{ "resourceType" : "Questionnaire", "id" : "MEDB111BodyCompositionQuestionnaire", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Questionnaire MEDB111BodyCompositionQuestionnaire

Structure\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextCardinalityTypeFlagsDescription & Constraints\"doco\"
\".\"\".\" MEDB111BodyCompositionNASA Medical Requirements Integration Document for body composition assessment using DEXA.Questionnairehttps://mitre.org/fhir/space-health/Questionnaire/medb-1-11-body-composition#0.5.12
\".\"\".\"\".\" overviewMedical Requirements Overview0..1group
\".\"\".\"\".\"\".\" overview.mrid-numberMRID Number0..1displayInitial Value: string = MEDB 1.11 Body Composition Assessment
\".\"\".\"\".\"\".\" overview.sponsorSponsor0..1choice\"icon\"/\"icon\"/Options: 1 option
Initial Value: Coding = NASA MRID Sponsor Organizations#exercise-physiology "Exercise Physiology"
\".\"\".\"\".\"\".\" overview.disciplineDiscipline0..1choice\"icon\"/\"icon\"/Options: 1 option
Initial Value: Coding = NASA MRID Medical Disciplines#bone-muscle-exercise "Bone/Muscle/Exercise"
\".\"\".\"\".\" preflight-activitiesPreflight Activities0..1group
\".\"\".\"\".\"\".\" preflight-activities.scheduleSchedule0..1stringInitial Value: string = L-180 to L-60 days
\".\"\".\"\".\"\".\" preflight-activities.scan-dateDEXA Scan Date0..1date
\".\"\".\"\".\"\".\" preflight-activities.scan-completedScan Completed0..1boolean
\".\"\".\"\".\" preflight-dexa-resultsPreflight DEXA Results0..1group
\".\"\".\"\".\"\".\" preflight-dexa-results.total-bmdTotal Body BMD (g/cm²)0..1decimal
\".\"\".\"\".\"\".\" preflight-dexa-results.spine-bmdLumbar Spine BMD (g/cm²)0..1decimal
\".\"\".\"\".\"\".\" preflight-dexa-results.hip-bmdTotal Hip BMD (g/cm²)0..1decimal
\".\"\".\"\".\"\".\" preflight-dexa-results.total-lean-massTotal Lean Mass (kg)0..1decimal
\".\"\".\"\".\"\".\" preflight-dexa-results.total-fat-massTotal Fat Mass (kg)0..1decimal
\".\"\".\"\".\"\".\" preflight-dexa-results.body-fat-percentageBody Fat Percentage (%)0..1decimal
\".\"\".\"\".\" postflight-activitiesPostflight Activities0..1group
\".\"\".\"\".\"\".\" postflight-activities.scheduleSchedule0..1stringInitial Value: string = R+5 to R+14 days, R+180 days, R+365 days
\".\"\".\"\".\"\".\" postflight-activities.scan-datePostflight Scan Date0..1date
\".\"\".\"\".\" postflight-dexa-resultsPostflight DEXA Results0..1group
\".\"\".\"\".\"\".\" postflight-dexa-results.spine-bmdLumbar Spine BMD (g/cm²)0..1decimal
\".\"\".\"\".\"\".\" postflight-dexa-results.hip-bmdTotal Hip BMD (g/cm²)0..1decimal
\".\"\".\"\".\"\".\" postflight-dexa-results.bmd-change-spineBMD Change - Spine (%)0..1decimal
\".\"\".\"\".\"\".\" postflight-dexa-results.bmd-change-hipBMD Change - Hip (%)0..1decimal
\".\"\".\"\".\"\".\" postflight-dexa-results.bone-loss-assessmentBone Loss Assessment0..1choiceOptions: 3 options
\".\"\".\"\".\" data-deliveryData Delivery0..1group
\".\"\".\"\".\"\".\" data-delivery.archiveData Archive0..1choiceOptions: 1 option

