; fhir:text [ fhir:v "Left Eye Best Corrected" ] ; fhir:type [ fhir:v "string" ] ] ) ] [ fhir:linkId [ fhir:v "preflight-ophth-results.refraction" ] ; fhir:text [ fhir:v "Refraction" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "preflight-ophth-results.refraction.right-sphere" ] ; fhir:text [ fhir:v "Right Eye Sphere (D)" ] ; fhir:type [ fhir:v "decimal" ] ] [ fhir:linkId [ fhir:v "preflight-ophth-results.refraction.right-cylinder" ] ; fhir:text [ fhir:v "Right Eye Cylinder (D)" ] ; fhir:type [ fhir:v "decimal" ] ] [ fhir:linkId [ fhir:v "preflight-ophth-results.refraction.right-axis" ] ; fhir:text [ fhir:v "Right Eye Axis (degrees)" ] ; fhir:type [ fhir:v "integer" ] ] [ fhir:linkId [ fhir:v "preflight-ophth-results.refraction.left-sphere" ] ; fhir:text [ fhir:v "Left Eye Sphere (D)" ] ; fhir:type [ fhir:v "decimal" ] ] [ fhir:linkId [ fhir:v "preflight-ophth-results.refraction.left-cylinder" ] ; fhir:text [ fhir:v "Left Eye Cylinder (D)" ] ; fhir:type [ fhir:v "decimal" ] ] [ fhir:linkId [ fhir:v "preflight-ophth-results.refraction.left-axis" ] ; fhir:text [ fhir:v "Left Eye Axis (degrees)" ] ; fhir:type [ fhir:v "integer" ] ] ) ] [ fhir:linkId [ fhir:v "preflight-ophth-results.iop" ] ; fhir:text [ fhir:v "Intraocular Pressure" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "preflight-ophth-results.iop.right" ] ; fhir:code ( [ a loinc:79893-4 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "79893-4" ] ; fhir:display [ fhir:v "Intraocular pressure of Eye - right" ] ] ) ; fhir:text [ fhir:v "Right Eye IOP (mmHg)" ] ; fhir:type [ fhir:v "integer" ] ] [ fhir:linkId [ fhir:v "preflight-ophth-results.iop.left" ] ; fhir:code ( [ a loinc:79892-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "79892-6" ] ; fhir:display [ fhir:v "Intraocular pressure of Eye - left" ] ] ) ; fhir:text [ fhir:v "Left Eye IOP (mmHg)" ] ; fhir:type [ fhir:v "integer" ] ] ) ] [ fhir:linkId [ fhir:v "preflight-ophth-results.fundoscopy" ] ; fhir:text [ fhir:v "Fundoscopy Findings" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "preflight-ophth-results.fundoscopy.optic-disc-right" ] ; fhir:text [ fhir:v "Optic Disc Right Eye" ] ; fhir:type [ fhir:v "choice" ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding, sct:17621005 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "17621005" ] ; fhir:display [ fhir:v "Normal" ] ] ] [ fhir:value [ a fhir:Coding, sct:423341008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "423341008" ] ; fhir:display [ fhir:v "Optic disc edema" ] ] ] [ fhir:value [ a fhir:Coding, sct:263654008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "263654008" ] ; fhir:display [ fhir:v "Abnormal" ] ] ] ) ] [ fhir:linkId [ fhir:v "preflight-ophth-results.fundoscopy.optic-disc-left" ] ; fhir:text [ fhir:v "Optic Disc Left Eye" ] ; fhir:type [ fhir:v "choice" ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding, sct:17621005 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "17621005" ] ; fhir:display [ fhir:v "Normal" ] ] ] [ fhir:value [ a fhir:Coding, sct:423341008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "423341008" ] ; fhir:display [ fhir:v "Optic disc edema" ] ] ] [ fhir:value [ a fhir:Coding, sct:263654008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "263654008" ] ; fhir:display [ fhir:v "Abnormal" ] ] ] ) ] [ fhir:linkId [ fhir:v "preflight-ophth-results.fundoscopy.choroidal-folds" ] ; fhir:text [ fhir:v "Choroidal Folds Present" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:linkId [ fhir:v "preflight-ophth-results.fundoscopy.globe-flattening" ] ; fhir:text [ fhir:v "Globe Flattening Present" ] ; fhir:type [ fhir:v "boolean" ] ] ) ] [ fhir:linkId [ fhir:v "preflight-ophth-results.oct" ] ; fhir:text [ fhir:v "OCT Measurements" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "preflight-ophth-results.oct.rnfl-right" ] ; fhir:text [ fhir:v "Right Eye RNFL Average (microns)" ] ; fhir:type [ fhir:v "decimal" ] ] [ fhir:linkId [ fhir:v "preflight-ophth-results.oct.rnfl-left" ] ; fhir:text [ fhir:v "Left Eye RNFL Average (microns)" ] ; fhir:type [ fhir:v "decimal" ] ] [ fhir:linkId [ fhir:v "preflight-ophth-results.oct.total-retinal-thickness-right" ] ; fhir:text [ fhir:v "Right Eye Total Retinal Thickness (microns)" ] ; fhir:type [ fhir:v "decimal" ] ] [ fhir:linkId [ fhir:v "preflight-ophth-results.oct.total-retinal-thickness-left" ] ; fhir:text [ fhir:v "Left Eye Total Retinal Thickness (microns)" ] ; fhir:type [ fhir:v "decimal" ] ] ) ] [ fhir:linkId [ fhir:v "preflight-ophth-results.interpretation" ] ; fhir:text [ fhir:v "Overall Ophthalmologic Interpretation" ] ; fhir:type [ fhir:v "choice" ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding, sct:17621005 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "17621005" ] ; fhir:display [ fhir:v "Normal" ] ] ] [ fhir:value [ a fhir:Coding, sct:263654008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "263654008" ] ; fhir:display [ fhir:v "Abnormal" ] ] ] ) ] [ fhir:linkId [ fhir:v "preflight-ophth-results.notes" ] ; fhir:text [ fhir:v "Examination Notes" ] ; fhir:type [ fhir:v "text" ] ] ) ] [ fhir:linkId [ fhir:v "inflight-activities" ] ; fhir:text [ fhir:v "In-Flight Activities" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "inflight-activities.description" ] ; fhir:text [ fhir:v "Activity Description" ] ; fhir:type [ fhir:v "text" ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "Fundoscopy using Fundoscope onboard ISS. Images reviewed by ground team for SANS monitoring." ] ] ) ] [ fhir:linkId [ fhir:v "inflight-activities.schedule" ] ; fhir:text [ fhir:v "Schedule" ] ; fhir:type [ fhir:v "string" ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "Monthly during mission" ] ] ) ] [ fhir:linkId [ fhir:v "inflight-activities.fundoscopy-completed" ] ; fhir:text [ fhir:v "In-flight Fundoscopy Completed" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:linkId [ fhir:v "inflight-activities.sans-suspected" ] ; fhir:text [ fhir:v "SANS Findings Suspected In-Flight" ] ; fhir:type [ fhir:v "boolean" ] ] ) ] [ fhir:linkId [ fhir:v "postflight-activities" ] ; fhir:text [ fhir:v "Postflight Activities" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "postflight-activities.schedule" ] ; fhir:text [ fhir:v "Schedule" ] ; fhir:type [ fhir:v "string" ] ; fhir:initial ( [ fhir:value [ a fhir:String ; fhir:v "R+1 to R+3 days, R+30 days, R+180 days" ] ] ) ] [ fhir:linkId [ fhir:v "postflight-activities.test-date" ] ; fhir:text [ fhir:v "Postflight Exam Date (Initial)" ] ; fhir:type [ fhir:v "date" ] ] [ fhir:linkId [ fhir:v "postflight-activities.test-completed" ] ; fhir:text [ fhir:v "Postflight Exam Completed" ] ; fhir:type [ fhir:v "boolean" ] ; fhir:required [ fhir:v true ] ] ) ] [ fhir:linkId [ fhir:v "postflight-ophth-results" ] ; fhir:text [ fhir:v "Postflight Ophthalmologic Results" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "postflight-ophth-results.visual-acuity" ] ; fhir:text [ fhir:v "Visual Acuity" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "postflight-ophth-results.visual-acuity.right-corrected" ] ; fhir:text [ fhir:v "Right Eye Best Corrected" ] ; fhir:type [ fhir:v "string" ] ] [ fhir:linkId [ fhir:v "postflight-ophth-results.visual-acuity.left-corrected" ] ; fhir:text [ fhir:v "Left Eye Best Corrected" ] ; fhir:type [ fhir:v "string" ] ] ) ] [ fhir:linkId [ fhir:v "postflight-ophth-results.iop" ] ; fhir:text [ fhir:v "Intraocular Pressure" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "postflight-ophth-results.iop.right" ] ; fhir:text [ fhir:v "Right Eye IOP (mmHg)" ] ; fhir:type [ fhir:v "integer" ] ] [ fhir:linkId [ fhir:v "postflight-ophth-results.iop.left" ] ; fhir:text [ fhir:v "Left Eye IOP (mmHg)" ] ; fhir:type [ fhir:v "integer" ] ] ) ] [ fhir:linkId [ fhir:v "postflight-ophth-results.sans-assessment" ] ; fhir:text [ fhir:v "SANS Assessment" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "postflight-ophth-results.sans-assessment.optic-disc-edema" ] ; fhir:text [ fhir:v "Optic Disc Edema Present" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:linkId [ fhir:v "postflight-ophth-results.sans-assessment.globe-flattening" ] ; fhir:text [ fhir:v "Globe Flattening Present" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:linkId [ fhir:v "postflight-ophth-results.sans-assessment.choroidal-folds" ] ; fhir:text [ fhir:v "Choroidal Folds Present" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:linkId [ fhir:v "postflight-ophth-results.sans-assessment.hyperopic-shift" ] ; fhir:text [ fhir:v "Hyperopic Shift Present" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:linkId [ fhir:v "postflight-ophth-results.sans-assessment.cotton-wool-spots" ] ; fhir:text [ fhir:v "Cotton Wool Spots Present" ] ; fhir:type [ fhir:v "boolean" ] ] [ fhir:linkId [ fhir:v "postflight-ophth-results.sans-assessment.sans-grade" ] ; fhir:text [ fhir:v "SANS Grade" ] ; fhir:type [ fhir:v "choice" ] ; fhir:answerOption ( [ fhir:value [ a fhir:String ; fhir:v "No SANS" ] ] [ fhir:value [ a fhir:String ; fhir:v "Grade 1 - Mild" ] ] [ fhir:value [ a fhir:String ; fhir:v "Grade 2 - Moderate" ] ] [ fhir:value [ a fhir:String ; fhir:v "Grade 3 - Severe" ] ] ) ] ) ] [ fhir:linkId [ fhir:v "postflight-ophth-results.comparison" ] ; fhir:text [ fhir:v "Comparison to Preflight" ] ; fhir:type [ fhir:v "choice" ] ; fhir:answerOption ( [ fhir:value [ a fhir:String ; fhir:v "No significant change" ] ] [ fhir:value [ a fhir:String ; fhir:v "SANS findings present" ] ] [ fhir:value [ a fhir:String ; fhir:v "Other changes" ] ] ) ] [ fhir:linkId [ fhir:v "postflight-ophth-results.notes" ] ; fhir:text [ fhir:v "Examination Notes" ] ; fhir:type [ fhir:v "text" ] ] ) ] [ fhir:linkId [ fhir:v "data-delivery" ] ; fhir:text [ fhir:v "Data Delivery" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "data-delivery.archive" ] ; fhir:text [ fhir:v "Data Archive Systems" ] ; fhir:type [ fhir:v "choice" ] ; fhir:repeats [ fhir:v true ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "pacs" ] ; fhir:display [ fhir:v "Picture Archiving and Communication System" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "mmis" ] ; fhir:display [ fhir:v "Medical Mission Information System" ] ] ] ) ] ) ] [ fhir:linkId [ fhir:v "postflight-debrief" ] ; fhir:text [ fhir:v "Postflight Debrief" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "postflight-debrief.na" ] ; fhir:text [ fhir:v "N/A - Included as part of Medical Operations overall debrief" ] ; fhir:type [ fhir:v "display" ] ] ) ] ) . # # -------------------------------------------------------------------------------------