\"doco\" Documentation for this format

Options Sets

Answer options for overview.sponsor

Answer options for overview.discipline

Answer options for postflight-dexa-results.bone-loss-assessment

Answer options for data-delivery.archive

" }, "extension" : [{ "extension" : [{ "url" : "name", "valueCoding" : { "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext", "code" : "patient" } }, { "url" : "type", "valueCode" : "Patient" }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext" }], "url" : "https://mitre.org/fhir/space-health/Questionnaire/medb-1-11-body-composition", "version" : "0.5.12", "name" : "MEDB111BodyComposition", "title" : "MEDB 1.11 Body Composition/DEXA", "status" : "active", "date" : "2017-06-05", "publisher" : "MITRE", "contact" : [{ "name" : "MITRE", "telecom" : [{ "system" : "url", "value" : "https://www.mitre.org/" }] }], "description" : "NASA Medical Requirements Integration Document for body composition assessment using DEXA.", "purpose" : "To assess body composition including bone mineral density, lean mass, and fat mass using DEXA.", "copyright" : "NASA Johnson Space Center - Medical Requirements Integration Documents (MRIDs) JSC28913", "item" : [{ "linkId" : "overview", "text" : "Medical Requirements Overview", "type" : "group", "item" : [{ "linkId" : "overview.mrid-number", "text" : "MRID Number", "type" : "display", "initial" : [{ "valueString" : "MEDB 1.11 Body Composition Assessment" }] }, { "linkId" : "overview.sponsor", "text" : "Sponsor", "type" : "choice", "readOnly" : true, "answerOption" : [{ "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-sponsor-cs", "code" : "exercise-physiology", "display" : "Exercise Physiology" } }], "initial" : [{ "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-sponsor-cs", "code" : "exercise-physiology", "display" : "Exercise Physiology" } }] }, { "linkId" : "overview.discipline", "text" : "Discipline", "type" : "choice", "readOnly" : true, "answerOption" : [{ "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-discipline-cs", "code" : "bone-muscle-exercise", "display" : "Bone/Muscle/Exercise" } }], "initial" : [{ "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-mrid-discipline-cs", "code" : "bone-muscle-exercise", "display" : "Bone/Muscle/Exercise" } }] }] }, { "linkId" : "preflight-activities", "text" : "Preflight Activities", "type" : "group", "item" : [{ "linkId" : "preflight-activities.schedule", "text" : "Schedule", "type" : "string", "initial" : [{ "valueString" : "L-180 to L-60 days" }] }, { "linkId" : "preflight-activities.scan-date", "text" : "DEXA Scan Date", "type" : "date" }, { "linkId" : "preflight-activities.scan-completed", "text" : "Scan Completed", "type" : "boolean" }] }, { "linkId" : "preflight-dexa-results", "text" : "Preflight DEXA Results", "type" : "group", "item" : [{ "linkId" : "preflight-dexa-results.total-bmd", "code" : [{ "system" : "http://loinc.org", "code" : "38263-0", "display" : "DXA Bone density" }], "text" : "Total Body BMD (g/cm²)", "type" : "decimal" }, { "linkId" : "preflight-dexa-results.spine-bmd", "code" : [{ "system" : "http://loinc.org", "code" : "38264-8", "display" : "DXA Bone density Lumbar spine" }], "text" : "Lumbar Spine BMD (g/cm²)", "type" : "decimal" }, { "linkId" : "preflight-dexa-results.hip-bmd", "code" : [{ "system" : "http://loinc.org", "code" : "38265-5", "display" : "DXA Bone density Femur" }], "text" : "Total Hip BMD (g/cm²)", "type" : "decimal" }, { "linkId" : "preflight-dexa-results.total-lean-mass", "code" : [{ "system" : "http://loinc.org", "code" : "73708-0", "display" : "Lean body mass" }], "text" : "Total Lean Mass (kg)", "type" : "decimal" }, { "linkId" : "preflight-dexa-results.total-fat-mass", "code" : [{ "system" : "http://loinc.org", "code" : "73709-8", "display" : "Fat mass" }], "text" : "Total Fat Mass (kg)", "type" : "decimal" }, { "linkId" : "preflight-dexa-results.body-fat-percentage", "code" : [{ "system" : "http://loinc.org", "code" : "41982-0", "display" : "Percentage body fat" }], "text" : "Body Fat Percentage (%)", "type" : "decimal" }] }, { "linkId" : "postflight-activities", "text" : "Postflight Activities", "type" : "group", "item" : [{ "linkId" : "postflight-activities.schedule", "text" : "Schedule", "type" : "string", "initial" : [{ "valueString" : "R+5 to R+14 days, R+180 days, R+365 days" }] }, { "linkId" : "postflight-activities.scan-date", "text" : "Postflight Scan Date", "type" : "date" }] }, { "linkId" : "postflight-dexa-results", "text" : "Postflight DEXA Results", "type" : "group", "item" : [{ "linkId" : "postflight-dexa-results.spine-bmd", "text" : "Lumbar Spine BMD (g/cm²)", "type" : "decimal" }, { "linkId" : "postflight-dexa-results.hip-bmd", "text" : "Total Hip BMD (g/cm²)", "type" : "decimal" }, { "linkId" : "postflight-dexa-results.bmd-change-spine", "text" : "BMD Change - Spine (%)", "type" : "decimal" }, { "linkId" : "postflight-dexa-results.bmd-change-hip", "text" : "BMD Change - Hip (%)", "type" : "decimal" }, { "linkId" : "postflight-dexa-results.bone-loss-assessment", "text" : "Bone Loss Assessment", "type" : "choice", "answerOption" : [{ "valueString" : "Within expected range" }, { "valueString" : "Elevated" }, { "valueString" : "Significant" }] }] }, { "linkId" : "data-delivery", "text" : "Data Delivery", "type" : "group", "item" : [{ "linkId" : "data-delivery.archive", "text" : "Data Archive", "type" : "choice", "answerOption" : [{ "valueCoding" : { "system" : "https://mitre.org/fhir/space-health/CodeSystem/nasa-data-archive-cs", "code" : "mmis", "display" : "Medical Mission Information System" } }] }] }] }